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Home My WebLink About16024-zFORM NO 4. TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-]5784 Date May 28, 1987 THIS CERTIFIES that the bufldmg DECK ADDITION TO EXISTING ONE FAMILY DWELL Locahon of Property 305 Wendy Drive Laurel, New York H&~ ~vo ................ street ' ' County Tax Map No. lO00 Section 127 Block 8 .Lot 18 Subdivision ...................... Fried Map No ....... Lot No ............. conforms substantmIty to ttte Apphcatton for Budding Permit heretofore filed m flus office dated May 28, 1987 pursuant to wluch Bmld~ng Permit No. 16024 g dated May 28, 1987.. .... .. . wasmsued, andconformstoallofthereqmrements of the apphcable prowmons of the law The occupancy for which ttus certfficate mtssued m ....... DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The cerhficate ~s ~ssued to CARL & CARMEN FALKEN BACH ......... fow,'o;. '~'&..~ ~;~x ............. of the aforesmd bmldmg Suffolk County Department of Health Approval .... ~/A. ....................... N/A UNDERWRITERS CERTIFICATE NO ......................................... N/A PI, IJMBER8 CERTIFICATIOI~/ DATED.' · ' ~Burid~n~ In~ec't;; ......... Rev 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Budding Inspector Town Hall Southotd, N.Y. Certificate Of Occupancy No ...Z.-~ .1 5 7.8. 5. .... Date . M.a.y...2 8.,.. ! .9.8.7. ........... THIS CERTIFIES that the bulldmg Accessory deck w£ch ttot Tub & 3~ x 8' '£ e'n d &' e'ric [ b$'d+ ~ ....................... Lo ~ 305 Wendy Drive Laurel N.Y. cat,on o~ ~operty ............................................. '. House No Street .... I~r~le~ County Tax Map No 1000 Section .. ! 2.7 ..... Block .. 8 ......... Lot .. J .8 ......... Subdxwmon ........................ Filed Map No ........ Lot No ............. conforms substantmlly to the Apphcation for Bmldlng Permit heretofore fried m flus office dated May 28, 1987 pursuant to wluch Bmldmg Permit No. 16024 z dated ... May...2....8, 19.....$7 .. ... was~ssued, and conforms to all of the requirements of the applicable provimons of the law The occupancy for which this certificate is issued is ....... ACCESSORY DECK WITH HOT TUB & 3' x 8' FENCE ENCLOSURE CARL & CARMEN FALKENBACH The certificate m ~ssued to ....... ...... ?o~;&r,'r,~.4a,'~g~'tlXx ............. of the aforesmd bmld~ng. N/A Suffolk County Department of Health Approval ............................... UNDERWRITERS CERTIFICATE NO ........... PENDING N/A PLUMBERS CERTIFICATION DATED: tiding Inspector Rev 1/81 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) N_o ]~02a z Permission is hereby granted to' ,,,,~..~ ~-..... ~..~.~~ ................. ............... ,o ..~.~..,:,...~....~..~.....~.~..~......~.~ County Tax Map No. 1000 Section ................... Block ...................... ~ No .................... pursuant to application dated ...................................... , 19 ....., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s application must be fdled in Wpewr~ter OR ink, and submitted i~,-----.~ to the Budding Ins~ec- tar with the following; for new buildings or new use: 1. Final sur~ey of properW with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-IS-9 form or equal). 3. Approval of electrical installation from Board of F{re Underwriters. 4. Commercial buildings, Industrial buddings, Multiple Residences and similar buddings end installa- tions, a certificate of Code comphance from the ArchRect or Engineer responsible for the building. 5. Submit Planmng Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusum natural or topographm 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 ~nspect~on of buddings or premises, or other pertinent mforma- t~on required to prepare a certificate. C. Fees: 1. Certif~cate of occupancy $25.00 -- BUSINESS $50.00 ACCESSO~.