HomeMy WebLinkAbout27523-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28661 Date: 08/07/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 2150 PARADISE SHORE RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 80 Block 1 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 20, 2001 pursuant to which
Building Permit No. 27523-Z dated AUGUST 2, 2001
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 SINGLE FAMILY DWELLING WITH COVERED FRONT PORCH & RAISED MASONARY PATIO
WITH TRELLIS AS APPLIED FOR.
The certificate is issued to N.F. MANAGEMENT, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0115 08/02/02
ELECTRICAL CERTIFICATE NO. 1068716 08/02/02
PLUMBERS CERTIFICATION DATED 08/05/02 WILLIAM DOOLEY
Aut orized nature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28660 Date: 08/07/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2150 PARADISE SHORE RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 80 Block 1 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 20, 2001 pursuant to which
Building Permit No. 27523-Z dated AUGUST 2, 2001
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 GARAGE IN REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to N.F. MANAGEMENT, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1068716 08/02/02
PLUMBERS CERTIFICATION DATED N/A
Author zed Signature
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 27523 Z Date AUGUST 2 , 2001
Permission is hereby granted to:
PETER A CICCOTTO
58-04 212 STREET
BAYSIDE,NY 11364
for .
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH COVERED FRONT PORCH
AND ACCESSORY GARAGE AS APPLIED FOR TWO CO. S REQUIRED
at premises located at 2150 PARADISE SHORE RD SOUTHOLD
County Tax Map No. 473889 Section 080 Block 0001 Lot No. 013
pursuant to application dated JUNE 20, 2001 and approved by the
Building Inspector.
Fee $ 970 . 50
91-0�001
Author zed Si ture
ORIGINAL
Rev. 2/19/98
— Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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.
C. 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 Building- $100.00
3. Copy of Certificate of Occupancy-$25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00, Commercial $15.00
s/ Date.
New Construction: !/ Old or Pre-existing Building: (check one)
Location of Property: i S /oAngplst s oxt R/7
House No. / Street Hamlet
Owner or Owners of Property: / /-
V, -,
Suffolk County=T-a"ap-No-900
_ 7 Z,02
- Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
fap��grahhic fcaturc,.
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 arclutect 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.
C. Fees
I. 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 accessary building$25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy- $25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00
/ Date. d,2 - --New Construction: y Old or Pre-existing Building: (check one) /
Location of Property: loAngd/sf SlleIYf /119
House No. Street Hamlet
Owner or Owners of Property: /yf/1�fil�/'•
—dock _ - --
C�'I' ��p=Na-1-009��tien
Subdivision — 80+y(;Pf eq) - -- - Filed n9a p. Lot
Permit No.
�;3 — llate of Permit. Applicant:
Health Dept. Approval: Underwriters Approval
Planning Board Approval: -
Request for: Temporary Certificate Final Certificate: _ (check one)
�• �Y� ` �I y� licariature
C'v a G�/
- ���LnLP�LL3ffl3 n���r���������n��n������n���n��n�n���������n����� 3DCPrj @1
5
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY - S
40 FULTON STREET — NEW YORK, NY 10038 C�
5 CERTIFIES THAT 5
5
Upon the application of 5
5 P PP upon premises owned by 5
5 5
JIM SAGE ELEC. INC. ' N.F MANAGEMENT 5
5 P.O. BOX 38 P.O BOX 696
55 7CC5 GREENPORT, NY 11944-0038, AQUEBOGUE, NY 11951 5
Located at PARADISE SHORES RD SOUTHOLD, NY 11977 5
7C Application Number: 1068716 Certificate Number: 1068716 5
555 5 Section: 1000 Block: 80 Lot: 1-13 Building Permit: BDC: NS10 5
5 Described as a Residential5
occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement,First Floor,Second Floor,Detached Garage,Outside,Attic,
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
5 found to be in compliance therewith on the 2nd Day of August,2002.
