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Home My WebLink About41989-Z �o�1s�FfOd,�loGy Town of Southold 10/3/2017 0 P.O.Box 1179 co X, 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39262 Date: 10/3/2017 THIS CERTIFIES that the building WOOD STOVE Location of Property: 2900 Indian Neck Ln.,Peconic SCTM#: 473889 Sec/Block/Lot: 98.4-2.12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/18/2017 pursuant to which Building Permit No. 41989 dated 9/26/2017 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 BURNING STOVE INSTALLED IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Giliberti,Robert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut d Signature TOWN OF SOUTHOLD �gUFFO�,��Q BUILDING DEPARTMENT z TOWN CLERK'S OFFICE "oy . 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#: 41989 Date: 9/26/2017 Permission is hereby granted to: Giliberti, Robert 1679 Oak St Baldwin, NY 11510 To: install a wood burning stove as per manufacturer's specifications as applied for. At premises located at: 2900 Indian Neck Ln., Peconic SCTM # 473889 Sec/Block/Lot# 98.-1-2.12 Pursuant to application dated 9/18/2017 and approved by the Building Inspector. To expire on 3/28/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO G $50.00 Tot 1: $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: 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 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 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 ct / Date. New Construction: Old or Pre-existing Building: (check one) Location of Prope �C/ House No. Street Hamlet Owner or Owners of Property: (g� II t 6&t+1 Suffolk County Tax Map No 1000, Section Block Lot �— Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ a t . Ar Applicant STri-ature H O i �y 0 MV,N TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTIO' N [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL Wm A6 [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: NoA Com6vio4k, b DATE l® Y INSPECTOR FIELD mg ,=ON n1 oRT AAT COt� S ' FOUNDA•�ON;(1ST) ............ ..I........... .Y ww FOYJND�Tx4N (2N7�) � ROUGH FR.p,.1V.DNCx& OL- PLUM3L 'G INSULATION'PBA N.Y. STATE ENE ROY COBE lot FINAL CJI/ :. r m 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 PlansS TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502Survey 00 Southoldtownny.gov PERMIT NO. 8,/ Check ON` �0 ,— Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate IMP 0 Y E Truss Identification Form D Storm-Water Assessment Form EP 1 8 2017 Contact: Approved ,20 a1Gf`iI•'7te� /Cdd�yerf �i ��✓�! Disapproved a/c TOWN OF Urso Phone: /,//7 yf'S 06-� 6 Expiration ,20 SSD a— ctor APPLICATION FOR ING PERMIT Date , 20 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 shal I 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. (Signature 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 Name of owner of premises AVf1,0-/C— 1 h (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: 9?90 �cl/a/Y A/ele'/l" Awe- A aa? d, House Number Street Hamlet J County Tax Map No. 1000 Section 0 - 'Blobk - 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 3l11.91'1el— Aui e__ b. Intended use and occupancy c Aylen' . 3. Nature of work(check which applicable):New Building Addit' Alteration Repair Removal Demolition Other ork 1AInZAA& � ' - inte(-10f— (Description) 4. Estimated Cost .�,..,� _..... ..._... &,T be aid on ilin this application) 5. If dwelling, number of dwelling units s 'a Dumber of dwelling uhis Qn each floor If garage, number of carsE fI U ..rg 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. . "T Depth 7. Dimensions of existing structures, if any: Front �•,,,;,.•,-• ,Rear"�..,� Height Number of Stories`"�'u 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 0(J9 Name of Former Owner 6Aye 9/— �iA��1�S' "Of 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 NOI.--"Will excess fill be removed from premises? YES' NO__Ite � 6oC�'� ��/l UJ/7— /�trl`i�11/1/' 14. Names of Owner premises Address Phone No. 