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36088-Z
Town of Southold Annex 54375 Main Road Southold, New York 11971 3/7/2011 CERTIFICATE OF OCCUPANCY No: Z-34854 Date: 3/7/2011 TH1S CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 800 BAYVIEW AVE GREENPORT, SCTM #: 473889 Sec/Block/Lot: 52.-5-44 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 12/9/2010 pursuant to which Building Permit No. was issued, and conforms to all of the requir~nents of the applicable provisions of the law. The occupancy for which this certificate is issued is: Woodstove in an existing one family dwelling as applied for. Lot No. filed in this officed dated 36088 dated 12/13/2010 The certificate is issued to Osmer, Craig & Osmer, Mignon (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEI~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36088 Z Date DECEMBER 13, 2010 Permission is hereby granted to: NANCY CUCCARO 800 BAYVIEW AVE SOUTHOLD,NY 11971 for : INSTALLATION OF A WOODSTOVE PER M~/NUFACTURERS SPECIFICATIONS & NYS BUILDING CODE at premises located at 800 County Tax Map No. 473889 Section 052 pursuant to application dated DECEMBER Building Inspector to expire on JUNE BAYVIEW AVE GREENPORT Block 0005 Lot No. 044 9, 2010 and approved by the 13, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TO~VN 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, p.roperty 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 o f 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 feaiures. 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $I00.00 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: Location of Property: _ Old or Pre-existing Building: House No. Street Owner or Owners of Property: NA}4~ ~ · Suffolk County Tax Map No 1000, Section ~ ~ Subdivision Permit No. ~ 0~'-0© Date of Permit. Health Dept. Approval: Planning Board Approval: Date. Block Filed Map. Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~t~. ZY'~/,N,' Final Certificate: 11- Iq -lcd (check one) Lot ~t--/f Lot: V~(check one) Applicaut Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~ [ ] FOUNDATION 2ND [ ]~I~ATION [ ] FRAMING/STRAPPING [~/]~FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRE SA,-,. ~ I' INSPECTION [ ] FIRE REmT. 4HT C0flSTmJCTK)fl [ ] fiRE REmTAHT PENETRATXX4 REMARKS. ~'~J ~ ~.- ~ ~ _~?~,/ DATE INSPECTOR · FOUNDATION (IST) I~OUNDATION (2ND) · ROUGH I~R~M~G & PLUMBING INSULATION PE~ N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net PERMIT NO. Examined Approved Disapprove~ a/c Expiration [ ] /'~20 )~ / Bui'~ding Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board appmval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ,20 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 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. & 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. ,~,PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Builu~.~ Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regula~tions, for the construction of buildings, add{tions, or alterations or for removal or .... a li - . . . demoht~on as herein described. The pp cant agrees to comply with al apphcab e aws, ordinances, buil&ngcode, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) State whether apPlicant is owner, lessee, agent, architect, (Mailing address of applicant) engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Name of owner of premises ~k~O. fh ~ ~. /~,LD C.