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HomeMy WebLinkAbout22933-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23996 Date NOVEMBER 1, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 345 DEERFOOT PATH House No. County Tax Map No. 1000 Section 97 Subdivision WOOD STOVE Block 07 Filed Map No. CUTCHOOUE, N.Y. Street Hamlet Lot 21 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JD-LY 25, 1995 pursuant to which Building Permit No. 22933-Z dated AUGUST 9, 1995 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 HURNINOAPPLIANCE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED HILEEN WHITEHEAD & MARY HOFFMAN N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUT#OID BUILDIN~ DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N.o, 22933 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNllL FULL COMPLETION OF THE WORK AUTHORIZED) Dote ................. , ***'~./~?, .............................. Permission Is hereby granfed to: ~...~....~ ........... ..:... .......... ~~.~..~.....~....z::~7 to .... ~:. ~, ~ .......... ~ ..................... :~ .~ ................... : .................................................. ...... ~.....:~...~~.~ ........ ~~ .......... ~ .......... ~. ..... z~~ ............ ~ ......... .... ~ ............. ~ .......................... ~% ....................................................................... ............................................. ~~z~ .... ~~~ ......................... ................ ........................... ........... .. .......................................... ~~ ~ ............................................. ~o.~,~.~o. ~000 ~o,,o......~Z .......... ~,o~ ........ ~.~. ...... ~o,~o....~/ ............... ~.,~,,o~,,~,,o.~,~....~ ....... ~ ................... ~...~, ~.~..,ow.~,.~ Building Insp~ofor. Fee $.~/ .......... ~, /pS'ulldl r~C'lnsp ector Rev. 6/30/80 TO~N OF TOWN HALL 763-!802 OCT 2 4 1995 BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or uaw 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-? form). 3. Approval of eiectrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying chat the solder used in system contains less than 2/10 of 15 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installa'tions, 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 buitdingsoand "pre-existing" land uses: a 1. Accurate survey of property showing ail 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 l. 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-existin~ Buildine - $[00.00 3. Copy of Certificate of Occupamcy - $20.00 &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15~00., Commercial $[5.00 .... ............................ New Construction ........... Old Or P~e-exis~ing Buildim~g ............. ocation of Property .... ....... ~ouse No. Stre_t tfamlet On,,er or O~.ers of ~roper~y %,t~e~ ~3~%%~ , o ~ounty Tax Hap No 1000, Section .... ?] ....... Btuck ...... O~ ........ Lot..at .................. Subdivision .................................... Filed Hap ............ Loc ...................... iienlth Dept. Approval .......................... U.de~'writers ApprovoZ ......................... 'lan,ling Board Approval ........................ 2equcst for: Temporacy Certifzca[e ........... Fin; 1 Cer~icace ........... Tee Submz~t_o. $ .................... ...... ................ IDF..IZ P. F©OIT. PAT'P'~ ~,~.~$ ro F' > ./(~ F._'LY, T~J'rHI ~L- ) ' ?0 0 FREESTANDING WOOD STOVES (All U.S. measurements in inches, Canadian in millimeters) Model 2100 Model 3100 Model 4100 Technical Data ~,o ,'rk q/ 'O.; '; Width 25-1/4"/641mm 21"/533nlm 23-1/2'/597mm 25-I/2"/~8mm Ileigbt - with Pedestal 27"/686mm 27"/686mm 30"/762mm 31"/7871nm Height- Mth ~gs 2~1/2"/648mm N/A 29"/737m~n N/A I)eptb 19"/483mm 23"/584mm 23"/5~mm 25"/635mm Flue Size 6"/152mm 6"/152mm 6"/152mm 6"/152mm Weight - with Pedesdal 307 lbs. 331 lbs. 382 lbs. 437 lbs. Welgh1 - wRh ~gs 293 lbs. N/A 365 lbs. N/A Pe fformance Burn Tlrae (Lo,s)* 6-9 hrs. 8-10 las. 8-12 hrs. 8-12 hrs. Burn Time (High)* 2-4 hm. 3-5 hrs. 3-5 hrs. 3-5 Ins. Heating Capacity** 600-1,300 sq.ft. 950-1,500 sq. ft. 1,200-2,000 sq. ft. 1,800-2,800 sq. ft. Firebox Volume 