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Home My WebLink About33466-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32703 Date: 10/30/07 THIS CKRTIFIBS that the building WOOD STOVE Location of Property: 230 (HOUSE NO.) County Tax Map No. 473889 Section 15 GREENWAY WEST (STREET) Block L- ORIENT (HAMLET) Lot 17 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 2007 pursuant to which Building Permit No. 33466-Z dated OCTOBER 11, 2007 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 "AS BUILT" INSTALLATION OF A WOOD STOVE IN AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS GLEASON (OWNER) of the aforesaid building. N/A SUPFOLK eou...:t DBPAR'l'MENT OF HEALTH APFROVAL N/A ELECTRICAL CKRTIFICATE NO. PLUMBERS CERTIFICATIOlII DATED N/A Rev. 1/81 1?,Y.. ~11?J Form No. 6 '~~_ TOWNOFSOUTHOLD Ilj a ffi {? .~ n7 ~ ,'51 BUILDING DEPARTMENT ! S TOWN HALL u1, 29 7, 765-1802 , ~:JI APPLICATION FOR CERTIFICATE OF occup~rvt~';!,>~~[,;;;:: --.J I' ~ 'wTl-lOI~ ~ This application must be filled in by typewriter or il!k 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 2/10 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: 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 tl1erefor 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 Celiificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 10 /,z1 /.RO(} 7 New Construction: Old or Pre-existing Building: V (check one) w~<<i ShVl t H,y'. 8FiI,1jtfJ6-l Location of Property: .:/30 G,red.rJJ'I/?l:'j- ~~t . b r;M .,v_ House No. Street Hamlet Owner or Owners of Property: Ersk-k a I 7J,Oh?t:1$ 4, c: leI/SON Jr. (JUIt:ud') '17.1 ~v, Suffolk COlmty Tax Map No 1000, Section 0 I~ Block (lOo I Lot 0/7 Subdivision Cir~&1 A-&r~S Filed Map. 'i7Jf'V' Lot: () 17 k Permit No. 8f't/FJ$/ft6 -1 Date of Permit. JO/Z.'/D7 Applicant 1J,lh1:I~~)tA.!o",17J: (~~;;;Jpy ) Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Ceriificate Final Certificate: /' (check one) Fee Submitted: $ Z!: 00 --jt-t-!:~ ~'/333{ Co -2: 3:l JO j., 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. 33466 Z Date OCTOBER 11, 2007 permission is hereby granted to: THOMAS TRUST GLEASON PO BOX 178 ORIENT,NY 11957 for : AS BUILT INSTALLATION OF A WOOD STOVE AS APPLIED FOR at premises located at 230 GREENWAY WEST ORIENT County Tax Map No. 473889 Section 015 pursuant to application dated OCTOBER Block 0001 Lot No. 017 1, 2007 and approved by the Building Inspector to expire on APRIL 11, 2009. Fee $ 400.00 ORIGINAL Rev. 5/8/02 3}f~0 ~H TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] l,.y [~~L~ [ ] FIRE INSPECTION [ ] RRE RESISTANT PENEmATION CfU DATE If) /J-rlrO ) / I .., INSPECTOR FIELD INSPECTION REPORT DATE " COMMENTS (p;g S-~ FOUNDATION (1ST) {;.., ~"" ;;.:, ----------------------------------- ~~~ FOUNDATION (2ND) ~~ , 2: Q.)9 IJ!' 0", ~ ROUGH FRAMING & OJl"J PLUMBING -, .., , S ~ ~ ~ f-------- - :r: \------- ~~ INSULATION PERN. y, , STATE ENERGY CODE ~ -to , , .. ..c- f;'" d -t',.,. (/,~ ~ f?J (. / 1ZZ , " ( ~ 1/ ~ D //./ ., 0. G/ ~ FINAL IIl1tr ~r"l .n-h en - }M-, /I J (j) ADDmONAL COMMENTS ~ " IJ' , 3' 0 I- :::: z m - ;lJ " , -r:::..trJ I ~ ::-~ 1 .., 0- -f\O 2: t!i 4 , --'"3 :p; l"J ... " , -a? ~ -\- TOWN OF SOUTHOLD BUILDING J>EP ARTMENT TO~ HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SouthoIdTown.NorthFork.net PERMIT NO. "3"3'-\bb~ 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 Storm-Water Assessment Form_ Examined Approved Disapproved alc ,20--;-- ,20~ Expiration ,20 Contact: Mail to: rhlJlY1/1 t 6i/UflJA' PO IP)OS'"NtwJul'fc,/J III'" /1'11" Phone: 6J/-71 ,-Z77! '>/6 -.JJ6 -7~zl C~I/) ~, -,:. "\\ Buildin Inspector f~\ ~PLICATION FOR BUILDING PERMIT \ -\'(... J C\,\ '. . . """ . Date s~pf-bYlky 2-1 , 20~ \ ,INSTRUCTIONS '~ _..