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: COU�NT^Y OF ' l `�2��'r—I�I 1 )CCb mbeing duly sworn, deposes and says that(s)he is the applicant (Nae of individual signing contract) above named, (S)He is the D\/\) cwi�, (Contractor, Agent, 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 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 to before me#Public ' �_day o 20 I' _ iAaa O� TRACEY L. DWYE NoNOTARY PUBLIC,STATE OF NE LSign ture of Applicant NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2a& >v&-Y'eo POE No4e t 4te'7 z MO/I Na. -rowiv oo= '50u-r"a UTH01171P A " 10N OR ADDITFOM T THIS SURVEY'LlA��JICLAT.Oj4 OF Jr S TION 7209 OF Tkik NEW YORK STAVE E CATION UM- pjfS Of TV. SU' '�p NOT BEAMPO , 7 6 LAND -13 SEAL OR E iSCIS'.1)SfA'.-�;A'.tCONSIDUM U A VALID rt CIA" 0 u IA U 4L "7399 u A AIWIXY \R3 C:'m ,, �t L11,0,I UUA.-Af IM A-, 0 AOJ-11,014" Iwo) 5ec*.098, PO� Pal rce-1 2.4 V aw Will area zw& '4z f d le I ' � f --- ^F - -- --- I AS NOTED GONPLYVVITH ALL CODES OF APPROVE® NEW Y0* F',K STATE & TOWN CODES 1:1 .1 B.p'.# AS REQUIRED-Pr'�-Ei7�_Ti�U DAT FE EON A TO :. ' 6EppRTM NoTi y BUILDING TH,E �ELV Vi�r 'NN�Ui )4? � 0M 'F0R 765-1802 8 A ori FES FOLLOWING 11— T\NORQUIRED 1. FOUNDATION;:- DEC R FOR, POURED,AM NG' ING 2.. BOUGH - 'F_' 3. INSULATION, MUST 4. FINAL - COSTRUCTO , CE FOR, C.O:,: l," CUPANCY OR BE r THE ,OMPLE SHALL:MEE f ALL tONSTRUCTION_ - '.s6F 7145 Po6tS�OF NEW USE IS UNLAWFUL REQUIREMENTS. N�jBLE FOR NS-RUCTION T RE§oot , YORK STATE. ERRORS. WITHOUT CERTIFICATE DESIGN-OR GT OF OCCUPANCY - , Y �+ +. Defiant°FlexBurn° 1975 Non-Catalytic/Catalytic Wood Burning Stove noncombustible hearth pad with k= 0.84 Btu/in ft2 hr OF 1e"between pip)clearance or an equivalent material with an R-value of at least 1.18. between pipe and -----__ sides/top/bottom of - (Refer to "How to Determine if alternate Floor Protection opening -------- Materials are Acceptable"section.)The floor protector may /r be covered with a decorative noncombustible material ii Q desired.Do not obstruct the space under the heater.An 8' chimney and chimney connector is required an the bypass j/ damper must be in the fully open position. ' Important:All installations on a combustible floor re- quire the use of the supplied bottom heat shield. Protection requirements vary somewhat between the Un- tied States and Canada as follows: In U.S.installations the floor protector is required under the stove and must extend at least 16" (not including the srasa ash lip)from the front of the stove("F",Fig.12),and at least i Fig.11 An approved wall pass-through for Canada. 6"from the sides and rear. ("D"and"E", Fig. 12) provide details for other approved methods of passing In rear venting configurations, floor protection must also a chimney connector through a combustible wall in your extend under the chimney connector and 2"to either side. area. In Canada,this type of installation must conform to ("C",Fig.12) For the 8"(203 mm)connector,the protector CAN/CSA-B365, Installation Code for Solid Fuel Burning must be a minimum of 12"(305 mm)wide. For the 6"(152 Appliances and Equipment. mm)connector, the protector must be 10"(254 mm)wide. NOTE: Do not vent your Defiant® into a factory-built The protector must be centered under the.connector. (zero-clearance) fireplace. These appliances and their To meet these requirements, a floor protector must be at chimneys are specifically designed as a unit for use as least 44"wide and 46" deep. fireplaces. It may void the listing or be hazardous to adapt In Canada: A noncombustible floor protector is required tt them for any other use. under the stove as well. The floor protector must extend DO NOT CONNECT THE DEFIANT°TO ANY AIR DIS- 18" (457 mm)to the front(7', Fig. 12), and 8" (203 mm) TRIBUTION DUCT OR SYSTEM. from the sides and rear. ("D"and"E",-Fig. 12) To meet these requirements, a floor protector must be at FFloor Protectionleast 46" (1168 mm)wide and 50" (1270 mm) deep. A tremendous amount of heat radiates from the bottom c plate of your stove. The floor area directly under and around the stove will require protection from radiant heat 1� as well as from stray sparks or embers that may escape the firebox. o Heat protection is provided with the use of the Bottom Heat B Shield supplied with the stove. E E E> E Most installations will require the bottom heat shield to be attached. Only when the stove is placed on a completely