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HomeMy WebLinkAbout38192-Z ~~,,,..n...: ~.~~,t~'~,+ Town of Southold Annex 7/26/2013 P.O.Box1179 = 54375 Main Road ~ 4~ Southold, New York 11971 i ~ ~ ~ CERTIFICATE OF OCCUPANCY No: 36420 Date: 7/26/2013 THIS CERTIFIES that the building OTHER Location of Property: 1555 VILLAGE LA ORIENT, SCTM 473889 SecBlock/Lot: 25.-3-16.1 Subdivision: Filed Map Na. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/9/2006 pursuant to which Building Permit No. 38192 dated 7/22/2013 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 UNIT AS APPLIED FOR The certificate is issued to OYSTERPONDS HISTORICAL SOCIETY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED h ized Signature ~,v~ , TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFICE ^~~~~i: SOUTHOLD, NY ,~i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 38192 Date: 7122/2013 Permission is hereby granted to: OYSTERPONDS HISTORICAL SOCIETY _ P.O. BOX 70 ORIENT, NY 11957 To: INSTALLATION OF HEATING UNIT AS APPLIED FOR.REPLACES EXPIRED B.P. # 32278 At premises located at: 1555 VILLAGE LA ORIENT SCTM # 473889 Sec/Block/Lot # 25.-3-16.1 Pursuant to application dated 8/9/2006 and approved by the Building Inspector. To expire on 1/22/2015. Fees: PERMIT RENEWAL $150.00 Total: $150.00 Building Inspector 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. 32278 Z Date AUGUST 10, 2006 Permission is hereby granted to: OYSTERPONDS HISTORICAL PO BOX 70 ORIENT,NY 11957 for INSTALLATION OF HEATING UNIT AS APPLIED FOR at premises located at 1555 VILLAGE LA ORIENT County Tax Map No. 473889 Section 025 Block 0003 Lot No. 016.001 pursuant to application dated AUGUST 9, 2006 and approved by the Building Inspector to expire on FEBRUARY 10, 2008. Fee $ 150.00 ~ Authorized Signature COPY Rev. 5/8/02 Form No. fi 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 Cgde Compliance from:architect or engineer responsible for the building. 6. Submit'Planning Board Approval of completed site plan requirements. B. For existing buildings (priorto Apri19, 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 and consent [o 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 $50.00, Additions [o dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate ofOccupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. ~ Z Z O / New Construction: Old or Pre-existing Bu)ildin/g: ~ (check one) m Location of Property: / S 5 ~ ~ L-~`~p~~Q-~--~ ~ House No. Stree~ ~ ~ - Hamlet Owner or Owners of Property: ~ ~-~Q X1-1 ~n~ l Lc-T'om' Suffolk County Tax Map No 1000, Section 'Block ~ Lot Subdivision Filed Map. Lot: Permit No. ~ ~ Date of Permit 20o Applicant: G' S,t~]~ Health Dept. Approval: Underwriters Approval: Planning Board'Approval: / Request for. Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ ~t~ • Ap Signat e i3~ ~ /1 ~ 4- ~ *~,~,OF SOUTyo~ [ ~CpUNfr; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUG LBG. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: C p DATE T ~-.3 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) ~ y i # ~~C FOUNDATION (2ND) z a 9 _y~77 ROUGH FRAMING & ~ ~ y PLUMBING _ = _ A' INSULATION PER N. Y. STATE ENERGY CODE O C~f~' FINAL G ADDITIONAL COMMENTS O 2 m~ m ti ~ z N a ~ o z x .Z: w b y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HAi.L Board of Health SOUTHOLG, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 3.~a7~~ Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 e6 Contact: Ten PAmue.(r~~K~yS~an Approved, 20 Ob Mail to: Disapproved a/c Phone: e/ I ~3 ~ e 1 Expiration OI (c , 20p a /~j / 1 Building Inspector APPLICATION FOR BUILDING PERMIT ~ ~5~ Date , 20 INSTRUCTIONS a. This application MUST be 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. Thereafrer, a new permit shall be required. APPLICATION 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 for necessary inspections. ~ l (Signature of a licant or name, ~f a corporation) l _ 1 UN11FRwaReee ~t~*tl4A~c . I.,'. ..