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HomeMy WebLinkAbout23519-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25839 Date: 07/23/98 r THIS CERTIFIES that the building NEW DWELLING Location of Property: 175 CLEARVIEW AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 8 Lot 40 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 1996 pursuant to which Building Permit No. 23519-Z dated JUNE 18, 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 TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to GERARD & JEAN WORYSZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0040 05/07/98 ELECTRICAL CERTIFICATE NO. 16809 07/02/97 PLUMBERS CERTIFICATION DATED 07/25/97 ARNOLD LINDEN Building Insp tor — Rev. 1/81 WORM NO. 0 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) al N° 23519 Z Date ................. ....................� .......... )9.F.. Permission is hereby granted to: !X ...: .... . . ��,� E� ... � ........................ ro . . ...... ...�!tP . ... ... .... ................ 1 � ic ....�.... .. ........ —.................. atpremises located at ........../ZI ..........!, .... .. ..... ..... ............................. .. f ........................................................ ......................................... .. f ......................... .. .. .... . ...... County Tax Mop No. 1000 Section ........................ Block ......... ........... Lot No, ... ...l............ i pursuant to application dated ..................... ..•., 19.T� and approved by the f f Building Inspector. k Fee $.. . i s ..... .. ............ .................. ........ ! Buildin I g nspector Rev. 6/30/80 TOWN OF SOUTHOLD 60 (jO)c 13 7A BUILDING DEPARTMENT �'Tv TOWN HALL 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 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 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. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . ,�)tjj9S. . . . . . . . . . . . . . . . . . . . . New Construction. . . . .. .. Old Or Pre-existing Building. . . . . . . . . Location of Property. . . . N .F�.. . .. .. VILW �1� . . . . . . . . . . . J�.� . . . . . . . . . . .. . . . . . . . . . . . . . . . House No. Street Street Hamlet Onwer or Owners of Property.. . .S71 u . {. � !`� . jsT• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Secti}on. . . 70 . . . . . . .Block. . . . . F . . . . . . . .Lot. . . !). . . . . . . . . . . . . Subdivision. . . . 1 ?� �� .l�L�f� . .. . . . . . . . . . .. .Filed Map. . . . . . . . . . . . {Lot. . . X . . . . . . . . . . . . . . . Permit No. . .2,351. lZ. . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant.Ih /L1y �3��. . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . .,X. . . . . . . . . . . . . . .Underwriters Approval. . . .,/ , . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . jm#r Cert,'ficate. . . . . . . . . . . Fi 1 Certicate. . Submitted: $. . . . . . . . . . . . . . . . . . . . . . JUL 22 . . . . . . . . . . . . . ICANT OWNDFS DEPT. LD LO Cs- 258 3 T fig. f-Y THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 2 195099 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 07,1999 Application No. on file 18155399/99 N 487941 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MR. WORYSZ, 175 CLEARVIEW AVE. , SOUTH OLD, NY in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on MAY 03,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS NrCANDIESC Tj FLUORESCENT I OTHER AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METERNO.OF CC COND. A.W.G. A.W.G A.W.G. AMi. AMP. TYPE EQUIP. 1 0 ZW 1 0 3W 3 0 3W 3 0 4W PCC OF CO.GOND. NO,OF NI-LEG OF HI LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: JIM SAGE ELEC. INC. amu.. L L, PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 per This certificate must not be altered In any manner; return to the office of the Board it incorrect. Inspectors may be identified by their credentials. COPY FOR.. BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. =�o�OSpFFOCKCOGy< Town Hall, 53095 Main Roady x Fax(516)765-1823 P. O. Box 1179 - + Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N-7 DATE: l Z. Building Permit No. �l 'G- LS Q Owner: GEP'Nym �A P.l)t�(1�SZ JUL 2 9 1997 D (please print) nn TBLDDEPT OWN OF SOUTHOLD. /`/i Plumber: E',,eae,D A "Ve iv (pl,ease, print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of 1999 NOTgR"NpUCSiayA NQW*rk Notary Public, U County in S Cummtss°"1fieapled 0 "Ik�r� ,ro,MSFRVTCEINC. ERilCEZN ,.:.s 75DUtVTUNAVA'iVUE (S1� b92 : : 16809 D9 '... ,�.... ....:�:APPLZCATIONNo.ONFTLE TDFFN! .:. , ., . uthold f1Dl?RF.SSr 175 f'lynhv(6w 4van'o a I5SVELI TW. Berry GYarysz Fulton Electric-Lick,: 391DE .. ....... . .. :...: ... .was exttmined do713/R7 andfoandto be(ncomp((aucewaThthe NvtlonatElectr(cq(Code XY Jst ..- .,...- DSC Gara e.' ", ... .. .. .. ".. . S .. "Hot Tub "RECEPTACLES FLTTORES HFATERS.: :p'ANS". ..�.:. .. Ci.F.I."" AlIZ COND. 36 : z- DISfJtuSHFR. DRYER CLOTHES WASH. (iAR:IJISP<. "Id9NFE. " OPEN "IWMEDETECTOR ." 2it123OAmP. . . 20rfmP 40Amp. 6 . ..,CBL - �LIOTORS '. .BELL IRAN.. . - : :SERMEDISCONNECT" 'FU)MCE .. OIL . r....... , 4F ,utrs rxusa. 1 200 C1ff . EQUfPMF2J1'. .. ... . , .. _ . . ... - ;;t7ittSide,ltes� 1-26A*p. waterpumP . 3:Paddle,Fans : - lUL 2. 