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22947-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24252 Date APRIL 2, 1996 THIS CERTIFIES that the building NEW DWELLING . Location of Property 1275 GOLD SPUR ST.& 190 OLD SADDLE LA. CUTCHOGUE,NY House No. Street Hamlet ' County Tax Map No. 1000 Section 95 Block 4 Lot 18.10 Subdivision Filed Map No. Lot No. conforms substantially to the -Application for Building Permit heretofore filed in this office dated JULY 28, 1995 pursuant to which Building Permit No. 22947-Z dated AUGUST 17, 1995 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 GARAGE UNDER AS APPLIED FOR. The certificate is issued to THOMAS & DONNA HENNESSEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0077- MARCH 4, 1996 UNDERWRITERS CERTIFICATE NO. N-379119 - MARCH 1, 1996 PLUMBERS CERTIFICATION DATED MARCH 30, 1996- TERRANCE TAUB uilding Inspector Rev. 1/81 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) 99 22947 Z Date .................?112 ..........................., 19..../. Permission Is hereby granted to; ......... ..................................... r3e�1...... ..... ... ........... t 4l............��..............7wcg......`!% ...... .......���r�,�......,� �/...... , �... ........... s�.......... ........ ..: �......... .......... . . . . r. ............ .0 ,. ^....--�.. .....:4��....... c............................................................................ .................................................................................................................................................................. �D . Fsri� at premises located at.................l. o�..... ....................... ........I............................. ......... ........................... f p- County Tax Map No. 1000 Section ...... ............ Block....... ,I�........ Lot No. ... d. .......... ` 1 .....,�� 19... , and approved by the pursuant to application dated .........�.(.� .........••••, •..•.••••• Building Inspector. Fee$....... .. ... ...... ..... .......... ..:/Bu .. ............................... ng Inspector Rev. 6/30/80 MAR 28 '96 10:22 TOWN OF SOUTHOLD P.2i3 Form No. 6 a t J y TOtJN 0]? SOUTHOLD E BUILDING DEPARTMENT TOWN HAIJ' AM '� )�30 �� ='`' 765-1802 BLDG.DE:. t �i_�_�C►�itrP!OF so mot.a�J Al?PI,IC?TzON FOFt. CEiLTIFIC46TE OF OCCUPANCY A. This application must be filled it by typewritaar OR ink and. submitted to the building inspector with the following: for new building, or new use: 1. Final survey of ._property with accurate loc.,tion 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. SwO= statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Comuze,;_ial oui?.ding, industrial c.u:i2& ng, nLulti.ple residences and Similar buildings and installations, a certificate o:E Code' Compl.iaace from architect or engineer responsible for the building. o. Submit Plarzni,ng Board Approval of completed. site plan requirements. B., For existing buildings (prior to Apri.:! S,, 1957) non--conforming uses, or buildings and '►pre-existing" lane. uses: 1. Accurate survey of pronerry 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 Ceartif icat.e. of Occupancy :is d<:ni.ed, the Building .Inspector shall state the reasons therefcr in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, A t-eratious to dwelling $25.00, Swi.mming pool $25.00, Accessory building 525.00, Additions to accessory building $2i.00. Businesses $50.00. 