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HomeMy WebLinkAbout17073-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18621 Date DECEMBER 6, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 320 MT BEULAH AVE. SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section OS1 Block 3 Lot 2.5 Subdivision MT.BEULAH ESTS. Filed Map No. 6984 Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1988 pursuant to which Building Permit. No. 17073-Z dated_ JUNE 7, 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 WITH ATTACHED GARAGE_& WOOD DECK The certificate is issued to F.MARC & ELLEN WIEDERLIGHT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-54-DEC. 4, 1989 UNDERWRITERS CERTIFICATE N0. N-080230-JULY 11, 1989 PLUMBERS CERTIFICATION DATED JUNE 16,1989-HENRY J. SMITH PLUMBING c Building Inspector Rev. 1/81 FOEM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERM17 (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N4 17073 Z Date .............~.vv!~t:...l......................, 19.~.. Perrmission is hereby granted to: .....N ..................~:a::~?-:................................... ... ta .G%~-.~.....~......~I........s~:~.......~ .~:.~....~.....~ ....... ct premises located of ..sN~...........!.'.1. ~:!-„~.....l~s+?...-!~41C.~4~!............A,l.~Ps~ff--........... ................................................................................................................................................................ _ ~ County Tox Map No. 1000 Section ......Q.a~...~......, Btock ...... o..~a...``.'~.. Lot No......~ :.~......... pursuant to application dated ..........~.. .. !.~ ...................... 19.b.~t...., and approved by the Building Inspector. Fee $.. ~s~~.t..'......... .... ,.~:~'~ ... q-~. ................. . .............. Bu Iding Inspector Rev. 6/30/80 T TONN OP SOUTIIOLD BDILDING DEPART:IENT TOl/N HALL SOUTIIOLD, NE47 YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPAt7CY ~" ~ ~ i DATE. I°.~1~ ~~`....... NEN CONSTRUCTION .. ~ OLD OR PRE-EBISTING BUILDING......VACANT LAND....._.. Location of Property... 3o?Q_ _ _ „. _ f?1h.. jEke._~q~-~ . HOUSE NO.~^ STREET IIAMLET Owner or Owners of Property...I.:.~'~Q~-__'i_,W~~D~'(Z_(/Frlf ~_________________ County Taz Map No. 1000 Section ..~?~.~. Block .. ~... Lot' °?:S_._., Subdivision.~?.'~t~t~ll'~. ALI?E3 _(a~~y_,Lot_. - ..... Filed Magp ,_______ Permit No. 17~ ~ 3....Date of Permit ./:~7/~L._Applicant ................... Health Dept. Approval ................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ........ ........ Pee Submitted: S-.~~..~a..._........ APPLICANT.......:. 1~:.~Cs" .. • ~s -~ ...... rev. 10/14/88 Q~ •38 70.E Cn ~ )gG~! 4r.~,i, i FORM N0. 6 i TOWN OF SOUTIIOLD IIIIILDING DEPARTMENT „ ~+~ ', TOWN UAL, 76S - 1802 ' i ~ APPLICATION FOR GERTIFICATE OF OCCUPANCY INSTRUCTIONS A, This application must bh filed in typewriter OR ink and submitted to the Building Inspector with the follpwing; for new buildings or nee use: 1. Final survey of property with accurate location of all buildings, pYOperty lines, streets, and unusualinatural or topographic features. ' 2. Final approval of IIealth Dept. of eater supply and sewerage-disposal(S-9 form}, 3. Approval of electrical installation from Board of Pire Underwriters. 4. Sworn statement from'~plumber certifying that solder used in system contains less' than 2/10 of IZ leads 5. Commercial buildings~y industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the 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, buildings and unusual natural or topographic features. 