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HomeMy WebLinkAbout32638-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32628 Date: 09/26/07 THIS CERTIFIES that the building ALTERATIONS Location of Property: 4265 NORTH (HOUSE NO.) County Tax Map No. 473889 Section 79 BAYVIEW RD (STREET) Block 3 SOUTHOLD (HAMLET) Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 2007 pursuant to which Building Permit No. 32638-Z dated JANUARY 12, 2007 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 INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AMENDED TO INCLUDE HOT TUB. The certificate is issued to RUDOLPH & RITAMARIE KOEHLER (OWNER) of the aforesaid building. SUFFOLK COllllTY DEPAR'DIEI!lT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3038529 07/12/07 PLUMBERS CERTIFICATION DATED 07/03/07 HENRY SMITH PLUMB.&HEAT. ~ -~zed Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD :J BUILDING DEPARTMENT .- - '---i.) R n \'lI ~ Q \ TOWN HALL '~_ Ii ~2-15 'I 'IJ 1'" ' 765-1802 . j ~ ,~' \ 'ULll \, APPLICATION FOR CERTIFICATE OF OCCUPAN j ~ ~ - \ tn,.it.~~~tF~~) 1 ThIS apphcatlOn must be filled In by typewnter or mk and submItted to the BuIlding Oepa men'1r!Wl~ ""UUWHl1f.--.' .. p.o.(j,~ 17 l'f .bO'tAtW.:n 1.1 I W7 I 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 2/1 0 of I % 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 7 ( 2- 7( 07 Date. ~ ( check one) f<DA 0 SlJu'11f()LID, Iv- Y ( 117/ Hamlet New Construction: UoQ.n( .&AyVl~ House No. Street Owner or Owners of Property: fCA....AJDLflH- \ Rlrf\ hdR/ t= See n"'-.> en or Suffolk County Tax Map No I 000, Section LI- 73 'iI-& 'f Block Location of Property: VC60t.~ 60:' Lot 0 { 3 Subdivision Pennit No...3. 2.63l?;:C Date ofpermit. 11,'t f 07 Applicant dt.vOr.>L~ll k:.o<d-fl61<.... ~. Health Dept. Approval: Underwriters Approval: _ ..............- Filed Map. Lot Plmming Board Approval: Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ 2--~ ou C30.z. 7') f'3 0 CO-l-~GJ.~ 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. 32638 Z Date JANUARY 12, 2007 Permission is hereby granted to: RUDOLPH JR KOEHLER 6 BUTLER RD EDISON,NJ 08820 for : INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR 1,!.'Lrl07- QIYTlMirLQ :t,~ (Yn~'I~ NcrfTu;' at premises located at 4265 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0003 Lot No. 013 pursuant to application dated JANUARY 8, 2007 and approved by the Building Inspector to expire on JULY 12, 2008. Fee $ 200.00 .... ORIGINAL Rev. 5/8/02 ?C;, - "3 - I imi!E!IE!IE!imi!~ii!lire!JE!ii!lire!JE!~ I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ i ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by C-CAT CO. P.O. BOX 27 MATTITUCK, NY 11952, RUDOLPH KOEHLER 4265 N. BAYVIEW SOUTHOLD, NY 11971 4265 N. BAYVIEW SOUTHOLD, NY 11971 3038529 Application Number: Certificate Number: 3038529 Section: Block: Building Permit: BDC: ns11 3-a~o1r Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Lot: First Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 12th Day of July, 2007. Name OTY Rate Ratin. Circuit ~ Miscellaneous based on 1999 nec Appliances and Accessories Pooll Spa Bonding Pooll Spa Circulator Pump