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Home My WebLink About22947-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24252 Date APRIL 2, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 1275 GOLD SPUR ST.& 190 OLD SADDLE LA. CUTCHOGUS,NY House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 28, 1995 pursuant to which Building Permit No. 22947-Z dated AUGUST 17, 1995 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 GARAGE UNDER AS APPLIED FOR. The certificate is issued to THO14AS & DONNA HENNESSEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0077- MARCH 4, 1996 UNDERWRITERS CERTIFICATE NO. N-379119 - MARCH 1, 1996 PLUMBERS CERTIFICATION DATED MARCH 30, 1996- TERRANCE TAUB uilding 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 AUTHORIZED) 95 NP 22947 Z Date ................. ............................ 19.... Permission Is hereby granted to: ....Axw""':�r... . .................. .... . ...... ............ t ..........4............. .. .wo......... ..... . ...........4f2e .........." f �K ......... ........ ........ ........ ......✓.................elo�............ .................................................................. .......... .................................................... ........................................................................................ e- .................I.................................... ............................. ....... ........................................ ................1? at premises located at. 17 . ..... ..... ................................... .................................................................... .... .... .......................................... County Tax Map No. 1000 Section ......?�7........ Block ....... ....... Lot No. ......... pursuant to application dated .......... /.�...... 4.......t. ...i'............. 19... and approved by the Building Inspector. FF .y7 ee $... .. ........... .......................... .............. Building Inspector Rev. 6/30/80 MAR Re '96 10:22 TOWN OF SOUTHOLD Form No. 6 P.2i3 TOWN OF SOUTHOLD BUILDING DEPAtTWT TOWN HALT. 0� ),, .F 76'5-1802 Y,» APPLICATION FOR CEitTIFICE,TE OF OCCUPAUNCY A. This application mast be filled in by typewriter OR ink and submitted to the building inspector .,rich the following: for new building or new use: I . Final survey of ..property with accurate locs:tion 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 oz electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying thar.t the solder used in system contains less than 2/10 of l% lead. 5. Co�aercial building, industrial 'uu:ilc.ing, n=ultiple 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 completec site plan requirements. B. For existing buildings (prior to .April S , 1957) non-conforming uses, or buildings and '!pre-existing" lane uses: 1. Accurate survey of property showing all prcperry 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 stare the reasons therefcr 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 525.00, 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 - $20:00 4. Updated Certificate of Occupancy - $50.00 5. :Temporazy Certificate of Occupancy - Resideatial $15.00, Commercial $15.00 Date . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . gew Construction. . � Old Or Pre-�'ax�qistin(g Bu'11* . . location of Property. . . . .._. . g . . .. . . . . . , .. . . . . . . . House No, v Street (gamier Onwer or Owners of Property. .. .y .... -'":.".