2. A properly completed' application, a consent to inspect signed by the applicant and a certified abst~~ract 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 inswriting 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 of Occupancy: i. Aa application for dacant land Certificate of Occupancy shall be submitted, and a certified absgract of title issued by a title company showing single and separate ownership of 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. D. FEES: i i. CERTIFICATE OF QCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $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 Certificate of Occupancy - $20.00 5. IIpdated Certificate o£ Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.0,0 Residential Commercial i ~~ - •;. ~~ Ce• 10/14/S8 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~t=~ ~ 11. T!S ~.I is BUREAU OF ELECTRICITY 85 JOHN STREEi7, NEW YORK, NEW YORK 10038 Date ~7iS't',Y 'S'i'S'~~TS APPliration No. on file ~~~~~('~~~~~ ~ ~3f~13~S{' THIS CERTIFIES THAT only the electrical equipment as deacrihed below and introduced 6y the applicant named on the shove opplication numher in the premises of faPRC' WTT~I');`.t"tL1.G'>4I'P, 3?~ tY".E)131,k1,1x1S LRR7+I. St1Y1°PHi~7,fl„ ia,~, in thefollowinq location, ~ Basement ©* 1st F'I. © 2nd Fl. ix~$ Sertion Block Lot was examined an `'rf'1~~' I' S' ~ L;~[t andfound to 6e in cornplianre uirh the rvquirernents q(this Board. FIXTURES RANGES COOKING DECKS OVENS DIaH WASHERS EXHAUST FANS FIxTURE ECEPiaCLES SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHEfl AMT K W AMi K.W. AMT KW. AMi K W AMT. H P. 1 ~~ iJ fi ij?! i .I. -I. ~{ . ~z ~~ i . ~, t> S' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELL UNIT HEATERS MUITI.OUTLET SYSTEMS DIM MERS PMi K. W. Oll H P, GAS M. P PMT. NO. A. W G AMi. AMP. AMT AMPS TRANS. AMT N. P NO. OF FEET AMi. WAiiS R k 1 3~ 1. ~ (; (?ff SERVICE DISCONNECT NO.OF $ E R V I C E pMi. AMP. TYPE METER EQUIP. L ~, YW L ~ SW S 9 SW S ~, dW NO.OF CC COND. PER .e' A. W 6. OF CC. COND NO OF HbLEG A W G OF HbLEG NO OF NEVTPAlS A W O' OF NEUTRAL OTNFR APPARATUS: ,>~'A 4L' 7D7PEi i;~ffV--1 ~~20 ~C~k T1tAN5i~'~;`k ;61T9'C1~1~'I bK,W STAiFSM rJIVL't'_ 1 FEkflF.RS:'Y-3 ~ 4 13A.>E;~t~;Id'f 9't7 i3AS1'~CRN,N'.1` 5 VAMf;3,S~Ofi~itB:l-a r,.,3.R. 1f}i7 G.F.C."f,a-`7 ~~Z~E~ ~~ ~ SA(;k: h ],Abf'~I9AP'St~t i:~1C_ TrtC.~}3~35~-~", ~/~~ I'.(~.ldfl$ l76ft f;ftlfTHC1RLIl„ NY„ 1.59'1:! OENERAE MANAGER ry f /lh PEY ' 1% This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT 03E ALTERED IN ANY MANNER. ~0~~~~a~ CD/, TEL. 765-1802 TORN OF SO~TTB(Od.D ,;. ~~ -'- ~c OFFICE OF BUILDIIQG INSPECTOR o ~,~ ,~~'F"J r ,;; P.O. BOX 728 "' E ~ -c TOWN HALL ~~0~ ~ ~~~~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Ju~t~h, X989 Building Permit No. p)`~p'7 ~ Owner ~MA2C ~I~aL72LIG1~4T a ~:LL,L''~ (... ~tC ~~72L/F'Nt" (please print) Plumber HtNRy ~. ~~,.~,-r~_I (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. Sworn to before me this 16th day of June 19 89 _~ ~~ lumber's signature) Notary P lic Notary Public, Suffolk County BERNADEifEL,TAPLIN NOTIIRV PUBLIC 1µM4!93 Slue of NeM York Residing in SuMdk Cwnq~ Q~~~y gwtmissien Expires Sept 30, i!9 t FIELD =RiSPECTION I D ATE COMMENTS 1..-~ ~,~. ~ ~ J _-- -- 1 ~ ~ ~ ~ . H FOUNDATION (1St) a FOUNDATION ( 2rrG ) m ~ U _ 2. (,U ~ ~ N FRAME & a ROUGH PLUMBING -4 /~ p O H ~~ ~ 3. m rn y INSULATION PER N. Y. STATE ENERGY "~ CSODE x a r p , FINAL --- b z L COMMENTS: ADD I TI O NA ~~ ~/~ p , ~p ~ L /~ 2' 8' ~__i_p~2~,~~-~n~lAr,~~T.~a.a~d 7~.frw~ +~a~ d-~e,~~ o•v `(,~.~~.~, ~ ~~ T ~a,~v+~ ,~ vu. ~+v - . ~ , x ro + ~~ a ;,,~ H ,~ H ~ O z_.p xa r-: ~ aN r o H ~ x ~ ' ry i ro H ~~ /I ~ ©~3 ";~.~8®~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] RO GH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING (]FINAL REMARKS: ~`~,'^'~-u-/'~~ "`~ r DATE ~ INSPECTOR ~ ~: i ,_ ~~ Z`3 ~~-isoa BUILDING DEPT. iNSPECTIt~I~ [ ]FOUNDATION i5T ( ) ROUGH PLBG. [j/~FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL DATE ~ 1 INSPECTOR 1 ~~~" 765-1802 BUILDING DEPT. tNSPECTI~JN [FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ,F [ ]FINAL DATE ~~ INSPECTOR REMARKS: ~A8-~t ,2 ~~~ ,..... ~ ~~ ~~ 765-1802 BUILDING DEPT. 1NSPECTI®N [ ]FOUNDATION iST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS: ~t on i~i'IY [ ]FINAL INSPECTOR {,~ 7073 rss-isoz BUILDING DEPT. INSPECTION [ ]"FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~RAMING [ ]FINAL DATE Z~ INSPECTOR ~~ .~ ,e ~~ ~~~_ ... REMARKS: ~~t ,ti `~- ~---- :~ ~~ ~~ i 1.' ~~ C~~ C1 c~ li .