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44259-Z
Town of Southold 11/14/2019 0 P.O.Box 1179 53095 Main Rd oy ` g8p Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40856 Date: 11/14/2019 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 73355 Route 25, Greenport SCTM#: 473889 Sec/Block/Lot: 45.-3-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/26/2019 pursuant to which Building Permit No. 44259 dated 10/7/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built"additions and alterations, including screened porch, deck and outdoor shower stall, to an existing one family dwelling as applied for. The certificate is issued to Mangan,Michael of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44259 10/31/2019 PLUMBERS CERTIFICATION DATED 11/5/2019 Bra Piecuch th rignature TOWN OF SOUTHOLD o�g�FFotXcoa BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44259 Date: 10/7/2019 Permission is hereby granted to: Mangan, Michael 110 Hiawatha Dr - Brighwaters, NY 11718 To: legalize "as built" additions and alterations to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 73355 Route 25, Greenport SCTM #473889 Sec/Block/Lot# 45.-3-3 Pursuant to application dated 9/26/2019 and approved by the Building Inspector. To expire on 4/7/2021. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $766.40 CERTIFICATE OF OCCUPANCY $50.00 Total: $816.40 Bui ector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ith the following: This application must be filled in by typewriter or ink and submitted to the Building Department w A. For new building or new use: roe lines, streets,and unusual natural or 1. Final survey of property with accurate location of all buildings, p p r topographic features. 2. Final Approval from Health Dept_ of water supply and sewerage-disposal (S-9 form). iters- Fire Underwr 3_ Approval of electrical installation from Board the solder used in system contains,less than 2/10 of 1% lead. 4. Sworn statement from. certifying 5. Commercial building, industrial building, multiple rest responsible forand similar the building.uildings and installations, a certificate of Code Compliance from architect yal of completed site plan requirements. 6. Submit Planning Board App B. For existing buildings (prior to April 9, 19S7) non-conforming uses, or buildings and"pre-existing l land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent reasonto s therefor in writing applicant.o the appl cant Certificate of Occupancy is denied,the Building Inspector shall C. Fees to 1. Certificate of Occupancy-New dwelling$50.00,50OOAdd Additionsons dto accessory building$50 OOt Businesses $50-00- 2. 0 00. wcl Swimming pool$50.00,Accessory building 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date Building: � (check one) New Construction: Old or pre-existing Location of Property: T2 Street Hamlet Ouse No. Owner or Owners of Property: r� Block Lot (� Suffolk County Tax Map No 1000, Section v/ Filed Map. Lot: Subdivision Permit No. (� 2� Date of Permit. Applicant: Underwriters Approval: Health Dept. Approval: Planning Board Approval: Final Certificate: (check one) Request for: Temporary Certificate Fee Submitted: $ Applicant Signature pF SOUj�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q sean.devlinl-town.southold.ny.us Southold,NY 11971-0959 ,c� • a0 ®lye®UNTI,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Mangan Address: 73355 Route 25 city-Greenport st: NY zip: 11944 Building Permit#: 44259 Section 45 Block: 3 Lot 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Ceding Fan 2 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 Twist Lock Exit Fixtures Combo SD/CO Other Equipment On a 115 GFCI Breaker Notes " AS BUILT " " NO VISUAL DEFECTS " Screen Porch Inspector Signature: Date: October 31, 2019 S.Devlin-Cert Electrical Compliance Form.xls pF SO�T��Io Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �]t,V