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Home My WebLink About38267-Z � %ilf ,� Town of Southold Annex 9/11/2013 P.O.Box 1179 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36496 Date: 9/11/2013 THIS CERTIFIES that the building WOOD STOVE Location of Property: 545 Greton Ct,Mattituck, SCTM#: 473889 Sec/Block/Lot: 107.-2-3.9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/7/2013 pursuant to which Building Permit No. 38267 dated 8/20/2013 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: pellet stove as applied for. The certificate is issued to Delaney,Kristen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 19 u oriz Si ure I �o�gUFFOI,�co TOWN OF SOUTHOLD �y BUILDING DEPARTMENT CM2 ' TOWN CLERK'S OFFICE o . ¢ 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#: 38267 Date: 8/20/2013 Permission is hereby granted to: Delaney, Kristen 545 Greton Ct Mattituck, NY 11952 To: installation of a Pellet Stove as applied for At premises located at: 545 Greton Ct, Mattituck SCTM # 473889 Sec/Block/Lot# 107.-2-3.9 Pursuant to application dated 8/7/2013 and approved by the Building Inspector. To expire on 2/19/2015.� Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector h Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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"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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,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. New Construction: Old or Pre-existing Building: V (check one) I Location of Property: `j 45 (� Ve-k-0,0 &F N`1�� House No. Street Hamlet Owner or Owners of Property: -<6,:�Nc f- Z)P k ah ca Suffolk County Tax Map No 1,000, Section 3 Block Lot . Subdivision Filed Map. Lot: Permit No. �7��(o Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ pp icant Signature o�aOF SOUIy� 0NT1,�c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE l v INSPECTOR FIELD REPORT, COMMENTS FOUNDAITON(1ST) FOUNDATION(2ND) I O ROUGH FRANKING& y PLUMBING y • O I INSULATION PER N.Y. STATE ENERGY CODE • I , FINAL Or S$ ADDITIONAL COMMENTS V CIN O ot- Z m - I I I 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 aa Survey SoutholdTown.NorthFork.net PERMIT NO. U Xd-& 7 Check Septic Form N.Y.S.D.E.C. Trustees �j Flood Permit Examined 0 20L,3 Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration C, 20 CBuilding Inspector APPLICATION FOR BUILDING PERMIT AUG 2013 Date - 201- INSTRUCTIONS . plication MUST a completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 setsl8II°laifsS2acc�irr��P lot Ian to s e.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. ( ignature of plicant or name,if a corpo n) 5LIf5 Grt >J� ®U � Da' s p9rt)#3f,'21 7 State whether applicant is owner,lessee,agent,architect,engineer,general contractor,ele tt'c' ,plumber&Ider/p FEE: BY NOTIFY BUILDING DEPARTMENT AT 7�56 8 AM TO 4 PM FOR THE Name of owner of premises Kle 1_;S+C4-J <FJQ0,9 "SPECTIONS: (As on the tax roll or latest$eedpUNDA N-TWO REQUIRED If applicant is a corporation,signature ofdtl 'Jd� t4C;)' (DR FOR POURED CONCRETE 2. RO''GH-FRAI1 NG,PLUMBING, (Name and title of corporate offficer)-1SE I Ul"LAWFUL STRAPPING, ELECTRICAL& CAULKING �TION Builders License No. I^ill (��0� �� CERTIFId ® CONSTRUCTION &ELECTRICAL Plumbers License No.' V. "� MUST BE COMPLETE FOR C 0. Electricians License No. i i p y ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. -' REQUIREMENTS OF THE CODES OF NEIV 1. Locatio of land n which proposed work will be done: YORK STATE. NOT RESPONSIBLE FOR 54 �-,),Re---TM teT � -�� I.� i�V OR CONSTRUCTION ERRORS. House Number Street Hamlet 2 County Tax Map No. 1000 Section r Block !.