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HomeMy WebLinkAbout38284-Z gi1Ef l�.c Town of Southold Annex 11/27/2013 P.O.Box 1179 $ ' 54375 Main Road o ,{ Southold,New York 11971 �y'l/Ol flttr ��IIiR CERTIFICATE OF OCCUPANCY No: 36622 Date: 11/27/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2075 Sigsbee Rd, Laurel, SCTM#: 473889 Sec/Block/Lot: 144.-2-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/16/2013 pursuant to which Building Permit No. 38284 dated 8/27/2013 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: FIREPLACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Crom, Steven&Beckmann, Sabine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED It Ad u, o ' d Sign ure TOWN OF SOUTHOLD BUILDING DEPARTMENT y $ . TOWN CLERK'S OFFICE 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#: 38284 Date: 8/27/2013 Permission is hereby granted to: Crom, Steven & Beckmann, Sabine 325 E 41 st St New York, NY 100175916 To: Residential Alteration - fireplace, as applied for. At premises located at: 2075 Sigsbee Rd, Laurel SCTM # 473889 Sec/Block/Lot# 144.-2-18 Pursuant to application dated 8/16/2013 and approved by the Building Inspector. To expire on 2/26/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 luildiTotal: $250.00 s 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'eleetrical 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 I. 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 $15.00 Date. uGvS� IS, de�13 New Construction: Old or Pre-existing Building: V/ (check one) / Location of Property:_ oZe7S �� S �)ee 1�> House No. C Street Hamlet Owner or Owners of Property: c� eV�, Suffolk County Tax Map No 1000,'Section 47 g 8`V-- "Block Lot ` Subdivision '.Tiled Map. Lot: Permit No. 3 a. Date of Permit. 748 8 Applicant.- Health Dept.Approval: Underwriters Approval: Planning Board-Approval: Request for: Temporary.Certificate- Final Certificate: check one Fee Submitted:$ �56 Apple ant Signature �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FR G /STRAPPING [ ] FINAL [ ' FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] , TRICAL (FINAL) REMARKS: �As DATE INSPECTOR �o��,oF souryO� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ✓ FIELD ESPE ON REPORT DATE COMMENTS Do FOUNDATION(1ST) q FOUNDATION(2ND) AV ROUGH FIG& y PLUMBING INSULATION PER N.Y. STATE ENERGY COI'1E m r. ' y FINAL J ADDITIONAL COMMENTS ?V d- r 7-0 O m x OWN 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. " Check Septic Form _ N.Y.S.D.E.C, f D EC E . U E Trustees l� 11 15 Flood Permit Examined ,20_t�7 ;, Storm-Water Assessment Form AUG 16 20i3 . ntact: Approved ,20 Mail to: Disapproved a/c ( 'D(EPT, p _ T0 UTHOLD Phone: Expiration ,20 spector APPLICATION FOR BUILDING PERMIT Date 15— , 20 \3 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 frorn such date. I.f 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, (Signaturl 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 Name of owner of premises (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. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section y 7388' Block lqq ` aZ ' Lot 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 Wnne,/►r'��rH�n� A Flire\arc_ (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 V 13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises S)rnog C-ll'a,M Address Phone No. 6z/(o 110 �Po� 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. 1-8. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY'OF being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent, Corporate Officer,,-e c,) iI' . o�111, . 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 th' �o day of 20L�—) r Notary Public 'Signature o p licant MARINA KOKKINOS Notary Public-State of New York No.®1 K06191941 ®uantied in Suffolk County my Commission 6xplros Aug.26,2016 \j r,\<< , APPROVED AS NOTED DATE: g B.P.# COMPLY WITH ALL CODES OF FEE:-��a_ BY: �2164 NEW YORK STATE & TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED 765-1802 8 AM TO 4 PM FOR THE S FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED SO D FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.U. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW I I I j YORK STATE. NOT RESPONSIBLE FOR 4 i DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY F�aee- \Y-\ S Gr e)os�;�,5 `o��,�a ��^ BIS NOVATM EPA Wood Burning Fireplaces Specifications Cat.# Model Description Back Wall of Chase/Enclosure OUTSIDE CHASE Including Finishing Materials,if any Corner Installation BISNOVABK BISNOVA-BK BisNovaEPAWood- C Burning Rreplace Black BISNOVABN BISNOVA-BN BisNovaEPAWood- D Buming F/P Br Nickel 'Zero Clearance F From Back /�� + G PRODUCT REFERENCE INFORMATION to Spacer to Wall {-+—} Weight 215lbs Height 37-5/8' •O Width 32-3/4' Rough Framing Face(Unfinished Shown) Depth' 22-12' 1 a) Firebox W x H x D 19-12"x 13- measured in front 1/4"x 12" 0 Combustible materials tan NOTbe used in the ChimneyWeightASHT06' 625lb/ft space directlyabove Chimney WeightAC06' 3.25lb/ft •E fijthePeabovt pe Chimney Weights-2100+06" 10.81b/ft. L thefireplacewithany material(Exceptthe L"L woodframing) FRAMING DIMENSIONS 2"x 3" A 35-7/8 911 mm Total depth is 22- Header Min. 1/2 inches(572mm) B 37-5/8" 956 mm including the back C 29-1/8' 740 mm spacer minus 1/2 inch (13mm) for D 12-1/2' 318 mm drywall to be flush 8 with the facing. G E 70' 1778 mm 6"g^ F 35' 889 mm (2M) B 1•-A-•I Min. G `22' 559 mm J 49-1/2" 1257 mm Rough Framing Face K 8' 203 mm (dimension include finish material inside framing,if any) 6" O Optional Combustion Air Kit 1276 mm) + + + 10" Q P (254Imm) Id K Notes 31-5/1• Diagrams,illustrationsand photographs are notto scale (956mm) 22-114" C —consultinstallationinstructions.Productdesigns,mate- 131/t" (565 mm) O dals,dimensions,specifications,colors and pdces are (337mm) subject to change ordiscontinuance without notice. 31-11/I6" All framingdimensionscalculated for 1/2"drywall atthe V (806 mm) fireplaceface.lfsheathingthechaseorfinishingwithother thickness matedal%calculations will need to be made. 20' Thefireplacemustnotbeintnntactwithanyinsulationor (506mm) 6.1116" o loose filling material.Cover the insulation with Drywall (154 mm) panels around the fireplace. 28-SIB"(676 mm) 20-1/2"(521 mm)----{ 32.11116"(e30 mm) 11Tr��11 22.7/16"(570 mm) � �NZFRT� 35-13/15"(910 mm) LE25-1tili"(637mm)—t `—. Listed to standards: ULC-S610&UL-127 Ci mq us *Motk H°�6 PM 506035-09 REV.A 05/2011 Page 1 of 2 0$ SECURITY CHIMNEYS ff\rry Im&t l+5 r%I1 i 5 BIS NOVA TM EPA Wood Burning Fireplaces Specifications Rain Cap Roof Support Storm Collar Flashing Collar `J Attic Radiation Flashing Flashing Shield Floor, Roof Support Ceiling& Attic Radiation Shield wall 0 6-1/2"Min. (165mm)to ceiling III] U (Q Must have the same firestopping resistance Firestop as adjacent wall. • Musthav6thesameinsu- 68"Min. lationasadjacentceiling. • } (1727mm) Firestop Followlocal rules regard - RZ ingframingconstructiom 39"Min. 6'8" (990mm) (2 m) -0 on-Combustible 7' Min. Facing (2.1 m) u Min. ro �O U_ Drywall or Any Rigid Material ©Combustiblesarenotallowed be- low top spacers above the fireplace. 'e 2"x4" ® Facing in front of fireplace must be 1/2"Plywood non-combustible below this area. CLEARANCE TO COMBUSTIBLES Thefollowingclearancesmeettheminimumrequirements for a safe installation; C (Q Area where wood mantel Sidewalk 17"(324 mm)measured from the fireplace can be installed side Ceiling: 6'8"(2,032 mm)measured from the base of the fireplace O Fireplace enclosure: 'N Bottom: 0" Side: 0"to spacer 01 39" ' Back. 0"to spacer (990mm) Top: Do not fill the space above the fireplace Min. 45 Deg. 17"Min. with any material(Except the wood -� I Hearth 4" framing See Page.9,Figure 8 in the .' I Extension(102mm \ J(432mm) Installation and Operation Manual) + ?� /(457mm)\/.\�(832mm) Chimney: 2''(50mm) = Min. Min. Mantel: 39"(990mm)measured from the base of Non-Combustible Material the fireplace. Printed in CA.0 2011 by Security Chimneys InternationalI ko P/N 506035-09 REV.A 05/2011 Page 2 of 2 SECURITY CHIMNEYS INTFRNATInNAI