Motor Wiring and Devices Switch Receptacle Outlet Receptacle Receptacle Receptacle Outlet GFCI Circuit Breaker GFCI Circuit Breaker Heat, Light, Vent Fixture Outlet o o F.H.P. 8 0 4 0 9 0 I 0 1 0 1 0 I 0 I 0 I 0 I 0 9 0 I 0 30A 20A General Purpose General Purpose General Purpose Dryer Laundry GFCI GFCI Pooll Spa Pooll Spa General Purpose Incandescent Fixture 60A 20A seal Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~~l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ; ~ ~ ~ ~ ml ~l!I '" .~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = ~ ~~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by C-CAT CO. P.O. BOX 27 MATTITUCK, NY 11952, RUDOLPH KOEHLER 4265 N. BAYVIEW SOUTHOLD, NY 11971 4265 N. BAYVIEW SOUTHOLD, NY 11971 3038529 Certificate Number: 3038529 Block: BDC: ns11 Lot: Building Permit: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 12th Day of July, 2007. Name OTY Rate Ratin. Circuit IY3 Dimmers I 0 General Purpose Switch I 0 FU. FA Motor Control Disconnect I 0 60 A PoolI Spa An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ii!Ji!i1!Iii!IE!~ ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold. New York 11971 .fO~~~~OL~O>. ./~_~ 'o~~ ...:.-,~. '-$--.' - - - ...... :': - -:-' ::: ~ -. :z . ,.,., ....-....-: - - _<;:> _ -.e- c. *' i:l' .' ~ !:1fU.: :+ 4:-~/' ~.::::~~.::::::,.~.~.:-. Fax (516) 765.1823 Telephone (5'16) 765~' 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION DATE:;- ~-09 Building Permit No. J~1.o3B 2- Owner: ~'f >- '\l,7"r \f-.c. "-', \"-1- (please print) Plumber: H~N~\ P 5m1TI+ (please print) .' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. / (Pl ers Signature) swor! to ?{7 before day of , 1/~1 cop: l- _ Notary Public, BONNIE J. DOROSKI NotalY Public. State Of New'lbrlt No.01D06095328.Suffol~C9Pnty Term Expires July 7,20 J.LL };)-t, 3 g Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST ] FOUNDATION 2ND ] FRAMING I STRAPPING ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION NFINAL ~: [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: F~ !tr' ~ Ok J ~~ ""-~ DATE 9 /' ~ /01 INSPECTOR /;;;fth .~ INSPECTION 16S"- 7Lf-'lg [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING i/( FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RAE RESISTANT CONSTRUCTlON [ ] FIRE RESISTANT PENETRATION REMARKS: rJJL ~ ~ B:Jl.e ~- ~~~?- & ~4L-~ ~~ ~'\~. P/ ~-Jn.. \ J ~~'L. ~~, 7 ,..-r..s- -07 AI. a' 17 /J DATE INSPECTOR ~ ~ -- ~ - ----- - -- -----~- 3~3Y;z.. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND C>4. FRAMING I STRAPPING - [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS11UJCTlON REMARKS: ok ~, [ ] ROUGH PLBG. I)<f INSULATION [ ] FINAL [ ] RRE SAFETY INSPECTION [ ] FIRE RESISTANT PENEmATION DATE 3 .- J-( ~ () 1 INSPECTOR ~ ~ :32-~3V~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] R~H PLBG. [ ] FOUNDATION 2ND [~SULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT /~ ~] FIRE RESISTANT PENElRAnON REMARKS: :J,J~~.-- DATE INSPECTOR /' ~ I .__ 3~3~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 ] FOUN~A~~!E~~~. [ ] ~F~DATION 2ND [ ] INSULATION [#FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCT1ON [ ] FIRE RESISTANT PENmAnON REMARKS~ I~ '" ~ 'r/~ vr- INSPECTOR .'