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Home My WebLink About32405-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31895 Date: 10/05/06 THIS CERTIFIES that the building HEATING SYSTEM Location of Property: 430 ORCHARD (HOUSE NO.) County Tax Map No. 473889 Section 25 ST (STREET) Block 4 ORIENT (HAMLET) Lot 6 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 2006 pursuant to which Building Permit No. 32405-Z dated OCTOBER 5, 2006 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 HEATING SYSTEM IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JANET HARTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Signature Rev. 1/81 10/l../L --;~ ~'i\"'. "!-. .\\, (;0 ~~__-' _ -." "'"'. r, ',Ie, .,': , ,.' \ \ -' '() ..'. . ., \ ~\. '< ~-- t)(\~lQ ~...' " . ': 11) ~,)J APPLICATION FOR CERTIFICATE OF OC ': '~AN~I(, ..\ \.:.\-J.. " ') This application must be filled in by typewriter or ink and submitted to the Buildin D~e ;. S'J';~~~~;IOWing: . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: I . 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 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 Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: {~ 0 House No. v"'" Old or Pre-existing Building: Owner or Owners of Property: o 1l-t-l1\~ Street ~ It1V a- t-\- ~12-T~fI.- '-r Suffolk County Tax Map No 1000, Section I (l On _ '1-1' Subdivision Block Filed Map. Applicant: Permit No. 3:ll.f 0 5 -e. /0 f if / Or, Date of Permit. Health Dept Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ as .0-0 q /2-';-!fJ" / / (check one) OLI f:tvT Hamlet -( Lot f.. Lot: ..-,..... DIfNBAtIL .,/ (check one) ~~ . . pphcant 19nature - c o-c '3/~95 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. 32405 Z Date OCTOBER 5, 2006 permission is hereby granted to: JANET HARTER 9423 FARMINGDALE AVE WALKERSVILLE MD, 21793 for : INSTALLATION OF NEW GAS BOILER IN AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. "AS BUILT" at premises located at 430 ORCHARD ST ORIENT County Tax Map No. 473889 Section 025 Block 0004 Lot No. 006 pursuant to application dated OCTOBER 4, 2006 and approved by the Building Inspector to expire on APRIL Fee $ 300.00 ORIGINAL Rev. 5/8/02 . -~...... - TOWN OF SOUTHOLDPROPERTY RECORD CARD 'odo - OWNER -iJ(j '/-{}o{ STREET 30 f-c/.H <I Jf; -L ~-I, VILLAGE DIST. : SUB. LOT C/fkr WNER ~Q J--. ml~ <...X. (n I Ja I~ It? lVi, E 06 <I ACRh TYPE OF BUILDING W ~ESJ 1 D SEAS. VL. FARM COMM, CB, LAND IMP, TOTAL DATE REMARKS II, 000 C/O ~uO() ~ ot7C 3:,-oD b .tJ () 3';--06,1 AGE NEW FARM BUILDING CONDITION NORMAL BELOW ABOVE Acre Value Per Acre Value Tillable I Tillable 2 r; liable 3 Naadland ;wampland FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD ()y~W fi"" r ntJ'ioJ.Je Jy de~ i 11j/2./J.J) 90 @. ?Q--O ~'ad 3rushland ;ouse Plot - ...... rotal DOCK i -I 'i\ l' 'I. " lY~f! I - , r;~~t/ COLOR '. Ii / / , " ,I, " 'I' , '7 1/" , WI-II r 1:;' ,.' - /, '- .. " . TRIM 12- I> }' :1 . , " ' 1 . ~~~ ..... WH/-rE i~ 0 l.- , i z. f .. , -> ------_._._-_.......-..._.~~- "...._..'-,..-,.,=,.....,~~, '-.,>-. ,...."0,--_.-".... M, Bldg, JOV';?O .. 9':>0 Foundation c:,g . Bath I ~ Dinette ..... . - - Extension 4..X/;;1. 5.,/ .I I s-f ,v Basement r:'JLt- Floors 01"1>( K. - - Extension 9;<'-/ ,3,.-S- () .1:< 3 'i Ext, Walls 1'1':>8 Interior Finish /AJ Al-L RP LR. Extension Fire Place I\f 0 . Heat je; S DR. Type Roof Rooms 1st Floor , BR, Porch Recreation RoolY ~ REPrR Rooms 2nd Floo FIN. B. Porch Dormer Breezeway Driveway Garage /~)(Z.2- ~ .spS 1.0 D ~o If Patio O. B. Total S $',</':" .J ..y ~".>.-.'! -.' ~ ,':1>." "':.,"11; TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. 31 tf <5 S -2:. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved 10 I 'f 101..5 ,20~ ,20~ Mail to: Expiration ~ /s / , 2011.1- r. . .---......, ! 1'0'1 r:: 0' R n fi' f\ '1~1. : i r: ,.:,;:1 Li'-. . ~ i Ii 1.:----' ~.; ! r , Disapproved alc Phone: .7 ')!iL S? :;l t.f r r . ! , . orT 1;"1 4....... ,-':' . , I ! APPLICATION FOR BUILDING PERMIT I ! L~.l'''' '--:'d_!J Date INSTRUCTIONS ,20_ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas~and waterways. 