~._ <. i. ~ :- „~ ; i ~ ~_ ~~ ~--_ ~. - • ( I.,.-t-» ~, ~l F ~~ ~ ~~ I: ~ ~ 1" ~I ~•~ ~- Ul 1~` -..,.. '~ f ~'~' ll I ^y ~ _ ! ~~~ ' r ~.....r . [ U uNN%; ' ''~~' ~ L] f ~ N t;. N ~ U) ~ ni S. 1 .. Aga ~ Q~~ ~~ 'i ~ l,l i~ ~ 7I l~.l ,7 Q i-- N '-t ~ r-•f w „~ ~J ,7 S 1 `>~ Z~iS y"~' k~ rrJI co~ o3a~ .-~~~_~,r ~ F- .,1 ~ S nF r ~ O~7! ~ .~ ~ ' ~ W° V ' WNOfl('7~t .. uI ~~ ,~ ~~NI"14Jr3C~`l~y ~3~N~~ lN) Cm~ ' ~:i °up I i '"' .--~~ f' ~ ~z ~ 'I i ~.~: ~: '~ >„ r r Oc]'9Z? ..-............_....._...._.~. _,_ ._.___.~.....~._..-._..~,... ... _. _.,_... ~.--.~-_rJ-. i - .I tU ~` !• "~ 4~ --! ) ._~ M~OI.S5,1 N artinow ..;. I-- '~ I, Illl N `\ 1}1. _~~` ~. ' .."~ . lT) ~ I -11 ui uj PI H.IbGfV !]"!G Cll J' ,61 i ,~ INSTALLATION SUGGESTIONS ,.. F. .` is ~ r/ ATTIC .: 1 ~a ,BASEMENT ADJOINING CLOSET MODEL NO MAX. CU. FT. FOR AREA KW PHASE VOLT AMPS PIELO 5z iieo•" a LINE FUSE . UP TO COPPEP REQUIRED AWG M A FT 5 1 208 24 10 30A S 2 80 CU. . 240 21 AWG 3pq } 208 31 6 40A ASM-3 14tl CU. FT. 6.5 1 240 25 lU 40A ASM-4 220 CU FT 7 5 1 208 36 g 50A . . . 1240 31 AWG 40A 1 208 44 6 SOA ASM ~ FT 300 CU 9 240 38 AWG . . 3 206 25 10 240 22 AWG 30A Typical Wiring Diagrams ~COOtr01 CIfCOIi luses are rated aI .AMP SP AQUA STEAM MODELS E----~^ ASM~3 TO ASM~S - SINOLE PNASE i r r ~ 6 ~ OY ~ItI e AAO~OAttgpA I N051Ai ~ ffAYIC[ , -_- rearlofon rgtOAr WIAf _ fIFCTAEJM IIEW WIAf -_..- .. II ti ll It 6Ap AQUA STEAM MODEL r ll YYAriAEY ASM.i THREE PNASE I r ~ ~ l2 AFAYICF r----~ L N I I r~~ FNl~ornr ~n I I I ANArSA f XGr'OSTA, . ----~ ru,OAr WIAE 11 T! rElO YME ------ ll Q V Q A ~~ . - rSWEA CONMCiM E I~ ~ I _ l____~ '~,AU wmsnEANO rAMI wrtAtaElMm~ p u AEI~ _ [l[MER ,. CIYAIf~I II • L ~~ +, AQUA GLASS CORPORATION. P O. BOX 412. INDUSTRIAL PARK. ADAMSVILLE. TENNESSEE 38310 (901632-0911 ,, ~,, i TIMER I ~I a II I~ r A r\ , r , ~ . ~ IA 1 j A r Li l rr Y I A 1• SFr` l rli ~~ A A .1 \, r r l l A.r Yr A ~ rY ' rA l Ir/ A ~ A r r 'A YYA r Y A A\q ~ AI " A' IL 1 / r N~, f ' ~ F i 4 `` ~1 0 0 ~'111iiul,uy VIII iiiii 1} y~~1 } I f (+f 7• M• I N STA LLAT I O N s/ ( ~ Ill i 1((lu1,1111~1u1~i~~1i ,~1~~~~~~1~1~ ~~I~~' ay and O P E R AT I N G ,~;,,, v owe e e INSTRUCTIONS ~,.. ~ • d ~`:i' ~ I PRE-INSTALjLAT10N: ~,~~. A Insure that the mpdel Stem Bath unit you have purchased is sized adequately for your room enclosure. For best performance the cubitfdot area of yourenclosure should be sized 10%to 15% LO W ER than the maximum cubic rating of the Aqua Stem Unit ~ :a`:•~ ~ a~ B. Insure that the electric power available is adequate for the Voltage, Amperage and Phase of the Steam Bath unit ~ ~ ;~ NOTE: Shower and Badttulj enc(ostaes must Fie completely sealed on all sides, top and bottom Shower and Bathtub walls and cerlrngs should be crinrpJetely covered with rile, /ormtca or metaC /n the event that the walls and ceilings are either o/p/aster, sheet ro~k~or plaster board a clear water prooJpaint should be applied to seal the sur/aces. INSTALLATION: ~~M~... ~;... The Aqua Steam comes assembled, carefully wired andtested, ready for immediate installation ' 1. The Steam Bath unit must be located as close as possible (up to 20 feet) from the shower or tub enclosure. Possible locations include vanity, closets, and attic(insulated) or basement located near the,bath area Refer to installation suggestions on reverse side. 2. Connect Y:'coppertubirjgtouniffromanyexistingwaterlinesupply(hotpreferably).Provideashut•offvalve at point where connectipn is made. .~,i 3. Connect'/:"NPTpipe orYz'copperlinetocarrysteamfromunittoapproximately8"abovefloorinshoweror ju st above the ri m of bathtub and connect yi' steam Outlet Head. Be sure that the slot in Steam Head is facing down, CAUTION: QO NOT INSTALLANY SHUT-OFF VALVE ON THIS LINE. 4. Connect incoming electric line to the Terminal Board located in the wiring panel. See wiring schematic for additional information All wiring should be done by a qualified electrician and must conform to local and -~ national codes,,. ~," "-- I ,. h,. ) ~ 4 ~ . ~,: , . 