Loading...
HomeMy WebLinkAbout39708-Z <4,�p'�FF 4:0-y Town of Southold 12/29/2015 P.O.Box 1179 r' ' .,1 53095 Main Rd ';'741 s:,' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37999 Date: 12/29/2015 THIS CERTIFIES that the building HVAC Location of Property:'. 21955 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 17.-4-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/27/2015 pursuant to which Building Permit No. 39708 dated 4/27/2015 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: ELECTRIC HOT WATER HEATER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Barnes,Lucinda of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39699 12-23-2015 PLUMBERS CERTIFICATION DATED r A he Signio SU�FOj� TOWN OF SOUTHOLD COG * BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39708 Date: 4/27/2015 Permission is hereby granted to: Barnes, Lucinda 209 W 97th St Apt 7B New York, NY 10025 To: INSTALL OIL FIRED WATER HEATER IN ONE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 37709 At premises located at: 21955 Route 25, Orient SCTM # 473889 Sec/Block/Lot# 17.-4-23 Pursuant to application dated 4/27/2015 and approved by the Building Inspector. To expire on 10/26/2016. Fees: PERMIT RENEWAL $75.00 Total: $75.00 +Bui 'sine spector , - TOWN OF SOUTHOLD �,�a. G BUILDING DEPARTMENT t..4\ TOWN CLERK'S OFFICE •or, ; SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37709 Date: 12/24/2012 Permission is hereby granted to: LUCINDA BARNES 209 WEST 97TH ST. APT 7-B NEW YORK„ Y. 10025-5602 To: INSTALL OIL FIRED WATER HEATER IN ONE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 35309 At premises located at: 21955 MAIN RD ORIENT SCTM # 473889 Sec/Block/Lot# 17.-4-23 Pursuant to application dated 1/20/2010 and approved by the Building Inspector. To expire on 6/26/2014. Fees: PERMIT RENEWAL $75.00 CO -ADDITIONS TO , _ -ISS•RY BUILDINGS $50.00 To . • $125.00 Ainm.liki - IIP uilding Inspector 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. 35309 Z Date JANUARY 20, 2010 Permission is hereby granted to: LUCINDA BARNES 209 W. 97TH ST. APT 7-B NEW YORK,NY 10025 for : INSTALL OIL FIRED WATER HEATER IN ONE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 22652 at premises located at 21955 MAIN RD ORIENT County Tax Map No. 473889 Section 017 Block 0004 Lot No. 023 pursuant to application dated JANUARY 20, 2010 and approved by the Building Inspector to expire on JULY 20, 20.11. Fee $ 75 . 00 orized ignature ORIGINAL Rev. 5/8/02 G/ 1019 FORM NO.3 J 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) Date April 1, 19 95 N 22652 Z Permission Is hereby granted to: Reliance Oil Associates a/c LAWRENCE REYBINE 77 South Street Patchogue, New York 11772 to INSTALL OIL FIRED WATER HEATER IN ONE FAMILY DWELLING AS APPLIED FM, at premises located at 21955 MAIN ROAD ORIENT, NEW YORK County Tax Map No. 1000 Section 17 Block 4 Lot No. 23 pursuant to application dated MARCH 14, 19 95 and approved by the Building Inspector. Fee $... may Building nspector Rev. 6/30/80 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 survey of property with accurate location of all buildings,property lines,streets,and unusual natural 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 2/10 of 1%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: 1. 