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Home My WebLink About26088-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26981 Date: 03/13/00 THIS CERTIFIES that the building ALTERATION Location of Property: 1950 HARBOR LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 103 Block 1 CUTCEOGUE (HAMLET) Lot 20.11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 1999 pursuant to which Building Permit No. 26088-Z dated OCTOBER 27, 1999 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 INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEPHEN J. & SUZANNE A. CONLIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-514429 02/02/00 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ed S~nature 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. 26088 Z Date OCTOBER 27 99 Permission is hereby granted to: HOMES INC SCHEMBRI 1950 HARBOR LANE WADING RIVER~N¥ 11792 for : CONSTRUCTION OF INTERIOR ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1950 HARBOR LA County Tax Map No. 473889 Section 103 Block pursuant to application dated SEPTEMBER 3 99 CUTCHOGUE 0001 Lot No. 020.011 and approved by the Building Inspector. Fee $ 75.00 Authorized Signature Rev. 2/19/98 ORIGINAL 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 buildin[ inspector with the following: for new building or new use: i. 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. Conm~ercial building, industrial building, multiple residences and similar buildi~ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings ar '!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 applicatiop 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 $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 Buildinz - $t00.00 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 ~ ~ ?. 7.~..~. .... New Construction ........... Old Or'Pre-existing Building .... .~. .......... Location of Property .... Z~.~ ............................................ Il ..... ~ ...... House No. Street Hamlet County Tax Map No 1000, Section ......... Block ............... Lot ................... Subdivision ................................... Filed Map ............ Lot .................. · ~O ~g-.~...Date Of ~ermln ............ ermit ............ .... ...Appl~can~.~ ....................... Health Dept. Approval ......................... Underwriters Approval ..................... Planning Board Approval ....................... Request for: Temporary Certificate ........... Final Certicate...~.. ...... Fee Submitted: $ ............................. APPLICANT THE NEW YORK BOARD OF FIRE,UNDERWRITERS PA E 1 1:[75OO3 BUREAU OF ELECTRIC' ~'~ -,' ~/, *'" ~ 40 FULTON STREET NEW YoRK;:~Y- Io0~ L Date FEBRUARY ~2,2G~O Application No. on file ~g9giS:Rg/991 ~:~" '. N 514629 THIS CERTIFIES THAT ~ ~ / ,~: in the following IDea.on; ~ Basement ~ 1st Fl. ~ 2nd FI. ' ; Section Block ~t was examined on ~Y 2~ ~ 2000 and found to be in compliance wit~ th~ Na~onal Electrical Code.. FIXTURE RECEP ACLES "~" *~HCS FIXTURES RANGES ~~ QVENS { DISH W~SHERS EXHAUST FANS DRYERS FURNACE MOTORS FUIURE APPLIANCE FEEDERS 5PECIALREC PT TIM~ CL~KS ~ BELL UNIT HEATERS MULTI-OUTLET DIMMERS OTHER APPARATUS: ' ' P~LBOARDS: 1-7 CIR. 100 Q,C. ELECTRIC INC. P.O.BOX 518 LAUREL, NY, 11948-O518 LIC.#3823 GENERAL MANAGER 11 Per ~ This cerllflcate must not be altered In any manner; return to the office of the Board it'incorr'ect. Inspect~r~ may be Identified by their credentials, COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE ,M~J~T,~NOT,,BE AkTERED JN ANY MANNER. .LD INSPECTION REPORT DATE COI,~IE~I'S ~ATION (2~) II JGH F~ & {I ........ 11/~ STATE ENERGY CODE FINAL ! ADDITIONAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSU~_~.ATION [ ~INAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [~NSULATION [, ] FRAMING [' ] FINAL []FIREPLACE&CHIMNEY INSPECTOR INSTALLATION INSTRUCTIONS Gtl4PII . OWNER'S MANUAL Comfort Systorns WARNING: If the information in this manual is not followed exactly, a fire or explosion may result causing property damage, personal injury or loss of life. Do ,not store or use gasoline or other flammable vapors and liquids in the vicinity of this or any other appliance. WHAT TO DO IF YOU SMELL GAS · Do not try to light any appliance. · Do not touch any electrical switch; do not use any phone in your building. · Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. · If you cannot reach your gas supplier, call the fire department. Installation and service must be performed by a qualified installer, service agency or the gas supplier. DIRECT VENT WALL gL RN~-G DV-25-2SG SEPTEMBER 1995 WARNING: If not installed, operated and maintained in accordance with the manufacturer's instructions, this product could expose you to substances in fuel or from fuel combustion which can cause death or serious illness. R-2070 Page 1 l}strodoct{on Always consult your local Building Department regarding regulations, codes or ordinances which apply to the installation of a direct vent wall furnace. Instructions to Installer 1. Installer must leave instruction manual with owner after installation. 