HomeMy WebLinkAbout24388-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DBPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25454 Date: 12/22/97
THIS CERTIFIES that the building HEATING SYSTEM
Location of Property: 1010 OAK DR
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 80 Block 2
Subdivision
Filed Map No. Lot NO.
SOUTHOLD
Lot 7
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 8, 1997 pursuant to which
Building Permit No. 24388-Z dated OCTOBER 1r 1997
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 AB APPLIED FOR.
The certificate is issued to DONALD & MARIA WISEL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 19237 12/10/97
PLUMBERS CERTIFICATION DATED 04/28/97
LAWRENCE TR3~PASSO
Buildi~/g Inspector
Rev. 1/81
FO~M NO. ~
TOWN OF SOUTHO~.D
BUILDING DEPARTMENT
TOWN NAt. L
$OUTHOLD, N. Y.
N.o
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREflAISES UNTIL FULL
COMPLETIOIq OF THE WORK AUTHORIZED)
24388 Z ~ote ................................... , z~. '7
co, nv Tax Rap No. ~ooo ~¢,ion... ......... ~...... ...... ,~k ...... ~ ......... Lot No ...... LX:... ...........
pursuant to application dated ...... ~......~.. ......................... ' 9.2.Tand approved by the
Buildl~r Inspectar.
Fe.
Rev. 6/30/80
TOWN OF SOUTUOLD
BUt LDLNC; D ELU!P,'H JE! FI'
't'OU N 11ALI,
765-1802
AI'I'LLCATION YOU. CEI1T[ViCAIq~ 0I: OCCUPAb'CY
This applJcatiou must be filled in by typewriter OR ink and submitted to the building
£nspcctor with the foliowing: for eew buiJdlng or new use:
1. Final survey of Urope~ty with accurate locatien of all buildings, property lines,
2. Final Approval from Health Dept. of wa~er supply and sewerage-disposal(S-9 form).
3. Approval of electr.[c~[ installatio~ from Board of Fire Underwriters.
4. Sworn s~atement from/plumber certifying that the solder used in system contaius
less tha[~ 2/[0 of 1% lead.
5. Co,unercial buildi~, industrial bt, ildiug, multiple residences and similar bnildings
and ins~allations,~a certificate of Code Compliance from architect or engineer
respoosible for the building.
6. Submit Planning Board Approval of completed site p~an requirements.
For existing buildit~gs (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showiug ail property lines, streets, building and
unusual ~atural or topographic ~eatures.
2. A propur]y completed application and a cousent to iuspect signed by the applicaut.
I[ a Certificate of Octupancy is denied, the Buildiug Inspector shall state the
reasons tl]ercfor [n writin~ to the opplicant.
C. Fees
1. Certificate of Occupancy - New d~elling $25.00, Addition~ to dwelling $25.O0,--
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 Buildinn -
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupamcy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.OO., Co~mnercial $15.00
])atc .........................................
Ne~ Construction ........... Old O~ Pre-existing Buildiug.~ ..............
Couuty Tax Hap No 1000, Section .... ~' .... Bl.ck ~ .Lot .....
3ubdivision Filed Hap Lot . ...
Permit ~to ................ Dots Of Permit ................ Applicant....~.~.~d)% .................
I[ealth Dept. Approw]l .... Underwriters Approvol. ':
?lanning Board Approval ........................
%equest for: Temporary Certific.~te ........... Final Certieate. ~
:tee Submitted:~ $ ............................ ~"~- .
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New Yo~k 11971
Fax (516) 765-1823
Telephone {516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
DATE:
Buildin~/~. Permit No.
(please print)
p 1 u m b e r .~,~¢/~ ~/~C,~--_- /,,~..~/~./-~- ?~ ~'CD,,
( please print)
I certify that the solder used in tile water supply system
contains less than 2/10 of 1% lead.
