HomeMy WebLinkAbout36254-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
12/15/2011
CERTIFICATE OF OCCUPANCY
No: 35344
Date: 12/15/2011
THIS CERTIFIES that the building WOOD STOVE
Location of Property: I Peters Way, Fishers Island,
SCTM #: 473889 Sec/Block/Lot: 6.-2-3.3
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/9/2011 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
36254 dated 3/18/2011
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 and chimney in an existing one family dwelling as applied for.
The certificate is issued to
Brock, Peter&Brock, Tracy
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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 #: 36254
Date: 3/18/2011
Permission is hereby granted to:
Brock, Peter & Tracy
PO BOX 104
Fishers Island, NY 06390
mo~
Alteration to a Single Family Dwelling; Wood Stove & Chimney
At premises located at:
1 Peters Way, Fishers Island, NY
SCTM # 473889
Sec/Block/Lot # 6.-2-3.3
Pursuant to application dated
To expire on 9/16/2012.
Fees:
31912011
and approved by the Building Inspector.
CO - ALTERATION TO DWELLING
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
Total:
$50.00
$200.00
$250.00
Building Inspector
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 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.
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'~
1. Accurate survey of property showing all property lines, streets, building and unusual natura
2. A properly completed application and consent to inspect signed by the applicant. If a Certi
denied, theBuildinglnspectorshallstatethereasonsthereforinwritingtotheapphcant.
c. gees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alteratio wel $5
Swimming pool $50.00, Accessory building $50.00, Additions to accesso~ building $50.0~, ~sin~es $~~
2. Certificate of Occupancy on Pre-existing Building - $I00.00
3. Copy of Ce~ificate of Occupancy - $.25
4. Updated Ce~ificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Prope~'Y~l I
House No.
Owner or Owners of eropen-~ ~'~c ~.~
Suffolk County Tax Map No 1000, Section
Old or Pre-existing Building: (check one)
· ( Street ' Hamlet
Block g Lot 3, b
Subdivision
Pe=it o.
Health Dept. Approval:
Date of Permit. 3 ~/oC"~//
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ f~,~l ~0. OC)
Final Certificate:
(check one)
---,-"
~ /'c---~ , .
' · Applica,~ign~ture
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING/STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
DATE ~ INSPECTOR
12/12/2011 11:30 FAX 631 7~8 7798 FISItERS ISLAND [~ILITY ~001
Fishers Island Utility Company
P.O. Drawer E
Fishers Island, NY 06390
631 788 7251
Date 12/12/2011
TO:__Buildin9 Dept Gary Fish
FAX~ 631 765 9502
From:. Bob Wall
FAX # 631 788 7798
Snbject BP ~ 36254 Gary, This i~ one you inspected and
found the chimney had to be extended and additional strapping put on.
This has been done and I have inspected it, Bob
Number of pages including this one i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
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
Flood Permit
Storm-Water Assessment Form
Contact:
Approved ~ '~/ ~/ ,20 I{ Mailto:
Phone:
Expiration ~ ~/7 ,20 [~ ~ ~
Buff dm Ins ector /~?[ ~, -
~mpletely filled in by t~ewriter or in i~ and submitted to the Building ~spector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot pl~ showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and wate~ays.
c. The work covered by this application may not be commenced before issu~ce of Building Pe~it.
d. Upon approval of this application, the Building ~spector will issue a Building Pe~it to the applicant. Such a permit
shall be kept on the premises available for inspection t~oughout the work.
e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Buil~ng Inspector
issues a Ce~ificate of Occupancy.
fi 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 ~om such date. If no zoning amendments or other regulations affecting the
prope~y have been enacted in the interim, the Building ~spector may authorize, in whting, the extension of the pe~it for an
addition six months. Thema~er, a new pemit shall be required.
~PLICATION IS HE,BY M~E to the Building Depa~ment for the issuance of a Building Pe~it 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 deschbed. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on promises and in building for necessa~ inspections.
' ' ~plic~r ~a~g, ifa co~oration)
(Mailing aS~es~ofapplicant) ~ ~0
isO lessee, agent, mchitect, engineer, general contractor, electrician, plumber or
State
whether
applic~t
builder
Name of owner of premises
~ (As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number (Street
Hamlet
/
County Tax Map No. 1000 Section (t~ Block t~
Subdivision Filed Map No.
Lot ~
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~->~ r/~,~ ~
b. Intended use and occupancy
Nature of work (check which applicable): New Building.
Repair_ Removal Demolition
Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work lOo,~-a~ %to~-~ ;,~,4~/(~4 ~o~ -
~,¥c/(*~,.','?/¥~ ~.(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
8. Dimensions of entire new construction: Front Rear _Depth
Height Number of Stories
Rear
9. Size of lot: Front Rear Depth
10. Date of Purchase ,~ G[)~ 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 fi(
13. Will lot be re-graded? YES NO ~x 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 nf a tidal wetland or a freshwater wetland? *YES
* 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.
