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HomeMy WebLinkAbout38215-Z y1fFA(f Town of Southold Annex 1/16/2014 P.O. Box 1179 54375 Main Road °d Southold, New York 11971 f CERTIFICATE OF OCCUPANCY No: 36714 Date: 1/15/2014 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 8520 Route 25, East Marion, SCTM 473889 Sec/Block/Lot: 31.-7-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/25/2013 pursuant to which Building Permit No. 38215 dated 7/26/2013 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 SYSTEM TO A ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Walter Gaipa, Jr., & Linnell Gaipa (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ho ed ignat e °yicr'ota TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~ v SOUTHOLD,NY 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 38215 Date: 7/26/2013 Permission is hereby granted to: Hulse Janis B Irev Fam Tr C/O Jeffrey Hulse 3 N Harbor Down Miller Place, NY 11764 To: install a new heating system as applied for At premises located at: Q'D,p)o o;,Nl 8520 Route 25, East Marion i 19 SCTM # 473889 Sec/Block/Lot # 31-.-7-4 Pursuant to application dated 7/25/2013 and approved by the Building Inspector. To expire on 1/25/2015. Fees: FURNACE/BOILER - RESIDENTIAL $200.00 CO-NEW CONSTRUCTION/ALTERATION/REPAIR $50.00 Total: $250.00 r / Building Inspector 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. 13. For existing buildings (prior to April 9, 1957) non-conforming 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 I . Certificate of Occupancy - New dwelling $50.00, Additions to 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 of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~~r 12-1 Z J 1 3 New Construction: y7 Old or Pre-existing Building: (check ones)/ Location of Property: 8slQi~y House No.r LL / Street Hamlet Owner or Owners of Property: /'P~~ LI m_ ~f \J 4 1 5 Suffolk County Tax Map No 1000, Section J 1 Block y 7 Lot 0_ Subdivision _ Filed Map. Lot: Permit No. d 5~ _ Date of Permit. Applicant: I lealth Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: A'/(check one) Fee Submitted: $ Applicant Signature g C o~aoF souryo TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG LEIG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR FIELD N R1 R'f DATE COMIVI .m C5~ C>Qro w U~ FOUNDATION (IST) C FOUNDATION (2ND) c 0 ROUGH FR. MWQ & PLUMBING p~ INSULATION PERN. Y. STATE ENERGY CODE / . Ci~ v .,!.e . FINAL ADDITIONAL COMMENTS M 7 77 777 y ~ t h! TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown. North Fork.net PERMIT NO. :~Q'2 [ Check W E Septic Form D E ~ l7 NYSD CC Trustees Flood Permit Examined, 20 Storm-Water Assessment Form JK 2 5 2M Contact: Approved., 2 Mail to'. Disapproved a/c _ BLDG HUMP[ DEPT. Phone 40 TOWN Of 0 Expiration 2d_~ Building Inspector APPLICATION FOR BUILDING PERMIT Date ZZ x , 20A INSTRUCTIONS a. "f his 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 dam 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 pennit 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 r removal or dem ition as herein described- The applicant agrees to comply with all applicable laws, ordinances, building d , housing cod d regulations, and to admit ( authorized inspectofs on premises and in building for necessary inspe :ii n I. p p (Signature of ap liwnl or name, ifa corporation) lie ( almgaddrA,!} RMTD A ED Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrici I r r d DATE FF S FEE. Name of owner of prcmiscs f QrII Zlne (=-Lt PeNOTIFY BU!IDNT, f':.--- F^:T (As on the tux roll or latest de ) 765-1802 3 - .1 , 4 1 1 R 11 Ifapplicant is a corporation, signature ofduly authorized Officer FOLLOWIN,-;."I tJl 1. FOUNDi,'''/N - "'JG t<rt 114i_. (Name and title of corporate officer) FOR PO U R E U C' 141; k El F 2- ROUGH - FRLV"A'c UC^o'PJG. Builders License No. - STRAPPING ELi Iu i RICAL & L;' ULv Plumbers License No. 3. INSULATION Electricians License No. _ Other "T'rade's License No. 4. FINAL - CONSTRUCTION & ELECTRIC MUST BE C' PLETE FOR C 0. 