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HomeMy WebLinkAbout20704-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22028 Date DECEMBER 15, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 1340 DUCK POND ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 4 Lot 9 Subdivision WOODBINE MANOR Map No. 8239 Lot No. 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 1992 pursuant to which Building Permit No. 20704-Z dated JUNE 10, 1992 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 AS APPLIED FOR. The certificate is issued to GARY & EILEEN MATZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-18-DEC. 1, 1992 UNDERWRITERS CERTIFICATE NO. PENDING - DECEMBER 11, 1992 PLUMBERS CERTIFICATION DATED DEC. 3, 1992 - HENRY SMITH PLUMB&HEAT. Bui ding Inspector Rev. 1/81 FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°N° 207042 Date /D 9i Permission is hereby granted to, . 1141 R , 'o:.... 4ta...../V . .......1//...... j f0 e'<- ff:5 : 'ad ...I.... of premises loco d at . gKo........... 1./..G.('~& ...0.r//U~.... ?rlkflT.(~4`............(..°.: k County Tax Map No. 1000 Section Block Lot No....... i i pursuant to application dated 19. j~~ and approved by the Building Inspector. f Fee ~F t ....or.......................... Building Inspec Rev. 6/30/80 J' Form No. 6 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. J2. 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. G Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 - $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 ....~PCPw b2x ...~.Igq.o New Construction........ Old Or Prei-existing Building Location of Property.. 134-0.... ~,jC..TO? C~ . ;K-.. d...~ Jam. House No. Street Hamlet Onwer or Owners of Property.... ............Qq . Lot....... .1 County Tax Map No~1~~)) 1000, Section ...49~.3...... Block Subdivision ......Y:CU .........IJ~~'1.^o .Filed Map..6;;'t9 Lot.....•l............... Permit No. Z U Date Of Permit... ..Applicant...: o D'.:J: A:...... Health Dept. Approval,. ~.1.~ Z. .............Underwriters Approval......................... Planning Board Approval............ Request for: Temporary Certificate........... Final Certicate...Y....... 00 Fee Submitted: r PLICANT ~,I TEL. 765-1802 o`o~ o? TOWN OF SOUTHOLD L=".a tix OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 ~0 c?? i TOWN HALL SOUTHOLD, N.Y. 11971 rff C E R T I F I C A T I O N DFG - 81992 3-i~ftf_d Date q'Yg Building Permit No. 2 c 7 o+L2- Owner D7 p q+-z- (please print) Plumber V% (please print) I certify that the solder used in the water supply system contains,less than 2/10 of to lead. ((plumber's si ature) Sworn to before me this day of .6Loze, 0 tAL , Notary Public Notary Public, County BERNADETTE L. TAPLIN NOTARY PUBLIC #4844893 State of New York Residing in Suffolk Caunty pp~ Commission Expires Sept 30, 1031 r 4 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /f [ ] FINAL REMARKS: Q ~1 . DATE Z- INSPECTOR A 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 75 ~Q All I DATE z -1 INSPECT i p ._U.J 11DAiL j~ CU.lfmLNI~ FOUNDATION (1st) FOUNDATION (2nd) r 2. z ~ o~ t ROUGH FRAME & -PLUMBING b/ v ~r k wa 3. 