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HomeMy WebLinkAbout35470-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34271 Date: 04/14/10 THIS CERTIFIES that the tmilding ELECTRIC FOR BARN Location of Property: 2050 MAIN RD L~UREL (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 125 Block 3 Lot 2.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 2010 pursuant to which Building Permit No. 35470-Z dated APRIL 14, 2010 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 ELECTRIC FOR EXISTING BARN AS APPLIED FOR. The certificate is issued to GIAN M MANGIERI (OWNER) of the aforesaid building. SI~FFOLK COUNTY DEP~T~E~T OF HEALTH APPROV~J~ N/A RT.~¢Li-KIC3~L U~TIFIf3%TH NO. 35470 04/12/10 PL~Ei~S U~TIFICATION DA'£~D N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35470 Z Date APRIL 14, 2010 Permission is hereby granted to: GIA~ M MANGIERI PO BOX 368 LAUREL,NY 11948 for : ELECTRIC FOR EXISTING BARN AS APPLIED FOR. at premises located at 2050 MAIN RD County Tax Map No. 473889 Section 125 pursuant to application dated APRIL Building Inspector to expire on OCTOBER LAUREL Block 0003 Lot No. 002.003 12, 2010 and approved by the 14, 2011. Fee $ 125.00 horized Signature ORIGINAL Rev. 5/8/02 Towll Hall Annex 51375 Main Road P.O. Box 1179 Soufl~old, NY l 1 .ti71-095g Telephone (631) 76.5-18(Y2 l;:u~ ((531) 765-9502 ro.qer, richertC, town. so uthold.ny, us BI ilLDING I)EPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Gian Mangieri Address: 2050 Main Rd. City: Laurel St: NY Zip: 11948 Building Permit#: ~-{'"'~ Section: /~.~ Block: '~ Lot: ~,~) WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: James Murray DBA: Express Elec License No: 3653 SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Commerical Outdoor 1st Floor New Renovation 2nd Floor Addition Survey Attic INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ~s~. Service 3 ph Hot Water GFCI Recpt Wall Fixtures Main Panel NC Condenser Single Recpt Recessed Fixtures Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ Transformer Appliances Dryer Recpt Emergency Fixture Disconnect Switches Twist Lock Exit Fixtures L_ Other Equipment: GarageHotPoolService Tub Only HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS 1-50a welder recpticle, 16 ft track lighting Inspector Signature: Date: t~a_tt-- 14 - 7~fo 81-Cert Electrical Compliance Form Towi~- Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · _...V~ (631) 765-9502 roqer.r cnen~wgown.southord.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Company Name: Name: License No.: Address: Phone No.: REQUESTED BY: 'j Date: L~//'~//20 [iD JOBSITE INFORMATION: (*Indicates required information) *Address: _.._~"-f-~ *Cross Street: / ' ~ *Phone No.: Permit No.: Block: Tax Map District: 1000 Section: I ~5 *BRIEF DESCRIPTION OF WORK (Please Print Cleady) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If neededl *Service Size: 1 Phase *New Service: Re-connect Additional Information: Y~ES) NO YES / NO Rough In 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town Hall Annex 54375 Main Road P.O. Box 1179 Soulhold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ro,qer.dchert~town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Gian Mangied Address: 2050 Main Rd. City: Laurel St: NY Zip: 11948 3uilding Permit #: '~..~L~'"'~O Section: ~,,~ Block: ..~ Lot: c~, WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: James Murray DBA: Express Elec License No: 3653 SITE DETAILS Residential Commedcal New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor ~ Basement ~ Service Only ~ Outdoor I st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Hot Water GFCI Recpt NC Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixture~_.~ Time Clocks Exit Fixtures ~ TVSS 1-50a welder recpficle, 16 ft track lighting Notes: Inspector Signature: 81-Cert Electdcel Compliance Form Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 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). 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 1% lead. 5. Commemial building, industrial building, inultiple 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. B. 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 and 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. C. 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-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: Location of Property: House No. Owner or Owners of Property: ~ 'l (k FX Suftblk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: Permit No. '~D~-D q "-}0 Date of Permit. Street loek Filed Map. Applicant: (check one) Hamlet Lot Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ ~x)'~ (check one) Applicant Signature