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Home My WebLink About25050-zFORM 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. 25050 Z Date JULY 20, 1998 Permission is hereby granted to: for : JOHN A CLARKE PO BOX 256 CUTCHOGUE~NY 11935 INSTALL HEATING SYSTEM "AS BUILT" FOR A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 105 County Tax Map No. 473889 Section 103 pursuant to application dated JUNE Building Inspector. WEST CREEK AVE CUTCHOGUE Block 0013 Lot No. 020.001 11 1998 and approved by the Fee $ 75.00 - Buildlhg I~sp/ctor ORIGINAL Rev. 2/19/98 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25909 Date: 08/21/98 THIS CERTIFIES that the building ADDITION Location of Property: 105 WEST CREEK AVE CUTCHOGUE (~OUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 13 Lot 20.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 1998 pursuant to which Building Permit No. 25050-Z dated JULY 20, 1998 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 HEATING SYSTEM "AS BUILT" ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN A CLARKE of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A d~g Inspector Rev. 1/81 HARDY PLUMBING, HEATING & AIR CONDITIONING, INC; 1654 Coun~ Road 39 SOUTHAMPTON, NEW YORK 11968 728-9333 283:9333 Fax 283-9468 TO: PHONE : CU~CHOGUE, JOB NUMBER 439:66OO 12~9/97 WE PROPOSE TO SUPPLY AND INSTALL ONE COMPLETE OIL-FIRED FURNACE AND 275-GALLON OIL TANK. THIS CONTRACT SHALL INCLUDE ALL REQUIRED LABOR TO REMOVE AND DISPOSE OF EXISTING GROUND WATER HEAT PUMP. MATERIALS AND EQUIPMENT INCLUDED IN THIS CONTRACT ARE AS FOLLOWS: 1. ONE BR'~ANT MODEL 361AAN048125 (125,000 BTU FURNACE). 2. ONE 275-G~LLON INDOOR OIL TANK AND PIPING. 3. ONE HON~ EYWELL HEATING THERMOSTAT (BIG SUBBASE BACK-UP PLATE). 4. ALL NECESSARY DUCT ADAPTORS. 5. ALL NECESSARY CONTROL AND ELECTRICAL WIRING. i su]~ conLrac'Lo2t) CONTRACT PRICE: $ 3,389.00 DEPOSIT UPON'ACCEPTANCE AND EQUIPMENT ORDERED: · BALANCE UPON START-UP: $ 2,389.00 $ 1,000.00 WE PROPOSE hereby to furnish matoda~ and ~abor -- complete in accordance with the above specifications, for the sum of: ' THREE.-THOUSAND TI-IEEE-HUNDRED EIGHTY-NINE DOLLARS AND 00/CENTS dollars ($ 3f389.00 Payment to be made as follows: All material is guaranteed to be as specified· All work to be completed in a professiona~ manner according to standard practices. Any alteration or deviation from above speclticat~ons invoMng extra costs will be executed only upon wctten orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or de~ays beyond our control. Owner to cam/fire, tornado, and other necessary insurance. Our workers am fully covered by Worker's Compensation insurance. Signature Note: This proposal may be withdrawn by us if not accepted within ACCEPTANCE OF PROPOSAL-The above prices, I ~ ~ ~ specifications and conditions are satisfactory and are hereby accepted. You are Signatff~ '~% ~-']..._~ %J.J.L~ ~"~~ ~auth°dzed t° d° the w°~ as specific; ~tx ;~;;~ ~ lined ab°ye' Signature ~ ' Date of A~epance: I~N~ ~ ~ days· 85/18/1998 i1:39 516734?782 DEBORAH DOTY ESQ PA~B 82 TOI,IN OF SOUTNOI.D BUILDING DF, PAR'i~4ENT TOWN IIALI, SOU]'IIOI,O, N.Y. 1197 { TEl,: 765-1802 Ienm I. },lb. BOARD OF HEALTH ............... 3 SET9 OF PLAN5 ............... SURVEY ........................ CIIECK ......................... gEPTIC FORM ................... NOTIFY: CA1 L ..... HAll. TO: .................... 1)} r~appro~ed a/c ....... . ............ ~ ....... 'D" ' JU~ I ~/c~,,o, ~o, .,.~... ~ ....... ,~ ~ INSTRUCTIONS 3 ~ts o[ pl~, acetate plot plan to ~ale. F~ accordt~ to b. Plot pl~ ~i~ lmttm of lot ~ of ~tlditgs m ~mi~s, mlatt~dp to ~jotnt~ pr~l~s br struts or areas, a~ 8ivt~ a ~t*ll~ ~:rtptl*~ o[ la~t o[ pro~rty ~{st 1~ dr~ ~ tim dla~an ddch this a~fl ication. c. 'Hte m~ ~r~ I~ fids a~licati~ my ,~t I~ c~m~ ~[ore issue oE ~ildl~ Pemit. d. U~ a~al o[ fids a~{.icatia~, tim lhildi~ lus~ctor ~*ili ts~ a ~ildtng ~mlt to the applic~t. ic ~all ~.~p: ~ Ue l,e~d~s ~ail~le :or tns~ttm thin,mC fl~ ~rk. '1 C~rtiEicate of e. ~ ~ildi~ ~mll ~ ~pied or ~ tn d~le or in ~rt [or a~ ~ dmt~r mt~ a ~y ~mll h~e I~n ~t~ by fie ~dldi~ Ins~tor. ¢ ~ffi.l~'rt~ IS }g~ )~ to tim Ikdldi~ ~rtmut [or the is~ o[ a ~tldlug ~mit ~r~t to tim I~ilding ~ ~di~ o[ C~ 3~ o[ ~tl~ld, ~[folk ~n~, ~ Yo~, ~ otl~r a~lt~le I~s, ~di~es or ~latims, for tl~ ~st~tim o[ hdldl~s, ~itlms or alterattms, or for ~al or ~ltti~, as Mrein ~scril~. ~ applt~: ~s to ~ly wi~ all a~licable l~s, ordim,ms, ~tldi~ ~, ~i~ c~, re~~~rl~ in--tots o~ ~i~s a~ in ~ildi~ for ms~ lns~tims. {Stature o[ a~limt, or ~, t[ a co,ration) ~l~trJcJ~ I,Jce~ ~ ...................... Otl~r ~'~ Btce~ ~ ..................... . ............ &~..; .... ~,..~ .................. .... 2~.~ .................. M~.d~.~.~.~ ......"n ~" I~ ~r 8tret i~et Subdivision ........................... . .. . ....... Flied N~p ~ .......... ~ ..... Lot ............... (t~) 2. State existing u~e aM occupancy of premi~e8 and intended u~e and occxq'.ancy of propoaed constn*etlon: ~¢,}.~.'t.~ .~x t bZ~...z.~.. ....................... a. F~xlsting ~e and occupancy ......... / 3. H:lttu'e of ~ork (dteck,,diidt applicable)l Ne~ ~ildifl~ ........... ~ici~ .......... Al~e~.~io~ .......... ~i~ ............ ~*~ ..[' ....... .... ~UU~ .............0~h~r ~ 6. [~s~ f,,~t~l ~st ... ~_ ~'.. 'I .......... f~ .............................................. ] (~o ~ [~id (m fJlln2 this al~lica~t~) If ~arase, s~J~l~r of ~ra .... ' ........ 6. 1~ I~ml~ss, ~ercial or ml~l'~qm~, 8~c1~ ~l:ure m~ ~ten~ oi earls ty~ of u~ ....... ~ .......... . ..... 8. IlJ,~nsJam of entire ~ ~st[nml:lml l~t .......... ~... I~ar . ff ~.~ .............. ~ ... I I. ~ or u~ dlatrict In ~dd~ )~l~a am st~t~ ......................... ~..,~.~...,~~ .... i2. ~s propel ~mC~I~ vic[ate a~ ~ln8 I~, o~lI~me or regula~i~i .... ~.~ ............... ...................................... ...... I~. I~ lids p~ty ,ltlll, ~ it!t. ofa ~h~l ~lall * ~.~ .......... ~ ...~ .... PI.OT ~I~1~, l~ate clearly a~ dlstt~tly ~11 ~ll(ll~a, d~tl~r ~lartng or pro~. ~ i~licare alt ~-I~ di~nalon~ fr~, proler[y li~a. gi~ at~t m21 bl~ ~d~r or ihscrip~i~ according ~o ~, a~ ~ atree[ m~ma ami talicaCe ~d~tlmr interior or co~r loc. ON LEAD CONTE~ BEFORE } ..... P~ ~:t~ occ ? rlw ! , I. FOUNDAT~N . ~RE~IREO EXCEE~ 1%~ D. ff 4. FINAL - ~N~U~ON MUSt -' ~-- ..... ALL CON~ ~. ~E~ ~E RE~IR~ ~.~ N.~ gI'A'IE (~r ~ y(~, S~ CODEs.STA~ ~N~N (~al~ ~txllvl~tml. slgnhtg c~ltr~t) (C~Lrac~or, aBe~L~lcor~)raLe o~lcer, eLc.) oi said (~r or ~ra~ taxi Is Ihl[y [~[l~rJ~ Lo i~r~onn or lume l~rR)r,~l Lhe ~ld ~rk alii ~o n~ke mx] Etle this alq)llcaClo,; Lilac alt state~nts c(x~a[~ In Ibis alq)lica:lim are tn~ Lo t:he leec o[ his kt~l~ae arm I~l. Jefi ilfxl that th~ ~rk ~[ll I~ ~rion~l In tl~ n~lnt~r ~¢ ~orth i~ the flppl, lcati(s~ fil~ EMILY H,e Notary Public, Sta' No. O1 HAS( Qualified in Suf~ Commission Expires Ma MILL e of New 159984 Ik Cou~t~