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HomeMy WebLinkAbout28047-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29374 Date: 04/22/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1610 THE STRAND EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 30 Block 2 Lot 64 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28, 2002 pursuant to which Building Permit No. 28047-Z dated JANUARY 28, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED FRONT STOOP, SECOND FLOOR DECK AND ONE CAR GARAGE UNDER AS APPLIED FOR. NEW YORK STATE VARIANCE PETITION NUMBER 2001-0276. The certificate is issued to 1610 THE STRAND CORP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0034 04/08/03 ELECTRICAL CERTIFICATE NO. N 524391 05/16/00 PLUMBERS CERTIFICATION DATED 11/22/02 H2M LABS INC Authorize Signature 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) PERMIT NO. 28047 Z Date JANUARY 28 , 2002 Permission is hereby granted to : BUILDING CORP KOSTAS 38-70 DOUGLASTON PKWY DOUGLASTON,NY 11363 for REPLACE EXPIRED BP# 25657Z FOR CONSTRUCTION OF A FOUR BED. SINGLE FAMILY DWELLING WITH ONE CAR GAR. AS APPLIED FOR W/ TOWN TRUSTEE ' S AND DEC APP. at premises located at 1610 THE STRAND EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 064 pursuant to application dated JANUARY 28 , 2002 and approved by the Building Inspector. Fee $ 1, 550 . 10 Signature ORIGINAL Rev. 2/19/98 THE NEW YORK BOARD OF FIRE ' UNDERWRITERS 3 PAGE 1 1195099 OUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK,NY 10038 Date MAY 16,2000 Application No. on file 1564129.9/99 N 524391 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 ALEX KOUTSOUSIS, 1610 THE STRAND, E. MARION, NY in the following location; ® Basement ® Ist FL ® 2nd FL MR/AMC/OUT Section Block Lot was examined on MAY 11,2000 and found to be in compliance with the National Electrical Code.- FIXTURERECEPTACIFS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FAME OUTLETS FWORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.►. 54 45 59 54 1 1.2 5 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKSSELL UNIT HEATERS MUSK-TODUTSLET DIMMERS AMT. K W. OIL M.P. GAS H. AMT. NO. A.W.G. AMT. AMP. AMT. AM►$. TRANS. AMT. M.P. NO.OF FEET • WATri 3 F 2 - 1 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC CON . A.W..O. A. A.W.O. AMR. AMP. TM EQUIP. 1 1 1VF 1 3W �W 1 4W PER a OF CC.COND. NO.OF MAIG OF NI-LEO NO.Of NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 4/0 1 4/0 OTHER APPARATUS: WHIRLPOOL BATH-1 5 TON A/C-1 MOTO RSLI-5 H.P. ,14 H.F. PANELBOARDSTI-1 CTR. 60 G.F.C.IL-10 SMOKE DETECTORr-7 TRACK LIGHTTNGT-4 "-- L <<< Continued on Page 2 >>> GENERAL MANAGER Per This curMHcate must not be altered In any manner;return to the office of the Board if Incorrect.Infpectors.'May be identified by their credentials. eOfY FOR BUILDING DEPARTMENT.-THIS OF- CERTIFICATE MUST NOT BE, ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195099 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10080 Date MAY 16,2000 Application No. on flit 18641299/99 N 524391 THIS CERTIFIES THAT only the ekc&kal equipment as described below and introduced by the applicant named an the above application number k in#W premises of ALEX KOUTSMIS, 1610 THE STRAND, E. MARION, NY in the following location; ® Basement ® lst FL ® 2nd FL GAR/ATTIC/OUT Section Block Lot was examined on MAY 11 F 2000 and found to be in compliance with the National Electrical Code. FIXTURE 110EPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FWOSEMCINT I OTHER AMT. I K.W. I AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.F. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.F. OAS N.F. AMT. NO. A.W.O. AMT. AMR 'AMT. AMFE: TRANS. AMT. H.P. NO.OF FEET AMT. WAVE SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W. A.W.O. A.w.a. AMT• AMP. TMM EQUIP. 1 e 4YF 1 e SW 3•JW S•1W PER a OF CC.CO D: NO. HI-LEG OF NI•LEO NO. NEUTRALS OF NEUTRAL OTHER APPARATUS: JIM SAGE ELEC. INC. LIC.