2. Installer must have owner fill out and mail warranty card supplied with furnace. 3. Installer should show owner how to start and operate furnace and thermostat. ~ Warning: Any change to this furnace or its control can be dangerous. This is a heating appliance and any panel, door or guard removed for servicing an appliance must be replaced prior to operating the appliance, General Information This series is design certified in accordance with American National Standards Institute Z21.44 (latest standard) and the National Standard of Canada CAN1-2.19-MS1 by the American Gas Association and the Canadian Gas Association as a Gravity Direct Vent Wall Furnace to be installed on an outside wall according to these instructions. Any alteration of the original design, installed other than as shown in these instructions or use with a type of gas not shown on the rating plate is the responsibility of the person and company making the change. Important All correspondence should refer to complete Model No., Serial No. and type of gas. Notice: During initial firing of this unit, its paint will bake out and smoke will occur, To prevent triggering of smoke alarms, ventilate lhe'roX~m in iwhich the unit is ins~alle~l. Installation in Residential Garages Oas utilization equipment in residential garage~sha!l.be installed so all burners and burner i~~ that (457mm b et~~- Such equilffi'i[fit~l~tilF§b located,~or protected, so it is not subject to physical damage by a moving vehicle. Specificafiom Model [ DV-25 DV~35 Input BTU/HR (KW/H) 25,000 (7.3) . 35.000 (10.3) Height 27 3/4" (705mm) 27 3/4" (705mm) Width 37" (940mm) 37" (940mm)' Depth ~ 11 1/2" (292mm) 11 1/2" (292mm) Gas Inlet (Pipe) ", 1/2" (13mm) 1/2" (13mm) Accessories For Above Furnaces Blower Package DRB-I Vinyl Siding Vent Kit DV-822 Qualified Installing Agency Installation and replacement of gas piping, gas utilization equipment or accessories and repair and servicing of equipment shall be performed only by a qualified agency. The term "qualified agency" means any individual, firm, corporation or company which either in person or through a representative is engaged in and is responsible for (a) the installation or replacement of gas piping or (b) the connection, installation, repair or servicing of equipment, who is experienced in such work, familiar with all precautions required and has complied with all the requirements of the authority having jurisdiction.: ~;, ~ ',;;',, ~. ~ ~;' , The installation must conform to local codes. In the abseii6b of locat ~codes thelnstallatlon must conform wath American Natib~al gtal~dard (National Fuel Gas Code) known as NFPA 54 and ANSi,:Z223,1 (latest editton)* or the current CAN 1 ~B 149 IN STALLATION CODE. ! ': , ~ THIS IS A HEATING APPLIANCE i. ...... ~" .', ~ D,(~ NO~ OPERATE THIS APPLIANCE WITHOUT FRONT PANEL INSTALLED.' ~'-'-l}d'e t6 high temp~'hiures the appliance should be may be required due to excessive lint from carpeting, located out of traffic and away from furniture and draperies. · Children and adults should be alerted to the hazards of high surface temperatures and should stay away to avoid burns or clothing ignition. · Young children should be carefully supervised when they are in the same room as the appliance. · Clothing or other flammable material should not be placed on or near the appliance. · Any safety screen or guard removed for servicing an appliance must be replaced prior to operating the appliance. · Keep burner and control compartment clean. ~ · Vent cap hot while furnace is in operation. · Installation and repair should be done by a QUALI- FIED SERVICE PERSON. The appliance should be inspected before use and at least annually by a qualified service person. More frequent cleaning Page 2 bedding materials, etc. It is imperative that control compartments, burners and circulating air passage- ways of the appliance be kept clean. · DO NOT put anything around the furnace that will obstruct the flow of combustion and ventilation air. · DO keep the appliance area clear and free from combustible material, gasoline