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.,.. I 1.. l
ooe>A. r
~
Lo t.U
--.--
60"
It.)SJ~
".
S"f1c;:t:l5.ouTSloe
A 1...'-- Q:>> fl. S'
"
+6 l
30"
1l06!l
It
04- C; tAl PIc..\:...
STAIRS "TO 6AsEHe~T
K. \T C.HEl'-'
,
4-+"
,
/ . l/rNE"~
./. .<;~:OR6[;:'::~! .\
~'--'-..- -,.:c,.\ . /
j" -/0, <"" \
. /0, ~.~
\lil
'I
".
<S-il.mr
p... C:lOM
.18" ,S"LC 0110.) c.-.
@oOC,.e-r 'Oo6R
SC:Ale-- ~'b,'
"
~o-rE"S"
I. ALL /JElAJ WALLS
~. /JON BEl\R I~ G- .
2.. WALLS AR.E:sTA"'M~O
;Ly;.+/u(;, ON /6" t..
3. AI..L "...H1:::"RIOe. wAt.J--
~O~O IS '/2.."
4. t::::Kn::Q..10a. UJAu..6oAQO ' '.
.
ON ~6CS/1le- lS.Jj'g
. s: FLoc"? .:::lV\ STS A Q..E
2..,.:;/1... 0"-' /6" ct oe
U:::-S~.
6. Irun;:t;ttuA <... JD (sT5
A Rt:: ~PPOlO!n:o)
e.LoCJL.J:-o /8R/ D H="
~~y S"
7. Pa2..t PtfL~ ..:JO\ST:S'
AR.I:: FULLY S lIPA:\a.1l:::'"P
8'. See !t Ec.T/bfoJ5
Po ~ DIE-rJI:\ILS
'1. (~SU LATlO"-l
W Pru..... Q. -13
Pux.>Q.. R -(Cj
CEtWIJ- BOO.s:-,-
t:NSll/..)C- -rn R-('t
21
'~\
r
9
4-0"
ovt:'SIOe
o.
~ .<1
R A I S E" 6-f\ RA6-e"
G.I-I. DOOR ~1\-C:1'C
7'
f'Q.b".6E CLd~C4
Foil. o.H. O~
0...,
D~
7(
S T'<:t:I $ ou"{S loe
A Lt. Q:><> R 5"
G-p..~AGr1C
'JO'I
. I
000 R.
I.."
1 ....
I ~ I
49"\---- j
<(1
.30"
D ~ /loo~
'\
Lo W - fJO\E" fl
o~
I ~ COIJT7MJE'"
Jt>,-.;,-
."
I
.;
6611
I ~SJO'e. .
13
L
If
4- G WPll.~
<2'"
c.J
,-
4-+"
CC>I.177AJUIf:" ;rb/'>r
L
STAIRS TC BASEME;t-JT
K. \T c..H8'-'
~
B
J
6'-i1.arr
p... C:oM
.2.\1 " S"LlOI~(,-
Po CKt:T ODoR
tC A 1/11 I
-.,2(; 1..E'- /"). :;; I
.
SE'"c.not.:> A-A
,,,"
1
~r...."
."S"-' "E'u<-
~/l.tb"o~ (&"tt...
Iff
/
I
/
/
I
/
" /
++
/
/
/
I'
/
~
~
~
4-0"
// / I' ~ I
I
I
..
(6
r
I ,"J!'
SPAc.II-lG-
, a/l ,
I I
-ro A c-c.oM(> t>A'fr:
,,'f
S EC.T"lOt-.) 8-g
-
.l.-!:
~ST1J.)(;..
q." \.U Au...
F I LU::""R. ...
E'F--I S 'T11\.lc..
8/
F(>Of..>l)A,,~
1(. v
IJE'AJ 2. 7'0 1'1.
1'R.lM ~ '1etrr"
eto~o....
//1'/1'/ (
+ " G-ARf:.\CrE :5tA B
S'EC.T((>fJ
~Ismx:,..
;r~ PLylPc.cP
I/-. \v...
ua,u 2,."y::, r!"1RIIHHcor)
2. /I'lC. h." 1'll.I ~ e- 0
. -'- "J"C>' s"t"'i ~~E: flPPuC.
I... 2. _2../1)<., "
/t'/ '/~/~/~/
+'1 G-ARP.~ Sl^Q
,
I
''1-1(
,
I
2..4" .
GJ1'+
ry
12.'\
r .. .
I 12. I
*4-'/ ~
r\..uMeIJJ~
SEcTlOIoJ o-p
"l- I q.."
"1.-
//,// /'/1'/
4- II <rA RAG-e s loA \3
/..)0 TE p,.
BAS Ie. eL~UATlOfJS
K-I-rc::.+,~
/~// ,;- ,;-///'
/-1/ r/rfl'r~
CTRElT-r-
Roo,.,
~I
~
,n
tl / /
A DO ITl C:>f.J
it' ,;-r~// '"
/lfJ
~
r", I' / rl' ,
G-1'\RA~
TY PI c.ji.L
Fl 0 :sus-r
l..u /MJ-
'PERI ~-"AAL FRAHe-
o~s '"jb Sul.- c-"",,-ISTlf-JC,-.
s-rR.uc:n...~es
3/.,.." Pl...yWCCil
'- _ "2-"1<.1 <."
