HomeMy WebLinkAbout17120-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 217837 Date MARCH 13, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1745 BAYVIEW AVENUE MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 06 Lot 35
Subdivision MAP OF SHORE ACRES Filed Map No. 41 Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 8, 1988 pursuant to which
Building Permit No. 171202 dated NNE 17 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 & DECKS.
The certificate is issued to CHARLES & VALERIE ALLEN
(owner, XXXA:~;Y:}L`C!OitXXXXXX)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL SS-SO-6S FEB. 22, 1989
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 3/10/89
PLUMBERS CERTIFICATION DATED DAVID LEE FULTON 3/10/89
Building Inspector
Rev. 1/81
rox>u xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N O ~ 171, 2 ~ Z Date .................r~.:!:!:~-...L..l.............., 19. ~.A
Permission is hereby granted to: „ e /
v
....~:.....~u:.~..... ~..!....9...~..8...........
to ..1,~°.`:1r.W.V.l:Ir1.S.~....1r,1.,.....4T:4A,.~~ta.~t,Qn.~.....l.a..4,N4Kr)-~^F~.~
Q~..... .
at premises located at ...~.~..~~...t~.....~~...~..~'j..l~c~oc!,.~....,,L„d...........,~,;~.,.9,-.....~...GK,
County Tax Map No. 1000 Section ........I..D..~...... Block .......O.~O........ ~pLot No.....~5
pursuant to application doted ............~..yl.,lle'M.~...~ 19.~..A., and approved by the
Building Inspector.
Fee $....~~$J/:.
Building Inspector
Rev. 6/30/80
L_ s, e~ar__
~ ~ _
D ~ ~ 'n TOWN OF SOUTHOLD 1 ~ (i 7
MAR ~ 3 jy~ EUILDING DEPARTMENT oS ~~0~'~~"""y~'
{ TOWN HALL U
TOWN OFSOUTH040 SOUTIIOLD, NEW YORK 11971
' 765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
AA~~ DATE. ["J~~.~~ ~t~ io~,l.
NEW CONSTRUCTION ...1~...OLD OR PARE-E%ISTI~N,,Gr`'B'UILDING....'.q.VACANT LAND......._
Location of Property.!.7~~....~nYtL~C~,{`yy~y-~,,,,,,,/={~II,(~.C~~~;__...,...
HOUSE NO. STREET ~ HAMLET
Owner or Owners of Property.. CND-1Z~S c V~4u.~~.¢1-u~~t
County Tax Map No. 1000 Section ~bS~.. Block ..4~'.... Lot .:3~.....
Subdivision.......~~~~~~C?~^5... F''((i''led Map .~0:7.~..Lot..........
PermiC No. Uj.~~~v..Date of Permit+~.~~,~~~88Applicant C~j~?~:~..i~.'.~.:~-'.~+~.,
Health Dept. Approval~~~~(o:~C~ ~.~'V Underwriters Approval
Planning Board Approval .....~.J~........
Request for Temporary Certificate Final Certificate
2r. o0
Fee Submitted: $
APPLICANT.. „
.3~s'0/
rev. 10/14/88
David Lee Fulton Plumbing & Heating
P. O. BOX 706 RIVERHEAD, NEW YORK 11901 PHONE 727-7854 ~
Plumb9.n~; Lic . -,`1.35-`iP - Sdell Drilling Red . ;x'1.529
Home Improvement Lic. >11-24.2HI
llate : March 1.0 ~ 1.939
O~~mer: Val_eri.e & Charles Ai_len
tremises: Bayview Avenue
lVfattitucY N.Y. ll~,"~,2
TO lNH0I~4 IT ~lIAY CONCERN:
All domestic water lines, at the above- referenced
premises, have been s~r~eat ~.vith a lead`Ifree solder.
