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HomeMy WebLinkAbout23519-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25839 Date: 07/23/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 175 CLEARVIEW AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 8 Lot 40 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 1996 pursuant to which Building Permit No. 23519-Z dated JUNE 18, 1996 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 TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to GERARD & JEAN WORYSZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0040 05/07/98 ELECTRICAL CERTIFICATE NO. 16809 07/02/97 PLUMBERS CERTIFICATION DATED 07/25/97 ARNOLD LINDEN clz- zd5e� Building Insp ctor Rev. 1/81 FORK NO. f 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° 23519 Z Date ................. ...................a........., 19./P Permission is hereby granted to: � _.... � r �.... ... . .. ...� . ......................... . . . . .. ... .. .�.... ... .. .. . . , :1.... . .. .::-.................. atpremises located at .......... ........... ......... .. . ...... ................................... .......................................................................... ....................................................................... ..................................................................................... ....................... ................................ ` ............. �70County Tax Map No. 1000 Section .......... Block ......... ...... Lot No. . .�.�..�........... pursuant to application dated ....................... ..... .. .( �: .., 19.?.:� and approved by the Building Inspector. Fee 5.. f ........ .... .. ........... ....... .. .. . ............ ... .. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT �V TOWN HALL l 765-1802 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 1% 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 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, fCommercial $15.00 Date . . . . . . . . . . �1r1( . . . . . . . . . . . . . . . . . . . . . New Construction. . . .: . .". . . . Old Or Pre-existing Building. . . . . . . . . . . . Location of Property. . . . �`�. . , j . . .. . .. . . . . . . . . .� . . i:c.� . . . . . . . .. . . . . . . . . . . . . . . . . . . House No. d , Street Hamlet Onwer or Owners of Property.. . . : . {�.:ta'1 .1 = � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .70 . . . .. . .Block. . . . . F . . . . . . . .Lot. . . .-1 4.0. . . . . . . . . . . . . . . Subdivision. . . . . .. . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . /.r . . . . . . . . . . . . . . . Permit No. . . ��'� . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant.u �W . . . . . . • • • • • . Health Dept.. Approval. . . . . . . . ;X . . . . . . . . . . .. . ..Underwriters Approval. . . ., .`:: . . . . • • • • . . . . . . • . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . II m r Cer fficate. . . . . . . . . . . Final Certicate. . . . . Submitted. $ . . g JUL 22 . . . . . . . . . . . . . LD . y� 0 B G DEPT. A� LICANT ;{aft: TOWN OF SOUTHOLD CQ 225a-3 l THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1�95099 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 07,1999 Application No. on file 18155399/99 N 487941 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 MR. WORYSZ, 175 CLEARVIEW AVE. , SOUTH OLD, NY Em in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on 1 AY 03,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. LRY 1 1 FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 20 CONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 GFCI-1 *(SWIMMING POOL i This certificate �I covers compliance at the date of �I inspection only. Because of unusual environments it is advisable to Have frequent test/and or repairs made by a qualified person. II LL oK <<< Continued on Page 2 >>> 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. '0- -Y 7ENEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195099 BUREAU OF ELECTRICITY F- 40 FULTON STREET, NEW YORK, NY 10038 Date 999 Application No. on file 18155399/99 V 487941 THIS CERTIFIES T only the electrical equscribed below and introduced by the applicant named on the above application number is in the premises of MR. WORYSZ, 17TEW AVE. , SOUTH OLll, NY in the following locatiasement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on 999 andfound to be in compliance with the National Electrical Code. FIXTURE RECEPTACLESFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS CANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ,�II�i SAGE ELEC. INC. LL PO BOX 38 GREiENPORT, NY, 11944-0038 GENERAL MANAGER 1'1 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. 5 5um 5 5 NEMEMM SM55M 5EM3 5 5 fflfflm n 1 5 6 N 5 n n 5 ME 5 n COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. o�,�S�FFa(6r`oG Town Hall, 53095 Main Road co Z Fax (516)765-1823 P. O..Box 1179 0-1 Telephone (516) 765-1802 Southold, New York 11971 col �a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N" DATE: r Building Permit No. Owner: CEzwt) ��EALJ (A JUL 2 9 199 (please print) BLD 7 TOWN OF SOUTHOLD. Plumber: ,(Please.,. print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 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Box 1376 Southampton, N.Y. 11969 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. \ XX The check is (not on file. )$25.00 XX No Health PP Department Approval on file. P No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23519-Z (Worysz) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Hob M), I2 MAINSAIL CONSTRUCTION, CONTRACTORS • CONSTRUCTION MGK4T.