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HomeMy WebLinkAbout25906-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33094 Date: 06/13/08 THIS CERTIFIES that the building NEW DWELLING Location Of Property: 365 MAILLER CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 9 Lot 34 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 1999 pursuant to which Building Permit No. 25906-Z dated JULY 27, 1999 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 COVERED FRONT ENTRY AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to VINCENT & LOUISE TIRELLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0131 06/10/08 ELECTRICAL CERTIFICATE NO. N 527862 06/23/00 PLUMBERS CERTIFICATION DATED 12/28/00 K & K PLUMBING & HEATING Aut rize Signature Rev. 1/81 Form No. 6 3 Imo/ I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 0 765-I802 C f g d� APPLICATION FOR CERTIFICATE OF OCCUPANCY ' A. This application must be filled in by typewriter OR ink and submitted to the`building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and - unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .2541 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00//, Commercial $15.00 Date . / .2 ..1 ?-O a New Construction. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . / Location of Property. . .-3.t!.S . .'A4.4:.�e . . CC, '. `� . . . . . . . . . . . . . . . . . . . �n�.��c +�. . . . . . . . . . House No. • .Street Hamlet Onwer or Owners of Property. . . 5'.: ✓.T . Lca✓ i f e. .. -Ti.I-c f.1. . . . . . . . . . . . . . . . . . . . . . . . . . - O D County Tax Map No 1000, Section. . . . . . . . . . . . . .Lot. . . .3.�. . . . . . . . .. . . . . . . Subdivision. . . . . . . . S .P.T 4. Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . // Permit No. . .1:$:. ..D. 4.�.Date Of Permit. . / ,_.7/j j . . . .Applicant. . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .�. . . Fee Submitted: $. . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS =' `'•' ikC1C i3(_ BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 11J'[ 23,204x; 44",::?R 14 / 4 ii 5<:IS62 Date No. ogfile THIS CERTIFIES THAT tTf:F2fL1T xo. ,_5905 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of VINCENT TIRELLI, HAILLE,. COURT. SOTIMGLD, f•TY in the following location• ® BasementGAR/OI"1' ® 1st FL ❑ 2nd Fl. Section Block Lot was examined on YR TE 16,2Mand found to be in compliance with the National Electrical Code.. FIXTURE RECEPTACLES SWRCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RICANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. X.P. '_5 49 110 35 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC-PT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET SVS EMS DIMMERS AMT. K.W. OIL X.P. GAS X.P. AMT. NO. A.W.G. AMI. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.Of FEET AMT. WATa 3 — 1 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.Of Cc LOND. A.* G. A.W.G. A.W.G. AMT- AMP. TYPE EQUIP. 1 R RW I e YN l e SW S R�W PERS OF CC.COND. NO.OF NI-UG OF NI-LEG NO.or murRAU OF NEUTRAL J. 24f0 QA 1 3 1 2/0 1 2/0 OTHER APPARATUS: WELL FUMP-1 7 Tux AIR COALITIONER-1 ELEC, ROOM IMATERS:1-.5 K.W. ,1-.185 K.W. ,6- .25 K.W. MEC- ROOM HEATS 0a 5 .375 K.W. 2--.625 K.W. 2-.75 K.W. ELEC. ROOM HF,FI.TERS:1-1. K.W. HOTOM:1- H.P. ,1-F H.P. PANEL80AR1k7;1-1 MR. 60 ELEC. 