#3638— L PO am 38 MUZWORT, NY, 11944-0036 GENERAL,MANAGER 11 per— This certMcate must not be altered In any manner;return to the office of the Board If Incorrect.'InS "tots may be IdenMMed by MTelt cmdenMals. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU T NO'S'SE AtTERED IN ANY MANNER. Form No.6 R FS �r TOWN OF SOUTHOLD - R n i BUILDING DEPARTMENT _ TOWN HALL n 4 765-1802 J APPLICATION FOR CERTIFICATE OF OCCUPANCY - n This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial $15.00 Date. New Construction: Old or Preexisting Building: o�4Q _(check one) Location of Property: 7f/E S Ak X'-V P, ew 5 'r vwl4p--(O,V- House No. Street Hamlet Owner or Owners of Property: - Suffolk County Tax Map No 1000, Section p 3 6 Block C, cA o 2 _ Lot - f Subdivision Filed Map. Lot: Permit No. �2 2Y0 _ Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature U2M l_ U!S3 INC. 575Bro3d Hollow Road,Mek&NY 11747 (631)6943040.FAX(631)4208436 NYSDDH ID#10478 LABORATORY RESULTS HARRY GOLDMAN WATER TESTING Sample Information... MAIN ROAD Lab No. : 0211259-001A Type : Solder MATTITUCK,NY 11952 Origin: Dist. Attn To 631-298-4640 Routine Federal ID Client ID.: ALEX KOUTSOUBIS Collected : 11/8/02 9:05:00 AM Point No, 1610 THE STROND,EAST MARION Received : 11/8/02 3:18:00 PM Location: SOURCE(CWL-MAIN)(1000-30-2-64) Collected By :JD99 Copies To :Client Parameters) Results Units Limit Method Number Analyzed Lead <0.01 % 0.2 SW6010A 11/22/0212:32:00 PM 8 Result(s)reported meetls)Regulatory Limit(s). ^ Result(s)Bagged with * Exceed Regulatory Limit(s). Limit noted. (bK % Date Reported: 11/22/02 U//T Page 1 of 1 Laboratory Manager FJix 'STATE OF NEW YORK ]DEPARTMENT OF STATE ` 41 STATE STREET TP "i' ALBANY, NY 1 223 1 -OOC I ` RANDY A. DANIELS SECRETARY OF STATE In the Matter of the Petition of: DECISION Alex Koutsoubis For a Variance to the New York State PETITION NO.2001-0276 Uniform Fire Prevention & Building Code ------------------------------------------------------ Upon the application of Alex Koutsoubis, filed pursuant to 19 NYCRR 450 on March 2, 2000, and upon all other papers in this matter, the Department makes the following determination: NATURE OF GRIEVANCE AND RELIEF SOUGHT The petition pertains to additions and alterations to a existing building of Al (single family) occupancy, two stories in height, of type 5 (wood frame)construction, approximately 2310 square feet in area, located at 1610 The Strand, East Marion, Town of Southold. County of Suffolk, State of New York. The petitioner is seeking relief from: 9 NYCRR 711.2(b), which requires that bathrooms, toilet rooms, kitchenettes, corridors and recreation rooms shall have a minimum height of seven feet.[The petitioner requests relief to allow a bathroom built into the roof area of the second story with a ceiling height of approximately 7 feet 8 inches at the flat portion of the ceiling and 6 feet 0 inches at the outside wall.] ® FINDINGS OF FACT 1. As part of proposed alterations, a bathroom is to be constructed into the roof area of the second floor of the building that is the subject of this petition. 2. The ceiling height in the bathroom is approximately 7 feet 8 inches at the flat portion of the ceiling and 6 feet 0 inches at the outside wall. 3. With the placement of the fixtures, the ceiling height is adequate for normal usage. 4. The petitioner has proposed to install a fire and smoke detecting device in the second floor as required by the Uniform Code. 5. The local Code enforcement official has been consulted in this matter and does not object to the granting of a routine variance under the provisions of 19 NYCRR 450.6. RNW DOS.STATE NY US E-MAL INFOg''COS STATE NY.US. ti- /ition No.2001-0276 Page 2 CONCLUSIONS OF LAW Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce a negligible additional health, safety and security benefit to the occupants of the building. DETERMINATION WHEREFORE IT IS DETERMINED that the application for a variance from 