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Home My WebLink About23879-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24981 Date APRIL 11, 1997 THIS CERTIFIES that the building HOT WATER HEATER Location of Property 190 NORTH BAYVIEW RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 19.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 13, 1996 pursuant to which Building Permit No. 23879-Z dated JANUARY 3, 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 OIL FIRED HOT WATER HEATER AS APPLIED FOR. The certificate is issued to JOYCE WILKINS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #14022 - DATED APRIL 2, 1997 PLUMBERS CERTIFICATION DATED NOV. 1, 1996-LAWRENCE C. TRAPASSO //,J- 1�dilding ector Rev. 1/81 �I FOES[ NO. f 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) ff - N° 238791 Date .....,1.. . ...................................... 19,l.� Permission is hereby grant d to: ....................................... ........................ �a.2.)4 C... ........................................... to .-1'`�sr?��1........ ....... ....... .........?�...... ...... ... ................................................�� .................................................................................................... at premises located at ............ .... .. 00 .......................... ..................................................................... .�C...... ........ ......................................................... ........................................................................................................``......................................................... County Tax Map No. 1000 Section ..... �........... Block / ......... Lot No. ..... .......... pursuant to application dated ..............1 G:.......�3. ........... ., 19 �. , and approved by the .... .. Building Inspector. Fee $........................ ildi Inspector Rev. 6/30/80 Porrn ldo. 6 A • - ToIJN of SOUTUOLD - BUILDING DEPAIITI-1C!1T TOW1'4 IIALL 765-1802 DEC 1 3 APPLICATION FOR CERTIFICATE 01" OCCUPA;CY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the followin(,: for new building or new use: 1 • screenal survey of prope a rty with accurate location of all bui.l.dings, property lines, streets, and unusual natural or topographic features. 2, Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 Eorm) . 3, Approval of electricM1 installation from Board of Fire Underwriters. 4. Sworn statement from 'plumber certifying that the solder used in system contains I ess than 2/10 0£ 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations,1%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,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 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 Alterations to dwelling $25.00, Swi.mrning pool $25.00, Accessory building5$250.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing BuildinC - $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 , , , • 10/30/96 New Construction. . . . . . . . . . . Old Or Pre-existing Building. OLD . . . . . . . . . . . . . . . . . . . . . Location of Property. , . ]9.0. . . . . . . . . ,NORTH BAYVIEW RD SOUTHOLD HouseNo. . .. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Street Hamlet Onwer or Owners 1.4 Property. . . . ,J.4XCE. WILKINS • • • • • • • . • • • • . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .79. . . . . . . . .Block. . . . 13 19 . 1 . . , . , . , , .Lot. , , • • • . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed M;r p. . • . • • . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . ... . . . . . .App.lic:int PETRO, , . , , , , . , . . . . , . . . . . Ilealth Dept. Approval. . . . . . . . . . . . . . . . . . • • • • • • .Undcrwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . :'.fanning Board Approval. . . . . . . . . . . . . . . . . . . . . . 'equest for: Temporary Certificate. . . . . . . . . . . Final Certicatc. . . . . . . . . . . =ee Submitted: $, •25., OQ • . . • . ... . . . . . . . . . . 00 Z?,C f> Town Hall,53095 Main Road Fax (516)765-1823 P. O. Box 1179 :� r =�,;j Telephone (516) 765-1802 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: OUCC-- Wi IV,in C (pT ease print) Plumber: Lp LAD elf v CC- C 11r0. , S S A (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead.. (Plumbers Signat re) Sworn to before me this day of /j" J 19 16 cf d� , �. t . Notary Public, C4- Coun •��.,�....__._..._ ..... . .. . ._..... r VITO E. FRACCAWIERI +p: Notery PUbIiC. S, I Naw York Qualified iniJ;rlk County c� Commission Euoires March 30.19_,G. �t 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 13T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: oi� �•D' DATE 17116 g / INSPECTOR tj cr 1)ATI H cl FOONDAT ION RID) lt( [)(:Il FRAHR I tic, �---------- ------------ I IISHILATI ON lbl--Ilt ti. STAT17 17141-.1il:y SIZ (:ODIC F 11-1 Al. ————-—---—---—---—-----——— ADDI.T1011AI. ------- ----- ------- BOARD ; OF , ,HEALTH . . FORM NO. 1 3 SETS OF PU1 1S DEC. 319 `'. j. TOWN OF SOUTHOLD ' SURVEY'` . . . . . . . ..... . . BUILDING DEPARTMENT CHECK TOWN.HALL SEPTIC FORrI -, .' . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:U�iFlf.