. , FIELD INSPECTION REPORT DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN, Y. STATE ENERGY CODE FINAL / / Ih1/-:J' I ,: 12 Lf n1 , ; COMMENTS . IA r/J?'7 t? . ~ I 'I ' /fftl. ./ ~~.' ..ehA ~_n___~ ( r' -:3 -)1-0 n.n' ~ .~ v ~ ())( M V ---- JJl1/fl: ~ (J. //],/',hf: . AC}/J // ' , LA J\ .... v .-R. \/'. ,/ // '-" " 3 -;)./.-1)"'. lL . i1....4--." ~ "k M ,j/"A 1'1...... IV , 7-J-~- 7, FN cL+-r)'1.,;- - ^ ,J-L" / ~)' ".Q~... , A jI 01l.Jo. ~.. 'f-3-I!' -/ J- ~ .u '-...0k . AD)HTIONAL COMMENTS Itl,;,. . ",,//u/ -h - ^ I .// t' nm d ~___ ~ :Zon. 0'0- QA". .0 ~. 717 J7 ~- -- - II ~'C ~ ~~ . \\ ;!::?~ -t~ 2 ~p ~ o l/\ ~ ~ t'l ./ A .If) l -z...., ~ ~W' p, <.. - ~~ n CL t'l Y/7'!Y} ..., , ,;/ IJ' ~ ~ SI- ./..0 ~ fl. An4\7 U '- / ~.fJ - ./ -} tv ~ d)U1 ctI . :j: '0 C1\:!: 'fI;:,z m ;0 '^ / I w'/ -Jt'l , ~ ~ ~ . ..., e::,... ~~ = '2:..,~ ;;;-;.., J>= ~ t'l ... ~ Icsrhl - 79-3'-1.~ OWNER D RES. ~ It) LAND SEAS. IMP. ~ 00 goe sg'co 7 06 ks'\~ Farm Acre Tillable 1 Tillable 2 Tillable. 3 Woodland 3wampland - Brushland House Plot Total TOWN OF SOUTHOLD PROPERTY RECORD CARD 11~ ~ DISTRICT SUB. LOT 1'4 s [JeJ:::, /JO' v<'2:b-~ lhJL. N -.r,tf-I, S -:r: 13E'C~E'R.... E SUB .B. I VIEIU W60J) eS W ACREAGE TYPE OF BUILDING '~ I , /{ /11 ': ,- \, I , ,f', -~,.~ f.(I. i/.' .' ....",< VL. I MISC. c.v l'::~.:S:D FARM COMM. p~~ ,'" ,/:6'$1 TOTAL DATE REMARKS 3 3.:1 L' (~ Value Per Acre Value --- , \\ ," ',' :\]'\ ',. ~ .,1: : ,'>;y., \ ., "j "."~t:' V, , '.:"".~;...' 'I', ; "(~ ~, PI .,-,f <),.~ ~ \ , )- / I , I -...,..... _.- 15hd -f? 0, B, , 1 ; -1 ~ 1\ I h \ /: .\ \1~ .' " 'I' 4'4 <- jlJ-. ))ioy Zb /).-t1 h 66~ / -, < . / ." ,~ I r-t nn ^ / 7S?15 (;}f) ,-.... Foundation Basement Ext. Walls Fi re Place , ., Q, I I/~~~ ^ .~ o Gb~~ ,L '~I/Q -r p. ; . .,'" . fl.' . I \j ,-, . . 1 I' m ! Ie ,8' : Fv // h{),f..'e sJ,I'Y\r"f" , l'r ... ry~"\+-~., .'~l'- I ~'- l/" :,,'! t," 7)0,,;" I /.\ ,j ,;)...V Porch Porch .- /;1(;(;((.. r-ioA....;f..,K>".. ,_l,.~;....)~{:t... Patio 1,1 \ /0; Driveway I.r :\.V) 2.. y ~ Bath Floors Interior Finish Hem All;n ~ ~ I-- Rooms 1 st Floor Rooms 2nd Floor .--. ,. .--, rV',-t.--cVv\ I j , 'J.A-' , -~------ !,liv~l~ , '.-{ '?,.I' ~ /,... ;,~- ...-.~ I' 'I !0 , ^ I ~ I ..' Cf I 'Iv JI } ;__.1"_ rof_ ",.\ . ,. " <;/1(' c1 f 10(: i. /I :t:n' J....;.. . .. . / (9'.' .,J" TOWN OF SOUTHOLD BUILDING DEPART~ENT TOWN HALL - SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold! BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. 3626 3 rz.- Examined Expiration Mail to: ,201 Phone: JAM 8' APPLICATION FOR BUILDING PERMIT Date 'I ~ ,20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot 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 ofthis 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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, hous' code, and re latio s, and to admit authorized inspectors on premises and in building for necessary inspections. -2,0. go y 17(4- SouDtOLI'l, ...,.y Im( (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder cx...u 10l::: 'It.. Name of owner of premises R.l.;iOoL-()~ \.