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HomeMy WebLinkAbout37406-Z gljfrFp(,� Town of Southold Annex 8/8/2012 P.O.Box 1179 54375 Main Road o Southold,New York 11971 t 4Ip1 # Sao CERTIFICATE OF OCCUPANCY No: 35864 Date: 8/8/2012 THIS CERTIFIES that the building WOOD STOVE Location of Property: 870 Inlet Ln, Greenport, SCTM#: 473889 Sec/Block/Lot: 43.-2-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/27/2012 pursuant to which Building Permit No. 37406 dated 7/30/2012 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 Single Family Dwelling_ The certificate is issued to Conant,Francis (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho Si ture FFO( TOWN OF SOUTHOLD g�FFO,�-co BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE oy . 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 #: 37406 Date: 7/30/2012 Permission is hereby granted to: Conant, Francis C/O Nora Conant PO BOX 352 Orient, NY 11957 To: Alteration to a Single Family Dwelling; _ Wood Stove, as applied for. At premises located at: 870 Inlet Ln, Greenport SCTM #473889 _ Sec/Block/Lot#43.-2-8 Pursuant to application dated 7/27/2012 and approved by the Building Inspector. To expire on 1/29/2014. r Fees: CO -ALTERATION TO DWELLING 150.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 Total: _.. _..Y --$250.00. . ..._._ r Building Inspector Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU"P NCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A.• For new be:ildipg or neiy-use: 1. Final survey of property with acetirate'location of all buildings,property lines,streets,and unusual natural-or topographic features_ 2. Final Approval from Health DepL 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 Compliatice'from architect or engineer responsible for the building: .6: Submit Planning Board Approval ofcompleted site plan requirements. B. For existing buildings(prior to April 9, 1957)tion-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 c9mpleted 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. Certificaie of Occupancy- New dwelling$50.00,Additions_to dwelling$50.00,Alterations to dwelling$50.00 --•• Swimming pool$50.60,Accessory building$150.00,,additions to accessory. building$50.00,Businesses$50.00_ 2_ Certificate of Occupancy on PFe-existing Building- $100.00 3_ Copy of Certificate of.Oecupaiicy-$25 4. Updated Certificate of Occupancy- $50.00 • 5_ Temporary Certificate of Occupancy-Residential$15.00-,Cornntercial$15.00 Date_ ` '•.�?j- vew Construction: Old or Pre=existing Building: (cheek one) !)oea_tion of Property: ' -+0 uy�UJV � 400A4 Iloase No'. Street Hamlet ?wner or Owners of Property: C-0 V1 a- ` Q C-0 VV Q ;tffolk county Tax Map No'1000,Section Block Lot labdivision filed Map. Lot: 'unit No. Date of Permit. Applicant: 1leaith Dept.Approval: Underwriter's Approval: lanning Board Approval. ;quest for: Temporary Certificate Final Certificate: (check one) ee Subinitted: $ � Aco� Applicant Signature TO N 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 7 d / Survey SoutholdTown.NorthFork.net_ PERMIT NO. ID Check Septic Form Trustees D.E.C. D Trustees C.O.Application —7 Flood Permit Examined / —�� ,20 JUL 2 71 2012 Single&Separate Storm-Water Assessment Form BLDG.DEPT. Contact: 7 30 ( � TOWN OF SOUTHOLD Approved ,20 Mail to: Phonelkat Expiration 1 o-- I ,20 1 Building Inspector APPLICATION FOR BUILDING PERMIT Date :4 . _ )> , 1 Z , 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) f,DO K 3 5 2 ® c �{ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ow 02r- Name of owner of premises (As on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer lj �c(f� appr p � �1�2 (Name and title of corporate officer) so 1 O d C "U-O Builders License No. Plumbers License No. �S- Z) p p Electricians License No. Other Trade's License No. 1. Location of land on which roposed work will be done: `moo r V 'i CrA t 4 4- House Number Street r14amlet County Tax Map No. 1000 Section Block Lot 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 3. Nature of work(check which applicable): New-Building ­--­ ---'Addition Alteration Repair Removal Def oli'iiori ;'1 ?� (Other Work (Description) 4. Estimated Cost ' �i IV Ee #A `�To be paid on filing this application) i 5. If dwelling, number of dwelling units Num_ ber of dw lling,units on each floor _ __ . If garage, number of cars . "j 6. If business, commercial or mixed occ ancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: ront Rear Depth Height Number Stories Dimensions of same structure with alterati ns or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Storie 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Own r 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regu ion? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from remises? YES NO 14. Names of Owner of premises Address 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? * YES NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public,State of New York (S)He is the No.01BU6185050 Qualified in 8 (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14,2.N(e 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 day of 20co h Notary Public Signature f Appli nt Stove Installation (for qualified installers only) 17 Hearth Stove Direct NOTE:The chimney must have a clay the ' G�6 �-{�� 00 �-��— liner. If it does not,the installation must use Connection a positive connection(full reline). The entire 0 fireplace and chimney must be clean, V undamaged,and meet all local building — — Clay NOTE: codes(UBC,etc.). Damage must be — — Liner _ 7-0 — / Direct Connections require repaired prior to installation. The chimney 3O I 0 I = installation of an airtight, 331(10.05M) ( T ` must be 15.(4.57M)to 33 (10.05M)tall. Stainless steel ANSWER — chimney connector non-combustible block-off I, must Extend 1 1 past plate or damper adapter. he block-off plate or SMALL _ to the flue liner • Combustible Mantle 23 5/g" Airtight Width Insulated Height (All Legs) 27-7/8' ( ! '�` Clean-Out Height(Pedestal) 31-7/8" 457mmn. " _ Depth 16-1/4' (457mm) a Remove damper Flue Size 6" or wire it open Construction(plate steel) 5/16"to 3/16" f, . r _ I Weight(body w/legs) 3001bs COMPLY WITH ALL CODES OF Floor Protection — Block-off plate or _all 114 061 , NEW YORK STATE & TOWN CODES (See the section' — damper adapter — "Floor Protection AS REQUIREDA � .� Emissions 4.4 Grams/Hr. Requirements"for a — See the section Heating Capacity(Sq Ft) 750 to 1,400 "Stove Placement OLD TOW more details) — R Heat Output 66,800 BTU's/Hr. — minulrements for ea p mum clearances Efficiency(DEQ) Up To 79.6% SOUTHOL N PLANNING BOARD _ _ = required. Maximum Bum Time Up 8 Hours $0 , OLD TOWN TR $ - - Firebox Size 1.6 CubicFt Figure 15 Maximum Log Size Up-To 18" S.DEC Single Wall Doublewall connInterior or Exterior 18.. `�"`�"� NOTE:The chimney must have a A=Stove to Side Wall 18" 13" Masonry Chimney clay the liner. If it does not,the B=Stove to Back Wall 16-in,, 9" p RP� AU NOTE: installation must use a positive Clay Liner C=Stove to Corner Wall 10" 7-l/2" �J 2 This type of installation connection(full reline). The entire ' y D=Connector to Side Wall 27" 21-1/2" r; fireplace and chimney must be requires a UBC approved clean,undamaged,and meet all Min.18" E=Connector to Back Wall 19-1/2" 11-1/2" �S masonry connector or local building codes(UBC,etc.). (457mm) " 1 0 other method approved by Damage must be repaired prior to clearance F=Connector to Corner Wall 19-1/2 16-1/2" ' �,ti.' �•.. 3..!l_DI N [ ' AYEEItIIf the NFPA 211 standard. installation. The chimney must be to ceiling '-• • USA - _ t T(g) A iRM .1<H See Chimney Connector 15'(4.57M)to 33'(10.05M)tall. 16" This type of G=FrontRequirements on page 10 ; �S€'�l~E1Tl v.• , ! ;�� 11�� for further details. See the section Stove installation requires H=Sides 6" � C�� n�' Placement Requirements"for a UBC approved I =Back 6 C,S'E T minimum clearances required. �" masonry connector or a factory built • • • • • ' y (U.L Listed)wall hti '`-��'���'�' �`�%x�'.L+K�IiNfs _--- J=Minimum Width 49 5/8" �.�� p _ . .., Chimney connector sections tiz thimble. - - a7IrAl At. K=Maximum"De th 48" _ L=Minimum_Height 84" " -` r ? FT THE$HA .. f.: CLEARANCES TO UNPROiE E _4- ! c CF �r,r See the section Make sure the INSTALLATt f ''8ES O NEW•� 1 E "Floor Protection COMBUSTIBLES CORNER WAIJ@fi RE����1jELE FOR ,`Lp clean-out seals in 9€�I§N @Il 990TRUCTION IERROR& Requirements" place. Use these illustrations in conjunction coneal w�►tt -.� information under the'Clearance-& headings above -` TR, .n CAULKING *Heating Capacity may vary dependi _..._ _.. on degree of home insulation,floor < - ; „!C N ECT"� &EL RICAL plan and ambient temperature zone `- _tTE FCR G0.'='CAL Figure 16 the area in which you live. o �� �� t:TION SHALL MEET THE OF-THE"tFD FOF NEW S iATE:-,NOT'RtSP NI§fBffW C 5�S GN 0R'EON8tA0Q lbMMS. ©Travis Industries 100-01179 4081028 UESLG". CONSTRUCTION ERRORS.