1. Location of land on which propIrk will be done: ALL DONSTRO1-71ON SHALL MEET THE 2'Ze) ~CEIn Ca QAEMENTS OF THE CODES OF N"L I. House Number Street I _ Iantler TUKA 0 TATr ju I RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. County 'I "ax Map No. 1000 Section Block 0 -1 LOT C-) Subdivision ELECTR 1QA!_ Filcd Map No. Lot INSPE TVW Iwrt r `i` 2. State existing use and occupancy of premises and inte{nded user a_nd occupancy of proposed construction: a. Existing use and occupancy I n~ LC "F~ tYl t ~re., r l?-n<C b. Intended use and occupancy fl ~,e 41 L M 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work l~l,) a,ll fl4-ty tell qaS (Description) rr~~ f 4. Estimated Cosi~ Fcc_ 0[d0 911r~~4 ~''1 (I p be paid on filing this application) 1t 5. If dwelling, number of dwelling units Num mA As on each floor B If garage, number of cars S 1 - & 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. q/ s 7. Dimensions of existing structures, if any: Front J Rear ~ tv Depth Height Number of Stories 12 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 O ? Rear 8oQ Depth 10. Date of Purchase 7 & 3 Name of Former Owner Z ¢ h lS V IS e c 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 r' Will excess fill be removed from premises? YES NO~ k~'t-~- +LIVIeu G-4° ~(J~i6Z`l'1 na(IQY1 Oy lo3 X63), 14. Names- of Owner of premises Ad ress Phone No. 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. PERMIT'S MAY BE f3~QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IP 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 10 feet or below, must provide topographical data on ~ttrvey. 18. Are there any covenants and restrictions with respect to this property? * YES NO?/ * IF YES. PROVIDE A COPY. STATFi OP NEW YORK) SS: COUNTY OF WQ~ I• Q _ being duly sworn, depos CCI N$ SUNCH. 5050 (Name of individual si ling contract) above named, No. 01 6U61 6185050 (S)He is the Qualified in Suffolk County (Contractor, Agent, Corporate Officer, etc.) vemmiss.en E*WFe,,ApiL S4, 2 10 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 [o before me thi day of i 2013 C Notary Public Signature ofA plicant ig1a Effic'n JUL 2 9 2913 Fu P.htTuttion r P wer Vented `J Boil r r Vi A €a s rMi ;:nA ya uS,TM1~ 3 r-, a d+ try' N k ry l; 3 ~t • Direct Vent (horizontal or vertical) or Power Vent • Efficient Operation Saves Homeowners Money! • Innovative Design and Appearance • Ideal Replacement for Millions of Existing Boiler Installations • 7 sizes, 70-280 MBH input • 5 or 10-year Parts & Labor Extended Warranty Plans Available Limited Burnham Lifetime by Warranty! Boiler company GREATER ENERGY SAVINGS I Ratings DOE 1=6=R Water Model Input Heating Capacity Ratings Electrical Numbil (MBH) (MBH) (MBH) AFUE% Requirements" ESC3 70 60 52 85.5 < 2 Amps ESC4 105 90 78 85.4 < 2 Amps ESC5 140 120 104 85.3 < 2 Amps ESC6 175 150 130 85.2 < 2 Amps ESC7 210 179 156 85.0 < 2 Amps ESC8 245 208 181 84.5 < 2 Amps ESC9 280 238 207 84.0 < 2 Amps ' Add suffix "N" for natural gas, or suffix "r' for LP gas models -Requirement for controls only, add for amp draw of circulators. Specifications Model Dimensions (inches) Connections (inches) Water Approx. Number Width (W) Height Depth Vent Intake Content (gal.) Shipping Wt. (lbs.) ESC3 14 41 33 3 3 2 250 ESC4 15-1/2 41 33 3 3 3 300 ESC5 18-1/2 41 33 3 4 4 350 ESC6 21-1/2 41 33 3 4 5 410 ESC7 24-3/4 41 33 3 5 6 460 ESC8 24-3/4 41 33 4 5 7 510 ESC9 30-3/4 41 33 4 5 8 560 INTAKE VENT VENT INTAKE j 12" MAX 0 34„ELECTRICAL VENTILATION AIR INLET OPENINGS- 27"SUPPLY 0 0 41" 18,, GA 75" RETURN 12" MAX FLOOR , FLOOR E LINE 0 LIN 4 71~ t 0" 4" 15"19"22" 33" NOTES: ' Vent pipe minimum clearance to combustible material is (4) inches when vent is installed in a fully enclosed chased application, or (3) inches when vent is Boiler Company installed with at least one side open, similar to a joist bay application " Add height required to maintain 6" clearance from all breeching components Area of each opening 1 sq. inch for each 1,000 BTUH input - with minimum of 100 sq. Inches. Height of opening should be half the width. © 2011 U.S. Boiler Company, Inc. - Lancaster, PA USBLI1091 Phone: 1-888-432-8887 • w .usboilecnet