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HomeMy WebLinkAbout35016-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34121 Date: 12/09/09 THIS CERTIFIES that the building MINOR ALTERATION Location of Prc~erty: 630 YENNECOTT DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 14, 2009 pursuant to which Building Permit No. 35016-Z dated SEPTEMBER 23, 2009 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 WINDOWS AND FRONT DOOR REPLACEMENT IN AN EXISTING ONE FAMILY DWELLING AS AppL¥~D FOR. The certificate is issued to PAUL F & ANNE D KRAEHLING ( OWNER ) of the aforesaid building. SUFFOLK COUN~"f DEPARTMENT OF HEALTH APPRO~%L BLaCk,ICA5 u~aTIFICATE NO. pLiERS CERTIFICATION DA'r~u N/A N/A N/A orized Signature Rev. 1/81 TOWN HALL 765-1802 APpLICATION'FOR CF.,RTI~CATE OF OCCUPA DEC z 2909 BLDG. DEPT. TOWN OF SODTHOLO This appliention must b~ rifled'ia by typewriter or ink and SUbmitted to the Building Depamnent with the foil°wing: -A. For new building or new use: 1. Fi~t survey of property with accurate location Of all buildings, pmper~y lines, streets, and unusual natural or 2. Finn! Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). -3. Approval 0 f e. lectfical installation from Board o f Fi/.e Underwriters. 4. Swgm statemem from plumbor certifying that the S°lder used in syst~a contains l~ss than 2/10 of 1% lead. · 5. Commex~ial building, industrial building, multiple residenc~sand s/mitar buildings and installations, a certificate ·Of Code.Compliant.from amhitcet.0i- engineer respOnsible for the building. · 6. Submit Planning Board Approval ofoomPleted site plan requirements. "B. F~re~dst~ngbui~d[ngs(pr~rt~Apri~9~1957)nun-e~nf~rm~gnses~rbui~dingsand"pre-ex~sting~landuses: ·. 1. .features..Accurate survey, of proporty, showing:, all prop~rty lines~ streets, building and unusual natural or topOgraphic .' .2. A pr~per~y c~mp~et~d app~icati~t~ a~d c~usent.t~ inspe~t signed bythe applicant. If a Certi~cate ~f~ccupan~y is denied, the Building lnspoetor shall state the reaaons therefor in writing to the applicant. · C. Fees · · · 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0(~ Alterations to dwelhng $25 00, Swimming P0ol $25~00, AccesSory building $25.00, Addition~ to accessory building $25.00, Businesses $50.00. :. 2. Certificate of O~cupaney on Pre-existing Building - $I00.00 ' 3. Copy of Certificate of Occupancy _ $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certifieate of Occupancy - Rcsidential $15.00, Commercial $15.00 Hate. Oe - a New Const~cfion: Old or Pre-exi~ting Building: ~ (cheek one) Honse No. Street . Hamlet' c h'~ff~olk CountyTax Map No lO00, Se~tion ~5~-_ ~ ~ ,,i?' . - Block Lot Subdivision ~ 'Filed Map. ~ Lot: PermitNo. ~'z [(~-'7_.. DateofPermit. Applieant:(~- ~,, (~..~ ~,~e [" f~Nq Health Dept. Approval: ~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) ?ce Submitted: $ c~ ~'- ~ Q.~ c,. ~']'-~ ] '~ ~ Applicant 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. 35016 Z Date SEPTEMBER 23, 2009 Permission is hereby granted to: PAUL F & Ai~NE D KRAEHLING 630 YENNECOTT DR SOUTHOLD,NY 11971 for : REPLACE WINDOWS AND FRONT DOOR IN EXISTING SFD AS APPLIED FOR at premises located at 630 YENNECOTT DR County Tax Map No. 473889 Section 055 Block pursuant to application dated SEPTEMBER 14, 2009 Building Inspector to expire on MARCH SOUTHOLD 0006 Lot NO. 005 and approved by the 23, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN,( BUILD. TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c ct {O,~ 20C6!i Expiration SEP 1 4 2OO9, BLDG. DEPT. PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS ll3qN OF SOUIH0t¢ a. lnlS application MUST b'e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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 for necessary inspections. (Signature of applicant or name, if-a,~orporation) : ; '" .... ' 'F C/4TE ' ¢ ~ .... ~ ,. } 7 (Mailing address of a plicant) x k h~ ~ ] State whether applicant is owner, lessee, agar, arc~ct~ mgmeer, general contractor, electrician, plumber or builder Name of owner of premises ?