HomeMy WebLinkAbout25556-zFORM NO. 4
TOWN OF EOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26697
Date: 09/17/99
THIS CERTIFIES that the building
HOT WATER HEATER
SOUTHOLD
Location of Property: 250 PARADISE POINT RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 93 Block 1 Lot 5.2
subdivision
Filed Map No. __Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 14, 1998 pursuant to which
Building Permit No. 25556-Z dated FEBRUARY 22, 1999
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 INST~T.T.ATION OF HOT WATER HEATER TO AN EXISTING ONE FAMILY DWELLING.
The certificate is issued to R DOUGLAS BLIVEN & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 23143 08/17/98
PLUMBERS CERTIFICATION DATED 09/10/98
LAWRENCE TRAPASSO
Rev. 1/81
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.
25556 Z Date FEBRUARY 22 99
Permission is
hereby granted to:
DOUGLAS BLIVEN & WF.
LA RUE DRIVE
HUNTINGTON~NY 11743
for :
CONSTRUCTION OF A HOT WATER HEATER TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 250 PARADISE POINT RD SOUTHOLD
County Tax Map No. 473889 Section 093 Block 0001 Lot No. 005.002
pursuant to application dated SEPTEMBER 14 98 and approved by the
Building Inspector.
Fee $ 75.00
~uAut~o~rz~~dS~Cc~nature
Rev. 2/19/98
ORIGINAL
TOWN OF SOUTIIOLD
BU [ LD i N(; I)EPAP, TIIE,NT
TOWN IIAI,L
765-1802
APlq,~[CA'I.'ION FOR CI]~T[FICA'I'E OF OCCUPANCY
A. Tbi~ application ~tmst be filled in by typewriter OR i.k and subraitted to the b,ilding
inspcctor with the follm~iug: for ne~ building or new usc:
1. Final survey of property with accurate location of all buildings, property lines,
streuts, and uuu ~ai natural or topographic features.
2. Final Approval from lleillth Dept. of water supply aud sewerage-disposal(S-9 form)
3. Approval of electric~[ installation from lloard of Fire U derwriters.
4. S~vorn statement from'plumber certifying that the solder used in system contairs
less than 2/10 of 1% lead.
5. Co~mnercial building, industrial building, multiple residences and similar buildings
and lnstallatio.s,l,a certificate of Codn Compliance from architect or engineer
responsible for L m building.
6. Submit Flanaing 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:
I, Accurate survey of property shm~ing all proper~y lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to iuspect signed by the applicant.
If a Cn~-tificate of Occupancy is deuied, the Building Iaspector shall state the
reasons therefor in writing to the applicaat.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dt~elling $25.00,--
Alteratious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Busieesses $50.00.
2. Certificate of Occupa,cy ua Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residen[ial $15.00, Co~ercial $15.00
, Date ......
~lew Construction ...... ~... Old O~Pre-existing~uild~. '~ ............................
.... .................
~ ...... -~ ' .......
.......... C ...... Z ......... Lot ............
Subdivision...j ................................ Flied M~U~ ............ Lot ...................
}lealth Dept. Approval .......................... Uuderwritars Approw~l .........................
?lannlng Board Approval ...............
................
30 Old Dock Road
Yaphank, NY 11980
(516) 686.1950
(800) OIL HEAT
Fax: (516) 686.1994
OCT - 5 1999
~r')'L"~:'~ 0~' .. ,, , OLD__
PETRO
Heating Oil and Services
OPERATING LOCATIONS IN: HICKSVILLE · MASPETH Nassau Lic. No. H3600630000
PLAINVIEW · PORT WASHINGTON · RIVERHEAD Sufflok L~c Nos 3134-P, 2901-RE
SOUTHAMPTON · WESTBURY · YAPHANK. NYC Llc. No. 678944
Town Hall, 53095 Main Road
P.O. Box $179
Soulhold, New York 1 19'71
F~x (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No. ~5~-.%-~
(p~se print)
Plumber: ~/Z/~/~/~~~2.~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
- (Plumbers
Sworn to before me this
~ day of~:~~
Nota~-f Public, ~ ...... 'Csunty
KENN£TH A. MIONE
NOTARY PUBL C. State of New York
No, 01MI5040174. St~ffolk
Term Excres March 6, 1~
-/
--. .. .,.-
'C _ I - C, . '")
v (I. ~. ,.
@].@]
~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
W r~ W
@J "", CERTIFIES THAT f,jJ
I ~ Upon the application of upon premises owned by I
~ ~
W DOUGLAS BLIVEN DOUGLAS BLIVEN ~
~ 250 PARADISE PT. RD. 250 PARADISE PT. RD. ~
f,jJ SOUTHOLD, NY 11971 SOUTH OLD, NY 11971 f,jJ
~ ~
~ Located at 250 PARADISE PT. RD. SOUTH OLD, NY 11971 ~
~ 3006761 3006761 ~
~ Application Number: Certificate Number: ~
I Section: Block: Lot: Building Permit: J ss-st, BDC: ns11 I
W Described as a occupancy, wherein the premises )'J,er;,ncal system consisting of W
~ electrical devices and wiring, described below, located in/on the premises at: L If) 2~ ~
f,jJ Basement, (P17 @J
~ ~
~ A visual inspection of the premises electrical system, limited to electncal devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having Jurisdiction, and found to be in compliance therewith on the 15th Day of September, 2006. ~
~ Name OTY Rate Ratine: Circuit ~ ~
W~~~ W
~ Outlet 7 0 Fixture ~
W Fixture 6 0 Flourescent ~
~ Fixture I 0 Incandescent ~
~ Outlet 14 0 General Purpose ~
W Receptacle 23 0 General Purpose W
~ Switch I 0 General Purpose ~
~ GFCI Circuit Breaker I 0 ~
~ Receptacle I 0 GFCI ~
~ ~
~ ~
~ ~
~ ~
~ ~
I seal I
~ ~
~ 1 of I ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
I!I.@]
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
September 13, 1999
Petro
30 Old Dock Rd.
Yaphank, NY 11980
RE: Douglas Bliven,
1000-93-1-5.2.
