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HomeMy WebLinkAbout16692-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18004 Date MAY 5, 1989 THIS CERTIFIES that the building Location of Propert~ 255 SUMMER I~kNE House No. County Tax Map No. 1000 Section 078 ONE FAMILY DWELLING SOUTHOLD Street Block 09 Lot 11 Hamlet subdivision BAYSIDE TERRACE Filed Map No. 2034 Lot No. 15 conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 23, 1987 pursuant to which Building Permit No. I6692Z dated DEC. 23~ 1987 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 ONE FAMILY DWELLING, 2 CAR GARAGE AND REAR DECK. The certificate is issued to THOMAS & NANCY NUHFER (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-210-4/24/89 UNDERWRITERS CERTIFICATE NO. N056879 F~B. 6, 1989 PLUMBERS CERTIFICATION DATED HARDY PLUMBING MAY 4~ 1989 Rev. 1/81 FOB~ NO. B TOWN OF SOfT, OLD 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_O 16692 z Permission is hereby granted to: ~:..~.. ........................ : ............ ! ........... ~.............~. ....................................................... at promises located at ..,~ ..................................... .~...~ ............. .~.~~ ............... County Tax Map No. 1000 Section ...... ,~..?....~. ........ Block ........ .~...~ ....... Lot No ...... ~.~ ................ pursuant to appJication dated~,,~.~....~..'~ ................ , 19.~.~..., and approved by the Building Inspector. ';:"'"'"'"'"'"'Bu-Jlding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION .~ .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property..~.~.o~'. ...... : .... .~.~.~..tv~.~.~. ~., ...... .~.'p.~..~q. p~. ........ HOUSE NO. STREET HAMLET Owner or Owners of Property.~.--~.q.F~...~.k ~N~-~ ~k~.k~.~ County Tax Rap No. 1000 Section ~.Z~.. Block .93 .... Lot Subdivlsion.~kq~.:..-~.~.~.~... Filed Map ~.C~.~ Lot Permit No. --/.~-~.~..nate of Permit Planning Board Approval ..~0.1/-[ .......... Request for Temporary Certificate ....... Final Certificate ~ .............. Fee Submitted: $ ................... rev. 10/14/88 TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date /~y (Pt' /~ (please print) Plumber .~?.~ ~L~/y~/~?~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this of ,' ~9g~ Notary Public, ~/~f~/fb County ~otary p~bli~ OUI:DATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING [XSULATION PER N. STATE ENERGY CODE FI ,AL . ADDITIO;IA'L COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BU~AU OF EI.BCTRICITY ~e ~licati~ No, on,lie THI~ CE;IFIE8 THAT FIXTUI~ ~5 SERVICE INSC3ONNECT S E II V N AI~ARATU~ (.; }",C, [~'-7 LAI)KHANN liNC. 1768 I'rHOLD, NY, 1 1~}'I]. 36]8 This certificote n~s~t n~__f__~ altered in ony ma~ne?; ~retur? to~t~e~offi~e of~Ioord if incorrect. ~rs~ the PLEASE NOTE all ~ly facilities, to SUFFOLK coUNTM DEPARTMI~NT OI~ If/.ALTH SERVICES FOR APPROVAl. OF CONSTRUCTION ONLY CERTIFIED TO :~ THOMAS NANCY NUHFER ,/ AREA FT, OR O. 27'=2¢R E · The water supply & terns for this residence will canform to the standorcls 6f the Suffolk Coun~ Depa~- men~ of H~lth 5e~ices. SURVEY OF LOTI5 " MAP OF 0A¥~;i'DE TERRACE" FILED I~IAR0~ 11,19§~ FILE NO. 2034 · AT BAYV!EW TOWN OF $OUTHOLD SUFFOLK G~OUNT¥, -N.Y. IOOO ~" 078 SCALE 0C7 ~ 1987 & ENGINEERS~ P.C. 09 II I" = 30' 1987 P,~:epared in accordance wilh tim minimum standards for title mwe)~ m, ~tablishmd by th~ L I. A. L. $. and approved and aeloptea rot such use by The New York State Lan~ Title A~4ociatlun. BOX 909 MAIN ROAD SOUTHOLD~ N.Y. 11971 CERTIFIED TO ' CHICAGO TITLE INSURANCE COMPANY $OUTUOL. D SA VINGS BANK NANCY A. NUHFER THOMAS F. NUHFER Prepared in accordance with the minimum standards for title surveys as established ~> th~ L,I,A. L.$, and approved and adopted for such use by The New York State Land Title Association, /,¢516) 7b'~ ~ P.O. BOX 909 MAIN ROAD SOUTHOLD~ N,Y, I~'.S. L/C. N0.49668 IS &' ENGINEERS, P.C. 971 APR 2 'f 1999 /eq Oo, ~ AREA = 12, OOO SQ. OR O 27 ACRE SU RVE Y OF LOT 15 "MAP OF BAYSIDE TERRACE® FILED MARCH 11,1953 FILE N0.2034 AT BAYVIEW TOWN OF $OUTHOLD SUFFOLK COUNTY, N.Y. IO00 - 078 09 II SCALE I" = 30' SEPT. 2 , 1987' AF/-~¥L 25, 1988 (found, I0c.) 87 - 6 84 B.O.H. # 87 = $0 - 210 LO2. /~O -Oo, AREA = 12,000 SQ. FT. OR O 27 ACRE CERTIFIED TO .t CHICAGO TITLE INSURANCE COMPANY SOUTHOLD SAVINGS BANK NANCY A. NUHFER THOMAS F. NUHFER Prepared in accordance with the minimum standards for title surve~ as established by the L,I.A.L.$. and approved and adgpted for such use by The New York ~tale Land LIC. N0.49668 ENGINE£RS~ P,C. SU RVE Y OF LOT 15 "MAP oF BAYSIDE TERRACE FILED i'vlARC"~H 11,1953 FILE N0.2034 A"T BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 075 Og II SCALE I": 50' SEPT. 2 , 1987' AI~q~iL 25~ 1988 (found. loc.) JAN. 6, 19,99 (FINAL) 87- 684D BLDG, DEPT, TOWN OF SOUTHOLD 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 7654802 Examined .-'~...ca~e~..~,~, 19.8.9. Approve. ~.~ 19'~ .-J. Permit No. J..~.~.c~ .~. ~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .~..t_?.~...4.'~, ........19 .~.? 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 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 appli- cation. 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 issued 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 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 alt applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in /' '~' ' ~ecrl7~~f? ~ ; building for necessary i ectio~. (Signatt re of app ' , , ' v l.(?7.r.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C 6o/v - @, ........................................................ Name of owner of premises . .'-'~?.¥ .O.r~..~..S..~: · ·/~. ?. .~. ~ .~. · - -/~. .~ .~. ~q~.?'~/~ ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL COI~,TRACTOR'S MgST BE SUFFOLK COUNTY LICENSED Builder s License No..~.~.r. ?..~.3..-.ff.-T-: .......... Plumber's License No. '5~/~tc~ Electrician's License No .... .~..~..~. J..-: ..~-'. ...... Other Trade's License No ...................... 1. Location of land on which proposed work will be done] ................................................. ,~ r~ r~c~z- ~-F41~6= ~t~ ~ ~/-/o t--./~ ..... : ............. House Number Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot...]...3~. ............ Subdivision . .~.../~..¥~/. ~5.~'.~.. ~.~.~G~-- ............ Filed Map No..~..~..~.~. ...... Lot.../~3.-~. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy "'/~C t'~A4. 7(. ......................................... b. Intended use and occupancy ~ 6tJcz-Z~ ~ m/Cw 3. Nature of wo[k (check which applicable): New Building . .xt( ....... Addition . .i ........ Alteration .......... Repair .... ...w' ..... Removal .............. Demolition .......... i · · · Other Work ............... : (Descriplion) Estimated Cost · · 6~ .~./. ~..~.~7·/~r O /'- ...................... Fee ......... 2 ............................ 4. (to beipaid on filing this application) 5. If dwelling, number of dwelling units .... .~ ......... Number of dwelling un~ts on each floor ................ If garage number of cars : 6. If business, commercial or mixed occupancy, specify na~ture and extent of each ty~e of use ..................... 7. Dimensions of existing structures, if any: Front .... .~/.~. ....... Rear ...... i ....... Depth ............... Height ............... Number of Stories ........................... ~ ............................ Dimensions'of same structure with alterations or additions: Front ...~t/../,) ...... i ..... Rear .... . ............. Depth ...................... Height ...... ~., ........... Numb~r,q~ Stories ............. ~ ......... Dimensions of entire new construction: Front .......... . ..... Rear . . .?'.~... 4 ....... Depth ...~.~. .......... Height .............. Number of Stories .'-T'..~.O ' 9. Size of lot: Front ..../.O.O....t ......... .. Rear.. [.O..O..( ............. i Depth . .].~.Q.' ............... 10. Date of Purchase . . ~.c~-~..T.../~.Z.~ ................ Name of Former Owner I .D.,, ,F:., . . ,/M.V,~..~.%~.. ,. ......... 11. Zone or use district in which premises are situated ......................... i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...!'f~..O. ........................ 13. t,q'O ' Will lot be regraded ............................ Will excess fill be removed from premises: Yes 14. Name of Owner of premises .--f[~.r~..,~.$.. ,t~..tt.~.F'..O~... Address . .t~o..~...o-q..6,...Xo~.~tt). Phone No..7.6. ,~..~ .~/9.~. (... Name of Architect Address ~ ... Phone No. Name of Contractor ~.~?.../~. ?.t'..'hT~.? ........ Address . .8.o~; .~.o.q..~.o.¥ .~.~.a.~. Phone No'.7¢,xT.': ~o.o. ( ..... 15. Is this property located within 300 feet of a tidal wetland? *Y~s ..... No ."~... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY Oy ......... ..... .... .'~./.~'~D~.~'. rTZ: ./. ~ ..................... being (Name of individual signing contract) above named. duly sworn, d~p0~e's and says {hat he is the applicant No. 4707878, Su,~ I~'~,~o my ~¥ Tram Expt~ Id~rch 30,19.-;..K. / (Signature of applicant) He is the ............................................................. : ............................ (Contractor, agent, corporate officer, etc.i of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all s~atements contained in this application am true to the best of hi~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of... 19 /? ~, 'T C) .¢.i LS 'T C ) /4 O. OE O.S~ o.~o 0 O. of 0.0/~ o~ ~ 7 ~JD 1) HEATING F3QUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONSOLS TO MEET 7813.13 RANGE 45 TO 75 DEGREES FAHRENHEIT. 3) WATER HEATING P~R 7813.31 THRU .38. 4) PIPE INSULATION 7813.19 5 ) WINDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO ~4EET N.Y,S. ENERGY CODE. TO THE BEST OF MY KNOWLEDGE, BELIEF, AND PROFESSIONAL JUDGEMENT THESE PLANS APJE IN COMPLIANCE WITH THE CODE. T If coPPer tubing is U. sed for water distributing ~ten~ ~fping shall be types K~or L on!y OCCUPANCY OR USE IS UNLAWFUL 'WITHOUT CERTIFICM'E OF OCCUPANCY Kw ,~