Loading...
HomeMy WebLinkAbout30348-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31213 Date: 10/13/05 THIS CERTIFIES that the building FIREPLACE Location of PrOl~erty: 106 THOMPSON BLVD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Taxi,ap No. 473889 Section 35 Block 1 Lot 25 S~ivision Filed Map No. __ LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 2004 purser to which Buildin~ Per~tlt No. 30348-Z dated MAY 24~ 2004 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 INSTALLATION OF NEW GAS FIREPLACE IN UNIT #106 AS APPLIED FOR & AS PER CERTIFICATION OF FRANK W. UELLENDAHLf ~RCHITECT DATED 10/12/05. The certificate is issued to PECONIC LAIQDING AT SOUTHOLD (OWNER) of the aforesaid building. SuFFOLK COUNTYDEPARTMENTOFWRZ%LTHAPPROVAL N/A Elit-£~ICAL C~IiTIFICATE NO. 97465C PLUMBERS u~KTIFICATION DA'r~u N/A o4/o81o5 Rev. 1/81 Form No, 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN ItALL 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: Ao For new building or new use: 1. Final survey of proparty 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 Plarming Board Approval of completed site plan requirements. 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. I. 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 Occnpancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 0© -0/--0 .~"-' Old or Pre-existing Building: V~ (check one) New Construction: Location of Property: /~cD (.9 House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 3 ~ Block Hamlet Subdivision Permit No. 70.~ ~ ~-7-- Health Dept. Approval: Date of Permit. Filed Map. Lot: Applicant: ~'-~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ '~ ~ ~'~'-~ OO Final Certificate: (check one) icant Signature Issue Date 4/8/2005 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 97465C East Patchogue, New York 11772 (631) 286.6642 Issued To: Street: Village: Section: Mr. and Mrs. Sadat 106 Thompson Blvd Greenport Block: Zip: 11944 Town: Greenport Lot: Contractor: Elec-Tec Electrical Contracting Lic.# 4814-E Was examined and found to be in complianca with the National Electrical Code. ~'~ Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement [] HotTub [] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles Fixtures CFI Heaters 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps A/C Fans Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: Other Equipment Switch for Gas Fire Place President Rough Inspector: Final Inspection: 04/0712005 Inspector: Jot~n Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. 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. 30348 Z Date MAY 24, 2004 Permission is hereby granted to: LANDING AT PECONIC 1500 BRECKNOCK ROAD GREENPORT,NY 11971 for : INSTALLATION OF A GAS FIREPLACE AS APPLIED FOR at premises located at 106 THOMPSON BLVD GREENPORT County Tax Map No. 473889 Section 035 Block 0001 Lot No. 025 pursuant to application dated MAY 21, 2004 and approved by the Building Inspector to expire on NOVEMBER 24, 2005. Fee $ 150.00 ORIGINAL Rev. 5/8/02 Frank W. Uellendahl Architect PO Box -~16, Gmenport, NY 11944, tel: 631.477.86~4 faz: 631.477.~797 email:fuellend~l~online.net October 1~, ~05 Clients: Mr. and Mrs. Ed Sedat Peconic Landing 106 Thompson Bird GreenporL NY 11944 BUILDING PERMIT # 30S48-Z C,-.,-.,-.,-.,-.,-.~ Fireplace Installation in Cottage # 106 at Peconic Landing, Gmenport FINRL INSPECTION The o~uners of the above mentioned cottage u~ere issued a building permit to add a 36" Top Vented Direct Vent Gas Fireplace, Type HERT-N-GLO 6000-TR-OAK in their living room. The General Contractor Island Installation hired PICONE ENERGY SYSTEMS LLC from Holts~411e to perform the installation of the fireplace as u.