Loading...
HomeMy WebLinkAbout33995-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 06/26/08 No: Z-33122 THIS CERTIFIES that the building GAS FIREPLACE Location of Property: 7617 (HOUSE NO.) county Tax Map ,No. 473889 Section 59 SOUNDVIEW AVE (STREET) Block 6 SOUTHOLD (HAMLET) Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 2008 pursuant to which Building Permit No. 33995-Z dated JUNE 19, 2008 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 A GAS FIREPLACE AS APPLIED FOR. The certificate is issued to PAM MAINO & RICHARD JOHNSON (OWNER) of the aforesaid building. N/A SUFFOLK COUIIITY DEPARTMERT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED ~. Au horize~ature 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. 33995 Z Date JUNE 19, 2008 permission is hereby granted to: PAM MAINO & R JOHNSON 7617 SOUNDVIEW AVE SOUTHOLD,NY 11971 for : INSTALLATION OF A GAS STOVE AS APPLIED FOR at premises located at 7617 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473889 Section 059 Block 0006 Lot No. 014 pursuant to application dated JUNE 9, 2008 and approved by the Building Inspector to expire on DECEMBER 19, 2009. Fee $ 200.00 4-;'/...... ~ /M~ Authorized Signature ORIGINAL Rev. 5/8/02 . '- !~-- .l I ... TOWN OF SOUTHOLD .BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.uet 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 Flood Permit Storm.Water Assessment FOfDl_ /1 ?:fJ - PERMIT NO. )' 7~ '(:... Examined 20(){ 20C~ Contact: Mail to: Approved Disapproved ale Phone: t'" '1120Jt;- ..i'7 Hl r~ 1.0 Expiration /c.# Building Inspector r~ n ; _9 APPLICATION FOR BUILDING PERMIT Date']U jfJ -'l , 20.QB. q _-.-----....J INSTRUCTIONS .'q.;,':~s~plicaf n MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ofp ans, - t 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 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. APPLlCA nON 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 inspecti ns. ALLCONSTRUCT!C"~'1Juk C...t ~r-""""Av,llf IJ1 "738 ME~~~~;~;~~\(1 . (~31)'11?J ?>71(qaili:1~lo)"tCi8)_.4.{,2E. State whether applicant is owney,'I1!II's'I!~ all~nl,'~hitect, ,,)}gineer, general contractor, ~V;OOi>PrSrN@'f<ED OWn-e...... DATE: relrrv f'" # 33'1153- Nameofownerofpremises PCll..--eJ4I M.a.., h (,) Itl""\d ~\c..~ ~o""..,r:~: lIN~RWRmR~\lII;,\IlX roll or latest Y BUILC;~'IC ,;Ni IME;T AT If applicant is a corporation, signature ol'gitlY.'l.iUliol'fz\!li'OI1f~\ff\ 765-1802 8 AM TO '; DM FOr; THE I1tQUIRED FOllOWING INSPE'TIONS' (Name and title of corporate qlficer) , NC 1. FOUNDATION. TV. ';0 RE'Q' ":>= . 'vur'/,,\ Y OR FOR' v ,~D Builders License No. POURED CUCRETE Plumbers License No. 2. ROUGH - FRAMiNG & PLUMBING Electricians License No. . 3. INSULATION Other Trade's License No. I;, IT~ ,;'i-T}OrJ 4. FINAL . CONSTRUCTION MUST . . n~ f\ - BE COMPLETE FOR C.O. 1. Locallon ofland on WhlCh'Propo~€. !i ,~O~ S ION SHAll MEET THE H"'l'let" " ,; 'r''''~'l:'''~: Block ~DE;;'I"" loot '." J,l+ ..i trlRORS. Filed Map No. Lot County Tax Map No. 1000 Section Subdivision ~Gj 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy g#"..A~~n Q I pe.-r (#ucV"II,\n.+ L~ b. Intended use and occupancy y ~ ~ VI.. , Po. y 3. Nature of work (check which applicable): New Buildin~ Repair Removal Demolition Addition Alteration Other Work c.;clcl. ho"l at h...n!