`:'.':". .��e:''y//Z . . . . . . /. . .. . . ... . . . . . . . :ounry Tax Map No 1000, Section. . . . . .. . . . .Block. . . . r... . . . . . .'..ot. . . . !- : . . . . . . . . . . Subdivision. . . . . . . . . . . ./. . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . .Lot... . . . . . . . .. . . . . . . . . . . . Permit No. . . . Date Of Permit. . .:/7; 9 .Applicant. Health Dept. Approval. �°�l:�? .00 7 7. . . . . .Unden iters 9ppraval. l�0 3 9G f. . ?-arming Board Approval. . . . . . . . . . .. . . . . . . . .equest for: Temporary Carrificace. . . . . . . . . . . Final Cerricate. . . . . �. n� pa ee Submittzd: 5 . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . C 0ay�5� v% GPPLICAN . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195084 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date MARCH 01,1996 Application No.on file 11023396/96 N 379119 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 HOINESSEY, OLD SADDLE LANE, CUTEHOUGE, N.Y. in the folloeeiny location; IN Basement ® int Fl. ® 2nd Fl. GAR/CUT Section Block Lot was examined on FEBRUARY 27,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES ICOOKING WOKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECQTACLES SWITCHES INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 17 36 28 17 1 5.5 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE MINES SPECIAL REC'PT TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NSYSTEMS O.OF MET AMT. WATTS 2 F 3 - SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE MEQEtNP. I A'2W 1 X 3W 3 X 3W 3 AV IW NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W G• NO.OF NEUTRALS A.W.G. PER 4 f CC.C D. OF MI-LEO OF NEUTRAL 1 200 CB 1 X 1 2/0 1 1/0 OTHER APPARATUS: WELL PUHP-1 HOTORSIII-F H.P. G.F.C.It-4 SHOKE DETECTORS-2 SCHARADIN ELECTRIC LIC.#2540E BOX 1077 MAIN ROAD CUTCHOGUE, NY, 11935 00* M MANAGER 11 Per t This certificate must not be altered in any manner; return to the office of the Board if incor ct. Inspectors may be identified by.,their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST 140T BE ALTERED IN ANY MANNER. A00FO4 Town Hall, 53095 Main Road G w F J Fax (516) 765-1823 P. O. Box 1179 �-� C Telephone (516) 765-1802 Southold, Now York 11971 OFFICE OF THE BUILDING INSPECTOR TOWIN OF SOUTHOLD C P It T I F I C A T I O N DATE: Building Permit No. Owner: (please pri t) Plumber: 4=CK:n Y'P- no (please print) I certify that the solder usl:d in the water supply system contains less than 2/16 of 1% lead. 09 (Plumbers Signature) Sworn to before me this �Q day of Notary Public, SU OL/� County N NE.N �tY PuCORIbNEliq State p{ry�y�, Zwkes Guam.No4766666 Otk uffolk Courny SOUTHAMPTON ENGINEERING P.C. 144A Mariner Drive Southampton New York 11968 287-2312 Phone Fax 287-2314 March 20, 1996 Southold Town Building Dept. Main Road Southold,NY 11971 Re: Hennessey Goldspur Road Dear Sir, Please be advised that the added height on the brick chimney, which was done to ease down drafting,is well built and structurally sound. No additional supports are needed. Sincerely, 41, /. .