2. Certificate of Occupancy an Pre-existing Buildine $100,00 3. Copy of Certificate of Occupancy - $20.00 4. updated Certificate of Occupancy - $50.00 5. :Temporary Cer_ificate of Occupancy -- Residential $15.00, Commercial $15.00 Date . . . . . . . . . .. . . . . . . . . _. .. . . . . . :qew Construction,.. . . . . Old Or Pjre-e�exist Bui.ding� . . . . .. . . vocation of P y . . .... . . . . . . . . .. . . .. . ... . ... . . House No. Street amlec Dnwer or Owners or Property... . ... .. . . . .. . . . . . .. .. . . . . . . . . .. - . .... . . . . . . ''. . . . . . . ./ "ounry Tax Map No 1000, Section. . . . 9�. . . . .Block. . . . . . . .Lot. . . l ;. . . . . . . . .. . . . 3abdivision... . . . . . . . . . ". . . . . . . . . .Filed Map. . . . . . .Lot... . . . . . . . . . . . . . . . . . . . /1 Permit No. . . .0 A- 9.I7.z .Date Of permit. . .8:�7 - •9`SJ-Applicant'..Cx . . . . . . . . . . . . /-96 p 3ealth Dept.. Approval. . �Q :%.J�. :.00. .7. . . . . .Undervz!i.ters Approval. l!a 3 ��9�. . . . . . .. 9 'lanning Board Approval . . . . . . , . ., . . , . . . . A"'P79i� .equest for: Temporary Certificate. . . .. . . .. . . . Final C:erricate. . .. . . . . . . . . p6 Pee Submitted: $. . . . . . . . . . . . . . . . . . (R,e, 5/6l� , . . . . . . . . . . . . . . . . . . . . . . . . . C0 a�as� . . . . ?.PPLI.CA� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195034 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date MARCH 01,1996 Application No.on file 11023396/96 N 379119 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 HENNES.BEY, OLD SADDLE LANE, CUTEHOUGE, N.Y. in the following location; [E Basement ® Ist Ft. ® 2nd Fl. GAR/OUT Section Block Lot was examined on FEBRUARY 27,1996 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 OTHER AMT. I K.W. I AMT. K.W. T. I K.W. I AMT. K.W. AMT. H.P. 17 36 28 17 1 5.5 1 1.2 3 R 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 2 F 3 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER 1 0 YW 1.0 3W 3 0 3W 3,0'IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HIAEG OF NEUTRAL 1 200 CB 1 x 1 2/0 1 1/0 OTHER APPARATUS: WELL PUMP--1 MOTORS:1-E' H.P. G.F.C.I:-4 S�K)KE DETECTOR:-2 SCHAR.ADI:N ELECTRIC LIC.1t2540E BOX 1077 14AIN ROAD CUTCHOGUE, NY, 11935 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. ZQ Town Hall, 5:,095 Main Road o Fax(516) 765-1823 N w t Telephone (516)765-1802 P. O. Box 1179 �� C Southold,NE,w York 11971 y, OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C 1: R T I F I CAT I O N DATl3 Building Permit No. 1`J�� own(Br: r 1i��n n e,SSS'_ —. (please pri t) Plumber: . (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. � 5'4 (Plumbers Signature) . Sworn to before me ythis day of Noi;ary Public, Sy�dL�� County CORINNE E.NEWMAN Notary public.State of work NO.4766656 Expires Qualiffi din uffollc County SOUTHAMPTON ENGINEERING P.C. 144A Mariner Drive Southampton New York 11968 287-2312 Phone Fax 287-2314 March 20, 1996 Southold Town Building Dept. Main Road Southold,NY 11971 Re: Hennessey Goldspur Road Dear Sir, Please be advised that the added height on the brick chimney,which was done to ease down drafting,is well built and structurally sound. No additional supports are needed. Sincerely ,fir.NEWJO i SDL�/kebp Uct �� 0r7 c,.