¥ $t0.00 2. Certificate of occupancy on pre-ex~stmg dwelhng $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00, 4.Vacant Land C.O. $ 20.00 ~/'~' 5.Updated C.O. $ 50.00 Date .............. NewC ohs truc t i on ...... Old or Pre-ex~stmg Building ............ Vacant [and ............. Locatmn of Property . .~.~..~-. ..................................................... House l~o Street Ham]et County Tax Map No. 1000 Sect,on / ~-~Y Block ..... ¢. ...... Lot . ./y ..... Subdivision ................................. Fded Map No .......... Lot No .............. Perm,t No.l~ ~.~... Date of Perm,t-~J~[[~.7...Apphcant C,~..~. ,~ .~'~..~.~'~. ........ Health Dept Approval Labor Dept Approval . . Underwriters Approval ...v~'. ..................... Planmng Board Approval ...................... Request for Temporary Cert~fmate ................... F~nal Certificate ...v~. .................... Fee Submitted $ ~. 5.' ~. Construction on above described bu,ld~ng and.p~r~t~ all,a~plyable cgdes and regulations co2- FORM NO 6 TOWN OF SOUTHOLD Buildmg Department Town Hall Southold. N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru application must be filled ~n typewriter OR mk, and submitted m m~m~m to the Budding Inspec- tor with the following; for new buildmgs or new use' I. F~nal survey of property with accurate location of all buildmgs, property lines, streets, and unusual natural or topographic features. 2. Fmal approval of Health Dept of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical mstallat~on from Board of F~re Underwmters 4. Commercial buildings, Industrial buddmgs, Multiple Residences and similar buddings and installa- t~ons, a cert~hcate of Code comphance from the Architect or Engineer responsible for the buddmg. 5. Submit Planning Board approval of completed rote plan requirements where apphcable. B. For existing buildings (prior to Aprd 1957), Non-conforming uses, or buildmgs and "pre-ex~sting" land uses: 1. Accurate survey of pZoperty showing all property lines, streets, buildmgs and unusual natural or topographm features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housmg code or safety mspectmn of buddmgs or premises, or other pertment mforma- t~on required to prepare a certificate. C. Fees: 1 Cert[f[cate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-exmtmg dwelhng $ 50.00 3 Copy of cert~fmate of occupancy $ 5.00, over 5 years $ 10.00 , 5.Updated C.O- $ 50.00 Date ............. NewConstructzon ...... Old or Pre-exmtmg Budding ............ Vacant Land ............. Locatmn of Property .-¢-.~ .--. .................................................. House No Street Hamlet Owner or Owners of Property ................................... County Tax Map No 1000 Section .............. Block ............. Lot .............. Subdivision ................................. Flied Map No ........... Lot flo ............ Health Dept. Approval ....................... Labor Dept. Approval ........................ Underwmters Approval v/' Planmng Board Approval Request for Temporary Certificate .................... Fmal Certlfmate ~ .................... Fee Submitted $..~.~ .0~. .................... Construction o n above described bu,ld~ng a,~, r~t~ble/~es a?d regu lat~ons Appl,cant. ~-~--~.... '. ~. ~' .~.~_~ .................... Rev 10 10-78 '.(3ICE IS YOURS! LOUNGER Five-Sm Person Rectangle With Lounge and Contour Seats Outside Dm~ensions: 85' Lx85' W x 333/4' D Inside Dimensions: 70' Lx 70' Wx29' D Capacity: 270 Gallons Hydro-lets. 5 Empty Weight of Spa: 466 lb * ALOHA/I Four-Fwe Person Multi-Position Lounger Outside Dimensions. $51/~' Lx 731/2' Wx 31~/i' D Inside Dimensions- 701/z' Lx62' W x 281/z' D Capacity' 300 Gallons Hydro-Jets: 4 Empty Weight of Spa 4621b * Flve-S~x Person Rectangle Lounger Wl~ Lr~nbar Bucket Seats and Bench Outside Dimensions. 