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HomeMy WebLinkAbout36181-Z3/7/2011 Town of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: Z-34856 Date: 3/7/2011 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 3175 West Creek Ave. Cutchogue, SCTM #: 473889 Sec/Block/Lot: 110.-5-9 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/15/2011 pursuant to which Building Permit No. 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: for a wood stove in an existing one family dwelling as applied for. Lot No. ~ed in this officed dated 36181 dated 2/15/2011 The certificate is issued to Huntington, Mary Anne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ,~.h~/ed S/i~n at ur e/ ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36181 Permission is hereby granted to: Huntington, Mary Anne 3175 Creek Ave Date: 2/15/2011 To: Cutchogue, NY 11935 install a wood stove to an existing single family dwelling as applied for At premises located at: 3175 Creek Ave SCTM # 473889 Sec/Block/Lot # 110.-5-9 Pursuant to application dated To expire on 811612012. Fees: 2/1512011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector Form No. 6 TOWN OF SOUTHOLI) BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or mk and submitted to tile Building Department with tile following: 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 t'orm). 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 lbr the building. 6. Submit Planning Board Approval of completed site plan requirements. 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therelbr in writing to the applicant. C. Fees I. 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 - $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: "~ l~ocation o f Propert Y: , '~./~-~ /4¢.~/~-L~&/~9~ A~ (check one) amlet ttouse No. ,, Street/-- I Owner or Owners of Property: /ff/~/~ 55:~22~ "~Suffolk County 'Fax Map No 1000, Sectit~n I t C) Block ~ Lot Subdivision Filed Map. Lot: l~ermit No. Health Dept. Approval: Date of Permit. Applicant: Underwriters Approval: Planning Board Approval: Request for: Fcc Submitted: S ~ O . C) C') Temporary Certificate Final Certificate: (check one) ~/pplicant Signa/ture cf) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRERESiSTAHTCOm~UCTI~ [ ]~RERES~STAKI'PENETRA'nON REMARKS: ~i~ ~4~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ttALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~[t~ t~, 20 Approved .~ (~,, 20 ( ( Disapproved a/c Expiration ~//{~, 20 FEB - BLDG. TOWN OF SOUTF~OL~ PERMIT NO. 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: Mail to: Phone: kPPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,20// a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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. 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 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thc 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 applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to a~mit authoriz cd inspectors on pr emi scs and in bailding for nec es sary inspe ~/.7~,~) (Mailing address ofapplican0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED DATE ~ ,, I,~ _ Name of owner of premises (As o/f the tax roll o~atest~e~ If applicant is a corporation, signature of duly authorized officer (Name and title of corporate Builders License No. ~ Plumbers License No. ~ Electricians License No. ~ Other Trade's License No. ~ 765 '3(2 8 Air! TO 4 t'M FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH- FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3. INSULATION 4 FINAL - CONSTRUCTION & ELECTRICAL ML'S* ~E COL'P! E-E ?,v: 0 ALL CONSTRUCrlO~, ~,/~ ~! - r REC.)LtlREUEN~ O; '~E n iL,: ~' NEW Location of land on which proposed wgrk will be do_rig: . YORK ST;,rF NC- r.: House Number Street ~/ Hamlet County Tax Map No. 1000 Section //dP Block .~ Lot .~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended us~e and 9ccupanc~f of proposed construction: a. Existing use and occupancy b. Intended use and occupancy. Nature of work (check which applicable): New Building_ Repair Removal Demolition Addition Alteration Other Work ~,/~ .q~,~// (Description) 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Number of dwelling units on each floor (To be paid on filing this application) ? 