HomeMy WebLinkAbout25941-zFORM NO. 4
TOWN O~ EOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26837
Date: 12/14/99
THIS CERTIFIES that the building WOOD BURNING STOVE
Location of Property: 2978 LIGHT HOUSE RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 50 Block 3 Lot 15
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 23, 1999 pursuant to which
Building Permit No. 25941-Z dated AUGUST 12, 1999
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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR "AS BUILT."
The certificate is issued to MICHELE BROTHIER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
B'uifd~ng Insp~tor
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25941 Z
Date AUGUST 12, 1999
Permission is hereby granted to:
MICHELE BROTHIER
2978 LIGHT HOUSE RD
SOUTHOLD,NY 11971
for :
INSTALT.ATION OF A WOOD BURNING STOVE AS APPLIED FOR "AS
BUILT"
at premises located at 2978 LIGHT HOUSE RD SOUTHOLD
County Tax Map No. 473889 Section 050 Block 0003 Lot No. 015
pursuant to application dated JUNE 23 1999 and approved by the
Building Inspector.
Fee $ 35.00
Rev. 2/19/98
ORIGINAL
· TO~,~q OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
APPLICATION FOR CERTIFICATE OF OCCUPANC~'[//
~pe~to~ ~th the ~ollo~g: ~o~ ~e~ building o~ ~e~ u~e: ~al ~u~*ey o~ p~opert? ~th accurate locat~o~ o~ all
F~al Approval ~ro~ ~ealth Dept. o~ ~ater supply ~d ~e~e~age-d~po~al(S-9 ~orm).
S~or~ ~ateme~ ~om plumber cert~y~ tha~ the ~older u~ed ~ ~y~e~ ~o~a~
Le~ than 2/10 o~ 1Z leaa.
and ~tallat~o~, a ce~a~e o~ Code Co~pl~a~e ~rom ar~h~te~c or e~g~eer
~e~po~ble ~or ~he bu~ld~.
Bo
For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings a~
'!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 a 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 $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Qccupancy on PrE-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00 /OOO -~ SO'-
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building ..... .~ .......
Location of Property...~.~ ..... ~..~-~.~;i ......
House No. Street Hamlet
Onwer or Owners of Property .... .~.~...'.~'~..[~'~ ..... ~/~~ .... ~. /~C"l ,~,~ ~~''"'''~'
Subdivision .................................... Filed Map....~.,, ..., .~....lo~t..:~,........'.....__.,
Permit No..~..~.~l..7-~.Date Of Permit ................ Applicant..~'~
Health Dept. Approval......... ................ . Underwriters Approval ......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate....~....
· Fee Submitted: $.~.~ ..................
Town FIall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 10, 1999
Michele Brothier
328 E. 52nd St., Apt.
New York, NY 10022
10
RE: 2978 Lighthouse Rd., Southold.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
- not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25941-Z
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
Metalbestos
Clearance
Smoke Pipe
The safe, efficient double
wall connector between solid
fuel appliances and chimneys.
Model
· Six inch clearance to combustibles for six inch
pipe; eight inch clearance for eight inch pipe.
· Engineered for superior smoke venting and safety.
· Reduces creosote buildup,
· Installation require~ino, cUtti~g.
· Stainless steel: steel
casing
'·, Air
, R. oof Support Attic Insulation Shield
An ideal support assembly for freestanding fireplaces and
open cathedral ceiling installations F ts all roofp tches and
requires only simple training. Mounts easily on to top of roof
through opening that allows 2-inch clearance. Maximum
length of chimney which can be suspended be ow is 20 feet.
Maximum total length is 30 feet.
~The Roof Support Package (RSP) contains one 18" length
ot pipe, roof brackets and necessary hardware.
The roof brackets and hardware may be purchased without
the pipe section by ordering a Roof Support Kit (RSK). The
brackets may be assembledto any standard pipe length at
any desired height.
Locking band's must be used at each pipe joint when in-
stalling either the RSP or RSK.
NOTE: Framing dimension for the Installation of the RSK is identical to the
RSP dimension.
r Part No. A B Framing
6T-RSP 6" 8" 12"x
MODEL SSII
TYPE HT 7T-RSP · 7' 9'
' 8T-RSP 8" 10' 14"x~"
10S-RSP 10" 12" 16"x'P'
MODEL SSII 12S-RSP 12. 14,, 18,,×,.
14S-RSP 14" 16" 20"x +"
'See Flashing Table for Appropriate Flashings
?Dimens on varies depending on pitch of roof.
Interior Resupport
Interior resupport assembly allows for two different meth-
ods of chimney resupport, The first method s used when an
immediate section of chimney above the upper offset passes
through a joist area, With the appropriate Fire Stop/Wall
Scffacer (WS) in pla~, clamp the support band around
imney and attach with six sheet metal screws. The second
means of support is used primarily when the immediate sec-
tions of the upper offset do not pass through a jo st area and
resupport is necessary. The Support Band is camped around
· e chimney immediately below a Loc~ng Baud. In both
methods, the straps are nailed to suitable framing at two inch
clearance. The 18 foot limit of supportab e ch mney Ien~h
applies.
