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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 955 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 0 Building Inspect r Rev. 1/81 FORM NO. f 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) NU 23900 Z Date .....January..R a.............................. 19.2L Permission is hereby granted to: Frederick J. Tedeschi, a/c G. Brot ................................................................................ , 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 .....T............. Lot No. ..J................. pursuant to application dated ...... NOV:..29,.................................. 19...96., and approved by the Building Inspector. Fee $........75.:00...... ....... . ....................... ...... .. ............... ................. Building Inspector Rev. 6/30/80 '1 Form No. 6 -TOWN OF SOUTHOLD 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 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. 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 . . . . ./ �./. . . . . . . . . . . . . . . . . . . . . . . . 'Jew Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . ,ocation of Property. . . . . . . . .�. . . . , l-!U l� . . . . co,.!��G`LC . . . . . . . . . . . � � 6�/~. . . . . . . House No. Street. Hamlet . )nwer or Owners of Property. . �'G�O AK ,1 ! �?- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ounty Tax Map No 1000, Section. . . . ./. . . . . . . .'Block. . . . . . . . . . . . . .Lot. . .7. . . . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . . ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . dealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . 'ee Submitted : $. . �. say8b n n r r I r A 70'r Town Hall, 53095 Main Road h Fax (516)765-1823 P. O:Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OFSOUTHOLD C E R T I F I C .A T I O N DATE I (o Building Permit No: Owner: (please print) Plumber: 0 /J f vand, (please print) I certify that the solder Used in the water supply system contains less than 2/10 of 1% lead. . 1 (Plumbers Signature) SANIMLOW NoWyft 8N6dNWY0k ampSworn to before me this 1 �► .�� '7 day of Notary Public; County OEM THE NEW YORK BOARD OF FIRE UNDERWRITERS S�z�i�4171 BUREAU OF ELECTRICITY F ns qq 1 85 JOHN STREET, NEW YORK,q NY 10038 .,11A�L'�T1'�.RY lei,..L�"�l�! 1-219 79 1 f'`�7 .la 0�.);J.215 . Date Application No.on fife THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR. (��Gt:Ct'' �'FOT; PTl?�''S COVEY GR�°;�;NPOF',T, N.Y. in the following location; ❑ Basement ❑• lst Fl. ❑ 2nd F'l. .Section Block Lot u as examined on 7��U ,' + ��9' and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT1.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1,B'4W 1,B'3W 3,0'3W 3,B-4W pER B' OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: fiE>r-_aTz, 01L T ...ItZI) 301-'L i?CJg'?P2dL'LL? L P. 0. BOX 696 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. CONSENT TO INSPECTION 6WiW 7&��64 C�'r , the undersigned, Owner(s) Name(s) do(es) hereby state: That (are) the owner(s) of the premises in the Town of Southold located at __ which is shown and designated on the Suffolk County tax map as District 1000, Section - Block � Lot / 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 itspections, 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 of the laws, ordinances, rules or regulations of the Town of Southold. Dated: I I gn5�_ GG�X (s'gnature) (print name) (signature) (print name) BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOL..D SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOI.D, N-Y. 11971 TEI.: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined..... �> . ....... 19.1 7 MAIL. TO: . . . . . . . . . . . . . . . . . . . . Approved---..J)a ?--••--, 19.1 7 Permit No. p?. .. .................................... Disapproveda/c .................................. .................................... ...................................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT // �Date. . . . . .�.2 . . . . 19!?/P INSTRUCTIONS a. This application mist 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 of buildings 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. 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 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 whatever until a Certificate of Occupancy shall have been granted-by the Building Inspector. APPLICATION IS IIERFM M1M- to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Taan 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 or premises a ing for necessary spections. � :........ .............. (, nature of applicant, or name, if a corporation) .. .. � � :�... .. ............. (Mailing a&1ress of applicant) State whether applicant is owner, less , agent, cliitect, engineer, general contractor,"electrician, pluriier or builder. ---------•.............................................................................................................. 0 N--xm of owner of premises .. ? 