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Home My WebLink About23658-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32129 Date: 01/10/07 THIS CERTIFIES that the building NEW FURNACE Location of Property: 2360 (HOUSE NO.) County Tax Map No. 473889 Section 15 GREENWAY EAST (STREET) Block 2 EAST MARION (HAMLET) Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 23658-Z dated 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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WALTER P & ROSE T CAMIER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Signature Rev. 1/81 -, Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 /~, ./ . \ . (/ , ~ ~ <f) APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: / ,,' ^. /' A. For new building or new use: \. '. ~/ 1. Final snrvey of property with accurate location of all buildings, property lines, streets, and unusu~ral or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $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 Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.~-4-"7 New Construction: ../ Old or Pre-existing Building: Location of Property: :z... "~f1 House o. c~- - ~ ~ Street ~ ( check one) t'"? - .:..:t- Hamlet Owner or Owners of Property: Suffolk County Tal' Map No 1000, Section Subdivision Block Lot Filed Map. __ Lot: Permit No. -M- ~ "3'5" 'j' Date of Pennit. Applicant: Health Dept. Approval: Underwriters Approval: ~ Plamung Board Approval: Request for: Temporary Certificate Final Certificate: ./' (check one) Fee Submitted: $ ;;1....<:;: ~\J~~' Applicant Signature ~'lr~tf3 Co .:z.3JIJ9 IPOBIII NO. . 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? 23658 Z Dote .....tJ.!.f?......................................... 19.'Z~ Permission is he~ted to: r/ /J'~ ~ 42/ d/ ~..::t:.~&..~I.t:~. . ~.~ ~~ If/ ZZ...!.~~.................................. ... .. . ..V~ ";1..$;7.(. ~...,,/L.z..7tiJ.. . (7;', L2. L~A-.. . ~. ..... .... .....~...d:29.....~...;o.r..~...~. ..... ...~...... ...~~............................................................................... o premises I~ at ....~...~.~~........~~...~.......................... .........................................................................~............................................................... ................................................................................................................................................................. County Tax Mop No. 1000 Section .../S':::........... Block ....;;?............... Lot No. ./................... pursuant to application doted .............~;7............................. 19.96 and approved by the Building Inspector. Fee $..}!.Q~ Rev. 6/30/80 ol3~5"f~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~TION [ ] FRAMING I STRAPPING [ ~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR ~ ~ nl'LO ;~SPECTION REPORT DATE COMMENTS ~ =========================r========r=====-================================================= ~ II II 'd G- ~~---11 ~ ~ FOUNDATION (1ST) ~--------~------------ - ~ ---- --~ ---- ---- ----- ---- J-------jl-----------------------------------------""-- ~-------j!------- ~ . II II [--------11------------------------------------------ ~2~~~!!~~~~~~i~~21======~=====~==~=~~~~=~~ _ II II ~----.JI--_-------- II II [-------il II II ._______JI II II I II r----il II II ._______JI II II II II 11 r--- II ~---------II L------ll II II 11---------11 II II II II -11 II II II II II II II II 8------11 fl-----!! II Ii 8--------11 II II ~-~--II II II =========================l========A_========================================_======_====== PLUMBING ?~ ~ ROUGH FRAME 6. ~ ================ CI:l INSULATION PER N. Y. CODE ~ STATE ENERGY " ~ ADDITIONAl. COMMENTS: ~ ~-~ ' ~~ ~ FINAL ========================================================================================== l o ~ i;J ~~ ~ 'd >-l w ah5 -IS- -- 2.- J OWNER haLle y'a)y1 I ~ v' FORMER OWNER " -.--- I .. - liable 3 aadland amp land J FRONTAGE ON WATER - ush land FRONTAGE ON ROAD ause Plat DEPTH I BULKHEAD """'~.. ,-..