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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No
Z-24909
Date
FEBRUARY 27, 1997
THIS CERTIFIES that the building
STOVE
Location of Property
660 MILL CREEK DRIVE
House No. Street
SOUTHOLD, N. Y .
Hamlet
County Tax Map No. 1000 section
135
Block
3
Lot 42.3
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 11, 1996
pursuant to which
Building Permit No. 23871-Z
dated DECEMBER 23, 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 SOLID FUEL BURNING STOVE & CHIMNEY FOR EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to
CHRISTOPHER & DARLENE GIRZADAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA
UNDERWRITERS CERTIFICATE NO. NIA
PLUMBERS CERTIFICATION DATED NIA
.~t-4
uil ing Inspector
Rev. 1/81
I~OR~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEIG~A(T MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORI(AUTHORIZED)
N.° 23871 Z Dot. ............................................
Permission is hereby granJ~d~to:__ .,~ /,~
...... &.'~..H~.~..~.~ .....
,o ~~.~~~~.~..~~~~. ~
........................................
~, ~,.~,,, ,=~,ed ~ ............. b~ ..... ~..~~.~. ................................
........................................................... ~ ......... ~ .................................................
~o..~ ~o~ ~o~.o. ,000 ~.~,,o. ...... z:.::,~ ......... :. ....... ~o,.o. ....
pursuant to application dated .........................../'/1~..~ // , 19 .~...~, and approved by the
Building Inspector.
Rev. 6130/80
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-18,23
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 21,
1997
Mr. Christopher Girzadas
600 Mill Creek Drive
Southold, NY 11971
Re: SCTM#1000-135-3-42.3
Prem: 660 Mill Creek Drive,
To Whom This May Concern:
(file under Armstrong)
Southold
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
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 (outdated/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 # 23871-Z
Please contact our office on this matter. Thank you for
I-'1 HIIItI^'I' I I HI (
Al)II ITl OffAl. (.;I.)tltll~,tl'l',~l:
Types of Chimneys
The chimney is a vital part of your stove
installation. A properly built masonry chinmey or a
properly installed factory built chimney will assure
a consistent draft under a variety of weather
conditions. (A smoking stove will almost always
be caused by a chimney problem.)
Ail chimneys must be installed either according to
local building codes in the case of a masonry
chimney or according to the chimney
manufacturer's instructions in the case of a factory
built metal chimney. See the chimney
manufacturers instructions for exact specifications:
NOTE: An oversized chimney may result in less
than optimum performance. Installations into a
large, masonry chimney may require a liner to
improve performance.
Chimney Inspection
Existing chimneys must be inspected before
installing your stove. Consult your local building
department for chimney code requirements. A
masonry chinmey should have a code approved
liner. This liner must not have broken or missing
pieces. Some non-code masonry chinmeys may be
brought up to code by being relined. (Cqnsult your
dealer or qualified chimney sweep.) Factory built
metal chimneys should also be inspected, first for
creosote deposits (which should be removed), and
then for integrity of the stainless steel liner. Look
for obvious bulges in the lining which may indicate
the need to replace that section (use a bright
flashlight). Also inspect the attic to see that the
chimney has proper clearance to proper clearance
to combustible framing members.
Tile-lined masonry chimney
Factory built ,metal chimney
Chimney Height Requirements
The chimney must extend 3 feet above the level of
roof penetration and a minimum of 2 feet higher
than any roof surface within 10 feet (see,below).
Check with your local code officials for any
additional regional guidelines.
The minimum vertical run length should be 12' to
15' to satisfy the draft requirements. A draft gage
should read more than .04 W.C.I., but less than .08
W.C.I.
Due to prevailing winds, local terrain, adjacent tall
trees, a hill or ravine near the home, or adjacent
structures, additional chimney height or a special
chimney cap may be required to assure optimum
performance.
12
INSTALLATION
COMBUSTIBLE WALL CLEARANCE
WARNING! IT IS VERY IMPORTANT THAT
YOU OBSERVE THE MINIMUM
CLEARANCES. These are the listed clearances
for Earth Stove models 1500HT & 1500HTL which
were determined in laboratory tests using various
"classes" of stove pipe or chimney. Minimums are
first established for the stove itself and increased
based on how much heat is transferred by each
class of pipe.
NOTE: Mobile home installations require the use
of a Type L Vent chimney connector only. Use of
a single wall flue pipe connection is not permitted.
Mobile Home Standard Clearance
Using Approved L Vent pipe only. Approved
brands~ are Dura-Vent, Security, Pro-Vent,
Ameri-Tek. Mobile Home installations must use
rain cap with spark arrestor.
Clearances
A 10 1/2" D 8"
B 20" E 9 I/2"
C 15" F 5"
Comer Installation
Residential Reduced Clearance
Using any type listed L Vent pipe (double wall air
insulated) to the top of the stove. Approved brands
are: Jakes-Evans, Dura-Vent, Security, Pro-Vent,
Ameri-Tek, Metal Bestos.
Clearances
A 10 1/2 D 8"
B 20" E 9 1/2"
C 15" F 5"
Residential Standard Clearance
.(Not approved for mobile home) Using single
wall pipe connector to the top of the stove.
Clearances
A 15" D 13"
B 19" E 8 I/2"
C 15" F 5" r'
Parallel Installation
10
765-1802
BUILDING DEPT.
INSPECTION
[ ]
[ l
[ ]
[ ]
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
ROUGH PLBG,
I INS~ION
~'~NAL
FIREPLACE & CHIMNEY
REMARKS:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ -!
REMARKS:
DATE
INSPECTO~
FORH ri(). I
'FOdeN OF ,qOUTIIOI,I)
BU I I,I) l N(~ I)I~,I'ARTHF, iI']'
'l'OJ4 N IIAI,I,
SOU'IIIOI,I), fi,Y. I J~)?l
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(~lJ I Jnl~ mhh-e~m o1' oppI Jcm~t )
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I~¢il¢11 ....................... ~.. lllll~r ~H' ¢ill~li811 .....................
NOTIFY BUILDING b~T'
765-1802 9 AM ~ 4 ~M FOR THE
FOLLOWING INSPE~IONS:
1. FOUNDATION ~0 REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. I~U~TION
4, FINAL CONSTRU~ION MUST
BE COMPL~E FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREME~S OF THE N.~
ST~E CONSTRUCTION & ENERGY
CODES. N~ RESPONSIBLE FOR
DESIGN OR C~U~N ERRORS
((~Jill I IICi (ii , IlJ~(.iil , i I:()l IXll iii (~ ()i I it:(!l , (!l ('.)
...... , .....
.~.~ ~. sc~ .J. / ':'"~'""'"" "~"" '"'"'~
NOTARY PUBM~. ~tate of N.Y, ~
No. 4725089. Suffol~ Cou~
Term Expires May 31i. 19__
J~,r ~1 ;i: TOWN HALL
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from 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 in system contains
less than 2/10 of 1% 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
'!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 Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
,~ate .~.~.~,,'~'.~..'? ............
Construction ........... Or Pre-exis ing .,,: . e, Building.....i .......... . '
Location of Property .... ....................
House No. / ~7~reet Hamlet
Onwer or Owners of ~roperty..~ .................................................
/,~-
cownty Tax ~p ~o lO0O, section.,..~..~. ...... ~loc~...~. ........... Lot ...................
Subdivision ' Filed Map Lot
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept Approval Underwriters Approval .......
Planning Board Approval ............... ii''i .....~.--
Request for: Temporary Certificate. .. Final Certicate .....