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HomeMy WebLinkAbout26751-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28556 Date: 06/27/02 THIS CERTIFIES that the building ADDITION Location of Property: 1475 OAKLAWN AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 3 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 20, 2000 pursuant to which Building Permit No. 26751-Z dated SEPTEMBER 5, 2000 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 GAS FURNACE INSTALLATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GREGORY M SANDOR & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A hor' ed S'gnature 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. 26751 Z Date SEPTEMBER 5, 2000 Permission is hereby granted to: GREGORY M SANDOR 1475 OAKLAWN AVE SOUTHOLD,NY 11971 for INSTALLATION OF A GAS FURNACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 1475 OAKLAWN AVE SOUTHOLD County Tax Map No. 473889 Section 070 Block 0003 Lot No. 004 pursuant to application dated JULY 20, 2000 and approved by the Building Inspector. Fee $ 75.00 Authorize Signature ORIGINAL Rev. 2/19/98 Form No.6 '. TOWN OF SOUTHOLD EUPArC'��­ This .nBUILDING DEPARTMENT "' - - oTOWN HALL ;�765-1802APPLICATION FOR CERTIFICATE OF OC -_application must be filled in by typewriter or ink and submitted to the Building Department with t e ng: 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 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: 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$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- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Dat/e. New Construction: Old or Pre-existing Building: V (check one) Location of Property: �� ) �fC[0A� Ay-e -('{{t�D /�y (Q� t House No. Street Hamlet Owner or Owners of Property: /&M_0j,vW1 Suffolk County Tax Map No 1000, Section -73I 01 Block (5003 Lot Subdivision Filed Map. Lot: Permit No. (Q ( Date of Permit. —I 00 Applicant: �y Health Dept. Approval: Underwriters Approval: r Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:,$ pplicant Signature BUILDING PERMIT REVIEW C LIST Applicant/ A �� Date Owners Name: -l-�-a Reviewed: `�//ie• Architect/ Date Engineer: Submitted: SCTM #: District: 1,000 Section: Block: Lot Project � ^ Subdivision Location: �� �� /�l l� J� Name: Single&separate Required certtfication: Yes o) 1-- Zoning District: ~— [Lot size: Actual: 1 (Lot coverage Y^'Proposed:- ] Req Req. Req. \> (\ [Front Yard Proposed: ] [Side Yard Proposed: 1 [Rear Yard Proposed: Project Description: A0 . i�`� , LeE AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. ✓ Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? ' Flood Zone: Notes: y << /5 7 , 24,OFA /-J� stc...r irsfG- suauiNa oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1 FRAMING [ �INAL [ ] FIREPLACE & CHIMNEY REMARKS: U DATE OS �`� o Z- INSPECTOR_2'� G� BUILDING DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1 FRAMING INAL [ ] FIREPLACE & CNIMNEY REMARKS: DATE S � � INSPECTOR t i IELD INSPECTION REPORT DATE COMMENTS �v 11 --II ok )UNDAT ION ( I ST) ji II II II ----------- -------------------------- JUNDATION OND) -II li cNa ----_____------u-------=1 ====___________________________________________________ � II — - II II -----if— OUGA FRAME & if -- PLUMII3ING u II if n n u II IIS � NSULATION PER N. Y. u-- if STATE ENERGY CODE II ii u-moi I II I FINAL u N ADDITIONAL COMMENTS: ra H H z z a -- __ - — b y BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . .�. . . . . . . . . . . . . . BUILDING DEPARTMENT ( C . . . . . .ZS.�. . . . . . . . . . . . . . TOWN HALL EPTIC FORT! SOUTHOLD, N.Y. 11971 DEC - -- --- - - - TEL: 765-1802 TRUSTEES . . . . . . . . ... ........ . . . NOTIFY: CALL Examined..... ........, %(!�U _ MAIL•TO: . . . . . . . . . . . . . . Apprwed.....g/�........, ?.EfOv Permit No. .� -- . ................................... Disapproveda/c .................................. ................................... ................................................. ... .. .... ........... (Building Inspector) n q O 2000 APPLICATION FOR BUILDING PERMIT wL [ Date.