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Home My WebLink About23900-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24862 Date JANUARY 27, 1997 THIS CERTIFIES that the building REPLACEMENT Location of Property 455 COVE CIRCLE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 49 Block 1 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1996 pursuant to which Building Permit No. 23900—Z dated JANUARY 27, 1997 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 REPLACE NEW OIL FIRED FURNACE IN EXISTING DWELLING. The certificate is issued to GEORGE & SANDRA BROT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.—H-053585 — JANUARY 17, 1997 PLUMBERS CERTIFICATION DATED JAN. 6, 1997—JOHN ROMANELLI r Building Inspect Rev. 1/81 FORM NO. I 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) N° 23900 Z Date .....January..??:.............................. Permission is hereby granted to: Frederick J. Tedeschi, a/c G. Brat ................................................................................ P.O. Box 321 ............................................................................ Greenport, N.Y. 11944 ................................................................................ REPLACE WITH NEW OIL FIRED FURNACE IN EXISTING DWELLING. to ............................................................................................................................................................ ................................................................................................................................................................ at premises located at ....955 COVE CIRCLE GREENPORT, N.Y. ............................ ..................................................... ................................................................................................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section .......49............. Block .....!.!............. Lot No. ....17................ pursuant to application dated ......NO°...29.........I............I............ 19...96., and approved by the Building Inspector. Fee $.........75.00..,.., ...................... ..... . .......... ................. BuitdIn Inspector Rev. 6/30/80 Form No. 6 j `7 TOWN OF SOUTHOLD DEPARTMENT l 1z / -� 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 13 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - 25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, /Commercial $15.00 Date . . . . .��f�✓ l % . . . . . . . . . . . . . . . . . . 4ew Construction. . . . . . . . . . . Old Or Pre-existing Building. . .. . . . . . . . . . . . ,ocation of Y. . . . . . . . Pro ert ��v��/ dr %� P . . . House No. Street Hamlet lnwer or Owners of Property. . .°.• �' G'C'.`�.:� ?!-'XA .? .t� T ,� :ounty Tax Map No 1000, Section. . . .(. ./. . . . . . . .Block. . . . . . . . . . . . . .Lot. . . 7 . . . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ,'ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,lealth Dept. Approval_ . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Tanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . 'ee Submitted: $. r . . . . . . . . . . . . . . . . . . �c 5a�86 — �G� .,..2 .. Cod. �Nsd �- . . . . . . . . . . . . . . A�o��Suf�otx�oGy� Town Hall, 53095 Main Road y x Fax(516)765-1823 P. O:Box 1179 .+� Telephone(516) 765-1802 Southold, New York 11971 ! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD - C E R T I F I C A T I O N DATE Building Permit No. Owner: (please print) / Plumber: >To (J ��cLnQJ /l (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i (Plumbers Sjigna ure) EYPLBM NwY*R Sworn to before me this o�aiiilal 3�,»l�. 