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HomeMy WebLinkAbout34526-Z FORM NO. 4 TOWN.OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y: CERTIFICATE OF OCCUPANCY No: Z-33677 ' Date: 04/28/09 THIS CERTIFIES that the building WOOD STOVE Location of Property: 365 'JASMINE LA SOUTHOLD (HOUSE NO. ) .(STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 1 Lot 6.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2009 pursuant to which Building Permit No. 34526-Z dated MARCH 24, 2009 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 INSTALLED IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL & LINDA ZENESKI (OWNER) of the aforesaid building. SUFFOLKcouNTY bEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A4-4 thor' zed Signature Rev. 1/81 i Form No.6. TOWN OF SOUTHOLD CD BUILDING DEPARTMENT TOWN HALL 765-1802 � Do APPLICATION FOR CERTIFICATE OF OCCUPANCY ao V o This.a lication.must be filled in b. typewriter or ink and submitted to'the Building Department with th c o� wi . PP Y� g P � C� o cio A. For new building or new use: I.'.. Final survey of property with accurate location of allbuildi.ngs,property lines;streets,and unus al na topographic feature's.. 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"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,.building andunusual 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 L 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 rn Date. New.Construction: Old or Pre-existing Building: (check one) Location of Property: �1dl� House No. Street Hamlet. Owner or Owners.of Property: &x-/ Suffolk County Tax Map No 1000, Section Block ! . Lot Subdivision Filed Map.- 'Lot: Permit No Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: U Request.for: Temporary Certificate Final.Certificate: (check one) Fee Submitted: $ l� App cant ignature T pF SOUryolo OOUNTI,�`� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS " TION [ ] FRAMING / STRAPPING [ " INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: f�✓ r 1 DATE INSPECTOR SO(/ly �o� ono Coumv,0c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ �INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIR RESISTAN CONSTRUCTIONZIRE RESISTANT PENETRATION aR ARKS. ' DATE INSPECTOR a FIELD INSPECTION REPORT DATE COMMENTS til FOUNDATION(1ST) y -------------------------------- FOUNDATION(2ND) z � o ROUGH FRAMING& y PLUMBING 3 x INSULATION PER N.Y. STATE ENERGY CODE 1 r FINAL © �c cw ADDITIONAL COMMENTS \ O z m Ri x E� x C ro y 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.�� So2,w Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined Cg/-?L/ ,20 Storm-Water Assessment Form ® Contact: Approved �a ,20 0 Mail to: MAR d Disapproved a/c �y Phone: Expiration &G BLDG.DEPT. ,20 U TOWN Of SOUTHOLD Building Inspector APPLICATION FOR BUILDING PERMIT Date E , 20 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 name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder r Name of owner of premises C�.2.(,� LY"Q,- s 4 (As on the'tax roll op4atest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: �� f Sht c (c_ House Number Street �j Hamlet County Tax Map No. 1000 Section / Block Lot c� 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 b. Intended use and occupancy Gf/ 00.>S�4-y "'e 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work � (Des tion) 4. Estimated Cost w Fee..,..._...