5. The supply wiririg shoulQ be suitable for90° C aRd sized in accordance with the Kilowatt rating, voltage and phase of the steam bath unit (Refer to the electrical ratings on nameplate.) p.. 6, The RemoteTimershouldbeinstalledonthewall~utsidethebathingareaandnotcloserthanfourfeettothe shower door. '~ 7. Thermostatic Temperature Control can be providqed as optional equipment for regulating the temperature within the steam,bath area ~ ~'`'I ~ _ ~ "`T• INSTALL UNIT WITH ARROWS I?OINTING UP 1 M PORTANT: Install unit In upright position. Separate mounting brackets are 5Aa ' provided and should be affixed to holes located at very bottom "ytt ~ on each end of unit THE UNIT MUST BE FAS• TENED SECURELY AND MUST BE LEVEL. Safety switches for the steam bath unit should be provided by _ WATER the purchaser. Either a circuit breaker or fuses should be used R -~~ INLET be' ,~ "-' tween the main power source and the steam bath unit ( e ~ ~ OPERATING INSTRUCTIONS: ~~~ STEAM When all connections are completed, open water valve tounit - ~rl .~. ~" OUTLET ~`'~5~filU!I ti Now~turn Timer permitting water to enter the uni(. After setting SAFETY the7lmerallowl0minuteswarmuptime,plusthelengthofyour VALVE ," steam bath period ,! Onc~ the Timer returns to, ZERO the unit will shut off / , ~ AUTOMATICALLY. I - -- Atter your steam bath, take a hot or cold shower and presto... the steam vapor will disappear down the drain. UNIT MUST BE LEVEL TO OPER ~ TE PROPERLY i i' ~~~'~ See installs#ion Suggestions On Reverse Side ~a, ~, - ~ ~ " ~, ~ ~ ~ ~ - VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Y~ ^.~~'' ~eE~n }r~e ~. ~~~ k OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 14, 1989 Mr. Marc Wiederlight: 320 Mt. Beulah Rd. Southold, N.Y. 11971 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Re: Building Permit #17073-Z 320 Mt. Beulah Rd. Southold, N.Y. SUFF. CO. TAX MAP #1000-51-3-2.5 Dear Mr. Wiederlight: During a review of our files, it was noted that a Certificate of Occupancy has not been issued regarding the above numbered building permit. According to the Code of the Town of Southold, It is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. In order to avoid any legal action you must correct the above violation immediately. Very truly yours, SOUTHOLD TOWN BUI`~ DEPT. U ltil~~=j' 1~ _ff~ Vincent R. Wieczorek, Ordinance Inspector VRW:gar (cert. mail) l ~.bE-e t,.I ~k-4rt' ~' ~,,SI. V~JJGE, ,.t ~~ N ,4vE. sou-Mo :w ,r ~ ~ ~ ~ ~~~_. ~ , ~,., . *,~ ~ ' ~~EA6.~0A~R~D~S~,UPP~:L~~-~Y~~~COMP~ANY ~~ ~~~/LaOt~~~~6k'~UiJr~/~ G~ . ~u~~~~lI~LL /`9~c~2000f6 ~ 317 NYE AVENUE, IRYINGTON, N.b,07111 . ~,. '/ ~~~, , ~/~ ` ~ ~ ~ ~ N.J. Telsphono 201-375-1384 • ~ N.Y. Tdrphon~ 212-227-0425 ' 212-217-0892 ~~ ,t y May. 28, 1987 f t L "' r ~ J1J ~ ~j.. fwiv I.4..r1 _ ~ ' i tid~~!.~ ~ .. • .~ ~~ M,x.;'Phil• Harris~~ ~ ~ ~ ~ ~~' ~'Ssland Building`Supply;Co.,.~~~ ~~~ ~~ ;~ ':;. 620' Union "Av_ enue ' ' `~~Ho,ltsville,,,New~:York~~],1942'~ ~' ~ ~ ~~ ' Dear, Mr. ~arris ~ ' ~, ~ We~.~are~,enclos~ing'":a~~brochure~ on~our~.~products. ~ ~~ Please note that'our`'Fomastic'listed under` .. foundation products,~"s "53iti2'1:'ar, in, composition ~~ to'- Cheek-A-Leak`~cement. 2 .:' ~' ~~ ~~~ „~~Yours''very.~truly,~ . , ,d,. i ~ ~' ~'. ~ . ~ ~. .. ~ .. ~ ~ ': i. ". r.~ _ - ~ ~ ~ I, +~ ri: ~~' Y~ , ~~ b.i' ~ ' ~ ~' ~ ~ r l . .l.~ aro+ BZ:mI'' ' ~~ C ~. i~~~~~ ~ ~~ ~, ~' -- ~. D r FOUNDATION AND DAMPPROOFING PRODUCTS SEABOARD AND BLACK MAGIC FOUNDATION COATINGS Irush consistency asphalt products, fortified with pulverized late, for dampproofing and waterproofing exterior foundation ~alis below grade. One coat penetrates porous concrete, cinder lock or other masonry foundations and seals the surface with a fisting protective film.against water seepage and dampness. .PPLICATION:-BybrUsh or spray at rate of_approximately 40 sq. ' SPECIFICATION: COMPOUNDED IN COMPLIANCE WITH M.P~S. SECTION 7i2-1 for dampproofing and waterproofing ~toundations as determined by the Federal Housing Authority. FOMASTICK (FOUNDATION MASTIC) water conditions require extra waterproofing pro- action to