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HomeMy WebLinkAbout32634-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32420 Date: 06/21/07 THIS CERTIFIES that the building NEW DWELLING Location of Property: 275 (HOUSE NO.) County Tax Map No. 473889 Section III WEST COVE RD (STREET) Block 3 CUTCHOGUE (HAMLET) Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 2006 pursuant to which Building Permit No. 32634-Z dated JANUARY 10, 2007 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 NEW DWELLING WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH & REAR DECK AS APPLIED FOR. The certificate is issued to THEODORE MARTZ JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-07-0062 06/15/07 ELECTRICAL CERTIFICATE NO. 115590C 05/30/07 PLUMIlllRS CERTIFICATION DATED 02/05/07 RICHARD M.BEUCK ~ f4't/#A ./~ A thorized Signature Rev. 1/81 . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 76S-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new bunding or new use: I. 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,li 3. Approval of electrical installation from Board of Fire Underwriters. , r, 4. Sworn statement from plumber certifying that the solder used in system con ." 5. Commercial building, industrial building, multiple residences and similar bu' of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ss t n s an4Wl1I~tions, a . .2[. ~ificate U bLUl,'DEPT.' B. For existing buildings (prior to April 9, 1957) non-eonforming uses, or buildings . . ~!lland ses: 1. Accurate survey of property showing all property lines, streets, building and unusual natura O'rtoj:lograp 1 - features. 2. A properly completed application and 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. '1 I C. Fees / 1. Certificate of Occupancy - New dwelling $2,5./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 - $.25 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 h 'I Bl 0 / Date. t.. 1 New Construction: r~ Pr~isting~uilding: Location of Property: d1S' :--Go~~. House~ ~~ree Owner or Owners ofPrope~ J ~ ,----ri. ~ . III 'lJ€ Hamlet Suffolk County Tax Map No 1000, Section Block ~ Lot -4- Subdivision .:?;Q1o~+ ~ Fikd~ w~ ) Date of Permit. I \0 <J\ Applicant: \ C!' 6f2 . Underwriters Approval: Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: + Fee Submitted: $ / ~.1al~~ 'c..O l. 3JLfJO 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) PERMIT NO. 32634 Z Date JANUARY 10, 2007 Permission is hereby granted to: THEODORE MARTZ JR 145 RYERSON AVE MANORVILLE,NY 11949 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH & REAR DECK AS APPLIED FOR at premises located at 275 WEST COVE RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0003 Lot No. 004 pursuant to application dated DECEMBER 28, 2006 and approved by the Building Inspector to expire on JULY 10, 2008. Fee $ 1,422.90 ~..~/Jt / Aut orized Signature ORIGINAL Rev. 5/8/02 Electrical Inspection Certificate Application 115590C Electricallnspectlon Service, Inc. 375 Dunton Avenue East Patchogue, New York 11n2 (631) 286-6642 Issue Date 5130107 Issued To: Street: Village: Section: Mr. Ted Martz 275 West Cove Road Cutchogue Block: Zip: 11935 Lot: Town: Southold Contractor: Neighborhood Electric Lie. # 40154-ME Was examined and found to be in compliance with the National Eledrical Code. D Commercial D NV Defects 00 Pool 00 1st Floor D Indoor 00 Basement D Hot Tub IKI Residential D Del Garage lKI Attic 00 2nd Floor D Outdoor D Addition D Survey Switches Receptacles Fixtures 44 47 31 Dishwasher Washer/Amps Dryer/Amps 1 1 20 1 30 Furnace Oil Gas Circulatots Air x 2 Meter Amps Phase UGlOH Jacuzzi 1 200 1 / Bldg. Permit: 32634 Other Equipment o amp Spec. Rec. -30 amp AlC Disc. -15 amp Air Handler GFI 8 AIC Fans Heatets 9 Oven Range/Amps 50 Microwaves 1 Smoke Detector 7 Bell Transformer Television CO Detector 2 H5:t!j~ President Rough Inspection: 04104/2007 Inspector: John Me Mahon 111 Anal Inspection: 0513012007 Inspector: Edwin Rodriguez This certificate must not be altered in any manner. Inspedoro may be identified by their credentials. Town Hall. 53095 Main Road P. O. Box 1179 Soulhold. New Yoll<. 11971 /,'.,,:.-:':'_.7-.-:. ... ,...1"1 :::f. 't ,~~'~\~\. . (;Y':~"';~'\ .,\ ':,',.>.~ ~,~ ., .. ,......'. :.~ ~~: 't~1 >~. .;~~(> 1 '- .~./' y Fax (516) 765-1823 Telephone (516) 765.1802 .:~~~. -:.....:...r OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I FIe A T ION DATE: -z./) /01- /. / Building Permit No. 32634 Owner: Theodore C. Martz Jr. (please print) Plumber: ~,( \N\-JJ..... (please print) 1M C?lruVc.-k I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. r ~~ '^"~ (P u ers Signature) Notary before me this d.y of b · J5Pv7 Public, ~~oL County dy~~ /t;-~ Sworn to .5'r; I.