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HomeMy WebLinkAbout17509-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218761 Date FEBRUARY 5, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1735 GRANDVIEW DRIVE ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 014 Block 002 Lot 3.22 MAP OF GRAND Subdivision VIEW ESTATES Filed Map No. 7083 Lot No. 18 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 1988 pursuant to which Building Permit No. 175092 dated OCTOBER 6, 1988 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, ATTACHED GARAGE AND DECKS. The certificate is issued to THOMAS & PATRICIA CROWLEY (owner, X7i:I;IDL{:KXXXXXnant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-129 NOV. 28, 1989 CERTIFICATE NO. PENDING SLIP FEB. 5, 1990 PLUMBERS CERTIFICATION DATED CONSTANTINOW ZERVOS FEB. 3, 1990 Rev. 1/81 Foaaa xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~0 V~75~~ Z Date .~.~......!A ................... 19.~.I1 Permission is hereby granted to: J ~ ..................... ...~lU..~.°..'.r!~.....4~L ................... .......7. ~5...... Cp.~ a.~. ~acu-~ .................... ................... ra ,.~~-.>:7`~4N..!:u-.~...~...c~:ti•C.... ~.,.~,~~.Q.~, /...~.~......~.Q..~.~...~ ,..~cYcs... ~~ ... ..(...... I.. . ~: -......~t ........... .................................................................................................... ........... ct Premises located at ..l..7..~5~ ~dl. U~> > 3?a.~.e ••••••••Q•s~•••••••••••~•• ................................................................................................................................................................ County Tax Map No. 1000 Section .......0.~.~...... Block ......~.~:.....`.'. Lot No.....~w..:2 2 pursuant to application dated ..Q~~`~"e*•••~•r•••••••••••••••••••••••. 19.b•~•. and approved by the building Inspector. Fee $....<.!.~.:. /... ............... ilding Inspector Rev. 6/30/80 1 it ~ Q9~9Q 0 ,. D TONN OF SOUTIIOLD BUILDING DGPART:IEtIT TONN IIALL SOUTIIOLD, NEW YOttK 765 - 1802 ~~~ . 1'7 3 S~ 11971 ~ ~, /+~ i APPLICATION FOR CERTIFICATE OF OCCIIPALICY DATE.~~B '3 -lC~-~- ..._.. HEN CONSTRUCTION .~.,rr/,OLD OR PRE-E%ISTIt7G IIUILDING......VACAt1T LAND........ Location of Propcr[y..~L3~_.._.:... ~Q~'~~f~?n?L~QIiJe_.,_...j~~tT!iJ~ ~/,(~.5~. UOUSE NO_ STREET ~p,~ ~/ IIAMLET.. Ovner or Ovncrs of Property._ ~ ~~']f'i~.,~„P~j~(Gl6'} , County Taz Map No. 1000 Section ~~~.. Block ..~'.... Lot' ..'3•.Z ~, Subdivision ....................... File/d/QMap _.......Lot~-'.'//......_. Permit No.~~?~„~ „Date of CCPermiC lo~~/~~ _„Applicant PC~II~~, _, ._.~ Hea1Ch Dept. Approval .`~D ~ ~O,/ ~p ~.__,/. Undcrvritcrs Approval .............. Planning Board Approval .... Request for Temporary Certificate ....... Final Certificate .,, ..1~ _._....... Pce Submitted: .,; APPLICANT. ~~.,~ .__ ~_..-• " '..•-.- ~~ ~/s 3 ~/s~l`d cc~• !0/I4/88 -, _. .a-.. ..