Ve tl?u1y y urs
~ ~ -l'`
avid wee Pu -ton
l~~ester Plumber
~ t'~ax (GIG) ZGG.10
IiliGIG1'RAti OF VITAL E~'I'ATf S79 C`. Tclcpho~i¢ (fi 1G) 7G'~
Mnluunae ornccli 4f~~ ~ ~~O
[i[:OOItI)S M/~NACEMFNT CI'I~ 1CEii
P121iBDOM OP INPOIi1.1ATSON OSTtC1
=1t ,
oI<I<-I~~ or ~rzi~ TowN ct~isrix
~rowri or sou~rxo(~n
nPl>i_(cn~ ior~ Boa, Puat_ic nccess To (zecoaos
(NSTRUCT(OhlS: Please coaip(ete Section ( of this form and give to i own c.
Office (agency E=reedom of information Officer). One copy will be returned ,t~
in response to your request, or as an interim response.
_ -__--r--`
J-----
SECT[Oli t _ _ -
_ - n p ~ LjOt~
1
`f"--_C_J_' ll
TO.
(Department or Officer, if knoKCn, that has the information you are-r to
RECORD YOU l'Y[SH TO [hiSPECT:an(dO~ncrtobhehPertin ~ts fgormation~ossibte, s
date, fie title, tax map number, Y
- 3~
.,Turd a t d ~ 6/1'
S[gnature of App[[cant:~/'l a~~ ~~2(1C/~
Printed blame: /G n
Address: ,~3 r1rl~ltinOcCe~ .~l!!r~- d~OG~~ ®U~61?~~ ~?i~d/~7
t~[a[[[ng Address (if different from above)
S/~ ~/D l Oate:
Telephone Nulmber:
t 1 APPROVED ,
[ ] APPROVED Wirt{ DECAY` t ] D[h11E0
Date
Ellaabot A. Nev1Ue
Greedom of (nformaUon Officer
(f dnlnycd ar denied ccc revorse s(dc for ey~>,(arwUon.
a
~ 1 Chia .
t ~ r, a ~ I tc~ G ~ ~~'h
lt~(~~3 ~y~
i~~.D I,:S~~::U;J puA.E ~ ;;o,KMCNrs
_
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_ - H
FOUtJDATION (1st) ®
7 ~
FOUNDATIOtJ (2~ _ - ~~'U
G%/Y 9'73 ~
2.
o
i J
ROUGH FRAME & ~ r9'+') ~
/ .e- Q,.t O 1
PLUMBING D~(`/' ~
4 ~ ~ r
r N
~ -3
3. ~
ra
IIJSULATION PER N. Y. ~ y
STATE ENERGY
CODE ~y
x
~ y _
CkJQ
r
4 .
_ `
FI;JAL H/ v
l/ G G r
v
c
ADDITIONAL COMMENTS: x
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ro ~
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J
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O °7.
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M ay
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765-1802
l
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
]FOUNDATION 2ND [ ] 1 SULATION
[ ]FRAMING [ FINAL
REMARKS:
DATE ~ ~'1 INSPEt:TOR
~ ~y/
765-1802
BUILDING DEPT.
INSPECTIC,N
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ NAL
~ ~
REMARKS: a ~ w
U~
DATE ~ ~ INSPECTOR~~
l ~~z ~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS: i%~,e.,l~- ~,tiAo
w
U/
DATE ~ s 1 INSPECTOR ,~h~
t ~~20 ~
rss-iso2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ~ ROUGH PLBG.
[ ]FOUNDATION 2ND [a~]~INSULATION
[ ]FRAMING [ ] FI/~NAL
REMARKS: ~ ~ ~-e"" /~R~'L~
~~~~,~~4
DATE q l $ INSPECTOR/I~ -
765-18®2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
` [ ] FO NDATION 2ND [ ]INSULATION
[ FRAM{NG [ ]FINAL
REMARKS: ~~-~c_
DATE ~ ~ ` INSPECTOR 7 ~ ~AA~ /
i
i
`f
v r
765-1802 O
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:'1~ ~ ~'/~S J C. ~.Z~.,
p--- ,
.u
~
~2~~6~~~ ~
s -
cry
DATE ~ INSPECTOR
~.l 765-1802
BUILDING DEPT.
rNSp~cT~o~
[ ] F UNDATION 1ST ( ]ROUGH PLBG.
