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HomeMy WebLinkAbout25592-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27693 Date: 05/18/01 THIS CERTIFIES that the building ADDITION Location of Property: OFF EAST END RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 6 Lot 1.7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 30, 1998 purs~t to which Building Permit No. 25592-Z dated MARCH 10, 1999 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 ADDITION & ALTER3~TIONS TO AN EXISTING SINGLE FANILY DWELLING AS APPLIED FOR. The certificate is issued to HIRIAM F MOODY, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF }~2%LT~ APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-557752 05/08/01 02/15/01 MARIO ZANGHETTI, JR. /u~ori/d Signature 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. 25592 Z Date MARCH 10~ 1999 Permission is hereby granted to: HIRIAM F JR MOODY PO BOX 506 FISHERS ISLAND~NY 06390 for : CONSTRUCTION OF AN ADDITION & ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 010 pursuant to application dated OCTOBER Building Inspector. OFF EAST END RD FISHERS ISLAND Block 0006 Lot No. 001.007 30 1998 and approved by the Fee $ 502.20 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTIIOLD 765-1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 Nealth Dept. of water supply and sewerage-disposal(S-9 form). 3. ~pproval 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. 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. 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. 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 - $I00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 ~w Construction ........... Old Or Pre-existing Building ......... 'cation of Property ........................ House ~' ~am{et '' ' .,o. Street .............. ~er or Owners of Property...B.'.a.~ T'..~. ~d~ ~.~ ~nty Tax ~ap No ~] Section... ~ .I.~ ...... Bloe~... A ~.~ ¢. ...... ~ot...~.~ L'. ~.~ ~ ......... ~division Filed Map Lot ' rmit No.~.7~. ...... Date Of Permit..~.!!~]~.% ..... Applicant.~?,. ~...~ App flJ ._~ ~ ~ ~lth Dept. roval .......................... Underwriters Approval .............. .~ ........ mning Board Approval lUest for: Temporary Certificate ........... Final Certicate .... )..;.. : Submitted: $. ~.~ ?b~$ .......... '~. CO ~ ~ .... ~P~c~ TOWN OF SOUTHO.LD . OFFICE OF BUILDING INSPECTOR P.O. BOX'728 TOWN HALL SOUTHOLD, N.Y, 11971 C E RTI F I CA'T I 0N TEL. 765q 802 Building Permit No.~ 0wner H~M~. ~ ' (please print) Plumber ~l'~ ~.77-~ (please print) certify that the Solder used in the water supply System ~' con~tains less .than 2/10 o:f 1% ,lead. Sworn to before me this ~'~/. ' ' '." '~,. ~o~ v " Notary'Public, ~O~ County ~,/15/2ooi 14:17 ~317887011 iNsPECTION ~ ~ FOUNDA~ON/ST ~ ~ ~oUGH p~G. ~NAL R~~ ] lqL~MING , PAGE 0i ALBERT, RIGHTER TITTMANN ARCHITECTS, INC. MOODY ADDITION 18 September 1998 FISHERS ISLAND NY SPECIFICATIONS 0 - SCOPE OF WORK 1) The work covered by these specifications, corresponding drawings and related documents, the "Contract Documents", shall consist of building an addition and making several alterations to the house of Sarah and Hiram Moody at Fishers Island NY (Suffolk Co. tax map %1000-10-6-1.7). 2) 4) 5) 6) Add new guest wing to the north end of the house. Dig up and relocate the septic system. {The existing septic system is in the spoE where Ene new a~G151on wl£1 go.} Connect the new wing to the existing entry hall of the house, with a new cased opening. Remove the existing entry hall closets; patch and repair floor, walls, & ceiling of the old entry hall; repaint the whole inside of the entry hall. Remove the window from the east side of the existing guest bathroom, and put in a new window on the north wall of the bathroom. Repaint the bathroom. Remove the wall between the existing den and the adjacent guest bedroom, and combine into one room. Relocate the door, and add closets. Patch & repair floor, walls, & ceiling; repaint the room. I - GENERA3~ CONDITIONS 1) It is the contractor's responsibility to ensure that work progresses in accordance with the Contract Documents. The Contractor shall provide all labor, materials, equipment, and services necessary to complete all work as required by the Contract Documents unless specified otherwise by such Contract Documents. 