-<.Cl.f1fU..!Yl. ~ RI(7).LMffe.It.:' k.Ol~HLb""1l (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 7 Sq.. ( - If r Plumbers License No. 3D If:3 - M P Electricians License No. h \2'--'15'J Other Trade's License No. R.e Bt:-"I<. r I3DH I\..l F~lL.( S'hlnf C-C"T l. Location ofland on which proposed work will be done: 4- L. (, S lJo rQ. \li B ,t;U( (8.u Q.o Kro House Number Street 4-73 S'S-<r Block Filed Map No. S00 f7+e,LO Hamlet r ~. -3 - 13 County Tax Map No. 1000 Section Subdivision Lot Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~I.::--S ( 0\9-0'(1 ~ {(DIM e-- "- b. Intended use and occupancy R.. \C5 ( () l:'L> 'f7 fR I +O~ l::: 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration X. 4. Estimated Cost rJ;'30,00D"oo , (Description) Fee 5. If dwelling, number of dwelling units I If garage, number of cars I '/1 (To be paid on filing this application) Number of dwelling units on each floor I 7. Dimensions of existing structures, if any: Front Height ( ~ I Number of Stories ~o r Rear (J#-Je 'i?o ( ~/4 I Depth '27 t / \Ld I I 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ( Dimensions of same structure with alterations or additions: Front &0 Depth :2- 7 - f-o I Height ( L I Number of Stories Rear ~c ( O"-'e- Depth '2-7 / ,!-o . . ( 8. Dimensions of entire new construction: Front ~o Height I L. f Number of Stories Rear Due- ~c.>( 10. Date of Purchase 11-1... S' G {V3( 03 Rear I 03. '3 ( Depth 2..0 f) -00 / (qo.Slj . !'rLp,e.l.FO r;: r outJ(,.. ue. 9. Size oflot: Front Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ..,/ 13. Will lot be re-graded? YES_ NO /Will excess fill be removed from premises? YES_ NO /' f?u{)<.,(,..-(>l~ ~<.".fHt\,,'Yl.Yl.. 14. Names of Owner of premises ~(lJrHfl"RI~ lLb<4C'<Address Name of Architect Address Name of Contractor fU> 81SQ.." BD1-f"'" Address PhoneNo.G31-7('J'-3'1 !S~ Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO V * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. 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, Agent, Corporate 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. S~ to before me thisg day of CvJL... 20 () 7 ~0C<~~ Notary hc LINDA J COOPER NOTARY PUBLIC, State of New York NO, 01C04822563, Suffolk cO~E Term Expires December 31, 20 . Dec.1C. .. Dee.\( o ~ ~-.JC III _ III e-'" t ~ ~. ~ j :i: ~ n; G--R.~T p.C>OlL1 ~Ac.."Cl>R s-n:>Q AtJ.E 17 '-& 1t)C. I"-b It SLAB s ' OV\..::l< \'\\9\0 'Da>R B,\ ST/~Cr fZ.DOI'-1 G-RE1\ r {J..t:ch IU Ib ~ l;Z "i( \!> v l:fJ"r ,- ---- -----, 1 I ( t t'OR'\A\!L.~ SPA Po~"f"A81..E" ()~ I:.\C. 1-'> r,.. 0> tJ sc.JA, e I , 1 I , , I 1_- _-____~ I I I I , O~ ~c..AO UJ 11-1 oou... Ol'frc> f>r;oe PRoPoSE1) AL\~Ai10r.; Q( a III Q,0 q ~ ~ \& ~ 6AS\c.. sc..o pe I. R~ove: l:''tISTlt.:)f- c.oAL 'S"'Tt:lUe' C. Hl~ ....e...,.. ("6A~t)OJ.Jen) Af->() /f-)smLc.. V1E"J..., P.Ap-.:> A-1lI) OOc.T\l.>c.fl't ". FR Af-1,= l~ Olllo..~ ~() ooon. {.l-P'll9t SPA IS ,IJ F'o.s,rtolU. 3. ''''' s-n:\U- (2.J ~ c>" ooo~ 4. IUS~LL('4 7'~)( 4-' 1+ c"'s6~~. 'rVrfJE l)..)1~()OWt' >. PRo\.JIOIE (3M.!: l3oIC"Rl') HE1mLlcJ F~ crt<.\:7\T P-CC>t4 LCJO P '- P~C>\.JIOE 2.'U>o..J 5'c.. IH-1.P SE"RUIc.e F'oQ. S fA. 7. Reulse:- I.-CCrHT1I-lCr-{ OvT Le-t"S AS,5' R~~I~EO i. I ~sl1"LL N~ l/.