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Home My WebLink About25205-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26138 Date: .12/02/98 THIS CERTIFIES that the building ADDITION Location of Property: 1785 CROWN LAND LANE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 7 Lot 4 Subdivision Filed Map No. __Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 19, 1998 pursuant to which Building Permit No. 25205-Z dated OCTOBER 13, 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 INSTALLATION OF AN OIL FIRED BOILER SYSTEM FOR DOMESTIC HOT WATER IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STANLEY PAWLOWSKI, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 22914 08/12/98 PLUMBERS CERTIFICATION DATED 08/17/98 LAWRENCE TBAPASSO Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD 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. 25205 Z Date OCTOBER 13~ 1998 Permission is hereby granted to: STANLEY PAWLOWSKI~ JR. 1785 CROWN LAND LANE CUTCHOGUE~NY 11935 for : INSTALL AN OIL FIRED BOILER SYSTEM FOR DOMESTIC HOT WATER AS APPLIED FOR TO A SINGLE FAMILY DWELLING. at premises located at County Tax Map No. 473889 Section 102 pursuant to application dated AUGUST Building Inspector. 1785 CROWN LAND LA CUTCHOGUE Block 0007 Lot No. 004 19 1998 and approved by the Fee $ 75.00 - Buildi~g'i'nspect~ ORIGINAL Rev. 2/19/98 Form I,Io. 6 TOt. IN OF SOUTIIOLD BUILDING I)EPAP,'I'H ENT TOWN IIALL 765- 1802 AI)I'L[CATiON FOR CEI1T[FICA'I'E OF OCCUPANCY A. This applicatiou must be filled in by typewriter OR ink aed subraitted to the tilding insl)CCtor ~'ith the follow, lug: for l~t~ building nr net~ use: 1. Final survey of property with accurate location of all buildings, property lines, 2. Final Appvowtl from l earth Dept. of water supply aud sewerage-disposal(S-9 form). 3. Approval of electrlc~u[ installation from Board of Fire Underwriters. 4. S~orn statement fromiplumber certifying that the solder used in system contairs less than 2/10 of 1% lead. and in "n''-'-' f' . ~=~ ou~lng, muJ_t,pie res~dence~ and similar buildi, s S=<lidglo"g,~ka certlf].cate of Code Complim ce fret, architect or eugineer g responsible for the building. 6. Submit Planning Board Approval of completed slte plan requirements. B. For existing buildiugs (prior to April 9, 1957) non-conforming uses, or buitdings and I. Accurate survey of property showing all property li,es, streets, building and unusual natural or topograpt~ic feat,res. 2. A properly completed application aud a consent to iuspect signed by the applicant. If a Ccrtificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in tcritiug to the applicant. C. Fees 1. Certificate of Occupancy - New d~elling $25.00, Additions to d~elling $25.00,-- aiterations to duelling $25.00, S~imming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existiug Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Co~mercial $15.00' .ew Construction ........... Old O~ Pre-existing Building ...... f.. · liouse No. ~ ~ 5~et llamlet ' ' ' C e B1 t Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Fiual Certicate ........... BOCK OIL-POWERED GLASS LINED STANDARD" ' AND POWER-PLUS WATER H.E A T. ERS'WITH , :., SINGLE CENTER TURBOFLUE CONSTRUCTION, ! E¢lulpl~mnt Fea!ures: Ui.-lJsled custom flame releollon burners on Sla[~derd olodels. WayNe BIDe Angel UL-lisled ~ . relays, beth moclbls, ~ Thick fiberglass Insblatlon on Slan(lard models. 1-inch loam Iosul~tion on Power. Pins. ~ a Two magnesium anodeo wilh lop access -,stn p i e J Inspeclloh and replacemen .. , ~ HiDhesl qualily Bock*process porcelain enamel ~, lank tidings. Durable, lighlWetghl, cormslon- I'eSiSlanL ~ Gemdne rekaclory lined combuslion chambers. ., ~ Combination lam )eralure conlrols -- Opera ~g and I-Ii~h JJntJt, · Exlra lapl)lnfl lot T&P valve. · 'rest pressers: 300 PSL Working press[oD: ' MEETASHRAE COOE: Roughlng-h-~ b. hnenslons: Sizes and Capacities: STORAGE STUI! RECOVERY FIRING STANDARD WATER CAPACITY INPUT Al' 100' IIlSE RATE VOLTAGE CONNECTS. t04,000 ~ g4 GPil - : :75 GPH I20V, 601,JZ ~,/,,, NpT: (10GALS. 152,000 138 GPII 1.10 GPII 120V, 60HZ 1" NPT 32 GALS. 104,000 99 GPII ..75 GPII ~ .120V, 6011Z ?