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 issue a Building Permit to the applicant. Such a permit shail 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 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 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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. licant or name, if a corporation) ?8 Pi <;, CfL-fl (l '/4 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder A-c,B\tr Name of owner ofprernises J A to( ~ M; <\~I1Ci2. (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 License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: -4 70 " 12.-.c#- << e:$ <;1'. House Number Street 6 iZ r'C: r<I Hamlet County Tax Map No. 1000 Section Subdivision Ie:- Block L( Filed Map No. Lot 0 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy tLf:s., 0 €: IJ C-F" b. Intended use and occupancy S"'M~- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work IVt'W Alteration R"fK1\N<i SYS' + H \IV ~~ (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES _ NO_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 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO V * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MA Y.~QUIRED. ~ b. Is this property within 300 feet of a tidal wetland? * YES_NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. COUNTY 0 !'1f11J'y being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the () "" {/ Kl:Lt: ~' (~ontractor, 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. Sw9l"l t~ore me t ----=t2-!---L day 0 20flb Julie M McGivney Notary Public State of New York No.01MC4996193 Qualified In Queens County Commission Expires May 11 20ft) 08/16/2006 09:11 FAX 301 620 5487 State Farm ACC ~002 'roposal ./.!.;. RESCOMM PLUMBING & HEAnNa 5925 SounclAwinut RIVERHEAD, NEW YORK 11901 1-800 447-1021 (I.!!lr.a~ F~ (118) 72112It c.. '31 - "727..-7.2.00 '.....-No. ,..... of PIg w........,_ I - 1 ..1lId_ror. ---~-/~7"-~-clE'--~ . 'r~< y p~c- ~~c7t'~.___ -~_.,1e'A'A..,_ s:yrk~_~& __~ ~~____ ---f...d:::1. V~..r~ A1/_ik V"- _ ~--'-_~_ ./ tz. e..., '._______. --- ~~C-.h~ --&;...Jok-(_ ~/~. ___________ ----..----------..---.---- ----!_- ~-~~...r.: C'~ ~""..~ cy,,- ~(., _LfE_,,A'........ ____________ ---..!.-C~-91~-- ~ i:. ~4 --,'k-;Pl4- ~--A.~~~___ ---..!--!l!t!.LJl.a:.td..L~~C 7"""L_ /.;., _~C ~~________ ------_::~- ~~_. .----'--~5-WL~-eeu _ A/'rUL~t:)d~ v C 9 - ~ 0 '--------~~f2ke.L_ o~ /a-y_y~-<._ ______ " __________ ..-zL.. --z: -,; . . "0....", ---~~_--LY-ee.. J "'7"-"_ 9#-""LB.#c!.L.-_-~,_SL2:?~L~______ --------s1P.A,. -~L_ ,;~ .-d'... __~~_____________ ' ~~ " --.._--._~--...__. -.-.--.-----.- ----~._~---_..._._._---_._--~_...._.._---- - ---..........--- · 'rope. h~ to lurnish materlaJ and labor - complete In 8CCOtdance wlIh aIIove 8P8Cl1lcatione. lor Ill. sum of: '7hIY~ ~r AV;f;/J')~~ aI//dT--('-"($_~ Sl'C70 0 ~_ .... -- " -e ./~-:> 'h- ~c!!" htP~ . AlIIIIIIrIdII II ........ ID .. . ....... AI WDIk II) be ....... " . -......IoIlMclMf......... Anr..........ar................ _ _ ................. .. --.. ........ ...... MIl........ ___ ....---..- ...-.-..-- -- ..-.........._ Ooooor"""'''' _____ Oor_"""_by_Q,.,. _ =::=:' -= "wi_I by.... - Atttplantf of '"p.I.l- The_....... ___ 11,,_ IIld COO_Q .. '-"""'" and ... ........ _ lbu ... __ 11> do ... - .. .......... """""'" wi be _ as ...