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HomeMy WebLinkAbout37848-Z UFFOL/f G Town of Southold Annex 6/28/2013 y� P.O.Box 1179 54375 Main Road oy �, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36322 Date: 6/28/2013 THIS CERTIFIES that the building HVAC Location of Property: 68530 CR 48, Greenport, SCTM#: 473889 Sec/Block/Lot: 33.-5-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/28/2013 pursuant to which Building Permit No. 37848 dated 3/6/2013 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 and hot water heater as applied for. The certificate is issued to Galanis Realty LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 6/6/13 Peter I yAakoulio J Auth ' ed Signature 4�S�FFnt��v TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE o . 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#: 37848 Date: 3/6/2013 Permission is hereby granted to: Galanis Realty LLC 56-27 East Hampton Blvd Oakland Gardens, NY 11364 To: convert a heating system as applied for At premises located at: 68530 CR 48, Greenport SCTM #473889 Sec/Block/Lot# 33.-5-21 Pursuant to application dated 2/28/2013 and approved by the Building Inspector. To expire on 9/5/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 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 2110 of 1% lead. . 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliancetrom 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. Accurate survey.of property showing all property lines,streets,building and.unusual natural or topographic features. 2. A properly epmpleted 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. Certif cafe of Occupancy-New dwelling$50.00, Additions to dwelling$50.00,Alterations to dwelling$50100, Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50:00,Businesses$50.00..-J 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 $1 5_00,Commercial $15.00 Datex New Construction: Old or Pre-existing Building:' (check one) Location of Property( ' q i Y� S�- G1�C61h1�"t ��cq Lly ��°° House No. Street Hamlet Owner or Owners of Property: _�.,01,0",: ��1QV)►S Suffolk County Tax Map No 1000, Section Block Lot a I Subdivision Filed Map. Lot: 7 Permit No. 2 I`I S Date of Permit. Applicant- Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted. $ 5p � 654licant Signature CERTIFICATION Date: wni✓ Building Permit No. Owner: i oI kn; (Pleas print) Plumber: Pe,)5r)�jr1a V 1 ins (Please print). I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. umbers Signature Sworn to before me this ` h 1 day of P, 20A_ E C - v J UN 2 1 2013 Notary Public, q-J County SUSA NOTARY PUBLIC-STATE OF NEW YORK BLDG.DEPT. No. b1CA6192882 TOM\OF SOUTHOLD Qualifier! In Nassau County DIY COMMI50*n expir'06 OG SOUTyolo ia_ cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ,� de FIELD INSPECTION REPORT DATE COMMENTS Jm FOUNDATION(IST)---- -- ----- - --------- c! FOUNDATION(2ND) •\ y ' ROUGH FRAM[ NG& y PLUMBING r CrJ INSULATION PER N.Y. STATE ENERGY CODE c 6412-11 5 o D FINAL , ADDITIONAL COMMENTS O LP rn 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.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined f ,20J Single&Separate J C Storm-Water Assessment Form Contact: Approved ,o'n Mail to: Disapproved a/c II y Phone: ! l (� a-� tog 5 1 Expiration 20_�f � E.. C E Building Inspector _l 0 PLICATION FOR BUILDING PERMIT L� FEB 28 213 Date , 20 INSTRUCTIONS BLDG. DEPT, TOWN OF is-ap SOUTH 1-hpirc Ietely 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 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. GhniS d= 5oc� �(,xr�l7ina J (Signature of applicant or me,if a corporation) 2�Jk l Iry (�yc (fie l 1610r, 1\1 Y 1 I-7w APPROVEDiANff1 6applicant) State whether applicant is owner, lessee agent, architect, engineer, general .tr t r el c 't ci�i 7�ber or builder DATE.9 �' BPiu M,6r v . �--- NOTIFY BUILDING DItPARTIVIENT qT Name of owner of premises Go.`anC 5 9,g )*y LL_C- 2 5_t802 8 AM TO 4 PM FOR THE: (As on the tax rol1FMi_W6'?�'t��lF��' `J If Ica s a corpo Lion signatii of d it Lit„ rizpd,©ffcer 1. FOUNDATION-T1No i:E� ulLlrD � Lii 41 tF FOR POURED CONCRETE e i e of corporate r,t q�� [ 9! 2. ROUGH-FRAMING,PLUMBING, ,, � q3 U L A FUI L STRAPPING, ELECTRICAL&CA'JL'CI;'�. Builders License No. ! ,r.1 3. INSULATION Plumbers License No. p C�1 ` T 4 FINAL-CONSTRUCTION &ELECTRICAL Electricians License No. C q MUST BE COMPLETE FOR C.O. Other Trade's License No. � �`'"'� °•a 'i�Te ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 1. Location of land on which proposed work will be done:. DESIGN OR CONSTRUCTION ERRORS. 5— 020 c) Son U"�i f 6y_r_Cn WY I I q LlLJ House Number Street Hamlet County Tax Map No. 1000 Section 033 -o Block x•o`' Lot OuI oo Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 64S b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work e:�;,as Cajo6?C3t2n (Description) 4. Estimated Cost b `/, Ogg 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 . Rear 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 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 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 0►m rj Cntan;5 Address <_ 010 son 5-�- 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. 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 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YEST NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF l) P�' �y��q \�q5 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the Flumbifla (Contractor, Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said wort: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 tAM&ww day of20 AN B CARMAN J NOTARY PUBLIC•STATE OF NEW Y � No. 01 CA6192882 Notary'Public Quallflod In Nassau County ure of Applicant My Commission Expires pF SO(/jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Cum June 3, 2013 BUILDING DEPARTMENT TOWN OF SOUTHOLD Galanis Realty 56-27 East Hampton Blvd Oakland Gardens, NY 11364 Re: 68530 Route 48, Greenport TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: l "Need to amend application to include Hot Water Heater. Provide ()Cc specifications for Hot Water Heater and Boiler. Application for Certificate of Occup nc . (Enclosed) / NDT N= 1%4/t� V Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. 0—V—/— Plumbers Solder Certificate. (All permits involving plumbing after 411/84) ®!�' Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37848 — Heating System Conversion Chris & Son Plumbing Inc. 2841 Grand Avenue Bellmore, NY 11710 (516) 322-5583 June 12, 2013 Town Of Southold Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 RE: Building Permit#37848 Dear Sir or Madam, I am forwarding this letter in.response to the letter received on June 31 requesting additional information for the new boiler installed at 5 Madison Street Greenport, NY 11944. Along with this.letter please find my Solder Certificate signed and notarized. There was no electrical work performed other than the disconnection of the existing junction box from the old boiler which was reconnected to the new boiler. Any new wiring that may appear is from the boiler which is a packaged system and is low voltage. Also I would like to request that the hot water heater installed be incorporated into the permit application. Water Heater is a 50 Gallon Bradford White Model Number M1503S6FBN337. Additionally I would also like to state that all of the metal chimney breaching installed was done to both manufacturer's specifications as well as any state and municipality regulations. If you need any further information please feel free to contact me. Sincerely E. 15 C E u ll ucG JUN 2 7 :2013 Peter i koulios BLDG. DEPT. TOWN OF SOUTHOLD