HomeMy WebLinkAbout38267-Z ~yp'~I{pl,f'~, Town of Southold Annex 9/11/2013
~'7~ P.O. Box 1179
54375 Main Road
Southold, New York 11971
*
CERTIFICATE OF OCCUPANCY
No: 36496 Date: 9/11 /2013
THIS CERTIFIES that the building WOOD STOVE
Location of Property: 545 Greton Ct, Mattituck,
SCTM 473889 Sec/Block/Lot: 107.-2-3.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
8/7/2013 pursuant to which Building Permit No. 38267 dated 8/20/2013
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:
nellet stove as applied for.
The certificate is issued to Delaney, Kristen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
_
oriz Si ure
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 38267 Date: 8/20/2013
Permission is hereby granted to:
Delaney, Kristen
545 Greton Ct
Mattituck, NY 11952
To: installation of a Pellet Stove as applied for
At premises located at:
545 Greton Ct, Mattituck
SCTM # 473889
Sec/Block/Lot # 107.-2-3.9
Pursuant to application dated 8/7/2013 and approved by the Building Inspector.
To expire on 2/19/2015.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
Form No. b "
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 azchitect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-eaisNng" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topogaphic
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
l . 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
Date. ~ ~ 20 ~
New Construction: Old or Pre-existing Building: ~ (check one)
Location of Property:rj~}~ G~-2.~'O~ CT a~~~~eK-
House No. Street Hamlet
Owner or Owners of Property: ~V1S~tr~ ~ 2 ~ Q1~P u
Suffolk County Tax Map No 1000, Section ~ Block d Lot ~ . 9
Subdivision Filed Map. Lot:
Permit No. ;'rj /I ~{0 7 Date of Permit. ~ iZfJ ~ / 3 Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $ _ 5 (7 • ~
pp icant Signature
V / ~ / O~~OF sOVf,(~
TOWN OF SOUTNOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROU PLBG.
[ ]FOUNDATION 2ND [ ] SULATION
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
DATE ~ INSPECTOR
FIELD ~ N REPORT DATE CONIIVI$1VTS C~
b
`BOUNDA~ION(IS1~
x
C
y
FOUNDATION (ZND) ~
O
S
ROUGH FRgMTTTG & ~
PLU112BING y
IN,~ULATION PER N. Y.
STATE ENERGY CODE
C
n
FINAL ,
g' g ADDTTIONAL COMMENTS ~ C7'
n'`
Z
Ri
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a
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A
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 aa Survey
SoutholdTown.NorthFork.net PERMIT NO. ~J t~a-Po 7 Check
Septic Form
N.Y.S.D.E.C.
Trustces
G ~ q Flood Permit
Examined 0 20_L Storm-Water Assessment Fonn
Contact:
Approved~U, 20
~
3 Mail to:
Disapproved a/c ,fit l
Phone: 1 a. ~ ~ ~ /l
Expiration ~ O 20
~ , I i l ~ ~ Building Inspector
~ ~ ' ~
APPLICATION FOR BUILDING PERMIT
I'~~' AUG 7l 2013 ! Date zoo
INSTRUCTIONS
a. "Pttig 5jlplication MUST completely fdled in by typewriter or vt ink and submitted to the Building Inspector with 4
setsr ofglapg,:lic4u[e P 1 t e. 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 bcen completed within 1 S months fmm such date. [f no zonhtg amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, m writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building IJepartrnent 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 constmction of buildings, additions, or alteretions 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 admit
authorized inspectors on premises and in building for necessary inspections.
( tgnetore of latent or name, if a corpo n)
545 Gr~OV;~, ` ~~~U~ t 145d
State whether applicant is owner, lessee, agent, architect, engineer, general cont~tsr, el 'c' , pl BbYer alder
C~11LN212 NOttTIFY BUILDING DEPARTMENT AT
7b'~-TS62~AVTT-~ 4~M FOR THE
Name of owner of premises KK'IS~F~-N ~~F1~~NSPECTIONS:
(As on the tax rpll or latest>leeBpUNDA NN -
TEED
Ifapplicantisacorporntion,signatureofd>~}~~iz~d'!~k,~~', FOR POURED CONCRETE
~p~ 2 F5: ~H - FFA~:'~"<; PLUMBING.
(Name anddtleofcorpotateofficer~~f~~: ~~"a ~1`Jh.~YVF13ed STRAPPING. ELt~TRICP.LBCAULKING
TION
BuildersLicettseNo. "Ji'r'~1f~1? !~1~ r ' CONSTRJCTI^.": SELECTRICAL
Plumbers License No. E RT ~ F~ 3 : , ~ .
r , ~ , MUST BE COMPLETE FCK ~ O.
Electricians License No. ~ 1r NI+ ALL CONSTRUCTION SHALL MEET THE
Other Trade's License No. " 1-` REQUIREMENTS OF THECOD~SOFNE.V
1. Locatio of land n which proposed work will be done: YORK STATE. NOT RESPOfJ; ~ I'LE FOR
~ ~>>2~zM CT M ~-~~~uI~IC QR CONSTRUCTION ERRORS.