~ (Plumbers SLg~hture)
sworn to before me this
~,~_~ day of../~/'~/ /~ r 19~
Notary Public, ~ County
KENNETH A MIONE
NOTARY PUBLIC, State of New York
Nc, 01Ml5040174, Suffolk Cou_nb/
Ta'm Expires March 6, 19~'
Town Hall, 53095 Main Road
P, O, Box 1179
Southold, New Yo~k 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 7, 1997
Petro-Long Island
P.O. Box 788
Smithtown, N.Y. 11787
To Whom This May Concern:
We are unable to complete your Certificate
because of the following reasons:
XX
of Occupancy
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.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 24388-Z (Wisel)
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
lluiidingAddrcss:
NEW YORK STATE ENERGY
CONSERVATION CONSTRUCTION CODE
IOtO
Dated:
I)csignCriteria:
Non Electric ileal
6,000 Degree Days
O.A. 10 Degrees F
1.A. 70 Degrees F
One or two family dwelling
SUiIS¥STEM AREA DESIGN THERMAL REMAI/KS
s.f. "U" RATING
Exterior Walls ,900 .05 q/t R- 14 losulation
Grazing 169 .33 --~] DH with storms
I)oors 32 .40 ~ ~ U 40 with storms
Ceiling (flat) R- lusulation
Ceiliug (Cathedral) 659 .028 /~ R- 30 Insnlation
.
Skyhghts .33 Andersen ttP or Equal
Floor 659 .04 7 R~ 19 Insulation
Foundation VCalls R- Insulation
Slab Insulation R- Insulation
Total: '~ 73
NOTES:
Building Envelope System to meet requirements ef 7815.2
HVAC Equip~nent to meet requirements of 7815.11
tlVAC Systems to meet requirm aents of 7815.12
Duct Systems to meet requirements of 7815.13
Ventilation Systems to meet requirements oi' 7815.14
Insulation on piping systems to meet requirements of 8715, l 5
Domestic water systems & Equipment to meet requirements of 7815.21
Electrical & Lighting Systems to meet requirements of 7815.31
To the best of my knowledge, and belief
& professional judgement, this home is in
compliance with thc code.
Signed
Date
OIL BURNER
Certificate of Inspection
Loch%om 1010 Oak Drive, Southold, New York
Petro Inc.
Addr~s: P.O. BOX 788, Sl:QiLhtown, NY 11787
N~ 686-1954 ticN~ 2901-RE Expire~:
ELECTRICAL INSPECTION SERVICE, INC.
:175 UUNTON AVENUE
EAST PA"fCItOGUE, 1",1EW YORK 11772
TEL: (516) 286-6642
............................ ,nspeclor~ .........
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: ~)/~/~
[ ]/~)UGH PLBG.
[ ~J'~/SULATION
[ ~ FINAL
INSPECTOR
BOARD OF HEALTH
- · FORMNO. 1 3 SETS 0~' PLANS .......
SURVEY '
',, TOWN OF SOUTHOLD ................
TOWN HALL
SOUTHOLD, N.Y. 1197~
- TEL,: 765-1802 t;o~ ~ ~
Exmnined ......... ,19 HAlL TO:
....
Disapproved a/c ................................ ~ . .;. ...
APPLICATION FOR BUILDING PER~IT
Date .................. 19
INSTRU6TIONS
a. T~s application must be completely filled in by ~pewdter or in ink and submitted to th~ BulldOg Inspeotor, witl
sets of plans, accurate plot plan to scale. Fee a~cordMg to s~hedule.
b. Plot pl~ show~g lo~ation of lot and of bulldogs on promises, relationship to adjoining pr~mises or pub~o
or areas, and giv~ a det~Ied d~scription of layout of property mu{t b~ drawn on the diagram ~hi~h is pa~ of
~ation.
o. ' T~e work ~ovemd hy t~s applkation may not be ~omm~n~d before issu~e of Budding
d. Upon approval of this application, th~ Building Inspector ~1 i~sued a Bu~dhg Pe~it to th~ appelant. Su~
sh~ be k~pt on th~ premises ava~able for ~spe~tion ~rou~out th~ work.
e. No building shall be occupied or used in whole or in p~t for any purpose wha/ewr untB a Cenifi~at~ of Occup~
shall haw be~n granted bY th~ Building Inspector.
