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HomeMy WebLinkAbout23915-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25489 Date: 01/16/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 305 OLIVIA LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 17, 1997 pursuant to which Building Permit No. 23915-Z dated FEBRUARY 10, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & SCREENED PORCH AS APPLIED FOR. The certificate is issued to THOMAS & CATHERINE L. ANDREJACK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-20-96-0113 01/15/98 ELECTRICAL CERTIFICATE NO. 15703 10/01/97 PLUMBERS CERTIFICATION DATED 10/17/97 MATTITUCK PLUMB.&HEATING Bu' ing Insp for Rev. 1/81 FORM NO. f 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) ZDate ...... ... ..� ................................ .. 19.7T 1 Permission is hereby grant AeT ..................................... ..,............................ . .. U , ....... ................................. �+......... ..... .....ovz..... . r. .... .V.. :...................... atpremises located at ....... ................. r.............................................................................................. ...................................................... L..Fl ......................................... .......................... ................................................................................................................................................................. County Tax Map No. 1000 Section ..1,,,4.............. Block ....Q�....... Lot No. ........... pursuant to application dated ..............�✓. ...J ..................:. 19&.., and approved by the Building Inspector. ' Fee $..�t• ��...:. .. .............. .... .....:....1............................... 0 / ui...mg Inspector J Rev. 6/30/80 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. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire UndePwriters. 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 - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 s Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .x . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . .Q.L1\ I . . . . .L�:�. . . . . . . . . . . . T . . . . . . . House No. Street Hamlet? . Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section �. . . . g.3. . . . . . .Block. . . . . . �4 . . . . . . .Lot. . . . . . . . . . . . . . . . . . Subdivision. . . . .11l�.�� �� �: . . . .I "tQ�or . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . � A.Date Of Permit. . � .7.1 .7 . . . .Applicant. .. �. . . . . . . . . . .I. C HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .?'�.. . . . . . Fee Submitted: $. . . . '.