----- � P.O. BOX 1376 TELEPHONE (516) 287-6160 SOUTHAMPTON, NY 11969 FAX (516)287-4579 May 8, 1998 Southold Bldg. Dept. P.O. Box 1179 Southold, NY 11971 RE: Permit#23519Z To Whom It May Concern: Please find enclosed the Covenants and Restrictions for the above referenced permit number. If all else is in order, please forward the Certificate of Compliance. Should you have any questions or comments do not hesitate to contact me. nicer , 1 ay ' PRIVATE WELL COVENANTS DECLARATION OF COVENANTS AND RESTRICTION This Declaration made by GERARD WORYSZ and JEAN WORYSZ this 12th day of November, 1997; residing at 175 .Clearview Avenue, Southold, NY 11971, hereinafter referred to as the DECLARANT, as the owner of premises described in Schedule "A" annexed hereto, (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for such purposes determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restriction: 1 . WHEREAS, DECLARANT has made application to the Suffolk County Department of Health Services (hereinafter referred to as' the DEPARTMENT) for a permit to construct and/or approval of plans for a single-family residence, a subdivision or development or other construction project on the PREMISES; and 2 . WHEREAS, the PREMISES are to be served by an individual on-site private well; and WHEREAS, the test wells sampled for the PREMISES indicated a groundwater supply that had contamination in excess of the minimum drinking water standard and/or guidelines of the State of New York and contained excess of the following: N I T R A T E S A complete list of analysis results is attached hereto as Schedule "C" , and each chemical parameter which exceeds 60 percent of the acceptable level is indicated with an asterisk; and r WHEREAS, the County of Suffolk Department of Health Services has agreed to issue a permit only if there be a record covenant that the necessary water` conditioning equipment be installed so as to meet the quality standards for drinking water; it is DECLARED and COVENANTED by DECLARANT, their heirs or successors and assigns forever, that no residence upon the above-described property will be occupied prior to the installation of the necessary water conditioning equipment. so that the water, when. conditioned, meets the said minimum quality standards for drinking water of the State of New York and evidence of the same is furnished to the Suffolk County Department of Health Services for their written approval . 3 . The DECLARANT, its successors and/or assigns shall set forth these covenants, agreements and declarations in any and all leases to occupants, tenants and/or lessees of the above-described property and shall, by their terms, , subject same to the covenants and restrictions contained herein. Failure of the DECLARANT, its successors and/or assigns to so condition the leases shall not invalidate their automatic subjugation to the covenants and restrictions . 4 . All of the covenants and restrictions contained herein shall be construed to be in addition to and not in derogation or limitation upon any provisions of local, state and federal laws, ordinances and/or regulations in effect at the time of execution of this agreement, or at the time such laws, ordinances and/or regulations may thereafter be revised, amended or promulgated. 5 . This document is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. 6. The aforementioned Restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of said agencies or the County of Suffolk to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the County of Suffolk or any officer of employee thereof. 7. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked or amended only with the written consent of the DEPARTMENT: 8 . The declarations set forth in the WHEREAS clauses contained herein shall be deemed and construed to be promises, covenants and restrictions as if fully repeated -and set forth herein. 9 . If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so adjudged to be illegal, unlawful, invalid or f',.'.-•. .j unconstitutional. 10 . Local Low #32-1980 - The DECLARANT represents and warrants that he has not offered or given any gratuity to any official, employee or agent of Suffolk County, New York State or of any political party, with the purpose or intent of securing favorable -treatment with respect to the performance of any agreement, and that such person has read and is familiar with the provisions of Local Law #32- 1980 . Gerard Worysz Je Worysz ACKNOWLEDGEMENT STATE OF NEW YORK) ) ss. . COUNTY OF SUFFOLK) On the aa4�- day of 'Roue",,, 1997, before me personally came, Gerard Worysz and Jean Worysz, to me known to be the individuals described in and who executed the foregoing instrument and acknowledged that they executed same. (Nota Public) NANCY McGINN Notary Public,State of New York No.01 MC5020211 _ Clualified in Suffolk County Commission Expires Nov. 15.. .�_ ii SCHEDULE "A" DESCRIPTION OF PROPERTY 5t, DECLARANT: Gerard Worysz and Jean Worysz H.D. REF. NO: R10-96-0040 (Property Description) Y;. DESCRIPTION .SCgEDULE ...A.' r.' ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying a.. ; , in the Town of Southold, Cednas of and being at Southold Suffolk and State of New York, known and desinga Lot Number 18 as shown on a certain map entitled, "Map of Section One, Fairview Park at Southold," and file in 3388he Suffolk County Clerk' s Office as and by Map Number on August 9, 1961. MMW �i SCHEDULE "B" CONSENT OF MORTGAGEE/LIENOR (Annexed hereto) i . LEGIBILITY POOR FOR MICROFILM ; SCHEDULE B CONSENT OF MORTGAGEE^^/LIENOR DECLARANT a E +Ath� �2.flr� 1��✓�t SZ_ H.D. REF. NO. OR NAME OF SUBDIVISION 0 00�� 1 = In the matter -.of the -application of !ge4o t o so i I the undersigned, as holder of a mortgage or lien on premises described- in Schedule "A" annexed hereto, hereby consents to the annexed covenants and restrictions on said premises. • i Independent National Mortgage Corporation A De ware Corporation_ I By• f LINDA IRVING Vice - President ' Loan Administration i I . i (Corporate or Individual or Partnership Acknowledgement) (as appropriate) I I S €3HS PRIVATE WELL COVENANTS -5- (REV. I/91y I .MIA ALL-PURPOSE ACKNOWLEDGMENT LFGtglt fluA FOR M�GRRO ;,`State of County of 9 before me, On ME,TITLE OF• CER. .G..'JANE DOE,NO PUBLIC' DATE personally appeared IZI< W ' NAM E OF SIGNERS) ❑ personally known to me - OR - proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their uuA&w signature(s) on the instrument the person(s), Cmw #»3M or the entity upon behalf of which the N0 w� My Coma ��� person(s) acted, executed the instrument. BowWITNESS my hand and official seal. SIGNATURE NOTARY OPTIONAL Though the data below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ DUAL NMOFSATE OFFICER 6 • TITLE TYPE OF EInum . �1. ❑ PARTNER(M ❑ uMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT. NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAWCONSERVATOR a p G ❑ OTHER: / / -- l7 7 DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSONS)OR ENTITY(IES) SIGNER(S)OTHER THAN NAMED ABOVE M 03148 SCHEDULE "C" (Water Analysis results annexed hereto) HARI;Y GOLDMAN WATER TESTING TYPE. . .. . . POTABLE WATER (516) 298-4640 ROUTINE MAIN ROAD ORIGIN. . . . WELL MATTITUCK, NY 11952 WELL TYPE. RAW DATE COLLECTED. 07/03/97 POINT NO: TIME COLLECTED. 0627 HRS. LOCATION: MAINSAIL CONSTRUCTION DATE RECEIVED. . 07/03/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY. . . D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 15 MIN PROJECT NO. . . . . 2 (TM1000-070-08-040/R10-96-40) PARAMETER (S)_ RESULTS UNITS LIMIT TOTAL COLIFORM BACT. negative ----- negative E. COLI. absent ----- absent .CHLORIDE 31 mg/l 250 SPECIFIC CONDUCTIVITY 343 umhos COPPER <0.02 mg/l [1.3] IRON <0.02 mg/l 0.30 DETERGENTS (MBAS) <0.04 mg/l MANGANESE <0.01 mg/l 0.30 AMMONIA (AS N) <0.02 mg/l * NITRATE (AS N) *12.1 mg/1 10.0 LEAD <1.0 ug/l [15.01 PH 5.8 units ZINC <0.02 mg/l 5.0 1 - Result(s) marked * exceed(s) NEW YORK STATE/USEPA limits for potable water. - Result(s) Reported meet(s) [USEPA action level] for potable water. COPIES TO: DATE ISSUED 07/14/97 ABORATORY DIRECTOR ORIGINAL gpRRY GOLDMAN WATER TESTING TYPE. . . . . . POTABLE WATER (516) 298-4640 ROUTINE MAIN ROAD ORIGIN. . . . WELL MATTITUCK, NY 11952 WELL TYPE. RAW DATE COLLECTED. 07/03/97 POINT NO: TIME COLLECTED. 0627 HRS. LOCATION: MAINSAIL CONSTRUCTION DATE RECEIVED. . 07/03/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY. . . D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 15 MIN PROJECT NO. . . . . 2 (TM1000-070-08-040/R10-96-40) TOTAL ALDICARB - ( ug/l ) PARAMETER (S) RESULT LIMIT PARAMETER (S) RESULT LIMIT ALDICARB SULFONE <1 ALDICARB SULFOXIDE <1 ALDICARB <1 TOTAL" ALDICARBS <3 7.0 Result(s) Reported meet(s) NEW YORK STATE/USEPA limits for potable water. COPIES TO: DATE ISSUED 07/14/97 DATE RUN. .. . . . . 07/11/97 DATE REPORTED. . 07/14/97 R ECTOR ORIGINAL .SARRr-GOLDMAN WATER TESTING TYPE. . . . . . POTABLE WATER .(516) 298-4640 ROUTINE MAIN ROAD ORIGIN. . . . WELL MATTITUCK, NY 11952 WELL TYPE. RAW DATE COLLECTED. 07/03/97 POINT NO: TIME COLLECTED. 0627 HRS. LOCATION: MAINSAIL CONSTRUCTION DATE RECEIVED. . 07/03/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY.. . D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 15 MIN PROJECT NO. . . . . 2 (TM1000-070-08-040/R10-96-40) PRINCIPAL ORGANIC COMPOUNDS - ( ug/l ) PARAMETER (S) RESULT LIMIT PARAMETER (S) RESULT LIMIT DICHLORODIFLUOROMETHANE <0.5 5.0 M-DICHLOROBENZENE <0.5 5.0 CHLOROMETHANE <0.5 5.0 P-DICHLOROBENZENE <0.5 5.0 VINYL CHLORIDE <0.5 2.0 O-DICHLOROBENZENE <0.5 5.0 BROMOMETHANE <0.5 5.0 1,2,4-TRICHLOROBENZENE <0.5 70.0 CHLOROETHANE <0.5 5.0 HEXACHLOROBUTADIENE <0.5 5.0 FLUOROTRICHLOROMETHANE <0.5 5.0 1,2,3-TRICHLOROBENZENE <0.5 5.0 1,1-DICHLOROETHENE <0.5 5.0 BENZENE <0.5 5.0 METHYLENE CHLORIDE <0.5 5.0 TOLUENE <0.5 5.0 TRANS-I,2-DICHLOROETHENE <0.5 5.0 ETHYLBENZENE <0.5 5.0 1,1-DICHLOROETHANE <0.5 5.0 1,3-XYLENE <0.5 5.0 CIS-1,2-DICHLOROETHENE <0.5 5.0 1,4-XYLENE <0.5 5.0 2,2-DICHLOROPROPANE <0.5 5.0 1,2-XYLENE <0.5 5.0 BROMOCHLOROMETHANE <0.5 5.0 STYRENE <0.5 5.0 CHLOROFORM <0.5 50 ISOPROPYLBENZENE (CUMENE) <0.5 5.0 1,1,1-TRICHLOROETHANE <0.5 5.0 N-PROPYLBENZENE <0.5 5.0 CARBON TETRACHLORIDE <0.5 5.0 1,3,5-TRIMETHYLBENZENE <0.5 5.0 1,1-DICHLOROPROPENE <0.5 5.0 TERT-BUTYLBENZENE <0.5 5.0 1,2-DICHLOROETHANE <0.5 - 5.0 1,2,4-TRIMETHYLBENZENE <0.5 5.0 TRICHLOROETHENE <0.5 5.0 SEC-BUTYLBENZENE <0.5 5.0 1,2-DICHLOROPROPANE <0.5 5.0 P-ISOPROPYLTOLUENE <0.5 5.0 DIBROMOMETHANE <0.5 5.0 N-BUTYLBENZENE <0.5 5.0 TRANS-I,3-DICHLOROPROPENE <0.5 5.0 METHYL TERT.BUTYL ETHER <0.5 50 CIS-1,3-DICHLOROPROPENE <0.5 5.0 1,1,2-TRICHLOROETHANE <0.5 5.0 TETRACHLOROETHENE. <.0.5 5.0 1,3-DICHLOROPROPANE <0.5 5.0 CHLOROBENZENE <0.5 5.0 1,1,1,2-TETRACHLOROETHANE <0.5 5.0 BROMOBENZENE <0.5 5.0 1,1,2,2-TETRACHLOROETHANE <0.5 5.0 1,2,3-TRICHLOROPROPANE <0.5 5.0 2-CHLOROTOLUENE <0.5 5.0 4-CHLOROTOLUENE <0.5 5.0 - Result(s) Reported meet(s) NEW YORK STATE/USEPA limits for potable water. COPIES TO: DATE ISSUED 07/14/97 DATE RUN. .. . . . . 07/06/97 DATE REPORTED. . 