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HomeMy WebLinkAbout33914-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33135 Date: 07/03/08 THIS CERTIFIES that the building CENTRAL AIR CONDITIONING Location of Property: 300 (HOUSE NO.) County Tax Map No. 473889 Section 70 GARDINERS LA (STREET) Block 8 SOUTHOLD (HAMLET) Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2008 pursuant to whicb Building Permit No. 33914-Z dated MAY 16, 2008 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 CENTRAL AIR CONDITIONING FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STACEY A NORKLUN (OWNER) of the aforesaid building. SUFFOLK comITY DEPARTMElIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 06/16/08 4003277 PLUMBERS CERTIFlCATIOliI DATED N/A ~/-g!!t,"". Rev. 1/81 ___~l - \1'1 TOWN ~~mS~JTHOLD W' ~ -rtJJ~ -'_! !' . '\ BUILDING DEPARTMENT 11.\-'> ." . .\ \1 . I) (", i"Q TOWN HALL \ !. \:' J\ll .;)!. ) 765-1802 \ \ \ . ."! ", APPLICATION FOR CERTIFICATE OF occup&i.l~}"""-" c) 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: I. 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 aud 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. ,/.;1 Jox New Construction: v Location of Property: 300 House No. Old or Pre-existing Building: G-a...A\~d ~"'t' Street (check one) )OLJ't-\".\ A Hamlet Owner or Owners of Property: S+A.U":) NOJ~lv'" Suffolk County Tax Map No I 000, Section ,0 Block 8' Lot 1.;2. Permit No. .1J9 J~DateofPennit. Filed Map. ,f' 1"/08 Applicant: Lot: Subdivision S+A(~ NO,(~\uV\ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: \/" (check one) Fee Submitted: $ ;;. \. ,. tD 3:?/"b-{ Q; (/ '\ \-1..$'<2 ) ~r i1~d..u-..., APpl:lant Signature lID.lID ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ I STACEY NORKLUN STACEY NORKLUN I ~ ~~~ ~~~ ~ ~ SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 ~ ~ Located at ~ ~ 300 GARDINERS LANE SOUTHOLD, NY 11971 ~ ~ Application Number: 4003277 Certificate Number: 4003277 ~ I Section: Block: Lot: Building Permit: 33914 BDC: n511 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 16th Day of Jnne, 2008. ~ ~ Name OTY Rate Rating: ~ ~ ~ ~ AdditionalCharges ~ ~ install new 40 drcut main distribution ~ (j!l panel(200amp) (j!l ~ Appliances and Accessories ~ ~ Air Conditioner 1 0 Above 1500 BTU ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I seal ~ ~ 1 of 1 ~ ~ ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I lIDlii!IE!~ lID \ ~- ('.,.. _ "'...../- B-Wv~P'-x.-'- , W G,\1P \ 0'1 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. 33914 Z Date MAY 16, 2008 permission is hereby granted to: STACEY ANN NORKLUN PO BOX 780 SOUTHOLD,NY 11971 for : INSTALL CENTRAL AIR CONDITIONING TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 300 GARDINERS LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0008 Lot No. 012 pursuant to application dated MAY 16, 2008 and approved by the Building Inspector to expire on NOVEMBER ~-_._-_..._--.- Fee $ 200.00 I Authorized ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL. SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/S PERMIT NO. 339 }tf 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: Mail to: (5C...d ,~~(o\-hc~ Examined Approved Disapproved alc '20~ ,20_ Expiration ,20_ Phone: .P Bu I~ ! " i I' . APPLICATION FOR BUILDING PERMIT " II.:.. MA~ 16 Date ,5-/ /~I ,20~ \',.. L--., -_':~.' ~. .~ INSTRUCTIONS ' a. ~;0~'~~1~~ ~ompletelY 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 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 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, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLlCA 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 Southold, 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 fOl necessary inspections. ~~ Yl~~ (Signatur applicant or name, if a corporation) Ro, MOX 7R() ,<)(){J+~ot..l- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ('JuJne.