�0 . . . . . . . . . . . . . . . -� . . . . . . . . . . . . . . . . .APPLICANT. . . . . . . . . THE NEW YORKBOARD OF FIRE UNDERWRITERS PAGE 1 1.195205 BUREAU.OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEUBER 17,1' 97 Application No.on file 13429997/97 N 431968 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 MR. TOM ANDREJACK, 305 OL .VIA LANE, SECTION 1000-83-04-05, CUTC.HOGUE, NY in the following location; ® Basement ❑ I st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on SEPTEMBER 12,1997 and found to be in compliance with the National Electrical Code. FIXTUREEtHTACIEs SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS -CANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT TIME CLOCKS ULL UNIT-EATERS 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 T. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. rypE METER i A, 1�/3W 3,Pl 3W 3,I AW CC.COND. A.W.C. -NO.OF HI•LEG A•W G• NO.OF NEUTRALS A.W.G. EQUIP. PER a OF CC.COND. OF HIAEG OF NEUTRAL 1 200 CB 1 X 1 4/0 1 2/0 OTHER APPARATUS: SERVICE ONLY-1 HOUSE FARED BY O'T'HERS-1 L L SOUTH FORK ELECTRIC LIC.#4080-1 , 562 PLEASURE DRIVE FLANDERS, NY, 11901 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 1.It-,E i jf_, i 1 1 _dJi 1 _i I_I l I DILL, F. ``' Town Hall,53095 Main Road :'; �� :?� Fax(5i6)765-1823 P.O. Box 1179 ^:a ,� 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 DATE; 1& Building Permit No. 2-3115 Z Owner: ► jb r 5G (please print) PlumberJ)JI (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1$ lead. (Plumbers si nat Sworn to before me this 7 day of � , 19_qj Notary Public, i-Aii , County Notes► MA ' Term Expires JWW * �''' E4i 1P47C W U,K 11772 JOU lwia T AM f .wi `j.w:iL it Tow; "j�:rwwjl�wi.iwbrkwl,!E'M."o+"4pn!'�i lPllgM4!G!! =4070: TomAn*gjuck Lv&mane c Lrc was ezasa eadorr M-97 angtEmend to btesAr oonwHk dw H Am X - � 00, § Uet Gara�gs Wot?}tb Pool s� 09,12M PAW 4�W-WACMW Maim $2 4 ` r AAW P 20WW 3#6 , x . 7 01L GAS Cot IF a a LL � k jbr ac. l AUILDING PDU47T NO. OI wo"L YM WW CMY PH4K COPY O 5 • { 5 { X39 n oo ' ^�,� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET , VILLAGE DIST. SUB. LOT t FORMER OW N E ACR. Q, �n S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 'r welp C �c ce ,e 1 "ze .) 9laqM,3- 1- 11 .4 �� - 1= I r_1 c• �lt,o o e 1 ger -IhAr kr G Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD I Meadowland DEPTH ` House Plotr BULKHEAD Tota I f= JUDITH T.TERRY,TOWN CLERK RECEIPT 061944 Town of Southold Southold,New York 11971 000yyy Phone:516-765.1800 DATE t 2_194 RECEIVED OF: $ U) c", FOR: H _--� p CHECK BY: 4 f 23�j5� M-iso2 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ;,, _ Q��' � "rZ7- T� DATE? y� 9 INSPECTOR-� � 765-1802 BUILDING DEPT. INSPECTION [ ] F NDATION 13T [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: AdF DATE 2,12-71Y7 INSPECTOR_ W r-6�7- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [✓] ROUGH PLBG. [ j UNDATION 2ND [ ] INSULATION [ FgA11l11NG [ ] FINAL [ ✓f FIREPLACE & CHIMNEY REMARKS: 1/ C 17 DATE INSPECTOR �3g15 � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ j FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE �'` ( INSPECTOR �G 765.1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] BOUGH PLBG. [ ] FOUNDATION 2ND [ vj INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE ` �'� `l INSPECTOR 21 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ J ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Vil cl �la, DATE /a � 7 INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ J FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE lo 1,1 _ 2LK_ � c;2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �ILATION [ ] FRAMING [ FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE � N8PECTOR I' II.I.I1 I :ll('I•,l.I Il)fl ItP.rol I UA11"• CUr ll;rl'1';i •ii 11 � .. ..'"