~N~~FU~ /2~ S efa »~."I'i 13 LV~ . l~Ar-nrre ~a[L NY //73-t^ '~rr~-J ~ TpC/~E~~R//~~T~~I//FICATE (Mailing address of applicant) State`Whe~dr lap1rlic~t t~Odvner, lessee~ag2~tU~6~1€~,~t~@1e$l~+Leral contractor, electrician, plumber or builder MeE~ ~(HE REQUIREMENTS OF THE APPROVED AS NOTED Pt_u,,,l.er CODES OF NEW YORK STATE. _ 6~P~~ 7t ~ Name of owner of premises ©yrrF.2~'UnI~~S ~-~rs'ro.s,cae SoFFEi~T~~~ (As on the t x roll or lat~i7~l~d UIL D;";~ ~ ni' 1=NT AT If applicant is a corporation, signature of duly authorized officer 765-7802 8 AA" 'M FOR THE FOLLOWING INS'' S: ~ t. FOUNDAT~CJ - F~ OU'R2D (Name and t e of corporate officer) FO'i POUR-~ C . RET 2. ROUGH FR ^ ~,II~ G ' PLUh':" ING Builders License No. 3. INSULATION Plumbers License No. ~5~9 - P- r' 4. FINAL - CONS'°': ~N MUST Electricians License No. BE COMPLETe C.J, Other Trade's License No. ALL CONS RU" Tr:lv_~SHFjLL~M~ T~T HIE ~ REQUIREME F-~-f 1. Location of land on which proposed work will be done: YORK STATE. NOT R~SFOIJSIBLE FOR 1-> j 5 V , t~~~~1. A.~lF~.2 N OR CONSTRUCTION ERRORS. House Number Street Hamlet r~ tI.!-.,.,rrn~~,.., ,t, County Tax Map No. 1000 Section d.5 Blbdfcw' ' ' "~4`"JO~ot~~ Subdivision Fil~ qp,~o ~ ~ ~O Lot (Name) r ss Ir , n~ r.za~at ..r- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other VGork o ~ a r s„as ~ ~EfR ¢ (Description) 4. Estimated Cost ~~07 men Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Reaz Depth Height Number of Stories _ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises aze 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 premisesT... G.rrerr..h Address Phone No. 4'~ ~ 7ri9 - 7'~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 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. 16. Provide survey, to scale, with accurate foundation plan "and distances to property lines., r . ; 17. If elevation at any point on property is at 10 feet or below, must provide topogi'a~ihical eta on survey. . STATE OF NEW YORK) SS: - COUNTY OFD rye .t s ,~a ~ u a i ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the c. ur~zwcr-b,e (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 before me this r/ day of I cN.~.- 20 4- r , j Notary Public Signature Applicant Nobly ubl~c, Ste oCNeuw WIR No. Ot 805057780 Qualified In Nassau Cou Commission Expires Apr1129, Zb j;_7 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1880.0008 Federal Emergency Management Agency Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A -PROPERTY INFORMATION For Insurance Company Use: A1. Building Ownefs Name OYSTER PONDS HISTORICAL SOCIETY Policy Number A2. Building Street Address (induding Apt., Unit, Sude, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number VILLAGE LANE Crty ORIENT Stale NY ZIP Code 11957 A3. Property Descripton (Lot and Bock Numbers, Tax Parcel Number, Legal Description, etc.) 1000-25-03-16.1 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON RESIDENTIAL(SCHOOL HOUSE) A5. LatRudellongitude: Lat. 41 decrees OS minutes 16.5 seconds Long. 72 decrees 18 minutes 13 seconds Horizontal Datum: ® NAD 1927 ? NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain Flood insurance. A7. Building Diagram Number 2 A8. For a building with a crawl space or encbsure(s), provide A9. For a building wkh an attached garage, provide: a) Square footage of crawl space or enGowre(s) sq fl a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No. of pertnanant flood openings in the attached garage encbsure(s) walls within 1.0 toot above adjacent grade walls wdhin 1.0 foot above adjacent grade - c) Total net area of flood openings ~in AB.b sq in c) Total net area of flood openings in A9.b - sq in SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 82. County Name 83. State SOUTHOLD, TOWN OF 360813 SUFFOLK NY B4. MaplPanel Number B5. Suffuc B6. FIRM Index 67. FIRM Panel 88. Flood 89. Base Fkwd Elevation(s) (Zone Date EfiedivelRevised Date Zone(s) AO, use base flood