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Home My WebLink About23879-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANC~ No Z-24981 Date APRIL 11, 1997 THIS CERTIFIES that the buildin~ HOTWATERHEATER Location of Property 190 NORTH BAYVIEW RD. EOUTHOLD, N.Y. HouseNo. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 19.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 13, 1996 pursuant to which Building Permit No. 23879-Z dated JANUARY 3, 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 OIL FIRED MOT WATER HEATER AS APPLIED FOR. The certificate is issued to JOYCE WILKINE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED N/A ~14022 - DATED APRIL 2, 1997 NOV. 1, 1996-LAWRENCE C. TRAPAESO ~ilding Hector Rev. 1/81 leOU~e NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23879 Z Date Permission is hereby granted to: , ~ , , _ .~~.~?....~...~ ..~..~..~ ....... to ~....~../.........~ ....... ~.(.. ....... ,~.~a. ........ ~.....~..~..~-;~......./.~...~-~. .... ....... ~~......~.~ .................................................................................... at premise, located at ............ ./...~..~........ ,../.~.,'~-x~.......~~..t~ .......................... cou,~ Tox Mop No. ,000 S,c,on ...... ?.~. ........... B,o~k ..... ./...~ ......... Lot No..../~./... ........ pursuant to application dated ........... ..~../~"..~:...r ............................. , 19.and approved by the Building Inspector. Rev. 6/30/80 I;orl)l l'k~. 6 TOWN OF SOUTIIOLD BU I. LD ~N(] T()UN IIALI, 765-1g02 [lEO I 3 AI'P[,LCATIoN FOIl CEII'rIFICATE OF ()CCUPA~'CY A. This appl[catiou must be filled in by typewriter OR i.k and subraitted to the building inspecto~ ~ith the follo~ing: for uew buiidiug or ne~ use: 1. Fiual survey of property with accurate locatios of ail buildiugs, property lines, streets, and uuusual natural or topographic features. 2.Finul Approval from llehlth Dept. of ~ater supply and sewerage-disposal(s-9 form). 3.Approval of electric~ installation from Board o~ Fire Uaderwriters. 4. Sworu statement from ~plumber certifying that the solder used in system contail's less than 2/~0 of 1% lead. 5. Colmn?rcial buildiug, industrial building, multiple residences and simile ' · and lnstallations,~a certificate of Cod,, ch, ~' - r buildings respousible for the buiJding ct or en[,lueer 6. Submit Plalming Board Approw~l of comp].eted site plan requirements. B. For existing buildillgs (prior to April 9, J957) non-conforming uses, or buildings and pre-existing land uses: 1. Accurate survey of property showing all property liaes, streets, building and unusual natural or topographic features. 2. A properly completed application aud a consent to inspect signed by the applicant. I[ a Cel-tificate of Occupaucy is denied, the Buildiug Inspector shall state the reasons therefor in writing to the applicaut. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,-- Alteratioas to dwell.[llg $25.00, S%¢J,,ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupaucy on Pre-existing guildine - $100.00 3. Copy of Certificate of Occupa~]cy - $20.00 4. Updated Certificate of Occupaucy - $50.00 5. Temporary Certificate of Occupaucy - Residential $15.00., Co~lercial $~5.00' 10/30/96 DatD ......................... ~]ew Constructiou ......... Old Or Pre-existinE Building ................. . . OLD Locatioo of Property... ~D ........ NO~TH BAYVIEW RD SOUTHOLD House No. Street Hamlet Onwer or O~;ners ,.,f Property .... ~Qy~ ~I%KI~S Couuty Tax Map No 1000, Section... 7D ......... Bieck ..... 1.% ......... Lot.. 1 9 . 1. .~ubd lv~s~ou .................................... Filed Map ............ Lot ..... ,e[mit No ................ Date Of Permit ............... Applicant .... ~TRO Ilealth Dept. Approval .......................... Uoder~riters Approval ......................... Planning Board Approval ........................ /equest for: Temporary Certificate ......... Final Certlca~e ........... Town Hall, 53095 Main Road P. O. Box 1179 Soulhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Owner: P 1 umber: Permit No. e print) (please print) I certify that the contains less than 2/10 solder used in the waker supply system of 1% lead. (Plumbers SignatUre) Sworn to before me this / _ Notary Public, CoLln,t~? ..................... .. l ~ VITO E. FFL~,CCA!,VIERI ;~.. ~mmi~ion Exoires March 30.19~ .]~ I"II;I.D Illlil'l~l;I I01t IIl~.l'l)l(I' F(}UHI)^T lOH (2tll)) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. ] INSULATION [ ~FINAL~~-~ DATE ~/~)/~ OIL BURNER Certificate of Inspection 210-fCE Yv]LK~.q $ A~# i 4022 Location: 190 NORTH BAYVIEW RD, SOUTHOLD~NY 11971 Applicant: PETRO 1NC. Address: P I') ROX ?gg, gMITI-IT~W~. NY 117R7 Tel. No. 685 !954 Uc No. 299! P~ Expire~: ELECTRICAL INSPECTION SERVICE, INC. ::175 DUNTON AVENUE EAST ?ATCHOGUE, NEW YORK 11772 TEL:~ OECI 3 Examined ../.~ ....... , , ^pproved. ,. ....... , £ Pe;mitNo. FORM NO. I : TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197~I TEL.: 765-1803 Disapproved a/c ..................................... B6ARD OF }IEAI. TH .......... 3 SETS OF PLANS,,.. .. ' SURV F_.Y" SEPTIC FORH . .'..,' .... Date . J ,0,/.3, 0 f.9.6 ......... 