- tal DOCK ES. ;;1tJ LAND L/ 1);-; -l jJOU I j_~ PO jJ,~ a lifH AGE NEW FARM iIIable 1 iIIable 2 i -I w .r o W TOWN OF SOUTHOLD PROPERTY RECORD CARD <0 0 VILLAGE DIST. SUB. ..J., /Ii ~ J 1 '.L.lu ACR. , !,...Jb TYPE OF BUILDING LOT ).-)./' y EJ'ls( I E S W SEAS. VL. FARM COMM. CB. MISC. Mkt. Value IMP. TOTAL REMARKS 'f"- L, C. IdO ~ . j o. c> .S-~ ~. d S-s /JO f- mr .....J -- --::=J ""\ ~.-$:;i&,t; .,~;,V~, , ;.'if,f "!I.'; I . /.. , '$ ~ M. Bldg. Extension Extension Extension J)~C% 1!ereh 'orch Breezeway ;aroge 'atio '. B. )tal '~, .,:'>:J~1 'F~i ir .'t!:~~",~ '- "I}",;'.,.{'_;',' H .'t. . ., ;1"', " ''', 'J,:,.,; :i~,', '" ' . "-"'/ "J' " / I COLOR i ReD I , : ! , , I TRIM , tUH/7'E I , I , i , , J 30~<IS-o 1.3 0'6 Foundation C.B. - 7 X 16- ~ /oS- Basement FilL/-- L . .1 </ S- ..s .1 ,n n 9!' Ext. Walls lLY/UtloD . Fire Place -.JLE. :::. /S}( I.P: ~ 1 b "- rr ype Roof . -S"S ~.s-. ,.. /tJ ..k~ecreotion Room S ..lr..L ( 0:: 2~. P /( /0 : Y'd 1 pormer Driveway / L/ X 2--0 ~ .s2 PO lJJ d'S] I Bath ~ Dinette Floors [3"8... 0'" "<: ' K. - Interior Finish W..!'JLL is 0 lR. Heat .Y.F<") DR. - Rooms I st Floor BR. Rooms 2nd FlOor FIN. B. --.-- S$~ ~V I""" -- f'\ -J.- FORM NO.1 BOA~D OF HEALTH ....... . J SETS OF PLANS ....... SURVEY ...... _. . . . . .. . . . CHCCK .................. SEPTIC FORM ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 r1 L TEL.: 765.1802 Examined. ~........., 19fJ ' {'::J, Approved.. .~........, I~]>ermit No. :?%5e( D' / . . ~~~~"d~'.. ................ ~.. .;;i:~-4 . , (Buildilg InS~)" . . r'(}~' F'f' 'I '1 . ~~LL' "'< (p..st.to{..5. . . . . . HA I L ~~.:.. .r::":J. .. . . . ................... .. APPLICATION FOR BUILDING PERMIT Date. .. .. 5.: .7. .. ...., 19 ~.G. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with cts 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 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 ation. . , 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 permi lall be kept on tl1ll,m~~ inspection throughout the work. ' . e. No buildi~'ffia . ied or used in whole or in part for any purpose whatever until a Certificate of Occupanc Jail have been granted by e uilding 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 0 egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and te Imit authorized inspectors on premises and in building for necessary inspections. , , '.11e'.-li ~NC6..f.I1~.L,.. q< (, fI~~~0.'f*~ .. .. .. ( (Signature of applicant, or name, if a corporation) .?? ~'?~th. ~t:.F.'7:-t0.'?5~t;. .";-l~./ !7.~... (Mailing address of applicant) :ate whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. ......... c.v.0.~<;-+-.<?y .-:-.... .8.-?\.ip,.",.~-e.F.'1..J .911. f\~'?Ctt'F{*.L.......................... ame of owner of premises .. ~Q., 1~. . ~M.l:e.I('.. . . ... .. .. .. ... .. " . ... .. . .... .............. (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. ,..~~.7?J~............. " (Name and title of corporate officer) Builder's License No. ......................... Plumber's License No. . ~ .\.? ~~. 'f? . . . . . . . . . . Electrician's License No. .~:7 .0. ! ~. t?6: . . . . . . . . .' Other Trade's License No. ....... ...... '" ...., Location ofIand on which proposed work will be done. ................................................. I'~~e~~l;b~r' . . . &(e~.~ . f=.f3~.1:"sir~~i . . . . . : . . . . . . . . . . . . . O.~~t . . . . . . . .'. . . . . . . . . . . . . " County Tax Map No. ] 000 Section '" ': / .~ . . . . . . " Block ....~........... Lot.... ./. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " Filed Map No. .............. Lot............... ' ~=~ . State existing use and occupancy of premises and intended Use and Occupancy of proposed construction: a. Existing Use and occupancy .........1... .f.~.". ~ 'f. . . J>.0-! ,?t,.?-':Of .. .~ ......: ... .;........ . .~ . . . . .. b. Intended use and occupancy ...........:~ 9~. \-11,1(. . . r.~. \%.0':e.0f:.:. ~!.0.~0 ."0.'