The URL can be used to link to this page

Home My WebLink About14514-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... g 3 .~5.~t} ....... Date ............ 3..u.n.e.. q. 7 ............. 198.6.. THIS CERTIFIES that the building .... '499.d..b..u?.n. Jj$g..s.'q.o. ¥.e ....................... Location of Property . .. 3.6. q ............... Bp..~akwa. Lgr, s /Id ..... ~.a.t.g.J; g..u.c.k.... House No. Street Hamlet County Tax Map No. ]000 Section ....1.1.3. ..... Bloc]< ........ 3. ...... Lot ..... 2./.o.. ~' ...... Subdivision ......... X ..................... Filed Map No .... .~ .... Lot No ...... ~. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~Iovemla~ e. 2.5 .... ,1~.5. pursuant to which Building Permit No ..... 1.6.5. ] .6.Z ........... dated ...... ~an.~acy..1.6. .......... 19.8. fi, 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 ......... ·..W.o od..b.u~i~g. ~.t.o.v. ~ ........................................................ M.J. HAHN The certificate is issued to ..................... (d~n'o'r,'~[~'~'rXt~'~ ..................... of the aforesaid building. Suffolk County Department of Health Approval .............. Iq ./~.. ' UNDERWRITERS CERTIFICATE NO ...................... ~ [ g ......................... Rev, 1/81 Building Inspector FOlt~ NO. ~ TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PER/*41T /I'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is herebf gronted to: ..... ...... ..~c.~.~..c~..,....~.:...~.., ....... L.L.ct..~.~ ~0 ......... ~L.~.~./~`~.~`/"~.~...~.~..~...~.~.~.~.~4~..`~.~...9..V..&~ ............................ ............... ..~..-..~. ~r.~ ...................... ...~....~ ..~.-......-N. r:~ ~,z~.-~ ............................................................. at premises located at .....`~...~..~..........~.~.~./'~`~/~..x.V./~-[-/.~..~........~..~."~...-~.~.~.~.~.~.~.~..~. ................ .......................................................................................................... ...~....L~.~...~. .~../~.: . County Tax Map No lO00 Section .... .LL...~.. Block 0 ~ Lot No '.~../.(~,..g,O ~--~ Building Inspector. ,Rev. 6/30/80 FORM NO, 6 TOWN OF SOUYHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions BLDG, DEPT, TOWN OF SOUTHOLD This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- dons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. 1, Certificate of occupancy $5.00 , 2. Certificate of occupancy on pre-existing dwelling or land use 3, Copy of certificate of occupancy $1,00 Date . .,2.-8.9'¢-.&~y. ¢,,.1,~. ,~.c).8.~ ..... New Building ............. Old or Pre-existing Building ...~ ........ Vacant Land ............. Location of Property .... 3)~L.O..T~T',e.e,k¥Ckl;.e.~. 8, .~.o.~c] .................~¢.t. 1~. tSg.c.k ........... House No. Street Ham/et Owner or Owners of Property ~" J. [~ahrz County Tax Map No. 1000 Section ...:],.Z. 3 ......... Block ...... Q~ ....... LotP/.o. .QQ:? ........ Subdivision ................................. Filed Map No ........... Lot No .............. ' Permit No...Z.~.Z,~.'~. . Date of Permit . ~/.]:5./. ,8.6.Apphcant~ MJ Hah~ ~ealth Dept. Approval .... ~/.~ ................ Labor Dept. Approval ...... ~ ............... Underwriters Approval .... .~/3, ................ Planning Board Approval .... [~.A ............... Request for Temporary Certificate ..................... Final Certificate ....... ~ ............... Construction on above described building and p,er~ll, ,~/e,~t~'l~ applicable codes and regulations, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~FINAL REMARKS: COMMENTS FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS ARNOLD GREENE TEST NS lABORATORIES, INC. ~ LABORATORIES 1979 TO %~{OM IT MAX CONCERN: The intent of this letter is to inform you that Ceramic Radiant Heat of Lochmere, New Hampshire have had their Weso stove successfully tested by the Arnold Greene Testing Laboratories, to UL-1482. The Arnold Greene Testing Laboratories, is an International Conference of Building Code Officials (ICBO) recognized testing laboratory (TL 110) for $oli~ ~1 burning stoves. The A~no!d Greene Testing Laboratories, is a Sout~rnBuilding Code Congress In~err~tional ($BCCI) approved Physical and Fire Testing Laboratory OA 7901-79. The Arnold Greene Testing Laboratories, is a Building Officals and Code Ad- ministrators Interna%i6nal (BOCA) listed testing laboratory for solid fuel b~nSng Stoves, Number 78-62. Th~ Arnold Greene Testing Laboratories, is a Commonwealth of Massachusetts Stat~ Building Code Commission approved Testing Laboratory for Solid Fuel Burnir~Appll~ces, STL-O02. usc ~ by !