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HomeMy WebLinkAbout23266-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24998 Date APRIL 18, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 640 PARK AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 7 Lot 11.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1996 pursuant to which Building Permit No. 23266-Z dated FEBRUARY 28, 1997 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE AS APPLIED FOR. The certificate is issued to ELIZABETH SHEENAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #12905 - SEPTEMBER 6, 1996 PLUMBERS CERTIFICATION DATED N/A Bu1di Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No E-24985 Date APRIL 18, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 640 PARK AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 7 Lot 11.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1996 pursuant to which Building Permit No. 23266-Z dated FEBRUARY 28, 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 ACCESSORY POOL HOUSE WITH GARAGE (NON-HABITABLE) AS APPLIED FOR The certificate is issued to ELIZABETH SHEEHAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #12905 - SEPT. 6, 1996 PLUMBERS CERTIFICATION DATED FEB. 21, 1997-MATTITUCK PLUMBING & HEATING i1d g 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 AUTHORIIZ/ED) 421Date................ ,°••v�6�............................... 19.../..10.. NP 23266 Z Permission Is hereby granted to; �^ ................................I...... h � Trl�'c2li err .......... .. .. .... ............... to ...Cdwwaws............A ........c .....��> C/ O.n1....../ 3. ..../ ?!!�......... 'L,...... ccso..�c�....... ?N?.. ............... f....... ...............o e— .......................................................................... ................................................................................................................................... ......................... ............ .�1S i .........................................................I...........I...... at premises located at...........4(. 1 ......./..!1�.r�/ ...... /! ............................... ��� Cl ........................... ....................................... County Tax Map No. 1000 Section .....ea:3........... Block.......;7............... Lot No. ... �.. .... f� pursuant to application dated .....15124......... .........................1 19....... ...... and approved by the Building Inspector. �q� i V Fee S......9...,..' . .... .....l?Ing .................................... Building Inspector Re /36v 0/8_0 I n(6 it TOWN OF SOUTHOLD } BUILDING DEPARTMENT 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 Buildine - $100.00 3 . Copy of Certificate of Occupancy - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . a Y.p1. . . . . . . . . . . . . . . . . New Construction. .. . . .... Old Or Pre-existing Building. . . . .1. . . . . . . . . . . . Location of Property. . . . .uJ.40. . . . . .. . . . . . . ...Roo�{.t1.V.CR�V . . . . . . t� . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . �= 4.12/ f �T� IA!Fe�—;r{At-j, , , , , , , , , , , , , , , , , , , , , , , , , , County Tax Map No 1000, Section. . .17r?