�t P 2 '7- 'e-717 71" BUILDING DEPT. INSPECTION [41OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: � � o "Af Q DATE ' IN8PECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• � DATE �� � INSPECTOR - �� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [r/�FRAMING ��� [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ]�OH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE I INSPECTOR 765-iaoz BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3lf� INSPECTOR ���� 765-1802 G� BUILDING DEFT. INSPECTION [ j FOUNDATION iST [ ] ROUGH PLBG. [ . ] FOUNDATION 2ND [ ] INS CATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATED � INSPECTOK� FIELD Ilf—TIV CTION REPORT —WIA COI ENTS 20 H --- --- POUN 15-- — rr a I)ATLON ( "L) II— I' I all FOUNDATION (2ND) II -------- -----=---- ----------------- -------------------------- II e ROUGH FRAMs? S PLUMBING Itlip ` u li II _ cn INSULATION PER N. Y. STATE ENERGY II CODE I(-- !� e N _ II FINAL II C - NAL COMMENTS: z V — � a BOARD OF HEALTH . . . . . . 3 SETS OF T!LANS . . . . . . . . . . . FORh1N0. 1 S.URVEY . ... . . . . , • • , • • TOWN.OF SOUTHOLD CHECK . . . . , , , , . �U1. '� v �� � BUILDING DEPARTMENT SEPTIC FOR111 • • ' • . TOWN HALL: . . . . . . . . . . . . • SOUTHOLD. N.Y. 1197.1 NOTIFY TEL.: 768.130.2 CALL Cx am'ined. . . . ��? . . . . . . .. 19 L HA I L TO : . • .. )isapproved ale . . . . . :.. _ ..... JUL 2 8 1995 . . . . . . . . . . 4 ing Inspector) ,APPLICATION FOR-BUILDING PERMIT • Date . .:. . ... .. 15 . .' INSTRUCT-IONS sts,a. This application must be completely filled.in by' tysche ter or in,Ink and submitted.to B uilding Inspector,with of plans,accurate plot plan to scale. Fee according to schedule,:'� the .• b. location.of lot and of boildin Plot plan showing gs.an.p'remiscs,.relationship to adjoining premises or public strec- :a areas, and giving a detailed descripiinn of lxyaut of property•theist be drawn on.the diagram which is part.of this appl •lion. c. The work covered by this application may not be commenced:before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the a licant, Such hall be kept on the premises available for inspection throushout the work,. PP perm' e. No building shall .e occupied or.used in wholes dr in part for any purpose whatever until a Certificate of Occupan.c; ;hall have.been granted by the Building-Inspector: APPLICATION IS HEREBY MAI to the Building De partment fore 3uilding Zone Ordinance of the Town of Southold, 'Suffolk Cou ty, New York-, and o herBuilding applicable Laws,Ordinances o %egulations, for the construction of buildirtgs,-additions or alterations, or for removal or demolition, ns herein described Tile applicant dyrees to comply with all applicable laws..ordinances, bu' in^ code. housing code, and rcgulations,_and tc admit authorized inspectors,on premises and in building for necessary i pact'�n Aature of aPPlicant, or team;:.if a corpor�tion)• - ^ (T`Sailin3 address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,• general contractor, electrician, plumber or builder. .1J U 1 • • .'• . •• • .. . . . . . . • . . . •• . • . . •. .v • .• • . Name of owner of premises .f�QIYN,:�:$.7.h:drvl i4 S..N,c N�l t;$S ;(. • , ... . . . ... . (as on the tax roll.or..latest deed)• • ° ' 1C applicant is a corporation;signature of duly authorized officer. .` (Name.and title of corporate officer) Builder's License No. Plumber's License No. Electrician's License No: 3 Sy0 E Other Trade's License No. .