'l..../Iy.,'/-
'2. "'l(G, /1
FV.S4-I
At.JCffon.
G-(\ RP>. Is\: PooR.
cLEb'RAf.,J CE::
3ftcr
J I I r.,.'/-rT2,("T
l'k"
I 'I).. I,
IS 1/
5oF"FI-r N~
I' Low E'I\..
TM"'" CE'II..lU:--
AREA
2.' )<.2..'
s tJ..>1-C.
ARFA-
l""tP\ c..AL TIlle FU:>oR.
-n toe'"
/ ,,- --........ ---- ./ /" ..-/
..... ..... '- -. .............. " 04- Y'f H Cc:.N c:.flle'tl:
//,// ///// ") BOAR-I)
~ /, ~l 'f \J.>OO 0
FR.AI1I0er. OEiJ'\ IL,>
II
2,-t.!'/(.' "IAJ I(z" Pl.'!
l' "I 'I"
of'" -/1/l.
~ .oE:- 3~" ~ 4f1:
IJOJ,..) c51aQ..rtJ(). ....... AU-
sro --"0" Ooo~S'
-
'2,-. "'(.IO'tu f(L" Pl.,!
../* t ~
~711L
'1
~ 5'7 -7
r-
~\STt..,~
~1I ...
Foo~f)"""l6f.,..
s~\~AlL
"
R>~ POC-K.l::'T ';2..ft OOO~ FRMc
~SJJ6RAl. ^,o11~S
PL.UHB8<
PAL K.OUJ Sid -SH In-!
t:t= 3083 - H P
1. IkL \fa.)TS A~O OAAIJ.3$
sc.H. \4-0 Pvc..PIPI~c,.
~. 3" VENT '7l-4Ra Roof=
3. 3"f'\Jc.. HAl ~ DRAI~
lllRu SAS'tt'-lENT TO
_~IS Tlf..)(,.. fori c;'I. {)MI~
c~.AlL ttoTjc..OC-D wA-~
LI f.JES - A~ pSY-
~4-"HAIr-:> y~' BRP,t->C."
5. nAI~ I Sc.c...ATlOf.> V~Lue5
_ __I"-.)j3J'5.E:"t1e..n-
G. S1bt'5 l.>~t>.::~ ALL
______ __ - ____n_ ____ _ . . _ _ _.. __ _. __ ...._ _
SIN\C..S A-NO ~(~
. 7.. I YL1'lJ..!' ~. "M)
Ft~,-- FI)C;"'f"l,.R\!!>
B. DFAIf-.) 5 I Vle"NT5
~'( SH o..b~
,lfz:.'f3ATlt ~~u_..sJ~f<'
.2.' . LA u,....()flt Y Sf f-) ~
:2." \A.lAS\-1l1JC, MKI-{(PE:
"f. :r~'ll-4fQr\PE)<" Foil
_BA~ HE1'\\1Pc..
, ~'-
7
:f\-
S 1"\o::.,:l 5 ou"tS I 0 e
A L~ 0:><> R. S'
;
RAISE" G-ARM-e
o_~. DooR. ""Tl<1tc..tC
G-P-.f?,.Af:rIC
7'
I .
7 ~;..
I ~.
2,'
30"
/lool'i1
==:J~
11 '
4-1;' -
r
'lO"
,
o Oil> R.
.BASE" EotrrR.O
l+o-r UJ A Tt:n
ID G::~(STl#Jc,...
S~fJ PPrQ....y
LbOP
~utOt: c..c..s,,"'ce
FoR 0. H. ODoit.
"
1'2..
S J t.J K..
Ol2..AIN
"
,~, BRF\~CU4
"
. ./ 3 Vli:Yr
..---" '\
12, -
1b\LE"I ~\t.J
T
.v _
I
SL.oP
SJIUK
ORAIJJ
W ASUluc"
MA~I~'
2.." BRAJ.>c:H
+
li-Rmr
p... C:lOM
If
3 MAru SE\.Ul::-n.
D Ry8t.
BfrS~B~() .f-fC>ILoA~
Illfllll/lllnl(
, I' I' I I I r " ,. ,
,-I"
2.," .t$RAL>c.I~
"
AS S"LI010C--
Po Cl<.ET OooR
L
STAIR.S W 6P.SEHE~T
5H~
I?RAIA.J
':-.---
: --~ \
- - -~ -.
E"i<(S"'rIJ-)!
K. \T c..H8-'
E'E-l >Tl ~
1-/ ('p,TllJ e.--.4
LC=P J
i /-10,-/ Ca..I>
\..U P"fla....
'2..S 1
PUJHBIJJG-
5 LO P E"
i
" A
1"b ~ ST1JJ Cr 4- ....x.
MAr tJ sY5Il::::f.-1
~4-01
rt-
"'-'"
11'1 1
ell L.E' - 1'), ::; I