HomeMy WebLinkAbout30450-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31033
Date: 07/12/05
T~IS CERTIFIES that the building ALTER3kTIONS
Location of Property: 58315 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 44
subdivision Filed~4ap No.
GREENPORT
(STREET) (HAMLET)
Block 2 Lot 12
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J~JNE 24, 2004 pursuant to which
Building Permit NO. 30450-Z dated JUNE 28, 2004
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 ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to AiqN SHARON & PETER S.MANGANIELLO,JR.
(OWNER)
of the aforesaid building.
SUFFOLK COUIF/"fDEPARTMENTOF~kLT~APPROVAL N/A
ELEt-£~ICAL CERTIFICATE NO. 94589C 06/06/05
PLUMBERS CERTIFICATION DA'£~ 06/23/05
MARK BAXTER
~zed Signature
Rev. 1/81
Form No. 6
TOV~ OF SOUTHOLD
BUILDING DEPARTMENT
TOgVN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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).
Approval of electrical installation from Board of Fire Und,.q..~vriters~,
Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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. .~r"fi~.--F ' ~, ~ '- ,; ~ :, . '
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildin 'aa "pre-exist~ngi~nd ~e~:
1. Accurate sum'ey of property showing all property lines, streets, building and unusU0l patura[ or tO4b~a~hic
features. .'
2. A properly completed application and comment to iospect signed by the applicant. If a ~tt~ate of Occ,u~mmy i~
denied, the Building Inspector shall state the ' ' '
, reasons therefor in writing to the ap~fic~a.nt.~;~w _
Fee%ertificate of Occupancy - New dwelling $25.00, Additions to dwell in'Alterations to dwelline $25.00,
1. Swimming pool $25.00, Accessory building $25.00. Additions to accesso _~ldiug $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $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
New Construction: Old or Pre-existing Building:
Location of Property: ~ ~ 2/~q~' -g'o ~,~-,~
House No. Street
Owner or Owners of Property: //~ ~, ~o/14, t'w ~( o
Suffolk CountyTax Map No 1000, Section C~0 ~
Subdivision
Permit No. ~OtL~O 7~
Health Dept. Approval:
Planmng Board Approx al:
Date. ~',-'/,-} ,g
/.~ (check one)
8Oo~5
Hamlet
Date of Permit.
Block
Filed Map.
~"~'~=~' O*' "~°}'Applicaut:
Underwriters Approval:
Lot
Lot:
Request for: Temporary Certificate
Final Certificate:
tcheck one)
Fee Submitted: $
Applicant S'fgr~a~lure
Issue Date
6/6/2005
Electrical Inspection Certificate
Electricallnspection Service, Inc. Application
375 Dunton Avenue 94589C
East Patchogue, New York 11772
(631) 286-6642
Issued To: Mr. Peter Marganiello
Street: 58315 North Road
Village: Greenport Zip:
Section: Block: Lot:
Contractor: Citera Electric Corp. (L)
11944 Town: Southold
Lic.# 5108-E
Was examined and found to be in compliance w~tn the National Electrical Code.
I J Commercial ~ NV Defects !-' Pool ~ 1st Floor I~ Indoor ~ Basement ~ Hot Tub
IXl Residential ~ Dat. Garage FI Attic [] 2nd Floor !~: Outdoor [] Addition [] Survey
Switches
15
Dishwasher
1/20
Furnace
1
Meter Amps
1 200
Receptacles Fixtures
25 10
Washer/Amps Dryer/Amps
1 20 1 30
Oil Gas Circulators
1
Phase UG/OH Jacuzzi
GFI Heaters A/C Fans
6 2
Oven Range/Amps Microwaves
1 50 1/20
Smoke Detector Bell Transformer
3
Television CO Detector
1
Bldg. Permit:
Other Equipment
I1 200amp panel with main breaker
I1 30/220V electric hot water heater
President
Rough Inspection: 12/23/2004
Inspector: John Mc Mahon III
Final Inspection: 06/03/2005
Inspector: John Mc Mahon Ill
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
Town Hall. 53095 Main Road
P.O. Box llV9
Southold. New York 11971-0959
Fax (631 ) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Pemfit No.