•!��/;�; . . . . .. . . . .: :... Locatio'dof land on which proposed work will be done, , • •. • .. .. . ,. • - , , • • • , , • • . ilousc Number �7L.C. . . . .. . . . . . . . . Sircct. /. Ham(ct •• • • • s ;County Tax \lap No. 1000 Section . .. . �. .,. . . . . . ' Bluck ., , ;7, , • , - , , , , Lot . . . . 8' , . . . . . . APoF 2 • � SuDclivision .M o EGo�t/ V'lEr�1 ESTS Fik:a l�ta . . ... . p No. .�'Cqgj Lot . .1.6. State existing rise and occupancy of premises and it.ttendO use attd;occupancy of proposed construction: a. Existing use and occupancy :,Vfi.C!9tiT. .��}N.�. ...: .. . . , •.•4f1:�frRrr,;F1i'!'1t30H. .. . . . . .. •. b. Intended use and occupancy SIAI/ (-f•FArnILy 7-f.;lb Tp ,!F , r^ t�ka t' 3 , N - •��A4 / ._..P I.,tk'. - i0'd �iOul1-1 'H'S 01 Oul SSWOH HONAI* WO�fd Zb:BO 066T—ET—d3S 3. Nature of work (check which,applicable);.New Building ..6: :,. . . . . Addltion .. • • - r . • • • �Utcration,.;;�, Repair . . .. . . . . .. : . . : Removal ... . . . . . . . . .. . . Demolition . . . . . . . . . Other Work . . . . . . . . . . . . 4. Estimated Cost �•' �O .T• • • . . . . . • • . . • • • .• . • . • • • • I•Gri • • • • . • • • . . . .. . , . . . . . . . . • • . • • • . . . (to be paid on filing this application) 5. If dwelling, number of dwcllinc, units . . . . . ..N-umber of dwelling units on each floor. . . . . . ... . . . . . If oaragc• number of cars . . .Q.N� ... �• L>. �l:4 (�GzRRc.�,Np. , . . . . .:. . . . . . . ., . . . . . . . . .. . . . . . . . 6. If business.commercial or mired occupancy, specify nature and extent of cacit type of use . .t ,144. . . . . . . , . , , 7. Dimensions of exisdno structures,if any: Front . . .N�44.7 . . . . . Rear . . . . Depth . /✓�� , , , , , Height Number of Stories . . . . ... . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of samc-structure with alterations or.additions: Front • • • • . : Rear . . . . . . . . . . . . . . Depth . . . . .. . . . . . . .. . . . . ... 1Ieirlit . . . . . . : . . . ; . : . . . . Number of Stories . . �: . . . . . . . . . . •i 8. Dimensions of entire new.construction: Front Rear , , A se . . . . . . . . . Depth . . . . . . . . Hcigltt . . �.'• . . , Number of Stories . . , .-q,).'C� ' . . . . . . . . . . . . 9. Size of lot: Front . . Rear . . . . . . . , . Depth . . . . . . . . . . . . . . . . . . . . 10. Date"of Purchase . . . . . . . ... . . .. . . . . . . Name of Former Owner . . . . . . . . 11, Zone or use district in Which.premiscs�arc situated • • , , , . . , , • . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . 12. Does..proposed construction violate any zoning law., ordinance or re:ulation: .�!v . . . • • . . . • • • . . . . . . . . . . . . 13. Will lot be regraded . KQ. . . • , . . • • . , . , , . , , .Wi.11 excess fill be removed from prcmiscs:A]0 Yes IN N N 55 14.. Name of Owner of premises lf,�, .�. .;y, , , , , , , , ,,Adclress Plionc No. . . . . . . . . . . Name of Architect 4-.�!'!:�:;�K� . . . . . . ... . . . .Address No. Name of Contractor (-VIJ.�ff+MPIP.V'i !c.. .. . . . .. . .Address 3?!C2.�A S•tl:�:".�::. Phone No. 15.Y.s this .propert:y located within 300 heat of—a tidal wetland? *YES. . . .ti0. .• *Yf yes, Southold .Town Trustees Pcrtn.it' tnay 4'�a- required... - PLOT DIAG.'R1.Ll+i Locate clearly and distizictly. all bui.ldi.n�s;-whcther existing:or proposed; and.indicate all set-back dirne:.sions frog Property lints. Give strcat and block number or descrip.tion.accordin-, to deed, and show street names and indicate Nvhcth: interior or corner lot. • TATE O F N EW YO? K, 1 DU;STY OF . . . . .:?