HomeMy WebLinkAbout29173-ZFORM NO. 4
~OWN OF SOUTROLD
BUILDING DEPARTMEK~f
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30031 Date: 02/19/04
'±~±S CERTIFIES that the building ALTEP~ATION
Location of Property: 435 WESTVIEW DR
(ROUSE NO.) (STREET)
County Tax Map No. 473889 Section 139 Block 1
Subdivision
Filed Map No. Lot No.
MATTITUCH
Lot 23
(HAMLET)
conforms substantially to ~he Application for Building Permit heretofore
filed in this office dated FEBRUARY 26, 2003 pursuant to which
Building Permit No. 29173-Z dated FEBRUARY 28, 2003
was issued, and conforms zo all of the requlremenns of the applicable
provzsions of the law. The occupancy for which this certificate is issued
is "AS BUILT" FIREPLACE kND CHIMNEY INSTALLATION IN AN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY JEFFREY T BUTLER
P,E. ON 9/10 03.
T~e certificate is issued to ERIC W MC CLURE & LUMI M ROLLEY
(OWNER)
of the aforesaid building.
SUFFOLK CO~DEP~TMENT OF~ALT~PPROVAL N~A
ELECTRICAL CERTIFICATE NO. 1192777 02/09/04
PLUMBERS CERTIFICATION DAT~ N/A
/ri z ed Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
29173 Z
Date FEBRUARY 28, 2003
Permission is hereby granted to:
CHARLES j SIREY
PO BOX 1477
MATTITUCK, NY 11952
for :
INSTALLATION OF A METAL HEATILATOR CHIMNEY FIREPLACE "AS BUILT"
at premises located at
County Tax Map No. 473889 Section 139
pursuant to application dated FEBRUARY
Building Inspector to expire on AUGUST
435 WESTVIEW DR MATTITUCK
Block 0001 Lot No. 023
26, 2003 and approved by the
28, 2004.
Fee $ 300.00
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPART_M~NT
TOW~ HA~
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typemriter OR ink and submitted to the building
inspector with the following: for new building or new use:
t. Final survey of ,~rop~rty 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. Swore s,~a~ement from plumber certifying that the solder used ia system contains
z/ o of tZ
~mme~ bg~i,n~, in~tstrmal buxldlng, mult~pte resxdences and similar buildings
~d [m~?~tl~io~$~ a ~ez~ifigat~ of Code Comp%lance from ar~itect or engineer
6. St~bm~t Flar~i~ ~Board ~pl~r~val of completed site plan requirements.
For exis~i.~g, bu~IRiBgs (prior to April 9, 1957) non-conforming uses, or buildings and
1. ~c~a~ s~Y pr* p~o~erty showing all property lines, streets, building and
~a~ ~ o~ -topographmc features.
2. ~ t~'~ ~d ;application and a consent to inspect signed by the applicant.
~ ~ G~~ ~ OccUpancy ms den~ed, the Building Inspegtor shall state the
~e~n.m ~o~' mn writing to the applicant.
C. Fees
1. Certificate of O~upancy - New dwelling $25.00, Additions to dwelling $25.00,
~eratioAs t~ ~w~lling $25.00, Sw~ming pool $25.00, Accessory building ~25.00,
Add%tion~ t~ a~ssory building $25.00. Businesses $50.00.
2. CertifiCate qC Occupancy on Pre-existing Buildin~ - $100.00
3. ~opy:~ of ~ert{~icate of Occupancy -
4. Opda~e~ ~erti~i~a~e of Occupancy - $50.00
5. TempDr~ry Cer~mfzcate of Occupancy - Residential $15.00, Commercial $15.00
Septemb%r 15 ~2003
Date ' ....
...... B, ~ldi~ X ~a~ bu it .~%0. for chimney
New Construction ..... Old Or Pre-existing ~, ~s .............
~. Westyiew.~aDr~e Mattituck
Location of Property ....................... C ..........................................
