The URL can be used to link to this page

Home My WebLink About30808-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31420 Date: 01/31/06 T~IS CERTIFIES that the building ALTERATION Location of Property: 250 PETTYS DR (HOUSE NO.) (STREET) County Tax MaD No. 473889 Section 14 Block 2 Stubdivision Filed Map No. ORIENT (HAMLET) Lot 9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 2004 pursuant to which Building Permit No. 30808-Z dated NOVEMBER 30, 2004 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 GAS FIREPLACE INST~-LLATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANDREW & CATHERINE ZURL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALT~ APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DA'£~U3 N/A Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: House Owner or Owners of Property: )'-~4/g') 3~ P &/ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Old or Pre-existing Building: L~ (check one) Street Hamlet Block O O 0 0. Lot FiledMap. '~7~0vc~ ? Lot: Date of Permit. t[/gO/O~ Applicant:/~l~loF4C,~?t4t'~'161¢ Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,~ o,~-~ Final Certificate: Po Gox (check one) ~a~ 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. 30808 Z Date NOVEMBER 30, 2004 Permission is hereby granted to: ANDREW & CATHERINE ZURL BOX 583 ORIENT,NY 11957 for : INSTALLATION OF A GAS FIREPLACE AS APPLIED FOR PER MANUFACTURER'S SPECIFICATIONS at premises located at County Tax Map No. 473889 Section 014 pursuant to application dated NOVEMBER Building Inspector to expire on MAY Fee $ 150.00 250 PETTYS DR ORIENT Block 0002 Lot No. 009 29, 2004 and approved by the 30, 2006. tho~ i'~e~Sig ~e ORIGINAL Rev. 5/8/02 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO/~IDATION 2ND [ ] INSULATION [ ]/~RAMING [ ] FINAL [~/] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE Vermont Castings, Majestic Products DVRT36/39/43 Clearance to Combustibles Appliance Top ............................................................ 0" (0mm) Bottom ....................................................... 0" (0mm) Side ........................................................... 0" (0mm) Back .......................................................... 0" (0mm) Venting Concentric sections of DV Vent ................... 1" (25mm) Non-concentric sections of DV Vent Sides and bottom .................................... 1" (25mm) Top .......................................................... 2" (51 mm) Mantels The height a combustible mantel is fitted above the fireplace is dependent on the depth of the mantel. This also applies to the distance between the mantel leg (if fitted) and the fireplace. Refer to Figures 4a and 4b and the Mantel Charts below them for correct mounting heights and widths. · The distances and reference points are not affected by the fitting of a bay window front trim kit. · Noncombustible mantels and legs may be installed at any height and width around the appliance. · When using paint or lacquer to finish the mantel, it must be heat-resistant to prevent discoloration. , Y A B C e E ~ Fireplace ~-"~ ¥oO~Vro Assembly /~ Top of Combustion Bottom of'Door '~ri~ ~ ~ Chamber CFM146 Mantel Cha~ Mantel Shelf Mantel from Top Ref. or Breast Plate Ref. of Comb. Chamber Depth V 10" (254mm) A 19" (483mm) W 8" (203mm) B 17" (432mm) X 6" (152mm) C 15' (381mm) Y 4" (101mm) D 13" (330mm) Z 2" (51 mm) E 11" (279mm) Fig. 4a Combustible mantel leg minimum installation. Black Surround Face CFM170 Mantel Mantel Leg from Side Ref. Leg Depth Ref. of Comb. Opening F 10" (254mm) K 11V2" (292mm) G 8" (203mm) L 91/2'' (241 mm) H 6" (152mm) M 7W' (191mm) I 4" (101mm) N 51/2" (140mm) J 2" (51mm) O 3V=" (89mm) Fig. 4b Combustible mantel leg minimum installation. Hearth Although a hearth is not mandatory, one is recom- mended for aesthetic purposes. A noncombustible hearth which projects out 12" (305mm) or more from the front of the fireplace is recommended. Cold Climate Installation Recommendation: ,~ When installing this unit against a nonlnsulated exterior wall or chase, it Is mandatory that the outer walls be insulated to conform to applicable insulation codes. 