07/08/97 R ECTOR ORIGINAL ~ ' 516�98-427E ~^ MERMAID FAX s»sterr*5 ROA D ° PO BOX 859 K� ° AJ7ITUCK NY 11952 August 7th, 1997 Suffolk County Health Department County Center Riverhead, N. Y. 11901 Dear Sirs: This is to certify that on July 30th, 1997, we installed a Reo- Pure 10 gallon Reverse Osmosis Drinking Water System for Mr . Jerry Worysz at 175 Clearview Avenue, Southold, N. Y. The Health Department Reference # R10-96-0040. The specific area of treatment is nitrate reduction to conform to the NYS drinking water standards of less than 10ppm. This equipment is installed with a complete 1 yr warranty on defective parts and replacement labor . Cordially, tort , . - John Scaramucci JS/cr MSC 575 Broad Hollow Road. Melville. M.Y. 11147 —�� (51e)sB4-30o Fnu:(516)420e4 MYwaH tni 10478 LAB NO: 9721530 • Y 9MY GOLDMAN STATER TESTING TYPE. . .... POTABLE WATER (516) 298-4640 RESAMPLE !LAIN ROAD ORIGIN. . .. WELL MATTITUCK, NY 11952 WELL TYPE. TREATED DATE COLLECTED. 07/31/97 POINT NO: TIME COLLECTED. 0702 HRS. LOCATION: JERRY WORYSZ DATE RECEIVED. . 07/31/97 175 CLEARVIEW AVE. ,SOUTHOLD COLLECTED BY. . . D99 REMARKS: SOURCE(RO)FLOW 1 GPM PROJECT NO. . .. . 29 PARAMETER (S) RESULTS UNITS LIMIT NITRATE (AS N) <0.1 mg/l 10.0 Result(s) Reported meet(s) NEW YORK STATE/USEPA limits for potable water. DATE ISSUED 08/06/97 COPIES TO: ECTOR ORIGINAL MAINSAIL CONSTRUCTION CORP. CONTRACTORS • CON5TRUCTION MGMT. P.O. BOX 1376 SOUTHAMPTON, NY 11969 TELEPHONE (516)287-6160 FAX (516)287-4579 July 25, 1997 Town Hall Bldg. Dept. P.O. Box 1179 Southold, NY 11971 Re. Final Surveys&Solder Certificate Please find enclosed: • Plumber's Solder Certificate dated the 25th of July, 1997 • Five(5) copies of the final survey Please file as necessary for your records. Should you have any questions or comments do not hesitate to contact this office. J a C erel I , 064 6 'Ares � JUL 2 9 W7 TOWN OF SOUTPOLD FIrLD INSPECTION RfiPOR'P FOUNDATION ( I�--- -- -�a •s��� - -- _ II FOUNDATION (2 ) II II t4 \vim ---------------------___4==------ _____=_________________________________________________ -- GU, ` — O ROUGH FRAM, & -- PLUMiiING 11 yiV/ u _I, 4' INSULATION PER N. Y. �i II �9 54 I-------il H STATE ENERGY li o CODE II — II it H II �, FINAi. a __ii/�►- f�- �l*�c �r _ ------- - _____ 0 _---ADDITIONAL COMMENTS: 4 � a oor .� g _ H V r k b 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ �RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1 DATE d' INSPECTOR L � 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: p � Gi ,Z-e//- � 101 DATE INSPECTOR 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ IN AL [ ] FIREPLACE & CHIMNEY REMARKS: �7 DATE INSPECTO a. 3si9� T65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ 1ROUGH PLBG�� [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3 INSPECTOR ILDI INSPECTION � [ ] FOUNDATION 1ST [ GM PLBG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM ARKS: ��'.s�ii DATE 114711e7' INSPECTOR C)u 765-1502 BUILDING DEFT. INSPECTION [ ] FO DATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 6 REMARKS DATE/ INSPECTOR 70-1802 BUILDING Dear. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: c�/ m DATE //AW1,5K INSPECTOR MAINSAIL CONSTRUCTION CORP. CONTRACTOR5 • CON5TRUCTION MGMT. P.O. BOX 1376 SOUTHAMPTON, NY 11968 TELEPHONE(516)287-6160 FAX(516)287-4579 February 10, 1997 Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Under Construction Survey Permit# To Whom It May Concern: Please find enclosed four(4) copies of the under construction survey for tax map# Dist. 1000 - Sec. 070.00 -Blk. 08.00 -Lot 040.000. Should you have any questions or comments do not hesitate to contact this office. mcerely, C Ja 'Aries O��SOFFO(��oG �� yam► Town Hall,53095 Main Road y 2 Fax (516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 �io1 � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 12, 1997 Mainsail Construction P.O. Box 1376 Southampton, N.Y. 11969 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23519-Z (Worysz) Please contact 'our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. RECORDER- -710 i 96 APR IS PM4: 37 Number of pages 1 � , TORRENS EDWARD P. ROMAINE uFF©LK OF Serial# COUNTY Certificate# Prior Ctf.# Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4a; 11 FEES Page/Filing Fee ''f Mortgage Amt. Handling 1. Basic Tax TP-584 2. Additional Tax Notation Sub Total EA-5217(County) Sub Total V Spec./Assit. or EA-5217(State) Spec./Add. .' R.P.T.S.A. . ��� TOT.MTG.TAX Comm.of Ed. 5 . 00 Dual Town Dual County • Held for Apportionment e u Affidavit q,1 ?o,; Transfer Tax Certified Copy �'�� Mansion Tax The property covered by this mortgage is or will be improved by a one or two family Reg.Copy �c;Sub Total ! dwelling only. Other YES or NO GRAND TOTAL If NO, see appropriate tax clause on page# of this instrument. Real Property Tax Service Agency Verification 6 Title Company Information [K Dist. Section Block Lot S 00 o?p,o0 Q g. 00 ,00 Company Name Date` GIBILTT`f PC DR FOR MICROF11 M 'Title Number FEE PAID BY:Al�� Cash Check Charge Payer same as R&R 77U ��v� r if digerent) NAME: Qo�s v a xl/ ADDRESS: RECORD& RETURN TO . 7 (ADDRESS) Suffolk County Recording & Endorsement Page This page forms part of the attached ,ar L� al����ir made by: o � (SPECIFY TYPE OF INSTRUMENT) �C r Cs r d The premises herein is situated in Wy�/ v S 7— SUFFOLK COUNTY,NEW YORK. TO In the Township of (2 4�4 In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12a104..2n5tC. Mid t1cll Ur 111.ItI rra I--olm No. I ANS °!. . . . . . . . . . . . . . y�t Q 3 1*0WN OF SOUT1101.1) SURVEly !� .•�. . . . . . . . . . . . . . . . . . . . 1111 11.11 I N(i f)F.1'ARTHENT (111:CK-4 0-36 I MAY 2 9 W6 TOWN IIAI,i. SF.PT LC FORM SOLI` HOLD, N.Y. 1 1971 B G.DEPT. IT-J.: 765- I1102 NOTIFY: gy - Ill; TO F SOUTHOLD CA1.1. MAIL, TO: }{��1{JSV{)L �C,IUS112UC7�oh fExallirred.. ....... 19 1 n Apllr-ovtxl .. ... 19 ``� I, it No_ .�`. . Q: ..� � -t......C.�./._.. . . 1)isallln-we n/c .......................... ...... . ................................................. .. .. ri]ding; i71M r) APP CAT l ON FOf)1 Nc PERM I r i)aLe . . . . . . . . . . . . . . . . 919. . . . 