841/2' L x ~4¥z' W x 34' D Inside Dimensions' 73' Lx ~3~ Wx 29V~' D Capacity: 285 gallons Hydro-Jets: 6 Empty Weight of Spa: 47811 KONA Flve-S~x Person Round With Multi-Level Seats Outside Dimensions. 82' Lx 82' Wx34' D Inside Dunensions 70' Round x Z91/~' D Capacity 270 Gallons Hydro-Jets: 4 Empty Weight of Spa: 4281b * · Weight of Spa includes Power Pak HILO ~ Mulh-Level Seats ~82' Wx34~ D 70~ W x 29V~' t Weight of Spa: gib * Four-F~ve Person Multl-I Lounger With Lumbar and Bench Outside D~menslons- $5~/4 ' L x 73I/~~ W x 31 Inside D~mens~ons 71' Lx62'Wx28Vz' Capacity. 295 Gallons Hydro-Jets. 5 Empty Weight of Spa 498 ID * RECLINER Two-Person Rechner Outside Dimensions 83' Lx58'Wx26'D Inside Dimensions: 71' Lx46' Wx 22' D Capacity 15.5 Gallons Hydro-Jets. 4 Empty Weight of Spa: 3541b * KAILUA Three-Four Person Re~ With Bench Seats Outside Dimensions: 73~A' L x 73' W x 27~ Inside Dm~ensions: 61' Lx59' Wx 25~ L Capacity: 225 Gallons Hydro-Jets 4 Empty Weight of Spa 380 lb * Blue/White Sequoia/White Sequom Bone Marble Marble ~ductlon/Standard Colors ',gee Color Chart Insulation/Polyurethane ~oam Cabinet tRtd~- INSPECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. ZND [ ] INSULATION [~INAL DATE INSPECTOR Memorandum from .... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Tow~ H^~.L, Sou'~ao~.~), N Y, 11971 765-1802 Examined Approved D~sapproved a/c FORM NO 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEF?IC TOWN HALL NOTIFY $OUTHOLD, N Y 11971 TEL.. 765-1802 CALL MAIL . ."bq o-'g., l t'/ Vetmxt No / · (Braiding Inspector) BOARD OF HRALT~ ...... 3 SETS OF PLANS ....... SURVEY .......... FORM ............. TO: APPLICATION FOR BUILDING PERMIT Date ......... , 19 INSTRUCTIONS a TI'us apphcation must be completely filled in by typewnter or m ~hk and submitted to the Bmld~ng Inspector, w~ sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relahonsh~p to adjoining premises or pubhc sh or areas, and g~vmg a detatled descnptmn of layout of property must be drawn on the dmgmm which m part of ttus a catmn. c. The work covered by ttus apphcahon may not be commenced before ~ssuance of Budding Permit d. Upon approval of thru apphcanon, the Bmld~ng Inspector will issued a Budding Permit to the apphcant Such pe shall be kept on the premmes avadable for mspecnon throughout the work e. No budding shall be occupied or used m whole or m part for any purpose whatever unhl a Certfficate of Occup. shall have been granted by the Bufl&ng Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmld~ng Permit pursuant t, Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmanc, Regulatmns, for the construction of buddings, ad&hons or alteratmns, or for removal or demolmon, as herem descn The apphcant agrees to comply with all apphcable laws, ordinances, bmldmg code, housing code, and regulahons, an admit authorized inspectors on premtses and m budding for necessary ~nsp~,~.~, ~~,~rhons , .. (Signature of,appllcap~jof Tame, ff a corporation) (Mmhng address of apphcant) State whether applicant m owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or bml Name of owner of premises ~/~aj/-~.g,_ It ~~//r. ]~t~b/..t~.. ,4/ . .. (as on the tax roll or latest deed) If apphcant m a corporation, mgnature of duly authorized officer (Name and htle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's L~cense No . Plumber's License No .. Electncmn's License No Other Trade's L~cense No Location of land on Much proposed work walt be done House Number Street County Tax Map No 1000 Secnon Hamlet Block .~". .. Lot /O~ Subd~vlsmn Filed Map No Lot .. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructmn a Exmtmg use and occupancy /~'tt,Z'5~']'/7"/~P~. / ' ~/~/.&.,J'/ ......... b. Intended use and occupancy '~l~?-~/'~J~]~"/~t''~- */- ./~../.~/~. ............ 