HomeMy WebLinkAbout27130-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29021 Date: 10/28/02
THIS CERTIFIES that the building ADDITION
Location of Property: 14909 MAIN RD EM/ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 23 Block 1 Lot 2 .3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 28, 2001 pursuant to which
Building Permit No. 27130-Z dated MARCH 9, 2001
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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to NORMAN WHITEHEAD
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1081598 10/28/02
PLUMBERS CERTIFICATION DATED 10/10/02 MIKE JACOBI PLUMBING
Authorized r
nature
Rev. 1/81
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. 27130 Z Date MARCH 9, 2001
Permission is hereby granted to:
NORMAN WHITEHEAD
2 MARTHA CIRCLE
BARRINGTON RI, 02806
for .
REISSUE OF PERMIT # 25640 CONSTRUCTION OF AN ADDITIONAL EXISTING
SINGLE FAMILY DWELLING AND WOOD STOVE ADDITION AS APPLIED FOR
at premises located at 14909 MAIN RD EM/ORIENT
County Tax Map No. 473889 Section 023 Block 0001 Lot No. 002 . 003
pursuant to application dated FEBRUARY 28, 2001 and approved by the
Building Inspector.
Fee $ 110 . 00
Authorized Si nature
COPY
Rev. 2/19/98
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. 25640 Z Date MARCH 23, 1999
Permission is hereby granted to:
NORMAN WHITEHEAD
2 MARTHA CIRCLE
BARRINGTON RI, 02806
for
CONSTRUCTION OF AN ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING
AND WOOD STOVE ADDITION AS APPLIED FOR.
at premises located at 14909 MAIN RD EAST MARION
County Tax Map No. 473889 Section 023 Block 0001 Lot No. 002 . 003
pursuant to application dated MARCH 8 99 and approved by the
Building Inspector.
Fee $ 110 . 00
Authorized Signature
COPY
Rev. 2/19/98
971 al_4
Form No.6 ��
TOWN OF SOUTHOLD
BUILDING DEPARTMENT 62002
a
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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.
B. 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 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 Building- $100.00
3. Copy of Certificate of Occupancy-$25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00
Date. CJ G %o a e/Z / S. Z�G :Z
New Construction: Old or Pre-existing Building: ✓ (check one),
Location of Property: 0 J M tq IA) !2 0 6 D
House No. Street Hamlet
Owner or Owners of Property: A10 2 M F} nl
Suffolk County Tax Map No 1000, Section oC3 Block Lot
Subdivision --1� 2 Filed Map. _Lot:
Permit No. � T � J Date of Permit. Applicant:_
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
02 -7 Us— Applicant Signature
g 2002
ToWn Hall,53095 Main Road y Fax(516)765-1823
P. O. Box 1179 Telephone(516)765-1802
Southold, Neal York 11971 .f.
OFFICF OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CLtt 'IPICAT10K
DATE L A �-
Building Permit No, 22 3 O Z
Owner: NOrMCLN W�I to
(please print)
Plumber! ,1i, 65' �G�� , p�����k5
�
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
i
l
(Plumb s Signature)
,
Sworn to before me this
/ day of
Nota Publick /��p G o nth
��
ELIZABETH A STATHIS
NOTARY PUBLIC,State of New York
No.01 ST6008173.Suffolk Cotmty
Tenn Expires June 8,MQ0
o �rnr�Qn � � �Pso
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5'
S NEW YORK BOARD OF FIRE UNDERWRITERS 5�
5 BUREAU OF ELECTRICITY S
40 FULTON STREET -- NEW 5 YORK, NY 10038 fj 5
SCERTIFIES THAT S
5 Upon the application of upon premises owned by S
5 NORMAN WHITEHEAD S
L5U P.O. BOX 5181C INC 14909 MAIN ROAD ROUTE 25 5
�j LAUREL, NY 11948-0518, EAST MARION, NY 11939 5
ei
5 Located at 14909 MAIN ROAD ROUTE 25 EAST MARION, NY 11939 5
5
5 Application Number: 1081598 Certificate Number: 1081598 5
SSection: Block: Lot: Building Permit: BDC: NS11 S
Described as a Residential occupancy, wherein the premises electrical system consisting of
C5 electrical devices and wiring, described below, located inion the premises at: 5,
lj Basement,First Floor,Second Floor,Outside, Lj
'S S
5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was S
Dj found to be in compliance therewith on the 23rd Day of September,2002. fj
5 Name QTY Rate Ratin Circuit Tygg reS
5 Appliances and Accessories ��
5 Exhaust Fan 2 F.H.P. 5
5 Wiring and Devices 5
Outlet 14 Fixture
SReceptacle 8 General Purpose 5
5 Switch 16 General Purpose 5
Fixture 14 Incandescent
SReceptacle 1 20 Special n
5 Receptacle 1 30 Special 5
5 Dimmers 1 600
5 Receptacle 3 GFCI 5
5 5
5 5
L� seal 5
5 5
5 1 of 1 IT
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
r
From: Norman H. Whitehead
2 Martha Circle
Barrington,RI 02806
To: Town of Southold Building Department
Southold Town Hall
Southold,NY 11971
Date: March 22, 2001
Request: Amendment to Town of Southold Building Department Permit Number
2713OZ to replace in kind damaged girder under existing porch on the west side of house
located at 14909 Main Road in East Marion,New York.