-. (Descnption) 4. Estimated Cost Fee 5. If dwelling. number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 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 ofpurchase 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_ 13. Will lot be re-graded? YES NO./ Will excess fill be removed from premises? YES NO ~...l:. 'h~ -f"Wl-CIA ? ~~I4>C+ 11~Jlb?1 bq~lU.,-d 14.NamesofOwnerofpremises::r.....""'h~ 1"lA.Jl.dltressfO~rm'"'}"dJ,,l:l'(honeNo. b?l '-11-:>' 7,"7'1 Name of Architect Address Phone No Name of Contractor Address Phone No. IS a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? 'YESL-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_ . IF YES. D.E.C. PERMITS MAY BE REQUIRED. ~16..Provide survey, to scale, with accurate foundation plan and distances to property lines. ~ 17. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on sUlVey_ 18. Are there any covenants and restrictions with respect to this property? . YES_NO_ . IF YES. PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contTact) above named. <;ONNIE D.IlUNCH Notary PubfiCIlState of New York (S)He is the No.01 U6185050 (Contractor. Agent, Corporate Officer. etc.) Qualtlled In sutftjlk County, 1'1 Commission Expires April 14. ZO~ 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. s~ to before me this f"I c;;. -l+I day of CO uN 20.-\La ~~ I~ tSu I\oi- Notary Public ' /;3 ;7~-:t:; TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~LATION [ ] FRAMING I STRAPPING [v(FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENEmAnON REMARKS: l')~ ~ e.,O. II DATE Ohty;{8 I / INSPECTOR ~Lf , .'. FIELD INSPECTION REPORT DATE I COMMENTS . \}) . \}J~ S>~ -D..., \1\"" /1J 1, \tl }t~ ;:t -J~ r '.' ...J<Zl ..., I [;g lr'\~ (1 C ) 0- <., r (-0:: ~ I;"" , FOUNpATION (1ST) . FOUNDATION (2ND) ROUGH FRAMlNG & PrlUMBING --- -- INSULATION PER N. Y. f----- STATE ENERGY CODE cf4~U/~ ~e.c:;: ...--1(,.'~ I ,- 'r f?t-~. \ /f -. ~ ( r' :t.. ;-:> ~ ?-. , FINAL . , . ADDITIONAL COMMENTS .~ ~ . - :> c; \,,)0 2::E ...( iij . ~ ;:a . -t ~'1 > . . t: ~'" . vr;; , ~ ~. " ..., . I - C- O ~) Z . "7 [;j . ~~ .,., . b;; t'I '" ~ . . TOWN OF SOUTHOLD PROPERTY RECORD CARD . STREET \ S a ~~'- Lol{I~ G <t Ranieri' fft-JP RES.;v" SEAS. VL. , LAND IMP. \.::::r ~ 0 f/Oo .s- cYb' .. 9';::' ,2, z.. 0-0 AGE NEW FARM NORMAL Acre Tillable Woodland Meadowland House Plot Total -- FARM TOTAL DATE BUILDING CONDITION BELOW ABOVE Value Per Acre Value ,/ -- VILLAGE (A TL<1.c/rf DIST. SUB. LOT -5- ACR. E "C 4 JJo"/ .- - , W J . ,L?' ~"L.~ /C~t# . , TYPE OF BUILDING COMM. CB. MICS. Mkt. Value REMARKS /i1-3 g _ L /z.5Z) l.o FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK COLOR G ',' / TRIM <-<..J H "(:: I , i I . c I~ 1>--. -......- I\~ - :z- 10 , I I M. Bldg. /1../ ~'1 " ~3~ \ If "- Extension 1.1 ./ 1 Ii' c.~ J I j 76 f .)....7~ / 2} I ~ Extension Extension Foundotion Cl3 Both ( Dinette Porch 9~(i? /r;.~ .;- /.... 1-' Basement Pd Floors rl Ie K. " 7":' Porch 'I .;J Ext. Walls Interior Finish LR. II,) I)' 1:." S, t>. " lVj-J Breezeway Fire Place ./1:5 Heat DR. Garage Type Roof 0" Rooms 1 st FI oor BR. ".)c e. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer , Driveway Total .n... J' JI / ASHWOOD STOVE & FIREPLACE CO. INC. 1075-7 PORTION ROAD FARNUNGVILLE,NYI1738 P-631-716-2949 F-631-716-2942 SERVICE DEPT. 631-563-1011 E.mail: ashwoodmail(al.aol.com Wood & Gas stoves. Cultured Stone. Marble & Mantels. BBO Parts. Custom BBO Islands. Gas Serv;ee Denartment Pam Johnson 3 Duke Ct Farmingville, NY 11738 Re: Southold Home June 5tb, 2008 Dear Ms. Johnson This letter is for the purpose of stating that Ashwood Stove & Fireplace supplied the thermostatically controlled gas furnace at 7617 Soundview Ave, in Southold NY 11971. It was installed by a licensed contractor in November of 2007. Attached is information concerning The IDV490 insert by Monessen. At 40,000 BTUS and a thermal efficiency of 80%, the insert has the capacity to heat an open area up to 1500 square feet. I hope this information is useful. Regards, Q)~ -- Brian Dutton Ashwood Stove & Fireplace Co. Inc. ASHWOOD STOVE & FIREPLACE CO. INC. 1075-7 PORTION ROAD FARMINGVILLE, NY 11738 P-631-716-2949 F-631-716-2942 SERVICE DEPT. 631-563-1011 E.mail: ashwoodmailra2aol.com Wood & Gas stoves. Cultured Stone. Marble & Mantels. BBO Parts. Custom BBO Islands. Gas Service Denartment Pam Johnson 3 Duke Ct Farmingville, NY 11738 Re: Southold Home 7 b I 7 S ~ 'oJ, .fI.vJ June 51b, 2008 Dear Ms. Johnson Attached is information concerning The IDV490 insert by Monessen. At 40,000 BTUS and a thermal efficiency of 80%, the insert has the capacity to heat an open area up to 1500 square feet. I hope this information is useful. Regards, C75~ Brian Dutton Ashwood Stove & Fireplace Co. Inc. PRODUCT FEATURES AND CODE APPROVAL PRODUCT SPECIFICATIONS . This appliance has been certified for use with either natural or propane gas. See appropriate data plates. . This appliance is not for use with solid fuels. . The appliance is approved for bedroom or bedsilling room installations. . The appliance must be installed in accordance with local codes if any. If none exist use the current instal- lation code. ANSI Z223.1I NFPA 54 in the USA, CAN/ CGA B 149 in Canada. . The appliance must be prop- erly connected to a venting system. This appliance may be installed inanaftennarker,pennanenUy located, manufactured home, where not prohibited by local codes. Hi/Lo Knob Off/Pilot/On Knob Gas Shutoff Valve / On/Off/ Remote Switch . Aftennorket: Completion of sale, not for purpose of resale, from the manufacturer. Figure 1 - lOV490NV, lOV490PV, lOV380NV, and l0V380PV Inserts The efficiency rating of this appliance is a product thermal efficiency rating determined under continuous operating condi- tions and was determined independently of any installed system. Thermal Efficiency = up to 80% CODE APPROVAL These appliances have been tested by CSA and found to comply with the established standards for VENTED GAS ARE- PLACE HEATERS in the USA and Canada as follows: LISTED VENTED GAS FIREPLACE HEATER TESTED TO: ANSI Z21.88-2002/CSA 2.33-2002 STANDARDS ATTENTION MASSACHUSETTS RESIDENTS: This product must be installed by a licensed gas filler. 