HomeMy WebLinkAbout24705-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26058 Date: 10/23/98
THIS CERTIFIES that the building WOODBURNING STOVE
Location of Property: 1190 THE CRESCENT EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 30 Block 2 Lot 24
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 6, 1998 pursuant to which
Building Permit No. 24705-Z dated FEBRUARY 23, 1998
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 & CHIMNEY SYSTEM FOR AN EXISTING ONE FkMILY
DWELLING AS APPLIED FOR.
The certificate is issued to TSUNEHIDE & LILA ARAGAKI
(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
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 24705 Z Date FEBRUARY 23, 1998
Permission is hereby granted to:
TSUNEHIDE & WF ARAGAKI
7 GRAMERCY PARK
NEW YORK~NY 10003
for :
INSTALL AN APPROVED WOOD BURNING STOVE AND CHIMNEY SYSTEM FOR A
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 1190
County Tax Map No. 473889 Section 030
pursuant to application dated FEBRUARY
Building Inspector.
THE CRESCENT EAST MARION
Block 0002 Lot No. 024
6 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
Form No. 6 ~
, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
This application must be filled in by typewriter OR ink and submitted to t lding
inspector with the following: for new building or new use:
1. F%nal survey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval fro~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 ~ system contains
less than 2/10 of i% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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.
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 Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old_Or Pre-existinz Building ..........
Location of Property.[ff.(~..7~. ~.~.~$~-~~'''~"''~:'//ff'~' f ......
House No. / Street Ramlet
............
Onwer or 0~ers of Proper . .. ......
ty Map 30. 2 . .~.5 ......
Coun T~ No 1000, Section.,.~ .... Block ............. Lot .........
Subdivision - Filed Map . Lot . ....
Pe~it No..~9~.%....Date Of Pc=it .... Applicant. . .......
Health Dept. Approval .......................... Unde~riters Approval ........................
Planning Board Approval -- ~
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ................. ~.~_~_<..
.3J56D- .-
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 11, 1998
Tsunehide Aragaki
7 Gramercy Park
New York, NY 10003
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 #24705-Z
Thank you for
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
.FLUMBING'
INSULATION PER N,
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
Intrepid II Clearance
Unprotected Surfaces / Protected Surfaces
d
Installations in whi&h no heat shields are use .
I
NA
Rear exit stoves
aar heat shields.
hi tech sheet ~are for preliminary p ann ng purpoee~ on, ly.' ?, ~?: ,
The spec f cat one and clearances Included in t ? ..... -, ,, .....* CA~tlno~ dealer.,:
- Before beginning any Installation, consult your iooal auwiorlzt:u v=;lllu.~ :-.~-~- ~
14
Minimum Wall Shield Requirements for Some Common Intrpid II Installations
Parallel installa-
tio11, vertical
for, two wall shields
Reduced clearance for
both rear and side walls.
Wall shields may meet at corner
if desired.
Comer installa-
tion, vertical
chimne~l connector,
two wall shields. Reduced
sideclearances. Wallshields
MUST meet at corner.
Parallel in-
stallation,
vortical chins-
ney connector,
stove connector
andwal shie ds.
Maximum reduclion
for both rear and side
walls. Wallshields may
meet at corner if. desire~. A
ceiling heat shield 22 ",(560mm) in
diameter suspended l (25mm) f~om the ceiling MUST
surround the chitnney in this installation.
Parallel installa-
tion with rear wall
pass-through with
Fireplace Installation Clearances
Unprotected Protected
A. Mantel 30" 14"
760mm 360mm
B. TopTrim 24" 14"
610mm 360mm
C, Side Trim 15" 10"
380mm 250mm
Hearth Dimensions
Hearth 10"
I
Top exit Rear exit
Floor protection for both top and rear
exiting positions, United Siates.
250mm
Hearth
I 870mm I
Top exit Rear exit
Floor protection for both top and rear
exiting positions, Canada.
The specifications and oleamnoes included In this tech sheet
Before beginning any Installation, consult your local
15
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ]INSULATION
[ ].~RAMING [ ] FINAL
FIREPLACE & CHIMNEY
DATE ~/~
INSPECTOR
FORH biO. I
TO~N OF SOUTIIOLD
BH] LDI NG DE P^ R'II'IE NT
TOWN IIALL
8OUTIIOLD, N.Y. 1197[
TEl.: 765-1802
D[ sapprouc~l a[e ..................................