- __ DoI801~ SIgnou" >< , -- BURNHAMSERIE52 GAS-FIRED HOT WATER BOILER Quality Home Heating You Can Count On If you're investigating a heating system for your new home, or if you're replacing an old, ineffi- cient, or worn-out boiler, a Burnham" Series 2 gas-fired hot water boiler is the home heating investment that's right for you. Series 2, this model features an Intermittent Ignition system and stainless steel flue baffles for even greater heat transfer and efficiency. Make a Smart Investment There are few investments you'll ever make that are more Important than your heating system. With the guidance of a qualified heating contractor, you can easily customize your heating system and choose options that add comfort and value to your home. Burnham's Series 2 makes heating your home with gas a practical investment today and one you'll appreciate over the years. Burnham's Series 2 boiler offers you all the benefits of hot water heat together with the advantages of quality cast iron construction and advanced engineering. When you specify Burnham, you get home heating that is comfortable, economical, and reliable - all from a boiler that's safe, quiet, and fleld proven in thousands of installations. High Efficiency Model Available The high efficiency version of the Series 2 boiler provides annual fuel utilization efficien- cies of 84% and is available in four sizes from 62-164 MBH input. In addition to all the standard features Included in the Start Saving Now! Many old boilers operate at around 60% efficiency. This means that 40% of your fuel dollars are wasted. A Series 2 boiler, with an annual fuel utilization efficiency (AFUE) of up to 84%, can reduce your heating bills by as much as 28%. Your Series 2 boiler virtually pays for itself In a few short years by saving money spent on fuel the old system is wasting. Use the following formula (illustrated top right) to compare the Series 2 boiler to the 60% efficiency of a typical 20-year-old boiler. In the example shown. the homeowner could realize a $429 savings the flrst year alone. Check with your contractor to calculate your savings potential. 2 How to Determine Your Savings Fonnula: Your Current Boiler's Efficiency Rating 64 Your Current X Annual = Fuel BIIt Your Estimated New Fuel Bill Example: Your present boiler's efficiency is rated at 60% and your annual fuel bill is $1500. 60 64 X $1500 = $1071 = $429 Savings Abundant Hot Water Today's homeowners need more hot water than ever before, for showers, dishwashers, wash- ing machines. hot tubs, etc. By combining the Series 2 boiler with Burnham's Alliance TM indirect - fired water heater, you'll have sufficient hot water to meet all your needs. The Alliance water heater utilizes the high heating capability of your boiler to provide year-round hot water at a very low operating cost. Built to Last Made in the USA - Every Burnham" boiler is made in the U.S.A. All Burnham boiler castings are produced "in- house" to ensure quality and availability. Burnham is the only boiler manufacturer that can make such a claim. Operating Features o Rugged cast iron sections Hundreds of heat extracting pins extract the maximum amount of heat, reducing fuel consump- tion and saving you money. o Steel couplings called Nipples Steel nipples increase the longevity of the boiler. They resist petroleum based chemicals, including antifreeze, which can deteriorate the cheaper rubber type gaskets substituted for metal push nipples in some competitors' boilers. o Vertical flueways Natural draft created by your chimney provides unsur- passed reliability of operation. o Fuel saving vent damper This automatically closes the flue to prevent heat from escaping up the chimney after the burner shuts off and reopens it again before the burner comes on. o Fuel saving intermittent ignition system Intermittent ignition is avail- able on all sizes of the Series 2 boiler firing natural gas or LP gas. Coupled with a redundant gas valve, the system safely shuts down on loss of pilot flame in less than one second. o Honeywell controls Honeywell controls are the highest quality brand name controls assuring reliability and availability. . Stainless steel burners Stainless steel, unlike alumi- nized steel, ensures long life with no rusting. . Step-opening gas valve This type of gas valve enables the boiler to start on low fire and continue on to high fire safely and smoothly providing quiet ignition and long