HomeMy WebLinkAbout23975-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24935 Date MARCH 17~ 1997
THIS CERTIFIES that the buildin~ NEW BOIT,~ REPLACEMENT
Location of Property 3145 OAKLAWN AVENUE SOUTHOLD~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 6 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 27~ 1997 pursuant to which
Building Permit No. 23975-z dated MARCH 11~ 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 OIL FIRED BOILER AS APPLIED FOR.
The certificate is issued to MARIE MACINA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Inspector
Rev. 1/81
/~0~1~ NO. J
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALt.
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEI~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
~.o ~,,~ :~ ~o,. ............... z.../.~.,.. ..............................
/
Permission is hereby granted to:
/~.~.~ ....~...~. ~.~.. ~. .....................
...3../...~...~.......~.I~z:/Lz~/.,/..Iz/~...., ...........
.... .C~.~.~...:..~;..~. ................ .
,o .Z-~. ,~,'./.. ....... d ....... ...~,~. ......... ~z~.. . . . . ./.~--'.,~,J .......... ~ ~ .~ .................
..... ~ .......... ~.6~Z~....~T..~. ....................................................................................................
at premises located at ......................... p, .....
Co.n,y To× Mop No. ~ooo Se¢,~on .... .,P'~ ............. ~. .... .~..d. ........ Lot No .........................
Building Inspector.
Rev. 6~30~80
]-ass ~kan 2/!0 of
C~erc!~ bu~d~, ~dustr%~ ,bn~d~, ~_~a''~-: reside=cas and s~lar bu~d~s
respons%bia for ~a
Subdz~riaZo~ .................................... 54_La~ 'w-ap ............ Lo: ......................
?lan~£=z 3ogr~ ipprov~i ........................
MAIN ROAD, BOX 487
SOUTHOLD, L I., NEW YORK 11971
516-765-3690
765-3293
Plumbing License - 537P Electrical License-1399RE
Customer's Phone
Order N~x No. ~ate OCt, 17 19 91
Name Mrs. Corrado l,~eina
Address
Oaklaw~ Avenuet Southold
Quantity D E $ C R I P T I O hi PRICE AMOUhIT
)0t.16 Take out existin~ oil boiler ~.~th ~as
oouversion and install ne~,~ pa~kage~gas
1 - CGM-4$as Wetl-McLain package Ooiler
~th circ~mtor ~d controls
I - New ctrc~ator p~p
~1 nece~sa~ ~C~ttings, pipe, labor
~d olectrlc~l ~:2rk
Contract price 225C 00
TOTAL .,~.~ , ~. .......
All claims and returned goods MUST be accompanied by this bill,
66650 ec'db
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[]FIREPLACE&CHIMNEY
,,MARKS: O~ ~
[ ] ROUGH PLBG.
[ ] INSULATION
[ ~/]~INAL
DATE 3//5:~/97
INSPECTOR~/~)~/
' r-~--~ -< ~ TOI/N OF SOUTHOLD
BUILDING DEPARTHENT
50~TItOLD~ N.Y. ]lgYl
.. I TEL: 76~- 1~02
BLDG, D~PT
APPLIC^TION FOR BUILDIN~ PSRHIT
INSTRUCTIONS
BOARD OF EEALTtl ...............
3 SETS OF PLANS ...............
SURVEY ........................
CUECK . ./E..-. ~ ..................
SEPTIC FORH ...................
a. ~ais aFplicatlon faust be ccmpletely filled in by typewriter or in ink
3 sets of plans, accurate plot plan to scale. Fee according to .qctk~4ule.
b. Plot plan showing location o[ lot and of buildings on premise~, relatlonship to adjoining premisea or public
streets or areas, nml giving, a detailed demription of layout of property mst be dra~m on the diagran ~hid~ is part
tills ap~l icat ion.
c. lhe ~rk co,md by thi~ *pplication may ant be ccrarenced before iastmrrce of Building Permit.
d. Upon aPpr°val of thls ~pllcation, the Ihildlng Inspector will issue a Building Permit to the applicant. Such
pen'Mt dm11 be kept on the proMacs available for inspection thronghont the work.
e. No building shall be oconpled or u~l in ~hole or in part for any porpuse dmtever ontll a Certificate of
Oc ~culmncy shall have been granted by the BuiIding
APPLICATION IS l~a~ff PAlE to the lhildln8 Departmeet for the issuance of a Building Permit pur.q~nt to tile
Ihilding Zone Ordinance of the T~m of Sontbeld, ~lffolk County, ~ York, ~m] other appllcable I,a~s, Ordinances or
Reghlatlons, for the construction of beitdinge, additions or alterations, or for rew~al or de~olltlon, as herein
described. The avplicant ogrees tu canply with all applicable laws, ordinances, building code, housing code, and
regelatlons, and to admit ax~tborlsed inspectors on premises and in ladlding for necessary inspections.