3 m m INSULATION PER N. Y. v , STATE ENERGY CODE I x 4 . H I FINAL ADDITIONAL COMMENTS: b' A e - x H ~ . y O O x _ • a ' r Z • b I _ H INSPECTORS Victor Lessard Principal Building Inspector Oy~~,JFO(~ Curtis Horton o -Z SCOTT L. HARRIS, Supervisor Senior Building Inspector Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector drr 4," ,y Southold, New York 11971 Gary Fish Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistani Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD DECEMBER 11, 1992 GARY D. s EILEEN C. MATZ P. 0. BOX 1300 CUTCHOGUE, NY 11935 RE: PREMISES @ 1340 DUCK POND ROAD To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) SxK No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 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 # 20704-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. SUMMARY OF TOTAL THERMAL RATING If the total thermal rating below is zero or greater, the envelope portion of the building is in compliance with the energy code. TABLE THERMAL AREA U -VALUE USED RATING A. WALL ASSEMBLY Al. Net Walls Aw2241 Uwe Aw Uw A2. Glazing Ag 2(ao Ug , 32 - I -53 As- Ug A A3. Doors Ad Goo Ud .070 6p- t Ad Ud Subtotal Thermal Rating for Section A (Al +A2+A3 t243 B. ROOF/CEILING ASSEMBLY B1. Roof/Ceiling Ar 1 61 ' Uri &-3 Ar Ur 132. Skylights Ag tJA Ug r l r•JA IA Subtotal Thermal Rating for Section B ( B1 + B2 C. ENTER DATA AS APPLICABLE (Either C1, C2, or C3) Cl. Floor Af 13 Uf . o5c;l Cn- 3 ~P~,~ o Veu. ~o C2. Foundation Wall n J O Wag Perimeter 154 ft. - Above Grade Exposure .&-7 ft. ~o. 4610' Insulation De Og Q,ro E 8 240 48N oting Uf Perimeter R -Value C3. Slab Edge Insulation t-j^ rJ^ 0^ Subtotal Thermal Rating for Section C ( C1 +C2+C3 4 -52 F D. TOTAL THERMAL RATING (A+ B+C) t2~ 5 ~o7os~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: "1~Go p L- y DATE I~ INSPECTOR )(00 5~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [,4'FRAMING [ ] FINAL REMARKS: /f1 DATE v INSPECTOR, NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 6 COMPLIANCE FORM - 6A Building Design by Thermal Rating Method (for buildings with one or two dwelling units) BUILDING ADDRESS: l fem. t_, P~~ d 12b • DATE: 2 . 9 2 CGca -rc,-N > N Y COUNTY: ~V 1?o~,ic ARCHITECT, ENGINEER, OR CONTRACTOR: "F=P,,A~ L44=r~p acres SHONE: CS lam) 47 3 - I qa7) PERMIT APPLICANT: PHONE: 1. HEATING DEGREE DAYS (Table 2-1) ? sooo 06000 ? 7000 ? 8000 ? 9000 II. BUILDING DESCRIPTION of NEW YoP ~vVOW1Q 9F f Building has one or two dwelling units. (Use this form 6A) h J A K • ! O ? Building is three or more dwelling units. (Use form 6B) ~Q• 461 qJ~ III. PROJECT TYPE New construction ? Substantial renovation of existing building ? Addition to existing building ? Exempt (7810.6c) IV. HEATING SYSTEM TYPE ? Gas-fired ? Oil-fired ? Heat pump ? Electric SUMMARY OF TOTAL THERMAL RATING If the total thermal rating below is zero or greater, the envelope portion of the building is in compliance with the energy code. TABLE THERMAL AREA U VALUE USED RATING A. WALL ASSEMBLY Al. Net Walls 121544 Uwe !e- f F 2 Aw L6 A Co -1 -53 