~ ~"- ©_ D^TE~ As on the tax roll or lat~6]_ If applicant is a corporation, signature of duly authorized officer nuH~-v ~UILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE r ' FOLLOWING INSPECTIONS: (Name and title of corpora~ officer) ' 1. FOUNDATION. ~ REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING, PLUMBING, .. ~- ! ~ ' ," ~ T ~ STRAPPING, ELECTRICAL & CAULKING ' ~' , · 3. INSULATION County Tax Map No. 1000 Section Subdivision 4. FINAL - CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORKST. gTE. t NOT RESPONSIBLE FOR ~ ~f I~Sl~lq~R"~b~smtmT,n, E~Oos Filed Map No. ';" fi'~ UF Night .,..., ~ ;\ ~ 1. Location ofland on whiqh proposed work will be done: House Number/ Street 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 occupanc~a/ / 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, 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 Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front Rear .Depth 10. Date of Purchase 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__ 14. Names of Owner of premises Name of Architect Name of Contractor Will excess fill be removed from premises? YES__ NO Address Phone No.(o~°{ -q-~'7 ' 53 J~c~ Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls this property within 300 feet ora tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO __ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF. .... being duly sworn, deposes and says that (s)he is the applicant (Nd/~e ~"~'i~d~i~l~g*~amract) above named, (S)He is qZ ~R0~O3 03RUO~ ~'~ ! OR*SMu~q 8~ ~o~¢~r, Agent, Co.orate Officer, etc.) O~JUA3 ~ JADIRT~] O~l~qA~,~, of smd owner or owners,$g~ a~z~d to perfom or have perfomed the said work and to make and file this application; that all s~~Pg~i~;U~ion are tree to the best of his knowled e and belief; and that the work will be perfo~ed i~.~~ '~ ~t~ation filed therewith. , ,~,~ ~ 2 ~] ] .: :l~l qO ~,~ ~'~. '~ ~V No~ Public, S~ate of New York Swomtd~fo~q~3fiiC7 ~,' ~ ~ .~.9. glST6164008 · D ~ '~ ~" ~ ~ ~arl~ ~ ~A ~i~ ~ualiiiea in Suffo k ~untv ~[ Nota~ Public ISig~ature of Applicant Appliance Adapter gO* Acijustable Elbow 45' Adjustable Elbow Chil-- Tee with Tee Cap DS SMOKE PIPE Chimney Connector ~o~10S Smoke Pi~ ~ ~skJnecl (OOS~Cl~ omJo durable Sinless S~eeli,mr liner I.D. o~ 8' (,O. 5rzes. h is ~d~ ~ be u~d in ¢~, of ~ ~gle woll s~ ~e end ~1~ red~ d~ ~ ~mb~Mes ~r~ · R~uced deo~a ~ ~ibl~ for Model fe~ ~e 6 ~ si~ a~ r ~r ee 8 ~ sizt ~e p~ud line ~ ~ D ~11 c~dement C~ dl ~d~ i~ll~ons inching o~pr~ ~o fit 0 ~ vo~ ~ ~ OU~e~. In~nD Sm~ Smoke ~ le~ am 12~, 24~ ~ 36' wi~ ~1~ ~ ~ke ~ odd ~u~s of ~e ~ ~el OS ~ke ~p~ S~m co~y ~ te o~b~. Use Double Wall Smoke Pipe for Optimum System Performance Product 6' 2S621S 2S6230 256247 256100 256245 25~240 256243 256610 Oesc~ptioo DS. T2 12" LeA~ 0S-24 24' Le~glfl DS-36 36" Length Adl~ )S-45£ 45° ~d~t~e Ef~ )$-90E 90° Adius~le Elbow }$'~ ~osen~, Adopfe~ DST Tee wilh Inch]led DS-A~ Ap~mnm Adopi'a' )~PA O~mney P~e Adorer (Pipe Adopter end Finishi~ Ih'ok C~r Adop~ VK (~) V~col InsloAofim ~ (Tek whTch is md lo cnrmect 8' o 7' o~p~axe o~t is mei~e fo[ omar es o WARNOCK HERSEY LI~TED BLDG. TOWN 0; S01JTHOLD v tChwest Catalyhc Wuu~-d'~eatures solid cast iron construction for qual ty you can see - and feel. ee different sizes, you can easily fin"~e rght stove for any room s ze. They're fast starting, long burning, arkably efficient. Just what you would ~..,~ect from Dutchwest EST ¢60 Maximum Burn T me: 8 hours H~ting Capaoty 700 to 1,400 sq ft ' ' J~ ~ ~ ~,'~ Max mum Pleat Output 35 000 BTU s/hr Efl,c encv Rat,qg; 697% ' EPA Emissions Rating: -- 1.1 grams/hr Flu~CoIlar 6" round reversible ~-~ CJearances (w th optional shields) / ' Bac~ 14" / ~ -- ~ - - Lo9 Length ~2" Heatm9 Capacity 800 to 1,600 sq ff Maximum Heat Output: 40,000 BTU's/hr so- Efficiency Rating 759% EPA Emiss ons Rahng 1 4 grams/hr, a? Weight ~ 436 lbs. Flue Cbllar 6" round, revers b e Cle~:rances (with optional shields) - Back 14' ~ Ex[ra-Large Convection Log Length: 25" Maximum Burn Time: 12 hours Heating Capacity: 1,200 to 2,400 sq ft Maximum Heat Output: 55,000 BTU's/hr Efficiency Rating: 74.3% EPA Emissions Rating: 1 3 grams/hr Weight: 634 lbs Flue Collar: 8" oval, reversible Clearances (with optional shields) Back 