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HomeMy WebLinkAbout16693-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18005 Date MAY 5~ 1989 THIS CERTIFIES that the building Location of Propert~ 255 SUMMER LANE House No. County Tax Map No. 1000 Section 078 Subdivision ACCESSORY Block 09 BAYSIDE TERRACE Filed Map No. 2034 SOUTHOLD Street Hamlet Lot 11 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. 16693Z 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 ACCESSORY BUILDING. The certificate.is issued to THOMAS & NANCY NUHFER (owner, YJ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 'Building Inspec{or ' ~ FO~.,M NO. ~ TOWN OF $OUTHOLD BUILDING D£PARTMI=NT TOWN HALL SOUTHOLD, No Y. BUILDING PER. MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: County Tox Map No. 1000 Section .... ..~....~..~. ....... Block ...... .,{~...~ ........ Lot No ...... !].. ............... pursuant to application dated~~.~......~...~ ........ , 19.~..~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Owner or Owners of County Tax Map No. Subdivision.~.~ ..-~I~ ..... Health Planning DATE .~-4~ ~EW CONSTRUCTION .~ ..... OLD O~ P~E-EXISTINC ~UILDINC ...... VACANT LAND ........ Location of Property..~--~. ........ -~-~'~.%'-'f~--~-,. ~0; ......... .~..~.~ ......... HOUSE NO. STREET HAMLET Property..~i~r~.~S ~.~.~G~ ~.~ ~000 Se~io~ ~Z~.. ~o~ .O~ .... no~ ..~.~. Dept. Approval ...~/~ ............ Underwriters Approval.~ .......... Board Approval ..~/~ ........... Request for Temporary Certificate ....... Final Certificate ~ .............. Fee Submitted: rev. 10/14/88 OUNDATIO.U ( 1 s t) OUNDATION (2nd) OUGH FRAME & ?LUMBING ~NSULATION PER N. Y. STATE ENERGY CODE FI~,AL SUFFOLK COUNTY DEPARTMENT OF H~&LTH SERVICES FOR AP~'ROVAL OF CONSTRUCTION ONLY DATE. ItS REF. NO, APPROVED oo,/ (Q AREA = 12,000 SQ. FT. OR O 27 ACRE CERTIFIED TO: THOMAS NUHFER NANCY NUHFER The water supply & sewage disposal sys- tems for lhis residence will conform to the standards of the Suffolk County Depart- ment o~ Health Services. SU RVE Y OF LOT 15 " MAP OF BAY$1DE TERRACE" FILED MARCOni 11,1953 FILE N0.2034 AT BAYVIEW TOWN OF SOUTHOLD ~LIC. N0.49668 P.O, BOX 909 MAIN ROAD 06SERVATPONS AND OR [ROil D.~TA OII?AiNEB [r~ OTHERS SOUTHOLD~ N.Y, 11971 SUFFOLK COUNTY, N.Y. lO00 - 078 ? 09 - II SCALE I"= 50' SEPT. 2 , 1987 ...~J in accordance with the minimum ,~.~urds for title ~urvlyl as mtablbhed by the L.I. A, L. $. and approved, and adopted for such um by The ~ york ~ Land Title Apociati~n. 87 684 'FORM NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 deta/led 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 Perrqit to the applicant. Such permit shall be kept on the premises available for inspection throu,ghout the work. e. No building shall be occupied or used in whole or m 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 Cbc 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 all appt/cable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection.. A . (Signature of applicant, or name, I p · ~.o....~p.~...~57.q.ce .f..~...oeq~.. Ao.< .o(./~ .~. 117.7/... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Ocofue-~ f ~.a, . ............................................................... Name of owner of premises ............................................. (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 CONTRACTOR'S MUST B~ SUFFOLK COUNTY LICENSED Builder's License No.../..'~..Z.~.~.Z .~.-,~¢. ........ Plumber's License No .... .~..~.L?. ............... Electrician's License No. ~..~. 5[. !.'-..~----:... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ................................ .3..~. ~.~. ?g.4~.. ~ .~./Y..~f ......... ~ ~ .T...~o. ~ ................. House Number Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot .... ./.3~.. ........... Subdivision..~..~. ?,~./.D.C.~...'~.6~..'~.. ~ .C.~. ............ Filed Map No.. ?~. J?.~...~. ..... Lot .. /..5~. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .y.r.~.~.~../~.'.7~. ......................................................... b. Intended use and occupancy .../?.~.C?.-~'. ~..o?~..,~.~/.L,.~(.t?.~ .......................................... ................ :.. ~ ~...~ .~ ...... ~ .... ~.~lo.~ Ol,6~,V~ ~ '~ ;, ~unoD ' .............. ' // /~ ~/~ ~ ~ ~~ ........... '~" ' ;"~'°qqn'4~°N s[~l om olojoq o~ mo~S ~ ~ pu~ ~lI~q pu~ o~p~I~ou~ isl~ go lsaq o~ ol an~l ~a~ uogeolldd~ slHl ~ poul~luoo slu~m~l~ls ii~ ~ '.uog~olldd~ ~ oI~J pu~ ~ ol pu~ ~o~ pl~s a~l po~oj~od oA~ ao ~=ojaod ol paz~oHlne &inp si p~ 's~ou~o =o ~ou~o pl~s &o ('o~o '~o ~l~odioo 'lu~ '~olo~iluoo) ............................ ............................................................. ~ si ~H 'lo[ ,tou.too .to .to.uolu! uto&l suo.tsuom'!,p )[o~q4os II~ ol~v.lp,u! 'pu~ 'p~sodo.td ,to i~uDs.tx~ ~oti3Otl~ 's~m. pl,mq ii~ Al:~Vu!ls!p ptm XlS~lo o3~oo'I