The URL can be used to link to this page

Home My WebLink About28172-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28281 Date: 03/15/02 THIS CERTIFIES that the building HEATING SYSTEM Location of Property: 11255 MAIN RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 142 Block 2 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 2002 pursuant to which Building Permit No. 28172-Z dated MARCH 14, 2002 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 CONVERSION OF OIL HEAT TO GAS HEAT "AS BUILT" AS APPLIED FOR. The certificate is issued to MARGARET P MCCABE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A tho ized ignature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 28172 Z Date MARCH 14 , 2002 Permission is hereby granted to: MARGARET P MCCABE PO BOX 976 MATTITUCK,NY 11952 for CONVERSION FROM OIL HEAT TO GAS HEAT "AS BUILT" AS APPLIED FOR. at premises located at 11255 MAIN RD MATTITUCK County Tax Map No. 473889 Section 142 Block 0002 Lot No. 020 pursuant to application dated MARCH 13 , 2002 and approved by the Building Inspector. Fee $ 300 . 00 Authors Si re ORIGINAL Rev. 2/19/98 TOWN IIALL 765-1£302_ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bui..ldir inspector with the following: for new building or new use: t . Final survey of .property with accurate location of. al I hili 1 d i nf; ; , 1,rap1l1 t streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and seweral;e-disposal(S-� 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in syst:ern carltain�; less than 2/10 of 1% lead. 5. Commercial building, industrial building;, multiple residences and sink 1:11- 1,n i 1,1 i and installations, a certificate of Code Compliance 1-1-anl architect. ()r 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 , ar "pre-existing" land uses: 1 . Accurate survey of property showing all property lines , streets, b11i_l d i_ng :1ud unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the ;ipp.l :ic:ai If a Certificate of Occupancy is denied, the Building Inspector sh.-Itl st:atr, t:b reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwe 1.1 iug; $2').001 Alterations to dwelling $25.00, Swimming pool $25.00, Accessary Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25q 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Coomiorc.ial $15 .00 (conversion from oil heat to gas heat Date March 13, 2002 which was done in 1980) New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . 112-55.ftiv.IPP-0,.Mattituck. . . . . . . . . . . . . . . . . . . . . . . . - House•No. Street Uam et Onwer or Owners of Property.. .lStaXQ.Q A4T9-!ret.P: McCabe. . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . 142. . . . . . . .Block. . . Z . . . . . . . . . . .1�ot. . 20. . . . . . . . . . . . Subdivision. . . . .``. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .1,a t. . . . . . . . . . . . . . . . . Permit No. .��.1.. . . . .Date Of Permit. ?). . . ..!. .°-. . . .Applicant. . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwr.iters Approval . . . . . . . . . . . . . . . . . . . . Planning Board Approval.. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cert cafe. . . . . . . . . . . Fee Su witted. $�.... . . . . . I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GARY FLANNER OLSEI( PPLICAW Main Rd, PO Box 706 Cutchogue, NY 11935 FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) - - - - - - - - -- - y ------------------------------------ - - - - - - --- - r - FOUNDATION(2ND) - J� z _ o ROUGH FRAMING& > y PLUMBING - - _ - -- - - - - - - --- INSULATION PER N.Y. -- - - -- - - y STATE ENERGY CODE FINAL 1 ADDITIONAL COMMENTS n ---------- - - - _.