HomeMy WebLinkAbout43593-Z gUEF�t,� 1
Town of Southold 4/16/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40323 Date: 4/16/2019
THIS CERTIFIES that the building WOOD STOVE
Location of Property: 1782 Theresa Dr., Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-14-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/28/2019 pursuant to which Building Permit No. 43593 dated 3/28/2019
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 BURNING STOVE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Sainz,Carlos&ors
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ccho ed Signature
��o�osuFfQ'1 °� 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 #: 43593 Date: 3/28/2019
Permission is hereby granted to:
Sainz, Carlos
66-36 Yellowstone Blvd Apt 29H
Forest Hills, NY 11375
To: Wood burning stove as applied for.
Replaces BP# 38585
At premises located at:
1782 Theresa Dr., Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-14-5
Pursuant to application dated 3/28/2019 and approved by the Building Inspector.
To expire on 9/26/2020.
Fees:
PERMIT RENEWAL $100.00
Total: $100.00
}
Building Inspector
SSU o� TOWN OF SOUTHOLD
a�
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Ile 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#: 38585 Date: 12/20/2013
Permission is hereby-granted to:
Savage, Alice
1782 Theresa Dr
PO BOX 719
Mattituck, NY 11952
To: Wood burning stove as applied for.
At premises located at:
1782 Theresa Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-14-5
Pursuant to application dated 12/4/2013 and approved by the Building Inspector.
To expire on 6/21/2015.
Fees:
SINGLE FAMILY DWELLING -ADDITION O TERATION $200.00
CO -ALTE ION TO D ELLING $50.00
Tot $250.00
uildind Insp
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 $15.00 ff
Date. 12.15)15
New Construction: Old or Pre-existing Building: t/ (check one)
Location of Property:_��$Z Thetega V*�r
m 44-Au c u
House No. Street Hamlet
Owner or Owners of Property: C n d o!, C n�
Suffolk County Tax Map No 1000, Section 115 Block 1N Lot 5
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:.An�ceay [AA,, 1Sa
13
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: ,/ (check one)
Fee Submitted: $ 2 JU.o p IN
Applicant Signature
SOOQUTyolo
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLE.G.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
RE�AARKS: = ��
DATE INSPECTOR
�O��OF 50UlyOlo
# TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULATION
[ ] FRAMING /STRAPPING [ FINAL GIW sFOVe'�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
Oki/
DATE G INSPECTOR
FIELD INSPEMON REPORT DATE COMMENTS
FOUNDATION(iST)
...........
FOUNDATION(SND)
ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y. H
STATE ENERGY CODE
4
JA
• C
1
FINAL
�w W-ez 11 W4?V-
ADDITIONAL COMMENTS i!
• —aa- I � � •�a ,o �R� 7` r �
a z �W
4
rt
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 119711�3S �3 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 r-- 2 Survey
SoutholdTown.NorthFork.net PERMIT NO.- e ie Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20� DEC — 3 2013 Storm-Water Assessment Form
Ponta t:
Approved 20P 1 Mail to:
BLDG DEPT.
Disapproved a/c n
Phone:
Expiration 20
�g V
APPLICATION FOR BUILDING PERMIT
Date L lecernbec 3rd , 20 13
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
AtChi�er� l�k-S�012 /�S 1 _- y_cySICc,
Name of owner of premises ead o c, Sc1 In
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Narne 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:
I Fs2 TecPsD
House Number Street , Hamlet
County Tax Map No. 1000 Section Block Lot 5
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 occupancyxle Se,�;il� &ell*
b. Intended use and occupancyS;g4kj �'rn,,l� c1LPl nc�
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work -,;,
(Description)
4. Estimated Cost 2c�L)_()() Fee ZS0.0u
(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 L,-'Will excess fill be removed from premises? YES NO
14. Names of Owner of premisesCarins Sa, Address I1`02 Thcre$c, Phone No. (3H4) '370-08t7
Name of Architect Aocicec,c Le+11,wsV A Address Vq Laurel '?,cl Phone No (630 4S'l- &z(,Li
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO `J
* 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 )
H C _E;AS IEM40 V S te- being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the C_1✓nr ` A ILC H I T't—C j"
(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 thi ;
day of 20/3
Notary Publ' ignature of Applicant
CATHERINE ROMANCZYK
Notary Public, State of New York
No.4753685
Qualified in Suffolk Co nty►
Commission Expires( d/1 y
� Southold Town Building Department
�yFFt1t�
P.O.Box 1179 Permit#: 38585
53095 Main Rd
Southold,New York 11971 Permit Date: 12/20/2013
A VIP- (631 765-1802
?fal ,1 Expiration Date: 6/21/2015
Parcel ID: 115.44-5
BUILDING PERMIT RENEWAL LETTER
Dated: 3/30/2017
Applicant: Andreas Letkovsky Arch
Location: 1782 Theresa Dr,Mattituck
Work Description: WOOD STOVE
Wood burning stove as applied for.