6 10002428 INSTALLER/CONSUMER SAFETY INFORMATION PLEASE READ THIS MANUAL BEFORE INSTALLING AND USING APPLIANCE WARNING! IF THE INFORMATION IN THIS MANUAL IS NOT FOLLOWED EX- ACTLY, A FIRE OR EXPLOSION MAY RESULT CAUSING PROPERTY DAMAGE, PERSONAL INJURY OR LOSS OF LIFE. FOR YOUR SAFETY Installation and service must be performed by a qualified installer, service agency or the gas supplier. WHAT TO DO IF YOU SMELL GAS: Do not try to light any appliance. · Do not touch any electric switch; do not use any phone in your building. · Immediately call your gas supplier from your neighbor's phone. Follow the gas suppliers instructions. If you cannot reach your gas supplier calf the fire department. DO NOT STORE OR USE GASOLINE OR OTHER FLAM- MABLE VAPORS AND LIQUIDS IN THE VICINITY OF THIS OR ANY OTHER APPLIANCE. MAJESTIC Direct Vent Models: DVRT36 DVRT39 DVRT43 Homeowner's Installation & Operating Manual ~ Vermont Castings, Majestic Products 410 Admiral Blvd. · Missi$$auga, Ontario, Canada LST 2N6 · 905-670-7777 www.majesticproducts.com · www,vermontcasfin§s corn INSTALLER: DO NOT DISCARD THIS MANUAL - LEAVE FOR HOMEOWNER 10002428 11/03 Rev. 5 APP~OV/ED AS NOTED DATE: il/~t)/~ B;;. 765-1802 8AM 7;; .;~M FOR THE FOLLOWING INSPF C7 'O;~: 1. FOUNDATiOq -; ',-': REQUIRED FOR POURED 2. ROUGH - FRA~G & PLUMBING 3. INSULATION 4. FINAL - CON~tqUCTION MUST BE COMPLETE ~O~ O.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, RADIANCE STARDANCE PINNACLE 26%" 29 3/4" 31" 28 1/4" 18 3/8" r-u . n . f-J, ,, ~q In 14W' ~'J - 15%" · 25" L]r I~, ........ -'~ Valve Inlet 1 V2" - 16" ~,J Vermont Castings, Majestic Products 410 Admiral Bl¥cl MTssissauga, OnL LST 2N6 Te I: (905) 670 - 7777 v~w, majesticproducts.com Fax: {905) 565 4690 www.vermonlcastings.com In the interest of constant product improvements, we reserve the right to change specifications without notice. Before installations, please read Installation Instructions and check all local Building Cedes and Gas Regulations. CDN Patents: 1 284 765, I 284 766,1 284 767, 1 295 899. U.S. PAtents: 4 838 240, 4 838 241,4 909 227. *Patent pending. YOUR VERMONT CASTINGS, MAJESTIC PRODUCTS DEALER Hampton Hearth Inc. (631) 283-4852 Fax (631) 283-5674 20 West Main Street 8ou~amptofl. NY 11968-4839 Version:2 1000-0350 08/03 RADIANCE STANDARD FEATURES RAI~J~.NCE OPTIONAL FEATURES , · Instb:Flame ceramic burner for · Gl(~s~ ~d ~atbl¢i¢ TilteF for realism and durabiJily Full adiu~table near 26,000 to maximbmefficieacy · Cohvent~r~t r~m~e control 35,000 BTUs · Choice of Classic Black and · Can ~)e oeerated by wall thermostat or remote control Red. Green. Moonlight Blue or Sand porceJc/in enamel · High quanw domestically 9roauced cast iron · 160 cfm fan with 4'heostot and thermostat · CSA design certified · Decorative ,,,~rming ~b~lv~ · Beautiful traditional styling · O~erabJe doors - ' · , ....',,, ' ...... .. ,.::':. · 7 ' -~;~,~,;....'.,' ~? : . . '. :-., .,.'? ,....; .:.. ,~ ;.'..:~:~ ,;~'...~ :..!:i' :~;f.~.',.':~',~:', :%.~..~f, .' ~,. · Insta-Flame ceramic buroer for .'~Jo~s apd ~Otg~?'fiJter, JO~ . ~ , . : :. . ~ '. ~...,.~ .:., ~.~.,-,;~.~,., ,: ..,z~-,.~ .. realism an~ durabili~ ~ ..m~mum'~ ~ Z ' . "~..~. ~'~,~'~: .~' "$'~,~I ' {~" ~" .,' ','~..'~ ~ .~.. · ~ '.~, .~. ~.C~ ~.,. ,. :,' ~.,.,, ~ · .