5 Name 2 Rate Rating Circuit Tyne 5
5 Additional Charges 5
�5 POLE#79 5
P�--j Alarm and Emergency Equipment
5 Sensor 2 Carbon Monoxide �P,7
,C5] Sensor 6 Smoke 5
Appliances and Accessories
5 Range 1 12.1 KW 5
Dish Washer 1 1.2 KW C5
5 Exhaust Fan 1 F H.P.
5 5 Furnace 1 F H.P. 5
SAir Conditioner 1 4TON 5
5 Hydro Massage Tub,Residential 1 5
Motors 5
5 1 4
5 1F 5
5 Panels
5 1 60 1 seal 5
5 1 50 3 5
Continued on Next Page 1 of 2
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
D rJ�rJ�rJ��IcPrJ�rJ�rJ�rJ�rJ�rJ�cPr�cJ�rJ�rJMOMM21111rJ�rJ�rJUcMPRIIii -T,MIMI��PrfrJ�rJ�rJ�rJ�r1� o
O rJ�rJ�rJ�rJ�rJ�rJ�rJrJ�rJ�PrrJ�r�rJ�rJ�rJ�rJ�rJ�rJ�r..J�rJ�r�rJ�rJrJ�rJ�rJ�rJfl�rJ�r�rJ�rnrJ�rJ�rJ�rJ�rPrJ�iPrJ�rJ�rJ�rPrJ�cPrJ�rJ�rJ�rJ�rJ�rJ�rJ�cPrJ�rJ�rJ�PrJ�rJ�r�rPcPr� O
5
5 BY THIS CERTIFICATE OF COMPLIANCE THE 17
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
40 FULTON STREET — NEW YORK, NY 10038 c�
CERTIFIES THAT
Upon the application of upon premises owned by 7c
5 5
5 JIM SAGE ELEC. INC. ' N.F MANAGEMENT
5 P.O. BOX 38 P.O BOX 696 5
5
GREENPORT, NY 11944-0038, AQUEBOGUE, NY 11951 e�
C� Located at PARADISE SHORES RD SOUTHOLD, NY 11977
�7 Application Number: 1068716 Certificate Number: 1068716
Section: 1000 Block: 80 Lot: 1-13 Building Permit: BDC: NS10
5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement,First Floor,Second Floor,Detached Garage,Outside,Attic, 5
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
found to be in compliance therewith on the 2nd Day of August,2002. 5
5 Name (QTY Rate Rating Circuit Tvoe
5 Wiring and Devices 5
5 Outlet 42 Fixture 5
5 5 Receptacle 48 General Purpose 5
Switch 42 General Purpose
5 Fixture 42 Incandescent 5
5 5 Receptacle 1 20 Special
Receptacle 1 30 Special 5
5 5 Receptacle 7 GFCI
Multi Outlet System 4 C
5 Paddle Fan 3 Residential 5
5 Service C,
5 5 1 Phase 3W Service Rating 200 Amperes 5
Service Disconnect: 1 200 CB 5
5 Meters: 1
5 5
5 5
5 Sea, 5
55 sea
2 of 2 5
This certificate may not be altered in any way and is validated only by the presence of a raised l at the location indicated.
5 5
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07/12/1939 12:30 2081573 DOOLEY PLUMBING PAGE 01
2
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s. 3qx !1-D. +arooncnw{5161 795-1802
`stlt?aro yaw YPMc. ?tA, 'a O. •:
OFFICE OF THE BUILDING INSPECTOR
i OWN OF SOUTHOLD
zIRTrricAT ON
PATZ
d"
$>SSlcYiag 3s'rmip `ro. 27
(plant* grist;
;leases 0r_nt1
- C6=t!..iV that tiro eoldar aead SZ the watar supply system
ccrrsiss isss :,lan • 27=0 0' :; lead,
L
!Plumbers iQs�atLr
Svoti -'q..belorze tae =his
da. vos: 6;�w.5' 7-
746ta •i: publ._ -=ty wFFe,LK
GERARD M.LANG
c
Stabk bf Naw m,
Yo►k
�ti1t
k s 0
. 005'
STATE OF NEW YORK )
ss:
COUNTY OF SUFFOLK )
Joseph Fischetti, PE being duly sworn, deposes and says:
That deponent is over the age of 18 years and resides at
1725 Hobart Road, SoUthold
That on the /5-day of 2001 deponent architect/engineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanyingplans compliance with the New York State
Fire Prevention and Building Code (9 NYCRR); said plans pertain to property
located at SCTM# 1000-
street address
rchit t/Engin
Sworn to bef re me this
day of°, 2001.