1996 _ HUOOS'SULtA7 HLL1G DEPT.. - f'RESIDENI' T WN' DUItM11 No . � - - ."7llie wsaeace,ma�nmdaatt�edmaaymamter ". - .'. °' .. . .....' Huyatasmaybeidmfi5ellxyB�aedeitiala BLUE bRIOiNnL YELLOW CDPy 'PINK COPY OFFICE" .. : .. ...... M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST { } ROUGH P [ ] FOUNDATION 2ND [ ] INS ATION ( ] FRAMING [ INAL [ ] FIREPLACES CHIMNEY REMARKS. l DATE INSPECTO THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 �L195099 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 07,1999 Application No. on file 18155399/99 N 487941 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MR. WORYSZ, 175 CLEARVIEW AVE. , SOUTH OLD, NY in the following location, ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on MAY 03,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT OTHER AMT. I K.W. AMT. I K.W. I AMT. I K.W. IIIAMT. I K.W. AMT. H.P. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL I UNIT HEATERS I MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. I AMT. AMPS. TRANS.I AMT. I H.P. I NO.OF FEET AMT WATTS 1 20 SERVICE DISCONNECT NO,OF S E R V I C E METER NO.OF CC COND. A.W.G. A W.G A W G. AMT. AMP. TYPE EAUIP. 1 0 RW 1 0 9W 3 D 3W 3 0 4W pfR 0 OF CC.GOND. NO.OF HIAEG OF NI-LFG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 GECI-1 *(SWIMMING POOL) `This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to Have frequent test/and or repairs made by a qualified person. L <<< Continued on Page 2 »> GENERAL MANAGER Per This certificate must not be altered 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. O�OS%3f Mt/( O Gyp Town Hall, 53095 Main Road y x Fax (516)765-1823 P. O. Box 1179 W Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 12, 1997 Mainsail Construction ` P.O. Box 1376 Southampton, N.Y. 11969 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is \ not on file. (Enclosed) v XX No Underwriters Certificate on file. XX The check is (not on file. )$25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23519-Z (Worysz) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. MAINSAIL CONSTRUCTIOC)RP -� CONTRACTORS • CONSTRUCTION MGMn- P.O. BOX 1376 SOUTHAMPTON, NY 11969 TELEPHONE (516) 287-6160 FAX (516) 287-4579 May 8, 1998 Southold Bldg.Dept. P.O. Box 1179 Southold, NY 11971 P.E. Permit#23519Z To Whom It May Concern: Please find enclosed the Covenants and Restrictions for the above referenced permit number. If all else is in order, please forward the Certificate of Compliance. Should you have any questions or comments do not hesitate to contact me. incerA���✓ " y ' PRIVATE WELL COVENANTS DECLARATION OF COVENANTS AND RESTRICTION This Declaration made by GERARD WORYSZ and JEAN FIORYSZ this 12th day of November, 1997, residing at 175 Clearview Avenue, Southold, NY 11971, hereinafter referred to as the DECLARANT, as the owner of premises described in Schedule "A" annexed hereto, (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for such purposes determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restriction: 1 . WHEREAS, DECLARANT has made application to the Suffolk County Department of Health Services (hereinafter referred to as the DEPARTMENT) for a permit to construct and/or approval of plans for a single-family residence, a subdivision or development or other construction project on the PREMISES; and 2 . WHEREAS, the PREMISES are to be served by an individual on-site private well; and WHEREAS, the test wells sampled for the PREMISES indicated a groundwater supply that had contamination in excess of the minimum drinking water standard and/or guidelines of the State of New York and contained excess of the following: N I T R A T E S A complete list of analysis results is attached hereto as Schedule "C11 , and each chemical parameter which exceeds 60 percent of the acceptable level is indicated with an asterisk; and WHEREAS, the County of Suffolk Department of Health Services has agreed to issue a permit only if there be a record covenant that the necessary water' conditioning equipment be installed so as to meet the quality standards for drinking water; it is DECLARED and COVENANTED by DECLARANT, their heirs or successors and assigns forever, that no residence upon the above-described property will be occupied prior to the installation of the necessary water conditioning equipment so that the water, when conditioned, meets the said minimum quality standards for drinking water of the State of New York and evidence of the same is furnished to the Suffolk County Department of Health Services for their written approval . 3 . The DECLARANT, its successors and/or assigns shall set forth these covenants, agreements and declarations in any and all leases to occupants, tenants and/or lessees of the above-described property and shall, by their terms, subject same to the covenants and restrictions contained herein. Failure of the DECLARANT, its successors and/or assigns to so condition the leases shall not invalidate their automatic subjugation to the covenants and restrictions . 4 . All of the covenants and restrictions contained herein shall be construed to be in addition to and not in derogation or limitation upon any provisions of local, state and federal laws, ordinances and/or regulations in effect at the time of execution of this agreement, or at the time such laws, ordinances and/or regulations may thereafter be revised, amended or promulgated. 