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. New Construction: Old or Pre-existing Building: (check one) Location of Property: a 1 q c5 (2 a S" O i_,i; House No. Street Hamlet Owner or Owners of Property: (� r`(\..e S Suffolk County Tax Map No 1000, Section 1'7 Block ( Lot c Subdivision Filed Map. Lot: Permit No. SDs. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ • Applicant Signature ',, 000 i- � � ti Town Hall Annex ►►0 ; ®stag Telephone(631)765-1802 54375 Main Road ,1,-, -":"`. , Fax(631)765-9502 P.O.Box 1179 ; , 3749 „- ,,,'.40F „.siir cf, 6e'cissl TOWN OF SOUTHOLD BUILDING DEPT. , 765-1802 INSPECTION- [ , FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN5UtATION [ ] FRAMING / STRAPPING [ efINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ' ,_ , 14.. C— /56i• i -- (-•2141” i inili / - - 4) „( .- - I e ' N DATE /7 /6 45-- INSPECTOR - ' / 1 1 �o��OF SOGryolo\ _ _0 -I 4'4 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION - [ ] FOUNDATION-1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) t`; ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: rrt.iieVC, DATE l ?�� / INSPECTOR ° 4./- ---\,•„_. ____, , •-•_ ;1'-'L:D TIN S.L'EtC.:.. i C.)1,1 VD ATE II _.,t,.,-i.., COMMENT S -,-..-`r- • • - ---77 ..... —HU.) ' 7 --CZ- , 1 . - —..,. _,_, -•-•• m.6.1 __ _ _ . — , _ __ .. _. _ . - ____ , ....,..j.;...,; , _._ . .. .- .7.-170:10/1TrA.TITI-N-- ' --::'!!----,-...-11-s---t-•) _,___ -1 '' '- . --.45,,,,-,..--_,..,------.......----„,....—____________....,:i_.' -- -' __ • . ..•_ , „. _ . . _ _ -!„-,:- - , . .1:44,_..,,,...,_,.•-...... •• - - - - ' . , FOUNDATION ( 2 n d ) I - ____ - 1 fl 2 . - z o , '.......... • ......sz. ROUGH FRAME & I _ •-, -_F•-• ..: _.-.,....-„, -,-,,'- --:-.,__:, --, •i ..__„ - ,--, i „- . - - , ' 1 . Ell IrCZ". -, - -----._ 7- - -* - -(3 . . = t CODE . IN 0 -, /4 ---/;-- ,,, ....4.1, / d. 1 ,& -411L, . . ... ria, 4 .5 - / .....d. s-3 'Or I ' , '-' .t..• C., /la o3A-r ,,4-- -4_ LA-ix/4_ h-- - - FINAL - , '.1 .,,, .r......... . Ng - .-,-- .,- I . , i'Z:i::/ri I :t-', ' -...., .,ft. _ . . Z. -y!,,' , A -_ -- ADDIT.1011-AI --COMMENTS : ! tri , " I --k- ' V& la-- ;4 - % f I •!'N ! Li'''. 21-1 5 - Rf rtnzLooD. pa 15. D 0 cr-eA1---1- Re_cP.a to o7 G •3770' M - it ... •ti, . . • • . • • . • :.. ,-....„. . ..j, _ 1-1 ,i C t-- . . • , ,,....,„..., ., . . - - - j . .... . . - - _ , . - . ..- _, , . -- .. .- . . • = .. . . .. — - , • — :,.., . ._ .... .---,...., _ ,,, , . __ _ C1• , • , , ,-11 _. _ H - , . : ' - - •-.-'-. .' ,-•0-77,--'z-,,,:4;,...*0-:;-`,•''.i:',....:44' 1,1•••=•::-4,?:(::;1'4-''.,..:.:AA."'''' ..... ‘-;S,..!4; 2. _ ••', i •s i r '. BOARD OF HEALTH r - �i FORM NO. 1 • 3 SETS OF PLANS Ii- b MAR 1 4 1995 �° � ; TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK BLDG. TOWN HALL SEPTIC FORM TOWN OFSOEPHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY : • CALL Examined , 197( • Mn I L TO : ,2..