' APPLICATION IS HEREBY MADE to the BuUd~g Dep~tment for the issuance of a B~Iding Pe~it pu~uant
Budding Zone Ordinanc~ of the Town of Southbld, Suffolk County, New York, ~d othe~ app~cable ~ws. Ord~ces
Regulations, for ~e construction of bufidhgs, additions or alterations, or for removal or demoli~on, as here~ descfib;:
The app~cant agrees to comply with all app~cable laws, ordinances, bufid~g code, ~us~g co. and regulations, and
a~t~2~~ on premises and ~ bulldog for ~eeessa~ection~. ~-- ~~~, ? . /
H~F ffiHhl. lfiWFHL . ~ignature of applicant, or na~e, Ca corporation)
........... .
State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builde
Nmeofownerofpremises ./~?~. ~<}~/... ~0y[D~
If applicant is a corporation, signat ~re of duly authoriied officer' I ~[: e ~O O ~v:
765-I~ 9 AM ~ 4 ~ FOR THE
(Namc and rifle of co~om~c officcO ~ ~:
. . 9u~deFs L]c~,s~ No ..........................
........ ...... ....... 4. ~C - ~N~
.................... ~~~'
~I ~ I ~ N.~
ltouse Number Street Hamlet
"
Con'nty Tax Map No. f000 Section .; ~ ......... . Block . . . ~.. ' Lot ..............
Subdivision Filed Map No ............... Lot .............. (Name) .
Stat~ existing use and occupancy of premises aud intended use and occupancy of proposed construct[on':
b. Xntended use and occupancy ._~...~.5~..~.~. ~../~.,.. 2~./.d..~.~. ~./.~f'..-~..~..~: SlW2/o_ /~a:67'5
· 3.Nature of work (check which applicable): New Building ' . ......&ddition .......... Alteratior. t:....
Repair .............. Removal .............. Demolition .... : ......... Other Work: ...........
4. Estimated Cost ............. Fee ....................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ..... 2 ......... . Number of dwelling units on each floor.. ............
· If garage, number of cars ............................................................. .' ........
6. If business, commercial or m}xed occupancy, ~pecify nature and extent of.each type of use ............... ,...
7. Dimensions of existing structures, if any: Front ............... Rear .... ........... Depth .............
Height ............... Number of Stories ......................................................
Dimensions of shme structure with alterations or additions: Front ................. Rear ................
Depth ....................... Height ........... ' ........ ,.. Number of Stories .......... '.; ........
8. Dimensions of entire new construction: Front .............. : Rear ............... Depth .............
:Height ............... Number of Stories ........................ : ..................... ; ........
9. Size of lot: Front ......... , ......... ;... Rear ............. ; ........ Depth ....................
10. Date of Purchase .................... . ......... Name of Former Owner ........ ; ........... ,: .....
1 1. Zone or use district in which premises are situated ....... ............................................
.12. Does proposed construction violate any zoning law, ordinance or regulation: ..............................
13. Will 16t be regraded ...... ~" .... "~ ' "' ' ' ' L .......Will excess fi~ll be remg~ed frqm premises: Yes
14. Name of Owner o'f premises/-..~f.4 ./4. f-/././.-q'./~../ .... Address/p./rp..~'.~.~...DC..X~.,0~/~. Phone No.-~.~. ~. 7'..°.oO.P~.
Name of Architect ..~ .......... ~ ........... Address ................... Phone No...~.~;.~.½..._.[. ,.
Name of Contractor ./~...~.~?:..'f~../~.~e .~.sr;. ..... Address/.~..~.~¥.?d./..~'.' .~.,~..J?~-.-,,4; Phone No ..... 9~.'
15.' I.s this property within 300 feet of a tidal wetland? *Yes ........ No .........
· If yes, Southold... Town TrusteeSp[oTPermitDiAGRAMmay be required. . . ~/ ~.. ~%~ ' ·
Locate clearly and distinctly all buildings, Whether existing or Proposed, and, indicate all set-back dimensions fro
property lines. Give street and block number or description accorc~ing to deed, and show street names and indicate whetk.
interior or corner lot.
. ..............
He is{~~ ~~
.... being duly sworn, deposes and says that he is the applica
(Contractor, agent, coiporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl
application; that all statements contained in this application are true tO the best of his knowledge and belief; and that t
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
No. 01M[5040174, Suffotk