__.. . - '4be To be paid on filing this application) 5. If dwelling, number of dwelling units Numr'ofwaits on each floor If garage, number of cars 6. If business, commercial or mixed occup cy, pecify nature and ex jnt o each type of use. 7. Dimensions of existing structures, if any: ontrt"ist'<.' :'''fl1a 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� , '1 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises N-L ZOAe���k Address�5-�3 W-c-otIO s Q-Phone No. -7(O Name of Architect Address Phone No Name of Contractor Address Phone No. q 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 BREQUIRED. 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY 06ZA4:!9� l--�- being duly sworn, deposes and says that(s)he is the applicant (Name of individual sigAing contract) above named, CONNIE D.BUNCH (S)He is the Notary Public,State (Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk County "ornmission Expires April 14, 01.), 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 this a..�h day of�/`GIB 200� Notary Public Signature of plicant I _ �"W3 S 75°4� JA54NZ L v 6s.�5f o„E ANE 7T ' L=IIq.�2 m L:rj'83 L=41.8q' 2 PROPOSED Qcovszm 291' POR.oN 14.4' KI 20.0' patl.5CiVATON 0 EASEMENT—A W (u PROPOSED 10.9' 20.9' PROFO'D 330 S0• 300 SQ.Fr. w FT.ONE STORY YD. DECK - 6A O D PRAIE ADDITION LOT 2 r. 8 LOT I eARAGe Z 7p.p' _ h N 81°1�'�O I, . m ° ry Z64.7p' D gRcy'T '� .� 1 yC:fir' INFORMATION TAKEN FROM SURVEY PERFORMED BY PEGONIG SURVEYORS,P.G. DATED OGTOBER 24,14,12 vrax rsc a umnuw °4MA PROPOSED ADDITION TO THE ZENESKI RESIDENCE 0612 565 JASMINE LANE • SOUTHOLD,Neal YORK saecvmuvDrssne�rt� SITE PLAN G`IIJI�T",906Y1o0®tPJ tlW�GL499E(d9 (9FJ9.8d8.�i19 �l•Illf39 P.b' TOWN OF SOUTHGLD PROPERTY RECORD CARD , OWNER STREET VILLAGE DIST- SUB. LOT Z J t-(Y4- old r' ACR. . RE .ARKS II� Si' 0(L �,. l ki 1,a3 -� 'ao-l4l-�t�'D2c rmi/ C oo o� TYPE OF BLD- j e.;Con tC, (-P r �E'� PROP. CLASS c ,/ // 9-7 LAND` IMP. TOTAL DATE z{ ! QS-� �Z3D -7 _ zehP�AI• Ze�l(°Sf(i /V q 4)6 31d aifist .iteXat;ans tcansc - . e� o 672 00 m Expire, t-f —`1�LcasP fl�N 44_ C� es New C®ns c FI.hiA4 4 J Iz 0 -r- p: A-. FRONTAGE.ON WATER TILLABLE ¢.a- FRONTAGE ON ROAD WOODLAND DEPTH - ------- MEADOWLAND ,50 G %OI> BULKHEAD HOUSE/LOT Pko TOTAL x mr � =— I II II rt ■■I�.� �■■�■■■■■■■■■■■■■■■■■■■ .M1''�CYM W�`ti±'v'4ta . - b c, a -r•] +y3s F 1!�■�SI■■i�■��■■■■■■■■■■■■■■■■■■ El Ll I all Full way/�n�r�Z• � . � • • mil... NOW4,20-110 .I.elrii 2u. °; ■■■eeeeeee■eeeeee■eee■■■■■■e ■■■■■■■■■■■■e■■■■■�■■■■■■■■■ :;:ice'";r;,J. V ,.Sr ■■■■■'�■���■■��■■■■■■■■■■■■■■ .r,,....-,�.,'„r„_✓- "'e��-�-"''..ram 'Y-'L`-r ' ' rt' ,. ,Ryf ■■■■■���■'���■■■■■■■■■■■■!■■■ :s "o'4���+"-•g, .. � I CgS. ? � ■■■■■tee■■��■e■■�®[i��■■■■■■■■■■ s • Stove Details I Hearthstone Stoves Page 1 of 5 i► hea Cam' - N slan�L O • The Heart of Your Home AIL C©NSTRI.C,TI MEET THE RE0UIREMENT=®F THE . . .._._._ _._..... _.__ . ..._.. ._......_ .-CODES OF NEW YQF�K STATE. ...._. . . Select Collection EQUINOX WOOD $ a I ° Heats up to: 3,500 sq. ft. OCCUPANCY OR 4 j Burn Time: Up to 12 hours USE (S UNLAWFUL Heat Life: Up to 16 hours WITHOUT CERTIFICATE Size: 120,000 BTUs EPA Rating: 3.0 grams per OF OCCUPANCY , Efficiency: 78% Maximum Log Length: 25" I � View this stove in_a._ro%TPR®VE®AS NOTED DATE:�3I j B.P.# FEE: 02— - BY: V✓L-i NOT IFY BUILDING DEPAP,TV,:NT AT Description 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: The powerhouse built to warm your home - the Equinox. This woo.dl;W, NTfokee inWO REQUIRED designed to heat even the largest of spaces - while keeping the high0- fIGCgX RETE and style of our HearthStone Select Collection of soapstone stoves ROUGH FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE: FOR Features DESIGN OR CONSTRUCTION ERRORS. 