Ho~se No. ' Street H~mtet
~f~ ~...Sirey
Onwer or Owners of Property .................
County Tax Map No 1000, Section..~? ......... Block .......... Lot ....................
Subdivision ........................ . .. .. .......Filed Map .......... .. Lot.........-.. ........ .~
Permit No ~1--~
..... Date Of Permit ............... Applicant ...................
Health Dept Approval Underwriters Approval ...................
Planning Board Approval .................
Request for: Temporary Certificate ........... Final Certicate..~ ........ -
Fee Submitted: 25.00~ ~! _~
&!~ 3C~--~lt/~A~igail A. APPLICANT ~ickham, Agent
LYNNE
JANET
LAW OFFICES
!~,WICKHAM. BRESSLER. GORDON & GEASA. P.C.
13015 MAIN ROAD. P.O. BOX 1424
MATTITUCK, LONG ISLAND
NEW YORK 11952
631-298-8353
TELEFAX NO. 631-298-8565
wwblaw~aol.com
February l3,2004
WILLIAM W~ICKIIAM (06-02)
275 BROAD HOLLOW ROAD
SUITE 111
MELVILLE. NEW YORK 11747
631-249-9480
TELEFAX NO. 631-249-948~1
Atto: Gary Fish. Building Inspector
Town of SouthoJd Building Department
53095 Main Road
P.O. Box 1179
Southold. New York 11971
Re: Building Permit #29173z (chimney)
Premises:'435 Westview Drive, Mattituck, NY
SCTM# 1000-139-1-23
In connection with the above matter and pursuant ~o your notice dated
November 10. 2003 (copy er~closed), enclosed is the original Fire Underwriters'
certificate. I believe that this completes the requirements for the C.O. for the
chimney. The C.O. should be mailed to my office.
Verx. truly yours,
Abigail A. Wi~kham
W/dm
encl
30/shdbd2
Town Hail 53095 Main Road
P.O. Box 1179
Southotd, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 10, 2003
Abigail wickham, Arty
PO Box 1424
Mattituck, NY 11952
RE: Sirey, 435 Westview Dr,
To Whom This May Concern:
Mattituck
Thank you for
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
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 ~ 29173z chimne~
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
ERICJ, BRESSLER
ABIGAILA. WICKHAM
LY~NEM. GORDON
~AW OFFICES
WICKhAm. BR£SSIER. GORDON & GEASA.
13015 MAIN ROAD P.O. BOX I4~4
mAtTItUCK- LONG iSLAND
New YORK li952
September 15, 2003
WILLIAM W[CKHAM (06-02)
Arm: Gary Fish, Building Inspector
Town of Southold Building Department
53095 Main Road
P.O. Box 1179
Southold, NeW York 11971
Re: Owner: Sirey, Charles & - 435 Westview Drive, Mattituck, NY
C.O. application for "as built" chimney
SCTM# t000-139-1-23
Dear Gary:
The following items ~e enclosed in connection with the above matter:
t. C.O. application for "as built" chinmey~
2. Original Engineer's Inspection Report prepared by Jeffrey T. Butler, P.E.
addressing fire stops;
3. $25. C.O~ application fee.
I believe the above items satisfy the Department's requirements in order to issue the C.O.
Please forward same to my Mattituck office.
Very truly yours,
Abigail A. Wickham
AA~/dm
30/shdbd2
cc: C $irey
~.IEFF'REY T. BUTLER~ p.l='.
2rI OVERHILL RD,
SHORE:HAM., NE:W yoRK I 1986
631-2o8-8850
September 10, 2003
Town of Southold
Building Deparmaent
Re: Property owned by: Charles I. Sirey and Aileen R. Sirey
435 Westview Drive, Mattimck, New York
Dear girs:
· An inspection was made of the fireplace chimney at the above referenced address
on behalf of the owner. A visual inspection of the imerior of the chi/~hney
revealed that fire stopping was in place in accordance with Part 71 }~ of NYCRR.
