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HomeMy WebLinkAbout30867-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34199 I~ate: 02/17/10 THIS c~a(TIFIES that the building WOOD STOVE Location of Property: 25330 MAIN RD ORIENT (HOUSE NO.) (STREET) (HA~4LET) County Tax ~Kap No. 473889 Section 18 Block 6 Lot 8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 2004 pursuant to which Building Permit NO. 30867-Z dated DECEMBER 23, 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 WOOD STOVE INSTALLED IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL DICANIO & NANCY VIGLIONE (OWNER) of the aforesaid building. SUFFOLK COUITI"f DEPARTMENT OF HEALTH APPRO~i~L ELECTRICAL C~a(TIFICATH NO. I=LU~ERS C~KTIFICATION DA'£k~3 N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILD? 7oG6~wNE18P0~2A~LLTME NT ~ ~' ~-~~1 ~'~ ~ ~ ~ ~''~ ~'~Ill]t APPLICATION FOR CERTIFICATE OF OCCUPAb ~11 ~ i 'i ~ Ill-ii This application must be filled in by typewriter or ink and submitted to the BuildingDettl~ltrtmqnt withthe fnllr~w;,,g. 1 BtDG. DEPT. T0~tN OF SOUTH0tI~ 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. S. 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. Ifa 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 New Construction: /~" Old or Pre-existing Building: (check one) LocationofProperty: ~r~,~O /~ f~6L~/ ( ~ ~ House No. Street Hamlet OwnerorOwnersofProperty: ~t~/~ff4~/ ?t~C6;~b.'I/C) ~ /Y69~..7~ ~/~-d~.2~9 Suffolk County Tax Map No 1000, Section Subdivision Block b Lot Filed Map. Lot: Applicant: Underwriters Approval: Permit No. Health Dept. Approval: Date of Permit. Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .~ 5~?~-- Final Certificate: J (check one) ~ Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30867 Z Date DECEMBER 23, 2004 Permission is hereby granted to: MICHAEL DICA/qIO 346 EAST 76TH STREET NEW YORK, NY 10021 for INSTALLATION OF A WOOD STOVE AS APPLIED FOR at premises located at 25330 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0006 Lot No. 008 pursuant to application dated DECEMBER 20, 2004 and approved by the Building Inspector to expire on JUNE 23, 2006. Fee $ 150. O0 .~ X Aut:h.c~'5~ze~l Si~natu~:e / / ORIGINAL Rev. 5/8/02 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~/~ ~' E~). TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~,~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ /-~..?_~-~ ~'--~ ~_ ~'I.ELD INSPECTION REPORT t DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ~D~ON~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN I~ALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.neffSouthold/ Examined Approved /Z ~ g , 20 7 / Disapproved a/c Expiration ,20~__ PERMIT NO. ~'~0~ ~-~-~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval SurveX Check Septic Form N.Y.S.D.E.C. T~ustees Contact: Mail to: Phone: OEC 2 0 2004 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date /(/~V. [ ~-- / ,20°f 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, thc 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. ThereaRer, 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 apphcant 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. ( (Signature of applicant or name, if a corporation) u/~O ~ / State whether applicunt is owner, lessee, ascnt, architect, ensi~eer, general contractor, electrician, plumber or builder ue of owner of premises ~'], ~ ~ ~ / ~ L~ (As on the tax roll or latest deed) licant is a corporation, signature of duly authorized officer Name and title of corporate officer) tense No. eense No. icense No. License No. ,nd on which proposed work will be done: Street Hamlet 7o. 1000 Section Block Lot .FiledMapNo. Lot 2. State existing use a~ ~ occupancy of premises and intended use and occupancy of proposed consh, uction:X a. Existing use :.nd occupancy b. Intended us, 'nd occupancy Nature of work (chc::k which applicable): New Building Repair Removal Demolition Estimated Cost__ Fee If dwelling, number