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HomeMy WebLinkAbout35922-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 3/16/2011 CERTIFICATE OF OCCUPANCY No: 34866 Date: 3/16/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: CHIMNEY 410 (aka 20) SOUND RD, GREENPORT, Sec/Block/Lot: 35,-I-16 Filed Map No. conforms substantially to the Application for Building Permit heretofore 10/6/2010 pursuant to which Building Permit No. 35922 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: chimney addition to an existing one family dwelling as applied for. Lot No. filed in this officed dated dated 10/6/2010 The certificate is issued to Sinclair, Jennifer (OWNER) of the aforesaid building. SUH~'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ature 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. 35922 Z Date OCTOBER 6, 2010 Permission is hereby granted to: JENNIFER L W SINCLAIR 20 SOUND ROAD GREENPORT,NY 11944 for : CONSTRUCT A BRICK CHIMNEY ( OR MASONRY) TO AN EXISTING SINGLE FAMILY DWELLING REPLACES EXPIRED BP # 22456 at premises located at 410 County Tax Map No. 473889 Section 035 pursuant to application dated OCTOBER Building Inspector to expire on APRIL SOUND RD GREENPORT Block 0001 Lot No. 016 6, 2010 and approved by the 6, 2012. Fee $ 75.00 Authorized S fgnature ORIGINAL Rev. 5/8/02 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. NO 22456 7 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CountyTax Map No 1000 Section ~ '~ 'Block ___,/ ....... i~i'~'~'"'~'.~.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'... Building Inspector. Rev. 6/30/80 and approved by Form No. 6 TOWN 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 °f pr°perry with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ' 2. Final Approval from Health Dept. o£ 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 PI.arming 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 £eatures. ~ 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 o£Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swiraming 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 o£Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: L°cationofProperty: '~_!/~ (9~0) 5t:g,~xCL ~. House No. Street Own~ or Owne~ of Prope~:. ~r ~ Suffo~ Coun~ T~ Map No 1000, S~tion = Sub~sion Pe~it No. 3~q ~ Date of Pe~it. Health Dept. Approval: 'Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ',.,~/-.). tgO (check one) Hamlet % _Block Lot Filed Map.. Lot: Applicant: ~ - ~:~ O' V Underwriters Approval: Final Certificate: '~(check one) ppli~i~'Sign~e 7LS-1~02 BUILDING DEPT. .//INSPECTION [P/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~~[ ] FRAMING [ ] FINAL DATE 70S-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ['~]~NAL DATE ~SPECTO~ BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [] FI~INSPECTION [ ] RRE RESISTANT C0NSTRUC'n0N [ ] FIRE RESISTANT PENETRATION [ ] ELECTRI.CAL (R~OUGH) [ ] ELECTRICAL (FINAL) REMARKS. ~~-~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION l ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~/FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAfm, ~r INSPECTION [ ]~m{~m'r4.T~ueTm~ [ ]Fm~"~'4m~'~,?~'~ REMARKS: DATE //- ~- __iNSPECTOR__~, ~~_ LATIO:; PER'~. y. STATE EHERGy xamine ': ./ .¢/U... '. . ,' ...... ,19AG ?.. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM.ENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ......... ,/3 SETS Of' PLANS .......... .SURVEY ................... ,-CIIECK .................... SEPTIC FORH .............. . MAlL TO: Date ................... 19... INSTRUCTIONS 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 er areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of OccuPancy shall have been granted by the Building Inspector. 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 applicant agrees to comply with all applicable laws, ordinance, s,nb~uilding code, housing code, and regulations, and to admit authorized inspect°rs °n' premises and in building f°r neces ./~.a/_~?'~ ~_~ ' ~ -- X (~Sig.~.at~r~ o~pplicant, or name, if a corporation) . ...................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises ..Q~I h~.M/l..~...~-.~'../~. .~. "~C ~i ..~(.~.i..~. ........... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ..... ~.3.~/../4. ~<. .... Location of land on which proposed work will be done ........................ ~" ~"~-z~P' - .~:Z ................ F House Number Street Hamlet Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... 5i.tX~.l.~..~.~?l.t. I /.2':...~.."~..r'..% E~..'~,.,~.':;.e.~:'~,.. b. Intended use and occupancy ....~..'~..~..~ ................................ ............. r,. ........... 3. Nature of work (check which apphcable): New Building ..... Addition Altera*~,,- Repair .............. Removal .............. Demolition .............. Othe, r Work~'l..~9....g~ . .~. ' (Description~ 4. Estimated Cost ....... O~.o. .................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ · If garage, number of cars .... 6. If business, c°mmercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories .............. Dimensions of same structure with alterations or additions: Froni ......... ' ................................ ................. Rear .................. ~D.epth ..... ;. ................ Height ...................... Number of Stories ...................... 8. ozmensions oz entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 10.9' DateSize of lot: of PurchaseFr°nt 'i ~i ~- ..... ....... t)~.-, c~. Rear, ~.'~ . ....................... Name of Former Owner . .~ ~.i.Depth"/-~ ...................... [.../.x)~--,).5.5' .......... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate,ans/Z0ning law, ordinance or regulation: 13. Will lot be regraded ................................ ........... ................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ........................... Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, $outhold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing.or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. 8E COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATEOFNE~I"O~./ l/ SS COUNTY~ ..~_~C( ~.[ t~._____~.~.~.~, .~_ ~.....Lt.' '~C~..~ being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) above named. Heis the (Contractor, agent, corporate officer, etc.) of said owner or owners, md is duly authorized to perform or have perfomed the said work and to m~e md file this application; that all statements contained ~ this application are tru~to the best of his knowledge and belief; and that the work wHl be perfomed in the mmner set forth in the application filed therewith. Sworn to before me this r __ ............ ,~/. ~. ' .... yof ........ l~.'~ Notary Public,~. ~~7~.. County//~ , · cL~J~ U ettW-- ~ Yet' ( . N~. 487950~ ~/./ .... (Signature of applicant) /d~.~'m?~--_/__/~/ TOW~ OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~/'(~/ VILLAGE DIST,' SUB. F ~oeIORMER OWNER~.~((Ori~. - ' N - E~., - // ACR. ' , ~5o I W ~PE OF BUILDING R[S.~0 ~ S~S.': VL F M CO~M. CB. ~ISC.[ ~kt. V~lu, ~ND IMP. TOTAL DATE REMARKS ~////.~ ~ ~'e 1 . ~ , , ', , ~o ~g~ 4tO0 ~I~D~G D~T~/, , Po '~l~31~'~P~o~7~;-(Reol~. , FARM Acre Value Per Value Tillable 2 , Tillabl. 3 W~land Swampland ~ ' ' FRONTAGE ON WATER Brushland :, FRONTAGE ON ROAD '~ t , ,~: .. DEPTH / -..~ ,.~ ,: BULKH~D Total ' ~'? ?' ' " -. 3asement ~-~0 Ext. Walls I(o Fire Place lath Floors Interior Finish Heat 1'ype Roof Rooms 1st Floor ~,ecreation Room Rooms 2nd Floor Porch J Breezeway :}ormer Driveway 50' i Garage , Patio O.B. ~.'~ Total Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631 ) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 7th, 2007 Jennifer Sinclair 20 Sound Road Greenport, N.Y. 11944 RE: 410 Sound Rd. (Brick chimney) SCTM: 35 1 16 Dear Ms. Sinclair, Please be advised that your Building Permit #22456 issued November 9th, 1994 has expired According to the Code of the Town of Southold; a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of 75.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILD1NG DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY ! 1971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 December 15, 2010 JenniferSinclair 410 Sound Road Greenport, NY 11944 BUILDING DEPARTMENT TOWN OFSOUTHOLD TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. __ A fee of $50.