©.-7... . . . ... . . . . 2G.� L'J i' INSTRUCTIONS is application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoving 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be connenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector krill issue 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. APFLICATICN IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Newyork, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remval 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 bu�i^lding for necessary inspections. ....................................... (Signature of applicant, or name, if a corporation) ....P_ i3 ?....S�t�)J..W.6. !n .N:'�.11 (Mailing address of applicant) -bad --03 7-pp State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...........................i'A1.itY.1b?!:................................-............................................... 4P 1 Name of owner of premises ....... �'.r.?�.Gt !��..::1-: -4)tJ( .............................................. (as on the tax roll or latest deed) If app 'cant is a corporat'on, signature of duly authorized officer. (Name and title of corporate -fficer) Builders License No. ............ -, Plumbers License No. .....a )S S. !, ...- Electricians License No- ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. tck ..... ...�y7. ..............�?c�k�.c� ... -...U......................... .......!:�........................... House Number Street Hamlet County Tax Map No. 1000 Section ....7-(. ........ Block .... ........ Lot ..... ......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... .................................................................. b. Intended use and occupancy .......-.Mow...—I*n Y: . ................................................. I Nature of work (check which applicable): New Building .......... Additlion " ......... Alteration Repair ............ Removal ........... Demolition ............ Other Work Q�IP!;�:p?�Vej5�'� V (Description) 4. Estimated cost f ::�.I`�........ fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ NuTber of dwelling units on each floor ................ Ifgarage, number of cars .............................I.3; .-, 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.......... ...... 7. Dimensions of existing structures, if any: Front................ Rear ........ Depth ..... height ......................... Number of Stories ... Dimensions of same structure with alterations or additi0n9---dont ............... 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: YES NO 14. Names of Owner of premises ........................... Address ............................... Phone No. .......... Name of Architect .................................... Address .......... . ..... Phone No. .......... Name of Contractor .................................... Address ................ ....Phone No. .......... 15. Is this property within 300 feet of a tidal wetland? * YES ...... *IF YES, SOUM D M4N 1131SI1rE.S P10IIT MAY BC- WgtnRm. PIAT 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. a Sfn.lr of N;l YORK, • - •• ••�•••••• 5 1 Q..VQJ10r...being duly sworn, deposes and says that he is the applicant (Name of inclividual signing contract) above named, Ileis the .........24-.q.m.!�4 r................................. _ _ (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 tobeforeme this ....�..Z..........day of .. �'.`'.�'� .......20.,00„ U Notary Public .. . , .. UNDA J.c00pi� 4� A�i .......6............ Notary Public,State of New York (Si gnaicant) No.Q22663,Suffolk County Term Expires December 31, m Jul- 19-00 08: 59A EgUIPMENT DISTRIBUTORS 516 435 3208 P.02 ., tN1D�lIrMINNVI Ft+�flFiCATE � Al swcc �ra m -+-+ oir condirlonlny d heroru+r -- APPLIANCES W AS INQUIRED BY PAK �Mull i- osition N M N` me Induced Draft 7-IM0AMV4RAM �riTE FOUo W001 8: 11- x" - '"10 E Gas Furnace 2. 111111111Mww a ILUU�ASIN GMP Series 4. FINAL - CONSTRUCTION MU • ALL CONSTRUCTION SHALL ME I o EriTRO THE RECZWREMENTS OF THE No STATE CONSTRUCTION & ENERG • �• Er�KtErac� CODES. NOT RESPONSIBLE. FO ATEA KPARATtON TO nmr��Y.