Loading...
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