� Lemanski P.E. i/SDL/keb M-1802 BUILDING DEPT. INSPECTION [ OUNDATION 1ST [ I ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 0 �L o Itf DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE S CHIMNEY REMARKS: C - DATE "� / ` INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ✓�OUGH PLBG. ; [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING lee [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,lam DATE C INSPECTOR �aR Y-7 t- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ��"`� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [LrINAL [ ] FIREPLACE &/ CHIMNEY REMARKS: �Z DAT Er� 3� INSPECTOIE/ f IGCD INS"POGTION REPORT =NYA - - _ _____CO CNTS__ ____ II •I - �tsd,� r� �� FOUNDATTON _ ( IST) if FOUNDATION _( __ 2ND)______' -_ __ II_____ ___ __ _-_---_- --' ---- ------- --------'--- J ROUGH FRAME S _D,u1Na PLUMBING - n _ e,, � Cd 01, ;; II (NSOLATON PER N. Y. ii.�� _I4 © -c,.,lr�.l� ----_- STATE ENERGY CODE -- — — - yI n-- I -- -- ------------ --- ----- - if -----s==-==____----_-- _------------------ 01 IL 404 FINAL 0 NAL COHHENTS: - --- -- ----------- - ---- ----- - -___ _- ______________ - - m — ----- - ---- h O � ------ - ------ --- --- ---- C ------------------------- BOAFU OF HEALTH{ . . . . . . . . . 11 1 SETS OF PLANS . . . . . . . . . . . FORM NO. 1 SURVEY . . . . . . . TOWN OF SOUTHOLD CIIECK . . . . . . . . . . . . . . . . . . . . . {n9'$ BUILDINGOEPARTMENT SEPTIC PORPI . . . . . . . . . . . . . . . TOWN HALL SOUTHOLD, N.Y. 17971 NOTIFY �`�q _ TEL.: 765.1802 CALL . �. . : ./. .-. . .Q��7 . . . . . . .. 191.), NAIL TO: GxamincJ . p9 tpproved . . . . .7. . . . . .. 19/1 . Permit NO. disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . JUL R J9U5 t�Jing 4nspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . ..... . . .. INSTRUCTIONS a. This application must be completely filled in by typewriter or in Ink and submitted to the Building Inspector,with els of plans.accurate plot plan to scale. Fee according to schedule. ' • b. Plot plan showing location or lot and of buildings onpremises,relationship to ndjoinin; premises or public strec rr areas, and giving a detailed description of,iayout of property must be drawn on the diagram which is part of chis appi atlon. 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 permi hall 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 Occupanc, hall have been granted by the Building inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th. 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances o 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, bu' ing code, housing code, and regulations, and it admit authorized inspectors on premises and in building for necessaryWjlgnactur6e n /5 of applicant, of name,if a corporation) GQ_ ,351, SvvrN. .rwPmnJ,�y.,�� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . —/Es. cp.�;1. . . . . . . . . . .. . . . .. .. . . . . .. . . . . . . . . .. . . . .. . . . . Vameorowner ofpremises. /�oNN.�LS.TNoM145 NC NW ES F . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . (as on the tax roll or latest deed) If applicant Is a corporation, signature of duly authorized oCRcena , . . .. . . . . . . . . . .. (Name and title of corporate officer) Builder's Lic.nsc No. : . . L a . . . . . . . . . .. . . . . Plumber's Liccnsc No. . . .�P V Qf. • • . • • , • • Electrician's License No. 6 . . . . . . . OttrcrTradci License No. ,! r1/� . . . . . . . . . .: : . . v. Location of land on which proposed work will be done. . .. . ::. . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . ,,, , `? F.: . :f. 