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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:?~ c .., (\ oO ~ .." . '. )~ INSULATIONPERN. Y. STATE ENERGY CODE .'. ~ o-l ~ . Yf~() 1J",,_ ~. . C~ f . I f . // /'~ ~11. ...uz. I -l.V~ t/ / 7 / ./// ./ i / FINAL , . . ~ . ADDmONAL COMMEN'1'S j- ~ - ~' , 0 :E ~' ffi c ::II ::, . , .. .- ~a ~ ~ <:,,""-::j , ~ ~ - . '" f t 6! t::l .. ~ _. .... -_. _. "::-, ......... IOC>(}- OWNER Coflwa'i f..vF /-;. . ;;/ TOWN OF SOUTHOLD PROPERTY RECORD CARD. .I'M-a STREET -3 /' /) BA y Sh~l<.f r:~ N VILLAGE DIST. SUB. I /" , :;:~. :' /'{j . .r '-.../' . \. /f '.j / /' E S 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&lttioItflAMlNGl& 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