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Home My WebLink About27089-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~NCY No: Z-27722 Date: 05/29/01 THIS CERTIFIES that the building WOOD STOVE Location of Property: 170 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tam[ Map No. 473889 Section 25 . Block 3 Lot 3.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 14, 2001 pursuant to which Building Permit No. 27089-Z dated FEBRUARY 26, 2001 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 INSTALLATION OF A LISTED WOOD STOVE TO CODE AS APPLIED FOR. T~e certificate is issued to GINA M MAXWELL of the aforesaid building. (OWNER) SUFFOLK COUAITYDEPA/~TMENTOF}IF2%LTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A AuthOrized ~gnature 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. 27089 Z Date FEBRUARY 26, 2001 Permission is hereby granted to: GINA M MAXWELL BOX 553 ORIENT,NY 11957 for : INSTALLATION OF A LISTED WOOD STOVE TO CODE AS APPLIED FOR REPLACES EXPIRED PMT. 23846Z. at premises located at County Tax Map No. 473889 Section 025 pursuant to application dated FEBRUARY Building Inspector. 170 ORCHARD ST ORIENT Block 0003 Lot No. 003.001 14, 2001 and approved by the Fee $ 35.00 ~~ignature Rev. 2/19/98 ORIGINAL 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 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 f~om 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. 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. Date New Construction ......... Old Or Pre-existing Building ............. ~. Location of Property. [ i./.~¢......~../~...~..~...~.....~. ~ ..... .~..C.f.~..~.../... House No. · / Stree~t~/~ Onwer or Owners of Property .... h..~.~.~ ............................... ect on 1 . County Tax Map No 1000, S ' . ...... ~' .....B oc ........... Lot Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building.S25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of OcCupancy - i .g~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Hamlet Subdivision ............................ Filed Map ............ Lot.. Permit No....~..?~..~..~...iJi~i'Jf Permit. ~/~ Fee Submitted: $ ............................. ' · ............... C ~ ~ ~qq2~' APPLICANT FORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .... ~...~~..~..~ ./../..... ...~../..z.../..~..d~.. ................................. ..~..~.~. ................. .~.....,~ ..~..~.... ~ - ,o .~/Z ~'~ ~.....~ '~ ~ ~ ..... ............... ~~ .......... ~4.~ ....................................................................................................... at premises I~ated at ...Z2~ ...... ~~ ....... ~d: ..................................... ................................................................... ~~ ............................................................... County Tax Map No. 1000 Section .a~...~.... .......... Block ..... ~.,.~... ......... Lot No ...... ..~...:.Z ........ pursuant to application dated ....... ~.~...~... .......................... , 19../?.~., and approved by the Building Inspector. /~/B,~ing Insl:~¢ to r Rev. 6~30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. ]~N FINAL []FIREPLACE&CHIMNEY REMARKS: ~. ~-~ ~// DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. ] I~ATION FINAL [ ] FIREPLACE & CHIMNEY ,DATE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD Office of the Building Inspector January 12, 2001 Ms. Maxwell PO Box 553 Orient, NY 11957 Dear Ms. Maxwell, Please take notice that in review of your permit application dated January 24, 2001 for a Addition to a Single Family Dwelling with Town ZBA to the property located at 170 Orchard Street, Orient, N.Y. County Tax Map Number 1000 - Section 25 Block 3 Lot 3.1 Please submit payment made payable to the Town Of Southold for the following open permits: Permit Ntmaber 22129Z New deck $75.00 23846Z Woodstove $75.00 23969Z Bathroom $75.00 Total--> $225.00 The application for the permit will not be processed until the following is submitted: 1) For permit number 26777Z for the Sliding door and new amended plans submitted 1/29/01 for front of building alteration see note below: 2) With new permit application for the deck addition see note below: Note: Contact Southold Town Historical Department at (631) 765-9267 and have the alterati-~n's approved. Please submit the approval letter to the Building Department. If there are any questions you can contact us at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Building Inspector CC:file FOI~H N(). I '1'O t'li'l ()~;' BI)! l,lJJ HG I)E 'l'Ot4H I1^1,1. !~OUTIIOI,I), tl.¥. 11971 'ri.;, I,; -? 13 '.;-, ~} T;l~.'l'.r~ Olr [*I,AH.q ............... ~,~ Ill~ V I~, y ........................ (;III~.(:K ......................... ,~;I~,P'I'I (] l~()Ht'l ................... t~A!l, 'l'O: .................... A 1~l~l, I (:A'I' I ()i'l FOIl Till I I,D 1 N(T PI~,I(I~I I T 1)~ L e ................ , Ig .... (TT:.~x' ;ll~l t it I(' (Jr (:O:TX)r~ll(~. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ~,,.,,,,~,,,,,, ~.,.,, .~00., ......... ,.,,,~ .............................................. ' I VI,()T I) 1 A()IJAH ''~' ":~V~ .... /7 ,, CLAIRE L. GLEW ' ', ' NotarY public, Stetebf New York :,~,lat t,t u <H' Air, pi il:mil ) No. 4879505 Qua ified in Suffo k County Commission Expires De~ember 8, 19 Defiant Endore Clearance [A124",(610mm) [BI 31"C/90mm) [C 24"(610mm) M]24 (610mm) [NI 19"(480mm) [O117 (430mm) [$]24"(610mm) tT]19" (480 mm) NA 24" (610 mm) 12" O00 mm) PROTECTED SURFACES S~dc ~.~r Comgr ID] $" (200 mm) [El ]5" ($80mm) ~) [J] 8"~mm) K 15"(380~) I ~) [PI 8" ~ mm) [~] 11" ~0~) [~ (1~) [UIS"~) VI I ~0~) ~A ~(1~) Combustibles 48" (1220 mm) Double-Wall Chimney Connector i 12" (:305 nlm) I Not T~stexl Unprotected Surfaces Protected Surfaces Installations in which no heat shields are used. Top exit stoves with rear heat shields. Top exit stoves with rear and connector shields. NA Rear exit stoves with rear heat shields. NFPA Minimum Ci,ea:fances For Safe Installation stove pi~ stove pipe, crimped c::d down ~ustib!e floor protection Frorn! Combustibles With 3V~" masonry wall or 24. gauge she metal with l"airspace A. Listed Wood Heater Front 36" -- Side, Back 36" 12" Top 36" ~ 12" D. Single Wall Connectrr Pipe 18" 9" (24 gauge or heavier) C. Chimney Ilcight 3 feet higher than roof; 2 feet higher than ~ny part of roof within I0 feet Imeasured horizontally}. ,< ?,TOWN OF SOUTHOLD ~..~..~