'C .4� r . . . . . . . . . . . . . . . . . . . . . . .. House* Number Street Hamlet .County Tax flap No. 1000 Section . . . . .O. . . . . . BlueL .. . : 7 . . . . . . . . . . . . . Lot . . �. 8'.f�. . . . . . . . . Subdivision .M1PoF,gR.op ✓7Erj, E. , Filed Map No. f4.q.j. . . . . . . . Lot . !.C�. . . . . . . . . . . (N:unc) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy : .�H.LcA1iT b. Intended use and occupancy 51N4( A !1l4 7l IbTo2W�''t . }� �Ltt a is NQ A��,�4� . . . . i t , T0'd g3uhl 'H'S Ol 'u1 S3WOH HONA1 WON-3 Zb:BO 0667-`=T-d3S 3. Nat urc of work (check which applicable): New Building . . !::. . . . . Addition . . . . . . . . . . Ntcrauon Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . Other Work . . . . . . . . . . . . (D_:cnpttot 4. Estimated Cost!. g� + O C7 . . . . . . . . . . . . . . .. . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . (lo be paid on filing this application) 5. If dwelling, number or dwelling units . .p.N.t�. . . . . . . . Number of dwelling units on each floor. . . . . . : . . . . . . Ifgara,c. number orcars . . .C� N� . • �. V. [ILlERGRR+7.Np. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business. commercial or mixed occupancy, specify nature and extent or each type of use . .N f . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . A.. . . . . . Rear . . . Depth . X4144 . . . . . . . Huicht . . . :. . . . . . . . Num bcr of Storics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alicrations or additions: Front . .... . . . . . . . . . . . . Rear . . - . . . . . . . . Depth . . . .... . . . . . . . . . . . . . .. Ileight . . . . .• Numbcr of Stories . . . . 8. Dimensions of entire new construction: Front . . .z 8' • . . . . Rcar . . s3 . . . . . . . . . Dcpth . .`f. . . . . . . . . He!;lit . . . .div.'. . . . Number of Stories . . -T W C7 .' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . .,54 FC .90R.Ve�p . . . . . Rear : . . . . . . . . . . . . . . Depth . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1• Zone or use district in which premises are situated . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Docs proposed construction violate any zoning law, ordinance or regulation: .N,c� , , , , • , , , • . . . . . . . . . . . . . . . . 13. Will lot be regraded .MO. • . . : .. . . . . .. . . . . .Will excess rill be removed from premises:N 0 Yes N 14. Name of Owner of premises N.ii"1C €55!5.Y Address Phone No. . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . Address (K'fHRk'N.t�P#?,-s, 1m14Phonc No. Name of Contractor . . . . . .. . .Address 3FJc2 � , j�0014f',, Phone No. 2d . "�a-�5`�• 15 .1s this property located within 300 fact of a tidal wetland? *YES . . . .110 *If yes , Southold Town Trustees Partnit' may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings. whether existing or proposed, and-indicate all set-back dirncrsions fro- property lines. Give street and block number or description according to deed, and show street names and indicate whctthc interior or comer lot. TATE OF NEW N'04 K, 1 Du:iTY OF . . . . �t,�. . . s.s � rc_2 ' r being,drily sworn,deposes and says that he is the applicant + (Name of individual si;ning contract) :ovc named. : isthe . . .ConJT2,gCTv,2 A-�1� ! L yAltHt/oivre'S,ttJL �tC'ontractor, agent, corporate ofCiccr, etc.) said owner or owners. and is duly authorized to perform or have performed the said work and to rnakc and file thi: Ilicadon: that all statements contained in this application are true to the best of his knowlcdgc and belief: and that th+ .rk will be periomncd in the manner set forth in the application Gtcd therewith. Om to bctorc me this . . .. . . . . . . . . . . . . . . . . ' y�r. . )' Public. . . . . . , . . . . . .' ) County ROBERT t SCOTT,JII / 4-�� 1 . . . NOTARYPUBLIC.Swsk N.Y (Signature ofapplieln9 Na 4726088.Su1fo*CM . Twm Expires May 31. 