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HomeMy WebLinkAbout37406-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 8/8/2012 CERTIFICATE OF OCCUPANCY No: 35864 Date: 8/8/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: WOOD STOVE 870 Inlet Ln, Greenport, Sec/Block/Lot: 43.-2-8 Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/27/2012 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: Lot No. filed in this officed dated 37406 dated 7/30/2012 Wood stove in an existing Single Family Dwelling. The certificate is issued to Conant, Francis (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 #: 37406 Permission is hereby granted to: Conant, Francis CIO Nora Conant PO BOX 352 Orient, NY 11957 Date: 7/30/2012 To; Alteration to a Single Family Dwelling; Wood Stove, as applied for. At premises located at: 870 Inlet Ln, Greenport SCTM # 473889 Sec/Block/Lot # 43.-2-8 Pursuant to application dated To expire on 1/2912014. Fees: 7/27/2012 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 OccUP,Sd~cy · This application must be filled in by typewriter or ink and submitted to the Building Department with the folio.Wing: A. For new building or new use: l. Final aurve3t of pro1~tty with accUrate.location of all buildings, property lines, streets, and unusual natural, or . topographic featurds. 2. Final Approval from Health D.ept. of water supply and sewerage-disposal (8-9 form~. ~. Approval of electrical installation from Board 6 f Fire Underwriters. . 4. 'aw. om atatemant from plum .b~r a~-tifying that tho solder uaedin system eontaiv, s less than 2/10 of 1% lead . 5. Core--iai building, iad.~trial building, mtflfipla r~id~ and similar buildings and installations, a e~dficate of Coda Compliaar~'from arahit~t or ~ngineer t-e~pon~ible for the building~ -6. Submit p!anning Board Approval of completed site plan reqnit~nents. B, For existing buildings (prior to April 9, 195'0 fion-conforming us~s, or buildings and "pre-existing" i/md uses: 1. Accurate survey of property showing all property lines,'streets, building and unusu~l naluml or topographic features_ ' 2. A pr~p¢rIy c~mp~eted app~:icati~n and c~nsent t~ inspect signedby the app~icant. If a Certi~cate ~f ~ c--~`cupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Ccrtificai. e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Akerations to dwelling $50.06, Swimmir~g pool $50.00 Accessory building $50.00, Addit ons to accessory building $50.00, Businesses $50.00~. ~. C~;~tifieate of 0ccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy ~ $:25 · 4. Updated Certificate of Occupancy- $50.00 - 5. TempoFary Certificate 0f Occupancy - Residential $15.0(~, Commercial $15.00 ~lew ~oastmction: -~*ation of Property: House lqo. ~r or Owners o~ Prol~rt hfffolk .County Tax Map No 1000, Seetiqn ~visibn '~nit No. kalth D~pt. Appro'~l: 'lanning Board Approval: rote. Old or Pm-existirig Building:.' ~ ' (check one) '- Street . ' - ~lamlet Pfl~ M~. DateOfpermiL Underwritefi~ Approval: ~exluest for: Temporary Certificate Submitted: $ Final-Certificate: _ (check one) Ap~licam Signature /N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined 7 -- .~O .20 [ ~'~ 7 ^pp,-o ed >0 , :o PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST JUL 2 7 2012 BLDG. DEPT. ~., TOWN Of SOUTHOLD Building Inspector 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date ut ?~, I~ .20 INSTRUCTIONS a. This application MUST be completely filled iu 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. e. No building shall be occupied or used in whole or in pa~ for any purpose what so ever until thg Building Inspector issues a Ceffificate of Occupancy. f. Every building permit 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. If no zoning amendments or other regulations affecting the prope~ have been enacted in the interim, the Buildiug Inspector may authorize, in writing, the extension of the pe~it for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent lbr the issuance ora Building Permit pursuant to the Buildiug Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or lbr removal or demolition as herein described. 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 necessary inspections. ' (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, g~n~ml contmc[oL ~l~c~ici~n, ~lumb~r ov ~uild~v Name of owner of premises (As on the tax roll or latest deed),,_-~-w---~ If applicant is a corporation, signature of duly authorized officer /~,.~'~ OrOd ~~, ~ (Name and title of corporate officer) (~ '~t~,70- ~ Builders License No. Plumbers License No. ~.