/2 ~ch shcct rectal ~rcws.) ~hc sccdom of ~hou~d bc ~cc~cly f~c~cd bur mu~ bc ~blc robc coflvc- cn~ your chancy, m~c ccrt~n ~ar ir d~s n~t earcu~ ~n 1' into ~e 61c IMcr; however, m~c certain ~t ~t ~pm~dc ~to ~c ao~c &at ca ~c W~SO stove, &c crimped end of &e ~cpipe fi~ i~ro ~c duc cora, ~d thc craped end ~ould f~ce dog,ward, a~ recommend ~at rather ~a~ inst~ling an elbow in &e ~e stow, yo~ invest in ~ T , It m~es &c remowl ~ c~eo~rc a lot c~icr (see Ulust~rion). Smoke t~, ~d ~c ~oint of consign to ~e ~'~ ~0~d ~way$ be higher ~an ~e 0mitt on ~c stove. Any ~n~ scc~m of ~mvcpipc s~uld t~c ~t ~ m~c of t / 2 ~g~i~ for ~c~ f~t of horizon~ mn, ~ n~g m¢ more ~a9 ~o ninc~ degree el~w$ ~ possible. ~ cut down on dl~t ~d imrc~ soot sad ~co$otc buUd.ap, ~e ~O ~ic T~c Stove n ~-ugh~ ~d ~c ~tc of com- .breton '~ effectively commllcd by ~e pr~ ~ consol di~, ~ ~ded feaze m~c$ a draper in mc c~ncy co~cctor un- n~e$~ bt, conepJlcd burning.' However thc presence d ea ~pcr ~ ~t a Utdc more heat from ~c stove ~d ~on$ $~cU p~cau~on. ~hcy :~n hclp so' shut off ~c ~ supply INSTALLATION THROUGH COMBUSTIBLE WALL. STOVE 24" FROM WALL, THIMBLE THROUGH WALL 3 TIMES THE DIAMETER OF THE PIPE. STOVE SITTING 16" FROM WOODEN FLOOR TO THE FRONT, AND S" FROM Where a non-insulated pipe passes through a combustible wall, a thimble is required. This includes the wall that covers the chimney. The thimble is a protective insert that lines the hole in the wall or chimney and insulates flammable surfaces, The thim- ble, as well as thc stack pipe, must have interior openings at least 6 inches in diameter. The thimble and stovepipe must fit snugly together, The formula for determining the diameter of the thim- ble is: Pipe diameter k 5 = thimble outside diameter. Where an maulared pipe penetrates a combustible wall, only a 2 .in h clearance Is necessary, Remember, a combustible wall Is wood, sheet rock, plaster, lath or any other flammable material. The chimney connector shonld not pass through enclosed or concealed places such as closets, attics or ugdcr stairs where it'can- not be routinely observed. The chimn~ connector should not come within 18 inches of any combustible surface, walls, ceilings, etc. Reduced clearances are possible only if added precaution has been taken to protect combustible materials, such as the im!alla- tion of 28 gauge metal heat shields spaced properly from the combustible surface. This will reduce the clearance to Uninsulated smokepipe should not pass through ceilings, roofs, or tM'ough exterior walls. Check the chimney and the chimney connector once a month for the first few mooths after your initial imtalladon. Look for creosote build-up inside the pipe. Creosote'is a crusty black residue that collects o,n the interior walls of the ~tovepipe. Most stoves are subject to some creosote when burning wood. Coal does not produce creosote. When creosote builds Up to a 1/4 inch or more, thc pipe should be cleaned. Fireplace Installation of Your %VESO Stove It fi' possible to install your WESO stove in front of a masooty fureplaceamd utilize the existing chimney. This will make your fueplacc far more efficient but cate must be taken to install the $~ove correctly.