--% . Approved r//: , 19/.�J . Permit No . (•-5.-.2'74c • Disapproved a/c • --1- A,"/ . . ... ' (Bing I ector) APPLICATION FOR BUILDING PERMIT `.� Date �5...-‘, 1' INSTRUCTIONS • a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 `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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part 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 will 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess in fictions. 0 ,/ atietret:,v, 6....., IL • (Signature of a plicant, or na e, i` co po ation) • i 1 Amer' •77 .• • • . . . . . . ., • • 'A (Mailing address of applicant) State whether app icant i owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. oC . 7 A,7,.."6„Le Name of owner of premises (as on the tax roll or latest deed) If applica is a corporation, signature. • _ , - . orized officer. • X /. (Name and title of corporate. ficer) • Builder's License No. `. N i Plumber's License No. . 0.1 „{:1.l. sera` - � s Plwm Electrician's License No. A1361- fl,E s�`����1� C `( � ET�p Other Trade's License No. `3�� • �o�� 1 ou,� �" �'"'� ", 1. Location of land on which proposed work will e don O /0/11/4'‘) , ' . aitiAl /1/7/ . House Number 1 Street Hamlet County Tax Map No. 1000 Section - 1 7Blockef- Lot �Q Subdivision (-: Filed Map No. I (Name) Lot • • 2. State existing use and occupancy of premises and intended us and occ p ncy of proposed construction: a. Existing use and occupancy ) raPta'fri , : r • , / 44- (/� / j/ s / ®• . b. Intended use and occupancy Ar /. y 411 • eKc"a Ys,'''tom"-`...& 1 .. r 7S,ar .. _ _, ,- "' -•,!r' - = _ .^ .., 3. Nature of work (check which applicable): New Building , . Repair Removal . • Addition AlteL3t"o,�} • • • Demolition Other Work ll/I • y1$}lj�I� ' 4. Estimated Cost ��. : : l/ ©� (Description) Fee . . . . S. If dwelling, (to be paid on filing this application) 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 of each type of use 7. Dimensions of existing structures,if any: Front Height Rear Depth Number of Stories . Dimensions of same structure with alterations or additions: Front Depth Height - Rear • Number of Stories 8. Dimensions of entire new construction: Front Height Rear Depth '" Number of Stories _ 9. Size of lot: Front Rear 10. Date of Purchase Depth 11. Zone or use district in which premises are situated Name of Former Owner 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . • C Will exces II be reapved from premises: Yes 14.. Name of Owner of premises . . .g�'� ✓ Address - - eirt> x Phone No. •�1�, Name of Architect e Address _ � .� Phone No. / Name of Contractor Address 7,57� ,�j•� / ,Q• �7`f177 . .. 15. Is this property within 3Q0 feet of a tidal wetland? *yes " • • • hone No. 4� . *If yes, Southold Town Trustees Permit may be required. No PLOT DIAGRAM • Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 0 0--i,\ FCre..- rOo\frreAr..t-, • /1 c4--- U...) ilr\--..2,--- \--\--:4._ g� � I47\a„... . . f (Ge, 1/4.. • da`,} F7p�,�) NIA ED �� 2X �d / L 111 41...., DATE:9_ -.v B.P. f?