~ [ J~FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ----~y~
DATE v~ INSPECTOR ~"~'n
"E
765-1802
BUILDING DEPT.
INSPECTIt~N
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [)FINAL
REMARKS: l ~
~
f
0~
~ ~
k ~
1
DATE .L INSPECTO i
' 7G5-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
t
S
Gc Q2"~`'f
DATE INSPECTORt~%
T _ _ _
T- 7-
a
THE NEW YORK BOARD OF FIRS UNDERWRITERS PASS 1
1145111
EIUREAU OF ELECTRICITY
85 90HN STREET, NEW YORK, NEW YORK 1003Et
rr.,~~; APRIL 03,1'484 AppltcationNo.onjile 579b26$$/BB N Ob~341
THIS CERTIFIES THAT
ow/y the e4ctr7ep/ puiptneat a deucrihsd 6aloto and intnsslrced IPy the applicant nomad on the akooe application rwsaher lts thsp»ntisas of
CHARLES ALLEN, BAY~tyV--V~IEW AVE., MATTITUC~~yKT--,~ N. Y.
in thefdlowinR kwation• L'J men( IJ lst Fl. L'J Ynd Fl. 6RR Section Block Lot
was examined un MARSH 10 , 19B9 and found to 6e in compliance with the reyuiremente of ekL lwrd.
A%TWE RX RARaK Ma%BIERECItS OVENS DISH
~ ATxES INGNDtSCKNT PIUOKESCENT DTNEN AMT. K.W. ,.AMT.. K.W. AMT. K.W. NAT. K.W. .ASR. M. P.
34 4 3$ 34 12.1 i 1.2 3 f
9RYEK RNNACE MOTOES IU111R! AMUANCR 1~ERf fMgAI MC?T IYAE pOtI(5 1%aT NEAiBS. tRUIJ4011RRT (IIAIIAAEK
AMT. K. W. On M. P. GAS X. P. AMT. NO. A W. G. AMT. AW. AMf. AAVS:~ !TRANS. AMT. M. P. ~ AMT. WATn
3 F 2 - 3 600
lERV1G1 DRlgOIMNCT Na.OF S E R V 1 C Wy/~~pp~~ E ~G,
AMT. AMP. Tat ~ I.f TY 1/SW t/TY 3/AW ~~;COND. OPC
COND. NO.OF NI.IF(i OF~IF/ff3 OF fRUTMI
No. a Nt11TKNs
1 200 CB 1 X 1 2/0 1 1/0 ~
O/tIM ANMRATUli:
ELEC. NATEk HEATER5::1-4.5 K.W.
B. F. C. 1:-4
SMOKE DETECTOR[-3
TRACK LIGHTING[-12
AIAriR~E~Cc.~.a~ o"l
SAGE & LADEMANN INC. LIC.i3b35 E i
P. O. BOX 1768
50UTHOLD, NY, 1197(
11
Pn
Thin t tMNI Tag ba aNerrd in an rnannarj raWrn !R ¢la apiu of 1M Eoord if incorrad.:ln, ba idatMiRed by ~ Is. w-
~~eF
sW _ . ;{~V FIB WILQMiG d[~ARTM~MT. T~MfCC~Y Of CERTI! f'3 M~iT'!gT ~E ~L.TI~RiD iN~l~' R• '
._.,Y..._._._u w
_ _v
~ ~~~+cu ~ ~°w- ~ - BOARD OF HEALTH .
i°;,'"'~-E'~"°~aF 3 SETS OF PLANS
";;o:,,.,„yj~vh;zp ~FORMN0.1 -
`S O/IAS.t~I SURVEY .
