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Home My WebLink About20154-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20314 Date OCTOBER 29~ 1991 THIS CERTIFIES that the buildin~ Location of Property 155 SIXTH STREET House No. County Tax Map No. 1000 Section 126 Subdivision ACCESSORY LAUREL~ N.Y. Street Hamlet Block 7 Lot 3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 1991 pursuant to which Building Permit No. 20154-Z dated SEPTEMBER 20, 1991 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH ~PPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED VINCENT & BARBARA MANGIAMELE N/A N-201761 - AUGUST 29, 1991 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 20154 Z Permission is hereby gronted to: . ............... .../..~::~.....~..~ ...................................... /..~~ ~...~.,. ....... z./..~.~ ,, _ at premises located at ..... ,~,.~.,.~..,....~':,~'.~.,..,~,~ ............................................................... County Tax Map No. 1000 Section ...../...~...~.. ..... Block ........ . .~'... ........ Lot No...~. ............... pursuant to application dated ..... .~./..-;.~ ........................................... , 19..~./.,... and approved by the Building Inspector. /~ ~-'~/ (~'"~ ~'/ Rev, 6/30/80 BUILDIN~ D~PARTM~NT TOWN HALL 765-1~02 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/i0 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 "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 ~nd 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinging pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........ ~..~.~. ~. ~. ~..~ .................. Xew Construction ......... Old Or Pre-existing Building .............. Q~/~/.~.~g [.ocation of Property..i[/.~P~.~.~ ~ ~ [i.' .~..~ House No. Street Onwer or Owners of Property..~.~:~..~.~.~.~.Z~. ~ "O ~ ~-~/~ County Tax Map No IO00, Section ...... ./..~..~...Block .... ..~. ......... Lot ..... ~ ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No....~..~..(.~.~..~..Pate Of Permit ................ Applicant ............................. !{ealth Dept. Approval .......................... Underwriters Approval ......................... '1 ~ing Board Approval ?,equest for: Temporary Certificate ........... Final Certicate ........... Fee Sob.itted: $...~.~..~.~. ............... ~ ~...~..0~ ..~ .. ................ C 0 '-~2 °~03 } [~ ' APPLICANT INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector ¥incent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOVv/W OF SOUTHOLD October 24, 1991 SCOTT L. HARRIS, Supe~viso~ Southold Town Hall EO. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Vincent Mangiamele 155 6th Street Laurel, N.Y. 11948 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.)$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 # 20154-Z Please contact our office on this matter. cooperation. Thank you for $OUTItOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~ULATION / FRAMING [~]' FINAL INSPECTOR' 4~ ~~/ ~OUNDATION (1st) OUNDATIO:~ (2nd) OUGH FRAME & .PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FI~;AL ~DDITION~'L COMME~TS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ( fH't ! ~:~ [ BUREAU OF ELECTRICITY ~ a ,,-,,~ -, ?,~t ,[ 9~-)~5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT FIXTURE FIXTURES OVENS DISH WASHERS EXHAUST FANS DRYERS OTHER APPARATUS: ~ (~;~t~'H~TN(,~ POOL} Th'i ~t,a(l~,, hy a qnaI~.f~ed E R V I C L AWg~ ~NO Of HI'LE~ i_AWO ' NO %ER%,CO.O o~ cc co~o or 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 B~iLOlI,~ O~:P~RT~I:NT. THIS COPY OF CI:RTIPICATI-.' MUST NOT B~ ALT~RI:D I~ ANY ~NN~:R. ,tll O! BOARD OF HEALTH ...... . 3 $1~T$ OF £1. AN$ ..... .,...... TOWN OF SOUTHOLD CHECK ........... BUILDING DEPARTMENT S[~T[C FORH ... :: ....... ~OUTHOLD, H.Y. 1971 ~OTI~Y " TEL.. 765-1803 ,-, CAc~ .... .......... ~, (~din~spcctor) .... IMMEDIATE~ V',' APPLICATION FOR BUILDING PERMIT .:. .~_£om.~,oo[..r~-.~,? ~ ...... , - .............. ~ ~ -~ ' ,, ,,,.... .... .=.~ ~t~...,;..