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HomeMy WebLinkAbout15935-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate OI Occupancy No Z: 1.6..8.7.6 .... Date Ma.y .l 7, .1.9.8.8 THIS CERTIFIES that the building .O.NE .F.AMILY. DWE. L. LI.N.G. ........... 930 ................ Cedar Lane East Marzon,..N.Y.. Location of Propert~v Hous~ No Srre[~i ..... H~,m/et County Tax Map No. 1000 Section 031. .. Block 06 ..... Lot 5. ~ 2 ...... Subd~wslon .......... Filed Map No ...... Lot No ........ conforms substantially to the Apphcation for Bmldmg Permit heretofore filed in this office dated A. pr. 31 16, 198~7 pnrsuanttowhichBulldlngPernutNo. 15935 Z dated .. A.p..ril ~,5: 1.98.7. .. waslssned, andconformstoalloftherequirements of the applicable prov~mons of the law. The occupancy for winch ttus certificate is issued is .. ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR The certificate Is issued to . . EUGENE CORRIGAN of the aforesaid building Suffolk County Department of Health Approval .... 8~6. 7.S.o.z !.3.1 .Z .A. pr.i. 1 . 1.2., . J 2.8.8. ...... UNDERWRITERS CE~RTIFICATE NO ..N0081.05 -.M.arch 25,. 19.88 ......... PLUMBERS CERTIFICATION DATED: April 5, 1988 - K & K Plumbing & Heating Roy 1/81 F~u~ NO. ~ TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nfl 15935, Z Date ...................... , 19~..~.. Permission ~s hereby granted to: ..... , ..................................... :¥?~.~ ...... ~.....~ ............. :../~ ................................... .:: .................... ; ................. ot premises located at .~.L~.,.....~...~., ..~tt~' ........ ...~,,~,...,~., ....... ...,~,...~ ............. County Tax Map No 1000 ~eCtlOrl ...... (~::i~.."~.~. ..... Block ............ ..(~. ...... Lot No ........ pursuant to application dated ..... b .............. , 19.~...~., and approved by the Budding Inspector. Fee $...~.../...~..: ...~'....~?... Building Ir~oector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( Instructions A. Thru apphcat~on must be filled In typewriter OR ~nk, and submitted m ~ to the Building Inspec- tor with the following; for new buddings or new use: 1. Final survey of prdperty with accurate location of all buddings, property lines, streets, and unusual natural or topographic features, 2.Final approval of Health Dept. of water supply and sewerage dmposal--(S-9 form or equal). 3.Approval of electrical installation from Board of F~re Underwriters. 4 Commercial buddings, Industrial buildings, Multiple Remdences and mmdar buildings and installa- tions, a certificate bf Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable, B. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses. 1. Accurate survey of~ pZoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of'owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent informa- tlon required to prepare a certificate. C. Fees' . Addztzons $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occup~ncv New Dwelling $25.00, Accessory ,$10.00 Buszness $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3 Copy of cert,f,cate of occupancy $ 5 00, over 5 years $10.0~ 4.Vacant Land C'.O. $ 20.00 5.Updated C.O. '~/ $ 50.00 Date ............. NewConst~ucf-~on .., . OldorPre-ex~stmgBuddmg .......... VacantLand ............ Locat~on of ProperW ...%J. 0 (~/~%_ ~.~. Hou~,No. Street Nam/et ' ....... Owner or Owners of Prope!ty ........................................ County Tax Map No. 1000'Sect,on .... 0.T. ! ..... Block ..... ~.. ~ ...... Lot .... .~--.'.'~. ....... Subdlws~on Fded Map No ......... Lot No ............. Permit No../;~ ~ .5. ~_. D~te of Permit .Ap Icant ..... O. ~ .................... Health Dept. Approval .................... Labor Dept. Approval ........................ Underwmters Approval ... ~ .................... Planning Board Approval ...................... Request for Temporary Cert~fmate .................. ..Final Certificate .. ................ .... , Fee Submitted $ ........................... Construction on above described building and permit me,ets all apphca.bI~codes a~d regulations. "A cant v~ (~ /-~¢~c~z~ , / Rev 10 10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL 8OUTttOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~0~ ~)~C~(~ (plgase print) (please print) I certify that the solder used in the water supply system contains less~ than 2/10 of 1% lead. (plumber'S signature) Sworn to before me this ~- day of ~ , 19~ Notary Publicf ~ County Nota~ Public $ UNDA J. COOPER N..o~ary Public., S~e of New ~ .~ -No,. 4822563, Suffolk County ~erm P-.xOires December 31, 19..V._ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~RRC~{ 29,19g8 5120978~/~7 ~ 008105 ~te ~ppl~.~io. No. on file THIS CE~IFIES THAT EUGgNE CORRIGAN, CED3iR [,$~.(AC~0S5 SEPS FARM}, EAST MARION, N.Y, KI~PTACI-~ SWlTCHIS ~NCAND~SC~N1 V~ DECKS [ OVENS I~Sl'l WASHERS SERVlC~ D*SCONNECT 1 lO. OF I 200 CB '~OKE DETECTOR; -I R V I ¢ E 4/0 NO. OF HI-LEG EXHAUST FANS DIMMERS 519 STERLING PLACE GR~.ENF.)RT NY, 1],944 Per_ FOR BUILDING DEPAR OUNDATION ( 1st) OUNDATI013 OUGH FRAME FLUMBING NSULATION PER N. Y. STATE ENERGY CODE FIN~A'/ ADDITIONAL COMMENTS: TO: Your SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES BUREAU OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER RIVERHEAD, NEW YORK li901 NOTICE OF NON-CONFORMANCE -- FINAL APPROVAL FOR RESIDENTIAL/COMMERCIAL final approval cannot be processed because of the following: 0 0 0 0 0 0 0 0 0 0 0 © Need your Health Department Reference Number. Surveys have wrong/no measurements. (correct measurements enclosed). Show water line location on surveys. Have them corrected and resubmit Need well drillers certificate. Need water analysis. Need cesspool installers certificate. Need S-9 forr~s or equivalent from non-county municipal sewer district. Show sewer line location on surveys. Need water line tap letter. Need final surveys. Water analysis does not conform to drinking water standards. D~stance between well and cesspool does not conform to residential construction ~tandards or pmvate well design standards. Other: ~/~/'~., 'b'"-~- NOTE: BY CHANGES TO 'OFFICIAL SURVEYS MUST BE MADE BY SURVEYOR OR LICENSED PERSON SUBMITTING ~PPLICATION. NO PHOTOCOPIES OR PENCILLED IN CORRECTIONS ARE ACCEPTABLE. PLEASE RETURN ONE COPY OF THIS FORM WITH YOUR RESUBMISSION. WWM-052 Ne 1015 K & K PLUMBING AND HEATING 565 Pine Neck Road SOUTHOLD, NEW YORK 11971 (516) 765-1582 [] DAY WORK [] CONTRACT [] EXTRA TERMS QTY. MATERIAL PRICE AMOUNT DESCRIPTION OF WORK I OTHER CHARGES TOTAL OTHER '1 LABOR HRS. RATE AMOU, N3 ~ TOT^L LASOa9.'3<3-- D^,~ CO~U~,ED i[ TOTAl' MATERIALS ~ - TOTAL MATERIALS Work ordered by ~ TOTAL OTHER i hereby' acktlowledge Ble sallslaclo~y complehOn ct ~e abovll descried wor~ TOTAL ,N;PECT,O. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: // ~ 7G5-~802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING ~ ]FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~,,~FINAL REMARKS: DATE INSPECTOR/_J~.~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION REMARKS: FRAMING [/~FINAL ~ DATE INSPECTOR~ kl DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK PETER F COHALAN SUFFOLK COUNTY EXECUTIVE FACT SHEET LEAD IN DRINKING WATER SUPPLIES DAVID HARRIS, M D, M P H Sources of Lead Concentrations in Drinking Water Systems Use of lead solder ~n new plumbing or ~n plumbing modifications to ex~sbng water supply p~pmg Lead ~s not a naturally occurring element in Long Island groundwater Occurrences Lead ~s present in dnnklng water as a product of corrosion The natural corrosiveness of Long Island groundwaters contributes to thru process Most pubhc water supphes m Suffolk prowde chemical treatment to ~ncrease the water's natural pH, and m~mm~ze corrosion products, but no amount of treatment can produce a