HomeMy WebLinkAbout46860-Z Town of Southold 9/30/2021
P.O.Box 1179
53095 Main Rd
A Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42384 Date: 9/30/2021
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 12935 Route 25,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-5-8.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/31/1995 pursuant to which Building Permit No. 46860 dated 9/22/2021
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:
repair to existing front porch as applied for.
The certificate is issued to Shriber,Maxine&Richard
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 0
j v �6t*ri-Adl Signature
U 0
TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
c • 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#: 46860 Date: 9/22/2021
Permission is hereby granted to:
Shriber, Maxine
300 E 57th St Apt 2D
New York, NY 10022
To: REPAIR AN EXISTING FRONT PORCH AS APPLIED FOR.Replace BP#39059
At premises located at:
12935 Route 25, East Marion
SCTM #473889
Sec/Block/Lot# 31.-5-8.1
Pursuant to application dated 9/22/2021 and approved by the Building Inspector.
To expire on 3/24/2023.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Building Inspector
TOWN OF SOUTHOLD
��o day BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 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#: 39059 Date: 7/28/2014
Permission is hereby granted to:
Mangini, Mark & Nelson, Laurie
290 Sixth Ave Apt 5L
New York, NY 10014
To: REPAIR AN EXISTING FRONT PORCH AS APPLIED FOR.Replace BP#22953
At premises located at:
12935 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-5-8.1
Pursuant to application dated 7/28/2014 and approved by the Building Inspector.
To expire on 1/27/2016.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Building Inspector
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date................... ../ ......................., 19.
W 22953 Z
Permission Is hereby granted to;
......o .......... .... ,moi
to .....A-4o.//�........ ..... cfi:l! ........ .... .........�s
........... ......j ........ ."f .:....................................................................................................
..................................................................................................................................................................
00
g �y _ 1 � .
at premises located at................. ... .
r ...... � o'... ... ... �
.................................
..............................................................4 N...........................I.............
County Tax Map No. 1000 Section .....
/............. Block...... ............ Lot No. ............................
pursuant to application dated .................... ....................., 19.....AX and approved by the
Building Inspector.
ou
Fee $....... ...®.
1 ...........................;5
..
B Wing Inspector
Rev. 6/30/80
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing" 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 to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
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$15.0V�-5-
0 t�
Date. ` /
New Construction: Old or Pre-existing Building: t/ (check one)
Location of Property: � � h 9 ,
House No. Street Hamlet l
Owner or Owners of Property: (/1C�r �C` / l
Suffolk County Tax Map No 1000, Section& Block d— Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate -°o
Final Certificate: (check one)
Fee Submitted: $
`
,le G Applicant Signature
A\P
Q12 IS F
1195099 THE NEW YORK BOARD OF FIRE UNDERWRITER""��S''"" _ PAGE 1
BUREAU OF ELECTRICITY �vn�"
F_ 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date DECEMBER 21,1995 Application No.on file 10850295/95 N 373667
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
GEORGE I�MINGINI, 12935 MAIN ROAD, POLEJILIL 119, EAST MARION, N.Y.
in the following location; ❑ Basement 29 1st Fl. ❑ 2nd Fl. Section Block Lot
was examined on DECE1 BER 14,1995 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS I DISHWASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT KW AMT K W AMT KW AMT K W AMT H P
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT KW OIL H P GAS H P AMT NO A W G AMT AMP AMT AMPS TRANS. AMT H PSYSTEMS AMT WATTS
NO.OF FEET
SERVICE DISCONNECT NO.OF S E R V I C E
AMT AMP TYPE METER .•4W Iff 3W 3 0 3W 3 0 4W NO.OF CC COND A W G NO OF HI-LEG AWG NO OF NEUTRALS A•W G
EQUIP. PER 0 OF CC COND OF HIAEG OF NEUTRAL
1 100 CB I X 1 2 1 2
OTHER APPARATUS:
JIM SAGE ELEC. INC. LTC.#3635E
350 MARINE PLACE
GENERAL MANAGER
GREENPORT, NY, 11944 11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUOLDONG DEPARTMENT. THS COPY OF CERTIHCATE MUST NOT BE ALTERED RED W ANY MANNER.