~..-" .' ',' ',.;'-'--- ...... '.-- a. This appl;,i<;l!tiOl'rMuST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, '~te 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 ifthe 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. --Mtm~ i (b~~!'''' ~ (; IIh- ..",j, :ut ~el':' e,(~ e of applicant or name, if a corporation) ........ PO Sa/( 3$6 I ~..JU./~/I:. Ny (Mailing address of applicant) /19a State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder t;'X,cq/or 01 -k1h~rj UlZV-L ? . Name of owner of premises The E.skb of Tht7W1ad 4. Ci1..u1son -ckc~t1.w) (As on the tax roll or latest deed) t is a cOI'P.oratio signature of ~ly a thorized officer A~~,%ED AS NOTED ( er ':.t llY~c. )') DATE' /o/,,. ?' (Name t1 of corporate officer) 'J/:;' B.P. # 33'-ff..6-2. FEE:~ B\~ Builders License No. NOTIFY BUILDING DE:PARTMENT ^ Plumbers License No. 765-1802 8 AM TO 4 PM AT Electricians License No. FOLLOWING INSPECTIONS' FOR THE Other Trade's License No. 1. :g~~~~~~ 'C6~gR~~~UIRED 2. ROUGH. FRAMIN 3. INSULATION G & PLUMBING 4. FINAL - CONS IdfTE FOR C 0 ~~~~~~~~~~T10N SHALL M~ET 4HE Block vfl1:lk STATE 'I OFT~ODE~IQfJM Filed MIQENeN OR O~\~~I1RESPN/BLE FOR' , VI,; liON ERRORS. Location ofland on which proposed work will be done: ZJo 6,.u 04 Wlrt Or;'ud AI.. House Number Street ~ I. County Tax Map No.1 000 Section Subdivision Go N!,(ln ,(IGY-L-S (Name) O/~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructiqn:, a. Existing use and occupancy 'VJ..ri1'1J'l-!Dr NDtPd lJ"'n'IYI.J rkJ'V<.I ~-. b. Intended use and occupancy /41',",'1 ~ wd1J"8t Jur.mMt ./'hlAl- 3. Nature of work (check which applicable): New Building Repair Removal Demolition ".,4. Estimated Cost N ~4ftJI)O fslov~~;J:;:.,~"/;':hIlt't.) Fee Addition Alteration Other Work If)o,::u:ilJu,,t:!,, S}"V-l- (D cription) 5. If dwelling, number of dwelling units /t/A If garage, number of cars AlA (To be paid on filing this application) Number of dwelling units on each floor Al'1I 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. AlII 7. Dimeiisions of existing structures, if any: Front AI A Rear Height IV A Number of Stories N A ,vA Depth NI/ Dimensions of same structure with alterations or additions: Front #// Depth IVA Height Nil Number of Stories Rear AI A Nil Depth Nil- 8. Dimensions of entire new construction: Front ,IV /I Rear Height AlA Number of Stories tvll iliA- 9. Size oflot: Front Rear Depth 10. Date of Purchase '" zoor(rlrivt) Name of Former Owner FSW..t.. D I 7h'n7Ar G. 4/~J'P^, II. Zone or use district in which premises are situated IV A 12. Does proposed construction violate any zoning law, ordinance Qr regulation? YES NO V .s101l..( lnd#tlla.l;rn IDJI,wf /.IL ~f?"rzJY.uI "'nJ~I/&{~'n. -Yt12!., /hf - 13. Will lot be re-graded? YES_NO V Will excess fill be removed from premises? YES_NO /" 6k~ ~ r JltJ tArtPI"'!"j It/uf elt~h f. (i,)blJI'V) ~ 14. Names of Owner of premises ""~n".~.6I.MJ'''''' Address ~r;*'-t.IV'I Phone No. /E,s'f-7''I -Z77r Name of Architect - Address Phone No Name of Contractor 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 property within 300 feet of a tidal wetland? * YES_NO V * IF YES, I?E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. S"Jna j"'rbllAli'm Qx}s-Ir I ~ic.ktrlr An J-,.,cll<dul 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES_NO ~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~S' COUNTY OF .5-fF&> ' ~ being duly sworn, deposes and says that (s)he is the applicant . . dual signing contract) above named, (S)He is the ~.'f' EsW..e G'XI2Cu/'Y.{;Y' lh/M14f 6, 6k4.J'W ('/a/k,.) (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. kr 20 --'1.b.