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APPROV
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FEE: o�.�Y
NOTIFY BUILDING ;EPARTMENT AT
765-1802 8 AM T ;4 PM FOR THE
FOLLOWING INSPE IONS:
1. FOUNDATION-T 'O REQUIRED
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FOR POURED CC NCRETE
2. ROUGH-FRAMING, UMBING,
3. INSULATION
,OX74MUST BE COMPLETEtOR CALL CONSTRUCTION 81 4LI: .O.
NE
REQUIREMENTS OFT CODES-OF NEW
NSIBLE FOR
DESIGN OR CONSTRUC ON ERRORS.
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THESE INSTRUCTIONS ARE TO PACIFICREMAIN WITH THE HOMEOWNER .[-ENERGY
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17 222 D SERIAL # I
BUILDING DEPT. I I
TOWN OF SOUTHOLD
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SAFETY NOTICE INSTALLATION
If this stove is not properly installed, a AND OPERATING
house fire may result. For your safety, INSTRUCTIONS
followthe installation instructions. Contact
local building or fire officials about
restrictions and installation inspection
requirements in your area. !
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2hd UL 1482
Meets the Envirdhmental Protection
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Agency's1990 Particulate
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Emission Standards --
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��/° U ��� U NATIONAL
FIREPLACE
o �, INSTITUTE' Models
o Pacific VISTA
Wood Energy VISTA CLASSIC
Technical Training
• www.wotlTne.w
SERIES - C
201213-20 VISTA and CLASSIC-C 5055.3
�o�Og0ff01otcpG Town of Southold 6/30/2022
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P.O.Box 1179
o _ 53095 Main Rd
y �ao�, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43210 Date: 6/30/2022
THIS CERTIFIES that the building . WOOD STOVE
Location of Property: 490 Schoolhouse Rd.,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-5-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/17/2022 pursuant to which Building Permit No. 47994 dated 6/24/2022
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:
"as-built"wood stove to existing singley dwelling as applied for.
The certificate is issued to Gatz,Peter&VaIerie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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