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HomeMy WebLinkAbout49195-Z �OfFOLlrC��} Town of Southold 9/12/2023 O y� P.O.Box 1179 o _ 53095 Main Rd y4jp1 �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44529 Date: 9/12/2023 THIS CERTIFIES that the building ACCESSORY Location of Property: 50 Lighthouse Rd, Southold SCTM#: 473889 Sec/Block/Lot: 55.4-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/30/2023 pursuant to which Building Permit No. 49195 dated 5/2/2023 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: "as built"outdoor shower as applied for. The certificate is issued to Tavani,Michael&Mitchell,Andrea of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. Michael Tavani 8/11/2023 PLUMBERS CERTIFICATION DATED Aut o zed S' tore µ TOWN OF SOUTHOLD ('04 gOFFOtKcBUILDING DEPARTMENT TOWN CLERK'S OFFICE . 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#: 49195 Date: 5/2/2023 Permission is hereby granted to: Tavani, Michael 2 Northside Piers Ph 1 Brooklyn, NY 11249 To: legalize "as built" outdoor shower as applied for. At premises located at: 50 Lighthouse Rd, Southold SCTM #473889 Sec/Block/Lot# 55.-1-2 Pursuant to application dated 3/30/2023 and approved by the Building Inspector. To expire on 10/31/2024. Fees: AS BUILT-ACCESSORY $200.00 CO-ACCESSORY BUILDING $50.00 Total: $250.00 Builds g Inspector Sol/ /Z Town I]all Annex Tcldph�'­.031)765-1 so", 54375 Main Road Pax(63 765-9502 P.O.Box 1170 Southold,N'N' 11971-0959 4� 'j,00 fr BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date:---- Building Permit No. Owner: Am L (Please print) Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumbers Signature) Sworn to before me th,—)-( f o day ---—---- 20.YP_ 211�-- of Notary Public, BETSYA_ PERKINS Notary Public,State of New York No.0 1 PE6130636 Qualified In Suffolk Coun ,�,'/I Commission Expires July 18, I q Of 50G1y�� -- 4 r # # TOWN OF SOUTHOLD BUILDING DEPT. Comm 631-765-1802 . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] PdULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL avk� S� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 66A/ 'AA 'A 1 DATE �°I� INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS � ro FOUNDATION (1ST) .. -------------------------------- FOUNDATION (2ND) �1 O O ry ROUGH FRAMING& PLUMBING f /� r INSULATION PER N.Y. y STATE ENERGY CODE La FINAL ADDITIONAL COMMENTS 2� .oa Irk 0 t 0 — . _ o z n� m (b Q k ►o 0 x x d ro H y�SOFfO[��oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT s= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy • c� Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny. ooy viol'}�a Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: MAR 3 0 2023 OVOWINGDEPT. Applications and forms must be filled out in their entirety.Incomplete TOWNOFSOU-PTJO@.D applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 3 OWNER(S)OF PROPERTY: Name: ---- Project Address: .50 I��Y10 V 5f l�cco( i _S Phone#: q t� 1�ZI 0/? Email: Cr-l�tG•e-�L°_W1 Lc� ------- Mailing Address: CONTACT PERSON: Name: , C .b0_1-__.____.__._______ Mailing Address: 0 Phone#: ��� 7 �C 3 QEmail: C�vO r_(a A00 re Q�- S.Lr)0J DESIGN PROFESSIONAL INFORMATION: Gil Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION:—�I Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Will the lot be re-graded? ElYes'21ko Will excess fill be removed from premises? ❑Yes ❑No WMti aitd NP 1 PROPERTY INFORMATION Existing use of property: W Intended use of property: ShQ-�(� Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes XNo IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. 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 Regulations,for the construction of buildings, additions,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 building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print oa R-4y(,C4 r- uthorized Agent ❑Owner Signature of Applicant: Date: 3-3o—;2 STATE OF NEW YORK) SS: COUNTY OF SSI f+Fo1K ) %Aywn C- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is 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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this 80T' day of g( .20-6— IUM S. I Notary Public KYLEE S DEFRESE PROPERTY OWNER AUTHORIZATIOgOTARY PUBLIC-STATE OF NEW YORK No.01DE6420156 (Where the applicant is not the owner) Qualified in Suffolk County My Commission Expires 08-02-2025 I, (Lh j�P,f q Ino residing at SCS 1AC*f'-1/)()UC kA. D I� do hereby authorize C 1 YI C)&-)-y— to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date M i-c.h(Ad `j•1,Vank' Print Owner's Name 2 \1 r v V APPR VEDAS NOTED DATE: B.P.# FEE: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM, FOR THE FOLLOWING INSPLCTIONS: 1. FOUNDATION - TtiO REQUIRED FOR POURED CONCRETE .2. ROUGH - FRAMING & PLUMBING 3. INSULATION OCCUPANCY OR 4. FINAL - CONSTR!JCT10N MUST BE COMPLETE FOR C.O. USE IS UNLAWFUL ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW `/VITHOUT CERTIFICATE YORK STATE. NOT RESPONSIBLE FOR ')F OCCUPANCY DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S NNING BOARD TH TOW RUSTEES ! - 1 S 1 YY• r` � J C i 1 r , L4 k Jill int 1111 r'