HomeMy WebLinkAbout32428-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32827
Date: 01/09/08
THIS CERTIFIES that the building
HEATING SYSTEM
Location of Property: 2905 PRIVATE
(HOUSE NO.)
COUnty Tax Map NO. 473889 Section 22
RD #1
(STREET)
Block 3
EAST MARION
(HAMLET)
Lot 8.1
subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 16, 2006 pursuant to which
Building Permit NO. 32428-Z
dated
OCTOBER 16, 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 NEW GAS HEATING SYSTEM IN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EFSTRATIOS PAPAZAHARIOU
(OWNER)
of the aforesaid building.
SUFFOLK COOIlTY DEPAR'l1mHT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
/
ignature
Rev. 1/81
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q[7.- G~c2- ()d-21
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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:
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. ofwuter 3upply 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-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 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
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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
\ (ijp 3"'
Date.
House No.
J Old or Pre-existing Building:
'7--9 oS-
6
(check one)
N~ (b,l\.
ltJ-1
Hamlet
New Construction:
Location of Property:
~v:\ (LQ:L &
Street
~~~'2--A..h.a../\O J
62-- Z-- Block t1 ()o 3
Lot
() 6 ~. 00 (
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision Filed Map.
Permit No. 3~4],,-f? DateofPermit.~APPlicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Lot:
Request for:
Temporary Certificate
--V;. di)
Final Certificate: (check one)
7~;=.z~
Fee Submitted: $
~,1'?~90
CO c.3~;)..7
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.
32428 Z
Date OCTOBER
16, 2006
Permission is hereby granted to:
EFSTRATIOS PAPAZAHARIOU
25-17 35TH ST
LONG ISLAND CITY,NY 11103
for :
INSTALLATION OF A GAS HEATING SYSTEM AS APPLIED FOR. THIS PERMIT
REPLACES BP 29183.
at premises located at
2905 PRIVATE RD #1
EAST MARION
County Tax Map No. 473889 Section 022
Block 0003
Lot No. 008.001
pursuant to application dated OCTOBER
16, 2006 and approved by the
Building Inspector to expire on APRIL
16, 2008.
---------------..-----
Fee $
150.00
ORIGINAL
Rev. 5/8/02
j J- Cfir>-2:-
TOWN OF ~D B~N" DEPT. ~
.1802 /tw.f ~-4-lt''/~
INSPECTI"ON -
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] FOUNDATION 1 ST [] ROUGH PLBG.
] FOUNDATION 2ND [] I~TION
] FRAMING J STRAPPING [;1FINAL
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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INSPECTO
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FIELD iNSPECTION RIn'ORT DATE ,COMMENTS ' '- '
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FOUNDATION (1ST) ~ ,~
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INSULATIONPERN. Y. J~
STATE ENERGY CODE "
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
:J.cr o~
VILLAGE
DIST.
SUB.
DESC,
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, AQ.lolj r'1J2! f~
q 0 \.2.5. N
,
'rJdi-IF1
LOT
. RES.
5
'~"K., CO
VL.~
TOTAL
E
u.
ACR.
3,58
TYPE OF BUILDING
/)'@.
W
o. C~O k
COMM. CB. MICS.
Mkt. Value
/;700
'1300 ~>J
l",c~~.... d.....x J,.,
c~~....r-\-...,..... 'o~
..""......c) !!'P'IO.<;r . - e......\.. ,
'....:. """ "(
\1~) '1,')
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
FRONTAGE ON WATER
5 f(o 60 I ~ FRONT AGE ON ROAD
Meadowloncl DEPTH
House Plot ;/gef / ClO / C)Z) BULKHEAD
TotaJ....,. _ W DOCK
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.
. ..~
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---- - / COLOR t TRIM- II
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f'1..JBldg. ! II
I I t:; )( :2 7_~4o~ ,~,"l~- '737'fr .. v ,.