vf dwelling units If garage, number, i' cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, comme~ cial or mixed occupancy, specify natnre.,and e]itent of each type of use. Dimensions of exis:ing structures, if any: Front Rear .Depth Height Number of Stories Dimensions of sau .o structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions ofenti~ aew construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district ii. which premises are situated 12. Does proposed con:. action violate any zoning law, ordinance or regulation? YES__ NO__ 13. Will lot be re-grade; ? YES__ NO Will excess fill be removed from premises? YES__ NO 14. Names of Owner o ~' p,-emises Name of Architect_. Name of Contracto. Address Phone No. Address Phone No Address Phone No. 15 a. Is this property wiL ~;n 100 feet of a tidal wetland or a fi:eshwater wetland? *YES NO * IF YES, SOUTHOLD TOW'N TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property wi~;~in 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PER?,.flTS MAY BE REQUIRED. 16. Provide survey, to s ';:lc, with accurate foundation plan and distances to property lines. 17. If elevation at any p u !.at on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW Y?/P~ ~. COUNTY OF .~___~'~: 1/~'(~ ['1/~'P~ 'A- .5_~~l *fi'/`~'~ being duly swom, deposes and says thatf~he is the applicant (Name ofindividuaI :-:!~ning contract) above named, (~He is the 0vl'/~''/'~fl (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, ;:: J is duly authorized to perform or have performed the said work and to make and file this applicatic that all statements contah:: i in this application are hue to the best of his knowledge and belief; and that the work will be performed in the manner ~L forth in the application filed therewith. Sworn to before me this~ / /O pyof Notary P~. ic 20o ? WILLIAM BRAND Notary Public, State of New York No. 01BR$075a~2 Qualified In New York Coun~ Commission Expires April 7, 2007 Signature of Applicant PROPERTY RECORD CARD /000 TOWN OF SOUTHOLD STREET C~-~ ~ O N / VILLAGE W DI~,~ SUB. LOT ^CREAGE / TYPE OF BUILDING RES. ~/D SEAS. VL. FARM COMM. IND. CB. MISC. t Est. Mkt. Value LAND IMP. TOTAL REMARKS DATE BUILDING CONDITIOI' NORMAL BELOW Farm Acre Value Per Acre Value Tillable 1 Fillable 2 tillable 3 ~oodland ~wampland 3rushlan~" ~" ~'~ '~ Plot ABOVE 5'o'' ~,, FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK fotoJ ~, ~ 18-6-8 1]01 ~. Bldg. <tension <tension <tension , reezeway arage -/~'~ /! Foundation ,~z~ ~f Basement [ j Ext. Wails Fire Place ~ ~'r~' Porch Porch Bot~, Floors Interior Finish ~eat Roof Type Rooms 1st Floor Patio Rooms 2nd Floor Driveway Dormer LZ , ~.J PAlS STOVE INSTALLATION APPROVED AS NOTED DATE:. ~-Iz514 BP.# ,,~'~"~ % qv.' ~'-'~--~-'~ Guidelines for: F E E-"~(' \''~'~) · the RAIS Classic Models- RAIS 86 and RAIS 106 NOTIFY BU[L~,i.'.i~,- ~:'~;~TMF_NT AT 765-1802 8A,V TO ~ ?M FOR THE · the Mino/Malta Series- Mino, Malta, Bando, Bora FOLLOWING NSPECTIONS. · the Arena Series - Arena, Atlas, and Komba. 1. FOUNDATION - TWO REQUIRED FOR POURED 2. ROUGH - FRAMING & PLUMBING Precautions 3. INSULATION 4. FINAL - CONSTRL1CTION MUST Consult your local Building Inspector or Fire Marshall before installBfloOG~SF'Stl:iv{).O. regarding any restrictions and installation inspection requiremen~.ljnO~l~'i~T,~[~o,~i/~L3Lml~EET THE areas a "special permit" is required. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR If utilizing an existing chimney, it is suggested that you have a PD~glG~o~ll~ nl~l~q~/tJ~P~N ERRORS. installer do a complete check-up of your chimney, liner, and flue. In order for the stove to work and draw properly, sufficient air is important! Be especially aware of any mechanical fans (e.g. kitchen or bathroom) that may affect the proper draw. In addition, make sure that the floor and sub-flooring is designed to carry the extra weight of the stove. The floor protector or plate must he made of a non-combustible material. The floor plate must cover under the stove and extend 16" (40.6cm) in front of the stove, 8' (20.3cm) beyond the sides of the fuel-loading door, and under the pipe and 2" (5cra) beyond for back venting. When installing the stove, the heat distribution to other rooms should be taken into consideration. The heating capacity of the RAIS stoves, based on a standard ceiling height, is approximately as follows: Thermal Output Model Heating Area Optimal (Range) PAlS 86 969 tt2 (90m2) 21 kBTU (14-24kBTU) PAlS 106 1,292 ffz ( 120m2) 27kBTU (21-41 kBTU ) Mino 969 ft2 (90m2) 21 kBTU (10-24kBTU) Malta, Bando, Bora 1,076 ft= (100mz) 24kBTU (7-27kBTU) Arena, Atlas, Komba 1,292 ff~ (120m~) 27kBTU (13-34kBTU) OCCUPANCYOR USEISUNLAWFUL WITHOUTCERTIFICATE ©FOCCUPANCY Clearance Specifications Non-combustible: Classic RAIS Mino, Malta, Arena, Atlas, Komba Description 86, 106 I Bando, Bora Minimum distance to non- 2" (5cm) combustible matedal- Note: Non-combustible must be solid cement or block (not brick or tile over combustible material). Combustible: Minimum distances to combustible material - as shown: Wall View Comer View # Description Classic RAIS Contemporary Contemporary 86, 106 Mino, Malta, Bando, Bora Arena, Atlas, Komba A Distance to combustible 22"/ 19"/ 13'/33cm US - 16"/41cm side wall 56cm 48cm Canada- 17"/43cm B Distance to combustible 9.5"/ 11"/ 7.5"/ 6"/ I 6"/ 5.5"/ 10"/ 9,5"/ 9,5"/ backwall 24cm 28cm 19cm 15cmI 15cm 14cm 25cm 24cm 24cm C Corner distance to side 15"/ 11"/ 5"/ 8"/ 8"/ 6.5"/ walls 38cm 28cm 13cm 20cm 20cm 17cm D Connector pipe to side 28,5" (72cm) 20"/ 20.5"/ 21"/ 20.5"/ 24.5"/ 24.5"/ 26"/ wall 51cm 52cm 53cm 52cm 62cm 62cm 66cm Can. - 25.5"/ 25.5"/ 27"/ 65cm 65cm 69cm E Connector pipe to back 12,5" (32cm) 10" (25cm) 13" (33cm) wall F Corner pipe to side walls 18.5" (47cm) 13" (33cm) 14" (36cm) All Models G Distance to furniture 36" (91cm) H Front floor protection US - 16" (41cm) from door opening Canada - 18" (46cm) I Side floor protection 8" (20cm) from door opening Ceiling to top of stove 36" (91cm) Ceiling to connector pipe 18" (46cm) Note: A heat shield or protective wall may be used to reduce clearances if it meets the NFPA requirements, Contact your local Building Inspector for proper guidelines. Chimney The RAIS stoves must be installed using a Class A UL 103 HT approved factory-built chimney system or a code-approved masonry chimney with a flue liner. Both single/double wall connector stove pipe and chimney pipe should be 6" (15cm) diameter. The chimney must extend through the roof at least 3 feet (lm), and 2 feet (.6m) above any structure within 10 feet (3m). The condition of the chimney and height is very important. We suggest a total minimum height of 10 feet (3m). Do not connect this stove to a chimney flue serving another appliance. Reouired Installation Components A. Chimney Cap B. Insulated Chimney C. Storm Collar D. Roof Flashing E. Ceiling Support Box or Joist Shield/Firestop Spacer F. Chimney Connector Pipe ~ A. B. F. I For venting vertically into a Class A chimney, single wall pipe (at least 24 gauge) may be used in the room where the stove is installed. Refer to the manufacturer's instructions for the connection to the listed chimney. The chimney/stove pipe must not be smaller than 6' (15cm) in diameter. Chimney Connector Flue Pipe 1 9'/23crn I ~ ~"12~::m~l Masonry For venting directly into a masonry chimney or through a thimble, the top of the single wall pipe must be at least 18" (46cm) below a combustible ceiling and conform to NFPA 211 guidelines and methods. Refer to the diagram at left. For rear venting or other not listed configurations, consult the local building codes and follow the NFPA 211 guidelines. If the stovepipe is fitted with a baffle, it must be manually operated, visibly placed for ease of use, and must not close completely. Consult your chimney expert if you have any questions. Importantl Make sure that there is easy access to the chimney cleanout door.