2) 3) 4) The Contractor shall pay for all permits required by the applicable codes. The Contractor shall take every precaution to see that the site is protected according to the requirements of the relevant regulatory agencies. The Contractor shall be responsible for noticing any structural deformation, dec~y, or inadequacy as work progresses and shall notify the architect immediately. The Contractor is responsible for all repairs to work done by the Contractor deemed necessary by the inspecting building officials and the architect. 58 Winter Street Boston, Massachusetts ozIo8 Te1617-45~-574o Fax 6~7-45~-z3o9 Jacob D. Albert James v. Righter John B. Tittmann 5) Fire prevention: The work shall be performed in such a manner as to prevent fire. The Contractor shall take precautions against fires starting and spreading on the site and within the building and temporary structures. The Contractor shall provide adequate means of extinguishing fires, (dry chemical fire extinguishers rated for A, B, and C fires) during all phases of the work. There will be NO SMOKING inside the building at any time. No fires may be built on the premises. 6) Gasoline and other flammable liquids shall not be stored within the building. They shall be stored in and dispensed from U.L. listed safety containers. Tarpaulins used on the site shall be made of fire-resistant material and be U.L. listed. 7) Field Measurements: Before ordering any materials or doing any work, the contractor shall verify all measurements at the building and shall be responsible for their correctness. No extra charge or compensation will be allowed because of differences between actual dimensions and measurements indicated on the drawings. Any differences which may be found shall be submitted to the Architect for decision before proceeding with the work. 8) Temporary Light and Power: The contractor shall make all arrangements to provide any temporary electric power distribution required during construction and temporary electric lighting for all portions of the work. The contractor shall furnish, install, and maintain a safe and adequate temporary electric system; make all necessary connections and furnish all necessary wiring, outlets, lamps, and sockets. All such work shall be done in accordance with Underwriter's Laboratory requirements and of authorities having jurisdiction. Provide a sufficient number of outlets so that 50' extension cords will reach all work requiring light and power. Electricity usage charges as billed by the power company will be billed directly to the owner without markup. 9) Temporary Heat: The Contractor shall provide and pay for such temporary heat as may be required to carry out all portions of the work and to prevent damage due to cold weather. Temperatures to be maintained during any stage of the work shall not be less than those required and recommended by the manufacturers of materials and finishes being installed. The Contractor shall be responsible for all damage due to failure to maintain required temperatures for any phase of construction or improper use of equipment, and shall make good any damages which may result, both direct and contingent. 10) The Contractor may use the permanent heating system of the building. Nonelectric types of heat shall be properly ventilated to the outside of the building. If permanent systems are used during construction, maintenance and attendance shall be provided, and the systems shall be in perfect operating condition at the conclusion of their use, subject to the Architect's approval. On substantial completion of the contract, the Contractor shall remove all temporary utility devices. Weather Conditiohs:'In the event of temporary suspension of work and during inclement weather, work and materials shall be adequately protected against damage. All work and materials of any kind to be found to be injured shall be removed and replaced by the Contractor without cost to the Owner. 