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Home My WebLink About23914-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OC~u-PANCY No Z-24936 Date MARCH 17, 1997 THIS CERTIFIES that the building Location of Propert~ 1565 MEDAY AVENUE House No. Street County Tax Map No. 1000 Section 113 Block 9 Subdivision Filed Map No. HOT WATER H~ATER MATTITUCK, N.Y. Hamlet Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARy 15, 1997 .pursuant to which Building Permit No. 23914-Z dated FEBRUARY 10, 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 NEW OIL FIRED HOT WATER HEATER AS APPLIED FOR. The certificate is issued to VINCENT PISANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Building Inspector Rev. 1/81 I~OR~ 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.° 2391~ Z Permission is hereby granted to: ................................. .................... ~~: .......... ~.,....~.~ ......... ......... ~.~.././.. ......................... ~ ........ /~.~.....J4~.~...~...~.~:~....: ............. ~ ......... ...~...~ .......... /~.../..~.~......./..~... ........................................................................................................... at premises Io~ated ot ............................. ~~ ........................................................................ CounW To~ Mop No. ,ooo S,ct,on ...//~.. ............ ~,o~ ..~..~ ........... Lot No.....~ ........... pursuant to application doted ...................................... ~~ ~'~"~ , 19..~.Z and approved by the Building Inspector. //Bu~ng I~,or Rev. 6/30/80 APPLICATION FOR CERTIFICATE OP OCCUPANCY A. This application must be filled iu by typewriter OR ink and submitted to the building inspector with the following: for new bull ing or new use: 1. Final survey of property with accurate location of all buildings, property lines, 2. Final Approwtl from Ilehltb Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of eiectric~t installation from Board of Fire Dnderwriters. , 4. Sworn statemeut from fplumber certifying that the solder used in system coutairs less than 2/10 of 1% lead. 5. Co,m~urcial building, industrial building, multiple residences and =' ' ' gs ~ and Jnstaliatious,~a certificate of Code Compliance from arch' .o~mzlar.bu~ld~n responsible for the building. , ' .- ~tect or engineer 6. Submit Pla[tuiug Bq r.¢ Approval of completed site plan requirements. g. For existing buildifigs (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existi~g land dses: ' 1.Accurate survey of preperty stowing ali property liaes, streets, building and unusual natural or topographic features. 2. A properJy completed application and a consent to inspect sigued by the applicant. If a Certificate of Occupancy is deuied, the Building Inspector stall state the reasons therefor im writing to the applicm~t. C. Fees I. Certificate of Occupancy - New dwelling $25.00, AdditSous to dwelling $25.00,-- Alteratious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory builditlg $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certif5cate of Occupancy - Residential $15.0(~ Commercial $15.OO Date .. !le. Construction ........... Old Or Pre-existi g Building ~ .. . ' House No. / .... ' ....... ~ ....... Subdivisiou .................................... Filed Mnp ............ Lot ...................... Permit No ................ Date Of ~ermit .............. Applicant... . .... Ilealtb Dept. Approval ......................... · Underwriters Approval ............... Planning Board Approval ........................ 2eqoest fo~: Tempora~ertificate ........... Final Certicate..~.... ee Submitted: $ II Roughing-In Dimensions and General Specifications CO~D HOT .~UEF me~ e~u. ~u,* ~ ~.