FIELD INSPECTION REPORT DATE COMMENTS
_
_
__ _____________
ii
II
FOUNDAT LON ( I s'r)
FOUNDATION (2ND)----------------- ---
II
II
ROUGH FRAME & II
1f----II
PLUMBING
II
II
II ii y
INSULATION PER N. Y. °
IP--- -1
STATE ENERGY II
I--- I
CODE
I� II
fir--- •-- -------------------------------
Min (2-
FINAL ---
it �
P
__— _------
ADDITIONAL COMMENTS:
---------------------------------
------------------------------------------
�� cc) P)4) # 22 5 r ced ia5.00
h
-3
- y
BOARD OF HEALTH . . . . . . . . .
FORM NO. 1Ar, 3 SETS OF PLANS
TOWN OF SOUTHOLD ' SU'RV-EY `. . . . . _ _ _ . . . . . . . . . .
BUILDING DEPARTMENT CIIECK . . . . . . _ . _ . . . . . . • . . ,
TOWN HALL SEPTIC F• ORI � . , . • • , , , , ,
SOUTHOLD, N.Y. 11971 VL7
TEL.: 765-1802 NOT I FY G 7
CALL . . . .'.�. . i►1� . .
Examined . . . . . . 19
rtnz To . �• �3/
Approved . . . . . . ��1. . ., 19/�� Permit No. �` -� °y . . c
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jal,
(Buil lisp ctor)
APPLICATION FOR BUILDING PERMIT
Date . . . . . 7� r . . . . . . .. 19�
INSTRUCTIONS
Y
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
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 giving a detailed description of=1ayoutof`property-must
. be dr
cation. :', awn on the diagram which is part of this appli-
- . _ . .
c. The work covered by this applicatiori,iiiay not be cbmrrienced'before•issuance of Building Permit.
d. Upon approval of this application, t}ie';Building Inspector will issued,a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection.,througho,ut the work.
e. No building shall be occupied or used in_,Whole or in-par_t,for any purpose whatever until a Certificate.of Occupancy
shall have been granted by the Building Inspectors.-', .
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 Soutliolcl, Suffolk.00unty,•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,,,,9rdinances, building code, housing code, and regulations, and to
admit a- �i: remises and in building for.necessary inspe tions
(� j�� ( 4 aN�i
U-SE B U°'LAWF�� '=` - (Signature of applicant, name, if a corporation)
TRCATE
OF OCCUPANCY Y (Mailing address of applicant)
State whet er applicant is�Jwnerr,�lesse , agent, architect, engineer, general contractor, electrician, plumber or builder.
.4All " �ci . . . . . . . . .
Name of owner of premises . . . . . . .. . . .! •last t.'�.'� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
tas on the tax roll or latest deed
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. . NHT• • • , TJUL \ `
1 1995
Plumber's License No. . . . . . . . . . �= - -------J'
Electrician's License No. . . . . -�' Vf OtOU✓TFFO
LD
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . .
House Number --;- " " " "
Street Hamlet
County Tax Map No. 1000 Section 000
3 . . . . . . Block . . . . . . . . . . . . . . Lot . . . . . . . $ . . . . . . . .
Subdivision . . . . . . . ... . . . . . . . . . . . . . . . • . Filed Map No.
(Name) � . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy.. . . . .VaCCt A U),L-q. . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . . .U �G� fr,�. �f}'y , , . • _ .
- 1
3. Nature of w rk,(check which applicable): New Building . . . . . I . . . . Addition . . . . . . . . . . Alteration
Re ✓. .� . . ��? Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
(Description)
4. Es . . .
timated Cost . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PP (to be paid on filing this application)
5. If dwelling, number of dwelling units . . . . . . . . . .`.
. . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
Ifgarage, number of cars . . . . . . . . .�!. . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify nature and extent of-each type of use : .