Please call if you should have any additional concerns about this applicatiofi.
~,ncerely,
BY THIS CERTIFICA']'r':' OF COMPLIANC'-' THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET- NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
Located at
Application Number: 1192777
Section: Block:
Described as a Residential
JAMES MURRAY
P:O. BOX305
LAUREL, NY 11948,
¥
435 WEsT VIEW DR MATTITUCK, NY 11952
CHARLES SIREY
435 wEST vIEW DR
MATTITUCK, NY 11952
Certificate Number: 1192777
Lot: Building Permit~9173Z BDC: ns11
occupancy wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor,
was inspected in accordance w th the Nat ona Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 9th Day of Febr~,7, 2004.
Rate Rating Circuit TYpe
Miseallaneous
fxre place blp~er motor
Appliances and Accessories
Pool/Spa Circulator Pump/Motor I 0
Wiring and Devices
Switch 1 0
Receptacle I 0
F.H.P.
,General Pm-pose
General Purpose
1 of 1
This certificate may not be altered in any way and is validated onb' by the presence o[ a raised seal at the location indicated.
Applicant Date
Architect/ Date
Engineer: J Submitted
SCTM u:
Dismct: I_.000 Section: /~ Block
Pro jet[
I,ocation
~_ ~.~ Subdivision
Single & separate
cemfication:
Rcq.
{pmnt Yard Propos¢o:
Project Description:
AGENCX~,.t?gRMITS
REQUIRED FOR REVIEW
Required
[Side Yard / Proposed:
Req.
] [Rear Yard Proposeo
N.A._ NO
Permit
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:
N°te :
LISTED
The first name in fireplaces
Heatilator
1915 W. Saunders Street
Mt. Pleasant, IA 52641
A Division of Hearth Technologies Inc.
CIRCU LATING'WOODBURNING FIREPLACE
INSTALLATION & ~OPERATING
INSTRUCTIONS
FOR RESIDENTIAL USE
Models A36C, A42C
A SE~I~ WOODB~RN NG EIREPLAOE
41%"
HEARTH EXTENSIONS
HX4
CAT. # A B C D
GLASS DOORS
OUTSIDE AIR ENTRY
(Left Side Only)
\
BIFOLD ·
CAT, # A.
DM 1736 35~
I DM1742 41% I
[, tJK9
/[3~'~-- 2'/2
./
(Both Sides)
42" Unit
141/2'` - 36" Unit
INTEGRAL GRATE
(supplied)
GR18
GR19
FAN KIT OUTSIDE AIR KIT
FK23
INSULATED DUCT
UNINSULATED DUCT
UD4
8-98 5 28396D
SERIES WOODBURNING
SECTfOft ~ -
n He~til~
& 5~year I
SIate~
'remedie4
3aye oth,
PRE-INSTALLATION PREPARATION
FIREPLACE LOCATIONS AND SPACE REQUIREMENTS
Several options are available to you whee choosing a used as a room divider, installed along
location for your fireplace. This fireplace may be a corner or use an exterior chase. See
Along
Figure 1
Fireplace Locations
Figures 2 and 3 show two typical installations assum-
ing an outside air kit is being used. Therefore, an
allowance must be made for 90~ bends. Less space
is required when ducting goes directly outsi
forming elbows.
WITHOUT OUTSIDE AIR
{ A4-~ ~lI
WITH OUTSIDE AIR
CAT. # A
A42C 53"
Figure 2
Installation along a wail or ar
exterior chase.
5/8"
Figure 3
Corner Installation
WITH OR WITHOUT OUTSIDE AIR
CAT.# '' A, B,, C, D , ! E,,
WARNING:
DO NOT DRAW OUTSIDE AIR FROM GARAGE SPACES. EXHAUST PRODUCTS
GASOLINE ENGINES ARE HAZARDOUS.
DO NOT INSTALL OUTSIDE AIR DUCTS SUCH THAT THE AIR' MAY BE DRAWN FROI~
SPACES. RASEMENTS OR ABOVE THE ROOFING WHERE OTHER HEATING
OR FANS AND CHIMNEYS EXHAUST OR UTILIZE AIR.