foundations-belov~grade._'FOMASTICK" markgdly-pro= acts against excessive water`seepage. FOMASTICK" is aheavy-bodied, pliable, homogeneous mastic 3sily applied. Its special composition permits applications of up to 'a inch without sag or slip. "FOMASTICK" used as a weld with alyethylene film on foundations creates a unique waterproofing /stem. PPLICATION: Use plastering trowel. Apply at rate of 40 sq. ft. ar aai. DRIVEWAY SEALERS AND PAVING PRODUCTS SEALZIT #10 OR BLACK BEAUTY ur popular Asphalt blacktop resurtacers are identical quick-dry roducts for macadam which is discolored, deteriorating and for reserving new paved areas. ether brand imparts a black glossy protective finish to macadam, :aging hairline cracks and shielding the surface against the osive effects of sun, heat, rain and snow. iiey provide a positive beauty treatment to discolored macadam, tying rapidly after application and will not soften or crack under 3riable temperatures. No heating or mixing of additives is re- wired with these or any SEABOARD product. OVERAGE: Approximately 75 sq. ft. per gal. depending on porosity of surface.~(DO NOT USE ON STEEP INCLINES OR DUR- ING INCLEMENT WEATHER) APPLICATION: Sweep surface clean of dust and dirt. Remove grease's and .oil : drippings ~ by use of detergent or chemical degreaser. Pour small amount from container and with stiff brush or squeegee brush well into the surface. AVOID EXCESSIVE AMOUNTS WHICH WILL RETARD DRYING. A small amount goes a long way. Read directions on container. May also be applied by spraying, Resume traffic 24 hours after application. "~ FORMULA 366 A coal-tar pitch emulsion with high solid content and reinforced itt~neutral chemical ingredients which repel the corrosive and orroding agents which destroy blacktop. ORMULA~66 not only seals the blacktop against the effects of asoline spill ge, chemicals, acids, oils, etc. but is a positive eatment agar st water seepage. FORMULA 366 will not soften or rack and drie rapidly to form a tough elastic shield against frost, i e, sun, r ir~and traffic abrasion. PPLIC ON: Sweep surface clean of dust and dirt. Remove rea a and oll drippings by, use of detergent 'or chemical egreaser. STIR WELL, pour small amount from container and rush well into surface, using stiff brush or squeegee. AVOID EX- ESSIVE AMOUNTS. Resume traffic 24 hours after application. OVERAGE: Approximately 75 sq. ft. per gal. depending on orosity of surface. (DO NOT USE ON STEEP INCLINES OR DUR- ING INCLEMENT WEATHER) WARNING: KEEP FflOM FREEZING! SEALER AND FILLER A special aggregate in our "FORMULA 366" pavement sealer adds non-slip resistance to the blacktop as it seals the pavement. It fills hairline cracks and smooths rough surfaces. It should be applied where steep Inclines may create slippery conditions. Application is the same as with "FORMULA 366." Coverage will vary depending on condition of macadam. Apply with stiff brush or squeegee at rate of 40 to 60 sq. ft. per gal. TACK COAT An oxidized asphalt which permits a tapping of new macadam to be applied over and adhere to old worn macadam. New macadam can be feathered out to thicknesses as fine as the aggregate will allow. It will also enable new macadam to be applied over concrete with excellent results, APPLICATION: Brush or spray areas to be paved. Use sparingly. Allow to set for 10 to 12 minutes prior to paving. SEABOARD (FIBRATED) ROOF COATING SEABOARO QUICK-ORY ASPHALTUM heavy-duty asphalt-fibered coating for rapid resurfacing of com- ,;, ;. Amulti-purpose black asphalt paint which dries in 20 minutes to a osition, rolled roofing; slag, metal or other types of roofs which ~! ~ '°' hard, glossy jet black Tinish. -- re beginning to deteriorate and leak. Venezuelan oxidized asphalt and mineral spirits are compounded single easily-applied application of this economical coating to insure a rapid curing, hard, durable finish. :stores new life to dried out, weatherbeaten roofs. It penetrates :SEABOARD QUICK-DRY ASPHALTUM preserves steel decks, eeply into the surface and seals the rooftop against the destruc- , .underground storage tanks, metal roots and structural steel ue effects of the elements; SEABOARD roof coating is formulated ' against rust and corrosion. i insure ease of application without laborious mixing or heating APPLICATION: Brush or spray at,~ate of 100 to 150 sq. ft. per gal. nd is applied right from the.container.' ' PPLICATION: Sweep surface clean of loose; matter and debris. ALUMINUM COATINGS pply with brush or spray at rate of 50 sq. ft. per gal. ederal Specification.SS-A-694D and ASTM D2823. SEABOARD ASPHALT ALUMINUM ROOF COATING (FIBRATED) SEABOARD.