!may- -' i�i�"?"' „'�Q 11 /1t_ _ , : ,L„_ �•• /�. i i Pr]IRJIIA l'f()N I i If r(AuNnn r l.c)N ( ZNI)) if ---------__------- ----- --------1I- I It(111(:If 1'RAr`11? � II I // p I�I.uFni r Nt: I) _....... y 114 ii �{ I NS111.A'I•I ON VER N . Y . • i 1 STATF r.rlr.ltc'! r.nnr• � 70 if F I HAI. I� _ I ~ ADD l'1'I ON' 1. COMMENTS : I O " 070. r GGA- - Q V W 5 / IMARD of HEALTH . . . . . . . . . . . . Foltfl No. - SETS OF I'LANS . . . . . . . . . . . . . . . TOWN OF `i011'fHOLD RUItvL,Y . . . . . . . . . . . . . . . . . . . . . . . . IIIIHMINC 1)EPA I(THH'NT / AIECK . . . . . . . . . . . . . . . . . . . . . . . . . -� TOWN IIALL `al."I"1'1 C FORM . . . . . . . . . . . . . . . . . . . SMY1'1101. ), i4.Y . 1 19"1 1 'n,A.: )65- 1002 NOTIFY: I?xauiiwxl.... /1J t.0......, 19. / l7 1 9 P ...TO:IAiI. . . . . . . . . . . . . . . . . . . . 19. , PeintiL No. v / /. . . . . .� ... ..... . .. ... .... . . .. .... . . . . .. Uisal,l)rwed a/c ....................... ..... . ... . . .......... ....... ......... ... ...... ........ .................. ....................... .. .. . (ikli Id' ig nsl .tor) APPLICATION FOR BUILDING PRIIMIT �y nate. . . . ./. 17. . . . . . , 19l. 7. INSTRUCTIONS a. 'Ibis alildicaLicxl nxlst Ix- ccxuplelely filled ill by tylx-rariter or it, illk alwl t;ulxnitLL(I to I.lie lklilding lospector w+i I Belix of Plans, accurate plot: plan Lo scale. Fee according to t:chedule. b. floc plan IJ)owll% locatim of lot arwl of Ixlildings oo prl+uises, ielaLiouship to adjoining prcuiises or lxebliC :ilreets or areas, and givil% a deLailed clescripLi0o of layout of properly ausC lie drina) oil the dial;ran wd)ich is Itio' : of- thin fthis application. c. 'Ihe work covered by this application naly ix)t Ix: Crx111e"Ced before issiukx:e of lklilding Permit. d. tllxxl approval of this application, the lklilding inspector hill issue a lk)ilding Pencil to the applicant. Soch ix:nuit Alall be kept On (lie preanises available for iospectim lhrotighalL the work. e. ti, Ixlilding Alall lie occupied or tilled in wllole or in pall- for any ixlrlx)se whatever until a Certificate of (k:ctilwuxy tAliill have I)ceo granted by the lkrildiog limpector. AI'1'LICRION IS iE.H1;11Y MAIDi Lo the Iklildiog neparinlctlL for the isi;uance of a lklilding Permit: IxiiimmoL In the lklilding Mile Ordinnlx:e of Ole Towle of Scxlthold, :xlffolk Ccxlnly, Neta Yolk, mxl Other applicable laws, Ordinances or Regoial:i[xis, for [lie ca)sLrnx:ticxl of Ixlildinga, twklitioos or alleralioos, or for rolrrval or drnloiiLiou, as herein ck!icrilx:d. 