1 NS'1'RIIC TTONS a. Ibis alrfll icaLicm must he corIj .etely filled in by Ly1w.writ.er or in ink mill sulinitLed to the ikri.lding ins(x.cl:or wi .3 sets of plans, accurate plot plan io scale. Fee according; to schedule. b. Plot plan slxxaing Iocati(X1 of ioL aril] of buildings on premises, relaLionship to adjoining; premises or lxlhl is sLreeLs or wrens, aril giving; a detniled descripLicxl of lnyml: of property mxlsL he drawn cxr the diagratn which is pa o1. .this appl ic.10(x1. c. 'tile work covered I/y this appl icaLicnl rrry IxrL Im a)Imletx:ed before is.^,umrx:e of lhril.di.ng, Perrnit:. d. l)lxnl approval of Lhis appl.icaticm, Lhe lkjilding inspector will issue -1 iktildiog Permit to Ole npplicant. Such permiL shall be kept: on the premises nvailnhl.e for insliecti.on Lhrmjllocrt the work. e. No building] Oinll Ix, occupied or used in w(lole or. in ]part for any ixrrlxrse whatever until a Certificate of (kx:ulruxy shsil.l have Ixren g;rmited by the IkOlding lnrax-cLor. APPLICNI'lON iS I11%iU?31Y MAIF to the Ikrilding ieparUltenl for the issuarx:.e of: a ihlilding Permit lxii-mmnl: to the Wilding 7.cxx- OrAinatx:e of: (he Tcxacl of Scrtlthold, Strf.follt: (;cxnit:y, Nc-tr York, mKl ot-her appl.icnble Lrrws, Ordinmoces or Rcgulatiotls, for Lhe crnlsLrocticm of imildiogs, mWiticros or alteralicros, or for retrrrval, or denotition, as herein elescribed. 'Ihe applicant ngrees co COTJAy with all alrlilicahle lacas, orditlmnces, building mle, hcx.Ising ccxle, mill regntlat.i(ms, and 1:0 :xlnit mithorized inslxIctors cm prnnises :nxl in Ixlildinp, for,necessary .inslleet'icm. ON!KI% LC.I0n;7k Kz.kmas..... ........ (Signature of )ppIi,cnnt, or mime, if n corlwaLicnl) (Railing address of: applicant:) Stale wlx.l.her allp1.icant is owner, lessee, agent., arcld.t:ec:L, engineer, general corltracLor, el.ecLricinil, pl(nber or lxlildc L4l_1-.- p......... .... ............ ................................................ ...................... M---mv of ocnx-r of. pr(+nises ....... ................ ................. ................ . . 0-is cal Lhe tax roll or Ia1:esL deed) IF allgll icanl is a corlxlraticn, sip lulture of duly authorized officer. ...... ...................................... ... .. (N;vix, atxl Lille of corporate officer) Ikri lders license No. .. .......-... S-.... .. I'Itrliler.s Lic:etrse. No. ....Q9SS3?........... Electricians License No. ...... ............... Other 'Trade's license No. .................... 1. Locatioo of: lamlcxl which proposed work will be dcnx ........... .......... ...........,.................... .._..__.... ........ l.?, ........ C� r<+ y�. .. �v .... ................. . .........._........... lk-Aise Ntrlber SLreeL Ilr>rnl et QxmlLy 'Tax Map No.* RXX) SectAoll ..o`7v' v�..__ Illcx:k _. .... iot Srllxliv.isicm .. {�1f--V. ..4.�`�............. Filed Mmp No. ... .... Tot ..��...... ... 7_. StaLe existArlg use arltl occ7lp;jFK-y Of i11-e11l11ses nOd intetxled use alxl cx:etq>jIxy of prcrlxrf,ed consLrucLion: a. Existing use mill (X,'Cupmlxy ........v. `R ?l..L 1 �1 ............................................... �(1 .5���'2 S(NC� C S l� G b. inlerxlcd use atxl 0-c-MI xnrcy ..... .F-�i ,t 4•. y .`.�i o..���1!i�.r'y.. Ili.�-�1 Nature of: [,Kale (check tA►ich ap)licahle): M..w IkrtldinJ; .... ...... Acklition ........ .. A]tet-aI.ion .. . ... .. . It<tlkr i . ............ Itemvval ............. lkIrx)l i L ion Other Woo k . ..... .... ..... .....:-,.;. ...... ..... (I):sc:r i pt icxi) BScItttetted U)SL• .. . V�C�............... .... Fee .. . .... ......................... . ... (to I)e (raid on filing (.Iris applicaticxt).;'' If AAA linJ;, rxxd>er of chrelling unitr� .......YkAlber of chrelIing units on each 1'1oor ........I.fgarage, rxnher of cars ....._.....c �..C .... .... ..... i f ]x►s iltess, (xxmercial or mixed Occupancy, specify nature arxl extent: of each► l ylx: of u;;e... .................... Dimensions of exiscing sLroctures, if: airy: Frcxtt .. .... hear _. � .. .. .. I)epLh ... ........ . ..... _..._..... Mnlxa' of: S1.oI ies . ... ... .. . .. . . Dimensions of sane str►x.ture with allerat.ions or aukliCions: Front ....... .... . ...• iteitr ... ...... ...... Dept It .........I.......... Ile i f;l►c ................ ....��Mmber of St'or i es ...... ......... Diurensions of enl:ire rtew (xmsCritcticxr: Front .... ... Mal(tear ... . .SS./.... I),plh ..�U.(..... . Size of lot: Front: .. ....1_��.. ....... it ear .........10.1... . Depth Date of Nrrchase ._r.l �..(!.. .. Name of I"orux:r Ot.nier _ 1. v�............ . Ztxte or use district: in tA►iclt premises are sctuat(NI .. .................. ....... .. ....._........................ Does proposed construction violate any zoning hu, ordinance or regulofion: .......Q,,,,,,,,,,,•_,, Will lot he rel;ra(k'd ..... Will excess fill lie removed f-rcxn prcir f ses: YES IJC) .. r/. nn,• 11 � .. � V1 trn'`rl'I?oJnes of Owner of pronises o►e� M�_ VA 7.9.11.(P.. Nan[- of Arcoti lecC ���............... Address .3 11►orte No. ��. �n (� s� r Milne of (cx�t:ractor ._pincl �ltQ C �(lC- �j y(_. Acklress �� /�!. (�! torte M). is this property within IX) feel' of a tidal weLlarxl? k YES .. ... .. ... NO ...... .. . *IF YES, %Xlllrxl) 'ITA4N 'ITf11Slum L131df1•I' MAY lu? lulAlllu l). P.1.01' DIAGRAM iocate clearly and distiocl:ly all lxtildings, iket ier exiscing or proposed, mul itxlicate all sec-back (lf vensiorts x►► properly lutes. Give street: arxl bl(xac rxniter or description according to deed, aril show street rurttes arxl itxlicate ether inferior or (:outer lot. Ili ( . 1.8;W Y(HtK, ... a\�1tJIY (A' .. .. ._ . /�' T�L Y Vl•`••� �d.�`l ....... .. ..Ix:in" drily :imam de1xtSes aril says that be is the appl icanl: nr! of irxliviclual. signing contract) rve W111CI 1, n �Tn OIL. ... .. .... . . ..... .... . . ........... .......... .................... ._......................