~l as the vent system. PICONE installed DVP-series direct vent components and a vertical termination approved for the selected fireplace model. The pipe Is tested and listed as an approved component of the fireplace. I performed the final inspection of the above referenced fireplace installation. RII work uJas executed according to NYS codes and the manufacturer's spedflcations. I hereby state that the information provided above Is true to the best of my knowledge. Frank W. Uellend hl Architect PO Box 316, Greenpor'c, NY 11944, tel: 631.477.86~4 fa~c: 631.477.g;x?7 emaihfuellend(~optonline.net Client: Mr & Mrs Sadat Peconic Landing 106 Thompson Boulevard Greenport, NY 11944 BUILDING P~flMIT # Gas Fireplace Installation In Cottage #106 at Peconic Landing, Oreenport FlflEPI~ICE INSPC-CTION The owners of the above mentioned coUage are requesting permission ~o add a ~6" Top Vent Gas Fireplace. Type SL--750TV in their living room. I Inspected the framing today and ~ound that the work wos done according to code. The Framing as ~uell as the gas line access and the electrical access were e~ecumd in accordance u4th the manufacturer's specifications. I hereby state that the information provided above is true to the best of my knowledge. Copy: Building D~o~rtrnent ~ond Installc~tlon 6000TRI 36" TOP/REAR VENTED DIRECT VENT GAS FIREPLACE 50-7/8 I1293] 40-1/32 [1017] 17.1~ [~- 41 ~ [1040] 2-1/2 DIMENSIONS IN [] ARE MM SPECIFICATIONS 6000-TRI .~ Framk~ Actual Framlr~ .A~ ~ AC~ Framing C~ Inches 38 3~-1~2 41 42 28-/2 42 2-/2 22 3~ X 24 3/4 2~.30,C00 Ref~ dimensbns o~. We rec~mnm~ measur~g ~iv~uai mi~ at inCmil~o~. 07~03 I~.,AT-N-GLO · (952)9856000 · w,~v.heamglomom A-2 em~ w cee ~ e~:.' ee eot.. o~.-' ~:eo z z~" c ,-_=-o -' o ,~._~o _'; ,e';~ · '=. I '= m m ,- =. _--.= o .- -, ,.- .-_ -, = ;0'~ I= "~"' 0 ;M.- c O-..-- I~. 0:3s- 'c= i 0,~.:3> ,~ ~--- .,-I~= ~.,-- o-"",o ;' E= =o~ .~'-- m I M) ~ (~ 0 --Id "' · ~ M ,,,' --.-- j.._o I°=. om~m,~cH,oE.omo.o~._.~ - = o== · : ~,cn m o'B.'-,,- c ~- ,..._- -_c.., =-~o 0 ct :3(..0 N 0~0.~0 ~:{00 ~t~C: co= o"o';'- -"' "" ,~ = :3 .o =.~_._> >~-m .g~,. mN Eo · =>c JCl: I ,,, G: ~b,.,.sl:3 Z Z ,'~.., >,U.J ,4:.,.C,D (/)..."O .__. ~.o o I;.~''- la IlZ~"'--m 0'0 , . · ,, · .~lm'"~'O ='~E:..c' ---- J I I I.='~- ~' I ~.""' c: ~ o ::,. ~. ~, ,., m.,.,:= ,-~ec.c--,-.- H I = = =.-.. I o.__ ,. ._~ _" o e~ . mE E c =- -*'.Eco,-.-==~o II /.-- X O e" I ,O ~. v ~ m ~, ~U. ~ ~. · .-- :3 / c o~'- I c'o ,-, ' ;' ._u c m_.; ~ = E e'o ~) /= eec/o'o = m I~ ='5o_:.m .,~ m ~ '_-. ~"~:; ~o1:: o._~ mm ==o =~o.=- I'E~E"' / e~c>, 0 ""' ~ '"" -----,.= om a' m ,.';'-.=., O~ .~ ~ m ,,~'- s...~.~ ~ .o° ;) =.._ Il I'- o~e' / =~ = >'= " = ~ ~ *'~-= = ° .c .'" m ~' ~' " " '"~"'- '" ~ fl I~-'--~E I o.",. o *' o _ -_o =,- / ;-' "~."o I .,o o," _ .., <.. ~ m 'om ",, _ o ~ 4) _ -Eeo o..., /z~o~ I ..-.'~ ~ o o ,.,- ., ., -, ..=,,, /~=~o.~/ =OE~,~ o o o= cee ~'= mo.~- /U;;M~ Q.M/ E,C '-c3~ == =~.= __.~:;: ..o=,..._..oo,,,,,._..o.Ell I < m e 0 .m./ o m c: ~ ~°'~,.e-=~-o'a~ PERMIT # USE NO. STREET HAMLET ~ ~ ~ O~WNER . EXPIRATION HEALTH DEPT. ~o'5~/~; ~ lo~ 'i/,~.son &~v4 ~/ex,_,-,f:~,x~ !~c.~.r~,~- ~r,eu~ ~'l-t~t-o5- I i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I~LL SOUTItOLD, NY 11971 TEL:'(631) 765-1802 FAX: (631) 765-9502 www. northfork.neffSouthol~ PE~IT NO. 1 Ex mined ,20 '( Approved ~/~t ~ ,20 ~ Disapproved ~c Expiration t/ 4 ~t _, 20 ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval. Survey_ Check Septic Form N.Y.S.D.£.C. Trustees Contact: ~tor ~ Mail to: Phone: r APPLICATION FOR BUILDING PERMIT ,ii 2 120 ~ Date c)¢-,;G-Ot--f 20__ · . ;: J INSTRUCTIONS I a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sc~s 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 waterways. c. Thc work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall bc kept on the prcn~ses available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 1 $ months from such date. If no zoning amendments or other regulations affecting the propcrW have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for m~ addition six months. Thereafier, a new permit shall be required. APPLICATION IS HEREBY MADE to thc Building Department for thc issuance of a Building Permit pursuant to thc Building Zone Ordinance of thc 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 dcseribed. Thc applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit anthorizcd inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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 Licmse No. ?~ ~ _~ qO - Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be ~one: !o 6, 7ho .,qo o,,, ,/[lq,,Y House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block / Filed MaPNo. Lot Lot