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HomeMy WebLinkAbout33545-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33867 Date: 07/31/09 THIS CERTIFIES that the building HEATING SYSTEM Location of Property: 8045 GREAT PECONIC BAY BLVD LJkUREL (HOUSE NO.) (STREET) (H/KMLET) County Talc ~ap NO. 473889 Secti~ 126 Block 9 Lot 14.1 subdivision FiledMap NO. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27, 2007 pursuant to which Building Per, nit No. 33545-Z dated NOVEMBER 27, 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 HEATING SYSTEM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELYSE BORA-K of the aforesaid building. (OWNER) SUFMOI=K COIINT"I DEPART[~gNT OF HE~J~TH APPROXr~J~ ELECTRICAL CERTIFICATE NO. PLt~WBEP. S C~U{TIFICATION DATED N/A N/A N/A Rev. 1/81 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. 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 1% 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. For existing buildings (prior to April 9, 1957) non-confornfing uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelliag $25.00, Alterations to dwelling $25.00, Swinmfing 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. New Construction: Old or Pre-existing Building: Location of Property: e~O45 ~ge c¢,r~ lC House No. Street Owner or Owners of Property: ~ [,,] s e_ Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~:>'~O~q Health Dept. Approval: Plamfing Board Approval: Date of Pernfit. (check one) Block C~ Filed Map. Applicant: Underwriters Approval: Hamlet Lot Lot: Request for: Fee Submitted: $ Temporary Certificate Final Certificate: (check one) Signature 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. 33545 Z Date NOVEMBER 27, 2007 Permission is hereby granted to: ELYSE BORAK PO BOX 1254 MATTITUCK,NY 11952 for : NEW INSTALLATION OF OIL FIRE HEATING SYSTEM AS APPLIED FOR. THIS PERMIT REPLACES 26968. at prem/ses located at County Tax Map No. 473889 Section 126 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 8045 GREAT PECONIC BAY BLVD LAUREL Block 27, 200' 0009 Fee $ 75.00 Lot No. 014.001 by the ignature ORIGINAL Rev. 5/8/02 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. 26~68 Z Date DECEMBER 13, 2000 Permission is hereby granted to: ELYSE BORAK 53-24 206TH ST BAYSIDE,NY 11364 for : NEW INSTALLATION OF OIL FIRED HEATING SYSTEM AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 126 Block pursuant to application dated SEPTEMBER 26, 2000 Building Inspector. 8045 GREAT PECONIC BAY BLVD LAUREL 0009 Lot No. 014.001 and approved by the Fee $ 75.00 ·~'Auth6~ature ORIGINAL '98 /~ ~/~ _/*~. 7..~8o, ~/~ ~- BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [//]~NAL [ ] FIREPLAC~.E & CHIMNEY REMARKS:~)'~-~*~-,. TOWN OF SOUTHOLD BUILDING DEPT. 765.t 802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [/~/FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE RES~TANT CONSTRUC110N REMARKS: FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION DATE iNSPECTOR -~(/~~- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTAI~I' CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE FIELD INSPECTION RRPORT DATE CO~4ENTS FOUNDATION ( I ST) FOUNDATION (2ND) ROUGH FRAHE & II II [NS~TION PER N.Y. II E.xanined...;...A/~ ......... ~, 0.0. 9. a~prov~ ..... ~/A ......... , ~-°°o FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ]]97~ 'rEI,: 765- 1802 Disapproved a/c .................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT i~a~o oF 6~..YZ~ .............. 3 SETS OF PLANS ............... SURVEY ........................ CHECK . .. SEPTIC FORM ................... DEC .......... TRUSTEES ...... CALL ....~.l ............ MAlL TO: .................. Date ................ ,20... / INSTRUCTIONS -a. 'ibis applicati~x~, t be cc~pletely filled in by typewriter or in ink and sul~it~ed to ~e l~ilding Inspecto~ '--~ '~ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing leeatiee of lot and of buildings o~ premises, relationship to ~djoining premises or public streets or areas, and giving a detailed description of layout of property m~st be drawn on '~he dlagran w]lich is part c this application. c. 