depth) 3610300068 G MAY 4, 1998 X 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ? FIS Profile ®FIRM ? Community Determined ? Other (Describe) Bt t. Indicate elevation datum used for 8FE in Item 89: ®NGVD 1929 ? NAVD 1988 ? Other (Describe) _ 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ?Yes ®No Designation Date ?CBRS ? OPA SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ? Construction Drawings' ? Building Under ConsWdion• ®Finsshed ConsWdion `A new Elevation Certficate will be required when consWctan of the building is complete. C2. Elevations -Zones A7-A30, AE, AH, A (with BFE), VE, V1-V30, V (wkh BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below aemrtling to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum NGVQ Conversion/Comments _ Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 3.~ ®feet ? meters (Puerto Rico only) b) Top of the next higher floor 14.7 ®feet ? meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) ? feet ? meters (Puerto Rico only) d) Attached garage (top of slab) _ _ ? feet ? meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 3.9 ®feet ? meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 11.6 ®feet ? meters (Puerto Rico only) g) Highest adjacent (finished) grede (HAG) 11.9 ®feet ? meters (Puerto Rico only) SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or archked authorized by law to certify elevation infarnation. I cerfily that the intimation on this Certifica(e represents my best efforts to interpret the data available. 1 understand that any /else statement maybe punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ~p'C M O,p 0 ~~T. Ep2 4- ? Chedr here H comments are provided on back of form. 'O C'F~ t Certifrefs Name JOHN T. METZGER License Number 49618 * yjG;, TRIe SURVEYOR Company Name PECONIC SURVEYORS, P.C - Address 1230 TRAVELER ST, (P.O. BOX 909) City SOUTHOLD State NY ZIP Code 11971 ~ 4961 Signature .,/1.1,1 Date 08/08/06 Telephone (631)765-5020 ~(fetp FEMA Forrn 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (inclutling Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Boz No. Policy Number VILLAGE t.ANE City ORIENT State NY ZIP Code 11957 Company NAIC Number SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community offcial, (2) insurance agenUwmpany, and (3) building owner. Comments Signature Date 06/19/06 ? Check here if attachments SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate bones to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (IAG). a) Top of bottom Floor (including basement, crawl space, or enclosure) is _ _ ? feet ? meters ? above or ? below the HAG. b) Top of bottom floor (inclutling basement, crawl space, or enclosure) is ? feet ? meters ? above or ? below the LAG. E2. For Building Diagrams 6-8 with permanent Flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation CZb in the diagrams) of the building is ? feet ? meters ? above or ? below the HAG. E3. Attached garage (top of slab) is ? feet ? meters ? above or ? below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ? feet ? meters ? above or ? below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ? Yes ? No ? Unknown. The local official must certify this information in Section G. SECTION F -PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without aFEMA-issued or wmmunity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best o/ my knowledge. Property Owner's or Owners Authorized Representative's Name r Address City State ZIP Code Signature Date Telephone Comments _ ? Check here if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 6, C (or E), and G of this Elevation Certifcate. Complete the applicable item(s) and sign below. Check the measurement used in Items G6. and G9. G1. ? The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and dale of the elevation data in the Comments area below.) G2 ? A community official completed Section E (or a building located in Zone A (without aFEMA-issued or community-issued BFE) or Zone AO. G3. ? The following information (Items G4.