_..... �(Ccntcrar.lnc, agent, c:orlmate officer, etc.) said owner' ur cam.t�T anal is duly aulhorized Lo lIerf'otm or have Ix!rfornxed [lie said work aril to make aril file: this )I ical:ion; Lhal: all. slalcarte.nLs conLained in t.hi;; appl ica►tion acre l:rrre Lo the Ix::;c of his luxxaledge mxI Ix'?l ief,' arxl it the work will Ix? lterfonir-A in the "ranter set. furl.h in Lhe appl ication filed eherewldl. rrn to before Ile this . .. ... .....(lay of: ,lol ary Public ..... j' .... . ...... . .... ROBE tBLIC, •I SCOTT,JR. (SignaLu -e of: Applicant NOTARY.p State of N.Y. ��� ' No.477,5089, Suffolk Cou Term Expires May 31, U Irv_ Q { I .� � } ' w��v.�►.F. •Sao ®rr.. kcL4 G -, , .1�i •TOP's'o'1� t � 'L� E0_�cd AT�uN"', �:Qr' eta ;Jl,S2p1>!\�4'Oi+a .- Myt�ya o A t� t,,,-r%-j , . � �) 5� FF•o�..K.. 'ctau.J'Tyt� 1,;P • cvuct5i.. �Ip�py�1�p�1e - I ' AT1£R. a1p7 AFC °�h�1A x CONFORM$V9�fH 1,42 �'�'A1,1� �����D�A�g�IS'Z' r ARDS D' ATz D. , 9 R't S ]ISY� 199�. It D of ly. , 0 d l g -Z; a( U ed L r Z s L J 0 ar ^7 I 4AtZ 4`RE b STY.U t s��pRootq� E ®� a1oti i W f a•Qc. t ate;. . _ � ��' 60. —`�.. ��•� t•Q.r�� +� oc pC.: Ali: . �• .. { lo.Vp N wee CLE tt4.. 0 on NE ,0 F o tA C. Lps ,P - �; _ t"., _ A-M FA.M \�..1 ► iZ \THT41E STIowAaA.R.Os A 4p c.A%�A t_OT 1 g E cA FL.to it b w o S"Rv L O t�1 F "S E GT r o S C v i A�!►�c. O��Pos P.�- S`f S T E M S �o.� 9 t ha Cs�. - a 4 F6.��>t pL..�c�. �ra,_r\�`Y c�c5�o,a.►-, c.ES'� ANo w��..` A6toE: . .A\ R.V i s`inl P A 0. A.r� r`i ��a.a� uy t 1ol �`1 T 1�•h Fo�22r%A . p uN5R1TFK�hi:•D'+1.�c�:.?4P�N OK ADDITIU" A,FJ t�- laN, •Z°�F- Q EQ tw 1� Y� SON �r'GLd1G"Q� 5.�T►-7 Tc IcIi, '�.T TO THIS SURVE7 IS A VIOLATION OF 1 Q `� SECTION 7209 OF THE NEW YGRK STATE _.. AP P�„�G�S.!►1'tl�j S\G W-�.T>,.I�E �V EDUCATION LAW. f' c!'F'`' � COPIES OF THIS SURVEY MAP NOT BEARING `'�'°,�,_'. ',i' f 1p.' :f►.,�'�'�-T, , y THE LAND SURVEYOR'S INKED SEAL OR i_ lin EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE' COPY. �o�Tdw�,g 7•��y• ��py -� ' �:U.R:v E Y:E:D- ,�`( - GUARANTEES INDICATED HEREON SHALL RUN, S LK CiOLTN A s D .F�H��'� YET®I��.I�Y Yll U��.E`PhC.�sS ONLY TO THE PERSON FOR WHOM THE SURV IS PREPARED AND ON HIS'BEHALF TO THE TOR, ,ram Q St'T-1�v,R. �V E�V TITLE COMPANY, GOVERNMENTAL AGENCY A D � `�� [�tN® �a i1.� '���v �• AP'J 9�®a Lfir'DING INSTITUTION LISTED HEP.EON, AND SINGLIT TA L-7, �DMIC �5�X .� To THE ASSIGNEES OF THE LENDING INSTI= // �6A // �x, le�j-Z$�Z. WnON. GUARANTEES ARE NOT TRANSFERAB /j d] /(�� sc Z Co, i-- 10 ADDITIONAL INSTITUTIONS OR SUBSEQU AT -8 �t ', 1 gq C. APPROVED � -FOR ZMAX F BEDROOMS `Gs.Uaap,.:.�Tc�.!L� To'• C�E\ZA.�.® �. SEA.N W'o2�(S-"� c A ti s Y Le tto g. CO. ENIFIRES THREE YEARS FROM DATE E OF APPROVAL - _ $ 4 T\A E.Q E t S >s rJ S u R t�G E w taT E R w.Tv ti.A 3co of .•r\ass ! ATLC G. , 7'_i �op.sotL 1� E��cd R►��v�-a�j ARB 1►.a SvBotvlS�ow>a _ � 3� S V F F O L\.L G.d v ►J T�{ T A?� t•'\ A p 6ee— 0 ,101oo .� g�\L, 0g,0co LOT 0.4o. 00c:s • GJ U tL SG 1 1 8-3 S ► % . _ �196ov1_r b w otraR. , [it'll3 J `a� *8 Go v�SIE � - b. slsati. LoT C � ouE..t 4 - 20- Ot�+ Ep�,0Q;:_ j `-t, IV ck 7 0 4L�•1 ul + Z•I' 9c. � � J \sty ` `. 0z r E 94 4 9 ve A r� i • + • by �.� cs t moo• C` J1. ; �`C'SZ;�.. .�� .t'_ . •�� - � 1 EL �! O , �`— y is � * v s • z �_ Av�� VE zd. -` wfL` ,�✓ ��P r�,��sx, � +tQ�,b��•s �oT ��1 � �1p a - p�� ' s E X �A s J `� ST , tiT ��S•�t�i►` �/ No. 10NA�tP�o ltpf 3 ` 'rt = A."% F O►tom\ A•R VJ \S%k T\•1E 'lST`T.1O O.i'tOS SOT � 8 kPPI\c-9b, }P�0.oVA.L OF PL.4.T�S At.r►p GoI.SS.ZsWc.T�o0-1— O t a 'c t+►E !�l�P O Sr "S E GT 1 E7 t+f O N�.- 4 e R A R o h! RV S L S t,�A y� p 1}po5 v. S`r ST Te M Fes!- S%"40 Lt--. .v A, P.. " 4 FC1-\x P1-�►GE FAV-N RE:S.10EfJc- �1dD W%LI- It L-F- # 15Mo Sa - IP \`EO AUca, at, lgV1 - A\•\1[Y\� 1L�E� N`I l\1o1 �� ?\�E C�Of-a p\T\ow1S 'SST FtDQTv1 T\iERE\*a. S t T v X.�E b OR A DEMO..A%4© n► T y E P E R M t To G O B!�.T IL v c.T . TO THIS SURVEY, 15 A VIOLATION Of SO V T K O �� SECTION UCAn cE ::1E N[W ro2x siA7>t p p P\.\c twltl S\C,►-1 L�U�E ` EoucAnoN LAw: 5 TO� VA O F S O is� k O ~O CODES OF THIS SU;VEY M I P N^Y Rf\4!fta /1 A F Q `K c> u T�, ' ay THII tAHD SURVEYOR'S INRID SEAL CR [D SEAL SHALL NOT !I CONb1ilERED ' TO BE - TO Ef A VALID TRUE CO". 1LV rx Y.rF.� B - GUARANTEES INDICATED HIr.I)N SHALL RUN �f ' �R�.��G 1 S X-K��`. •S ONLY TO THE PERSON Fc R Wimm THE SURAN / IS PREPARED AND 10N HIS ![HI-LI TO THE Z'1 1�GLS VLU R �V E w3ti]�E TALI COMrfNY, GOVERWLIh(TAL AGENCY AHD �LVtc Po\�Z + I`3 •y' ��•��� tIND'NG INSTITUTION LIST,) H[',EON. AND TO THEON ASSIGNEES OF THE TRA NSfl- M ON,I GUARANTEES ARE NOTOT TRANSEERAlL! � 40� — D AT E A PR L Zt1s, \4 (.,TO AD91710NAI INSTIiUTIJNS oG svrs[aLrE�. S[ i�E ovT P GoPoSEO RES, ' Now. C., \qTrURS. LO c-e-Tt Ra S. V►-i fl ER 4c-0P*,TR. v-e-c IL 1 g qCo L)D.%Z Ie►+aTEF,ta To'• 4E7-Ai-p �. SEAS wflcZ`t S"[ T o F1 R yr P•t•'1E21tAl.j T1TLE 1N S. �• op N•`l w�Tv.►�s •sob Oar T\i►S P AQC.�L, - � �2� -TOP 'So vt_ "L\ �`�.e/ ►4►utaa� AQ@ 1ti 50001VA�j►Ot.f _ 'S) SvFFo �%-Z, c-o%..)w� D! o , o,00 couCL �I ,, a• _ C1R0.�wsb wo.�.¢¢...•. _ RCS Z-r- • j ��•T�1 8 - Ayc c r 9. 0' O.. , _o,�� `,� O "`—tea?: `�y � � � ►" VA 4r W �o1g r. q N'5 �,, _ W � ✓ ' Io,a'm T9 S;os 2t,q Q J v g R�TY M �z .4Acz p L 2 tL•E.5►a (� ly �- C Z cl-e °� ° o yy ►r.f: LEA wEL, ` to don 0 W z stY m t �L` o IL t� E _ J 1. , - N u, FFSSIONAti '") 1�P� i ,n' p �,•t 0.4 - \J = A M P A N1 1 L 1 ►.R- W \'T"A ' 1-1 �►5 A O:S APPV1GAw.► t•;•, r�pPtttZVp.L Or p1-G.tJ S A1.44� Go _ bT "1 o W T R1 E MAP o f "S E GT►o V4 O N G1E 6z s.c�t� W Q•RV S'L S C v.!A yF, O 15 PoS �- Sit s z M S g►1.1 is ', F•A 1 R v 1 E�/ P A R 0�" 4 F aL\x `c:GF. F A..