5700016 5 PRE-INSTALLATION INFORMATION INSTALLING ABOVE 2000 FEET . In the USA, the appliance must be derated 4% for every 1,000 ft above 2,000 ft elevations. . In Canada, these appliances are certified for altitudes of 0 - 2000 ft, and must be de-rated by 10 percent for installations between 2000 and 4,500 ft. (derate an additional 4% for every 1,000 ft. above 4,500 ft. elevations). ORIFICE SIZES, PRESSURES AND BTUs NATURAL GAS PROPANE GAS Manifold Press: (W.c.) 3.5" Manifold Press: (W.c.) 10" Maximum Supply Pressure lOS' Maximum Supply Pressure 13" Minimum Supply Pressure 4.5" Minimum Supply Pressure II" Model Number IDV490NV IDV490PV IDV380NV IDV380PV NATURAL PROPANE NATURAL PROPANE Max. Btulhr Input 40,000 37,500 30,500 28,000 Min. Btulhr Input 26,500 29,000 20,500 22,000 Orifice sizes (as shipped) #30 #50 #32 #51 The IDV490NV, IDV490PV, IDV380NV, and 380IDVPV are equipped with a variable output gas control. NOTE: lOV490NV, l0V490PV, l0V380NV, and lOV380PV inserls work without any electrical supply. Slower must be attached to 110/120 VAC. INSTAllATION PLANNING Plan for the installation of your insert. This includes determining the size of fireplace in which unit is to be installed, length of venting to be used, and finishing details, and whether any optional accessories (i.e. wall switch, or remote control) are desired. Consult your local building code agency to ensure compliance with local codes, including permits and inspections. 6 57D0016 FORM NO. 4 TOWN OF SOUTllOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY NO: Z- 32421 Date: 06/21/07 THIS CERTIFIES that the building DWELLING County Tax Map lIIo. SOUTHOLD (HAMLET) Lot 014 Location of Property 7617 (HOUSE NO.) 473889 Section 059 SOUNDVIBW AVE (STREET) Block 0006 SUbdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CJmTIFlCATB OF OCCUPANCY IIlOMIlBR z- 32421 dated JUNE 21, 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 SEASONAL ONE FAMILY DWELLING> The certificate is issued to LOUIS G & ALICE RANIBRI (OWNER) of the aforesaid building. SllFFOLIt COIJBTY DBPAR'DIBIIlT OF BBALTII APPROVAL Ill/A ELECTRICAL CJmTIFlCATB Il1O. N/A PLUMBERS CBRTIFlCATION DATED N/A .PLEASE SEB ATTACHED INSPECTION REPORT. ~~~- uthorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LQCATI.OB : 7617 SOUNDVIEW AVE SOUTHOLD SOBDrvISlaf : MAP JIO. : rDr(S)_ MNKB OF ONKBR (8): LOUIS G & ALICE RANIERI QCCUPAJrCY: ONE FAMILY DWELLING (SEASONAL) LOUIS G " ALICE RANIBRI AmII'l"J'BD BY: JOY LEO ACCaIPAIIIBD BY: BY AUV.a.'IIT.Iil: SIJPlI'. CO. DZ MAP m.; 59.-6-14 SCJORCB OP RBQOBS'I': ALICE RANIBRE 6/18/07 DA'I'B; 06/21/07 DWELLING: TYPE OF CC88"l'1mCTI0II: WOOD PRAMS . S'l'OIUKS I ...l..:..Q. . grrs: -l. PODIIDATIar s CEMENT BLOCK CBLL1tR: CRAIIL SPACK: 'J.'O"J'AL 1lomIS: 1ST PLR.; ....! 2IID FloR.: ~ ]1lD PLR.: ....Q BA'l'IIIlOOM (S), -LJ! 'l'OILBT ROClII (S), ---LJ! U'1'ILITY ~(S) I PORCH TYPK: SCREENED DBCK T!PK: PATIO TYPB: aD~: PIIIBPLACB , YES GIWlGB, IXMBSTIC BO'I"D.TBIl: TYPB BB&'l'BR: Al:RaBlDITIOIIDIG: TYPB IIBAT: NONE _ AIJl. 1IO'l'lIllDIl' YES O'DIBR.: CELLAR ENTRANCE. HOT WATER HEATER ACCESSORY STRUCTURES: GAIUWDI. TYPB OF CCIrS"J'. = S'l'OltAGB. 'IYPB cors'I'.; ~-".UIIU-.:i POOL: GUBS'J'. TYJIB camrr.: 0l'IIBR , VIOLATIONS: CHAPTER 45 N.Y, STATE UNIFORM PIRE PRBVENTION '" BUILDING CODE LOCATION DESCRIPTION ART. SEC. lUEIIaD..a: msPBaBD BY, 1::1: ~ GBORGB LLIlII DraB c:. IBSPBCTI08: 06/14 / 07 TDIB SDIlT: 11111"