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Home My WebLink About24586-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25471 Date: 01/08/98 THIS CERTIFIES that the building HEATING SYSTEM Location of Property: . 1095 AQUAVIEW AVE EAST M~RION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 2 Lot 14 Subdivision Filed Map No. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 1998 pursuant to which Building Permit No. 24586-Z dated JANUARY 5, 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 INSTALL A NEW HEATING SYSTEM "AS INSTALLED" The certificate is issued to ALICE GIBLETT of the aforesaid building. & JACQUELINE G. BAUER (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION ~ATED N/A PENDING 01/05/98 N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT ' TOWN HALL $OUTHOLD, N.Y. 24586 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Z D- JANUARY 5 98 ate .............................................................. ~9...:.:. .... Perml~lon Is hereby granted to: ALICE R & AND GIBLETT PO BOX 214 EAST MARION~NY 11959 t^ INSTALL A NEW HEATING SYSTEM " AS INSTALLED " County Tax Map NA 475889 021 0002. 014, ..U ........................... Section ........................ Block ....................... Lot No ........................ pursuant to application dated JANUARY 5 T o 98 and approved by the Building Inspector. Pee ~ ........ ~.~,:,,o..0. ..... Rev. 6/30/80 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 inspector with the following: 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 UndeCwriters. 4. 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. 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 a 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - {50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .............................. Rew Construction ........... Old Or Pre-existing Building ..... House No. Street Hamlet Onwer or Owners of Property .... ' ...................................... County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision .............................. ... ... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept· Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.. Fee Submitted: $'''~'''~'"~' °' ...~...~... .................... : · w.' . .% ...... (~j2,~. S 3 q 5' ~ ~ ~. APPLICANT 11/14/91 Charles Sanders Plumbin~ & Heating P.O. Box 1011 95 Mill Rd. Riverhead, N.Y. 11901 (516) 369-0251 Alice Giblett P.O. Box 214 East Marion, N.Y. (516) 765-2 722 11939 Invoice#GB911 Installed Baseboard and boiler at Aquaview Dr,, East Marion, N.Y. 1.Trianco#85 steel boiler with Taco circulator, Beckett burner and White Rogers comrols Embassy baseboard (Wiring of boiler will be by others) Domestic coil in boiler to be tired into existing hot water line Price $3,500.00 EXTRAS Total +$3,500,00 Paid 11/14/91 Check#351 ~ Bal. $1,000.00 (For Workman's Compensation call Cornacchio Insurance (516)924-3006 at, d asker Beth) _ ~ Panel FREE ESTIMATES - QUICK RESPONSE - RAPID COMPLETION JAMES M. MURRAY (~xPl~ ~LF, CT~C) LICENSED ELECTRICIAN & FULLY INSURED Box 305 Laurel, New York 11948 J~ome Phone 516-298-8169 ~a,e ......... jJ/.....,.'~ ,~...~./ ~' '.3o- Make Check Payable To JAMES M. MURRAY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] IN~SULATION ~ [ ~FINALC/~ ~) DATE /~/~ FORH NO. I TOWN OF SOUTIIOLD BUII.DING DEPARTMENT TOWN DALL SODTIIOLD, N.Y. I {97 I TEl.: 765- 1802 .... : .............. (Ikfi lding lnspecto BOARD OF HRALTD ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... _NOTIFY: CALl ................... HAIl. TO: .................... APPLICATION FOR BUILDING PERttlT Date ............... , .... INSTRUCTIONS h. 