7. Dimensions of existing structures, if any: Front . . . Rear . . . . . . . . . . . . . Depth
Height . Number of Stories . . . . .. . . . ,
Dimensions of same structure with alterations or additions: Front . . I
Rear
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . , . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth
,Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . .
9. Size of lot: Front Rear . . . . . • . • . . . . . . . . .Dep.h. . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . V�� . . . . . . . . . . . . . . Name of Former Owner . irh 0)Zx
11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . Will excess fill be removed from premises• Yes No
14. Name of Owner of premises`. � . /il��r��'n 1, Address ���. .�31 . . e NA ^.7.,j$.`l'. .
Name of Architect . `! . Address . . . . . . . . . Phone No.
Name of Contractor CJ.-l. , 5 c,/-Oc ..f . . . . . . . . Address Q!1'�� `/v y✓ . . Phone No.
.
15. Is this property within 300 feet of a tidal wetland? *yeS, • No.
. . . . . . . . . . . . . .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number'or description according to deed, and show street names and indicate whether
interior or corner lot.
' 't_. •', ltY`}.''a`'._-/� . . �tft ., tr. ;•� � - APPROVED AS NOTED
ii:- DATE: '� S B.P.#
r.;:; w ,, FEE: BY.
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
.y
DESIGN OR CONSTRUCTION ERRORS
TATE OF NEW YORK, S.S
'OUNTY OF . . — �arL �ayl ii I,
• • • • • • • • • • • • • • • • . . . . . beling duly sworn, deposes and says that he is the applicant
(Name of individual si ing contract)
Bove named.
'e is the . . . . . . . . . . . . . .
. . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
)plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the
ork will be performed in the manner set forth in the application filed therewith.
worn to before me this
. . . . . .J. l .�� . . . . . .da of. . ., 19
otary Public, . . . . . � . . . . . Count
JOYCE M.WILKINS . . . . . . . . .
Notary Public,State of New York (Signature of applicant)
No.4952246,Suffolk County PP )
Term Expires June 12, 19_,21
, J
G�
u
3 1 1995 ,,,'
(CY6 -T1 C;L
Fol 40,
Southold Town Building Department
30� cO�y 54375 Main Road Permit#: 22953
Southold,New York 11971 Permit Date: 8/18/1995
o • �� (631)765-1802
Expiration Date: 2/18/1997
Parcel ID: 31.-5-8.1
BUILDING PERMIT RENEWAL LETTER
Dated: 11/23/2011
Applicant: MARK&MARY SAUNDERS MANGINI
Location: 12935 MAIN ROAD EAST MARION
Work Description: ALTERATION
REPAIR AN EXISTING FRONT PORCH AS APPLIED FOR.
A FEE OF $75.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: MARK&MARY SAUNDERS MANGINI
Address: 290 SIXTH AVENUE APT 5-L
NEW YORK,NY 11014
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
oF soUryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q
Southold,NY 11971-0959 Q a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 25, 2014 , V
Mark Mangini & Laurie Nelson
290 Sixth Avenue, Apt. 5L
New York, New York 10014
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are(deeded To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final Survey with Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town-Engineer
BUILDING PERMIT: 29.059-porch repair
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Unauthorized i
\\ alteration
tc ihi survey sa violation of
addition ;
Section 72M of the New York State
Education tya. �
\Y!/ Copies of t`is su�'c
Y map not boarinp
the land survesc-,i^:;3d seal or
embossed seal st a9 rot be Considered
to be a valid true copy,
Guarantees Indicated hereon shall run i
GA�•" only to the Person for whom the survey
Is Prepared,and on h%s be!,,,!to the
` 4_.>,CCc ! lends 9mP3t. ... coy and and
to the 's landing mstl-
7 7_ tuLon.GuarLr••e_-.: ;;oi transferable
to acdibonal irs�tuuons or subsequent
owners. f
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