~u.- •.. .. ~. sou. ,~ ~.. ! FORM NO. 6 ~ ~ ~ ~~~~ ~?~, TOWN OF SOUTIIOLD '3 i~t IIIIILDINC DEPARTMENT ~ f TOWN NALL ~~ ,,. 765 - 1802 ~ .,.,..,# - ,.-.,'.{;,~.. '~ APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS ,! A. This application must bt filed in typewriter OR ink and submitted Co the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines. streets, and unusuallinatural or topographic features. 2. Final approval of Dealth Dept. of water supply and sewerage-disposal~S-9 form). ' 3. Approval of electricyzl installation from Board of Fire Underwriters. 4. Swotn statement from!, plumber certifying that solder used in system contains less' than 2/10 of 1z leadL 5. Commercial buildings; industrial buildings, multiple residences and similar. buildings and instal}ations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. $. For existing buildings ~PrlOr to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and ' unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abst=act of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in trriting to the applicant. 3. Date of any housing ;code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate o£ Occupancy: 1. An application for vacant land Certificate of Occupancy shall-be submitted, and a certified abstract of title issued by a title company showing single and separate ownership af~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. A. FEES: ~~ 1. CERTIFICATE OF O,~CCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Duelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Qccupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 , 4. Vacant Land Cer ificatc of Occupancy - $20.00 5. Dpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.0,0 Residential Commercial ,P cv. ip/14 /S8 i ~., ~~E~O~ C TEL. 765-1802 ~O 0~~, TO'G~N OF SO'UT~Od.D ,?L'": ~~ '° ... < OFFICE OF BUILDING INSPECTOR o ,~~Y:~ ~. ;~:, P.O. BOX 728 "',.E~'~ ~ ~'~ -e TOWN HALL O`~~! ~~ ~b~~ SOUTHULD, N.Y. 11971 C E R T I F I CAT I O N Building Permit No.~~~~j Owner ~{'~~~l3S LROw L_Ey (please print) Date ~Tf `s ~ /~ Plumber ~'.C7n)g'~iUT) NC~S z-~'RVGS -- LIC., ~. oL3`{~ j~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1B lead. Swo(~Qn, to bef me this 19~. Notary Public, County ~ ~ ~~7~vts-cam (plum is signature) ~. Notary Public CLAIRE L. GLEW Notary Pubiic, Siate of New York No. 4879505 Qualified in Suffolk County Cnrr~m+ggev- p^+•n {.pc (la±,^"4$~nr "', ~ 9__.~ <~ J.:;LD 1i.5:'~i.T1Vii IDAi:. I VQd~tt~'11;NT° "'- 'v ~ (`~1 I: ~ c --_- - _ H H ~ :OUNDATION (1st) o ~' ~ , ?OUNDATIOIJ (2nd) ' ~, _ ~// `er ~ vZ O ~I..Pi1D ... 2 O / ?OUCH FRAME w& ~ 2X10 ~'' / N " PLUMBING ACo ,,3 3. ~ I1ISULATION PER N. Y, ~ • y STATE ENERGY O C DE C x a ~~~ -~_~ ~ §. ~ ~_ _ y ~ .