HomeMy WebLinkAbout33097-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32844 Date: 01/25/08
THIS CERTIFIES that the building HEATING SYSTEM
Location of property: 725
(HOUSE NO.)
County Tax Map No. 473889 Section 110
HOLDEN AVE
(STREET)
Block 5
CUTCHOGUE
(HAMLET)
Lot 50
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in tbis office dated
MAY 21, 2007 pursuant to which
Building Permit No. 33097-Z
dated
JUNE 1, 2007
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 CONVERSION TO GAS HEATING SYSTEM AS APPLIED FOR.
The certificate is issued to DENNIS & SUSAN SHEEHAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
07-9039
01/07/08
PLUMBERS CERTIFICATION DATED
N/A
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K thorized Signature r
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
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This application must be filled III by typewriter or il!k and submitted to the Building Department with the fo!J?wing:
A. For new building or new use:
I. Final survey of property with accurate locadon 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-existing" land uses:
I. Accurate survey of property showihg.<tll 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 tlierefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwetling $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 Bnilding _ $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.
1l/(9f 7
I
(check one)
c,Jfe.ho9v6
I
HamIel
New Construction:
Location of Property:
1,J-.s
House No.
Old or Pre-existing Building:
Ffo{J6Ai prvL
Street
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Owner or Owners of Property: 9,::o-"'.....\<;; e. S/./,cGI-IAill; SU<:AAJ /< 5'HLt?:fIA,v
Suffolk County Tax Map No 1000, Section (I tJ. &>0 Block 6>S..... OD Lot O..s-O. 000
Subdivision
Filed Map.
Lot:
Pennit No. ?;:? 0 0_-2:: _____ Date of Pennit.~___ Applicant:
Health Dep!. Approval' ___.___._____.
Planning Board Approval: __.
Underwriters Approva I:
Request for:
Temporary Celiificate
Final Certificate .-/
-- /,
(check one)
Fee Submitted $ J.S ./fi)
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CO .f::3J..'? 'f 'f
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pplicant Signature
dennis
732-537.0047
p.3
01-24-2008 18:11 SOUTHOLO BUILDING DEPT 16317659502
PAGE3
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)
1, 2007
PERMIT NO.
33097 Z
Date JUNE
permission is hereby granted to:
DENNIS SHEEHAN
725 HOLDEN AVENUE
CUTCHOGUE,NY 11935
for :
CONVERSION TO GAS HEAT SYSTEM AS APPLIED FOR
at premises located at
725 HOLDEN AVE
CUTCHOGUE
County Tax Map No. 473889 Section 110
Block 0005
Lot No. 050
pursuant to application dated MAY 21, 2007 and approved by the
Building Inspector to expire on DECEMBER 1, 2008.
Fee $
200.00
AlAI ": ~ en
I Authorized Signature
ORIGINAL
Rev. 5/8/02
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330772-
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
p<i., FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE 11""/~-o7 INSPECTOR~~
FIELD INSPECTION REPORT DATE I COMMENTS \F""
uJl"l
FOUNDATION (1ST) S6~
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FOUNDATION (2ND) tb~
2
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V\'"
ROUGH FRAMING & gJ
PLUMBING --
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INSULATION PER N. Y. ...,
STATE ENERGY CODE
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FINAL !:
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ADDITIONAL COMMENTS f
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100
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId/
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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.
Ie I, ,20 07
d / ( ,2022-
,
Examined
Approved
Disapproved alc
Mail to:
'L f 1.-,20 Of
I -
Phone:
Expiration
_______. __~:-; ,.,1
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. APPLICATION FOR BUILDING PERMIT
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INSTRUCTIONS
Date MAy 21 ~
,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.
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 Southold, Suffolk County, New Y or1<, 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.
S Lt4'-
licant or name, i a corporation)
/ZS- $"L...:7r dL"J. I"'v......trl"lc-: lilY Ilnr
(Mallmg address 0 apphcant)
State whether applicant is owner, lessee, agen~~T~, general contrac~pPif6w~~r builder
MEET THE REQlAE~i 'i; ~: " .. . ,..\,.
QODESOFNiNY(>i(::l~/\'I.. nm. ~~(7 ,. '!ri:L
Name of owner of premises U\,,:5 sL.. e " FEE: - . ",
(As on the tax roll or lat . ,ca~~ 8 AM Y. ;~~=q THE
If applicant is a corporation, signature of duly au._Ifffi~efRTIFICATt ~OLLOWING INSP[~'
at.f\I110rn 1. FOUNDATION - 1"'. ,) Pt.OL",'iED
(Name and title of corporate officer) ~ FOR POURED CC'..'~':' [
OCCUPANd..'Y'OR 2. ROUGH, FRAMli. i.'BING
Builders License No. ~ 3. INSULATION
Plumbers License No. 5'Lf'1- i' UL 4. FINAL - CONS1, .," MUST
Electricians License No. BE COMPLETE f'L, 1.