7 day of 19917, Notary Public, County THE NEW YORK BOARD OF FIRE UNDERWRITERS twx j, 8064171 BUREAU OF ELECTRICITY F U JOHN STREET, NEW YORK, NY 10038 Date aNUARY 7.'7,1."997 i Application No.on file 1:3191.797/97 If 0i: CONSENT 'I'O INSPECTION 47 le--7 �z`, / the undersigned, Owner(s) Na.me(s) do(es) hereby state: e�� ta? That - h "- (are) the owner(s) of the premises in the Town of Southold located at -_� ��t% e�i�f L� r � CG�i ' which is shown and designated on the Suffol County tax map as District 1000, Section Z149? Block �, Lot f� That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the 'Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations off��the laws, ordinances, rules or regulations of the Town of Southold. Date d:— Y//G"vr, �I�/C/�_ �G� �L� r (stgnature) C�O (print name) (signature) (print name) Nip k Q /F MAR/ L AZtA$ EL OA /2s2• � CLARK,5'TN 42 W.rwo - ,W A o h p o Z _ a a Q � - q N 830 -jr!� -. O" ' l S 83 0� /02 9 0" X4:3• �.,/./0294' - 30.E N ZS y. ,• t ' ------------ Fs s s 5 - ,., _ ..- �y a ____.:.., `.� e..e Pw,,kms..•� t r.1 �pQR d i r, * Q: bV � V �r ��6 C¢P � : • t \ { � M , p a C! iFd"n y' C {• \ ; �,� ,Unau / thorized alteration �" x „ top � . g r ` section 7209 of the Ne F p"' -• 5 Goples of this survey m t or embossed seal s Guaranteesror certificat d Penerrfcr'w#tom the sc Ou ^ "+a ` , Yc.,�-,��,• � , � mparY, governmtltie'u� r hereon,Gird r0 the Ossic b ` = HOME MAOEMONUMENT.5 or certifications are nc X' subsequent owners. SURVEY FOR f �hGEORGE 8R07 YW iN` T GREENPOf? AT r � OFA NEl s �': ' -TONIN OF Sal rHOL D ;�.'. r GUARANTEED rO= r SUFFOLK-COUNTY -N.Y. ` r • ' ,!/SUFE T/7Z E /NS&RAA z *a " E BBOT • r � � SCALE �., 4O, * ,� GEARG �4 `AUG. 8 , /980 BOARD OF UF.AIlI'll . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOU'TIIOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTUOLD, N.Y. 11971 TEL: 765—I802 NOTIFY: CALL. . . . . . . . . . . . . . . . . . . Examined,....(1027....... 19.3./ MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.....1.1-.:....... 19-17 Permit No. q7. .ld .................................... Disapproveda/c .................................. .................................... ...................................................... . ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT //__ Date. . . . . .`. . . :f. . . . 19."'P INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. plot plan showing location of lot and ofbuildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. 'Noe work covered by this application may not be c(m enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throxghout the work. e. No building shall be occupied or used in whale or in part for any purpose whatever until a Certificate of Occupancy shall have been granted-by the Building Inspector. AI'PlITChTION IS HEREBY I. OX, to the Building Department for the issuance of a Building Permit pursuant to the Building Tone Ordinance of the fawn of Southold, Suffolk County, New York, and other applicable laws, Ordinances or Regulations, for 11he construction of buildings, additions or alterations, or for removal or demolition, as herein described. Ifie applicant agrees to comply with all applicable laws, ordinances, building coole, musing coole, and regulations, and to admit authorized inspectors on premises a ing for /�nee7ceesssary pections. t 7: ... .... .of applicant, or name, if a corporation) 1... t, L[�........... (Mailing actress of applicant) State whether applicant is Omer, les , agent, chitect, engineer, general contractol','glectrician, pludher or builder. ......................................................-............................................................... Name of Owner of premises ................................................................... (as on Lite tax roll or latest deed) If applicant is a corporation, signature of rhuly arthorizet officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... PlonbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... f I. IocaLion of land on wluich proposed work will be done.... J1... ......... ......( � ....................................................................................................................... Douse Number Street ll'ndet County Tax Map No. 1000 Section ....�71..1...... Block ..... .......... lot .....\'I ...... subdivision ...................................... Filed Map No. ............... Lot ............... (Nam) 2. State existing use and occupancy ofC�w-.premises and intended` use ant occupancy of pr sect construction: a. Existing use and occupancy ...... y. . �' .:�>`4i• \`... ....5-�.A.lY'.