�..5�� ' �, •. _ tseg¢,. tE_.63eT e �4�r���7T --- -If• a&.e 9 M TO 4 PM f IT :I-L� { t� O Ic _ K ,....;T SUFFOLK COUNTY E"JE S FOUNDATION - '`3 d C: ,G INSPECTIONS: `f,..``'s..0 ,•-;4', -A-..,... OF.ICE OF CITIZEN :::.11S MASTER ,f CC-�P4 CONCRETE P FOR F''OIJHS:.D t.,OR�C E"'Y ham., I '._ , r •.,,,,,,,..,.,„y }. PLUMBER � v�� �'��� �'�f 3 LICENSE ROUGH _ FRAMING 4z, PLUM Bpi' 1 : .,AmE '3 :t\!'3t.UL.f'.TION J . . Trarasso r:-E=1v � - F'ONSTRUC'T10 1slUE ,' P - P :Jr`::.::'•. 4+t a,. ,I-SINESS NAMe' I 6 COMPLETE FOR cO spT? to^etro, Inc. T. O . p s e MEE ;;�, , r -',= - eLiance Fuel Oil ALL CONSTRUCTION SHALL MEE °` . �., ;,;�'' .�.- ' ssociates . - THE REQUIREMENTS OF TOES N.Y. -617 _ STATE CONSTRUCTION A ENM.RG4earer Ist cud 3134- i/l i a i CODES. NOT RESP6 NS1f3't_IE I FOR!'he C'''” J� .e:<e ,1 •DESIGN OR CONSTRUCTION ERF1ORS.-._- -_---'- — -- 77-- — — STATE OF NEW Y K, / 20U , YOF . . •/. S.S r • . • • ` , / 0 being duly sworn, deposes and says that he is the applicant (Name of individual ;gning contract) bove named. 1 _ 1f/, / ie is the f � ��� �: /,Y 77 &2 , (Contractor, agent, corporate officer, etc.) ' ' • ' • f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file his pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this J i k G otd y of M 4 R QW , 19 )1..).)1..).ary Public, . • „ , , 1 . . . . . . .s. ,. .1:,,.1.LG-. . . County ) • 1JITCl E. FR;CG,4tVIF.r39\ el ' - • Notary Public,Stat o�New . . . i No.ri2w$»G`siv �w York ;Q o t• .�aai��,=ll. al�•2y.l t i' Qualified in ! (Signature of applicant) (Commission E:w.�i>,3 Nr,rch„^roti .92 _{ ... - _...._r - H �4 : Town Hall Annex 7 Telephone(631)765-1802 - 54375 Main Road . (631)765-.5' c.:)€. * P.O.Box 1179 , G ' ro•er.ric,.;a\;z:•- .-:. -: a. Southold,NY 11971-0959 - Y '� 'I- ' •/ i:, i IR' MAY 262015 !L) BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION r�;,.. :, ,0,;,, - - REQUESTED BY: Al/ PO glcc f a i c . Date: S / / /5 . . Company Name: -717 PRO gfc i'C. • Name: pew/ CitO n . ,. . License No.: 3 3 4-0.3 ME. Address: P 0 Boy. 283 . - Ue-h 03(i . iVY 1/93 / - Phone No.: - 63/ 211100 g JOBSITE INFORMATION: (`Indicates required information) *Name: Luc,' Barn. *Address: 2/(1-SS A-1- , 2 S ark of poin ' *Cross Street: - - *Phone No.: 61/6 132 ' g 80. Permit No.: SQ 667 Tax-Map District: 1000 _ Section: Block: Lot: *BRI DESCRIPTION OF WORK(Please Print Clearly) • - i ou h !n. fivo Berfhtoonic. - 1-ugale (Please Circle All That Apply) . . *Is job ready for inspection: YE-! NO Rough In Final *Do-you need a Temp Certificate: , YES I NO - Temp Information(If needed) - - *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other - *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: - PAYMENT DUE WITH APPLICATION r .i :'. 