->. . . . . . .Block. . Q..1 . . . . . . . . .Lot. ltl. l. . . . . . . . . . . . ... . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I. . .. .Filed Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No 3 �� .Z:. . .Date Of Permit.�s4. �4J�.� Health Dept. Approval. . . . . : . . . . . . . . . . . . . . . . . . . .Underwriters Approval:!` PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final rCerticate.!� . . . . . . Fee Submitted: $. . . . 5 d�. . . . . . . . . . . . . . . . . HARO1 COUNROAD 485.INC TY ~, P.O.Box 1441 APPLICANT JAP �V9c� �. �c O--SI) c o o2Y71 1ATtaUCK, N.Y. 11952 Form No. 6 TOWN OF $OUtHOLD 6 BUILDING DEPARTMENT 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 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. 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .Nefiz_. m .t.4.4 . . . . . . . . . . . . . . . . . New Construction. .. . . . . Old Or Pre-existing Building. . . . .F . . . . . . . . . Location of Property. . . . .eQAC�. . . . . .. . . . . . . .BARI<.(/���l. V . . . . . . P4mr.��r.Pc►K, . . . . . House No. Street Hamlet Onwer or Owners of Property.. . 4l� Tt y. . . err . . 1-. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . 2. `2%P� .. . . . .Block. . 0.71 . . . . . . . . .Lot. .R )A. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . .. .. . . . . . . .. . . . . . . . ...FW Filed Map. . . . . . . .... . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No 3/1 �6 .z . . .Date Of Permit.'A.ZAIM. . . .Applicanc .c- II Ak"WW . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters ApprovaA k9 �-5 . . . .<:b k� . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate� . . . . . . Fee Submitted: $. . . .'2.5 j to. . . . . . . . . . . . . . . . . MRoCOURE ROADO S,{NC Q�e d. /- COUNTY sox 1441 APPLICANT JA+tit , �• � , /�"tel C060( ��BSMa'TrffucK.N.v. 11e62 ELECTWC.AL INSPECTION SEW DICE INC. 375 DUNTONAVENUE, F�$T.Pr1',T_CHOGUE,ArEW YORK;11772, 12905 .'' APPLICATIONNo.ONFIGE . DATE:"...,. ; '9/h/9h " '� ... �„ ._� :' ,.. VILLAGE: GAGE: .; MATPITUCK TGxA- SOUTFIOLD ADDRESS; h40 PAR k AVPA(tI ISSUED TO: SHEEHAN IXYWODUCED'Bfi 1ADEMANN'ELECTRICINC LICN,o: 4141-E was=aminedon 9.6.96 andfoundlo be in complianco with tbo,NatronalEkctricalCodo LOCATION: Baw", . . ht AX 2nd' . ][,y ' ,3rd Amp . DA Garage Hot Tub Pool XX .. ., . . SWITCNES ' '.''. RECEPTACLES " ' 'FIXTURES''I HEATERS I FANS' G.F,I. AIR.COND. 16 17 16 3 DISHWASHER PRYER CWLHESWASH, QMQaP. RANGE QVEN WOXEDETECTOR FURNACE OIG OAS CR?. MOTORS RFUTRAN, WKCEDISCONNF.CT .. H$TaR Antes rlfAse OTHER; EQUIPMEM.f .. OUTSIDE,M.POOL FIOUSE 0 L 1-224MPSPTC p 0 1-S,SawP SUB PANEL 1-204MP TWE CLOCKN.0 VISUAL JP . .. UGOS SUROI BUILDING PERMIT No. 7fim ahfiw emus am beaueW n my mawc ' " .... � �.. � h�cpaGa�s may beida�CGed 6y0ar.xeda�Wis' . BLUE ORIGINAL' 'YELLOW COPY PINK COPY OFFICE .. _ ......,.,.,.._„...:...w.Hws-....._ ..,.,.......,...«s....�...........�,x...,.,.__.....,...,_.,....,n....�.�,.,..,wa..,.,..x.,.�.�.�..,�....a.,...»«�.ww.�.,.-,.....�..u..a..W..,.,�w.w....»�....�..............,wa.�_ ,,.u..Fm...