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Home My WebLink About29561-ZFORM N0. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY NO: Z-30420 Date: 09/14/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 255 ORIOLE DR SOUTHOLD (HOUSE NO.) (STREET) (~AMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15_26 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in t~is office dated J73LY 3, 2003 pursuant to which Building Permit No. 29561-Z dated 0-JLY 11, 2003 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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED I~EAR YARD AS APPLIED FOR. · ~he certificate is issued to GORDON M & DIANE D TYRER (OWNER) of the aforesaid building. SUFFOLK COD1TrY DEPARTMENT OF ~]~J~TH APPROVAL ELECTRICAL CERTIFIC-~TE NO. 78855C 08/05/03 PLUMBERS CERTIFICATION DA'£mO Authorized Signature Rev. 1/81 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) pEP~4IT NO. 29561 Z Date JULY 11, 2003 Permission is hereby granted to: GORDON M & DIANE D TYRER 255 ORIOLE DRIVE SOUTBOLD,NY 11971 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 255 ORIOLE DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015.026 pursuant to application dated JTJLy 3_, 2003 ~d a~the Building Inspector to expire on JANUARY ~/- ~/ // Fee $ 150.00 · gnature ORIGINAL Rev. 5/8/02 : Form No. 6 _.,. TO'~VN OF SOUTHOLD BUILDING DEP)dlTMENT TOX3~ HALL 765-1802 .APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ d~ U ~,,. This application must be filled in by tgpewnter or ink and submitted to the Bmldmg Depar~ne-nt~v.i~<~e, following A. For new building or new use: 1. Final sm-ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval fromHealthDept, of water supply and sewerage-disposal (Sq9 form). 3. Approval of electrical installation fi-om Board of Fire Undervcxiters. 4. Sworn statement from plumber certif55ng that the solder used in system contains less than 2/10 of 1% lea& 5. Commercial b~ldiag, indust~al building, multiple residences and similar buildings and installations, a certificate of Code Complia~.ce fi:om architect or en,okneer responsible for the building 6. Submit Plarming 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 showhig all property lines, streets, building and unusual natural or topographic features. 2. A proper~y completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is dehie~ the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. C~:rtLffcate of Occupancy - New dwelling $25.00, Additious to dwelling $25.00, Alterations to dwelling $25.00, Sgfimming pool $25.00, Accessory building $25.00, Additim~s to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupm~cy 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 Bu~ng: (check one) , House No. Street 0~_ t Owner or Owners of Property: k.~ <l.~q e 4 {~ tx ~e.~ Suffolk County Tax Map No 1000, Section Lot Hamlet SubdixSsion Filed Map. PermitNo_ ~'~ i DateofPermit. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Plamui~g Board Approval: Request for. Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant S Issue Date 08/06/2003 Electrical btspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 78855C East Patchogue, NewYork '11772 (63'1) 286-6642 IssuedTo: Gordon Tyrer Street: 255 Oriole Drive Village: Southold Section: 55 Block: 6 'Contractor: Hank*s E!ectri~ Inc. (L) Zip: 11971 Lot: 15.26 Town: Southold Lic.