Owner:
Plumber:
('P'lease print)
(Please print)
I ceftin, that the solder used in the water supply' system contains less than 2/10 of 1%
lead.
MELANIE DOROSKI
i[}lllmlll~lfied In Suffolk Couf~y ..,,~*% l
(Plumbers Signature)
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. 30450 Z Date JUNE 28, 2004
Permission is hereby granted to:
GEORGE R & ORS WILLIAMS
150 FLOCK RD
MERCERVILLE,NJ 08619
for :
ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR
at premises located at 58315 CR 48
County Tax Map No. 473889 Section 044
pursuant to application dated JUNE
GREENPORT
Block 0002 Lot No. 012
24, 2004 and approved by the
Building Inspector to expire on DECEMBER 28, 2005.
Fee $ 150.00 ///~k/
~ / ~-Au~ri z ~ Signature
ORIGINAL
Rev. 5/8/02
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG,
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ~,~FINAL /~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT,
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [~ FINAL ~-~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ~ION
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ '~ouGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ '] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: /~/~ ~'~-',-~ c~~' ,.
DATE
INSPECTOR-~~~'~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ~3~R/0UGH PLBG.
[ ] F/OUNDATION 2ND [ ] INSULATION
[~FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~) ~~/
DATE
:Mark K Schwartz, AIA -Architect, PLLC
P.O. Box 933
Cutchogue, New York 11935
June24,2~5
Southold Town Building Depa~iaient
Main Road
Southold, New York 11971
Phone: (631) 734 -4185
Fax: (631) 734 - 2110
Re:
Manganiello House
58315 Rte 48
Greenport, New York
Building Permit # 30450
To Whom This May Concern:
I reviewed the project framing and strapping during the construction phase. To the best
of my knowledge, the framing, strapping and connections have been completed as per
plans and meet or exceed the code requirements.
Please call this office ff you have any questions or require additional information.
Very truly yours,
Mark Schwartz
Manga~ielloBldgDep t.doc
Mark K Schwartz, AIA -Architect, PLLC
P.O. Box 933
Cutchogue, New Yofl~ 1193~
Phone: (631) 734- 4185
Fax: (631) 734 - 2110
May 26, 2005
Southold Town Building Depa~iment
Main Road
Southold, New York 11971
Re:
Manganiello House
58315 Rte 48
Greenport, New York
Building Permit # 30450
To Whom This May Concern:
I have inspected the insulation at the aforementioned project. The walls have R-13, floor
with R-25 and the ceiling has R-19. The structure is currently a seasonal residence.
Please call this office if you have any questions or require additional information.
Very truly yours,
-,~ M .a~.~Schwartz
FIELD INSPE~'~ON REPORT I
CO~S
FO~ATION (2~)
ROUGH ~G &
PL~G
STA~ ENERGY CODE~'.
~D~ON~ CO~S -
TOWN OF SOUTt~OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
JUN Z ,4.
PERMIT NO. ~_~Ot{ ~-0~'
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying ?
Board of Health
3 sets of Building Plans
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
C°ntact:Mail to: ~/~t~tff-
Pho,e: Z3 4 ' 4/85-
APPLICATION FOR BUILDlNG PERMIT
Date
INSTRUCTIONS
O~'/Z2/O 4- ,20
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any propose what-so-ever until a Certificate of Occupancy
is issued by the Building Inspector.
:MPPLICATION 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 Count),, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for ~emovfil or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and re~latijgm, and to admit
authorized inspectors on premises and in building for necessary inspections~7// /?// f Y//~
~igna-ture of applicant,~ name, ifa corporation)
, (Mailin~ address o¢ appl~canO
State xvhether applicant is owner, lessee, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~,U t /t~7'7~:~
las on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location_ of land on which proposed wqrk will be done:
-8
House Number Street
County Tax Map No. 1000 Section ~'-~
Subdivision
(Name)
Hamlet
Block O 7.
Filed Map No.