�.,�...,.._ Town Hall,53095 Main Road 171x (516)765-1829 P. O. Box 1179 ; . ;� N Telephone(516)765-18o7. Southold, New York 11971 't • t OFFICF OF THE BUILDING INSPeCTOR TOWN OF SOUTHOLD C Z R T I P IC A T I O N DATE: 1 A Building Permit No. Owner: .� (ploase print) Plumber: w e print) I certify that the solder used in the water supply system contains less than 2/10 of 1t lead. J (Plumbers Signatur ' ,• Sworn to before me this o2/ day of a 19 q7 ' Notary Public, County i 1 Noterya�k����wNMk QSuffolkIbuMv Term Expires Junene8. R iII.- o��gpFF0j/r Gym IS x Town Hall, 53095 Main Road p Fax (516)765-1823 9y'�� � Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 21, 1997 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx -iApplication' s for Certificate of ,cupclncies are not on file. (Enclosed) e�PR�C xx No Underwriters Certificate on file. xx /lihe check's are not on file. $25.00 each. d jj No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on fileA, (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23266-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. HAROLD R. REEVE & SONS, INC. LEUVEN OF TR eARS'ENTRI County Road 48, P.O. Box 1441 MATTITUCK, L.I., N.Y. 11952 DATE 1 JOB NO. (516) 298.4713 RE To i 9 14 evo 4tts -PA 194K &AM-5 > WE ARE SENDING YOU ached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change orders �2Ttl �r COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: V-For approval ❑ Approved as submitted ❑ Resubmit copies for approval L'For your use ❑ Approved as noted ❑ Submit—copies for distribution > )As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED:- j� � •°� �� If enclosures are,hot as noted, kindly notify us at once. ROWAN ina,oftn,Mea 0071 - - FIIiLD=IFISt='Cl:'r4Ol low UIt'r DA I'I; euro n;trls �w Y-Al -- ---- ---= - - �u ruurmrcrloN ( I:rr> - --------/ FOUNDA'r ION ( 2ND) , -------------- ====aa=====---=------==== ,____ ------=- --==a==aa=a IU)Ilfal FNAHE d rLurm I Nr ===as=----- a N INSIILA'I'r ON PER N. Y . ,t - -- - --- CODI; --- --------------- -- --- F == _ ===aa=>==a==eaa=a===aa===a==aa= _— m .,.-- -- _ =aADDITIONAL-COMMEN-r5_a=aa=aaa=aaa==>==aaa=a= H xv 0 --- -------------------------- I ------------ Cs e M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR i 765-1802 BUILDING DEPT. 1 NSPECT10 [ ] FOUNDATION IST RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE &pCHIMNEY REMARKS: b DATE INSPEC 765-1802 BUILDING DEPT. INSPECT10 [ ] FOUNDATION IST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY i/ REMARKS: G ` DATE �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: —4�L� _"'_ Civ w DATE � Ake INSPECTOR ppppp- M-1802 BUILDING DEPT. - INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE 116AQ INSPECTOR BOARD ' OF HEALTH <� . . . . . . FORM NO. 1 ✓ P 3 SETS OF PLANS �R �FEB " 8W TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CiIECK 'x.15.7.3 ,7. . . BLDG.DEPT TOWN HALL SEPTIC CORN -1 . . . . . . . . . . TOWN OFSOUTHOLDSOUTHOLD, N.Y. 11971 TEL.: 765-1802 NO<IFY 7 CALL 7. ?? 9 I7 Examined . . . 0`. . . . . .. 19 •G MAIL TO : Approved . . . . . . ., 197f4 ermit No. .d ✓l Zla . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Bui Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . .t. .. . . . . . . . ., 19 q5� INSTRUCTIONS C a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stieets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 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. The applicant agrees to comply with all applicable laws, ordinances, buil ' code, housin e, and regulations, and to admit authorized inspectors on premises and in building for necessary insp . . . . . . . . . — (Signa ure of applican , r name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises 4/_1/� _121, ,d3o-°/� 7 .,: .`*r 72F��!J. . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . I . . . . . . . . . . . . . . . . . I . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . : . . . . . . . . . . . . . . Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . , 1. Location of land on which proposed work will be done. �. .!� ��fZ� . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . : House Number Street y Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . . .�//./ . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . S✓/v � . . . /� �� . ./ S�� C +�1R3'I.I. b. Intended use and occupancy ` ✓✓ L . .!'= �LtI�./7s�S`+�. (�`. l�) �1sf,/ �%7 � 3. Nature of work (check which applicable): New Building . . , Addition . . . . . . , . . . Alteration. . . L Repair 1 • • . . . , . . . . . . . . Demolition . . . . : .. . . . . . Other Work . !�. . . , , , , , , a, (Description) ar . . . . . . . . . . . . . . emov, 4. Estimated Cost , . . . . . . . . . . x,049 �. . . . . . . . . . . . . . . Fee . • . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . (to be paid on filing this application) dwelling fits . . , ,1 , , , , , • , , Number of dwelling units on each floor . . . . . . . . . . . . . . . . dwelling, . If garage, ber of cars 6. If bust ess,ucommercial or ixediioccupancy, specify i ure and extent of each of use . . . . . . . . . . g p 7. Dimensions of ex}sttn_structures if any: Front �r Rear, . . . , Fel De th . . . � . Height . . �. r 7. Number of Stories . . . . ..Z, p ' ' ' ' ' Dimensions of sante structure with, alterations or additions: Front . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . , g Height , . . . . . . , . , y. . . . It . , ; , , Number of Storip Height s of e ti `R w , Number Front . . .``V, Depth . . . . . ... . . . . Q. -.�. . : Rear . . .s�J.Q. :"¢ . . . Depth . a.�D• � .�C�. . . . . 9. Size of lot: Fro 2 'r o_f Stories . . . , ; , , , 8. Dimensions of entire new construction: Z Front . . . . . . . . . �T. . : . . Rear ,` . .F%, . . , . . . .Depth ..r�o4` - . �T . . . . . . . . 10. Date of Purchase " '. . . . . . . . . . . . . . . . Name of Fortner Owner . 12. Does proposed construction violate any are situated . . . . . . . �?. Q. • , 1. Does p r use district onin which rem any zoning law, ordinance or regulation: . . . Pvd. . . . . . . . . . . . . premises 13. Will lot be regraded O Will excess fill be removed from premises: es No 14. Name of Owner of premises ! S .<) �y sr Ke Wb iii '��if�. . . Address (a�.W�. . . . . . . . . . Phone No. ?<z, • • • • •,• �.4?? 4!nr� Address ?l`?? .x!/1/t,2� Phone No. If es, Southold Tow ' Address . , . , , , . , , . Phone . . . Name of�Architect � I feet of a tidal 'wetland? *Yes. No • � • � • � 1 Name of Contractor . . . . . . . . 