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23915-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25489 Date: 01/16/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 305 OLIVIA LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 17, 1997 pursuant to which Building Permit No. 23915-Z dated FEBRUARY 10, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE & SCREENED PORCH AS APPLIED FOR. The certificate is issued to THOMAS & CATHERINE L. ANDREJACK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-20-96-0113 01/15/98 ELECTRICAL CERTIFICATE NO. 15703 10/01/97 PLUMBERS CERTIFICATION DATED 10/17/97 MATTITUCK PLUMB.&HEATING Bu' ing Insp for Rev. 1/81 FORM 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) ZDate ...... ... ..� ................................ .. 19.7T 1 Permission is hereby grant AeT ..................................... ..,............................ . .. U , ....... ................................. �+......... ..... .....ovz..... . r. .... .V.. :...................... atpremises located at ....... ................. r.............................................................................................. ...................................................... L..Fl ......................................... .......................... ................................................................................................................................................................. County Tax Map No. 1000 Section ..1,,,4.............. Block ....Q�....... Lot No. ........... pursuant to application dated ..............�✓. ...J ..................:. 19&.., and approved by the Building Inspector. ' Fee $..�t• ��...:. .. .............. .... .....:....1............................... 0 / ui...mg Inspector J Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 r Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .x . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . .Q.L1\ I . . . . .L�:�. . . . . . . . . . . . T . . . . . . . House No. Street Hamlet? . Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section . . . . g.3. . . . . . .Block. . . . . . �4 . . . . . . .Lot. . . . . . . . . . . . . . . . . . Subdivision. . . . .11l�.�� �� �: . . . .I "tQ�or . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . � A.Date Of Permit. . � .7.1 .7 . . . .Applicant. .. �. . . . . . . . . . .I. C HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .?'�.. . . . . . Fee Submitted: $. . . . '.�0 . . . . . . . . . . . . . . . -� . . . . . . . . . . . .. . . . .APPLICANT. . . . . . . . . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1.195205 BUREAU.OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEUBER 17,1997 Application No.on file 13429997/97 N 431968 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR. TOM ANDREJACK, 305 OLi.VIA LANE, SECTION 1000-83-04-05, CUTC.HOGUE, NY in the following location; ® Basement ❑ I st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on SEPTEMBER 12,1997 and found to be in compliance with the National Electrical Code. FIXTURE EtHTACIEs SWITCHES FIXTURES 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.►. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT TIME CLOCKS ULL UNIT-EATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. Oil H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT.I H.P. NO OF FEET T. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. rypE METER i A, 1�/3W 3,Pl 3W 3,I AW CC.COND. A.W.C. -NO.OF HI•LEG A•W G• NO.OF NEUTRALS A.W.G. EQUIP. PER a OF CC.COND. OF HIAEG OF NEUTRAL 1 200 CB 1 X 1 4/0 1 2/0 OTHER APPARATUS: SERVICE ONLY-1 HOUSE FARED BY OTHERS-1 L L SOUTH FORK ELECTRIC LIC.#4080-1 , 562 PLEASURE DRIVE FLANDERS, NY, 11901 GENERAL MANAGER • 11 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. 1.It-,E i jf_, i 1 1 _dJi 1 _i I_I l I DILL, F. ``' Town Hall,53095 Main Road :'; �� :?� Fax(5i6)765-1823 P.O. Box 1179 ^:a ,� 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; 1& Building Permit No. Z3 I5 7- Owner: ► jb r 5G (please print) PlumberJ)JI (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1$ lead. (Plumbers si nat Sworn to before me this 7 day of � , 19_qj Notary Public, i-Aii , County Notes► MA ' Term Expires JWW * �''' E4i 1P47 C W GU,K 11772 JOU lwia T AM f .wi `j.w:iL it Tow; "j�:rwwjl�wi.iwbrkwl,!E'M."o+"4pn!'�i lPllgM4!G!! =4070: TomAn*gjuck Lv&mane c Lrc was ezasa eadorr tlk -9? angtEmend to btesAr oonwHk tJw Am x - � 00, § Uet Gara�gs Wot?}tb Pool s� 09,12M PAW 4�W-WACMW Maim $2 4 ` r AAW P 20WW 3#6 , x . 7 01L GAS Cot IF a a LL � k jbr ac. l AUILDING PDU47T NO. OI wo"L YM WW CMY PH4K COPY O 5 • { 5 { �39 n oo ' ^�,� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET , VILLAGE DIST. SUB. LOT t FORMER OW N E ACR. Q, �n S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 'r welp C �c ce ,e 1 "ze .) 9laqM,3- 1- 11 .4 �� - 1= I r_Z c� �lt,o o e 1 per -IhAr kr c- Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD I Meadowland DEPTH ` House Plot r BULKHEAD Tota I f= JUDITH T.TERRY,TOWN CLERK RECEIPT 061944 Town of Southold Southold,New York 11971 000yyy Phone:516-765.1800 DATE t 2_194 RECEIVED OF: $ U) c", FOR: H _--� p CHECK BY: 4 f 23�j5� M-iso2 BUILDING DEPT. INSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: �° _ Q��' � "rZ7- T� DATE? y� 9 INSPECTOR-� � 765-1802 BUILDING DEPT. INSPECTION [ ] F NDATION 13T [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: AdF DATE y 2- INSPECTOR_ r-6�7- M-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [✓] ROUGH PLBG. [ j UNDATION 2ND [ ] INSULATION [ FgA11l11NG [ ] FINAL [ ✓f FIREPLACE & CHIMNEY REMARKS: 1/ C 17 DATE INSPECTOR �3g15 � 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ]�Ro GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ j FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE �'` ( INSPECTOR �G T65.1802 BUILDING DEFT. INSPECTION [ � FOUNDATION 1ST [ ] BOUGH PLBG. [ ] FOUNDATION 2ND [ vj INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE ` �'� `l INSPECTOR 21 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ J ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Vil cl �la, DATE /a � 7 INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ J FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE lo 1,1 _ 2LK_ � c;2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �ILATION [ ] FRAMING [ FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE � N8PECTOR I' II.I.I1 I :ll('I•,l.I Il)fl ItP.rol I UA11"• CUr ll;rl'1';i •ii 11 � .. ..'"