The URL can be used to link to this page

Home My WebLink About22933-z r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23996 Date NOVEMBER 1, 1995 THIS CERTIFIES that the building WOOD STOVE Location of Property 345 DEERFOOT PATH CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 07 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 1995 pursuant to which Building Permit No. 22933—Z dated AUGUST 9, 1995 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 APPLIANCE AS APPLIED FOR. The certificate is issued to EILEEN WHITEHEAD & MARY HOFFMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bu' ng nspect r Rev. 1/81 7 I 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) Date................. /................................, 19.... NR 22933 Z Permission Is hereby granted to; .... .... ..�................................... ................................................................. 4.. ........................ ................. ............................................................... .......... ........., io,®C�. , ...... e........................................................................................ ............................................ %� =. %�...... A` , ......................... at premises located at................. , .... . .. r �!�..... %........... ..�1 ............................. .............................................................................. . `c G '< ,............................................ County Tax Map No. 1000 Section ..... .......... Block........ .;;........ Lot No. .. /................... pursuant to application dated .... . ....... ................... 19... and approved by the Building Inspector. Fee . ................. 1. .... ........ I..................... uildi Inspector Rev. 6/30/80 To -Orin No TOWN OF SOUTHO LD i Vie`NJ OCT4 ;j U-9 �'< < 11� BUILDING DCPARTMENT 2 1995 TOWN HALL .q. 765-!802 BLDG. DEPT. TC)i14/N 0E-1 "THOLO , APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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. G . Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1-7. 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 "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 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 S25.00, 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 - $20.OU 6 . Updated Certificate of Occupancy - $50.00 5. Iemporary Certificate of Occupancy - Residential $15.00•, Commercial 515.00 ( rr r Date . . . . �6.I.�`� !�`S. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or P e-existing Buildding. . . . . . . . . r Location of Property. . . . 3.�� . . . . . . .� (.. .OD� . . .= . .�. . . . . . . . . . .�( . C9_e i ` . . . 1. .35 FIouse No. Street E�arnlet Onwer or Owners of Property. . . . . . . . . . . . . . . . . I .ounty 7'n:: Map No 1000, Section . . . . . . . . . . . . . . B1ucIc. . . . . .C? , . . . . . . . .Lot. .al . . . . . . . . . . . . . . . . . . .Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FJI.ed Hzip . . . . . . . . . . . .Lac. . . . . . . . . . . . . . . . . . . . . . qq n erinit N0. . . .ceZc�-.{,s3.7J. . .Date OC Permit. . . . .f L� . . . . .App.1ic:rrit . .�:`�.�.�U 111eee , . f deslLh Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . . .UnderwriLer's Approval . . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approvol . . . . . . . . . . . . . . . . . . . . . . . . request for: Tentpornry Certificate. . . . . . . . . . . Finni CerticoLe. . . . . . . . . . . -ee Submitted : 5 . . . . . `o.Q . . . . . . . . . . . . . . . . 6QZec a3cn . . . . . . . , - . . . . . . . . . . . . . . . . . a3 T� 6 - c 1 �iy'' �, MAP 0 r N/Ftoo N 762 5G 2J'C-. -- - P-A LAI - I p H I P' J , 5 - , t C ` 1 TG�nl N ::�..�i_.�'s• �` -_ _ �' I n � 7 ` � l��p�.;'Ic'�!""'•Tlfrya��Yi�!� L� l- - ' -Nf ' Y t•!1 �`J 119 1:1��'Y-••�/1A!!1�'1:�''M G� • • 11 UL 3y. ., • } }• 1 Cs:rs r►n*l-!'