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Home My WebLink About45891-Z �o�SUire FFO[ t Town of Southold 10/23/2021 a y` P.O.Box 1179 o - ��c'� 53095 Main Rd cy p� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42477 Date: 10/23/2021 THIS CERTIFIES that the building WOOD STOVE Location of Property: 2335 Minnehaha Blvd., Southold SCTM#: 473889 Sec/Block/Lot: 87.-3-55 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/21/2017 pursuant to which Building Permit No. 45891 dated 3/8/2021 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 as applied for. The certificate is issued to Osler,Scott&Julia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED L t ri d ignature �ao��FFQ TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oA • a�� 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#: 45891 Date: 3/8/2021 Permission is hereby granted to: Osler, Scott 2335 Minnehaha Blvd Southold, NY 11971 To: Install a wood burning stove as applied for per manufaturer's specifications. Replaces BP# 42275 At premises located at: 2335 Minnehaha Blvd., Southold SCTM # 473889 Sec/Block/Lot# 87.-3-55 Pursuant to application dated 3/8/2021 and approved by the Building Inspector. To expire on 9/7/2022. Fees: PERMIT RENEWAL $125.00 Total: $125.00 3 Builds g Ins r off 04c TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 42275 Date: 1/2/2018 Permission is hereby granted to: Osler, Scott 2335 Minnehaha Blvd Southold, NY 11971 To: Install a wood burning stove as applied for per manufaturer's specifications. At premises located at: 2335 Minnehaha Blvd., Southold SCTM # 473889 Sec/Block/Lot# 87.-3-55 Pursuant to application dated 12/21/2017 and approved by the Building Inspector. To expire on 7/4/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 tal: $250.00 Building I spector 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. 12-- New ZNew Construction: Old or Pre-existing Building: `�F (check one) Location of Property: y 3 3 ("b11tA�i�C��c. i C( House No. per. Street Hamlet Owner or Owners of Property: S cR3 l� �-�21.t-d,� Os 6p- 1>— Suffolk County Tax Map No 1000, Section Block Lot �j 5 Subdivision Filed Map. Lot: Permit No. 41AW Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: X � pplicant Signature # �# TOWN -OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [_ ] FOUNDATION 2ND [ INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR. FIELD INSPECTION REPORT DATE COMMENTS " b FOUNDATION(1ST) ------------------------------------ SS� FOUNDATION (2ND) r� O ROUGH FRAMING& -� PLUMBING 5 `� INSULATION PER N. Y: y STATE ENERGY CODE FINAL n too AD ITIONAL COMMENTS Ipa r f I .oo r rrnn0 V 'z rn � z �H d 5th 4-60 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 5-gL-»ilding Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 -Z Mu vey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. stees C.O. pplication Flood Permit Examined ,20 Single&Separate Truss Identification Form !'o V ` Storm-Water Assessment Form .Q � (�u Contact:Approved 20 ` 2017 Mail to: 2-335 0IrV1wJkaL f5I�Disapproved a/c $IJILDING Phone:Expiration ,20 T ®F S® ng Inspect APPLICATION FOR BUILDIN RMIT Date , 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder DWV1�Y' Name of owner of premises c.��`� c �5 Le l (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. 1. Location of land on which proposed work will be done: z- So A House Number Street Hamlet County Tax Map No. 1000 Section Block 3 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 ak b. Intended use and occupancy &M9_ t 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work i vnsA-alb wv oS loon4 -6\,U (Description) Estimated Cost Fee (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars , C 6. If business, commercial or mixed occupancpecify nature and extent of`each type of use. it 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additib*h§:` Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front Rear Depth 0. Date of Purchase Name of Former Owner 1 . 