HomeMy WebLinkAbout44474-Z �z ffi�
gUFFOIpcS Town of Southold 6/15/2020
4 G'
3 �tA'. P.O.Box 1179
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co � 53095 Main Rd
oy o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41185 Date: 6/15/2020
THIS CERTIFIES that the building OTHER
Location of Property: 622 Lighthouse Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 51.-2-2.6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/20/2019 pursuant to which Building Permit No. 44474 dated 12/3/2019
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 stove as applied for.
The certificate is issued to Our Business LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
e
A o ' eS ature
TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 44474 Date: 12/3/2019
Permission is hereby granted to:
Our Business LLC
250 W 57th St FI 26
New York, NY 10107
To: install a wood stove as applied for per manufacturer's specifications.
At premises located at:
622 Lighthouse Rd, Southold
SCTM # 473889
Sec/Block/Lot# 51.-2-2.6
Pursuant to application dated 11/20/2019 and approved by the Building Inspector.
To expire on 6/3/2021.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWE G $50.00
Total- $250.00
Building Inspector
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 at(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.
I
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. 90 -/Cf -
New Construction: Old or Pre-existing Building: (check one)
Location of Property: to 2Z L-14 H 6 " 954= Rc� So 0-1 L-A O L-N
House No. Street Hamlet
Owner or Owners of Property: f�.N C>—k 0 YV SAF
Suffolk County Tax Map No 1000, Section Block Lot G
Subdivision Filed Map. Lot:
Permit No. VO Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: x (check one)
Fee Submitted: $ �b
r /
Appli t Signature
of SOUIyo
o
f TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm N�' 765-1802
4 INSPECTION - ..
[ ] FOUNDATION 1ST- [ ] ROUGH PL13G.
] FOUNDATION'2ND [ ] NSULATIOWCAULKING
[ ] FRAMING/STRAPPING [ FINALod&,S �
] FIREPLACE & CHIMNEY- [ ] -FIRE SAFETY`INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ;] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE-VIOLATION [ ] PRE C/O
REMARKS:
M(N;Zool
DATE Y -w ?dam INSPECTOR 9z-
FIELD INSPECTION REPORT DATE COMMENTS
d
FOUNDATION(1ST)
------------------------------------
d
FOUNDATION (2ND)
z
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rn
ROUGH FRAMING& y
-PLUMBING
93
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INSULATION PER N.Y. H
STATE ENERGY CODE
i
00(it- C.
Na
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING ty)EP, TMENT 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 Suryey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20Mail to: YEOL, �ESlc#f�l tNS� iJ L
Disapproved a/c `-GS ,T&S M)AM L M S0cr g(i0LJS
Phone:
Expiration 20
=_' - ' $ Building-hi ect r
APPLI , N FOILB DING PERMIT
• W NOV 2 0 2019 �`�
Date s tf 20 1C1
INSTRUCTIO
a.This application Ivli7s be-coiripletely 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 p t or name,if a corporation)
�,A?,,1rz AS AgovF.
