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Home My WebLink About23435-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No. Z-24823 Date: DECEMBER 26, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 425 FAWN LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. Section 103 Block 4 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1996 pursuant to which Building Permit No. 23435-Z Dated MAY 13, 1996 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE FRONT COVERED PORCH 6 DECK AS APPLIED FOR. The certificate is issued to: INLAND HOMES, INC. OWNER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0067-DEC. 9, 1996 UNDERWRITERS CERTIFICATE NO. PENDING - DECEMBER 6, 1996 PLUMBERS CERTIFICATION DATED: JULY 26, 1996-GAtA KASKE B alding Inspector Rev. 1/81 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) Date ............... X.?* ....................., 19..../...(x! N2 23435 Z Permission Is hereby granted to: ,3/5... i`sT-.! 1��9......... .................. ....... ......... ......... /n�� ..... .... ........lP! etl`...... . .. ...... . ..... ........../. .........C�.. '..:........ .... -✓.................................................................... at premises located at...... ........ ........ ............... ........ ............................. ............. ... .................................................. � ........................................... ...........,..... I i County Tax Map No. 1000 Section ....10 >>.......... Block.......K✓ ....... Lot No. ' pursuant to application dated ............. 19.19...�� ... and approved by the Building Inspector. ..S. Q:'= Fee$. ....... ^f.. .-..... ... .. wilding Inspector Rev. 6/30/80 t Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY 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 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 2/10 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: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' 2. 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 - $100.00 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 $15.00 Date . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . :w Construction. . . . . . . . . . Old.Or Pre-existing Building. . . . . . . . . . . . . .. . . 'cation of Property. . . . .. Zavu. L=0. . . . . . . . . . . .. . . . . . . . . . . .(+'} g1j911ji4s . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet ewer or Owners of Property..Inl.And. 11QMes. XxiG.. . .. . . . . . unty Tax Map No 1000, Section. . .1p.3 . . . . . . .Block. . .4. . . . . . . . . . . .Lot. . . . 2Q. . . . . . . . . . .. . .. bdivision. . MOOSE. .CovE. . . . . . . . . . . . . . . . . . . . . .Filed Map. l '12. . . . . .Lot. . . 42 rmit No.#2.3,435. . . . . . . .Date Of Permit.,. . . . . .Applicant. . . Inland Homes. . . . . . . . . . . . alth Dept. Approval.REQ•:95-QQQ2. . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . .. . . . . . . . . anning Board Approval. . . . . . . . . . . . . . . .. . . . . . .. quest for: Temporary Certificate. . . . . . . . .. . Final Certicate. . . . . . . . . E! Submitted: $. . . 