18" Corner: 17" Features and Benefits Exclusive Dutohwest Advantages: · Traditional Federal styling · Convection system for spreading the heat · Three models - small, large, and extra-large to suit any heating need · Industry's lowest smoke emissions · Convenient ash pan and side loading · Glass panel with overfire 8irwash for clear tire viewing · High efficiency - more heat from less wood · SoJid, durable cast iron construction · Decorative polished nickel accents · Raised griddle for stovetop cooking · Bottom heat shield to accommodate standard hearth pad Optional Accessories: · Dual speed convection fan · Rear and bottom heat shield · Fan thermostat · Fan Rheostal Your Dutchwest Dealer Vet02 DW1208 o COMMON CHIMNEY INSTALLATll Short or toll. large or small, Sere is a Metdbestas~ Chimney syslem ~o suit eve,'y need or e seveld common d~imney instolla~ons. Keep in mind ~t Sase di~§rums da ins~cfian:L by i~s~olin~ a w~der ~rie~ or complele chim~y ~st~. While · [e~ must near ~ect ~e ins~l~o~on ~ ~e ~imneg. Whe~er Se ~imney ~ ini~ol~ canne~ed to o g~, oil, or wo~um~ng a~pl[an~e, ~e ~e ~me, ~e ~me ~)meey may se~ e woad ~rn~e, ~en i~ it ~d aa wJ~ gas or oil Many mom ~sibil~ti~ ~ chimney s~tem: exist ~hoq ~ose s~ow~ hera. Wbe~r or ~ar ~u find y~r ex~ ~ules-wh~ am dso ~phos~zed ~n ~e Jns~l~on ins~u~ons: 1. ~e Fo~er ~p~orr and ~aci~-for ~e entre 2. ~intoin the m~um 2 in~ A~R SPACE deaance 1o co~s~b[es and to 3. For jo~nt ~se b~ing Bands or mews ~ ~e chimney a~ i~ c~n~r. 4. E~o~ o~ pro~ ~e chim~ to a~g con,ct, do~age o~ ~zo~ ~ ~m~hings. 5. Use on~ ~lianc~ which ~ been te~ed, '~ed' (o~ eppm~d and No~: The dr~gs ~own ~ ~ ins~lla~ are ~le~ for o~is~e in pmd~ ~o~. inie~dea os ,~ Ouide te proper po~t seleclk ;3ar~s. T~ey supplamem The ore ak'~ays ~a s~e, Rer~e~nbe~ I~at at Ideas For Your Chimney 1. Solid Fuel Appliance-with o short vertical chimney. --Round Top SIorm Collar [T-AFtl) Or (T-AlS) / Water Round Top Model SS]I Chimn All Joi~,ls and 3 FOOt Minimum Support Pkg. (T-FSP) ney Pipe Adapte¢ {CPA) OS Smoke SOlid FL~el Appliance Single Wall CleanouI T~ ol O, or Gas CCI-- Typ~ of Apgn&nces Haole1 :~1 Dutchwes£¥~ 2460 Small ; Clea~nc, , and Model 2461 Large Convection: UNPROTECTED SURFACES Pamllal In.etallatlens Inste#etio,s Parallel ~]de P~eer Comer Single-well conneo- Double-wall cennector ~learance: 18" (4~0 m; [NJ [L] 14" (36D mm) [1~ tN] [L]1g" (480 mm) [MJl§'($~.0mm) (1'I~ Fi*(,~;. Clearance to Corabustibles: Model 2462 Stove Clearance heal shields t9'480mm1 9"(360mm} 14" (360 mm) 48' (1220 mm) (All Installations) le Convection: UNPROTECTED SURFACES Comer Parallel Insla#atlo~ta Ineta#Mione Side Rear Parallel Il ~lde rear h.s. Sit,la-wall conneclor [K] 20" (510 mm rob exit~ ~, rear h s Single-wall Connec- [K~ Double~wall connector ' Cennecr~r Cleara~lGe; Front Clearance to Combustibles: ILl 18"(460mm) M IL] 14" ~60 mm) 1~"(460mm) 13~(330mm) ~'(20Omm) 48" (1220 mm) (All Instarleflons) mm) 8" (1 1 ~leldiflg i'er a top exit stove must ifldude e shield insert to protect the area behind the flue collar. 2 Chimney connecter heal shields must eXtend exadry 24' (610 mm) above ~he flue collar of the stove. 3 Ali installabons Ven§ng sl~aight up to a factor/built chJmney require a 24' (6'10 mm) diameter or a heat shield shourd be 24 gauge sheet metal or equivalent mounted on 1 * (25 mm) non-combustible spacers 4 Chimney con~ect0r heat shields musl ex,end to within 1 ~ (25 mm) or less Of the ceiling heat shield f a faclonJ-butlt chimney. In i~op ex/t installations using an elbow to vent to ~le rear, the chimnel vertical length. 5 Ifa single-wail ovel-to-round e41apter Is used, a sh~e~d must be used to prote~t combustibles to the rear of 7001135 [PI 10' (2~0 mm) [1~ 8' (200 mm) [PI 8" (200 mm) ~CES Comer Inetz#atlone Comer [P] 17" (430 mm) :PI 15' (380 mm) [~ 15" (380 mm) The ceiling e ceiling. 13 Lo¢; q-N [0