>fll...LBcAAO cr. HJS\JL.trT1= A~O RoE SlOE"" A.s IS RE-!i?Ul Rer> :;1..- 2")(,8" '2.. - 2."'F, 1 'l II o bOR.. l.AJ I ....Oou..> 'T'rPlc..AC FRAMI~' .... - .......-i" " cPt^ ./../' I ... ..... r( qJ ........ I .... .... &9-~ .......... fl..cP^ l .... 1 r ........ ~0 I :''r f-/j r I: 1/ // (/ q' ~s// ~ -~~7~{!: ,,' ~L / ~0 / ///~~ r.lj~ . PRoPoS t.u R' n:"""'ItArto~ ~ T e - ~ 6-~ :'~1 4-~t( ....,1~OOw ~ i "l"'U8 ~6-"'" 3i~ t.U1J.JOOW J SoT1*\ . ... TYPltAL ~IOC ei,\Situr I.OA-L.L ~ec1'lolJ II ! ~ LA e. 'IV OE pEJ-lD\9J't"' of wALl. 0,,", ALL s tOES .11 , ~ N .' ~ E ~ '. / STREET ADDRESS: 4265 NORTH 8A YV1EW ROAD S'li'fP:s- J)l?f1re ~ ~ /Y/o ~ C""/t?, / O(s ~ S6'.J '4/YD'<-Q cC~bl' 'l"D 00" cC ~ ~~ . .~9t,<,; fv- ,...........~:1"cc .. . :..r " . , ~ ., ,.- t;lt: , " , ' PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING PLUMBER CERTIFICA nON ON LEAD CONTENT BEFORE CE8l'FICA TE OF OCCUPANCY SOeDER USED IN WATER SUFOL y ~JlcTEM CANNOT EXCEED / 0 OF 1% LEAD. ., -4" S", Iy~ , r ~'~~ ~~'>" A l2<)'J ". ''''cv'~~ "Irj~ <00 .00' .\ ?<..,.. ~, - ""/0/;:- .10-,>,,,,, ""- 6'~C~ 4:/j> .. J1?;:-~ ANY AL TERA nON OR AoomON TO THIS SURVOY IS A 'AOLA nON OF SEC170N 72090F THE NE:W YORK STA IF [OUCA 170N LAW. HCE:PT AS pm SE:CnON 7209-SUBDI'ASlON 2. ALL CE:R17FICA17ONS HE:RE:ON ARE: VALID FOR THIS MAP AND COPIE:S THE:RE:OF ONL Y IF SAID MAP OR COPIE:S BE:AR THE: IMPRE:SSE:O SE:AL OF THE: SURVE:YOR ;tHOSE: SIGNA TURE: APPE:ARS HE:RE:ON. A REA =22, 004 S.F. ~ . AJ ~ '" .<i.iR ~'~ a.O), ~ ALL CONSTRUCTlmj SHALL .~.~. MEET THE REQUIREMENTS 0::: THE L" .1! 1;9 CERTIFIED TO: F NE"\I \'-"', c-"~E ..... ~ RUDOLPH KOEHLER, S12DESO ""II.;)lnl. !2 QJ'" !;) RITA MAf?IE KOEHLER ~ ~ CHICAGO TITLE INSURANCE COMPANY . v ~ . 9.. l~ . .. ~';;J .: ~MPL Y WITH ALL CODES OF er:.'1i YORK STATE & TOWN CODES ~~EQUIf3ED AND CONDITIONS OF ~ . SOUT"r" 0 -,-'" IP! :S". ,I-<'vl.. 'I,",!;\'l~ i-", .C? e=PIPE SURVEY OF PROPERTY AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y 1000-79-03-13 SCALE: 1"-30' DEC. 4, 2002 , UNDERWRiTERS CERTIFICATE REQUIRED APPROVED AS NOTED DATE: /t(":1 B,P.# 5~5'~ FEE:-1.2oo '" BY:-;rpe. NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLEiE FOR C,G, _" - . ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. , ~(' -"rF. T(',"fJ pi !""'N. G ROARD ...."iv,. "..,.!_V ""v'l\.. 'w ,;,;~I, ... 49618 SOI,-I'~HO'.D -;-:,\\':~ iRUSTEES 765-1797 NYS DEe ENT 02-347 o ~ :t Ql ~& e '3 ~ Q .2 - 3 ~<.,.. , , I , ~ s x ~C) DECK. PA7lo DooR c..H IMr...>ey - G-REJ\1" R bOI-'f ::2..+'-8" r; 1,'_8" TRA<::ro R Sit> FtA <r€" , -' 17'-8")< 11'-'" PASSA(K: Po c:.K.€1 DooP. q () 1->E\^J BAT1.UVv"",,~ & S')<q' , , , ,. .. II f, t.uALL ~ Q o .' 0 o , /' , / ,.",. / . / ///' '/ ,. ,. t ,~ / 8' \(. I / / / /" ..5TPdRS fJcW Ll\Uf...JOfU./ R.l!.:lC> ,.., /' ~~ s"l"\J. OV\::'"R I1EA 0 Ooc>~ DOoR N4 - . PAssAc;.e- KITC.~EU 1 0 '~!J...b ' 3 () . c ~ - 3 !u Q! \t 1G' :2- :r - ~ v I'ASSl'Ge rifle..<.. ~F: G-ARAG-E tl.. Iv () trJ ? \- 0 III 1: W ~ ors~. I # I ~1""Dcu.... 21 4-0" o\Jt"SIOe RAISE" ~RAa.e- o.tl. DOOR ~I\CI'C 71 PItoIJlOE' ~-...cc~ Fofl- o.H. DooR. :i- G-P.~AGrE I n 7 -2- ...,.,f/ w.,.. 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