12) Cold Weather Construction: The Contractor shall take special precautions to prevent damage to materials and work installed in cold or freezing weather, by providing adequate temporary heat and suitable enclosures or covering. The ground surfaces under footings and under pipe lines, and all concrete and masonry work, shall be protected against frost and freezing. 13) Pumping and Draining: The Contactor shall do all pumping or dewatering and provide drainage as necessary to keep the site free of standing water and to keep the excavations and the building free of water during progress of the work. All pumping and draining shall be conducted in such a manner as to avoid endangering or damaging surrounding property. 14) Upon completion of each phase of the work, the Contractor shall leave the premises free from all debris and waste, in a broom clean condition. The Contractor shall be responsible for keeping the site free of rubbish and debris, and in a neat, orderly condition at all times. The Contractor shall provide trash barrels for use by workmen. 15) Wash all windows at the end of the project. 2 - SITE WORK 1) Remove any top soil from the construction area before construction and'replace and regrade top soil after construction. During construction, store all top soil and all other earth removed for foundation excavation on the site--do not remove from site. 2) Remove the oak tree that is on the site of the new addition. 3) Take measures (hay bales or silt fences, if necessary) to prevent erosion during construction. 4) Dig up and relocate the septic system. 3 - CONCRETE ~ I~AMO~RY 1) Foundation walls to be poured reinforced concrete, 10" thick, with spread footings, as shown on drawings. 2) Materials: Concrete-- Vapor barrier-- Slab reinforcing mesh for slab and work below grade shall be 3,500 psi with 3" max slump, aggregate to be 1" with no admixtures. under slab, one layer of 6 mil. poly- ethelene sheet with 4" overlap at edges. shall be 6"x6" WL4 x WL4 welded wire fabric. Reinforcing shall be ~4 min., unless noted, overlapped for continuity. 3) .Do not lay masonry or pour concrete when the temperature of the outside air is below 40 degrees F. Protect work from cold and frost, and insure mortar or concrete will not freeze while hardening. No anti-freeze ingredient shall be used. 4) 5) 6) 7) Masonry work must not be done in full sun at temperatures above 80 degrees Fahrenheit unless shading and water misting are provided to control evaporation. Newly laid masonry work shall be protected from rain until hardened. Discard and do not use mortar which is unused after 1 1/2 hours following the initial mixing. Unless otherwise indicated on the drawings, make the masonry plumb, level, and true to line, with square angles and corners. 4 - CARPENTRY 1) Ail work shall be installed by those skilled in the trade in a solid, workmanlike manner. The Contractor will replace or repair at his own cost any work not up to standard. 2) Framing lumber to be kiln-dried. Exterior walls to be 2 x 6. Interior partitions to be 2 x 6 or 2 x 4 as noted. Pieces with knots affecting structural integrity should not be used. 3) Ail sills and framing in contact with masonry or in exposed moist areas shall be pressure-treated. All deck framing to be pressure- treated. 4) Frame structure as required for firm, permanent construction. Cut materials accurately. Frame structure level, plumb, and square, to indicated dimensions. Leave no gaps between sheets of plywood wall sheathing. 5) Double frame around openings. Select best materials for structural members. Select appropriate headers for all openings. 6) Use metal hurricane clips on all roof rafters: Simpson H 2.5. 7) Provide adequate blocking for installation of all finish work, including work provided by others. Place blocking behind towel racks, built-ins, and lighting fixtures, as required. 8) Ail adhesives used shall be water resistant construction grade. 