Attachment: Partial survey of property with porch highlighted.
SURVEY OF P"PjVRTY
AT EAST : '
TOWN OF SOUTHOLD
AUG. � 1 4 i a so" )
OCT. $ , 19 111 f cern. IOWA"" )
" Af.HWM
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'` A
PROFESSIONAL ENGINEER
HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631—765-2954 FAX 631—614-3516
Date: March 23, 2001
Reference: Whitehead B&B
John Bufus
Southold Building Department
Main Road
Southold
Dear John,
With regard to the repair to the porch at the Treasure Island B&B. Because we do not
know the extent of the repairs, I will supply an "as-built' drawing when the repairs are complete.
V ry truly yours,
•�fi� W J_
w '
r_ r
Jos p Fischetti, P �+
'"�E3810�P
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ Date
Owners Name: &re,�eqb /VW/n4N Reviewed: /F Q9
Architect/ Date 3 p 4 9
Engineer: Submitted:
SCTM M 7
District: 1.000 Section: 23 Block: Lot: "'
Project Subdivision
Location: M709mol"i F&OO T49ed)l.
Name:
Single&separate Required
certification: (Yes/No)
Req, r/ Req.
Zoning District: [Lot size: Actual: O ] [Lot coverage Proposed: 1
Req. t�l S T/N � *qO (Z e' A'I N Req,
[Front Yard roposed:�] [Side Yard Proposed: ` 1 [Rear
Yard Proposed: ]
Project Description: ,J ty' TIN) 4ew Mvbo stoOL
AGENCY PERMITS Per it
REQUIRED FOR REVIEW N A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone: �1�r
Notes:
Fy�►.rOA-rww �Ct9rt�py Jt1rvG,t1 ��.
765-1002
BUILDING DEPT.
SPECTION
[v] F UNDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
RE RK
-�:<� le9Z4
�L
l�
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
7
[ ] FOUNDATION 1 T [ UGH PLBG.
[ ] FOUN ION 2ND [ ] INSULATION
[ MING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
RE RKS-1 '
lel �
DATE INSPECTO
765-1802
BUILDING DEPT.
INSPECTIO
( ] FOUNDATION IST [ OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC S CHIMNEY
REMARKS:
3 # !
DATE INSPECT
At ��e-
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST ( ] ROU BG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
I 4Z
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ SULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPL E CHIMNEY
REMARKS-
Q L
DATE �INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] R GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE INSPECTOR J
o;n 3 d
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ) FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
&T je 726
ell 2� w/s
,DATE INSPECT
a1 30
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMN-�EYY
REMAR
--�
DATE D ,4 INSPECT
FIELD INSPECTION REPORT MATE y COMMENTS +�
FOUNDATION OST)
u u �
I y
CI u
FOUNDATION (—ND)_ -- —U-------IILA
--=___________________________________________________
n _
ROUGH FRAME 6 n II
PLUMBING jj 0
1 - -
II
INSULATION PER N. Y.
STATE ENERGY
ub
CODE
le, G y
D ' 2—
FINAL _Q /�yO
ADDITIONAL COMMENTS: _
S Qaf�cl- ,ZtP- L23 VI
rC�y As�
y \
z
ea
9LDaINSPECTIONN REPORT DATE �1$ aaaaaaaaaaa d
UNDATION
N
UNDATION ( ND)
,UGH FRAME h
0
PLUMBING
N- u
w�u
ISULATION PER N. Y.