- KATHR'l:N PIFTi..;0NJ I L. Notary Public, Sta~c ot l'\f;;'N "{(,d, No. 4713553 . Suffolk Cauntt [erm ""pire~ - J ~b J"f :z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ~ ok, e~ ) ~ rf-- J3bf( ~'cf( , [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS11UICTlON REMARKS: r~ . [ ] ROUGH PLBG. [ ] INSULATION 1><1 FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~, ~~~ DATE Cr~-07 INSPECTOR~ ~ ------- ------- 3;Lb 3'f Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~ INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSlRUC11ON [ ] FIRE RESISTANT PENETRATION h-tl Jj -,;. U. - - REMARKS: ~ ~ ~ ~ ~~"I-~~cM-4~p V ~'if-~~~'5~ ~ L-;;- 0 ~ , DATE ~ --:1-.3 - D 7 INSPECTOR~' ~ ~ 3r-b 3> If Z- ~" '~ <#-/ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION REMARKS: v~1f ~~ ~~ ~~ , DATE '-1-- , 7 - 07 INSPECTOR ~, ~ I 3(}-~ 3tf 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST rX( ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [)q FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONS11UICTION [ ] FIRE RESISTANT PENETMnoN REMARKS: eAp-~~./ ~~ ~ r- , -rrAr~ 3-)'~,~ ~ ~ -. aALL .. DATE 1f~J ~ -fJ7 INSPECTOR ~ML ----""---.- ~ -"';;--"~ 3~ro3+Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION (><f FRAMING I STRAPPING [] FINAL . [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS: ~~ =trrk ~_ . ~ () ,.. DATE ;3,-) If - 0 7 INSPECTOR ~~ ~ - - ~ 3).>[;3Cf:r; TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] F,..DATION 1 ST [ [vrFOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT lJCnON [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE . INSPECTOR ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 NSPECTION [ [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTR REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION '- DATE 11; () ? INSPECTOR , . j FOUNDATION (1ST) DATE CO~NTS . /.7/ L # 7- , ,~?f:'.-L" ./.J /, ~ ;:; / / ' I. 0 ~ t /;7/, "'JZ A d_ f 4. .' ~ ( . ~_ t-.-w.lS; ~ /1 ' 7 /~.4 / /1/ 7 ~ -I -f- ;; 1/) / // /~ / / IV ~ta Ii' ~. J .~ "lfIr '/!;/v1:.Y / /"j IV -/ / '\ I / /;; ./ I) v \../ 5-1'f./() j'~ ,-- ~ or, (J~ 'aJ'\~~~ In . IV^.fI...hr- . ~I-jlj ,Q.) / ~ " ~/JdT.. .1 ..J -r1~ cJjJ ! ~-4.-~ J~" -1-.. - . PJ.L.,.ev-c lJ\ ~ Lf../1. - . ~ 1'1 A ,j ./\ L jI, -.J ~. _ ~ . "in -14--1-, t"RJ ~ ~ I ...., 1/ /Z...tT., v!:1 u ~D rJ -,.jJ'lAI _gb~"g /'L...:......,~ ~ , .........., A;2, ;.' .AI 11. 3 - ;tYh~ ~ r.., ..sf(.;- - 1IJ.A'-ff4_"'1' 'lNY\. ~ II"}, AI , t.L '~;j' . . 'Z-c: ~ b FIELD INSPECTION REPORT FOUNDATION (2ND) z ~ ROUGH FRAMING & PLUMBING , b ~ ~ ~ .., I-------- IlfLJ3~ '-- ....u -A;" I _ -.., tJfr.<.J.:Fl _/ AI -n: , ", -"TiT ~.~ T \_ {;J . . I. . '/Jd___~ A L. .0.1 ~ A<f:h ,J. ~--....L.r tV -' :;, Af__..an --" . Of( ~,,~ U I v INSULATION PER N. Y. STATE ENERGY CODE FINAL ^ fo-~-r)7 1/", -',~ ,";. <1}.,4. Al,.,.},d-i ~,( '-/1. ..AId ,-; I ~./L "/7/' V , // /.~, (/ L .Il.. JJ l / ~ ~ ~ 1--. -- I J./:>%'{7- C- . () ~ Il- k._ J...'A ~_J.~ . -rdL. j" ...J. . iI.e '.#...h' --#- - PU. · -&0- J^. (/ ~ - 0 -t~ ADDITIONAL CO~NTS Lf;J7~~7 L. V 0 tq... A1~, /'. 'M.; ~",,,,,,:,,,V~~(!vo..~ ,. i... Ptl... ~ '.LA ' {T ..2Jii!"1- fL,. n.o ,,().. / ,u'1J. , . U (7 f--- -c A 11\ L" V / l}../ ~~ 0" ~ \ .., 0_ ~O Z ...~ .,.. 5 == ~ ~~ I == o 1:1 Ct ~ o "d U\~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold! PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health /' '(-SO sets of Building Plans V Planning Board approval Survey 3 ~t 3tJb Check..=a '(9: 7et Septic Form N.Y.S.D.E.C. Trustee4 . Contaft: Mail to: 11 {() , 20-e-:J. f / I ( 6,20-'22- ,. Examined Approved Disapproved a/ c Phone: 7578 - 5\ 'f 'fJ Expiration 7/' r) 20 0 i '- f!. J{ Building Inspector DEe 2 8 lOCo I , .,_~...J \ ',D'2---1 APPLICATION FOR BUILDING PERMIT Date ~~' 20 Db '- INSTRUCTIONS a. Th,is 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 "waterways. c. The work covered by this application may not be commenced before issuance of Building Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building si}all be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building pennit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pennit for an addition six months. 1;heieafter, a new pennit shalll'ie required.' " " , . APPLICATION IS HEREBY MADE to the Building Department for the issuari.ce of a Building Pennit pursuant to the Building Zone Ordinance of the Town o{Southold, SufJblk County, New York, and other applicable Laws, Ordina es or Regulations, tor the construction of buildings, additions, or alterations or for removal or demolition as herein d ed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, r IOn and mit authorized inspectors on premises and in building for necessary inspections. /' . State whether applicant is owner, lessee, agent, arch' ect, engineer, general contractor, lectrician, plumber or builder Name of owner of premises ~~ J ca .