9) Hand-select the best materials for exposed finish carpentry work. 10) Ail materials shall be fully protected at the job site, kept under cover and out of contact with the ground. Albert, Righter & Tittmann, Architects,/nc. Job Name: MOODY Date: 9/18/1998 WINDOW SCHEDULE KEY MODEL # A TYPE LAYOUT WDH4030 C WDH2018 D WDH2424 E WDH2420 Double Hung Double Hung Double Hung Double Hung F WDH2418 Double Hung WDH2416 9/9 12/1 6/6 6/6 6/6 6/6 SASH SIZE Width I Height Width Double "-hung , 6/6 : Double Hung , 8/1 Double Hung : 6/6 2'-6" Y-6" Casement 1/4 : 3'-8" i 5'-6" ~ 3'-10 1/2" 2'-0" 3'-6" 2'-2 I/2" 2'-6" 4'-6" 2'-6 I/2" 2'-6" 3'-10" 2'-6 1/2" Y-4" 4'-10" 3'-6 1/2" 2'-8 1/2" 2'-I" o J K J WDH3626 WDH2618 WCM2432 R.O. SIZE QTY I Height 4'-9 1/2" 6 5'-9 1'2" 7 3'9 1/2" 4 4'-9 1/2" 1 4'-1 I/2" 1 3'-9 I/2" I Y-5 1/2" 1 3'-9 1/2" 2'-8 1/2" 5'-1 1/2" 3 2 2 5 - WINDOWS 2o New windows, except where noted: a. Marvin wood double-hung windows, single-glazed with true divided lights (ADL). b. 1 x 4 exterior casings, solid, without finger-joints, to be supplied with windows. Back-band moldings, milled from cedar, redwood, or mahogany to match existing, to be applied on site. Sill projection should be big enough to accomodate back-band molding. c. Windows to be primed white outside and inside. d. Double-hung windows to have sash lifts and locks. Ail windows wider than 2'-4" to have two sash lifts. Take note of wall thicknesses and include interior jamb extensions as required. Ail Double-hung windows are to have aluminum triple-track storms/screens, white baked enamel finish. Horizontal band to line up with the middle of the window. Casement windows to have exterior energy panels, white frames. 6 - DOORS lo ~: # Mfr. T!rpe Size Remarks i Morgan 6-panel 2'-0" x 6'-8" ea. (pair of doers) M-1051 2 Morgan 6-panel 2'-0" x 6'-8" ea. (pair of doors) M-1051 3 cased 3'-6" x 6'-8" no door opening 4 Morgan 6-panel 2'-6" x 6'-8" M-1051 5 Morgan 6-panel 3'-0" x 6'-8" M-1051 6 Morgan 6-panel 3'-0" x 6'-8" Order not M-100 1-3/4" thick pre-drilled 6A storm/screen 7 Morgan 6-panel 2'-6" x 6'-8" M-1051 8 Morgan 6-panel 2'-6" x 6'-8" M-1051 9 cased 4'-0" x 6'-8" opening white aluminum full-view no door cased opening Marvin 10-light WFDR 5070 French XO LHI doors llA storm/screen Size Remarks 3'-0" x 6'-8" no door 2'-6" x 7'-0" ea. 12 Morgan 6-panel 2'-6" x 6'-8" M-1051 13 Morgan 6-panel 2'-6" x 6'-8" M-1051 14 Morgan 6-panel 2'-6" x 6'-8" M-1051 15 Morgan 6-panel 2'-4" x 6'-8" M-1051 16 Morgan 6-panel 2'-6" x 6'-8" M-1051 17 Morgan 6-panel 2'-6" x 6'-8" M-1051 18 Morgan 6-panel 2'-4" x 6'-8" M-1051 19 Morgan 6-panel 2'-6" x 6'-8" M-1051 20 Morgan 6-panel 2'-6" x 6'-0" M-1051 21 plywood 3'-6" x 6'-8" (pair of doors) Order without hardware. white aluminum full-view (pair of doors) in basement at base of Bilco Marvin wood French doors are to be single-glazed with true divided lights (ADL), and primed white outside and inside. Bulkhead door: Bilco size C with 18" extender. Door hardware is to match existing. 7 - THERMA~ AND MOISTURE PROTECTION 1) 2) All roofs to have red cedar shingles, 5" to weather, on spaced strapping. Flash and caulk interior and exterior joints as required to leave the building weather tight, including all exterior joints at windows and heads and jambs of exterior doors. Step-flash where roofs meet side walls. 3) Ail flashing shall be lead-coated copper. 4) Gutters and downspouts to match existing. 5) Fiberglass insulation: all exterior walls to have 5 1/2" foil- faced fiberglass bart insulation; roof: 9" batts; second floor: 5 1/2" batts; first floor: 9" batts. 6) Use 1" foil-backed polyurethane insulation with foil side up under bathtub. 8 - pLUMBING 1) Ail plumbing systems to be installed by licensed mechanics, respecting all code requirements and manufacturers' recommendations. Contractor shall pay all necessary fees, licenses, and permits, and shall arrange for required inspections. 2) Ail water supply pipes to be copper. 3) Test and prove tight: soil, waste, and vent plumbing with water as required by code. Domestic water lines shall be proven tight at 125 psi. 4) Metal water piping should be electrically grounded. 