� Lot 3. Subdivision Filed Map No. Lot i 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 Demolition Other Work Q.e'r (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. Ifbusiness,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 V" 13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 1 Ce11(S1ta, 14.Names of Owner of premises S-kn'DelandAddress `1AM E Phone No. l 1 0AS dal 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 NOV"� *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) S: COUNTY OFS-t CONNIE=D. BUNCH being duly sworn,deposes and says that(s)Wd ftftan to Of New York (Name of individual signing contract)above named, No.01BU6185050 Qualified in Suffolk County (S)He is the Commission Pxniros APO 14, (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 this / _day of 2 J Notary Public Signature of Applicant INSTALLATION & OPERATION MANUAL MODEL NUMBERS: 25-PDVC 55-SHP10 S6:�TRP10 . Thank you for purchasing this product from a fine line of heating equipment. We Wish--you many years of safe heating pleasure with your new heating.appliance,;•:. =' Save These Instructiohs. IMPORTANT: IF YOU HAVE A PROBLEM WITH THIS UNIT DO NOT RETURN IT TO THE DEALER. CONTACT TECHNICAL SUPPORT @ 1-800-245-6489. Mobile Home Use: These freestanding pellet units are approved for mobile home or doublewiderihstallation with f outside combustion air hook-up. See "Flue System" section of manual. Mobile.home installation should be in accordance with the Manufactured Home and.Safety Standard (HUD), CFR1280, Part 24. WARNING: Do Not Install, Sleeping Room { CAUTION: The structural integrity of the mobile home floor,wall and ceiling/roof r- must be maintained. IO Wk ._ Please Note the Following Precautionary Statements: NOTE: WE DO NOT RECOMMEND PELLET STOVES AS YOUR ONLY OF HEAT. England's Stove Works highly recommends the use of smoke detectors and Carbon Monoxide 14 detectors with any hearth product, including this unit. Follow all manufacturer's instructions when using smoke or Carbon Monoxide detectors. t;r CAUTION: Please read this entire manual before installafior :-•and use of this pellet fuel burning room heater. Keep children, furniture, fixtures, and all combustible..materials:away from any heating appliance. Refer to this owner's harival for all clearances.A6 combustible materials. . WARNING: USE OF OUTSIDE AIR IS MANDATORY WIC THIS UNiT DO NOT OPERATE UNIT WITH HOPPER OPEN: LID MUST BE SHUTRNF TIGHTLY SECUR'EL7:.. DO NOT OPERATE WITH DOOR OPEN.'.'::::, SAFETY NOTICE FAILURE- TO FOLLOW, THESE INSTRUCTIONS COULD RESULT IN PROPERTY:;.DIkVIIQE, BODILY INJURY OR EVEN DEATH. FOR YOUR SAFETY AND PROTECTION, FO:LLOW:_ALL:` Tl#E:INSTALLATION INSTRUCTIONS. CONTACT YOUR LOCAL BUILDING OR FIR 1=O>`FICIALS t=E R RESTRICTIONS AND INSTALLATION' INSPECTION REQUIREMENTS QNC- DING ry 1€�I=RIj*.._IN YOUR AREA. Questions? Need Parts or Options? v►ww.englandersto�es coror` Fx Rev t/07 t {ter a, Freestanding Pellet Installation 4PPe manufacturer's installation instructions and directiions for : i bustible watts and ceilings. Check local codes in your area. ; � A, 144 0 x' Our Part AC-3000 is s a a acceptable for A r through-the-wall 3�f U , installation. 100 for 4000+ } (AC-3 i x4 57 ft.installations.) } t s Basement Installation should 'C, be performed by professional installer. Use 3"metal pipe l T clearance til —ram- and coupler for Outside ! , ,,` Combustion Air. Minimum 3' Y . clearance from ground to the Pellet Vent Exhaust Pipe. �ta ,• . , f�l 1 i � Masonry Connection { t El ' r S �4 1 `r :....:...........:.......... .f•;— ....:......:........ .. t.T€37 flue pipe exceeds 15'in lengtls, pipe for remaining flue connections. f s Z.Total flue length should not exceed 35 3_Horizontal run not to exceed 4'_ 4.Floor protector required: Min. 5.If the total run-of outside air co exceedsAV,:ifmore than 2 elbows are used, or if a , •;+ basement install,use 3' metal and: mi stead. p� r 6.OuLvide Air is mandatory for propeasrifi van. FLOOR AN&WALL PROTECTION Floor Protection If your floor is constructed of a non-c'mbus#ibte material such as brick or concrete, there is no need for floor protection. If the floor is constructed of a combustible material such as hardwood, linoleum, or carpet, then you will be required to use floor protection between the unit and the rP Y e4 P combustible. The protection should be U.L approved or equal, and should be large enough to a minimum of one inch (1") behind and four inches (47).. on both-sides of the stove. The z clearance in front of the stove should be at least six inches (6).This freestanding pellet unit will need a minimum 31" x 32"floor protector. Wall Protection 1From the rear and the sides of this stove only six inches (6°) of clearance is required to paneling, r or drywall. The pellet vent pipe would require the standard three inches (3") clearance, or 3 eded..by the manufacturer. Normally additional wall protection is not required with this I $: 8 i c>: Illustration 4 PU-CB04 r Control Board Diagram(Wiring) 6 LOWER AUGER �—4 COMBUSTION BLOWER t yi 65 3 7 2 8 lei g 87 0 10 } HIGH TEMP. VAC. HOSE 1121314 i$1714 911 VVHITE WIRE 10 0 0 VACUUM SWITCH-). s AMP THERMAL <—HIGH TEMP. VAC. HOSE 4 3 FUSE SENSOR 9 BLACKVNRE 10 • VACUUM SWITCH I �. 10 9 f UPPER AUGER 2 1 � I ROOM AIRR.BLOWER BACK OF VAC IGNITOR FIRE BOX sEnISOR THERMAL CAUTION �J SENSOR pp i GREEN GROUND 120 VOLT EXPOSED ON THIS CIRCUIT DISCONNECT FROM POWER SOURCE p > MOVING HOT PARTS MAY CAUSE INJURY BACK OF FIRE BOX DO NOT OPERATE WITH PANEL REMOVED 120 VOLT LINE WALL THERMOSTAT THE THERMAL SENSOR IS NOT A GROUND ( J 18 ) CAUTION: Moving Parts May Cause Injury. Do NOT Operate with Panel(s) Off. DANGER: Parts May Be Hot. Risk of Electric Shock. Disconnect Power Before Servicing Unit. Notes on termination of Pellet Vent Piue(see also"FLUE SYSTEM"section of manual): i. Not less than three(3)feet above any forced air inlet located within ten(10)feet. 2. Not less than four (4) feet below, four (4)feet horizontally from, or one (1).foot above any door, window or gravity air inlet into any building. 3. Not less than two (2) feet from an adjacent building, and not less than seven (7) feet above grade where located adjacent to public walkways. The exhaust exit shall be arranged so that the flue gases are not directed so that it will affect people, overheat combustible structures, or enter buildings. Forced draft systems and all parts of induced draft systems under positive pressure during operation shall be installed gastight or to prevent leakage of combustion products into a buitfing. Through-the.wall vents shall not terminate over public walkways, or where condensate or vapor could create hazards or a nuisance. Be sure to fo'llow'local codes and all manufacturer's instructions(including.exhaust pipe). Consult a professional installer and/or call Technical Support if you.have>aiy questions. MWORTANT SAFETY NOTE. If the unit or chimney connector p pe'` lows" red (or whft;..-i"..;stove is over-fired. This condition could cause.:a hi use Or chimney fire. Do axt operate your urnt too hot, or over-firing may res. 17 PELLET FUEL BURNING ROOM HEATER r MODEL. 25"p_DVC/56sqsHpl 0 SERIAL*,NO. • M G-., 'D ATT E ,,W/1,02200 a ; T T D �` AST NI. E 1509�-91 4-2 9 R . . :. DREG N $1. a #�2 -9'1�9 AND U. ,L :.5:627: M90=UL. 1�48 1 y : R . TRS 'ELLET`.FIRED APF'Ll1NCHA :�EFN TESTED AND LISTED-FOUVS , -IN_MANU F CTUR.E:D HOM ES: "T OR E W�I'TH :P•E'LLET�F�U E1:," �1 _ XP T RATWO 98,000 BTU ECEC '.;RAnflo ,.1.2o%-W , 3A KEk-P.DOOR & HOPPER. LID CLQ EDTIGHTLY, DI)1R,IN,,- OPERATION, •�N1 f usT SEPLAC' E.D ON.'A ,NON*= �IJII U I FLOOR, PROTECTOR - -EMKiNG OUT 6"TO-TH�E, FRONT' A. 'N' 'D*,4"'TOT., 'HE:S[D"E'ANt)-'i "'TOTHE •DONT ., . . T0-,F�P-,I�C-�IALS.-AB-OUV, ,8-ESTRIC--ttO-Ns � . ,, :. LOCAL BUIL I O.-O� :FIRE INSTALLATION' INSPECTION IN YOUR A