~ Part ~o.: 6T-IR, 7T-IR, 8T-IR, 10S-IR, 12S-IR, 14S-1R ~
Used wherever a Ceiling Support, Fin sh Support, or Fire
Stop is installed below an open attic, The Insulation Sh eld is
required to guard against the hazard orb own-in or blanket
insulation filling any framed opening or contacting the
chimney and possiNe storage of combustibles against the
chimney. Adaptable design usable for new and retrofit in-
stallations. Half cylinder passes easily through ceiling
openings between 16' O.C. joists. Part can be removed with-
out cutting if attic is converted to habitab e svace and
chimney is fully enclosed. Readily tr mined for reduced
height installation close to eaves.
Part No. A B
MODEL SSll 6T-AIS 16"× 16" 12"
TYPE HT 7T-AIS 16"× 16" 13'
8T-AlS 16"×16" 14"
10S-AIS 18.×18. 16-
MODEL SSlI
12S-AIS 20"×20" 18"
14S-AlS 22"×22" 20"
Support Box
The Support Box is intended for use when installing a
.Model SSII chimney in an A-frame, in a mobile home, or
tn a ceiling under a narrow section of roof. It prov des a
finished installation at a ceiling level and will support up to
20' of 6", 7" or 8" diameter chimney. The part also can be
used to provide shielding from insulation when installed in
an unoccupied attic space. The Support Box assembly is
comprised of a black box designed for installation inside
60,C. lotsts, a cyhndrtcal shield, support bucket, ceiling
trim, and four screws.
Part No, A B C
6T-SB 6%" 24' 14%,
7T-SB 7V4' 24" 14%"
8T-SB 8%, 24. 14,/4.
7
MODEL DS SMOKE PIPE
Vertical, :,
InstallatiOn'
Vertical
Installation
"A" Frame
Ceiling
Ordering Information
Telescoping
Length
Adjustable from 39"
to 66"
36f'
Length
24~
Length
12"
Length
12"
Adjustable Length
Adjusts up to 8" and can also
be used as a stove adapter
Rear Smoke Outlet
Connection
I~lVertiCal
Includes:
Chimney Pipe
Adapter and
Telescoping Length
CITee with
Tee Cap --
Appliance 90° Adjustable
Adapter Elbow
Jel SELKIRK
METALBESTOS
45° Adjustable
Elbow
Chimney
Pipe Adapter
Includes
painted trim collar
Tee with
Tee Cap
Ai~l ELJER
P O BOX 372 Nampa, ID 83653-0372, {208) 467-7411 INDUSTRIES COMPANY
A12O04 3/91
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ] ROUGH PLBG.
' NALLAT'O
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
~ ~BI. JII. DING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ]~LATION
[ L/] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ /~/~,~
DATE ~c//~
INSPECTOR
STATl~ ENERGY
CODE
F][1,1AL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG,
FOUNDATION 2ND [ ] INFLATION
FRAMING. ~] FINAL
FIREPLACE ~HIMNEY/ ~
INSPE~Ii~~
516
298-5943 P.O. Box 765
Mattituck, NY 11952
l~ay 18, 1999
Contractors License
Installed customers stove which was was from Penn. Stove Co.
The stove is UL listed and the recommendations for hearth
clearance are 8" si. de, 8" rear and 16" front.
I butlt a ~ × 60 hearth ( stove is
The hearth and back wall are of red brick. The rear wall has
a one inch ai.r gap.
FOP~I HO. !
TOM OF SOUTHOLD
BUILDING DBPARTHENT
TOM HALL
SOUTHOLD, N.Y. 1197 I
TEL: 765-1802
Disapproved a/c ......... .. '. .................... · ·
~- I~STRUCTIO~S
BOARD OF HEALTH ...............
3 SETS OF PLAI/S ...............
SURVEY ........................
CHECK .........................
SEPTIC FORH ...................
NOTIFY:
CALL .........
HAIL TO:. ................. . .
a. This applicatioa alSt bc'ca~letely filled in by type~iter or in i~ ~ ~ittM to ~ ~ildi~ I~tor
3 ~ts of pl~, ~ate plot pl~ ~ ~le. i~ ~i~ to ~le.
b. Plot pla ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, ~latio~ip to ~joini~ p~as or ~lic
s~r~ts or ~e~, ~ givi~ a &ail~ ~ripci~ of l~t of ~ ~t ~ dr~ ~ ~ diem ~i& is ~n of
ais ~liati~.
c. ~ ~ ~ ~ ~is a~li~ri~ ~ ~t ~ ~ ~fore isle of ~ildi~ Pe~t.
d. ~ ~1 of ~is ~li~ri~, ~ ~ildi~ ~cror ~11 is~ a ~ildi~ Pe~t to the ~li~t.