5) Provide a 50 gal. oil-fired hot water heater in the basement for the new addition. Vent through the wall on the north side. 6) Plumbing fixtures: Bathroom ~105 Shower: Kohler Vallarta K-1596, white Shower fittings: Symmons Temptrol S-96-1 Sink: Waterworks LEPALL 28 pedestal sink, white Sink faucet: Allow $500. Toilet: Kohler Wellworth K-3423, white Bathroom %205 Sink: Corian integral sink in counter Sink faucet: Allow $500 Toilet: Kohler Wellworth K-3422, white Tub: Kohler Mendota K-505, white Tub/shower fittings: Symmons Temptrol S-96-2 Bar ~104 Sink: Elkay LR-2522 Sink faucet: Allow $300 Note: any allowances are for the fixtures themselves. Include installation in addition to these allowances. 9 - ELECTRICAL 1) Ail work to be done by licensed mechanics to applicable code requirements and following manufacturers' recommendations. Contractor shall pay all necessary fees, licenses, and permits, and shall arrange for required inspections. 2) See electrical plans. Include in the price all fixtures specified on the electrical plans. Allowances (for the fixtures themselves) are given for those fixtures not yet specified. Include the installation of all fixtures in the price. 3) Light Fixture Schedule: 3 4 5 6 7 8 9 10 11 12 13 14 Lightolier 1102/1105 recessed light w/black step-baffle, 75 watt reflector bulb. Lightotier 1002/1011 recessed light w/white pinhole spot, 75 watt reflector bulb. Exterior wall-mounted lantern: Allow $250 each. Window seat wall sconce: Allow $200 each. Hall #10t sconce: Allow $200 each. Hall %102 surface-mounted ceiling light: Allow $150 each. Exterior wall-mounted lantern: Allow $250. Closet light, recessed or fluorescent, to code Stairway wall sconce: Allow $200 each. Bathroom wall sconce: Allow $150 each. Lightolier 1102/1178SH recessed light w/opalex lens, 75 watt bulb. Lightolier 5000 surface-mounted ceiling light, 75w bulb Hall %203 surface-mounted ceiling light: Allow $150. Porcelain socket 4) Where recessed lights go in insulated ceilings, include the appropriate housing. 5) Provide wiring for TV antenna, connected to two TV outlets, one on each floor. 6) Provide wiring for telephones, as shown on plans. 7) Center electric outlets at 12" above finish floor, except where noted otherwise. 8) Use white outlets, switches, and cover plates. 10 - HVAC Install a new oil-fired furnace for a separate warm-air heating system for the new addition. Vent through the wall on the north side. 2. Install a 250-gal. oil tank in the basement of the new addition. 11 - EXTERIOR FINISHES 1) Ail exterior trim to be cedar, mahogany, or redwood. Included are crown moldings, cove moldings, and backband moldings, which are to be custom-milled, and window casings and corner boards. 2) Walls to be covered with cedar shingles to match existing. 3) Decks to have 5/4 x 4 fir decking, blind-nailed. 4) Use stainless steel nails for all exterior work, including shingles where nails are exposed, and trim. 5) Prime back. sides, and ends of all wood trim before installation. Seal end grain before priming. 6) Paint all trim with one prime coat and two finish coats to match existing. Stain shingles to match existing. 7) Sealants shall be paintable. Ail window and door frames shall be caulked after prime coat is dry. Apply caulk in smooth bead to completely fill joints. 8) Furnish and lay suitable drop cloths for exterior painting to protect roofs and decks from paint drips. 9) Protect all finish hardware at doors, lighting fixtures, or other finished items from paint spatter by removing them, carefully painting around them or using masking tape and tarps to protect them. 10) Sand all surfaces before priming and between coats of paint to assure smooth even finish. All surfaces to receive paint shall be smooth and free of sandpaper scratches, millmarks, and other imperfections. 11) Painting materials shall be applied in strict accordance with manufacturer's recommendations, including all temperature and weather limitations. Do not apply paint when temperature is below 50 degrees F, or when temperature is expected to drop below 50 degrees within twelve hours. Do not apply paint on surfaces in direct sun or where dust is being generated. Do not apply exterior paint within 48 hours of rainy weather. 