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Home My WebLink About34172-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33410 Date: 11/25/08 THIS CERTIFIES that the building WOOD STOVE Location of Property: 1900 PINE NECK RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 9 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 2008 pursuant to which Building Permit No. 34172-Z dated SEPTEMBER 19, 2008 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 WOOD STOVE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS F PASSANANT & GIORGI ALYCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A C thor'zed gnature Rev. 1/81 �;- Form No-6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 2 12008 TOWN HALL 765-1802 BLDo.DEPT. T wry F !!TH ATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: g A. For new building or new use: l. 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. Cotrunercial 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-conforuing uses, or buildings and "pre-existing"land uses: I. Accurate survey of property showing all property lin features. es, streets, building and unusual natural or topographic 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector slialI state the reasons therefor in writing to the applicant. 1 C. Fees 1- Certificate of Occupancy - New dwelling $25.00, Additions to dwelling$25.00, Alterations to dwelling $25.00, Swirruning pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Busine 2. Cerificate of Occupancy on Pre-existing Building- $100.00 sses $50.00. 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial$15.00 /Dante. New Construction: Old or Pre-existing Building: ✓ (check one) Location of Properly: House No. Street Ha nil et Owner or Owners of Property: ors,/9J 11 7 i Suffolk County Tax Map No 1000, Section Block_(�O(� 9 Lot Subdivision Filed Map. Lot: Permit No. ?q I Dale of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Plamung Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ L Applicant Signature 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. 34172 Z Date SEPTEMBER 19, 2008 Permission is hereby granted to: THOMAS F PASSANANT 1900 PINE NECK RD SOUTHOLD,NY 11971 for INSTALLATION, PER MANUFACTURES, SPECS OF AN INTERIOR WOOD BURNING STOVE AS APPLIED FOR. at premises located at 1900 PINE NECK RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0009 Lot No. 003 pursuant to application dated SEPTEMBER 17, 2008 and approved by the Building Inspector to expire on MARCH 19, 2010 . Fee $ 200 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 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. ( X) Check Septic Form N.Y.S.D.E.C. Trustees ` Flood Permit Examined 14C ,20 A Storm-Water Assessment Form // Contact: Approved 9, kqq ,20_Q 9_ Mail to:/m��_s Disapproved a/c Expiration C Building Inspector APPLICATION FOR BUILDING PERMIT Date , 20 OP 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.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. (Signature of applicant or n ,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises s-S (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 2 ,5� Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: / House Number Street Hamlet County Tax Map No. 1000 Section .3d'c? r;;;BIoek;7., - 9 Lot SubdivisionFi�ed'`Map'No.';i,. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy �i.�.,;/ � en C 0?_ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Worker (Description) 4. Estimated Cost 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. 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 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 premise's/Aorn s Address ✓«�� Phone No.'�� 'Y9��? Name of Architect Address Phone No Name of ContractorC ' C. , .1 ch',_� Address,/,eq_/3.2:4. /,ZZ_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? * YES NO ,ice * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ��// SS: COUNTY OF_C_v9// ) /,�.fJ _ being duly sworn, deposes and says that(s)he is the applicant ame of individual signing contract) above named, (S)He is the ee- (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 t day of 200,Q 2A, e P5� Not Public PENNY �' � Notary Public, atebf. �'York .Signature of Appllcant No.01BE6.ppgg93 Qualified ip.$ufl�lta nay Commission,F>ipir9ept.29� .�;t I pf SOUryo�o N ,C o�yCOUt,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU [ ] FRAMING /STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:Z_2262 C�o DATE Q a INSPECTOR FIELD INSPECTION REPORT DATE I. CONZIENTS FOUNDATION(IST) y ---------------=--------------------- C6� FOUNDATION (2ND) C� z , 0 ROUGH FRAMING& PLUMBING R INSULATION PER N.Y. — -- y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS p Z I rn C ' Fd H � o z x d b y Cjcla Z,A IQ amEYED FOR: L O 2 2A./n/E V//C.4,e 15 5,4 vi 1vG 5 � �, �,vtM/GQA�/T %QCATEDAT _ S0UT/-1OLO , .5clFF• Ca /n/oEPE�pG"NC� A6sT,e-4C7' tw /s. 0),6-s C I. ca,¢p. - 'Tj7z_E . u S.A OP OF A 5 514C)W^1 /CuE V- 40' L o,e ZA Ihl E _V,c GA,e, c` ! - -71UK W !/ I ;I;I:o:{ OR to�tt{oA . 99 7- 3- 10jjjNoa{zm u . i0 fHtS SURrc1 ,: .t VIG�•••-' tLuv �Gr{r.3 Oc `V LS/QCO •t �1�1.�i.r 1. .•l..Yu'•{...y•.... L�Voi:ii�w.\� F O.J L/.dir mo *1 SO trif lei' •- ' 1�'GST SUS{ON. : nc v NST IUI10 OIS 1pt �40:0 OWNERS. OSaFa,;.f:s:lSdFS EQ [EY Ox} a(_, �' 3 � i�a a 9G,} �o �` $•7� f �y � j",..�: ~ a N f.