(Mailing address of applicant)
State whether applicant is owner, lessee,agent,architect, engineer, general contractor, electrician,plumber or builder
ACjp_N i
Name of owner of premises 1_ YO-SEP _
(As on the tax roll or latest deed)
Ifh nt i$ orporation, signature of duly authorized officer
(N a and title of corporate officer)
Builders License No. N A
Plumbers License No. pel A
Electricians License No. NX
Other Trade's License No. NN
1. Location of land on which proposed work will be done:
X2.2 kfg1i--T1+0Uw_ Rd S0J-,VA �®
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot 2�(o
Subdivision Filed Map No. IBJ- Lot M4
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 'Ra,, m ri-r i A L—
b. Intended use and occupancy R1z,S t tJ ff-"j—i 1 A,�-
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work woo b -2i o o E
4. Estimated Cost 425010 Fee (Description)
(To be paid on filing this application)
5. If dwelling,number of dwelling units NA- Number of dwelling units on each floor NA
If garage, number of cars RA
6. If business, commercial or mixed occupancy,specify nature and extent of each type of use. IN A
7. Dimensions of existing structures, if any:Front N N RearJ� N Depth KA-
Height NA Number of Stories r kk
Dimensions of same structure with alterations or additions: Front ry Rear NA
Depth N 4 Height I\LA- Number of Stories 44
8. Dimensions of entire new construction:Front LA Rear. NA- Depth 7q A
Height NA Number of Stories A
9. Size of lot:Front A- Rear /NA- Depth NA
10.Date of Purchase NA- Name of Former Owner N�
11.Zone or use district in which premises are situated "--�'O'rr 1-10"
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 V
14.Names of Owner of premises alta l o►� '�uS�F Address Phone No. 4(7-G `?-L{yS r7
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 X-
*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 X
* 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 X
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF St)ff X)
�P.lzl t KE�4-- being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the A4e-r,1
(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 ' 011—
VNNotazy
TRACEY L. DWYERTARY TATE OF NEWYORK
Public NO.01 DW6306900 ,g gnature of Applicant
QUALIFIED IN SUFFOLK COUNTY,
COMMISSION EXPIRES JUNE 30,2�
MKM2DE�SIGNASSOCIATES,
B.P.7DATE: -
Lu
pJr�M4
Po Box N pane.16300-1
ftimh
FEE: �4t.. samda+Bwrmuv7l 6�as�duaocfe
NOT1F' SUIL�!NG D;=PT.--1 f, aAr��.a�
766-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: m...ara.Yga and apenlflaatiana 4aludtny the
„i° Ilona•aeayn and=1,11 mento lndudMg t
1. FOUNDATION - TWO REQUIRED ASSMATES, Na Daty @ereof�9�
FOR POURED CONCRETE m�oaad�°orbs' ealneetron
® C with any work or pr tg other than for whkh
Nay haw been proparod without written consent
2. ROUGH - FRAMING & PLUMBING
8. INSULATION
4. FINAL - CONSTRUCTION DUST
-�; s-6�• --�a-sr -�• �,r -v m, z�sr ,� Dx ,>K >� NOT FOR
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE CONSTRUCTION
C14L C14L C14R C14R C14L 0141. REQUIREMENTS OF THE CODES OF NEW USE UNLESS
CW,6L A21v ,2,v A21v A71v A21v A21v D ,6L CERTIFIED BY
YORK STATE. NOT RESI'C FOR PROFESSIONAL
. DESIGN OR CONSTRUCT] N ERRORS. ENGINEER
Wood Walls ISLAND WORK NOTES:
T
6310 10'wide x 8 5'h,gh Gloss Garage Door
Floor I —p 2U32_ 263 63
Concrete _
I --,
� � -aK' s33i — —i
—i
�s Concrete Floor
Wood Burning I KITCHEN i
Stove I STORAGE _-_
ROOM _
—i
I � —i �
Concrete Floor I z- —i
I ❑ ❑ MPANTRY ___i �
� � I
Vole --—`--———
O
I � � I
CONBINR110N
s c° a UTIII BATH O a 6r.°oN CL I Y
aE1EGTOR
I THREE-SEASON ROOM M ROOM o COME nco HALL
'D/AR
R
Concrete Floor O 10D6 "'"'°"
I 2868
aawNAnav O 2668 DECK b
�((�� ❑
❑ ❑ o�n"ofo�R CauB114TON ABOVE I YUSEF
I o Goo I
RESIDENCE
BEDROOM STUDY BEDROOM 612 LIGHTHOUSE ROAD
I I
SOUTHOLD,NY,11971
--------- aj, SCTM#1000-51-2-2.6
b
2642 2642, 2642 2642
EXISTING
FIRST FLOOR P
26310 10'w,de x 8 5'h,gh Glass Gorage Door
LAN
t8'-fiC iS-4f4' + laid -l1F + il'-�f• + i7-tali iU-0� + -f-ffi6--i NOTES:
111 u-1dS 4f I i7S� HEWAAnm msmwOFTEwiffuoAME iffmwmmOF E
75 9i ®I FIMEMM,M sit IS ARM H3M KamEns a ff
FROG A x RIM DWWW OF LLL OWN=mu VwM NL
IBD cmw n m13=AD ff 5w wmm fm HID NL H
COMIPLY WITH ALL CODES O
FIRST FLOOR PIAN I
NE W YORK STATE & TOWN CODES ���>M-
AS REOUIRED DATEN ' 2019
SCALE: ECTNO.0:
10811-2018
imm :
,
SOU I BA EDk
- S OLD TOWN PLANNING BOAR®
i
SHEET NUMBEft-
so TOWN TRUSTEES Al 01
N.Y.S.DECuw NUMBER:
O BDIIrD&SIGNriS50CA'IfS,us
6. This heater has been shipped with an ilinch top flue
connection which may be used for tither top or back
venting the unit,For connection into chimney regular
a"pipe may be usett.