STATE ENERGY
CODE
7�5
-_-_
N N
J
u U
FINAL —u r�
N �
ADDITIONAL COMMENTS:
oft. twcp
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FORM N0. 1 3 SETS OF PLANS ... ....... . .. . .
g 1rm
TOWN OF SODTBOLD SURVEY . . . . .. . . . . . . ..... . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . ... . . . . ... . . . . . .
BLOGAMM TOWN HALL SEPTIC FORM
b! SOUTHOLD, N.Y. 11971 . . . . .
TEL: 765-1802 NOTIFY/: U
CALL C1.6,�
Ex-mined.................. 19.... MAIL T0: f1/e/?/y�t,�(rUNiiFy l
3 P................................• Gox 33 �
Approved.... .:!l......, 19.1.1 Permit No. .... .... ....
Disapproved a/c ..................................,�ew r3o a�r3o > t'ffs>Mf.!?�onJ, /vyf' 939
(Building Inspector)
APPLICATION FOR BUILDING PERMIT p
Date.M4�C!�. . .�i. , 19. !. 1p
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship 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 application.
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 issue a Building Permit to the applicant. Such
permit shall be,kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Oooupaacy shall have been granted by the Building Inspector.
APPLICATICH IS HNEW MAffi to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Leis, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. 'the applicant agrees to amply with all applicable laws, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary inspections.
i��r!t ..r. ••••........... �L—...............
(Signature of applicant, or name, if a corporation)
k a . 3a x 33�
o.!�.n!y..r.0 9, a........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builders
....................................................................................................
Name of owner of prises .. .............H N H• Gt/ Jl TE L�
......... ..............................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. ... S:EL
............
Plumbers License No. .... J�..f P.1........
Electricians Lianae No. ...z�.4�.�
Other Trades License No. ....................
1. Location of land an which proposed work will be dune..............................................................
�`....................i✓....Ofl ................................................................................/Sr2/o 'J
Manse Number Street Hamlet
Comty Tax Map No. 1000 Section 3:.°°.... Block 0 / 100 00 3
................ Int ............ .
Subdivision ...................................... Filed Map.No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occnpagcy .. O wn/E2 o Gc u/'/FD �eD5`� 66L Ef/J<Ffl S
....................... ......................................
b. Intim use and ,pe1Cy - ECq�!s TI2v,�T v i y�O •o psro vC
..........*8MTATeA+i -
lAeYweNio?:r'? �1�8:7`1 YYP,TCbI)
YfniG:��ioiTu2.C4��t.';Ci�T7 t G.ON
.C&.8 3nY1.2LiSa:�th7h9T
3. Nature of work (check Which applicable): New Building ......... Addition .. Altera .
Repair ............ Removal ............. Demolition ............ Other WorkPE:AG.f .! je
!�D. X_+IS T/lam
(Descruption ' f9C T?1l2E
, .
4. Estimated Cost ....��j.P.q.a.......... fee
..............................................
(to be paid on filing this application)
5. If dwelling, rnmher of dwelling units ............ timber of dwelling units on each floor ................
Ifgarage, number of cars ......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.......
...............
7. Dimensions of existingstructures if °2 //.G a
� any: Front...,a........ Rear ....�.�:...... Depth ..�.............
Height ..../:...i................ 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 ....la........ Rear ..... ...... Depth ....�(�....
Height .....!J................. Huber of Stories ....f...............
9. Size of lot: Front ...........�.......... Rear ................�.t.�f.. Depth ....................
10. Date of Purchase . 3���.�.14L...... Name of Former Owner .1.`/4//4 z y I.? Te-HE-6
11. Zone or use district in Which premises are situated ......R-?Ip..............................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .......
13. Will lot be regraded ......�d...,........ Will excess fillbe removed from premises:,,, � NI) 4
14. Names of Owner of premises/�Q2�C:'Y�sW ��i. � resa�d.7.h1.c.MA/fY.�D .% MAIl!°fi�one u1 No. I.I.�QF'.�
Name of Architect .................................... Address .............................. Phone No. ..............
Nape of Contractor ................................... Address ...............................Phone No. ..............
15. Is this property within 300 feet of a tidal wetland? * YES ... 1A ..........
*IF YES, SO[JMD TURN TRUSTEES F=Cr MAY BE RMQU gD.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, Whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block ember or description according to deed, and show street names and indicate
whether interior or corner lot.
srn7E OF Nal YORK,
SS
candy of .......................
