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Home My WebLink About33883-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 9/22/2011 No: 35228 · Date: 9/22/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: WOOD STOVE 65490 MAIN RD GREENPORT, Sec/Block/Lot: 53.-5-12.6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fried in this officed dated 5/5/2008 pursuant to which Building Permit No. 33883 dated 5/8/2008 was issued, and conforms to all of the requirements of the applicable provisions of thc law. The occupancy for which this certificate is issued is: wood stove in cottage #6 as applied for. The certificate is issued to Breezy Shores Comnty lnc (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 PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33883 Z Date MAY 8, 2008 Permission is hereby granted to: SHORES COMMUNITY BREEZY /PO BOX 546 /GREENPORT,NY 11944 for : INSTALLATION OF A WOOD STOVE PER MANUFACTURER'S SPECS COTTAGE #6 at premises located at 65490 MAIN RD GREENPORT County Tax Map No. 473889 Section 053 Block 0005 Lot No. 012.006 Fee $ pursuant to application dated MAY 5, 2008 and approved by the Building Inspector to expire on~~Ur NOVEMBER 200.00 ~~~tho ORIGINAL Rev. 5/8/02 ~orm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH 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 0f property with accurate location 0f 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 o f elcctrieal installation from Board 0f 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 maidenees 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. 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 $50.0t). 2. Cevtificate of Occupancy on Pm-existing Building - $100.00 3. Copy of Certifieate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date· lqcw Construction: Location of Property: ~ ~¢~tq 0 House No. Street Owner or Owners of Property: gl~e~ $uffolk County Tax Map No 1000, Section ~"~'~ Bloek Old or Pre-existing Building: (cheek one) IZ-. b Subdivision P~mit No. . Health Dept. Approval: Planning Board Approval: Request for: Date of Permit. Temporary Certificate Filed Map. Applicant: Underwriters Approval: Final Certificate: (check one) Foe Submitted: $ Applicant $$gnature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ }.,],,FINAL [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR COMIVIEIqTS ~ml,D INSPECTION REPORT { DATE I FOUNDATION (1ST) ~~q ..................................... FOLrNDATION (2ND) ~ ROUG~ F~G & ~ ~ PL~'G x ~S~ATION PER N.Y. --~ ~ ~ STATE ENERGY CODE F~ / ' / ~DITION~ CO~S m TOWN OF SOUTHOLD BUILDING DEPARTMENT TOl~'q HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net /17-7 Examined ,20 PERMIT NO. Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets &Building Plans Planning Board approval Disapproved a/c (P one:, Building Inspector "APPLICATION FOR BUILD~G PERMIT INSTRUCTIONS a. This application MUST be completely filled in by Wpew~ter 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 oflot and of buildings on premises, relationship to adjoining premises or public s~eets or areas, and wate~ays. c. ~e work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, ~e Building Inspector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the premises available fot~inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu~ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pe~it shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. ff no zoning amendments or other regulations affecting the prope~ have been enacted in the intehm, the Building Inspector may authorize, in writing, the extension of the pe~it for an addition s ~ Depa~ment for the issuance of a Building Pe~it pursuant to the Suffolk CounW, New York, and other applicable Laws, Ordinances or 2. 3. authorized officer Plumbers LicenseNo. Electricians LicenseNo. Other Trade's License No. >fficer) 1. Locatiop of land on which.proposed work will be do~e: House Number Street/ County Tax Map No. 1000 Section .J~"~ Block ~.