'AATEP. FIVNERSL .1-4.5 K.W. L L :« Continued on Page 2 GENERAL MANAGER MPer `— This certificate mutt not be altered In any manner;return to the office of the Board If Incorrect. Inspectors may be identlf�ted by Meir credentials. Y F-67—BUTT - THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 M 52 Pat, Date AfN T THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of VINCEME T1'R1:YJJ , f1JAfLJrR COURT, S,0VMLD, NY in the following location• El Basementff] Ist FL 1-1 2.d Fl. Section Block Lot was examined on JBE 16,20VO and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT 1 FUIORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. K.W. ANT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I SELL I UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMI. H.P. NO.OF FEET AMT. WATa SERVICE DISCONNECT NO.OF S E R V I C E METER NO,OF HKEG Of WIEG I OF NEMAL AMT. AMP. TYPE EQUIP. 1 0 2W I 1 0 3WI 3 6 3W 3 0 4W NO.OF CC C A. G A.W.G. NO.OF NEISTRAWS A.W G MR 9 OF CC.COND. OTHER APPARATUS: SMOKT- D Mr—TOR. -5 PAUL, R. BURNS LIC.#3897-6M L L PO BOX 1061 SOUT1+311), MY, 11971-0932 GENERAL MANAGER Per This certificate must not be altered In any manner;return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. ;1111111ijill; COPY FOR BUIL DI7577577AMEN 7TRls COPY u� L;LFiIIFIUAIL MUS) NO) t5t, ALII-HEU IN ANY MANNER spff.FO14�oGy o � Town Hall,53095 Main Road y Z Fax (516)765-1823 P. O. Box 1179 %95 • Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE• ►z - L$ 3 a a Building Permit No. z- Owner: 6/1 ✓ < <�T �� . � t sc �� it i (please print) Plumber: lu42/&y� 111� v, , (pl ase pri� I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. e)- "�2aL (Plumbers S gnature) Sworn to before me this day of (-M(r/zGk 1.4 o1W( Notary Public, jZ,ale4L— County LINDAI COOPER Notary Public,State of New York No.4e22563,Suffolk Ccu ty Term Expires Decembet 31, J2215o Z SCDW REF. # RV - 89- OW Lot numbers refer to "Map of Smithfield Park" filed in the Suffolk County Clerk's Office on Dec. 27, '966 os File No. 4770. SURVEY OF PROPERTY TEST HOLE AT SO UTHOLD filromsw* AVENUE TOWN OF SO UTHOLD cusTE�__, SUFFOLK COUNTY, NEW YORK -/ &ft saw \ 1000-70-09-34 SCALE: 1 '=40' OJUNE 14, 1999 I q am p co AUG. 23, 1999 ( stk hse. I � SW ; FEB. 2, 2001 ( final ! 217.78' U) el 21.4' 84'58'20" E c �•ol o N ee s ew 0 a LI U' &T. ar CAOrr ,, we a o6T wdln &#A •r I uCERTIFIED TO, well over 150' owoy O _ O VINCENT TIRELLI !� o LOUISE TIRELLI IT . P PECONIC ABSTRACT INC.FIRST AMERICAN T/fZE INSURANCE 21.9' QCOMPANY OF NEW YORK 64/ - S - 00463 235.86' el 20.e' NORTH FORK BA/WCS 84520" 'N O ,. 20 (dwelling) AREA = 22,682 sq. ft. S JAN T. MFtrQ�O6'�i' am familiar with the STANDARDS FOR APPROVAL well & C.P. location unknown _ r f AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. �N�� S JQ N0. 49618 ANY ALTERATION !r: ADDITION TO THIS SURVEY IS A VIOLATION �ECONIC _ The location of wells and cesspools shown hereon OF SECTION 7209 MJF THE NEW YORK STATE EDUCATION LAW N are from field observations and or data obtained EXCEPT AS aFR SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS (631 ) 765 — (631) 765 - 1797 from others. _ HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. 0. BOX 909 7128/99 ! esrt!/ke&n 1 SAID MAP _= COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET Elevations referenced to an assumed datum. 7,12/99 ( W *a% 1 WHOSE SIGNA 'JRE APPEARS HEREON. SOU THOLD, N. Y. 11971 199 -2311 •E 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. 25906 Z Date JULY 27, 1999 Permission is hereby granted to: NEVILLE (TIRELLI) 365 MAILLER CT SOUTHOLD,NY 11971 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE AND COVERED FRONT ENTRY AS APPLIED FOR. at premises located at 365 MAILLER CT SOUTHOLD County Tax Map No. 473889 Section 070 Block 0009 Lot No. 034 pursuant to application dated JULY 27 1999 and approved by the Building Inspector. Fee $ 696 . 20 Authortadd Signa re ORIGINAL Rev. 2/19/98 70-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R)EMARKS: DATE ? INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: zc DATE / 6 INSPECTOR �?