-G9.) is provided for community Floodplain management purposes. Ga. Permit Number G5. Date Permit Issued G6. Date Certifcate Of Compliance/Occupancy Issued G7. This permit has been issued for: ? New Construction ? Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building. ~ (eel ? meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ? feet ? meters (PR) Datum Local Offcial's Name Title Community Name Telephone Sgnature Date Comments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs Continuation Page For Insurance Company Use'. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O Route and Box No Policy Number j 205 NORTH SEA DRIVE Clty SOUTHOLD State NY ZIP Code 11971 Company NAlC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." l CC ~h o~1 ¦ ~ ~ J3I~Ilili~ 1 I-~~~ ~u j. W 1 ~.~,~1 ' Building Photographs Continuation Page _ For Insurance Company Use: 3uilding Street Address (including Apt., Unit, Suite, and/or BIdgNo.) or P.O. Route and Box No Policy Number 'OS NORTH SEA DRIVE itySOUTH01_D Sfate NY ZIP Code 11971 Company NAlC Number f submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." y J_ ' ~ Ilj - I ~ ~ ~ ~ ~ 'I ~ - ~e Iii I ~ ' aC - ~ Y _ ..~~1~{mac w., rat , 1 1 . 1 : - y,~h ~ 9~ s Op ZONE X g ~ s j SKippERS ~ f t ~R~NARD ST ii~ [ ~ z v~ P~ o`~ FPPM saa r.~' ~ I~~~~qi ~~I ~''I~d ~ ~ ~ i I, ZONE X ~ ZONE X ,m sY s r ' ZONE .,k, ~i ~ ~~o aoWE s~ ZONE a.i~ ~;~i~ ~ AE sF9 IEL 91 4 9 e3 'a: 3~ ~ ~ A ~Dv R~//~~/~ fib' a e m a~ ' u ~l .JLi 1/L/ A../ ~ ~ ro~~~,a'Y~.'~ _ x « w. e e~ " ry m. t to 9;'~ a' ~;zo , , yr i w i~ COASTAL BASE FLOOD ELEVATIONS ~ I~~ APPLY ONLY LANDWARD OF OA PJGVD i ~ >aj ~ 4CAy~~, x~ .y a V.; , n \ w ~o~~pF SOUjyOlo Tuwn Hall Annex ~ ~ Telephone (63I) 765-I HU2 54375 Main Road H ~ Fax (631)765-950? P.O. Box 1179 ~ ~ O Southold, New York 1 1 97 1-095 9 ~ ~ ~y~0UNT1,~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE Mny 26th, 2008 Oysterponds Historical Society P.O. Box 70 Orient, N.Y. 11957 RE: 1555 Village La. (HEArIN6 uNIT) SCTM: # 1000-25.-3-16.1 To Whom It May Concern: Please be ndvised that your Building Permit # 32278 issued August 10th, 2006 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit's please submit a fee of $250.00: at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us nt 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT 7pyp 0290 X002 8968 4912 ~O~~pF SOUTyOIo Town Hall Annex ~ ~ Telephone (631) 765-1802 54375 Main Road H ~ Fax (631) 765-9502 P.O. Box 1179 T • O Southold. New York 11971-0959 ~ 1y00UNTV ,N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD September 14th, 2009 FIRST NOTICE Oysterponds Historical Society P.O. Box 70 Orient, N.Y. 11957 RE: 1555 Village Lane (Heating Unit) SCTM: # 1000-25.-3-ib.l TO Whom It May Concern: Please be advised that your Building Permit # 32278 issued August 10th, 2006 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $250.00; at that time we can Schedule an inspection by one of our Building Inspector's. If you have any questions, please cull us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. ~O ^M (j`J U Southold Town Building Department 54375 Main Road Permit 32278 Southold, New York 11971 Permit Date: 8/10/2006 (631) 765-1802 ~ Expiration Date: 2/10/2008 Parcel ID: 25.-3-16.1 Dated: 5/2/2011 Applicant: OYSTERPONDS HISTORICAL ~S ~~1J'~~./l~lp~', Location: 1555 VILLAGE LA ORIENT,N.Y. 11957 ~li„~:(~ Work Description: HVAC JJ INSTALLATION OF HEATING UNIT AS APPLIED FOR / l~-% ~ L C~c ,ti~~~~~, ~ - - Owner: OYSTERPONDS HISTORICAL SOCIETY Address: PO BOX 70 ORIENT , NY 11957 Your BUILDING PERMIT #32278 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of Southold in the amount of $250.00 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, _ Michael Verity: Chief Building Inspector Southold Building Department cc: Damon Rallis Zoning Inspector r ' - - ~ R w w ~Y~ X7`.3 r ci v~'I rJ ` ~a ~ , _ S~ r ~i~~~KL L5- ~vAya. / ~u ~ ~ ~ ~ r , Y ~ a ~ Series 2PV Gas Boiler . BURnHAM SERIES 2PV GAS-FIRED HOT WATER BOILER The Cost Saving of the house to another. than normal settings. The net result Alternative t0 Homeowners have tremendous is annual fuel savings. ' heating versatility with Burnham's • Heat Wheri and Where Electric bleat Series 2PV boiler. 