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit:: 35922-Z chimney IMNE.Y..CHECKER O, Bo.. 765 tUck, NY 11~52 (515) 298-3547 HOT WHILE IN O -- CONTACT FURNISHINGS/'A! AWAY FROM THE ~ FIRE: '1 ICH-- KEEP CHILDREN ANDCLO~ ~ NS;SEE NAMEPLATE AND A CONSlDI~ GLOW, EY.':_TWICE MONTHLY AND CLEAN AND :OTHER ISTING AND ,.~','% .. -.. - '~ .?; · ! OI~)VRE NC. ~~ SOLID FUE~ ROOM HEATER , ~ P~TN~4~ HSB AND F<r "- N~ .......... ~ MAY 8E USED WITH MO~EL ~. ~ ~,t;;LDING OR FIRE OFFICIALS ABOUT R£STRICTIO~ AND INSTALLATION IN Y'~ Ol~ IN ACCORDANCE WITH;ll'JE MANUFACTURER'S IN~JALLRTION AND OPERATING NOT CONNECT THIS UNIT-~I'O& CHIMNEY FLUE ~ JUIOTHER APPUANCE. CLEARANCE T i INC~ ~IAMETc'R BLACK MAS0 NARY !;EE IN.RUCTIONS MATERIAL 1 9 IAL ~ ONE LAYER OF 3/8" THICK MILLB OR A UL LISTED FLOOR PROTECTOR EOUAL TO THE (MEASURING FROM LEGS) FROM CEIUNG. T THE BACK CONNECTIONS USE 6 · AND BUILDING Hr~NG IE0 WHEN PASSING THROUGH A WALL NON-COMBUSTIBLE INORGANIC IVITY OF K=0.84 BTU IN./FT~ HR F. DESCRIBED ABOVE. In the tradition of the American Parlor Stove. Picture yourself curled up with a good book, or that TV show you've been waiting to see, or the family gathered for an evening together by the warmth of a blazing fire. In the traditional of settling around the fire on a cold night, the Model 400 parlor stove is ablaze with a tantalizing fire that captivates the senses. Beautiful and fascinating to watch and the comfort of being warmed by the radiant heat of this classic woodburner. The noncatalytic design brings the best of today's combustion technology to combine with the premium cast iron construction. The Model 400 meets all EPA Phase Il requirements for controlled combustion woodstoves and has been safety tested and approved by Underwriters Laboratories. This model has a heating capacity of 35,000 BTU/hour and is an ideal room heater. For that extra warmth in that special room, or for a toasty feeling in the prime living area, the Model 400 parlor stove is the perfect answer. The exceptional airwash system lets you enjoy the active flame pattern from start to finish. R NeuJ 6enerolion in SIove Technolooq Model 400 Standard Features !. Premium quality castiron 2. Ceramic glass doors with exceptional airwash system 3. Adjustable primary air intake 4. Spin draft control 5. Ash pan with door 6. Exterior ash lip. 7. Firebrick and refractory liner 8. Separable wood handle Additional Features Design and Function The trim styling of this model along with the beauty of the tempestuous flames put the Model 400 in a class by itself. For long life, the Model 400 has a full cast iron body and combustion chamber lined with firebrick and refractory. A separate ash door makes for convenient ash removal. With 15" rear and side clearances (optional 8" rear with rear heatshield 400HSB) you can tuck the Model 400 just about anywhere. The low 2.9 grams of particulate produced in emission makes the Model 400 one of the lowest and most Earth friendly stoves on the market. Specifications Maximum Heat Output Up to 35,000 BTU/hr. Heat Output Range* 8,700 to 22,000 BTU/hr. Efficiency Rating Average overall heating efficiency exceeds 75% Log Length Capacity 16" maximum Weight 300 pounds Flue size ~" ~- ~ Cas~: iron, ~ ..,, ceramic glass ~ Standard Color Midnight Black ~ Clearance to 15" from back of stove (std.) Combustible Materials 8" with backshield option ..... 15" from side of stove (std.) Floor Protection Size 39"x31" ~ ~ing Underwriter's Laboratories_~,~ *Based on EPA emissions standard testing. Clean & efficient, EPA Phase II certified at 2.9 grams Important--Use only completely dried wood. When burning wood with a high moisture content, a significant quantity of energy will be lost in drying Advanced noncatalytic technology the wood. Top or rear vent 1o YEAR LIMITED WARRANTY ContEXcellen t h combustloneat exchangeforSU rfaCeto an 8 hour burn ~ t[-~ '~r~'Pr~uc' design specifications, co o ava la bilily and hue are sub ect to change without no ce BTU · - : ,q , ralJngistob~*usedasaguideiineonly, anddoesno mpyaguararlteeoftheheatingcapacil of ack heat shtelo 8 clearance 100 CFM fan kit *o.t~ I~al Buildin~ or Fire offic~l a~ut r*stri~ions and installaO~ r*quimm~n~. Authorized Dovm Dealer ~ ~Dimensions pipe 29% 27'/." ~~) (5I~1654-57~ ~223h'' ~ 143/~'' J Toll Free 1 -~O~OOV~E US ON