HomeMy WebLinkAbout23871-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24909 Date FEBRUARY 27, 1997
THIS CERTIFIES that the building STOVE
Location of Property 660 MILL CREEK DRIVE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 135 Block 3 Lot 42.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 11, 1996 pursuant to which
Building Permit No. 23871-Z dated DECEMBER 23, 1996
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 SOLID FUEL BURNING STOVE & CHIMNEY FOR EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to CHRISTOPHER & DARLENE GIRZADAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
d
uil ing Inspector
Rev. 1/81
FORM NO. f
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)
N° 23871 Z Date ......Vez�. ... 2....................
Permission is hereby gran dd_/to:
! / .. .......... ....� 5//��yr�
............ .��.. .. c �.......:.....
��. . r......to ... .... ......... ................ .... .
..... ... . .�..,:.... ...</"......... ....... .... ....... .' .......................................
atpremises located a .............. . .. ..... .:................................
.................................................................................................................................................................
County Tax Map No. 1000 Section ...... ...... lock ......... ....... Lot No. .,7.. ... ....
pursuant to application dated ...............�1..., 19.96; and approved by the
Building Inspector.
Fee $......./.... .....
s
..... ........ . ..Building.�r�.s�ect.r.........................
Rev. 6/30/80
Form No. 6 �)
TOWN OF SOUTHOLD
U t5 i BUILDING DEPARTMENT �(h�1
TOWN HALL CV��� -1�,1 6f -2c, 1-5
Q ON + 765-1802 Loo o
BLDG.DEPT. APPLICATION FOR.CERTIFICATE OF OCCUPANCY .5 0L th � `n� I l
N TnWPd OF SOi1TH01_^ l
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
7pre-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 a 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. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25-00, Accessory building $25.00,
Additions to accessory building $25.00. 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 . . . T:4,�j 1(7,?1. . . . . . ... . . . . . . . . . . . . . . .
New Construction. . . . . . . Old Qr Pre-existing Building. . . . . . . . . . . . . .
Location of Property. .����. . 5-�✓e��. .���✓.�.. . . . . . . . . . . . . . . . . . . . ���� �/�. . . . . . . . . . .
House No. /S�reet Hamlet
... . . . . . . . . . . . . . . . . . . . . . . . . .
Onwer or Owners of Property. . �N . . . . . . . . . .e> . . . . . . . . . . • •
County Tax Map No 1000, Section. J. . . . . . .Block. . 1�. . . . . . . . . . .Lot. . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . .
Fee Submitted: $. .( 5: . . . . . . . . . . . . . . . . . . . . . .
p . . . . . . . ! Jill . . . . . . . . . . . . . . . . . . . .
• ��J�1 .APPL ANT
. o�OS�FFO(,�coG
o� y�
N 2
Town Hall,53095 Main Road p • Fax(516)765-1823
P. O. Box 1179 y �� Telephone (516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 21, 1997
Mr. Christopher Girzadas
600 Mill Creek Drive .
Southold, NY 11971
Re: SCTM#1000-135-3-42 . 3 (file under Armstrong)
Prem: 660 Mill Creek Drive, Southold
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is (outdated/not on file. ) $25.00
No 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) .
BUILDING PERMIT # 23871-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE `� INSPECTOR
T65.1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ e-"�11�11111 AL
REMARKS: lwd-bcl
Aalw 14--d .co
Al
DATE GT✓ INSPECTO
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CHIMNEYS
Tunes of Chimneys
The chimney is a vital part of your stove
installation. A properly built masonry chimney or a
properly installed factory built chimney will assure Tile-lined masonry chimney
a consistent draft under a variety of weather
conditions. (A smoking stove will almost always
be caused by a chimney problem.)