4.0 cubic foot firebox Large firebox accepts 25" logs through the front door, or through the easy-loading side door. Front and side doors provide maximum loading ease, and increased fuel efficiency. Single air-intake lever/stove control Stove operation is easy; performance more consistent. http://www.hearthstonestoves.com/wood-stoves/stove-details?product_id=1 10/4/200 8 Stove Details I Hearthstone Stoves Page 2 of 5 Easy, clean ash removal; pan can be removed while fire is burning. Unmatched fire viewing Air entering the firebox through the stove's secondary air tubes ignites the gases rising off the burning wood. The resulting light and flames provide dazzling fire viewing, even when the fire is burning at a low rate. Non-catalytic combustion system Clean burning, complete combustion provides more heat from less wood, greater efficiency, reduced smoke and creosote build-up. 8" reversible flue collar ' Flexible installation; stove can be installed as a freestanding unit, or as a hearth stove. Outside air adapter (optional) Improved efficiency in today's newer, "airtight" homes; reduces cold drafts along the floor. Rear heat shield (optional) Allows more placement options; stove can be installed closer to a wall because clearance requirements are reduced; creates a convection passageway between shield and back of stove to allow optional fan to circulate air through the house more effectively. Fan with built-in thermostat and rheostat (optional) Helps spread heat evenly throughout home; fan only operates when stove is at a significant heat level. The rheostat controls fan speed. Use of rear heat shield is required. Fan moves air up to 200 CFM. Screen (optional) Allows for open door fire viewing. Side door lock kit (optional) Use optional lock kit to reduce side hearth clearance from 16" to 3 1/8". Photos click the enlarge thumbnail http://www.hearthstonestoves.com/wood-stoves/stove-details?product_id=1 10/.4/2008 Stove Details I Hearthstone Stoves Page 3 of 5 z � X { F p p. w Specifications Specifications Clearances (With single Heats up to 3,500 sq. ft. wall pipe & no rear heat shield) Burn Time Up to 12 hours Side 21" Heat Life Up to 16 hours Rear 21" Size 120,000 BTUs Corner 151" EPA Rating 3.0 grams per hour Clearances (With double- Efficiency 78% wall pipe & rear heat shield) Width 33 5/8" Side 19" Height (includes 30 5/8 " Rear 6" flue collar) _._.__...--_...— Depth 27-1 Corner 13 1/2 " Maximum Log 25" Length Hearth Pad http://www.hearthstonest6ves.com/wood-stoves/stove-details?product_id=1 10/4/2008 Stove Details Hearthstone Stoves Page 4 of 5 Flue Diameter ... Minimum Size 122 cm x _......._._ ___.._... _.____. . .... .._. (Canada) 105.4 cm Flue Exit __.. ............. . . ...... Flue Exit & Top or rear exit 8" Diameter flue collar Ash Pan Yes Optional Blower Yes Kit Mobile Home Yes Certified Alcove Certified Yes Actual Weight 689 (Ibs.) Finishes Color Finishes Stone Finishes Matte Black Polished Gray Soapstone Y .yy.. v' f Accessories Description SKU Blower kit, EQX 90-57502 DRAFT METER: WOOD STOVES 90-99000 Outside Air kit, EQX 93-53500 PAINT, SPRAY MATTE BLACK 90-58110 Rear Heat Shield kit, EQX 90-68000 Side Door Lock Kit, EQX 90-70200 http://www.hearthstonestoves.com/wood-stoves/stove-details?product—id=1 10/4/2008 Stove Details Hearthstone Stoves Page 5 of 5 Spark Screen kit, EQX 90-69000 Documents Schematics Downloads j Equinox 8000 Manual Equinox Schematic n- i F{ilDf h7111 S f © 2008 Hearthstone Stoves. All rights reserved. Other Areas of Interest: www.hergom.com Vermont website design, graphic design, and web hosting provided by Vermont Design Works http://www.hearthstonestoves.com/wood-stoves/stove-details?product_id=1 10/4/200 8