. "
Exte~ion Q~';:'~I ::--1.0i., , --_......,,- ... 17-J~'~1 ' . ..-.... .. J ~. ... ." ~- . -..-. .",,-,- __'M ..~ ~. ..". , .~ " "",<... . '" -._.--. -,..~
....-- I' ~.50 ~ ~
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.... ", ~ ,.. 'I
Extension "\
'1.. 711''''~"7 =- Cf'rOf ' . '...' .. _..__. __u_____ -~--._..- u ...0.' .... .' .1. ,.. ..--. '..---'- .. ,. . .. , .~" ,. .f-'
Extension . ./ ~7
.. ...0<--..'-" ~.. . ,. .......- - "'.....
.. . Foundation ~u". .1 Both 9. /'2. I Dj nette I
\
Porch Basement h I J Floors K.
J;,' .' j '() ^ /;:;-- j 67'J ,(1) 7r;- Ext. Walls Interior Finish
Pori: Ie ~-. LR.
" .-' /
Breezeway i ! Fire Place -7_ Heat .
i DR.
.
Garage i1.l )( ., 7'::.KqLl / ~b Ci9.jl Type Roof Roams 1st Floor S IBR. '-I
~' . ,6!: /.,.. ~ecreation Rooms 2nd Floor I FIN.
ao:: '2..()vJ.l-q~ {'3JZo Room B
~O. B. '-' V '----" Dormer Driveway i
Total i9'607
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSoutholdJ
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:
'3').~~~ ~
PERMIT NO. 2.1 (t~ ~
Examined
Approved
o/'f
,20_
,20~
11
,204-
Mail to: 12._ S..J.......Jt-,';'L"i
h,.......~.I.1.. All' /i<HS
Phone: '1/ ra I ~ &- "^"1
Disapproved ale
Expiration
Building Inspector
R - 4 '11"1
'APPLICATION FOR BUILDING PERMIT
\
\
Date
.~.---
INSTRUCTIONS
,20_
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building fuspector 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 this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building fuspector 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 fuspector
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 fuspector 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.
. /2_( J't:/'"",Jt- ~L\ld, ~t\rlL1"'1jd&J.L
A p. OVED AS NOT~'5t' (Mailing address ofapplicant) t</y IJ?Js
~fo , lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
FEE: BY'
NOTI B Ii ENT AT
785- t,lSPECTIONS'
Nam~~~~~tl~WiO' RiO~ P JfP A z. .4-)./ A K. J I> 1/
. FOR POURED CONCRETE IIUIlING (As on the tax roll or latest deed)
If aprjiQll.OUi&llIe ~lNJf", ~i~!l['(I1'(j 'or duly authorized officer
3.1
4. . "8 ~orate officer)
ALl. CONSTRUCTION SHALL MEET
Build.,.t-iAeollj)l(BMENTS OF THE N.Y.
Plum.:Al&::8Gtlm~u
ElectrQlMlit;ctMll RUCfION WnAA
Other ~ ~eWle o.
UNDERViillTERS CERTIFICATE
REQUIRED
~ 0.
(Signature of applicant or
Stat
OCCUPANCY OR
USE \S UNlAWfUl
WnHOUl CER1\f\CA1E
Of OCCUPANCY
1. Location of land on which proposed work will be done:
'2-or05" PrllHI'1"E Rr! 1? I
House Number Street
l
E. I1Afho Y\
Hamlet
County Tax Map No. 1000 Section
Subdivision
~:;:J
Block 3
Filed Map No.
Lot 'is . I
Lot
(Name)
,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy R lE: So .
b. Intended use and occupancy ? E. .'\ ,
,
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
Other Work OIL. -ro /Slit L"..urery,~...
Po'l.-'l-r~w.lf. tB$(ll(Description)
4. Estimated Cost
..It
'f )"0 D ,
\
ou
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
I
(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
Depth
Rear
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Depth
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
9. Size oflot: 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? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
'Z A.r PIlt"fZ." H"~ir!>t' e, ....."n..""