A FEE OF $100.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Savage,Alice
Address: 1782 Theresa Dr
PO BOX 719
Mattituck,NY 11952
The permit listed above has expired.No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Page 2 of 2
From: Carlos R Sainz [mailto:carlosrolandosainz@msn.com]
"Sent:Thursday,October 24, 2013 10:32 PM
To: Andreas Letkovsky
3. Subject: photo
Andreas:
attached is the photo of the wood burning fire place at the property in Mattituck.
Thank you
carlos
)s�t3
APPROVED AS NO ED
DATE: IiiW®l3 B.P.A
NOTI Y BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PNI, FOR THE
FOLLOWING INSPECTIONS:
'I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. 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
DESIGN OR CONSTRUCTION ERRORS.
OCCUPANCY OR
C011ir'LY V�'I H ,ALL CODES OF USE IS UNLAWFUL
NEW YORK STATE, & TOWN CODES WITHOUT CERTIFICATE
AS REQUIRED A r' OF OCCUPANU ,
SOUTIiOWZ*!Z
rani n TOMM TRI IQTFF4
S0U1, VMx 111vv
mon-vos-ea•se ri.wam --_ ''"' -
10/30/2013
ALArchitecture 631-757-0628 p.2
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Enjoy the Warmth and Comfortof Coal ^-
For steady, low maintenance, high-Output heat, nothing compares to a coal stove by Vermont CastingsO.We've created a
stove that can heat up to 2,000 square feet for up to 18 hours on a single load.There's even an automatic thermostat to
ensure steady heat flow to your home. Classic style and modem canvenience—a Vermont Castings exdusive.
= Coal Stave
BTU/HR 50,000/hr
Coal Type Anthracite or Bituminous
Approx. Heating Area (Sq, Ft) 2,000
Design Certified UL!ULC
:. Dimensions(Actual) 28.25"W x 31"H x 23"D with 7.875"legs
30"W x 33.875"H x 23"D with 10" legs
Coal size Pea or Nut(Anthracite)
Features &Benefits
• "Whole house" heater-up to 2,400 sq.ft *Durable cast-iron construction
• Clean and convenient tap loading •Up to 18 hours on a Single load of anthracite
• Special "shaker" grate system for easy operation •For burning coal only. No other solid fuel should be used
• Large swing-out ash pan on the cover (except for starting the fire)
• .. •Automatic thermostat for steady heat
•Available in Classic Black
•- • 0 FILIe size-6" Round
0 tional Accessories
•Warming shelves
• Clearance reducing heat shields
•Height reducing short legs
•Outside air adaptor
• 6" oval flue collar
0J rid
F�bi
~' Your Vermont -- -- -k. v�A4"�
Castings Dealer:
' C�� u
A Brand of Monessen Rearth Systems Co.
149 Cleveland Drive, Paris, Kentucky 40361
Tn amAd personal injury or Propeny damage,the product described by tins brochure must be hnstalied,with the product and all apP6eable building or fire codes,Contact local building or fire ofhciats abort restrictions an •Ind n tags on compliance un:h the ms photos packaged
dr3vAngs on This brochure are for illustrative purpcses only anc are tot intended for,nor should they be used as a subs6lute for the fnst"tinspection a ire d WA1 All photapra ea and
aril spealicat.ons of the product are subiec-to charge v khout nadce.0 2009 Morressen Hearthadrayed with the urpt Appearance
_ Systems Co.Ca
ALArchitecture 631-757-0628 p.3
Vigilant Goal Shaves bg Vermont Lashings
Page L or 3
r,ut ash oan,so it's easy to keep clean
oven with frequent rise.
(Durable Cast iron construc[ior.
Long-lasting quality—Made from high-
quality cast iron that's 100%recycled,this
coal stave provides dependable heating
throughout its years of service.
1
Vigilant" Morcel Line-Up
Al-Architecture 631-757-0628 p 4
. Yigtlant Goal stoves by VermontUmngs rage 1 of a
Vigilane
This model's signature cast iron
Construction features handcrafted
details that make it as attractive as
it is runctional_its coal fire
v produces outstanding heat levels,
X and the automatic thermyo_sttt
enables hassle-free fire - -
e _ maintenance.
4;I jS 7 e to r tom'-•
a.--�-
iirCR i oirii neats U i i10 20000 54. e%
Hear your whole home•—Vermont
castings goal stoves eFFicietitly deliver the
heat you need to blanket your entire house
in Warmth and comfort.
Up to 18 hours of Burn Time
More heat on a single load---Add long_
burning,anthracite coal In the morning,
and this stove will provide continuous(teat
Guides$Literatureand
the evening.
F-Odurt Ei.)rf,ule rF�cltisr.?
Autornatfc Thermostat
Tia i.wL Z<cehct,-¢'t seit_i; Mare even temperatures—The thermostat
automatically regulates the staves air
`4cr_it�.ia?.1 i ShSEY
intake over time for were stable heating
LSC>S t4la?li i.r�ru'tViiv�1
that makes the most efficient use of your
Fuel.