'Ihe applicauL agates to ccrgdy with all olylicoble I:ms, ordinances, billidiog c[xle, housing axle, alxl regulilwions, [awl to :xloil: authorized iospeclors oil proidt;es illxl in Ixlilding for oLcemotry iuspLetious. X-t l� • aphlic ,. .. nae .. a co.... .. (Sigi , inn) (Mai 1 iog midless of appYlcant) Slate wdlether applicant is mixer, lessee, agent., architect, engineer, general contractor, elect.riciiki, phAter or Ixiilde. . ... . ..... . ...OWNet'..�... l!! ........ ... . . ........ ...... .. . ..... . ...... ...... ............. .... ... ... ..... ... . .. . . Neae of txwixtr of pianises ........ �Y�Oh`a5.. ¢. .� /N�.L... �f?Ll ... ........ .. ........ . .... ... . .. . . . . . . . (as cx) the Lax roll or latest dee(1) If al)plicant is it corl,oralicx), 8igoatole of duly aulhori"'ed officer. . ... . ........ ......... ...... .......... .. . . .... .. . ... (Neaxa nlwl til le of col lwrate offficer) Ikli lders Licen:;e Ho. -Ar.3Y, —Hz. I'Imbers Licelme No. ............. ... ... . ..... Electricians License No. ........ ......... .... Other Trakt's License Nc). ............ ........ I. lrx:atioo of larwl oo which prolx)sed wink will Ix doewt..... . .. ....... ... ..... ............ . . . .. .... ...... ..... . . ..... q$".... ................kl . .. .. .. .......... .. ... .�--= .................... .. . ..... .. .... Ikx)se Dialer StieLL ?' ItaaileL l4xnity TaxPLIptR). 14X) SctcLiOo ...gA... ...... Rlcx:k . ... .L?YS. ..... ... IOL ...P ..... .... :k,lxlivis!oo ..1N11Obj&' F-,. MA410e:..... ....... .. Filed Kill lit). ....... IOL .�5 ....... (Dkae) 2. :flare existing use aril occolklocy ' -r- off prollisib es /oil ninlelwled use alwl occupancy of propu proposed costniclion: :1. 1'.X1:il:lilg Ikie and n(:C911 klnr:y ---Y. /. . ..v':N%.... . .... . . .. ..... ........... ........... . ... . ..... . ... . .. ,/ /l It. loteixkvl use aixl occulkax:y ... .. 'its �...L�«eLl��� 'c;Axt77fw /. ........... . ..... .. . I. hurtle of mok (check I.Arich alh)Iicnhle): tk!o Ikrilr1i 'it . . Y. ... . . MI .. ... .... . AIferal:!on .. ........ Itr!IxlII .... ........ Removal . ...... . .. . . . Willi)lilloil . . . . . . . .. .. . Other U)rk . ... ...... .. ........ . . .. . .... .. . . . df (Ilenc:ripl:ion) �f ) 4 I(!;I inn{ed ('cu1C .. .�:�/.L`r.��.. .< <' .. .... . . fee. ... .. .. ... .. . . .. .. ... . .... . . ............. . .... f (lo be paid on filing Lhia nlrpiICut I n) thx!Ilinit, I*rtl)er of Ihx!lIiryt INdIa . . . .4.. . . .. tk.rlrer of rh,elIlol, anile rxr each floor ....4. ..... . . .. If ltangte, Ixnlrer of erre .......z. . . . .. . . . . .. . .. .. .. .. ... . . . . . G. If Innhwna, cnrnrrcial or tltlxed cx:rnlm11ry, npeclfy amore anxl extent of each type of. title...'. .. ..... . . . /. Ilin*amicxln of exit;{ int; nlnx:Uue1, if fifty! 17%ox it.. . . . . .. ... .. . .. . Rent. . . . . . . . . . ... .. . I)epth .. ..... . . . . ...... Ili!I1;111: tknlx!r of 6Lof Ien . . .. .4.. . .. . . . . . . . . . . Illntrnlsiong of noir ntrrN:(.lre Wille allenitions or tvIdil.loon: VtooL . .. . . . . . . . . .... .ILenr .... . .... ... .. . Iklpl It . . . . .. . . .. .. . . . . .. .. Ik!II)it: thnlrer crf Rt or len . . . . .. . . . . . .... II.