HomeMy WebLinkAbout25163-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26083
Date: 11/02/98
THIS CERTIFIES that the building ALTERATION
Location of Property: 53345 MAIN ROAD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 61 Block 1 Lot 13.1
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 27, 1998 pursuant to which
Building Permit No. 25163-Z dated SEPTEMBER 8, 1998
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 INTERIOR ALTERATION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR.
The certificate is issued to PARVIZ FARAHZAD
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H061666 10/07/98
PLUMBERS CERTIFICATION DATED 10/30/98
GREENPORT PLUMB.&HEATING
Rev. 1/81
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.
25163 Z Date SEPTEMBER 8, 1998
Permission is
hereby granted to:
PARVIZ FARAHZAD
53345 MAIN ROAD
SOUTHOLD,NY 11971
for :
INTERIOR ALTERATION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED
FOR.
at premises located at 53345
County Tax Map No. 473889 Section 061
pursuant to application dated AUGUST
Building Inspector.
MAIN ROAD
SOUTHOLD
Block 0001 Lot No. 013.001
27 1998 and approved by the
Fee $ 150.00
Building f~fspector ~'
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~ALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 i% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
9pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual hatural 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.
3. 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-existin~ Buildin~ - $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 $15.00
~ ~ ex tzn Da~i~'~'~'~/~'~'
ew ~onstruction ........... Old_~Or Pre- is ' g~.B ' ing...~.~ ...... ~t .... .~ ~/
~ocation of Property~.~.~ ........... a~t~..]~...~.l~.~ ...... ~...~. .........
House No. Street Hamlet
)nwer or Owners of Property .......................................
]ounty Tax Ma~ No 1000, Section.~.9.5.~.~.~Block.~.l',.'~.l?7..~.~.~.Lot'. ....................
·
;ubdivision ...... ~. ~f~ .~... w~v..f. ............. Filed Map ............ Lot.....
~ermit No~.~.~..~..'~...~...Date-- Of Permit ................ Applicant.~.~.~.~ .........
{ealth Dept. Approval ..... ~. ................ Underwriters Approval....~.~ .................
~lanning Board Approval ........................
lequest for: Temporary Certificate ........... Final Certicate ...........
'~ee Submitted:$ ~. · . .{~. · · ....................... ....
co ( oIS ........................
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
Owner: ~ ~ o
(please print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Signature)
Sworn to before me this
~1~1- day of ~c~o~V~ , 19~
Notary ~c, ~ ~[~_ County
T~m ~pires May 31.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 20, 1998
Joseph Pagano
53345 Main Rd.
Southold, NY 11971
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)
No Underwriters Certificate on file.
XX The check is (not on file.)$50.00
No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25163-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOV~-N OF SOUTHOLD
October 20, 1998
Joseph Pagano
53345 Main Rd.
Southold, NY 11971
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)
No Underwriters Certificate on file.
XX The check is (not on file.)$50.00
No Health Department Approval on file.
No final inspection has been made.
/
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being I
issued after April 1, 1984).
BUILDING PERMIT # 25163-Z
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
:iELD i;~S!'~ECTiON
:OUNDATION
(1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL
COMMgN?£
:ONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN.~.~JL'ATION
[ L/1~INAL
[ ] FIREPLACE & CHIMNEY
DATE I N SPECTOR
765-~.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ] I~LATION
[ Z"~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~
DATE
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~r~728~2 BUREAU OF ELECTRICITY
~- 40 FULTON STREET, NEW YORK, NY 10038
D~t¢ OCTOBER (~7,1998 Application No. on file 16890698/98 H 061666
TH~S CERTtI=tES TreAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
PAGANO'S, 53345 HAIN ROAD, SOUTHOLD, NY
in the following location; [] Sa~emcttt [] Ist FI. [] 2nd Ft. Seclion Block Lot
was examined on SEPTI~MB~,R ~ t 1998 and fottnd to be in compliance with the Naaonal Electrical Code.
FIXTURE
OUTLETS
SERVICE DISCONNECT [ N~. OF[ S E R V I C
OTHER APPARATUS:
EXTEND ONE RECEPTAC~ CIRCUIT-1
3DD 2~A DED~D!CATED CIRCUIT FOR-i
MI~R NITH DISCON~CT-1
MULTI-OUTLET
SYSTEMS
NO. OF FEET
NO OFNEUTRALS
EXHAUST FANS,
AMT. H.PI
DIMMERS
AMT. wArrs
533~5 ~[%IN ROAD
P.O. BOX 173(~ GENERAL MANAGER
SOUTHDLD, NY, 11971 11
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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER.
CALL ..................
DisaF4)roved o/¢ ' *
a~~letely
b. Floc pl~ ~1~ l~ti~ o~ lo~ ~ o~ ~}ldh~ ~ ~s, ~laCi~ip ~ ~oini~ p~t~s br ~)lic
sCr~s or ure~s, ~ ~ivi~ a ~Cull~ ~ripC{~ O~ loy~C o~ pro~r~y ~E ~ dr~ ~ Om d{~ ~i~ I~ ~rt of
chis u~)l icoct~. '
e.
~a.I~'~
'
~ US~.~..!~..~ ............
State ~O~r a~llc~nC Is ~r, lee~,
~-~' . ............................ · ......................................
O~c~/~ ~.~ ......... ....: ........................................
.... ........
ti,nc all etnte~ttar'~t~[~ In thie oI~LICOL[~ ore Ln~ to U~e Imo~ o~ hie kt~l~ge
/
Ix~cata clearly a~l dla:lnetly a
property linen, give atteel: a~4
id~etlmr Jf,l:erJor or col'tier lot.
P
T~ 1'CFI E ~
t
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFIC,4TE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYST£A¢ C,4~;NOT
EXCEED 2/;0 el' ? '~,~ ~!.~.. ~D.
FIRE INSPECTION
REQUIRED BEFORE
OPENING
L,ADr ES
UTILITY
PLUMBING
ALL PLUMBING WAS; [=
& WATER LINE;: NEED
TESTING BEPORE COVERING
UNDERWRITERS CERTIFICATE
REQUIRED
APPROVED AS NOTED
DATE:~ B.R #~.~---~
FO~NG INE~ffiON8:
1 POUNDATION . ~O REQUIRED
2 ~R ~RED ~NCR~
ROUGH . F~ NG ~ PLUMBING
BE COMPLETE FOR
CODES, NOT RESPONSIBLE FOR