life. The valve is concealed Inside the boiler jacket, hidden from children and safe from accidental bumps and tampering. o Fiame roll-out switch A FRS is a thermally activated switch, located near the burner, that senses temperature in the vestibule. For example, if the flue-ways within the boiler become blocked or restricted, the flame roll-out switch will auto- matically shut off gas flow to prevent combustion byproducts from spilling into your home and to prevent damage to your boiler. o Blocked vent switch This switch safely shuts down the boiler in the event the chim- ney or vent system becomes blocked, by sensing excessive heat exiting the drafthood. o Concealed Controls All controls are hidden under the boiler jacket to prevent damage and tampering. o Combustible floor certifled The Series 2 boiler can be installed on any floor surface in your home without worry. (Do not install on carpeting.) 3 M f .A. V..lat. 4amtKlr .. I. l>Rl~ C, ~ ......Uwltldil D, ~~faclliet E. 1Mt~_~ fl. ~t~p.up G. J)IUIl.. '. . ..om.tot long Uk u, PiJtll~ 1l~7""1IW11I~ tbumXi_ltoal~ I. ~. ............... ... gas. . valve (Slll~...~) j. fla:IuJOll.;.OUi$'Wlitd1. 11, _.....~ L. Pnl.,........~~_ M. Sdl'lubrte8.tiDsm~ lIIt'm ~1:Iti 4 . Honeywell SmartValveTM This new electronic ignition system provides its own ignition source to light the pilot only when there is a need for heat. This eliminates extra wiring and a separate ignition control system. One Source for Total Comfort Since 1873, Burnham has been dedicated to leading the hydronics healing industry through product development and engineering expertise. With over 125 years of proven dependabil- ity. and the broadest product line. Burnham is the one company you can rely on for your complete home healing comfort. Why settle for just a high efficiency Burnham boiler, when you can have a complete Burnham system? Improve upon your new boiler's efficiency with Burnham's complete line of system components including: the Alliance family of indirect water heaters, radiant heat pipe and accessories from Burnham Radiant Healing Company, low profile baseboard, modern radia- tors, and electronic controls. Burnham offers all the compo- nents for a complete home comfort system along with the industry's most comprehensive technical support team. Now is the lime to make Burnham the one source for your total hydronic healing system. . SPECIFICATIONS ~'5EiQ.c.Ut~ iW\i:~(!Ottt SERIES 2 RATINGS Natural Gas or LP Gas ~ @ ..IG~.I 37.5 31 27 80.0 82.3 222 4 x 15 50 42 37 BO.2 83.2 272 4 x 15 62 52 45 80.0 82.6 272 4 x 15 96 80 70 80.1 82.3 316 5 x 15 130 108 94 80.2 82.0 364 6 x 15 164 136 118 80.3 81.7 424 6 x 15 198 163 142 8004 81.4 468 7 x 15 232 191 166 8004 81.2 524 7 x 15 266 218 190 BO.5 80.9 560 8 x 15 299 244 212 80.7 80.6 618 8 x 15 62 52 45 N/A 84.0 274 4 x ]5 96 80 70 N/A 84.0 319 5 x 15 130 108 94 N/A 84.0 368 6 x 15 164 136 118 N/A 84.0 429 G x 15 . When ordering. add suffix 'N' to indicate natural gas. Substitute 'P' when ordering propane. Add 'C' to indicate 24 volt standing pilot. Add'S' to indicate Smartvalve electronic ignition. Smartvalve Is standard on 2H. See Burnham Trade Price Sheet for full model number explanation. Water Only - 30 PSI working pressure 1. DOE heating capacity and AFUE arc based on U.S. Government standard tests. 2. Inputs shown are for installations at sea level and elevations up to 2,000 ft. For elevations above 2,000 ft., ratings should be reduced at the rate of four percent (4%) for each 1,000 ft. above sea level. 3. Net I=B=R ratings shown are based on normal I=R=R pJping and pick up allowance of 1.15. Consult Burnham fOf insrallations having unusual piping and pick up requirements such as Intermittent system of operation, extensive piping systems, etc. ~Burnhani AMERICA '8 BOILER COMPANY Burnham Corporation 6 Form No. PL81401171000-6/02-60Mc Printed in the U.S.A. @ 2002 Burnham Corporation - Lancaster, PA Phone: 717-397-4701 www.burnham.com