� Ililwilsiofm of cal.Ire txn4 conal IINA.ion: VI(Nit .. .. . . ... .^^. . . . . . Real. . . . . . . . .. . . . ... Dept It . ... .. . .. . .. . . Ik!ilJtl tktdrr!r of ,dories . . . ..F . . . . . . . . . . . . .. /, 9.� Rize of lIll ! Ft(Hit . .�SSb.?j . . .. . . . . R ./1ear .. !�?� . .. . . . . . Ik:p11r .. ... . OfJ 40-Toa I0./ Iboe of 1lochnac vL y.� ILne or furan; (l:txr JHn/ ��C US�� rr 11./ 7.xr or fine disl.t icl in LAddl premises foe nitoaled .... . . . . . . . .. . .. .. . . . ... . .. ... .................... .. ... ... . . . . 12. Ikx!a 11111lxnfed C/nitirlx:l.lnll viol rte my zcxlinll 11", orflinatx:e or re1,olal len: . . .NU..... .......... ... 11. 14111 lot be re1,rrxkd .. Will excean fill be removed I-won prcaninen: YVA3 tJil Ih. tL•nen of (hrrx!r of pr"Illnea i.. 1.411j6f4ft:-1.-AV•' f-4Mkhen .0![ .3y�. . � ll . ..:.. xxx! tk). 73S!V34 _ .- 000 lMom! Cof Archllec . . .------.. . ...... . .. .. . .... . .. ... . .. . : . .. Mlclrena Moon Fkr. . . .. . Nate of 0xtlraclnr .)'A!'c.. . . ..... . ... ... . .... . . . ... Mkhenn . . . .. . .. . ... .... . ....... ..... ..11lotx! Nn. .. . . . .. .. . . . . . 1'i. la Illis prolx!rLy Within 1(X) feel of it tidal Welanlxllf * YL!i .... .. . .. . U) . . .... *1P YI?!i, fXX)IIXX1) 'liful 'IRlltillTS 11i13111t1AY RR Itvifillau). PLOT nrncRArl lrxnle. clearly INA dialAnc.tly all lnrildhlgn, %Atellter exinl.ing or ptolxlsed, moll ItxlicrLe all net-back dhir_nnlonn I l nn Ill olxotly linen. Give ntreeL nix] block rxnlrer or Ikencripticn ncronling to deed,,mxl nlaao alreel nnnen nlx) Inxlicnle I.Axllllcr inlcrior or f:(ooer )ot:. SIA11; IX7 IA•1J Y(XiK, rr; IIAIPIIY (X' . . .. . . . .. . . . . . . .... . .... TklII S .. . . .. .. . . . :. . .. . . . . . . .. . . .f� . . . . . .Ixling duly ;assn, nielxn:ea 111A nays that he in the nppl icnnl (tlntr! of itxlividoal 101,11{1111 ccnllracl:) :dxfve nnled, Ihr! .. . .. . . :. 6w&e, . . . . . . . .. . . . . . ... . . ....... .. . . . . .. . . . . . . . . . ....... . . .. . . . .... ..... .. ... . (t'tnl.rarlor, n1,ent , cortxonle of[icer', et(!.) of raid cs+tx!r rrr crwtx!rn, nrnl In duly noi.horized to Ix!rfool or have 1101 fotnrd the mild Wrok nix] Lo axtlte nod file Ihin "pill lcot,ion; t a l.. Ill ] stalrmentn cofitnlrx!d in Min nppl icolion ane I fixe to the beul: of hill (axx+ledge mxl Ix!I it!f; alxl 111111. the work Will Ire perfooled In Ilse lranxer net. ford{ in the nppl.icatl.ion filed Ilterewil.h. !Asan Io Ix!fole nr+ Ihin . . . . . ./.? . .. . .. . . .flay of 9-it� . . . 19. tkrliny I'Ohlic W/ ..... . .4� . . . . .. . .. . .... ... .. .. ..... .. ..... .. .. . J C M.WILKINS (Sign:;{ore of App{ icnol.) Nota ubi]c, State of New York No. 4952246,Suffolk Count(( Term Expires June 12, 19.-4. SUFFOLK TH FOR A=AL�OF Cdl67P�l1LTlp ONLYEIivIDFS °o 9 UR,E xe.FEF.RU. t�. lb. �� $. NAPPROVED 0, The wa t sypsyy mW aeraa �aposo! systems /or I!