Lot
Lot
State existing use and occupancy of prey~ses and intend_ed use and occul/aney of proposed con]traction:
a. Existing use and occupancy ,3/~' C~_._ /'-,4,Xrtc, vt
b. Intended use and occupancy. ~,/t/~
3. Nature of work .(check which applicable): New Building
Repair .y~ Removal Demolition
4. Estimated Cost
5. If d.welling, number of dwelling units
If garage, number of cars
Fee
(to be paid on filing this application)
Number of dwelling un/ts on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
SEE ?c, o 5
7. Dimensions of existing structures, i£ any: Front Rear .Depth
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front
Rear
Depth Height.
Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
5E--E_ Scat~
9. Size of lot: Front Rear
Rear
Depth
Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~ 4-0
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be re-graded ~ ~
14. Names of Owner of premises'MAt~O'~/~c<- ·
Name of Architect ,'ff/,4~ 3"6kPt~,'4~rg4'~
Name of Contractor
Will excess fill be removed bom premises: YES (~
Address ~14, ~ ff PhoneNo. 5g$-348 7
Address~X ~p$ PhoneNo 734- 4/~
Address C~~ Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES ,/'~.
NO
· IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
l 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
.,//~,~[C Z~,~/~7~.T '~ being duly sworn, deposes and says that (s)he is the applicant
~me of individ~l si~ng commct) above nmed,
/ (Co~t/actor. Ag~t, Co.orate 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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
I Notary Public
20 O~t
LYNDA M. BOHN
NOTARY PUBLIC, State of New York
No[ 01 BO6020932
Qualified in Suffolk County
Term Expires March 8.20 C~'7
m . ~. :g'lY)$ DF'AR 'l-lO 'lal
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WEql3-BOI~NEDEBRIS PROTECTION FOR WOOD STRUCTU~a[L-PANEL
APP~OV, EO AS NOTED
NOTIFY BUILDING DEPARTMENT AT
765.18Q2 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBSNG
3. INSULATION
4. FINAL - C0NCTRUCTiON MUST
BE COMPLETE FOR C,O.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODF-.S
4RED AND CONDITIONS OF
W~THOUT CERTiFiCATE
· N.¥.$. OEO
OCCUPANCY OR
USE ~S UNLAWFUL
ALL CONST.UCT~ON S.A~.L MEET ~E OCCUPANCY
REQUIREMENTS OF THE CODES OF NEW
OF
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
ON LEAD CONTENT BEFORE
CERTIF/CA TE OF OCCUPANCY
BOLDER USED IN WA TEt~.T.S.
SUPPLY SYSTEM CAIff~IO~4~EL SPANS:
EXCEED 2/10 OF 1% L4~l~q.DER SPAN
23/32' APA SPAN-RATED 48/24 SHEATHING GRADE PLYWOOD
(OVERLAP AROUND OPENINGS 4')
UNDERW,~ITEF~S ""
REQUIRED
2x4 STRONG-BACKS ~ 24" DC
Il
II
Il ..
II Ii
Ii.-' I,~-/
II II
II
II .. I1o..
h'
Il Il
II
II
1/4" THICK BOLTS ~ 2' CC
II
Ii
I~ II
I1.~- II
II II
II II
II
II
ASSEMBLY:
1), PREASSEMBLE PLYWOOD TO 2x4'S: # 10x3' (w/WASHERS) GALVlNIZED OR
STAINLESS STEEL WOOD SCREW {~ 1Z' D.C.
2}. ATTACHING STRUCTURAL PANEL: FASTEN TO BUILDING wi
f/t'Ox3" (w/WASHERS) GALVIN~_.EO OR STAIN[ESS STEEL PLUMBING
WOOD SCREW ~ 16' D.C. ALL PLUMBING WASTE
& WATER L INKS NEED
ALTERNATIVE FASTNER FOR SHUTTER TO BUILDING: TESTING ~E
#1O TEE NUTS ATrACHED TO BLDG' w/ #iOxi'ff2 ( W/ WAS~bD .
~'AC"'"EBO'TO,2'O.C. ZONE '~?,~ --
.ALL CONSTRUCTION SHALL COMPLY WITH CHAPTER "46"
MEET THE REQUIREMENTS OF THE FLOOD DAMAGE PREVENTION
CODES OF NEW YORK STATE. SOUTHOLD TOWN CODE.
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