• Cb 237.3¢ -'--- S• 5' 25 20 W GBJ a� ,rjG A �/E• StJRV ED is 87•,JUTE �> gy Y L A W WLLIAM R. SIMMONS III 70 WEST MAIN STREET EAST ISLIP, L.I., N.Y. PAGE GRID FILE NO. 1JIU1et W 000 MOW—yJ,000 is 1 U,1V1Uoelff n 1 LUUU 1 1VUrtnern 10... nup:i/www.nonnemtooi.com/wenapp/wcs/stores/servieVN 1 tproup To order this Item online visit:www.northerntool.com and enter Item#158976 1 Print this page I Back to product page N NORTHERN® � TOOL+EQUIPMENT p grgitisr Drolet Wood Stove—95,000 BTU, Model# HT2000 �FryF�til'To'�lygT o�y�CO�go F99UNOF OC CUPANCY OR 9236 F USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Description Extra-large stove heats up to 2700 sq.ft.Boasts 5/161n.steel plate on top.Firebox is lined with firebricks and has a king-sized ash drawer.Will accept logs up to 19in.long.Heavy-duty cast Iron door has adjustable handle.Single easy-to-operate air control.Optional blower available Item#1589681 (sold separately). BTU rating is related to seasoned cord wood,the more common fuel burned in this stove. Key Specs COMPLY WIT • BTU Output:90,000 HALL CODES OF • Heating Capability(sq.It.):2,700 NEW YORK STATE & TOWN CODES • Blower Included.,No AS REQUI',ED AND CONDITIONS OF • Blower(CFM):N/A • Blower Power Supply(Volts,Amps):N/A • Heat Settings:1 SOUTHOLD TOWN ZBA • Fuel Type:Wood• Igniter:Manual SOU TT HOLD TOWN FLMNING BOARD, • Thermostat Included:No • Door Opening W x H(in.):17 3/4 x 9 SOUTHOLD TOWN TRUSTEES • Firebox Size W x D(in.):22 1/2 x 18 • Flue Collar Size(in.):6 N.Y.S.DEC • Max.Log Size Accepted(L In.):19 • EPA Exempt:No • Dimensions L x W x H(in.):30 x 29 1/4 x 34 APPROVED AS NOTED General Specs 9 Q APPROVED 8 S P t-//7 �— DATE: l In Stock — BY: FEE: S> )(2- S• mw. Ship Wt.503.0 lbs. NOTIFY BUILDING DEPARTMENT AT Item#158978 765-1802 8 AM TO 4 PM FOR THE Discount Price$1099.99 FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED Available Accessories For:Drolet Wood Stove—96,000 BTU,Model#HT2000 FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 15440 MEECO'S RED DEVIL Chimney Brush—61n.Round,1/41n.NPT,Model#30600 3. INSULATION 177446 HY-C Company Floor Protector/Wall Shield—Black 4. FINAL - CONSTRUCTION MUST 177444 HY-C Company Floor Protector/Wall Shield—Brick Pattern 177445 HY-C Company Floor Protector/Wall Shield—Walnut Woodgrain BE COMPLETE FOR C.O. 173617 Vogelzang 5-Pc.All-Black Fireset,Model#BL20T ALL CONSTRUCTION SHALL MEET THE 173615 Vogelzang 3-Qt.Teakettle,Model#TK-02 REQUIREMENTS OF THE CODES OF NEW 173616 Vogelzang Ash Can and Shovel Kit,Model#1508 175063 Meecos Red Devil Multifuei Firelighting Pellets YORK STATE. NOT RESPONSIBLE FOR 15643 Meeco Red Devil Glass Door Cleaner—16-Oz.,Model#701C DESIGN OR CONSTRUCTION ERRORS. 173623 Ecofan Airplus Heat-Powered Fan for Wood Stoves,Model#802CA-KBX 15446 MEECO'S RED DEVIL Pipe Deflector-1-Pc.,381n.L,Model#DEFL-1PC 1 of 2 8/29/2008 12:51 l doSU � Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROP TY�LOCATION: S.c.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A / �� STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN District section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. ------------------------------ Item plumber: i//_ /� ————Yes(NOTE: A Check Mark(.j►)for each Question is Required for a Complete Appli��ri/ / No ---------------------------------�'� 1/1— ®o»G( �i/ii>��c _S_JT_U_V Will this Project Retain All Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site — Improvements and the permanent creation of impervious surfaces.) El 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location? ❑ This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! — 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural F Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ❑ Five Thousand(5,000)Square Feel of Ground Surface? — rj Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred(100')feet of a Wetland or Beach? F1 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to I One Hundred (100')of Horizontal Distance? — 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ❑ into and/or in the direction of a Town right-of-way? — 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within[lie Town Right-of-Way or Road Shoulder Area? — (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodplain of any Watercourse? ❑ — NOTE: If Any Answer to Questions One through Nine is Answered with a Check Markin the Box, a Storm-Water,Grading, Drainage&Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! ---------------------------------------------------- EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question,a Storm-Water,Grading,Drainage&Erosion Control Plan is NOT Requiredl ---------------------------------------------------- STATE OF NEW YORK, OUNTY OF...JJ n ................ SS That I / ,q rQ.4....�j,.../ o :4 Cj�!-,/........ being duly sworn deposes and says Ill at he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is"the .....10!7.e 7' .......................................................................... (Owner,Contractor,Agent,Corporate Officer,etc.) Owner- and/or representative of die Owner of Owner's,and is duly authorized to perforni 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 w111 be performed in die manner set forth in the application filed herewith. Sworn to before nre dus; /..�... ........... day of.. ................. ,20.!? ' J NotaryPublic: .......................................... ,PEN /,,.................... ry ��48W York ¢ (Signature of Applicant) FORM - 06/07 Commissrbn' SUM 1k County a r®5•Sept 29, o'er/