Notary Public
MoFe�l sh N"M
No.OIST4844752
cc: Applicant edm&ft
BUILDING ID R ZIT RI -UEW CHECK LIS~
_ ApplieanUin � Date
Owners Name: :► Cil CCS Reviewed: *10L--
Architect/ Date
Engineer: Jot, UL;tt Submitted:
SCTM M
District: 1.000 Section: Block: Lot:
' Project .�o n� Subdivisio
Location: � d�k.0� _ Name:
Single& separate Required Ae_-�
certification: (Yes/No)
Req Rey
•
Zoning Disiricc � (W size: ����Actual: � � I (Lot«wcragc 92a ProperceM9l
Req. :t r Req• I Req. I' �,
Irront Yard s Protiosed:�0 1 [Sidc,Yard �� Proposed:�1 (Rear Yard �S Proposed•" 70 I
Project Description:
AGENOMERMITS Pew
REQ(jIRED FOR REVIEW . lY_2C X Dumber
Suffolk County Health Dept. /O- _p//S
New York State D. E. C.
Town Trustee's
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone:
Notes: C, 08
S -----------rt
gu
2= 7
7
File No.: RH80013267
Commonwealth Land Title Insurance Company
177 Old Country Road, PO Box 419
Riverhead, NY 11901-0203
Phone: 631-727-7760 Fax: 631-727-7818
Commonwealth
SINGLE AND SEPARATE SEARCH
Effective Date: 6-21-2001
Title No. RH80013267
Commonwealth Land Title Insurance Company
DOES HEREBY CERTIFY TO:
DEBORAH DOTY, ESQ.
670 WEST CREEK AVENUE P.O. BOX 1181
CUTCHOGUE, NY 11935-0876
THAT it has caused a search to be made in the Office of the Clerk of the County of SUFFOLK, in the State of
New York, against the premises described herein and property adjacent thereto on all sides from 8-17-83 to
date to ascertain the fee chain of title respecting the premises described herein and the property adjacent
thereto and has found only the returns as set forth herein on the following pages as they bear on record title;
and
Certifies that the owners of the premises described herein have owned the same in single and separate
ownership as defined by law during this period of time, except as otherwise shown herein.
This Company's liability is limited to Twenty-five Thousand ($25,000.00) Dollars.
NO policy of insurance is to be issued hereunder.
Premises: 2150 PARADISE SHORE Road, SOUTHOLD, NY
District: 1000 Section: 080.00 Block: 01.00 Lot: 013.000
County: SUFFOLK
T/O: SOUTHOLD
Commonwealth Land Title Insurance Company
r
BY: o l0s•�
VINCENT SETTE
BRANCH MANAGER
Title Number: RH80013267
Dated: July 18, 2001
Single and Separate Search
TQ20015NY (07/00)
File No.: RH80013267
CHAIN OF TITLE FOR SUBJECT PREMISES:
District: 1000 Section: 080.00 Block: 01.00 Lot: 013.000
Walter E. Hyatt Dated: 10-10-38
to Rec'd.: 4-15-39
Alfred L. Hutchings and Caroline Hutchings, his wife Liber 2035 page 469
Caroline Hutchings died 9-29-67 (Suffolk County Surrogates File No. 1386P67).
Ellen Zoeller and Rensselaer G. Terry, Jr., as Executors Dated: 5-11-70
of the Last Will and Testament of Caroline Hutchings Rec'd.: 6-16-70
to Liber 6757 page 558
Helen Brown
(premises and more)
Helen Brown Dated: 8-17-83
to Rec'd.: 9-8-83
Peter A. Ciccotto and Beatriz Ciccotto, his wife Liber 9422 page 59
Peter A. Ciccotto and Beatriz Ciccotto Dated: 7-16-96
to Rec'd.: 7-2-96
Peter A. Ciccotto Liber 11783 page 563
LAST RECORD OWNER
STATE OF NEW YORK )
)ss:
COUNTY OF SUFFOLK )
VINCENT SETTE, being duly sworn, deposes and says:
That he is a Vice President of Commonwealth Land Title Insurance Company, That the above is a true Chain
of Title of the subject premises as shown on the variance search under the above captioned title number.