5 . This document is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. 6. The aforementioned Restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of said agencies or the County of Suffolk to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the County of Suffolk or any officer of employee thereof. 7. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked or amended only with the written consent of the DEPARTMENT. 8. The declarations set forth in the WHEREAS clauses contained herein shall be deemed and construed to be promises, covenants and restrictions as if fully repeated and set forth herein. 9 . If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid or unconstitutional. 10 . Local Low #32-1980 - The DECLARANT represents and warrants that he has not offered or given any gratuity to any official, employee or agent of Suffolk County, New York State or of any political party, with the purpose or intent of securing favorable treatment with respect to the performance of any agreement, and that such person has read and is familiar with the provisions of Local Law #32- 1980 . zui4/401�1r-- Gerard Worysz Je Worysz ACKNOWLEDGEMENT STATE OF NEW YORK) ) ss . . COUNTY OF SUFFOLK) On the P44� day of %oQeX tb 1997, before me personally came, Gerard Worysz and Jean Worysz, to me known to be the individuals described in and who executed the foregoing instrument and acknowledged that they executed same. (Nota Public) NANCY McGINN Notary Public,State of Now No.01MC5020211 York Ouslihed in Suffolk County Commission Expires Nov. 15, -- SCHEDULE "A" DESCRIPTION OF PROPERTY DECLARANT: Gerard Worysz and Jean Worysz H.D. REE. NO: R10-96-0040 (Property Description) OHEDULE "A" DESCRIPTION r ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, in the Town of Southold, County Of Suffolk and State of New York, known and desingated as "Map of Lot Number 18 as shown on a certain map entitled, Section One, Fairview Park at Southold," and filed in the Suffolk County Clerk' s Office as and by Map Number 3388 on August 9, 1961. i SCHEDULE "8° CONSENT OF moRTGAQEE/LIENOR (Annexed hereto) i i i I I LEGIBILRYPOOR f FOR MICROFILM SCHEDULE B _ CONSENT OF MORTGAGEE^^/LXENOR DECLARANT Q 44&4'4 t I ! , i H.D. REF. NO. OR NAME OF SUBDIVISION In the matter of the application of ge4frwp AjTaei✓avert S'L i the undersigned, as holder of a mortgage or lien on premises described. in Schedule "A" annexed hereto, hereby consents to the annexed covenants and restrictions on said premises. j Independent National Mortgage Corpbration A De ware Corporation By, LINDA IRVING Vice - President Loan Administration i 1 (Corporate or Individual or Partnership Acknowledgement) (as appropriate) I I i i I SCDflS PRIVATE WELL COVENANTS -5- (REV. 1/91) i N1A ALL-PURPOSE ACKNOWLEDGMENT LEa�st�� ' FOR MtCROF1LM State of -- County of On 9- ,2 9 9 `J before me, zx ME,TITLE OFp CER- .G., E OOE.NOT PUBLIC' DATE 2. (/ personally appeared °' NAME OF SIGNER(S) ❑ personally known to me - OR - proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), + R•" or the entity upon behalf of which the H°t°m w � caoir a mVea o eomAfxso persons) acted, executed the instrument. WITNESS my hand and official seal. H SINATU GRE NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT TECFFICER y ^' TITLE TYPE OF E PARTNER(S) ❑ LIMfTED ❑ GENERAL ❑ ATTORNEY-IN-FACT. NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR 3 ❑ OTHER: 9�---C 9— F Z DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSONS)OR ENTITY(IES) SIGNER(S)OTHER THAN NAMED ABOVE ID 03190 SCHEDULE (Water Analysis results annexed hereto) HARRY GOLDMAN WATER TESTING TYPE. . . . . . POTABLE WATER (516) 298-4640 ROUTINE MAIN ROAD ORIGIN. . . . WELL MATTITUCK, NY 11952 WELL TYPE. RAW DATE COLLECTED. 07/03/97 POINT NO: TIME COLLECTED. 0627 HRS. LOCATION: MAINSAIL CONSTRUCTION DATE RECEIVED. . 07/03/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY. . . D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 15 MIN PROJECT NO. . . . . 2 (TM1000-070-08-040/R10-96-40) PARAMETER (S) RESULTS UNITS LIMIT TOTAL COLIFORM SACT. negative ----- negative E. COLI. absent ----- absent .CHLORIDE 31 mg/1 250 SPECIFIC CONDUCTIVITY 343 umhos COPPER <0.02 mg/1 (1.3) IRON <0.02 mg/l 0.30 DETERGENTS (MBAS) <0.04 mg/1 MANGANESE <0.01 mg/l 0.30 AMMONIA (AS N) <0.02 mg/1 • NITRATE (AS N) +12.1 mg/1 10.0 LEAD <1.0 ug/l (15.0) PH 5.8 units ZINC <0.02 mg/l 5.0 1 - Result(s) marked * exceed(s) NEW YORK STATE/USEPA limits for potable water. - Result(s) Reported meet(s) (USEPA action level] for potable water. COPIES TO: DATE ISSUED 07/14/97 ABORATORY DIRECTOR ORIGINAL (((/// %WRY GOLDMAN WATER TESTING TYPE. . . . .. POTABLE WATER (516) 298-4640 ROUTINE MAIN ROAD ORIGIN. . . . WELL MATTITUCK, NY 11952 WELL TYPE. RAW DATE COLLECTED. 07/03/97 POINT NO: TIME COLLECTED. 0627 HRS. LOCATION: MAINSAIL CONSTRUCTION DATE RECEIVED. . 07/03/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY. . . D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 15 MIN PROJECT NO. . . . . 2 (TM1000-070-08-040/R10-96-40) TOTAL ALDICARB - ( ua/l ) PARAMETER (S) RESULT LIMIT PARAMETER (S) RESULT LIMIT ALDICARB SULFONE <1 ALDICARB SULFO%IDE <1 ALDICARB <1 TOTAL ALDICARBS <3 7.0 - Result(s) Reported meet(s) NEW YORK STATE/USEPA limits for potable water. COPIES TO: DATE ISSUED 07/14/97 DATE RUN. . .. . . . 