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Home My WebLink About25455-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26579 Date: 07/20/99 THIS CERTIFIES that the building ADDITION Location of Property: 985 BOISSEAU AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 2 Lot 27 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 1998 pursuant to which Building Permit No. 25455-Z dated JANUARY 6, 1999 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARTIN F & JACQUELINE M. TAESCHLER, (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building ~r 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. 25455 Z Date JANUARY 6 99 Permission is hereby granted to: MARTIN F TAESCHLER, JR. 1746 lST AVE APT 5H NEW YORK~NY 10128 for : INSTALLATION OF A WOOD BURNING STOVE AS APPLIED FOR. (INSTALLATION SHALL COMPLY WITH NFPA). at premises located at County Tax Map No. 473889 Section 063 pursuant to application dated NOVEMBER Building Inspector. 985 BOISSEAU AVE SOUTHOLD Block 0002 Lot No. 027 20 98 and approved by the Fee $ 35.00 Authori z e~2~ignatu~ ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 [ON 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 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. F. or 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. 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 $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 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-~ ~ '~. ~ 1~.~ .....or re-emisting ilding .......... ~ocation of ~roperty ....... .fi ~. ............ ~.o~A~ ...................· · ~.~,,,.~ House No. Street Ha~et :o=~ ~= ~ ~o ~0oo, s~o~...D.~, .... ~o~ ..... .g ........ ~o~ ...... ~ .............. ;ubdivision Filed Map. . Lot ....... {ealth Dept. Approval..........................Underwriters Approval........... ........... ... ~lanning Board Approval . · lequest for: Temporary Certificate ........... Final Certicate ........... ~lo -~ ~ /.~ . . . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~0N [ ] FRAMING [ Z-~FINAL [ ] FIREPLACE & CHIMNEY DATE: /,'/~////?~P ' "SPECT~~ ELD ~_!~DATION (~st) ~]NDATION ( 2nd ) )UGH FRAME & .PLUMBING' COMMgNT£ NSULATION PEB N. STATE ENERGY CODE 'FINAL ADDITIONAL COMMENTS: ? ? .'/ , / FORM NO. I TOWlq OF SODTHOLD BUILDING DEPARTMENT TO~NHALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 (Building Inspect6r) ~' BOARD OF HEALTB ............... 3 SETS OF PLANS ......... 2 ..... SURVEY ........ CBECK ......................... S~PTIC NORI.~ ................... MAIL TO: .................... APPLICATION FOR BUILDING PERMIT Date .... ,19 · INSTRUCTIONS a. 'Ibis application must be completely filled in by ~iter or in ink and anl~nitted to r. he Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to ~daei~le. b. Plot plan ~aing location of lot and of buildings on premises, relationship ~o adjoining premises or public streets or areas, and giving a &ailed description of layout of property rmst be drfa~n on the dingran ~ich is part of chis application. c. 'Ibc ~ork covered by chis application may nor he commenced before issuance of Building Pemit. d. Upo~ approval of this application, the Building Iaspecror will iasue a Building Permlr to the applicant. Such pemit shall be.kept on the preaisee available ~or inspection chrcxlghour tiae ~ork. e. No building shall be occupied or used in ~hole or in part for an~ purpose ~hatever until a Certificate of Occupancy shall have been granted by & Boilding Inspector. b2PLIcAr[~I IS ~ ~ to the l~uilding Department for the issuance of a Building Pemit pursuant to the Building Zone Ordinance of the To~ of S~ur_hold, 8uffolk County, N~ York, and other applicable L~s, Ordinates'or Rngul~tioas, for the consrrantion of buildings, additions or altererions, or ~or re~oval or a~mlirica, as herein described. The applicant ng~es to cc~ply ~rith all applicable la~s, ordinances, building code, housing code, and reg~?tions, and Co ac~it authorized inspectors ~a lm~ises and in building for necessary inspections. (Sig~mre oi appl ~mt, or -~, if a corporation) ~2~, plmimr or buildel ..... State ~bether applicant is owner, leasee, ~t, ~it~t, e~i~r, ge~ral ~tr~ ............................. .o~.~ ............................................................................ ~ ~D ~ N~E~ If a~llc~r is a ~ratim, si~ of officer, ~1~ ~ ~ ~ 4 ~ rOCHE ~ ~ ~'~ OCCUPANCY ~ ~ ~R~E USE IS UNLA?JFUL plmrs ~i~m ~. ~;'f~ ~ ~'' !~ ~' ""- ~' ~I~AL . gONgvSUG~ION MUST ......................... BE ~OM~OR C.O ........ Sg.[ ............ ........................... ......................... ~ ~r S~t ~ ~=~. ,~ ~i~ ..... 0.~.3 .... ~ ..... ~ ~ ....... ~ ...&~ ........ ~ivlsi~ ...................................... Fil~ ~p ~ ................ ~t ............... (~) 2. S~te ~sti~ ~ ~ ~ of ~s ~ int~ ~ ~ of pro~ ~t~: ~ ~ ~ ~ ~ ...... "'-~ '~.~.~ ~M%.).~SL ........................... ....... I0. II. ~2. 13. 16. 15. liatnre oF ~rk (d~ck ~hic~ applicable): ~ I~tldtu& .......... t~dltie~ .......... Alteratio~ ...... ~ir ............ ~1 ............. ~lttt~ .... , .......Ot~r ~ .................................. ~i~ ~ ..... ~.. ~ .......... ~ .............................................. (to ~ ~id ~ filtn~ this // / ~ ..... ..... ............. ..................... ~ or ~ district t~ ~t~ ~t~s a~ st~t~ ........................................................... · · - · ~s o~ -- ~ o~ ~tt~t .................................. ~ss ........................ ~ ~ ............. ~ o~ ~,~,~ ............ .aa~ ......... ,... ~,,, ....... .a~..~ ............ ~ ~. ~.~E .... PLOT D'IAGRAH l~cata clearly sud distinctly all ~lldl~, ~r ~istt~ ~ ~, ~ t~i~te ail ~t-~ at~nsia~s fl'u, ~o~r~ li~s. Ci~ s~t ~ bl~ ~r ~ ~scrtpti~ ~ ~ strut ~s ~ i~icate ~r interior or ~r lot. i "~~..?~ ~ ,/. ~,, "'J"JDD'['I't~";2'~'~}~:~'ltg!~aa .... ~ .............. ~lng duly ~m, ~s ~ ~s that I~ lo tl~ a~l. im~t o[ ~d ~r or ~rs~ ~ is ~ly ~t~ri~ to ~r[o~ or h~ ~[o~ ~ ~id ~ m~ to ~ke a~ file this U~at ~ ~ will ~ ~r~ in the ~r ~t [~rth ~m to ~ ~ ~is ~ '~ ' ..... NOT~Y PUBLIC. 8~ of N~ T~ Ex~ ~ 8. ~ '