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
— this 18th day of July, 2001.
BY: ,
INCENT SETTE
BRANCH MANAGER -
6No ry Public JANA M.PRfNDLE
Single and Separate Search Notary Public,State of Now York
No.01•PR49ivu
Duafrfied In Suffolk Cou
Commission E4!ires Azov.16, a
File No.: RH80013267
CHAIN OF TITLE FOR PREMISES ADJACENT NORTH:
District: 1000 Section: 080.00 Block: 01.00 Lot: 012.000
Walter E. Hyatt Dated: 10-8-38
to Rec'd.: 11-18-38
Ernest W. Schacht and Helen B. Schacht Liber 2016 page 63
Ernest W. Schacht died 7-11-69 (Suffolk County Surrogates File No. 1188P69).
Helen B. Schacht died 8-15-73 (Suffolk County Surrogates File No. 1356P73).
Helen Greene, Executrix of Helen B. Schacht; premises specifically devised to Alec Aksten.
Alec Aksten died 2-26-96 (Suffolk County Surrogates File No. 973P96); leaves specific devisees: Joanne Bochan,
Julia Cooper, James Cooper, Helen Frericks and Agnes Frick, Theresa Harder and Madelyn Skelly.
James Cooper, in care of Julia Cooper as one of the Specific Dated: 12-4-98
Devisees under the Last Will and Testament of Alec V. Aksten, Rec'd.: 6-3-99
who died on 2-26-96 (9731396) Liber 11966 page 955
to
Richard Geib and Bridget Geib, his wife
Joanne Bochan, as one of the Specific Devisees under Dated: 12-21-98
the Last Will and Testament of Alec V. Aksten, deceased Rec'd.: 7-3-99
to Liber 11966 page 956
Richard Geib and Bridget Gelb, his wife
Julia Cooper, Helen Grericks and Agnes Frick, Dated: 12-21-98
as Specific Devisees under the Last Will and Rec'd.: 6-3-99
Testament of Alec V. Aksten, deceased Liber 11966 page 957
to
Richard Geib and Bridget Geib, his wife
(continued)
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
this 181h day of July, 2001.
BY:
INCENT SETTE
BRANCH MANAGER
No ry Public JANA M.PRINDLE
Notary PuMcc,State of New Yak
Single and Separate Search No.01-PR4911757
Qualified in Suffolk Coun
Commission Ex,ros Nov,16, i
File No.: RH80013267
CHAIN OF TITLE FOR PREMISES ADJACENT NORTH: (CONTINUED)
District: 1000 Section: 080.00 Block: 01.00 Lot: 012.000
Theresa Harder, as one of the Specific Devisees under Dated: 12-21-98
the Last Will and Testament of Alec V. Aksten, deceased Rec'd.: 6-3-99
to Liber 11966 page 958
Richard Gelb and Bridget Geib, his wife
Madelyn Skelly, as one of the Specific Devisees under Dated: 12-21-98
the Last Will and Testament of Alec V. Aksten, deceased Rec'd.: 6-3-99
to Liber 11966 page 959
Richard Geib and Bridget Gelb, his wife
LAST RECORD OWNERS
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
this 18th day of July, 2001.
BY:
VINCENT SETTEr
BRANCH MANAGER (na
ry Public JANA M.PRINDLE
Single and Separate Search Notary Public,State of New York
No.01-PR4911757
Qualified In Suffolk County
Commission Ex; 7s>. s o2 /
File No.: RH80013267
CHAIN OF TITLE FOR PREMISES ADJACENT EAST:
District: 1000 Section: 080.00 Block: 01.00 Lot: 041.000
Reydon Shores Inc. Dated: 5-11-32
to Rec'd.: 5-28-32
Alfred L. Hutchings and Caroline Hutchings, his wife Liber 1652 page 276
CORRECTION DEED
Reydon Shores, Inc. Dated: 6-18-42
to Rec'd.: 7-18-42
Alfred L. Hutchings and Caroline Hutchings Liber 2242 page 403
Caroline Hutchings died 9-29-67 (Suffolk County Surrogates File No. 1386P67).
