HomeMy WebLinkAbout23746-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF O~CUPANCY
No E-24691
Date OCTOBER 24, 1996
THIS CERTIFIES that the building
Location of Propert~ 2015 BAY AVENUE
House No.
County Tax Map No. 1000 Section 31
Subdivision
WOOD STO~E
EAST MARION, NEW YORK
Street
Block 17 Lot
Filed Map No. Lot No.
Hamlet
2
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 3, 1996 pursuant to which
Building Permit No. 23746-Z dated OCTOBER 15, 1996
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 INSTATJ~D TO CODE & SPECIFICATIONS
"AS BUILT"
The certificate is issued to
PEGGY HErJ.~R & ANNE WYDEN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
leo~ NO. ~1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
/
N.° 237~I6 Z Do,e .Y.~./.../.~ ..................................... , ,,.~
Permission ,she~otedt~/~ . .~ / ./ ~ ~ ~
........................................ ........................................................................
Coun~ Tox ~p ~o. I000 S~ction ....~ ......... 81~k .......... ~..~ .... Lot ~o .......... ~.';; ........
Building Inspector.
Fe. $.....~...~
Rev. 6/30/80
TOWN OF SOUTUOLD
BUILDING DEPARTHEN'T
TOWN IIALL
765~1802
· APPLICATION EOR.CERT?ICATB OF OCCUPAHCY
I
This applicatiol~'must be filled in by typewriter OR ink'and submitted to the building
inspector with the followingl for new building or new ~e:
l. Final ~urvey of p~opert~ ytth accurat~ loea~ion ~ all buildings, propert~llnes,
~r~e~, and unu~ua~ natural o~ topographi~ features."
2. Final Approval from l[ealth Dept.' of water mupply and ~wmrage-disposal(S-9 fo~).
3. Approval of ~lectrical installation from Board of Ftr~ ~nderwrit~.
4, Sworn state{bent from plumber certifying that the solder used im system contra
less tha~ 2/IO of 1% lead. "
~. Co~ercial butlding~ indus, trial building~ multiple residences and s~ailar buddings
and installations, a 'cereificat~ of Code Compliance from;architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (p~ior to April 9, 1957) non-conforming use~, or buildings and
npre-existing" land usesI
l. Accurate survey of property showing all property lines, streets~ building and., o.,
unusual natural or topographic features,
2. A properly completed, application and a consent to inspect signed by' the appltcaut.
If a Certificat~ of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C, Fees
1, Certificate of Occupancy - Hew dwelling $25.00, Additions to dwelling $25.00,
' ' Alteratlous to dwelling $2§.00, Swiuu~ing pool $25.00, Accessory building ~25.00,
A. dditions to accessory building $25.00. Businesses
2. Certificat~ of Occupancy om Pre-existing Building - $1OO.00
3, Copy of Certificate of Occupancy - $5.OO'~v~ 5 years -
4, Updated Certificate of Occupancy - $50.00
?. Temporary Certificate of Occupancy - Residential $15.OO, Co~,arcial
D August 15, 1996
New Construction ........... 01d O~ ~e-exfst~nE Building. Install and ~od-burning
' ' ' .......... stove
~.%~ Ba Avenue ... ~.~, ~io~ ...........
Loc~t~ou of Property .............
House No. Street
Peggy Heller and Anne Wvde~ .
0nwer or 0whirs of Property,,,,,,,,--*,,~,,,,~,~.~',','~''' ~' '~'~'''''''''''''~''''~''
County ~ Ma, ~o ~000, see~ion.,]]~pA,.....~lo=k...q%~,O.0. ...... ~o~, .... a02.D.ea ........
' Lot '
SubdiVision ' Filed Hap ..........
Permit l'lo , ~'.Pata Of pemit,.,~.,~..,.,..Applican~ ...... ,,.,.,.' ..... ' .......
Ileal th Dept, Approval.,.,,,,,,,,,,...,,,,,,*~..Underwriters Approval
Fee Submittedl
Planning Board Approval ..... ,, .... * ..... * ..... "
Request for~ ,Temporary Certlficate.~,,,,,.*.- Final Certieate.~.,, ....
$25.00 · .~
APPLICAN'~
Peggy Heller and Anne Wyden
2015 Bay Avenue, East Marion,
NY 11939
9/19/96
Enclosed herewith please find check in the sum of $35.00 representing
fee for certificate of occupancy for the Gazebo. Also enclosed please
find $35.00 for the wood-burning stove. Please retun the $75.00 check
p~evious~y s~nt~to yo~: ~ ~
A±so enciose~ p±ease ~ln~ copy os survey dated August 25, 1981
prepared by Roderick Van Tuyl, P.C. which an approximate sketch
of same.