~ Subdivision Filed Map No. Lot /~,o / Lot 2. ,6tate ex]st~ng use and occupancy of premises and mterkde~t use aod, occtloancy of propgsed constructmn: a. Existing use and occupancy b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) ]_ 4. Estimated Cost ~t/~ O/) O Fee (To be paid on filing this application) 5. I f dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 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 Depth Dimensions of same structure with alterations or additions: Front Depth_ Height_ Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front Rear Depth Depth Rear 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 Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STAVE OF NEW YORK) COUNTY OF (~)S: //r~ t%/~, ,~ ~¢~/~ /~ ~ being duly swom, deposes and says that (s)he is the applicant (Nam~ o'f individual signing contract) above named, (S)He is the ~:~ ~ ~ e~ t~ (Contractor, Agent, Coq>orate 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 fore me this .... Notary Public TINA STEWART NOTARY PUBLIC - State of New York No, 01ST6145421 in Queens County 5/~/~0 Qualified Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 January 15,2009 Breezy Shores Community P.O. Box 546 Greenport N.Y. 11944 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631 ) 765-1802 Fax (631 ) 765-9502 We are unable to complete your Certificate of Occupancy because of the following reasons: '~'~ application for Certificate of Occupancy is not on file. (Enclosed) No Electrical Certificate on file C.,~ The Check is not on file - $ 25.00 No Final Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval B.P. # 33883 Wood Stove Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTItOLD August 9, 2011 Breezy Shores Community PO Box 1186 Westhampton Beach, NY 11978 Re: 65490 Main Rd, Greenport TWO WHOM IT MAY CONCERN: The FO owing tems Are Needed To Complete Your Certificate of Occupancy' ~, · ~" Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. _~A fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 33883- Wood Stove 8EP 1 9 2011 T0v" Neo Design Group, Inc Z Intrepid H Woodburning Stove The information on this page is helpful in planning stove placement for top-exiting installations, particularly those in- stallations with chimneys that pass through the ceiling. However, this is not a clearance chart. Final stove clearances must adhere to the guidelines stated in the clearance charts on Page 14. Intrepid I1: WITHOUT Stove and Chimney Connector Heat Shields Unprotected Surfaces Protected Surfaces Parallel Installations Corner Parallel Installations Corner Installations** Installations** Side (A) Rear (B) Corner (C) Side (D) Rear ~E) Corner (F) 343/~'' 29" 263A'' 223/4'' 15" 163A'' (883 mm) (737 mm) (680 mm) (578 mm) (381 mm) (426 mm) * This distance, from the center of the flue cellar to the front edge of the hearth, is the same for all installations on this page: 31" in the United States and Canada. Unprotected Surfaces Intrepid I1: WITH Stove and Chimney Connect~or~Heat Shields Protected Surfaces Parallel Installations Corner Parallel Installations Corner Installations** Installations** Side (A) Rear (B) Corner (C) Corner (F) 34%" (883 mm) (381 mm) 183/~'' (476 mm) Side (D) I Rear (E) (578 mm) (203 mm) 163A'' (426 mm) ST511a o locate center of flue collar for corner ~nstallat*on, add 7" (180mm) to the clearance distance form stove comer to wall. Mark off the resulting distance from the comer along both walls. Next, measure the same distance form these two points out from the walls. These last two measure- ments will meet at a point representing the center of the flue collar. Refer to the diagrams above. 