25.AQ . . . . . . .. . . .. . . . . . .. . . . . . .. . .. . . . .Inland,Homes r . . . . . .. . . . . . . .. . . .. . c - ) APPLICANT TEL. 765-1802 �S�FFUL/(�p TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR k P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 'J Building Permit 'No. ,' 11 235 Z Owner h �0.t^� }4D fAke S (please print) Plumber C�_u/ LE- le/95Kt' (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 a� ./qday of _7z-/ L_ y 199(4, Notary Public Notary Public, S(4FfOL,k County MARGARETC.RUTKOWSKI Notary Publfc,StaieolNewYak No.4982528 oualified in Suffolk Cotsdy CommissionE)pitesJune3,1997 ne THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY F— 85 JOHN STREET, NEW YORK, NY 10038 Date JANUARY 13,1.997 Application No.on file 11927096196 N 4088 349 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abode application number in the premises of INLAND HONES, 425 FAWN LANE, CUTCHOGUE, N.'I . in thefollowinR location; QBasement E3let FL 13 2.d Fl. GAR/ATTIC/0UT Section 10311lock 4 Lot 42 was examined on DECBTfBER OC ,1996 and found to be in compliance with the National Electrical Code. FXTUR! ECEITACLES SWITCHES RXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDISCEM FUIORESCENT OTHER AMT. K.W. I AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 38 43 30 37 1 1 10.5 1 1. 3 E DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPWALItWPTj TIME CLOCKS I NEU UNIT HRATEES MULTI.OUTLET DIMMERS Olt H.P. GAS H.r. AMT. NO. A.W.G. AMT. AMP. AMT. Mrs, TRANS.I AMT. N.1. Na:SYOF STEMS RET AMT. WATTS 2 1 F 2 1 1 6 o SERVICE DISCONN[CT No.OF S E R V I C E AMT. I AAV. R I X M 1/SW 1 3 0 3W S/IW I HNCeCOND. A.W. 0.1D. NO.W HIAEG OF W.0.LEG NO.OF NEUTRAt3 Of'PIWE.G. 1 150 CB 1 X 1 1 1 1 OTHER APPARATUS: WELL PUMr-1 PADDLE FAN-1 140TORS:1-F H.P. ,1-F H.P. G.F.C.I:-7 SMOKE DETECTOR:-6 JIM SAGE ELEC. INC, LIC.#3635 350 MARINE PLACE ODIUM MANAGER GREENPORT, NY, 11944 11105 Per 11 This Certificate must not be olterad in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU H PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ca DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: Com, s �___�' h¢ x - DATE i INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE `& CHIMNEY 1 REMARKS: , ^✓ 7 �� Q tdL DATE l INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ F UNDATION 2ND [ ] INSULATION ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 70 �. DATE l ll INSPECTOR nM� M-1802 BUILDING DEPT. 1 ECTiON [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: -21 ' DATE o�'A INSPECTO M-1802 BUILDING DEPT. SPECTION [ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY v REMARKS: c DATE INSPECTOR 1;1:(;l4 UI IT 1muo It I y UAII; 1 Al ---- - - PAIIA viuuuunrlml_ d(Z......... e uuucu r•unult n � ._ — -- -- -------------... _..."._ I11!i111.A'1'll)II 1'li ll II. Y . r---- ---- -- 1 SIAIR Itllli llliY i - -- - - .,.,.,----„e-,,.,m,.o.,.,----- .. , �,.^AIIIMOIIAI'. 111113��'l'S�.................�....�e�.,.,e..,,..,.., - - - --- ----------- -. f . ............ - . --. ........ .. .. ...... ...... ti ENERGY CODE CALCULATIONS (tor Non-Electric Heat) Design Criteria G , 000 Degree'.Days O.A. wr I .A. 7U°r FOR: S/nh n �J�L1ng� DA'Z'ED: g /b ? DESIGN1'kIERMEL REMARKS SUBSYSTEM AREA "U" RATING ExL•eriol: Walla (opaque) 1837 � prS C H m Jv In � Glazing ) —$ 2/ ..32- - .i3 p, 3 ° � . 8 Doors � _— i Ceil.iuy/Roof (Opaque) Skylights r l rloor O f'olludatiokl Walls Slab 111sulal-ion TOTAL � � 7 NO Builit1.11y Llnvelope SysLems to meet requiremenLs of: 7U15. 2 HVAC Equi.pement to meet requiremenLs of 7015. 11 ❑VAC Systems to meet requirements of 7915 • r2 DucL Systems to meet requirements of 791.5. 13 VenL-il,'U-0118 Systems to meet requirements of 7015 . 14 TDsu.laLiouofopiping SysLems to ukeeL requirements of: 7015 . 15 Service Water Ileatiuy SysLems & EquipulenL• Lo meeL requiremenLs of 7015 . 21 Electrical & Lighting Systems & Equipment- to meeL requirements of 701.5 . 31 OE �f6y.yp To the best of my knowledge, belief, & professional judgement, these plans are i.n cowpliancc .wiL-h Ll1e code. 77 ; S®O�p� 3. Nature of work (check which applicable): New Building . . •##• • • • . Addition . . . . . . . . . . Alteration . .. . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . Demolition . . . . . . . . . . . . . . Other Work.. . . . . . . . . ,.'. . . . . S1009000.06 (Description) h. Estimated Cost . . . . . . . . . . . . . . . . . . . . . .. Fee . (to be paid on filing this application) ' 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . .Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage,number of cars . .2.Cam .Attached . . . . . . . . . . . . . . . G. If business, commercial or mixed occupancy,specify nature and extent of each type of use . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . N'/A. . . . . . . . Rear , . . . . . . . . . . Depth . . . . . . . . . . . . . . . height . . . . . . . . . . . . . . . Number of Stories . . . . . * ' * ' ' ' . . . . . 6 ' * . . . Dimensions of same structure with alterations or additions: Front . . . . . . , . . . . . . . . . . Rear . . Ucptlr . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . Number of Stories . . . . . . . . . . . . . . .. . . . . . 8. Dimensions of entire new construction: Front . 51. . . . . . 6 . . . Rear . . .51, , Depth . .36 Height . . .24. . , , . , Number of Stories 2 9. Size of lot: Front 1,0,0 Rear . . . 1Of5. . . . . . . . . . . . . . . . . . . . . . . .��7. . . . . . . . . . . . . . . . . Depth 10. Date of Purchase .8.95-7 . , . Name of Former Owner . .Helen .Zurawik. . . . . . . . 6 . . . 11. Zone or use district in which premises are situated . . . . , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: .)V•0, . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will tot be regraded,,.,Yes . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: #0 No 14. Name of Owner of premises . Inland. RCIM 8, .Inc Address . . . . . . . . . . . . . Phone No. .M7%96 Name of Architect .Penny, lwt•bCF. . . . . . . . .Address . . . . . . . . . . . . . . . . . Phone No. . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . Phone No. . . . . . . . . . 15, Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . *If yes, Southold Town Trustees Permit ma be re wired. , PLOT DIAGl�AM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whetlier interior or cornerlot. , See Attached Survey Tn, f,•I STATE OF NEW YORK, 5.S r'OUNTY OF . . . . . . . . . . . . . . . . . • • • • • • • • •Robert• E.