!may- -' i�i�"?"' „'�Q 11 /1t_ _ , : ,L„_ �•• /�. i i Pr]IRJIIA l'f()N I i If r(AuNnn r l.c)N ( ZNI)) if ---------__------- ----- --------1I- I It(111(:If l�RAr`11? � II I // p I�I.uFni r Nt: I) _....... y 11�4 ii �{ I NS111.A'I•I ON IhR N . Y . • i 1 S•1'ATF RNFRCY r.nnr• � 70 if F I N A I. I� _ I ~ ADD I I ONA1. COMMENTS : ... �nu �.l!✓f.. � \ �aaa-, _...n.._ _a..-'----� •yam I O " 070. - Q V �N • r° 1--i'lOARD OIL III,'Al.-I'll . . . . . FORM NO. I SETS Oil' PLANS . . . . . . . . . . . . . . . TOWN OF f'011'1'IMIA) lrtlltVLY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT �(AMCK . . . . . . . 7 TOWN IIALL SEIPT1C FORM . . . . . . . . . . . . . . . . . . . S011THOLD, N.Y. 1 1971 '1'1'sl.: 765- 11102 NO'1'IIY: 73 - �y 7 CALL .73y'S. . . . _ . . . . . Exrrni(x ....... ....... I9-/./ ` - MAI1. TO: . . . . . . . . . . . . . . . . . . Approved......y//-0_..., 19. , 1'e;roiC tJo. /,/�`G!.. Disapproved a/c: .... ................•.... ...... ................ ................... ........ ..................................'............ .. .=...f..... (Ikri Id il; W. cLor) APPLICATION I"Olt BUILDING Pl,RMIT / Ditto_ _ . . . , •� 191. . . i NSTItUC'1'1.ON8 a. Ihis application (lust k- colildetely fillet) in by typo-n-iter or in iulc aril sulaniCCed to the Iktildhig lnspeclor wi sets of plans, accurate plot plan Co scale. Lee according Lo s;chedule. h. l'IoL plan rlxxaitri, lcxaticxt of lot aril of Ixrildinps at premises, relationship to adjoining prErnises or lxihlit: sl.rc:ets or areas, and givil , a detailed description of laycxrL of property must he drinm on the dialp-wi which is lxtrl: of this application- C. 'the wtrrl, covered by thin application viay (xrt Ire ccroueuced before issuance of lkri lcling Permit. d., Dlxxr approval Of this application, file fkiildinp, Inspector will isstre a ikiilding Permit to the applicant. Such fxtimit '-shall be Kept on the premises available for inspecCi(xi I-Immoiotic the work. e. No Wilding; shall. ire occupied or used in vrflole or in lkirL for any lxii-pose %Aiatever until a Certificate of lk:ctlpal :y diall. have been P,rantecl by the Iktiltling lns(reclor. APPI.ICA'I'I(xt l:i 19Llil;IlY rLUC Co Cite Wilding Department for the issuance of a Ikiildin(l Permit 1mriaiant to the: Ikci ldiul, Mile Ordictauc:e of the '1'rx,rn of &xtthold, Suffolk Ccxuity, Mho YOrlt, aixl other applicable 111W8, Ordinrnrces or Rel;ulaticxis, for the cotmLrrx:tion of Ixtildings, ixklititxts or all:erat:ionsi, or for remmal or datloliLiou, as herein desr.rihcd. the aplil.cmil: agrees to caigily with all applic:ihle laws, ordinances, Ixtildinfl ccxle, h(xising code, arxl reg;uliitions,'nixl co adllil: authorized inspectors Oil premises atxl in Ixtilding for oecessrtry inslx.ctious. (Signature of a i rl icaliv moue i f a cor xrraf ioii) II I �Q. .. Y.9....... I-?:..... ...i..:.s (Mii I ing ixldress of appr leant.) Stitfe %Awl-her alrplicant is canter, lessee, agent, architect, engineer, l;erx:ral. contractor, electrician, p1mber or Ixiildet J G ! .�.. .. ?�G ................ M11K' of cxr(x!r of pranises ........tA 5..¢..�!!! /N� L. gvr�-a� (as oo the Lax roll or latest dczed) If a1r1)1 icant: is a corlxrraLloll, sigtraeur-e of dilly atiLhori•red officer. .. ............................................ . ...... .... (1`1111K! ruxl Litle of corporate officer) Ikri lders License No. Pitsibers license No. Electricians license No. Other Trrxle's License No. I. I,(x aL.icxt of land on vA►ich prolxrsed work wf l l be doire. ...... ........................... ....... .............. ....