� PET.RO CALL 686 1�54 Examined 19 nn I L TO a Po BOX roved A 3 1?P . j . . . . ., 1 r/Permit No. . . . . . { • . .SM �ITHTOWN NY `1 1 78 • - - . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . R ! . . . . . /. . � . . . . . . (�jii, mg spector) APPLICATION FOR BUILDING PERMIT Date . ]p'✓.3 0,19.6.: . . . . . :, 19 . . . 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. ; E C. The work covered.by this application may,not be,commenced before issuance of Building Permit. '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 necessary inspections. . . PETRO - . (Signature.of applicant, or name, if a corporation),' 7:8.7. . . . . - (Mailing address of,applicant) State whether applicant is.owner, lessee;.'agent, architect, engineer; general contractor, electrician' plumber or builder. CONTRACTOR . . . . . . . . . . . . . . . . . . . . . Name of owner of premises. .,IQ;YCE ;wlL;xENS •' _ , . . . ... , , , . . . . . , (as on the tax roll or latest'deed) If-applicant is a corporation, signature of duly authorised officer. . . . . . .. . . . . . . . . . . ' (Name,and title of corporate officer) Builder's License No. Plumber's License No. . . . 3.13.4, :P. . . . . . . ... . . . Electrician's License No. . 2 9.0.1. .RE. . Other Trade's License No. . . . . . . . . . . . , 1.' Location of land on Which proposed work will be done. . . . : . . . . . . ... . • • • • • •1.9•Q • • , • • • • • • • NORTH. ;BAYVZEW•.RD • • • • • SOUTHOLD• . . •:• • • House Number Street . . Hamlet ' County Tax Map No. i 000 Section . . . AQ . . . . . . . . . . Block . . i . . . . . . . . . . . : Lot 1'9 1 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. • . . . . . . . . . . Lot . . . . (Name) 2: State existin"use and occupancy of premises and intended use and occupancy of proposed construction a; Existing use and occupancy' . . . . . . . • :.. b: Intended use and occupancy .SAME. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . °3. Nature of work (check which applicable): New Building, . . . . . : Addition . . . . . Alteration:t;f . . . Repair. . . . . . . . . . . . . . Removal . . . . . . . . . . . . . ,Demolition . . . . . . . . . . . . .Other Wor a:$XWAT�• . .k" FR .HTR. (Description) 4: Estimated Cost . . . . . $.1.35 . . . . . . . . . Fee . $7.5...Q 0. . . . . . . . . . . . . . . (to be paid on filing this application) S. 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. of•each•type.of use . . . , . . . . . . . 7: , Dimensions of existing structures,if an . Y'..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 . . . . . . . . .. :. . . . . 11. 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 . . . .... ... . . . . . . . .. . . . . . . . ... . Will excess fill be-removed from premises: Y"es No WILKI P. 765-4095 14: Name of Owner of premises . Address 1.9'0 ,N. BAy V I E. ,R .phone No. . . . . . . . . . . . . .. . Name of Architect . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . Phone No. Name of Contractor , PETRO. . . P.0 BOX. 7.8 8 :SMI TH�R No. .6 86.-l'9 54 Address . . . . . . , B Is.'this property within 300 feet of a tidal •wetland?� � *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'from property lines. Give'street and block number or description according to deed, and show street names and indicate whether interior or.comer lot.. 11�'1EI��l1^eI('EFTS CERTIFICATE IFICATdw APPRQ E® AS NOTE®.' .. EQI1IC DATE: ' FEE: €�Y: � NOTI=Y BUILDING DEPART NT AT . — 765-1802 9 AM _TO 4 PM FOR THE FOLLOWING MSPECTIONS: RAC UMBER CERTI ICATION 1. FOUNDATION . TWO RET REOUIRCD _ FOR POURED CONCRETE - ' 0IV LEAD �'��NTENT BEFORE 2: ROUGH - FRAMING, & PLUiIIlEI�lG:,; ..; 3. INSULATION. fuERTIFIC°A�'E' OI' C'C �1 �� 4. FINAL - CONSTRUCTION MUST _ BE COMPLETE FOR C.O. SOLDER USE I f VIA.T R . 'ALL CONSTRUCTION SHALL MEET ��r � d �c r A � TI4E REO.UIREMENTS OF' THE'''N'Y.SUP STATE CONSTRUCTION & ENERGY EXCEED21 A 0 of I� LEA CODES. NOT RESPONS.IBI,E FQI? ? ; DESIGN OR CONSTRUCTION ERRORS ,. •gin: STATE OF-NEW S ORo�x S.S COUNTY OF . . . . . . . . . . . . . . . . . : . • • . . . . . . . • .LAWRENCE• �G: •TRA-PASSO• • • • • • • . . • • being duly sworn, deposes and says that he,is the applicant (Name of individual signing contract) ;" r:i 'i1:? above named. He is the . ... . . CONTRACTOR. . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . '+ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make"and file this ' application; that all statements contained in this'application are true to the best of his knowledge and belief;and.that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . 1. ' .d y Off. ... . . . . . . . . ., 19 Notary.Public,, • . . . . . . : : County . - �' iVITO E. FRACCALVIERI . . . . . . . . . . . . . . . . . . . . : . . . . . . . . K ®I.ry Public,State of New York, r a ,; �� (Signature of applicant) pill (» OIL BURNER «� Certificate of Inspection E» � I Name lC �» Location: 190 NORTH BAYVIEW RD, SOUTHOLD,NY 11971 �1 Applicant: PETROINC, f �A Address:_ P O BOX M,SMTT14TOUWI NY 1 17R7 Tel.No.- Q6_T054 Lic.NazNj un4— Expires: ELECTRICAL INSPECTION SERVICE, INC. , (A 375 DUNTON AVENUE «� EAST PATCHOGUE, NEW YORK 11772 1 TEL: (516) 286-66 �» L APR 999,7........................ ctor... . . f<