9 NYCRR 711.2(b), to allow a bathroom built into the roof area of the second story with a ceiling height of approximately 7 feet 8 inches at the flat portion of the ceiling and 6 feet 0 inches at the outside wall; be and is hereby PROPOSED TO BE GRANTED with the following conditions: 1. That the petitioner installs a fire and smoke detecting devices in the second story in conformance with the Uniform Code. This DECISION is issued under 19 NYCRR 450.6. Unless objected to by the petitioner in a writing received by the Department, the decision shall become FINAL after fifteen days of receipt of the decision by the parties. This decision is limited to the specific building and application before it, as contained within the petition, and should not be interpreted to give implied approval of any general plans or specifications presented in support of this application. Georg,ek. Clark, Jr. Director, Codes Division DATE: RAS:sg ENERGY COLIC CALCULATIONS (For Non-Electric heat) Design Criteria G, 000 Uegree'.Days JJ O.A. 1U"F I .A. 7U'P FOR: Koy 1 ,50 L) D%S PER: PahhK ��rnb�• � / 7/ QSI Qr!ci DATED: I?e✓ SUBSYSTEMDESIGN THERMEL ARIA °U° RATING REMARKS Exterior Walls (0paque) 7i b ' 03, Glazing 5 9rS¢h - chZZ .3 32 — 7c a/ Doors q / 2U 7V Ceil.iuy/Roof (Opaque) 1-714 / Skyliyhts g gz Floor "7/d v i L:. Foundation Walls h Slab Insulation TOTAL Votes : Building Envelope Systems to meet-• requirements of 7015. 2 11VAC Equipement to meet requirements of 7015. 11 11VAC Systems to meet requirements of 7015 . 12 Duct Systems to meet requirements of 7015. 13 VenLilations Systems to meet- requirements of 7015. 14 Insu.latiou of Piping Systems to meet requireulenLs of 7015. 15 Service Water Heating Systems & Equipment to meet requirements of 7015 . 21 Electrical & Lighting Systems & Equipment to meet- requirements of 7015. 31 To the best of my knowledge, ( Fa1 r;p belief, & ,professiional judyement-, these plans are in r compliance wlth the code. - _5 / E`er 03Y254-1 p9�fFSS10NP ENERGY CODE CALCULATIONS (For Non-ElecL•ric Ileac) Design Criteria 6, 000 Degree'.Days FOIL: K0TSovbi� Yr•,R: �45 /7eriOh DATED: 1?ry DESIGN 'lIIERMEL REMARKS SUUSYSTEM AREA "U., RATING Exterior Walls (Opaque) / 7 D 0� 7/ ✓,p/ Glazing -3Z 8(' •' vs/ Doors 2 o t1 p B Ceil.iny/Hoof (Opaque) SkyliyhLs % Floor Foundation Walls Slab Insulation TOTAL 'r No Les: Building Envelope Systems to meet- requirements of 7015. 2 IIVAC Equipement to meet requirements or 7U15 . 11 IIVAC SysLems to meet requirements or 7015. x2 DucL SysLems to meet requirements of 7015. 13 VenLilal-ions SysLems to meet- requiremenLs of 7015 . 14 Insula Lion of piping SysLems to meet- requiremenLs of 7015 . 15 Service Water Heating Systems & Equipment to meet- requiremeuL-s of 7815 . 21 Electrical & Lighting SysLems & Equipment to meet- requirements of 7015. 31 To the best of my knowledge, - belief, & professional bF NE►yyO judyemenL-, these plans are in a`� Q;�E *GJ 4P compliance wil-li the code. dF 032254-1 ACS �A#OFESSIO��'�e• - - - - _ /-D S' - M-1802 BUILDING DEPT. I SPECTION [ ] FO NDATION IST [ ] ROUGH PLBG. [ OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: 6A� r DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( kl-FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: - L� DATE 1 INS CTOR ` 768-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Xwy, zi -07 DATE INSPECTO 1 t� I/Vo BUILDING DEPT. INSPECTION [ ] FOUND N iST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL FIREPLACE A CHIMNEY/ REMARKS: Zl�e2. GG� -- �' DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] no PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP C & CHIMNEY REMARKS _ c:/� _ z� DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] F jAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ INAL [ ] FIR EPL CE & CHIMNEY REMAR DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�INA—ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS/: ZA 7 1 4� ellf � DATE / INSPECTOR 61 p a � 0 -7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION •• [ ] FRAMING [ ] FIREPLACE A CHIMNEY REMARKS: NA� 6-tl� DATE INSPECTOR t_ i • n • 11 u1i 8 19% BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . BLDG.DEPT. TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . TOWN OFSOUTFO=n BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 [ NOTIFY: I'�A/`r � �/i_ � azALL . . 