A2. Glazing qo Ug • 32 A3. Doors Ad Coo Ud .0 7o Co - I t 7 Ad Ud 41 Subtotal Thermal Rating for Section A (A1 +A2+A3 t, B. ROOF/CEILING ASSEMBLY B1. Roof/Ceiling Ar 1354 Uri 6p-3 o Ar Ur 41 132. Skylights Ag fJA Ug f3A tj^ a Subtotal Thermal Rating for Section B ( B1 + B2): C. ENTER DATA AS APPLICABLE (Either C1, C2, or C3) Cl. Floor At 1354 Ut .050 ~'-3 4P~"~`yo 5 VVU ?y A,f, M e C2. Foundation Wall it Wall Perimeter 154 ft. - ° Above Grade Exposure . &7 ft. 4610 Insulation D480 t-k e th 84" Footing Perimeter R Value C3. Slab Edge Insulation tJA kjA ~lA ~A Subtotal Thermal Rating for Section C (Cl +C2+C3 !-zj2 0. TOTAL THERMAL RATING(A+B+C) {-2cfry M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [I FOUNDATION 2ND [ ] 1 ULATION t 7 FRAMING [ FINAL REMARKS: DATE l~ 0 7/ INSPECTOR r 765-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST ( ] R UGH PLBG. FOUNDATION 2ND INSULATION L1 FRAMING ] FINAL REMARKS: DATE /~~~NSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST (ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE X INSPECTOR BOARD OF HEALTH I FORM NO.1 8 SETS O~,,PLAt15 1~....... ~~d: W. TOWN OF SOUTHOLD SURVEY i 1!4 - 8 ~c3 BUILDING DEPARTMENT CHECK ~d. t .u. TOWN HALL SEPTIC FORM 1!............. SOUTHOLD, N.Y. 11971 TO1i,'ri~ r r TEL.: 765-1802 t:OCALY~ Examined . l(-?, , , 199 TO: Approved /1~... , 199;-Permit No 7~ - . Disapproved a/c °^l.. ing.Inspector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS 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 streets 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections./ (Signature of appli ant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ®w Atr" ............................'..............................I........................................ Name of owner of premises `.~a ~rj t.l ~ fir-... !C / . . ll (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . ...............p.......... . Plumber's License No. 5 3-7. 1, , Electrician's License No. .J.6+ Other Trade's License No . 1. Location of land on which proposed work will be done. . .1340 House Number Street Hamlet County Tax Map No. 1000 Section Block Lot q Subdivision Vv®a~t.!...'a'Yt Q r Filed Map No. ..5.2: 3q Lot q (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......~Q ~s 1./ b. Intended use and occupancy ! L~t VCt 3. Nature of work (check which applicable): New Building ...X..... Addition Alteration Repair Removal Demolition Other Work J © 4. Estimated Cost... ®O0 (Description) ........t . Fee...................................... (to be paid on filing this appli ation) 5. If dwelling, number of dwelling units Number of dwelling units on each floor ...1.~j ' tk , , , , , , , , If garage, number of cars . 6. If business, commercial or mixed! occupancy, specify nature and extent of each type of use /V A , , , Dimensions of existing structures, if any: Front . . . • . Rear , , Depth Height Number of Stories . Dimensions with alterations or additions: Front Rear Depth of same structure wit, Height Number ofStories t' , , . 8, Dimensions of entire new construction: Front 70 _7Q • Rear Depth ~ 7. . Height 2i7......... Nuny)er of Stories , . 