THE POSSIBILITY FOR SMOKING OR FLOW REVERSAL.
8=98 8 28~
131
rno~
orn~
mmm
oo>
.~ n~ r-
A SERIES WOODBURN[NG FIREPLACE
TOP OF J
FIREPLACE
OPENING
Figure 8a - Fireplace (Side ~/iew)
~lajdr buiidthg codes ~pecify a minimum chimney height
above the roof too. Those specifications are summarized
in what is known as tho "Ten Foot Rule~', This rule. states:
If the horizontal distance from the side of the chimney to
the peak of the roof is 10 feet or less, the top of the chim-
ney must be at least 2 feet above the peak of t~e roof. but
ne,,er les~tharr.3 feet in overall heigat~bo~,e.the highest
point Where it passes through the roof. See Figure 9.
If the horizontal distance from the side of the chimney zo
thepeakof the roof'is more than t0 feet. a chimney
height, reSerence point is establrsbeo on the surface of the
roof a distance of 10 feet from the side.of the chimney in a
horizontal plane. The top of thechimney musd be at least
2 feet above thi~ reference point, but. neveF less than 3
feeUn h~ight aba)ye the highest point where it basses
through t~e roof.
These chimney heights are necessary in the interest of
safety and do not ensure smoke-free oeeration, Trees
buildings, adjoining roof lines, aoverse wind conditions.
atc.,.may create a need for a taller chimney should smok-
ing occur.
DETERMINING THE NUMBER OF CHIMNEY
SECTIONS REQUIRED
To datermif]e the chimney components needed to com-
plete your particular installation, follow the below steps:
1, Datermine the total vertical height of the fireplace
installation. This dimension is measured from the
base of the firebox assembly to the point where the
smoke exits the terminal cap,
2. Subtract the height of the firebox assembly (41 ~"/
from the overall heigntof the fireplace installation,
3. Refer to the chart on the right to determine what com-
panenfe must be selected to complete the fireplace
installation.
Determine the number of firestop spacers, stabilizers.
roof flashing, etc. required to complete the fireplace
installation.
beotilator
The first name in fireFIaces
THEN
MUST BE AT
BUT
NEVER LESS
THAN 3 FEET
Figure 9
Chimney Height
Height of Chimney Components
Chimney Stabilizer
SL3 4%"
Firestop Spacem
FS338 0
FS339 0
FS340 0
OffseFRstums
SL315 13%"
SL330 14~"
Roof Frashing
RF370 0
RF371 0
Chimney Sections*
SL308 4%"
SL312 10%"
SL318 16~"
SL324 22%"
SL336 34%"
SL348 46~'
*Dimensions reflect effective height.
8-98 13 28396D
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INS~JI~TION
[ ] FRAMING [//~INAL~
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]~~,,
[ ] FRAMING [~/] FII~AL~/~-..-~//
[ ] FIREPLACE & CHIMN~EY
?
DATE
INSPECTOR'
/'~-'~ 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]~ON
[ ] FMING [ ~/]/FINAL
[]FIREPLACE&CHIMNEY
REMARKS: :~) /~ -~--~
DATE
INSPECTOR
765.t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
ww~v. northfork.net/Southold/
Examined
Approved
Disapproved aJc
~,x~, 200 ~
_F,~, 20 ~_
Expiration
PERMIT NO. ~? 73
~ : BUILDING PERMIT APPLICATION CHECKLIST
· - 6 ,-:,:~ . ~: Do you have or need the follow/ag, before applying
t Board of Health
"" · ! 3 sets of Building Plans
Planning Board approval
~/~ Survey
Septic Form
N.XiS.D.E.C.
Trastees
Contact:
Mail to:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 20
INSTRUCTIONS
a. This application MUST be. completely filled in by ry-pewri~er or in ink and submitted to the Building Inspector with 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 waterways.