~ ..... ~TRU~IONS - b. ' ~lot ~ ~w~ I~tio~ of lo~ ~d 0f bufld~s on pr~m~s, ~latio~ship to adjoining pr~mis=s :a~:' '~,'~P,"~"" ~'"P" ""~';~h'd'''~.''";'~h' ~ ' ' ' '. ' /:,~,~,~ ~ by ~s app~on may not be commenced befo~ issuance of Bu~d~g Pc~it., d.: Upon a~pro~ of ~ applicagon, ~e Building Inspector w~l i~ued a Build~g Pc~it to ~e app~c~t. Such po~it ;h~ ~ kcp~ on ~c p~ av~b~ for ~spection ~rou~o~t the work. ~. No bv!l~ ~11 b~ ~cupi~d or ~d in whole ct ~ p~t for any purpo~ whatever unt~ a Cc~ificatc of Occup~cy ~PLICA~ON ~ HE~Y M~ to ~o Buiid~g De~menLfo~ ~o i~u~cc of a O~ding Pc~it pu~uant to ~ ~ O~ of ~ Town of Southold, Suffolk County,-Now York, ~d othor applicablo ~wa, Ord~c~ or l~cgu~flo~, for ~a ~o~t~Uoa of bu~d~, a~ditions or alterations, or for ~moval or demoliUon, ~ herc~ de~fibed. Ch0 applier a~ea ~ ~mply with ~ appUcablo laws, ordinances,~buUdmg co~9, housing c~e, and ~ ~ ~a~ ~ ~d ~ bufld~ for ncce~ ~aspcc;i~s. [~ ~ ' *. · EN~OSE ~L~ CODE . . . . , .. . · :. . . Bv~amng aoaress of applicnnt), ' ~(as on the tax mil or latest deed) OCCUPANCY OR" USE IS 'UN[AWFUL .o. WITHOUTCERTIFIi ATE "' ' "" OF OCCUPANCY c~jc~ ~ ~cn o .... ?., ................ ' O~, l~o'~ ~m ~, .... ;..'L. ......... '..... ' . ........ . ............ ~ ..... ,.,. ....... f. ..... ''' '"' ' ' s.~iO.~ .~...~~ ~. R. ~ ....... ~".~ ~' ~ · .~.~ ........ Lo~. ~.i ~ S.~. ' ,' ....: ,,~ ,, (Ninny} ' ' ' ~taiC ¢XiUiO~ u~ and occupancy of prcmisc~and intended,usc, and occupancy, of proposed construction: a. ~!ltmg ag and ~cua~cy . '~. ~f~,a ~ o,,,o~,y .~ .............. ~... .... ~,~.,,~.J~. _... ;1. Nature of work (ch¢ck'which applicable) New Bu · ., . v~, ....Addition ........... Aiteratioh ,..; .... Repa~r ~ ?..~.., .... ~ .Rc~al ..... ... ...... ~oli~on .............. O~h~r Work ....., ........ , , I (to be paid on filin misa ica' 6. If buttock, commerci~lor.mi~ed occupancy specify naiurc and ?, ..... ...... R..r. ........ D~ n runs ~ ~m~f~m,2 ~,;,k ~**,.~,~ ...... '; ' ' ~' .......................................... ' Ucpth .... ~ .~ i~ .. ~-:.,-, r ~t ...fl ............... ,, ................. o ~: .... l~'r W' ....... ~ ' ' ~"'~ ...................... Number of Sioncs ........... .. o, ~,~,amns m~n~lrc new construction: Front ..... [~ ....... Hm~t ............... ~umber of Siode< ................ ~cp,,...~ ........ .. 9. Size of lot: Front ..... i /o ~ "'~:: ..... ~' ~ ...................... / ': ................ ................... ,~,,r . . . ~. ~. ~, . ............ Dc P 10, Da~eofPurch,se '~ ~ ' .................... · ......... N,me Of Fo~cr Owner ............ , ..... , . i l. Zone or use distric~ in h~ch premises are s~tu~ted .... ' .......... 12. Does proposed construction ~io]atc any zoning law. ordinance or regu]aQon: ~3. WUI 1o= be regraded ....... ~ ............. ~ ........Will excess fill be rcmov~d from:pF~i~:~ Yes t4 ~ N~e of Owner Of premises ~ Address photo'N6: ' N~c of Archl~cc~ ................................... '.,.~b ........ ........ , ................... Address ................... Phone No ............... N~c ~f Con~r=c$or.......) ......... Ad~rc~ ................... Phone No ..... , I~.Is ~h~, propar~y~ lo~a~ed ~h~n 300 fae~ of a ~dal ~e~land~ *~2S .... ~O.~. '~'~ ~YeS, So~hold T~n Trustees ~.~it may be raq~red. <:~c~t~ Cl~ly ~d distantly ~! bu~d~g~, wh~ther existing or proposed, ~d, indicate ~1 set-back d~ension~ fron >rop~F ~n~. Gi~ ~t~t md blo{k number or ae~cn~tion a~ord~g to d~d, ~d ~h6w ~tr~t n~e, and ~dicate wh~the atc~or or comer lot,. .. :~ [ :, ,,:~ 765-1802 9 AM ~ 4 ~ FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~ '~0 REQUIRED FOR POURED CONCRE~ 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMEN~ OF THE N,~ · STATE CONST~U~ON & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says tha~ ho is the applicant is the ' O. 04../9..e, R,. .... (Contractor corporate ......... i ............. ¢ ...." agent officer crc ........ sad owner or w es d's u' ' , . . .0 n r,an i d 1Faut~onzcd to perform or have performed the said work and to make and file this dtcatmn; that all statements contained in this application are true to the best of his knowledge and belief; and that the ct~ will be p~rfom~ed in th~ mannei set forth in the application filud therewith. b, ' this am to eloreme ,~., ,..,,,,,,; .... d yorl ...... ,oOl ary Public, . ~.,, ~,. ~ ..... ~'.' .' .'. !.; ........ ;-;.; ~'." County WlLLIAU' C, ARANEO'" ........ ......... NOTAEY pUBLIC, Stjl~_~f N~w YOrR No. ~ualilied i~ Sut~ ~ ' ' ' ' Cb~missmn Exp es ~8~' ~ ~ '.<~-' :: (Signature of applicant)