~" HPT I" FOAM ',:. 50 GALS, 152,000 145 GPII' 1.10 GPH 120V, 60IlZ I' NPT ,' 1" FOAM ; MODEL $1IIPPIN~ WEI~ItTS AflE ¢OMPI.ET£ ASSEMBLY, INCLUDING BUf~NEn AND CONTflOL$.¢ i;], !i ~NSULATION i First in Qualily. One.TWo in Efficiency and Economy. ; , ,,~ii~,~ The Bock Power-Plus is Imme- ~ .... dlalely dlscernable Item Slan- dmd ~)]odols by Ihs disthmlive Creaat color enameling et Iha oulor Jackal and by Ihs color , end conliguraflon el lbo ullra- slllolenl Blue Angel bur.er. The Power-Plus also h~)s tosm recovery ~ales. The 32PP has .............. clmtcy rating alom Ihan pulillvo I)lodol wllhoul Tmbolluo. Slanda~d models, how- rallnils lot rest(Jonllal oil.powered waist healers. Boll)' nt()(tels rucovo[ hdllal cost ditlereaces over compelillve u.lls wlibht Ihe liml year el opemllon -- and'continue ve[y roullsllo dollar snvh~gs o~t a per (lay basis year-aller-year Turbofhm. The Ir~slde St0r slrucllon el Ibis many Ilnte8 ~lld [elah18 tho he~l elllclenoy, mlnhnue~ slandby'los6. Tufbollue. Only Bock has It. Bock Water Healers, Inc. PIIONE ~001257- 2225 Qoallty Water Heaters Since ~929 Town Hall, 53095 Main Road P. O, Box 1179 Southold, New Yolk 11971 Fax (516) 765-1823 lelephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Owner :/~/~~ l'~z-~' / '~pl ea~ print) P lumber ~/~~ /~~/ ....... (please prv i~ I certify that the solder used in the waker supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary PublJ- _~'~'~'~/~6 ~/,~--~County KENNETH A MIONE NOTARY PUBLIC, Sto'~e of New York No. 01MI5040174, Suffolk Co~ty_ Te~m Expires March 6, Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPARTMENT TOWN OF 8OUTHOLD~/ Cutchogue, New YOrk 11935 Fax (516) 765-1823 Telephone(516) 765-1802 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 X not on file. (Enclosed) X 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 # 25205-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. OIL BURNER Certificate or Inspection App;g22914 Sect.#: 102, Blocl~: 7 Lot~: 4 ~ame S;tanlev Pawlowski Locatio-~ 1785 ~2rownland Lane, C~tchogtle, New York l'et~o gppl}cant: p4dress: t'. O. Box 788, Snfithtov~ ~ 11787 TeL No.686'1954 Uc~ ~o.901-R]~ Expir~: ELECTRICAL INSPECTION SERVICE, INC, 375 I}tlNTON AVENUE EAST ?AI{;tIgI]UE, NEW YORK 11772 TEL: (515) August 12, 1998 ~ ~ "~m~ Date 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] ~ON [ ~.~j"FINAL · ' ,, , ~ FORM NO. 1 t ..... ~ TOWN OF SOUTHOLD ,, ,, :,.~.';: BU, ILDING DEPARTMENT . ~' -~,' ....~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..,./?.~. V~...~..., 19... ermit BOARD OF HEALTII ....... 3 SETS OF ,PLANS ....... SURVEY ................. CIIECK CALL ................. HAIL TO: Disapproved a/c ................................ : .... '' ' /)~PPLICATION FOR BUILDING PERMIT ' / Date .... . .~'.'7../..//. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ats 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 sti'ee' r areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appl ation. 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 i~sued a Building Permit to the applicant. Such petrol roll b~ kept on the premises available for inspection tliroughout the work. e. -No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc roll l-~}~ve been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances o egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tt lmit authorized inspectors on premises and in building for necessary insp~ (Signature of applicant, or name, if a corporation). (Mailino address of applicangJ/ :ate whether applicant is owner, lessee, agent, architect, eng4neer, general c~nontractor~lectrician, plumber or builder. .................... . ' ' /Y/ (as on the tax roll or latest deed) ap~t is a corporatio..~~uly6a~t~rized officer. APPROVED AS NOTED · (Name and title of corporate officer) ~.,,... ........ '"-""' ~"_'."