Ellen Zoeller and Rensselaer G. Terry, Jr., Executors Dated: 5-11-70
under the Last Will and Testament of Caroline Hutchings Rec'd.: 6-16-70
to Liber 6757 page 558
Helen Brown
(premises and more)
Helen Brown Dated: 11-20-70
to Rec'd.: 11-24-70
Albert James Franke and Frances Suzanne Franke, his wife Liber 6845 page 7
(premises under examination)
LAST RECORD OWNER
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
this 18th day of July, 2001.
BY:
INCENT SETTE
BRANCH MANAGER
Not Public
Notary Public,State of New 1'b*
Single and Separate Search NO.01•PR4911767
Quatlffed In Suffolk Cotft
CM11111"Elp m Nov.16,,2 J
File No.: RH80013267
CHAIN OF TITLE FOR PART OF PREMISES ADJACENT SOUTH:
District: 1000 Section: 080.00 Block: 01.00 Lot: 015.001
Frederick Seeley Dated: 12-16-53
to Rec'd.: 7-15-54
Harry W. Schwindt and Janet Schwindt Liber 3725 page 421
Harry Schwindt died 6-6-81 (Suffolk County Surrogates File No. 710P82).
Margaret Louise Hannon and William Roy Schwindt, Dated: 4-21-82
Co-Personal Representatives of the Estate of Rec'd.: 6-1-82
Harry W. Schwindt Liber 9190 page 487
to
John B. Rusch
CHAIN OF TITLE FOR PART OF PREMISES ADJACENT SOUTH:
John Burer, Hulda Purer, his wife and Siegrad Purer Dated: 11-6-48
to Rec'd.: 11-16-48
Harry W. Schwindt and Janet Schwindt, his wife Liber 2892 page 555
Harry W. Schwindt and Janet Schwindt, his wife Dated: 6-23-69
to Rec'd.: 6-23-69
Richard C. Hilary and Evelyn T. Hilary, his wife Liber 6751 page 22
Richard C. Hilary and Evelyn T. Hilary, his wife Dated: 6-15-73
to Rec'd.: 6-20-73
Robert M. White Liber 7423 page 271
(continued)
Commonwealth!)Land Title Insurance Company Subscribed and Sworn to before me
this 18th day of July, 2001.
BY: �
VINCENT SETTIr
BRANCH MANAGER
Ota Public JANA M.PRINDI E
Notary Public,State of New Yore;
Single and Separate Search No.01-PR4911757
OuailOed in Suffolk County
Commisslon Expim Nov 16,.20b(
File No.: RH80013267
CHAIN OF TITLE FOR PART OF PREMISES ADJACENT SOUTH:
Robert M. White Dated: 12-20-76
to Rec'd.: 12-22-76
Virginia C. Rusch Liber 8165 page 253
Virginia C. Rusch Dated: 7-21-2000
to Rec'd.: 8-1-2000
John B. Rusch Liber 12060 page 98
CHAIN OF TITLE FOR ALL OF PREMISES ADJACENT SOUTH:
John B. Rusch died 8-13-2000 (Suffolk County Surrogates File No. 1734P2000). Release of Transfer Tax recorded
in LIber 12122 page 353.
Virginia Cochran Rusch, as Executor of the Last Will and Dated: 5-10-2001
Testament of John B. Rusch a/k/a John Bartholomew Rusch Redd.: 6-6-2001
who died 8-13-2000 Liber 12122 page 352
to
Virginia Cochran Rusch and Derek Michael Rusch, as
Trustees of the John B. Rusch Trust under Last Will
and Testament dated 7-25-97
LAST RECORD OWNER
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
this 18`" day of July, 2001.