� M-1802 BUILDING DEPT. INSPECTION ¢� � 0 [ ] FOUNDATION IST [ ROUGH PLBG [ ] FOUNDATION 2ND [ ] INSULATION [ /FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY � REMARKS: Az2OT—�� �// aG DATE /Dlor) INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP C & CHIMNEY REMARK to DATE INSPECTO c2 M-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ©( -c _ G ,DATE 17 loro INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 111"1 NEY REMARKS: r �/W- i ,DATE INSPECTOR �� A-INSPECTION REPORT DATE COMMENTS ` H NDATION ( 1ST) _NDATION====(2ND)====--N --- I! � IGH FRAM b u ii - _ _ _ , �-. —�•Cr 'a PLUMBING SULATION PER N. Y. STATE ENERGY CODE p !N s p u Pk2in A/ ,�. N FINAL y Z IN ?, t 0 ADDITIONAL COMMENTS: � J C H - 0 z C� �J U: BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: �{ 99q -216 5' . . . .-7 � !,. , Examined. d. 19.1! MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.. !.., 19 ..,Z Permit No. ........................... Dia/c .................................. .................................... ........................................... .......... QDEPT."' (Building tor) [/ PPLICATION FOR BUILDING PERMIT Date. . . . .. . . . . . . . . . . . 19. . . . INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 sets of plans, anisate 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 application. c. 'Die work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 whale or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY UNE to the Building Department for the issuance of a Building Permit pursuant to the Building 7.eoe Ordinate of the Tann of Southold, Suffolk Canty, 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ............... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0 d ,A V - ........................................................................................................................ Haveof owner of premises ...... ............................................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......:.................................................. (Name and title of corporate officer) 7 Builders License No. ..I S�.�.�I- 7 -, Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done................................../............................ . i... .............../.:!Pt JJe� ...G .....................55.4V14............................ House Q Street Hamlet County Tax Map No. 1000 Section ... Block ................ int ......... ../... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................... f� ,, ^�.....�........................ b. Intended use and occupancy .......5ia�`!?..T4!�7I/ry..'YY�ftL� riT L 3. Khlure of work (check which applicable): New Building .../.. Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. ` (Description) 4. Estimated Cost ..... ................. fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....IA...... lumber of dwelling units on each floor 3. If garage, number of cars ... L G 'K ................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Heigiht ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height ..................``.. Number of Stories .....?........... qq 8. Dimensions of entire new construction: Front .....s�.:3...... Rear .... �?...... Depth ... .J..... Height ....aJ............... Number of Stories ..... ....... ... 9. Size of lot: Front ...... . �....... Rear .....f.0 l......... Depth ..a d ............. 2 y G 10. Date of Purchase ..................... Hare of Former Owner .....I{'f!. y,..'V7�'.j�....... � ah err H. Zone or use district in which premises are situated ..................... ........................................ 12. Does proposed construction violate any zoning lav, ordinance or regulatiod: ` 13. Will lot be regraded .................... Will excess fill be removed from prmhises: YES M 14. Nees of Owner of premises ........................... Address ......... Phone No. ..................... .............. Nae of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address ...............................Phone No. .............. 