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HomeMy WebLinkAbout38284-Z ~r s m& Town of Southold Annex 11/27/2013 r ~ F P.O. Box 1179 54375 Main Road 7r F q Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36622 Date: 11/27/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2075 Sigsbee Rd, Laurel, SCTM 473889 Sec/Block/Lot: 144.-2-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/16/2013 pursuant to which Building Permit No. 38284 dated 8/27/2013 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: FIREPLACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Crom, Steven & Beckmann, Sabine - - (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /11 u o ' d Sign 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 38284 Date: 8/27/2013 Permission is hereby granted to: Crom, Steven & Beckmann, Sabine 325 E 41 st St New York, NY 100175916 To: Residential Alteration - fireplace, as applied for. At premises located at: 2075 Sigsbee Rd, Laurel SCTM # 473889 Sec/Block/Lot # 144.-2-18 Pursuant to application dated 8/16/2013 and approved by the Building Inspector. To expire on 2/2612015. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00 CO - ALTERATION TO DWELLING $50.00 ect T 7$250.00 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: I . 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 I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cade Compliance fromrarchitect 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 I . 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. ~lus~s~ IS do\3 New Construction: Old or Pre-existing Building: y (check one) Location of Property: 0-? 57 S\10@e House No. Street Hamlet Owner or Owners of Property: S\V eve C C orc Suffolk County Tax Map No 1000, Section 73 86 c~ Block H 04 - Lot Subdivision Filed Map. Lot: Permit No.J00~~ Date of Permit. /3 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ SO ,~/ee7 App ant Signature 3 ~l~(~ o~~OFSO(/Typ6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAjMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] , TRICAL (FINAL) REMARKS: ~~_4 0~4_ cx DATE 13 INSPECTOR ~oeArif SO R& TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] 1 ATION jjjj~ FINAL [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 4z DATE ///l/o 13 INSPECTOR FIELD DWWMN REPORT DATE COMMENTS D FOUNDATION (1ST) CIO _1> y FOUNDATION (2ND) x 0 y ROUGH FRAMING & I D. PLUMBING N INSULATION PER N. Y. STATE ENERGY CODE M ~ FINAL ADDITIONAL COMMENTS Pr 93, zO 0 z im z ' o U' x 4 ~lOWN 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 Survey SoutholdTown.NorEhFork.net PERMIT NO, Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined '20 Storm-Water Assessment Form AU' 11 6 2013 ntact: Approved, 20 LL Mail to: Disapproved a/c / G / TD'," G'CLD Phone: (9 535 Expiration , 20_ Spector APPLICATION FOR BUILDING PERMIT Date A r~,J S~ I S 201 INSTRUCTIONS a. This application MUST be completely filled in 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 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 been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in 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 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. i n1 X (Signatur of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 w r. e L' Name of owner of premises S'ce~.De Ct`C V--, (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. 1. Location of land on which proposed work will be done: a075- , asbe~ RC) XN\ A.,Ck House Number Street Hamlet County Tax Map No. 1000 Section y 7398c\ Block 1 yy ` oZ - 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 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work oC Fre,FL\AgC- (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. Dimensions of existing structures, 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 construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 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 v 13. Will lot be re-graded? YES_ NO /Will excess fill be removed from premises? YES_ NO_ 14. Names of Owner of premises Slro-oc C co Address Phone No. Aq(,2 a4(;) Name of Architect Address Phone No 