(!, . , , -' (As on th tax roll or latest deed) If applicant is a corporation, signature of duly authorized offi er (Name and title of corporate officer) Builders License No. ,\C?~ Plumbers License No. ~ Electricians License No. Other Trade's License No. I. Location f ~ on w_tl~ft 'ffl'.e done: House Num er Street LIe Hamlet County Tax Map No. 10 Subdivision Section o~ Block 0 ~ Filed Map No.~b~ Lot ~1 Lot . (Name) 2. State existing use and occupancy of prenlses and int nded use and occupancy of proposed construction: a. Existing use and occupancy tJ. <Ai\~ b. Intended use and occupancy '511''C:\1''1APt~11 ~1~c.(1 3. Nature of work (check which applicable): New Building -x: Addition Repair Removal Demolition Other Work .. ~rol 000- I "Z- Alteration (Description) 5. If dwelling, number of dwelling units If garage, number of cars Fee (To be paid on filing this application) Number of dwelling units on each floor I 4. Estimated Cost 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Height Number of Stories Dimensions of ~~structure with ~tel!lti5,,~ 01 additi5l'1s: Front S} I Depth ~'P Height 2/3 Number of Stories Depth 'F{ebr 6""+1 7- 8. Dimensions of entire new construction: Front Height Number of Stories qo' Rear Depth 9. Size oflot: Front /~'4-1 Depth 0lq1.9s" a.41.~ Name of Former Owner -A(~t1 E. w-.Sctt. 1\>~ Rear 10. Date of Purchase . II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO "- 13. Will lot be re-graded? YES ill ex~fill be ,em l~om 14.NamesofOwnerofp mises ~~ddress iA~) , neNo~e-~~ Name of Arc . Address Phone No ~. ~ ~ Name of Contractor Address Phone No. . 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO-!- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~ REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO )( 16. Provide survey, to s<;ale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF (1 ~cee . (Name of individual signin . being duly sworn, dep~ses and says that (s)he is the applicant contract) above named, (S@S the Sw .e. Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work'and to' make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. . ~ DALE A. WEDEll Sworn before me this Nolaly Public, State of New Yo day of ~ ~ No.01WE5054173 Qualified In Suffolk County Commission expires Jan. 8, 20; 0 /<. . ' .: - --' S.C.T.M. ~O. DI~TRICT: /000 SECTION: /7/ BLOCK: 3 LOT(S): 4 <Q> lIl/12 lAST POLE HAyWATER ROAD El 59.1 LOT 12 60 8.e.{O 62 .{ 8' 64 .eO" 66 e ~ ELEV. 61.2 I ::{ (j DR BROWN DY LOAM I' e; '" BROWN ~ SILTY SAND 3.5' ~ ~ ii1 PALE i? \\~ BROWN LOT 17 rrNE '" TO ..., MEDIUM {;j 'It ~ SAND Q ~o., ~~,tl< ~\J'O'-\C \l~t'-'- 90 '00 70 64 NO WATER 17' 62 .r;,0"" ,,0\0 ~1" AREA: 2C:'Ol SF OR 0.61 ACRES 11-18-03 THE WA TER SUPPL Y. WELLS AND CESSPOOL LOCA TIONS SHOWN ARE FROM FIELD OBSmVA TIONS AND OR DA TA OBTAINED FROM OTHERS. ELEVA TlON OJ. TUM: ___ ________~!!l'!E!>_______.__ ~~,tl< ~\J'O'-\C \l~t'-'- PEaM1TFOll J.J'i'C).')VAi. CF CONS'UtuCrmN FOR A ;:-!l--... r'''.'L'''- l~I'Y'!l"""r"'-!'..,"l"~ frS'."iT V SINGL.U.1;AJ:"...,;;, \[ j.~~)".i.l'k:\II:!'v.;\.:."w ~.....AJ::I S REP. NO, ~ f.i 0 - oJ::. Do05 UNAUTHOR.lED ALTERAnON OR ADDtnON TO THIS SURvn IS A VlOLAnON OF SECTION 7209 OF THE NEW YORK STATE EDUCAnON LAW. COPIES OF THIS SURVf:Y MAP NOT UEARING THE LANO SURVf:YOR'S EMBOSSEO SEAL SHALL NOT BE CONSIOERED TO BE A VALlO TRUE COPY. GUARANTEES INDICA TEO HEREON SHALL RUN ONL Y TO T~F. PERSON FOR KHOM THE SURVf:Y IS PREPARED ANO ON HIS BEHALF TO THE nTLE COMPANY, GOVf:RNMENTAL AGENCY AND LENDING INsnTUnON LISTED HE"EON, AND TO THE ASSIGNEES OF THE LENDING INSnTUnON, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSE'S OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENL'ED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREcnON OF FENCES, ADDtnONAL STRUCTURES OR AND OTHER IMPROVf:MENTS. EASEMENTS AND/OR S('BSURFACE STRUewRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHY.SICALL Y EVIDENT ON THE PREMISES A T THE nME OF SURVf:Y SUFfOUI: OOUM'fY DEPARThIENT OF REAL nt SERVICES 'DATS APPRO .I/fl~~- -- ,,-, b B-"-"-'~""~ MAXIlV1u},lvi' _ ' .t:.jh..,;~.."i'l'.l.;), - SURVEY OF, :"'OT 16 MAP OF, ALONZO JERSEY REVISED FILED, APRil 28. 1930 AS #763 SITUATED AT:NASSAU PO/NT TOWN OF: SOUTHOLO SUFFOLK COUNTY, NEW YORK CERTIFIED TO: RAN/ERa DAVERSA; GERARDO DAVERSA; 1!XPIRES m,{2S \'EARS i-1l.OM DATE OF APPROVAL r.:-u f1, M KENNETH M. WOYCHUK L.S. Land Surveyinc and Desicn P.O. Box 3, MatUluck, New York 11952 PHONE (831) 2Dll-11l88 FAX (831) 288-llI88 m.ln~lninl the records or Robert J. HenneD, FILE #23-133 SCALE: 1 "=30' DATE,NOV. 25. 