197le TOTAL P-02 WELL SUFFOLK CO_ HEALTH DEPT- APPROVAL H, S. NO I I 2SINGLE FAMILY DWELLNG ONLY ass;) F= EXP1F}ES THREE YEARS FROM DATE OF APPROVAL a _ - 7� N I _ ___ _ - 1.7. _ . ._ ' STATEMENT OF INTENT G THE 'NATER SUPPLY AND SEWAGE DISPOSAL \\ tt g ''• SYSTEMS FOR THIS RESIDENCE WILL A CONFORM TO THE STANDARDS OF THE . 0- 30lJTH'- Ip N`f SUFFOLK CO. DEPT. OF HEALTH SERVICES v-1LL) StlijQ 7712ECCc +` (S) l APPLICANT o I'� _ EDGE OF 6UKIGTOP 5T.- p iEV7054. � � �SE' !. ' -$- --- -- '�_.... SERVICES -- FOR APPROVAL FOR ' lZS3 . SUFFOLK COUNTY DEPT OF HEALTH POSS15LE FUTURE '� .4IGHWAY p60iCAT-4si EA$EME4JT a G Pool CONSTRUCTION ONLY 25. Y Ioo'- ` tILI) DATE/150H. S. REF. NOe✓p PROP.WELin L APPRO M IN WF-LL Wi . I77 VEPT14 I� � \ SUFFOLK CO TAX MAP SIGNATIONIztDIST, SECT. BLOCK PCL P \` `%jA , P '.o' I �' 3IQQO o95 d\ i OWNERS ADDRESS _ SP85Al j 1 THE-WA- R SUPPLY AND SEWAGE D. OGUSI {GA:- � I - S T, S FOR THIS RESIDENCE WILL CONFOR4 - - pR6P.SF»'TK! 4y � STANDARDS OF THE SUFFV.K ! P C) bQ rVE HEAI OFLTH SERVI vAl}.'rd .IdE4 � .Y ; 1792 r-los= vJ£LL , °SASE .off '� �p� TEL, 929-3542 N.. �$ t... ASSUMEDIELEv( o I Kms' RJ _.-- 2 C6ROfiTUM — -- — DEED: L. P. a. i �" A-4r �a p 1 /r�� / TEST HOLE T P = G ? 40 _. L:I_MflAlUF�1 tJ"!' T.H.Y 3 rve 'sev.wtwn of • t f . +:-G _ -__ ..__ t this w Y Me -( ; R 1 1ni� jv �.. ( ' �t3. FlLEO MAP ion 72os of the New Yarpstaft docatwn law. '� Q .,�/ e : H(�� TOPSOIL pies of this SUN8Y maP nd bo ll' \t-Q� nOE I i �• •t�,.j ---_—__.. -- - I aland sUr Vis inked seal ori bossad seal stall not be consiMrad 49 T �(' 1 o ba a valid trve coPA I'I Guaantec ldicetad nerem shop tan 1. l,,-.AM $ onlvtoM nersonmrwnomffl0t" Y I el. rtl nn nis benaNto llM i _(] x .,� �. CLAY tpw ora acvemmenalYtub lenong Incl atoll listed nerepn emE totheassgneesolthewndOg Q 4 I 1`x•1• 111100 GuamMaes ale mel to ed'h weal instnu ons o suwaaaMg r7� LYNCH HOMES INC. I� awea. aesfa�Ncei ��I�r Gg4lNTY ROAD 39A SEAL cS SOUTHAMPTON. NY 119 vs` .16) 283-0009 .. } AN✓^ s I of NEH RAVEL �P�GK Vq,YTGp9 NOTES h5 sURVE'rEl� 'PQ1Llq o n <� 4`- VIEWESY_SaFLOT N65. IL DIMTESU OF ,GCO. ROS IC.KVAN�L. P. * ¢�', CLE ICSOFPICEAISMAP' M.6241- '�eS..ti i X14 I �`SFoLs255P��¢ _.. . LICENSED LAND SURVEYORS LAND Q��, \ GREENPORT NEW YORK \ "tElfWYsl POST Nsl] AJ 77 -7 SUFFOLK CO. HEALTH DEPT. APPROVAL MAP OF P120PEl" -Y H. S NO. 4t2E5.) ARES O STATEMENT OF INTENT g _ i XTTHE WATER SUPPLY AND SEWAGE DISPOSAL R SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE tY�' /PJ Cif T -."- -. SUFFOLK CO DEPT. OF HEALTH SERVICES. -1LCFf..lQE +� c (S) • �. eC)GE OF 51ACt[i'OP APPLICANT >f'2'�EU r0t2 N.544� 35 E. ; - 177.83 SUFFOLK COUNTY DEPT. OF HEALTH - , 1 — -- PCGSi9LE UTURt 5� l - - -� -- y''q EASEMEtiT t. SERVICES - FOR APPROVAL FOR � \ I � c.FOpt - RUCTION ONLY �. 25' • 100-.__� v � 2�. ^ I CONST a - - - - - - - / � DATE. � i / �' ! I H. S. REF. NO.. �s- Cli APPROVED lr_ j _ f SUFFOLK CO. TAX MAP DESIGNATION: i i' 54Uya{ J / DIST. SECT. BLOCK PCL. s�} 32J low 095 4 18,10 p1 (�h 661 \ 9► rK V OWNERS ADDRESS . 