BY: �—
VINCENT SET-CE
BRANCH MANAGER
EtaPublic DANA M.PRINDLE
Notary F ubllo State of Now*,k
Single and Separate Search NO.01•PR4911757
Canm�bNled In Suffolk Coun1ry�� �
.res Nov 16,Na
File No.: RH80013267
CHAIN OF TITLE FOR ADJACENT PREMISES ERROR! REFERENCE SOURCE NOT FOUND.:
"PARADISE SHORE ROAD"
STATE OF NEW YORK )
)ss:
COUNTY OF SUFFOLK )
VINCENT SETTE, being duly sworn, deposes and says:
That he is a Vice President of Commonwealth Land Title Insurance Company, That the above are true Chains
of Title of the adjoining premises as shown on the records of the Clerk of the County of Suffolk and the Variance
search under the above captioned title number.
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
this 18`h day of July, 2001.
BY:
VINCENT SETTE
BRANCH MANAGER
Nota Public JANA M.PRINDLE
Notary Public,State of New York
Single and Separate Search No.01-PR4911757
Ouallfied In Suffolk County
Commission Expires Nov.16,'1
M-1802
BUILDING DEPT.
INSPECTION
[ ] FO ATION 1 ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ]
FIR PLATXOJA4a� O �
CHIMNEY
REMARKS:
DATE INSPECT
M-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOU TION 2ND [ ] INSULATION
[ V1 F MING [ ] FINAL
[ FIREPLACE A CHIMNEY
REMARKS: Y" A�e�
DATE 7 INSPECT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] GH PLBG.
[ ] FOU TION 2ND [ INSULATION
[ RAMING �� [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
REMA KS:
44& A,4 Z�vo L
42
DATE INSPECTO
M-1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION IST [ j ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ) FINAL
[ ] FIREPLACE S CHIMNEY
MA KS:
DATE INSPECTO
f /
1
i
s
LI��-
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the folio g,before applying?
TOWN HALL Board of Health _
SOUTHOLD,NY 11971 3 sets of Building P�
TEL: 765-1802 Survey
PERMIT NO. a�� Checker 1 Z
Septic Form
N.Y.S.D.E.C.
Examined 3
Trustees
Contact:Contact:
Approved 20_L Mail to:
Disapproved
Phone: S?Q O
j Building Kipeetof
Ir
APPLICATION FOR BUILDING PERMIT
Date /S 0 20
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.
h.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
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 a 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 what-so-ever until a Certificate of Occupancy
is issued 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 all applicable laws, ordinances,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
f fCorU/C /�fS✓ iU � C/�(!Sl`.�!/C/-/CiCJ
(Signature of afflicant or name,if a corporation)
(Mailft ddress of applicant)
State whether applicant is weer lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises 414,e zy elero eo
(as on the tax roll or latest deed)
If apphc is a rpo a .o ignature of duly authorized officer
I we(Name and titidlof corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which propsed work will be done:
,rmeot.asf
House Number Street Hamlet
County Tax Map No. 1000 Section _Block / Lot ' ' `?
Subdivision- 1i 141falSz- .SWo f'£S Filed Map No Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy /
3. Nature of work(check which applicable): New Building r/ Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost_ ,�00 000 Fee (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories.
8. Dimensions of entire new construction: Front Rear Depth
Height a( 61- Number of Stories 12.
9. Size of lot: Front 75� Rear
10. Date of Purchase =" Name of Former Owner ��r/d Pard
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: ,t/®
13. Will lot be re-graded /V O Will excess fill be removed from premises: Uii�S NO
14. Names of Owner of premises fou<c ,�fsi Address /fi x/l`/3 �,�,s� hone No. !`77-82",0
Name of Architect ,%o Address Phone No 765' ys-y
Name of Contractor_Ajae�si/o�,(��1,a��* f�vrc. Address o/ W S' Phone No. 7a.2-Ste' ,O
�E .vf
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(Contractor,Ag .orporate Officer, etc,)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be
Performed in the manner set forth in the application filed therewith.