15. is tlhis property within 300 feet of a tidal wetland? * YES .......... 6>.......... *IF YES, SO[IIIM TOWN TRUSTEES F1KPMDT MAY BE REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-baric dimensions from property lines. Give street and block number or description according to deed, and show street renames and indicate whether interior or corner lot. SVVIE OF N13l Y(W (� O"IY OF ...... ....,. SS ....................bei cul swum deposes and . .....'•. ...........••. l"N. ng Y , { says that be is the applicant (Nae of individual signing contract) above named, Ile is Lhe ........................OSA? .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work a<d to make and file this application; that 3.11 statements contained in this application are true to the best of his knowledge and belief; and that the work will be perfo iOISC4725M ner set forth in the application filed therewith. Sworn to before me this ..........day of .. .�..... ,/ 7 Notary Public ..... ...... ...... (�.. ................... ......... (Signature of Applicant) ROBERTSC Notaate N"yk DuuH Ik County 4725M Term EvInIS May 31,moo I 0 0 o - 74 - 9- TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET .5 VILLAGE DIST. SUB. LOT a674 FORMER OWNER N E ACR t eu S W TYPE OF BUILDING RES. SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS j i 3 5,de & SoyAp /'PA44C� kiO to —F �o MLAed, d0 7S J- 7 3� 7 .4nle /a T `J F. M6 Ad _A Ale i,// " wF 17 Oq AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE �9 FARM Acre Value Per Value Acre ' Tillable FRONTAGE ON WATER VC) Woodland FRONTAGE ON ROAD o Meadowland DEPTH House Plot BULKHEAD Total DOCK V=c,; Lot numbers refer to "Map of Smithfield Park' - filed in the Suffolk County Clerk's Office on '99 JUL 16 Dec. 27, 1966 as File No. 4770. SURVEY OF PROPERTY TEST N" AT SOUTHOLD GLISTER AVENUE TOWN OF SOUTHOLD _ _ SUFFOLK COUNTY, NEW YORK C CIO. 'a '� 'aw 1000-70-09-34 -%o-. SCALE: 1 '=40' JUNE 14, 1999 �4 � awlto SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A (§� k 57NCLB FAMILY RESIDENCE ONLY N /r (vocont) W DATE --"o—c� NO REF.NO. - -013 217.78' APPROVED el .4 N 84.58'20" E 22.6 21FOR MAXINIUMOF.�- BE s 0 el /1510p U: VIXRES'11I1�EE YEARS FROM DATE OF APPROVAL ,ab p t� o 'Ilkr " " 25 PLEASE NOTE py sY' m Minimum distance between well 15 l.,r and cesspool is to be 150 feet. w 21 ,' �r�s '�' r ' well over 150 owoY OO • 0 Q T1 p0 i j o y f - -- ---- / 235.86' ei 20.8' S 84'58'20" W 26 ® 20 (dwelling) AREA = 22,882 sq. ft. ��OE NEW y P. location unknown �'tP ��t. METrc O9� I am familiar with the STANDARDS FOR APPROVAL well 8, C. o f'p AND CONSTRUCTION OF SUBSURFACE SEWAGE ?' DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES I ' and will abide by the conditions set forth therein wee ;. and on the permit to construct. N.Y.S. LIC. NO. 49618 ANY ALTERATION OR ADDfTION TO THIS SURVEY IS A VIOLATION ICS RS, P.C. The location of wells and cesspools shown hereon - OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW - _ 020 are from field observations and or data obtained EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS from others. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. 0. 09 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 99-231 Elevations referenced to an assumed datum. 7AP/99 / NM Ae� / WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 71971 Lot numbers refer to "Map of Smithfield Pork" filed In the Suffolk County Clerks Office on Dec. 27, 1966 as File No. 4770. SURVEY OF PROPERTY TEST ill " AT SO UTHOLD " a AVENUE TOWN OF SO UTHOLD C USTIR SUFFOLK COUNTY, NEW YORK CF.. CP. �„ 1000-70-09-34 ¢. ' �✓� SCALE: 1 '=40' ' JUNE 14, 1999 �4 PM brow �� '4"1 23, 1 (afkHA « » Ste. a r wo M•,,o. it (�a�ant) 2 / .78 ...I el 21.4' N 84'58'20" E iIi, I 26 c I 405 _ U1 l el 18.6 — d ,N so.