# 2675-E Was exam[ned and Found to be in compliance with the National Electrical Code. [] Commercial [] NVDefects [] Pool ~ lstFIoor L~ Indoor LJ Basement b~.HotTub [] Residential [] Der. Garage [] Attic [~ 2nd Floor [~ Outdoor LJ Addition [_] Survey Switches Receptacles Fixtures GFI Heaters I I 1 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps A/C Fans Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amp~ Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment Ill-POor. Panel '~Ti"m,~TOlock II ~as 'Fi'~'ater !1 -Motor Hugo S. Surd': President Rough Inspeddon: 0810512003 Inspedmr: Ed Scavelli Final Inspection: 08/05/2003 Inspector; Ed Scavelli This certifica£e must not be altered in any manner Inspectors may be identified by their credentials. oRIOLE · S.C. DEFT. L_o~ Z9 t ~4,,FFOLK COUNTY DEPARTMENT OF HEALTH ~:RVf~bS SURVEY FOR GORDON TYRER .~ DIANE TYRER LOT NO. 2B,"H[GHPOINT MEADOWS, SECTION TWO" AT SOUTHOL D TO~'N O¢ SOUTHOLD SUFFOLK COUNT'f, NEW YORK NOV. 18,1992 SCALE 1":40' NO 92-0988 BUILDING'PERS{IT EXAMINER CIt]gCKLIST APPLICANT: SCTM# DISTRICT: 1,000, SECTION: _, BLOCK: __ ADDRESS: CITY: mrmD G pE UTS O 'ENIEX nmD: CO: V BP -Z / C/0 Z- ., ~O / BP BP -Z / C/0 Z- ., ~O / BP DATE REVIESVED: / /03 DATE SUBMITTED: / /03 ., LOT: __ suBDIVISION: ZONING DISTRICT: CONFORMING? -Z / C/0 Z- , INFO -Z / C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF -I 00-24. Lot reco~nition.(CREATE D before June 30, 19§3), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A noncom~ormlng at any time aI~e~ 7,'1/82 · t~EQ. LOT SITE: REQ. FRONT, REQ. REAR ACT. LOT SIZE: PROP. FRONT P~ROP. REAR PROJECT DESCRIPTION: __ REQ. LOT COV. ': ~ ACT. LOT COY. REQ SDE ACT. SIDE: 5 5~ REQ.. HEfGHT PROP. HErGHT ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: WATER FRONT? DESCRIPTION: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES orNO, (BED #): __ TOWN SEPTIC RECEIPT: Y orN NESV YORK STATE DEC: eRV-VEC 9/1/75 XtrES or NO SOUTHOLD TO~'"N TRUSTEES: YES or NO TO~VN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOSVN HISTORICAL PRE (SPLIA):' YES or NO DTE: / PERMIT #: DTE: DTE: DTE: DTE': / / / / / / / :/ PERMIT #: PERMIT #: PER3,,IIT #: PER]kilT #: NE~r YORK STATE CODE COMPL/~,NCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. ( SF)- ( SF)= SF X $ __ 2, ( SF)- (_ .SF)~ SF X $ __ 3. ( SF)- ( SF)= SF X $__ SF SF SF SF SF 12XFiT OTHER TOTAL FEE FEE FEE =$ +$ +$ = $ :$ . +$ +$ = $ --$ +$ *$ = $ FINAL TOTAL: $ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/NSULATION [ ] FRAMING [~]/FINAL ~'~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR~ · ::?OWN-OF SOUTttOLD I'UILDING DEPARTMENT ?OWN HALL 'EL: (631) 765:1802 .:'AX: (631) 765-9502 .x~m~ned ,20 ~ .pproved -9/f! ,20. ~ .! )isapproved a/c ~_ :xpiradon //(! ,20. ~ BUILD1NO PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Pl~nh{ng Board approval Survey Check S~fic Form ix!.Y:S:D.E:C. - Trmstccs Building Inspector IiNSTRUCTIONS ~ ~ ,a. This appli, caU?n ,M'UST be completely clued ia by typewriter or ia ink and subm/tted to the Building Inspector with 3 .ts ozpians, accu.raze prat plan to scale. Fee according to schedule. . b. Plot plan showing location of lot and of buildlngs on'premises, relationship to adjoining premises or public streezs or teas, and water,rays. c. The work covered by this application may not be commenced before issuance 0f Buildi~ Permit. d. Upon approval of this application, thc Building Inspector will issue a Building Pcrmif to the applicant. Such a permit ~all be kept on the premises a'~milable for inspection throughout the work. e. No building shall be occupied or used in whole or ia part for any purpose what so ever until the Building Inspector sues a Certificate of Occupancy. f. l~very building permit shall expire if the work authorized has not Commenced within 12 months afb:er the dare of suance or'has not been completed withi~ 18 months from such date..Ifno zoning mnendmcms or other regulations affectiag tire APPLICATION IS I-]~[EBY MADE to the Building DePartment for the issuance of a Building Permit pursuant to the .Illdiag Zone 0rd~nnnoe of the TovA1 of Soathold, Suffolk COunty, New Yorlq and oth~r applicable Laws, Ordinances or '-guiations. for tee construction ofl~mildlngs, !ddidons, ' ' ' . . . or alteralions or for removal or demolition as herein described, The itPhl:~i.