BOARD OF tlEAL'FH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
FOI ,u . . ~
I NS'fRUCT IONS
Date ................ , 19 ....
a. 'lhia application mast be c~t~letaly fillc~l in by typ~¢riter or in ink and m~l~itt~ to tim ~,ihling hmlector
3 ~ts of plans, acetate plot lflan to ~ale. F~ according to seh~hfie.
b. Plot plan M~i~ I~ati~ of lot a~ of hdhlings ~ ~i~s, relatlon~dp to ~joining pr~iaea or
air. ts og ~rea8, and 8ivi~ a ¢~ta,il~l &~riptio. of lay~lt,of prq~ty ~lmt I~ i}r~ ~ the diagra. ~dch is [m~l iff
thia'a0ffHqati~- , , , ' ,,
d. Ui~ a~al of thle ai~liCati~, [he I~lil~li~ Ins~c~or will lsm~ a ldldlng P~ait to Ihe ap6tjeane.
~H,I(~I'I{~ '18 I[IH{SY ~ to tim I~dldin8 l~Dart.eut for the la.anco of a lktildJug ~it Dirmmnt to the
Ikdl(lit~ ?~ Ordima~e off tl~ I~ of ~aatlold, 5fffolk Oamty, ~ York, and other a~llcable l~s, Or(Ib~meu or
t~Hati~u, [~ tim e~st~ti~ of hdldlnge, ~iti~u or alteruti~m, or for r~al or ~lttion. ag herein
¢hseril~. lira appli~nt a~e to co~ly with all aHfiicable l~a. ordinates, hfildlng e~le. ~ulng c~le, and
regmlati~u, m~ to ~it ~flmrtz~ inel~toru ~ ~i~s a~l ia ~ihling~~~tt'~e.
.............. ~~~/~
~ (~illng ~[Irese of ~llcantt
State vt~etber applicant ia ~m~er, lessee, agent, ard~itect, englseer, general contractor, elect~ieJ~h plml~r or ladlder.
(aa ~ the tax mit or latest de~)
'If a~flicaat is a cor~rati~. M~ture of duly a~tl.)ri~l officer.
(Rm and title of
lhdldera License No ..........................
Phmbera License NO ..........................
Electricians License No. i ; ' '~ "' ': '
Ollmr ~¥nde~s License I~) .....................
locatlon of lam! on ~hid~ proposed ~tk ~ill be (kx~e ..............................................................
Douse Ntn~er Street llm~let
Subdivision ...................................... Fi]ed l'lap No ................ Lot ...............
(.~e)
2. State existing use taxi occt~ancy o[ pr~nises and inte~xk~l use ami occupam.'y of proposed construction:
a. Existing use and occupancy .............................................................................
Si~ of lot~ t~n~C i I~ar I~pth
~'~7~ .... ""-
j PI.OT I)IAGRAH
I0.
II.
12,
~hetber inlertor or corner
OCCUPANC'~
USE IS UfiLAt
WITHOUT CERTI,
OF OCCUPAA
~R
FUL
' ~,PI~RO'V£D AS PiOTED
NOTIFY BUILDING
765-1802 9 AM ~ ~FOR THE ,
FOLLOWING [N~PE~IONS:
1. FOUNDATION - ~OREQUIRED
,FoR POURED CON~R~E
2, ROUGH - FRAMING & P~Mg~NG
3. :NSULATION
4. FINAL .- CONS~U~ON MUST
BE COMPL~E FOR C.O,
ALL CONSTRUC~ON 8HALL ME~:T
THE REOUIR~EN~ OF TH~
STATE CONSTRU~ON & ENERGV
CODES. N~ RESPONSIBL~
DESIGN OR CONSTRU~ION
((k)ntractor, agm~t,- corporate officer, et'c.)
o1~ i;aid (~r or ¢~ra~ nrKl 18 (lul~ authorJ~l to l~rfotm or have i~rForn~l Lite Bai(l ~rk alKI t:o .~Jce taxi file thin
MARK WARREN SCHLUSSEL (SiRna~ al~)lhtant) ~ -
Nota~ ~blic, State of Ne~ York
*No. 4706059
C Qualified In Nassau CoUntY ~ ~
ommlsslon Expires April 30~ 1~