• -Hiltz • • • • • • • • . • . . . . . . . . . . , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) +bove named. Ile is the . . . . Contractor. . . . . ... . ._. .•.. . . . . . . . . . . :'• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,agent, corporate officer, etc.) ')f 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. Sworn to before me lila . . . . . . . . . . . .day of. . .:.! f. 9,, `4. . . . . ., 19 . U 'Jotary�Public.. . . . . . . . . . . . . . . . County + , 7 " . . . . . . . . . . . . . . . LINDF4.1��O0P�R rgnature of applicant) Notary ppubliic: tate of Na�v Ydrk� No.48228f13.Suffolk County 'Harm Expires December31,1 BOARD OF HEALTH . . . . . . FnP_P,_� Rr2 - 3 SETS OF' PLANS . . . . . . . L4 , I `FORMNO. I SURVEY ... . . . . . . . . WN OF SOUTHOLD CHECK - BUIOLDNG DEPARTMENTSEPTIC . OR • ' .B 1996 i0 FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 , CALL , . 2984696. . . . . . . . BLDG, OEPT. TOMOF UTHO(.f� (�/� MAIL T0 : I eamined . . . . . 1�. . . . . .. 19 .�//,'�`I, 19/, .�ennit No. . .... . .3 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . BwuX4,d2gn ter) (APPLICATION FOR BUILDING PERMIT ,T. '/.�� " Dat . 19 . . INSTRUCTIONS a. This application must be completely filled In by typewriter or in ink and submitted to the Building Inspector, with 3 is of plans,accurate plot pian to scale{ Fee according to schedule.' ' ' � " ' , ' ',J:.. b. Plot plan showing location of lot and of buildhigs on premises, relationship to adjoining premises or public streets or areas, and giving a detailedrdescription,of,layout of property must be drawn on the diagram which is part of this appli- cation. - ;i ,. ;,"; 01 c. 'The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permit ,ball he kept on the premises available for inspection throughout the work. c. No building shall be occupied or used in whole or in part for)any purpose whatever;ugtil a Certificate of Occupancy shall have been granted by the Build ng jInspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the [Wilding Zone Ordinance of the Town'of Southold, 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. I lue applicant agrees to comply with all applicable laws, ordinances, builduig code, housing code, and regulations, and to admit authorized Inspectors on premises and in building for necessary inspections. .� . . . �llanfl. .t10Ft0.a .IriA., . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) PO Box 117,Mattituek,11952 . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Q9Rtractor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . , Inland, Homes Inc. (as on the tax roll or latest deed) If applicant is a corporation, signature,of duly authorized officer. Robert E. Hiltz, , , " (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . . . . . . i . . . . . . . . . . . . . . . . Plumber's License No. P . . . . . . . . . . . . . . 