15. Is this property within 300,, Y n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,mndicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. T ATE OF NEW YORK, 'OUNTY OF . . . . . . . . . . . . . . . . . � C . • • • • • ?'i P'�Q . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. e is the . . . . . . . . . .G . . . . . . . . . . . : . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, eta) F said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. morn to before me this ; . . . . ' . . . day of. . . . . . ., 19 .�.� . 0tary PubIi4lx,Q Colintyy Ndwy PAA 81de o1 New York NaI9B5883,SuIbtltCounty ignature of applicant) Term Exptres Sept.3,19 ff e E r a 11935 p McDOlVALD SITE DATA e � \. GOISCV 9o.l000 . sonm, York 11971 e na »ECE esa6]i SCTM # 1000 - 123 - 7 - 11 n TEST HOLE DATA SHEET •' � � PROPERTY: 640 Park Avenue Name: SF Shahan ADDRESS Mattiluck, N Y , 11952 i Surveyor •: J OWNER: Elizabeth Sheehan and Robert C Sheehan Location, KIEI-itn'l- rarl- Ave 63 West 89 Street krTax Map Number New York, N Y , 10024 V . . Tel # 212 - 873-5112 Morratoeka Pt N Project Description Prig Y m Date. t/7 1/45 SITE: 3 36 Acres O Mdlih.N Y.4. BIT E AREA (146,361.6 s.f ) U) >- nark brown loam D 3 1 ' SURVEYOR: Rampart Surveying P C N Brown z;an•ly loam - JaOme port7N.Y 11947 O z 7 1 Prown loamy semi License # LS 34408 1•1' Dated, August 17, 1995 NOTES: Public water is not available within 500 it J of property. O rale nrnwn fines to r-oarse Hand . The locations of wells and cesspools shown O hereon are from field observations and or data from datat obtained from others. ^ HEALTH "I am familiar with the standards for approval Z - 16•x' DEPARTMENT and construction of subsurface sewage disposal 17' taster to Hale brown Hoe ro roarse can STATEMENT systems for single family tasidehces and will abide by the conditions set forth lherin and on a the permit to construct " \ SIGNED: L olu'� .—SCA �� _ W Y UJ C13 / r PROr47sE� .eA.t.11TiµY SYSTEM � ��/ V� ' loco ryikL, PREcNSt• B f''TIc 'G.NK D ��� N /1' vII2CgIIJIA S , P�'TEi2S�IJ E,Pr SIA, ..4 PT oEE? �h p %BAoHwN m:i&- I..j/4F'r I.D, S 1 25' 00" E VISTRIP UTION Pz''`>L _ - SLJ 0 L/ M TN NoUW E To p of r-btbE I e� Z N LL Q LP APruu.KFa E.�l7 G TEaT HOLE y �� OEP_l. iZ - - LOGATIOI�L w � 5 PPLO F09EP Q�RACeE/ —�- -- 'e - Ia90L No 13EDROOMEI � w -_ 1 PRO Fber.�7 siE7 17^ I NCa tri - 4.i ^ri-r 4 � 1 Ex18TIN G{ a.e y4o t \ REJ9nIE vcT6nn 10 FENCE / Cf Ito rrprNB- �tGl� DRIVEN �-B lo• 3�'ag"I.J I,no' Ex1eT1 Ca qR 4ve� DRIvE JnY , - xis-T l 3 G3R EST �gtEflEO ARC, H j I.JEI..I. Oc P�GGOf�11 L` Cf• �, L. c•1,k 5,`0rt We `�����Q d��3or pT a � DA�f DoE Via, �� 0'.0>0' ,� 'fib 1839A '9\ NE Project No rg924 4 Q � I Drawn By: 11T W ' I L.l000 Checked By: 76 J ^, Q I Date: I /25 96 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Scale: nS N0712-91 Jl N v FOR APPROVAL OF CONSTRUCTION OF • N SINGLE FAMILY RESIDENCE ONLY Sheet Title: , 7 DATE o�Z-S-cI REF. W. &O-• OODS SITE 1-I 11' 2 3' oo" W _ - _ - - - - _ - _ _ G 1 7 , (o O' APPROVED WF 119�21 ELE: F. Ss R K I STI. . +p crf ERs EXPIRES THREE YEARS