-- p TOWN OF SOUTHOLD BUILDING PERM APPLICATION CHECKLU BUILDING DEPARTMENT Do you have or need the following,before applyir TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets ofBuilding Plans TEL: 7654802 Survey - PERMIT NO. a a heck Septic Form N.Y.SMILC. Trustees Examined .20 Contacts Approved-____________,20 Mail to: Disapproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT. Date. March 13, ,2002 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with sets 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 streets of areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building laspector will issue a Building Permit to the applicant. Such a pernu 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 what-so-ever until a Certificate of Occupar is issued by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the issuance o Buil ' Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other licabl Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal o litio as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,ho code, gulations,and to admit authorized inspectors-on premises and in building for necessary•inspections. A)FQfiuv of applicant or a corporation) Gary FlAffiner Olsen-as attorney for -state of Margaret P. McCabe (Mailing address of applicant) .P. 0. Bog 706, Cutchogue, NY 11935 State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber.or builder Attorney for Estate Name of owner of premises Ate, oto of NsIx aret p mr abs (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 11255 Main Road- Mattitiilrk House Number Stroct Hamlet County Tax Map No. 1000 Section 142 Block 2 Lot 20 Subdivision Filed Map No. Lot (Nemo) State existing use and occupancy of premises and intended use and occupancy of proposed constmedow. a. Existing Use and Occupancy conversion from oil heat to gas heat which,was done in 1980. b. -Intended use and occupancy Nature of work(check which applicable):New Building__• Addition Alteration Repair Removal Demolition Other Work conversion from oil to gas (Description) Estimated Cost Fee (to be paid on filing this application) If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial.or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories. Dimensions of entire new construction: Front' Rear-- Depth Height Number of Stories Size of lot: Front Rear Depth D. Date of Purchase- Name of Former Owner 1. Zone or use district in which premises are situated 2.Does ptoposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: YES NO. 4. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. S. Is this-property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale,with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. PATE OF NEW YORK) SS. OUNTY OF SUFFOLK ) Gary Falnner Olsen being duly sworn; deposes and says that(s)he is the applicant (Name of individual signing contract)above named, -)He is the Attorney (Contractor,Agent,Corporate Officer, etc.) said owner or owners,and is duly authorized to perform or have performed the said w rk and o make and file this application; at all statements contained in this application are true to the best of his knowledge belief; d that the work will be formed in the manner set forth in the application-filed therewith. von to before me this 13-_da of March 20_Q2_ �Ii1.dLit1J Notary Pub c tore of Applicant LORRAINE KLOPFER Naary Public,State of New York No. Suffolk commission Qualified irsss Nov.30. sion Exp 03i07/20a2 11:43 6308589010 PAS 02/07 WALTER 1L• DOHM PLUMBING & HEATING 12595 MAIN STREET MATTITUCK. N. Y, 11952 PHONHi 518-$8l1.8s4&5 Apr. 30, 1980 NXS. nargaret McCabe ZILCG Ref.Route 25 . 70869-04 P.�. Box 976 Matti ,uck,. N.Y. ' 11952 bear Mrs. McCabe: I hereby furnish specifications and an the estimate for following: 1 Economi.te #E-20 ` Rheem 30 gallon glass-linedo mesion burner I rgy-Nlz s er" automatic domestic hot water heater ; A11 the necessary gas piping$ water piping, flue piping, and electrical connections, for a complete lob. A necessary labor .for removing the existing oil burner, cleaning the boiler, disconnecting the existing domestic hot water heating sYstei., and installation of the above mentioned equipment. The installation will conform to LIZCO specifications and wort ma,,lship and materials are ;u1 7 guaranteed for- one year from date o.f completion of the installation. The g,uatation .price for the fore of aAPlicable tax,ea,...iQ . 