HomeMy WebLinkAbout32418-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 12/19/06
No: Z-32082
THIS CERTIFIES that the building ALTERATION
Location of Property: 11255 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 142
(STREET)
Block 2
MATTI TUCK
(HAMLET)
Lot 20
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 12, 2006 pursuant to which
Building Permit No. 32418-Z
dated
OCTOBER 10, 2006
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 WOOD STOVE INSTALLATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to JACK SAVARESE
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
~~
Authorized Signature
Rev. 1/81
yu " ~c: X t ~ cf: 157 Form No. 6
"'fYlq -r-'1- ,\v-LlL- ;V 7. If TOWN OF SOUTHOLD
. BUILDING DEPARTMENT
TOWN HALL
765-1802
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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:
I. 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 2/1 0 of I % 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:
I. 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
I. 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. . I {) J '2 ) () b
,
~
Old or Pre-existing Building:
(check one)
tJlt;,.J- -1.: +V\.d:.
New Construction:
Location of Property:
1/255
House No.
Y'vI '^ \ "
KcX
Street
Hamlet
Owner or Owners of Property: J A ( Ie. SA-v A-'l2.0SE
Suffolk County Taj< Map No 1000, Section __ _. Lj~_.__ Block
02
Lot
zo
Subdivision
Permit No) 2 Lf I g
_ '.____ _________ Filed Map.___
Date of Permit. /0 -/0 -0 ~ Applicant: "3 AC ~
- C'lrt! ~C~'1
Underwriters Approval:
Lot:
)A-VlAre5'e.
."\-\v(''IcJ'-----.
Health Oept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $ Z. 5'. ()O
Go ~ 3XJ~)'
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/ ppl' ant Signature
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.
32418 Z
Date OCTOBER
10, 2006
Permission is hereby granted to:
JACK SAVARESE
23 POPPY AVENUE
FRANKLIN SQUARE,NY 11010
for :
INSTALLATION OF A WOOD STOVE AS APPLIED FOR
at premises located at
11255 MAIN RD
MATTI TUCK
County Tax Map No. 473889 Section 142
Block 0002
Lot No. 020
pursuant to application dated SEPTEMBER 12, 2006 and approved by the
Building Inspector to expire on APRIL
10,2008.
Fee $
150.00
;&-~ LiLA .:-
( Authorized Signature
ORIGINAL
Rev. 5/8/02
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Specifications'
Firebox Capacity (I)
Maximum log Length
Flue Exit & Oiameter
3.2 cubic feet
22"
Top exit
6" flue collar
yes
yes
yes
yes
550
575
Ash Pan
Optional Slower Kit
Mobile Home Certified
Alcove Certified (2)
Actual Weight (Ibs)
Shipping Weight (Ibs)
Emissions
Heat Output (3)
Efficiency
Heating Capacity (4): Up to".
Surn Time: Up to".
HeatLife ™ (5): Up to".
2.S grams/hr
SO.OOO STUs
73%
2,500 sq It
10 hours
14 hours
2.3 cubIC feet
21"
Top or rear exit
6" lIue collar
yes
yes
yes
yes
475
500
2.7 grams/hr
55,000 STIIs
73%
1,900 sq It
S hours
12 hours
2.2 cubiC feet
22"
45 degree exit
6" flue collar
yes
no
yes
yes
425
470
2.4 grams/hr
60,000 BTUs
730/.
2.000 sq ft
S hours
12 hours
2.0 cubIC leet 2.0 cubIC feet
22" 22"
Top or rear exit reversible oval flue collar;
6" oval.to.round starter pipe induded.