All chimneys must be installed either according to
local building codes in the case of a masonry Factory built_metal chimney i
chimney or according to the chimney
manufacturer's instructions in the case of a factory
built metal chimney. See the chimney Chimney Height Requirements
manufacturers instructions for exact specifications:
The chimney must extend 3 feet above the level of
NOTE: An oversized chimney may result in less roof penetration and a minimum of 2 feet higher
than optimum performance. Installations into a than any roof surface within 10 feet (see below).
large, masonry chimney may require a liner to Check with your local code officials for any
improve performance. additional regional guidelines.
Chimney Inspection The minimum vertical run length should be 12' to
15' to satisfy the draft requirements. A draft gage
Existing chimneys must be inspected before should read more than .04 W.C.I., but less than .08
installing your stove. Consult your local building W.C.I.
department for chimney code requirements. A
masonry chimney should have a: code approved Due to prevailing winds, local terrain, adjacent tall
liner. This liner must not have broken or missing Fees, a hill or ravine near the home, or adjacent
pieces. Some non-code masonry chimneys may be structures, additional chimney height or a special
brought up to code by being relined. (Consult your chimney cap may be required to assure optimum
dealer or qualified chimney sweep.) Factory built performance.
metal chimneys should also be inspected, first for
creosote deposits (which should be removed), and
then for integrity of the stainless steel liner. Look - T
for obvious bulges in the lining which may indicate -_ 2 3
the need to replace that section (use a bright 1 0, '
flashlight). Also inspect the attic to see that the
chimney has proper clearance to proper clearance
to combustible framing members.
12
INSTALLATION
COMBUSTIBLE WALL CLEARANCE Mobile Home Standard Clearance
WARNING! IT IS VERY. IMPORTANT THAT Using Approved L Vent pipe only. Approved
YOU OBSERVE' THE MINIMUM brands ' are Dura-Vent, Security, Pro-Vent,
CLEARANCES. These are the listed clearances Ameri-Tek. Mobile Home installations must use
for Earth Stove models 1500HT & 1500HTL which rain cap with spark arrestor.
were determined in .laboratory-tests using various
"classes" of stove pipe or chimney: Minimums are Clearances
first established for the stove itself and increased .
based on how much heat is transferred by each A 10 1/2" D 8"
class of pipe. B 20" E 9 1/2"
C 15" F 5"
NOTE: Mobile home installations require the use
of a Type L Vent chimney connector only. Use of
a single wall flue pipe connection is not permitted. Corner Installation
Residential Reduced Clearance
t
C %45 0
Using any type listed L Vent pipe (double wall air
insulated) to the top of the stove. Approved brands
are: Jakes-Evans, Dura-Vent, Security, Pro-Vent,
Ameri-Tek, Metal Bestos. [*F*
Clearances
A101/2 D8"
B 20" E 9 1/2"
C 15" F 5"
Residential Standard Clearance Parallel Installation
(Not approved for mobile home) Using single
wall pipe connector to the top of the stove.
A D.
Clearances
~B 0
A 15" D 13"
B 19" E 81/2" t-E
DEC I I ngo
10
BOARD .-OF I I I C A I,'III _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1•olm No. I �' .) !II-""F S OF VI.AN!i . . . . . . . . . . . . . . .
TOWN OF SO111'1101,I) SIURVI?Y . . . . . . . . . . . . . . . . . . . . . . . .
RU 1 IM I NC DEPARTMI".IIT CII.KCK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN IIAIJ. !il,lrTAC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y_ 1 197 1
TF1.: 76'i 1007 MOT 1rY:
CAI.1.
r.x:.rli+xtd ` '`� •• 19 MA:1I, TO: . . . . . . . . . . . . . . . . . . . .
Appr(rvecl_. 19"'` I'ermil tJcr. ... � ..
I)i::alrprcrvcd a/(. . .... ......... ... .. .. ..... .. ... . . .... . . . . .
(Ikrildinf; losix,clor)
DEC I lam ICATION 1--OR IIIIILI)INC PERMIT
UaLe_ . . _ . • . . . . _ . . . . 19_ . . .
