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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 ~ ~