TO
~Georgia
Southold Town Building Dept.
Southold Town Hall
Main Road
Southold, NY 11971
WILLIAM H. PRICE JR.
A3~'ORNEY AT LAW
P. O. BOX 2086 -- 8';8 FRONT ~TREL=T
GREENPORT, N. ¥. 11944.
PHONE: (61~) 477-101'6
OCT 0~
.WfiLL SIq ID SIZING WOmA rr
(~, ~o. 95 36" 57" ' ~"
36", excm~ng A ~h~ld m~c e~end 18" ~h~ ~e stove (unl~
Side: (B, C, RG. 9) stove ~onq md 3fi' out ~wnd ~he ~ont of the stove.
~ 7" ~m the teat
~e ~hields m~t exten~ 1O" ~a ho~t of a p~on of the ~o~ on
48", bu~ together the ~11, me~ur~ ~m a ~in: pe~ m the ~ont com~
Comer: (A. g, gO. 10) at the comtr ~he top plate; and m~ ~t~d back to ~e com~
~side, ~hind, or A~ve 28" 28" 34" 34"
C~o~
(B, RG. tD Center~, exten~og co cover any comh~db[e~ aWng the [engh of the conn~tor pipe.
%p E~ting Stove ~d A shield mu~ be ~i~d 1" off the ~r and ~en~ ~ as ~ top of the chimney
Ch~n~ Conn~tor tone.cot or ~ h~h ~ n~a~ to ~d a~ com~s~hle match& adjacent co the ~ve
aM conn~ot, ~c no ~r than I m ~e c~ug. ~e ~ spare ac ~e mp and ~ctom ar~
dk~dy back aco chimney) 35" if' g"
(C~. 121
'The Defiant shield may be reduced to 48" iR height whea the wail shield i~ ingailed to the side of the stove or whe~ the clearance L$ L~" ~x
g~eater in a COmer instalhtiou.
- c ..I
8 - lS",Ddim~Vi~lmu'~a~
A
p~ef'abe~¢a~ed Chi~gey, a~ Eage ? u~d~ Pt~xeabd~a~ Chimney.
-4-
OCT 04 '96 03:55PH VT CASTIHGS, IHC. P.3/4
:Tg¢ ~r~ li~e i'n each chart shows the rain mum clearancg~ ~quir~d ff ~o shielding is us~ between the stove anti stowpipe
chimney conne~or, affd nearby co~ustible mater~ls- To meet a variety of installation needs, reduced clearances
wer~ ~tabl ~hed usin ~ove ~nd stovepip~ heac shield, wall aht*lds, or both- . .
D~cane~ given in ~e top third 0f each chart ~n6~dcr b0~h ~ov~ ~nd ~toveptpe ¢h~m~e~ clearance requirements m most
common {mtall~t~o~. . · - · '
A~et planning the po~i~on of ?out stove, you can double~h~k your chimney connector clearan¢~ m th~ m~ddle sec~on of
e~ch chart.
Clear~nces for the Energy Extend. ers,
the Intrepid and the Reso~ute Mobile
Home stoves are different than tho,~ L~st~
below. Ple~e refgr ~ lmt~lacion guide-
lines ~'{th each of these four produce for
specific clearance information.
DEFIANT®
RESOLUTE®
UNPROTECq'ED J PROTECTED
g'ALL$ & ~ALLS]
OCT 04 '96 03:55PFI VT C~$TIt~GS, IhlC. P.4/4
i:LOOR PROTECTION -"
~hough temp~a~ure~ under th~ ~ov~ ate ~ign~ficafltly ~ower than those co the side, a non<ombustib[e heath is
co ro~ect the fl~r ~om radiant h~r and kuru occ~iona[ sparks or ~lling emb~s.
~he case of ~he De'am, ~he loading door ~.
Thc mimmum heath protection required ~;or use with our
stoves us ng standard legs is two sheets of 1/4" mineral board
~or equivalent} opprov~by yOUr [oca[ ~uRding inspactor. ~ s
should chen be cove~ed by one ~hc~c of l~ ~uge galvanize~
sheetmetal, lek expos~ (~O. 131.
~e inst~la6on of thy optional Ve~ont C~ngs ~m
Heat $hield will ~low yon m use any one of the mite~a~
~low ~o comtmct a mort d~oradve h~t~h cover ~O. Il).