NSTMICT I ONS
:1. 'll+i:; applicatJorr nx1,L lie cotrglletely filled in by tylx.?%-Wit"er or ill inlc a+xl r:ul>tnil-ted Co the Ikrildinf; 111, (-Ior will+
'I srlti of planr,, m:cur:I1_e nlol: plan to scale. P'ee nccovdiog I:o schec)+lle.
h. floc plan shx4i ng I(rcal:i(nl of IoL 'It xl of. Ixli l(Iir+f;. cx1 p 1(1111 r:e. re l:+l:ion and l i p to :djoin inf; pr c+ni nes or Ix+hl is
!;IIYrarcr or :+re:r., curl f;ivirig n detniled cle,c,r.pOon of lay(nrl: of prolx�rl:y n+11,1. Ire dr:n.nr (rrr the dk;prmn which in Ir:1r1 of
lllir; app1 ical ion.
c.- 'Il+e work covered by Olin alrplicalion rrry oot. be cullmnced before issuance of Ihli)ding Velmit.
d. Luxor appr(rval of: this nppl icoLiorr, the Ihli ldinf; b1spoclor. rai 1 I i,sire n Ikli ldinp I'errniL to Ilw Ippl ic:ant:- Sorh
Ix:rmiL shall Ire Icepl: of the pre+nise,r,, availnhl.e for iospect:i(nr ll+r(n+I;luAA the wolk_
c. Ne) Ixlilding shall Im oc:alpie(1 or used in whole or in part. for any purixrse wtlnl.ever. until a G!1.IJficale of
(kcolr:ux:y shall. have le.en 11,r"nn(ed by (,be lhrilding hispeclor_,
AI'1'I.I(ATIOM IS IO.ILI;IIY MAUrs.to the lhlildinf; lklwlrl.nrnl; for I,he issuance of a Ihli)dinf; 1'euniL Ixlrr;(rmrL In the
Ikli lding 7.o(x: Ordinarx:e of Lhe '1'otm of S(xlthold, Stiff( lk (axnlPy, Wn-7 York, aril ol.her appi icable ).nws, Ordinarxrs or
Itc'I;ulat:iorm, for the colISLY ct CAl 01 Inrildiof,'S, :Adit.i(nrs or all.el,10olln, or for r(i+ervnl or d(ilxllil.ioo, an herds
dv!"cc ilx,cl_ 'Ihe allpl icaoC af;rcecr to cer+ridy willl al I. appl ic.abla I'ma, ordilmm.-trl, Ir(ri Idinf; c(xle, h(xlsinf; code, rnxl
velnrl,)IA(nrs, arxl to millil: authorized inslx:ct.ovn cm pr(ani(•,e(r acxl in lnlildiog for necessary inr; recur u:.
alz
(Sif;+rature of app 'cant, c 1111w, if a corlx)ral:ior)
(Mai I inf; ;xklre1;s of appl icant )
St
nte I-Awther nppl icanL is (xmrer, lessee, :igenL, architect, eligh per, peneral conLrncLov, electrician, phwrirer or Ixri Idctr .
. . . . . . ..... .. ...... .... . .... . .��.�...__.. .._. ..,.. .��___�,�,__�. _.,,.... . . . . . ... .. . .. ... . ._.._ . ... . . _ .... ... ._.. .. .._ .. . . . . ._. . . .. .. .. ..
N:x+xr of (AA)0.v of prcrniee, .���u.. t��%dr.y, j1 z- - d�.�— . . . .. . . ...... ..... .... ... ...... . .. ..... .... ... .... .. ... .. . ..
(as crrr the Inn roll or Imes,- (.1eed)
11' aplrlicanl: in :1 corlx)r:ll:iocr, sifpalure of duly :r(rlhorizrd officer_
. . .. . . . ... . . ... . ........ . . .. ..... ...... ........ ... .. . ....
(ll;*rx, arxl Lille o17 corlxrrnIe officer)
Ik+i -Nn. ........ ........ .... .... .
Phidx:rs I,iccnse. No. ...... . ........ ....... .