O h d,. V'J!IB( 0 I"' C' 2'rtFICATE ALL CONSTRUCTION Shi'LL MEET THE
t er Tra e s LIcense No" I, ' " I I REQUIREMENTS OFiI,i: .'DES OF NEW
QC"'Ir CIIIl /, NCY YO!1K STATE. NOT fi,:S,:iSIBLE FOR
I, Location of land on which proposed ork'-l<:HI "Hfbne. DESIGN OR CONSTRUC110N ERRORS..
I~S :1;1:::F /10 IJ UI Ave., ('..,of dn "3 ......
House Number Street Hamlet
County Tax Map No. 1000 Section 110
Subdivision
Blo6,~ t' ~ S--
Fileq.Map No.
__t."~,.i..,.
. "-/.,
Lot ~b
Lot
(Name)
... ...
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost .)k7,t' 2'----
Addition Alteration
Other Work ,,,,, -n..GAS C,,~~r~'~..
~~/t.~1'/. j wt)[:.;i:r.(Description)
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
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
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
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
Phone No.
IS 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 topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
"ft;~_"-,, .p"'J"..tte-/~(PIJA being duly sworn, deposes and says that (s)he is the applicant
(Name of individu signing contract) above named,
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....
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,
(S)He is the
(Contractor, Agent, Corpol'liie-Glhcer, etc.)
of said owner or owners, and is duly authorized to perform Or havi(performed the said work and to make and file this application;
that all statements contained in this application are true to the lJest of his kn9wl~dge'and belief; and that the work will be
performed in the manner set forth in the application filed therewith..) . .
,
Sworn to before me this
tlt I day of
20'7
~
~
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gnature of Applicant
aOTTICELU
JOAN M. t NeW Yolk
Notary ~Ub~~'B~~~5~760 ntY 7
qua.lil~~~npi~:ss~~lIc~ 2O....!..
commiSSIon ~
.
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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D - .s - '::'-0
, STREET
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J;E.S'/.).Te.- "fJb1F.
VILLAGE
eif/te It 0 v-t.
E
DIST. SUB. LOT
VL 9
1.1.. /Je.rc (
ACR.
.~l.2.
TYPE OF BUILDING
-AlR
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
7.1d
('., ?'o
?(TD
7CJo
/l.3
5/0
(fiJ
AGE
NEW
FARM
BUILDING CONDITION
Acre
Value Per
Acre
Value
11- t lton -td -to Cx:dfo,,- 1'1/0
I - I I tov\ -tv nil. 11vVl .. ano. - 11 Jc
tIDY) OlQI1D. -Iv .shlek/l '-,a:- - #~oo {)lJu
.
NORMAL
BELOW
ABOVE
fillable 1
nllable 2
rillable 3
~oodland
;wampland
rI~O~ll "L! 514 Y;.&:fCR
lrushland
FRONTAGE ON ROAD
1.f7,jr J::f, & s ~ .
.; {. .;:-/,
/ ,)0, 2- 7 .fl.
7./~
~ouse Plat
ratal
DOCK
-
-- .-..,.
- j
, , . .!! ~ , 1
' ,~> ''!-' ,
, .i , f ~ j
'. . , ..' -
'.
.
~L
t.lmdg, 2b 'f .,,(.3 - 51?
~~~L 11 ~ 7ft = i;t:L)s~
i "stoh'P JJ, t ~ 1-- /- J::: 1 ;J-. .
g nsfQ1t 1-3 x UJ c2fo 0
Porch
lfo'l:h!>
'#'
, ~'......"
r' y :~:.
B reezewoy
Garage
m:-
I ! j A
2. ',( '2--2- =- ",-01'
0, B,
Total
.
350
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3,lff
,; 11)
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3trO
1";;'0..""
COLOR
c~~r~
TRIM
/;ulua
d.-O q:'5 Foundation
/ 1 7 ^ Basement
d-I 1-/8 Ext, Walls
1 9' () Fire Place
Type Roof
Recreation Room
,.~ ~'.
(r L Dormer
&&
7/2-- 1--
Driveway
.
1 s 'Y 13
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Ibv,rA loYll. Bath
M;L.L Floors
fIlJrr PI A/e Interior Finish
,/eS Heat
Rooms 1 st Floor
Rooms 2nd Floor
Dinette
OAr'- K,
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LR.
~S5 DR.
BR,
FIN, B.