Top Load Design
Clean and convenient loading—Adding
coal through the top helps you keep your
stove area clean and makes It easier-to add
more fuel whenever you need to-
"Shaker"Grate.System and Swing-
out Ash Pan
Easy operation and ritaintenance—This
stove features a special grate system for
shaking ath—down, into She Iargo-,wing-
. PRODUCT S'13ECYF1,CAT10XS
t � Co •
I
1 ; 41
281/4" (720mm) �I
R — °
3111
o o 337/8"
861 mm
ACTUAL DIMENSIONS 9 ( )
Unit Depth: 20-112"
Unit Height: 30-1/8"
Unit Width 28-114"
TECHNICAL INFORMATION a 77/8"Legs ❑
Coal Type:Anthracite or.Bituminous(Class B) E 10"Legs r
Coal Size: Pea or Nut(Anthracite) 30" (762mm)
Maximum'Heat Output: 50,000 BTUs/hr
Maximum Area Heated: 2,000 ft. 23" (584mm)
Fuel capacity:45lbs(20 kg) 20'/2" (520mm)
Fuel loading:Top .
Glass Panel: Hi-temperature ceramic
,rt Weight:425lbs(212 kg) 313/8"
VIGILANT
7'
Flue exit position:Top or rear 2838 t (797mm)
(72 1 mm)
Flue exit size: 6" Round Standard 331/2"
8'"Oval Optional'- p I 301/2' (851 mm)
FIELD INSTALLED ACCESSORIES 1 I (775mm)
Warming shelves
Clearance reducing heat shields'
Height reducing short legs '
Outside air adaptor l�J '� 77/8" Legs
8"oval flue collar U* 10" Les
�a— 20" (510mm)—�
®•�' ��I Bl DG DEPT.
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MADE IN U.S.A. �><1 r.me<+-..,o.o.c•rm.o...c
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Enjoy the Warmth and Comfort of Coal.
For'steady,IoW,inaintenanae'high-output heat,nothing compares toa coal stove by Vermont Castings. We've-.created a'
,stove that can heat up to 2,000'square feet for up to.18 hours on'a single,load.,There's even.an automatic hermostaf to,
.ensure steady heat flow to your home. Classic style and modem,convenience—a Vermont,Castings exclusive.
II Coal Stove • Vigilant
I 2811:'(720mm) —1
23"(584mm) —1
31" urea Jnr '3iW
(797mm,)
(787mm)
(721mm)
I :33'1a° 30th (851inm)
!llllllll (861rrfm) (775mtn)
7'h°legs 7'/a"Legs
lff.�—.10"Legs 10"Legs` I.
�! 30"(762Fnrin) ►� 'a—20"'(510mm)--t
'This value can vary depending on how the unit is operated,'and the type and moisture centant of the lite!used.nciiire shown is based on inaxLnum fiiet consumption
bbwnw uridei tsbc mtory conditions and on average of endaz.
'These valuos are based on operatton in building code-conforming homes under typical rdnter ciuna epondurons m,New E tgtarid If your,honoe nS of r on-standatd '
oons"Ion(o.4,"usuarty�deil•insufated,not,insulated,)uilf_urvierground.-etc.)of if you Yrvo in a more,*orp or more temperate climate,these fiigures'may net
apply.Since so many yarjables iiBect peifom:ance,cotr�ia yew varmonl C Snngsm Authanzed Dower to delarmdre reaGsVc e>giectationsfoi youf horrw
Features and, Benefits
r5tandard-Features:, For burning coal only.No other,solid Specifications:
°Whole'house;heater-up'td foal should.be used(except"for`startmg Coal type,Anthracite''io(b)turrtinous
2,000`sq.,ft, the fire)' (Class Bj
e
an and-convenient top loading Available,in Classic Black only Coal size-'Pea or nut(Anthr'acite)
-,Special"shaker:grate system`tor: • Maximum'heat•output-50,060 etu'sthrt
`OptionaP Features:
,easy operation, Mazirrium:area heated:=2,000 ft.2-
• Warming shelves,
c Large swing-out ash pan on the cover. • Fuel capacity-.45 lbs.,(20 kg)
clearance,=reducing heat'shields
Automatic thermostat•for-steady,,-heat' • Fuel.loading=pop'
•• Height reducing short legs,
•'Durable oast-iron construction Glass panel-Hi-temperature ceramic
butside,air adaptor
• Up,to_18 hours,on a_single load Weight,-4251bs (212kg)'
of anthracite' • Flue exit position-Tap or rear
• Flue exit size- 6"Round',Standard
8",OvaliQptional,
YOUR'DEALER
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ALArch itectu re 631-757-0628 p.3
Vigilant Coal Stoves by Vermont Castings Page Z of i
rim ash oan.so it's easy to keep clean
even with freement use,
Durable Cast Iron Construction.
Long-lasting quality—Made from high-
quality cast iron that's 100%recycled,this
coal stove provides dependable heating
throughout its years of service,
Vigilant" Model Line-Up