14. Names of Owner of premises ^ Address 19t1s' f'r.v"o.T'''- I'd. Phone No. q''1-~fl- 0 'Z. ~'1
Name of Architect Address Phone No
Name ofContractor-fD no NI(JJ.,,~7ft..)J::'''-'fff'!';'V'Address o~uJ."",.!.+-~ Phone No. &oN fOI hoo<i
, ~CA-""""; ~ NT ,J-r!r
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.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 topograplhcalodata urt.survey:.:
l',
-~~_:"'J."(.~
STATE OF NEW YORK)
SS:
)
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'-'-'~'----
.~.,..,
,~, '1'
'"
COUNTY OF
.-;-
(Name of in
'. f",.~
y
being duly sworn, deposes and says that (s)he is the applicant
. dual signing contract) above named,
c (;) .... rD'-........TC r _
(Contractor, Agent, Corporate Officer, etc.) ., , , ,.'
, ,
of said owner or owners, and is duly authorized to perform or have performed the sJd. ~~r~ ~,~~e and file. thi~ aPp~cation;
that all statements contained in this application are true to the best of his knowledg<!l'and.bellei 'W'i,tlmtt,q.~ w(>r~wil1lil;'i'
performed in the manner set forth in the application filed therewith. ;'., t ]..,; , ;. 1 1 ,~ .' ,:
,. '.", '_ . . ~~. J
c;.n\..:H"U ,~h..,. .' Ji J " vJ ,,' ,1 i.." -;
.. ,~." 'lw ,.1.... ,~)~ ,:,. A
Swo.rn}o before me this .
/-of,;f-i day of fJ1(UJ d. . 20 &, J
~~f#p~L~
(S)He is the
-;- .J.='" ~
'~I'~
S' ure of Applicant
LINDA J. COOPER '_'"
Public State of New Vu...
N~.1e22563. SuH~lk.C:"'~~O E-
Term Ehpires Decemo<;;1 '" J,
CGa Frames
CGa
GOLD
38,000 to 177,000
BtulHr.
Gas Boiler
for
Natural Draft
Venting
7 sizes
Water Net Ratings:
Product Features:
Weil-McLain Control Module and Ignition Control
Designed for W eil-McLain.. .mistake-proof wiring.. .diagnostic indicator lights.
Compact Design
Saves valuable living space. Boiler is only 28 inches high, 23 inches deep.
Stainless Steel Burners
Burners provide fixed primary air... no air adjustment required. Provide quieter
ignition, longer life, and improved combustion.
Wiring Harness
Plug-in connectors that attach only one way to assure mistake-proof wiring for
installation and component replacement.
Easy Power Hook-up
I-box located on outside of boiler with pre-stripped wires.
Convenient Servicing
Accessible controls...control module with diagnostic indicator lights... simplified
wiring... vertical flueways...top cleaning.
Factory Tested
Every boiler is factory tested to assure reliable operation.
Improved Parts Kits
Parts furnished in convenient kits.
1.;...;1:.11, ;.....;...... 'l1A.......n....'
http://www.weil-mclain.com/netdocs/cgaframes.htm
Page 1 of 1
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313/2003
Ratings Table - CGa
Page 2 of2
CGa-25 4 45-3/8 3/4 3/4 1/2"
CGa-3 4 52-3/8 1 1 1/2"
CGa-4 5 54-3/8 1 1 1/2"
CGa-5 6 57-7/8 1 1 1/2"
CGa-6 6 60-7/8 1-1/4 1-1/4 1/2"
CGa-7 7 62-1/8 1-1/4 1-1/4 3/4"
7 64-1& ~ f-m ~
NOTES: 1. Circulator flange supplied with boiler is same size as recommended pipe size. For
supply and return boiler tapping size, see installation manual.
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NOTE: Boiler circulator is shipped loose. Circulator may be mounted on either boiler supply or return
piping. See dimension chart for pipe size of circulator flange provided.
In the interest of continual improvement in products and performance, Weil-McLain reserves the
right to change specifications without notice.
~.....[gJ
Copyright 2000 - Weil-McLain
http://www.weil-mcIain.comlnetdocs/ratingscga.htm
3/312003