* 1" of stung, slate, tile, concrete, or any cpmbina~on
thee material, m0~ated.
* One lay~ o~ common brick. 3 1/2", mutated.
- One layer of 1/4" ~inet~{ board, or ~uiva{¢nc -
covered with any noa<ombus~ble material
A variety of pr~ahricated hganh pa~, listed for use with
radiant s~v~, can al~ provide ad~uate
they are the proper dze (~ ~um Haa~ Pa~ Dimensiom).
O~n. when installing the ~ant,'Vigilang.
Iow fir{plg~ opgoi~g. V~mo*C CastiR~'option~
n~. When using shore I~, ~ttom h~ shle[~ age n~eded: t~with
the ~fia~ and Vi¢lam, and ~ wi& [he ~{ug ~d Intrepid ~ the
be conscrucc~ according to ch~ guidelines a~e, using the ~ollowing
* IIA ' o(smne, slate, die cohere, or any ~mb~nadon ofthe~.
e ong layer ofcomman brick. 3~ ", mo~ared.
CHIMNEY CONNECTOR. '
The series o~' stovepipe $~:ti~ns used ~o connect the stove co the chimney bs c~llcd thc
chimney connector (FIG. 1 ~ ). Tl~e primary' functions o( the chimney, connector are ro direct
the flow o~' exhaust ga~es ihio the chimney flue, and to provide a sate connection between the
stove and the chimney,
CON$i'RUC//ON GUIDELINES
· Stovepipe and chimney thimble cliametem must not be h~ than 8" {'or the De~iant and
Vigilant or 6" for the Resolute and bm'epid. Uae 24 gauge or heavier sheet~¢tal stove-
pipe, (do not use galvanited).
· The chimney connector should b~ as sho~ and direct as possible. Use 0£ mor~ than two
elbows may r~uce chimney d~af~ and encourage creosote forma~on in the fl,ut.
i Single wall stovepipe should t~c be used as a chimney end mu.sc r~wr pass mrough
comb,,~fible ceiling. W~.en unavoidable, wall pass-throughs should be deaig'~ed acc~ing
to local building codes. Keep in mind ~hac the entire chimney cot~c'~ion mu.~ be
po~ad and seedily accessible ~or petioctlc inq3e~on at~l cleani~,g. . .... als
Sa~'e dear'anees mu~t be maintained between the stovepipe an(] comousnol¢ mateo .
(S~ Clearance Chats).
· Assemble the stove~ip~ with the crimped end of each ~ecdon poin~Rg d. ownwatd.ot
towa~[ the stove. T~ Defiant, Vigiiant and Intrepid will requi:e a non-¢~mped,sec~,o.n
connection into cbc llue collar. Secure the ~es~ seetion co the stov~ flue tn"ar aha e~cn )° t
therea~er with .3 sheet:meca[ screw~ co prevent separation during use.
Stovepipe dampers ~nd heat redaimers are not generally recommended for use with our.
stoves. These devices present an unnecessa~ reStriction within thc flue and carl peomoca
rapid creosote accumulation.
· I layer of W' mineral board, or equivalent covcr~ by i" of
the non.combustible materials listed above or by t sheet o( [~'r~p~d ...............~"~ X ~"~
25 gauge galvani:~d sh~e[al. ~ ~ ~ ~ ~ ~ ~ ~ ~ 2:~ m.~ ~¢~.
sup~ns or ~aming memory. --
~gia~ng ~rgplace honhs aoc meeting chat~c~ requir~e~u can b~ m~diSed by ~d~g a bottom heac shield co the
stove build eg a~ ~dk onai hea~h pad ove~ the Rtephce heagh, or ~ending the nearch-
~e mate~ s you choose and the design of your ~r covering can complimem ?out i~caih6o~ ~ well as ~lfill safew
r~qulrcm~nts ~¢ hea~ should be durabl~ ~ ic ca~ with~and ~tant ~e ~fi~ ~ch heating season. Construction
begt~ ~h a ngtd foundmon thac wdl hoc fl~x be~each the s~ve: such ~ b" pl~d Ne~c: ~cen the no~ n
comb~tible m~tehah co cbc (oo~c{o~ and end ~rh the d~oranve layer on cop. ~ou can a~a g ~amc co contain au c.c
mate:iah, prote~ thg edges of the hearth, and ~vg a finished appearance co the installation.