�. . . S.S 'J. �. - U� L� . ` . ... . .. . . . . •. . • . . . . AJ. • : . . :'. beiii `ddly sworn,-deposes and:says that he is the applicant r (Name of indi•:iducl si;ninn contract) :ove named. , ; C TV. . �l,?UOMT2 .c . �fti1 cr ff.t.f.U.i.vJ.E. .5 . . . ontractor,agent, eor:porate officer, etc.) said owner or owners. and is duly authorized to P.crform or have :perfarmed the said work and to make and file thi: �lication; that all statements contained in this application arc true to the best of his knowlcdbc and belief:and that thi •rl: will be perforrrtcd in the manner set forth in the application filud thcrt;with. o.m to before me this • .... . . . . . . . . . . . . . . , of. . . . . . . : : . • . . ., 19 q� dry Public. ::. . . County ROBERT 1.SCOTT. . . . . . . . . . . NOTARY PUBLIC,States N.V. (Signatur.- of applicant Nm QW88.SuNol1 C . Term Expires May.31. 19 TOTAL P.0? � r ! SUFFOLK CO. HEALTH DEPT. APPROVAL �• pet l ► E ' E%�ti - - I'- ; i I u'" 'v` L= G H: S. N O. SINGLE FAMILY DYtiELLNG ONLY OF APPROVAL EXPIRES THREE YEARS ®ATE s ' C e vI •!'� I I STATEMENT OF INTENT t t` Ln THE, WATER SUPPLY AND SEWAGE DISPOSAL i E•J`� (`! ' SYSTEMS FOR THIS RESIDENCE WILL ' CONFORM TO THE STANDARDS OF THE .. _r .:..., ..'..,._.____ SUFFOLK CO. .DEPT. OF HEALTH SERVICES. pr I :.CDGE OF BIACtcTCP ( I APPLICANT' E, SUFFOLK " COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL FOR 2ti F1°lf'Y I;t n> \ i G 1. CONSTRUCTION ONLY 4-. _� a .,• {�. - ? j \, DATE U FP_10t?WELL o i E ' is� ( ( H. S. R EF. NO.: I. - cJ-0Q.1 APPRO c A Ohio tit• (_` - � J :pEPTla SUFFOLK CO. TAX MAP DESIGNATION: ,1ir_- \` Q4• '; \ �� t. s�= , 5e. �oI r' I DIST. SECT. BLOCK PCL. OWNERS.ADDRESS: 7 - " v I'HE/1tiATER SUPPLY AND SEWAGE D¢SPOSAL , y h m ¢ _... SYSTEMS,FOR TH I S RES I DENCE W I LL CONFOPM �`" IQ / ( �.Pp2oP•SEPTI�% �C. cn U-1, *TNE STANDARDS OF THE STtI S RVICES E' < mo Atj T QF ItEAI. ���'� s p � - 5¢ 6,4�6- FOR VATU gam{_ / ^ DEED: L. P: .�` TEST. HOLE STAMP —• J%' .' 'Jt�i' 1 t t! l�ne anznre aheratlon•ora �� =- — �_--CS__ .___ _._ T H 3 t h ,this survey is a violation of 1 J .p"•. f [-f F1 LG li MAP ectidn 7208 of the New York Stet® �ducation Law. �t i:' '� `' opies of this survey map not bearing }IUt TORS01L he land surveyors inked seal or. ` C%• � �f(J ��'' �•• — I embossod soal shall not be considered be a vale —--- -- to din i COPY, — _ Guarantees indicated hereon shallrun \ / ' m -- .-�•••-_ ' f.E?As"rl �„ only to the person for whom the survey /� X =_, is Prepared.and on his behalf to the ��—' (:LAY title GomPar1v gevemmentai agency and \ t t s Gj lendng institution listed hereon and (ice ti G to the assignees of the lending instl- t(-j �` J tDl 9 O I J S` tution.Guarantees are not transferable quOt ��. �� L LYNCH HOMES INC. --- - - i r��I E s •- to additional instiluGoris or subse4uent i e Crs• owners. n I I COUNTY ROAD 39A !�.--I,, - SEAL SOUTHAMPTOK NY 1196 r :r r,',16) 233-0009 �� SAMP 4� pF �F�, r _ = r �PQ��\ GO�� :'NO T�:•= LCT 11C� r: i iC\'� itscy (�FQics1C R'4rl;+ _..r _� +".Pf11 - ° D, r , f RODEF ICK VAN TUYL. P.5. * 1 f Q LICENSED LAND SURVEYORS I�' Eo LA o5s _.