~ ................. ~'""-' ,~'u~.~;rUL 765-1802 9 AM TO 4 FM r-OR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED ' FOR POURED CONGREI~ 3. INSULATION Other Trade's License No ................. ,O.N.DE..RWRITER$ CERTIFICATE4, FINAl. - CONSTRUCTION MUST I1EQUIllED BE COMPLETE FOR C.O. Location of land on which proposed work w Ibc done ALL CONSTRUCTION ~HALL House Number Street .............. ~£~.' 'NOt' RESPOFI$1ffi.E, 'POR ..... : . I~SI~I~ q~ r'CO N S'~ UCTION r~ROR$ ¢?nntyTa× 'Iap,o. 1000Seelion. Block. ..... :... I. ot ..... .......... Subdivision ........ , ............................. Filed Map No ............... Lot ............... (Name) State exJstin§ use and occupancy of premises and intended use and occupancy of proposed ~9,nstru, ction: · 3 N t~ Ic(h ck h h' ppi bi .... ' · a re ofwor c e w lc a ca e): New Building .......... Addition .......... Alter c Repair .............. R~moval atio ....... i .............. Demolition . Other Work Z3-- ?,5--" (D ii,, 4. Estimated Cost ..... ~.~.. ........ . ' escr tion ........... Fee ' (to be paid on filing this application) 5 If dwelling numberofdweIIi~gunits If garage number of cars ................ of dwelling units each floor i , .Number If business, commercial o~ m;-'~-' . , ,,,~u occupancy, specify nature and extent of.each type of use . .... 7. Dbnensions of existing structures, if any: Front .......... · ............ I~.e~ght ............... Ndmbe? of Stories .... ~. Rear .. ........... Depth .............. o'n'sl F ........................................ unnens~ons of same structure Witli alterations or additi r D pth ' R e ............... ~ II ight .................. ear .. .... ,...-e ....... N nb fSt ............... 8 Di io sofenti ~ . ' ' '" ......... '.. m ere eries ....... · mens n re new construchon: Front ......... ' Rear ............ Height . Nutnb fStori .................... Depth ... 9 Siz flo~'l~ ........... ere es ........... ' ........... . e o : rent ....... ; R ............ ' .............. 10 D fP I '-, ............ ear. D pth ................. · ate o urclase ........ ' ................. e ............... 11 Z di ictinwhi hpl' i situated ...... ...................... Name of Former Owner . . · one or use str c eln scs are ........ ' ...................... .. 12. Does proposed construction violate any zm,in, la,, ,,~,~' · 13. Willlnt hr. roov,atle..I ~ -- 54'--'o -~--, ~.ulnanc~. orregu at on 14. NmneofOwnerofpremise~ /ff~)3~e)~,'~'.V'llex/c~s~filJfl~?,ren3°vej:l fJbm prem,ses: Yes Ni Name of Architect ~ '. ~ .... t~. ....-..,-.-.: ;-.wmoress .~./.r~.. ~.,.Ot~4...-.ac4. ·'Phone No '.2ff~.-7. 7.g..~.."/ .... i ................. Address . · · · . t... Name of Contractor . ~/./.~,, , · , --3: ' ', ;'~' '~,' '2' ',; '/' ' Phone No .......... 5.' I.s this property ~'thin l~b~' 'f~;'t' ;'f' ~' 't'i~l~Ow~er%Slt~a~d'V'~' ~t~'~'~'' Phone No..~.~ ~./..~.4J~.' · *If yes, Southol,[ iTown Trustees Permit ma~'~ No ......... .. ' PLOTDIAGIL4M v - ' Locate clearly and distinctly al buildings, ~heth~r existing or proposed, and. indicate all set-back dimensions from ~roperty lines. Give street and blocl number or description according to deed, and show street nmnes and indicate whether nterior or corner lot. . XTE OF NEW YOR, t(~OIf3.~'![~,P~ D~.¢V~, ) ~ iO4 '- ' ~' ' , ' . . ...... ' .,.g~. 1.~ .~. ~..e.~: ..... . ......... being duly Sworn, deposes m~d sa s ti ' ~~v,dual ~tC~l'tract> .. . .......... y mt he ~s the anolicant :V,f: '-lq, ~0 ~'m.:~,'q~:)~;'.:L,' ;~5 ." '~ ..... ' ............................. ... · . ~:,~.,~ ;~ ~cn'¢.'>~v", [',4,Y{ q'r'~ntract°r' agent, cor))orate officer, etc.} ............ a,a own~::,qv~,9~d.ig d~ g' authorized to oerrorm ~ ......... ~--- - ' ' .ma~,.?p, ~,~,¢lls~¢,,n¢~ts contalacd ~, th.is app cation are tr-- *~*.~ '- ...... o o¢~.and to make and file this ~ ~m .oeflermnne0 m the manner set forth m the application moa ~),,~o,,uh . , that the rn to oelore me this ..... . ...... .' ................ ~.01~5~4~174 Suffolk ~o~t~ ' ~ . ' ' ~~S~gnature ~f apphcant)