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EFa6n oY current Estimated Alliance water heater uses boiler 0 x Annual New ez t Fuel Bill = Fuel Bill water as the heat source to produce hot water in an insulated tank. Example: Vour presets Dollar's etllclencyy is retell at • Perfect for 1tadlariC 50% and your annual fuel bill Is $1,500. so Heating az.t With the power $404 Annual Savings to keep cold v bathroom tiles Burnham Hydronic Heating wazm and snow is the Choice for Comfort off your driveway and Versatility in the winter, the Steam and hot water heating, Series 2PV can known as hydronic heating, has work in combina- proven to be the most effective and tion with radiant economical home comfort system pipe to deliver available. With a well designed, heat from your properly maintained hydronic floor, ceiling, system, you will never experience walls, or drive- the hot and cold spots or drafts so way to your common with furnaces and heat body. Because of pumps. Plus, there are no airborne the unique way > dust particles, smoke, odors, and radiant heat works, the thermostat i germs being smoke, odors, and setting in your house can typically germs being carried from one part be set three to five degrees lower 2 DOE Heating Capacities Limited warranty. Your Safety is Burnham's 51 to 135 MBH A draft inducing fan pulls hot Primary COncem Designed for gases through the heat exchanger at just the right speed for optimum Your family's safety is far more Performance efficiency. Together, the heat important than fuel savings. That's The Series 2PV is efficient by exchanger and fan provide more why we've inwrporated field tested, design. At the heart of every 2PV heat with less fuel consumption. quality engineered controls and boiler is a dependable cast iron heat No vent damper is required. components in the Series 2PV boiler. exchanger that enhances energy Ease Of Installation 0 Split Controls efficiency and improves boiler performance. To reduce fuel con- Since the 2PV vents directly The Series 2PV is equipped with sumption, rugged cast iron sections through any outside wall, it can be split controls: high limit control, are joined with iron couplings called installed almost anywhere, such as a transformer and a circulator relay. °nipples" to extract the maximum closet or utility room. This means By using "off the shelf' separate amount of heat from your boiler. you won't need to make costly controls instead of a combination The nipples expand and contract repairs to your old, deteriorating control, Burnham has simplified with the cast iron sections and are chimney. service and reduced replacement impervious to petroleum based iC costs. The location of the controls chemicals which have been found to also makes servicing easier because deteriorate gaskets everything is up front. used in competi- ®Prepurge Ignition Module tors' brands. In This safety control allows the fan to addition, purge air through the boiler and Burnham backs vent system clearing the system and up all Series 2PV making sure there is no blockage boilers with a before trying for ignition. True-Blue Lifetime 2 I It~isttiaY~~d }ticket gty' Y ~ jet "N~ ` D t.?y S~y,~~,~i,nf~'' 203PV 20-0/2" 14-1/4" 10.1/16" 15 5/8" - 1~lIrZ ~Temper(wuie Vauge 209PV 23J14" 1]-3/4" lI' 155/8' 203PV 2T 21' 13 1/Z' IS-1/4' ~~yy y~z 206PJ 30.V4' 24 1/4" 15 1/8' IS 1/4" [it ~Iltlkt. I:l dole w/ 10096-Shut Off,. 