17( 82-Request for Inspection Form c)i)j)-/(1-'� V y RELIANCE ASSOCIATES :'. , 77 South Street, Patchogue,New York 11772 Nassau County 349-0470 Patchogue 475-4770 • Smithtown 360-3373 • Islip 277-5505 • Babylon 669-1 160 i' 5:%-. /77f / -gxe/lv,41/ A�������%�� fcoD '� /177 yr ; i.I. Ai' 111 it7iiiQ s9/.12,cift e4 , . , V %,e t4 / 'illoat r, tt /01 afilli 44 / Co /41 itliVt all 71.AMPil . ltd_ ./4„,te..,, , Iritu--(i(//: . CS 11011 U 6 '/17,-,:-. / , 1/7 4 Illl YL„. , s Affiliate of the Petro Group ----- --- - -- -- -- -- ---- — ----- - _ _____ ____ i , Per,v,i1- ; 36,-` C z s, m. ,m, m z s, „ , z r,/--1'..-- ._ - OIL BURNER0 << Certificate of Inspection >> D App.#s 7763 Name_ Lawrence Reybine > Location: 21955 Main Road, Orient, NY 11957 0 Applicant: Reliance Oil Associates ` Address: 77 South Street, Patchogue, NY 11772 '� TeL No. 475-4770 Lk.Na 2901PE Expires: y << ELECTRICAL INSPECTION SERVICE, INC. > 375 DUNTON AVENUE' 0 , tEAST PATCHOGUE,NEW YORK 11772 TEL: (516) 286-6642l / 4-17-95 ...g/(-44:74/ ..4. Date ` I �.-ctor SENDER: COMPLETE THIS SECTION - COMPLETE THIS SECT.'ON ON DELIVERY , ■ Complete items 1,2,and 3.Also complete A. Signatu:/ y item 4 if Restricts Delivery isdesired. / --..i.-- --- a Agent f • Print your name aid address on the reverse X ,.....•-i— 0 Addressee so that we can return the card to you. B. Recei �!""rinted ame) C. Dat of Dry • Attach this card to the back of the mailpiece, .t0,'"1 f, 4 C 'h:'i or on the front if space permits. :1grticle Addressed to: _ D. Is d='ery address different•.m item 1? 0 Yes w'f t O?0t�p�pZ I ' ES,enter delivery ress below: 0 No .'-0210 /9 at 97941 '/6 3. Service Type th "� M 0 Certified Mail 13 Express Mall '/ 1177-41 /?7. /Oaf- ElRegistered LIReturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery? )Jy (Extra Fee) 0 Yes 2. Article Number (Transfer from service label) • 'PS Form 3811,February'2004 '' 1 ''Domestic Return Receipt 102595-02-M-1540 `,e, '0�,o��pF SO�jdka o . Town Hall,53095 Main Road jig * Fax(631)765-9502 P.O.Box 1179 G Telephone(631)765-1802 Southold,New York 11971-0959O. sieoUNTY,* ., BUILDING DEPARTMENT TOWN OF SOUTHOLD May 8th, 2007 Lawrence Reybine P.O. Box 658 Orient,N.Y. 11957 RE: 21955 Rt. 25 (water heater) SCTM: 17 4 23 Dear Mr. Reybine, Please be advised that your Building Permit#22652 issued April 1st, 1995 has expired According to the Code of the Town of Southold; a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of 75.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. ','I,�O�*QF so(/ryOlO Town Hall Annex 4 *; Telephone(631)765-1802 54375 Main Road ; N Fax(631)765-9502 P.O.Box 1179 ;G Q,,� Southold,New York 11971-0959 �0 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE December 14th, 2009 Lucinda Barnes 209 West 97th Street Apt 7B New York, N.Y. 10025 RE: 21955 Route 25 (Water Heater) SCTM: # 1000-17. -4-23 Dear Ms. Barnes, Please be advised that your Building Permit # 22652 issued April 1st 1995 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $ 75.00: at that time we can schedule an inspection by one of our Building Inspector's. Copy of Building Permit Enclosed for your convenience. If you have any questions, please call us at 765-1802. ; N Respectfully, /I SOUTHOLD TOWN BUILDING DEPT o �o to Z / `0 .r-----_ Southold Town Building Department ;e',,O��FFO• Co , P.O.Box 1179 Permit#: 37709 `�l.1 53095 Main Rd k...,•15 ,P�i I Southold,New York 11971 Permit Date: 12/24/2012 0 ��o!',* (631)765-1802 Expiration Date: 6/26/2014 w' 'pea ,.