07/11/97 P DATE REPORTED. . 07/14/97 R ECTOR ORIGINAL gARRF.GOLDMAN WATER TESTING TYPE. . . . . . POTABLE WATER .(516) 298-4640 MAIN ROAD ROUTINE - ORIGIN. . . . WELL MATTITUCK, NY 11952 WELL TYPE. RAW DATE COLLECTED. 07/03/97 POINT NO: TIME COLLECTED. 0627 HRS. LOCATION: MAINSAIL CONSTRUCTION DATE RECEIVED. . 07/03/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY.. . D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 15 MIN PROJECT NO. . . . . 2 (TM1000-070-08-040/R10-96-40) PRINCIPAL ORGANIC COMPOUNDS - ( ua/l ) PARAMETER. (S) RESULT LIMIT PARAMETER (S) RESULT LIMIT DICHLORODIFLUOROMETHANE <0.5 5.0 M-DICHLOROBENZENE <0.5 5.0 CHLOROMETHANE <0.5 5.0 P-DICHLOROBENZENE <0.5 5.0 VINYL CHLORIDE <0.5 2.0 O-DICHLOROBENZENE <0.5 5.0 BROMOMETHANE <0.5 5.0 1,2,4-TRICHLOROBENZENE <0.5 70.0 CHLOROETHANE <0.5 5.0 HEXACHLOROBUTADIENE <0.5 5.0 FLUOROTRICHLOROMETHANE <0.5 5.0 1,2,3-TRICHLOROBENZENE <0.5 5.0 1,1-DICHLOROETHENE <0.5 5.0 BENZENE <0.5 5.0 METHYLENE CHLORIDE <0.5 5.0 TOLUENE <0.5 5.0 TRANS-I,2-DICHLOROETHENE <0.5 5.0 ETHYLBENZENE <0.5 5.0 1,1-DICHLOROETRANE <0.5 5.0 1,3-XYLENE <0.5 5.0 CIS-1,2-DICHLOROETHENE <0.5 5.0 1,4-XYLENE <0.5 5.0 2,2-DICHLOROPROPANE <0.5 5.0 1,2-XYLENE <0.5 5.0 BROMOCHLOROMETHANE <0.5 5.0 STYRENE <0.5 5.0 CHLOROFORM <0.5 50 ISOPROPYLBENZENE (CUMENE) <0.5 5.0 1,1,1-TRICHLOROETHANE <0.5 5.0 N-PROPYLBENZENE <0.5 5.0 CARBON TETRACHLORIDE <0.5 5.0 1,3,5-TRIMETHYLBENZENE <0.5 5.0 1,1-DICHLOROPROPENE <0.5 5.0 TERT-BUTYLBENZENE <0.5 5.0 1,2-DICHLOROETHANE <0.5 5.0 1,2,4-TRIMETHYLBENZENE <0.5 5.0 TRICHLOROETHENE <0.5 5.0 SEC-BUTYLBENZENE <0.5 5.0 1,2-DICHLOROPROPANE <0.5 5.0 P-ISOPROPYLTOLUENE <0.5 5.0 DIBROMOMETHANE <0.5 5.0 N-BUTYLBENZENE <0.5 5.0 TRANS-I,3-DICHLOROPROPENE <0.5 5.0 METHYL TERT.BUTYL ETHER <0.5 50 CIS-1,3-DICHLOROPROPENE <0.5 5.0 1,1,2-TRICHLOROETHANE <0.5 5.0 TETRACHLOROETHENE <0.5 5.0 1,3-DICHLOROPROPANE <0.5 5.0 CHLOROBENZENE <0.5 5.0 1,1,1,2-TETRACHLOROETHANE <0.5 5.0 BROMOBENZENE <0.5 5.0 1,1,2,2-TETRACHLOROETHANE <0.5 5.0 1,2,3-TRICHLOROPROPANE <0.5 5.0 2-CHLOROTOLUENE <0.5 5.0 4-CHLOROTOLUENE <0.5 5.0 Result(s) Reported meet(s) NEW YORK STATE/USEPA limits for potable water. COPIES TO: DATE ISSUED 07/14/97 DATE RUN. . . . . . . 07/06/97 DATE REPORTED. . 07/08/97 R ECTOR ORIGINAL N s 1 516.298.427E MERMAID FAX 298.3873 rynter sY4terns MAIN ROAD • PO BOX 859 MATTITUCK NY 1195£ August 7th, 1997 Suffolk County Health Department County renter Riverhead, N. Y. :. 1901 Dear Sirs: This is to certify that on .July 30Th, 1997, we installed a Rec.- Pure 10 gallon Reverse Osmosis Drinking Water System for Mr . Jerry Wc,rysz at 175 Clearview Avenue, Southold, N. Y. The Health Department Reference 4 F'10-96-0040. The specific area of treatment is nitrate reduction to conform to the NYS drinking water standards of less than 10ppm. ?'his equipment is installed with a complete 1 yr warranty on defective parts and replacement labor. Ccrrdial1y, J:,hn S_aramU cCi JS/,_r /�� ���9 ��� 575 Broad Bolles Road. U , N.Y. 11117 w L (516)(516)694-3D40 FIUf:(516)420120-US NI3BQ1 IOI 10178LAB N0: 9721530 V Nay GOLDMAN WATER TESTING TYPE. . .... POTABLE WATER (516) 298-4640 RESAMPLE MAIN ROAD ORIGIN. . .. WELL MATTITUCR, NY 11952 WELL TYPE. TREATED DATE COLLECTED. 07/31/97 POINT NO: TIME COLLECTED. 0702 HRS. LOCATION: JERRY WORYS2 DATE RECEIVED. . 07/31/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY. . . D99 REMARKS: SOURCE(RO)FLOW 1 GPM PROJECT NO. . . . . 29 PARAMETER (S) RESULTS UNITS LIMIT NITRATE (AS N) <0.1 mg/l 10.0 i — Result(s) Reported meet(S) NEW YORK STATE/USEPA limits for potable water. DATE ISSUED 08/06/97 COPIES TO: ECTOR ORIGINAL MAINSAIL, CONSTRUCTION CORP. CONTRACTOR5 • CON5TRUCTION MGMT. P.O. BOX 1376 TELEPHONE (516)287-6160 SOUTHAMPTON, NY 11969 FAX (516) 287-4579 July 25, 1997 Town Hall Bldg. Dept. P.O. Box 1179 Southold, NY 11971 Re. Final Surveys&Solder Certificate Please find enclosed: • Plumber's Solder Certificate dated the 25th of July, 1997 • Five(5) copies of the final.survey Please file as necessary for your records. Should you have any questions or comments do not hesitate to contact this office. cerel� ,f,✓J 'Anes D70D M T0UTHOL 3PBCTI N 26POlq AT COMMENTS II II •-'^— � '1� FOUNDATION ( lI -- ---- IIS ---- --- --~ -- - —.-- ----- ---- - -- -- - FOUNDATION (2 DN ) I II td ROUGH FRAME 6 .--- Ir------u rl.uMnlNc — ��-------"ii INSULATION PER N. Y. STATE ENERGY I II CODE I ii FINAL. {I-----._IIGh--Cea-/� . �±d_! `.