~ 52" 26" 6" 13~" t~' 1~" ~- ~' 50~s. 14Q,~ 1.00GPH t39GPH 394L~. Where headroom is at a premium. LO-BOY MODELS 30E$ AND SOES the 30ES (shown) can be ir,stalled wherever headroom is limited to 4 feet; the 50ES to 5'~ feet, Both am naturals for amhiteetural restrictions end space limitations. The smoke outlets am sensibly on top making Installation and sen/icing far easier than older, less efficient units with rear outlets. All the hot water required daily for average end larger homes, Bock qualily throughout. II The 50ES is available with optional dual controls for the provision of 180°F water. The Standard Of Quality Reeearc~h toward the improve- im~ent of every integral component -- and of conMnJCtion processes and assembly methods -- is con- stent at Bock. Findings in our rive tasting prove-.ou~ Bock engi- neerin~ concepts, Latitudes for improvement am nanow, but never- theless existing, It's why we say "improved" instead of perfected. No theoretical innovation Is ever tested in the markelplace, Nor is any integral component regarded as merely ad__~,uate. It is either the best, or it isn t Bock. After all; quality water heaters are our eniy business, The original COnCept ct a multi- finned flue interior was produced by Bock in 1955 and improved to e point of optimal efficiency In 1960 when it wee patented es Turboflue. Since that time, subtle improvements have been contin- uous and made tactical The latest improvemerd enhances Turboflua performance appreciably-- leav- ing all other heat exchangers even further behi~l in every area of thermal efficiency. The Bock 32E is the standard of quality by which every com- petitive oil- powered residential water heater is compared. The 32E, in fact, is iocor~:rarable for the day-in, day-out provision Of hot water to an average Ameri- can household. It is an invest- ment in quality that pays real dividends. From the moment it is operational, the exceptional thermal efficiencies of the 32E begin to pay proven per day savings In economy of operation; economy that makes cheaper units actually more expensive to own. What's more, realistic sav- ings continue throughout the long trouble-free life of every Bock 32E. They are, indeed, the standards of quality-- Because Quality Is Standard. Bock Water Heaters, inc. Quality Water Heaters FORM NO. 10tSeREV. 2Jg4 Town Hall, 53095 Main Road P, O, Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Building Permit No. Owner: /~Z~--~-~ ~/~/~/(D (please print) Plumber:/J~}~' ~. ,~,~/9-~' ~ (please print) I certify that the solder used in the wa{er supply system contains less than 2/10 of 1% lead. "~ ( Plumbers Sig'r~tfi'-r'e ) Sworn to before me this Notary Pub lis, ~,r~.~--~ Co'o~u~'/~~'~'' NOTARY PUBLIC, S~i,'" ~ew York No. O1MI5~O~74 gutiolk County Te~m Ex,ms Marc~ 6, 19~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~'~.~ [ ] ROUGH PLBG. [[ ~NSULATION FINAL/~/~~~ DATE INSPECTOR ~//~ FORM NO, 1 TOWN OF SOUTHOLD ,.. BUILDING DEPARTMENT .. ,i/i~! ! ~ TOWN HALL .... SOUTHOLD, N.Y. 11971 TEL,: 765-1802 ErXalnined. -- ......... , Approved_ ~Z/~. ~. ........ 19 f/Permit No..~ .fl.~./../~.~- ' :Disapproved. a/c ..................... ........... :..;, (Bffildi'ng Inspector) APPLICATION FOR BUILDING' PERMIT BO,~RD OF HEALTH ......... 3 SETS OF PLANS ...... . .... SURVrY" CllECK CALL ............ ~ ....... Date ./5. 7~.. , ., 19 INSTRUCTIONS ' .This application must be completely filled in by t~pewriter orin ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acco[ding to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sfieets or areas, and giving a detailed description of layout of property mint be drawn on the diagram which is gaff of this appli- cation. ' ' 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 v~ill issued a Building Permit to the applicant. Such 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 bY the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of 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 removai or demolition, as lierein doscribbd. 'The applicant ag[ecs to comply with all. applicable laws, ordinances, building code, housing code, and regulations, and to admit authofize'd inspectors on premises and in building for necessary inspections.,/) ~ . . . ·... ............ ....... . ...... ' ............ (Signature of applicant, or name, if a corpo~afion) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder. N~me of owne; of premises .~./ff.. ~./.3.~,../~/..~/].A~.Oi ............................................ (as on the tax roll or latest deed) If. applicant is a corporation, signature of duty authorized officer.' (Name and title of corporate officer) Builder's License No .......................... Plumber's License No Electrician's License No.. ....... Other Trade's License No ...................... 