1,4 cubic ff. 1.48 cubic ft. 2 cubic ff. 2.4 cubic ff. Max. Wood Length 17"/432rmn 18"/457rmn 18"/457mm 20'/508mm BTU Range Per Hr. (F, PA Test Fuel) 9,00042,000 9,300-39,300 11,900-43,200 11,700-50,500 (Real World Fuel)* 8,000-40,000 + 8,500-48,000 + 10,000-54,000 + 10,000-61,000 + Average Grams Per Hour 5.1-EPA Certified 3.6-EPA Certified 2.1-EPA Certified 4-EPA Certified Clearances Standard Single Wall Pipe A) Rear Wall 16"/406mm B) Side W~ 15"/381am~ C) Comer from pipe 2I"/533mm D)Corner from stove 12"/305mm Double Wall PipeO A) Rear Wall 10"/254mm B) Side Wall 15"/381mm C) Comer from pipe 21~/533mm D) Corner from stove 12"/305mm Double Wall Pipe (Al¢ove)OO A) Rear Wa] 10"/254mm B) Side ~ 15"/381mm W/ToR Shld~ Standard 6"/150mm 11"/279nml 17"/432mm 8"/203mm 6"/150rmm ll"/279ram 12"/305nm~ 17"/432ram 16"/406mm 9"/229nwa 8"/203nan 15"/381mm I4'/356mm 7"/178mm 8~/gO~mm 15"/381nm~ W/Top SMd. Standard 10"/264mm 12"/305nun 17'/432nan 18"/457mm 14"/356mm 18"/457mm 7"/178mm lO"/284nun 6"/150mm 10"/254rmn 15"/381mm 18"/457mm 12"/305nun 16'/406~nm 5"/127mm 8'/203mm 6"/150mra 10"/254mm 15"/381mm 18"/457mm W/Top Shld. Standard 10"/254mm 12"/305nnn 16"/406mm 18"/457mm 16'/406mm 18"/457mm 8"/203mm 10"/254mm 8"/203mm I0"/254mm 16"/406mm 18"/457nm~ 14"/356mm i6"/406mm 6"/150nnn 8"/203mm 8"/203mm 10"/254~nm I6"/406mm I8"/457mm _W/Top_Shld. 10"/254mm 16"/406mm 16"/406mm 8"/203mm 8"/203mm lfi"/406mm I4"/356mm 8"/203nm~ 16"/406mm O0 Alcove specs: Maximum depth of alcove shall be no more than 48" and a ' ' 3 ' h mifiboard or equivalent non- abovestovetostoacombustible, 18" hlgh above stove top to a non-coml~i.~l~al~mm HNLAWFUL at,east 3,8" nfinimum thickness 2100, 3100 and 4100. Minimum ceding height for model 1800 - M~ witho,refol~q~d aadW2" "~ '' ~ combustible material. The pad must with top sllield. MOa,,.~ ,OM~ APPROWO: Sto~. m.st b~,q.ips.d wilh~r~i~c~p~dWll[~H. OUT e nTl lrfiTFtend 16" (40.6 cra)to the front of ~ ~1~/I/~ ~ I ~ u~t and 8" (20.3 cra) to each Alcove Clearances Freestanding Stove Operational Extras [lack Wall Clearances Coialer *~Va II Clearanee8 {Combustible materials only) Chimney Components ( [treestlmding Wood Back ?&all Adjacent Wall Stovos Only) -- Rain Cap - , x "~)oor Opening Noles, ~ Footings 1o be on /eve/ir~th exlstln~ bul/dln~ 2, Door openln~7 to occomodote 9' door 3. Footing trench to be filled ~it~ concrete to ~rode bve/ d Ne~ prons. Front & edt ~8"Block ?//~oor o?en~ng pron Poured concrete Footings. floor & (~pron$ level ee 4 I. 12' wide garage added to existing bu~l&'~g. 2. 2--9 x ? OH Doors 3. Fireproof Sheetrock interior cei~ng. 4. Remove existing shingles ~ reshingle entire roof. New Siding for entire outside. Incl. Soffits. Facing. Copping. North window to be reinstalled on new Electrical wiring for #ghting and door opener. 8. hfasonry os required 9. Cut large opening in ,~all between old and new bays. I0. Gutters and Leaders for entire roof per/meter. Lee .5 JUL 2 51995': .' ~'~ 3 SE*~S OF PLA,I$ , /SURVEY /ClIEEK SEPTIC FORH FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTtlOLD, N.Y. 11971 TEL.: 765-180::3 l)isapproved' a/c ................................ ' , tBmldi~nspector) APPLICATION FOR BUILDING PERMIT i'~^ I L TOt Date ................... 19... INSTRUCTIONS : a. Tiffs apl'flication mnst be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. PIct plan showing Ipcation of lot and of 1}t,ildings on premises, relationsh p to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. . c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Bnilding Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No Imilding shall be occnpied or used in whole or in part for any puqmse whatever until a Certificate of Occupancy shall bare been granted ~y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deparhnent for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southbld, Suffolk County, New York, and otl~er appl cable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal ~r demolition, as herein described. The applicant agrees to comply with all applicable law& ordinances, building code, housing code, and regulations, and to admit authorized inspectdrs on pre~nises and in bnild~g for necessa~ nspec~ns. ~ignature of applicant, or halsa co~ration~ ~Mailing address o/lpplicant) ' ' State whether applicant is owner, lessee, 'agent, architect, engineer, generaJ contractor ~ele~~r,o~ builder. I¢ applicant is a corporation, signature o¢ duly at~tborized officer. NOTIFY ,BUILDINO DEPARTMENT AT (Name and title of corporale officer) OCCUPANCY OR lJdder s License No .............. 