TOWN OF SOUTHOLD CHECK • • - • . /
~ BUILDING DEPARTMENT SEPTIC FORM
~1 TOWN HALL NOTIFY
fi~ ~ ~ SOUTHOLD, N.Y. 11971 CALL - • ~z•7J
pU .~~~~,.~.__,w..;.m..,,_m..~,...e..J~-- MAIL T0: -ry
t TEL: 765-1802
Ftl :icy hr~:r / ~Z' ~d
.n:r..,,,~pr e;l; ~fi'~.I~ '
Examined i"H.~R..~~: 19$ g
Approved ..~.~4-rt.4.. ( ~1 19~i Permit No. ~ 7 ~ V,L2 .
Disapproved a//c
(Building Inspector)
APPLICATION FOR BUILDING PERPAIT
Date .June. 6,,,,,,,,,,, 19II.g.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
- or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in 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, build' g code, housing
cl
J`~!! regulations, and to
admit authorized inspectors on premises and in building for necessary i ions.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
......-..Builder/•PUrchas.er
Name of owner of premises . ;Overhaul/D' Urs4 .
(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 BE SUFFOLK COUNTY LICENSED
Builder's License No. ..TBD,,,,,,,,,,,,,,,,,,,,
Plumber's License No. . T13R .
Electrician's License No. T)3P .
Other Trade's License No. .TBI) . .
i. Location of land on which proposed work"will be done . . .
. ,~....k;dy.Y.~.ew. Mattituck,,,,,,,,,,,,;,,,,,,,
House Number Street Hamlet
County Tax Map No. 1000 Section x.46......... Block .......6 Lot ,35. , . , .
Subdivision ..Shore .ACr~s Filed Map No. .~.,#.41 Lot .35........... .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . .
b. Intended use and occupancy .Single, ,familX home and 7 car garage.
j
i
3. Nature of work (check which applicable): New Building X Addition Alteration .
Repau Removal , , Demolition J ...Other Work , .
(Description)
4. Estimated Cost $.FxS , Op.Q , 0 0 . Fee .
` (to bel,paid on filing this application)
one
S If daragennumber of carswelling units Number of dwelling units on each floor , . .
g ...,.two
6. If business, commercial or mixed occupancy, specify nature and extent of each ty(~e of use . .
7. Dimensions of existing structures, if any: Front . Rear , . , . ! Depth , , .
Height . , Number of Stories . .
Dimensions of same structure with alterations or additions: Front Rear . . . .
Depth ......................Height Num r of` Stories .
' 2
n0' • 213'.'97z~.'.~..........
H ght
ions of entire 120cNumber~of•Stor es . Pile . arid~9n .lla~~, ; : ; : •''Depth .
9. Size of ]ot: Front . . Rear , _ • , • 'Rear .......:.......Depth . .
]0. Date of Purchase ...JUJ-y..15.,..7.9 a~.. , ........Name of Former Owner (Overhaul/D' Urso
11. Zone or use district in which premises are situated Res.idential•
12. Does proposed construction violate any zoning law, ordinance or regulation: , , , , , , , , ,
13. Will lot be regraded , .n4 . .Will excess fill be removed from premises: Yes I~
14. Name of Owner of premises ..................Andress Phone No..............'.. .
A
Name of Co tractor ~Cliazle's../.Ualar.ie~A.l.lenAddress ::Rivexhead...'i. , ..Phone No. ?27,-7411, , , . , ,
P P Y ,....Phone No .
15. Is this ro err located within 300 feet of a tigidal wetland? *Yes .,~C.. No
*If yes, Southold Town Trustees PermitPLO~ DIAGKAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. ii
See attached survey. ~ N,zQc„A, ~~,,,~,^~-S
~I
I
• I
STATE OF NEW YORK, S.S
COU' ~,~O~F • .
• • . being duly sworn, deposes and says that he is the applicant
(Name of individual signing 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 slid 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 becfore me this ~
../day of..~v~~......,...,19~~
Nora Pu 6 /C . , ,
rY , • • ~ County
._:Npryijly~ 9upofN~wlbk ~ (Signature of applicant)
Na 62.4812888.9u1
CommlNlon 6gdrn ..L..~` f` '
' CO. NEAITN DEFT. APPROVAL
~
~ .MAP:. _QF P~2~JPE2~?-Y N.S.
