HomeMy WebLinkAbout32333-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32581
Date: 09/05/07
THIS CERTIFIES that the building AIR CONDITIONING SYSTEM
Location of Property: 3870
(HOUSE NO.)
County Tax Map No. 473889 Section 53
BAY SHORE RD
(STREET)
Block ~
GREENPORT
(HAMLET)
Lot 33
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 30, 2006 pursuant to which
Building Permit No. 32333-Z
dated
AUGUST 30, 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 A CENTRAL AIR CONDITIONING SYSTEM IN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GEORGE BETZIOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
04-4324
08/24/07
PLUMBERS CERTIFICATION DATIID
N/A
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~
Cp l{ 6?- IJ/'f'HY\ ~
~ e4fi YJ, tf' if> 70/
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tilled in by typewriter or ink and submitted to the Building Department with the following:
A. For ncw building or new use:
I. Final survey of prop cIty 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 2/1 0 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-cxisting" land uscs:
1. Accurate survey of propelty 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.
New ConstlUction:
C. Fees
1. Ccrtitleate 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 ofCertitlcate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Celtificate of Occupancy - Residential $15.00, COImnercial $15.00
Date. ~llo7
Old or Pre-existing Building: .../
~ S~(L~ ~frl'"
. Street
.
~2'T2. ( cJ-5
aSS
(check one)
Location of Property'
~ '6,/0
HOllse No.
(jfl.et::--(&1= r
Hamlet
Owner or Owners ofPropertyCo~'D!ZCRC
Suffolk County Tax Map No 1000, Section
Block 'COD <ro
Lot
o-3,~
Subdivision
Pennit N03233 3
Date of Permit.
Filed Map.
Applicant:
l.ot:
Health Dept. Approval:
Underwriters Approval: ______.
Plmming Board Approval:
Request for:
Temporary Certificate __
Final Certificate:
Fee Submitted: $
&--~.l')l)~~
('~ ~ ..Y5S" I
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.
32333 Z
Date AUGUST
30, 2006
permission is hereby granted to:
GEORGE BETZIOS
102 DUBOIS AVE
SEA CLIFF,NY 11579
for :
INSTALLATION OF AN AIR CONDITIONING SYSTEM AS APPLIED FOR PER
MANUFACTUER'S SPECIFICATIONS.REPLACES BP # 29379
at premises located at
3870 BAY SHORE RD
GREEN PORT
County Tax Map No. 473889 Section 053
Block 0006
Lot No. 033
pursuant to application dated AUGUST 30, 2006 and approved by the
Building Inspector to expire on FEBRUARY 30, 2008.
Fee $
150.00
/
,
Signa
ORIGINAL
Rev. 5/8/02
3J--333-c-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[~
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
co
,
DATE If >>;); l
INSPECTOR
FlELDINSl'ECTION REl'ORT DATE .COMMEN'I'S '- . . .
.- '"
.~ ~
FOUNDATION (1ST) ~~
'It
-- I
------------------------------------ ".'
")~
S -,~
FOUNDATION (2ND) O-"q~
..' ..~ Z
- . . ~ !:>
. C>
. ~'"
ROUGH FRAMING & ~rt ~
PLUMBING . l:?~
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..,
(\
oO
~
.."
. '. )~
INSULATIONPERN. Y.
STATE ENERGY CODE .'. ~ o-l
~
.
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.
I f . // /'~ ~11. ...uz. I -l.V~
t/ / 7 / ./// ./
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FINAL
,
.
. ~
. ADDmONAL COMMEN'1'S
j-
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.........
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OWNER
Coflwa'i f..vF
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TOWN OF SOUTHOLD PROPERTY RECORD CARD.
.I'M-a
STREET -3 /' /)
BA y Sh~l<.f r:~
N
VILLAGE
DIST.
SUB. I
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'-.../'
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E
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W
COMM. CB. MISe. Mkt. Value
SEAS. VL. FARM
IMP. TOTAL DATE
~l (' ,,)
cA ) !