� ��7 \' GREENPbRT NEW YORK TEL£DYN£POST N8I329 - , eat �-g�' +� FF �`� SUFFOLK CO. HEALTH DEPT. APPROVAL _ STATEMENT OF INTENT t �� ' I I THE WATER SUPPLY AND SEWAGE DISPOSAL, ` e I I �Si Ctx. bt=t i SYSTEMS FOR THIS RESIDENCE WILL' _ C , ��D — CONFORM TO THE STANDARDS OF THE ... t SUFFOLK CO. DEPT. OF. HEALTH SERVIC$S. I `? CDGEOP EAACK'f'QP APPLICANT TzE5F►2VE0 F4.I2 g ;N 4 '35 ' .:./ ' . 77-8 ,e —_ S'UFFOLK COUNTY DEPT. OF HE rVTUf2h `�� f/ �—f3 HEALTH �`" SERVICES — 'FOR APPROVAL FOR HsGRWAY DE-; [CA-V 'r,3 E SE,N7Etw'f f / c''FOat �. A CONSTRUCTION ONLY - — —— —_— — — — — 50 ^�Q�'?r,r `\ 51 ` / �,S �; DATE: — G � �� H. S. REF. NO_.: Q� APPROVED: SUFROLK CO:TAX MAP !" � � DESIGNATION:' e6rSECT. CK PCL'•DtST. Ss I000. ohs OWNE'RS ADDRESS: F�t L i \ f i t 11tX, 79 25 a�"5 ASSUD'►.ED�ELS4' I i P. •tl�tl !� SCAB 2 FOR t�ATJNt a -- ` DEED: L. P.. 41) ` TEST HOLE Odred a J Secio7,�t T# nOBofthe Nea wa Yno orkf' S' tat® Education Law. RIP� FILEV MAP- Copies of this survey map notbearfn © Me►and surveyors inked seal or g i hp? embossed seat shall not be considered O `v - I b validt be✓� ,J rue copy. Guarantees indicated hereon shall run\ ` only to the icafor h ` / k Person for whom the survey pPrepared.and on his behalf to the - 1 •. / �. m - AP-�'EC'�1G�•r✓ S`��'��. �.r1a i'—,?:�•0�1�. ��`�r�' . this an��t. tQAA I P Y govemm X /: __. _ C �_ lending institution listed harem ant? to the assignees of the on and and ✓ 1 �•1?� P� n tution.Guaramees are rwt to add,tionai insWLww a or transferable. ;@v OCT , SEAL l- t7 (✓ �tigq BLDG.DEPT. �, TOWN OF SOUTHOLD SAt�ID, e. dpF NF r NOTFI, CO LOT NO-5 C AR TO� OF'ou-so m \ VIEW 4' F'IL �I1 4ii{ti �Jr col RODERICK VAN TU L..P. e CLERIG'S'OFFt�Ir AS MAF o ' Q LICENSED LAND SURVEYORS . 14 SFo.�S256 �� SAND 9V t ♦ a��' GREENPORT NEW YORK (ELEM"le POST N01329 14 WULL SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. r'--10 9!5 0-77 T-11 AP 7_, �j A 4e t d) I - $ , * " , STATEMENT OF INTENT j tv, tit- WATER SUPPLY AND SEWAGE DISPOSAL AIT I SYSTEMS FOR THIS RESIDENCE WILL 0 - CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. I APPLICANT fi 1A EDGE OF 5LACVTOP 35 E SUFFOLK COUNTY DEPT. Or HEALTH �159 42 SERVICES — FOR APPROVAL FOR e., Poo i CONSTRUCTION ONLY ss, Y too'- i I ev DATE: Uj ? ZZ10 07f H. S. REF. NO.. 7i t C) w APPROVED: 0 SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. 1000 095 4 !alto os- 7- 1 �Ir- I - OWNERS ADDRESS: > ,A -rcHoGue N Y 11935 < 'y G0.0 k -UMEID'Et P-KAJAII FOROAPJM 4367 DEED: L. P. S.F TEST HOLE STAMP MONU M E t-AT, Unsuthorh*d afterallon or addlIfor to this survey Is a violation of FILE0 MAP section 7208 of the Now York State T.H"t 06,,x Education Law. HUB TOP501L Cop!es of this survey --.rng the land surveyors in:x embossed soal shall nct L). .—rod to be a valid true copy. OLL'161WAG MAP Guarantees indicalcd hzrz— CT ,7) LOAM emyto the person for roy b prepared.and onh!3�-:"":;Ci'lo Nov. 17, 1 995 FEB 2311 CLOky talc company, n!1-agcicy and lending ins*Lut;.;i I.,,Izd h.-reori znd to the Eissignees of the lending insti- tution.Guaran'xcs are not transferable to additional insttutions or subsequent cvnar& E KIC L) .' _jff 0 ON GUAQANrC-ED TO THC11"INS VOWIiA HENNfSSEY SEAL 6OFFOLL C OU WTY WA'rIONAL VANK SAND i OF - Alijo Awl SA �I CAN -rtTL)g k4,50CAMCZ -t:Q, GRAVEL N J- NOTE' -7co �:p C, LOT N05JZEFVZ10 MAP OFOQZ-GQI�� RODER ICK VAN��L. P. VIEV415'��T'5. F -01INATHESUPPIC0. 