�._2� •cr-- _- — -- ----- - II ---ADDITIONAL COMMENTS: ------------ c/^- x � -- - ------ -- ------------------- 1-3------------------------------ i off• . M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ vil'FRAMING [ ] FINAL [ . ] FIREPLACE A CHIMNEY REMARKS: e S DATEd INSPECTOR I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: . e DATE INSPECTOR t M-1802 BUILDING INSPECTION FOUNDATION IST ROUGH FOUNDATION 2 . ;,:rdLATION FRAMING NAL FIREPLACE & CHIMNEY z, 0 DATE GINSPECTO ' i M-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ P ROUGH PLBG�� [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE& CHIMNEY REMARKS: 1 ,2, r DATE JV 47 INSPECTOR 7 -1802 l �-5 ea UILDI PT. ��'✓ ` INSPECTION -- [ ] FOUNDATION IST [ GH PLBG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING j ] FINAL [ ] FIREPLACEEJA -CHIMNEY- / R ARKS: e� y e �— � 69R � DATE INSPECTOR pppp- A35/7,11� 765-1802 BUILDING DEPT. INSPECTION [ ] FOSMIDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ } INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: a� ' � s DATE INSPECTOR M-1802 BUILDING DEPT. NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY )� REMARKS: lei DATEINSPECTOR 11 MA TNSAIL CONSTRUCTION CORP. CONTKRCTOKS • CONSTRUCTION MGMT. P.O. BOX 1376 SOUTHAMPTON, NY 11968 TELEPHONE (516)287-6160 FAX(516)287-4579 February 10, 1997 Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Under Construction Survey Permit# To Whom It May Concern: Please find enclosed four(4) copies of the under construction survey for tax map# Dist. 1000 - Sec. 070.00 -Blk. 08.00 - Lot 040.000. Should you have any questions or comments do not hesitate to contact this office. incerely, J o�oSufeo -13 Gym Town Hall, 53095 Main Road y = Fax(516) 765-1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 �Ol � dao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 12, 1997 Mainsail Construction P.O. Box 1376 Southampton, N.Y. 11969 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23519-Z (Worysz) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r ... RECORDEa. + } MYI-P O HEs,. 98 APR 15 PM 4: 37 Number of pages J E0 WARD P. R TORRENS CLERK OF AlNE Serial# SUFFOLK COUNTY Certificate# Prior Ctf,# Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps ny FEES Page/Filing Fee 1 ._ Mortgage Amt. Handling _�._ 1. Basic Tax TP-584 2. Additional Tax _ Notation / l Sub Total EA-5217(County) _ Sub Total Spec./Assit. or EA-5217(State) Spec./Add. R.P.T.S.A. �._ TOT.MTG.TAX _ g Dual Town Dual County Comm.of Ed. 5 . 00r Held for Apportionment m Affidavit +ppj�, y Transfer Tax _ Certified Copy f7� Mansion Tax _ The property covered by this mortgage is or Reg.Copyf ] will be improved by a one or two family Sub Total �C 1 :C) dwelling only. Other YES or NO GRAND TOTAL .i� If NO, see appropriate tax clause on page # of this instrument. ,tapM& Real Property Tax Service Agency Verification 6= 'Title Company Information r'1 Dist. Section Block Lot So8. 00 t� p0 070.00 O 8. .Co 'Company pany Name Dated ( i FGIBILTTY4� o2 7,,:5' FOR MICRO M Tide Number InittalaV FEE PAID BY: Cash Check Z Charge Payer same as R&R /770 �� �� , qr if digerent) y NAME: O� a ADDRESS: RECORD& RETURN TO "T (ADDRESS) Suffolk County /Recordin &/Endorsement Page This page forms part of the attached��il� ra u /� C "o/�l z'r 1F made by: //�� ) (SPECIFY TYPE OF INSTRUMENT) (3--e it( v-K CA q— e OJI-) The premises herein is situated in 00y' `/ S Z SUFFOLK COUNTY,NEW YORK. / TO In the Township of (j In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. lit MItIt IIP IU.111,111 FORM NO. 1 J SETS OF �ANfi . . . . . . . . . . . IS lvJ LS "['OWN OF SOUTHOLD SURVEY ✓7 . . . . . . . . . . . . . . . . . MAY 2919A6 1111I1.1)1NO DEPARTMENT CH9SEPTIC RM . . . . . . . . . . . . . . 'TOWN IIAIJ, SEPTIC FORM SOU1'11O1.N, N.Y. 11971 B G.DEPT. TEL: 765- IR02 NOTIFY: TO FsoLu HOLD (;AI.I. 19` ` �J MAIL TO: 11.`A'lh��{4:+)LffCGAJ.`�112LI.0 Appimel . . ... 19A Permil: Pkr. .`.".. /( .f{. .X..� .�1p'.�......q.'.`q. . . . NisalifnYrve arc ............ .............. .. . .: ..7Ji�')'VlQllYUl. . 1�1�..��.I1,U. 1.. . . wilding Inspector) APP . CA'I'1 ON FOR fit I.OINC PrIull I' Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS n. ibis nITI ientioo oust be eanpdelely fol led in by typ,or iter or in into nixl solnniLl.eil Lo lire Bui klieg Inrpector wi ,l reLn or pi aur., accurate plot plan to scale. Pec: according to sd iedule. It. Plot pin" Wining locrit-iar of lot: and of buildings of prenises, relationship to adjoining premises or pdrliv .streets or nrens, amb giving a deLailed description of layout of property swat. he dram on the ding ran which is part of ,thin application. c. The work c(mered ty this appl icat ien rvry 1101, he co11TV110Ed IWbre Irmxrix'e of Building Permil . d. llpn approval of Otis application, the Building Inspector will issue n Building Permit. to The applicant . Such permit shall be. kept or Ute prenises available for inspectionthroughot the work. e. No building shall he occupied or used in whole or it, part for arry purpose whatever until n Certificate of Occupancy shall have. Ieen granted by Ite Blildinl, inspector. APPLICA'I'I(NN IS IDRRRIIY MADE. to the Building Btparbavint for the issunnce of n Building Permit purrtwnl to the Building 7exx� Ordinance of file loam of Southold, Suffolk County, Ncua York, noxi other applicable Laws, Oidioauces or Regulal.iour, for Ole construction of buildings, additiols or nlleraLicus, or for removal or deml11ion, an herein described. 'life applicant: agrees to corgly with all applicable Isms, ordinances, building code, housing code, my] refnlal ions, still to w1nit nthorived inrleclors on penises six] in building for hoecers:ury iospeetioun. . f/ (Signature of applicant , or oowre, if n corporation) (Fkuiling fiddlers of applicant) State ndretber split icant is owue.v, lessee, agent , nrchilert , esgbxi er, general contractor, electr icimn, plunix>r or Iuri Ode .... . ... . L41.f...�. �.... .. .... . ........ .. . ....... ...... .. .................... .......... ... . . ... ......... .... .. .. Nnsv of ones of premlrer n.�C.t.S�l"C'•. f'S -�3.i'—�TC ..... .. ... .. ........ ........ . ........... . ....... . . (as on the lax roll or Iniva deed) If aprylivant is a corloral.ioa, r,igrmture. of duly aullorived officer. .............. . .............. .. .. ... ..... . ... ..... .. .. . .. (Nawar sod title of ronlorate officer) Builders license No. 15,701 �..-�. AL. . .. . . Pludierr, License. No. ....�r�.s ......... .. Rlecl.riciana license No. ...... .. . ..... ... . ... Other Trole.'s license No. ........ .. .... .. .... 1. location of. Isaxl or which propored work will be doe... ..... ... . ...... .................. .......................... �Pq�v�.Cvo...AvG. �,L-T of .... C Ikuse Nosier Street Daudet . ................... ...',., (hunly Tax Msp Mo. 1000 Scclion . .d..V' vP. . .. PF� . OQ let G ISI (� � . ... .)1,I<x�lc .... ............ Bilxliviaion ..��irV!e*)..C. 1� ........ Filed Map No. ;�i�.. . .... lint ..�.T.... .. ... (Name) 2. Stnle existing use mxl occupancy of pinn/i'(s�es and inteudepan ld use and occupancy of proposed consLruct.ioo: n. Exist inf, use mud occupancy ........U.�C4/.cH.P. L,fr�� .. . ..... ... ............. ....................... t. Intended use aril occupamy �U '�Z?\2 ...5.!�(? ;C. . �(fr:/. .&SUL' , � �..-C r ,ice,. Ion$O'a(0 fr j LlIole o!` %Alit( (chuck GAuch � UUCH 7aliclbfi�i e.)..:.. N'F Ikfildi(I.S .. . .. . tiololrion .. ...(.IkAlleiracrijll.lifi.xo.i:n): .-..-.. Ikyulir ... ..... 4IIIrvn . ... ... . .... Mier lJnl( . ... ... . ... ... isLillmled lcsc .. . ..8DI .... . fee ....--.... .........' (UI Ile iwid on Mini, thin FyrplicafionY!, If If tA'Illin fenlilbel of rind ..�/.�./.�. . IAaLer' of (1weIIInLS units (ll each floor .... ....... . . . .. !l. !. / tl?o. .1.9c.. .... . . .. .... . LS b'. 1 a If Ix1a1t1eHa, IYlnlel'CIFII or mixed (x:ailMaxry, Hlx--c.il`y,nature allot extent. of each type of une.. . .. ..�.. i.... .. ... . . Ika6) , .... ... .. . octal . nay: I(lont.^�lF.ra�.• . . . . . . Itear `.�... .. .. . . Depl6 .. . . . . . . . . . . . ... . lx,llflox ur uP exist int; HL Tlxal❑eH'lll r`l M:1' <1I° til(If 1(:H . . . . . . . ... .. . .. . . Nillmovi(os of one sl ala are WiIII Flit oral lot it] or flkl 11 ions: F1 oat .. ... .. . . . . . .. . licar ... ...... ....., [)(!Ill It ...... ...(........ .. Ikaij Jkc ..'.... ... .. . .... .. ...N�rdor of filoriee . ... .. .... ... .. Dinensi(os of: enl he frwl float rlla i(q,iell ........... f ... .... . 1: FI(ot . . .. .. .�-1:�.�. . . Itoio. ... . . .>�S./.... Ikaplll ..J��.(. .. ,. . lki .. .. ... . . . Al or of BI of ies . . . .... , . f;ize of lot.: Fr(ol. ../.0/ .... Item .........r(�(... . . . Ik�plh c.0 . ... ... .. ... Ikde of Nlrchase ..F.l /.(.�4..[!. . �,(. Mille of Folnru Wirer . (.�(. .✓� .... . . . .. . Ikx+� flru x�x:d lc(nml rrxa.ialio iolaate rain are sit uaL(�d .... ..... . ... ... ... .... ..... ...n.. .. .... ........ . .......... . . . t Ay// I 1 ily uXIIII8 If", ordinalx:e or relSulat ifo: .. . . ...N. ....... .. ..... Will lot. lie legrazkd ... Will excess fill Ile ralrrved fixit pr aliseH: YI3fi NC) /Gnt� Y�21Cltt �..fYKI OF 11 ?0/ a'/ / l n � \ '. .f,E�L. .OU.!^ $�!I(klresn .. V t( ll it 10lo47 Mike Mile6offArtl IleeL 'r(1;,L1.'l:yY';(.�F�l.� �"`� �.. .. ...... ..... Nlillesa �{VV(l$!y',� .. . 7Jllk. /Ul �I3 /1�n 11/1 lie Nca. .h.. F.�.... Nam of Owilroctur ..4.1.`. !Il.` Ili IbisIIrrI Y ax:rl Within 3M feet: of If tidal wetlatyl? x US) . ... . . . ... NO ..X . .. . . AIF YF8 :;(Xfll Ylll) "IXAM 'llaislil! wl"I'I' MAY 1413 RIgpilwi). PLOT DIAGRAM Irx:ale clearly allot distinctly all I)oIldini;a, (dretller existing or plolosed, coil ilxlicate all cel-back dinensionff All prolorly Ili". Give ncreel. 111x1 1)1(xic ul.fiier or dencripLion nccorcling to deed, aril sh(na aLreet miles mill ifxlicale Mier interior or coiner IoC, V i1 \'Ili W. t814 Y(AM, � /� !q . w V` . .; 7fgp . ..... . .. .. keilig duly :morn, delor,er, mxl frays that he is the opplicaul ne of ilxlivldual si min. con(Incl) Ive ooly.!d' O C( . . . ... . . . ...ltacLnl q;eut:, corlxirale ol'ficel , cle.) nail ("ker i, Flixl Iti drily iH1111Url Zed Lo lierlooll of have Ix:rloolkid the nail) Goal( alxl to likiloF: cool file Illls dication; that Fill slatefientf; (onlanx`(' in Illls nppllcatioll ate title to file ilcst: of hill luxMICdge 81x1 Willef; Fnxl It the work Wilt lie lx:rfotm:d in the fil:aior net foflb in the applical.ioo Filed IbelcwFith. nn to hefofe ne [Iib; ©© . ...��.. . . ....day of . .. . . ..', 19. .1 ./ U aly Htblic ..... ..... . .. . ... ROBERf(I, SCOTT,JR. (`'iR"adu'e ul' Applicant NOTARY BIC,State of N,Y. � No.47 $089', Suffolk Cou Term Expires May 31, 19p THESE DRAWINGS AND SP$CMCATIONS HAVE BERN PREPARED BY OR _ UN= THE DIRECTION OF THE UNDERSIGIIW. AND TO THE BEST OF _ THE UNDERSIGNED KNO%IXIDQE: INFORMATION AND bB1d'SF M16BTS RSQUASMBNTS TO THE NEW YORK STATE.BNEROY CONSERVATION 1 ' THE NEwwRK NG CODE. FIRE PREVENTION COD$AND Tf*NEW YORK ST 1 I I A II I --i/��'+► DATE- ,s� 1 DO NOT PROCEED WITH wDDlppnEes � FRAMING UNTIL SURVEY 041 �� L ` OF FOUNDATION LOCATION -- - — r C10 v HAS BEEN APPROVED. /A NO NOTED _- - QI ._ _._ -_ - - -�^"'=�° - - — - - '�--- - I � x,LNI' FATEJ:Q/`",,,� ,� � �a7Q b ° d'� �' NOTIFv EUILplp6 DE AT O I PROVIDE OPENINGS F+7;Z �1�� ' .