+ N c.a iso + h 0 o O w. O a 2i.o l 25 3.5 v m 15 W 21 w CERTIFIED TO, (dwelling) u n 29.+ VINCENT TillilL1 well over 150' awov OO LOUISE TIRELLI T� O C PECONIC ABSTRACT INC M FIRST AMERICAN TIKE YSURANCE p i'� f COMPANY OF NEW YORK I vm�a 641 - S - 00463 0 235.86 I e, taeNORTH FORK BAW �Z el 164 S 84'58'20" w 26 20rill —_ dwell,ng) AREA = 22,682 sq. ft. oti r)Ebv y T Qp nr - locoton on well & C.P. �t I am familiar with the STANDARDS FOR APPROVAL � o� � 2r.e a� AND CONSTRUCTION OF SUBSURFACE SEWAGE L DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ° r• �; ,, -� � TO• ". .'_B and will abide by the conditions set forth therein 171 ' LIC. N0. 49618 and on the permit to construct. T ' ANY ALTEP- ' ON -k' ADDITION TO THIS SURVEY IS A VIOLATION p CTSbev V - P.C. The location of wells and cesspools shown hereon OF SECPOI -20�4 :. . THE NEW YORK STATE EDUCATION LAW. -7 -4 are from field observations and or dato obtained EXCEPT As =,_R -,E 'ION 7209—SUBDIVISION 2, ALL CERTIFICATIONS (51 from others. HEREON Akf "A =0R THIS MAP AND COPIES THEREOF ONLY IF P. 0. � 7/28/99 t cerdficollon I SAID MAP 'OC a'`S BEAR THE IMPRESSED SEAL OF THE SURVEYOR 7230 TPAV R STREET Elevations referenced to an assumed datum. �� ��� 7827 Awl hak WHOSE SIG! ")FE 4PPEARS HEREON. SOUTHOLD, N. Y. 11971 SCDHS REF. # R10— Lot numbers refer to "Map of Smithfield Park" ^r,l 'J j filed in the Suffolk County Clerks Office onJ1 Dec. 27, 1966 as File No. 4770. Irl &RVEY OF PROPERTY TEST HOLE r J AT SOUTHOLD bw a (' CUSTBR VE A ' _. TOWN OF SO UTHOLD ,¢ `;CP SUFFOLK COUNTY, NEN' YORK SU 1000--70-09-34 °'• SCALE: 1 '=40' PalJUNE 14, 1999 l4 am o OH&vow AUG. 23, 1999 ( stk Irse. ) saw SSW FEB. 2, 2001 ( final 1 Nov. 22, 2006 ( ar La Det ewr ) 22 _ 8lM4OIX OOVNTY DEPARTMENT OF HEALTH SERVICES APPROVAL OF CONSTRUCTED WORKS FOR DEC '2 2 N (vacant) A SINGLE FAMILY RESIDENCE 217.78' W to el 21.4' e " _ -8 H.S.Ra(. No. 0- 9- 0)3 111 By —__ - E o. isaaaar and"be,�y facfiBea at tris lom*n nave naan _ N 84-58'2019 sr. a cc �-i 1? 4a 5' U� w6d ory FOR MAyy"m OFMront or at4ar agendas and found 10 el 78.6' A> NAr-T r3, - —� BEDROOMS ZG' r i CC ,x.3' ®� 73 Jr o00r I STY F'R. paVEMAY o „ r O wen ager J. H@lert,P.E., r p {,.>n�a P, s,• - Of Wastewater Management W CERTIFIED TO, ' (dwellin9) - v well over 150 ow0y >y d' ' -+ CVINCENT TlRELLI LOUISE TIRELLI t 7 j o TFC C PECONIC ABSTRACT, INC. b p `W FIRST AMERICAN TITLE INSURANCE O i el 21.9' p �] y�c0 n f COMPANY OF NEW YORK 641 - S - 00463 235.86' el 20 8 26 NORTH FORK BANK \Z el 18.4_ .. ' S 84'5820" N1�, ECT TO COVENANTS& RESTRICTIONS LIBER © u.- ri Je PAGE a23�' - 20 (dwelling) AREA = 22,882 sq. ft. y4T. P w OWN r� �F ell & C.P. location unknown T. C I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES o Nell s , / $ and will abide by the conditions set forth therein � and on the permit to construct. 0. 49 18 ANY ALTERATION ORADDIT/ON TO THIS SURVEY IS A VIOLATION S RVE The location of wells and cesspools shown hereon OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ECONIC IC — 502 . - 1797 are from field observations and or data obtained EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS (631) 9AIpgU from others. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. 0. BOX 909 7128/99 ( carl/lkallon 1 SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 "TRAVELER STREET ./ Elevations referenced to an assumed datum. 