U {���� BUILDING DEPARTMENT TOWN OF SOUTH©% �� � NOV - 6 2019 - 7,y - CERTIFICATION Date: 111sliq Building Permit No. Owner: (Please print) Plumber:�Dra &Lve'b (Please print) I certify that the solder used in the water supply system contains Iess than 2/10 of I% lead. (Plumbers Signature) Sworn to before me this day of No Vf M 20� Notary Public,I U/L County -rRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IiV SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 � O��Of SOUlyol # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING /STRAPPING [ FINAL 44 6�1 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) _ [ ] CODE VIOLATION [ ] CAULKING REMARKS: s SSD T fA K I*C kQj V &AGS DATE - INSPECTOR a0F SOUT9 L4 L4 (,S —7 3 35--5-- �� Z� # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION - FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION-21SID [ ] INSULATIOWCAULKING - [ ] 'FRAMING/STRAPPING [ '] FINAL [ ] FIREPLACE & CHIMNEY , [ ] FIRE SAFETYINSPECTION ' [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) �4 ELECTRICAL (FINAL)S,,, ^ [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE �� 7 INSPECTOR I FIELD INSPECTION REPORT7 DATE COMMENTS b FOUNDATION(IST) ------------------------------------ FOUNDATION (2ND) tCOD L O Lit ROUGH FRAMING& y 0 PLUMBING 9 r INSULATION PER N.Y. H STATE ENERGY CODE A' "v Ike j "W1 VIIJOA64 FINAL ll l l ADDITIONAL COMMENTS t o-i A 1 - 6 f o xm I- - 0 z x o � 0 H d ro� H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 q 25q Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. { Trustees C.O.Application L--' Flood Permit Examined 2 t— &le Sin; c Separate g Z Truss Identification Form ..� SEP 6 2019 Storm-Water Assessment Form Contact: ® f1--6— l 3 : Tran k / Jo+A�o Approved ,20_ ����_`� „r.i 'x' �'1� ''� A 1� vV1,f Disapproved a/c one: ( Expiration ,20 OLI linspector APPLICATION FOR BUILDING PERMIT Date �—� 2� , 20 ) INSTRUCTIONS a This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole-or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws, Ordinances or Regulations, for the construction of buildings,additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if corporation) I F_r��ingaPr'es—sot applicant) State whethe �1* t 's ow er, lessee, a nt, architect, engineer, general contractor, electrician, plumber or builder =Name of owner of rraises (As o the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: J House umber Street Hamlet County Tax Map No. 1000 Section Block e� Lot 7 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use an occupancy of proposed construction: a. Existing use and occupancy 3I l Shouxr o>*Jcof, b. Intended use and occupanc G(S bU i 1 '�>Uv') Y-00yy) - 3. Nature of work (check which applicable): New Building _ ddit= Alteration Repair Removal Demolition 0 or (Description) Estimated Cost Fee (To be paid onffiling this application) r 5. If elling, number of dwelling units Number of dwelling units on eachffloor If gar e, number of cars Y 6. If business, co mercial or mixed occupancy, specify nature and e nt of each type of use. 7. Dimensions of existin tructures, if any: Front Rear Depth Height Number of Storie Dimensions of same structure alt tions or additions: Front Rear Depth Hei Number of Stories 8. Dimensions of entire new con uction: Front Rear Depth Height Number of Sto ' s 9. Size of lot: Front Rear Depth 10. Date of Pu lase Name of Former Owner 11. Zo or use district in which premises are situated 2 Does proposed construction violate any zoning law, ordinance or regulation? YES N0—X,,;;,/ 13. Will lot be re-graded? YES NO •`., Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address i orre No. Name of Architect Addres e No G S O - Name of Contractor Addres , W e No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO_Ll * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on urvey. 