�W- �i1' I OCCUPANCY OR 785-1802 8 AM TO I FOp THE f.�'ERGENCY ESCAPE �'S +� FOLLOWING INSPECTIO S: + p 1. FOUNDATION - TWO REQUIRED RLOUIRED ATE BY PART. CO a ' USE IS UNLAWFUL FOR POURED CONCRETE — -- N.Y. STATE BUILDING COU J� 2. ROUGH - FRAMING & PLUMBING \ II16 '- 3. INSULATION j 4. FINAL - CONSTRUCTION MUST WITHOUT CERTIFICATE ll-\ Ipl�- I I I I - - �,I{ BE COMPLETE FOR C.O. V 1 V u .t.: A{r ALL CONSTRUCTION SHALL MEET ' 1 1 I i �� I i O OF OCCUPANCY THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION II ENERGY i _ 1 P� 1--.J i' \ CODES. NOT RESPONSIBLE FOR 'I ' ' Q / _J II DESIGN OR CONSTRUCTION ERRORS 1 � � I 11 i 7- V1 ' HYD - PLUMBER CERT/F/CAT/ON j ON LEAD CONTENT BEFOR 9. N ooppn Ulblrp y Ia�d CERT/F/GATE OF OCCUPAIV y ftw 6it1n0 SOLDER USED//►l VyATE _ ��%WK or L only b� SUPPLY SYSTEM CANNO T / \ abPaKorLon ""i /Z I M �G� / EXCEED 2110 of 1% LEAD. G -{�, ( 41� PLUA4811va PLUMBING I 4 I -� � ►'VATER LINES NEEP 6 r 1 871NG BE 7 v' L• RBVIDE ll NR. FIRE (�} �f 1 �� I _ • 1 \ FORE COVERING TED SEPARATION TO i I/ I �� ` �' d? � DIRT 717.31A Ffl"�— IL_Jt ��7, — N.Y STATE BUILDING CODE. 1 - — �,I I PROVIDE OPENINGS FO - f -n &. t /�2 y' EMERGENCY ESCAPE — \ EQUIRED BY PART. 714 r°'"RDE OPENINRS fOR I Y.tUITE BU "" rSCAPE AS ILDINC COOS. ---- - ore��y-t�I�irARTJ1M1_ --- = o - ', ; - 1 - t� ; , - - I 09 12 ♦ - ; r I pp qlImo' I �+/ I `1\ , , 1 'I ; �� , . , ��� '.'._..t---.,_ \ I e =— ' ../ ✓ I! �1 . I r r I i f f , - }W' tel 1? II Q : e _ _ _ r i % I , . CDesi n Consultant 34 Washington Avenue, Amityville, ) � l�U Q I I _ egim New York 111`01 NN tole/fax (516)7 -1378 A L Clifford O. R4sid, ArchitQct. „ � ,` I r _ T. SID I V I �: ',7 ✓ - , 1 d dun - ahk oml • o o. ; fid, I I< { k project name s � f r 11 i floe of drawl = ---- 'L-44%.- 1 dwg no..6, q M M U Y V I14 I I I I I -�=yam 1 --- I=j*�p rO4 2J y��d _- 52 ,.„ `.w.. df _ til tld X21 ----__. _— . , _ - ---- [Design Consultant 34 Washington Avenue, Amityville, New York 11701 tele/fax (516)789-1878 '�r' .�: Clifford O. Reid, ArcF�itect. i ro Oct name Sp66 ARpyofiC� 7cj0. 02 pQ� — — — --- — — — - — — I��R-"&—L THIS IS TO CERTIFY THAT THESE PLANS HAVE BEEN PREPARED IN-ACCORDANCE WITH THE NEW YORK sCA 'TH9 4; 44fi DMNSzosas AU x,�, To THP FACE STATE ENERGY CONSERVATION CONSTRUCTION CODE w Atz of s. as $� e�mr�aR ac att +s, pb(*6, ,gp�s s ro > *tctlb fts rc ' 3r ibR wnzs BY COMPLIANCE WITH PART (5) SECTION 7814 r , 1 W 11 . ' I C QMPQNENTS � rnnF u3/4 R PROVIDER ROOF/ CEILING 19 - " ��r' WALL AREA 18 FOR AREA 19 \� GLAZING �$ I 1.7 �r2,G_ t k �L DOORS 2.5 � PQM +4 �T I T " �r - PBR TABLE 5-1 NON-ELECTRIC COMFORT HEATING, ALL HVAC AND PLUMBING SHALL CONFORM TO THE I " ` REQUIItEMENT OF THIS CODE. = j h � u ✓ u^�, �I'dls t I r'dF er�Y �,1 r 4 a 4 . a��._. '_____ _ -- -- r/�� _ — _ _-- .y r ° n dYAkiyM1 �@"P' 1V��'"a� y}$Y��vh.l dfw i(� I fi3 �•�$x{1 � ,P''��� j�, 1� ���Aa� 1,4� �'� �1 �,�k��1 � —_'f�.>.__1-istYr4"al'�— `21i3_Ti�� I -; .9. bre ' $x.�',. �` ,,, . - ' ;b . < •i `� ,I n" jp„ I I g� r ..� r� 6 s 1Q� fiy,Mf;t4 i r ,.I �,fi�'�7Yk n'r,Srt ✓Y°R � i�- y .� t �1 Vlril _._— �..�.,....._._._�_ �. _ �_ — n� sa E C r I ! — � „ I _ ,tr ,ry �. V � i,,'. % i 1�. I F^' R ell . 5 n, +} ,N ��� -✓ `•,h e 4 ,-�'� f " !� p �,ti� �i� : Bbl � " � A �� a r w @ �M a 4 }pip di4 a{ffi.- r,a. r� ,# + � � A� .� rP r I I ,,,�, ,�,y ��� ,� l I $, ����•• L — d. i }ii II 11 -�rFF— rtn� ., i 1 _ WZ_ - - �- - ,� � ,� _ I [Design Consultant 34 Washington Avenue, Amityville, New York 11701 'tTC Ir�; ULn'rll tela/Tett (516)789-1378 Clifford O. Reid, ArcF�itect. a ! I job no. mm qo adc bn .o. project name s o , sr� 025 w @l.tV \5, \' � r`'l9 p Yy��,a 1YYYe ...` .ta'TEs: _ kiXvvr; ' THELE ,b ..f0 SU Lp►.LE WIcTE� i 111rjp1FFs1 wYT..f es Soo of T\i Ls. T ►4tGr., 1 1=i <owsP„ y�� -y� E��iL./ MT.ueaS ARt �N SVt DN�Slokl 2.4� SAuOY \.o>t'v ffi1. .g 14So • L-oR. ►�- Q ►T\J F\, � 3) SV FROL_KcoVu Ty Ta.K HpP . �r.l A\SYS \ 000 - �J E'L, a16,a0 ' . DEPT, OF gVK� 06.00 - VOT o #o, 000 e-3 SKnLO�+ $afBOrOZE.`S 1 WATER-RVpj- yAND SEWAGE i, CONFORD$•3WIMNEW DISPOSAL SYSTEMS MUST Rnwou..► uR..cRz_ STANDARDS DATED NOVEMDER 13,19 S. lda d 't•= 1._G C4 L.t.Si N � StD (14'!'A nfT $fpr= `ef4�i ItT. , kill 7 0 n N Ak' .� 1_RET ,D ev A 0A .Q Sol. e6 \tV rw♦. / i_cr t!\1 A Af 0 � W Y DD lD b W yes �� \v rl,v ' ^w (. ;at ar f � S M ,iy Ma pg., aosty • %rr ao� oHM t z 4HE 1 r' T , ax`at 4 eaa a a I ay1p 4 E .yD '� .Tn• ,� CLF- 1HEHR, lot .04 WILrV4 0 . 1 • HR. to r �LT aw Na _ �$O wrD� nd 90 L W !tel r'r—,��`•� '^O� �-.��4I`wR,q A 1 of N Ey a ate. AMI pa m US X. ,.0� as 4 �* VOT • W G + ae rt • 1 ? y' a od a? No.OTC fn � sur \FESSIOtdP�\'h� _ 'NOM FAM" E`1 !M0. wIITM TKc °ST\N01,w91 LOT * I B APPL\G►NT `. rpa0.o4A V oo p..►R.R s ARiD LoutT WCTRo..\- oRo THE P96P OC ^StcTLOnf ONE- 4E P t,RO WOicV St SC VJ A4f. O\S Prnw� SYSTEMS Ftit bL Ntx Lt- 1 FA\RV 1Binl PARK` 4 FG\.\% V,wlL� A6.Ot. t1►r� 7y3 B$ - G\V'60 AU 4. 