5.q��'>�................................................•.......... (as on the tax roll or latest deed) If: applicant is a corporation, signature of duly authorized officer. ......................................................... (Nacre aril title of corporate officer) BuildersLicense No. ......................... Pluni)ers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of ]and on which proposed work will be done.... �1�..�-cv..�?��.�t�. 4:��.t1............. ...". ....................................................................................................................... House Nurber Street Hamlet County Tax Map No. 1000 Section ....!.q...... Block .....1.......... Lot .....`........ Sulxlivision ...................................... Filed Map No. ............... Iot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of pr sed construction: a. Existing use and occupancy - -�.^. � . \�.. ..V :� .�J --.......... b. 'Intended use and occupancy ............................: .a �- :. c .................. .. i't. �'r.t. 3. Pahire of work (clwck wliicli alrlrlic:able): Ne-w Ilcrilding .......... Acklition .......... Alteration Itctlkr i r 1Lmioval ............. lkrrrol i t icxr ............ 01.her 14or k ��t�. �)` �......_. (Descri pt ion) 4. 1?sl:invited Cost ... 1, �......... fee .. .............. (Co he paid on filing this appl.icatiorr) 'i. if Aoelling, rxxrber of dwelling units .....`...... limner of c1%4elling units on each floor Ifgaral;e, rxnber of cars ...................................... G. If Ixisilress, cSxmiercial or mixed oectipancy, specify iurture aril extent of. each type of use........... 7. Dinx:nsious of existing srnrcLtires, if any: FrouL................ Rear Depth lkighL Umber of Stories ...................... Diniensions of sane strircrZrre with alteraticxis or additions: Front ............... Rear ............. ik-PLI. .................... ileigdrt .................... Nurber of Stories ............... 8. Dimensions of entire new constnicticxr: Front ................ Hear Depth ......... liei(;i'L ......................... Umber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. NiCe of Purchase ..................... Name of Fortner Owner _._..._......_...._................._.._ II_ 7xxre or use district in vhicli preinises are silvate<1 .............................................................. 17. Does proposed constnxaion violate any zcxring law, ordinance or regulation: ......... ............... 13. Will lot be reguxled .................... Will excess fill. be ren7ved flan premises: YES NO 14. Names of OLnwr of premises ........................... Acklress ...._......................... Ylrone- No. ._........... Nair of ArchilecL .................................... Acklress ........................ ...... 11wrr- No. ............ Name of CA-intractor ................................... Acklress ...............................dime No. ............ 15. is this property within 300 feet of a tidal wetland? * YES NO .......... *I F YES, SOUlI K I.D 11 4N.711USIi—9 PElm rr MAY liE I(E()l1I RED. PLOT DIAGRAM icx_ate clearly and distinctly all. 1)u ldings, %Aiedier existing or proposed, and indicate all set-back dimensions f-rcan property lines. Give street and block rxnber or description according to deed, and show street tuimes and irxlicate %Aicther interior or corner lot. 11 SS �` ' �� "��................Ix:i ng duly sworn, deposes and says LhaL be is the appl.i canL (N�nx! o ii(lividrkrl. signing ccnLract) alxrve runt:d, Ikeis dle ....... ......��. ........................._.._......_........._........................ ((k)iitracLor, agent, corporate officer, etc.) of: said caner or owix:rs, arxl is duly authorized to perform or have performed Lhe slid work and to ninke arxl file This application; Lhat all, staLFlrx:nts cenrlaimd in Lliis application are trice Lo Lhe-bew: of: his krxrwledge slid Ix;).ief; .110 Ihal. the work will be performed in Lhe nxmner set forth in the appl.icaLicrn filed therewith. Skaurn LLoo before nrn this.....a...•........clay of 199a a ... Notary Pnblic ... 1;3�c R013ERT1.SCOT J il;i>ir. ..i.e of Applicant) NOTARY PUBLIC.S to of N.Y. No.4725089,S 01k Cou Term Expires May 31. 19 1 j 0 t3C 4 7 2 5 D�� NOW is O Nip/F s u: 4QZZ fi�Q/pQ' 83 /O E. AR/ 77. e4l?CEL ' N 84'os'30"W (PR/VgTE RO J. ' i, .lOQ psroa• Ik �W 3 ti /'.4fi CEL CNE Q) 01 S. o A jr µ , 30.7 � � J �` 'ice� �+•..tit' 't�.�_ Y �ih••. O /0 � � _• 6 �. x� � �� yam, • s i o ph 0 a ti ` IV 4* r 44 3 s Unauthorized alteration section 720.9 of the Ne Copies of this survey m• • ? ,'�� , � ¢,�, seal or embossed seal s Guaranteestorcertificah t ` •., ,,.,,,., T �'-y,�, _ _ ,- `� `'h'.k:, .,:.`•.fi", , pe"'rforwfram•the su 0� a �i overnmc tltle"camPm>1`. s •hereon,arrd'to the assic i�17v�F� •= HOME-MADE.AlON!/MENT or certifications are nc i subsequent owners. I SURVEY FOR �GEORGE. SRO T � AT.GREENPOR T k o W 5 GVARANTEEDTO;'. ;: r z ERT A Art SUFfOLK;COUNTY,'N Y. T/TLE /NSTIRAN 7Z, r r n :$GALE +•r • st-' GEORGE SROT A,. 40 * • i:fit Syr i1 U�i. D �j Q ;s �,{ ,