'Ibis applicaclc~, tm.st lm cc~,~?letel~ filled in by t~.mi r~r or ~- ink a~l ~itted to the h ildlng has~ctor 3 ~ts of plus, ~rate plot plan to ~ale. F~ acco~ing to b. Plot pl~ d~i~ l~ati~ of lot ml of ~ildh~s ~ ~i~s, relationddp to ~joini~ pr~i~s or ~bllc struts or areas, a~ givi~ a ¢}tail~ ~riptlon of laya~t of pro~rty mst ~ dr~ ~ the dia~ ~id~ is lmrt of this applicat i~. c. '~e x~rk c~r~ ~ fids aHflicati~ vnN t~t I~ c~ l~fore issue of ~ildi~ Pemit. d. UI~ a~)r~al of fids a~llcati~, the l~ildi~ Ins~ctor will is~ a ~ildlng Pemit to the applicant. ~ch l~mit Mtal[ ~ ~pt ~ fl~ ~i~s avail~le for ins~ti~ Chr~mt t{~ l~rk. e. ~ ~ildi~ ~11 ~ ~mpi~l or ~ in ~mle or in ~rt for a~ Cn~ ~mt~er ~mtil a ~rtificate ~y ~all h~e l~n ~t~ by fl~ ~ildi~ Ins~tor. ~I~'rI~ IS ~gv ~ to tim l~ildi~ ~raent for tim is~nce of a ~ilding Pendt ~r~nt to the l~ilding ~ Ordi~e of t~ '1'~ of ~dmld, ~ffolk ~, ~ York, ~ oO~er a~li~ble l~s, ~di~es or ~latims, for tl~ ~st=ti.m of h~ildi~s, a~iti~s or alterations, or for r~al or ~lition, as herein ~scri~. ~m applic~t ~8 to ca~ly wi~ all a~licabla l~s, ordi~es, h~ild/ng c~, h~ing ~, ami re~latims, ~ to ~it ~ri~ in--toro m ~ms ~ in ~ildi~ for mce~i~s~tions. ~]~ ~ ~ (Sig~mture of a~licant, or ~, if a co,ration) /..~..~.~ .~...~~ ............. :~ ~~ ~ ~ (mili,~ ~ress of a~lic~t) ...... ~-~~~'L .................................................................................. ~"~& ~., ............... .~.~... .... :..:...~ ............................................ If a~)licant {s'a~c~t~]~ o~ duly ~,t{~ri~ of[Jeer. ~lil~rs I,icefl~ ~ ...................... ~--- ~ .../z ............... .g /K ........ .......... x ~ T,,~,. ,~ ~,~, ......... ~'~ ...~ .......... ~ .~.~. .......... ~Jl~ivlsim ...................................... FJl~ ~p ~ ................ l~t ............... <~ of pm~ c~mtmctton. 2. State existi~ ~ ~ <~y of ~mtms ~ x~ um~ ~a. F~st~ ~ aM <~y .............................................. b. ~te~ u~ a~ ~ .......................................................... ~ ...... 3./~: N~'lture of ~ork (clmck Odch applicable): ~ Ihdhling .......... ~iri~ .......... Alteration .......... ' (~riptim) ~.~ Estl,tqt~l Cost ................ ~ ......... f~ .............................................. ~ (to I~ ~id ~m filing this a~li~tim) If garage, l~lmr of tara ..... ~.. ..................... , .......... 6. 11~ Inmi~s~, ~mrcial or mi~l ~qm[my, 8~eif~ mture m~l extent of each t~ o[ u~ ...................... 7. Din~nai~m o[ ~iattng 8tnrtar~a, il any: lkmt ................ ~ar ............... ~pth ................. Ihi~t ........................ [. ~dmr o[ 8toriea ...................... nlnenai~a o[ 8am stnmmre wlkh alteratt~m or ~ttiona: Front ............... ~ar ............... ~pth .................... }~iO~r .................... ~mtmr o~ Storiea ............... 9. Si~ o[ lot: ~t ........... ~ ........ l~ar .................... ~pth .................... lO. I~fl:e o~ 15wdm~ .............. ~ ...... ~ o[ Fonmr ~r ........................................ 15. Is this p~rty wifldn ~ f~t of a till mtlaalI * ~S .......... ~ .......... PI.OT 1) IAGRAH to (~, aM ~ attic ~s ~1 i~icate UNDERWRITERS CERTIFICATE RE(~IJIRED (i'~a~e o1~ ilxlividual signi,,g contract) 7eS. leO~ 0 AM YO 4 IIM ~ I ~~. ~0 R~RED ~'~'~&~BING ~. IN~ 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR ALL CONSTRUCTION SHALL MEET THE REQ~EN~ O~ TH~ N.Y. ~TATE CONSTRUCTION & CODES, NOT RESPONS~L~ DESIGN ~ff CONSTRUCTION .................... Imin8 duly ~)rn, delx~ses taxi says that he is the al)pli(~mt lie is the ............................ ~ ...................................................................... ((kmtractor, agent, cbrporate officer, et(:.) of said (~mer er ~rs, taxi is (luly ~flhoriz~l Lo i~cfonlt er have l~ri:orfl~ the said ~)rk e~l Lo nmke arxl file this appl {catiou; that; all state.nra c(mta!~l in this al~)l ication are t.n~ Lo the Imst: of his km~l~ge a[~ lmJ. ief; a~xl Lhat the ~rk will I~ lerfonml in thellm[,mr ~t forth in Lhe appllcation fi]~ tlmr~J.6~. · t~)rn Lo I~fore nu this ; ~SLIE J. B~UER ~Pu~i~ State of NewYorl H~ 5018~4, Suffolk Cou~ Turin Expires bp. 20,19~ (S'gea{a]re cfi ^ppllcfl[H.)