12) Contractor shall perform all touch-up and restoration of damaged surfaces, and clean-up of adjacent surfaces at the completion of the work. 12 - INTERIOR FINISHES 1) Use 1/2" gypsum board on walls and ceilings, . Use 1/2" green board on bathroom walls and ceilings, except around tub. Use wonder board behind wall tile in tub surround. Ail edges and corners shall be left square, all surfaces in true plane, smooth, flush, plumb, straight, level, and ready for painting. 2) Gypsum board joints shall not occur within 12" of door or window frames openings. Do not place joints on opposite side of partitions over the same stud or post. Use reinforced fiberglass tape on joints and corners. 3) 4) 5) 6) 7) 8) 9) i0) Window and door casings and baseboards to match existing. Cornice moldings: a. Family Room ~103: Brosco 8013 b. Bar ~104: Brosco 8025 c. Hall 9101, #102, Bedroom ~106: Brosco 8010 d. Bedroom ~202: Brosco 8263 at intersections of walls & sloping ceilings Counterset all finish nails throughout interior, and putty holes. Flooring: Wood floors to match existing, in all rooms except bathrooms #105 and 205.. Use building paper between subfloor and finish wood flooring. Install ceramic tile as follows: a. Bathroom ~105 floor: Allow $7/sq.ft. for the tile itself. Include installation in the contract price. Bathroom ~205 walls around bathtub: American Olean 4-1/4" square "Bright" polar white tiles with white grout. Include bullnose tiles at exposed edges, and soap dish to match. Floor: Allow $7/sq.ft. for the tile itself. Include installation in the contract price. Paint walls and ceilings with one prime coat and two finish coats flat latex paint. Paint wood trim with one prime coat and two finish coats semi-gloss oil paint. These are minimum numbers of coats. More may be required to cover. Painting specs in Exterior Finishes section apply inside, too. In each room, there will be a ceiling color, a wall color, and a trim color. 13 - CABINETS 1) Bar cabinets: Allow $8,000 for cabinets and installation. 2) Bathroom #205 cabinet: Allow $2,000 for cabinet and installation. 14 - 1) 2) EQUIPMENT ~d~C-e~: Include an under-counter refrigerator in the bar. Bathroom accessories: Towel racks, toilet paper holders, med. cabs., shower curtain rods: Allow $750. Allowance is for the items themselves. Include installation in addition to these allowances. RIGHTER TITTMANN ARCHITECTS, INC. MEMO Date: To: From: Re: 4 March 1999 Building Department Town Hall P.O. Box 1179 Southold NY 11971 Jacob Albert Hiram F. Moody house addition, Fishers Suffolk Co. Tax Map #1000-010-6-1.7 Att'n: Gary Fish Island We're enclosing the Suffolk County health permit for the proposed new septic system for the Moody house. This health permit is to accompany an application for a building permit filed by Z & S Contracting. Thank you. 58 Winter StreetBoston, Massachusetts o2xo8 Te1617-45x-574o Fax 617-45x-23o9 Jacob D. Albert James v. Righter John B. Tittmann THE NEW YORK BOARD OF FiREr UNDERWRITERS BUREAU OF ELECTRICIT~~"'' ~ 40 FULTON STREET, NEW YORK, NY 10038' ~.~..~ 3~,.0,~ ~ 557752 Date ~Y O8,2~)1 ~plicaHon No. onfile ~"aT~ ~ ~ '/ THIS CERTIFIES THAT only th~ e~c~al equipment as dese~bed be~w and tn~duc~d by the applicant named on the above appltc~on numbe~ ~ in the premises of in the fot~wing locaao.; ~ Basement ~ 1st FI. ~ 2nd FI. O~ S~cHon B~ck ~t was examined on AP}~IL 27 t 2~ and found to be tn compl~nce with the NaHonal Elecmical Code.. FIXTURE FIXTURES OUTLETS RECEPTACLES SW~CHES INCANDESCENT FLUORESCENT OTHER 36 33 38 36 DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS SERV,¢E D,SCONNECT S PADDL~ FANS F~4 4 TON AIR C~ITI0~-I P~E[~O~I])S: l~"14 CIR. 60~i.-1 CIR. 60 G~F.C.I:~6 RANGES IPECIAL REC'PT. R [ COOKING oECI(3 [ OVENS [ DISH WASHERS TIME CLOCKE ' I UNIT HEATER$ MULTI-OUTLET BELL SYSTEMS AMT. AMPS. TRANS. IAMt I H.P. NO. OF FEET V I C E MO. OF CC COND. A.W.G. PER ~ OF CC, COND, NO. OF HI-LEG EXHAUST FANS DIMMERS OFNEUTRAL Z & S CONTgS, INC, LIC.