•- al4. ................... ....................... e.................................. Ikxise Ntnlrer StreeL O iliYulet (cxurCy Tax Kip No. I(XX) Secticxt ................. 111(x,k .....OY.......gLnL ...Qom.. SuIxIlvision AJaQbJ3k..P4A1!aPe:.............. l?ile(1 nip No .8�3[....... lnl' .�� ....... Mille) 2. Slaf.e existing; use aixl ocL1' gklirey Of prclnisies mKI hil.ended use aml cxxulxim-y of: proposed constnieLion: a. Exindiig use and oc:culknx:y ... . .���t1�...:..... . ............. ...... .... I r li. Infelkle l use and occupalwy ...�..��`���,.....'.c�eL�iclG....�'���e✓Tla��..................... 1. 1�11nre of tnlfk (ci)ec)c tatIO1 npplicni)le): no Ik"ildinfl MI ......... . Alterntion .. ...... .. IG:luli . ............ ltolnvaI . ......... ... DeoloI iLiofI 011ter 13osk ci:� IS:;L Invrl ed (att;l . .� .L`�.�v:.�.�.. . . fee .......... .. .... .. .•. . . .... ... . ...... .. ......... ....... (to be paid oil filinf; [.lilt) nlrPI.lcaCion) :i. If (kx!Iliof;, lxrll,er of ANOIing uniiln . . . 4.... .. lknlrer of (kx:lIlog units oil each floor ........ .. 1 f (ltrrst)le, lxnl>er of c:nt'rf .......z. ..... .... .. . .... .. ..... . . . .. fr. I f Ixudoet a, ccomrrcial or mixed occopaocy, speci fy naulre atxl exLeol: of each type of: title...'...... . .......... ... J, nilivimiom; of existing nlm(Ativen, if fitly: Fvool:.. .. . ..... .. . ... Iter)r . . .. ... . . ..... . NpLh . ....... . . ....... Ik!il;lll: RITIx!r of Slorien ....4... .. .. . . . . . . . . I)inx!naicxta of ar►ne atrtuaure with ollertttitxla or ru)(liLioon: Front .. . . . . . . ... . ... •ltenr ......... ...... Ik!plII .. .... .. ....... ..... Ikdlllll. ... ... .. .. .. . .. ... . . Ikrllrer of Slorien .. .. .. .... .... . 11.E I)iur!n:tioun of enl.ite new ccxlal:rrua:i(xt: Frool: ...... ... .. . . . .. Itenr . . . . . . . .... . ... Depth . .. . .. .... .. . . Ik!I)II. .................... .. ../ Ikrllx!r off;l:crriefl . . .. . . . . ... .. ... .. s 1 � 9/ ;;ize of lot Frcxtl: /sSb.7.. . . ... ... iL!ar •.f ��G/. . . . .. . .. Ik.pllt• Z�4. d zv0 I()/ Dat c! (if, llrrc:l ave M 7_.. I4rtr! of Forlml- ()I ler ei�. . .Fqf 4 YY O.L .• ...•..•.. . •.. .. . II./ Lc);x or one flint ri(-L in rA1itJ1 prerniaea are nituated ...... .. . .. .... .. . . . .... .... .. ................... . ..... . . . . 12. Ikx!n prolxrned colml rIMA.Iof) v(olnl:e any v-dog lt,u, onliomwe or regulal:loo: .................. I. Will lot: be rellrtukcl .,U / y Willnexcena frill Ire mowed from prcitilnea: YES Ill) 14 fL•rl,e:t of Udtv!r of prollinen �!11fi?7t`01l c 4 A."QT-4 teklrena . ..— 14. IQ. .::.. P11one Ik). Mirve of Archilec.L ...... ...... . .... . ... . ... .... .. . .. .. Asklrcan lilotx! 1k1. .. ..... . . .. . . . Haiti! or Lkxll:rfu:l or ........ .............. .... Milt vnq .. . ... .. . . ...... ...............I1xnX! Ifo. .. . . . . . . . . .. 1❑ (Ilia j)I711x!rl.y within :IM feel' of it tidal wel:111107 * YVS ...... .... R) . . :.:. *1IP YGS, f;r)ll11Y)1I) vxm -lullSil ES mul-fl'1' MAY IT, Itif(IIIIKI;I). P1.01' 1)IAGRAII I4x:nfe fleshly ntxl dial:incl:ly nil I,(lildirlgn, v lellter exinlring or, profx)aed, nlul ln(lic:ate 0.1 aeL-becl( tllinevinioon ("fill prolx!rly IIlx!n. Give aLreet nlxl blocs "limber or description ac:cordiog to (leed,-ntxi rJxxo nLreel: Arises atxl irxlicnle t-Nellie"' itllevior or cortxar lot. lxAilllY (A' t It . �rre kc/� .... . . .. .. . .. .. . . . .. .. .. . . . . ( . . . ... .. .. . . . . .. . . .. . ..Ix!ilq; (filly ctwr'n, deIX,nc!n nfxl nslyn 11111c he in Ow nppl irnnl (mr+r! of i,xl'lvidunl aif;oing t:vnLrr.tcl:) :dxrve nfrir!