PL17T ( ~ ~U~~EY~"U Fat2 a is 1988
~ ( ~ ~ t
_ f V ~ ~lJ l...I"'l J t,Jti.lt"'1 t V ~ iJ ! ~ S. DEPT. OF
7~ EA' H SER\ICES
~ ,t~,~- ~ _ ,
_ ~ j
[IE~,~D~1~J?~ ~ ~ \ `~,S ~o ~ iTfiiE~+IEbT of rki~fNT
. ~ M/><TT, TUCiG THE NIATQp EIIIPPLY AND fENfA6E DtSPt7gAl
C>~,
~ . \ ! TU1nlN C~ ~Ql1TNCJLD~ N ~ SYSTEMS FqR TNlS R6SIOENCE vr~l.L
e 1 a 11~ ~ CONFORM THE STAND OF THE
_ E. .7°x.12 . V a ~ sut?F T seRV~G~S.
-
of vwoy r`
~ ~orr.eyx. ~
- - - - - - ~ - - - - - - I ' 9UFFnL.K COAINTY !Jf NtAl7
PC"OT ~ ~ L I ~ S# R V ! C E S F @R ARMO V A~L O'>F
r GO!*TRUCTlmN oaLY ~
' aRATR: `7 .
N \ ~3 ~
u
u
I•
rt
( tt~i. - +~E.
_ _ .o - _ ~
-f{ U~rg-} a, _ _ _ C~ai, TAX
~ ! i ! a•~1r~W r ~ ~ L1M`'M`. SRCT. BLOCK .
W p ro ~ KSR~'CUF WAY z "HE~b7.' S' iQQ~ .1D6 fi {
ty 3, _ ~ 722 ,
_t
tt
F't_G~ t ~ f ~.9~Q.4~ E. N.gr`W _ 1
_ ~ ~'E~"-~ LC_
a P s~~~ J Ii! I ~ spa o so u N,~s~-tOr~~ ~rJ
• - _ ~ _ W I DE6'D: L.f~322 P.QiO ~,2~R
_ _ - ~ ~ ~ ~ ! N~~ ZfEGLE7Z
Q ~ / ll~ ~ I hb ~WiIYA CTFf
e / ( C~L ~ ~ NI3MU5 ^ nx Daarin-;
r„r-_..~rqr- .L / I. ' _ 1 1 '1-. i E pn9C9l9tt '
Q•[~111 Pf.FE 2i r>rn sl:aB,lll,
(O i ~
/~~-s.~.-. f na n hs +.a Isl}ro 1~ i
-r i EA' ~F~ i ~~vc .vir~enral a:~en nrW
-w-~~ r~ n~orana vrzly~ '~C3 w t2a.o ~?~i4? ;
Fs M the !,,;,c rva insli-
pia , G23 ar8 npt han_y5rdp(q
: r `J-aa"I .6.NIiM3 Or 3n E84aU90(
: _~LI~'L,E..1l+~J. EkD..F31~-6'J w~D1UM
BAY VIEW AVEt*(U:E -go' sauD
! MAP AM~Ml7~,D-f~4R~E,~?~6 fJtJN•12,1g86
_ " ----a--- - ~ ~U~..E
L1~TU ~oF NFK, ro
K
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`f~L~:_,~E,~T'E25.~ L.I~,tES Q~F"~.~? T~J MA:,~?_~'F ~r+•;~(~~ A,Cf2E5 ~ , i~~
- - _ LS s z5a
Flt.: 1 N 17~{E '3lJFt-. ~Q sJI.~GZif~` 5 OFF__ t
E MAi~ f~7.•t I , y~~r~ .~I.I~~ rA sv
- - E, 1./li~! tYORS !7• LAND
~ ~ M~N4fJ ~.~v.~ .F~
V 5.~ .s. AATUM A~ ~ nEw Yvwx
y- - _
rpri wa3? - . _ _ _ -
!At 1 - SUFFOLK CO. HEALTH DEPT. APPROVAL
�.. . SINGLE �ah�4LY DN
LE diw1Y— 8S ! .• H S. NO.