1 9. Size of lot: Front ......J. A.:.. Rear , , , , . , , , , , De th .Z7p 10. Date of Purchase . • . QV txei . l 7, , , • • , , Name of Former Owner (4 .Q<<kt4v, Fe l.~ar er ~cu 11. Zone or use district in which premises are situated ......il7 , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: . N4............ • . 13. Will lot be regraded J1,1m, , , , Will axe ss fill be remov d from premises: Y s 14. Name of Owner of prem}' es G~jAn,. t%nI¢?c., q ~z. Address .1:9 ~X 1 it '}one No. T 1, Name of Architect l.. /4ri rv;4s . , , . , . Address YWC! wCC~r •.~1,~~tYene Name of Contractor loiv M ' ~~•C~»:+,~'c~r. Address3~IS.Q~'E-.IJ~ C9!'~r':w.1.. Phone No. 73A' 94,$'x;-,.',t' , 15. Is this property within 300 feet f altidal wetland? *Yes No..X *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM ; 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 whether interior or corner lot. I STATE OF NEW YORK, -_OUNTY OF//~ (Name g S 70- f individual nin being duly sworn, deposes and says that lie is the applicant g contract) above named. / le is the . (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 pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the cork will be performed in the manner set forth in the application filed therewith. worn to before me this .........g .........day of..', 2 19 .g~ ,otary Public, County J. C ER , . ~ NN e``,ry 2 56858 to Of Ne York • • ' • ] • • • • • ture of re- o f • • • • • • • Term Expires December 31,~Jr, L~ro (Signa applicant) m4 00' S.C. TAX MAP NO. DIST. 1000 SECT, 083- 9LOCK 4 LOT 9 FILE NO.~l o-7p¢ PROJECT NO, 92C485 LOT #6 VERTICAL LOT ,#13 " DWELLING" SAND DRAIN VACANT S 39'00'00" E 150.00' Mpf ~ "pO 20' DRAINAGE EASEMENT O~ O N N fY wu LOT I S LOT #10 VACANT VACANT I~ Ib W as. If. ~~f FOIMDAIION 161 ( ad.[ a - 46.0' I c e R=25.00' n - G L=39.27' Z 20' DRAINAGE EASEMENT N MON trox 275.00' lj 39100'00" PY 150.00' tT i DUCK POND ROAD (49,5') f own 90 Q NYT as 4 ~ ~ cg f~^'~ 7 ra 1 t I r':~, ~ ft ~ °I << f t AUG - 61992 p - J kys b TOWN Gr '0 Unauthorlaod alteration or addition to tea doaumwnt M o violation of $"Van VIBO PROJECT, "UNDER CONSTRUCTION SURVEY OF of the New York Stab EdumNon Law. cnunaotkn, tn<loated hweon anon run only to the 00e for whom It b pr.Oprad LOT #9 . and on eW behalf to the Tide CempmY, Cewmmmtd AINnoY and LmdHo In.tMUtm i IMted hwem, and b Ina oeallom of the IwndP9 Inetltutim. m wbsequ.nt owner,. MAP OF WOODBINE MANOR C.plx of this deeulnmt not bowing the pM..amal'e Inked ..a er wboneA ON j r holl Th not be ° d"w'o "ab'n" h The orb (or ar n.) a aN r CVTb nHw OPEr TOWN OF SOUTHOLD, N.Y. ' f and pawn Aare nWObnd to the pt qn SITUATE I', fu q specific pulpeso d. and dnd W" and th.N1oH an net Intend" W flow the the wwwm of I A Mow, retaining wake, pool,, potty, plentlno orea., oddltkn to buadhlo..r MY other DATE. " JULY 1992 SCALE: 1" = 50' tanamollm. - FT. OWNERS. GARY'D., MATZ do EILEEN C MATZ SURVEY DATE. JULY 4992 AREA 40,500 SQ, P.O. BOX 1300, CUTCHOWE, N.Y: ,t1935'„(516) 734-5817 FILED MAP D 82 DATE FILED DEC. 15. 