�&-rea The w eon w/ /Fahr sW of HeoA s vkN comfy WATER BOFM,Y APED SEWAGE DISPOSAL 8YMM8 MOST CGNFORLA WITH NEW 8T.4.YDAROB DA7R7Y N0YEM9ER 13.1995. SIMVEYOF 9 LOT 5 Ns �46 "�AT CUTC OF WOODBAEMMORrr '� DIM 191111M ASU4PVa qM v` $ TOWN OF SOUTHOLD Q SUFFOLK COUNTY, N.Y. NW-AWA=40,657sft sa 'o. Cala!1'-0 q. ' Ady 26, 1993 CERTFED To, CTHOMAm �i A AREvR JACK 20 0p ;7Ul* DWARD MTOFD8AL7H8WVM a R i=ER1161'BOR APFRtiYAL 0 C -1HD1 FOR A 9mL8 FAMILY RERDLi6d ONLY _ J " /0% te end No AZA $�1► :"^RC FORMAX[M@dQL:E 6� d¢�� 5XFI8W THM YEAM FROM DATE OFAPMCAfAL AV p �! 5• �' MM'-Ate AO A/XW.4ID nfFpRleDF'O .a pf TOO A AN A391.eED MTId1. � $ry OQ 't 0f 50• r 2S. LIC. NO. 496/8 Prepwed In a ordwwe wllh the mhdmrrm �O r wIV i5 slardwds for dole surveys m estabkhed v `, e � . S, P.C. by the L.LAd_.S. mM improved and �.d/meed �J' Tit: Asmdoyoyia The �r Y StOI' `ate �t The l000Nons of weds and cesspools MAIN ROAD v shown hereon are from held observadwra 40, and or from date oblehred from odrers. SOUTHOLD, N.Y. 11971 6 P # 2 3915 z ,\ SUFFOLK COUNTY DEPARTMENT OF MA TN 9E11V= FOR APPROVAL OF CONSTRUCTION ONLY TR � \R96 9 i Ip GATE wa REF.NO, Tra�� 061 APPROVED E, The wall slmdy and sawage daposd OP ! to Mas/landal6Nd�se o/rte M bL/WIN c Com 04.t ent of HsoM Services, \ a O Z �$- SU4VEY OF s. LOT 5 4' IWAP OF°- W000anIEMANOR- ;,s Ns a "4PNa MW q CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. a's o s•° ^' c 1000-a-04-05 AREA=40,857sµft .. ,. Scall: 1"= 40 Ady 26, 1993 CERTIFIED ,y+�•s o Feb. 25,1997 !Foundation Location! THOAMS A K JAC \ m •�• CATHEAW L. AAVREJACK 20 OO zv. FVELITY NATIONAL TITLE INSURANCE CR 2018194 Ple \NL IZA . N• P s C� 20 rooa $oo a/ /y A1cOf aewro 61 s C'. � Prepared la.ac� 'ceewith the mhdmum 1.) ry 2 �� LIC. NO. 49618 ataida-ds /or�'d £:nr eslabNshed P� ,y0� l�� COMC ORS, P.C. by the L.LA.L.S'and oved all added V- 196/ 765 - 5020 tar such use by The New York Stole Land t The kcodmu o/ wets all a ak P. 0. BOX 909 TlBe Assodo8orc a° shown hereon are ham 9ddboservclkms MAN ROAD r` ADD LER71nCAiRM 0//N/9l and ar from data obtabed from otters, SOUTHOLD, N.Y. 11971 1 93-242 B P # 239157 -o SCDW _ R►n-W-W 64 xt''` moo. F The wa/er supyh• mM s.waye dsPasN 6 sydema for NJs-=5.&w wrt a wiz �\Co �p� t l lmu of Hear Servk•w. County z .c SURVEY OF 9 � � $- LOT 5 MW Wa 14M AS MAP Nag= T CUTCHOCUE ' °' , .• - ^ �. TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. e WO-89-04-05 AREA a 40.857 sq.ff. �< s .as Zy ar $C49: 1"=40' ft Dd \ Ady 261993 q �R 5<p ` ��' u� �o�' \ Feb. 25,1997 (Foundation Location) CERT FED To, OCT.7, 1987 r F;na! JACK G1 TH191WAh L.THOMAS AMREJAa( , +'.:\J p� A• FMITY NA TIUMAL 17TLE ✓ C O� INSUTANCE CO. 5.� SUPPOLK 0DUNTYDEPAR7MRNTOPNSALTH=v= 20! 9194 4 NAPPROVAL OF CONSIROCm woM POR 4� •pO N -JAR �� ; �AS�WW,geANiLYRcn&Zpp $ vn yo pd $$V .•wxmvc<a mai • &eR4e kwdeaem 54pSF .REw2bQy / �.:;:-_.,;,.,,.��•� �. 00 D'(' F 5<t<asf<arcYFLR M{TN OP °✓R" "�. "` Qtr ACmy P$giioT G at ""E�� 'P Sa o° ornmaiwm.,aw.e.,wmLreyeeml " t O �T yU. < 2 f<p"- N.Y.S. LIC. NO. 49618 1=1w npored M xco serve with the n1Ha41Npn < � ,5 by Merds A. age surveys oa estabYshed �`� r•�y� (i9 CONK: S YOBS, P.G by the L.uss by he improved aM odanbd v F- 0. 