E..Ieclric hit if" I.icensct )dn. . ....................
OtJwr '1'm(W s l.icenre N(). ._.... z
I. lxwnl.icxr of In+xl cRr which prrrlrcrsed work wi I I be ............. . .. . .. . ............
. . .. ... . . . . ......... .... ...... ._... .... ..--- . . . ._..- .._. . . ADD c/. .. .. ..Idi ..... .. .. .. ............ ..
Ikxrr;e PAr+Ix?l. Sl ree 14wrileC
(:cxnrl.y T;lx Kill Ncr. RXX) Sect ioo ... ... Illock . ... ... ...... .. . lAw Jq 3..._. ..
S(1lxlivisi(nr ..... .... ..... ............. . .. .. . . . ... Filed Iirlr t`kl. lot ...... ... ......
(N:nre)
7.. !date exii,01ol, use nrxl (x:c.a,lknx:y of pronises mill inleoded 11^,e acxl (x:c:ufkux:y or pr(�jxrre(l con;llllCl.1(lrl:
a. I:xisCinf; ur:ct aril (x.xalf>ux:y JL Cj`!n ..` J,.f_( .. ........ . . .. . . . .... .......... ........ ... ... ....
b. Inl(axk?d use aril (x:(vlxnxy ... ... .... ... ..... . .. .. . .. .....
W�6. .. ...... .. . .... ....... .
��'rR.`•.iCya$:at1��Yi•l.:.; $��,:i.r:�`.n't4- ,{;n''�'
p oW
1. I'_'ilucl: of tnldc (checlt tdlich alhllical>lu)i Pka� Ikllldlnl. . . . . . . .. . . Addllioo .. .. ... . . ., AIIcralion . . . . . . . . . .
Ihawilr . .. . . . . . . . . . Ik_nnli1.iou . .. . . . . . . . . . (Mier bki,lc �Y .
.. .. . . . . . . . . . .. . . . .. . .
1 Iful inclled Glut _
I"1:r: .... . . . . .. . . . . .. . ..
(to Ix: lulid oil filing lllin applicnl.io(l)
1_ II` 1}n:lllnl;, Ixulxr ol` ihx:lllof, till ,i of og onit.a oo earll fIoor. . . . . . . . . . . . . . . . .
I' lint age, Ixrtlwi- of cal a . . .. .. . . . . . . . . . . . . . . . . .. . . ... . . .. . . . .
li. II' Ix,ulluan, rcilulc!rcial or kilix4:c1 ot:copancy, tip c:ily nat.olIt nlxl exlenl' of: each Iylx: of tine .. .. . . . . . . . . . . . .. . .
1. II ill ll:usilx,;; ol` uxiul'Ing al.rtic:lnlell, il` ally: Flool . . . . . .. . . . . . . .. . IG!ar . . ... . Ik:plh . . . . .. . . .
Ik:illl,l. . ... . . . . ... ....: .. .. . ... . iJ,nlx.r of Stoilt!❑ . . . . . . . . . . ... . . . .
Uiax:n:iicx,a ol'. nine uritu:lore with iilleri,l.icxrt or cxldil.ionn: Front. heal
ll,T111 . . . . . . . . ....... . .. .. Itui . fAuhui of Storit:s
litit: .. . ... . . . . . . . . . . . . .
Il_ Illnrnslcxln ul` enure Iw:t4 coo.shru:fioii: Flixil. tlt:ar IklplIt . . . . . . . .. . . . . .
Ik:ll;lll. Ilkidwr ol` :iforien
9. liize of; lot.: Froill 14--at' . . . . . . . . . . . . . .
10. [Lill! ol` 1'lo chasi! . ....... .. .... .. . .. . . Him.- of Porar:r 0,41w'.r . . .. .
I I. Ylxu or tine dial vicl: io t,A,irh preioi:u!a ilre .;itoilted . . . ..
12- Ikx:n Irrolxi:ied Genial nw:l lcxi viol ill c any zrxliIII; ling, oidiniux_e or legtrlal.loo. . . . . . . . . . . . . . ... . .. . ....