- ~~- S ure of Applicant . ~.;l2 . TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET .;( 0 VILLAGE DIST .,2 .;11- II E r ruST Cd ward D. f-Iou A kY) S W TYPE OF BUILDING . ~.~ 3 ~Q' LAND SEAS. IMP. VL FARM COMM. CB. MISe. Mkt. Value RES. 70 00 IZ€1J .G li:c:l 0 \l.\<. IJd 0- H~()3hiJl1 io c;l<<I,~ofJ $1oS;ot'J(> C;Q:2c; . . I'd/it) . f?, Glr'asaz 7?f<J r- /VI c.....- (easUYJ 7fusr 1o(lleasOY) Al;l AGE NEW FARM NORMAL BELOW ABOVE Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER I FRONTAGE ON ROAD DEPTH BULKHEAD Brushland House Plot Total DOCK -- - - j I ,. .~~~ . -' ,".;:';; cC.5, .~&.'. .. .;;.,':. "'.' 8/02 COLOR ...w ...J I'" In . , TRIM ~~ J"" 'f~, ~ . Iz ..3 ab.. - II r'( i6 '1 s 15-1-17 t4r, ~~g, Ext! ," en$lon 32. J\. ~n-qf_ . f-i ..u 6"~ II ~~ Foundation CU. Both ,2 'Ie- Dinette Basement ~ Floors K. V ",\;\ - ('~ Clr{( ~6~ 172q Ext. Walls Interior Finish LR. / Fire Place 'i6 Heat DR. / . Type Roof Rooms 1 st Floor BR. /J. I Yz ~ OD 2(,,4 Recreation Roar Rooms 2nd Floo ~ FIN. B. l~ 2. \\12 Dormer ) Driveway 1~5. (C ,- (8/2""~ 7,",,,,- '( I ~~sion Extension 14 \( A'k; ljq4 Porch \IK2'1' ..o~4 Porch Breezeway Garage 2,4 y: Z ~r, I.,J.J of Patio O. B. Total . . . j ~ "'iT " 'j I ~~ ' .6 ---- ..fj(,.s""~' ~it h l' .."'C.;;'"'", . ~f'~:":' .t.:.~' ' ., .jliO t ~/1~/ e DEFIANT log length: Burn Time: Heating Capacity: Maximum Heat Output: Efficiency Roting: EPA Emissions Rating: Weight: Flue Collar: up to 24" up to 12 hours 1,200 to 2,400 sq. ft. 55,000 BTU's/hr. B2.4% 0.80 grams/hr. 4B51bs. 8" oval, reversible Clearances (with optional shields) Back: Side: 17" 24" .,. """"" ~~l------l AEAR VIEW 1 f------t~l------l TOP VIEW INTREPID II log length: Burn Time: Heating Capacity: Maximum Heat Output: Efficiency Rating: EPA Emissions Roting: Weight: Flue Collar: 16" up to 6 hours 500 to 1,000 sq. It. 24,000 BTU's/hr. 74.9% 2.1 grams/hr. 2551bs 6" round, reversible Clearances (with optional shields) Bock; Side: 14" 24" 1--21-1f2" (540 mm)--I 21-1/4' (540 mm) 1---,18' I (0:lmm). 'n."" I (31mm) 1 25-1/4' {640mm} TOp exit fluecotlar height ~ ~ II J --It I 20-1/2" (52Omm) R.."", ~:r ~~~~)--1 ". apoci at Output: Efficiency Rating: EPA Emissions Roting: Weight: Flue Collar: Clearances (with optional shields) Back: Side: 181,k" (47Qmm) 25'1l I (64Omm) 257,4" Top exit (660mm) flue collar I -!;;;- height ~ .~ t I--- 27'-,----+j (685mm) DUTCHWEST Small Convection log length, Burn Time: Heating Capacity: Max. Heat Output: Efficiency Rating: EPA Emissions Rating: Weight: Flue Collar: 19" up to 8 hours 700 to 1,400 sq. It. 35,000 BTU's/hr. 69.7% 1.1 grams/hr. 3901bs. 6" round, reversible Clearances (with optional shields) Bock 14" 5ide, 22" Large Convection Log length, Burn Time: Heating Capacity: Max. Heat Output: Efficiency Rating: EPA Emissions Rating: Weight: Flue Collar: 22" up to 9 hours 800 to 1,600 sq. It. 40,000 BTU's/hr. 75.9% 1 .4 grams/hr. 4251bs. 6" round, reversible Clearances (with optional shields) Back 14" Side, 22" 1/~. -#3p~. up to 20" up to 1 0 hours 1,400 to 1,900 sq. It. 47,000 BTU's/hr. 76.7% 1.6 grams/hr. 4351bs. 8" oval, reversible 19" 24" 22'" (57Omm) 15W (390mmJ-! s' (130mm) 2"~mm) 23%' (595mm) f+-, 5V." (135mm) I--c 15' -:-I (36Omm) ~e-Uc-11~' e' 'r ~ w i = "-- ~ - I !]"----I ,-\501"-' ~C---C.~ m' W , ,. I . . i T .,"~- .--.- - Extra-large Convection log length, 25" Burn Time: up to 12 hours Heating Capacity, 1,200 to 2,400 sq. It. Max. Heat Output, 55,000 BTU's/hr. Efficiency Roting: 74.3% 1--":---1 EPA Emissions Rating: 1.3 grams/hr. Rl Weight, 5501bs. n Flue Collar: 8" oval, :J; reversible Clearances (with optional shields) . --. J Bock: 18" 27_ Side, 20" . ~"'i T ,-11~-~.' -