'Ihe ~ork covered by this applicatiee may not be ccmmeneed before issuance of I~ilding Permit. d. Upo~ approval of this application, the Building Inspector will issue a Building Permit to tile applicant. permit shall be kept om the pr~ses available for inspection throu~]o~t the ~rk. e. No building shall be occupied or used in ~hole or in part for any ixa-pese whatever until a Certificate of OccuFmncy shall have been granted by the Building Inspector. AFFLICATIflq IS b~l<l~lg MAIE to the Building Depar~nent for the issuance of a Building Permit ~ur~u3nt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable La~s, Ordinances or Regulations, for the co~structioc of buildings, additi~m~ or alterations, or for ra~oval or demolition, as herein described. /t~ applicant agrees to comply with all applicable laws, ordinances, building co~, housing code, and reg~;latio~s, and to admit authorized inspectors on premises and in building for secessary inspections. ,Stsr-aC'6re of apphcanC, or na~e, if a corpora[ion) (Mailing address of~ api~Ii.cant) State whether applicant is ~er, lessee, agent, architect, engineer, general contractor, ei~c~rici~, plurber or buf] Nare of owner of premises L~/5 ~ ~/'~/q , (as o~ tim iak~roll 6~'latg~i ~d) ................................. If applicant is a onrporatiom, signature of duly aut[~rlzed officer. ' ' (Na~ 'and tltl ffl ) .... ~ ~ e of corporate o cer 5~ilders License No .......................... Plumbers License No .......................... Electricians Licem~e No ...................... Oaher Trade's License No. · ,. on wh, .............................. : ................. House NLuber Street ....................................... Hanlet C nty T= NO. 1000 S tion .(0..O.p. ......... ........... .....!.9..;. I Subdivision .......... ....................... Filed Map No (Nam) ..... ]~C . 2. State existing use and oc~nl~nncy of pr~nises and intended use and .occupancy of proposed construction: a. Existing use and occupancy A?I~IVED R,~ NOTED DA'm: ,-;~/o~ ~p. # ~ NOllFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING IN~I~=CTIONS: 1. FOUNDA'IION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMIt;~ & PLUMBING 3. INSULA110N 4. FINAL. - CONS'rRUCTION MUST BE COMPL-~'E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR CERTIFICATE OF OCCU.%, ~ / ':'::.v~'~'~ "'~'~ SOLDERUSEDIN ~'~' ' SUPPLY SYSTEM C~,~.~ EXCEED 2/10 OF PROVIDE ~A HR. FIRE RATED SEPARATION TO PART. 717.3 (f) (1) OF N.Y. STATE BUILDING CODE. Dr^'IE C-~D~&~R CONSTRUCTION ERRORS ~S UNDERWRITERS CERTIFICATE C~t~['~ r,~ ....................... REQUIRED .... ............................. (~ of i,~ivld~t si~iug c~tracO If copper tubing is used for water distributing system; pJpiog shah be of types K or L ordy_ UNDERWRITERS CEI:~TI,~ IOAI E REQUiReD PLUMBING ALL PLUMBING WASTE P~ WATE8 LINES NEED (C~tractor, agent, corporate officer, etc.) of .~ald owe)er or owners, a~J ia duly eutl]oriT~J to ~rfom or h~e [~rfom~ d~e ~id ~ a]~ to ~ke a~ file this a~licati~; that all stat~nts c~ta[~ in rids a~l. icat[~ are tn~ to d~e trust of his ~1~ m~ ~liefl erg U,at the ~rk will I~ ~rfo~l in the ~mm~r ~t forth in ~e a~li~ti~ fil~ tl~Q~. ~m to ~fore ~ ...... HELENE D. HORNE Note~/Public, State of New Yod[ No. 4951364 Qualified in Suffolk Cou,,n.~,, Commission Expires May 22~ ~'~ / (SignatUre of Applicant) NYSECCC ENERGY ANALYSIS PREPARED BY: ROBERT H. WI&ELAN, P.E. PO BOX 590 MATT1TUCK, NEW YORK 11952 631-722-5875 PREPARED FOR: MS. ELYSE BORAK PO BOX 1254 MATTITUCK, NEW YORK 11952 PROPERTY OWNER: MS. ELYSE BORAK PROPERTY LOCATION: 8045 PECONIC BAY BOULEVARD MATTITUCK, NEW YORK 11952 REPORT DATE: SEPTEMBER 21, 2000 BORAK ENERGYANALYSIS 8045PECONIC BAY BOULEVARD MATTITUCK, NEW YORK PARAMETERS Zone: Suffolk County (6,000-Degree Days) Heating: Oil Fired Design Temperature 720 F AREAS (Not including new construction) Floor: 763 s.f. Walls: 643 s.f. Ceiling: 748 s.f. Windows: U=0.45 56 s.f. Skylights: U=0.11 15 s.f. Doors: U=0.40 52 s.f. FLOOR CONSTRUCTION R-VALUE Inside Air Film %, Wood Flooring 5 ¼" Fiberglass Batt Insulation Outside Air Film 0.68 0.46 19.00 0.17. Total Floor Cavity R-Value (87.5%) 3'x6~ F.J. @ 24" O.C. (12.5%) 20.31 7.50 Total Floor U Value Ur=0.053 WALL CONSTRUCTION R-VALUE Outside Air Film Vinyl Siding 15# felt %" Wood Sheathing 3 W' Fiberglass Loose Fill Insulation W' Drywall Inside Air Film 0.17 0.00 0.06 0.65 14.00 0.44 0.68 Total Wall Cavity R-Value (90%) 2"x4" Studs @ 16" O.C. (10%) 16.00 6.81 Total Wall U Value Uw=0.066 BORAK ENERGY ANALYSIS 8045 PECONIC BAY BOULEVARD MATTITUCK, NEW YORK CEILING CONSTRUCTION R-VALUE Outside Air Film 0.17 8" Fiberglass Loose Fill Insulation 30.00 %" Drywall 0.44 Inside Air Film 0.68 Total Ceiling Cavity R-Value (93.75%)31.29 2"x6" F.J. @ 24" O.C. (6.25%) 6.88 Total Ceiling U Value Uc=0.0.035 PART6 NYSECCC COMPONENT TABLE U-VALUE SQ. FT. SUBTOTAL Floor 6-3 0.053 763 (-) 4 Walls 6-1 0.066 643 53 Ceiling 6-3 0.035 748 11 Glass 6-1 0.045 56 (-)23 Doors 6-1 0.400 52 (-)23 Skylights 6-3 0.110 15 (-) 2 Total: (+)12 TO THE BEST OF MY KNOWLEDGE AND BELIEF THE RESIDENCE MEETS THE REQUIREMENTS OF PART 6 OF THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE. · WHELAN, P.E.