2003 N. Y. s. Lie NO. 50227 ---, S.C.T.M. NO. DISTRICT: /000' SECTION: II/ BLOCK: J LOT(S): 4 <0> L1l/'2 lAST POlE HAyWATER ROAD El 59.1 60 ~ lOT 12 ~./o 62 ./ {i' 64 .eO" 66 e I ~ ElEV. 61.2 :f (f DR BROWN OY lOAlA l' ft "" BROWN ~ SIL TV SAND J.5' S2 C2. lit PAlE Ii! \ ~ BROWN fINE '" TO ...., \'; MEDIUM ij 3Ii ~ SAND Cl 0., ,"~,tl\ ~J'a~ot. I)'lIt~\.. 90 '00 70 NO WATER 17' 62 .... ., " .c;,0 0.0\0 ~1" ,~ '(Y'1Y~J jJ<ffik ,"~,tl\ ~\J6>$- 1)'lIt\..\.. REVISE HOUSE 12-6-06 11-18-03 THe WA TER SUPPL Y. Kf'LLS AND CeSSPOOL LOCA TlONS SHO""", ARe FROM FIeLD OBSeRVA TIONS AND OR DATA OBTAINeD FROM OTHeRS. ELEVA TlON DA TUM: ___________~~!!.'!E.!l_________ AREA: 26,701 S.F. OR 0.61 ACRES UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARiNG THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICA TED HEREON SHALL RUN ONL Y TO THE PERSON FOR WHOM THE SURVEY IS PREPARED ANO ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY ANO LENOING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS O.~ DIMENSIONS SHD",,", HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED ,'0 MONUMENT THE PROPERTY LINES OR TO GUIOE THE ERECTION OF FENCES. ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUe7URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES A T THE TIME OF SURVEY SURVEY OF, LOT 16 MAP OF, ALONZO JERSEY REVISED Film APRIL :28. 19.30 AS #76.3 SITUATED nNASSAU POINT TOWN OF, SOUTHOLD SUFFOLK COUNTY. NEW YORK CERTIFIED TO: THEODORE C. MARTZ JR.; ABSOLUTE ABSTRACT INC.; COMMONWEALTH LAND TITLE INS.; FILE #2.3-1.3.3 SCALE,1"=.30' DATE,NOV. 25. 200.3 N. Y. s. lie NO. 50227 KENNETH M. WOYCHUK L.S. Land Surve~ and DeBtcn P.O. Box 3, MatUtuck, New York 11952 PHONE (1131) 2lNI-11188 PAX (1131) 2118-11188 m.lnlliinlnl the record. or Roberl .I. Henne.., t-u )f. t/opU S.C. T.M. NO. DISlRICT: 7000 SECTION:", I a:: ~ ~ U ::; lD ::> Q. Vl -J -J lU ;;t o BLOCK: .J LOT(S): 4 'Vlt-~l ~ ~<: c<l- \ JC FEiJ 2 0 <OJ ul/12 LAST POlE' -'---1 ~ LOT 12 ~./o ~8' ..eO" ~ HAYWATER ROAD El ~9.1 90 '00 'II~,t~ 't'J60C Q'Ilt0- coMC- Rt"""~'" .... ,.'~ ~ ~ <:I ElEV. 61.2 DR BROWN DY lOAM I' #' 5,.5 0- 44.2' BROWN SILTY SAND .1,5' ~ ~ ., ~ "-r- "0 i,~ '-' ~~ ~O '01u ... ~~ 'Y \ \' ,o.rP,', ~,. ~, ~,., '- PALE BROWN FINE TO MEDIUM SAND NO WATER 17' FNO. lOCATI)N 02-07-07 REVISE HQ{ :.E 12-6-06 11-18-0.1 THE WA TER SUPPL Y. ~LLS AND CESSPOOL LOCA nONS SHOWN ARE FROM FIELD OBSERVA nONS AND OR DATA OBTAINED FROM OTHERS. ELEVA TlON DA TUM: ___________~!i!i.'1.~_________ 'II~,tl' 'oll..\,:;\.\C 1)'Ilt\.~ . AREA: 26,701 S.F. OR 0.61 ACRES UNAUTHORl?ED ALTERATION OR ADDlnON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT l.'''ARING THE lAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIOERED TO BE A VALID TRUE COPy. GUARANTEES INDICA TED HEREON SHALL RUN ONL Y TO nE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND lENDING INSTITUTION LISTED HEr.EON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE, THE OFFSE'S OR DIMENSIONS SHOWN HEREDN FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDlnONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS AND/OR SdSURFACE STRUr:f/JRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALL Y EVlOENT ON THE PREMISES A T THE TIME OF SURVEY SURVEY OF. LOT 16 MAP OF: AlONZO JERSEY REVISED FilED: APR'l 28. 1930 AS #763 SITUATED AT NASSAU POINT TOWN OF: SOUTHOlD SUFFOLK COUNTY, NEW YORK CERTIFIED TO: THEODORE C. MARTZ JR.; ABSOLUTE ABSTRACT INC.; COMMONWEALTH LAND TITLE INS.; ~ If, t/~ KENNETH M. WOYCHUK L.S. Land Surveyin, and Deeip P.O. Box 3. MatUtuck. New York 11952 PHONE (181) _-1588 .AX (181) _-1588 mainlainlnl the record. or Robert J. Henne.., FilE #23-'133 SCALE: 1 "=30' DATE: NOV. 25, 2003 N. Y. s. Lit NO. 50227 S.C.T.IA. NO. DISTRICT: 1000 SECTION: III BLOCK: J LOT(S): 4 R10-07-0062 <'0.> lIl112 lAST POlE HAYWATER ROAD "",,(l~~ c(lOC. \"N ~ I : ~ . " ", ~. 4.:' U ...... f . 'C '~ .,. El. 59.! LOT 12 S.e /0 ~{J' .eO" ~ 90 '00 \,.~!J' ,.1" t ,,'24 ,gr,,Cfi .... n ~,o'~ \ \\" " l' ~4: . SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES APPROVAL OF CONST"'JC'i:~D.':YORKS FOR AS't'- ,~~, V,, 'I R".:>ID..:tJCE ; ,,\.;~. ).... ,to,. '-~, ..,. 1 { " . ',! , .l!, ( ,j I.'''''' ';"f t-' , --iL. V ! 'J'~ ::;" Oata...JUbl 1 ~ rF ",.), "v~. I and, '-t'r "'".. .'!"I f....ct'(tlcs at thIs loczticn have been The sewage dispOC'...a Vie: C O)...~+._ U . t ~ and/or cortifk"CI hy L~ls Dep<'!rt'lH:;nt or Qth~r agencie;. and found :':;;~ FOR A MAXIMUM OF---4-- BEDROOM:>. rftJ. '- ~ Walter J. Hilbert, ' ., 11_ OffICe of Wastewater Management ~~~ ~~~ '1,~~ "~ ~ " " ""e~ ~'\J~ ~e~~ ~cf" Vd- ~e\ <\)~ c,O'd- ",,~cr.";tf!' LOT 17 REVISE SANITARY OCATlON 6-6-07 flNAL SURVEY 4- 11-07 FNO. LOCATION 02-07-07 R~SE HOUSE 12-6-06 THe WA TE:R SUPPL Y. WElLS ANO CeSSPOOL LOCA nONS SHO'Mol ARe FROM FIELD OBSERVA nONS ANO OR OA TA OBTAINED FROM OTHERS. ELeVA nON DA TUM: ___________~~\!.'