DA OF APPROVAL PLAN 0 Sheet No: Z 1 a ti v, D o 11935 SITE DATA MCDONALD GEOSCMNCE Box I" • Soulhold.New York 11911 ISI6) 166-3611 SCTM # 1000 - 123 - 7 - 11 TEST HOLE DATA SHEET PROPERTY: 640 Park Avenue Name RS ADDRESS Mattiluck, N Y , 11952 Sh�el�an ©p Surveyor - OWNER: Elizabeth Sheehan and Robert C Sheehan 63 West 89 Street g1nE��K .' lJ Location MnrHmeL Part- )\vn oT, 110PORT _ Tax Map Number New York, N.Y , 10024 1, Tel # 212 - 873-5112 M....I.A.Pl N Project Description Fn:1 W �C Date: (/24/46 SITE: 3 36 Acres p Nrulwe6 vc. SITE - - AREA (146,361.6 sf.) U 140Frown 1nnm ! ' SURVEYOR: Rampart Surveying RC Z) G) Brown GTn y roam JaDBox sport 377 N.Y. 11947 Z me O Brown loamy cant Llcende # LS 34408 ---- a�S' Daled� August 17, 1995 r NOTES: Public water is not available within 500 It J of property = Barn hmwrl F{nom to rnarrr-• nand The locations of wells and cesspools shown O hereon are from field observations and or data from dalat obtained from others. ^ HEALTH "I am familiar with the standards for approval 7 _ --- -- ----- Ifi.T - - .,- war=r in pale nmwn ring rn r•oarsn sand DEPARTMENT and construction of subsurface sewage disposal Z 7' STATEMENT systems for single family residences and Will abide by the conditions set forth lherin and on \\ the permit to construct " SIGNED: W W " % _ TO PLUMBER CERTIFICATION \ ON LEAD CONTENT BEFORE / CERTIFICATE OF OCCUPANCY a SOLDER USED IN WATER SUPPLY SYSTEM CANNOT '9 EXCEED 2110 of 1% LEAD. pReDr�BE� �NITNW aYBT EM ��i� J I.Or q^,, PQEGK?.T 9 f-r IC. TANK 0 :�5 N /1F- 9 , PETtRSr-'�tJ / W/ 7j- ePT D9A, .4 FT BEEP I-R� Hlrlcr IAC%- !-/ 4 FT, I D. j��a�� PLUMBING V187RIPLI7ION ?A- < ' Cc44• oS ALL PLUMBING WASTE - - S 25' o0'_E _ _ _ _ _ _ _ _ _ _ _ &WATER LINES NEED /T Plzer-n9mv LJN�eR ca Flol-iND T?2 TESTING SETIORE COVERING RAIN $L.lp(�LY LIrL Fr�M =G Z . MniN HoLJ�',E To Por`L hk:LI:�EL00T-6aT r-+oI.E -----_- _ �`- If copper tubing is usedoa,�.Tlort for water distributingsystem; piping shall bePRc Fro Siz'vof types K or L onlyPRo rba� UNDERWRITERS CERTIFICATE Ex16TlNCs 1N17^R•r REQUIREDQGDr .L" <Z112- T ,;EREDq&o i3.Q"r aOt4 GF. C+ f 9 t�g0 y0 -� 6 Project No: 9524 \ _ i Drawn By: LIT OCCUPANCY OR Checked By: T8 Oaf W000 3 PaI�LKH CrO w LLI��y a USE IS UNLAWFUL Date: 2 9G WITHOUT CERTIFICATE Ca s Scale: A0 NoTC-p " 4OF OCCUPANCY at 7 Vy Sheet Title: o >J 1I, 26' o" I� Cp -7 0' APPROVED AS NOTED DATE: SITE d'� B.P.q �3 PLAN N/F ISA,rjEL.LE F. SA FeKI.sTI.ar.J q e71'�IEf=S a FEe j9s - __RTMENT AT NOTIFY BUILDING DE DEPA 765-1802 9 AM TO 4 PM FOR THE f FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED ITS POUREDFOR 2. ROUGH - FRAMING & PLUMBING O„ 0 3. INSULATION Z 4. FINAL - CONSTRUCTION MUST Sheet No: BE COMPLETE FOR C.O. ALL CONS'rRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS l Y ' ' TYG/. PI L- -wpm F �F Frto..NAa TYPIG�L_ (, 13 - I' FIT.asH11J FT&tN 12 �9 0 0 - - H 2 \ _ Nt 47 -- I � I - MI �4"-6@17.a RE.E- - -- -- _ -__- - - IM }L Ej Gp _ �141g ��_ nn -- ---_- - -- -- - - - - - - - - - - _ su.P §ILL. - -- - -- - � ' WaoLE u ; , -- - -- -- - _- 61L)LNg--- _ - Sla IN1y-�,__- _ _ __ _ _6�1ihlC•LE 61171'.1 _ __ � _ _ _ - N � I F.+rJ N 2. _ \ cp cRSTE co�2GTE Eco JGRETE I .