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.