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 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_ NO J * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF C Old being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, e4o;) 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 t before me t ' ~ day of 20 N- otary Public ignature o p licant MARINA KOKKINOS Notary Public - State' of New York -.s tr No.01KO6191941 OualMled in Suffolk county my commission Expires Aug. 96,1016 7 J~~SbEC' APPROVED AS NOTED DATE: B.P. #~.F4 COMPLY WITH ALL CODES OF FEE: BY: IM4 NEW YORK STATE & TOWN CODES NOTIFY BUILDING DEPARTMENT AT AS REQUIRED 765-1802 8AM TO 4PM FOR THE S8i049TAWNZBA FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED SOUTMOT D FOR POURED CONCRETE _ 2. ROUGH - FRAMING & PLUMBING 3. INSULATION NY$.BEE 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ~J O YORK STATE. NOT RESPONSIBLE FOR t I DESIGN OR CONSTRUCTION ERRORS. L OCCUPANCY OR e-X's~;^J USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY \ fire. Skp BIS NOVA TM EPA Wood Burning Fireplaces Specifications cat.# Model Description Back Wall of Chan/Enclosure OUTSIDE CHASE BISNOVABK BISNOVAAK DsNovaEPAWood- Including Finishing Materials, if any Corner Installation C Burning Fireplace Black BISNOJABN BISNDVA-BN BiS mEPAWood- D J Burning F/P BrNickel • Zero Cleamnre F From Back /I~ /lam G PRODURREFERENCE INFORMATION N Spacer to Wall {w;j {\-.lj/~ Weight 215lbs m m Height 37-5/8' -0 Width 32-3/4' Rough Framing Face (Unfinished Shown) Ir. Depth 22-12' Fireb=W%HxD 19-12'x13- maawredinfront x12' combustible mazerials Chimney WeightA5Hr06' 6351b/fL specedkeddyaboe ChimleyWeightAC06' 3151tift •E gfl the abeam thefireplace wwith WmeyWelghtS-2100+06' IOPIbAt. 12 LL woodfianning) FRAMING 04MENSIOM 2'x 3' A 35-7/8 911 mm Total depth is 22- Reader Min. 12inches(572mm) 8 37-5/8' 956 mm including the back C 29-1/8' 740 mm spacer minus 1/2 inch (13mm) for D 12-1/2' 318mm drywall to be flush B with the facing. G E 70' 1778 mm 6•g' F 35' 889 mm (2M) B i~---A---.i Min. G '22' 559 mm J 49-1/2' t257 mm Rough Framing Face K 8' 203 mm (dimension include finish material inside framing, if any) na• 0 Optional Combustion Air Kit me mml to^ ~ml O Q K Notes nom. Ow ulWL dmnsaMphotogrsmxu odh de ignk d- IaBBaBt -mmmukhhku spe col colors paces a laa N. 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ID-La9Br6 mm) ~ 1 mtR-ISZt mml -I untna^ laaB.ml 1/ az-Bne•ISa mml ltstenrk >5-1Nfi' lT0 nml A-1n6• Ip] mml Listed to standards: IF ULC-5610 & UL-127 C K~ e'eeea Neese US PM 506035-09 REV.A 052011 Page i of 2 0* SECURITY CHIMNEYS a\ rHeea. a aTeA\ 11 e BIS NOVATM EPA Wood Burning Fireplaces Specifications Rain Cap Roof Support Storm Collar Flashing Collar " Attic Radiation Flashing Flashing Shield Roar, Roof Support Ce" & wall Attic Radiation Shield 1 6-1/2"Min. f~ (165mm) to ceiling • Must have the same fire stoppi si rig re stance s Firestop a Must ur • usthave tthesam • eimu- 68"Min. latbnasad)xcentceiling. 1 (1727mm) Firestop Fdlowlornlmlesregan+ htgfiarninge xtrutctiom 39"Min. 6.8° (990mm) (2 m) 0 I on-Combustible Min. 7' Facing (2.1 m) p1 Min. Q Drywall or Any Rigid Material ©Combustiblesarenotallowed be- low topspacers abovethe fireplace. 'P. ® Facing in front of fireplace must be 1/2"Plywood 2"x4" non-combustible below this area. CLEARANCE TO COMBUSTIBLES lhefolkmArlgcleaancesmaettheminimumrequirements fora safe installation; mantel Sidewall: 17"(324 mm) measured from the fireplace can Area bewhereInstalied lled side Ceiling: 6'8" (2,032 mm) measured from the base of the fireplace Fireplace enclosure: •L) Bottom: 0" C Side: 0'to spacer Q) 39' Back 0"tospacer (990mm) Top: Do not fill the space above the fireplace Min with any material (Except the wood Hearth 4' 45 Deg. (43 mom) framing - See Page 9, Figure 8 in the EExtennsim (102 mm Installation and Operation Manual) 18" 32-3/4' mm) Chimney: 2"(50mm) _ (4 Min. (8 M M in. Mantel: 39 (990mm) measured from the base of Non-Combustible Material thefireplace. Printed in CA. 0 2011 by Security Chimneys International PM 506035-09 REV.A 05/2011 0* Pageld3 SECURITY CHIMNEYS INTFRNATInNAI