NO X
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
STATE OF NEW YORK)
q,' . SS:
COUNTY OF-.3tF3t~ oV.. )
~5~ ~. ~C~- being duly sworn, deposes and says that (s)he is the applicaut
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
KAl ~.NEATHRI. AS.H TH
of said owner or owners, and is duly authorized tCNll~~,,~~work and to make and file this application;
that all statements contained in this application are tree to tllq~.e~l ~6tljlrg~owledge and belief; and that the work will be
performed in the manner set forth in the application ~I$.OV~OLK COON1Y
COMMISSION EXPIRES 05/24/2014
Sworn to before me this ~ ~
(,_)Notary Public
20//
Signa~re
of kp-pficaTat
Fig. 17 Parallel installation in a corner with Fig. 2o
wall shield , ,
Combustible wall '
· Must be ¢' off the The wall
wail and Y' off the ~ ·
· With single wall extend a
minimum of
pipe, the shield ~ 4" (~o2 mm)
must be 49" high
measured offthe * ~ past the side
floor. I of the stove
· With double wall
pipe, the shield The wall shield must extend a mini- A; Unit to 8" Wide Mantel - 3° in. (76 cm)
must be 37" high mum of 7" (178mm) past the ash lip B: Unit to Top Trim ~ 21 in. (53-5 cm)
measured off the of the stove
floor. C: Unit to Side Trim - 18 in. (46 cm)
· Both shields _MUST D: Unit to Side Wall - 24 in. (61 cm)
extend and join in
the corner.
Fig. 18 Corner installation with wall shield
Combustible wall C~O~'¢':pLlf W!TH ALL CODES OF
Wall shield% ~ 4EW YORK STATE & TOWN CODES
· Must beY'off % ,~S REQUIRED ~Tl~-~klo ~-~r-
the wall and Y'
-,,
pipe, the shield must extend a ' BOARD
must be 49". minimum of 7"
wall pipe, the the front corner
shield must be __ ofthe stove. -- -
37" high. ~' ...... v
· Both shields
M_U$~T extend
The wall shield must
and join in the
corner, extend a minimum ofT"
(~?Smm) past the front
corner of the stove.
APPROVED AS NOTED
[65-1802 8 AM TO 4 PM FOR THE
~..~ ~ ~x/F O LLOWING INSPECTIONS:
/ 1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
- 2 ROUGH-FRAMING, PLUMBING,
STRAPPING, ELECTRICAL & CAULKING
A I~ ~ 4 FINAL- CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C,O.
'~ ALL CONSTRUCTION SHALL MEET THE
B REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
A: Lift to open DESIGN OR CONS3]~JCTION ERRORS.
B: Left - closed, Right - open
(Measurements in cm- for Canada)
Fig. 20
?
Fig. 5
Listed Ca p
Storm Colla[~
~-- -- Listed
lashing -~ Chimney
Chimney
Fig. 6
Connector pipe must
be flush with the
inside of the flue tile
Chimney
Connector
pipe
Thimble
Attic
Insulation
Shield
Flue Tile
Fi§. 7
A: 8" (2o cm)
B:16" (46 cm)
Hearth protection
2~t
(75 cra)
~o Adjacent Combustible
A
Fig. 8
A: 2'F' (53,5cm)
B: '~3,5 "(34,5 cm)
Fig. 9
A: 13" (33,5 cm)
B: 20 1/4" (5'i,scm)
Fig. ~o
?
B
(Measurements in cm- for Canada) A: 24" (61 cra)
B: 19" (48,3cm)
Jetul F 602 Woodstove Clearances
Stove clearances ~tected su rfaces-s-'~'~"~
Top veztt/verUcaL
-/ Side Rear Corner
~Sin§le wall pipe 21"
[ .~/out rear heatshield 535mm 345mm 33omm
Single wall pipe 21" W' 11"
With rear heatshield 535mm 28omm 28omm
Protected surfaces (NFPA zl~)
Side Rear Corner
13" W' 9"
33omm 28omm 23omm
13" 11"
33omm 28omm 23omm
Shielded single wall pipe 2Y' 9" 9" ~3" 8" 8"
With rear heatshield 535mm 23omm 23omm 33omm 2osmm 2osmm
Double wall pipe 24" 9" 9" 13" 8" $"
With rear heatshield 6~omm 23omm 23omm 3oomm 2osmm 2osmm
Double wall pipe 24" 15" q5" ~2" $" 8"
w/out rear he;t~hield 6~omm 3$omm 38omm 3osmm 2osmm 2osmm
Connector Unprotected surface Protected surface (NFPA
~pipe) ........ ~erticaJ_installati~t ............... _Ver~dca l instal [at ion .............
Single wall pipe ~8" 6"
46omm ~5omm
Double wall pipe pipe mfgr. listing pipe mfgr. listing
Connector Unprotected surface Protected surface (NFPA
([0ipe} Horizontal installation Horizontal installation
5ingle wall pipe 18" 9"
46omm 23omm
Double wall pipe pipe mf~r. listing pipe mfgr. listing
Minimum alcove dimensions:
Minimum alcove width
Maximum alcove depth
Hei~hf above the fop of the stove
Unprotected surface
Vertical venting.
Assumes top exit:
55" (14oomm)
45" (122omm)
71" (18o5mm)
Protected surface (NFPA 2~)
Vertical venting
A~umes top exit:
4Y' (lO4O mm)
48"(1220 mm)
71'' (1~O5 mm)