0 QCUT 1220'&L w�nFs�� r��v��rwx 11792 N S soo J C TEL. 92Q•3542 5tlmaVELEI, ,+ �te.t.tntL .-r SCA+. E r- ` FO SI eaa - DEED: L. P. AREA, S'F. TEST HOLEI. i 'J,MONUMENT- U MENT i ft r. 3 e , s °l T I Educatbfaw r , ✓ C :PIPE FILED MAsolthisunYma� Pnotboarkm Q NU8 TOPSOIL Me lend surveyors inked soot or � or be a reeatwo copy of ha oonaeen3e Cosmtees ron ,�` r •', -' j1..'F f :`..r; - - - ._F"._jindoionted wheeoh allM"o the for 1wmnsurveyDrePQmdsndmhgpm0��T.4 f9 LOAM S @bcmpanv.9ovamna„al ncy i K 1 I CLAYa hstawon osteo Mraan and ' � ' osi8neea of t (RES4OfIUCE) CT low o66pG SEAL Q• L _lOWNOFSOUTNOLp :,ASD 3 a OF NE QT GRAVEL �2 �Y NOTE: M AS SLtuvEvED y acnlI 5 �Q zP�orcv� `o \ LOT Nos UPEIZ TO NMaF OFOR.EGQlkJ _ _L_l9�.�_ 0 f Cl F y VtEW EST 5,. FILED IW THE SUfF (b. RODfii ICK VAN T YL. P. v CLPf21_C 5 OFFICE 166 Mtn �40.621�1. LICENSED LAND SURVEYORS GREENPORT NEW YORK CSZSba�° <A vo s� rattovra rosy N413" WELL i SUFFOLK CO. HEALTH DEPT. APPROVAL MAP OF MOPERT Y H. S. NO. IZIO 95 0'77 t ; THOMAS 0 DONNA HENNESSEY _ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL � f SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE M. WN OF SOUTHOLD NY SUFFOLK CO DEPT OF HEALTH SERVICES. GOLD . ST � I ISI APPLICANT ,+ tEpGlc.f1F b}.ALC '�' "SFIZVED FOR x * �� ____ SUFFOLK COUNTY DEPT. OF HEALTH Pow$ ERMIN — % SERVICES — FOR APPROVAL FOR iTP6E!"yEivl 111Gs4wAY 0040#0$4 CONSTRUCTION ONLY 513 ., �:,eW 1 nu�J j K —f iI►!Y' •._E� L..�. , t Y 6 � DATE: l `. . i p SINGLE F61teL Y i�1N H. S. REF. NO.. Izto 95 077 IItli41 OF I 4416 art' 1 aG' a?vjjN` . u"" ♦ R APPROVED 3p 1 Q ` 1 it+. s eJ • .yyAr$E�y$`� fr:S, I ! 4 [``` ��,� SUFFOLK CO. TAX MAP DESIGNATION: °� � w f p3st4ti1 "Y•:e. i + y„d. � i DIST. SECT. BLOCK PCL. ` 77! }gay o I +moo cig5 Q fB.IO 3 1 Ya.� OWNERS ADQRESS: rate PO SOX CUTC �� O 0F I Mo�uE NY 093S I ` 41J7 I P L. DEED: P. -- 40 dq`\FA” ff 4+ +�4.`.F. ST HOLESTAMP NTI T.H.* 5 UneutMrhed etlennm aeEdAbr r'. �a � 0 MAP Sthi chou 7 8 the Nsv0is tlonof - g Fducation Law.i the Ne YOM State . . OPSdI '4' � t r Copies of this survey, ^e land C ; ¢,bossedaalsbl n. I be a t.�!Iry�_r �..i � }. � baraM.ld Vuecopjy ,1 )'OCT-4,1995 Cay nthes tl n i. QfJh1�Id i�ry� ��g /�(� f 'LOAM f o ytothepeson � } \ f. ?I ,y -NOV__tzi.�.�:-L.�...- CGV`a,t99� CLAY Is nEecrp and o' tc the alan w"^sh. w � ' to n C_,. n.a.; •a not transferable l Ls to estate al nstsmose ons or supuent 4 CUSU NC owners. Y Gl3AR/tN'fEED To , _$R4NtJA H$NNE6Y; x __ _ SEAL L.; t"stlfFCtt iG OUXTY 4ATIQUAL WINK �}" [eswtQ AM .► kN r� ..; s �' G24D E! `4 OF NFA, �Fctc vqy 1NMI 0 * e ' 40T ttli?fr OF ROQ$Q}CKVAN T�LY�L�P g � fc ��rt LICENSED'LANG SURVEYORS GREENPORT NEW YORK nuorFnrosr r+urn t f$t�5-� . PLUMBING ALL PWMBMIG VPZM PLUMBER CERTIFICATION &VWMUNUNEW ON LEAD CONTENT BEFORE TESTING B E COVERING CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER ; f SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. j I if copper tubing is � t j i ' l i { ( � ; { i � f ( � `• j for water d' ' ( + � � � ! ( ' Ij it 1 1 � , ! ,, ; , ; � , 1 ,• i I 1 � : ! s mem, p1 VY CRIc KET ► I � � , { � I•� � 1 � � � � � i � tii1l � ll I { I i � i ; ; � ji-r ! I � � if � � � I � if � - r Q I.-1 0 4 i I LT s i I ' 1 ; ( I 1 1 j ( j ' ' 1 I 1 � , I ; 13 � ' i ' � 1 ` 1y � � ' • ` ' I I II I 1 4 i � � ► � � � 1 ► � ` I ► � � . � � ! � i � � iMII � BI ► t � � � � PROVIDE % HR. FIRE ASNOTfp PART. 717.3 (f) (1) Of DATE* [f &PA BUILDING CODE 1 „ � 11 NOTIFY BUDEPARTMENT AT OCCUPANCY O� SO�� 785-1802 9 AM TO 4 PM FOR THE USE IS UNLAWFUL FOLLOWING INSPECTIONS: PROVIDE OPENINGS FOR 7. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE WITHOUT CERTIFICATE EMERGENCY ESCAPE AS III �ZL 2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY REQUIRED BY PART. 714 OF Copyright 1990 3. INSULATION N.Y. STATE BUILDING CODE. C All Rights Reserved ?�' NcH f�o►+*,�5 /lVc, 4. FINAL - CONSTRUCTION MUST -OL) Li V NC>r BE CO4.A"LETE FOR C.O. Lynch HOTnCJ� Inc_ ', ";7 e A11 Ct",STPUCTION, SHALL MEET UNDERWRITERS PAIss, 1 of to ERWRiTERSCERTI OF THE N.Y. REQUIRED Fo H EJ (iJcSS E (/ & ENERGY / C.i?�SIBLE FOR - - - - .,:. .._ it,UCT!ON ERRORS 1 F1 ft��GLPsS 5111 N 4,t.�S t ' 1 1 � j { I I ij � IIi � j411 � Ilfli 3QC.r. CNIH IJC t_� p I t r k7 c . I - . � is I t r hr iHil I j I i -DE 1 h / ©Copyright 1990 t All Rights Reserved I D I gneb Hnmea, Inc. GL� NCN NoME � INC, co✓ nn-tay �iviN�; Foil ifGuESSty_, -_ 11 -- ----------141 nu sr Ro 1/9(75'X .r9IykSfY" 33S° ACoRFI SN 3PSn ,Aca Sd LOx(om 40RNS4' 1 lu {� BEDITCIfEN a g ryj C'LEn TcN� �G dR QEN o 0 Aox FO C �- O �� , QE C m ' b _ q g) v 'Ira ta TppN5(QE r �glJb.[ II /FRAoHo1 aTte hA3 �• 11� l e U �Z$l N 1 PjRyH1/N Odn� oW �1tcRn� X _ LIVI N� (ZoaM O i y � � \ •� }-�ELECTRIU'-P�OK FoC F. Ra FA wi �9j T p E o L oy NOTE' ALL EL�CTp/L S PCQCOOE©Copyright 1990 � R 3 Ta TFj L HCI rof 621c.G asa All Rights Reserved }/fOVJN /N HOUSE TO /jE ° O..JrNE.URLI... lynch Homes, Inc_ � �RtcCF/QEPcAC•C�p 03 R4TN YHQ e E Y 23K5 �gSowceRNse 3ESo f1a0905H RO vy%yrSS%y Po yyyi"x S% 3.0 s,q, d, f'�" J S�'-oi' Kj '_ - - 71Ou n - ---� y—oR.'. HENN�SSE( A 3 To RoVy%yxS1%y R� vy%yx�5%y . z� yy/yr. rs%y r 3854 • <-OLu sit 3BSo / ce,. ra S/r ��----; I L-j — R. �+ MA S'7 r-- �. _ r BE�RbaM y t3EDRCC f-A I b � y° 1 DTi— c �mx3e AcD2k15/f 9 1990 A11 R'ghts Reserved Lynch Homea, Inc. ' I /Jo7E: AIL eLECT-RicASPEKcoOE LyNC/4 H MCS SNC <-oUN7Ry L lVit%S6y SCCON .D F1_oo � 'PA 6r& 4- br L- SCALA +" e 1 `p - ��; KE�vyESS , • ZY-10 K�DaC : L 9'17 I ��/'L ,• GX SHE;Ii'HlrJv, S � FC-LT l f FlaC-:F RSS SH1IJ�, r eS j BAt-eo"L{ \ 34-" HI yH \• Z -BUFF IT Vt..i.., { r ii 2 f e. � K !4 —=• �xb -YCr VrSCIn%� HI A-62Ao6 y � I 2 IL � � —.L --• �'L __ �� , � xL Cr11 "rZeLi41: 9�UG� SL Cc SL f �" �. c r- ovNDR�TIc�J CZGD )4Z)oSC Toth? — I 7 NIGH KE'ICIZ� 70 — zYz` k!' PC Fru �-4A-Me, PPur 13E LOv�, CrQ �E ALV M31 N 6 ©Copyright 1990 No stAi-C All Rights Reserved Lynch Homes, lnc_ LM-f.-7 SEC- 16 N � y/VGN C.oii 1v,N 'Rv) LIvINb, - :— .YAf,,>= -5 b1 10 roR HCNN�SS�"?/ � 13 nit , _ ZZB_o r p R m $" P,C. T-outJDp,'rloM 71 h9414 O n o S T �� /FEED 7a $i,Y IL„ to 0- OD � �� O rKIO rI roes' 17 1 �l I rI Jb 106.1 i / Z)a4. o c L_� L_ . 1 y 0.� _ 1 L_.._-t — J Zs 2 z Z'_x L'xl' Pc. T=T4 j � � J ��r BR1OGIr.1 �, ^-► N NenT1r/G /r\Copyright 1990 U All Rights Reserved Lynch Homes, Inc_ fo ad, S�uNTRy L—,v,fA vcrV.Mc C114r wk*"I k_'e ., _. FOVN -I:)A-TIDN pL on F,7aet SCALE IIT 1 O SI'�I Building Design by Acceptable Practice Part 6 New York State Energy Conservation Construction Code as amended , effective 3/1/91 Suffolk County 6000 Degree Days Hinimum Thermal Performance Values For Non Electrical Heating Roof/Ceiling . 05U R19 Floor . 05U R19 Exterior Walls . 05U R19 Glazing 58U ( not to exceed 23% of gross wall) Entrance Door . 40U All construction to comply with New York State Conservation Code 3/1/91 .