totally non-corrosive water Studies ~nd~cate that after prolonged periods of water non-use, lead concentrahons can be found ~n excess of Dnnk~ng W~ter Standards Thru problem appears to be hm~ted to newly ~nstalled ~nternal water p~p~ng systems, or recently mod~hed systems, in whmh lead-based solder ~s used Lead s rare y detected n rout ne water supp y surve ance Th s fact s seen as ~nd~catmg that, at a partmular location plumbed w~th lead solder, thru problem wdl d~m~msh w~th hme The New York State Health Department cdncurs w~th th~s evaluabon Health Considerations Lead ~s a compound iwh~ch ~s accumulated m the body Human retake can be expected to occur through many enwronmental sources, ~nclud~ng water Recommended Action In order to minimize lead occurences, the following steps are recommended Parbcularly ~n new or'recently modified plumbing systems, users should be encouraged to flush the water hne for a period of at least two minutes prior to consumptwe water use This ~s parhoularly necessary after prolonged water non-use, such as the overmght period WWM-050 June 1985 Examlne~(~.' Approve~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, NY 13973 TEL.: 765-3803 , 19s~-) Permzt No ) ~- c/a.~ ~:2; BOARD OF HEALTH ..~,~.. 3 SETS OF, P/~ANS ....... SURVEY . . a-%- -,~-/~, CHECK ../a~.~.. SEPTIC FORM NOTIFY CALL '~ J-4tO-~v~ MAIL TO: Disapproved a/c .................. (Budding Inspector) APPLICATION FOR BUILDING PERMIT BLDG DEFT, TOWN OF SOU'i'HOLD Date .., 19 INSTRUCTIONS a Ttus application must be completely filled m by typewriter or in ink and submttted to the Budding Inspector, w, seats of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showmg location of lot and of buddings on premises, relationship to adjoining premzses or pubhc st, or areas, and giving a detmled descnphon of layout of property must be drawn on the dmgram which Is part of this a cation c The work covered by flus application may not be commenced before issuance of Building Permit d. Upon approval of this application, the Bmldzng Inspector will issued a Budding Permit to the apphcan, t. Such pe shall be kept on the premises ayadable for inspection throughout the work e. No bmldmg shall be occupied or used ~n whole or m part for any purpose whatever until a Certificate of Occup shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmld]ng Perm]t pursuant t, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmanc Regulations, for the construction of buddtngs, addmons or alterations, or for removal or demolition, as hereto desert The applicant agrees to comply with all apphcable laws, ordznances, budding code, houmng code, and regulations, an admit authorized inspectors on premises and m bmldmg for necessary inspech~ns · . o r_ ........ (Si~nWture of applicant, or name, if a corporanon) (Marling address of apphcafit) State whether applicant m owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bul ... .......... Name orownerofpremlses i ~'u~:.~zxA~'. ~-' (as on the tax roll or latest deed) If apphcant is a corporation, slgnature of duly authorized officer (Name and title of 9orporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's L~cense No . . .(O/ Z-~-9 H ~ . Plumber's License No. Electncmn's License No ?~ c Other Trade s License No .. Location of land on wlnch, proposed work will be done .... House Number Street Hamlet County Tax Map No I 000 Sect]on ~ [ Block (P .... Lot 25", 2~. Subd~v~sIo]l ~/[~(OA'/ flq/~lJOd~ Filed Map No 2-Q3~> Lot (Name) State exmtmg use and occupancy of premises and intended use and occupancy of proposed construchon a Existing use and occupalncy b Intended use and occupancy Repair .. Nature of work (check which apphcable) New Bmld~ng ~... Addition ........ Alteration Removal 4. Estimated Cost 5. If dwelling, number of dwelhng units .... If garage, number of cars . . ot~.