(Sigr~tore o[ applicant, or name, if a corporation)
/!q.~.:.~....470.4 ~ .... ~. ~...~...o..4~. .........
(Halting address of appllcant)
State ~t~tber applicant is ¢xmer, ~easee, agent, architect, engineer, general contractor, elactridan, phmber or build,
........... E~.~..~.e..a.. ....................................................................................... .. .
If applicant is a ~qaq~orgtion, signature of ¢hlly anthorir~-M officer.
(~ a~itle of ~ate officer)
Builders License No ..........................
Pl~..bers Li~anse No....5...3.:7.::..?. .........
glectriclans I.iccmse No ......................
Other Trede's License No .....................
,. ~tio~ of t~ed on,i, ~ro~ ~rk,~ll ~ {~ ..... L3/Y./.£ .... .O..4.a..~..~.~....~. 7...~.. ..............
...... ~o.~. .7.~...o.~.....~../.2..9.2/. ................................................................... . , .
Ikame hlm/~r Street .r Q tlanlet
~,~ T~, ~ ,,,. ,~ ~ion .:t:/.~.~.~.'l,,u'~ ................ ~ot ................
S~tx]ivlsion ...................................... Filed Hap No ................ I~ot ...............
(~e)
2. State existing use and occupancy of premises and intended use Ned oconpar~ of proposed construction:
a. ~istlng .se ~ o~wo~- . ./. . . . .~. ?. ~.o. .~. . , ..... t4.e. .~./. d.~. . .a e.. ........... · ....................
b. Inteakd use and ac~, . ............................................................................
~a,~,i~ ............ ~at ............. t~,t i~io,, ............ Otl,ec tank .~g~..~~
(to Im ~id (si ~iiing this a~licarkm)
If garage, ta~lmr of cars ' . ...... ] ...........................
7. Din~naiam of ~iaring atr~mturea, if any: ~r ................ ~ar ............ &. ~pth .................
l~i~ ......................... ~aam~ of Stories ......................
lhq}th .................... I~i~ .................... ~admr of Stories ...............
8. Ili.ensi~m of entire ~ ~tmr~t;i~: l~t~;t ................ I~ar ............... ~plh ..............
9. Si~ of lo~: l~a~r .................... I~av .................... ~pth ....................
IO. I~ite of Ik~rd~a~ ..................... ~e off l~O[lle[
1 I. ~ or ua district in ~id~ prmi~s a;e si~tal ............................................................
12. I~s proln~l ~ne~i~ violate any ;~i~ 1~, onli;~e or regulati~; ........................
13. ~ill lo~ I~ regra~ .................... ~ill ~ess ~ill
~a~e o~ ardfi~t .................................... &~reas .............................. ~m ~ ........
· ~ o~ ~traet'or ................................... ~klress ............................... l~se ~ ........
15. ls tibia pm~r~y ~ithin ~ Ea~ o~ ~ ~i(~ ~tlaxl~ * YI~ .......... ~ ..........
PI,OT DIAGRAM
lmate elearly sM dis;i~t:ly ail lxflldi~s, ~mtlmr ~is~ing or pro~, aal i;~lieata all ~qmk di;mnsions
~detlar interior or coat lot.
· ~I'A'II& OI~ lll'3d
( IIUH P/ (11,' ..................
.... ~.. ~ ..................................... ~ a~,i,,g ,~,,~y ,~,,.,,, ,~,,~,~, ,,~ ,,,,~, th,,~ ~,~ i,, t~,~ ,,v;,~
~u, i, ,,,, ...... G.~.~.~.~ ....................................................................
(C~s~Lractor, agent, c:orlx>rate o[flcer, etc.)
appllcatloa; thifl, all state~,enLs c:c~;lai~xal in this appl icat ion a,e t.~,~ to the Imat o[ his k,x~l~lge atxl Ix~l. ief~ taxi
Ileal the ~rk wi I l I~ Imrfon~] ~n Iha .~ln~r ~t: forth iii tl~e appl h~nl:Jon fil~l tlerc~il.it.
..... .... . ,s.
BERNADETTE L, TAPLiN
NOTARY PUI~LIC//4844893
State of New York
R~iding in Su~Jk ~otmt¥
(~ommi~ion Expires .%.pt. 30 19~2/
(sij~utlt~re of Appl i('allt)