s !I. WttNn elbowing into existing Chimney, install stow
piptiwith slight rise Imm upper elbow to flue opening
inchimwy.Atnopotntshould thestovepipebehigher
than the flue opening.Avoid long horizontal runs of
PIP-
7. Do not insert pipe too far into flue opening-the pipe
shiould net emend Into the flue opening beyond the in,
_ $10 chimney watt.
Contemporary OPERAIING INSTRUCTIONS
wood heateriftreplace 1. Open damper by turning knot)an Bur ooflwtovertical
Model 112513 - Dull 81aCk Enamel 1:1O1111tion.
2. Place paper andlor kindling an bottom of chamber.
Model 11250 - Olive Orson ught and add wood,carefully at first to avoid smotho,
ring fire. AS the progresses, add wood in dosirrd
Your cholcvof the MORSO Wove HeaterrFireolace isag000 one. Nnount and close damper slightly.
Not only is itmodem in&MMranceard enhancing totheof 3. Close floors-[cave door handl/in apen position.The
any roots it is also scientifically constructed and CBrbfulty twig doorhandle Ls hollow and when Glossed tightly,allows
to give you the best om-lble service and sattafact[on.Complete enough air in to keep a slow fire burning.As it is ope-
suCCesS with your heater depends prFnlarily on the following: for tYthdoors also easdd �p On.Slightly and allow more air In
1. A good chimney diafl 4. Top damper qn flue collar should always be alightly
2. Proper firing openewe<twhom you desire tokeepfirefors,prolonged
3. Avoid overheating period of time.Amount ii should be open depends an
4. Daly removal of ashes you chimney draft.
5. lfaoping chimney free of soot and obst►uetiono. 5. Formaximum heating,open damparto full extent(ver•
tical position)and tura door tyntits 30 it still engagr
other door but is at maximum opening.
ASSEMBLY-NOTE S. When fire dies down and mon fire Is not required,a]-
ae sure you have help In moving this unit as It Is made of hwvy ways close door tightly.
duty cast-iron and it Is VERY he 4y. 1F HEATER SMOKES OR DOES NOT HEAT,
1. Remove all parts loom ins!&urnwap. CHECK THE FOLLOWING
2. Tum heater on its side(place a rug or something soh 1. Ilmfi(kient Chimney draft.
under It to protect finish). Z Chimney flue opening too small for size pipe used
3 Attach ices with bolts which are packed separately Ir, 3. Plea Inserted Ica far inio flue opening.
side In*ltreplam and tighten In place. 4. Chirmay and/or pipe obstructed with soot,etc.
4. Lift upright and put in position- 5 Mone than one flue connected to a chimney Is not
51 Attach flue collar and doors. advisabls Should this be allowed by the building code
in your specific area be certain the chimney opening
INSTALLATION for the wwod heater is higher than the chimney open-
ing kr fuel oil furnace.NEVER connect a wood burr-
1. Check chimney 10 see that it is clean and free of all ing unit on me same flue as a pas burning unit.
obstructions.5e sure It Is of masonry or use manufac_ (x Inconrtet Operation of damper-when adding wood to
turer's approved contemporary chimney. firs make sure that damper is open(vertical position),
2 If possible set heaterdirectly,N front of chimney to be 7. A low chimney top outlet-chimney must be 21 above
used,about 18"from a combustible wail and not les Nge line or Z above point of roof ler from chimney.
than 6—from anon-combustible wall Suohasmasonry, g
stone,or asbestos. ChetC ovprltangingtraeswhich may bocausing down.
4. Se sun to set heater on stove board a a masonry draft v c.e
hearth for protection of rugs of wood floors. Replacements parts are available for each model.
X10 MC�.N V,SP •why-.ar...