�r' Parcel ID: 17.-4-23 BUILDING PERMIT RENEWAL LETTER Dated: 4/15/2015 Applicant: LUCINDA BARNES Location: 21955 MAIN RD ORIENT Work Description: HVAC INSTALL OIL FIRED WATER HEATER IN ONE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP #35309 A FEE OF $75.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: LUCINDA BARNES Address: 209 WEST 97TH ST. APT 7-B NEW YORK„Y. 10025-5602 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. e1-. . :q;ygiw rV `Jd // - 70'66 `' -'i:?-7 .- 2-i• NI OF, SOUTHOLD PROPERTY RECORD CARD M- z' • OWNER S VILLAGE DIST. : SUB. LOT' I ' ' ' ---. ' Z i ..Z., 4-i,5--c • . . lif,/e),m,t,,e.e_ Afi Keil_e___. n Al 41- kl...) R 46 _&142,e-,<_:74- FORMER OWNER • • U - N - - •E • Zoe-44-4" ACR. ' tAG-t Of 1 e.5 Wm '` • , , , 4s-'l ; - , , - i S - - �`- ice, W - TYPE OF BUILDING RES. ./ /0 - SEAS. VL. , FARM `COMM. CB. MISC. Mkt. Value - LAND - - IMP. ' TOTAL DATE • REMARKS - e . • ' O 0 •- g.5-0 O - 77ei O - _ • - . 0 - s� - " 1 8 6 0 /3 3{ k V ' , o-- AGE - ' ' BUILDING CONDITION - , • • NEW - NORMAL - BELOW• • - ABOVE• • FARM. ; '• , • '.Acre Value Per. " _, Value - - - - - -, --- -Acre-- -- - - ; _ - -_-- - - - - - Tillable - - . • - ' . ' 1' -- ' • , , - Tillable 2 ' " 'I - Tillable 3 - - - i, ' Woodland -/ , // - / t— '/-7 0 a Swampland ' - FRONTAGE ON WATER • - . Brushland FRONTAGE ON ROAD -. • House Plot, ' / a /6 PTH_ DE ' - . , 3 6-. 0 417 , -:;-.-7!•'1-:-,',.: �-�- BULKHEAD ----- 0 Total ` r - DOCK 4 , _..„,.....„......,., .- , . _ „ _ , • , . . , , „`,• - ',' '11 • , ' „, • , — : ' . - ••.- / ? /I 2 , , . , 01.4Dd • 0_9-S G6111 OD ADMOA!..1 a ADM9Z09.1 . , . . JaLuJoa P i4 4 (70-4::e/r 9 1 : e Qr s..6 - C.:: :/X) LIDJOd 0 e3 r = 0-z K,,, 7 43.10c; ___---ii4:_, ' . •0 •:: Jildpuzsi..uoo: WOO uoRoaaDel ' J9 .100Id .Isi. swoou 3 78 ' 9 j.00l adAi epold aild uo I SUO4X3 • '2 4//WI ain •• •-i ci Lisp..0 .10!.13.1.U1 Sip AA '4X3 UoiSua4x3 ,..., QZ2- = S/ x •cF / *>1 •"" m ' , 1 'sJoold ., .luaLuesiDe 8 1 g ..S7 uo!suo4x3 • 8-- uogopunod e•-• 14. . ..‘ c,o_..c' 19-r/ : I e x e 74 al4aula . 44.09 76Ple *IN . . . - :,..., . - : 0.....;1.,r,',' -., ., *,-,1 -:• . . . . ... -rr • • ', s'' ' •• '•:.: - • :, - '-;.•:•-:f'•.•',-'-'''-•;,,,:4\i'l.,:.,,,..7::.,..,fe,'4- • '.._,,,..,:'4,`,„' :.;,,..•-•;,.4. ip, ' ''',... ="1 '•,--— •;.,..t40,,-:'-z•Zt:i."'', ..., .2.,---..--J,."-.,-,,,,r,-1,,,,,- , ,,.. - - -.,— • ,-,..-,.q-; „• • -- , .4.,•../44. •• 'I:,r-ive 41 - ' :' ..•-•', • • Id 2 1 , , r----0 , ,... __ . . , .......,..,„...:.....,•, .., ,,.....:f..Lt 4.-;',..fr:•.,'",,r,--—1,.Lt._.:::,...,1%.. ,,,,VVIrt;4,—,•-•7 A.1,,,,, • _sT 21 - 0 ,1 o ,, -,--e•••••-• ,....-•:. rs‘,.•— ••,,,,,-...r.:4.---....,v-----,-.4.7,z,•••,:r.,-,-..-•-,,,,..-•..•--,•.,..,,,,I. , . e1 •. ..,:4,.....,.,-..,-.D:ii,,,,;,,,i:,,,..-_-.....•rt.,,„ 0?„...,•4'45,..2.D;4•;:',.--i:4-if.:1,:::-.4.e..,742,1-.fj7:Pi1/4€"': 0 I '''''"t 1 4 2k'''' ' .-,11Y,f4, -,4Y-:-/q,rt. :4%-'--4.-:::1,4-31.w..