0014 �� 9q. �-&�s" 7 Ermined.................. 19.... 246 MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved— ....., 19.7...9 Permit No.-, ................................... Disapprovedarc .............................. ................................... .... . ... . ..... ........... (Building Inspector) LICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property most be dram on the diagram which is part of this application. c. The work covered by this application may not be conmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whale or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS }ERM MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Tone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..................................................... (Signature of applicant, or name, if a corporation) ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ........................................................................................................................ Name of carer of premises ....... S T-A S 73 V l t- n i !✓G �' o R P. .................................................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. /}LLX KOUrsU oP> s IS , PR.CrDtnli ...............0 7-S .................................... (Nave and title of corporate officer) Builders License No. ......................... PlumbersLicense No. ......................... ElectriciansLicense No. ..................... Other Trade's License No. .................... 1. Location of lard on which proposed work will be done.............................................................. ................................�....rRfF,nIQ........................EAST MRKi;o� .............. . ..................... House Neer Street Hamlle6et County Tax Map No. 1000 Section ..... J.O.... Block ....O??r........ Lot ....�A -f....... Subdivision ..el {316 {E,_ GH C1 .6192A 1n5... Filed Map No. ..G d sa b...... lot ..../1 if ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. listing use and occupancy ........VA-KA NX .. ............................................... b. Intended use and occupancy ....Q.NL...F In.I.t: .......................... 1 .......... J. manure of work lcheck whom appiicable): New Building ...Y�.... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost /A Q............. fee .............................................. (to be paid on filing this application) 5. If duelling, number of dwelling units ©/ll C.... timber of duelling units on each floor ... If garage, number of cars ......T�?........................... 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use....... ............. 7. Dimensions of existing structures, if any: Front..../14....... Rear ............... Depth ................. Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... amber of Stories ............... / 8. Dimensions of entire new construction: Front ...:�-........ Rear ..9:5......... Depth Q......... 3 1 Height ....a.............yy......... amber of Stories ....�.......... ... d/ , 9. Size of lot: Front ..l. 0j `Rear .....7 '.00 ..... Depth Z t..... ... 10. hate of Flrcthase ..... aal 9/..... Name of Former Owner . S,T"jZfPr Tl0 5 Z:!.A.. 11. Tore or use district in which premises are situated ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...../V�................ tD 13. Will lot be regraded ...Nq............. Will excess fill be removed from premises: YES AS7an1 K0577)5 I�UiLt ,A/G Co(LP 3. DO . ......,..... . No.