(' Name of owner of premises AJ()vlL\ Un (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer ,~-\-o.( .e ~ (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: 300 Gnrr\l\~PLl i.-.a V\ e House Number Street SI'l"..\.-\.-. /'lId Hamlet County Tax Map No. 1000 Section Subdivision 70 Block ?? Filed Map No. ,. ",,. .' ~.,. . . 'l ,.). (Name) ~4>-t v:.: ...Lot __"~,\i.".l~ _. 2. State exist~n~ use and occupancy of premises and intended use and occupancy of proposed constru~on: a. EXIstmg use and occupancy ); -:s,1 e .c. "'" \ ') \) (..J e \I ;, '5' . b. Intended use and occupancy S'I~ Ie -\-<-,.;,,12) :\)w~\I;'C$ 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alt7ation Other Work Ce",+-<a.l Ac r:./w{-(\l;a \ (Description) (J x)r(. 4. Estimated Cost ~)()(). ,0 Fee )06"" (To be paid on filing this application) Number of dwelling units on each floor I 5. If dwelling, number of dwelling units If garage, number of cars I I 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. Depth 7. Dimensions of existing structures, if any: Front Height Number of Stories 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 Depth 9. Size oflot: Front Rear 10. Date of Purchase Name of Former Owner ] ]. Zone or use district in which premises are situated ] 2. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO '--"""' 13. Wi1llot be re-graded? YES_ NO~Wi1l excess fill be removed from premises? YES_ NO~ 14. Names of Owner of premises S-to.cej 1\1 0' \<...\ on Name of Architect Name of Contractor Address, i f1 0 Address Address (-rr1<,J.M/[ k..d'honeNo. Phone No Phone No. rw-LlI3\ ] 5 a. Is this property within] 00 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. ]6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at ]0 feet or.below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF 5th,- ) 5+a('.,.~ N(){'f.-\V,,", being duly sworn, deposes and says that (s)he is the applicant (Name of in ividual signing contract) above named, (S)He is the t3WVl C.r (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. 20 -.tL Nola, . ublic BONNlu-llOROSKl NGtary Public. State Of NewYorlc NG. 01006095328. SuffGlk CounlJ Term Expires July 7. 20..1L k,.~~ ~ Signature of Applicant r ! ..t:l', It:l'ft:l'UJ' IJUlJI'III1 ~"'lCHuans ana 85l1mBtes TOr: ! I Furnish and install new air conditioning system to consist of the following: (1) Trane, model #4TEC3F30, 2.5 ton air handler to be installed at residence attic, suspended from roof rafters by means of threaded rod and kindorffwith secondary drain pan and moisture sensor. (1) Trane, model #4TTR3030, 2.5 ton condensing unit to be installed at residence exterior not more than three feet from residence structure and refrigeration piping within sixty feet from air handler. Unit to be set on pre-cast slab Above equipment is rated at 13 SEER high efficiency. Includes: (1) Digital Thermostat Condensate drain Pre-cast condenser slab Armorflex insulated type "L" hard-drawn nitrogenized refrigeration piping Hart & Cooley Premium grilles Control wiring connections All necessary materials, labor, installation and start-up. Not Included: Thermostat wire & line voltage power wiring (by electrician) Ductwork: Trunk duct system shall be fabricated from 26 gauge galvanized steel. Supply and return air duct shall be wrapped with 1 Yz" foil faced, scrim covering. Both supply and return duct plenums shall be internally lined with acoustical liner. Branch duct shall be premium series foil faced, class 1 flexible duct and 26 gauge insulated galvanized steel pipe. All branch line take-offs shall include individual balancing dampers. Supply outlets shall be to each room as required. Minimum of one centrally located return air grille per zone. Accessible manual balancing dampers to be installed for each supply outlet at main duct connection. Mechanical equipment, ducting, piping location & design by Kolb Mechanical Corp.