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HomeMy WebLinkAbout24705-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26058 Date: 10/23/98 THIS CERTIFIES that the building WOODBURNING STOVE Location of Property: 1190 THE CRESCENT EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 30 Block 2 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 1998 pursuant to which Building Permit No. 24705-Z dated FEBRUARY 23, 1998 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 & CHIMNEY SYSTEM FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to TSUNEHIDE & LILA ARAGAKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i Building Inspec r Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD r BUILDING DEPARTMENT _ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 $25.00, Additions to dwelling $25.003 Alterations to dwelling $25.00, Swimming pool .$25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date (9�.��/ !. !. l. . .tF . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . Old Or Pre-existing Building.,.. . . . . Location of Property.�l... . �. . . . . .. . . . . . . : ::./�:��. :/• . . . . . . House No. Street r. . Hamlet Onwer or Owners of Property. .l-:S-�.n�r '�S �.I.r �.L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .,3.4. .. ..Block. .. .. . . . . . . .Lot. . . �J. . . . . . . . . . . . . . . Subdivision. . . . . . . . ... . . . . . . . . . . . . .. .. . . . . . . . .FilQed Map. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �5? . . .Date Of PermitY r.. ./: . . . . . .Applicant. . . . . . HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . .`�. : CDD. . . . . . . . . . . . . . . . . co APPLICANT FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24705 Z Date FEBRUARY 23, 1998 Permission is hereby granted to: TSUNEHIDE & WF ARAGAKI 7 GRAMERCY PARK NEW YORK,NY 10003 for INSTALL AN APPROVED WOOD BURNING STOVE AND CHIMNEY SYSTEM FOR A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1190 THE CRESCENT EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 024 pursuant to application dated FEBRUARY 6 1998 and approved by the Building Inspector. Fee $ 35 . 00 0,/' Building Insp ctor ORIGINAL Rev. 2/19/98 OF04coG Town Hall, 53095 Main Road y Fax (516)765-1823 P. 0. Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 11, 1998 Tsunehide Aragaki 7 Gramercy Park New York, NY 10003 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being , issued after April 1, 1984) . BUILDING PERMIT #24705-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 11DAi �� : OMMENTS S`l --- FOUNDATION _ ( 1st) FOUNDATION ( 2nd ) 2 . z o •\ ROUGH FRAME & O -PLUMBING • cn 3 . m r� INSULATION PER N . Y. cl n STATE ENERGY CODE I 1` I) 4 , o I Ld FINAL C z ADDITIONAL COMMENTS : x • fl rr • x H 9.3\� H �\ _ O • Z �O . r C=] . C17 ^0 H 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ��.e, [✓] FIREPLACE & CHIMNEY REMARKS: D� Z4 CD. DATE �� �� INSPECTOR--�✓�9—�—�� r BOARD OF HEALTH . . . . . . . . . . . . . . . 17ORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . ! BUILDING DEI'AR71fL'N'f CIIECR . . . . . - • . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FO . . . . . . . . . . . SOUTHOLD, N.Y. 11971 0 (� TEL: 765-102. NOTIFY: � IS CALLr L"x.-rmi ned... ". .. ..:., 19 3 .. `MAT! T0. . . . • • . . . . . . . . . . . Approved...... .tea. ...., 19 .(� Permit No. ... :/...�© i"r �L�aa..®ts �' '3, Disapproved a/c ........... ................................. ICATION ing inspector) APP . 17OR IIl1i1..DINC PEitMT'I' INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector will 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 pr<iblic streets or breas, and giving;a-detailed description of. layolt of property rtxust be drat4h on the diagrun which is part of this-appl-ication. c. Tile work covered'by this`aj &icatfoh may not be commenced before issuance of lluilding Permit. Upon approval of this alip ieation,, the lluilding Inspector will ,`issue a Ikiilding Permit to the applicant. Such permit shall be kept on the premises,available"for-_inspuection throughout the im,rk: e. buiIding.._slall a ir'e(1 o r��wNl in wl►ole or in 'part for any_Ix?rfX.W whatever iml•il a Certificate Of (xcupaicy_sliall- have_been._I;rantecLl2yt1►e_Ituilcling Inspector:, APPLT('.AHON IS I0U-I'15Y 1rKC- to tlue Iuuilding Department for the issuance of a ikuilding Permit pursuant Co the Ikuilding Zone Ordinance of tine Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for tine construction of buildings, additions or alterations, or for removal or demolition, as herein described. 