HouseNtunber Sheet r/ Hamlet
County Tax Map No. 1000 Section ~ ~ / Block a Lot `7
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
3. Nature of work (check which applicable): New Building Addition Alteration
Repair _ Removal Demolition Other Work i
7 P ~'r S'T2~V~2
T' (Description)
4. Estimated Cost 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, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimension:: of existing stmctures, if any: Front Rear Depth
Height_ Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth_ Height Number of Stories
8. Dimensions of entire new wnstmction: Front Rear Depth '
Height _ Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purohase 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_NOWill excess fill be removed from premises? YES_/NO,~n Cdl~Slta~
14. Names of Owner of premises SKY, s~!'l DP~~y~~,~~~~~~~~-Address ~Aa E Phone No. YO~t~ o~'l~ ~~~1q
Name of Architect 1 Address Phone No T
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 MAYBE 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_ NO_
" IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
S:
COUNTY OFS- '
CONNIE D. BUNCH
being duly sworn, deposes and says that (s)lNdiBlr; R1~ifA!tlSPgte of New York
(Name of individual signing contract) above named, No. Ot BU6185050
Qualified In Suffolk County
(S)He is the_ Cornmi::sian Frpirnc np:~l 94, 2d~
(Contractor, Agen; 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 ate 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.
Swom to bef xe me this G1
day of 2 J
~ ~ ~ _
Notary Public Signature of Applicant
INSTALLATION 8r OPERATION MANUAL
MODEL NUMBERS: 25-PDVC 55-SHP10 55-TRP10
Thank you for purchasing this product from a fine line of heating equipment. We wish you many
years of safe heating pleasure with your new heating appliance..
Save These Instructions.
IMPORTANT: IF YOU HAVE A PROBLEM WITH THIS UNIT DO NOT RETURN IT TO THE
DEALER. CONTACT TECHNICAL SUPPORT ~ 1-800.245-6489.
Mobile Home Use:
These freestanding pellet units are approved for mobile home or doublewide i"nstaliation with
outside combustion air hook-up. See "Flue System" section of manual.
Mobile home installation should be in accordance with the Manufactured Home and Safety
Standard (HUD), CFR - ,Part 24.
WARNING: Do Not InstalltiSleeping Room
CAUTION: The structural integrity of the mobile home floor, wall and ceiling/roof
must be maintained. j
• Please Note the Followinn Precautionary Statements•
NOTE: WE DO NOT RECOMMEND PELLET STOVES AS YOUR ONLYSOURCE OF HEAT.
England's Stove Works highly recommends the use of smoke detectors and Carbon Monoxide
detectors with any hearth product, including this unit. Follow all manufacturer's nstruetions when
using smoke or Carbon Monoxide detectors.
CAUTION: Please read this entire manual before installation and use of this pe118t
fuel burning room heater.
Keep children, furniture, fixtures, and all combustible materials-away from
1' any heating appliance. Refer to this owner's manual for all clearances .to `
combustible materials.
WARNING: USE OF OUTSIDE AIR IS MANDATORY IT.
DO NOT OPERATE UNIT WITH HOPPER OPEN. LID MUST BE SHUT HTLY SECURI=D.
DO NOT OPERATE WITH DOOR OPEN
SAFETY NOTICE
FAILURE TO_ FOLLOW THESE INSTRUCTIONS COULD RESULT IN PROPERTY D~ r+ -
BODILY INJURY OR EVEN DEATH. FOR YOUR SAFETY AND PROTECTION, FOLLOW ALL ' ~ .
THE INSTALLATION INSTRUCTIONS. CONTACT YOUR LOCAL BUILDING OR FIRE OFFICIALS
:RESTRICTIONS AND INSTALLATION INSPECTION REQUIREMENTS (Nilf~liblNG
IN YOUR AREA.
Questions? Need Parts or Options? www.enalanderstoves.cbst
rr~'ea- k
Rev. 1107
F
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'
k~"' ~r...
a4,~
Freestanding Pellet Installation
;tom manufacturer's installation instructions and directions for
stible walls and ceilings. Check local codes in your area.
' IDrrstration 1 1
m
Our Part AC-3000 is
~ mM accxptable for
' i I through-the-wall
installation.
+ (AC3100 for 4000+
ft. installations.)
~ J._
~s~ Basement Installation should
be perfom~ed by professional
3' clearance installer. Use 3' metal pipe
and coupler for Outside
n`w
~ Combustion Air. Minimum 3'
clearance from ground to the
1 Pellet Vent Exhaust Pipe.
i I ~
j
1 ~ Masonry Connection
TyY~ ~
'
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.-e
~ -
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1. NT flee pope exceeds 15' in leogi, i~r~eare ~4' 8re pipt: for iemaining flue connections.