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 a permit
shall be kept on the premises available for inspect/on tkroughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building perm/t shall expire if the work authorized has nor commenced within 12 months after the date of
issuance or has not been completed w/thin 18 months lkom such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six momhs. Thereafter. a ne~v permit stroll be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town Of S0uth01d. Suffrlt~ County, New York, and other applicable Laws, Ordinances or
Regulations; for the crnstmction of buildings, additions, or alterations or for removal or demolition as herein described. The
apphcant agrees re comply with all applicable laws_ ordinances, building code. housing code, and regulations, and to adafit
authorized inspectors on premises and in bnilding for necessary inspections.
OCCUPANC
~E ~ ~ [A~r~ [ (Signature of apphcant or name, if a corporation)
REQUIRED
~tate whether appticff~t is owner, lessee, agen .g/architect, engineer, general contractor, electrician,'pI~or builder
(As on the at,ell
If applicant is a corporation, agnarure of duly authorized officer
(Name and title of corporate officer] ~. FOI~N~ATION ~ TWO REQUIRr=D
~. ROUGI4 - !~KA,.I~tNG & pLUNiBING
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on.which -proposed work:will be done:
House Number Street
8. INSU~TIGN
& FINAl. · OON iT !.JCTION
BE COMPL~T~
ALL CONSTRUOTIO~
THE REO,~T~
~.~ ~'pbNSIBLE ~oa
H~et
County Tax Mag.No. 1000 Section ff ~ q Block -/
Subdivision /~-~ ~'o cO e ri; ~ t9 o ~.~ ~; Filed Map No.
(Name)
Lot
iLot
2i :stYe ex,ting use and occupancy, of premises ,a~zd~t~ ended use and occupancy of proposed consmieii~n:
a. Existinguse and occupancy ~;~.¢1 ~t~O(_....,
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair ~ova~. Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars l
Fee
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor_~r~', ~,
10. Date of Purchase [.~-7~/~"/q fi~
6. if business, commercial or mixed occupancy, specify nature and extent of each type of use. /~],/~.
7. Dimensions of existing struomres, if any: Front_ ~.~ 6 Rear~_~ Depth
Height A~eec¢ 0~' Number of Stories_.
,,/
Depth ~/"7-- ' g ~' ' Height 4,~O~g/~ ~0 ' Number of Stories
Dimensions of entk%new construction: From_ o~- ~' Rear
Height ~'~O Number of Stories
Size oflot: Front ~o~,~')~'~. Rear ~'~2t.~f~, Depth
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO L,/'
13. Will lot be re-graded? YES NO t-/'~Will excess fill be removed from preruises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Conrractor_~//c~,l.~ / .,~7',¢. Address-~L~//~} ~,~ &,~P, hone No. ~) 5}-l~ -
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES t,---" NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E,C. PERMITS MAY BE REQUIRED.-
b. Is this propen7, within 300 feet ora tidal wetland? * YES ~ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
] 7. If elevation at any point on property is at 10 feet or below, must provide topograpt:dcal data on sm-vey.
STATE OF NEW YOi%KI
COUNTY OF ) ' *: -: ' ~, :; ~ ~&
~ being d~v swo~. deposes ~d says ~at (s)he is ~e applic~1
(S~He is the
~ (Con, actor Ag~t, Co,orate Officer, etc3
o~ said owner or owners, ~d is duly authodzed, t~erfo~ or have p~omed the said work ~d to ~e ~d file ~s application;
that a~ starmems cg~ed in ~S'appli~fi0~ ~g ~e to ~e best of ts ~owledge ~d betel; ~d that the work will be
pe~omed ~ the ~8~.s~ fo~ ~e ~pE!~¢~ti& filed therewi~.
Sworn to before me this.,
~ lic
E[t~H A ~ATHtS
NOTARY PUBLIC, S~te of New
No. 01ST6008~ 13, S~olk ~)~nM
Te~ Expir~ .June 8.20~