� / d ��� II--I''I I ' FOLJ nIPi.TCN I--' L-1 '-I Fo u1J DHTI oI.I S ry N' Nh-a'2-G"x � FL'77TIhJ Ci _ � _ � ' NI �V�Fy, �J IIJY Al.ng � L ._ I •- N E YON f� --I rte+ f SOUTH ELEVATION NORTH ELEVATION -to TQ SCALE : 1/4" _ V- 0" SCALE': 1/4" = V. 0" TYPIG^L ATT I G vEL.IT O N 2• TY P' 0 ry}` d 5 NOF - 12 ooPPG-R. (2po FInJG qJ i I r�n Co 19 12 %2_" ExT CTR, PLvwo. CN 2.4 Fr"tAl.n IVG SHIN SSyyLr-,. c NLaT(�-ucTIOIJ - __- ---_ -- -I • (p F,e.9cl.x. —_�" BLID1�ICa - - - _ _ --__ __- - - L' STEP ��1' PL-MlebP SOFFIT - ._._ •.^ F✓`51"II*J�i - - GEpAR PTTIG vEI_+T W/ INeEcT f EEEA.J (ZooFINCT TYPIc�.L. 4 A GLEGT2IG SATTIC PLAN 2 •i0� pmFIIJq PLTLTONN LJ6 r'..rl tL q %s" EKT. (,R. P"Pf W�ow 30'-.f" SCALE 1/4'.'.= 1'- 0" 1. �' « TRIM -- ---_- - - _ - - -- - -- - --- --- - - -- - to = T- CDH II47A CDH 2A20 - - - - - FZ 30 BATT � 1,\ r N 0 w � • c r - -- - - _ - - L91 INSLILF+TIOLI LJRRc.nN_ CA IY 1_5 cfz`A_ Et�L T 4 m g w - - - - - ___ - - PA W � 1/i' [,y YP• / AS REDLJI2E ? ~ - oIJG R-ETE FSD�� EyW -("Wn i �' / �J ;b." ENT q \ rL �Fo t.J�l oa'}-IotJ ElTE'rfUC 0l4 uL- �Q - I 3 ,2x10 \ 10 40 calloTRucT1aN TMP uxaE �^ FooTINy cEon,Iz sNl1-IGUE4 G.1 \9 = N _ - \ sm T Pv-fw ' 0 vz r-,�r c�a. 3' (+✓EN FATN Poe T - - -- PLIWL'3, OtJ 2v.p ol6" %2" Ga`f� I- . 4w+ PoaT P.P�OVE II IJHJD RnIL w/ R e l y P/n'TT FbV 0 iN f+IJLATION 2r FLAB1-I IrJ / F°JG+Le F . . EAST ELEVATION � 4 �o Z . zxLo I _ L1 1 _ gs�- sR SCALE : 1!4" = 1'- 0" rLvwP _y 6Tc7:R.o.cqE O fid 6I�IN LE - 6/ . rh TRIM 12 2a4 SL.3F7-LL'tR 2. IW , 4F1 LIP O r 0. L�.I U O 4 T-•rP1 c..�L PLnTE �' \ I O ___ p �-yp�I � 210 �I b" / 2rioolb o c4 - NEW 9 Fa•c,L.�,- �_4 �Al2, /zP✓o,rP I,. TWKI `iiN ' LJ1oE BF�.n p 1 \ Z W _ LI Project No: 1152.4 fuF76R L �/y" 6ffp. PCO.i7 FI N \1 I Drawn By: Ur So ISR• I - P� Checked By: TS Qow-� L¢7e.•1a T26,.r�5 . m \ F _ _ _ STEP i,lz'.� E `-� RIZ;E RS CCs./E.iZ L=C:� 9 O 2 . yxlo \ I Y ' I Date: 2/6 /96 ( — FL tis I� � � 4 - - - ._ Scale: ,,,e W671 IP �} axrT �+ ii IJ rIIrdnu Lo:7ED 'sL.l.e, hl/ TrIIc KEN - _ - -_ c- E � y - O . {; c1 9 6x6 vJ �o/o .Id.M, L S �fb r, i� .� D W/Iri o PL.+TE� LI/ 3 'o EL EcTgI � \\ O -N � I Sheet Title: .-._ __ __. TER•F,+ITE BLIELv " r5j/;j - _ N r3 ELIe�LT•+ OEN - O •; ;> t poaTo T _ FLOOR TRI1.� _ N ABpvL: I_- O _ � � - PLANS & 4 1" - -4 " - - __- --_ aEj. A- TR1N1 h" T t coFG FDN HLL N • 10,. x1.^ F',c — s� I o 3 0, , TR'"" ❑ ❑ ❑ ❑ ❑ Q — 3'•v" g� ow GJR. PF_ -mP eF \ —315 �wT PEpEgTAL w� o' I � 9 -t }I ELEVATIONS _ 84 C. Z Fo�Nf�A.TI OIJ f'LIJ 6H yJ/ 2• +t4 REB.+.IZ oN R E y�•'^ry .. _ _ — __ DILL_ ' bP cel.lc. SI_.a P� � covl P,nc.TEL�z4 Iz 2'. z I' P.6. l A u u _ _-__ - - 51LL TYR `_ .- F�TW • N' ❑ ❑ ❑ ❑ ❑ • I,J�pE s BELOW yR.'�PE J L ___ Sheet .. _ _ _ _ FI '_ �i �n DEEP • • r � J _ P-A rJ�. LI.R r - - rol..ICRETG FboTlwJc� ri � I S No: _—Ej 1:1 F1 - - _ Mi.TEft IR L. 12' W 7' LJ ov Ek1-1E�r� u cj�E ALJ 2++xF F LL i an E nmri 2 •zxlo PERI✓IETc.Iz _ BUILDING SECTION 2'2KJ� F��2'� „ �coNG12ETC". 3-�'' .t'.o V' t s FauLJPATIo 1.J SCALE : 3!8" = ,'- 0" i4' Ii' 12'- 0" IZ /t. y, •1, FOOT IIJy�- --- - N : �IN . a 2- zxa FIRST FLOOR PLAN WEST ELEVATION SCALE : va' _ , _ o" SCALE : 1/4" = 1'- 0"