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HomeMy WebLinkAbout26883-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27675 Date: 05/14/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 2050 MAIN RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 3 Lot 2 .3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 23, 1977 pursuant to which Building Permit No. 26883-Z dated OCTOBER 27, 2000 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 AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. The certificate is issued to GIAN MARIO MANGIERI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 50929H 04/17/01 PLUMBERS CERTIFICATION DATED N/A uth ized Signature Rev. 1/81 Form No. 6 � a 3Gg r TOWN OF SOUTHOLD i BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinc - $100.00 3. Copy of Certificate of Occupancy - .25vn 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .5.1316 . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . (� Old Or Prve-e-x-istin Building .� . K �,! l 6 .}G Location of Property. . . .f . 4 U . . . . . . i .L4 � t�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . 1 .C,t.(;ti . . .1 ,0;�.(.�,C,(n�.`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ./I . • , , , .Block. . . .. . . . . . . . . . . .Lot.A. P. a G,�. . . . . . . . . Subdivision.//.''. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.a.�P.V.U.72 ,Date Of Permit. 1.(/l. . � .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . A,.. . . . Fee Submitted: $. . . . . . . . . ,•, , , , , , , , , , , , , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLIC. . Co_Z �7G 5 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) PERMIT NO. 26883 Z Date OCTOBER 27, 2000 Permission is hereby granted to: GIAN MARIO MANGIERI PO BOX 368 LAUREL,NY 11948 for BUILD AN AGRICULTURAL STORAGE BUILDING. THIS PERMIT REPLACES BUILDING PERMIT 9466Z. at premises located at 2050 MAIN RD LAUREL County Tax Map No. 473889 Section 125 Block 0003 Lot No. 002 . 003 pursuant to application dated SEPTEMBER 23 , 1977 and approved by the Building Inspector. Fee $ 50 . 00 719�horAzed Isignature ORIGINAL Rev. 2/19/98 ti Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue ' East Patchogue, New York 11772 (631)286-6642 J. Date: 4/17/01 Application No. : 50929 H Issued to: Gian Mangied Street: 1900 Main Rd Village: Laurel Zip: 11948 Town:Southhold Section: Block: Lot: t Introduced by: Above Lic.# was examined and found to be in compliance with the National Electrical Code ❑Attic ❑1st Floor ❑Indoor © Residential ❑ Pool ❑ Det. Garage ❑Basement ❑2nd Floor ❑Outdoor ❑ Commercial ❑ Hot Tub ❑ NV Defects Switches Receptacles Fixtures GFI Heaters A/C Fans 7 1 12 2 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Television Carbon Monoxide ' 1 1001 ❑/ ❑ Other Equipment. ugo S. Sit President Building Permit No. This certificate must not be altered in any manner Inspectors may be identified by their credentials 3 ,a- *s, • ��11 / xzz- Town Hall,53095 Main Road p '� Fax(516)765-1823 P.O. Box 1179 COD -?V7 (516)765-1802 Southold,New York 11971-0959 �� Y 0 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 9, 2000 Gian Mario Mangieri P.O. Box 368 Laurel, NY 11948 RE : 2050 Main Rd. , Laurel To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . XX The check is (not on file. ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26883-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUTION [ ] FRAMING [ FINAL ( ] FIREPLACE & CHIMNEY REMARKS: ,DATE l!13, dv INSPECTOR lxtal� ELD INSPECTION REPORT DATE _ _COMMENTS aaa------.-_--------a- - - ----------- - ------- II jj � H )UNDAT I ON OST) II rr— n Ili )UNDATION (2ND) I u II ii ii c � n +UGH FRAME & PLUMBING ii ii II jj N J +SULATION PER N. Y. ----j' STATE ENERGY CODE ii u �f c� n II I- ii a Y� I II jj H ISI-� 1 FINAL =axxaaaax=axx=xaxoaxxx=�aax====x�aaxxx-xa=axaa=aaaxax=aasx==xaxxaxxasa==a=a=xx==xaaaaaaa l ADDITIONAL COMMENTS: ----------------------- zT' r 04 f H r �J -- _ ------ Iv J� M ro H FORM NO. Y TOWN OF SOUTHOLD 'XI BUILDING DEPARTMENT q-�&--- TOWN CLERK'S OFFICE IS% SOUTHOLD, N. Y. Examined ......... ... .., 19.1..,7 Application No. .Z��ff yA k............ IV Approved ...............LG.......... .1...5... .. 19.. � Permit No. .. .GL..........................- Disapproved a/c ................... ......... ................. (� ........................................................................... .. ........... ,................ .... ............ ....../// ........................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...........�_( •� ` •` .3..... 19.....�.... o INSTRUCTIONS Ilk a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building �7 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 layout of property must be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. �uJ 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 y" 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 buildings for necessary inspections. ....... .:4. .. ............%:..(:� ` ................... (Signature appli&ant, or name, if d c poration) ...............................s? 4.1. a.(!, � ....... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . ........................................................................................ Name of owner of premises ....... ..... C.4 . .. ........................................................................................ If applicant is a corporate, signature of duly authorized officer. I--- ........:............................................................................... (Name and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .................,............................ x 1. Location of land on which proposed work will be'done. Map No.: ....... .. X ............ Lot No. .................. Street and Number .. ' :. .W..:...... ......... r�....C �-��^ ....r`...... .. ....................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .......4..�' `: �..la".': �................................................................................ b. Intended use and occupancy .......... .'.'..`.".`.4--' ......F! `.. . ........................................................................ V LV 0 -A 3. Nature of work (check which applicable): New Building. .................. Addition .................. Alteration ............,. Repair .................. Removal .................. Demolition.................... Other Work ................................................ (Description) 0 CD 4. Estimated Cost .. ....�}................ .......................Fee .. ............................................... ........... .................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .........Nuu�mber of d elllinpnits on each floor ............................ Ifara9e number of cars .............1Q. .... .. a.�.. ....:. .....�.1r ... ......................................... 9 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 .................................... Rear ............................ Depth ................................ Height .............................Nuumbber of Stories ................................ _ 8. Dimensions of entire new construction: Front ........Aj.r - l•••••••••••••••• Rear y •F ......•••• Depth . �. Height ...... Number of Stories ......./........................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 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. .....M.Q.............. Will excess fill be removed from premises: ( ) Yes (VNo " 14. Name of Owner of premises .................................................... Address ................................ Phone No. ...................... Nameof Architect ............................................................. Address ................................ Phone! No. ...................... Narne of Contractor ......7777=....................................... Address ................................ Phone No. ...................... 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. 0 1 � 1 \ VIN, Ai InC STATE OF NEW YORK, 1 COUNTY OF ........................1.......f S.S ,,,,,,,,,,,,,,,,,,, .. ............!.be ng duly sworn, deposes an,0 says that he is the applicant (Name of individual signing contract') above named. Heis the ................................................................................................................................................................................. (Contractor, agent, corporate 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 thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...............c , day of ............ .. 1 .. 2, /7 .... Notary Public, ... .� County ,.l •• (Si Lure of gfpplicant) GG p 3 O x y '14 o c SIS+yG�ES _o Xx l k 3 v c ~ 4f, /S/oQst" s'ctpx ljLtw l*bh ZyG tyOG �tI - ooQS vvLy Wvi"rEb 'Liq 2.4 CC. -C 100 0 N f X,2,RVFF fAww (OCACK )WE* F 4 it S OCA � Nk�sTQf'",TED S�oG � z / •I eta! 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