18. Are there any covenants and restrictions with respect to this property? * YES NO :7 IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contrct) a ove named, (S)He is the (Cont ctor, >gent, orporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tl day of 20 19 V q) -/ — otary u lic UBLIC,STTATEE OOF RACC f OTARY PSignature of Applicant F NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNT COMMISSION EXPIRES JUNE 30,2� ), BUILDING DEPARTMENT- Electrical Inspector 2®,% TOWN OF SOUTHOLD 3 To Hall'Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 � 'i Iephone (631).765-1802 - FAX (631) 765-9502 i (,. ogerrCcDsoutholdtownny.gov— seand(aD-southoldtownny.gov, APP.LIQATION FOR ELECTRICAL INSPECTION- - - ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Name-- - ------ =--- --- - - - - -- __ _____ - -- -_------ --- { - - I License No.: email: ( ; Address:' - ---.-- -_ -- -- - -------- - - - -_ � Phone No.: JOB SITE INFORMATION (All Information Required) Name: J Address: Cross Street:- Phone No.: p`f r Bldg.Permit#: - 5 email - - Tax Ma District: 1000 Sectiorg Block: Lot: BRIEF DESCRIPJION OF WORK (Please Print Clearly) k: r Circle All That Apply: Is job ready for inspection?: VNO N Rough In Final Do you need a Temp Certificate?: Issued On Temp Information: (All information required) Service Size 1 Ph - 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form As i � ``' - ARCHITECNOLOGIES 13405 MAIN ROAD, P.O. BOX 93 MATTITUCK, NY 11952 516-298-1129 FAX 516-298-1128 Town of Southold Building Department ; ...... Southold, New York 11971 November 11, 2019 NOV 1 2 2019 RE: Existing Mangan residence, Main Road, Greenport, New York Southold, Suffolk County, New York. Suffolk County Tax Parcel: 1000—57—01 —25 To Whom It May Concern: Based upon a visual inspection of the existing Mangan residence on the Main Road in Greenport (tax map: 1000—57—01 —25) and the sunroom added, I certify the framing, strapping, and footings. The Client had one existing footing exposed and it showed the bottom below the frost line. There were also clips on the floor joists to the existing main girder. As requested, the Client had his contractor add additional strapping on the exterior structure of the existing sunroom. If you have any additional questions, please send all correspondences to our Architect, Frank Notaro, at Architecnologies (Architect) 648 Roanoke Ave, Southold, New York 11901 Tel. (516) 298-1129 T e and consideration. an ,E 021 2A �� ®F N�� eo 104. 404g,* Pic 40 .947WIL MAO Z-4N,9 Z . ,ZJA� , C7 olo- _4 46 44 000p, or jj��' FN r 4200- . 7%5W.- ii ° —fir,. 16 Oft � . > t Z.4N27 Poo It JoRr doom 12 W.A&Z. lot i AI?F-A OF "AnbITION" APP OVED AS N0 E ❑ � DATE: B.P.� \ _ FEE: BY: WITH ALI_ CODES O NOTIFY BUILDING ^EFi;RTVCNT AT NEIN YORK STATE & TOWN Co c5 \ lf1 r�Xl5r'6, 5CMNEt7 5UNPOOM PAI?V-nON/ 765-1802 8 AM TO PM FOR THE AS REQUIRED AND COND(Tlot43, Oa O z COL, mL-Ow(TYP1c&ALL- 5vr-5). FOLLOWING INSPECTIONS: Q) z 1. FOUNDATION - TVXFD REOJIRED I 4 �xlsr'G 2'Ix e" SUIS-FASCIA W/ 3/4" x FOR POURED ��'^'gin^ETE _. v' ; ' '? �� PLPII, u ( X1e" P,J, cdl6" O.C. 6" c. 2. ROUGH - FR C,,-, & PLUMEiNa �` 6 C�XISTING r0 k"�MAIN) <�xlsrlNa r0 PEM�vw 10" C V,I,FJ CONT,CF-PAP,FASCIA SUPI:OUNP, F-45r'6. 3 1/2" x 3 1/2" CrPAp P05r5 3. INSULATION a FEES O I30LT�P ro Pour3L� P,J, �APr> �s, 4. FINAL - CONSTRUCTION k4UST .__, , , -` 7 0 (TYPICAL ALL. PF-CK P05T CONPIT10N5) gE COMPLETE FOR C J. ALL CONSTRUCTIC"d SHALL MEET THE REQUIREMENTS OF THE.CODES OF NEVVzz 6� YORK STATE. NOT RESPONSIBI E FOR DESIGN OR CONSTRUCTION ERRORS, OCCUPANCY OR — (rXI5TlNG r0 PIWAIN) (F,45TING TO MMAIN) USE IS UNLAWFUL ou Ap�A O� AI�bl1'ION _ WITHOUT�� I I I UT _ ,27 b..�„ CER r IF�I(' , I �.,..� crXI 18 6 r ®CCURANC 1 <\\ r � ���� \. 'OFF \\\\�� 7 RIS WATE RU�� \ \\� RETAINS 0 �� <Ew511NG) \\\ gl PURSUANT TO CHAPT R 236 c Ext OF THE Talc�,;td CODE. \ � 1\ . \\�` \�\ \ \ \�. 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