..........................................................being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named,
lieis the ...................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the application filed therewith.
Sworn to bqEgre me this � a
...... .. d 0f /yyA1IL" ...19. /
Notary Public f �y
::.. ................ .4..
NOTARY PUBUC,Sts�teof�NewYoAt (Signature of Applicant)
No.01ST8008173.Suffolk
Term Expires June a.20�;`r
r
- 41999
SURVEY OF PROPERTY
A T EAST MARION
TOWN OF SO UTHOLD
SUFFOLK COUNTY , N. Y.
40+
i
MAY 10. 1999
� / ��' OCT. 29, 1999 (1999 ( adOlm dalbe 1
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a.��OF Nfyyy
Elevations referenced to N.G.V.D. S�.110 %A 1. ME?.
j Y.S. LIC. N0. 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION y —
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW QtJIC 5 / RS, P.C,
EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS 0
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1Z3O LER STREET ./
MHOS£ SIGNATURE APPEARS HEREON 99 /- .9R
c�nl l n-In1 n KI v 11071
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TRINITY MK II Wood Stove - Clearances
Minimum clearances to combustible materials:
To the stove Without heatshields With pipe heatshields
or double wall chimney
Top Exit- Left side 22" (559 mm) 2" (559 mm)
Right side 48" (1220 mm) N/A
Back - USA 15" (381 mm) 9" (229 mm)
Back- CAN 19" (483 mm) 9" (229 mm)
Rear Exit - Side 22" (559 mm) 22" (559 mm)
Back 8" (204 mm) N/A
Corner 14" (356 mm)
Stove connector USA 14" (356 mm)
CAN 18" (483 mm)
To front of stove: (including furniture, wood supply, accessories, etc.) 48" (120 mm)
Fireplace Mantel 30" (763 mm) N/A
Fireplace Trim - less than 2"thick 22" (559 mm)
Alcove see next page
HORIZONTAL INSTALLATION 14" (356mm)
REAR EXIT FLUE COLLAR CORNER
INSTALLATION
TOP EXIT FLUE
22" (204mm)
(559mm) . . (559mm) 14"
8
HORIZONTAL INSTALLATION-TOP EXIT FLUE COLLAR
H14.' 18" NO SIDE DOOR SIDE DOOR
(356USA CANADA
(559mm) •For move installation_
Iffir(l
48" the side door will not be
used and the clearance
220mm) may be 22.-see next F
15" 19" for Alcove dimensions
(381mm) (483mm
Wood
Y -The Ashling The Leprechaun The Waterford The Sta ey 7
vwwriWoodstove OSA 104 MK II Coo tove 1
dowt High
Maximum Heat Output* 55,000 BTU/hr. 45,000 BTU/hr. 33,000 BTU/hr. 25,900 BTU/hr. 32, 0 BTU/hr. 40,000
1500-
Area Heated* Approx.2000 sq. ft. Up to 150\0 sq. ft. Approx. 800 sq. ft. Approx. 750 sq. ft. Ap
Total Bum Time* U to 10 hours APPM 8ours U to 8 hours U to 6 hours to 8 hours 101
*Actual heat output,space hea and bum time are
determined by climate,type of:ame construction,fuel
used and the manner in which the stove is operated.
The figures shown are rozimate to aid in correctly
sizing stove for individual heating needs.
Minimum hearth dimensions Refer to installation manual. Info.not available 29"w x 48"d 281/2"w x 45"
Weight 493lbs. 400lbs. a rox. 240lbs. 135lbs. 520lbs.
Height 281/4" 26" 251/4" 251/2" Z 58112"* 341/2"**
Width 3 1" 251/2" 14" 125/8' 351/2"
Depth 28" 21112"wi nue collar 20" 14" 241/4"
Flue Size 6"diameter 6"diameter 6' iameter 6"d- eter 6"diameter
Venting Top or Rear Top or Rear Top r Rear T p only Top only F
Rear Heat Shield Standard Standard Stanard ptional N/A
Height to Center of Rear Outlet 251/8" Info.not available 2131\1
Log Length 22" 18" 15" 15" 16"
Seno,Blue,Blush, Seno,Blush,Green, Seno,Blue,Bl High Temperature Seno,Blush/Brown, S
T Finish Available Brown,Careen Brown,Claret BmwnGreen Flat Black only Green/Black
Emissions DataThis product has not
1990 EPARlase Il Certified(Non-catalytic) 3.9 grams/hr. completed all safety 3.1 gramsAW. 2.9 grams/hr. Exempt
and emissions
testing or certifica- 0.3% (Oregon
Efficiency EQ tested)
11,500 to 43,800 tion at time of 91000 to 6,000 8,990 to 25,900
Output Range BTU/hr. (EPA) publication.