'USE'IS UNLAWFUL Plumber's License No .............. WITHOUT CERTIFICATE E ect-ici m's L cense No ............ OF' OCCUPANCY Other Trade's License No ...................... 76B-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED. FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL ~ CONSTRUCTION MUST RE,COMPLETE FOR C.O. ALL CONSTRUCTION .SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY COD~.S. NOT RESPONSIBLE FOR UNDERWRITERSCERIIFICATE DESIGN OR CONSTRUCTION ERRORS I. Location of land on which proposed work will be done...~[0,U. II~I~B. ...... ................. i ................ ................ '. '...c , . .o.s~ ~.,n~ S.'~t . ' .... h;,~,'i;/'~ .................... Cotmty Tax Map No. 1000Section ..~.~Z~.~ ....... Block .~.TQ.~ ..... :... Lot.~.~.l.~... Subdivision ..; ..... . ............................ '. Filed Map No. . {.~¢ ....... Lot ............... (Name) 2. State exJsling use and occup~mcy of I)remises and intended use and occnpancy of proposed construction: . .~r.l.. 3 J v ....... ,, , ~ .................. Repair .............. Remgval ............ Demolition . .;..,: ....... Other Work ............... ' : ..... (Description) 4. Estimated Cost · ~ ' : ..................... Fee ....................... , ............. ~ (to be paid on filing tiffs application) 5 If dwelling number' of dwelling units ' Number 6f dwelling units on each floor . If garage, number of c~s .... I ............... , ....' .......... ........... ' ..... ..................... 6. Ir business, connnercial or m[xe~l occupancy, specify natnre and extent of,each type o~ use ..................... 7. Dimensions of existing structures, if any: Front .~,~Q .... Rea[ .... ............ Depth ............ Ileight ............... Number of Stories ... ( ......................................... ' ' " ~ ~ R .......... Dimensions of same stmctu[e with alterations or addd~ons: Front ~e.~ , , . .............. ear ................. Deplh .... ' ' . ....... ... ................. [.. tlmgbt ... ~ .... ~.: Number of Stories .. I .................. ' 8. Dimensions of entire new construction:, Front .~q~-.~.g.,(q .... ; Rear ............... Depth .............. lleight' NuMber of Stories 9. Sizeoflot:Fmnt .. .4¢.~,, ] ......... :.. Rear ...... ~. .... : ..... Depth /.4~ ................ 10. Date of Purchase l~/~/ .... i ............... '. , . Name of Fo~ner'O~ner' . .~.~g,r)~ ¢..~.~ .... : ....... 11. Zone or use district in which premtses are s~tuated.. ; 12 Does proposed construction, violate any zoniog law ordinance or regulation: 13. Will lot be regraded ,. ·; .................... Will excess fill be removed from premises Yes No 14. Name of Owner of pre~nises ..; ........ ~... ~ .... Address ................... Phone No ................ Name of Architbct .... I .......... Address .................. 'Phone No ........... : .... Nmne of Contractor ........ .:...~ .............. Address ............ : .....~one No ................ 15.' I.s this property within ~00 feet of a tidal 'wetland? *Yes ...... .. · If yes, Soutbold Town Trustees Permit may. be required. .. ~ PLOT DIAG~ Locate clearly and distinctly ~1 buildings whet?er ~xisting or proposed, and, indicate all set-back dbnensions from property lines. Give street and block[number, or description accord~g ~o deed, and show street names and indicate interior or comer lot. (Contractor agent, cot')orate officer, etc.) of said owner or owners, and is du)y aothorized to perform or have performed the said work and to make and file ibis applicafion; that all statements con(ained in this application are tree to the best of bis knowledge and belief; and that the work will be performed in fi~ker set forth in the application filed therewith. ' Sworn to before me this /, ~erm Expires May 31. 19~