and other flammable vapors and liquids. · DO examine venting system periodically and replace damaggd parts. : · DO make a periodic visuaJ check of pilot and burner. Clean and replace damaged parts. · CAUTION: Pilot hole cover must be kept tightly closed during operation. · DO NOT use this heater if any part has been under water. Immediately call a qualified service techni- cian to inspect the heater and to replace any part of the control system and any gas control which has been under water. R-2070 -FOR~ NO. ~ TO~ OF souTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. I 197 I TEl.: 765-1802 Disapproved a/e ....................... BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... CALL .. MAIL TO: .................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. filled in by typewriter or in ink and sul~nitted to the Ikdlding Inspector wil 3 sets of plmm, accurate plot plan to scale. Fee according to scbedule. b. Plot plan showing location of lot and of buildings on premises, relationship to ~djoining pra~fises or pebllc streets or areas, and giving a detailed description of layont of property must be drawn on the dlagrsm ~aich is pert of this applicatiou. c. The ~rk covered by this applicatice may not be eauuenced before issuance of Suilding Permit. d. Upon approval of this applicatlon, the Building Inspector will issue a Building Pemit to the applicant. Such pemlt shall be l~pt tm the premises available for inspection throughout the x~ork. e. No building shall be eeeupied or used in whole or in pert for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATIfI~ IS I~f ~ to the Building Depertment for the ism~mce of a Building Permit pursuant to the Building Zone Ordlnanc~ of th~ To~n of So~thold, Suffolk County, New Yo~k, and other applicable Laws, Ordinances or P~gulatiees, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicamt agrees to c~ply with all applicable laws, ordinances, building code, housing code, and regulatlces, and to admit anthorized i .n~ectors on premises and in building~-'~//~/~~~.~.~'~jJ~°fi' s.' ............. ~>~- ..-: ................................. (Signature of applicant¥ .. Lig..0. (Ma~hng addFe~s of appii'eaht) State vahether applicant ia o~cer, lessee, agent~, architect, engineer, general contractor, elec~.~ci'.f~n, (as oa the tax roll or latest deed) ~ If applicsmt is a corporation, signature of daly authorized officer,: ~ ..... '~ . (Nam and title of corporate officer) ~ ~ ~ ~I~-~. ~ .- t ~;~ '/:· "~ Builders License No ...................... . . .. Plt~bers License Ro .................... . ... Electricim~s Licerme NO. ~ ~ ~ ~ ~ ~ Other Trade's License NO .............. 1. Location of lamd on which proposed ~rk will be dome .............................................................. ....... ! ......................... · .?.s...o ......... ......................................... House tx/~ber Street Banlet co ty T=mp NO. mOO S tlon ..../.9.5. ....... ..... ( .......... tot .. Sutxtivlslan.... ......................... . ..... . . . Filed Map No. ............... I~t ............... (~) 2. State existing uae and occupancy of premises and intended use and ee ~cupancy of proposed construction: a. Existing u~ ~ occupancy ........................................... b. Intended use and occupancy ............................................. .., ...... ' ..................... If garage, r~i~r of cars ........ ~ ............................. 7. Di~mnsi~s of ~isti~ strafes, liE any: ~t ................ ~ar ............... ~pth ................. l~C ......................... ~r of Stories ...................... ...... ~ar D~nsl~ of ~m st~e with ~lteraC~s or ~tlons: ~ont ........................... ~pth .................... ~t ~ ................. ~r of Stories ............... 1~ ~t ......................... . r of 8Cor~es ..................... 9. Si~ of lot: ~C .............. ~ ..... ~ar .................... ~pth .................... I I. ~ or u~ district in ~id~ pr~ t~s a~ s~C~ .......................................................... ~ PLOT DIAGRAH ~ ~B~D ~ON~R~E ~. W~ - FBAMINO · PLUMBIN~ 4, FINAL - CONS~UCTiON MUS~ REQUIREU :-.' ', BE COMPLETE ~R C,O, ' ~ ' ~ ~ ALL CONSTRUCTION SHALL MEE~ ~¥~T; CONSTRU~ION & ENERG~ ~',~ ~ .~ ~, ~ WITHOUT CERTIFICATE ~ ~ ~'~ ~ ....................... 0F OCCUPANCY ?~rn to I~l~ore m~ this . ~DA J. CO0~ (8~gnamre of Applicant) lng o OCCUP~tt~CY OR USE IS UNLAV~FUL WITHOUT CERT!FiCATE OF OCCUPANCY APPEOVED AS DEPARTMENT 4 PM FOR 7 STATE CONSTRUCTION & ENERG · "i-~?" DES. NOT RESPON ISLE FOR ,~ ,-~: ~IGN OFI ERRORS , Ltu. ill S'/