742199 1 hsl hok 1 WHOSE SIGNA�REIAPPEARS HEREON. SOUTHOLD, N. Y. 11971 99-2, / ENERGY CODE CALCULATIONS (For Non-Electric ileac) Design Criteria G,000 Uegree'. Ys 7U* O.A. IU-r I.A. 7U t FOR: PER UA'1'CU P✓ -2 1 P DESIGN TBERMEL REMARKS SUBSYSTEM AREA "U" RATING/ Exterior Walls (Opaque) 11/7 OS a /Z'7 Glaziny 1 2. 79 32 ' S3 xv Grolr/ Doors j v . 1/0 - 14 Ceil.iny/Roo L' (opaque) / �� U S 0 Skyliyht-s 1 _ Floor / S ! 0 S 0 Foundation Walls Slab Insulation TOTAL Notes: Building Envelope Systems to meet- requirements of 7015.2 11VAC Equipement to'meet requirements of 7015. 11 HVAC Systems to meet requirements of 7015- 12 Uuct• Systems to meet requirements of 7015. 13 Ventilations Systems to meet requirements of 7015. 19 Insulation of piping systems to meet- requirements of 7015. 15 Service Water heating Systems 6 Equipment- to meet requirements of *1015. 71 Electrical S Lighting Systems s Equipment to meet requirements of 7015- 31 To the best of my knowledge, OfNEW belief, s professional judyemenL, these plans are i.n �a~et�cE rvr 41 compliance with the code. • 3 gs aasr.�+, BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Reviewed: z7�fJrJ�' Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Section: Block: Lot: Project 4?�4 Subdivision Location: Name: Single&separate Required �, �h 4�7 certtfication: (Yes/No) !'�, �J f� Zoning District: O [Lot size: 0 �0 Actual: / ��/� [Lot coverage Proposed: 0 Req. �D Req. ��� Req. / �/ / [Front Yard Proposed: [Side Yard Proposed: [Rear Yard 5b Proposed: Project Description: �W AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES/ umber Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: / Town Planning Board approval: Flood Plane Elevation??? Flood Zone: /" Li rt ta IEl JA Wk y6t }ljJhf rpm FwO X. -__ 1 _ . . � .�, .';,:` � .,. vril ih� a•' r c i I .,lf.'1 I I t ' r rmT aL' aN a L� , Of NEW ;. rr'1 C9 4i J �„ , /^ �>, } ";a � 5 :� `�'t. x.i i s k�Ir1,, co a4 lib:',H 032264-1v �� FESSION Im � l E ! l--Y(_ - 4 - I• / "'' `. _ �''1'.,.—'«-.-^' - ""'.�.�" 1—r--'"�^^ 'sial ---- I f , k � t - - t l L " - --— �; S't'fW t! EK 7, f ��earl FIL r / r If „ 1 . 1om, 4;xca� Pis*, 1wr ,sig, m 1 ' r N TY'!1'f Lot Ii It 1aM g L $�1 y1,40 4 f - APPROVED AS NOTED DATE:-7-A-29 . . # a590b �- ., 'FEE: 'd'� BY: NOTIFY BUILDING DEPA ENT AT 705-1802 9 AM TO 4 PM FOR HE - - FOLLOWING INSPECTIONS: I FOR UNDATONCONTWO 2. ROUGTE REQUIRED H FRAMING i PLUMBING 3. INSUON 4. FINAL- CONSTRUCTION MUST -- :. BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET RUC ION & ENERGY ' THE REQUIRE ` STATE CONSTRUCTION E -. . _...___.,.,gym _ '«, __— _"�„� _ CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PROVIDE OPENINGS FOR 1��1 EMFRG NCY ESCAPE AS _-.. r _ - REQUIRBY PART. 714 OF `I N.Y. STATE BUILDING CODE. }t'' �`T / I �II ,.. ^ .2'AfM1iWAr; ..pr. - " ( -_. ., .. . NA r....-.�_._.-..u.Y.-..•+'- PROVIDE AF Y"K RI-SLD AND/OR p THERMAL SHOCK PREVENTING DEVICES AS TO PART.902.6(x) _ z�xaa N.Y STATE BUILDING CODE. DO NOT PROCEED WITH N copper tubing Is used FRAMING UNTIL SURVEY for water distributing PROVIDE%HR. FIRE OF FOUNDATION LOCATION OCCUPANCY O • %'piping shall be RATED SEPARATION TO of types K or L only PAU 717.3(f)(1)OF HIAS.BEEN APPROVED. USE IS UNLAWFUL UNDERWRITERS CERTIFICATE N.Y.STATE BUILDING CODE. REQUIRED WITHOUT CERTIFICATE OF OCCUPANCY PLUMBERCERTIFICATION _ ON LEAD CONTENT BEFORE ` ALLPLUMB V ASTH CERTIFICATE OF OCCUPANCY &WATER LINES NEED\, _ SOLDER USED 1N WATER } TESTING BEPORE COVERING — SUPPLY SYSTEM CANNOT EXCEED 2110 of 1% LEAD. �i I i PROVIDESMORE-DETECTING ALARM DEVICES AS TO PART.721.1 . 5� pt00 W FOA 1 l I E T6 T5 I d� .� 0322 -1 A H1�r A..t *- mp4&FESSI0N��4. ..V:IN -TJ , I I 4 I T s I I; I _ L OF NEW YO i _ . __ _--_ I � /+ ��yy��-�� -^'� --^'�---•-I r ,C'1 ,1 r .. �',,,� ./-I X 6 q�PQ,��CE . rv,`��!' 1 IV Y-7 AO FE OFE / -411 -- { - _^144 3 4r{ ' ,, ,.,-. 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