30 Ste. Prep 6i. n CcfnLfillilotis Ru~y for Ignition c-B D DlHme[er Iy9atittr ~-Otlt Switch _ ' 1~YSh"C'ransform~r! `"t i00~~t~(3fflliedundant `Cotttbination Gas Vatve ®m ~ m Staln~ess Steel Bumets A~erttlr~y~CVarton p ~ (Vent connector, terrttilial; , one lodting band, and one tutee-o;:. tube oP s111cone 2a-~' $ealant) Lsn Side View Front View LlDoor Right Side View 3 LBurnharri AMERICA'S BOILER COMPANY The Series 2PV is equipped with electronic ignition (EI) for all natural and LP gas models to A increase fuel efficiency. B ®Redundant Gas Valve The control arrangement provides for a ninety second try for pilot K C ignition. If after that length of time the pilot is not established, the D entire system goes to safety shutdown. AFter five minutes, the E unit will retry for ignition and continue to do so on a programmed J basis until a pilot is established or g the thermostat is set below room temperature. Comfort You Can Count On C' Burnham's Winter Warmth Assurance plan offers 5 or 10 year I I blanket coverage when purchased H through a member of ~ Burnham's Home Heating Team. The program pays I 100% For parts and labor on qualified repairs for 5 or 10 years from the date of A. Deluxe insulated jacket installation. B. Suction pressure switch proves fan operation Make a Smart Investment C. Draft inducing fan There are few investments you'll D. Labeled wiring makes electrical ever make that are more important I connection easy than your heating system. With tae E. NrgSStilre temperature gauge guidance of a qualified heatng F. Durable cast iron sections for tong life contractor, you can easily customize G. Concealed step opening gas valve your heating system ana choose H. Flame roll-out switch options that add to your home's I. Stainless steel burners for smooth light off comfort and value. Burnham's Series J. Brand name quality controls 2PV makes heating your home with K. Self lubricating circulator never needs oil gas a practical investment today and one you'll appreciate for years to come. 4 SPECIFICATlOP15 ~Burnharri > AMERICA'S BOILER COMPANY SERIES ZPV RATInGS Natural and LP Gas ~ ~ ~ ~ G DOE hB=R INPUT HEATING NET RATIlVG BOILER MBH CAPACITY MBH MODEL (1) MBH (2) AI*[JE 203PV 62 51 44 82.1 1. Ratings shown are for installations at sea level and elevations up to 2,000 feet. For elevations above 2,000 feet, ratings should be reduced at the rate of four percent (4%) for each 1,000 feet above sea level. 2. Ne[ [=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. Venting System: The 2PV is designed to vent directly through the wall using only AL29-4C® stainless steel piping - Burnham's approved vent system. Wall Thimble (sold separately) -Venting through a combustible wall requires a single wall thimble fora 203PV or 204PV, and a ' double wall thimble fora 205PV or 206PV. Form No. 4112F-10/98-35Mp LBurnharri Printed in [he U.S.A. ©1998 Burnham Corporation -Lancaster, PA AMERICA'S BOILER COMPANY Phone: 717-397-4701 BLrnhem Corporation Internet: http://www.burnham.com ¦ Complete kerns 1, 2, end 3. Also complete A Signature item 4 k Restricted Delivery is desired. ? Agent ¦ Print your name and address on the reverse ' y ? Addressee so that we can return the card to you. B. Received by (Pn NemeJ C. to of Delivery ¦ Attach this card to the back of the mailpiece, or on the front if space permits. ~ J - . Is delvery etldress diReren[ fmm kern 17 ? Ves 1. Article Addressed to: ~ ~ ~ ~7~ If VES, enter delivery adtlress below: ? No _t~Fil~... ~5'~UL~4oy~,A ~t'~~LI¢a-F J'~ ~ ~ 3. Service Type -~/Q U~~,Lt ~'~.C~ ?CertifietlMall; pEzpressMell ~ _ I I ~ S '7 ? Registered -;'6~,~R@tum 9eceipt for Merchantlise ? Insured Mail ~ -.0;4& 4. ResMcted Dalivery7 (EMra Feel ? Yes 2. Article Number G (~iansier /mm serv/ce label) / C~ 0 ~,2~Q (~Q Qg ~d ~-/~p ~ O~ PS Form 3811, February 2004 Domestic Return Receipt touss~vtsw i UNITED STATES POSTAL SERVICE I II II I PerrnitlNo. G-10 Paid • Sender: Please print your name, address, and ZIP+4 in this box TOWN OF SOUTHOLD BUILDING DEPARTMENT P.O. Box 1179 Southold, N.Y. 11971 i:,:ii,::iii:I..i:::i..,Iliil::i:i:::f:i:i:l::i:::il:i:::li:ii