yes yes
yes yes
yes yes
yes yes
3S0 380
440 440
1.9 grams/hr
50,000 BTUs
74%
I,SOO sq It
S hours
12 hours
1.9 grams/hr
50,000 STUs
74%
1,800 sq It
S hours
12 hours
i single.wall plpa & .0
Side of stove to side wall A
Sack of stove to back wall B
Corner of stove to side W'illl C
Center of pipe to back wall 0
Front of stove to back wall E
Front of hearthpad to back wall (UI) F
Front of hearthpad to back wall (CDN)
Corner of wall to front of stove G
Corner of wall to front of hearth pad (US) H
Corner of wall to front of hearthpad (CON)
Center of pipe to corner of wall I"
Edge of pipe to side wall r
With double.wall pipa & raar haat shiald
lide of stove to side wall A
Sack of stove to back wall S
Corner of stove to side wall C
Center of pipe to back wall 0
Front of stove to back wall E
Front of hearthpad to back wall (US) F
Front of hearth pad to back wall (CDN)
Corner of wall to front of !love G
Corner of wall to front of hearth pad (US) H
Corner of wall to front of hearth pad (CDN)
Center 01 pipe to corner 01 wall I"
Edge of pipe to side wall J*
Minimum Hearth Pad Size. US (8)
Minimum Hearth Pad Size. Canada (8)
18" 11" 20" 23" 23"
19" 16" 25" 26" 26"
14" 12" 18" IS" IS"
24" 21" 24" N/A 29"
43" 35" 45" 45" 45"
59" 51' 61' 61" 61'
155 em 135 cm 160 cm 160 em 160 cm
51" 50" 60" 56" 56"
73" 65" 76" 72' 72'
IS6 cm 113 cm 193 cm 183 cm IS3 em
3S' 36" 19" N/A 3S" '~1
24" 19" 25' N/A 22-1/2"
IS' 16" l I5"R 16" 14" 16"
S" 1" 13" 1" 1"
14" II'" 12' 12" Il'"
13" 12" IS" N/A 10"
32' 26" 33" 26" 26"
4S" 42" 49" 42" 42"
127 cm 112 cm 130 em 112 cm 112 cm
51" 4S" 51" 41" 41"
7l" 64" 61" 63" 63"
IS6 cm 16S cm 170 em 160 cm 160 em
3S" 34" 32-112" N/A 29-1/2"
24" 17.5" 18.1/2" N/A 16-1/2"
39" W x 46" 0 47" W x 31.5" 0 42" W x 42" 0 41"Wx41"O 41"W x 41" 0
99 em x 122 cm I35cmxllO(m 107 cm x 112 em 104 cm x 104 em 104 cm x 104 cm
39
::J (f{ f( j)
HEARTHSTONE
l--bf( W pi
WOODSTOVES
Parallel Installation
HEAflTHPAO
.2 cubit feet 2.1 cubit reet 2.0 cubic reet 2.4 cubic reet 1.1 cubit feet f'
16" 23" 21" 22" IS" I
F
Top exit 41 degree exit 45 degree exit Top exit Top exit ~ l-eve
6" flue collar 6" flue collar 6" flue collar 6" flue collar 6" flue collar .A
no yes yes no no - /
yes yes yes yes yes WALL ), &:1.
yes yes yes no ./~ no
yes yes yes no no ~ /799
313 410 400 ISO 349 .
338 m 425 ISI 416
f SoO/)
, li1ajtl~
2.9 grainslhr 3.5 granu/hr 2.1 grams/hr 3.2 gramslhr 4.3 grams/hr ,
'. /'
36,000 BTOs 10,000 STOs 10,000 STOs 60,000 BTOs 40,000 BTOs ;>, '
13% 16% lW. 13% 11% >,,/ ~
1,300 sq It 2,200 sq It I,SOO sq It I,SOO sq ft 1,200 sq It . ,
, ellll
1 hours 10 hours S hours 10 hours S hours ., ,1,
9 hours 12 hours 10 hours 12 hours 10 hours "'" //GH
''<-!/ /Yj/J
(I) The amount and weight of wood contained
16.1" 12" L IS" R IS" 12" 13" per cubic foot of firebox ,olum. can
19" IS" (7) IS"_ N/A N/A "'Y from 15 to 36 lb.. per cubic fOOl
depending on type of wood, moisture
11" 13" Il" _ N/A NfA conten~ packing density, and other facto~.
24" 19-1/2" 25-1/2" N/A N/A As a constant for comparison and test
31" 36-1/2" 42-1/2" N/A N/A purposes, we are assuming 20 Ibs. of
seasoned hardwood per cubic foot of
II" \3" 19" N/A N/A firebox volume.
134 em 140 em 160 cm N/A N/A (2) See Owner's Hanual for specific alco"
51" 12" 10" N/A N/A dearances and alcove h.arth pad
61" 6S" 66" N/A N/A requirements.
(3) Heal output will vary d.pending on
115 em I1l cm 16S cm N/A N/A frequency of loading, the dryness and
40" 33" 30" N/A N/A quality of wood used, packing density.
25.5" 20-1/2" 11" N/A N/A and other installation variables.
(4) Heating capacity is an approximation
dependenl upon type of wood, loading
16.5" 12"l IS" R 21" N/A NfA configuration, floor plan. house construction.
S" 16" (7) 12- N/A N/A venting configuration, heat loss, geographic
1" 12" 6" -K- N/A N/A loeation of horn., and other usage and
regional variables.
13" 11-1/2" 13-1/2" N/A N/A (5) H.al life ™ is a trademark of
24" 34-1/2" 30.112" N/A N/A HearthStone Qu~ity Horn. H.ating
40" 50-1/2" 41" N/A N/A Producu and is defined as the quantity of
heat stored within the therm~ mass of
106d11 114 cm 125 em N/A N/A the stove. Used here, it refers not just to
n" 51" 40" N/A N/A burn time but to tot~ hour> of usable
53" 61" 56" N/A N/A h.at from a singl. load of fuel.
139 cm 110 em 142 em N/A N/A (6) Clearances on this page are for referen!!
only. Refer to the Owner's Manual for
26" 32" 20" N/A N/A exact specifications prior to installation.
