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Home My WebLink About34288-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 12/22/2011 No: 35357 Date: 12/22/2011 THIS CERTIFIES that the building ALTERATION Location of Property: 2905 STILLWATER AVE CUTCHOGUE, SCTM #: 473889 Sec/Block/Lot: 136.-2-4 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 11/6/2008 pursuant to which Building Permit No. 34288 dated 11/12/2008 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: gas conversion as applied for. The certificate is issued to Logrande, Michael & Logrande, Lorraine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 34288 12/22/11 Aut-lqorized 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. 34288 Z Date NOVEMBER 12, 2008 Permission is hereby granted to: MICHAEL LOGR3kNDE PO BOX 0403 CUTCHOGUE,NY 11935 for : GAS CONVERSION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 136 pursuant to application dated NOVEMBER Building Inspector to ex~ire on MAY 2905 STILLWATER AVE CUTCHOGUE Block 0002 Lot No. 004 6, 2008 and approved by the 12, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN O~ $O~OLD 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 thc folio}ring: A. For new building or new use: 1. Final ~u'vey 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 seweragcqlisposal (S-9 form). 3. Approval of electrical installation from Board 0f Fire Underwriters. 4. 'Sw. om statomant from plumier certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commoroial 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~ 1. Ae~mrate survey of property showing all property lines, streets, building and unusual naturai or topographic features. 2. A properly egmpleted application and consent to in,peet signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writin Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.1 Swimming pool $50.00, Accessory building $50.00, Additions to accessory Certificate of Oceupancy 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 BID6 DEPT TOl*/~, O! & 'f Date. New Construction: Old or Pm-existing Building: Location of Property: 2C~~)~ ~)~ \ [ D,.) O,~6'C ,~1)~' House No. Street OwnerorOwnersorProporty: . b' (ch, c el kev Suffolk Copnty Tax Map No 1000, Section J ~'A)~_ Block Subdivision Pexmit No. ~2)~Z ~/~ Date of Permit. Health Dept. Approval: (check one) Filed Map. Applicant:. Undenvriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Foe Submitted: $ Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (63 I) 765- 1802 Fax (63 I) 765-9502 ro.qer, richert~,town southo d ny us BUILDING DEPARTMENT TOWN OF' SOUTI-IOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Michael Logrande ~,ddress: 2905 Stillwater Ave City: Cutchogue St: NY Zip: 1193[ 3uilding Permit #: 34288 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3oetractor: DBA: ADC Electric License No: 4451 SITE DETAILS Office Use Only Residential [~ Indoor ~ Basement ~ Service Only ~ Corn merit, al Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtures ~s~r~lr~l Service 3 ph Hot Water GFCl Recpt Wall Fixtures I I Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures ] I CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixturel I Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures ~ TVSS Other Equipment: wire replacment gas boiler Notes: Inspector Signature: Date: Dec 22 2011 81 -Ced Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ I~NSPECTION REPORT FOUND.~TION (~ND) ROI (;H F~N~G & I~'51 rLAYION PER N. Y. STATE ENERGY CODE ~DITION~ CO~S TOWN OF.SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c 20 3'v Expiration PERMIT NO. BUILDING PERMIT APPLICATION CHECKLISq 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 Tmstees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: °1 (7'( v_- .20/,9 q coCK ~ Building Inspector P IC TION FOR BUILDING PE MIT ~1 I~ I Date November6~ .2008 I [ /I INSTRUCTIONS [ U~. DEPT. I a. ~.