~ ~1 ~ .~ ~ ~ ~s ~l~le for i~ti~ ~t ~
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~ for ~ ~ ~at~r ~til a ~rrificate of
~I~ IS ~ ~ ~o t~ ~ildi~ ~t for ~m isle of a ~ildi~ ~t ~t to the
~ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~ ~ Yo~, ~ o~r ~li~le ~s, ~i~s or
~ati~, ~r ~~ of ~lldh~or al~erari~, or for ~al or ~liri~, ~ ~in
r~lati~~t ~rz~ z~tors ~ ~s ~ m ~lldz~ for ~es~ ln~tz~.
............. .... .... : ............ : ....
~ik~t, engi~r~ ~ral retractor, ol~tr~c~, pl~r or
If applic~t is a corporation, si/~aV.~e of duly a~thorized officer.
Bu/'ild~r, USE IS UNLAWFUL
Li~e~ ~ ............. WITHOUT CERTIFICATE
Pl~e. Li~e ~o ............. DF' O'C'COPANCY
Electricians Licease 1~ ......................
786-1802 B AM TO 4 PM FOR THE
FOLLOWING ~$P~CI1ONS:
1 FOUNDATION - TWO REal,RED
FOR POUI~D CONCRETE 'ZF
2- ROUGH - ~ & PL~B~G
4, FINAL - CON~RU~ION MUST
BE ~M~E FOR C.O. ~
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N,~.
STATE CONSTRUCTION & ENERGY
~.~_~Othe~r_~___~_T~s~e's License ~o~ ..................... ) ~,. ~. ~,~ . ;0 I ~ODES. N~SIBLE FOR
~~ ~ ~ ~ ~n ~ ~...Eq.7~... ~.~ ~.~..
....... ........ tt: l ................................. ............
~i~isim ........... ~il~ ~p ~ ...... I~t ......
b. ~ ~ ~ ~ .................... ~ ....... ~.~.~!~...~.~..~~
Repair ....... ll~a~al.. ............ De~lition ............ O~her Work
~.st iml:ed Cost ......... i ......
If ~elling, number of d~elling un,ts .
,(Descrtpt ion)
(tO be paid on filing this application)
..... limber of O~elling units on each floor
If ~arage, utmber of cars ........ ? ........
If business, canmrcial or robed OCcupancy, specify nature and extent of ead~ type of use ......................
· ' ' if any Deptl
Dimensions of ex~stlng stmctaires,[ : Front ............ ... . Rear ...... . .. . ... .. ~ . ................
Ileight ......................... ltnber of Stories
l}i~nslona of sam stmctore vith alterations or a&litions: Front ............... Rear ...............
Depth Relght li~nber of Stories
Di i ti (' · l}ep~h
m~na ons of en re na~ coastmc ion. Front .............. Rear .......
}leigbt ............ N~ber of Stories ............
Size of lot: Front .............. ~ ...... Rear ............ Depth ............
Rte of ,,~h~ze ~.~:~..--~0...t~l~.7~--- os Po~r O~r .-t.u~... ~,~, u .~.~. ...............
Zona or use district in ~hich premises are sit~ated ...................................... . . . ~, ....................
Does proposed construction violate any zoning la~, ordinan~ or regulation: ........................
Will lot be regraded ............. ! ....... Will e~cess fill be nar~ed
Nam~ of Architect ' A~lress 1~ No
~ of Cootractor , /t~dress Phone No
, ..%
Is this property within ~0 feet {f a tidal *~etl~l? * ~ .......... NO .....
i PLOT DIAGRAH
Locate clearly and distiactly all ibuildings, ~aetber existing or propased, and indicate all set-beck dimaasions
property lines. Giw street and bq
~aetber interior or comer lot.
ack nt~ber or description according to geed, and sho~ street umes and indicate
yvlt .... ' '
.............. ~~JS. . .
.................. bel~ duly ~m,"~s a~ ~y, t~t ~ is the a~l.i~t
S, ,~ .... ~ ' ~ , ' . '~i~',i~ '~ ..... '~t ' ................................................................
.. ~ ..... (~tEactor, ,~D~ co.rate offxcer, etc.)
Mid ~r 6r ~r~i* ~'.i~'~&l~thorld to ~rfom or ha ~rfo~ fl~ aid w~ d m m~ ~ file this
~ltcat~1 ~at all sealants ~thf~ m ~xs a~lmat~
flint ~ ~ ~11 be ~o~ tn fl~ ~r ~t forth ~n ~e a~hcatx~ fxl~ ~.
... z.a
....... · .. ....
' .......
~ EL~A~A~I8 (~of i~tic~t)
NgT6~y~UBLIC, S~ of ~ ~