3. Nature of work (check which applicable) New Budding ..... Repmr . .. Removal .. Demohtion 4 Estimated Cost ~ ~ 5. If dwelhng, number of dwelhng units .. Addition .. v'/ . . Alteration ..... Other Work ~ (Descmplmn) ....... Fee .............. · (to be paid on filing this application) Number of dwelling units on each floor. 6 7. Dimensions of ex~stlng structures, ffany Front Height . Number of Stones ....... Danensions of same structure with alteratmns or additions Front Depth .......... Height ....... 8. Dlmensmns of enhre new construchon' Front .. Height .... Number of Stones 9 S~ze of lot Front ..... Rear 10 Date of Purchase . . . 1 1 Zone or use d~stnct in which premises are s~tuated If garage, number of cars .......... If bus~ness, commercial or m~xed occupancy, specify nature and extent of each type of use , . ............. Rear ...... Depth .. .... Rear .. Number of Stones ................. .... Rear ......... Depth .. ·. Depth ........ ·. Name of Former Owner ..... Does proposed constructlon wolate any zoning law, ordinance or regulation ' ,~"'~. i i'i .. i'. i'.''ii 'ii. Will lot be regraded .,'~'~. ....... Will excess fiI1 be removed from premises Yes ~ Name of Owner of premises . Address ............. Phone No . .. Name of Architect ......... Address . .. Phone No ...... Name of Contractor ............... Address ........ Phone No ........ 12. 13. 14 15. Is this property located within 300 feet of a tmdal wetland? *Yes ..... *If yes, Southold Town Trustees Permit may be requmred. PLOT DIAGRAM Locate clearly and d~st~nctly all bmldmgs, whether ex~st~ng or proposed, and lndmate all set-back dunensions fro~ property hnes. G~ve street and block number or description according to deed, and show street names and indicate wheth, mtenor or corner lot. STATE OF NEW YORK, S S COUNTY OF ~:~./-- ~., /~t~"~-~'t~t~.//r being duly sworn, deposes and says that lie is the apphca (Name of ~nd~vldual s~gmng contract) above named ne is the ............. (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl application, that all statements contmned in this application are true to the best of bm knowledge and belief, and that t work wdl be performed in the manner set forth ~n the apphcatmn filed therewith. Sworn to before me this /.~ .. day of Notary Public, . ~ ..~' ANTHONY F RAIONA Nota~ Pubhc, State OT New York Suffotk Co., No. 4796679 .~ Term F.~res ,IZ/~/ Maintenance Data Document 303g FOR YOUR SAFETY -- An odorant ~s added to the gas used by th~s appliance. If you smell gas: 1. Open windows 2. Don't touch electrical switches 3. Extinguish any open flame 4. Immediately call your gas supplier FOR YOUR SAFETY -- Do not store or use gasoline or other flammable liquids or vapors in the vicinity of this or any other appliance. WARNING: Elevated water temperature can be hazardous. Consult heater installation instructions for Consumer Product Safety Commission water temperature guidelines before setting temperature. Mix thoroughly before entering. Use an accurate thermometer to measure water temperature. Installation, Operating and Servicing Manual for XE POOL and SPA HEATER TYPE EG TELEDYNE LAARS 2/3. ASSEMBLING THE XE ER (1) Place Top Assembly (Grate Top or Stack Top) on the Heater Assembly so that the flue collector (attached to the Top Assembly) seats on the lower flue collector (on the heater assembly). See Fig 2. The flue collector is designed to seat loosely, allowing movement for ahgn- ment of the screw holes ~ (2) Ahgn the two screw holes on the back and the two m front of the heater, insert self-threading screws (fur- mshed) and txghten. See Fxgure 3 *Do not remove the flue collector from the grate top or stack top assemblies under~ any ctrcumstances Removal of the flue collector votds the warranty COLLECTOR FRONT FIG. 2 FLUE BACK FRONT 'FIG. BACK Section 3 ! Installation Instructions 3/1. GENERAL The heater