'~, v
/( ,'~
d.:)'o D
rSd ~
~/
"bDO'
hlORM
Acre Value Per
Acre
;110
LAND
{j,
/]
. ,
,. (;:> V
cr..!
~. "
01\
u
r---d'&E
~.-
FARM
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
House Plot
.
Total __ "'-
REMARKS
.t::..C.- :tp 30lJD /
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
/- -..
I
Co.
f: u{
"6 GO
o
-... -
DOCK
-
. .
. i COLOR
.~.
, . .
. lIe-d ~
i /' .-./ 0- \
I i ~ 3 / V
, TRIM ! /
,
IW~,f" i , V
I -',
,3 , ,
,
It
.
,
b # >-
~ I-
-.------ - -. .-
.. Bldg. .:-!ix ~3 " 7tfY)v' Foundation ~/l, Bath ( 1-./ Dinette
I
.,' ~1.) V 9 Y'J' ' l:.u.l 01:4 ;/
(tension '-7 x X) ~ 75:fIV,:", r'l '. Basement Floors K,
'J / S-/\.u.J\ J
<tension Ext, Walls :...{'"'r"r.:j~t-\:"- Interior Finish lR,
'T./7.t ...~ (.J.-- " .v
I N;" { .
xtension Fire Place Heat .B (3 f./ W DR.
Type Roof G-~ bIt Rooms 1st Floor " BR.
orch ! Recreation RoolT Rooms 2nd Floor FIN. B.
~311- /(~Y:?D -"7,10 I z..S- gb Dormer
lreezeway Driveway
;arage :"/-.!").,- /9'1 J 1f/ tJb .s-9'1.
.. d, -
:>otio
), B, C,'ot\'('1Gt:, :;.,S
-otal ,)~ ~'2
~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
.
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SoutholdJ
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.E.C.
Trustees
Contact:
PERMIT NO. J q B-'1:c
'5
,20_
r: 20-J-
Mail to:
,204
Phone: l-c;/lc-t/71---1'-L'-I3
I] 'X\f11
APPLICATION FOR BUILDING PERMIT
Date ('r\J\, :)
.
,200.3
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 waterways.
c. The work covered by tins 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 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, tre Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 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.
(Signature of applicant or naroe, 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 G~ ~1.1t>5 Iii -:s~~ ~c.k\-~T2.10S
(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.
1. Location of land oIhwhich proposed 'Wrk will be done:
3 '8'1D ~JI-'\, .<;\....ol2.i 1(oM) c..iL~({.f
House Number Street Hamlet
County Tax Map No.1 000 Section OS; ~
Subdivision
Block Co
Filed Map No.
Lot 33
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ee 5. ~"'o:: a SI?U>,vb t~M.~
b. Intended use and occupancy
~I~~C~
a
SC;ZDN()
H.,~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
L .)0
4. Estimated Cost "JqOO. - Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor =---.g
If garage, number of cars
Addition
Other Work L~l..
Alteration
1M..
(Description)
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
tJ(il -
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Depth
Rear
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
~~/7i..'j
~ Pr-C-c.., t 13
10. Date of Purchase
I\~~q
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 bere-graded? YES~ NO ./ Will excess fill be removed from premises? YES~ NO~
C~t? ~~'.J IJ 102. ~~I~ J,J{
14. Names of Owner ofpremisesJe.W ~-Ie<~'<7'> Address SItfl("L.f-f #f H)1fPhone No~1t, ~)/-( 1./'13
Name of Architect Address Phone No
Name ofContracto~tT~ ~1A"6(~ AddresSlflf"''/~", ~. Phone No~( 7(,:} .J'1{:.7
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.e. 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.
STATE OF NEW YORK)
Q JL ,S,S:
COUNTYOF~
.,.... ~O-., S ~ \('" L~ being duly sworn, deposes and says that (s)he is the~~an)
(Name of individual signing contract) above named,
(S)He is the
(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.
BARBARAAKNI;6R
Notary Public, St8\, ~\I' York
No. 4855
Qualified In Sufi "
Com~~~ion ExPi,!! ,,\ ~.~OG.
