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Home My WebLink About38665-Z FGI,. Town of Southold Annex 6/12/2014 P.O.Box 1179 �e 54375 Main Road µ �E` Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36966 Date: 6/12/2014 THIS CERTIFIES that the building WOOD STOVE Location of Property: Winthrop Dr, Fishers Island, SCTM#: 473889 Sec/Block/Lot: 9.-10-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/28/2014 pursuant to which Building Permit No. 38665 dated 2/10/2014 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 AS APPLIED FOR The certificate is issued to F I School District (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho ' "Si ature 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#: 38665 Date: 2/10/2014 Permission is hereby granted to: F I School District Fishers Island, NY 06390 To: Installation of a wood stove as applied for. At premises located at: Winthrop Dr, Fishers Island SCTM # 473889 Sec/Block/Lot# 9.-10-10 Pursuant to application dated 1/28/2014 and approved by the Building Inspector. To expire on 8/12/2015. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 Total: $250.00 Building Ins for Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT R f�j TOWN HALL 765-1802 F APPLICATION FOR CERTIFICATE OF OCCUPANCY �tuN -9 2014 This application must be filled in by typewriter or ink and submitted to the Building Depar ent with the fbilbWiftg TMVj OF SOUIHUI_D 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"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$50.00. 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. New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: 240 W,-,, �,,[�� Lir. X[s h ers _Fs/a h c, A)Y' 0 43 q O House No. Street Hamlet Owner or Owners of Property: r['sG.Pr3 ms's/aHd (A F5 j) Suffolk County Tax Map No 1000,Section 9 Block /o Lot /0 Subdivision Filed Map. Lot: Permi t No. Date of Permi t.�° !o D 1 Applicant: C7iys r-,c f- Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ S.d CV pplicant Signature oF SOUjyol � o �o • �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU H PLUMBING [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR FmmINFJMRT DATE coumn NTS FOUNDATION(IST) FOUNDATION(2ND) R% tz O ROUGH F Q& PLUMBING INSULATION PER N.Y. (� STATE ENERGY CODE • � Y ClIn V • FINAL ADDITIONAL COMMENTS ` g � y CIO yyyy 1yy�1 tv 1 TOWN OF SOUTHOLDBUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENTDo you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey G3j` PERMIT NO..,3F66 S Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: f Approved CiPL // 2aq j Mail to: Ch ris e �a� Disapproved a/c JAN 2 8 2014 � Ny 66390 Phone: 631- -8g-7GI4 APPLICATION FOR BUILDING PERMIT Date 3'ar.Kara_ aS� , 20�/ INSTRUCTIONS � a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 a Certificate of Occupanc is issued by the Building Inspector. 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. (Sigr6ture of applicant or name, if a corporation) P-0. Lex �?Sq AlAe s -E/anal IVY 06390 ,. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder /&T,ee Name of owner of premises FisX,-n .�/glial UP -'On Fine .Sahoo l bitl,'G1 (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: / .3#0 lc�:n��t�an bo-,Vc -1;I rs �6�l�irc House Number Street Hamlet County Tax Map No. 1000 Section Block a Lot `b Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises andntend d use and occupancy of proposed construction: a. Existing use and occupancy__.., ,h b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work SWs4� wazW (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: 13. Will lot be re-graded Will excess fill be removed from premises: YES NO 4. Nam es cf Owner;,fprorriises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO �. • IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF-NE`s'vn�CC) NC-C_T/C,(.L-T— SS:SS: COUNTY OFhLWf..j.'� 01,r'S-kvUC'Qr S • -�)p 1`C'ti Y 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, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; .hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be )erformed in the manner set forth in the application filed therewith. 6 )worn to before me this _1- � day of 20� R of Public ,"Signature of Applicant AAAHA S RUSS NoWy.Public,State of Connecticut MY Cmission Expims May 31,2017 IZU(405 Description of work to be performed: Instal a freestanding, wood burning stove (Jotul F400), in an existing masonry fireplace. the stove pipe will be vented into the existing fireplace chimney as specified in the owners manual (excerpt included below) 3.2 Hearthmount into a Masonry a Fireplace The Jvtul f 400 may be installed into a masonry fireplace provided the height of the opening is a minimum of zg 1/2Use of the Short leg Package will reduce the stove height by z 1/4" (57 mm). Connector extends to first flue tile Building code requiresthat thefireplace damper plate be removed or secu rely fixed in the open position.A connector pipe must they extend from the stove's flue exit through the dam per area of the fireplace and into the chimney tile liner.See figure 6. Damper opening is P Y g sealed with sheet metal The inside area of theflue liner must not be less than the area of _i plate and sealant the stove flue collarand cannot be more than threetimes greater than the cross sectional area of the stove flue collar. If the chimney liner is too large to accommodate the stove,an approved relining system must be installed to resize the flue. pp r- A new sheet metal damper block off plate must be installed around the connector pipe at the damperframe and sealed with the proper sealant(usually High Temp Silicone). The work will be done by a licensed contractor (Z&S Contracting - Fishers Island, NY) M