0 CLEQW5 OFFIC-E ,#6 10 -MAP " ,6 A.I. 2 - 14' sb'� A: LICENSED LAND SURVEYORS 4AN 5 GREENPORT NEW YORK TELEDYNE POST N81329 WELL �} �— SUFFOLK CO. HEALTH DEPT. APPROVAL h^ -o ►' IA 01' MOP ERTY H. S. NO. 2I4 <jS 077 sufzvEYED Pori 6 1 011 DOM THOMAc- 0 4. qE' NNE)SEY T r i STATEMENT OF INTENT IA t AT i THE WATER SUPPLY AND SEWAGE DISPOSAL rt)TCHaGOE ' SYSTEMS FOR THIS RESIDENCE WILL __._ _.�, ..L, �... .------- =;--- — - ~.— "' _ _ _ CONFORM TO THE STANDARDS OF THE Or SWTHOLD NY ' P ��,,,,,_.__,� ,..<..,�...,,...,.........r.�. .. .. '-._._-__ i SUFFOLK CO DEPT. OF HEALTH SERVICES. t GOLO U(Z `� 12EET q,=N 5� APPLICANT I EDGE OF BU1CiC1,1 SUFFOLK COUNTY DEPT. OF HEALTH N1 tx uv o Foe yet 59 42 35*E• ��- ;77.83 , i�55i 13 .E ���•+��� ._ EA5>=MEt�rt � GP�gI. I ( SERVICES — FOR APPROVAL FOR WAtY 1G+iCIR+07.1 0 �- VtC CONSTRUCTION ONLY HIGK �;,_..25 " too' �-�'"'._. ._ � .�, � � DATE � P — — — _ 5�. t SUtF4s� FAit Ma WA LY j H. S. REF. NO. tZt4 �iS t,�77 Ws" tn� 'tat d cV �of i -6f`+jL�c7 APPROVED N.S.R�• I guvSy►� ! SUFFOLK CO. TAX MAP DESIGNATION: DIST SECT. BLOCK PCL. .. in O,. t MGM 1 Oster�Y Dogl�,ctoly. 1000 095 Q ?,(;I op. e .{ Qi1d10tlAd OWNERS ADDRESS. PO 6OX 4S O Cosm,. at wilsteMteder ` N AS.UMEO ELfiti' t PKaJAiL SCAILE I' FRDARUM DEED: L. P O ��,.-.��r � W� .'_.,,5.'t'+A+�t�• // �y W*NU M TEST HOLE STAMP 0, NV M ENT T.H,* 3 Uneuthortzed eNeraflon or eddM,x` / < ���` FI LED MAP to this Survey Is a vol of Section 7208 of the New York State , U 4 ✓ Education Law. ^V N _. �� TOPSOIL Q U t' �tLp`�x, P .t r HU -�---- t t the land su l ry eyors Inn ' r 0 �� ti, o . embossed seal shall nct L �4. � Q•l� / � (?"� b. (�l r?�.I i i E��.. i�'1 t�� !"'��Y 1���,� ,�.,�.� to be a valid true copy. p Guarantees indica'ed he A�►t1E� �[ � jEPT G-,_lA� QCT.. 5. LOAM 4 only to the person fore: y l ` P„ Ji CLAY is prepared,and on h -.o x 1 NOV. 17•.t 9 3 •[7 ( title company,r yen r.:r a _.cy and — a lending instiiut-,1 P �d hereon and �.0 to the sssigriccs of the lending insti- , t;on-Guarantees are not 1\\r feratiG S, to additional institutions or subsequ" ovenem CUSQDENCE) ,,.� Qfd j �rr�Ar v? `j ,t '�°' ° ��L GUARANTEED 70 1),10MM 4_ PO►JNA HEI.INESSEY SEAL �,• SUFFOLiL dOUNTY WATIONAL Tdl'1N4 SAND t AN!19 •~ N T tN s�iil �Ri�tCB .Q• Q�tiPCKVq , fit..�►_ .���_._.............__w_.�..,...___..__ Gstrv�L. NOTE Prco 1 7 14 LOT t4O 5,R.EFE l2 TO MAP OF Oi2FG0+.1 k W EST'S,,FILEP IWTtsE 5UFF CO. RODE�iCK VAN Tt L. P. -_— _ ._.. 1. Y "1► e CLERIC'S OFFICE AS M&P t 4,62A I- 25co 0 �. LICENSED LAND SURVEYORS t, ��CAND 5vP, GREENPORT NEW YORK TEUDYNE POST N41329 a I B95 2 ai, PLUMBING ( r PLUMBER CERTIFICATION A -PLUMBING V!lASTE : &WATER ONES NEED ON LEA® CONTENT BEFORE TESTING BEF'Q E COVERING CERTIFICATE OF OCCUPANCY la < N SOLDER USED IN WATER ;e "G " SUPPLY STEM CANNOT ,,`` D ® �f1% LEAD EXCEE 2/1 1 if copper tubing is for water dls ' system;pip' oftypi �M r.= 1 F�F U QAT QN TIO)V} j 1 I I 1 [ }} CRt KE'T jf Ll { ! I 1 1i i j . � I i { 1 ' i ! � f l i a i l `• � I � E i � � i ' I ' " � � ' - 1 ` PROVIDE '/ HR. FIRE AP ROVED AS NOTED C PART. 717.3 (f) (1) OF. � ® r DATE: B.P.# `� c la E e� FEE: 9 4 .� BY- ,; 11 LDING CODE wp IIS �� NOTIFY BUILDING DEPARTMENT AT OCCUPANCY OR sc L� - �a ! 765-1802 J AM TO 4 PM FOR THE d USE IS UNLAUVFUL -11� r FOLLOWING INSPECTIONS: PROVIDE OPENINGS FOR 1. FOUNDATION - TWO FOR POURED CON RETEREQUIRED WITHOUT CERTIFICATE, EMERGENCY ESCAPE A 2. ROUGH - FRAMING & PLUMBING REQUIRED BY PART. 714 OF ���• ' 3. INSULATION ®F OCCUPANCY OCopyright 1990 f- N C.N f}O�s /NC-. 