19... INSTRUCTIONS a...This application must be completely filled in by typewriter or in ink and subinitted to the Building Inspector, with 3 se{s of plans, accurate plot plan to scale. Fee accm'ding to schedule. b. Plot plan showing location of lot find of buildings on premises, relationship to .adjoining premises or public streets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is, part of ~his appli- cation. c[ ' Th~ 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: Su'cl{'permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted l?y the Building Inspector. · APPLICATION IS HEREBY MADE to the Building Departmei~t for the issuance of a Building Permit puisuant to the Building Zone Ordinance qf the Town of Southbld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with 'all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. " '" '~' PETRO -- (Signatur~ of applicant, or name, if a corporation) · .PO..ROM. 3.8.8.. SNJ. TI:t TI3.~IN. NY..; 1 J 7.8.7. .... .... (Mailing address of applicant) State Whether applicant is owner, lessee, 'agent, architect, engineer, generai.'contractor, electri~hn; plumber or builder. ........T ............................. .. ................... . ........................... N~me of 9wner o f premises ...,7'97.c.t~ .~..I ~.K.~.~ .s ....... ' .................................................. (as onthe tax roll or latest deed) If. applicant is a corporation, signature of duly authorized officer.' (N nd tiff f ) ' amc a e o corporate officer .. Builder's License No .......................... Plumber's License No .... 3 .~ ~.¢; p .... . .......... Electrician's License No.. 2 ~.0.1..RE ............. Other Trade's License No ...................... Location of land on which proposed work will be 'done ................................. 19.0 NORTH BAYVIEW RD , SOUTHOLD ...... · ...... ltouse Number Street Hamlet on'nty p N :7. q ' C Tax Ma o. 1000 Section .......... Block . 1 3 ..... ' Lot 1 9. 1 Subdivision ........ . ................... . ......... '. Filed Map No ............... Lot ............... . Stat~ existing use and occupancy of premises and intended use and o~cupancy of proposed construction: Existing use and upancy ~t~ $.r D.~l~T;rAh b Intended use and occupancy SAi~ . .'... 8. Dimensions of entire new conitruction: Front .... ; ......... : Rear ............... Depth . '.. [.. .... ..Height ... i ..... . ......NQmber of Stories ' ..................... , ............... ~ .... ,: ..... 9. 'Size of lot: Front ......... i.' ..... ' ..... ~.. Rear.:..: .......... ~ ........ Depth ................. I0. Date of Purchase ....... · · I ........... ' ....... '.. Name of Former Owner . .~ ...... ': ............ ~:.. 1 I. Zone or use district in which l~remises are situated ................................... 12, Does proposed construction violate any zoning law, ordinal{ce or regulation: ........................... 13, '3. Nature of work (check w, hich[ap, plicable): New Building ........... Addition ....... :.. Alt. eratior,. ~ :~. ~ .... .' Repair......,......... RelmovaI Demolition . Other Work ~xw~a.g ~R iI '"" . .(Description) 4 Estimated Cost $13.501,0~0 "' Fee $75 I : ~ (to be paid on filing this application) $ If dwelling numb of dwell'fig un'ts ' N mb o£dw [1 its on each floor If garage number of cars I ' m" ify 6. If business, commercial or lxed occupancy, ,s, pec nature and extent of.each typo of use ............ ,,, ....... 7, Dunensmns et existing structures, if any: Front .............. Rear Depth.. Height ' N~mber of Stories Dimensions of shme ' ' ' additions: Front Rear structurolwith alterations or ............................ , ........ Depth ............ , ...... i ....Height ........... ' Nmnber of Stories ' ,Will Iht be regrade, d ....... ,'. .................... Will excess fill b~ removed from premises:. - Yes Ix/o 14. NameofOwnerofpremises .~.ZLEI~S . ...Address J.90. N .BAY..V..I.E~..R.D. PhoneNo7.65-4095 Name of Architect ! ' Address Phone No N of C PETROl Add .PO 8.8..S~.~.~.~l~l~~ No ~ 954 ' BOX 7 686z , amc ontractor ........ ross , ....... ' [5.' 19 this property within, 300 feet of a t~dal wetland~ ~Yes........ No ........ . ' ' :'~ ~If yes,'SoutholdI Town Trustees Permit may.,be required. ~..: PLOT DIAGRAM ' '..- ,. ~ ': Locate clearly and distinctly all buildings, whether e~xisting, or proposed, and. indicate all set-back dimensions, from property lines. Give street and block nbmber or description accord, lng to deed, andshow street names and mdtcato' ' "' whether interior or corner lot. ; ~ . ,: , , ,I UN[IERV;~RITERS CE~TIFI~ATF. pLUMBER CERTIFICATION ON LEAD COl VFENT BE SOLDER USED SUPPLY o o YSz M CANNOT : CEED 2/ 0 of 1% LEAD, STATE OF' NEW YORK, country ..... ............ ~AW.R. BNCE. ~ ... TR (Name of individual sigi above named. i . CONTRACTOR He sthe.,..; ................ NOT~rY-SUILDII~G ~65-t802 9 AM .TO 4 PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATtON. TWO REQUI~ED . FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING .... ',. 3~ INSU~TION, :, ,, 4.FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ', ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF' THE N~Y. ' : STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR .[,~, DESIGN OR CONSTRUCTION ERRORS S.S [.BASSO ..... , ......... mg contract) being duly sworn, deposes and says that he is tho ap~plicant Sworn to before me this ....' .' .... ' .....~.. ]... '...d/~y of .... .AJ.q ..... Notary Public, . ............ ~ ' ~! V TO " ~ Notary P~,lb (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~, authorized t~) perform or have performed the said work and to make and fil~ this application; that all statements contgined in thais'application are {rue tO the best of his knowledge and belief and that the work will be performed in the manne? set forth in the application filed therewith. ' ~ ' '