895-00. g ng, including . all service to. meter location). going, to furnish gas PaYmex4t ' sched'ule ae .follows: 11 Upon acceptao.ce of proposal: 6100.00. 2- Upon deliver of the gas burner and water heater: $400•.00. 3. Upon completion of the installation $300.00. 4. Upon inspection by LILCO: . $95.00. C-L} � 'FALTER L. ROAM Dace ted by! >' , 03107!2002 11:43 6308589010 PAGE 0:3x'07 KITCHEN OF HOUSE Pat McCabe Locations of grease trap and cesspools . Cement covers -on all. I � r� � 1 8 ft. Grease trap — _Garage 3 1 E t ---- I ft. 19 ft• Cesspool #1 I N 1 Cesspool #2 03707/2002 11:43 6308539010 PAGE 04/07 s LONG ISLAND LiGH-TING COMPANY DOCTORS PATH RIVE MHEAp, NEW roRK •••11901 ... Direct Dlai Number 369-30,23 Ms. Margaret McCabe June 17, 1980 P. 0. Box 976 Re: Reactivate Gas Service Mattituck, 14Y 119$2 Main Pod.. , Matti'tuck Dear Ma. McCabc: LILCO Ref. #70669-04 Thcn' you for yrjUr application for natural gas. For administration and ,control purposes a gas prinri,ty number W1111 be assigned to your application as suon as you satisfy the reaulrements of this proposal. this priority number W l authorize your gas meter installation and provides for re- porting our annual gas volume•corninitment under Public service CoWission regulations. Where a gas seryi,_e is extended from an existing gas main for gas space heating we will install , without cost, up .to 75' of service, except for , sod handling and pavement charges. ;he free portion is oreasured from the street property line to the front 'of,the building (plus 1G'), but in no case, to- exceed 115' maximum. In your case the additional service length is 1.7 ' for which there is a charge.. In order to process your gas service application while assuring pro- ductive -.;se of cu'r, i invited manpower, we require that you -carefully follow the instructions below: PLEASE NOTE THAT YOU MUST ACCEPT THIS PROPOSAL : WITH14 '30 DAYS OR IT WILL BE CANCELLED.':* 1) •Fay for the additional gas service length beyond our free allowance. The total charge, which fs payable in advance, iS.' $ 104.11 which Includes saie5 tax of $ 6.83 '4i 2j Sod or pavement repTaceMent required for .the .ins:tallation of the s*rv4ce--On your. proper ma be performed by you or by ti,xa LILCO 3t ',Cur exOfrtic: If you rrivest !:'i!f.O to n�!rfAm •this `work, please .pay :the, added cost' in the ,918 f `t^puiit of, which 'inclu'des sale, tax .f yk -3) Submit a copy of your bonef'de contratt.wi,th a licensed plumber. specifying the approximate date fie will install your vas heating .;5 equipment.i m y 9 p pent. ff your gas heating is rot installed and operational Prior to the expiration date of your arior!ty number, you hereby agree to further rainburse LILCO for the cost of the gas service installation in the total aniuunt of $ 46o.64 which includes sales tax of $ 30.11 —-- Please sigxi one; copy of this letter, signifying your acceptance, and return it together with the additional required enclosures, Cx - 1/10/80 �t-cea9ass 03107/2002 1143 6308589010 PAGE 05/07 ML.AND LIGHTING COMPANY Your priority number will expire 60 days after gag service is installed. If your priority number expires, eligibility for future applicatien- will = depend on the gas supply available at that time. We intend to -Install the gas service as shown on the enclosed drawing with the gas meter to be installed outside the building. In the case of - a new service, if the water service, cesspool , sewer line or any other below-the-surface facility exists or is planned to be installed within three feet of the proposed gas location, please advise us at once. Oar installation is contingent upon the granting of a permit to open the 'road. from the municipality