1 Electrician's License No. 1k , Other t'rade's License No. 1 , Location of land on which proposed work will be done. . . Xavn. l',a. ,O.utehoup e. . . . . . . . . , . , : . . . . . . I louse Number - , . .l anyi, ! l,l'^,?, I:r,I4 •nir .,,Street crr " .,,: : (d.� ., Ilan et,y,.,,;,� .II' �� ' ,I(ii• ,nil: I,Ir11 ,., 1„ . , „ air . , �,; ,,,,,; ,, ,,, County Tax Map No. 1000 Section1073. . . . . . . . . . . . .Block . . . .4. . . . . . . . . . . . . Lot . . 20.,. ;.. ', ... ... . . . . . i Subdivision . , Moose Cove3230 42 .(I Filed Map No. Lot . Jame) , 2. Slate existing use and occupancy of premises and intended use and occupancy of proposed constructions; 1. '' r a. Existing use and occupancy Vacant land . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy : . . . . . .New single family dwelling , , , , , , , , , , , ��- T� o-IR Al - i SGA 4 ��{ ® �OPEW 1 � gL3 i IL 2—NLI� Z.K8 G t T�DE'Pz� I � �jlllGr .DECD' Ta Jos ON Lp CUTC/-lG6UE't N07 UN PETS^1 t7 SAN#1370 F _ SUFFOLK CO. HEALTH DEPT. APPROVAL I H. S. NO. r �» TAu ,� I:L X02 c Foot, II � �- '.FJ e ". '. \ W a�i�1 V V t t•..� i � { a: y' . � lE'w..,.� �` N INTENT I STATEMENT F THE WATER RPYODISPOSAL CLPC + GUE oWSYSTEMSFORHSRESIDENE�LL . t I TOWN Of SAt)Tt40L,U t`IY. CONFORM TO THE STANDARDS OF THE Ioo"c t _ - SUFFOLK CO DEPT OF HEALTH SERVICES. r � ISI APPLICANT a / SUFFOLK COUNTY DEPT. OF HEALTHf SERVICES — FOR APPROVAL FOR E ; CONSTRUCTION ONLY w u� c;Pplh / DATE: - ' H. S. REF. NO APPROVED SUFFOLK COUNTY DEPARrVeff OF+H77;SEFiVICE8 I _ SINGLE FAMq:Y DWELLING ONLY } ! . I SUFFOLK CO. TAX MAP DESIGNATIONS �. DECAxrav d O:ns nxLA W DEO �, - % - DIST. SECT. BLOCK PCL. alo C ✓ dd OWNERS ADDRESS M "FW F+' `w } �C's%'tan t.�' • (.F✓s n Kk {+�"'�'p K. I .7 .j:y,- I . M ` i 7- I DEED TEST HOLE STAMP ('(� +j(, I 80..17 0 lae New VM4 fyp� µ 14 on cvios c his svl P I.N D dfuYl � (' Ne kM surveyors ql � 1 yr cr!-e ft us.4 seal Yap of bGevalk lrue croOY iMice- Mrecn Com.! ;ate: OveantE sps! Wks-.�.: � � ' - ''F. May to trah.ce:sanro mC+e.rveY W.ELi C`J thiacc r,r I pyW . _� �t Cy kndr9c ..,.. i ..FJ mrr•nE i'i� T .1iL� h� Y.�Lr.78 2440 w . � i u.-11 1v 14�6✓N+ Wai;u.nW Yue.wxas aerOsep.rt Ilk LAN E SEAL T.. W T RODERICK VAN UYL, P. i1_C3 f4 ( f; !✓tJt»ECuJf FtLEL INof 'T . 0s• .��. LICENSED LAND SURVEYORS i �;,o [s¢ s�P' GREENPORT NEW YORK taNu 51 NSll: SUFFOLK CO. HEALTH DEPT. APPROVAL H S NO. �',;.�� +. �,(pera.) MAW _ 1:."�r _ P�2t:.�i-'•�f e_'�+' � � i » 0 R r yqt -✓+r'T'8�P v '��t �� 7.f. �^y, +� \ i �\�i i�.l �14/�. _*...�'� __.�• �_S. 1 ��v....e• I —_._.. Y !l1" STATEMENT OF INTENT -- •, _ I THE WATER SUPPLY AND SEWAGE DISPOSAL I - �. _. EAST CVTC'!-PGUE -rc' - �, •� ,tW� S •-- - SYSTEMS FOR THIS RESIDENCE WILL I Y�;kM ) ?• .� o?� + n. 1 � ��' T(,`V,/fj O�-`4jO(j"}'1HljL(j , ,hj`{. I � CONFORM TO THE STANDARDS OF THE � SUFFOLK CO DEPT OF HEALTH SERVICES. ' APPLICANT i rY C} i N SUFFOLK COUNTY DEPT. OF HEALTH SERVICES — FOR APPROVAL FOR + -._,'�I CONSTRUCTION ONLY P'Dl' C' 1 , � I DATff: 3� s Ri VJ)vli H. S. REF. NO ",21C•� :} E . I APPROVED SUFFOLK 0OUNTY DEPART•>r?EW OF HVITH SERVICES . epTlc `.;�'� SINGLE FAMIL`,X pYVELUNQ ONLY I SUFFOLK CO TAX MAP DESIGNATION ' A�ra'ta1'G90mc*uv,jdW 1 j DIST. SECT. BLOCK PCL Data DEC Q 8 pi. -M. Wk s jp OWNERS ADDRESS y < p \AMC OgSt`Y�,+ .. 