15.5" 19-112" 10" N/A N/A (1) Th. Bennington rear heat shi.ld is buill
118"W xli 118" D 4S" W x 39" D 36"W x 41" D 3S 3116"W x IS" 0 36"W x 16" 0 in; no addition~ rear heat shield is
'6 em x 106 em 121 em x 104 em 91 em x 114 em 91emx46cm 92cmx46(J1l required.
(8) See Owner's Manu~ for sp.cific h.arth
material and ft.-value requirements.
M~A ~ OJ(!iQ ~41.degree elbow if required
'. 40
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold!
PERMIT NO.
3,}-st/8 L
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:
Examined
Approved
Disapproved alc
Mail to:
Phone:
Expiration
rfro ,201
J~
/
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
Se.r-t. 11-
,200b
INSTRUCTIONS
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 oflot 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 after 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 South old, 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.
OCCUPANCY O~ Po 60 S-Cf'l
a USEfSUNLAWFUL Mo...-rr'lI,VLk-,)J Y Ilq.r~
ALLCONS1~ 1~I7'1ALL WITHOUT CERTIFICATE ( ailing address of applicant)
MI!!EfTHE R';C~U~Mf;rJf'ao OF THE .
Sta~ ~~~; lesseF1OO00P~NOV-eer, general contractor, electrician, plumber or builder
o uJ fLe r APffiOVED AS NOTED
V R..E EPATE: IO/,O/J. B.P.# 3.rt.fr?:'L-
(As on the tax roll o~s BY:
If applicant is a corporation signature of duly authorized officer NOTIFY BUILDIN"i L ,~f,RTMENT AT
, 765.1802 8 AM .0 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION. TWO REQUiRED
FOrt POURED CONCRETE
Builders License No. 2. ROUGH. FRAMING & PLUMBING
Plumbers License No. 3. INSULATION
Electricians License No. 4. FINAL. CONSTRUCTION MUST
Other Trade's License No. 1, 4 a '1 '3 _ td BE COMPLETE r-OFl C.O.
All CONSTRUCTiON SHAll MEET THE
. . . REQUIREMENTS OF THE CODES OF NEW
I. LocatIOn of land on whICh proposed work WIll be done: ~STAT ' 'IV RESPQt1S\W-E...fOR
---1J .1 '5~ AAjJ. ,/I; ~oA D ,IvtA--1-r t111'ffJ _ ~~nlucTIt>>I~
House Number Street ~am et
Name of owner of premises
L~(,
(Name and title of corporate officer)
,/
County Tax Map No. 1000
Subdivision
Section~Block 0 ?.,
Filed Map No.
Lot ~ tJ
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. -'Existing use and occupancy
b. Intended use and occupancy
Addition Alteration
Other Work \N O(')('~- ~ l-l.fll j 4~ .f+()ve.
1/ (Descriptio )
Fee 7L I I'o . ",-
(To be paid on filing this application)
Number of dwelling units on each floor
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost I '1 00 f) --
J '
5. If dwelling, number of dwelling units
If garage, number of cars
6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
/10. Date of Purchase
Name of Former Owner L. W AR..D McCABe-
~ II. Zone or use district in which premises are situated
12. Does proposed construction violate any.zoning law, ordinance or regulation? YES_NO_
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
M.ArJ?c.#-
14. Names of Owner ofpremises~ddress II '2 t'~ (fJA!Jl R Phone No.h ~ I ?If 8' I~ '/9
Name of Architect Address Phone No
NameofContractor}/\S'N I';-rLRj/JR I:tfJJ~-"\ddress \DoH',,," l'or+lqlPJponeNo. (,,'1/ 11b 1000
I-fl>. r::~J(Ylltr)6I'i/1e NY 1/1 Jf
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO_
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
.,.r ';, I;" ," \
16. Provide survey, to scale, with accurate foundation plan and distafices\t'o.proll'1:rty lines.
. i,,,". ;~\ 32U
17. If elevation at any point on property is at 10 feet or below, must.provid.~~op?-pa~~ical data on survey.
. ('.....' ,.::. _ ~ -J.
STATEOFNEWYO~s: "~;i~~'.()~)O .:~O
COUNTY OF JIBS /tAt )
-;1"A L \<.... .s. A. \f, p.., f {;S {";' being duly sworn, deposes and says ~t (s)he is the applicant
(Name of individual signing contract) above named, ;JlJP'-''' 76? fli;r-Uc>
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,.....,...,'"
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(S)He is 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 before me this a
.\l. day of l
~~
,d.-
Notary Public
k.lfneS B. Ehrlein
i\Jotary Public state of New York
r'~o. 01E:H5031732
0ua!:fled in Nassau County
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200&
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING M FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS; ~ Lt.-- If) /C,
DATE I()-~ r~oh
INSPECTOR ~,~