(UNFIBERED) ROOF COATING High reflective aluminum pigment, special asphalt blended with ', (ASPHALT PAINT) `r,, mineral spirits are compounded under strict Reynolds Aluminum •, ~ ~" specification in manufacturing "SEABOARD'S" superior metal pure asphalt paint and preservative compounded with coating. enezuelan asphalt and mineral spirits for resurtacing and as a SEABOARD'S ALUMINUM COATING reflects up to 70% of the ;saturant for rolled rooting or composition roofs. It is the ideal sun's rays and reduces under roof summer temperature as much ~eservative for metal roofs and decks and for new••rcofs to Insure , as 15 degrees. It is an effective barrier against moisture and the realer longevity where a iibered product is unnecessary. harmful effects of direct sunlight. It insulates and preserves built- his SEABOARD product is :formulated to permit slower drying up, rolled rooting, composition and metal roofs and is not affected fan other coatings in order to extend the life of the roof surface. It , ' by industrial fumes and gases. also an excellent protective coating for wood gutters providing The bright reflective shield adds beauty, protection and neatness of only proteciion~from,they,Weathef:,but,against boring insects.~s,~,.„„to-the surface at economical cost since its covering capacity is ~ 'ell. '' ~ ~ • ' ;" . greater than that of non-metallic coatings. PPLICATION: By brush or spray. at rate of 75 to 100 sq ft per " .: For resurfacing of trailers, mobile homes and other metal roofs it allon. ,`ji ,, has no equal. 'COVERAGE: Approximately 100 to 150 sq. ft. per gal. ASPHALT,,FRIMER i SEADOARD -APPLICATION: Stir well and apply with brush or spray. , ~ ,Meets Fed. Spec. TT•C-498C and ASTM D 2824 TYPE 2 base coat for masonry, brick or metal surfaces over which ;~ dished asphalt, waterproofing, dampprcofing or coated products 'e applied. Such surfaces frequently require a primer, prior to the ~plication of the end product. ~ ~ ,~~~~ ' ~~ ~ ~ ~i~ FABOARD ASPHALT PRIMER is anon-fibrated asphalYvehicle, imbined with high grade solvents which penetrates and seals the uface preparing the proper base for the final products. EXAM-'. . .E: As a base coat prior to application of single ply or modified ~ ' lumen roofing systems. ~~ 'PLICATION: By brush or spray at rate bf 100 to 125 sq. ft. per, , , J. SEABOARD ASPHALT ALUMINUM ROOF COATING ' (NON-FIBRATED) This asphalt-aluminum coating will cover a variety of old and new roots and other surfaces with a bright reflective metal shield. Because it is fiber free it will cover much greater areas than the fibrated product. Its performance for protection and heat insulation is exactly that of fibrated aluminum coating over similar surfaces. (See above) COVERAGE: 150 to 200 sq. R. per gal. APPLICATION: Stir thoroughly and apply with brush or spray. ASTM D-2824 TYPE 1 FORM N0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL °.OUTHOLD, N.Y. 11971 TEL.: 765-1802 ;xanrined .... ... 7..., 19~.g ,pproved .... .~4•b!'t~ . ~ .., 19 gp Permit No.. ~ .~ ~7.~. BUARD 3 SETS SURVEY CHECK SEPTIC NOTIFY CALL MAIL )isapproveda/c ..................................... .............................. .~p~.°:-~ .~1~~ .. . Y,~+r (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ~F HEALTH ... OF PLANS .. ~.. .. ~.... -FORM • ..... ! :Y~ .... . ................ T0: ~1 0~ Date . ~.~.~ . ~~........., 19~ . a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 . 