#4'798',~ P.O. ~)X 202 GENERAL MANAGER FISB~S I~LAND~ NY, 06390 ~ / /? Thlscefflflcote mustnotbe alteredln any manner;returntothe office ofthe Soardlflncorrect. lnspectors may beidenflfled bythelrcredenflals, COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK ROBERT J. GAf f NEY SUFFOLK COUNTY EXECUTIVE r MARY E. HIBBERD, M.D., M.P.H. PERMIT THE ATTACHED PLAN, WHEN DULY SIGNED BY A REPRESENTATIVE OFTHE DEPARTMENT, CONSTITUTES P~ PERMIT TO CONSTRUCT A WATER SUPPLY AND/OR A SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY AS DEPICTED. CONSTRUCTION MUST CONFORM WITH APPLICABLE STANDARDS INCLUDING THE STANDARDS FOR CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAl, SYSTEMS FOR SINGLE FAMILY RESIDENCES AND STANDARDS AND PROCEDURES FOR PRIVATE WATER SYSTEMS. THE PERMIT (PLAN) EXPIRES THREE (3)YEARS AFTER THE APPROVAL DATE. ANY MODIFICATIONS WHICH MAY AFFECT THE PROPOSED SEWAGE DISPOSAL SYSTEM OR WATER sUPPLY REQUIRE SUBMISSION OF A REVISED PLAN AND ANY ADDITIONAL FEES, PRIOR TO CONSTRUCTION. NO INSPECTIONS WILL BE PERFORMED BY THE DEPARTMENT ON EXPIRED PERMITS. PERMITS MAY BE REISSUED UPON THE SUBMISSION OF NECESSARY APPLICATIONS, PLANS AND FEES, AND WILL BE REQUIRED TO MEET THE STANDARDS IN EFFECT AT THE TIME OF REISSUANCE. A PERMIT MAY BE TRANSFERRED INTO ANOTHER PARTY'S NAME UPON RECEIPT OF WRITTEN PERMISSION FROM THE ORIGINAL APPLICANT AND THE RECEIPT OF ANY REQUIRED TRANSFER FEES. IN THIS CASE, THE PARTY PAYING THE ORIGINAL APPLICATION FEE WiLL BE .CONSIDERED TO BE THE ORIGINAL APPLICANT. WWM-058 DIVISION Of ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 852-2100 PAGE 1 OF2 INSTRUCTIONS FOR FINAL APPROVAL OF CONSTRUCTED SYSTEMS and inspections of tbe water supply grading. Other inspections may be , .. It is the applicant s respor~sibJhty to ~call the Department to arrange inspections of the sewage disposal system and watez supply facilities prior to backfilling. I These include inspections of the soil excavation for the sewage disposal system ~,ell, well lateral, public water supply line, disposal system, piping and final equired. Following satisfactory constmction md inspections: The applicant must submit 4 pr: professional, of the subject prot a. the lot locmion and dhnensio b. the lot number(s) and the nm' c. permanent structures (i.e., bu d. the exact location of the priv: building); e. the exact location of the publ f. the exact location of the septJ comers to the covers of the set g. the exact location of the sew, nts of an as-built plan (up to and including 1 l"x17"), by a licensed design erty showing the following: is; ~e of the subdivision, if applicable; ~tdings, driveways, walkways, swimming pools, decks, etc.); rte well, if applicable (give at least 2 dimensions measured from the comers of the Lc water line, if applicable; : tank and leaching poo. l(s), if applicable. Give 2 dhneusions from the building tic tank and each leaching pool; line from the dwelling to the street; if applicable; and h. have a clear area at least 3'ix5" for the Department's approval stamp. The applicant must submit a certificate from the sewage disposal installer attesting that the Oystem has been installed according to the criteria of the Suffolk County Department of Health Services, when applicable. 3. ' If a well has been installed as ti · (within'one year) and awetl of corrective measures Will b~e~ In those cases where public sev sewer line inspection approval copies of Form S-9, duly execu 5. In those cases in which the inst the Department of Health Servi HEALTH i BE ON ALL C£ SUBMIT ALL ~ PHOTOCOP] WWM-058 re.potable water supply, the applicant must submit a current well water analysis tler's certificate. If the well or water quality does not conform io standards, proof equired. Refer to "Standards and Procedures for Private Water Systems." 'ers are utilized for the dwelling, the applicant is also to submit one (1) copy of the ?rom the public sewer district. In districts operated by Suffolk County, two (2) ed by the Suffolk County Department of Public Works, are required. dlation and connection of the public water service line bas not been inspected by :es, a tap letter from the appropriate water company is required. DEPARTMENT REFERENCE NUMBER MUST ~RRESPONDENCE OR DOCUMENTS SUBMITTED. ~ECESSARY FINAL PAPERS AT THE SAME TIME. ES OF DOCUMENTS WILL NOT BE ACCEPTED. PAGE 2 OF 2 8-380-12/92 FORH NO. I TO~/N OF SOUTI1OI,D BIIIL1)IItG DEP AE'I't{EtlT TOI4N llALI. SOIITIIOI,D, N.Y~~ 1197 } TEL:, 765- 1802 SURVEY ........................ CllECK ......................... SEPTIC FOP~ ................... NOTIFY: , CALL ...... : ..... ~..... h. Plot plan sl~aing locatlo~ of lot and of buildings On premises, relationabip to adjoining premises or public streets or areas, and giving a detailed description of layc~t of property mint be dra~ra on the disgr~n ~dch is imrt of this app]ication. c. 'lhe work covered by this application way not be ccmneseed before isauauee of Building Permit. d. Upon appro~at of this application, the Building Iflspector will isane a Building Permit to the applicant. 9ach I~m~t ~hall b~.lmpt on tim premises available for inspection thm~ghmt the writ. ! e. No building slmll be occupied or used in ~tmle or in part for any purpose ;dmtever tmtil a Certificate of Occupancy shall ha~e been granted by tie ltuildiig Inspector. APPLIC/'rI{ll IS ~ ~ to tho Building Depertnent for the issuance of a Building Petmlt purmmnt to the l~dldlng Z~e Ordinasea of the To~n of 8onthold, Suffolk C~unty, lt~ York, and other applicable Laws, Ordinances or Regulations, for tim construction of buildings, additions or alterations, or for removal or demolition, as herein described, llm applicant agrees to cia~ly with ali applicable laws, ordinances, building code, hoaslng cede, and regulations, &~t to adair authorized inspectors on premises and in Dailding for necessary inspections. ... ~.¢..s.:.:..~.....~..¢>::.~.¢:.:.: .... :...:.:...: (siCk,toke'of applica~, o~ ~, if ~ co,~atlan) (lqailing address of applicant) State vt~ethor applicant is ~r, lessee, agent, architect~ engineer, geoeral contractor, electrician, plumber or builder. -~ of ~ o~ premises ............... ~; .~..~... ~.. ~7~----~ ............................................... (as on tie tax roll or latest ~feed) If applicant Ls a corpa, ration, signature of duly autimrised officer. (Rare and title o[/~rparate off'ce ) Plunt~ers License NO ......... ~.~...~. .......... Electricians License No ..... ~.~.~-~. ......... Other Trade's License lqo ..................... · ......... Itanse llraber Street II~nlet c~,ty ~a~ No. ,ooo ~ion .... /..¢. ........ ,nec~ .... ~..0. ..... ,~ ..~../,.Z ..... Subdivision ...................................... Filed lqap NO ................ bat ............... 2. State e×isting use m~l occupancy of premises and iJ, tendea use ~,.~:.~cum[~.~ or proposed constmetlon: a. F~sting ,~ =~ se=~, ....... O.a;....rP.~.;.~. ......... :'. ........ :-..: ............................. g- U ...... ........................................ I0. H, 12. 13, 16, 15. loc. ate clearly and distinctly a f-r~n property lines. Give street and td~ethar interior or corner lot. [°;R,,re of wo£k (cJ~eck wldel~ ai~fl!icable): Hc~ Ikdlding .......... &~itim ..~...... Alteration .......... (Lo I~ ~id tm filieg this al~lica~i~) ~rnge, m~ImF of ear~ ..... ~ ................................ Imai~msa, ~mrein~ or ml~ ~caqm~, n~ei~ ~ture a~l ~tent of each t~ of u~ ...................... IJin~nsi~m of ~istieg ntn<t~r~s, if a~W: t~t ................ ~ar ............... ~pth ................. I~i~lt ........................ ~ ~flmr of Stories ...................... l)in~oa i~m of l~pth .................... Ihi~t .................... K=fl~r of Stories ............... ~l~a of ~r of p~a .... ~ ...................... ~klress .............................. 1~ ~ ............... this pm~rty within PI,OT ] I~ildit~s, ~mtlmr ~isting or l)rO~, n~ hxlieate all ~t-~ di~nslona bl~k ~flmr or ~scripti~ ~co~ing to ~, a~ ~ street ~a and i~ieate $'I'A'IE ()ir 1~4 SSI ............. I.~ .... ~ ....... ).. ...... I~it~ duly ~n~, (lelx)~s and ~y. that he i. the npplicmnt (~ of indlvkhml signing contraeO~ (C~trnctor, nfi~nt, ;corl~rate office~, etc.) off .aid (~r or ~rfl, and is doty ~thori~l Lo ixerfo~m or have lerfon~l the m~id ~rk and Lo nnke and file Lhifl appl icatitm; thar all at'at~nts (~t~ai~l in this nlq)lieation are t. rt~ Lo the I~st: off his kt~l~l~e taxi Ix~J Jef; ntxl that the ~t~l-~~l in tl~e tm.lief ~t forth in the affpl No, 4006550 : Term Explre$12131/~