~:f~:~Se;:or°s° omflpYr~esalla~i~Hc~.lled~nla~W~rO~d~n~s, .buildiug code, hous~!$g~ode' and?gulati~. ~to adzn/t~ (SfgnZrmre of applic~r ~1 name. ii~ a corporation) CMail/ng address o£ applicant) ate whether applicant is owner, lessee, agent, architect, mgineer, general contractor, electrician, plumber or builder (As on the tax roil'or I~t~t deed) · p:plicant fs a corporation, aign~i-~-e o~ duly attthorized of~c~ (Name and title of. corporate officer) dlders LicenseNo. <D'Q iq-I ~nbers License No. ,~ctricians LicemeNo_ ~:~¢-7~ ~' her Trade's License No~ Loea6:on of laD_d on w~,i~h..._p..roposed work will be donee-, . ~-Iouse Number Street '= Filed lVlap No, Lot Nature of work (check wkich applicalole): New ~i~d~,:rr-~eo i Repair R~noval Do'mol/don ~ Esthnated Cost If dwelling, number of dwelling unks If garage, number of cars (To be paid o~ filing rids application) Number ofdwellMg units on each floor 6. If business, commercial or mixed occupancy, specify namr~ aud extent of each type of use. 7. Dimensions ofexistkzg structures, fi[my: Front Height. Number of Stories ~Oar Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Sizeoflot:Fronr I00 Re~ 106.¢-~i Depth ~-7"'/,q0 · 10. Date of Purchase Name of Former Owner 1 i. Zone or use district in which prem/ses are situated 12. Does proposed construction -¢i~late any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? TES V/NO__Will excess 5/1 be rc-movecl from pr~aises? TES __ NO__ C.V,o t 4. Names of Owner ofpremise~'~gf~gfx~'~tl~Lv' Address ~ Phon~ NO. 357 Name of Architect .L-~,~o~OQ-- '. Address t~ 6 ~ri ~.!_0~[~. _L~_o _¢~hone No. --g-~'~ -5_'~-'~2 Name o f Comzactor ~'[2m.1/J'q~. /('c'~f0.Eef Address ~ ~O, Ct? =]t~-, ~-*~on, No. ,. , . · 15 a. Is th/s properb' ~Sthin 100 feet cfa tidal wetland or affeshwater wetl[md? *YES NO · 12: -YES, SOUTHOLD TOWN TRUSTEES & D.E.C, ?ERMIrS MAY BE REQUIRED. b. Is th/s property within 300 feet cfa tidal wetlaud? * YES__ NO v/' · IF YES, D.E.C. PERMITS MAYBE P._EQUIRED. 16. Provide survey, to s.cale, with accurate foundation plan and di.qtances to property lines. ! 7. If elevation at tony point on prope~y is at 10 feet or beloF¢, must provide topographica/data on survey. STATE OF iXTIEW YORK) SS: COUNTY OF~.IJ ,~ L-%:T-2 t -~ ~ ~e of ~d~v{dual si~g c%~a~) above n~ed, ' (Con~ctor, Agent,~ Co~omte Officer, ~e.) of said owner or owners, and is duly authoz-Jzed to perform or have performed the said work and to make and 5lc this applicatic that aU statements contained in this application are tree to the best of his knowledge and. belie~ and that the work will be performed in the mariner set ford~ in the applic~flon flied therewitlz REG. NO. 01HJ,l~,~rd~ ' · Z '~m~' of Appticzut ~- ~ ~ ~ ~/,~' ORYVE S.C. D,r.'.F-i'. (iF HEALfH ~ :"'~ ,',c~. SUFFOLK COUNTY DEPARTMENT OF HE~L~'H SE~,'~ES SINGLE FAMILY ~ELII~ ONLY C~I~ ol ~ree~] o~ W~st~--~'~er '~,~rlsgem $ U R'VE¥ FOR GORDON TYRER Bm DIANE TYRER LOT N0.23, "HIGHPOINT MEADOWS,SECTION TWO" AT SOUTHOI_D D~TE NOV. 18, 1992 TO~/N OF SOLITHOLD SCALE. SUFFOLK COUNTY, NEW 99~RK .0 92-0988 GORDON TYRER DIANE T'm'R ER NORTH FOR CH Y liYOUNG e, YOUNG ,,oo o.~.oE. Av~,~ [ RIVERHEAD, NEW YORK ALDEN W YOUNG, PROFESSIONAL ENGINEER 98ZJ. I. ,LN 'ZNIOcl ,.k~)C)~l ~ AdNV~I ~........ .:. . .: .-... ./, ~ U I