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 9. Size of lot: Front :~'(..9 r Rear ~'-a9 ' 10. DateofPurchase / ,~//et~ NameofFormerOwner 11. Zone or use district in which premises are situated Rear Depth Depth 200" 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO./X( 13. Will lot be re-graded? YES NO/X(' Will excess fill be removed fi.om premises? YES NO - 14. Names of Owner ofpre~lg~' ~/~' Address ~a~/~ Phone No. 77 0 Name of ~chitect 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 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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. STATE OF NEW YORK) SS: ~ ~ is the t/~' ~,g~_~ -~.~ ~/3]~ ~ being duly sworn, deposes and says that (s)he applicant - ,~athe of indiv(d6al signing ~6'ntmct) above named, (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 99 c Cl day of f~c~ Nota~ Public 20 l/ CONNIE D. BUNCH ~- Signaturdt~:/Applic~ Nota~j Public, State of New York No. 01BU6185050 Qualified In Suffolk County _. Commleelon Expires Ap~114, 2~/[ 1410 EPA Certified Btu Max 25,000 per hour Burn time 6 hours A~erage Area Healed 800 Sq. fl. Height 27.T' Width I5.Y' Depth 17.2" EPA Grams per hr 3.3 Flue Collar Size 6" Weight 180 Lbs Clearances: Single/Double Wall Chimney Connector Top Plale to Rear Wall 16"/6" Top Plate to Side Wall 20"/20" Top Plate to Comer Wall. 14'; 14" 1.5 Positioning the stove Distance to wails and lintel When the stove is positioned near combustible matehals, observe all current local and national building regulations with regards to clearances, Whatever regulations apply to your area, do r~o{ in any case instalr the stove within 8 inches of combustible materials around the sides or 16 .mhes above the top of the stove. These distances may need to be increased if the materials ;~re sensitive to heat. Note also that wall paper and other decorative materials may become ~i~tacbed with the effects of heat and care should be taken to ensure that they do not fall towards Ihe stove in such an event. When the stove is positioned near non-combusflb!_e materials, a gap of 4 inches or more is r~commended for cleaning purposes and to ensure that heat circulates around the stove and slit into the room. MINIMUM CLEARANCES TO COMBUSTIBLES: DEGAGEMENT$ MINIMAUX AUX MATERIAUX COMBUSTIBLES: BACKWALL I ADJACENT WALL MUR ARRIERE MUR ADJACENT 4S' CLEARANCE REQUIREMENTS STANDARD RESIDENTIAL INSTALLATION iNTEGRAL REAR AND BOlq'OM SHIELDS TOP OR REAR VENT SINGLEWALL CONNECTOR USA CANADA A. SIDEWALL TO UNiT 20" 510 mm. B. BACKWALLTO UNIT 16" 405 mm. C. CORNERWALL TO UNIT 14" 355 mm. D. SIDEWALLTO CONNECTOR 25" 635 mm. E. BACKWALL TO CONNECTOR 18" 455 mm. E CORNERWALL TO CONNECTOR 20" 510 mm. G. UNIT TO CEILING H. FLOOR TO CEILING CLEARANCE REQUIREMENTS STANDARD RESIDENTIAL INSTALLATION INTEGRAL REAR AND BOTFOM SHIELDS TOP OR REAR VENT DOUBLEWALL CONNECTOR USA CANADA A. SIDEWALL TO UNIT 20" 510 mm. B. BACKWALL TO UNIT 6" 150 mm. C. CORNERWALL TO UNIT 14" 355 mm. D. SIDEWALL TO CONNECTOR E. BACKWALL TO CONNECTOR E CORNERWALLTO CONNECTOR G. UNIT TO CEILING H. FLOOR TO CEILING 8 ALCOVE IN S TALL~,TION I INSTALLATION ALCOVE CLEARANCE REQUIREMENTS ALCOVE INSTALLATION USA CANADA W. MINIMUM ALCOVE WIDTH 56" 1420 mm. D. MAXIMUM ALCOVE DEPTH 24" 610 mm. G. ALCOVE CEILING ABOVE STOVE TOP 36" 915 mm. NON-COMBUSTIBLE FLOOR PROTECTOR: FLOOR PROTECTOR MUST BE NON-COMBUSTISLE PROTECTUR DE PLANCHER INCOMBUSTIBLE MATER[AL IT MUST EXTEND BENEATH HEATER, AND TO THE FRONT~IDEES/REAR AS INDICATED. LE PROTECTEUR DE PLANCHER DOIT ENTRE D'UN MATERIAL INCOMBUSTIBLE. IL DOIT S'ETENDRE EN DESSOUS DE L'APPAREIL ET AU DEVART, AUX C~)TES ET A L'ARRIERE DEL L'APPAREIL COMME FLOOR PROTECTION REQUIREMENTS NON-COMBUSTIBLE MATERIALS BENEATH STOVE USA CANADA A. EXTENDING DISTANCE, BACK 200 mm. B. EXTENDING DISTANCE, RIGHT SIDE 6" 200 mm. C. EXTENDING DISTANCE, LEFT SIDE 6" 200 mm, D. EXTENDING DISTANCE, FRONT 16" 450 mm. In the US, floor protection must be constructed of a non-combustible material and installed to extend beneath the heater and 16" to the front and 8" to the sides of the fuel loading door and ash removal openings. In Canada, floor protection must be constructed of a non-combustible matehal and installed to extend beneath the heater and 450 mm.(16') to any side with a door and 200 mm.(8") beyond the appliance on the other sides.