.rx7 r=n".. d n..,Y, , .. �l: Q -t O' i SS`r 1r 'Cur e•e!e t +r ts-1r,rt=t In PIPE Im.- -t. twnwl O a0• o tr trcrrs;ual m hh.`-k ]`7 l� tlN^C=r+�c;:L'.gr.�.rrrint•t e.;/C� , iS•c+rg In.^�!I.tlon flaw:ho-� rr•7 in to da*C jr.*."c!the lanxj i I -7 �y MICA Ct�sr-umn"era rat tr a1sY.a S. l Q � ZD"�/�� 2�.t.V fa s'ti�icc-ai loci t'om,or r vrt! - ( errs TIC 'INDEPENDENCE A_SS_r,QACT COQP. AND niE 4WNEr5 A5f1-1Z /EYED OCT.23,086 - .�- .-;••y:; �, Rya-r�t��< '�.::� ��•_ �.•.:.- .��1'.�r'= t:��'Z` 1�!'1.`.- '`f 1�J_.�/�-t.M1i� =�.�``:'i_�•.�r''__Ai�rJ.4i�_^__i•�.-� r, .� •C - - ( --�-..�'•_.-.,.� ..._. � __�. .. ... ' ' (iumownwp�j _ FREESTANDING 'A WOOD STOVES (All U.S. measurements in inches, I Canadian in millimeters) �oo�t t Model- 1800 Model2100 Model3100 Model4100 Technical Data Width 25-1/4"/641mm 21"/533mm 23-1/2"/597mm 25.1/2"/648mm I leighl—with Pedestal 27"/686mm 27"/686mm 30"/762mm 31"/787mm Height—with Legs 25-1/2"/648mm N/A 29"/737mm N/A Depth 19"/483mm 23"/584mm 23"/584mm 25"/635mm Flue Size 6"/152mm 6"/152mm 6"/152mm 6"/152mm Weight—with Pedesdal 307 lbs. 331 lbs. 382 lbs. 437 lbs. Weight—with Legs 293 lbs. N/A 365 lbs. N/A Performance Burn Time(Low)* 6-9 hrs. 8-10 hrs. 8-12 hrs. 8-12 hrs. Burn Time(High)* 2-4 hrs. 3-5 hrs. 3-5 hrs. 3-5 hrs. Heating Capacity** 600-1,300 sq.ft. 950-1,500 sq.ft. 1,200-2,000 sq.ft. 1,800-2,800 sq.ft. Firebox Volume 1.4 cubic ft. 1.48 cubic ft. 2 cubic ft. 2.4 cubic ft. Max.Wood Length 17/432mm 18"/457mm 18"/457mm 20"/508mm BTU Range Per Hr. (EPA Test Fuel) 9,000-32,000 9,300-39,300 11,900-43,200 11,700-50,500 (Real World Fuel)* 8,000-40,000+ 8,500-48,000+ 10,000-54,000+ 10,000-61,000+ Average Grams Per Hour 5.1-EPA Certified 3.6-EPA Certified 2.1-EPA Certified 4-EPA Certified 'Bum times and BTU output may vary according to moisture content,type and size of wood,as well as chimney draft and supply of oxygen. ""Heating capacity is approximate and based on 8 ft.ceilings. Clearances Standard W/Toa Shld. Standard W/Ton Shld. Standard W/Ton Shld. Standard W/Toa Shld. Single Wall Pipe A)Rear Wall 16"/406mm 12"/305mm 10"/254mm 12"/305mm 10"/254mm 12"/305mm 10"/254mm B)Side Wall 15"/381mm 17/432mm 17"/432mm 18"/457mm 16"/406mm 18"/457mm 16"/406mm C)Corner from pipe 21"/533mm 16"/406mm 14"/356mm 18"/457mm 16"/406mm 18"/457mm 16"/406mm D)Comer from stove 12"/305mm 9"/229mm 7"/178mm 10"/254mm 8"/203mm 10"/254mm 8"/203mm Double Wall PipeO A)Rear Wall 10"/254mm 6"/150mni 8"/203mm 6"/150mm 10"/254mm 8"/203mm 10"/254mm 8"/203mm B)Side Wall 15"/381mm 11"/279mm 15"/381mm 15"/381mm 18"/457mm 16"/406mm 18"/457mm 16"/406mm C)Corner from pipe 21"/533mm 17/432mm 14"/356mm 12"/305mm 16"/406mm 14"/356mm 16"/406mm 14"/356mm D)Comer from stove 12"/305mm 8"/203mm 7"/178mm 5"/127mm 8"/203mm 6"/150mm S"/203mm 6"/150mm Double Wall Pipe(Alcove)00 A)Rear Wall 10"/254mm 6"/150mm 8"/203mm 6"/150mm 10"/254mm 8"/203mm 10"/254mm 8"/203mm B)Side Wall 15"/381mm 11"/279mm 15"/381mm 15"/381mm 18"/457mm 16"/406mm 18"/457mm 16"/406mm 0 6"diameter double wall air insulated connector pipe with fisted factory built c as j�cIOG4��Fmi requires a earthdfpa o or masonry chimney, VI (l AN C� Your Stove re h 00 Alcove specs:Maximum depth of alcove shall be no more than 48"and a f 3 h ��LAIFU L at least 3/8"minimum thickness above stove top to a combustible.18"high above stove top to a non-com us F o m f,l millboard or equivalent non- !;16* 8" 2100,3100 and 4100.Minimum ceiling height for model 1800—84"witho�lt Yop sB a combustible material.The pad must with cop shield. tend 16"(40.6 cm)to the front of MOBILE HOME APPROVED:Stove must be equipped with a rain cap and k[TeHO UT C ERTI F I CAT .U1d and 8" 6 cm Cm)to each All Quadra-Fire Stoves are tested and fisted to UL 1482,UL 737,ULC S627 6 CCU FANCY side'and 8" (20.3cm)to the back. Front Alcove Clearances Freestanding Stove Operational Extras