Sworn t~ore me this
,___ ~~,2~
Notary Public
ta Split System Air Conditioners . ( c
_ CL'TyV"{~J2_ '\ G0~ =.9~ M-~u tf'-c......- '\u r{'..r s ,-,::> ,?-,,-c..-A.
Olympian'. Series High Ef~ AS NOTED
(HRA, HRC, HYC, HRO, HRE) DATE: s/l:Jh B.P.' 2.--'13 n C--
The low profile York@ Olympian'. Series is b It t .e same qu'. st
demanded of all York equipment, andlii.~' . ~'(;, . .ty,
quiet operation, and efficiency. MoJ1!R'I c u&UILDING DEPARTME AT
01 . "'lOA' C I" .SAM TO 4PM FOR THE
. ymplan Ir one !twne ING INSPJ;CIJQNS:
. Olympian'" 12 High EtTicienclj, ~'I'ItmS_\'fWd REQUIRED
. Olympian'" 12 Twin Single Air CFl!JRtiPOOR~T~NCRETE
. Olympian'" 13 High Efficienc~ARCllU<tioItflAMlNGl& PLUMBING
. Olympian''' 14 Super High Efta;id~llTQditioners (HRE)
As with all York condensing units, t~e ~~~nME models
are designed to be cuslom-malched ~egMe~r ~~'r. ~1'FlE'ir
handlers, gas or oil furnaces are avaufAE~ ~~m!W
applications. Eleclric healers and adWRll{oST~~I'NO'TaR~NSIBLE FOR
With efficiency ratings ranging frorrO&SlGltlOR> ~TIilUCiJ'ION>h6RR/ilRSed
to a compatible variable-speed air handler, the Olympian Series is the niche line
for homeowners in search of highly affordable home comfort, in terms of both
initial installed cost and long-term operation. Commercial Three-Phase models
(HRA) available in 3 10 7'h tons and (HRC) 3 to 5 tons.
Nominal Capacities
HRA 181090Mbh
HRC 18 to 60 Mbh
HTC 24 10 60 Mbh
HRD 18t060Mbh
HRE 24 to 60 Mbh
~
Efliciencv Ratings
HRA 10 SEER
HRC 12 SEER
HIC 12 SEER
HRD 13SEER
HRE 14 SEER, and up
to 15.3 SEER when
matched to a variable-
speed air handler.
..
""....."",,, ""'..o.v..,
Limited Warranties
(Compressor/Other Parts)
HRA 5 Years/5 Years (Single-Phase)
HRA 5 Years/1 Year (Three-Phase)
HRC 10 Years/S Years (Single-Phase)
HRC 5 Years/1 Year (Three-Phase)
HTC 10 Years/5 Years
HRD 10 Years/5 Years
HRE 10 Years/5 Years
o
Special Benelils
UNDERWRITERS CERTIFICATE
REQUIRED
. Coils are ('onstructed of copper tubing with protected aluminum fins for durability
and long lasting efficient operation.
. Compressor is internally protected against high pressure and temperature through
a high-pressure relief valve and temperature sensor.
. Cabinet is fabricated from pre-painted galvanized steel to resist rust and corrosion.
Special primer and desert tan lTIalted finish diminishes fading from sunlight exposure.
. Installation lime and costs are controlled by convenient power and control wiring
connections. Hard start kits available for non~scrolJ models.
. Top discharge allows warm air to be exhausted up and away from the structure and
surrounding landscaping to permit compact locatl:ms on multi-level applications
. Operating sounds are minimized through upward discharge air flow, a rigid top
panel [0 isolate mOlor sounds, cushioned compressor mounts, and
rippled condens~r coil fins.
. Permanently lubricated motor bearings need no annu<ll servicing.
. Fully exposed refrigerant connections and a single control panel cover make
installation easy.
. Secured, IT-usable service valves are standard equipment on both the liquid
and vapor swe8.t connections for ease of evacuating and recharging.
. Plastic mesh coil ProtlYCCfJ1fft~Cey ORJard and condensing coil.
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
For tile most up-['}-l1atl~ lrIilJrrndtlO,l gd'fo w\Vw,yorku~'gcom
5