1988 g1ARIWTEEO 10: THE BRIDGEHAGPTON- N,ATJOONAL 0,ANK~ ELD UNDSUR .DWG AMERIC N TITLE I RS- - 'URANGE.-COM4 CERWO ~ : D0 DATA DISC Y FND." 7130/92 UND..CDNST. /40192 FINAL E Br !Y $TAW,EY l ISAKSFJ1e tR, OOM IaNR 41IRYEYOR ANLEY J. IS ; ° n fl S ~3 - P.O.6GX 2pa NEW $UFFOK NEW YW 119" DESIGNED DRAWN G:D.Ms CKD. S.J.11 PHOW (646) 7344636, N.Y.S.'LICENSE No. 49273 1-9, ppp~ S.C. TAX MAP NO. DIST. 1000 SECT. 083 BLOCK 4 LOT 9 FILE NO. PROJECT NO. R ' JUN ' 8199Z WELL COVENANT REQUIRED PRIOR 1. TOVJft O 7 J'it?93(TT-,~--. _ 4 FINAL APPROVAL. VERTICAL LOT #13 SAND DRAIN VACANT S 39'00'00" E 150.00' M0x 101.0 MON 100.1 00 + 100.2 20' DRAINAGE EASEMENT + 1000 OO + TdfT- + mLd n N N Z"2-erAA(kc'7lj r G6~?-a~l rt ~e IV wE L b LOT #8 LOT #10 VACANT i VACANT oo.e _ o 4 101.0+ + 0. 9WAIE tw.2 101A+ - I + 10 25.0 ^ \d & Lai p~ n.w 20 is' T STORY 5.17 + 0 OV DUG`~S ~Q7 F.F. a 10a man fwa G0 b,. ~z• '9~ its' Izo' Iozo s 10.7 ~ W ~ POROI IEO'~ 26V t l , Q S.T IV 101.5 1m.5+- 40.0' In ~eP : w C.P. 3 ~~q 068712, 0 0 o ~Oph-,13S1(7 P O + CL MALE 99.5 R=25..0rr0' N o Z 20' DRAINAGE EASEMENT N r 'f 4~F @d MON 99.6 MONF'00.0 1+.1 75.00' ' wHymw S 39'00'00" E 150.00 1w.f 0 1{' CULVERT IwA Mph 4 D92 Iw.6+ DUCK POND ROAD (49.55) +1w4 * ELEVATIONS ARE ASSUMED 9g.e I 99.s OF 0 Nw 90 0 NYT 69 I AM~frh4tIA"RRWITH THE STANDARDS FOR APPROVAL SUFFOLK COUNTY DEPT. OF HEALTH SERVICES AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL O -FOR APPROVAL FOR CONSTRUCTION ONLY- SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL 1992 ABIDE BY THE CONDITIONS SET FORTH THEREIN AND ON DATE: JUN 011992 THE PERMIT TO CONSTRUCT. Q H.S. REF. N0.• - [ `S® APPLICANT 40 APPROVED: Unouthodx" altw tlw er oddlt to Mi. doam.nl I. a Nolatlon of S.cOon 7209 PROJECT: MAP OF PROPER TlU of the New York Slate EduaaBOn Lo.. f CerlMaotlone IndkatW how MWI inn only to the parson for whom It I. prepared LOT #9 aM on Me behalf to the nV. Coonpony, Oovemmental Agway and Lwdln9lnotlt0lm MAP OF WOODBINE MANOR Noted hereon, and to the eselonNt of the landing Fetitutlons or subaeouwt owners. CopNe of thle dowment not bearing the profeoalwul's Inked e.al or emboseed seal chef not be oweldered a wIW We aopy. I Th. oMOte (err dknenelone) shown hereon Irom .wolane to the prop, line, am SITUATE AT• CUTCHOGUE, TOWN OF SOUTHOLD, N.Y. far a apsaMo purpose and use and thereforo "a not Intended to gulds the ereotlon of Wass, retaining wan.. poale. p.lloe, planting ore,.. addNlon to bVRdingt or any other aweMUatlw, DATE: MARCH 1992 SCALE: 1" = 50' OWNERS: GARY D. MATZ a EILEEN C. MATZ SURVEY DATE: FEBRUARY 1992 AREA 40,500 SO. FT. P.O. BOX 1300 FILED MAP NO. 6239 DATE FILED DEC. 15. 1986 CUTCHOGUE, N.Y. 11935 E PHONE (516) 474-0600 FIELD BOOKS DATA DISC I { FND. UND. CONST. FINAL CERTIFIED BY PREPARED BY GARY D. MATZ. PROFESSIONAL ENGINEER , GARY . MA , P.E., N.Y.S. UC. NO. 066772 P.O. BOX 1300. WTCHOWE. NEW YORK 11935 ' DESIGNED G.D.M. DRAWN G.D.M. CKD. PHONE (516) 471-0600, N.Y.S. LICENSE No. 066772 P.E. r THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE TLLh065 BUREAU OF ELECTRICITY r- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date