1. Location of land on which proposed work will fie'done ........... ~ ~ ~ ...... ~ .................. . . ......... House Nulnber / .. . Street '. , Halnlet q Cotmty Tax Map No. lO00 Section '//~ Block ............. '. Lot.. Subdivision..; ..... . ................ ....' ......... '. Filed Map No ............... Lot ............... (Name) 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction': a. Existing use and occupancy . ' . · '~ '3. Nfiture of work (check which ~pplicable): New Building'. ~ ....... ; Addition .......... Alteratio.e;: ~:./:. :..: ' Repair Removal Other Work* .............. Demolition . 4~ Estimated i ..... ..................... , .... Fee . ' . ~ ': ' , (to be paid on filing this application) 5. If dwelling, number of dwellin units ....... . ..... ~,. Number 6f dwelling,units on each floor.., ............. :Ifgarage, numberofcars .... .......... i i , :,.':~/.,, ,- 6. If business, commercial ......... ' '" · · or mix d occupancy, specify nature and extent of,each type of use .... .., .... ,...,.., .... 7. Dimensions of existing structu~'es, if any: Froht ............... Rear .............. Depth ..' ............ '. Height ...' Nu~nber of Stories ' ' ' ' Dimensions of shme structure With alterations or additions: Front l~;;r' i ' i ....."'"" ...... Depth ' Height ' ; Number of Stories 8. Dimensions of entire new construction: Front ' Rear Depth.. ' Height Number of Stories ............... ' ............................, , .......... :1 ........... .... Depth 10 DateofPurchase ...................................... Name of Former Owner ....... ~, ' ..... 11 Zone or use district in which plemises are situated .12. Does propgsed construction violate any zoi~ing law, ordinar~ce or regulation: .... ' . ' ,; ......... , 13. ,Will 16t be regraded . I .... , . ,,~,,, ..... ~. - ,. , · //~ .-,_~-~. ~ .... , ~ ....WIll excess fill be removed,from nremises: y~o 14. ltame of Owner of premlses~../fld~.~./...~./.~..d~Q.. Address ./.~..~..-¢. ~-.~."~.~.,*~JJ(~Ph~,~ w~, ~,-/~ I .... , ,'~!/''':; ..................... ,.e.:,~.-. Name of Architect .. ~ ....... ; ........ ' .... Address ............ '~,., .~.~,, Phone No.. ,, .,, ..... _.: ,. Name of Contractor ~.W..Z~.//..{q~./_~,5~/~..,~..~.x.d.... Address ~,,~/~...74a-C~~eNo ~. ~.:~./~ 15.' I.s this property within !300 feet of a tidal wetland? *Yes ........ w~ ' ~ z-'' · *If yes,'Southold ~own Trustees Permit may be required. ' ' PLOT DIAGRAM Lo a ?! , · · . ~ i.e. clea d.~stln' l.y all,' buddmgs, whet' er.' ~x~st~g' or proposed, and, indicate all set-back dimensions from properW ants. uive'srreer ana mock aumber or descnptlon according to deed, and show street names and indic/~te Whether interior or corner lot. .! STATE OF'NEw YORK, NOTIFY [~IJILDING OEPARTMENT AT 765-1802 9 AM TO 4 PM FOH THE FOI, LOWING iNSP£CTIONS: FOI,INDATION - TWO REQUIRED FOR POI.IRED CONCRETE 2.' ROUGH - FRAMING & PLUMBING 3, INSOLATION '4, FINAL - CONS'iRUC'I:ION MUST i.,~ BE COMPLETE FOR C.O,' ALk CONSTRUCTION SHALL MEET THE .REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY, . CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS . SiS COUNTY OF ................. ' , ' '.. (Name of individual signiflg contract) above named. . '1 being duly sworn, depose9 and says tha.t he is the applicant ,. , ::~ He is the . .~ ............ , .......... , .................. ' · i (Contractor, agent, cor'porate officer, etc.) ............................ .. ,,,,, . ' .,...d'~ '~'-dl . of said owner or owners, and is duly ;authorized to perform or have performed the said work and to matte and file this apphcatmn; that all statements contra ed m this'a lication are true ' . ~ PP to the best of his knowledge and belief; and that the ork will be performed in the manner set forth m tile application filed therewith. ' ' ' , 0' ' .....~ ' Sworn to before me this I ' : ............ L;~. ....... day of../.~.... ~...~J~.; ...... , 19fZ . Notary Public ....... County KENNETH A MIONE i'. , ' , ,'o~..'-~--.-J.,,,-~ ' ' · NOTARY ?UBtlO.St'at~ ot New York . ' ?r .... '.~: ' ': ' ., , ,~