4. FINAL - CONSTRUCTION MUST .-- N.Y. STATE BUILDING CODE. AND Rights Reserved BE CO!"ARLETE FOR C-0. Lynch Homes,.Inc_ 1 GDv NTR Ll Y 1 ALL: CONSTRUCTION SHALL MEET UNDERWRITERS CERTIFICATE �• ��, PA.6 F- � 01' to -THE cEE0..1;REMENTS OF THE N.Y. REQUIRED �/ ,, Fv ST':,T CONSTRFICTION & ENERGY CAGE , /a H cSSE f s. ITT ESI=GNsSLE' .FOR E,�LhI Ct: t� �. _. i UDESIGN �OR %CONSTRUCTION ERRORS r�. _. — ---..._.._ - - .. .. � I,r...,, ".:;`.w�+.� *��..y�y"•"I�„ �l�i 'S'�2'ry��.����•" J-s• .�?-1� ! L .. .. � �,yF Sr�i rF)"a3 YS�*� L4�5?:ty1 .�✓� $-' �i / � . I I In t gQ Pss 5�►►N d%Les C1�IP�IMG I � 1 ! E tt i I 11 I i i � f I j l � �' a-? ii�•ri,�g �^�t c,,�fixs��+�'Rr•�.., � I I I { I ( �' f :K�r ..- y'r"•S•+7s, z`, - e�xv r y Lz 71 i E gov& 3A ceNor' Ffit i 1 I .:�. Y�1.� j V Y't r - 7 w.Z {- .. S��iv Ti• .-�f pJ`^ /VE ' r 4 .. 11 �, GI F— OCopyright 1990 All Rights Reserved Ltench Homes, Inc_ 2 ar j - 1 F es; r rc R HC s r ` I .S iKo WAIX S9 Jh, 3�S° ACORN SAR 310 Aco RN.SX (lox 6 4+ RN S4 - \ v PAN-req l : t j o $EDRoON� !_1N6N K1TC#EN 1 D/V�' CL EcT fti CAL _ nlbbx Fop_ - ' FuTuaE J FAN - TO6 fs"DE i v t-,���x lz w��/� � � Z — -- ow i^ode1 i 3/ s3vso Ic L IV I Pb� RovM �J 1 ELECTRIC*La Tao c L v b o — F°iL Fonp Re PA Mrs _ a : o L w �1 d ; 10 0 NoTE•' ALc ELt=CT.�/L ,+S P�QCoDE i 3 TorRc HtJr,mr oF�s,ejc� z�a ©COP yright 1 990 All Ri h r ` �Naw v /&I HO US6 To /3E �,r 9 is Reserved S /f cwAt.l_ Lgnch Ho lnc ' �JZ Ij;;7'94 cIr.F/QEP�J��t1P mess _•;a- �BSo 14co2�uS� 38So AC-0 P1Sff ; .. Ro -YyYyysny =f 3•d.� 5,9., '�f`d° s.. , ��_�i� 1 it 7 O S oof —� coo N _IV1 N(:J r . y 31 To Rots/%yxSf/y Rv y-,/%Yx_rS%y VAyr. rs %y 3850 A-c_ueN sN 38So jrc.aiz N 5& 38 r6 ftcoRMSN tj f + v� iID i J.= � `�! U 8 0o ---- ---..f __—�— ----11--�--- - i f-A i r Y OHS S�d�, i \ti 1 3 ; �mx 3� F}cD12r.D.S/f ©Copyright 1990 All Rights Reserved i Lynch Homes, Inc_ y poTE: 4 LL CLEcrRic A S PEP-cv tic; LyNCN N b MCs ► NC. - ovN'TRq LIVff� S E C 0N .r= 1--Q O.R. . r • Zx►0 �:�b:aC . I- 18z R IC GD X 6NL1=i."r4 1 rJv, I g��coNy 34-" H 167 H 2x lb 1(r" oG - - i -- Z Lo ( z- zx to era"o. - 112-"-PL V aa0o0 TvvE� --- - - - 1-' I-OAK aVcrLIF � I � P C. �-ovNbft � ►CN srl-� 5c- tt�- 5'p,, �E-- A" CSG D -Q f}D VS C-zYtf%? GA M44 COL-PA 011, H16,/! l�E�-�C� To j � . � ZxZ` kl' FC FT(, �"XIEi' 1�•C• rpC7 /A56� s-�iJ h' tZ T,e[ c;�; 61 . _..- Copyright 1990 - N A11 Rights Reserved Lynch Homes, Inc- 3 -P C �LM-K .�N e-,q C1 • Mi= '. �N�. to • 37-61z, HCNN��S��/ ::- L I } co 8 k " P.C. T-01�NDR,T1oiV 71 }HSff G� o • A Y m - � J � - 3 t s - h f CDZ \ A � V 61L a i i `_. y- p ku2 �_ 3-2Xfo IV 1 1-4 L_ ..� aQ _..1 Lam_ vO v $tZ\ToGiIN 16k I i - • i -If.IZTtNG, C Copyright 1990 - UN� All Rights Reserved Lynch Homes, Inc_ - • I - i (0 , - Cc O-NTR y Q VI N;-- - Q �,a►acc 'o . 0 V N A-T l O N on E�7+��� SCALE '�- idol1 �-O.R - E+�1lNG S.$ E �- y i it Building Design by Acceptable Practice Part 6 New York State Energy Conservation Construction Code as amended , effective 3/1/91 Suffolk County 6000 Degree Days Hinimum Thermal Performance Values For Non Electrical Heating Roof/Ceiling . 05U R19 Floor . 05U R19 Exterior Walls 05U R19 Glazing .58U 4 not to exceed 23% of gross wall) Entrance Door . 40U All construction to comply with Pdey York State Conservation Code 3/1/91 .