!.EJ?_________ AREA: 26,701 S.F. OR 0.61 ACRES UNAUTHORIZeD lL TE:RA nON OR ADDlnON TO THIS SURvey IS A VIOLA nON OF SECTION 7209 OF THe NEW YORK STA TE: COUCA TlON LAW. COPICS OF THIS SURvey MAP NOT BeARI.", THe LAND SURveYOR'S eMBOSSCO SEAL SHALL NOT Be CONSlOERCO TO BE A VALID TRUe COPY. GUARANTE:ES INDICA TE:O HEREON SHALL RUN ONL Y TO THE PERSON FOR WHOM THE SURvey IS PRePARCO AND ON HIS BEHALF TO THE nTLE COMPANY, GOveRNMENTAL AGENCY AND LENDING INSTITUTION LlSTE:D HEReON, AND TO THE ASSIGNeES OF THE LeNDING INSTITUTION. GUARANTE:ES ARE NOT TRANSFERABLE, THe OFFSCTS OR DIMENSIONS SHO'/fN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARe FOR A SPeCIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTE:NOCO TO MONUMENT THE PROPeRTY LINES OR TO GUIDe THE EReCTION OF FENCeS. AODlnONAL STRUCTURES OR AND OTHER IMPROveMENTS, EASCMENTS AND/OR SUBSUR.cACe STRUeTUReS ReCOROCO OR UNReCORDED ARE NOT GUARANTE:CO UNLESS PHY.$ICALL Y eVIDENT ON THe PReMISES A T THE TIMe OF SURvey SURVEyor, LOT 16 MAP or, ALONZO JERSEY REVISED FILm APRIL 28. 1930 AS #763 SITUA TED n NASSAU POINT TOWN or, SOUTHOLD SUFFOLK COU,~TY. NEW YORK CERTIFIED TO: THEODORE C. MARTZ JR.; JAMES P. MARLIN; DIANE W. MARLIN; STEWART TITLE INSURANCE COMPANY; t--u )f. t/~ KENNETH M. WOYCHUK L.S. Land Surve,m. and Desiln P.O. Bo" 3, lIatUtuck, New York 11952 PBONB (lIlIl) 2lllI-ll588 FAX (lIlIl) 2lllI-ll588 m.lnblninl the records or Roberl J. Henn..., riLE #23-133 SCALE,1"=30' DATE,NOV, 25, 2003 hi. Y. s. Lie NO. 50227 FROM Theodore C.Martz Jr. PHONE NO. ',!6 878 8443 Jul. 20 2004 08:31AM P1 Theodore C. Martz, Jr. Building Contractor 145 RY<lrslln Avenue Manorvi!ie. NY 11949 (631) 87.',-8443 Date: July 20, 2004 Via: FAX MESSAGE TO: (63l)-765-9VJl Southold To;;n Building IJept. RE: Revised single and Sepazate Search for pendi.ng penni t application NO. OF PAGES: 275 west CoVQ Rd., Cutchogue, NY (11) Attached. Please advise. ThankS , ;;// FAX: ((;311-878-8443 FROM Th~odor~ C.Martz Jr. PHONE NO. ~16 878 8443 Jul. 20 2004 08:32AM P2 - . Fidelity National Title -- Agency Division -- INSURANCE COMPANY OF NEW YORK 393 Old COWllry Road, SuilC 201, Carle Place, NY 115140 Phone (516)334-6727 . Fax (516) 334-7459n460 April 21, 2004 TOWN OF SOUTHOLD RE: Absolute Abstract, Inc. AUTHORIZED AGENT Gentlemen: Please be advised that Absolute Abstract, Inc., is an agent for Fidelity National Title Insurance Company of New York, and as such is authorized to issue and sign Title Certificates, Binders, Policies, and Endorsements on behalf of this Company. This authorization is effective immediately and is valid until December 31.2004. unless otherwise notified. Should you have any questions, feel free to contact the undersigned. Steven C. Critelli Vice President NY State Agency Manager FROM Tkeodore C.Martz Jr. PHONE NO. 516 878 8443 Jul. 20 2004 08:32AM P3 COUNTY OF SUFFOLK ) SS.: STATE OF NEW YORK ) Title No.: SS836 ABSOLUTE ABSTRACT,INC., as Agent for FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK hereby certifies to the County of Suffolk and The Town of Southold: TIIAT a search made of the records of the County Clerk's Office of Suffolk County for the following described property: 275 WEST COVE ROAD, CUTCHOGl.lE, NEW YORK ALSO being known and designated on the Suffolk County Real Propolty Tax Agency Map as: DISTRICT: 1000 SECTION: 111.00 BLOCK: 03.00 LOT: 004.000 See description on attached Schedule "A" TInS search is for information. The Company's limit ofliability under this certificate, for any reason whatsoever, whether based on contract or negligence, shall not exceed $25,000.00 and shall be confined to the applicant to wholll thi..; certificate is addressed. No policy to be issued hereunder. Searches have been run to May II, 2004 Dated: July 14,2004 Absolute Abstract, Inc. By: Donna DeLuca Sworn to before me this y of July 2004 JEREM O'SULUVAN tary Public, State of New York No.010SS0748115 QuaUfieclln Suffolk County Commission Expires March 24~ .