Back Wall Clearances Corner Wall Clearances (Combustible materials only) Chimney Components (hrees4mding Wood Back Wall Adjacent Wall Stoves Only)— A D Rain Cap Outside air kits are also C [FAFMax.Alcove Depth—48" available to enhance Min.Alcove Height—36" Storm Collar your stove's appearance Above Stove Roof Flashing and operation. O B C Alcove Width—Refer to Listed Chimney listed clearances Radiation Shield Stove I v v A Ceiling Support S s ¢ Chimney Connector ilearth Pad d?4A dv Hearth Pad \ (Floor Protector) 2x( o.c. 24' �after5 2x8 Pidge /2" GDX `sheathing Foof Walk, - - - — - - is Fe5hingle entire roof ��—Existing building Leave existing roo i Vynyl SiAing L ea ve exi5 tiny wall Vinyl Soffit Duplicate Existing and Trim I Fiberglass OH Doors FLC7-0 iberyla55 OH Doors 2x4-I� o.c. �tud5 9-o x 7-0 x 7-0 Typical Walls PROVIDE 4 N . RATED SEPARA'YM W, kiCCUPA"NCYORN.Y. STATE BUILDING THO T CERTIFICATE -5" Concrete Aron x 24 ft. 2 -O ExtenSio P UNDERWRITER RED CERTIFICATE Garage Exton tion for Whitehead 8 Hoffman Wo 5 t Ele va tion 5 45 Deer foo t Path Front of HouSE Gutchogue NY July 19g5 L eel y F!� ti ' 4ir i 4 y- utter? a5 r.ee.�eci "s . P - yyjyyjt n Fiaera,;�ss OH Orcr q-O x 7-O i� ; x(5 after 2x6 10'ac. 2x( Collar DOOM-) 24" or, Nv" /2 FX 5heetrock Ceiling �Dbl 2x4 Plate z 2x4--I6"oc StuJ O Pou5o exi5 ting window Centered on Wall 2 x 6 --)111 2 Nor th Elo va tion 6arago Ex ten tion for EnGI o f House whitohoad 8 Ho f fMan 5-45 Doer foo t Path Cu tchogue N Y July IqC-/5 2"- 2"-6' ' pron `Boor Opening Notes. 1, Footings to be on level with existing building. 2, Door opening to occomodate 9' door. J Footing trench to be filled with concrete to grade level. 4. New props. Front & ear O 8"lock w/4'cap N xi5ting building �oor opening prop Grade level �4' minimum floor Garage Extention for- Poured concrete footings. floor & aprons Whitehead & Hoffman 345 Deerfoot Path Cult oqque NY ul / 95 ee 4 Whl'teheod 1. 12' wide garage added to existing budding. 2. 2--9 x 7 OH Doors lnstaked. J. Fireproof Sheetrock interior ceiling, 4. Remove existing shingles & reshingle entire roof 5 New Siding for entire outside. Incl. Soffits. Facing, Capping 6. North window to be reinstalled on new. wall. 7. Electrical wiring for lighting and door opener_ 8. Masonry as required. 9. Cut large opening in wall between old and new boys. /0. Gutters and Leaders for entire roof perimeter. Lee 5 BOARD ' OF HEALTH . . . . . . . . . FORM NO. 1 r ] SETS OF PLANS . . ! a, ' TOWN OF SOUTHOLD / SURVEY . . . . . . . . . . . . . . . . . . . JUL 2 51995 _-{ ; BUILDING DEPARTMENT 1_�CIIECK TOWN HALL SEPTIC FORK _ SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NDT i FY i Examined . . . . . . .e 19 .9� CALL .��.y. . `. . . . . . . . . HAIL TO ; Approved . . . . . . . . ' 19�ermit No. vZ�3✓ . . . . . . _ . . . . . . . . . . . . . , Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' ` (BIn dii nspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink acid submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to scliedule. b. Plot plan showing 19cation of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit sliall be kept on the premises available for inspection throughout the work. . e. No building sliall be occupied or used in whole or in part for any pufpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 Jf 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 ins ec ' ns. ��. ''. . ir ignature of applicant, or nai e i a coatio�i) 9 01 (Mailing address opplicant). ;l• F State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, el c)� �a�ifi�� Iu%iilie 'oc:.'builder. �.� J // p� APP OVED'AS l�0?ED Name of owner of premises ! ee.