�. .E.�............. "F5L T TO)')a;.I I r?I,??OR b. Intended use and occupancy ................ .................. ylnoa?r�>Qlvlft;i'.f;#y'Sc,it"�=.01"6 .„ Ot ,11:vc?vl omlw43 misT I ItLllhlr.): M'w Illi 7. N'I'Niir of taxk (clx•l� nrrval nlq)lid Idint. ... ....... Alklirion ...,...... AlCera.ion ... ... . . .... �....... lk'rrxrlilial ............ 0tber' lknk �44, _.��)�C�-�-, r (T)escrS pt ion) rl 4. Pial illote<I Cost: ....7-YX..O.O t. fee ...... :................ . .......... .... ((o Ile paid on filing I.his al>(Ilication) if (kKllIfall, Ix.J)er of dwelling olliLs .....\,... ., (taller of lha.11ing onirs /ill each floor ... ... ....... . .. If garage, rxnbcr of cars .......I..... ...... .... ......... .... ... fi. If Ixlsilvina, monercial or mlwcvl �x.colmocy, slleciry nature mill extent: of each type of use....... ... ............ 7. Maxensions of existing sCnN-lures,', If arty.- Front.......... ...... Rear Depth ... .............. llkigllL ......................... j Mxd)er of Stories ...................... Diapanions of seine sl ructure wi Ll' al Leratials or alMilions: Front ... ........ .... Rear ......... ....., Depth .............. 11,124!111 .................... Moiler of Stories ......... .. I S. Iliaensials of: entire new constnx Pion: Pratt ............ .... Itear ....... ........ Depth ............,. Height, ......................... Midler of 91.ories ... ..... 9. Size of lot.: Floor ............!....... Rear ......... ........... Depth ................... . M. Ibd e of limchsse ...............i..... Male of Fouler Owirer .......... ....... ....................... 11. Tale or use district: in Idlicb pr daises are siwatfal ....................................................... .. ..... 12. Ikres prolyv;<xl cf-ANI.IllelifM violate any z<xling law, ordinance or regular inn: ....... ................. H. Will lot he regraded .................... Will excess fill be reaxrved frac premises: YIPS NO 14. Manila of Miner of premises ........................... A<kiress .............................. lilrxle M . ...-........ Nine of Architect .... ..........j..........,.......... lukiress 171ow No. ............ Nrne of Calrractor ........ ...................... Nklress .... ..................,........Illone lin. .....,.... .. 15. Is Ibis properly widlin 300 feet! of a tidal wetlarxft * YI!S if) .......... *IF YES, 5YA111C)(1) ItAM,7TQmms plaurl, t1AY lily Iupildu). . 1 PLO')' DIAGRAM loca(e clearly slxl distinctly all 1xii1dings, oAledler existing or proposed, aryl irxlicate all set.-back dimensions f-rrxm property lines. Give street am] biock rusher or deseriplial according to deed, and show street nares srxl iryiieine tAieliter interior or corner lot. f ��1 i ITIAM (A% M."W YOIUC, rr f (YAINIY (A% ..Jt„Tl .. ��----?....... I (Nile o� ilx dlw it in rnitrala) ...............Ixing duly IM)rn, delxlses axl says that be is the applican( alwvc tuned, Ik: is the ....... .. .....�4. {. ....................... ... ...,......... ............................... ((km(roclor,,L agent, corlx)rale officer, etc.) OF said owner or vnlers, aryl is duly Ilaolhoriz<xl to Ilcrl'onn or have Ilerforlrecl (Ile said work aril to malice nlxi file This appiivat.in(li (lull, fill Matmullte coot�ai(xvl if? IIt1a ;tlq)lica It)" /lie IIl)l! to IIle lxtst of Ills kim"Iettge nal Ix)I left :IFI Ilial the tank will be llerl'ont"I in U'e acmuler set forth in the applical:iou filed LllerewiLh. Stahl 10 before iTorm a. . ....... MN Fry Nlbl is <jE�. ....... ... �\. .. l' '•.Sgnatore of Applicant.) Y PUBLIC,S to of N.Y. 26089,S olk Couniv Expires Ma y 31. 19 uv�w 0ise q z 5-087 !•BROWN IsrA Gel" % P , a I Y /sd,3y r,sy b2 ' ti O Ei E. f'Hf . O ;r%G:G Oj 40 h I r, 03 4r p?s I a p c//04. S lea a, \ s .,Do . 10, Ira /2 0 ?5rN/vscaN K a _ 14t4f" '" Mau r a 4 13 0 F3OU7 N -- - —' - —w - — �# K 06 Nuc° r' `•�� *23t ,� M , ti �M �' �}I�'..: , t �JL L A/,�r C)l/ T" rO,R, / R FRANK A SI-143 Y,., •^w. 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