I
4NO
2 c
ignatur Applicant
GERALyN!eg!p"VV i is t 2
tary Public. ;,tete of Newyork
No.4750031
Term Suffolk Coin
Expires May 31 is`-=A-00 1
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 06/20/01 Receipt#: 0
Transaction(s): Subtotal
1 Septic Permit-Construct- Resid. $10.00
Total Paid: $10.00
Name: North, Fork Management
80-1-13
po Box 696
Aquebogue, NY 11931
Clerk ID: LYNDAB Intemal ID:34593
NEW YORK STATE ENERGY
CONSERVATION CONSTRUCTION CODE
Building Address: North Fork Mgt. Per: Plans/2 sty colonial
Dated: 6/7/01
Design Criteria: Non Electric Heat
6,000 Degree Days
O.A. 10 Degrees F
I.A. 70 Degrees F
One or two family dwelling
SUBSYSTEM AREA DESIGN THERMAL REMARKS
s.f. "U" RATING
Exterior Walls 2400 .076 +168 R- 13 Insulation
Glazing 264 .33 -53 Andersen HP or Equal
Doors 50 .40 -8 U 40 Rated Doors
Ceiling(flat) 1100 .03 +17 R- 30 Insulation
Ceiling(Cathedral) R- Insulation
Skylights .33 Andersen HP or Equal
Floor 1100 .053 -6 R- 19 Insulation
Foundation Walls R- Insulation
Slab Insulation R- Insulation
• Total: +118
NOTES:
Building Envelope System to meet requirements of 7815.2
HVAC Equipment to meet requirements of 7815.11
HVAC Systems to meet requirements of 7815.12
Duct Systems to meet requirements of 7815.13
Ventilation Systems to meet requirements of 7815.14
Insulation on piping systems to meet requirements of 8715.15
Domestic water systems&Equipment to meet requirements of 7815.21
Electrical&Lighting Systems to meet requirements of 7815.31
To the best of my knowledge,and belief
&professional judgement,these plans are in Signed
compliance with the code. Date _6/ 01
M
:S
• BUILDING CONSTRUCTION NOTES
GENERAL
1. All construction work shall comply with the New York State Building Construction Code
and with the requirements do any governing departments,as well as the requirements of
authorities having jurisdiction.
2. All work shall comply with the New York State Energy Code
1. It shall be the contractor's responsibility to submit the size design and type of
mechanical systems that will be used in sufficient detail as required by the
Building Department.
2. Insulate all ducts and piping as required by code
3. All windows, doors sills openings etc. shall be caulked and weatherstripped
3. Provide one smoke detector on each floor including the basement. Provide smoke
detectors in all sleeping areas. All detectors to be directly wired to the electrical system of
the home.
4. Engineer is not responsible for the supervision of construction. General Contractor must
verify all dimensions and conditions before construction of fabrication. Engineer not
responsible for any changes without written prior approval.
5. Do not scale drawings
6. The engineer shall be responsible for the content of these drawings only. He shall not be
held responsible for any materials,workmanship, means or methods of construction. The
Engineer shall not be held responsible for the design or instillation of materials and
equipment: Electrical,plumbing,heating,ventilation,air conditioning or any system not
specifically contained in the drawings.
7. Electric construction is to conform to the National Electric Code,New York State
Building Code, and LILCo.
8. Plumbing is to conform to the County and local health department requirements and NYS
Code.
• Page 1 of 2
CODE COMPLIANCE
9. Light Requirements: Habitable space except kitchens shall have natural light equal to 8010
of floor area.
10. Ventilation Requirements
1. Habitable space except kitchens and bathrooms shall have natural ventilation
equal to 4%of floor area,or mechanical ventilation providing two (2)air changes
per hour.
2. Kitchens as above,or 150 cfin mechanical ventilation
3. Bathrooms as above or 25 cfin mechanical ventilation
4. All fans shall exhaust directly to exterior
11. Secondary exits(windows) shall be 4 square foot minimum with a minimum dimension
of 18" and a maximum sill height of 42"above finished floor.