~ FROM Theodore C.Martz Jr. PHONE NO. : 516 878 8443 Jul. 20 2004 08:33AM P4 SCHEDULE "A" ALL that certain plot, piece or parcel ofland situate, lying and being at Peconic, Town of Southold, County of Suffolk, State of New York said and designated as and by the plot #16 as shown on map entitled "Revised Subdivision Property of Alonzo Jersey, being plot 282, Nassau Point Club Properties, Inc. at Peconic, N.Y.", said map is certified by Otto Van Tuyl Engineer and Surveyor, Greenport, N.Y., filed in the Office of the Clerk of Suffolk on 4/28/30 as Map No. 763 and said map supercedes Subdivision made 5/9/1923 and filed in Suffolk County Clerk's Office as file #640. oona DeLuca Sworn to before me this COfJ~2004 No JEREM O'SULUVAN tary Public, State of New York No.010SS074895 Qualified in Suffolk County Commission Expires March 2~( FROM: Theodore C.Martz Jr. PHONE NO. 516 878 8443 Jul. 20 2004 08:33AM P5 SUBJECT PREMISES: SCTM: 1000-111.00-03.00-004.000 CHAIN OF TITLE Georgia M. Jersey, being the devisee of AJol12O Jersey, deceased To Louise S. Jersey Louise S. Jersey To Alfred E. Kunsch LAST OWNER OF RECORD Sworn to before me this 14 ofJuly 2004 JEREM O'SULLIVAN ry Public. state of New York No. 010$5074895 Qualified in Suffolk County Commission Ex!)ires M"rci'> ~~ DEED Dated: 05-07-45 Rec'd: 06-04-45 Liber: 2451 cpo 284 DEED Dated: 10-26-70 Rec'd: 11-16-70 Liber: 6840 cpo 75 FROM Tkeodore C.Martz Jr. PHONE NO. 516 878 8443 Jul. 20 2004 08:34AM P6 PREMISES ADJOINING TO THE NORTH: 1000-111.00-03.00-003.000 CHAIN OF TITLE Georgia M. Jersey, being the devisee of Alonzo Jersey, deceased To Louise S. Jersey Louise S. Jersey To Fred W. Dawson and Doris Dawson, his wife Fred W. Dawson and Doris Dawson, his wife To William W. Schwenke and Irene E. Schwenke, his wife William W. Schwenke and Irene E. Schwenke, his wife To Fred S. Bernhard and Elaine Bernhard, his wife Fred S. Bernhard and Elaine Bernhard, his wife To Elaine Bernhard Continued Sworn to before mc this 14"' day of July 2004 (-----, '" '''''. ---' . '~... " DEED Dated: 05-07-45 Rec'd: 06-04-45 Liber: 2451 cpo 284 DEED Dated: 03-23-60 Rec'd: 04-26-60 Liber: 4801 cpo 13 DEED Dated: 12-30-64 Rec'd: 01-05-65 Liber: 5680 cpo 76 DEED Dated: 05-31-73 Rec'd: 06-11-73 Liber: 7415 cpo 476 DEED Dated: 09-09-76 Rec'd: 12-02-76 Liber: 8151 cpo 46 ~..U~ Donna DeLuca JEREM O'SULLIVAN Notary Public, State of New York No.010SS074895 Qualified in Suffolk County Commiulon Ezpi.... Marcil ~ ~-, FROM Theodore C.Martz Jr, PHONE NO, 516 878 8443 Jul. 20 2004 08:34AM P7 PREMISES ADJOINING TO THE NORTH: 1000-111.00-03.00-003.000 CHAIN OF TITLE - CONTINUED Elaine Bernhard To Penny Cooper Penny Cooper To Fred Hellerman GST Trust fIb/o Rachel Merrin and The Fred Hellerman OST Trust fIb/o Samantha Menin, as tenants in common R. Edward Townsend, Jr., Trustee of the Fred Hellerman GST Trust fIb/o Rachel Menin and R. Edward Townsend, Jr., Trustee ofthc Fred Hellerman OST Trust fib/o Samantha Merrin, as tenants in common To Raniero Daversa and Lidia Daversa. his wife LAST OWNER OF RECORD Sworn to before me this (~~,",Y 2":' '. JEREM O'SULUVAN "'""Notary Public. State of New York No. 010S5074!195 Qualified in Suffolk County Commission Expires March 2~ ;:JCDi DEED Dated: 08-27-02 Rec'd: 11-15-02 Liber: 12220 cp. 189 DEED Dated: 08-30-02 Rec'd: 11-15-02 Liber: 12220 cp. 190 DEED Dated: 03-13-03 Rcc'd: 05-06-03 Liber: 12249 cpo 632 FROM Theodore C.Martz Jr. PHONE NO. 516 878 8443 Jul. 20 2004 08:35AM P8 PREMISES ADJOINING TO THE EAST; 1000-111.00-03.00-005.000 CHAIN OF TITLE Georgia M. Jersey, being the devisee of Alonzo Jersey, deceased To Louise S. Jersey Louise S. Jersey To John V. Stepkoski and Mary V. Stepkoski, his wife John V. Stepkoski and Mary V. Stepkoski, his wife To Paul A. Bittner and Helen C. Bittner, his wife Paul A. Bittner and Helen C. Bittner, his wife To Carson Russell and Gloria Russell, his wife LAST OWNER OF RECORD Sworn to before me this C'-'14"day.~.f.~u1Y 2004 '" ""," . '. '-. Public ~EREM O'SULUVAN N Public, State of New York No.010S5074195 --... Qualified in Suffolk County COmmission Expires March 24~ ~( DEED Dated: 05-07-45 Rec'd: 06-04-45 Liber: 2451 cpo 284 DEED Dated: 02-01-60 Rec'd: 02-11-60 liber: 4768 cpo 126 DEED Dated: 04-03-72 Rec'd: 04-04-72 Liber: 7135 cpo 92 DEED Dated: 06-28-76 Rec'd: 07-02-76 Liber: 8061 cpo 168 FROM Tkeodore C.Martz Jr. PHONE NO. 516 878 8443 Jul. 20 2004 08:35AM pg PREMISES ADJOINING TO THE SOUTH: 1000-111.00-03.00-016.000 CHAIN OF TITLE Louise S. Jersey To Herman L. Enselberg Mae Enselberg, as Executrix of the Estate of Herman L. Enselberg. deceased To Karl Enselberg LAST OWNER OF RECORD Sworn to before me this 1411l day of July 2004 JEREM O'SULUVAN otary Public, State of New York No.010S5074895 Qualified in Suffolk County Commission Expires March 24~ :2ODJ DEED Dated: 03-13-46 Rec'd: 03-20-46 Liber: 2540 cpo 70 DEED Dated: 11-19-67 Rec'd: 02-06-68 Liber: 6300 cpo 423 ~flA (0&1Ib-- olUla DeLuca III' 20 aJo4 -- FROM Theodore C.Martz Jr. PHONE NO. : 516 878 8443 Jul. 20 2004 08:36AM P10 PREMISES ADJOINING TO THE WEST: WEST COVE ROAD Donna DeLuca Sworn to before me this 1 II> July 2004 \ JEREM O'SULUVAN Notary Public, State of New York /No.010S6074895 9Ual1lied in Suffolk County mml..lon Expires March 2~ ~O( ~'" , FROM: Theodore C.Martz Jr. PHONE NO. 516 878 8443 Jul. 20 2004 08:36AM P11 .' . ... ___ I.", --- ~IO " <all. ~-- --- 4! 