must be installed m accordance with all local codes and ordinances and the latest National Fuel Code, ANSI Z223 1 3/2. OUTDOOR INSTALLATION OF LOW-PROFILE AND STACK-TOP MODELS Heater must be located m an open, unroofed area Mmv- mum clearances from combustible material and for semce access must be maintained as follows Blank side and 6" Minimum clearance from rear of heater combusbble material Plplngslde 12" Mxmmum clearance from combustxble material and for Front of heater 18" Minimum clearance for The above clearances also apply 1o non-combustible materials, because the heater reqmres air carculatmn for proper operahon. The heater as deslgn-cerhfied for installatmn on a combustible ~oor sur~flce. The XE heater zs design certified for installation on combustible floors Do not install the heater m locations whmh will permit the accumulation of leaves or other combustible material around the base of the heater Do not install heater ~n a Iocat[on that will allow sprin- klers to operate near heater equipment since the water may cause damage to the controls and/or electromcs Do not install this appliance under an overhang less than 3 feet from the top of the appliance The area under the overhang must be open on three stdes Overhangs must be such that flue products are not d~verted into h,ang spaces Heaters installed under overhangs must be protected from direct roof and the hke. Fro~ the point where the flue products leave the heater, point must be a mm[mum of 4 feet below, 4 feet hot zontally from or I foot above any door, window , gravity mlet to a buddmg Low Profile (Grate Top) Models IMPORTANT: When locating a low profile heater, co sider that h~gh wmds can roll over or deflect · adjacent buildings and wails and create a draft revers ca~smg flame rollout which m~ght damage the contro Normally, placing the heater af least three feet (rc any wall will prevent this condition. (If condibons a severe, a heater w~th Stacktop and Vent Cap/Sra. should be selected) Stack Top Models XE Stacktop heaters can be instal]ed outdoors if eqmpp with the factory-supphed Vent Cap/Stack Refer to S- tion 2/1 for the'correct part number or check rating pla on the heater See Fig 4 for proper installation of Vent Cap/Sfac FIG 4 DRAFT HOOD VENT CAO/STACK 3/3. INDOOR INSTALLATION OF STACKTOP MODELS XE heaters, when equipped with the Stacktop assemb and the proper draft hood, are design certified for lndO~ installation The draft hood must be the one furmshed the factory and must be installed without modlficatio See Sectmn 2/1 for correct draft hood part number check rating plate on heater. Install Draft Hood directly on top of heater. S F~g. 4 for proper installation of Draft Hood. The Draft Hood must be connected to a vent of tl same or larger size, terminating at least two feet above any portion of the roof or other object which within 10' of the stack. The vent should have a listed installed which permits a full equivalent opemng for products. See Fig 5 Heater Clearance -- Indoor Installatmns Minimum clearances to combustible material and fc sarv[ce access must be mmntamed as follows. Top of heater 44" M[mmum clearance fro~ combustible material Blank side and 6" Mmxmum clearance froz rear of heater combustible material P~p]ngmde 12" Minimum clearance frm combustible material and fc service access Front of heater 18" M[mmum clearance fc sermce access The XE heater xs design certified for installation o combustible floors Continued on next pa, £rancl$ YY t?e'~v~$, dr or Forr~rlY No~ ~ ~lo~°~ · = MONUMENt' "£WS~ONS YOUNG & YOUNG DEC /~.,/~?Z 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK p~& g~[~ ALDEN W YOUNG HOWARD W YOUNG ~E I~j~7~ PROFESSIONAL ENGINEER AND LAND SURVEYOR SURVEY FOR. CARL G FALKENBACH~CARME~~. . AT LAUREL SE St =~K CO~DER~. S~ F~GS Le ~g~IAT~ON ~ow.~. SO~T.O.~ ~.%~~/