12. Stairwells shall be 36" width minimum,2' -8" clear
CARPENTRY
13. Framing Douglas Fir#2 or better
14. Sill Plates to be 2x6 Treated 40 year CCA with sill sealer
15. Provide double headers and trimmers at all stair and floor openings,under all posts and
partitions running parallel to same. Refer to plan
16. Provide bridging for all floor joists
17. Provide solid blocking under all bearing points
18. Openings to have to(2)2"x10" headers unless otherwise noted
19. Structural metal connectors as requires for all flush structural load carrying conditions
CONCRETE/FOUNDATION
20. Strength 3,000 PSI at 28 day ASTM C-94 ready mix concrete
21. All footings, foundations etc. shall rest on undisturbed soil.
22. Soil bearing capacity shall be 4000 p.s.f. Contractor shall conduct soil test to verify
bearing capacity prior to construction and report any discrepancy to Engineer.Any
changes in soil condition noted during excavation shall be reported to the Engineer.
23. Footings shall be 36"below finished grade minimum.
Page 2 of 2
SURVEY OF PROPERIY -
SITUATE: BAYVIEW e"ellg N
TOWN: SOUTHOLD E
SUFFOLK WUNT%r, NY W
SURVEYED 03-15-0I, AMENDED 05-03-0I S
SUFFOLK COUNTY TAX u
1000-50-1-13
CERTIFIED TO:
PEGONIG DESIGN $ CONSTRUCTION CORP.
GOMMONWEALTH TITLE INSURANCE COMPANY
exletlng V
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MONUMENT
• PIPE OR PIN
H'I. =
AREA = 11,244 SF OR 0.26 ACRES JOHN C. EHLERS LAND SURVEYOR
6RAPHI G SCALE I°- 4O' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
RIVERHEAD,N.Y.11901
369-8288 Fax 369-8287 REF•\\Hp server\d\PR0S\01-131.pro
SURVEY OF PROPERTY
SITUATE: BAYVIEW N
TOWN: 5MTHOLD E
SUFFOLK COUNTY, NY w
SURVEYED 03-15-01, AMENDED 05-03-01, S
fnd. Ioc. 09-05-01
SUFFOLK COUNTY TAX u
1000-80-1-13
CERTIFIED TO:
PEGONIG DE516N 8 GON5TRUGTION CORP.
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AREA = 11,244 5F OR 0.26 AGRES F 50
PROPERTY FALL5 ENTIRELY WITHIN a m.
FEMA FLOOD ZONE X A5 SHOWN ON
FIRM MAP # 36103GO167 6 JOHN EHLERS LAND SURVEYOR
6RAPHIG 5GALE 1"= 40' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
RWERHEAD,N.Y.11901
369-8288 Fax 369-8287 RER\\Hp server\d\PROS\01-131b.pro
5URY� OF PROPERTY -
SITUATE: BAYVIEW N
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY wE
SURVEYED 03-15-01, +
AMENDED 05-03-0I, S
H5E. FNDT'N. OG-05-01 O
GAR. FNDT'N. 10-03-01
SUFFOLK COUNTY TAX #
1000-80-1-13
CERTIFIED TO:
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0
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LAND oma,.
PROPERTY FALLS ENTIRELY WITHIN
q s. All-
FEMA FLOOD ZONE X AS SHOWN ON
FIRM MAP # 36103GOIbl G JOHN C. EHLERS LAND SURVEYOR
GRAPHIC SCALE "= 30' 6 FAST MAIN STREET N.Y.S.LIC.NO.50202
RIVERHEAD,N.Y. 11901
— — --
369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\01-131b.pro
SURVEY OF PROPERTI
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TOWN: SOUTHOLD
5UFFOLK COUNTY, NY w — E
5URVEYED 03-15-01,
AMENDED 05-03-01, S
H5E. FNDT'N. OG-05-01 O
GAR. FNDT'N. 10-03-01,
FINAL 06-21-02, 08-01-02
SUFFOLK GOUNTY TAX u
1000-80-1-13
CERTIFIED TO:
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PROPERTY FALLS ENTIRELY WITHIN
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FIRM MAP a 3610300161 6
JOHN C. EHLERS LAND SURVEYOR
GRAPHIC, SCALE I°= 30' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
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