~v (~ FIidAL ~c".,n.e. ~ r a~_ ~e /~ ~ 0 ~ z c A DT OVAL COMMENTS: x ` ~~~y/ 9~lYlC.t~_ G ~ ` A~f4 o ~o j J _ ~ s ' d~ x • v ' ~ M -~ 9 'S y ~ H O ~ z ~y c~ aC a ^; ~ 1 H ~ y 0 ty ~ m - "~ o y ~A pp~p _, ~n~~~~..P'Ai 4i 1 / ry/~ _ .M:1LFQ2D -..... N.q7 s~Q k. ~'~-- ~ ~ ~ -T r-r• 1 ! I~ 1"~ na, i ..i I~~~~ m` ~ ~ • ~tiJ ~ '~ n ~~ i I 1 ~~~~ %~ri ~ ~ ;=~~ ` . '; Vt~lGAF~T; 1 a r ' b - ~ a~~! i r ~~; ~~ ~ „ ;' ~ ~, ~,•. ~ ~c- .,\ ,.~ \ r G,, ~ ~~i .` •~ ~ o ~~~ ~/ } . t7• ~ ', ,.~ t7r ~ 9~.~w .. ~ ~ S. t~7.°CX~ W rr ~r~~t-tatz~~ sAStt~ C ~~,acAr~r } ~~/ l~J t~ 1 ., 9x.61 t ©' , ~6, D~' V ~ ~J`~ -~ :5- L~ 4 ,o ri ,e v ;v ~ . ~~ ~ ~ ~, ~~ I v ; .~ : 1 ~r jj~ ~~ Weil ~ 1 u.! ' 1, ~G ; 1', v i ~; , ~in -ct ;,;j I _..____~ ~ ~_ _ ^~ , CG~.Cz ~` •~ 2t3.38 ~~,~ " f3ar~~.~ ~.A.vGf2cltJ r~ca :VACAtVI'} i I I „ ur~'~: 1.l.QT f"CJ`5; 2~FE(Z Tti~MAE' p~ Gt~f~,h.-D e/i~W ~5't"AT_'~~~', ~Ii.CU !h! THt.: MfJF`Fi C.G~CLEi'ttC'a ~~3f=Ft~~ A~ MAF" h.10,?~iL33, - -- ------ 2,C~NTOUt2~ i~~F~'~Ii •F"~ NtF~i`l F~~~ G.,~"~~L, ~ ' a r, l ',~ I t '~~'~Fit~~, ~`''fN~3,~~~' `~ (` nf; i'' t ~~~ k? p 1 ~~~ -. l`w-~ ., - , t ~ ~~ I~ . . orrr r,,. Non.., S~FFOIkC 0 C~ TOWN Oi' SOUTIIOLD ~? ~'" ~; ~c OFFICE OF IIUILDING INSPECTOR ~ ''~ m F.O. BOX 728 a ; ~' :,, t ~ ~' TOWN HALL ~ ~`' `c' SoUTFIOLD, N.Y. 11971 ~~'~a~ ~~ y~o JANUA$Y I1, 1990 To Whom This May Concern, .. TEL. 765-1802 We are unable to complete your Certificate of Occupancy because of the following reasons. /x~ An application for Certificate of Occupancy is not on file. ENCLOSED /%$ No Underwriters Certificate on file. Aga( The check is(outdated/not on file.) $25.00 ~g~ No Health Dept. approval on file. /_/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit 1I 1 7 5 0 9 2 Building Dept. ***,~-g/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) /7~~~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: DATE III D r ~~ / 7~ ~ ass-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS:. ~~ J--. O - -~-. i /I it - --,4- i i r~ ~ d~, ~r-.a-Pw,,.~ .,k.. _ a.~.c_.- ____ ./t-~-[ ~~i~t- DATE //~.~/" ~ INSPECTOR ~,.~ ~~r~9 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ) ROUGH PLBG. [ ~ FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL ~~ DATE 1 C~~/ 765-1802 BUILDING DEPT. tNSPECTlON [ ]FOUNDATION iST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE INSPECTOR 7 ~° ~ ~- . BUILDING DEPT. [ ]FOUNDATION 1ST [ ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: i nn ~~ DATE ~~,~ ~-~..c / /A~ ~~~P / ._ ..Cn r ~~~ / ~ / r INSPECTOR ~. ~Z~©©~ ~~-x$02 BUILDING DEPT. INSPECTION FOUNDATION iST [ ] ROUGH PLBG. [~/] FOUNDATION 2ND iN [ ~ SULATION [ ]FRAMING REMARKS: _~ ~ . ~~ [ ]FINAL ~ -~ DATE ~ O U ~ INSPECTOR _~ THE NEW YORK BOARD OF FIRE UNDERWRITERS r'ACI , 101.71.57b BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORKI0038. ??s7;uy: o-xrtn s,,•+„'~~RNIIAkY.M}d;9`V417 "~-.:. !1A48Uh AA/8$ N :i 14'lk% '~a~e ' AppNcotion No. on file THIS CERTIFIES THAT only the electrical equipment as described below and ineroduced 6Y the applicant