�\\�.,r tZ s 1 o e; ►� c E 5" ,�N o �- F1�E 3388 — F1`.E® AU4, 91t4c.1 At~1e`t\/ 1LL.E f.1`I 11101 � QQ/ gY `TyG Go►J ®�T\'oaa5 SG'e rr � R�1 -i'`; S 1 TLJ p►T D d.T P BNAUTd0s�zf0 LllvTION OR AMInU% A'�4 01� T E P�Q 1'► ►Z TO Goa,STRu TO THIS SURVEY 15 A VIOLATION Of v'T` `� Q o (T ` SECTION 7209 OF THE NEW YORK STATI 4p P L\G 4tJ'C�5 S\�•+N�►.T V�-� O F 5.0 V • vk O `©� EDUCATION LAW, _ _ S V �� O �� CD u� t �,V ' COPIES D UR SURVEY MAP NOT GEARING ��r t+� 5 1 THE LAND SURVEYOR'S INKED SEAL OR � ,�• -p _:.••_,�_�_p„__ �_ _ EMBOSSED SEAL SHALL NOT BE CONSIDERED a TO BE A VALID TRUE COPY. !� t.. �.n�,�..�F_: •,�".•.-�•...,_,_�l r.,.trti ._,.•.._1'L:.,'�.�..�.�_1 :•► $U Rv E Y E O N7 K GUARANTEES INDICATED HEREON SHALL AN ^'1_• ", "' 'h F Q 0►e�G15 !l.1�.'Il.2L� L.S, ti_ u u S - • �`^' - J . ONLY TO THE PERSON f.?R WHOM THE SUR.YEY ,�------�;-•r••.��-p`t -- ^j gvT �V s�v IS PREPARED AND ON HIS BEHALF TO THE L"�-'�'^`tit`-"""r{-"- •"•"'''"i TITLE COMPANY, GOVERNMENTAL AGENCYAAND *•� Jul VE P O\•1•,'C A N • l INS LENDING INSTITUTION'LISTED HEREON. AND "•' ��Y�r"�'�'r'r••, l e l C�._ �� Z TO THE ASSIGNEES OF THE LENDING INSTir•� �•���-- - PHo.� 3 3 -2�B 91 F�►,n 3�3-ZL3t fy TION. GUARANTEES ARE NOT TRANSFERABLE- 7 O; \`l9rb�ADOmoNAL iNST1TUT10NS oR suesFlivu• L.w� C L-• - w - -- -��4= STAKE OL T P 2oPo 'St:Q �i.ES . Noy/. }� LO GO.'t'C Fa;E S. 111J C€R CON i`t%Z. V�C_� 'ZX. \q \� `�f�.S � `•^}�' .�`= ,+��•I._1lU ►�o.�. S u 2./ E�( Y-1 A`C 3"0� \�L�i`1 � - d� CAL) AtZ,� PJTEE,� TO ���Q.RP � .5E.A1A W o�Y �"[_ --- - __ O F1 R S`� 14MEv t A'P.a T1T1_E ltA i5.!G.O. or- P1.`ik c. A Q. L R L►,v.I • N orC S' tLbv \S, � � T�-►,E.R.E Lg ,ao SvRF►.c.B vJATE0. 't� E�.G,v ►,t�u...a5 a,¢E Ywa SuOON�S�o�+ Ip a►o c- ►.4 C d'r v Z-(o SIIV. t) soar'\ i 3� SV FFO `� �.o� w.� T,I Tpk M Q P 000 - g Ec.. 010,00 og, 0o - 1-OT 04o• Ooo GJUTLSE L 1 S -3 5 � ,._En Lord • '+ — C�Rou.�o w s�a2 � Rc S J � aT 4 co �a.s1E � S Atic �g '2 Ck z SO"E ovL , W. 4 - 20- `kI. / S q tOt 00� o:? _ c, ` ,5, O �y� FL►1 .O \^ O .�►i�1�V1`.-���-1 ``, � � + ILA 1 0 7 0 t N `II` Q y J L-Or st A1 (v A. ck Alt, n 0 T� 0 W OTC d 1 g 3 `p At 0 ul ✓ � � _I _0C. i♦It Y. i r � 22.8o r' R I vV Q EX�sT,,v cq r�0 C ,Z A, A CO" M txty�. • .�• ♦o t N d Ao' � `� i S t 0o ate, a p RA 50 .A * % � � l ti �z• st 0 �. b4 .L wRpES EEC 0 7 � �.E[tOb ` d xt�., w. moo! tlr Z, LJpI 1 Lpj o a SION AL�� _ rt - '. - Cv W F X M \ ► 0. v.l \T K T\.A E 1 S 1�►,J t_C T I B ,RPPL�C_u, t 6.PCPGZbVAI OF PL O.�S ADO Go -%,-T 2 o �+ TNE 1�4P of �jELT1v►.1 oNE - 4ERSQ-O �+oRVSt SavJA�E c>%SPosQI S`IbTEMS lot"(. 4 FG\.-\x PI_S.cG. FLI\� Y RCS�of FAk. V 1E � PA0.�.� AVl\ \It11%j Ell.ly 1110If ItIfL..E 33 8� - F Y arc V A,U c.R. '1 'C%1l. LoF� prT�o.-+5 SEt F Rfa� PN4 �4�.- B\% lI A%a O o►� THE PAR P� LZ YO Go►-� �jTRv 11PIAUTIfORIZFD ALIET<ATIGIV OR AMITFUft fO THIS SURVEY IS A VIOLATION OE SO U'T`NA Co `C� T ` SECTION 7109 OT THE NEW YORK STATE A P V`\ G �1J`,S S�4'•"1����� T`O` �1 Or S O 0 ` \-k 0 O , y EDUCATION LAW. 5 V O O ~ ` , • ' THE COPIES F THIS �URVJY MAP NOT R INC SURVEYOR'S INKED SEAL LAND EMBOSSED SEAL SHAH NOT RE CONSIDERED TO BE A VALID TRUE COPY. 5 U 0.v E Y E p GUARANTEES INDICATED HEREON SHALL RUN Q ,�R.J G 1 K�Q`. `• ONLY TO THE PERSON fOR WHOM THE SURVE' 15 PREPARED AND ON HIS KHALI TO THE ti -" TITLE COMPANY, GOVERNAONYAL AGENCY ANI! P O If %A't . 1� S LENDING INSTITUTION LISTED HEREON. -NO -- PHc�-E2.la1S TO THE ASSIGNFES OF THE LENDING INST) w c J 4 �T�L(�T�ION. GUARANTEES ARE NOT TIANSFERABUI lAw S L /J.,LE t „- 4 0, �' 0 A'T G A P R�L Z 0, ` ` `f�"ADDITIONAL INSTITUTIONS M S1/RSFOI S T Yc E o T P fZ o v o S 0 GC E S N o d- (., bi&da a♦ Re�R � 10 `o Ec QES , LJrIDFR col+sZis. vF.c.. ZI, \ci `\cn w • GLJAae►.�7EEbTo' UIECZQRO �. SEAN WDa-`( SZslow TO F1 R to ATAEiLkC_ TITLE; 1N S• GO. OPN.Y �� M Acz C A= Z o,Zo O Ste. F't- . woa4S-L. 5c. 4,aLW THESE DRANVINGS AND SPECIFICATIONS HAVE BEEN PREPARED BY OR UNDER THE- DIRECTION OF TITr- tJN`DFRSIGtiT"D. AND TO THE BEST OF THE UNDERSIGNED KNMq.FDGF, I`'T'OR'%IATION AND BELIEF MEETS THE REQUIZEMFNTS TO TITS, NEW YORK STATE ENERGY CONSERVATION CODE, TI IE NEW YORK STATE FIRE PRM-1--Ni-MON CODE AND TI IF,NT-W YORK STATE -- --- /'�i BUILDING CODE. . . f .� t - I I- -- --- - --- - - -. ( (t ----------__—__ ._ ( (I I { —-- .'..�+'• DATE DO NOT PROCEED "� �'' T V ITH r•^ •.• .,r;c�Rtll'MATE FRAMING UNTIL SURVEY' ��� , OF FOUNDATION LOCATIOr4 HAS N APPROVED. _ ----� - - . _.. ._. _ _ _ - -- /'f t� D. A AS NOTED j �t �� I I ,�� I �� •- I► I_ 1_ �; j) 1 (% DATE: �' ` B.P.# , ►, 0 1 1 ( �- ! l - � _ (• �J FEE: �f� 40V! �� I Q) ----. .—� _ I II i I ! PFfIVIDE OPEt�IP19CS 'i ) `' � � NOTIFY BUILDING DEPARTMENT"AT - t / I � 1 765-1802 S AM 70 4 P FOR THE N e tFOLLOWING INSPECTIONS: R• IOU RED BY PART. �1 t.' , �� 1. FOUNDATION -- - ION - TWO RE QUIRED = --- -_ _ N.�- STATE BUILDINC-l; l'I�� I �' 1 FOR POURED CONCRETE Ft � � 3. INSULATION FRAMING & PLUMBING 4. FINAL ON ITHOUT - CONSTRUCTION MUST CERTIFICATE I ._ ( BE COMPLETE FOR C.O. ___< �„'/ • _ 1'.�.�, ! �' � �,r ALL CONSTRUCTION SHALL MEET THE REQUIREMENT -- r- - _ . ___ ...�, �. _7/ _ I ��j� l { I ( ( -*' Occu , '-s-- '' j_.� "` 1# S OF THE N.Y.!i L STATE CONSTRUCTION & ENERGY +, Q CODES. NOT RESPONSIBLE FOR +` i DESIGN OR CONSTRUCTION ERRORS � .-G - - ''�""� . ._._ / � �• ---.r'_\ ¢ J ' I' � � 7 • 1��,, �LE'4® COI iIT�l'�lT BEF -w I O C �� _ '- ?` f �i�t� SCAT OF UPA z I �cs t � eI� T/F t a � � �- for ter da,.+ •� � E 'oCC /� �, M'a, PIPIng thell SOWER USED 11V WATE NAfO SUPPLY SYS7E/4 CA EXCEED ___ i ,jr - - -_ ,--- E,LU1/ LEAP• ALL LPG V IDE r4 Mr. FI€ E �� � _� / � � - ��' � 6 � / � � I � �tva QW13IIVG WA t'ATED EP I — ' ► - — I rEsR t«rEsT ° \v ( / I — TANG 8EF NEED S �4RAJIO�J Tq i I -P RT. 717.3If)(1)D.,� �'�9_ f'" STATE CUILD41M CODE. / 4 _ 1 � 4/7 D.Y. � -- / VIDE _ r - FSCY - G -- -- 1 E FOP � `�.