HomeMy WebLinkAbout49195-Z �OfFOLlrC��} Town of Southold 9/12/2023
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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
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ROUGH FRAMING&
PLUMBING f /�
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INSULATION PER N.Y. y
STATE ENERGY CODE
La
FINAL
ADDITIONAL COMMENTS
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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
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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
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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
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