~0 r 0 ~._~_ 7-~ Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be do?: House Number Street County Tax Map No. 1000 Section 45 Block 2. Lot Subdivision Filed Map No. Lot 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 occupancy Repair Nature of work (check which applicable): New Building - Addition Alteration Removal Demolition i'~ Other Work (Description) (To be paid on filing this application) Number 0f d.w.~llingiunits on each floor 4. Estimated Cost 5. If dwelling, number If garage, number of cars if business, commercial or mixed specify nature and extent of each type of use. 7. Dimensions of existing structures, if an Height Number Dimensions of same structure with Depth Heig 8. Dimensions of entire new- construction: Front Height Number 9. Size of lot: Front Rear Depth Stories ,ns or additions: Front Rear Number of Stories Rear Depth Rear _Depth 10. Date of Pm-chase Name of Former 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordi~ m? YES NO____ 13. Will lot be re-graded? YES NO Will excess fill be remc ' es? 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 cfa tidal wetland or a lYeshwater 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 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) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named. CONNIE D. BUNCH Notary Public, State of Now York No. 01BU6185050 (S)He is the ~u~;i;;~d i,', ~,,'i,.,;k Co~in,~' ~.,, (Contractor, Agent, Corporate Officer. etc.) Commission Expires April 14, 2~_~/~ 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 tree 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 ~,~P'~ day_of ~ 20 Notary Public Hearth Stove Direct Connection NOTE: Direct'connections require installation of an airtight, non-combustible block-off plate or damper adapter. Interior or Exterior Masonry Chimney NOTE: This type of installation requires a UBC approved masonpj connector or other method approved by the NFPA 211 standard. See Chimney Connector Requirements on page 10 for further details. NOTE: The chimney must have a clay fie liner. If it does not, the installation must use a positive connection (full reline). The entire fireplace and chimney must be clean, undamaged, and meet all local building codes (UBC, etc.). Damage must be repaired prior to installation. The chimney must be 15' (4.57M) to 33' (10.05M) tall. Combustible Mantle Min. 18' (457mm) Floor Protection (See the section "Floor Protection Requiremehts" for more details) I I I I I NOTE: The chimney must have a clay tile liner. If it does not, the installation must use a positive connection (full reline). 'l~e entire fireplace and chimney must be clean, undamaged, and meet all local building codes (UBC, etc.). Damage must be repaired p~or to installation. The chimney must be 15' (4.57M) to 33' (10.05M) tall. See the section "Stove Placement Requimmenla" for minimum clearances required. Min. 18" (457mm) clearance to ceiling Chimney connector sections See the section "Floor Protection Requirements' Clay Liner Stainless steel chimney connector must Extend 1' past the block-off plate or to the flue liner Insulated Clean-Out Remove damper or wire it open Block-off plate or damper adapter See the section "Stove Placement Requirements" for minimum clearances required. Figure 15 liner This type of installalion requires a UBC approved masen~y connector or a factory befit (U.L Listed) wall thimble. Make sure the claan-out seals in place. Figure 16 Width Height (All Legs) Height (Pedestal) Depth Flue Size Construction (plate steel) Weight (body w/legs) Emissions Heating Capacity (Sq FL) Heat Output Efficiency (DEQ) Maximum Burn.me Firebox Size Maximum Log Size A = Stove to Side Wall B = Stove to Bad( Wall C = Stove to Comer Wall D = Connector to Side Wall E= Connector to Bad(Wall F= Connector to Corner Wall G = Front H = Sides I =Back J = Minimum Wkith K = MaximumOepth L = Minimum Height CL~=.~RANCES TO UNPROT~( COMBUS13BLES Use these illustrations in conjunction information urn:let the "Clearance' &' headings above. *Heating Capacity may vary dependh on degree of home insulation, floor plan and ambient temperature zone the area in which you live. SMALL 23-5/8" 27-7/~" 31-7/8" 16-1/4' 6' 5/16" to 3/16" 3OO lbs. 4.4 Grams/Hr. 750 to 1,400 66,800 BTU's/Hr. Up To 79.6% UpTo 8 Hours 1-6 Cubic Ft. UpTo 18" 27" 21-1/2" U~A 6" 6" 495/8' 48" 84' INSTAl. LA,TI CORNER WAIJ COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED~ / /.~ SOUTH~NNING I~l~) /v/// .J(Y.S. DEC r., - :- '}lNG ~.~ ~ z r NOr R~P;)N~ ELEFOR LD D~tgN O~ ~¢N~TNU~TION ERROR& - :_-. .. ~CAULKING ~ - CN~ ELECTRICAL E ~E FOR C 0 - ~- ..... ~ qON SHA.. MEET THE --" ~' ~ ~S OF THE~¢~F NEW "- -~, )'ATE NOT RE~~ DE 9*' ~ONSTRUCTION ERRORS, © Travis Industries 100-01179 4081028