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Home My WebLink About31596-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPkNCY No: Z-31319 Date: 12/05/05 THIS CERTIFIES that the building WOOD BURNING STOVE Location of Property: 255 ORIOLE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) 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 this office dated NOVEMBER 9, 2005 pursuant to which Building Pel~t No. 31596 Z dated NOVEMBER 14, 2005 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 WOOD BURNING STOVE & CHIMNEY AS APPLIED FOR. 1~le certificate is issued to GORDEN & DIANE TYRER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF~IEALT~IAPPROV;kL ELECTRICAL CERTIFICATR NO. PLUMBEI{S CERTIFICATION DATED N/A N/A Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted u ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposel-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. 'B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 0.0o / 5.Updated C.O. $ 50.00 Date .../.2- ............. New C on s t u u c ~; i on ...... Old or Pre-ex isting 8u ilding ............ Vacant Land ............. Location of Property ............... '..j. ..................... Hou.~ No. i~ I Street Hamlet Owner or Owners of Property ......... .~. t ~X.~. ~ !.~? }r'~ 1~' Oco n..¢ ............................................ d 0.0.9 ¢ dis County Tax Map No. 1000 Section .......... Block ......... Lot ........ · Subdivision ................................. Filed Map No ........... Lot No .............. . Date of Permit -, ......... Health Dept. Approval ........................ Labor Dept. Approval ................... Request for Temporary Certificate ................... Final Certificate ............ ' ' ' ./~. ' .. ............... Fee Submitted $.. 0..' ..... Construction on above described building and permit meets all applicable codes and regulations. Applicant.. ~...~. ~.. L~ .b~. ['.l dr, .Y'.~./.l n ¢..' ................. Rev. 10-10-78 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. 31596 Z Date NOVEMBER 14, 2005 Permission is hereby granted to: G & D TYRER 255 ORIOLE DRIVE SOUTHOLD,NY 11971 for : INSTALLATION OF A WOOD BURNING STOVE & CHIMNEY AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated NOVEMBER Building Inspector to exq~ire on MAY 255 ORIOLE DR SOUTHOLD Block 0006 Lot No. 015.026 9, 2005 and approved by the 14, 2007. Fee $ 150.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~OUNDATION 1ST [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION [ ] FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT I DATE FOUNDATION (1ST) - ~/'~ ~'~~ COMMENTS FOUNDATION (2ND) -- -- ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southold/ Examined Approved Disapproved a/c ./6 '{ , 20 o Expiration 5~//ff ,200 7 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.£.C. Trustees Contact: Mail to: Phone: Building !n.sPector ...... 37 · -w: _~ 1-,~,,, . ,~-, r,, r, , Date INSTRUCTIONS Iq or, -/ ,2005 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 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 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, ifa corporation) ~ O ~ (M~ail~L~e2o?appli~caFnt~CD ~0~1/~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~5'DU'C~OYh q5-']~10"~'l~-~ ]---'-/CCF- (As on the tax roll or latest deed) If applj~,jht is a corpo~ ~g~¢~94~ duly authorized officer tl'q an~ a rp ) Builders License No. { B ~ t3 I -- ~-t' ~ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block ~ Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of, proposed construction: a. Existing use and occupancy [ [~O, IWh, /~ 'q~."Si~Cv~V~c~[ b. Intended use and occupancy / ~,-v'x~ th ~%id~r-~-(o,.~/ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition v'~ Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, conunercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 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? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises C.~rc~oql)io,~uW,~VrAddres£ ~o~},.i~-- PhoneNo. Name of Architect '~ Address-- Phone No NameofContractorq~.qe-~,-,\cX~rs~ \~-. Address'-~oE~ox555~(~$ PhoneNo. q-)7-~¢o O 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO 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 NEW YORK) SS: ~ ~./,,,,Q~,~.. u being duly sworn, deposes and says that (s)he is the applicant (Name of ~d~dual s~gning contract) above named, (S)He is the 2'/ Ot~ fi--"7~c"~"t'~ (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 rnamaer set forth in the application filed therewith. >efore me this day of ~/t~ F'~¢.¢i~/¢~¢/~_ 20 O_~_ Not ary~/¥tg'~ ELtZABETI ~ J, FARFI!SH Notary Public, State of New York No. 01 FA4973235 Ou~afifie.d, ;n ¢SuffCk Gqounty SC, DE?T. OF HEALTH SERV)C~S zOTJT' LOt Z4 Lot 22 0 ~UFFOU~ COUNTY DEPARTMENT Of HBLTH S.EffV~%ES SINGLE FAMILY D~t~E[I~ ONLY ~ ~wage di~po~l and ~v~er supCy ~df~ies ~r thw SUR~I~Y FOR GORDON TYRER e, DIANE TYRER LOT NO. 25,"HIGHPOINT MEADOWS,SECTION TWO" AT SOUTI~OLD oAr£ NOV. 1e,1992 TOM/N OF SOUTHOCD SC~L£: I"=,~0' SUFFOLK COUNTY, NEW YORK NO 92-0988 YOUNG s YOUNG RIVERHEAO, NEW YORK 473889 55.-6~15.26 OWNER: GORDON M & DIANE D TYRER NUMBER# DATE TYPE CO # USE/DESCRIPTION 20902 8/18/92 PERMIT 21196 N/D- BP #20902-Z issued to con 21259 3/05/93 PERMIT 25057 2ND FL.& DECK ADD 29561 7/11/03 PERMIT 30420 ACCESSORY 29967 12/22/03 PERMIT 30682 ACCESSORY 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 0/00/00 Fl=More F7=Permit Detail FS=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit o~OL~ SC. DEFL OF HEALTH SERVICES Lot 22 O Lot Z4 SURVEY FOR GORDON TYRER e, DIANE TYRER LOT NO. 2",, "HIGHPOINT MEADOWS, SECTION TWO" AT SOUTblOLD O~,T[ NOV. 18, 1992 TOWN OF SOUTHOLD SCALE ¢%40' SUFFOLK COUNTY, NEW YO~K NO 92-0988 YOUNG& YOUNG ~~.A~, RIVERH~AO, NEW YORK .J