DRV1,,%B9R 18,1992 Application No. on file 78591992/97, V 7,60592 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ('A'Ry mg, DUCK POND RD,, CUTCHOGUR, U'Ir' in thefollowing location; ® Basement M Ise EL ® 2nd Fl. GAR/ATT'I, C/0011' Section Block Lot was examined on DE,nmin 1" 111992 and found to be in compliance with the requirensents of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W. AMT K.W AMT K.W. AMT N. W. AMT. H. P. 50 53 4Q 49 1 3 P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS NO. A. W G. AMT. AMP. AMT AMPS TRANS. AMT H P NOOF SYSTEMS FEET AMT WATTS AMT. K W. OIL H. P. GAS H. P. AMT SYSTEMS 2 y 1 2 12 3 R 600 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. PPE METER I AYW 1 B' 3W R 9 9W 3 04W NO.OF CC COND A. W G. NO Of HLIEG A' W' O' NO. OF NEUTRALS A. W G. EQUIP. PER .9' OF CG COND. OF NLLEO OF NEUTRAL 1 zap r,~ I ~ 4/lh z t/ft OTHER APPARATUS: 39 1INP TPUINSF'iHNR 3WITCH-1 NOTORSt1-l'o H.P, PAFti [ HOARDS l 2 2 07,11. 100 0 -4 0112. S(4f1KE Hi?'$f'iC1'OFf:-2. T(AKtP, kli,fC9Rl'C JJV-&1845-S 17 SOREST TRAIL RTDG8, NY, 11961 GENERAL MANAGER 11 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. ..wnv nc FFRTIFICATE MUST NOT BE ALTERED IN ANY MANNER. NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 6 COMPLIANCE FORM - 6A Building Design by Thermal Rating Method (for buildings with one or two dwelling units) BUILDING ADDRESS' r~K ~t-~ t~ I2I7 • -DATE: ~J ' • GI 12- GV TGF-{ 6Y~ N Y COUNTY: GJV ~ ~ot~lc ARCHITECT, ENGINEER, OR CONTRACTOR- T-ice i 4 t~j,:~:, >~1 ~•a = R SHONE: CS (Cy) 4-71!5- l aGY~ PERMIT APPLICANT: PHONE: 1. HEATING DEGREE DAYS (Table 2-1) ? 5000 JS 6000 ? 7000 ? 8000 ? 9000 OF NEW O II. BUILDING DESCRIPTIONS~~~DWeQ eF~~ Building has one or two dwelling units. (Use this form 6A) z J a 3 ? Building is three or more dwelling units. (Use form 6B) ~2 461 5J4 R & LP~,O III. PROJECT TYPE 1K New construction ? Substantial renovation of existing building ? Addition to existing building ? Exempt (7810.6c) IV. HEATING SYSTEM TYPE ? Gas-fired ? Oil-fired ? Heat pump ? Electric J 7 ~ F,,7 Qy Lt OJ v 'i A - rI L~-OII m 40 -o II' lo', SI 211 x i 2 2- 15 bO + 2a 0° - 2,51 - Z ' I I ` I , 'PR.ovloE r~p ?F-010 oE VP-Y - F ^„J Q W~L4 C W~L4 @ LgKIDINC~ I ~~I P ~ ,T P 5" Fr. GI-I EK 13 0 I I r ~ £ I STEPS til ~V oq _ - aoA3^b / I III I P ~ --7 1 i x 3 P e w ~ ~ a z N u- G ° w 4 I 45'-4" m m g~ N d- V d ply YS ~2 0 * LIC. PRA . Au at=° P.C. Sias Las o _I ~j IL O W~ 609(o IOAD ~i o/io l1 n j d J h 0 -03 o LA LO ~1~2lYE R.tYeo^~ 'q w Z I i ItSQ CEILINyO a _ Z d t°~ eop N T U ~ J 17 C? 2-4" 3"~ - - m I -614 I I ~i L v IaW 33 !3 n '4 P t-T6,:. -'--I 16 VJ I-7 ~WpLI, oN I(o"f 8'~ - ~ PSG FT~i• STEP i - -T I 17CL/DPPEr~, SrEE~ y- -EEL S-'6 Eh M'-'I~-~.-I '17 oPPF_p STEEL T- FTG To MEET SSMT. OCCUPANCY OR ~,I I T- 7 ~ ~coTING• J O 00 1 ~ I I I ttl USE IS UNLAWFUL J wJ z x l^ x= s 3 v iL I i a- LL d lrl :9, ~I 11 i WITHOUT CERTIFICATE ~ o o O r j r m OF OCCUPANCY k y i j' I I L I' 10 t~ L s ! i i ~ I B" 12' q• ~ J ~ r If1 ~ Il '//'ST. LALLY LeLI(." g" RC,FIA4~N t ° I 3?C: FND p [aN 2A" X2,V K 12° PL { 0 IUN0E2 F?