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 ,~