WILLIAM H. PRICE, JR.
Attorney-at-Law
P.O. Box 2065
Greenport, New York 11944
Telephone Number: (516) 47%1016
Fax Number: (516) 477-0130
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York 11971
August 16, 1996
RE:
PEGGY HELLER AND ANNE WYDEN
2015 BAY AVENUE, EAST MARION, NEW YORK
SCTM 1000 - 031 - 17 - 2
Gentlemen:
Enclosed herewith please find:
1. Application for Building Permit;
2. Application for Certificate of Occupancy;
3. Consent to Inspect;
4. Survey dated August 25, 1981 prepared by Roderick Van Tuyl; and
5. Check in the sum of $75.00 representing fee for building permit; and- ~
6. Check in the sum of $25.00 representing fee for certificate of occupancy.
Please contact Peggy Heller or Anne Wyden at 47%1667 to ararnge for access.
If you have any questions, please do not hesitate to contact me.
Very truly yours,
William H. Price, Jr.
WHP/lmt
enclosure
cc: Peggy Heller and Anne Wyden
828 Front Street, Grcenpott, New York, 11944
765-1802
BUILDING DEPT.
INSPECTION
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ /] INS~ION~
[ ] FRAMING [/Z-~FINAL
[ ] FIREPLACE & CHIMNEY
DATE .Z/~/~~'// / ' ' INSPECT~
-8
,, SEP 31996
'FORM NO. I,
TOWN OF SouTHOLD
BUILDING DEPAFtTM EN'T.
TOWN HALL
,5OLITHOLD, N.Y- 11971
: ~ TEL.: 765-1802
pprovcd ..... -. ~ ....... _ ~
APPLICATION FOR BUILDING
August 15 Iq ,9,6
Date
. INSTRUCTIONS
ust be completely filled ill by' typewriter or in ink and submitted to the Building l~spector, with 3
~ a. Tiffs appllcalio, n
~¢ts of plaus, accurate plo: plan to scale. Fee accordiug to sclmdule, to adjoining premises or public streets
b. Plot plan flmwin~ location of lot and of buildi,g~ on premises, relationship
or areas, and ~i~ing a del fired description of layout or property mast be drawn on the diaU¢m which is part or thi~ appli-
. x ...... : ..... ncc of Building permit.
cation '., . . ~ ..... .t BOt b~ Co~lll~tlc~O OoIO~ ~=t,. - .. ~ ~u. a.nhcant Such permit
c. The work coverer by tins app~yau~ ~5~.... ln~nectot will lasued a Building l,e~t t~ .-~ vv
d, Upon approval ol this applmatmn, tn~ nn,~-,~ ..... 7 ....
slmll be kept on the prcmi~a availabl~ for inspection throughout the worn. .
' No building shall~ be occnpied or used in whole or iu part for any purpose whatever u~til a Certificate of Occupancy
shall have been gronted ~y the Building [n~pectof
· · ~e issaance of a Building Permit pursnan[ to thc
. "~ ' %""X ,. ~,..~ ~r the Town of Southold bUltmK ~ut,.?, e ...... ~al or demohtmn, as nere~{~ uca , ,
Braid ~g Lone uram., .... . ,a,u.¢.-ndaitions or alterabOnS or .m '"1'~5 · -~,~. nad r~uons, aaa ,o
Regulations, for th~ co struct on p( b ;73i ? ,[~x~.d~i.&bhG~,co,, building eo~, nous,ng .... , ~-
'%''"'""'"''";'~ ~ t~ie~"~ ........
['[';'['['[':'[;[[[:[ ',B28 Front St., PQ..Box, 2.065 ...........
~ ' ' ' '~ ....... }~(ailing ~ddr0ss or applicm~t)
Greenpo~t, Cew York 11944
State whether applicml{ is owner, lessee, agent, architect, engineer, general contractor, electrician, plmnbcr or builder.
~orney ~or owner .................
Name or owner o[ prCl
If applicant is a corpot
(Name and title of corporate officer)
~.y, den ..........
.............. (as on lhe tax roll or lat6st deed)
rises , Peggy ,tleller ar~l
~tion, signatnre of duly authorized officer.
Buihlet's Liceose .......................
Il. nbers Licen*e Nc .......... : ..........
l:lectrlClO 1 s ],ic llse o ...................
Oilier Trnde's la'cellse No ......................