+v°w.fMYn e«tc�•w., nrY. AA,r'J�j DE" OR CONSTRUCTION Rho l'Alt717+3 M(1)Of 7MfM4Yf CERTriaED Ift VAn rJUIPA cm ama Im O's Description;Application Standard EquipnWrift . Ail modeis design certified by ETL and ETLr • Enwuy saving PSC. multi speed direct drive testing labwalor itis to be in compliance with blowei rectors. Unitrd States and Carradian Salcty Swodards, • Ouiet oporating• sound isnlatoa blower ms--embly. ♦ Cor•-tpictely assemhlcd,tactors testcc furnace,for • 40va transtorrT7er for heating ana air conditioninU heating or c:ornbination hooting 1 cooling, application. centro!service. • For utility rc7,m, c!osel, a,cavc, bast�rne:r, or attic; • Cori it:irtation rElurrrl(ant etas valve And rec)uimor ,ripplicatior. ♦ Integrated furr,Rt:.,:�:cntrol with diagno0cs • All models c-in oe cantnton vented w h watar • 9iower door sztc'y ,witch. heater using D., vent • Erie-lily saving hot sur{ace ign!tion system. • Capable of m.ritipir. pastlur: {nsl allatiot, upflow, • Alternsaw bottom, %,f nr ri.ht side return:air downflow or hunzontal (ieti sric and rirght,&de connecisqu r vision. application), •. Quiat opmm Nator. • Tris prccuct rrust not be horizontally vented without. • E.. At E the use of optional equipment SV8.80, Sidewall • ��Irt66tN1lI oes. venting Blower. • IRP -RINQ a pressure switch for proof of air. Construction If i W9W LoNox Standards. • Heavy gouge. re nlcxced,wrap-around insulated, for water diatri titinn steel cabinet wi'r,durabie hawed enamel finish. 2�10"11 , Q1 • Aluminized steel heat oxetiarger cells Inaturing otv � 'P�M^ ) "weld free"rnanutacturing p'ocess, se for downftow configuration • Aluminized steel in-shot burners. • Right hand or iefj hand connection fur gas UHD� f :U VIPWor {SVS-60)for horizontal and electric service. ve ` CCU e PLUMBER CERTIFICATION U49ULAVVFU 1GoodmeJl� t�+4& BEFORE MP Series 4/98'""5s " 150 /tt.�ys t '�CUPANC7 WITHUNT CERTIFICATEs0Lw���m USED IN WATER OF SUPPLY SYSTEM CANNOT 0"CUPANG"Y" EXCEED 2110 Of 1% LEAD. Jul - 19- 00 Ota: 59A EQUIPMENT DISTRIBUTORS 516 435 3208 P.03 PERFORMANCE RATINGS NAT GAS ��... II No L^.p4;t'» Heating CapaCity ' DUE" Temp-Rise ' ' For altitudes above 'OOa feet t3TUH _ -3TUH AF I RanZ reduce iltipul rating 4°o for each MP05�i_3 45Zrh0 ice,-—��� 1,000 tept above sea level -1----J_ ---r— .. OMP075.3..—+ 15000 _ _r. t?O OOV .. - 80.0 35-65 GMp073 a T3 Duo 50, 00 80.0 25-5w .. DOE AFUE is based :rt�on pttP1 t n0,000 aTI O–W ��0.- 45'7j fs(tlateciCombustion SYsterI 35-65 fM 100 5. —5-. 0,0+50 130,000 80.0 . 1 35-5Zi S ..r ---- :� 000 _f—80 0 45.79 P12_ 4 ��— »L P 2(;m/Gell NORMAL INPUT �r + 80.0 45.75 Pt25-5 t�,.�00 t00,000__..� - IGMF,15G^5_ laC,�UO _ t12.00G----i--8010 5F'b I F FORE ?URCHASING THIS APPLIANCE, READ IMPORTANT ENE;4G`Y G'OST.ANO; E�FF!C1EtRCY 114FO MA"10N A` AiLABLE FWCM YOUR RETAILER, --•-- SPECIFICATION LATA Elects,:a;Charac1pr;Stics 1 15'lih0 Uas Ser,i:_c Cvnnectinn vz' FPT _ . Vent Filter : Elcr:;rrat :il1,r• �Modcl �.!utOr din Widttl Diel. —I Size ;n f.._..FLlI Ms• —I b'J! _.__ ,r )4 t _ i 050.3 15-:, J 5 0 6 4 14 X _ —�__ r07c'3 10.E 1 10 6 `� 5.2 1 . _ - tC, - 8 b - 16 X ;r 7 Fi 1 l 1p' 07..-4— ?,. 3 _ ----- q 1Q.f-.h i 3 a 1 n' a 1�7 x �•. �J .—._.. _�- .. _.. f) a ,, 10 j . a lu 10 1,.__� '0 x4 125- r. 1:4 ; 1�r q 1 `l Q X 25 t 2 •• F-:ItCffI dirt teSl:l"1; !O.1 boltOr11<.Appiicatiorl. Ail Mr 6s rc QU_Lrlr._lit' k i?5 f!!?rrt.,j k�l s;5-.; Ulf If t);t•.illr•'.>+:: i'i trlltilr'Qtl- t+,5- t{1de:s IecommendNu Goth sides of b(dtnn•i Iniat(s) MUST t)e osed for a,:plirrr,nns :;tip W' r..t n . r,FA"15G E 5-r q,-a c, b"diarr'etr?r vr^nt In c3�wntl0w rnntlquration DIMENSIONS 77 ::_---- . , i . . Ili .. ._ •� — oL1wNP Ow MQDFL A G C Gr)M6411:TISLF Clearance-s'c'I GAxtib�isl*w MatknatIgPI inoaa!,i _ FtOORISi,.,FKIT 14.0 11.5 lit1 $8M*4 , Sidrta+fie+r rL', ;F;OrI? ✓antes-' j 075.4 K IOU'1 R-4: 17.5 i..Ci .. t;;5- �%Ml, — V Nrt hJrIZ, Sir, I3+ [4•t_f -, •• r —�� D' 3��. 6" I 150.5 24.5 23 0 . . '3(+ ZM24 _ -- - _ + tient cannoctor only 'AcCeSSib lity clearance rhali take proredence when greate: Specifications and Performance Data are Subject to Change Without Notice. Y