11ue applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and reinrlations, and to admit authorized inspectors on premises and in building for r es sa inspections. .. ... .... ... .... ...l_r J.. lure of applicant,�or ai�e,.i f a cor1poral ion) ,.6MMa&j� PARKx �... k (Mailing address of applicant State whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plonit)er or builder. ... .PuCt,�(�..........................................................:................:.:.................. Nave of owner of premises....�S .. ............ `............ ... ....... (as on the tax roll or latest deed) 'if applicant is a corporation, signature of duly authorized officer. ............................................... (N:me and title of corporate officer) Builders License No. ......................... Plumbers License No. .......................... Electricians License No. ..................... ; . Other Trade's License No. .................... I. Iocation of land on wluich propose(] work will be done.............................................................. ....................................................................................................................... douse Number Street Rxillet Canty Tax Map No. 1000 Section ....;� ....... Block .... �. r ...... Lot .2 717:......... Subdivision ....................... .. .riled Map No. ............... Lot ............... (Name) 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 .��.. ���`..�. ..... .. .G�� ..�.... ....... .. 3. Fature of work (Ldmeck wlmicll al-l)licahle): New lluildinf, .......... Addition .. Al ration .......... Repair ............ Removal ............. Demolition ..... ..... Other Work . _ (Description) R-( 4;. ^�� listiil tfhd Cos U.' ..=3it.�.................. fee ...................................:.......... rs, .. i (to be paid on filing this application).. lE rfit lIing, Ixni)er o ?elliLW units ............ U.%ibe'r of'dw6lling units cx► each floor ................ Ifgara-e mnbe ca .-••................................. ial r mixed occupancy, specify nature and, extent of each type, of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth .._.............. Ileigllt ......................... Umber of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... 11eplh .................... Ileigllt ............ tani)er of Stories ............... a. Dimensions of entire new construction; Front ................ Rear ............... Depth .............. liei[JIL ........................... Number of Stories 9. Size of lot-: font Rear .................... Depth .................. 10. Dare of Pur(llase ..................... M--me of Former Omer ........................................ II. Z(x)e or use district in which premises are situated .............................................................. 12. Does proposed c(x)struction violate any zoning law, ordinance or regulation: 13. Will lot I)e. regraded —... _.:_.-.:.. Will excess fill lx: removed from premises: YES NO G Nalles of Owner of premises [ .ulYfD11n�. C7!�K�A(klress/ll.�/ 4 H)a)e Noss 2993 . . Ny�i�ay .. Nine of Architect .... J ........... Address om .. .... Pl►one No y.�pfi. o_ / �Q Name of ('cx)tractor _ ! 16Y.�:�QQlll�(, ,i (�LS7'�?f?4... A(klress 7�)�? ,tq..40m.9—Mone No.:U. ' 8�2- 15. 'Is this property within 300 feet of a tidal wetland? * YES .......... No *1F YES, SO(1'l1nD win 'li(isims PL.tmrr MAY m RE(illltau). PLOT DIAGRAM locate clearly and distinctly all buildings, wi)etller existing or proposed, and indicate all set-back dimensions Fran property lines. Give street and block nid)er or description according to (Feed, and show street names and indicate M)ellmer interior or corner lot. P R 0 AS NOTED 70,5 FEE: N NOTIFYBUILDINGPST T OCCUPANCY OR 765-1SO2 a AM TO FOR THE FOLLOWING INSPECTIONS: USE IS UNLAWFUL I-FOUNDATION NDATION TWO REQUIRED WITHOUT CERTIFICATE x.f OUCH FRAMING&PL`aMBING OF OCCUPANCY S. 