9, \SW ►M\rYR %\ S. N4 l\101 6Y THE GON A\T\oup SP.t FD0.T E.i rM6w.i♦W (4TiJ►tE D 'hT pM�' ur�i THIS'1Pt RVEL15 FIA pu0 ON T�.E PEwM1T TO Lou ST wclLt. Y lS THIS SUp.VE9 IS A VIOLAEIOPI OI t?ti`1'T`H QR vI BION TrIE NEW YORK 57ATf qP P\\4tw T 'y \R N►TU WE COPEDUIS Ory HIS 5 ` Y COP IS Of TNrs vnvfY moP DOT oFAnrtic _ 3 �S Fte Cra.K c-40 v"T Ne r �' ` • TME SEED SEAL STATE s OT I SEAL On TMRG55ED SEAL SHALL NOT EE CONEIDfPED TO BE A VALID TRUE COPY ' y U R,N E y o-b 5-c GUARANTEES INDICATED HEREON IRAN DUN SUFFOLK COUNTS DEPARTMENT OF HEALTH SERVICES LrQ♦�L\.S '(•\'i1 M,R,L `,,4j, ONLY TO THE PLnfoN EOR wxoM TUE sunt/ T 15 PREPARED AND ON WS ESTATE TO THE Z'1 ARty\NI E,Vra%\\-1Tc TITLE COMPANY i GOVERNMENTAL AGENCYAD PERMIT FOR APPFlOVAL O3+CONSTRUCnON FORA -$LVE ROtbo'c, W-4. III LENDING INSTITUTION OSTM x[Rfon, AND S GL FAIIE9.7 PLESMENICE ONLY y 1 DO THE A59GNEE5 OF THE LENDING NOT tY p�.L� j, V i—Z 61 — 'AAr� �`l�Za1~ DERPON. GUARANTEES ARE NOT TRANSiERAi 1,T 4[/� Q Gq/ +"rjLhl..E %M_.% - AgTE APSR-\L. ZO,ii4VmDADDIIIONAL IN5TIT11T101JS OR 5VD5EOV ATF �� ( `' gLY TFv'F ?jo, /`/�' /�—�D�O TpyMJRRS. yy���1 PPROVED (yUrL¢A.�TEEp TO'- CyER A¢D {�. ,�EAW WUQ`{SZ FOR MA.XOF EEDROOMS To FL a ST AMEQ\�4R..\ T\TLE \u g. LO. aP N.4 EXPIRES THREE YEARS FROM DATE OF APPROVAL - 6.RR A. ZO,'LOO' S ..I _ -, - , .. . w 0.V'a•T.:a;Sc. iEaAW I ELGJ \S , \ NOTES: A] TV1E¢.E IS NO yU RF AGE WATE4 I'-i Tov SosL ""Tw\a.a SOe of Ta\ sS lARGGL , Sam 1� E�E.i AT.�uS 4¢G swa SUB OCJ\S\owl 'rj — Yj SU FFO U\2, GO`� N TV TAX an CP R D\yT, \ 000 - 6EG, 010,00 Og, Oo - LOT 040, 000 8-b Sa. ub lOT9F �. 1 \ - r J RLS �-T*a v-O Go am 3E VI 3 c CV Ar_,tiT �- b bu0 0 '�• ' TEST l-10 � E yB'ZZ_ VUy S q �I.ppr 1? .0 d rig 7 � � Q J LgT id 19 •,w� w U (VA : O O �Tyla ° Y r /h 1 o t a Y Q f I `I SOT}11 . 1 w T �Fv W 1 ST j 4 qr 4 f i - Fo� O ft _ ao as •rY � 23. - Ra 61 6 4 dyb d m � r 1 Cn`se I10. `o. •A°ya Qaj, 00, qy •Yf _ GEAR Vi' Ip 1.00 wE" ` eq w•' q t l5o'W1oE, �,eo s4sV �`•:,� -o_ � _` ,sem AVE N d OF NE�y 2 bT ] y.�P r�C15 x. 0.e• t. ec0., LbT � "Ie.L d W 4� f e "ce it • 10 a 'm 0 J N nP No.049 O5 `\n �- aT 0.•Y`e a,. ✓ �Ff•TSIONP��-P� `�_� � T -� S 4M FAM\�1 �4 W \TM TyE "ST•Lap AROS LOT IB - APPS\L AwaT ', APP¢oVAI OF fL►waY 4w+O L�a.ati<nU Oa.a TME Y14P of " SCOT\Oa.a O1a E.- CaERa.RO A•]O0.VSL SCv-144E 01S PoS P� SYSC EN\S FSG. Sa-a1�LE- FA\ R. V 1EW PA0.K" 1FC�,% DACE Fi.h\w.l RES\blu cGSAr+n w\�� ,A6sbE FIEE � S3 BB - F ,IEb AU 4. 9� \1a.1 AM1CyV1tt_E NY 1\l01 DY T4G LON D\T\ouD yeT F02T a9 TyE4E,Y S 1TUI�TED A.T P\\� ,.Pa.ik_7.-:$r1�.{.I�x o. .mn,o,Aub oa-a T4E PER F+ r< TO Lona ra uns suaver s a v,aunoY a SCR06T . Sc) V T H O L It> LLcnJv ]]o a Lr : ¢ urW YCI% PAII 6 T P L\C INT r TOW '.A OF SoU-T OLCO r CAIrOMLAW. 5 s\ N►Tv¢ E 5l3FFO � K Go con ' orl�rlSV:VF. M ' "-, R„„, 10 Q A VAIrO i¢pF [On SU AV E YE D B K cr.urnrrs nn¢n-m m.r,.r sim vu. l,/�' �j� �� QRC.-�uS x. Ke.RL,L.S. oM„o rNr resav r,S IF-1111 slt it ART MJR A.V EaAw.16 a mr..no A. cw ru: ur„v ro nrt nru counr,r cLVoullfl 11 ALwcr/.W OLVrc PO1a•aT f.] •Y- Ill\S 1. T+ll rvv,r,ninrr u.r^ 11-, Aeo PaiOuE 3bS -i E91 - FAa. D1-S-7,B1t ronu RLOAPT osnrt [r. IIIA MrAN 1.1 At Mf6 AV! NSI RANsr[¢A@ SL'a"�E �+'40• - OP,TE APR\L201 \�q4m noomor,u ,wnsmrrc c: vu,or,e. ST Aa=E otiaT PcoOO SEO RES, NOJ, 4, \9q°f"�°6' LO CETC Fi 5. Uu 0ER COM iTR, oEG. 'L\, \9 Q,V C1UAQ4rJTEEO TO': GrER Aitp Q. SEAN \ruo 2`( S-�• CTD : F\ RbT A1-\EQtGAs-rT\TL_E \N y, Gp, OF N.4 ' QE A;= lOSZoO S9, Pt,� ,wloa`(St, 4Sc 4RAW i Nofl S+ ES-lV \S. \ \� TNECE IS VD SV 0.R AGE WPTE0. u AT wvu poo 00 Tw\'a t• ASLG4\., lov. sos� NY ►TEIl S-S5 ►Iae sss SuI ON\S\o>, limos►•- o ►Tu M, 2-4� SAw•O `f �o►r\ L.'ej TAIL " UV'• � Sec. o-1D,00 � 7b s_vt, 06,0. - �.oT oao, 000 .j 8-� Ssn+o VeT;� t ' Y SHS 1 _Y JwZG0. ♦y 'l M CVR'si.A wr p' = 1A-G co s,P SE l '/°o uo p.E. i �' } ►ue h � � AS 1 sC}TE \yA 73-aZ l0 S•[ Fio �E � 1.00• ' l' No, Tt.h1 O �Lh Q ° W � � w, Q j o N f L-QT 4w Cv Ft 19 `e� lg N N ° .. V7 3 \tet IM O - G. Jay le t s-o,1; tE to W v r •� JJ. r C-3 0 '• x y� `zY. •�' 22.9e a s, Jss,Eo w 7 tl Svploll'. 1 ,_ jh. INtT- 'A, — ` w ' cLEAvrE rte - ,y l ^.l wl. ll,So,wl `»0 �eTE Zo 0 I 7 WGIs. Q W �N W al�T.i ca. .� wTtb Ll • W ° 3 O If! LEE ♦'� 5J �vF ��_ ilI T tl � sID2 SIONON. S Ar\ FPM \u ►0. wsK4 THE - /,APPLAC►w\f ►r>¢oVPL of r�►w1 Sw0 LOT OF I (jE.R►4-O °Jg0.V Si SC VJ,t f�E 01>POSPw SY6t6My Ssl"I V' ols THE NAP of °5ECT%Vh ww6� -- ►\FLV IEV./ PAP.V..' 4 Fa\-\x lVPc4 FAM\�Y 7i Es\olu cG 14 Awe - F AY\ICV V Iu..E N4 11101 6Y THE Goss O\T\ossp SET F f\1-F #' 3188 F\VF.O AU 4. 91 \9/r1 Pq; g47-- B\Ib Auq ou Tu.E pew. 'N T9 Goss STFV - 5\T V►Tq O x.,T JNANIDOAIEN AIIE.+NON os AD FloA I THIS MOlYl IS A VIpUI.. OF $O \JTHLO sW,R,F ,Ev .1TNF ,'WlollIIAx O4PPLvotssS�S S\4N►TU7LE roLJ1d OF SOO-rHO\-O EDUCATION LAW. COPIES Of SUIS SURVEYOR'S MM NO, xV11N4 tt •Y . 'S INFF4 SIAL 011 w+iMAMSV H `4 C..1 E IAND s.svevos slsFFo �rc cou T C R IOSO;SE A SVAIIDEAL SHALL ,INFV0Y IF COPY CONSIYF 4 S U RJ F Y e t, SIP( OVAQAN,xs INDICATED HERON SHALL I N � y,� "Yy.rt9AlA WOM WON FR4sJ GIS ll.KAsi�L.s�s•S, ONvv,O 1.IDIS..Fes...lHEs F, M.� F ;t•#V-•� 2-1 AR-S M\.)0. AV E14\-)I. Is PECOMP AND ON NIs NTAI To T M1�(. lTF C. HEINY.GOVDINy" " A' A' WINS TO THE INSIOFf ON NSHID DNDS-o • AT' R F7lx 3V3-tE•.TL TO iXF As51GNH5 Of THE FENDING INS 1 PMOI-s E 3 V 3 -Z 09� ' lNeslsrtAuxnD.as Y mnANz1SXDISF x 20, 9-WA'O.mY.NAA 07ATE IkIP ShcR117 17�}YiMj' 3�GA'p.4C t;.MhzsG{fdi�x7lx°�IAb }[►SLE ouT P ¢oPe DEP 0.15, NoJ. 4, bGlbb moo,-►yl 0.i5. UeFDER 4oV QTR. 9¢�• L\� \4 itF F„�>� S�•¢J ESC s-v{Y 90, \941 GUAa GIJ7EEO Te' GI ECC A¢O .SEAN W'D R�(S'L 7; ACbrAc,43:,iY�dGY 4 To : FI % ST AMERtAA -T%7v lsa S. Co. of N.v arm orwatawallrww"wm