1 i VrvWLS _ j_.__. . .� e ✓'-. . • y I /vl �E l IUD. Y ANM� T, sv�..��".,r. z c P y S n b1 r Of im of Wepe1'S I DEED:': L. V . A P. A; j A jj 41'F _ TEST HOLE ST MP .,�a .�. ...... �p P,C P '�. C �` .� P.7 mma wrwav w9,w,laumM 1f \ Sagmn 1208 W 11,New Y,r Nm• �ilu fr\ �'.r eY �(�•�• c Ire lot 1E�V 1 - �� \�' ! _ ,�/ —._ _ ._ _ .�`..-•- -.-. .- � I I 191E i '. 'S t^A '� '�" » T u lW,0 " t'^ -0 V LITTLk MAPN! t�f1FC� K+U 121 i 996 mx•. /. FAWN LANE lyNr `4/ -.._•_. nY.i.J.—L./ S f"1� I }A j}. SEAL ` 0 _4,�r \�IArAN- a _CtyI�_�q it�(7'IRIT#ifT ^RObEItICK VAN TUYL PEC 1 ,wR.. fd0✓C.-YM- . I �.�i r, C .Ys - LICENSED LAND SURVEYORS s GiREENPORT NEW YORK r n — — SUFFOLK CO. HEALTH DEPT, APPROVAL _ H. S. NO. v e1 3Z "�:�:.r t . t �•. . Y'"�Y' ". . I"' .C..�_'e" surZv D P70 11Z ° c"t o04 SINGLE FAMILY DWELLNG,ONL_Y 4 o v / ; ' s a 'j � fry RES THREE YEARS FROM DATE OF APPROVAL 1,,r Ea) < 4 v. 4-1 9 1 N A6^ STATEMENT OF INTENT { o — THE WATER SUPPL`! AND SEWAGE DISPOSAL x - - EAST CUTOIGUE: SYSTEMS FOR THIS RESIDENCE WILL I ryp_ 18o ^ aft 3 `50 S-iOLD 1`xY i CONFORM TO THE STANDARDS OF THE � -_ SUFFOLK CO. DEPT. OF HEALTH SERVICES. ' APPLICANT Cl AN 2610 I SUFFOLK COUNTY DEPT. OF HEALTH CQ SERVICES — FOR APPROVAL FOR I CONSTRUCTION ONLY Nn. - DATE: SAY L y 4ef�i L }�I H. S, REF. NO.: O- ? :: 040 APPROVED: 43� 421 _ h SUFFOLK CO, TAX MAP D SIGNATION: DIST. SECT, BLOCK PCL. OWNERSADDRESS: u s s. ' � r > 5CA! = ; DEED: L. 4 A P. 3� ca tk 15-0 � , i '�< . �i` G!�'_,i"7�S,F. TEST HOLE. SFAMP n , � iGII tf�? t`' s �r Q to hidthis SumYUbmed is 8 vb otaddNkrs s FEB1 4 19 j� rducetlon taw. I- @ €�'tl Copies MMVeyoeS YmdP not bearing i tl :a ri ., �L, the Wed d ,.1 fall kednm seal of embossed sea she nm be cons dared N:' F DEPT. tobeavautwcopy. l� WN OF SOUTH LD ` . caemdeepemn rear�ow mn onNtothe person 6Y is pfepareJ.aad an h's behaNto the YJ{ti�L .rr Lq f1 ff x. *. YpnlWed nereane9�a and l 1 ,Cs `-: ' .�J?JLIT 9Llvi :et{2b , ..m I' '� ormeb�+su pp,,gY��5�'pe �t�,Guarantees° aare nottAnafamble g�p"1O � aS � to a doonalaufnN'wns of sabs9wot s SEAS. L . - ?,`, NE P�c N67E ;'l'a Tj ASt fL'.EYE w AF .2 lC;a y o� _�_ ..u- n n RODERICK VANTUYLrP. L7 ,c _iZEFEia-""1 HAPt1F1r=5- U-COVE FILED IN".HE co 0 `at1FF. CMCE AS MAS I i0:?23Q. LICENSED LAND SURVEYORS _ °F ry0 is256ryP� — _ _- GRE'ENPORT NEW YORK LA SJ rpmywPOST Nal r 7 7, 7l""IT '7 "M 6A cem) ml OF PROP y 0-" INLAND" POMES INC A AT STATEMENO T F04TENT ' THE WATER:SUPPLY A"NO SEWAGE otspol EA ST ' Yjq-124 U3 � SYSTEMS FOR T1415 N N1,78. 'E' 1� I TOWN OF'�-O�M40LQ �j-y' CONf:'ORM TO THE �STA 'DAJROS ,Q Mo SUFFOLK Co. pEn- OF 4CALTH.S4,1, (S) A;PLICANT, SUFFOLK COUNTY DEPT. OF FiEAi.9 Lis' SERVI-CES – FOR AIPjPqVV,AL- - CONSTRUCTION ONLY UY DATE. '4' vvvu H. S. REF. NO.: ,043 '342 0 APPROVED: "A ? SUFFOLK CO. TAX MAP 0t*GkA—T M--1 W,7— DIST, SECT. BLOCK ADDRESS: OWNERS A -T� 1A RD, T P424 r461 -Pw-gw comice, DEM L. 4 fA P. 2,k�975,F AQEA 2 minis surveys a vbW&O UN i ffmimdswmyoftkftdswm onbassadeasigludledtb6c"lidenvi Mleeu _7 WELL J —01 lending kwUROM killed heniwi wd -1W AMENDED-A"t2ltqqG to me—tgnsos of"wining=ss- Minn.Gwnvusss m not