'NSULATION 4. FINAL - CONSTRUCTION MUST RE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL IMEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Srnni 017 t91 Y(RtK, CODES. NOT RESPONSIBLE FOR Ss DESIGN OR CONSTRUCTION ERRORS (1111NI7 M .. .C......... Ad �1... .......... l)eimlg (iu1Y sw)cirn, deposes and says Umal he is LI)e appl.icm)nL (Mvie of imxlividu al. signing contract) - ~ ;Ilx)ve luxlvd, lleis t.11e ................................................................................................... (Contractor, agent,- corporaLe officer., etc.) of said owner or owners, and is duly auLhorized to perform or have performed the said work and to nuke and file Lhis application; Lhat all statements conLai.ned in this application are Lrue to Lhe best of his krx)wledfe and Ixil.ief-' and, that Lhe work will be performmed in the manmler set forth in Lhe application filed therewith. %. x)rn Lo be�foorre� me this ((�'� ..........?........clay of: ;? •........ Notary Public. ... ...... MARK WARREN SCHLUSSEL (Sigrklture of Appl.i.cant) Notary Public,State of New York No.4706059 Qualified in Nassau County Commissfnn Expires April 30, 16 Intrepid 11 Clearance UNPROTECTED SURFACES PROTECTED SURFACFS Parallel Installations Comer Installations Parallel Installations Comer Installations Stove Clearance Side Rear Comer Side Rear Comer No heat shields [A]24"(61Omni) 161 30"(160 mm) [C]20"(510 mm) ID]12"(300 mm) [E]16"(410 mm) IF]10"(250 mm) Top exit,rear h.s.only [G]24"(610 mm) [H130"(160 mm) [1] 20"(510 mm) [J) 12"(300 mm) [K]16"(410 rnm) [L]10"(250 mm) Top exit,rear& [M124"(610 nun) [N 4A: 360 mm) 10112".(300 mm) [PI 12"(300 mm) [Q]9"(230 rum) [R110"(250 mm) connector shields — =7 Rear exit,rear h.s.only IS)24"(610 mm) m 14"(360 mm) NA [U]12"(300 mm) IV)9"(230 mm) NA Chimney Connector All Installations All Installations Clearance No heat shields 26"(660 mm) 12"(300 mm) Connector heat shields 10"(250 mm) 5" (130 mm) Front Clearance to All Installaticns Combustibles 48"(1220 mm) Double-Wall 12"(305 mm) Not Tested Chimney Connector Unprotected Surfaces Protected Surfaces .� C T F C. Installations in whiff h no heat shields are used. � L IOFI� ❑ t`.-L I Top exit stoves with rear heat fields. P-� . Top exit stoves with rear and connector shields. T I V b � } ❑ S NA ❑ - —jJ—► NA Rear exit stoves ith rear heat shields. The specifications and clearances included In this tech Lsheet are for'preliminary.planning purposes only. Before beginning any installation, consult your local authorized Vermont.Castings dealer. 14 a - Minimum Wall Shield Requirements for Some Common Intrpid II Installations 16' 12' 410mm 300mm 1' 10, 16%i l 25mm 413mm %25mm 30'12" 36' 760mm300mm 915mm 10,250mm35, 40•690mm 1020mm 1120m\1 +5 90mm I arallel installa-tion,verticalchimney connec- 25mm Corner installa- for two wall shields. tion,vertical RX ced clearance for chimney connector, both rear and side walls. two wall shields. Reduced Wall shields may meet at corner side clearances. Wall shields if desired. MUST meet at corner. 9. 230mm� 130mm 125rrin �— 230mim 130mm 25mm 12' 36' 300rrrm 915m 760mm 30. IT Parallel in- 300m 7 mm 4 rw stallation// 44im vertical Cliinl- 1120mm 36' ' Parallel installa- 915mm ney connector, tozOmm e90mm tion with rear wall tzomm as stove,connector �� pass-through with 40' I690mm and wall shields.Maximum reduction tozomm��� 15 for both rear and side mm\ �/ walls. Wall shields may meet at corner if desired. A ceiling heat shield 22"(560mm)in diameter suspended 1"(25mm)from the ceiling MUST surround the chimney in this installation. Fireplace Installation Clearances A Hearth Dimensions V Hcarth 10, Hearth j 50mm extension extension \ 34" 870mm--i © ® C 40" 6" 1070mm 160mm T�= Unprotected Protected 16" T fi 460mm T � (," 460mm 16Otfim A.Mantel 30" 14" 760mm 360mm B. Top Trim 24" 14" Top exit Rear exit Top exit Rear exit 610mm 360mm C. Side Trim 15" 10" 380mm 250mm Floor protection for both top and rear Floor protection for both top and rear exiting positions,United States. exiting positions,Canada. Fireplace mantel and trim clearances. The specifications and clearances included in this tech sheet are for prellminary:planning purposes only,. Before beginning any,instalietion, consult your.,local duihorized.Vermont Castings,dealer:' 15