(I, Ilit! ....... . . ... . .... (ti!/Lt— . .. . . . . .... . . . ..... ....... .. . .. .... .•. . .. ... ...._............. ....... .... ((knll:rnclor, nf,enL, corlx)rtlle ofl'irer•, el(!.) of! said mloor or (,<.nx!rn, Inxl in duly imutorizecl to Ix!rfotm or lt:1V(! (x!rforllrtd Ilse r)frid wrk ntxl Lo nt;llte ntxl tilt! thin fiPp) 1cfit:ion; Llurl: till, titot.emenlcr contaloed io Olin nppl icih ioll fire I.Ioa to the bent: of 11111 (mowledge rnxl Ixil it!rl nlxl 111;11: Lhe u-ork uil.l be per.l'onfied 1n the nvaax'!r net: forth in I.he nppl.icnl:ion filed I1tert-wi111. !kJain to Ix!frne fin_ Ihitt . . . . . .1�( . ...(Iny of: IkrI my lh"1rl is . . W'k ... ....... ..... A- . .. ... .......... .. ........ ...... \ .1 C M.WILKINS Nota ublic,State of New York (sil;nai.nre of Appl icnnl.) No. 4952246,Suffolk Cou Term Expires June 12, 19nt SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY Dca6� DATE- MS. REF. NO. 9 o0m ✓ APPROVED The water supply and sewage disposal systems for this residence will conform 00 to the standards of The Suffolk County 0 �G Department of Health Services. sty L� o o WATER SU My A.D9XWAC�E TiMP -9,MT SY Rom,M[]��' CONFOM WrM NEW STANDARDS DA'k"&D NOVEMER 13,15,95. SURVEY OF �`' No � LOT 5 "MAP o DEC W 986 AS OODB/MNE AP N,O.B 6R� A T CUTCHOGUE.., ' TOWN OF SOUTHOLD` P�hSe SUFFOLK COUNTY, N. Y. 5' w 1000 - 83 - 04 -05 AREA = 40,857 sq.ft. Scale • 1" — 40' o o July 26, 1993 CERTIFIED TO, X11�0aP THOMAS ANDREJACK Stu6 ,� Oa" f Ak2 C ��Ai. SE$cE3 tis CA THERINE L. ANDREJACK 2 �0 rMU0T FOR APYROVAL GY COMMU ON FM A � L 5. SMIL19 Fl�t�y g ONLY r R !. F- G �09 g�X 02 ��� 5�5�� *tEOF Nfy, 5' ,o%,%N T. MFlrc�O� L EVA TIONS ARE REFER ENCED AN ASSUMED DATUM. O TO p� °°, ,',.r o N. .S. LIC. NO. 496/8 Prepared in accordance with the minimum �® '' J _ standards for title surveys as established `� �e ` 4 S, P.0 by the L.I.A.L.S and approved and adople.d 0 l5I for such use b The New York Stale Land on �k The locations of wells and cesspools , P. O. Title Association. shown hereon are from field observations MAIN ROAD �� and or from data obtained from others. SOUTHOLD, N.Y. 11971 B p -�f- 2-3915 z SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY • �O '� 5fiw DATE HS. REF. NO. gyp` ✓ APPROVED F The water supply and sewage disposal p ti systems for this residence will conform o �0 to the standards of The Suffolk County o0 Department of Health Services. 0� SUR VEY OF LOT 5 moo. "MAP OF WOODBINE MANOR" 0 N sm :o o, 13.5 tea, 0 FILED DEC. 15,1986 AS MAP NO. 8259 �61 A T CUTCHOGUE o w 2, c�� p� af'Ln .off TOWN OF SOUTHOLD L o. SUFFOLK COUNTY N. Y. N � • AREA = 40,857 sq.ft. ~`�� 1000 - 83 - 04 -05� z',\ o 30 ,- �g�� , 9� SCa/e : - 40" ' aye oo July 26, 1993 e goo Feb. 25,1997 (Foundation Location) CERTIFIED TO: THOMAS ANOREJACK CATHERINE L. ANDREJACK 20 0�0 FIDELITY NATIONAL TITLE �0 INSURANCE CO. � 5 201 8194 4� �Ts ykw 5. C,,� /0 a`g year + �• o oo_ �� � -::��,Q� ►�'�tv 1. .... - N 2 �o° ELEVATIONS A. O • TO AN ASSUMED DATUM. ^ O N O� ,, ��► elae S &H CV 0 Prepared in accordance with the minimum LIC. NO. 49618� J i� ��. . S'-' standards for`'lifleVe s<:as established y ��� CONIC ORS, P.C. S by the L.I.A.L. and'approved and adopted 0 (516) 765 - 5020 for such use by The New York State Land ti The locations of wells and cesspools P. 0. BOX 909 Title Association. L shown hereon are from field observations MAIN ROAD ADD CERTIFICATION 01103197 �� and or from data oblalned from others. SOUTHOLD, N.Y. 11971 93-242 BPS Z315z SCDHS = R10 - 96 - 113 O � oo� The wafer supply and sewage disposal systems for this residence will conform 00 to the standards of The Suffolk Counly Oj G Department of Heallh Services. � \ 0 do SUR VEY OF 4 �� 0 01 �- �� �� � LOT 5 i�i. s ��� Gy "MAP OF WOODBINE MANOR" FILED DEC. 15,1986 AS MAP NO. 8239 A T CUTCHOGUE a � Sty- ��.3. TOWN OF SOU THOLD °x SUFFOLK COUNTY, N. Y. 3" 1000 - 83 - 04 -05 AREA = 40,857 SQ.fi: j58 j0N j04 N�� OX Sew Scale . )"' = 40 D,� o5g� o July 26, 1993 sr S1D�t e �o Feb. 25,1997 (Foundation Location) CERTIFIED TO, ' �o��oA OCT. 7, 1997 ( Final 1 THOMAS ANDREJACK CA THERINE L. ANDREJACK ,; 2� 00 FIDELITY NATIONAL TITLE o0 INSURANCE CO. SU FFOLK COUIM DEPAR111I.Ew OF HEAg,.H U.ICES 201 8194' q 5• tp]??R0"dAid O M:S`1•CO UC`ED F�1O?3:s�Yt 4 A S1?;LM4 FA.-WLY P-117,33ME NCZ oAg t }}� �kDo Dare ;��A � � .�11� P � ono ego .r oo- . ---�-�Rs.Ret. `0 1 0— c •0 o ;�'�:�l n(�a:"•.4°'Ox.. d tr►;.:Lr 9•+.ttir�@- tiE t�Of NE`Y , o_ o, s i ' �+fa.9i�c,�s�t tilis le=t1an h- L_n '�Q� F �b E 'V 2 O i�•'S�:(',e:I�`.Yl ir�rP :'" 3 +6111 !," Cj t. C"ts'Pew S' � ; 'O �:t SN'�! £ �`' 9' trr Ss��lt BC!CS t+ri.'c fossaad t0 p't`� „ � s y t:OR Al1AX � r.3©F �F3 D ' � �$ O iPT P. ChiefZp� �ELEVA'T/ON, ARE � ENCED0 ��,CfssefTo<' !i4SSUM D DM. p ^ p Office of W&Icr and Wastewater Mangy ement �. ems+ 4 s tt,-0,EQr4c�", / O �^� 260' 99i e "�?�rnT, r �� �O �` 1'lyo ' lad N.Y.S. Llc. No. 496/8 Prepare in accordance with the minimum v P standards for litle surveys as established �" �,� `�� CONIC EYORS, P.C. by the L.I.A.L.S. and approved and adopted (516) 765 - 5020 for such use by The New York Stale Land x The locations of wells and cesspools P. O. BOX 909 Title Association. MAIN ROAD shown hereon are from field observations ADD CERTIFICATION 01103197 �� and or from data obtained from ofhers. SOUTHOLD, N.Y. 11971 93-242 j ENERGY CODS CALCULATIONS (For Note-Electric Heat) Design Criteria 6 , 000 Degree'.Days / f / O.A. 100E I .A. 70OF F�It• 0y'h A � �a6" YEIt: � �, g1 rL3 llA'1'Ell• �✓ �G 17 DESIGN TiII'RMEL REMARKS SUBSYSTEM AREA "U" RAT1NG 1;xterior. Walls (Opaque) / 6 -77 Giazing i % 3 3 Doors C;cili�iy/ltc�of (Opaque) Skylights r1oo r Q u°v r0undaL•ion Walls Slab Insulation TOTAL Notes: Building Envelope Systems to meet requirements of: 7015. 2 11VAC Equi.penient to .meet requirements of 7015 . 11 I1VAC Systems to meet requirements of 7015. 12 Duct Systems to meet requirements of 701.5. 1.3 Ventilations Systems to meet requirements of 7015 . 14 111sulaL101i of k'ipitiy Systems to meet requirements of 7015. 15 Service Water cleating Systems & Equipment to meet requiremeiiL•s of '1015 . 21 Electrical & LiyliL-itig Systems & Equipment to meet requirements of701.5- 31 To the best of. my,. knowledge, . belief, & . piofessional judgement- , ' these plans are in compliance mlLh the code. s OFESS%0% t q7 oI o 3 3IIJ k , (' � , /� ._. .:_�_...._. -.._._,.