~ ~ ~ ', ,~"', ,.r",~ ...' , PINNACLE St~m:klrd Features · Irt~o-F~me ceramic burner for reolism and durability · [~rab~e cast iron construclion · Full adjustable heat 19,500 to 28,000 BTUs · Utilize~ either propane or natural gos · CSA d~ign certified · Hoads~.me plinth bose · B~Olfl~uI unique traditional · ODS system for safety O,~.dJ ro r~ce · Most realistic glow and flame ix~ern available · Authentic ceramic fiber logs · GIo~s and catalytic filter for rn<~Jmu m efficiency · ~ of Classic B~ack o.r Sand or Mk:Jnight Black p~rcelain enomel · Fan kit with rheostat and thermostat · Convenient to install. · Can bo · Optional PuriFLAME inlerntJJ"r~t*,~¥,'~''"i°t','~'l · Can be installed directly oYe, ,:'¢v,~'~'~ LEGE~ID COLD AIR FOR COMBUSTION EXItAUST VENT-FREE GAS STOVES Efficient Zone Heat FIELD INSItECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL DATE COMMENTS ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING L, EPARTMENT TOWN ,~ALt SOUTHC~LD, NY 11971 TEL: (631) 765-180'~ FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ///~ ' ,20~ Approved t~t'J ,20f Disapproved a/c Expiration ~) , 20 ~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: 2 4 2004 APPLICATION FOR BUILDING PERMIT Date I//5~ INSTRUCTIONS ,2o a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 inspection throughout 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 permit shall expire if the work authorized has not commenced within 12 months at, er the date of issuance or has not been completed within 18 months from 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 months. Thereafter, a new permit shall 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections~/~ ~ /~ g (Signature of ~61icant or name, ifa corpomtian) State whether applicant is(own~e~ lessee, Name of owner of premises (Mailing address of applicant) agent, architect, engineer, general contractor, electrician, plumber or builder ? 2u L (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and ~tlt~e of corporate officer) Builders License No. ~7/~r,~*V/~/?,7~70 Plumbers License No. Electricians License No. ~/)c~' Other Trade's License No. ~eco ~,lo 0 r~ ~/~,~)o2e~ ~/9~ 1. Location~fland orlwhich proposed work will be done: ,270 PerrF,5 House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet 0 0 Block O >. O0 Filed Map No. Lot 00%00 Lot State existing uae and occupancy ofprer~i~'ses and ira,ended use and occupancy of proposed construction: a, Existing use and occupancy f-~'~e~,~Te l-Joule b. lntendeduseandoccupancy ~lv~ /0 3. Nature of work (check Which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5'00(3 Fee Addition Alteration Other Work~r~O/ (Description) / (To be paid on filing this application If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars .~ If business, commercial or mixed occupancy, specify nature and extent of each type of use. J Dimensions of existing structures, if any: From ,,Z ~' ? Rear Height -~'/ ,O~"~ ~e Number of Stodes 2. Depth -2~v/ ,2°° / Rear Number of Stories 2. Rear .ZP / Depth ~g D~ ~° / 10. Date of Purchase ~/~ ~/ Name of Former Owner 11. Zone or use district in which premises are situated /~0,._% Dimensions of same structure with alterations or additions: Front Depth ~,¢ / Height d ~' / Dimensions of entire new construction: Front ,2 ~, / Height ~--Y/ Number of Stories Size of lot: Front ,-/O0 / Rear 3 7o / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES .~r~ Will excess fill be removed from premises? YES_ 14. Names of Owner of premi$es ,~o~e~ ~_ Name of Architect ~-~/~9 Name of Contractor Address/Ye ~x)~ b'~0~l~'k,fPhone No. 323-/57/., Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this propc~rty within 300 feet of a 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. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW yORK) SS' cou /~v~ ~A~ t g y sworn, deposes and says that (s)he is the ,plic~t ~mc of ~d~ si~ng con, et) above rimed, (S)He is ~e ~ ~ F (Conmctor, Ag~t, Co~mte Office, ~c.) 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 before me this ~ ! Notary Public Claire L. Glew Notary Public. State of New No. 01GL4879505 Qualified in Suffolk Cour~ty _ Commission Expires Dec. 8.'~) 30~'o~'