4' \1141 '6 135" ((I" , II' " _, ',,_ _ ~G;Z ;t'~?~~.~ II - \ ti ..... 1 '...... ~ '~I2I, 5 81: .l\ Date: 06/22/04 Transaction(s}: Name: Clerk 10: JOYCEW Town Of South old P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Receipt#: 1 Septic Permit - Construct - Resid. Check#: 4435 Martz, Theodore 145 Ryerson Ave. Manorville, NY 11949 Total Paid: 2. I 2004 o Subtotal $10.00 $10.00 Intern.IID: 96364 NATIONAL LAND TENURE COMPANY, LLC 900 Merchants Concourse, Suite 201 Westbury, New York 11590 Tel (516) 227-0800 Fax (516) 227-1160 Title No.: NLT-SS-2003212-S-03 National Land Tenure Company, LLC, a New York Limited Liability Company, with offices located at 900 Merchants Concourse, Westbury, New Yark, hereby certifies to the County of Suffolk and the Town of South old that it has conducted a single and separate search of ownership of the records of the Suffolk County Clerk's Office for the following described premises and the returns show the following Premises Searched: 275 West Cove Road, Cutchogue, New York District: 1000 Section: 111.00 Block: 03.00 Lot: 004.000 Title to said premises is vested in Alfred E. Kunsch by deed dated 10/26170 and recorded 11/16170 in Liber 6840 cp 75 Liability for the search is limited to the amount of Twenty Five Thousand dollars ($25,000.00) and is guaranteed only to the person(s) to whom it is certified. , /' DATEC(~~~~:);)J\JJX', ~)J~,l NATIONAL LAND TENURE COMPANY, LLC By: SUBJECT PREMISES: 275 West Cove Road. Cutchol!ue District: 1000 Section: 111.00 Block: 03.00 Lot: 004.000 Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Georgia M. Jersey, being the devisee of Alonzo Jersey, deceased Louise S. Jersey 517145 6/4/45 2451 pg 284 Louise S. Jersey Alfred E. Kunsch 10/26170 11116170 6840 pg 75 SUBJECT PREMISES: Located on the north District: 1000 Section: 111.00 Block: 03.00 Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Georgia M. Jersey, as devisee of Alonzo Jersey Louise Jersey 5/7/45 6/4/45 2451 pg 284 Louise S. Jersey Fred W. Dawson and Doris Dawson, his wife 3/23/60 4/26/60 4801 pg 13 Fred W. Dawson and Doris Dawson, his wife William W. Schwenke and Irene E. Schwenke, his wife 12/30/64 1/5/65 5680 pg 76 William W. Schwenke and Irene E. Schwenke, his wife Fred S. Bernhard and Elaine Bernhard, his wife 5/31/73 6/11 /73 7415 pg 476 Fred S. Bernhard and Elaine Bernhard, his wife Elaine Bernhard 9/9/76 12/2/76 8151 pg 46 Elaine Bernhard Penny Cooper 8/27/02 11/15/02 12220 pg 189 Lot: 003.000 Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Penny Cooper Fred Hellerman GST Trust flblo Rachel Merrin and The Fred Hellerman GST Trust flblo Samantha Merrin, as tenants in common 8/30/02 11/15/02 12220 pg 190 R. Edward Townsend, Jr., Trustee of the Fred Hellerman GST Trust flblo Rachel Merrin and R. Edward Townsend, Jr., Trustee of the Fred Hellerman GST Trust f/b/o Samantha Merrin, as tenants in common Raniero Daversa and Lidia Daversa, his wife 3/13/03 516/03 12249 pg 632 . . SUBJECT PREMISES: Located on the east District: 1000 Section: 111.00 Block: 03.00 Lot: 005.000 Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Georgia M. Jersey, being the devisee of Alonzo Jersey, deceased Louise S. Jersey 5/7/45 6/4/45 2451 pg 284 Louise S. Jersey John V. Stepkoski and Mary V. Stepkoski, his wife 2/1/60 2/11/60 4768 pg 126 John V. Stepkoski and Mary V. Stepkoski, his wife Paul A. Bittner and Helen C. Bittner, his wife 4/3/72 4/4/72 7135pg92 Paul A. Bittner and Helen C. Bittner, his wife Carson Russell and Gloria Russell, his wife 6/28/76 7/2/76 8061 pg 168 . , SUBJECT PREMISES: Located on the south Section: 111.00 Lot: 016.000 District: 1000 Grantor(s): Grantee(s): Dated: Recorded: Liber: Grantor(s): Grantee(s): Dated: Recorded: Liber: Block: 03.00 Louise S. Jersey Herman L. Enselberg 3/13/46 3/20/46 2540 pg 70 Mae Enselberg, as Executrix of the Estate of Herman L. Enselberg, deceased Karl Enselberg 11/19/67 2/6/68 6300 pg 423 Permit # Permit Date REScheck Software Version 3.7.3 Compliance Certificate Report Date: 11/15106 Data filename: C:\Documents and Sellings\Victor CunaoIMy DocumentsIMarlin.rck Energy Code: Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: New York State Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 12% 5750 Owner/Agent: Designer/Contractor: Compliance Passes Maximum UA 520 Your Home UA 463 --> 11.0% Better Than Code (UA) Assembly ..... 