~". ... Demoht~on .... Other Work. (Description) o ......... ................. (to be paid on fihng this apphcation) .... Number of dwelling units on each floor .... 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 Stones .................. D]menmons of sin'je tincture with alterations or additions Front ....... Rear .......... Depth .., .~_ J411..~1~11 I.., Height ........... Number of Stones ............... - 8. Dimensions of entire new constructmn Front .~d . Rear ......... Depth . ~..-~'7 . . . Hmg"ht /~. ~ . Iqumber of Stones 9 Sizeoflot. Front .... ~t~,~.-q-'. Rear. .~C~';.~io.'..ii ."."DePth' ' ---'- 10. Date of Purchase .......... Name of Former Owner .................... 11 Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation 14. remlses ~'ac,~ .(.~'.gKt q/l~.. A 'tr.8.-. - co.c. Name of Architect ................. Address ......... Phone No. ., ........ ..~ Cggt,4 ....... Address .E4.~wrmq~,0o/.~y. ~N° NarneofContractor P* ,3ex ~-e , . Phone o 15. Is this property Located wzthin 300 feet of a tidal wetland? *Yes .......... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly ali buddings, whether existing or proposed, and ~ndlcate all set-back dn'nenslons frm property hnes Give street and blpck number or descnphon according to deed, and show street narnes and mdmate wheth~ mtemor or corner lot. STATE OF NE~9,YORK, - - COUNTY OF ~~. ~ ~ .. ,~ ~ 29 . e , .. f~.O ~. . being duly sworn, deposes and says that he is the apphca (Name of m&wd ual signing contract) above named He is the ........ ~ .~/Z.~ ..................... (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 tl apphcat~on, that ali statements ~ontained m this apphcat~on are true to the best of tus knowledge and belief, and that t work wzll be performed in the manner set forth m the application filed therewith Sworn to before me this .././4:> ~ .. . d~y of C/~C~ ...... 19.0~ Notary Public, . . ~ ...... County ,,~ IIN13~ J[ COOkew York '~-h ...................... ~ttc, ~t~teo~ tr~/ / ..... (Signature of apphca i SUFFOLK SUFFOLK SERV;C CO,~,STRU DATE ~ H S REF APPROVE SIN'I:~E FAMILY_D:I E~XPIRES TWO RODERICK VAN TUYL P C DIST OWNERS DEED L TEST ,~', -m H S NO J RODERICK VAN TUYL. P C LICENSED LAND SURVEYORS GREENPORT NEW YORK _S_T AT~E_~_E N_T _?_F IN~TE_~T i THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS ~ESIDENCE W~LL CONFORM TO IHE S[ANDARDS OF 1HE SUFFOLK.~O DEPT O~--~::~h SEj~vlCEs SUFFOLK COUNTY DEPT OF HEAl TH SERViCE~ FOR APPROVAL OF AP ROVED __ ~x~ ~-- PIR DIST SECl BLOCK PCL ' OW N ERS- A-E~I~ES5 ....... DEED L TEST HOLE STAMP ! / / MC MANU5 Z SUFFOLK COUNTY 0£PA~TMI~F ~ 8[..~ ~ SINGLE FAM'ILY DWFI 1 ~ ~ ~e sewage dmp~a~ a~d ~ater su~ly fa~ ~ ~ Ioca~n hav~ ~en ms~eted by thru o~r ~ ~ f~nd ~ . 1S8.79 256,65 BO FOOT PI21VATE [2OA, E) h','A,P OF PI- OPEi it"Y ,~UI'ZVE Y E L) E_UGEN "E tZAST MAJ~.IOM I, LOT NO ..,, ~2[.[ El4 "[~)'idA[-Of' MAI~tON MAI.qG~'~:.,F'IL/~G' IN-/!-~[:. H $ NO ,=o-~,f,',,,;', STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISII~3$AL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES. (Si ................. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE- .,, H. S REF NO APPROVED ........ suFFOLK co 'fAx MAp DESIGN.~.TIoN: DIST SECT SLOCK 1000 BI 6 5,~. OWNERS ADDRESS DEE:' U 51o5 P. 475 SEAL LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER 1215 INLET LANE GREENPORT, N.Y 11944 {516) 477 1652 ENERGY CALCULAT ,ONS 1987 Drawin~~ By D~ Rev 17/~1/~6 Design temrerature !nsdde 70cF Uesi~n de=tee days 6,0C0 "U" Area Loss - BTU/HR Insulation Design Allow SF Design Allowed Floor R-~I~ .08 .0~ 1,730 8,290 8,290 Walls (Gross) .22 1,592 21,000 (o~a~e~ ~-'>~.,.19 .oa 1,17o ~,61o Windows (Anderson-dbl ~las~) ,52 418 1%O10 D~crs (Vet code) .~0 20 480 Ceiling R-~ ~ .05 .05 1,714 5,140 5,1~0 Infiltration (Volume) .018 .018 13,800 14,900 14,900 Fireplace (PO cf~) 1,~?0 1,320 ~8,750 5o,65o Glass 76~ of wall area F~nace to be 75~ min~mu~ efficient I 'r -1 F