o•,�'; EB 2 2 1�98�o�.s. QEF. r�Q. � :� �' ti's MAP-_ CSF r 5% : jPf� A `x'
PI...w { Fife sev;'ce disposal-andX42�2f Vf�.y7'T�Clltl�t'.S IDr th;13 F-7 w"
location have been irlir,3ec11E�by tl:' j=r�altment and/or w F��if�
\ other a J r cies anal Ta LER t: ALL E H
C�AKES '* VA
. f„ , (n n
Cnief f ,�Lire.a of `iastev;a,zr tAanagc e t
N/F ZIEQ;LF,e. 'q' STATEMENT OF INTENT
�. . rTHE WATER SUPPLY AND SEWAGE DISPOSAL
OF
q� k { �^ SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
° t`: ° _� SUFFOLK CO. DEPT. OF HEALTH SERVICES.
x.89 E. - 7g,t� �� �'`�•89,t��.-l g.65
(S)
APPLICANT
t?W. n�a►c. ��o �fL`• ®� °j SUFFOLK COUNTY DEPT. OF HEALTti
� SERVICES - FOR APPROVAL OF
CONSTRUCTION ONLY
f
h l DATE:
,
H. S_ REF. NO.-
t 88
APPROVED --
--
W 4E
SUFFOLK CO. TAX MAP DESIGNATION:
` DIST. SECT. BLOCK PCL.
oor+ce.'r
Of: WAY BE�aC►N' U, low t{
OWNERS ADDRESS.
t 1=R.HQ. % `` \� o J { i
�.f
Lu tl' �O•'"'� i two 5t`Y MCS � •; ����O � r.PLC 7 N $ b ,w -��*- � LAUREL_ �t.Y, i t%$ L
44 944ry
, - .
}
` .-'72?-7040
w, ....•. ._ ,�s ' , ! w
DEED: L.,�e+':._ P.� .. ►4 l r i
41 t_kvLl�;2 TEST HOLE 5 AMP
t ,
�- ` �_ • HUMUS
5,CAL E— Q=I
,,,.... .. .,.�_ ...* y.• j ; i �'�fL!► i� ' t1M r g, skrr,aMhan aT
t 1y _ =- k s,nevor a inkCd
c Seec
�.-,�"• ✓ ; � t '�yy Y• 1 ,,•e,•!seal s�a�i not.oe cons
iGCf i'V f1 _-- unitc! a ooaY•
.► ,
,�esrentess s
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GREENPORT NEW YORK — �•�,�,��p�,w.
TELEDYNE POST N61239 -
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'NOTES;
A)aLFrIQRK SHALL ,COMPLY, WITH THE NEW YORK STAT
'PRFV,EN`.i'.ION ANV, BU.E�DING CQDES C UN7k'QRM 'FIRE'
» _.� • __.�_ - : + .W - . _:._ �i WA-, __ _»`_- w� _ _ -..� _ _ -� ._ _ _ _ �_- V�� 2. ALL, LINTELS SHOWN ARIA MzNI1EJM SIZES
3. DOUBLE LINTEL 'JACKS FOR ALL OPENINGS GREATER THAN G FEET.
_. -._� _ u - "� �� ,._�' �, .�,',��.,�e��w i'�'�'tS�4x,•_..�. _ -_ ,�_" MY��»., _..;��- r_.�.�._... �-___,:... _�._,..`�. 4 ` " ,
E FLOOR DOUSL F'L JOIS'T'S UNDER PARTITIONS.