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 Occupancy 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 the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. "°he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. ~i~~...~....... ~ ............... (Signature of applicant~or ~me, if a corporation) ....NO?7H...~LarCD .....Su.~THac.~ ................ . (Mailing address of applicant) State whether applicant is. owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ......... O~/.I~/E:~ ............................................................................. Name of owner of premises .. ~~!I.P.12.G, ,P.,N ~?.~.~.L~.JN ,~J.~CJ~'(r'.~,-~ .~.1;-~7 .................... . (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 MUST, RE SUFFOLK COUNTY LICENSED Builder's License No . ........................ . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . Location of land on which proposed work will be done. ............. ~aR....~Q~ti-~ . ~:~L,~~~.....,..... sou,-~o~~ .......:............. Ifouse Number Street Hamlet County Tax Map No. 1000 Section ... ~~~. ~ ........ , Block ..... 3 ........... Lot .... a :r=.......... . Subdivision . M?:.13 ~v LQF-1, ,AG }~•~~~. • • • • • .Filed Map No. C°g8y:'• • . Lot .............. . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......Vi~C-~.~..~~~~,~°-~~:>: ; : t,';.:.." .. ...................... . ( PP 3. Ret air of work check whiRemovlicable): New Building ... ~, c .... Addition .:........ Alteration ......... . p ............ ~1 ..... . ........ Demolition .............. Other 1Vork .............. . ~ .. (Description) 4. Estimated Cost ....~. ~QQ.i:~~ .................. Fee . 7-~~r.. ~ :......................... . (to be paid on filing this application) 5. If dwelling, number of dwelling units .Q.~,~ . ~l ~, Number of dwelling units on each floor . ,4J,~f~, g' g , ..:.. Q~4..(~,~ .......................:..................... .. . 6. If business commercial or mixed ccupancy, specify nature and extent of each type of use ....... ~.1,~/,~., , , , , .. . 7. Dimens ons of ext ling structure_s,'ifanys Front ......'-":..... Rear ....-:....... Depth .. ____ Height ............... Number of Stories ........................................ , ~ .:........:. . . ........ .. Dimensions'of same structure wilt} alterations or additions: Front ......^":........ Rear .....'-:......... . Depth . "" . ;Height ...........T ....... Number of Stories .........' :::......... . 8. Dimensions of entire new construction: Front ............... Rear ...............Depth ... ..... . Height ............ Number of Stories . 9. Size of lot: Front ... , .~d..a C?~ , ~ ,), ~. , , , Rear ... , a.aS? ~4? y':. ~T•. Depth ... ~~~.~,-Ct ,AV :... . 10. Date of Purchase ..........~.`'.~.4? ~ . .Name of Former Owne{• :..... : :::::.::...........:: 1 1. Zone or use district in which premises are situated ...... l2 ES 1 D ~.N,TI,KI, , 12. Doe:a proposed construction violate any zoning law, ordinance or regulation: .... Nom ....................... . ]3. Will lot be regraded ......N4, ; , , , , , , , , , , , , , ,Will excess fill be removed from premises: Yes ®No 14. Name of Owner of premises . ~~' ~.~-?~~'~.~-~,~ C~~}.TAddress .~X-?T.1~S~~:C~ ... ,phone No, .7~4~- I ~ ~a°.-?. Name of Architect wf?..I~.Q. ?=1~~QCr;•, ~'.,~ ~ ,Address . ~u En? 11~' , , , , ,phone No. ~o~ : ~}: gG.Q Name of Cpror eror .located wi ~ ~ ~ • ~ ~ ~ ~ • ~ ' ' ' ' • Address ....:..............Phone No............... . 15. Is this p y thin 300 feet of a tidal wetlandY *Yes ..... No ~., *If yes, Southold Town Trustees Permit mayy~ be required. _. PLOP 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 narnes and indicate whether Interior or corner lot. N curr~c..~ 1~ OUrtT_ PJEUI./aFi--~~~ I~VEtJUE ~~, ~, N.I 55~ ICw., ..- ~i ~ ~ 2 (c.ap ~~ ~np ~~ F~~ .~' Fad-' C~ (. ~~ , J A'~ 'b ~orAOYy '~ r -__ro a~. ~_ _.~ - -(zz)-° -- --~ 2~Y ~ ~~ N~ N P i. A, s. o .4a' i ~' Q d z, -~ . ~ ~ pp . ~ ~' .0 N./N ~~~ - ~ ~''~o ~ "/~i s \ . / ~ryry' ~ T \\ \\\ ~ . ~ 22co.o4.' TATE OF NEW.YORK, OUNTY OF . rS~FFOFl4..... , , S.$ ... J:vl ~d/1c ... ~/r pee2 u~ N ?- : ...... ........ . (Name of individual signing contract) rove named. e is the ........... C).~:-? ~;,.c'L,- being duly sworn, deposes and says that }te is tits applicant (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have perfonned tits said work and to make and file this ~plication; that all statements containP~d in this application are true to the best of his knowledge and belief; and that the ork will be perfonned in the manner set forth in the application filed therewith. ' wom to before me this otaryPublic, A~~~,-: ! .............. County (~'~l'--ef ~ ~- ~~(1.«-~~ LINPAil. rpt .. ot,~ l~ ~ . . . ..... .. . . . NPubIIo,Stetsoi ewYak . ~~~'( No. 4822689,Su1/olkCoungr (Signature of applicant) _ Term.Expires Ueaamber 91, to ~ , MAF' QF f?f~? PE ('T Y` ~t~rc2'V~EY~U_~o2__ EXP-RES WELL 1 C~f{c~' JE. - Ig'(O ' y ~ ~ j ~_ ~ ,. _ _ P20P. DRIVE._. .t .. f 1 ,_I F , ~ 1 _ ~ ~ .~ ~ I . vuco WQ~4 ~9 ~ PRUP ~ ''~~ I ~ ~ ' Noust ~a A' d I ~ ~ ~ i ~.,~; i. _ -l_ ,p ° ~~ _~ S^ u~ ; `~' ... . IZ b ~ ~ n 7 ~ ~,, ~ t ~ RX.L3 i ~ 1 (((r t + TAIJk:. - ~ ~ ~ ~ ~~. . ~ ~.. ~ ~~~~~ ~ ;vore ~ ~ ,y __.__ ~.JT Nc7 ~, itE F f<i~ 1°u +~tAP OF N#OVNT ~ut~a~-± A~~E=s5 , Ff LSD f tv _~. _n __.___.__.__... ___.._.__~ _,_ _. _.. __ _~.___ 11-iE ~JF"F to C.K,~IciC> Ct~'FfG!~ ~ IKA~' N4.. RT ~OtJTHU 1_G '~iN C?F"S4LlTHULU,(~LY, ~J ~. Z ~4C2.E~P,.; ~.,,~~9~g.F. fZEY13Ep. MAS2_22,1988 >I ~ r~,Ar1,.q,, RaR7C VAN ~L, P.C~ LfCENlfD LAIiO SIlRVlYOttS OREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APMlOYAL H. S. NO. Y~gNS~ SUM pglNG Oar T E OF q pROVA~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. Isl APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -FOR APPROVAL OF CONSTRUCTION ONLY ~ Q DATE: -~° y H. S. REF. NO.: - •s APPROVED: SUFFOLK CO. TAX MAP DES sal' /CTIQN: DiST. SECT. BLOCK PCL. ~~ c~5- 3 2.5 tTH R0~ `~?!Jl N4i.t7 ..Y. ! 1 7I ~_~.__ "t65- a tag--- DEED: L. k1tA P• is a rolatinn of ao .)3 of the New York $latf pan E.pW. t c ~~-. o: hr.. sanm map not fwaring i acs ssar's inkeri sea{ a n hnssad seal shall not 6e twnaidarad n ba 8 V911d LrUB Lr>pY di C h 811aN Nn U.3rantaBB m arann C8t9 ~ r y to tna parson for whom the Survaj ~ -eparetl end an his behalf to the t tympany governmental agercy end g mstrtu4nn bs[etl hereon end e assiynaes of the lends:.^, insb- t t Goaranteas are not trenaferehla s t--,zonal institutions or suhsogueni ~ i~ SEAL z ~ Y I e 1 11 ,~1l ~~~t ` 3ffi' ~~J ~~' ~ r' i ~~ii 20 1989 g.C. DEBT. ~F ' l~ALiN SERVICES , i a. f d9~r ui r 'I1 i 7. 1 b h w ~: ~ ~ i.4k#3 ~Q'Y~ E, - 197.0 ~~~ ~~' ~) ~ 2~ ~t rye, ~ti ~ ~ {~~ _ B~lli?aON@ DRIVE '1 ~. I i , i I ;"~_~-, y~i , I L i ~cnNCm I 3 f-?" -r. U- l-L_ ~ CLL b~ ~+ Fj~ ~ . ___,,, LLL... - , 3 ~~A'' a , ,° ~i t 7 aS q: i!r -- i D~ a` } _~ Y t Y 1 ~ i ~. r ~~ ' '~ ~ ~_ ~ ~., i - TAidc ~- ' ~ F, / .. ~- ~ 4~E~'~ ,~1- 3 ~~tisj, l ~p .. ry~t t '~ S~T« r*• ~r ~ _ ~T~ ~ ~t }~~ ~ ~# ~, f i ~i\ i 7t ~Jl~ I `Kra J `~~:TF`: :.~~ ~' ..' 1 ,.:_ t\~ rf ~~ivJ i ~ L1- ~~_Af~ l~+C iG Ct:-. CiL~[r `tv _. _ , I"-~f .-l1t f ....J f'. ~ ~. ~ h t I'" tF. f~:u t'tAh' "~V t,.`~l~ ~. ~LE'VAT;C'1.~"` f:~.'F"E~ ~'~ M4 Ard ~~A CEVF~, iFUDVN! KIST Nq]N -.-.---~ , ~~, ~' ;- ~_ Y, ~. ' ' T 7 , T AL .S ~~~~ i. , '17 .y ',o .r P. I t ~~ i I I ;~ I i i fL _ _ __ e ~.~i. ~~.i._:-' .x.31./ " i . ~ .._ ._ 1 __ _'T_ .. 2~~vl;~c ~~Aw ~ .~;y~6_ , JULY 2~~ ~ ~~ _ _ '_ __ i .-JULY 1211989 A- ~xf.'_YE~~. MAt--~. ROpE,RICIC VAN jj~,YL, P.C~ LICENSED LAND SURVEYORS liREENPORT NEW YORK SUFFOLK CO HEALTH DEPT. APPROVAL H. S. NO. S8'SO'Sd STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THiS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (SI APPI (CANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.: ~"-`~'~ APPROVED: .'r- ~: I SUFFOLK CO TAX MAP DEStGNATiON: DiST. SECT BLOCK PryryCL -I v J' J 4 ~ OWNERS ADDRESS: N::t•~7fi_f10AU r~r~E~~_~! N:, ~ Iq~il Tor- -~~~. 1 i I DEED: L. I11A P. si arr~1 .. ~'~ •un S I:en 1 t i:•,~T li3 C ~ ^rry and ~~ ~ r `t,....p ,rs:i- [j,~' _._ . re nottmnierehie !' t ~ .. :.., .. sJtenoi+s at suLSwawM 3~. ',I ~ eeu ~,F ~ ,~ J - J xt a 4 y s ~ r `I ~~ M /¢