F F noncombustible surface such as unpainted concrete over de A �I �_ A earth may it be used without the heat shield. U.S. Canada Even when the bottom heat shield are installed, most in- ®Ile/ A. 44" 48" (1219 mm) stallations require special thermal protection (insulation) 1 B. 46" 50" (1270 mm) for the floor beneath. Use an approved 1/2" (13 mm) C. 12" 12" (305 mm) 8"Connector noncombustible hearth pad with k=0.84 BTUrn ft2 hr OF 10" 10" (250 mm) 6"Connector or an equivalent material with an R-value of at least 0.59. D. 6" 8" (203 mm) (Refer to "How to Determine if Alternate Floor Protection E. 6" 8" (203 mm) Materials are Acceptable"section.)The floor protector may F. 16" 18" (460 mm) sr500 be,covered with a decorative noncombustible material if Fig.12 Required floor protection dimensions. desired. Do not obstruct the space under the heater. When using a fire screen with doors open, UL737, Stan- dard for Fireplace Stoves, use an approved 1" (25 mm) 10 30005220 Defiant°I=lexBurnr 1975 Non-Catalytic/Catalytic Wood Burning Stove Stove Clearance _ Unprotected Surface Protected Surfaces' No Connector Heat Shields with Connector Heat'Shields Stove Stove Stove Installed Parallel to Wail in Stove Installed Parallel to Wall in Corner Corner Side Rear Corners Side Rear2 Corners (to rear (to back edge (to rear (to back edge ' shroud) of cast to shroud of cast top) Top exit with single (A)21" (B) 15" (C)21" (D)5" (E)5" (F)3" (G)9" (D)5" wall connector pipe (521 mm) (381 mm 521 mm (127 mm) (127 mm 76 mm 229 mm 127 mrri Door open with fire screen used and (H)22" (1) 18" (•1)24" damper open (559 mm) (457 mm) (610 mm) n/a n/a n/a n/a n/a 8"chimney onl z Top Exit with double (P)21" (0)15" (R)21" (S)5" (T)5" (U)V- (V)9" (W),2" " walla connector pipe 521 mm 381 mm 521 mm 127 mm 127 mm 76 mm 229 mm) 51 mtn , Rear Exit (X)21" (Y) 10" (Z)16" n/a n/a n/a n/a n%0 (521 mm) (254 mm) (407 mm) The attached rear shroud must be used in all installations.The flue collar heat shield must be used.in all votida(lnstallations: 1. The connector pipe heat shield must extend 36" (914 mm)above the flue collar. 2. WARNING:If stove has been installed based on the clearances described above as`Top exit with single'wall-or double wall connector pipe,"then stove cannot be operated as"Door open with fire screen and damper open"without moving the stove so the clearance meets those described for this type installation. 3. Using a listed double wall oval to round connector. A ceiling heat shield,24"(610 mm)in diameter and suspended 1"(25 mm)from the ceiling must surround the pipe in installations where the chimney penetrates,the ceiling. 300052: 14 -� Defiant'FlexBurn° 1975 Non-Catalytic/Catalytic Wood Burning Stove Defiant@ Clearance Diagrams for use with either a 6" or 8" chimney connection ; Unprotected Surfaces Protected Surfaces 3 No Connector Heat Shield with Connector Heat Shield Stove Installed Stove in Corner Stove Installed Parallel Stove in Corner Parallel to Wall to Wall Top Exit Installations, single-wall connector C _ D G F D � 1_ =C--D A 17 D D ; Door open with fire screen, damper open, 8" chimney only, 1" floor protection � � s N/A N/A N/A --' H Top Exit Installations, double-wall chimney connector, flue collar shield installed Z7 1. � A R U W ---Pi Rear Exit Installations 1i Z Y N/A N/A N/A --X�•- ST855 30005220 15 t Defiant'F1exBurn' 1975 Non-Catalytic/Catalytic Wood Burning Stove - — Distance f rom' the • • • Sin • - e • • Shields Unprotected Surfaces Protected Surfaces Parallel Installations Corner Parallel installations Corner Installations Installations Side A Rear B Corner(C) Side D Rear E Corner F 36'/2" (927 mm) 21" (533 mm) 16" (406 mm) 20%" (521 mm) 9" (229 mm) 16" (406 mm) D. .rs Open Unprotected Surfaces Parallel Installations Corner Installations Side A Rear B Corner C 37%" (953 mm) 18" (457 mm) Do--wall Side(A) Rear(B) Corner(C) Side(D) Rear(E) Corner(F) 36'/z" (927 mm) 21" (533 mm) 16" (406 mm) 20%" (521 mm) 9" (229 mm) 16" (406 mm) {-A--' g C ' D Fff -+ - z- -1 rFO I_ This distance,from the center of the flue collar to the front edge of the hearth, is the same for all installations on this page: 34" (865 mm) in the United States and 36" (914 mm) in Canada. 16 30005220