~? ............... ~ ~n~p,&~ly filled in by ~pe~itcr or in i~ ~d submitted to th~ Building Inspector wi~ 4 sets of plus, acc~atc plot pl~ to scale. Fe~ according to schedule. b. Plot plan showing location of lot ~d of buildings on pr~miscs, rdationship to adjoining premises or public s~ets or ~re~s, and c. ~e work cowred by this application ma~ not b~ co~enced before issu~ce of Building Peru Jr. d. Upon approval of ~is ~pplication, ~ Building Inspector will issue a Building Pemit to ~ applicant. Such a pemit shall be kept on ~c premises available for inspection t~ou~out ~ work. e. No building shall be occupied or used in whole or in p~ for any p~ose what so ever until the Building Inspector issues a Ce~ificatc of Occup~cy. f. Eve~ building pc~it shall expire if~e work autho~zcd has not commenced within 12 months a~cr thc date of issu~cc or h~ not been completed within I 8 months from such date. If no zoning amen~nts or other rc~htio~ affecting the prope~ hav~ been enacted in the interim, the Building Inspector m~y authorize, in w~ting, the extension of the p~it for addition six monks. ~erea~er, a new pc~it sh~l be required. ~PLICA~ON IS HE,BY ~DE to ~ Building Depa~ent for the issuance of a Building Pc~it p~su~t to the Building Zone Ordinate ofth~ Town of Southold, Suffolk Co~W, New York, ~d o~er ~pplicable Laws, Ordinates or Regulations, for ~ construction of buildings, additions, or alterations or for removal or demolition ~ herein described. The applic~t agrees to comply wi~ ~11 applicable laws, ordinates, building codc~ ho~ing co&, md r~htions, ~d to Mmit au~oriz~d inspectors on premises ~d in building for necess~ inspections. ~' ~ ')UtREO · - .: , Thomas Paquette L.M.P. Ke¥Span Plumbing & Heating, INC ALLCONS' ,', -? , .... t (Signature of applicant or name, ifa corporation) MEET THE REQU u: !EE ~ ,-, '.,..'M ~fb' f 'k.)tl- ' ' -,..,,o ......... Blvd. Farmingdale, NY 11735 t c: ;,- !j . AWFUL (Mailing address of applicant) State whether applicant is owner, lesseb, agent, a(ch~...lff~gl~l~m~zral~., contractor, Con.actor/Plumber Name of owner of premises Michael A. and Lorraine M. Logrande t,~: (As on the tax roll or latest dee~:~ If applicant is a corporation, signature of duly authorized officer FOLLC (Name and title of corporate officer) Builders License No. Plumbers License No. 3549 - MP Electricians License No. Other Trade's License No. 1. Locmion ofl~d on which ~a,work ~fll be ~ne: 2905 I. FOU;iD,,',~?!- 'c'i -'!D FCR P.3U[';Li) , . 2~J 2. ROUGH- FR,'.;.,,3: ?LL..X 7.~ 3. INSULATION 4. FINAL - CONS' q .'OT'.:;;;~ LtUG'r' BE COMPLET2 FO5 C.O. ALL CONSTRUCTION SNALL MEET THE REQUIREMENTS OF THE CODES OF NEW .... ~¢ r'; TE. NOT ;ZTSFONSI3~E FOR House Number Street County Tax Map No. I 000 Section Subdivision Hamlet Block rTZ Lot ~] Filed Map No. Lot Cutchogue 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Private Residence b. Intended use and occupancy_ Private Residence 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost $ 7,400.00 5. If dwelling, number of dwelling units if garage, number of cars Fee Addition Alteration Other Work Oil to N. Gas - Boiler, W. lt., BBQ and Stove (Description) (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth Rear I 0. Date of Purchase Name of Former Owner I 1. 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 I 00 feet of a tidal wetland or a freshwater wetland? *YES N O * 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 I 0 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) SS: COUNTY OF ) Thomas Paquet~e L.M.P. KeySpan Plumbinl[ & Heating, INC being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Contractor / Plumber (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 ~4~ o~. ~,~n.d that the work will be performed in the manner set forth in the application filed therewith. Qualified in Nassau Count~ Swom to before me this /, f~ay of Novem/k~ r'~ 20a ~/ Notary Public Thomas Paqul~rty L.M.P. KeySpan Plumbing & Heating, 1NC Signature of Applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD FORMER OWNER N E ACR. S W ~PE OF BUILDING ,RES:.~ S~S. . VL. ~ FARM CO~, CB. MICS. ' Mkt. Value AGE BUILDING CONDITION N~ NOR~L BELOW ABOVE FARM Acre Volue Per Volue Acre Till.hie FRONTAGE ON WATER Wo~lond FRONTAGE ON ROAD House Plot BULKH~D Total DOCK ~: ...... Foundation ~ C, ~thi. /. ~ Dineffe . [ Breezeway . .. , Fire Place %c( Heat I{V~ ~ DR. I [Patio Recreation R~m R~ms 2nd Floor FIN. B [0~ B. Dormer Driveway Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro.cler, richertdt~w(~.ls) o~uru~.n¥, us BUII .]3ING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Date: REQUESTED BY: Company Name: Name: Li~nse No.: ;Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: Pe~it No.: ~q ~ TaxMap District: 1000 Section: )~ Block: ~ Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) 0~ To ~ *Cross Street: *Phone No.: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground Additional Information: YES / NO Rough In YES / NO Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 25, 2008 Mr.