�. • • , h l��eac� an� N.r •X. . a P.. t. �33 (as on the tax to or late �eed) ��, 8Y. If applicant is a corporation, signature of duly authorised officer. NOTIFY-.BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE ' ' ' FOLLOWING INSPECTIONS: (Name and title of corporate,officer) 1. FOUNDATION - TWO REQUIRED. OCCUPANCY OR FOR POURED CONCRETE Builder's License No. i 2. ROUGH - FRAMING & PLUMBING IdSE' S UNLAWFUL 3. INSULATION Plumber's License No. I 4 FINAL - CONSTRUCTION MUST 'WITHOUT CERTIFICATE. BE.COMPLETE FOR C.O. Electrician's License No. . . . . . . . . . . . ®F .®CCUpANCY ALL CONSTRUCTION •SHALL MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No. STATE CONSTRUCTION & ENERGY COOED:. NOT RESPONSIBLE FOR UNDERWRITERS CERTIFICATE DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which Proposed work will be done. . .REQU.IRED �. .[l i ouse Number Street Ilamfl 1 . a County Tax Map No. 1000 Section . ,b 7 . . . . . Block . .D. . D d . . . . . . . . . Lot .d.�d-a r Subdivision . . . . . . . . . . . . . Filed Map No. /o o Lot (Name) f 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: rr a. Existing use and occupancy .Q,�c� r. . 'dw b c��lh�� / B �%;;, S� ��. . . . . w5 b. Intended use and occupancy . . .5aw •Y �:::5!;^%;� p' y +6e`t ''z';•: a i'I, ..r. . . . . . . . . . . . . . . . . . . . t.sd.9[�- r�aoP� 7 V1 .. .i1,1J111,.1WC f: New bullu111g . . . . . . . . . . Acid 10fi �a . �. Alteration . . . . . . . . Repair . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . tier Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . : . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling; number of dwelling units . .. . . . . . . . . . . . . Number of dwelling units oil each floor . ... . . . . . . . . . . . . . Ifgarage, number of cars .. . . .l. . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . G. If business, commercial or mixed occupancy, specify nature aid extent of•eacli type of use . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front .S�e ' g: O . . . . . Rear . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same stricture with alterations or additions: Front Sew f'��.��. . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . ... . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . 8.. Dimensions of entire new construction: Front .5qeJ- X;-(Q i). . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . ..Height . Number of Stories .. . :�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . 9. Size of lot: Front . . . . . .o . . . . . . . . . ... . Rear. . . . . . . . . . . . . . . . Depth l . . . . . . . . . . . . . . . . . 10. Date of Purchase . . 11191. . . . . . . . . . . . .•. . . . . . .•.•. Name of Former Owner . . . . . . . . . . 11. Zone or use district in which premises are situated . .5 12. Does proposed construction-violate any zoning law, ordinance or regulation: ,N.?.. . ... . . . . . . ... . . . . . . . . . . 13. Will lot be regraded � . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . ... Address . . . ... ... . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . ..Phone No. . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . Address hone No. . . . . . . . . . . . . , 15. Is this property within 300 feet of a tidal wetland? *yes.. . . : . . . .(W. . . . . . . . ' *If yes, Southold Town Trustees Permit may—be required. PLOT DIAGRAM ` Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 1 9 I 4/ at 1 oa; { .. .,:.t•�,..• �,,.-. , ...Sri?t.,._.•.r;., .. ' STATE OF NEW Y S.S , t f r COUNTY Or 3: . . . . . . }. `be"ing dily'•s'worn, deposes and says that he is the applicant (Name of individual signing contract) °' " above:named. ,Sile'isthe, . . . . . . . . . . . . . . . . . . . . . . .4c "' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 th a r er set forth in the application filed therewith. Swonl to before me this . . . . . . . . . . . . . . . . . . da o . . . ��. , 19 TS Ilk Notary Public, . . . . . . . . . . . . . . Count ROBERT I.SCOTT. NOTARY PUBLIC,Sta of N.Y. (Signature of applicant) No.47250a9.Suffo k Cou my Term Expires May 31, 190