..y .7~ . . . . . . ,3. Nature of work (check which applicable): New Building. . . . . . . . " Addition........., Altemtior . . . . . . . Repair .............. Removal . . . . . . . . . . . . .. Demolition ............... Other WOrk. . . . . . . . . . . . . '. . (Description) 4. Estimated Cost.......... ~.0~9.$..~~................ Fee....... ~7~~~.................... (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . . . . . . . . . " Number of dwelling,units on each floor. . . . . . . . . . . . . . . If garage, number of cars ...................................................................... 6. If business, commercial or mixed Occupancy, specify nature and extent oreach type of use .... ...... .... ..... 7. Dimensions of existing strucftJres, if any: Front. . . ., . . . . . . . . . . Rear .............. Depth............. Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' Dimensions of same 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 ............................ I I. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded .......:...... 'r">~ " . .. . . . . . . Will excess fill be removed from premises: Yes , Nc 14. Name of Owner of premises ~ (-/:e.'/. .V!'-.(Y)i'i'y'. . Address .~.Q;~CQ(lfl. .9fio.c.rf:. Phone No. 3. ?-.3;-~.7:id.. . Name of Architect ~ . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . ffl . ~. Phone No. .............. Name of Contractor .. .\\,,!-!,~f!,I.e.'.q-.t. ~,,:c;<'~~. Address 7.7. .~~'1~.~;. .t. ?mne No. LJ;1,?:y.??P.... 5.' Is this property within 300 feet of a tidal wetland? *Yes..... '... No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM -.I Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frorr lroperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. , , ~1IRfIFII:AlE RfQUIRfD uffffUPANCY OR WITHOU~ g::.~WFUL , OF occupI:tJ~ATE ~'!:~ AS NOTED " ')~ DATE: S.P. # A~r FEE: 7d-SY'~-/' NOTIFY 's DEPA AT 765-1802 9 AM 10 4 P FOR THE ' FOLLOWING INSPEt::TIONS: 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 CONSTRUCT/ON & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCT/ON ERRORS \rEOF NEWYOR~-?d Ie S S UNTY OF . . . .3.1.1.. . . . .1. . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . " being duly Sworn, deposes and says that he is the applicant (Name of individual signing contract) ve named. s the...... . . ..... .. f!A(}f:i:q..c;f<<. . ~.~L'.C1-.~~.. .F0.-:7.1. .'?: .<. .':'I:'?>.~~.<;1'~~.s............ ' (Contractor, agent, corporate officer, etc.) aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ( will be performed in the manner set forth in the application filed therewith. m to before me this "'P"'b'I:...I'.~...d"Of, ;:'~,")I.'I""""'C"""tLI9~~ 'fu:' . 'ry U lC'~' H:i' '~rj~,,,,~~.~' \~.... oun y " VITO E. FRACCALVlERI ' , 'y " . . . . . . . . . . . .. ................... Nolety Public, Slale 01 N_ yllllt ,-, , (Signature of applicant) , ~' No. 52-4e52699 .J " ' Ou.llfied in Suffolk County 0) ii,' ~~i~n,EXIli~e..M.rch 30. 19..z..::J , .. Town Hall, 53095 Main Road P. O. Box 1179 Soulhold. New York 11971 I':'~:"::->.- ..>_"..")1';][..'(';-'--:-- . "..')~ ...,/ (l~. '.i~,'\ :: .1... :,', :-", .. :'\.'.. '; " , ~," '-i~:,,; ~ .\. . : ., ..,~~',~(<>:~~] ::-___ ~ ',r Fax (516) 765.1823 Telephone (516) 765.1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION DATE: s-- '7-0, "" Building Permit No. Owner: WA \-Ie'\ <J\miey- (please print) Plumber: LC\.w v€.. V\ c'e TY'CA..fY" SSO (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. L (Plumbers Signa ure) Sworn to before me this ~ ~~ day of frl~l 199(, Notary Public, county r:...-.-... w.........-.._......~,,'" , VITO E. FRACCALVlER'" NotBry Public, StatB of New YOlk , I b No. 52-4652699 ' " au alifl8d in Suffolk County Q ...,1, I Commis.ion Exoi,a. March 30. 19~ ;' '.- --." - ;.'\ ~ r, J~ OIL BURNER Certificate of Inspection Name Walter Call1ier APP#l2082 Location, 2360 Greenway East, Orient, NY Applicant, Reliance Fuel Oil Assoc. Address, 77 South Street, Patch=e, NY 11772 Tel. No. 475-4770 We. No. 2901-RE Expires: ELECTRICAL INSPECTION SERVICE, INC. 375 DUNTON AVENUE EAST PATCHDGUE, NEW YORK 11772 ...?=?~.:.?~............................~~L: (516) 28~~.~?t.Ifl{)..J...~W!..rJtT~""" Date (lYkJ Y.fl Inspector .Q ~~