2 Tote! fk¢ Imgdt should not exceed33'_
3. Horizotttat rmt not m exceed 4'.
4. Floor protector required: Min. sia 3i":3Z"
5. If the total tun of outside air cottuatiaiaaoomds b', if more than 2 elbows are used, or if a
basement install, use 3" metal pipe (ariaaa~lat) -
6. Oatsidc Arr is maadaWry jorprapaa~rArna~w.
FLOOR A/!D WALL PROTECTION
Floor Protection
If your floor is constructed of a rlon-combustble material such as brick or concrete, there is no
need for floor protection. If the floor is constructed of a combustible material such as hardwood,
linoleum, or carpet, then you will be required. to use floor protection between the unit and the
combustible. The protection should be U.L approved or epttal, and should be large enough to
provide a minimum of one inch (1") behind and four inches (4") on both sides of the stove. The
clearance in front of the stove should be at least six inches (6"). This freestanding pellet unit will need
a minimum 31" x 32" floor protector.
Wall Protectjon
the rear and the sides of this stove only six inches (6") of clearance is required to paneling,
for drywall. The pellet vent pipe would require the standard three inches (3") clearance, or
as by the manufacturer. Normally additional wail protection is not required with this
~ r
R
Iuustntion 4 PU-CB04
Control Board Diagram (Wiring) 6
5 COMBUSTION BLOWER
LOWER RUGER 6 5 3 7
y z e 1 y
V.~_' 1 9 8 7
1
HIGH TEMP. VAC. HOSE
.y ~ a
~ is
VACUUM SWfTCH~
sAMP ~HIGHTEMP. VAC. HOSE
4 3 FUSE g
® VACUUM 3WITC~
® J. 10 9
UPPER
AUGER ~ 1 ~
ROOM AIR BLOWER
BACK OF IGNITOR
FIRE 60X sarsaR ~
CAUTION c~ THF.RrtAL o(~o
120 VOLT EXPOSED ON TH5 CtiCUi (1„
DI5CONrECT FROM PONVER SOURCE a
MOVtJO HOT PARTS MAY CAl15E t0.AJRY BACK OF FIRE BOX
DO NOT oPeiArE WITH PANS REbIOVED 120 VOLT
LINE W'°I-~ THERMOSTAT
THE THERMAL SENSOR 5 NOT A GROUND S ~
CAUTION: Moving Parts May Cause Injury.
Do NOT Operate with Panel(s) Off.
DANGER: Parts May Be Hot. Risk of Electric Shock.
Disconnect Power Before Servicing Unit.
Notes on tertninaUon of Pellet Vent Pipe (ses also °FLUE SYSTEM" section of manuall:
1. Not less than three (3) feet above any forced air inlet located within ten (10) feet.
2. Not less than four (a) feet below, four (a) feet horizontally from, or one (1) foot above any door, window or
gravity air inlet into any building.
3. Not Ins than two (2) feet from an adjacent building, and not less than seven (7) feet above grade where
located adjacent to public walkways.
The exhaust exit shall be arranged so that the flue gases are not directed so that it will affect people, overtteat
oomtxudble structures, or enter buildings. Forced draft systems and all parts of Mduced draft systems under
pos~ve pressure during operation shall be installed gastight or to prevent leakage of combustion products into a
txidsg. Through-the-wall vents shall not terminate over pubric walkways, or where condensate ar vapor could
aea[e hazards or a nuisance.
Be sure to follow local codes and all manufacturer's instructans (including exhaust pyeJ.
Consult a professanal installer and/or call Technkal Support if you have say questions.
¦PORTANT SAFt7Y NOTE: If the unit or chimney connector pipe '~ovvs" red (or
MATiejj the stove is over-fired. This condition could cause a house or chimney fire.
Do net operate your unit too hot, or over-firing may result.
17
< , - .a
.LET FUEL 6URNINC~ ROOM NEATER ~
_ PE
MODEL: ~5-PDV~l55-S~HP1 ~ ,
Q.
~ ~ ~ ~ ~ ~ ~ ~ ~ !~~-G DATE :
- ~ ~ $ 1~ OR~GO~ 8t.4=2~-900'~M ~ .
.
. 8t4~23-909 A~D~~~~1t~ :~562~~-M94-UL 1-48~' ~ ~ . - -
C~ ~
F.
Tt~.S PELLET.FIRED APPLIA~:~~E~N.TE~~E~I,AND LIST#~! -
. - ~ . ~ ~ ~ ~ "FOR ~~E ~l~lT~~ R~~.~~T~ FUEL" ~ - .
;I~f~~T #~AT11~G : 3$ 000 BTU : ~ ~ ~ E LE~~'.~~RATI~N ~ - .1 ~20V 60HZ 3A ~ ~ .
. .
~ ~~P-~!~OR & HOPPER LID ~LO~?EDT#OHTLY.~D~1~R1NG OPERATION.. ~ ~ ~
!~";~IU~1` ~E. PLACED O N A NON=COMBI~~~li3~~ ~~LOOR PROTECTOR ~ ~ ~
. ~~7~ OUT $"TOTHF. FROND' A.NQ~4" . TH lDE AND 1 "TOTJiE 6ACK: .
- TO E S
¦ ~CO''aa?~Al. BUILi~tAfC ~OR: F1R~ t3~FIC~:ALS A6QUT _RESTRICrt101~S