~oX~ ~. If applicant is a corporation, signature of duly authorized officer APPROVED AS NOTED _ DATE: (As on the°ta~: roll or ~,/t:t~:qt ¢,~0&.~,, 0~ BY: ~ ~ d Block Filed Map No. (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade s License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section ~'~,~ Subdivision NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FQUNDATICN - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YOR!dc. qT~T~. NOT ¢,,,~PONStBLE FOR Hamlet Lot 3" Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy O~,* ~a- ~- / ~ ~ ~c~.,ro b. Intended use and occupancy ~ ~iv---o,~ Nature of work (check which applicable): New Building Repair Removal Estimated Cost ~t 8'09 ~. oo Addition Alteration If dwelling, number of dwelling units If garage, number of cars Demolition OtherWorkm',a ~k~,,o ~ ~ ko.W_ tpnon) ~'~...o ~- C3o..o~ ~etoZ.Descfi~ ' Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Sto[ies Dimensions of entire new construction: Front Rear Height Number of Stories Size of lot: Front Rear Depth .Depth ,Rear'~"' -- 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 __ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO v'~ 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. I7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES __ · IF YES, PROVIDE A COPY. NO ~" STATE OF NEW YORK) COUNTY O P,~ [~L -~(¥('k~.,~ ~.~"'~-~L,k ~,~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) ablkJe named, (S)He is the (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. Sworn to J~efore me th~ .~ Notary Public Signature of Applicant /q Ideel Window Manufacturing Co, inc. Series 4,,q)O Double HUng lAP -- M - 014 -- 046 - 01 Vinyl Frame -Trl (tlfized TIAe 36 TIAC 36 & K!~n Ideal Win. dow Manufactunng Co, In\G, Duraweid II- 2-Lib Hoc Slider lAP-- M - 031 - 001 Vinyl Frame - Dbl Glazed CiO Clear ENERGY PERFORMANCE RATINGS ENERGY RATif, ia$ .... Factor U.S~I-P I Solar Heat Gain Coefficient ---- ' U-Factor (U.SJI-P) Heat Gain Coeffioe PERFORMANCE RA¥iidGS .L PERF RMTINGS ADDITIONA**L . V~sible Transmittance Air Leakage (U.S./I-P) VisibleTransm~ttance / air Leakage (U.S./I-P) * n ~o / 0.2 0.63,,, . t 0.1 /?-~,'iql~ I Id~l Window 0. s ~ lANCE IU~TINGS I~d . Maflufactunng Co, Inc. Sedes 4500 Double!Hung lAP- M- 0~4-- 046-- 01 Vinyl Frame -Trl Oilseed TiAO 36 TIAO 36 &KP/Idon One Wiqdow Manuf_act_,u, nng Co, Inc. Duraweld II 2 Ute Hor. Slider lAP-- M -- 031 -- 001 Vinyl Frame - Dbl Glazed CIG Clear ENERGY PERFO~?~NCE RAT:.%'C.S __ENERG, PiRFORMANCE RATINGS U-Factor (U.SJI-P)! Solar Heat Gain'Coefficient ~ U-Factor (U.S~I-P) S~at Gain Coefficie~ o.~ II 0.48 [ 0.60 ADDITIONAL PEkF~.~..' :.%N~e ~L.~S I Visible Transmi~ance Nrt-2~-P) ~ ~ ADDI~ONAL PERFORMANCE RATINGS 0.39 L 0~2 ~ / ~sibleTransmi.ance ~ Air Lea~ge(US./l-p, Maximum Width - 37t/2''] Optional Steel Reinforcement Flexible Nosing Optional Brick Molding Energy Saving With a 15R insulation rating, our doors are twice as efficient as other steel doors and 7 times more efficient than wood. Our polyurethane insulating core is 3 to 5 times better at stopping heat and cold than wood doors, saving you money year round. All our glass meets Energy Star criteria. 3 YENNEC..DTT B~VE I,'IOFFAT LOT HO'5. P. EFI: ~ TO'MAP OF' YENNECOTT PAf~._M~F! LED~.I_N_ MAP OF PI2_OPEP__TY .SU~VEyE ~ FOI2_ PkUL .F~kNNE P. I<EAEMLING 50dTHOLD TO¥/N OFSOUTHOLD N,Y, GU~PJNNTEED TO THE./~'IE~IC/M~ TITLE AND TO THE 5OUTHOLD SAVINGS B/NNV.. P..0DEI:21F. V. VAN TUYL,P.C,