2015 Bay A¥on~a .........................
1. Location of hind pn which proposed work willbe done. ·
2015 I 'Bay Ave n, ue E a s t, ?l~-,r..ion ......................
...................... llamlet
........... [ .......... Street
llouse Number
I Block .... 12...00 ........ Lot.. ,O. Q2. O.O0 .......
CotatyTaxMap)No. ]000Suct~o~ .-031-D'0 .........
i Filed Map No ............... Lot ..............
S>~bdWiskm .... ~ .................................
i (Nauru) propos6d constructio(u
2. Si;de cxisdugus~ and occupancy
~. kx~stmg use add occupancy · · .O~¢. · aD d~el%i~9 · ·. · ·
b,.Intendod us~ ~nd occupancy · _ . AS BUILT .
~3 J"Na(Br'e of work (check whicll applicable): New Building ' Addition .......... Iteration ..........
Repair ............ Removal .............. Demolition .............. Other V~{ork
/ wood-burning '
, , (Dr, script[on)
4. Ssthnated Cost ~ j d ~) ~) ~ Fee stove
(to be paid on lilin~ this application)
5. If dwell m. n ~mber of dwelling umts ............... Nmnber of dwelling units on each flqor ................
lfgaraf . mberofcars ...................................................... ] ..................
6. If bnsine - commercial or mixed occupancy, specify nature and extent of each type oruse,. 'l ..................
7. Di ~e ~s o s et ex st ~g structures, if any: Front .............. Rear ............ Dqpth
Height ............... Number of Stories ......................................
Dimensions of same structure with alterations or additions: Front ................. Rear] ..................
Depth ...................... Height ..................... Number of Stories .... ! ..................
8. Dimensions of entire new construction: Front ............... Rear ................ D?th
lleight ............... Number of Stories ...................................... i ..................
9. Size of lot: Front Rear Depth
10. Date of Purchase ............................. Name of Former Owner ........... [ ..................
11. Zone or use district in which premises are situated ................................... i ..................
12. Does proposed construction violate any zoning law, ordinance or regulation: .............. i ..................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes N9
14. Name of Owner of premises .................... Address ................... Phone ~No ................
Name of Architect ........................... Address ................... Phone No ................
Nane of Contractor .......................... Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildhlgs, 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 whethcr
interim or corner lot_
4. F~t~$L. CONETRUC/~ON- ~US7
[::;E COIkfiPLET~ FOR
ALL CONSTRUCTION SHALL
TH[~ REQUIREMENTS OF THE
S~PYE CONSTRUCTION & ENERGY
CODES. N~ RESPONSIBLE FOR
DESIGN O8 CONST~U~ION EBRORS
STATE OF NEW YORK, S.S
COUN'rY OF ... ,-q.tl~I[QJ..k ......
·. Wi. ll. $~ara .I~,. P.z:ice~..J.r, ,. ~$q ................ being duly sworn, deposes and sayp that he i~ the applicant
(Name of individual signing contract)
above named.
IIe is the ...... Attorney ......................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is duly authorized to perform or have performed the said work a~d to make and file this
application; that all statements contained ~ this application are trna to the best of Ids kno;~lcdg~ and belief; nod that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
.......... .).~. .......... day of...AuGust ........... ,1~..96
Nota~ Public, ~ .... ~uf~olk .............. County
~ ~~ , =~a~ Public State ~ NewYerk
~ o~ 4942668, Suffolk Cou ': ........................
CONSENT
TO.
INSPECTION
_ William H. PRice, Jr.,
do(es) hereby state:
_o the undersigned,
the attorney for 'the
That the Undersigned (is) :~i{M~) the owner(s) of the premised in the Town
of Southold located at__. 2015 Bay Avenue, East Marion, New York
11939
____., which is shown and designated on the Suffolk
County tax map as District 1000, Section 31
, Block_ 17 , Lot 2
That the undersigned (has) (have) filed, or caused [o be filed, an applied
tio~ in the Southold Town Building Inspector,s OffiCe for the following: _
_ INSTALL .WODD BURNiN~STgvE
That the undersigned do(es) hereby give consent to the Building Inspectors
of tile Town of Southold to enter upon tile above described property, including
any and all buildings located thereon, to conduct such inspect[OhS aS the~, may
deem necessary wi~h respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and feRule,tons of the Town of Southold.
The undersigned, ille-onsentLng [0 such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for
la,ions of tile laws, ordinances, rules or re~ulatinns of the Town of Southold.
Dated:_ 'Aug~u~ 15, 199b
(signature) - -
William H. Price~ Jr.
(print name)
(siRuature)
(print name)