& Mrs. Micheal Logrande P.O. Box 403 Cutchogue N.Y. 11935 We are unable to complete your Certificate of Occupancy because of the following reasons: I~ An application for Certificate of Occupancy is not on file. (Enclosed) J No Electrical Certificate on file ~j The Check is not on file - $ 25.00 No Final Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval BP# 34288 Gas Conversion Town Hall Annex 54375 Main Road P.O. Box I 179 Southold. NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 September 13, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mr. & Mrs. Michael Logrande PO Box 403 Cutchogue, NY 11935 Re: 2905 Stiliwater Ave., Cutchogue TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: ,,~Application for Certificate of Occupancy. (Enclosed) ~ Electrical Underwriters Certificate. ~-~A fee of $25.00. __ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT · 34288- Gas Conversion Town of Southold Building Department Town Hall Annex 54375 Main Rd. P O Box 1179 Southold, NY 11971-0959 Mr. & Mrs. Michael Logrande 2905 Stillwater Ave. P O Box 403 Cutchogue, NY 11935 October 2, 2011 Dear Building Director: I have received the enclosed notice regarding a C O for electrical work for my heating system completed in 2009. Apparently Keyspan, now National Grid, failed to compete the paperwork necessary for the C O. It has taken me nearly 3 weeks to find the party responsible for the paperwork with the underwriters certificate that should have been submitted to you. The electrician who did this work agrees that it should have been submitted over 2 years ago. He said he will take care of it but can not do this in the next two weeks. In the meantime I am leaving for Florida and I am submitting the application and the fee and will forward the underwriters certificate when National Grid sends it to me. Thank you for your patience. Sincerely, Michael A. LoGrande OCT - 5 20]] B[DG DEP'[. TO~NN OF SOEITFtOIO SINGLE FAMILY H.D. REt~ LOCATION HAVE BEEN FOUND TO I -1' Gas Water Heater with the Flame Guard® Safety System Installation Instructions and Use & Care Guide WARNING: If the information in these instructions is not followed exactly, a fire or explosion may result causing property damage, personal injury or death. Do not store or use gasoline or other flammable vapors and liquids in the vicinity of this or any other appliance. WHAT TO DO IF YOU SMELL GAS · Do not try to light any appliance. · Do not touch any electrical switch; do not use any phone in your building. · Immediately call your gas Supplier from a neighbor's phone. Follow the gas supplier's instructions. · If you cannot reach your gas supplier, call the fire department. Installation and service must be performed by a qualified installer, service agency or the gas supplier. To obtain technical, warranty, or service assistance dudng or after the installation of this water heater, call toll free: 1-800-999-9515 When calling for assista[~ce, please have the following information ready: 1. Model number 2. 7 digit product number 3. Serial number 4. Date of installation 5. Place of purchase Table of Contents ...................................................... 2 SPFCIFICATIOHS .Burnharri SERIES 2 RATIHGS Natural Gas or LP Gas 202* 202X' 203 ' 204* 205' 206' 207' 208' 209* 210' 203H' 204H' 205H' 206H* 57.5 50 62 96 130 164 198 232 266 299 62 96 130 164 31 42 52 80 108 136 163 191 218 244 52 8O 108 156 27 37 45 70 94 lib 142 166 190 212 45 7O 94 118 80.0 80.2 80.0 80. I 80.2 80.3 80.4 80.4 80.5 80.7 N/A N/A N/A N/A 82.3 83.2 82.6 82.3 82.0 81.7 81.4 81.2 80.9 80.6 84.0 84.0 84.0 84.0 222 4 x 15 2;2 4 x 15 272 4 x 15 316 5 x 15 364 6x15 424 6 x 15 468 7x 15 524 7 x 15 560 8 x 15 618 8 x I$ 4x15 5x15 6:(15 6x15 274 319 368 429 · When ordering, add suffix 'N' to indicate natural gas. Substitute 'P~ when ordering propane, Add 'C' to indicate 24 volt standing pilot. Add 'S' to indicate Smartvalve intermitXent ignition. Smanvalve is standard on 2H. See Burnham Trade Price Sheet for full model number explanation. Water Only - 30 PSI working pressure DOE heating capacity and annual efficiency are based on U.S. Government standard tests. 1. Series 2h high efficiency boiler not avahab e with LP gas. 2. l_n~p.u_~ ~sho,wn are for,',msm/lations at sea level and elevations up to 2,00O ft. For elevations above 2,000 ft., mrines should be 3 ~qe~t~--ce~.· at me. rote o~ mar percent (4%) for each !,000 ft above sea level. -- · =B=R ratings shown are based on normal I=B=R piping and pick up allowance of 1.15, Consult Burnham for installations having unusual piping and pick up requirements such as intermittent system of operation, extensive piping systems, etc. Burnharri Burnham 6 Form No. 417OH-S/98-60Ms~a Printed.(n the U.S.A. 1998 Burnham CorporaUon - Lancaster, PA Phone: 717-397-4701 lnternet: http://www.bumhara.com