I1. Ili II lot Ix! regriwled ....... ... . ..... . ... Cllll excena fill lu: r(sieived f,tlll plallisea: YES 11)
Ill. ILx1x a of (a,Iw!r of . ... . ..... . . ..... ... . .. . ... Acklren;i Illoly! R) . . . . . . . . . . ...
tlim., of: Ar c ld ttecl . .... .... . . . .. . ... . ... .. .. .. .. . . . . .. Arldre:ia Ilwxw: IJ i.
Milk! of Coo(racl or ... .. . .. .. .... ... ........ .... .... . . Aildresa 11uxx: fki. .. . . . .. .. . . . .
. . . . .. .. . . . ... . . .
1'i. Ia lllin Itolx:rly wllhiit 3(w) feel: ol.` it IidaI %A!Cl ill xl'? 'YES .... . . . . .. R)
III? Yl s, Il 14,1l'1' IlAY 1113 10!1lltlil:l).
1'1.O'I' 1)1 AGIIAII
11wille clearly alxl disCi1wrly all Ixli lclinga, t+llelher exlsl ing or proposed. acid ilxlicace all sel•-back dillicni.00l14a
f,1w pI olx:I y lilu n. Give al:n^eC 111'i1 1)1Ock nit wr or d(laci pl iocl accord iIll., I deed;,aixl allow nI Ice l: 1liYlx:;; ill l ilwli(a11:
iA,ethel lot :rior oi corlw!r
✓'' Q , - AP OV OAS NOT _
DATE: 1� B. # 3
'FEE:
NOTIFY BUILDING 0 .P AT
65-1802. 9 AM TO 4 M- FOR THE
FOLLOWING INSPECTIONS:
f. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING Ill PLUMBING
P", 3. II�SUL��iOIV
r k^ 4. FINAL CONSTRUCT ION VUSTPrj q • �M 1I0 �
r :in i � '� BE COMPLETE FOR C.O.
� r 17b A),I— ALLh^ONS�'ir'UCTION SHALL MEETfir', p I+ THE REQUIREMENTS OF THE N.Y.
'L 6 STATE CONSTRUCTION & ENERGY
t E � 4 K%ti a CODES. NOT RESPONSIBLE FOR
i rn l l: I>ti t K.1J Yt Nll( DESIGN OR CONSTRUCTION—ERRORS;
V• .(.7!{��CllV6�. . . . : . . . . . . . . . . . . . . . . .heilcl tlol atx,n 1. 1, Y 1, Ir;lxlnen illxl as ,; lhnt: he is lhn ,11 ) 'r Y l l l l aol
(Id;nK: of iixllvidual nll;nlug cool tact ) •
i IINIV I! Ili�IY:II, -
r
Iti: h; 1111. . . . . . . . . . . . . . . . ... .. . . . . ..QW -
(0,nllaclol., agc:nl:, r.ullxuat.e ul`Plccr, etc.)
ol` nnid owlll:r uI lnilwwti, 1111d I:) 41111Y nolhorized 10 Ix:l folio of h;lv1: lx:rfuolK:d the mild tx>rh mxl to actice wwl I i le Ihiu
appl icill ioll; Ihiu ;ill lilalc,ir:ola colllained in thin appl icill ion ate 111x: to the heac oi` hill knowicdgt! mwl Ixtl ief; alwl
Ihal Hu: tnrllc will Ill! lx!I•I:oltix9l ill the aclow:r ael: I'ortll in the ilpplicilcioli filed lhe:leAlll.
1.ruu to ht:lolC ur: thin
. . . . .day of . . . .� c
Ik,liuy I'tlhlit: .. .__.
. .
q,l ir.an
R RT I.SCOTT.JR. l;nillula ul'
NOTARY PUBLIC,State of N.Y.
No.4725089.Suffolk Cou
Term Expires May 31, 19.....p
w o\ sc �( 7z bg