250 Paradise Point Rd.,
Southold.
To Whom This May Concern:
We are unable to complete your Certificate of
because of the following reasons:
Occupancy
An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
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 ~ 25556-Z
Please contact our office on this matter. Thank you
cooperation.
for
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
February 22, 1999
PETRO-Long Island
30 Old Dock Rd.
Yaphank, New York 11980
RE: Mr. & Mrs R. Douglas
Southold, 1000-93-1-5.2.
Bliven,
250 Paradise Point Rd.,
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
XX No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25556-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
To~,vn Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 13, 1999
Petro
30 Old Dock Rd.
Yaphank, NY 11980
RE: Douglas Bltven, 250 Paradise Point Rd., Southold.
1000-93-1-5.2.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on f~le.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25556-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
NDATION (2nd)
~GH FRAME &
.PLUMBING
SULATION PBR N.
STATE ENERGY
CODE
Ye
'FINAL
ADDIT~
OIL BURNER-
CertifiCate of inspection
[.ocati~,: 250 Paradise PL ~R0d.~:Southold, NY !,1971
Address: ,30 Old Dock Road, YaPhank, NY11980
DUNTOPJ, AVENUE
· EAST,PATC,HOG UE;: N E1N YoRKf11772/..
TEL:'{516) 286-6642
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INS~A~ION
FRAMING [ ~ FINAL
FIREPLACE & CHIMNEY
DATE * ~*~/~ .... INSPECTOR/~~~
1C'x~ni ned ................ , 19,
Ih ~r~)eoved ~/c .................................. : /~
......................
~I~LICATIOH FOR BU~IA)~IR~ l~l~Rttl'f
OF R~I$~
3 SF.,T8 ...............
SURVI~¥ ........ ." '.',' ~.,'. .........
BOTI~¥~
HAll, TO: ....................
TN$'I'RUCFIONS
a. 'Ibis appltcu~to~ ~u~C be co~leCely ~t11~ in by L~r~cer or tn 1~ ~
3 ~,s o[ plan to ~ale. F~ ~o~di~ to ~Te. ~i.C~:i~::;~lrit
' ' CofPl~,. acetate plo~
chis a~l~coci~. '
c. ~e ~ ~r~ ~ ~)is o~licaCt~ ~y ~t I~ ~ ~or~ is~ ag ~tldt~ ~mit,
d. ~ a~al o[ ~ds a~lt~io~, O~ l~lld[~ l~cCor will is~ a ~ildl~
luildi~ ~ ~la ag ~ l~ ag ~tlwld, ~[iolk ~, ~ Yo&, ~ ofl~r a~ti~la ~a; ~i~es or
~laCi~s, gar cl~ ~C~im o[ hflldi~, ~lici~s or al~eroCt~, or for ~sl or
-' -. ~tC .~rt,~ '~'ors o, ~i.8 a~in ~ild'~~-- i~ci~.
OCCUPANCY OR <~,~..~.~,,
USE IS UNLAWFUL ~e'. ............
WITHOUT CERTIFICATE, <~m~ ~-..
.. .~~,e:~. ~.~.,: ............... · ....................................
N~ BUILDING DEPA~MENT AT
(1-,~r~ a~l title of corporate o~flcer)
UNDERWRITERS CERTIFICATI/
REQUIRED
....... :/ ......
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION ' '
4. FINAL - CONSTRUCTION'MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
· OCher Trade's License lqo ..................... . THE REQUIREMENTS 0[: THE N.Y.
I, h.x:ucion of 1~ ~ ~ pr~l ~rk will ~a,v,~ ......... ~~'T~6Y{~'~'~l~ ...........
, . /~ ~/ coo~. nOT ~s?~sm~e FOR
~ ~ ~~~ , ~. ~_. ,-,.~:~-~.~-,~,~;~,o,,.~s ..........
...... ~- g ...... ~ ,-~ a .~ ~ ................ ~ .............. I~sC '
~i~i~ ...................................... lll~ ~p ~ ......... ~' ..... 1~t ...............
. , ~ ~ ~ .... ~.,..,~ ..... ~: /, . __ ~ . / /
I(),
12,
13,
1~,
15.
,~IWlI~ (X~' N',~'~T~K~ ~; "' ,!" '
'.': ' -', '
(I1~1'~ (X~ ........ ,,, ........ ,,,,,~,~,.~,~ , , ,~ '
~ t~ o,~ ../. .......................... ~ .....................................
(C~traetor, ~ent~c~r~rflte o~leec, etc.)
time th~ ~rk ~[l I~ ~r~l In tl~ n~flt~r ~ ~rth in the a~l, teati~n~ fll.~
,'-~)ru to I~[ora m~ thta
....... ....... ....
,. .KENNETH A. MiONE ~
N~T~RY PUBLIC, State of New Yo~k '
No. 01MI5040174, Suffolk C~
Term Expires March 6, 1~'
I PLOT I)TA~RAH,
I~ca£e clearly,and dl,q:ir~l:ly al~ ~tldl~s, ~fl~r ~[s~t~g or ~o~, ~ i~tca~e aTT ~t-t~ dl~nslons