.
intelligent system
ic heating and
. efficiency by
fa parameters
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rate in response to environment
- Modulates with 5 to 1 turndown ratio
_ Variable speed motor matches combustion output to heating needs
_ High grade stainless steel burner features quiet operation, high efficiency,
and cleaner combustion for low NOx applications
(c') 2007 Well..McLain ! Privacy! Site Map I Careers
http://www.weil-mclain.com/products/displaypro/l- Ultra%20gas
5/21/2007
WEll-m[lAIN
-
~
D
GOLD Plus
and
PLUS
I nd i rect -Fi red
Water Heaters
GOLD Plus
Residential Units
4 Sizes
Models
30,40,60,80
PLUS
Commercial Units
2 Sizes
Models
100,120
II More Domestic Hot Water When You Need It
II High Efficiency - Low Operating Cost
II Weil-McLain Quality & Sales Support
There are six Weil-McLain indirect-fired
water heaters:
. GOLD Plus - Four residential units:
GOLD Plus 30, 40, 60 and 80 with
round gold plastic jackets.
.PLUS - Two commercial units:
PLUS 100 and 120 with rectangular
blue enameled steel jackets.
These heaters are designed to be used
with Weil-McLain cast iron boilers to pro.
vide the best value combination for an
economical and abundant supply of
domestic hot water plus energy-efficient
comfort heating.
WGO GOLD Oil Boiler and
GOLD Plus 60 Water Heater
GV GOLD Gas Boiler and
GOLD Plus 40 Water Heater
BOILER/WATER HEATER SELECTION GUIDE
. First select the boiler model/size based on design heating load.
. Then select the water heater based on the fIrst hour requirement.
. For hot tubs, spas, etc., it is suggested water heater tank capacity should equal the capacity of the tub if
immediate fill is required.
,
GO GOLD OIL BOILER
WATER HEATER MOOEL
First Hour Rating - GPH
GOLD Plus GOLD Plus GOLD Plus GOLD Plus
30 40 60 80
190 200 210
235 250 260
260 310 320
230 260 365 380
230 260 365 450
230 260 365 510
230 260 365 550
230 260 365 600
GV GOLD GAS BOILER
WATER HEATER MODEL
First Hour Rating - GPH
GOLD Plus GOLD Plus GOLD Plus GOLD Plus
30 40 60 80
145 155 165
200 210 220
260 270 280
260 320 330
CG/CGX GAS BOILER
CGi GAS BOILER
FIRST HOUR RATING
Maximum gallons of hot water available
in one hour. This is the most common
rating used to size water heaters.
DOMESTIC PRIORITY
When the storage tank calls for heat,
boiler water is switched from the heat-
ing system to the tank.
I~_-
White-Domestic water priority and/or hot
boiler not required
WATER HEATER MODEL
First Hour Rating - GPH
GOLD Plus GOLD Plus GOLD Plus GOLD Plus
30 40 60 80
110 115 125
135 145 155
185 190 200
235 240 250
260 295 310
260 350 360
EG GAS BOILER
WATER HEATER MODEL
First Hour Rating - GPH
GOLD Plus GOLD Plus GOLD Plus GOLD Plus
30 40 60 80
170 180 190
185 190 200
220 230 240
260 265 280
260 300 310
230 260 340 350
230 260 365 420
230 260 365 490
WATER HEATER MODEL
First Hour Rating - GPH
BOILER HEATING GOLD Plus GOLD Plus GOLD Plus GOLD Plus PLUS PLUS
CAPACITY - MBH 30 40 60 80 100 120
115'F 140'F 115'F 140'F 115'F 140'F 115'F 140'F 115'F 140'F 115'F 140'F
50 120 90 125 95 135 100 145 115 160 130 210 170
70 155 115 160 120 170 130 180 140 200 150 250 185
90 190 140 200 150 210 160 220 170 230 180 285 215
110 230 140 235 170 245 185 255 195 270 210 320 245
130 230 140 260 170 280 210 290 220 310 230 360 265
150 230 140 260 170 320 220 330 250 345 260 400 300
170 230 140 260 170 355 220 365 275 380 290 430 325
190 230 140 260 170 365 220 400 300 420 310 470 345
210 230 140 260 170 365 220 440 330 455 340 510 375
250 230 140 260 170 365 220 510 380 530 395 590 430
300 230 140 260 170 365 220 600 410 620 460 675 500
350 230 140 260 170 365 220 670 410 715 510 765 560
400 230 140 260 170 365 220 670 410 740 510 860 630
450 230 140 260 170 365 220 670 410 740 510 960 650
500 230 140 260 170 365 220 670 410 740 510 970 650
CIRCULATOR - GPM 8 9 13 20 22 28
NOTES:
1. First hour ratings are based on:
-1150F domestic outlet water
supply temperature for above
tables
. 115'F or 140'F for table at left
. 500F domestic inlet water
temperature
. 200'F boiler water supply
temperature to the water heater
. Flow rates are for factory-
supplied circulators or flow
rates as shown
. Assumes approximately 80%
usable storage.
2. If the net BTU/hr. rating of the
boiler is close to the space
heating load-or if there is an
unusually large demand for
domestic water-increased boiler
capacity and/or domestic priority
may be required.
Fbr special applications such as Multiple Boiler Systems, large domestic water loads, etc., refer to the ASHRAE Fixture Count Method or contact a Well-McLain representative.