1338 3060 330 24 36 1788 0.300 0.300 0.200 47 219 99 7 7 84 Ceiling 1: Flat Ceiling or Scissor Truss: Wall 1: Wood Frame, 16.0.0.: Window 1: Wood Frame:Doubla Pane with Low.E: Door 1: Glass: Door 2: Solid: Floor 1: All-Wood JoIsVTruss:Over Unconditioned Space: 30.0 13.0 0.0 0.0 19.0 0.0 The proposed building rapresented in this document is consistent with the building pians, specifications, and other calculations submitted with . tion. The proposed syslams heve been designed to meet the Now York State Energy Conservation Constru. ~ z..,: n a Registered Design Professional has stamped and signed this page, they are attesting that to the be 'and professional judgment, such plans or specifications are in compliance with this ode. ~~\ ~ 7; OG;. Build Company Name Page 1 of 4 RES check Software Version 3.7.3 Inspection Checklist Date: 11/15/06 Ceilings: o Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Abov&-Grade Walls: o Wall 1: Wood Frame, 16"0,c" R-13,0 cavity Insulation Comments: Windows: o Window 1: Wood Frame:Double Pane with Low-E. U-Iactor: 0.300 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thonnal Break? _ Yes _ No Comments: Doors: o Door 1: Glass, U-Iactor: 0.300 Comments: o Door 2: Solid, U-faclor: 0.200 Comments: Floors: o Floor 1: All-Wood JoistlTruss:OVer Unconditioned Space, R-19.0 cavity insulation Comments: Air Leakage: o Joints. penetrations, and all other such openings in the buikling envelope that are sources of air leakage must be sealed. o Recessed lights must be 1) Type Ie rated, or 2) Installed inside an eppropriate air-tight essembly with a 0.5" clearance from combustible materials. If non-Ie rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: o Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials ldentfficatlon: o Materials and equipment must be installed in accordance with the manufacturer's installatk>n Instructions. o Materials and equipment must be identified so that compliance can be detennined. o Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. o Insulation R-values and glazing U-factors must be clear1y marked on the building plans or specifications. Duct Insulation: o Supply ducts in unconditioned attics or outside the building must be insulated to R-8. o Return ducts in unconditioned attics or outside the building must be insulated to R-4. o Supply ducts in unconditioned spaces must be insulated to R-8. o Return ducts in unconditioned spaces (except basements) must be insulated to R- o Retum ducts in unconditioned spaces (except basements) must be insulated to R-2. . Insulation is not required on return ducts in basements. Duct Construction: Page 2 014 o All joints, seams. and connections must be securely fastened with welds. gaskets. mastics (adhesives), mastic-plu.....mbedded-fabric, or tapes, Tapes and mastics must be ratad UL 181A or UL 181 B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Po). o The HVAC system must provide a means for balancing air and water systems. Temperature Controls: o Each dwelling unit has at lasat one thannostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systams: o Separate electric meters are required for each dwelling unit. Fireplaces: o Fireplacas must be installed with tight fitting non-<:ombustible fireplace doors. o Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of Now York state. the ResidanUal Coda of Now York stata or the New York City Building Code. as applicable. Service Water Heating: o Water heaters with vertical pipe risers must have a heat trap on both the inlet and ouDet unless the water heater has an integral heat trap or is part of a circulating system. o Insulate circulating hot water pipes to the levels in Table 1. Clrculattng Hot Water Syatems: o Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: o All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-<tepletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: o HVAC piping conveying fluids above 105 degrees F or chilled fluids balow 55 degrees F must be insulated to the levels in Table 2. Page 3 of 4 Table 1: MInImum Insulallon Thickness fOr C1rr:ulalirlfl Hol Walw PIpes Heated Water Temperature l"F) 170-180 140-169 100-139 Insulation Thickness In Inches by Pipe Sizes Non.clrculatlng Runouts Circulating Mains and Runouts Up to 1" 0.5 0.5 0.5 Up to 1.25" 1.0 0.5 0.5 1.5" to 2.0" 1.5 1.0 0.5 Over 2" 2.0 1.5 1.0 Table 2: MInImum Insulallon Thickness fOr HVAC PIpes Piping System Types Heallrlfl Systems Low PressurelTemperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerent and Brine Fluid Temp. Rangel"F) Insulation Thickness In Inches by Pipe Sizes 2" Runouls 1"andLess 1.25"102.0" 2.5"104" 201-250 120-200 Any 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 40-55 Below 40 NOTES TO FIELD: (Building Department Use Only) Page 4 of 4