765 - 509 20 T As ose by The r York Slab Land z The bharem of walk anal oesepoole P. O. BOX 909 TlMs AsroNa9on. P� shown heron oro Iran 11eM obewvallone MAN ROAD AaoceRrP-,rnnow ammeT r" and or /ram data oblahed from oRwrs. SOUTHOLD, MY. 11971 93-242 ENERGY CODE CALCULATIONS (For Nota-ElecL-ric Heat) Design Criteria 6 , 000 Degree'-Days O.A. 10*F I .A. 70°F ,� �, a{ r t . l�i e k PER: (�- J'� FOR: I Orn u 91"�Z-3 DATED: 116Z77 DESIGN '1'11EERE L REMARKS SUBSYSTEM AREA "U" 1U\T1NG P:xterlor Walls (Opaque) 6 () -7-7 a- -37 j, Glazing 1 $ 3 3L e TV*I Doors ,t� 'f t) - 2� --- C:eiliLtg/Itoof (Opaque) Skylights f $ �u Floor 00 U� Fouttdatiott Walls Slab Insulation TOTAL f Notes : Building Envelope Systems to meet requirements of 7815. 2 I1VAC Equi.pement to meet requirements of 7815. 11 11VAC Systems to meet requirements of 7815. 12 Duct Systems to meet requirements of 7815. 1.3 Ventilations Systems to meet requirements of• '7815 . 14 lnsulaL•ion of piping Systems to meet requirements of 7815. 15 Service Water Heating Systems & Equipment- to meet- requiremenL-s of '7815 . '2.1 Electrical & Lighting Systems & Equipment to meet requirements of 781.5. 31 1110 the best of my knowledge, ?, belief, & professional judgement, these plates are in e' compliance .w1di the code. ✓ r C-1 4 v 3 fie' r ' p'?®FFSS101% lo .I�dr.3�arvb i i - ft -- ---- - ------- I I i I I I -I t'— I -- I it i I I I i -t- 17 --- — _- PROVIDE OPENINGS FOR - L `' OCCUPANCY OR APPROVED AS NOTED �j- -, _�,�' �C • ' ,%� I� ' � EMERGENCY ESCAPE AS PROVIDE$ HR. FIRE ��o �Y cI RATED USE IS UNI AWFUL 'sit - -- -REQUIRED BY PART.714 OF V DATE: bo B.P.q r1 N.Y. STATE BUILDING CODE. PART 717J(Q U)OF WITHOUT CERTIFICATE NOTFEE: RP: N.Y.STATE BUILDING CODE 765-1802 B 9 AM TO 4 DEPARTMENT AT OF OCCUPANCY FOLLOWING INSPECTIONS. If FOR THE If copper tubing Is used 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE for water distributing PLUMBER CERTIFICATION PLUMBING DO NOT PROCEED WITH 2. ROUGH - FRAMING & PLUMBING ON LEAD CONTENT BEFORE system; piping shell be ALL PLUMBING WASTE FRAMING IJKTILSURVEY 43.. INSULATION NSUFINLATIOCONST'RUCTION MUST CERTIFICATE OF OCCUPANCY of types K cr .`" &WATER LINES NEED OF FOUNDATION LOCATION BE COMPLETE FOR UC TESTING OG"ORE COV'R!NG SOLDER USED /N WATER UNDERWRITERS CERTIFICATE ALL CONSTRUCTION SHALL MEET REQUIRED —' HAS BEEN APPROVED. THE REQUIREMENTS OF THE N.Y, SUPPLY SYSTEM CANNOT Y = STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR EXCEED 210 Of J LEAD. A DESIGN OR CONSTRUCTION ERRORS — 3'0 - , ISO 35 . Ii - _ /J s. TSTL M NAP'( I �I i I , I -- - - --- - - - y L �I I I I , "t II y / y _ r 9pFE551©N� I I p 'PRE f, c k, - 1 Y4 =10 96-Iz-5 I I I -a- L 1 ELL- A FZ I C\1 rouNDATtoN 0 oN � l x_ r , L 5 — 9 -7 'Z ' '7 ' � a t OPnCNA 1- - 1 , WELLS - " ' 2- 13/4x9Zt,vL v cli _ re �'o X 2'p, Y a " 'y l r p f (17TIN C+ JI� ' 0i t�I� l �-�j• �->��-f--a�... (I ..(�i I I ' t - Of n I I I T , I CA I r AOFESS%Olk P7 m W V i R L- . 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