� �� � I � � EP`� RG ESCAPE EQUtREO BY PART. 71� F _ , ,� _ f Y•STIiTE BUtIOtF.G CODE.; lzrAPE AS ; { F.�f..STATE "IlpIPI. G COD . a •4 - � 6 �,,, - •,,, �1 �� II -'� � I � 1i � { -^�'I .T -. •fir . _.... ,......_,._._........_....»—..».__..,....,..w.,s.,..«-..,. tar I ool- 100 op -- —!U - _1!' .w5 // •� 1 ft , d I/ tli ! ri 11 ! l� I / l Wit! II I ) �i III - - - -- _ -- it , I LO — -''-� -- - 1 — _:/_--_✓__ _ �______. �✓ � y �,-���j/ � I ,�I/J('. I CJ`� i •� f r' f r.� ., r r r r "- r /- JI l000 lot {, � �,�,.- ► _ -- - � p �,( f Cam" ' I (� I fl t� , _ -. _. ._. 1 _ (I _.-,._. ",_--- --__ _! . _. •{--.____. .. .. _ _ 1 II I II I I i C/�/� r �/.� I II II I{ I • i 1{ 1 + L_— 1 - ------ -�- -I- 11 1i_� 34 Washington Avenue, Arn tyvlllo, h msi York 11701 ern b I � I r<P I�rolE�ct name � REpq ' •. ,. i 7Ic 7 , f f i , I i r r Y / i / I i / r/ ,♦ a r i /' • '!, - / _.___ t ..+' /..- 7 f o,00 F� mod , ,!!A • /j d♦„ •!♦ �'� „°r 1 '°w." { its•;' �i1 I' - -- � .-_ -_....--- -- - - _ _ F NSW i � ',�Aftqm,� r TWSE b"WNGS AND spt 0WAA''V9, By bk7, AND10 ,THE WM OF" Tm2`Dm1xvnoN "Cip THE UND0402M KNOWLEDGE,'DWOMUTM AM WLMP MEM-TW ,,,_XEQUREMWM TO THE NEw Ymx suit.,oftAy Cm*mvA' TMO TW NMYMKVAM ME PREVENTRAICOMAND'h*NM YORK STA 4 DO NOT' PROCEED VVIT ' FRAMING UNTIL SURV";� gloom cm Kw & lur FOLINDKTION LOCATIO14 IV AMROVEO.' HAS BEE :Lap.0 0 it , , , f7 10 FEE- ',"PPOVIDE OPENING S FOR NOTI Ti DVA FOR 'ME 4 FOLLOWING IN -1. FOUNDATION : RE UIRED ': FOR POURED CONCRETE 441 STATE BUILDING-CO 0CCUPANCT'OR 1/ -1802 9 A RGENCY ESCAPF. UILDI 15 I RED BY PARL,71 0 A,,Jl I L S4 N.Y 2. ROUGH ' FRAMINGA PLUMBI NG UNLAWFUL �USEI 1.4 3. INSULATION CONSTRUC ON MUST, 4.�FINAL TI w ITHOUT -CERTIFICATE SE COMPLETE FOR C 0 I .I I HALL -MEItr ALL ,CONSTRUCTION VS THE �REOUIREMENTS OF TION �THE %', or FOR DESIGN OR CONSTRUCTION F.RRM OF�DCGUIPANCY CODES. NOT RESPONSIBLE moo Alf 7 UMBER 0i 'Cr ON I mot ?7 CA71 r ON EAD !CE)?71*F1CA -r- %~Pfau U� 0N7Ei9r,&,Sc f(W%POW diftibW OF oeic'Won*11V Shol 11V USED I be #*M K 11", loo�or CA 000*1 -,v-EXCEED Lt-w—Lon1vt Uppl-YSYS7E SOI-DE,? T oo;ool 2116 ol p of t4 WAft tj IATED SEPARATIO To I uwg NEED I 7 LL7 3 A M", 7 A_ .3.M L N.Y., STATE BURDI OL 7 1 000 PENINGS I v EXERGENCy:LSCAPE U 011 Av r� lea rAIRT-714. LART-7 !TP F 7 STATF]MI .4 T 7:7 L ----two L or- op L vp A mom 7 jO Le OF -7 .......... inn A 77 '0015 v a wow"*. Lao'c Zia= 92= d.J 02 AV�e 4 e- In us 16 N 'Am I "lot Or 70 k ,. lie 4' Vash1nqf6n -1378 1116M ax* r F7% d + I er (311 10 ole6f: S fX I L L I ot t 00 lot, 01 op S t dwq no. t ci r I o --- . > . - , . . d w p V � . . Vb '1 __.� -- . . . - . . ...• - . , ` - • _ • . - f . - -, .. - ` ' 9 ,, Yi s . .. - . �� _ - w P, a l R t. f • t k_� Y - —ram .w -!q . . . . .. , . , - , - �,- ,.a a= t » ♦, ` • , , `( - it t ., , i _ , • , - - - - r ,. I _ .-_..-.._,_-_ __ _,_�__ .,,., _ _ . . .. . _. r - - " - - :f - .- - .q ., - 't' - >r . ., ..��• .��r� — I• . �Y�ter_ I - � I ,F , -.I- , 1 • �. i 1 , I ' i i ' ,, I M. ' '`�''� I ;' . . I t • I 4-4- i . I f " ' ' I . _ ti - - �l ,. . I , i , - ,^ _ i ,. .. pr x .,y : 4 �. i r ... ^' a If .. _ t K` � .: ' _ • - rw•.w a..r•aarr•.+,Kr .. , .Y!+++t a7" K¢' "..er<".`we a,. `. .,�,- "" .. 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'"_. 1"> .3.• _ . , . o ,+ , - -. - .+wr'+c +•,••rr..►.,*+nw+;w,ra+.+w...•.r a.www.r a.+wa•�•^•6+++«o-r.awr,•w+q•aWWswr+Rq�w.sew+r►,,..rr. .sw•r>�.srraw +w r^ +`"/' � �' K' ' t • i.. t .. • .. }" i ^'� e+, � ... __ - tad w d ) " a ,. , . ) f ,_-.. +.., .w.,.....a.,,,., ,. --"--^--^--- a. .. .. -__,._.,-...-�_., ..Ps. „_____- ..___ .-._.-.,-,.-_,,.._- ., _-...._....._...,. .. _ __ __`_- '_^_`-_ -_^ - -'.,....-- ..- _-...._,.,,,,_-..,__,- .,. .. ._._,,,,_-__. .. - .f T, V1, j 'Vc f2 Qv�4 X NO 00 V%V THIS IS TO CERTIFY THAT THESE PLANS HAV UWE WAK 1 V , ","',, A �q qQ q 'y� t ,I _�aX%h �W" W Y ANCE WITH THE NE PREPARED IN-ACCORD 0 W Q % 1 in) NOT VC04 TRI 044"f *,*_,AXL: D1 ION k�MJN gg AL T g Y Art n mk,Jj �$,TS 2_ won& "AT ACt �­`6 PAC 0- 1�,,�041, W. T of 1TE CONCRFTV, A* STATE ENERGY CONSERVATION CONSTRUCTION CODE 0w" do",011 MS - (5) SECTION 7814 ht WAUS LTC. ALL EXTF&I OR WAL"t �i�ioj, lit BY COMPLIANCE WITH PART KEY �n �. " -TUP 1 17P mnxv, 16" O.C . TO BE 2" 4" STUDS ALM 1 'z`q THICK AND 6 ' H 1 Ck SOLTD W,0,01D F'A'OR S WITH 3 "4" V WOOD TRTM Nil no a 01 VAN I LV1 SOLT D WWI) 10)ORS WITH 3 � 4" 3" M)On TRIM . S MWON U- I r W-M S BY ITF cWNER. CETLING HEIGHT SHALL BF A 19 OTHERWISE NQTED. ALL TRIM AROUND ROOF/ CEILING �j V� Vy� Me WALL AREA 18 V 107 2 . ALL GLAZING P-M ENV= toy 1500441, t OOR AREA 19 FL ......... C0N$PRVAT10N CO= GLASS ARFAS SHALL BE X-OLF 004i-D VTP -FN . GLAZING 1 .7 p, "U" \p ArM rXTrRIOR =1 A !NStLAIED WuRt WYTF A eywhoWl"; R A JUK DOORS 2.5 W p"a ------- TVA IN STO 3 . ALL S MUMPEY"4* Ell L IOWA- 4;T!""Nh,,A',�A 49 h RT HEAT'ING, AL 11 C COMFO 1EAM S1 A C(_)ASv Hl:'Xt PER TABLE 5-1 NON-ELECTRI S ! MODULUS 0? -no! STRESS 0 0 NFORM TO THE LPOO_ ELASTICITY OP ! , 50P,000 PSI . HVAC AND PLUMBING SHALL G 0 u, 50&1 REQUIREMENT OF THIS CODE. Not 6"U'' 'f, A 0,41 �G, ORION. WIT �­ I %,�,!, �­­�- t A "V. .......... Fk own A.161.............. J� 7- Mp KIN TV lit; 1TENEW ......... NAT TV11 Ij\Io!pJ0 vyUk 71717 Rill' Vx V i -y 4, 01 MA _4 soy & &_A_ , __r--77�" o -Z 2 201� I Jr 041 40-1 P2. 7po- Avis, _J jt" p� "V F,­ 777"7w 1W! -,n-)� f _ sprown. V` lgg:�"d L I f ivy 'T L�DKY SNOW DR! F& ............ .100, 7 iL F ti Z ,2 [IT F— --T Z_ 1.14 1-I .el [Design INTO& C c> n ,� u I t n t 34 Wash*ngton Avenue, AmItyyffle, NeW York 11701 taie/lex (5145) F18W-1378 Arc:hibe�4,t. ftn bp 01* b1p low prplect name Of- Ao F f1he of dravving