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 `wl�� nom/ Address:)33�'K-AeUg �I dPhone 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 V-' 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 OFA a� CS_.(Cc �S being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 0 CP-) ya� (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. TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK Sworn to before me this NO OIDW6306900 C7� t day of ° _ 20� QUALIFIED IN SUFFOLK COUNTY � C MISSION EXPIRES JUNE 30,016 _A/)a= I � L419A Notary Nublic 0 Signature of Applicant Osler .F Wood burning stove 12/20/17 Window APPROVED AS NOTED -,%L S 0 F ...... DATE:swdap.# 2:2 Y-, I- 4TOWN CODES FIEV.--0QJ— BY:. 7mg=- -D . T� iS R rEQ U I R E Ad-,�ru ,,T=�ND! 1101NS�OF NOTIFY BUILDING DEPARTMENT AT IJ ' 4�r, 3T, T F, OVV,`ULi A 765-1802 8 AM TO 4 PM FOR THE D FOLLOWING INSPECTIONS: u 71,=0 77 i U V=F FL) \1=i�,6 M�,,A R 1. FOUNDATION - TWO REQUIRED 7'a` FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. OCCUPANCY OR ALL CONSTRUCTION SHALL MEET THE USS" IS UNLAWFUL REQU!REMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR WITHOUT CERTIFICATE DESIGN OR CONSTRUCTION ERRORS. OF C e U PANCY 1011 - 56" Stone Wall 5611 19, bD �d — s� w MANE Specificafths and.Clearances: Physical Measurements: Clearances (cont.): Size 45,000 BTUs With single wall pige& rear heat shield: EPA Rating 2.7 grams/hr Front 36" Efficiency 78% Rear 811 Heating Capacity up to 1,500 sq. ft. Side 20" Burn Time up to 8 hours HeatLife up to 10 hours Corner mount with single wall Jaime and no heat shield: Firebox Capacity 1.9 cubic ft. Perpendicular from corner 10" Maximum Log Length 18" Flue Exit&Diameter top or rear-6" Corner mount with double 4I pipe and no heat shield: Ash Pan No Perpendicular from corner 10" Optional Blower Kit Yes Mobile-home Certified Yes Corner mount with single wall pipe and rear heat shield: Alcove Certified Yes Perpendicular from corner .10" Actual Weight 464 lbs. Shipping Weight 500 lbs. Corner mount with double wall pipe and rear heat shield: Perpendicular from corner 10" Clearances: (see pg.2 for illustrations) With single wall pipe, no heat shield: Hearth Pad: Front 36" Rear 18" Minimum Size (US) 31 112"W x 36 112" D Side 20" Minimum Size(Canada) 37 1f2"W x 44 112" D (173cm x_122cm) With double wall pipe& no heat shield: Minimum R-Value Ember Protection Only Front 36" Extension past front of stove 16" US, 18"CAN Rear 18" Extension past side of stove 8"US, 21 cm CAN Side 15" Extension past rear of stove 8" US,21 cm CAN - ��::' � �439g,"b;�eSi : .b sa`...� -� - :�a ; ut +, .7a+-.ra,a{Ln 6 6 t�.y��;mn��?•# $peci#ications and Clearances:y p! 2 , Rev. 66-08=1� f G� Parallel Corner learances A B Ic D E Single wall Connector—No Rear Heat shield 0"-50.8cm 18"-45.8cm 23"-58.5cm 32.25"-82.Ocm 10"-25.4cm Single Wall Connector—With Rear Heat shield 0"-50.8cm 12"-30.5cm 17"-44.5cm 32.25"-82.Ocm 10"-25.4cm Double Wall Connector—No Roar Heat shield 15"-38.1 cm 18"-45.8cm 23"-58.5cm 27.25"-69.2cm10"-25 4cm Double Wall Connector—with Rear Heat shield 15"-38.1 cm T-15.3cm 11"-28.Ocm 27.25"-69.2cin 10"-25.4cm Icove W/Dbl Wall Conn—With Rear went sherd 14"-35.6cm 17 43.2cm 26.25"-66.8cm 10"-25.4cm Alcove Clearances inches Un rotected Surfaces Protected Surfaces NFPA-211 Minimum alcove width 2"— 157.5cm See NFPA-211 Maximum alcove depth 2"—132.Ocm See NFPA-211 Min. Alcove ceilingfrom floor with single wall connector 2"— 157.5cm See NFPA-211 Min Alcove ceilin from floor with double wall connector 2"— 157.5cm ee NFPA-211