BTU/hr (EPA) BA/hr. (EPA)
All stoves have been successfully tested by Underwriters Laboratories to 1482 and UL 1482(UL Approval Testes
Safety Standards ULC6271111rova #MH110anUL a l 48 ¢Canaan#UL
diC628). No.MHt 1048)& Herse7
( Canadian ULC 628 and ort
Clearances ' Standards
Installation Clearance to Combustibles
Fire
Box Oven To Back
Clearance: (with rear shield fitted) Side Rear Corner Side Rear Corner S'`e Rear Corner Side Rear mer Side Side of Stove Side
Top Outlet 22"* 15" N/A Information Not 10" 141d' 13" 25" 1 9" 1 12" 12" 6" 16" N/A
Rear Outlet 8" 14" Available I20" 141/2" N/A See Manual N
IA
Front Clearance to 'ombustibles 48"
Clearance: (without hield fitted) Side Rear 1 Corner Side I Rear iCorner Side RearComer Side RearComer Side
To Outlet 22"* 15" N/A Information Not N/A N/A N/A 25" 161/2" 131/2" 1N/A
Rear Outlet 8" 14" Available N/A, N/A N/A I I see Manua] 3"
yes yes yes no no
-Height to
a of
For more detailed clearance infomration,please refer to product instruction manual, warming Compartment
or consult your authorized dealer. **Heigbt to Cook Top
NOTE. The specifications are subject to change,some specifications offered are preliminary.
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Q.,Box 337 DEC 7 East Marion' NY 11939-0
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APPROV D AS NOTED VS ah�ss►oN�
� IS N AWFUL
DATE: z.9-qq B.P t� ITHOU C RTIFICATE . `
FEE: �-- Blr< - OF OCCUPANCY I uNDERw �! FUTE
NOTIFY BUILDI DEPARTMENT AT h
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING ECTIONS: t- --
1- FOUNDATION - TWO REQUIRED Cho5Er
FOR POUR CONCRETE
6 X x -- ---
2. ROUGH - MING & PLUMBING
3.4. -FINALL4- CO STRUCTIO MUST
BE COMPLETE FOR C.O.
ALL CONSTRUC ION SHALL MEET
THE REQUIREM NTS, OF THE N.Y. - -
STATE CONSTR CTION & ENERGY ��/ iy
DESIGN ORO- ESPONStBLE FDA
CON TRUCTION-ERRORS ------
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- PROVIDE HR. RE �►� -Tv_3 .
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RATED SEPARATI TO
PARS 717.3 ( OF KA)EE WALL
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N.Y. STATE BUILDING CODE. -- ', �-
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If copper tubing Is used
-PLIJMBI, o m
+ system;piping shall be ALL !NG WAS
I Of types K w t. WATER LINES NEED - a„ =3 " t
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j TESTING BEFORE COVERING t' "' {
- » PLUMBER CERTIFICATIONIE o ON LEAD CONTENT BEFORE
o CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
_.APPLY SYSJ"CA .vs
Norman H.Whitehead,III 1VG'v
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T a 1494 Maip-load
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EastlMarion,NY ,11939-0337
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AS NOTED
i- APPROVED— :-
t_ i jl t DATE- O
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NOTIFY BUILDING bEPARTMENT AT
2 9 AM 70 4 PM FOR
f , ` FOLLOWING INSPECTIONS: E
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USE S UNLAWFUL
�._ 1g FON DATION TWO REQUIRE'
! y NIT OUT CERTIFICATE o ..a .._;
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Of_0 OCCUPANCY
2. ROUGH-aFFRRAMING &PLUMBING
- t 3. INSULATION i
r4. FINAL BE COMPLETE FOR C.O.
tON MUST .
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- dERWRITERS CERTIFICATE ALL CONSTRUCTION SHALL MEET
RFIIRED THE REQUIREMENTS OF THE N.Y.
. STATE CONSTRUCTION ION &
:ENERGY
CODES NOT RESPONSIBLE
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