having jurisdiction. Where the building is under construction or in the process of renovation, the route of the proposed gas service must be clear of building materials and obstructions and properly.graded before we can make our installation. When lix inches or more of frost is encountered, additional charges are imposed for the installation of new gas services. Vie suggest that you avoid requiring our installation during periods when the ground may be , frozen All gas piping furnished and installed by your plumber shall be i.n accordance with the Long Island Lighting Company's Rules and Regulations for Gas Installations which include the nationally recognized Standards of the American Gas Association and the iiational Fire Protection 'Association. Please have your plumber call 369-3014. at least five,. . '. da s urior to his scheduled completion to arrange for the gas meter. installation. At that time, .the gas.priority number will' be made availx�bl e. Please forward the enclosed "completion card" to notify us when the gas heating system.has.been installed for our. record purposes. and/or to initiate a•qualifying refOnd. Due to the large, backlog. of requests for gas, delays may be encountered* in the completion. of -your gasservice. I.f any additional information is required, please call. Mr.. H. Bienieu cz Gn, •369,-3023. Very truly yours, &HBieniewicz New Business Department Accepted this day of 19 - wner ' Enclosures .*GAS RESTRICTIDN WFA - 1/10/80 cx 03/137/2002 11:43 6308589010 PAGE 06/07 GAS SERVICE rr AND MINOR EXTENSION ORDER-LILCO 10 AREAARFF" .`.1 V!ANT 61.1] f"l� j�1 r I (( r M L Cr 4�,l" `�PUOKU L+ ) .11, 4�, r C•Af—o 2f / I 'FRVICI ADN �f! 1-1*'.f I'. f f,' r r / VILLAGE I•USTGfMjCR,' NTACTADDRESS FT. 11AIN S' TAX DIST ^h FTS iFAYICES S C PERMIT REOD. VYlE/9J Q NO ;mi 11 j �J Lam( x l ICJ i J Cr °T"ER nuir,c't T t rm /I �3 3 ;URVEv By I !} T� I (/ DATE y -r "I/ N.Y.S.SALES TAX S (] SERVICE 01601nRED BY FIELD ttCONDITIONS DATA CHARGE TO APPLICANTS y O I LOAD DATA 7d O CONNEGTED ` 87A7E OF FOUNDATION Ricer HEATTNO CFS INSTRUCTION ONLY FgArdED CM OM PLGTED . Ins. O C Q I I SPE OF SFWAGE CESSi OOLS SEPTIC TAUKS MUNICIPAL WATER OF �..O.ISPD9AC EACH FIELDS S WAGE MEAT}NG ' I rT+E OF NEri WATER MAIN IWALLEC YES NO CF PREMISED EXIST. WATER SERVICE INSTALLED' CONSTRUCTION REPORT DRYER cF} I ir,OPMTRUCTIOR SONROULED WEEK or pT .OTHER CF1 'TART COMP FOREMAN T.OTAt. CFI I Q &OR TEST OVERALL F=OOTAGE $F,17VtCE ORDER APPROVED BY DATA irvi ef t SEaVICF ORDER z F"iOriZ' j C t3- r(J AUTIIOR12ED BY DATE E NOTIFY ONE—CALL CENTER BEFORE DIGGING 661-6000 /''vkb pLQ1 A 3�xjs-TALLLI (��ii rr G;1� �II✓r - ')z" PL Olt TX1tj i' 03/07/2002 11:43 6308589010 PAGE 07/07 Gna k_'-..Cj?I CTI 0Id • r. '.1.1.4,. .. The recent addition of new gas customers and increased usa_c rr gas customers on the eastern end of tl:e Islami has been such by extheing de$ gn c&paGity of our•gas transmission system been supplying that area has re Ached. The addition of new loads on the east end would make impossible for os n imp us to maintain adequate service .o gas custiomers in thump sunder severe winter conditions unless major reinforcements mission system were made, of our' gas trans— costl These major reinforcements would be extremely y and time consuming and cannot be economically ,justified at. this time. It is thereforenecessary that we deny all re gas service anywhere east of W4]].Sam F1 Quests for nev or additional period startir_ Ma 1 oYd parkway for en indefinite i y z98n. Commitments, which hIr,Co made to east end customers prior �o May 1, 1980, will be processed ifs normal fashion. regret *,awing to impose this restriction but .raede to protect stress that it is being Me supP1Y to LiLCO's existing east enol customers. 'REPEAT .— YOU MUST ACCEPT THIS PROPOSAT, WITHIN THE SPECIFIED TINE , PERIOD OR IT WILL BE CANCELLED. r s " D� Ur 17 y, r,vU • 4 r _ "r r i i i t r I -- - _v,--