* After extensive research, the Nadonal Fire Protection Associa- 'No stove should be installed in front of a prefabricated metal fireplace! Bdfore Installing Your Stove Before msralhng your stove, learn the local building codes :tod insurance specificationL A building permit may be required and alterations to your home will have to conform to building codeS. The best sources for this information are your local Building In- spection Agency and the Fire Department. Notify your imutance company that you will be heating with a solid fuel heater; it could change the status of your policy. Before opetating your stove,:have both a local building inspector and a teptesentauve fro your insurance company inspect and approve your installation in writing. Some people are more "handy" than others. If you ~ire in doubt about your ability to adequately perform any of the inspec- tiofi, repair, construction or maingenance procedures required throughout this manual, hire a certified and insured to make certain the job is done correctly. If you llve in a rental property, consult your landlord and ob- rain permission before installing your stove. StOve Placement ~he first consideration before installing your new WE$O stove is to determine an appropriate location. If at all possible, select a centralized areL free from obstmc- fiofls to maximize heat distribution. Take advantage of staircases and interior balconies to'promote thermal circulation throughout the building'. Provide for easy'a~:cess to the stove for convenient loading, ash 'removal and general maintenance. Select a location that will not block an exit. If possible, position your WESO stove so the thermostat that controls the central furnace will not be affected by direct radiant heat. Another placement consideration is the proximity of the stove to ~ safe and working chimney. The distance from the stove to the chimney should be as short as possible. sa fe Clearances from Flammable Surfaces Your WESO Ceramic Tile Stove is, ~vithout a doubt, one of the safest stoves t'0 use. You can place it much closer to flammable surfaces than most stoves. Allow for a 9 inch minimum clearance from ceramic portions of the stove. As an added safety factor, the WESO stove is equipped with a 'real' mounted heat shield that will enable you to position the back of the stove to within 24 inches of an unptorected combusti- ble wall. (Such as sheetrock, plaster and lath, wood, or any other combustible surface.) · If the rear wall has been equipped witia a heat shield, the safe tolerance ~om~ 11 inches fro the combustth~e surface. heat shreld can be 28 gauge or lower gauge she~ ~etal, 1/4 ~b~tos m~llb~rfi~, 6r a cOmh~ti6~ of the ~0, ~o0fi~fl inch from ~e wall on porcel~n, angle tron et other flammable space~. 36 inches h a sffe ~is~nce from the from ~flle of the Space~ and protective ~11 shield mateti~Is ~re av~lable most has, ware ~nd lumber stores. Note: Asbestos millbo~d P~ASE NO~: Any ve~ical, unimulated stovepipe must nsralled no closer than 18' ~om combustible surfaces. same wa thie ds are used ~ behind the stove, this clea~nee be ~duced to~ 9*. Such ~ stovepipe should not be ~ed chimney only ~ ~ Conn~tor. mw ~ ch~ey ~ ~ . Solid m~on~ walls wdl not burn. If your ~50 s~o~ wdl against a m~n~ or cement w~l, only ~ree i~ches of cle~ce necesra~, brick, ~l~k Protecting Your Floor When you have determined x szfe, cotl.~ni~t yoU~ WESO stove, contider a protective coveting for your Compaeed to other stove~, ~e ~SO tadtat~ downward. Because the ~r intakes ind ~h pan i~e the fire chamber, ~e~ is no potential heat daml~ to t~e fl~i howe~r, s~tks, ~h ot li~e em~ could hll out ~tb the ~e WESo-should be placed on a fi~p~te ~uge theet metal, sheet metal ~nd ~best~ :~l~:a~d, ~g~ mason~ or any other non-combustible suffa e. our pmf~ shield shoul~ cove~ the enti~ ~ ~tt the helt~ FORM NO. 3 TOWN OF gOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated . .~. ........... ~ .~. .... 19 .~. ~ for pormit to-; ~ ~, ~/-/%.~...~:....~.~..~j~,~..~.~ .......... at ~{tion of Proporty ~u~. ~ '~t co..~y~a~o, ~oooso~t~o~ ~.,.~ ~o=k ..~ ~t~.,~ ~ Svbdiv~on ................. Filed ~ap No .................Lot N~ .................. i~ t0tu~d ho~with and disapproved on tho follow~g ~ro~dm ................................ , ...... C. ~.../~...~ ~ .... ~ ..... "' '~" ' ,,,, .~ ~..~....... ~,.. ..... . ................. . ........ ... <~ RV 1/80 , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . ~. ~../..~ ...... , 19 .~.4. Approved...~..~.. (.~. ...... , 19.~.~. Permit No./..~..~.~. (..~..~ Disapproved a/c ......... C~Z-.. ........ .~ ....... ~Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. INSTRUCTIONS a. This application must be completely filled in by typewriter oi in ink and submitted to the Building Inspector, with 3 sits 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 wi/1 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 regul~tions, and to admit authorized inspectors on premises and in building for necessa~nspections. .~ .~ ~ ~ .~.:,.~.~....~o~.,¢. 2.~ .~. .... ~..s.. (Signature of agplicant, or name, if a corporation), _ .~ .? .~.. ~,.~L.Y.~ · · t¢.~ &... [o,,,~.. ~-~.~ (Mailing address of applicant) ~ State whether applicant is owner, less~ee, agent, architect, engineer, e~ral contracto[, electrician, plumber or builder. Name of owner of premises ..... ~ ?.~....~/..~...~ .~. ................................................... (as on the tax roll or latest deed) If a~a~orpo~io~e of duly authorized officer. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Locatiog. of land on which proposed work will be done .... .~./~./.~.d,(../.~.../~. ~ .~',F<~...../. ~..~ .... ~.4/. ........... ..... (.z. ........... ' ................ House Number Street Hamlet County Tax Map No. 1000 Section ..... /..~.. ......... Block .. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... . .~.~./../~.~...7~.....~..~-~.~'../..~.~..~.C.~.. ...... :;" 'l ''~ ................... ......... ~. ~,~ ~*,. ~.~!., ,.: .............. 10. 11, 12. 13~ 14. Natt l~work (check which applicable): Sew Building .......... Addition .......... Alteration .......... Rep,! 11!..illle~emr°yal .............. Demolition .............. Other Work .q~f~.~ ~.. ~ ~ . ~. (Description) .................... ......................... ~~ ~' ~ ~ (to be paid on filing this application) If dwelling, number of dwelling lunits ..... /. ........ Number of dwelling units on each floor ................ If ggage, number of c~s .... j .................... ............................................... If business commercial or mixed occupancy, specify nature and extent of each'type of use .... D~mensmns of ex~st~ng structures ~f any Front ~ .~ ~.., Rear ~ O . B~nth Height ..&~..-.~f. Nn~berofStohes ......... '~.$/~) ..... ~.j~.22~2~.~[~'~.~~ D~ensions of same structure with alterations or additions Frdnt ~.Z~ ~ ~. tJep[n ................... ~.. nei~[ ............... Number oI ~oHes Dimensions of entire new construction: Front ............... Rear ............... Depth ......... ; ..... ight mb ' He ............... Nu er of Sto~es ..................... Size of lot: Front ...~ .. ~ .... Rear ....... Depth . ~ ............ Date of Purchase ............... ~me of Fo~er Owner ........................ Zone or use district in which pr~mises are situatefi. ~ ............................. Does proposed construction vio~a~ ~y zoning law, ordinance or regulation: .. ~O .......................... Will lot be regraded ...... :~ .~ .~V~ ...... ,.., ...... Will excessAill be rem6ved from premises: Yes No Nme of Owner of premises ~gff./~. ~... Address ../~/~.~ ..... Phone No ......... Nme of Architect .......... ~ ................. Address ................... Phone No ................ Nme of Contractor ~F?~*~.~.~. ~,.. Address ................... Phone No~/~:~;Z~.~. PLOT DIAGRAM Locate clearly and distinctly all[ buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ,number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, $.S COUNTY OF ................. · i · · .~.~.r...~, .~. o~....~....~..~¢ ................... being duly §worn, deposes and says that he is the applicant (Name of individual sikning contract) above named. ~ He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 mannek set forth in the application filed therewith. Sworn to before me this ........... dC..., ...... day elli ....~..°Y~.. ............ 19 .~:.~ Notary Public, .... ~. ~. '....~.°7...~..k~..., ...... County//~