-ItMED I I m ~(ld r ~ ~ - - I gnx gl-a" ~c: FNS ~ y ISo A Fly• r ~i N~Q o~ WPLLS I I 4' C. SLA~oN V APPROVED AS NOTED h ti,: ~ ~ I Pic. FanTiNG < yh iNG N a yRADE DATE: ccff L B.P. N i I r .r ¦ 1 BY. -16 FEE: ~ LL v~- - ~ _ ~ ~ PIrcH sLga I ~ - NOTIFY BUIL ING DEPARTMENT T AT ~ Q Qzi OD I I TOWARD PCORS I f~ f0 765-1802 8 AM TO 4 PM FOR THE nn -i FOLLOWING INSPECTIONS: V 7S' 1. FOUNDATION - TWOREQUIRED S FOR POURED CONCRETE LV y I - 2. ROUGH - FRAMING & PLUMBING 3. INSULATION `oo 1 I _--.STEP FOc,Tlhkj T-o 4. FINAL - CONSTRUCTION MUST - - - - - - I MEET ESQ, FTaj, N BE COMPLETE FOR 1 ALL CONSTRUCTION SHALL MEET lJ G : x -p dl t'~ N THE REQUIREMENTS OF THE N.Y. _I STATE CONSTRUCTION & ENERGY 4- a 'Di O d- CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS L` PLUMBER CERARCAr/ON. p ONLEAD CONTENT BEFORE Z CERTJF/CATE OF OCCUPANCYr SOLDER USED IN WATER d- SUPPLYSYSTEM CANNOT EXCEED 2110 01196 LEAD., 0 -U,)- LQZ - PWMBIPNi 7 k ALL~PWMsMNGVJWM > O i Vwm um NEED 1S1 lEE71N0 EEFORE C&ARM ~ 4A C 13 UNDERW ITERSCERTIMIE REQUIRED c. a d(l ion 1:11an F vt ti~•m ~r I Y. r S U v ` r, H Cn (n - ~ 2! pal x,: 2 T 4o' r II 40-0 III- lo" I~'_2.. ;O . T z ye\ N - ~ I I ne 3 0-3942' 18 Fkll _FNiCa- ~o(oSL_ _ ~ ~ ~ I, ~ • ~ , F 3=~{lo=vvl r-urc.H 04 ~Y _ , 19 I[-l9 e T ~Y O EA 1/ O GG k~ n A N N II f _T - '2%10°a IT) Ila, A I _ - I~ _ ai-_ 2r~ V 5r'Qp" ' m N ° ~ 2° 21 a I _ Yrs'~b~7lIM 45'~ + 13 I * LIC. PFOF II - 0 , AI GGi:/E' l v a IIT I IEr{ - p I-- - - T 4 v OIP o f ~I LL "~`?c }-1b c x 0 0 0-` z rk h , = I I - ww r ~i 3 ;8 1 II~y- - NI i -,wI SHEETaRK3I~ C , . I -1a'=AT.RTKh'1 DCdR ~ ,C M W4LL5 l CEII..INCq ° 6 4 g l-z. G PER coDE I J w J o {p~4 d X d u u ' ' N /y J V 01_ . 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GCjI--ICI~Ei E .15 -ro DEVE.LaP A MIN. -ST9t-=M6TH =NC,TH OF: 2500 Rt).I, - 2 S L2A `f5 ' " - 5is" T Puy WD,- SUB- FLcor • F--- - KITcHE.N f~I FUTI _ J.o 1575 - I." 0 , C, FUT%A96 -??.,ALL - ME1'L-I0C33 Cil^ "C.d`I'.STIZI.CCTI©N IHC.L14171Ny Fol INy Fo~MWO~K 2 x 1 0 FLOO2. ~ \ ~ CJINIi DININ~ RobM Q F'LAGIM~. s~ G©hlcF'~ C~ ,/ARE 170_-5E CAP-F-FU LL-' 51 J1 1 { SI1P1 ,/~S~D Cam" Cg-a 19) 5A'TT: AN5ULA- ION ~ ° GAL L__F1-AMINCI.. I-4M$eg' ~.IS To 8e C:)OLr'LA- 'Ple LA5 PI C2 (-'=14-50P,S.1.) ST-Ar2y1ECL.-706EADE - - - w -U.~ atr°~ 'a ALL Pvrh) 'S1 W09K1A"N5,1-1'rPl. pASI~I~~RT'lohi i L~'EC' . Ep:5c'T'1014 Ta ~OI'^i_F09"hP'"'fCa A.l t, G c -AL 5TA-rS ~ oGES,. ;a , tsNTt~~k 1~f~ j'6 Vska-.IPY: AtL TRIM I~t aICN~a, aIC~N~a - - v 4 Q ONLY TO THfeS gksEr -H 1 HE' hi~1W Yo2K _ Z Pt 7 C i LSr»`rw AL Cbi4,r-- of MAf Ii-E V.W ITI j THE ~d "ILr i 6, e A12OU.hvI.U ALL t5P5-.N', IaIN[~ ~ _ a. bPENlhli.:, a Tt?iAIrL~s s aLaKyN A SeCt jr(' I c C li 11 1'i21 t r . a r r {rv ~ _r .,niS ,~~F+fi n4XYl, N, TOM ~R V u ~ 1 ' U) V _ _ Y _ _ - - _ _ _ ~ - _ I- _ _ I ~ _ _ - { _ _ L-~__ _ _ ~ _ _ _ t I tl0A3gynS ~ - - _ T _ _ _ _ ~ 45 LL ~z__ U I I i I ll _ U P1711 rl, - _-_-T LIC. PRA J W 4 nn lT p1 O CS t 1~~~ North n ~ mZ Z~ Q~ 1~~- r _ f h ~x''~;er. 0. pZ ~m .;i~ d UJ s J > F- o i i i N - - PFAK FLA,H VENT i I - - - - MEN, I f vg~ Q7, t - I I, I i w ~ i A.5 d'a '71 7,