-"':;,;.'-- "v.' .,•k'....'4'''•-• ', ••• '...--.- ''''."14A;41.'....i,,z;.;:„..,... t.,.*:‘-'77;:.47-;:i.-..,. --•"=, :;',,..?..,....-.----,.r', -..-",.;,..--- .,,.--,„: • ... — , ! .r.,!!!•-••,,.'•• •t..i...••:-.i. ...• kle..--z•M.,..t...4.:4., ,.,,L.--...,;.:&:••••r.T-4—T,1--'••_".• -•-•• /,'/7/S - . -7.4/ti 01 ...., -:,......4,..,,,,........4...--....---.....-„,„-,,„,,-„,„2...),,m,_.....,....,..„,..,,, ,, , .,...... ., ,._,.. , . ---10" •&,,.: -,.. . . ,. , itW ,•. •.. .,,r_,......v. ll'i'llill,-,. ---. -•,.. Yi'i,,..i„.I.-Iti'w .....•-••IN.L'"1141111214,,,,..,, ...•!;11.111 . _ 6 0 ' 1/4_, ' r•-:- Yi'.41. .. ' V'-"",,,, ..-.,"".. -,:;";,•••,-,_,"7-1;',.:441"::,,,r.'4`,',1',:c IA' , . . - 211 411- W1ic• ..., 1...,1 ....vs-v. ,'"' ''.... ,..";:','.."..4 : -, ".44..'..1.,n"-elvAbr''.-1-4.'i t 5 '..•4 ,...:,. 1,r •i,;-:lt:.;,! '• , ":1',,,,, 4.' .4.°,!..„„ ,-.„.".1,, r..!,:lt, '.. O.,',. :i :1 - ,, '.-1/!. .. , '• ..,,,,,f4.,.'' ,,,..v • t ', I • • ' • IP . •- .....-- . . ..,..1,-i.L.. -, - r,.\.•,'‘F.-, • /VelV 4,—,....- .w...---, „ft o . , --- 11 :-.-41;et" - “ ;..\N , ..,. c . ,' ` ' , .1 2 1010D• .:` .,.;4'64,'-'"`,,Y'' `1"'. , ,V" • , - 1 'Y • ' • ' ., i , . . , • ,,'' „ •• ,, •,..' ,•=',•.,;•,,,":" :•-• , ..• - ,•••, --7 1,..,-.,• . ,, • v.v.. • , " ‘. , , -,-;,3•:,,,t,• .....,...,....s. .. ,. . . , - „,,„...kp„..,,,,1,4 4.- 4/44 ,-,1 4.1-, 41,L,:r,44.) 1:I.-e4-.... ,1. , 1 ,:'t• - . ' N 1 '1 N * ' 4. 1 1 ....]; ..f .11..,-'. *.1...)1.'-' '.f.::,--;-6 T.c'i::',-{-:••-.: :"-t"'',7:1' 'i '•",,I,L:,''',k,'•'''4'•=,'-,' ,, ”' :'-'•', -•-''''''''•''':-,.' - ' 2 ' • '-;'''c'''' ' ''''-'-'''.•-''' •'"''''''-':'' '' ' t 1 • ••r•.:„.,,,n!..,,,,,,,,,-„,; ;',,,...;,,a,e,,:;•,,,i,.j,%,..i'.1.,.,!_e_,:1;..,X.v.p..,,ti• ,.1,..I.,,,i,lie,p,...,i,..y.;:ke2,vpi,,,,S,h,..i,;.,,,i:,•:.• ,:„er i. ., 0. .,1'•*,' 7:A,':„,..!.. 1‘,'," ..!..k,.-...'.;-,,,,,_ ,, -__ . . I f ,•1,-.`0,,, ,,;r,,,i.,,,f, ,1 ;,z.,,,, ,74.114.4,..; ;,;.r.',1.y.,e"..,!'/:-.'j';', r,'IC-, ,'"6'.- 11..)':''-• '''''''..:'1.'...,:,:'-' -A.11,725..",:a -.„,1,.Ini ‘,1;,,,,v: , it':Y.::.ri,:,'4Z.,:.:13,','&"z-',;.',-,..'''' ' . - ' I -,,,,1 t..-•:,:Q'14,-f 1- "r,--Y,,..--e*:' ,'","'--,',',4.''' t,3,,i'::' or.5!,-.-d.141 "1- YY,-,.)`,!. 'zk,t' -, -.1...'4'-e. 6'' ',,,--' .',-1-,,'-ir ..1,-t4r.P le—4." 1 , I. —,••,. 1 ”:7- I I , PA,;;.:' s r ''.1:;•c""a a ,• �' y.; a,' t 1''v. 7' ):':',:i•''',7','-:...- " f �j < . , . . . into .- . . „,,...,..,...,... t .. , .. .. . , . . ,• . . m , . otwafer..„ , .. .. , ,... . ,. , _ r. ... . . s • as e'r ... rr r ke, �a 3K'it r'' 5 4�, Yr`} r t • f 1 ft -`,1 If. Z, Yrs;yy�J� X i!•ti,&'l a '''''',1, '"="1,'"?ra 1 a - . =r•, „...1 " f: ,lye-- ,k 'f}i�J-5� .v• • Vii` '$ ):1„tt kii.:i' ;,i, -'`7 i , •.c1 `; " , •r IK i "3y„k .Aw `L 'm ' ;.+'! ;�� k1' •4`' ,rr' sL\Eo , ' CA!Xf 1"i..i - �- .•r • •,-, y � ,,,...i.1-.,.,•,,....,. -•.,4e..:.„, ,.. .t ,.3 1:-.•:,,..--.,.,,,;-,-.., ,=,4 ,, Yt .I .. I y .r t • `i„...;•,.;,-„,--... ,', '4•t";, ,. ,•4•446-1::,, ,--.:.;:,.:.-,;,,„ ' ' t1, }L + r y •. a -.---4.,, ,,i,..