18 2000966 The Intrepid Model 1990 meets the U.S. Environmental Protection Agencys emission limits for catalytic wood heaters built on or after July 1,1990. The Intrepid Model 1990 has been tested and listed by Warnock Hersey, lnc.to standards ANSI-UL-1482 and ANSI/UL-737 for the U.S. and ULC S627 and CAN/CSA-B366.2 for Canada. It is approved for use in manufactured (mobile) homes only in the U.S.and only when installed with Vermont Castings Mobile Home Kit No. 3251. Top Exit U.S. Canada E ¥ U.S. Canada A. 34" 38" (965 mm) B. 40" 44" (1118 mm) C. 10" 10" (254 mm) D. 6" 5" (203 mm) E. 16' 18" (457 mm) The Intrepid is approved for use with prefabricated metal chimney that is tested and listed for use with solid-fuel burning appliances to the High-Temperature (H.T.) Chimney Standard UL-103-1985 (2100° R) for the United States, and High Temperatu re (650° C) Standard U LC S-629 for Canada. The Intrepid is approved for venting into a masonry chimney with a nominal flue size of 8"x 8" (200 x 200 mm) or 8"x 12" (200 x 300 mm). With an 8" flue collar, the Intrepid may be vented to an 8" (200 mm) round flue. A 6" flue collar, may be vented into a 6" (150 mm) or 8" (200 mm) round flue. FEATURES: · Catalytic Combustion at 2.1 grams per hour ~ · Top or Front Loading · Hi-Temp Ceramic Glass Fireviewing · Swing-out Removable Ash Pan · Porcelain Enamel Colors: Bordeaux, Midnight Slue, Biscuit, Chestnut Brown, Ebony Black, Vt. Classic Green, Classic Black HEATING EFFICIENCY: 74.9 % 2 MAXIMUM HEAT OUTPUT: 27,000 Btu/hr.3 HEATING CAPACITY: Up to 1,000 sq. ft.4 FUEL SIZE: 16"(410 mm Logs) FLUE EXIT POSITION: Reversible Top or Rear - 8"Flue Collar Standard PRIMARY AIR: Manually set, thermostatically maintained SECONDARY AIR: Self-regulating WEIGHT: 223 lbs. (101 kg.) 0172 Rear Vent Shield 0307 Bottom Heat Shield 0136 Sparkscreen 3258 Outside Air Adaptor (for 3"ducting) 0574 Stove Surface Thermometer 4334 Thermostat WARMING SHELVES available - SEE PRICE LIST SHORT LEGS (set of 4) available - SEE PRICE LIST Intrepid II Woodburning Stove See the chart on Page t4 for dimensions indicated by letter in the diagrams below. Unprotected Surfaces Protected Surfaces Stove Installed Parallel to Wall Stove in Stove Installed I Stove in Corner Parallel to Wall] Corner Top Exit installations, no heat shields B -4 A · -I C C E Top Exit Installations -4 G Rear Exit Installations, rear heat shields. N NIA shields or double-wall connector J K -4 L Q ST507 16 2000966 Intrepid II 18,'oodburning Stove See Pages t5 and t6 for illustrations of these clearances. Surfaces ] Protected Surfaces Unprotected Stove Clearance Stove Installed Stove in Stove Installed Stove in Parallel to Wall Corner Parallel to Wall Corner Side Rear Corners Side Rear Corners No stove heat shields (A) 24" (B) 30" (C) 20" (D) 12" (E) 16" (F) 10" (610 mm/ (762 mm) (508 mm/ (305 mm) (406 mm/ (254 mm/ Top exit, rear stove h.s., ~'- '""' ~ 12" 12" 9" 10" single-wall chimney (G) 24" (H) 16" l (I) (J) (K) (L) m~ (254 mm) (22g mm) (305 mm) connector with connector (610 mm) (406 mm/ (305 m heat shields~2~, / Rear exit, rear stove (M) 24" (N) 14" ~ (P) 12" (Q) 9" n/a he~. (610 mm/ (356 mm) I- ~ /305 mm) (229 mm) /~op exit, rear stove h.s., 1 (G) 24" (H) 16"/k (I) 12" ) * double-wall (610 mm) 406 mm[ (305 mm) c"'Cr~'~ey connecto¢ · '"'- Chimne 1 Cufi' ector Clearance Single-wall chimney connector, no 26" (660 mm) 12" (305 mm) connector heat shields Single-wall chimney connector, with 10" (254 mm) 5" (127 mm)~ connector heat shields Double-wall 12" (305 mm) * connectorS Front Clearance to Combustibles All Installations 48" (1219 mm) * Clearances with double-wall connectors and protected surfaces have not been tested for the Intrepid II. 1. Shielding for a top exit stove must include the stove rear heat shield insert to protect the area behind the flue collar. 2. Chimney connector heat shields, in an installation that goes through a combustible ceiling, must extend to 1' (25 mm) below the ceiling heat shield, which is 22" (559 mm) in diameter. The ceiling heat shield should be 24 gauge or heavier sheet metal, centered on the chimney connector, and mounted on noncombustible spacers. 3. Rear exit--horizontal from flue collar directly back through wall. 4. The ceiling heat shield required when chimney connector shields are used should meet the wall protector. This will require tdm- ~ the wall protector. min~] the ceiling shield alona the line of intersection with 5. In top exit installations, this clearance requires the use of the rear he'shield with the shield insert insta 2000966 15