5. DOUBLE RAFTERS AT 1SKYLIGUT$ AS APPLICABLE'.
F PART'
6. THE NEW YORK SSTATEIaNERGX COD, SHALL, BE' COMPLIED WITH 'ON-
THE
BASIS
R 5 (ACCEPTED PPACT,ICE AND IN PAR`T'ICULAR
- , - _ - _ ..`_ _ _ -' , t _- - � -_.._ _ ,----�- �•�_-�;----_..._._---- � ------ �:__�__ _-
- 4 m __ __ - A y{ ;,,.,: _ ,^ _ ' " ` _ _._ = r__ �_ i_^�•� _ �Y'_ - _ AS FOLI.Q S:)
7. 'FROVIDt "SUPARATE
HEATING 7 ?NE CONTROL -F
OR EACH' FLOOR.`
8. FIREPLACE DAMPERS $HALL HAVE, A LEAK RATE OF 'LESS THAN 20
QVM OR BE FITTE6 WITH A GLASS DOOR & FITTED WITH AN EXTERNA
COMBUSTION AIR SOURCE.
9. THE KITCHEN EXIIAUST'�1AN SHALL BE FITTED WITH A DAMPER 'OR
- - .. _ _.___ _ _,___._ _ _.• _...._ ^_ _ ^'-__ + BE NON—VENTING.
1.0. ALL HEATING, HO'T' WATER, AND ELECTRICAL EQUIPMENT SHALL BE
- - _ - - ,i?�`:•'iG'Gr^-' _ _ ' '� _ _ _ t AS APPROVED BY THE NEW YORK STATE CONSERVATION CODE.
INSULATION SCHEDULE (MINIMUMS)
CEILING k�1� WINDOWS - U 4 0.$'
WALLS - I9 DOORS u40.'4Q
Tr
,,-
FLOOR 10 , HOT WATER PIPES R 4. 6
$LAB EDGE
AREA
61ASS ENERGY- ,
, ci l
MIT REQUIRED FOR -_- ��t,) � � � ��,.-.�..:�+rr-��^!�:,�r .�. , , r
If copper tubing is used
PLUMBING SECOND 9 4q ['0 �` `` '�` ��� ', ' 1,OX,
DAMAPPROVED AS NOTED
PERMIT
SYSTEMS UNDER four water di�tributin6 xLnmElm�gm 1
��°/`---. 7 ....s.P 7 a� ALARM UW - OCCUPANCY OR slyeter>n;piping do be KNEED►
Na�tFY � '' �Y Y' 6 .4-. ?_ - l - "� USE IS UNLAWFUL ` °sK on PLUMBER CERTIFICATION r .
BUILDING DEPART 1 - TOTALS ±
MENT AT ---f UNDERINRITERSC=FICATE ON LEAD CONTENT BEFORE x)�
765'1802 9 AM TO 4 PM FOR THE ' WITHOUT CERTIFICATE
- - r REQUIRED CERTIFICATE OF OCCUPANCY V
FOLLOWING INSPECTIONS. � �' -,-�--;�-�--•-s OF OCCUPANCY a
I
I. FOUNDATION SOLD
USED IN WATER
TWO REQUIRED f,�;� r T _ �
FOR POURED CONCRETE SUPPLY SYSTEM CANNOT
2. ROUGH - PLUMBING F'' _
GING , .�`-� 1�_ , k� _ - _-- _ _ _ _ _- _ _._ . __ ------ - ------ -- L ,
FRAMING b P �`� `�'� 'fir:_. _ EBD.
3. INSULATION - ED 2/10 of 1
4. FINAL CONSTRUCTION MUST1`',s--- - �•; _ ~" ` ^_r EXCEED
BE COMPLETE FOR C.Q.
THECONSTRUCTION SHALL MEET '# - _: __ ._- __ 1, - _ Y 4 - R ,.`,i'.:t, ._ ,;•r ,,x - - �'f �cP O
REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY �'�` ` - ---- --- �, - - _" -- -_ -"Y - -� �� J\�`•
CODES. Nt7r RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORt _ _ __ -., _ ' - �_ _:: �'. » ',�''�;� - :-' M _ _ _ - m� - =T_ _ {�, ,•s ,M, int .l si �`
Unauthorized afreranon ur O ppOFE
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