-,, , .F q•4:1.0,,,:,,'' r - a S ''' Y;.,'tr _ • _ •i 'i. •;:;•,,..7.'::::,7,-:(:.:',-,,i..;..,- .. �' t} fF•. 5, ' 4 i• l'fI °9'�.a! Quality should be seen not heard . . . Aero. , PECIFICATIONS-WATER HEATERS ' , C MAX. DIMENSIONS . MAXIMUM MIN./ RECOVERY _ TEST/ ^ A B C MODEL STORAGE MAX. RATE WORKING AIR DRAIN SHIPPING _r CAPACITY FIRING (gph) OIL PRESSURE TUBE FLUE WATER VALVE HEIGHT DIA Floor WT. (U.S.Gals) (gph) 100°F BURNER (psi) LENGTH SIZE CONNEC. CONNEC to Flue COMPLETE Cantor CF-32T/A 32 .65/.75 104 FAFC-2X 300/150 512 6' 3/4" 3/4" 5112 2012 — 240 lbs. LU109 kg MCF-32EE 32 .65 88 FAFC-2X 300/150 512 6' 3/4" 3/4' 51 12 20 1/2 — 2 09ik9 C W CF-40T/A 40 .65 94 HFUS-1 300/150 412 5' 3/4' 3/4" 53 2012 — 2251bs. F- 102 kg., UCF-50T/A 50 .75 97 FAFC-2X 300/150 7 6' 3/4' 3/4" 62 2312 — 325 lbs. 148 kg t 325CF•50XR 50 85 116 FAFC-2X 300/150 7 6" 3/4" 3/4" 62 23 1/2148— lbs 148 kg W RF-30 27 .85 116 FAFC-2 300/150 7 6' 3/4' 3/4' 55 2312 49 290 lbs. 132 kg LL RF-50 50 1 25/1.35 184 FAFC-3 300/150 712 7' 1 1/4" 3/4' 68 2612 61 , 405 lbs. Cr 184 kg CC RF-70 70 95/1.75 235 FAFC-4 300/150 9 8" 1 1/4" 3/4' 72 28 12 64 490 lbs. 223 kg NOTES : FUEL: Approved for use with No.2 fuel oil or lighter. 0 : POWER SUPPLY:60 cycle, 115 volt,single phase(consult factory for other voltages). ,j : All models meet or exceed the performance standards established under ASHRAE 90. : Recovery rate is based on 100°F temperature rise(40°to 140°F). Oil burner extends : Shipping weight for Water Heater less Oil Burner-deduct 40 lbs./18 kg 10"out from casing. : All center flue water heaters meet or exceed proposed DOE energy requirements as tested by ETL. : All rear flue water heaters meet New York State Energy requirements. : Center flue water heaters with"T"have surface mounted aquastat and high limit control. : Center flue water heaters with"A"and rear flue have single Immersion aquastat. r AR ' : Dual aquastats available for water heaters. AERO • : All water heaters must be Installed with a temperature and pressure relief valve. ;: tf Le' r 0..4....---c,.4---k > G�vv� 1�4n-c, cap nr '` . ., : ,. , i LISTED CERTIFIED TESTED t # p,-, ---0 el li) ' , • . , . . 1 Commonwealth of Massachusetts `�® j ;_'' State of Connecticut 'r G r . ' State of Maine ' . " 0' 'j l City of New York tit) 'iI� ` . ASHRAE 90 standards 4 "i`me" STORAGE TANK AEROTHERM (Indirect Water Heater) Ask your nearest AERO distributor • ., about AERO's full line of high efficiency oil burners,the best quality in • storage tanks(30/50/70/120 gals)and .41'0 ji, ; indirect water heaters for home and' ' r �` # industrial use. ENVIRONMENTAL LIMITED I AVAILABLE FROM: 37 Hanna Avenue _ . Toronto, Ontario, Canada M6K 1X2 , Telephone: (416) 535-1600 Fax: (416) 535-1616 AERO has warehouses conveniently located in: New England,New York,New Jersey, Pennsylvania, Delaware, ,_„r' North Carolina,Ohio,Wisconsin,Minnesota,North Dakota,Oregon,Washington,Victoria B.C.,Toronto, . Due to our continuous development and Improvement program,specifications are subject to change without notice. Printed iq Canada USWH•4/89-50M