named on the abase appNation number irs thepromLas qJ I'tu)MAS A NAT Cf2QWIF.Y, GRANnVTEW UK., SLCI'CON-U.)o0, gHlk:Nl', N.Y. in the fdlacinA location; ~ Basement © lee Fl. ©Ynd FL is AR I A'I I I C I U li 1 ;gl,.tl„nCYI d Block! Lot ~ ~ ~ ~' uRU examined un ~ ANtlAC2 Y 1. fl , 1 V90 and found to 6e in rnmpliance with the requirements of this Buord. gX7UR! RXTURB RANOK COOKING DEGCS O pEN WASNNf RXNAYST fANS OUTtRTE ACtES fWITC1IB INCANDlS[EM f1u011E5CENT OTHER NAT. K. W. AMT. K. W. AMT. R.W. AMT. K. W. AMT. H. P. S3 If 59 511 ;5 t 1(7.2 1 10.2 1 1.'l 9 f DRYE#E gJRNACE MOTORS g11Utl AMUANOI RIDERS ffEGAI REC-T TIStE CLOCKS pl4 UNIT INAIEK KW ~R fYIMMRRS NAT. K. W. Oll H. P. GAS X. P. AMT. NO. A. W. O. AMT. AMP. AMT. AMPS. TRAM NAT. N. P. ~, a ~~ NAT. WATTS 6 h' 1 SO `i Gql.) SERVECE pECOtINECT NO.OF S E R V I C E AMT. AMP. IYR ~~ p~ r.~ 1,e ]W t / ]\V ] / 3W ] l AW ~' ~R %~D. OF CC COND. NO. OP MHEG ~ ~ NO.OP NFNKNS d NEIITML OTNN AM]ARATUS. nurt7H>:t-.s ti.t~. PANFLIfOAKDSc1--6 C.iK. ]QU - sMOKI bE'ff?.t:70R:-~~ .cro'` I)F.:NN15 D. CL.AiKI? .iYt. 1.[C.Y84L-~f; _ w, p. BQX 'l86 LAUiiEi., NY, 1t94H - ~ O~ALMANAB~ 11 G~ Per G This tarKlkaN must not bs ahand in any nannsry return to 1ha office of the Board if inforrM. In ;. may ba idanKFisd by 1Mir endeMiols. COPY FOR BINLDING DEPARTMENT. TNIS COPY OF CERTIFNi\TE MUSF Iq[ ~ ALTERED IN ANY MAi~R. FORM N0. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . ~~0-.~.t1~bW...~P.., 19~ ~ q Approved .0.~~?"~+!":h+.. ~ ., 19 ~ ~ Permit No. ~ . ~ . ~. 1.~~- BOARD OF HEALTH .~... 3 SETS OF MEANS ....... SURVEY c/ CHECK ~•~ t • • • - • / SEPTIC FORM ../••........: NOTIFY `~j~ CALL a"•"=/iftlFS• ~~ . . MAIL TOH / I~J ~~ Disapproved a/c .................................... . (Building Inspector) APPLICATION FOR BUILDING PERMIT g~j 'Date ..1 l.?! ............. I9C~Ci INSTRUCTIONS a.. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set~*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 pazt 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, buildin code, housing code, a regulations, and to admit authorized inspectors on premises and in building for necessary ins ect' ns. (Signature of applicant, o me, if a cor or3hon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ......~J.w~E??- .......................: ......................................................... ........................ Name of owner of premises .: ~~5.~.. f .~9{e7~~ . ~• • • • •l//4it~fN• . ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) ALL CONTRACTOR'S MU T E SUFFOLK COUNTY LICENSED Builder's License No. .. ~~ 6~.~'~'•.~.. ~~iM.~ . . Plumber's License No . ..................:.... . Electrician's License No. . 2 3`!,?. • C . • .. • • • • • • • . Other Trade's License No . ..................... , 1. Locatiar of land on which proposed work will be done. ..47QA.~!!~, ~ld~k? . ~Av~`.'.. 1 ..~!.C~~ ~ ........ . ....I : ~.3s ............................................................./........ . ............. House Number Street Hamlet v County Tax M/~ap No. 1000 Section ~~ ............. Block ...f!............. Lot .....?'............. . Subdivision lTQ/~~A. ~r't~'?. ~S,T.73•~S............ Filed Map No . .............. Lot .............. . (Name) 2. State existing use and occupancy of premise/(s~'a~,n~'d intended usea/nn,~dyo~ccupancy of proposed construction: a. Existing use and occupancy ..... .. ~ ~v~~. •I/.~~i^/.'yg/~! ............• ..... .................. . QQ... b. Intended use and occupancy ..!!~I~.. ~/• ~.......•,.,.;,~ •..,;y,,.:' ...:............... J/ k8 v <,.. 3.I Nature of work (check which app ' ): g ........ , . Addition :. ~• !~'::±..f Alteration . i;.a,., , hcable New Buildin ~+ ~ .,k ... . Repair .............. Removal .............. Demolition ....... ;;Ot ~.~. .:. ~~•• esc~ }ion) . . 4. Estimated Cost~.~7.Q~.aa~.. .......................Fee...... .~ .. ._~. ,•,`5~,.,~r%~ ... I (to be aid ~i .~1?!?[i10x1~ 5. If dwelling, number of dwelling units ... ~ ........... Number of dwelling units on each floor ............... . If garage, number of cars .....'';.....2+ ............................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... . 7. Dimensions of existing structure, if any: Front .... .. Rear :............. Depth .............. . Height ............... Number of Stories ... -'~^~`Y......... ............... , ................. . Dimensions'of same structure wi~h alterations or additions: Front ................. Rear ........ , ........ . De th .................... p 2 ~ ~ ..Height ......... ... Num}e~r of Stories ......... . " 8. Dimensions of nt're new constr' ~ r ~ k• uchon: Front ....~?. ...... Rear .. ..........Depth .x{0.4.......... Height S.~ ....... Number of Stories ...... ~ ~7! .......................... ..~ . . ~~p ~ y~ ....... 9. Size of lot: Front .... 2. , .•~........ Rear ....4~•.7~ ............. D th 4~4 ..4t. . 7~13.•Sg.~y1 ?~ . . 10. Date of Purchase .. N4s.. ~7 ~~ .. . . . . .... . .. . . . • . N e of Forrper Owner . , t~ . ............ . P 12. Does oro osed constru thou Bola ises are situated .....x!~,tht 1'~~t, • , , , , , , , • , , • , , , • , • • p p to any z ning law, ordinance or re ulation: ~~ ... . g ........................a... 13.' Will lot be regraded .. , ... ....... ......Will excess fill e rem ved from premises: ~/ Yes ... 14. Name of Owner of premises ... .. ~S.. .....Address ..7.~/.~. !flf~S.... Phone No...7Z,7-..~~. Name of Architect ......... '' ............. ..Address ...................Phone No. Name of Contractor ... ......... .Address ....: ~ 5 ............ Phone No.... ~" ZZ~^f .... .......... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .. *If yes, Southold Town Trustees Permit may be required. ~ PLOT DIAGRAM Locate clearly and distinctly all ~ibuildings, 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. STATE OF NE YORK, ~ S COliNTY F . ...... ..... ~' ~`72~....... .. • • • • • • • • • y • • • • • • • • • • . • ....... being duly sworn, deposes and says that he is the applicant (Name of individual s' i~tg contract) above named. He is the ...)~.~~+..... ................................................................. ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,work wIll be performed in the manner', set forth in the application filed therewith. Sworn to before me this ...........~.~ ......day of (}~C%C~'!(~e'!S~...., 19~~ ,.. Notary Pyblic, .. o ..... r .... ...:... ... .County ' VIG?OIiIA 0S. ~IIE/dOEY vv . ~-~QI! ............. ................. . NOTARY ~ 62a ~ pew r~ (Signature of applicant) a~wxn.a r~ suno~ '.' cewmlaMn EnNre• / ~9d .:.;~ ' ~ ~ tt x ~ a ^k ~ 5'~• ~ ~~&~ .. r ~ '~ ~" " > w. v4.~'„~ ¢~b'~ r (r t k ~ r fi ~ Y SFS. .tom- tf a.~' n ~~u ~'y"~~ 9 Via:. eo ~ c~' ~ P +R '~' ~ 5 ! 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NO. $;-50 ~1`~ ~i V STATEMENT OF INTENt ~ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THt3 RESIDENCE WILL CONFORM TO THE STANDA9tp5 OF.THE SUFFOLK CO. DEPT. Of HEALTH SERVICES. (St APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -FOR APPROVAL OF CONC'TRUCTION ONLY DATE: H. S. REF. NO.: 87- 90-• tx9 APPROVED: SkJFIROI.K CO. TAX MAP DESI6MATIiilM: D11T. SECT. !!LOCK PCL. +~3C7C2 Off. 2 3.22 ere rln~ t~1i:~PAI4~:~74 .. FR~i'T"`N1~.t2~itilflii;~7, i1, DEED: L. r, RGIDER- fG~ N~I,~L, r. V --.,r--- `~ LICEN~b LAND SWtYEYORS ' GREENlORT NESM YQRK te~eowa tvsr r+naty x .. _r* R ~"YS Q~ . , ate. ,. > n. ~s~s,:;<d C3' a am .. .,,, w tt r~" ri M- uwq~ ra t r , V anY ra ~ yna t _: r. ..- f '-, OS M SUa~3q~ + .!r _ lu iir $ j n r`O.t ,. ENERGY CODE Fo,o, : : Dior.:} CALCULATIONS (FoQ. NpN-EL EGTRIG -/{EFr~ PE.o. ~ ~vN y~ DATED ` ~`~~ ~ ~E3/SiN ~Lt/ZE/1/v. ~ 1c 000 ~EI~.IEE ~n.s O. A. ~ /o F S. A.: 70'F SUB SYSTEh\ .4R.EA Q. L1ES~5 ' ' N .4~cowcc L)~5iyv ALGA\VEp ~6n\.4Rh3 - . - _ U U BTU CiTUH EXTEQ/L)Q \VALLS (!v/1p55) O./7 EXTE,d/Q!i \vALLS (pGdQUE) 2 /v~`~ ~ P o.05 C 55'~ C,.LAZ/Nf.+ I4, % ttL'L 0.58 izj 6 r7+v om/is 3d o.vo gjo GE/L/NHS /,aC~C~F j~j'7 3 J , o, . O.'03 L -r /J FG~.Q //y~07 /Y O.oS {a,j'ZJ ) INF/LTI~.ATl6N ~l/o~,,:weJ L3,G°J O.oiB zS4'S'~ ii .. Jr. ~ C.e Z+-/J~ UPv~. :r'~//ZEpLiCGc CZ~ ef~~") a3 L~ ~ Lo c/=n a.,.~.~ /Ud TES Torn ~ ! s ~ fri ~ 1 p NcYJy / / D9 DGE - ~ ' - 1) HEATING EQUIPMENT TO MEET 7813.23 - 758 EFF. ,~. TO THE BEST OF MY KNOWLE 7 y ~ ~ p~ ~ ! ~ ' 2) HEATING CONTROLS TO MEET 7813.13 BELIEFr AND PROFESSIONAL Qp y ' RANGE 45 TU 75 DEGREES FAHRENHEIT. ~ JUDGE[9ENT THESE PLANS ARE ~ ' J I.bi~;~,4Qb; ` 3) WATER HEATING PER 7813.31 THRU .38. // W IN COMPLIANCE WITH THE CODE. C N ~ ~, 4) PIPE INSULATION 7813.19 y ~ _ U N 5) WINDCk75 -DOUBLE GLASS. 032]59-0 @ Fp 4, 6) CONSTRUCTION 'N MEEI N.Y.S. ENERGY CODE. - _ PA~FESS10NPy /// /~'~ ~~/~