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Home My WebLink About23657-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24954 Date MARCH 26, 1997 THIS CERTIFIES that the building FURNACE Location of Property 1435 PVT. RD. X17 (DEMAREST RD) ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 13 Block 2 Lot 7.9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1996 pursuant to which Building Permit No. 23657-Z dated SEPTEMBER 3, 1996 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 NEW FURNACE IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELLEN RUTH LEVY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MARCH 20, 1997 PLUMBERS CERTIFICATION DATED JULY 18, 1996-LAWRENCE C. TRAPASSO Bu ding Ins ctor Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N® 23657 Z Date . ......................................... .. 19...��..� Permission is hereby ted to: t .. . ..U':�, •••... . . ..... . �i ..r�i�... .. ... tel/ '!w....... .r ..... ........... ...................... ... ........ . ....... ............................. atpremises located at .............. . ....... ............................... ................................................................................................................................................................ County Tax Mop No. 1000 Section ...... ./0....... Block .......:R........... Lot No. .Z, .............. pursuant to application dated .. ,T`...................................... 197„4., and approved by the Building Inspector. Fee ;. �..�. . .. ..... .....� . if .ng Inspector Rev. 6/30/80 Dorm Ido. G TOWi] OF SOUCIIOL[) I;U i LD[NC DFPAPT111::1'r TOWN HALL 765-1802 Y%p1'LICATION FOIL CERTIFICA"IG OF OCCUPAPICY A. This n application must be ifilled iby typewriter OR iirl; and submitted to the building inspector witty the following= for new building new use: 1 . Final survey of or.property with accurate location of all buildinl;s, property lines, streets, and unusual natural or topograpiri-c features. 2. Final Approval from health Dept. of water supply and sewerage-disposal(S-:' form) 3. Approval of electricall installation from Board of Fire Underwriters. fir• Sworn statement from 'plumber certifying that the solder used in system contains I than 2.110 of 1% .lead. 5• Commercial building, industrial building and i , multiple residences and similar buildings .nstallations,I\a certificate of Code Compliance from architect or engineer responsible for the building. 6• Submit Planning Board Approval of completed site plan requirements. t3• For existing buildings (prior to April 9, pre-existing .land uses: 1957) non-conforming uses, or buildings and . 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2• A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied , the L'uilding Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - 12ew dwell :irrg $25.00, Additions to dwelling $25.00. — 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; Buildirrrt - $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, Commercial $15.00 Date . ,71).,X. 1.0.,, 199F• 'Iew Construction. . . . . . . . . . . Old Or Pre-existing Building OLD . Location of Property. . 1.435. . . . . . . . . . . . . . . . DEMAREST ROAD ORIENT HouseNo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Street Hamlet Onweror Owners ,f Property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax 1•Pap 140 1000, Section. . . 13. . . . . . . . .Block. 2 7.9 . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . .subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed KIP. . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . . . . . . i'ermit "0. . . . . . . . . . . . . . . .Date Of Permit. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . request for: Temporary Certificate. . . . . . , • • . • Final Corticate ee Submitted: $ G '. . . . . . . . . . . . . . . . ; .. ; . . . . . . . . . . . . . . . . . . . . . . . . . it �� cl `f THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8065200 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date MARCH 25,1997 Application No.on file 13572397/97 H 054497 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ELLEN RUTH LEVY, 1435 DEMAREST ROAD, ORIENT, N.Y. in the following location; ® Basement ❑ let Fl. ❑ Ynd Fl. Section Block Lot was examined on MARCH 20,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS MIC&TACUIS SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 DRYERS FURNACE MOTORS PUTUM APPLIANCE FEEDERS SPECIAL REC/T TIME CLOCKS NU UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AM►. AMT. AMPS. TRANS. AMT. H P NO.OF FEET SYSTEMS AMT. WATTS 1 F SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE P t X 3W 1 0 3W 3/3W 3 X IW NO.OF CC,COND. A.W.G. NO.OF HIAEG A. W.G. NO.OF NEUTRALS A.W G. PER N OF CC.COND. OF NO-LEG OF NEUTRAL OTHER APPARATUS: INSTALL OIL HOT WATER HEATER-1 ELLEN RUTH LEVY L L L 136 WAVERLY PLAICE NEW YORK, NY, 10014 GINO Al MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR •BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. a Town Hall, 53095 Main Road ; 7 ; Fax (516) 765 1823 r.� 516 Telephone Tele 765-1802 P. O. Box 1179 a P ( ) Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No . Owner: GIIE N Ro-r-G, Le\j i (please print) Plumber: LAu 2C-NCL C Tcc,-P'tSSo (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead.. (Plumbers Sig ature) Sworn to before me this day of J >~ 19 Notary P blic, County /, . ._...,... t /l m �� VITO E. FRACCALVIERI ��ICC///�� ✓ Notar: .,!,{,� Sate of Nowr�York x30.19_.1 `, &E L � ass-ieox BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ Vr/'FINAL�„u2,-tee. [ ] FIREPLACE 8 CHIMNEY REMARKS: /4-t L', l% DATE —INSPECTOR v OIL BURNER Certificate of Inspection D Name_ Ellen Ruth LeVy APP#12792 Location: 1435 Demarest Road, Orient, NY 11957 Applicant: Reliance F ei Oil Assoc. Address: P. 0. BOX 868, Patchogue, 11772 Tei.No. 475-4754 tic.No. 2901-RE Expires: ELECTRICAL INSPECTION SERVICE, INC. 375 BUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 TEL: (516) 286-664 7-23-96 tt Date .............. .....Ins ct...pe...or............. ..... N I ELD I NSPEC'I'I ON REPORT DATE COMMENTS J� ------00, -======= !F '__ -__ lx II FOUNDAT[ON ( IST) it-- -----li - - - --- --- --- -- --- --- -- - u u FOUNDATION (2ND) II II II ti II �� _ -- ---- - - - ---- - -- ----- 0 ROUGH FRAME & PLUMB I NG II l II II INSULATION PER N_ Y. II STATE ENERGY II CODE II p -------- -- -------- ----------------- - r II II p II p FINAL. II ii II II O ti ADDITIONAL COMMENTS: ----------------------- <�� . - >. } THE NEW YORK BOARD OF FIRE UNDERWRITERS ` WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE �y - - ELECTRICAL INSTALLATION AS COVERED - -- "-- -- -- - --- --- --- ----- IN AN APPLICATION NOT D BELOW. APPLICATION NO. LOCATION L'�3, `1�f•9,t' S">' x�� INSPECTOR �� "�i` DATE �G / -. ----- --------- IBD(REV 9/90) .<` 7 -- ---._--- -----------------------._.-_..--------------------------- --------- C=7 BOARD OF HEALTH . . . . . . . • FORM NO. 1 3 SETS OF PLANS . . . . . . . TOWN OF SOUTHOLD SURVEY . BUILDING DEPARTMENT CIIECh . . . . . . _ _ _ . . . . TOWN HALL SEPTIC F01(,I _ . , , SOUTHOLD, N.Y. 11971 9b, 5')� TEL.: 765-1802 NOT I FY CALL ' M Examined . 19`l O : ' / AIL TO : � •`. Approved . . . . . . . . . .. I Permit No. �� ? . . . . . . Disapproved a/c . . ryC . . . . . . . . . . . . . . . . . . . . 7 (Buildin Intor) APPLICATION FOR BUILDING PERMIT Date . . . .7./.1.0. . . . . . . . . . . 19 96 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 'its 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 ation. premises or public stree, r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 issued a Building Permit to the applicant. Such perm; call be kept on the premises avadabie for inspection throughout the work. e. No building sliall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc call have 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 fie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ]mit authorized inspectors on premises and in building for necessary inspections. RELIANCE FUEL OIL ASSOCIATES (Signature of applicant, or name, if a corporation) 11E - PATCHOGUE NY 1 1 7 7 2 7�(4Vlailing address of applicant) :ate whether applicant is owner, lessee, agent, architect engineer, �~ g � � , general contractor, electricia'nn,,"p tuber or builder. CONTRACTOR 3me of owner of premises . . . . . .ELLEN RUTH. LEVY. , • , , , . (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. Electrician's License No. 2901 RE . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . Commission Expires March W,.]a. Location of land on which proposed work will be don. •1.4.3.5. . . . . . . . DEMAREST ROAD ORIENT House Number . . . . . .Street . . . . . . . . . . . . . . . . . . . . . . .l. . . . .t . . . . . . . ... . . . . . . . . . . . . County Tax Map No. 1000 Section . . . : . . . .13. . . . . . . . . Block 2 7'9 . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot (Name) . . . . . . . . . . . . . . . . . . . . : . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . • , :RESIDENNTTIIAL b. Intended use and occupancy . . . . . . . . . 0C! . . .3 Z �� . . f-�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J. Nature of work (check which appIica � ' , , , • • • • applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alterative Repair . . . . . , ' Removal . DemolitionWork . ' ' ' ' " " " " . . . . . Other PLUMsING• 4. Estimated Cost . . .$,1200,.00, (Description) . . . . . . . . . . . . S. If dwelling, number of dwelling units . . . (to be paid on filing this application) 1f garage, number of cars . . . ' . • • • • • • . Number of dwelling units on each floor . 6. If business, commercial or mixed . . " " " " • • • • • . . . . occupancy, specify nature and extent of.each t • • • - 7. Dimensions of existing structlires, if any: Front . type of use Height . Number o . . . . . . . . . . Rear . . .�. . . . . . . . . Depth . . . . . . . . . Dimensions of same structure with a f Stories . . , , , , , , , . . • . . . . . . . . . . . . Depth ions , , , Iterations or additions: Front Height . . . . Rear . . . . . . . 8. Dimensions of entire new construction: Front Number of Stories . . 9. Height lot: . . . . . . . . . . . . Number of Stories . . . . . . . . . , : . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . Size Front ',•�' . . 10. Date of Purchase Rear. .�.�. . . . . . . . :. . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in whicl1 Name of Former Owner Premises are situated , 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . . . . . . . . . . . l4. Name of Owner Will excess fill be removed from • ' ' N� of premisesELLEN. RUTH. I,FVX, , . Address136 WAVERLY PL. NY N A1�e es: Name of Architect ' ' • • • • • • • • • • • • . . .YPhone K. 323-2 e34 Name ofContr . . . . . . . . . . . . . . . . . . . . . Add . . . . . . . . . . . . . . actor Address Phone No. 5. ' Is this property within 3000fIATES . , , , , , Address PO sox 868. PATCHOGUEPh 475-47SV ' ' • er in feet of a tidal wetland? * one No. . . . . • Yes. . . . . . . . No. . . . . . . . . . . . . .�. *If yes, Southold Town Trustees Permit may be required. " " PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions fron- , ►roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. UNDERWRITERS CERTIFICATE OCCUPANCY OR REQUIRED USE I5 UNLAWFUL. WITHOUT CERTIFICATE APR ED AS NOTED OF OCCUPANCY DATE. B,P# � FEE: BY. NOTIFY BUIL G DEPA TAT 7655-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2• ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST - BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS kTE OF NEW YORK, UNTY OF . . . . . . . . . . . . . . . . . S.S • • • LAWRENCE. C.. TRA8ASS4. . . . . . . . . . . . . , , . being duly sworn, deposes and says that he i (Name of in signing contract) s the applicant ve named. sthe . .eaNcTDx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer,.etc. .). • • • ' ' ' aid owner or owners, and is duly authorized to perform or have performed the said work and to make an • • - ication; that all statements contained in this application are true to the best of his knowledge and belief;and c will be performon filed therewith. ed in the manner set forth in the application d file this rn to before me this that the �. .� day of. . . . �.V . . . . . , l 9 f tryPublic,7/ . . . . . . . . . . . . . County WTO FRACCALVMRI . . . . . . . . . . . . . . . . . . . . Notary Public,State of New Yer.k x Qualified S fto&CCou (Signature of applicant) Commission Exoires March 30.1912