t. to.Witional hsMualons or aftqce%U- J FAWN LANE \R' u- ak '110'E (VAC A 9-r) Am- LOT NQ45�TZEM'p M KW'OF MoQ$S,WVf! ROD ICK VAN TUYL. P.C,. f7fi-c-P aij,-THE pc cLzr&ls 0M.:EIAS MAP WO,-U30� LICEWS60 LAMD SURVVYQRS, ORX&NO09T NEW YORK TeLwew"T Nori" ENERGY CODE REVIEW ` (non-electric) t 7814 (Part 5) 6,000 degree days / I For Per pwgs ' �9 Dated rev 5- R-Value R-Value Envelo Component R-18 Exterior Wall R-19 hoof/Ceiling R-19 Floor R-10 . Foundation Wall R-10 Slab Edge Insulation R-1.7 Glazing R-2.5 Entrance Doors All RVAC Equipment to meet requirements of 7814.11 All RVAC Control, Systems to meet requirements of 7614.12 All Duct Systems tetemsttooemeete requiremeof nts of37814.14 All Ventilating Sy All piping Insulation to meet emsreqand Equi oentOto meet All Service Water neating Systems and Equipment requirements of 7814.21 All Electric Systems to most requirements of 7814.31 ,Y To the best of my knowledge, belief, and professional judgement, these plans are in compliance with the code 40f NEW),D �P1c�ce v 9'r + cS 4 w O1115n1 /�V � JfE5510,. h ( +—nom--� , j. : •• - _ ia. - � Wii r r ' Y' ✓ - f .. rW' n 1 ° a P - l 1. , t w 1 iii Y.'. T•r hA x..J•` 4 1 �Fe.L "TSV Zk.NMY.. '-,�+ T IT I ; 1 17 h e I { ✓ .. 1 - I I i . . �_ .k • ` _ sty h J + - { r J r It 1{ IT- IT 0 r. 9 • 4 ,I )- _ .,.•_T� Ch _ .- s ' I'A PLUMBING �s i I .. - '' � -L.E .. `- 4 TEALLPLUMBING WASTE " - _ - - ' '3379 .{ ,., .. ALL - - ^ STING BEFORE COVERING ' - OCCUPANCY - -F—�•---- �� '', r • .. _ ', ,� -. _ 1k WATER LINES N _ P vioE US NLAWFUL k OCC PROVID .OPENIINGSFOR Iferwertubinyisused �DFNEW,ro �,io CY CAPE AS star distributing APPROVED AS,NpTEp 't cE 9 USE S U 1 s WITHOUT CERTIFICATE REQUIRED BY PART. 714 y§tem, piping Shall be_. oA?e " B.P.N a3 ' t *5`e" ' ' TT r! QF>�(`i�i0P'AI� CY N.Y. STATE BUILDING CODE. ofTypes Or L�niv FEE S: - ' - NOTIFY BUILDING O PAfl ENT AT i•�,- DNDERWRRERS GERTIFICIAE .•? 766ISOZ eJAM TO. 4 PM FOR THE m -NPy. . - REQUIRED FOLLOINI,NG.INSPECTIONS:" . • F p3�iyn t 2� �,- -_'> n. _ 1 C _ : FOUNDATION - TWQ.AEOUIR D - FOR POURED ETE - OfESSID' n� - - PROVIDE Y/ NR. FIRE 2. ROUGH'• FRAMINGRAMING8 PLUMBING a � RATED SEPARATION TO PLUMBER CERTIFICATION INsuLanoN /5' Phone n�� _ - 4. FINAL - CONSTRUCTION MUST /> L'rtWItE477"flllDD �IIBIe ' °asatl PART 717.3 (f)(1)OF ON LEAD CONTENT BEFORE, . BE COMPLETE FOR C.Q. N.Y.STATE BUILDING CODE. CERhF/CATE OF OCCUPANCY ALL CONSTRUCTION SHALL MEET ( {}j W V J-i [h� THE REQUIREMENTS OF THE N.Y. SOLDER USED IN--WATER STATE CONSTRU710N d ENERGY DO NOT PROCEED WITH TN G A�I CODES. NOT RESPONSIBLE FOR SUPPLY SYSTEM CANNOT '. DesIGN oR caNBTnucnON EReoes FRAMING UNTIL SURVEYC 3 EXCEED V10 of 1% LEAD OF FOUNDATION LOCATION, Y' L HAS BEEN APPROVED. _TI er is +Ir. ri�Qp,E x7elt9h/ V �rNv, 't37 . 4 x , i �x -S,If. _ J -n a' .D I 1. _ ,t ',.AV�k t A _ r _ I. - �, .� :, - 1. i': 'ir r a "� - 'I it /,' � � :, - . n r,. - t , t ' '.. - , I n' .- II . . , + - r y. v 3 n - . .I T1 1, , ,. :. 5 % 1 I1 1 4 J0 1 - Y . I I - - I - ' _ r., ., s 1 - _ .. .r ,.N _ _ .. w Y.> - , - _ r: �u-„ , . � ' til: 9 . r �, t . :. �, t 5. 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