--_... -y.-.-..._..-,_....,.-.. _.._..-. ,........_._•_�-....r..e.-.___..... ....._._..-..._. ,._...� _i..._.__,.,-,......_.-_... - ter✓ 1q� . w� , c " ' - � - � � •� It t e.F ' . �. � - - - � � -...,, _.a.,-..- .,....w.,. .-.. ....-+..,....._ .»--_."��„Y _ - -.'�Y..< .» ..Y.e-...,....- - _ .tea.,- _ <"'•"."'•• �,. ............_.. . .�.�..->... _ - _,.~.. _..._.._ ,.. _ .., ,. .^_.. .r_�..R-...._...__ iJ >,,,,. `,! ��,..r ., , i( i e _ T f t ; t1 ,�' ry, _ :SFf •>''.' Yr x �� � IY 1 tl r I 5 1� � d � k Ji • - ! � - �.1.�.i_..,,r_.r - , k � f i I i j- J'w S«:•.,5' psf-+�.�r �^f � * �-,�..Jilt,�,'.,,.-„�.,,,;., � � e.. I I / i t r`� •/! � i i� i t " � I ! t 's � ! I ,'�'. !i:r * t� � a ��,_ i f 1 1 ,. «�,•.•.• �_.} � � 1 , r s d f l i I �« aa i •r' S i f t �� �!. i } � { t d #. III• s � t i j i k ' PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS PROVIDE NR. FIRE OCCUPANCY OR APPROVED AS VOTED BY PART. 714OF, � DSEPARATION'Ii0 USE IS UNLAWFUL DATE: B.P.# WITHOUT CERTIFICATE. N.Y. STATE BUILDING CODE. PART.717J(I)(1)OF FEE: � � BY: N.Y.STATE BUILDING CODE. NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY FOLLOWING INSPECTIONS:OM FOR THE ' Y If copper tubing is used .1� FOUNDATION'- TWO REQUIRED for Water distributin ' FOR POURED CONCRETE PLUMBER CERT/t"/CAT/C)11� 9 PLUMBING DO NOT PROCEED WITH 2• ROUGH - FRAMING & PLUMBING :.system;piping shall be 3. INSULATION ON LEAD COiITENT BEFQRE, _ or L only `ALL PLUNiBIfVG�f1;iRSTE FRAMING UNTIL SURYEY 4. FINAL :- CONSTRUCTION MUST L ' Of types K- '." &WATER LINES!NEED CERT/F/CATS OF OCCUPANCY`"' TESTING a ►,oRE cove l�l� - -- ---OF FOUNDATION LOCATION— BE COMPLETE FOR C.O. UNDERWRITERS CERTIFICATE �� ALL CONSTRUCTION SHALL MEET SOLDER USED/N WATER REQUIRED _ _ HAS BEEN APPROVED. THE REQUIREMENTS OF THE "N.Y.'� --- ' SUPPLYSYSTEM CANNd7. - STATE CONSTRUCTION & ENERGY EXCEED 2/1'O of 1%LEAD. CODES. NOT RESPONSIBLE FOR ; DESIGN OR CONSTRUCTION ERRORS C. � i t ..,,`� .. •7 j ' s _ .; x.�;_,.i; ._.. � -,r...,*�^ -,• �� .: - �:°„!tr. G.� � � r' y`__ � .,..- -<^- � .... .,...,.,_-,«.�. �....__.•+.�........�,. .._.___,_. ,..,. —.,.w�=r'-'—•.""""""�; :,--. _w....__,.a,.._. ,..... ---•--,a._-•.'_�'.. _,W_..e...._ ,..- a,.c...•.. � ......._._. "";"'_.a"'.""'•`^-:C.^�..:,,,k' _ y,»�...a.... . .. "�v a:'".'',",-;'•. 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Exn,-hjI)r, .o j AIR D Uc"T #Nl"0 TN t M SNC�F !` f't/i K� Y i'�, 'j.� '�'YQ i N a 'J�`� 1 �: f � 2�fr " .�!c♦et,G. i V -_T-L 1 r OU ,." �° .i � = t j•r 95�.w1rti>~ # t�') �� f�_ _.�V�f ,'� R(c)6 lru �•�2,t't _ FAN 4-2xta ,-' r�! �' Z�� i Luf HA „ ' � ! ..� f ; - �w�~_�. .:»�, tom, "' ... � f�' i � 11� •:.. __ � � t� �11 �1 iCID �t� _",_ ._...._........... _,__._... Y ioc 04 �LVSN .D- Z a 2Xy r # D 111iV��$?� f — f 2P'3R .� \ N12`t k' 'cab �i! 3 } , vL 3�- �C 'ate( i BIi.cC c+l2" TtTT . ' 7p I �tm Ct .c iri ry DENWIN Do 2fXtD ' } CA f4 t)n4 rAI T�'Pt X # �! ON GEI LlkiG 4 WALLS privy ,r n ui LU P 1 c ++ ' �F. � r.,:,,a.: :�'""'♦ ._ + ` + fij �a t }}p+.!G �i't�n r'' -ta.t ra G E i ld I ' CY1 �^32arC N I AR®FE NPv 6 ' .—G-9) i f '`, � - ' : - {�E'Rtt=�f DtMt=r`ts#a►� A �'G{'`I �t� D��J �Ci'� " �i=,�•�•' � �`� d '_ ' _ � �.-`...ppw-•.':,`:�,a., ,� ..�w`,l _`si`f...-,«''mow-_+—,. 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