�71,04dT-b63,2 14. Names of Owner of premises ........................... Address ... �.... .Y,+.. Name of Architect9-u/2C"n/CC- Ru T c/-/1.c L... Address ... Phone No. ............. ' av /Qs fa? Nae ...... of Contractors 13UYt�Er4S ... Address 7'�..:74.f�.o��asfy� � � /?/,'hone No,�9/6� a8-G63a 15. Is this property within 300 feet of a tidal wetland? * YFS .......... N9 .......... *IF YES, SNnUD IM MISTIE.S FMIFT MAY HE I7EWTM- PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block ember or description according to deed, and show street names and indicate whether interior or corner lot. SI'KIE OF NW YORK, RS WMIY OF ..QL/2 2KS ....... ,/ 5...................being duly sworn, deposes and says that be is the applicant (Name of individual. signing contract) above named, Ile is lime ...�R.rr9.14:!L ..Q.6-L.Ci�...U.f.. !yo:S,T9S .0...L.D.. /./J6- Cer J/QP. ......................... (contractor, agent, corporate officer, etc.) of said Omer or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perfonred in the manner set forth in the application filed therewith. Sworn to before me this y� �jp ..........�1✓......day !::� i.L�v....1 ...!.... Notary Public . .................................. GERALDINE HOLCROFT Signature of A;plia t) Notary Public,State of New York No.41-4732673 Qualified in Queens CouMY Commission Expires Nov.30, °� BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date &T,4 Owners Name: 5 L 0,w 2f Reviewed: ZS ' 4 / Architect/ Date ;�,r Engineer: Submitted: /K3 PL*,5 I SCTM #: District: 1,M Section: —30 Block: 2— Lot: Project )(0/0 / /� Subdivis' Location: �l ID IL &Px�ftf) Name: MW5 bnoc Single&separate Requi911-C 1 PL4� : VfeA0V,9I— Req- ion: (Yes/ o J�� Req. Zoning District: [Lot size: Actual: • J [Lot coverage Proposed:__ Req. Req. 7 r i Req. [Front Yard C,- Proposed:_� [Side Yard +'7' �1+J Proposed: 1 [Rear Yard cJ Proposed: ] Project Description: 1 U aw au e IIAJS AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YS Nugmber Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: Mi4i NT&I W c IST BAGS-- 10C) FRO IOPOEb EE 14f DF,c, - lS I N Cl.U ZJ 6I-,> SFLW, 1237 qtJ TITLE NO. SURVEY NO. 1 AV -SEG'TwN Dia ,D[OCl< 02 I-or G¢ ogp MR A 140 oz- N ,00 _. 17 � � • APA Af V'Y.A J v.l ♦!�i J�6. 1 ILA 07A.71 R ` V AGE t td ,N AJC 4 ASs�oidd �� ZZ581 8 �Jff b'19� N• I� �,ff / PO`g�Y44 Loi A66 foyod�G e � (p f IJ Itol ell / :olO 111 v �� ' t �l1• Y of�° �� CIRGA�f �XG.�VP.�s "`� INK Ei iSDI �i�D O .x boa v e N N o At NIX \a jr o /'\ .01 pl vcw-av area. °OR i MAP OF PROPERTY ROBERT A. HAYNES OrrUATE AT PROFESSIONAL LAND&CITY SURVEYOR 741B WEST TURNPIKE 4CASTWAR/ON HUNTMOTON, N.Y. 11749 TOWN Cw SOUTAI/OC D 219 SYOSSET-WOODBURY ROAD su,rxge-.r— c00N7y, Al- Y- SYOSSET, N.Y. 11791 UNAUTHORIZED ALTERATION OR ADDITION TO THIS OIS THE NEW YORK STATE SURVEYED P�CoP&e)j6i &&5 716-691-7595 516-496-4590 EDUCATION LAW. iygg�N S /99d • - COPIES OF THIS SURVEY MAF NOT BEARING "eAl-06fCQ /g, / xQy�J }° � 5 OF WALTER i.BROWNE b GUSTAVE A.ROULLIER THE LAND SURVEYOR'S INKED SEAL OR UTC�4K vq w 5 " EMBOSSED SEAL SHALL NOT BE CONSIDERED �CtYif fe°t€i' TO BE A VALID TRUE COPY. GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COM►A}IY GOVERNMENTAL AGENCY'AND LENDINf� PEaQ�E BE./GR/Fq INSTITUTION LISTED HEREON,AND TO THE LOT NUMBERS R Ef6.� r0 NhP of n CUSARAN EOF ES T CEM NDi 21"d S ARE NOT rfGED oN w.vE //, 157S As moo N•• 6r6c - TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. /D•ti-/ �y//9llxasro/a ,C/•a(CT1�►fSrlN�'/irf!" CT.ND.T DO(NN V:TA WC N12no21 TITLE NO. SURVEY NO. 7176Z SECT/ON 030 6ZOCk 02 I-OT a¢ C L Q • OND �., + f���� 10 1999 D S 4' B L 1. cPT. OZ-":40 Ll 01 ITHOLD 151-1.00 ,o AP�AS W BP Lal 6N•A66�•ft /� .Q AQE� 3g=5j 46 �� �•? �iW � aP o�e`er• ij o E fog go � � •N �•� QE,4Q�ea � �• �•� 51�av1 / w � l tOA5-�s/L •moi- -7� R=S3l ��' N p s y s � ST �.� fl- /� AI/moi �o�N�FI"�IOty L�r�A�ftc�1.1 Di�.� Olt i "(� f Cr,►>wk HAS L:NAx�f�Gti� fLt),kl At4�hl0�"IL.NC EZ(,flJl�; MAP OF PROPERTY ROBERT A. HAYNES SITUATE AT PROFESSIONAL LAND&CITY SURVEYOR LWSr MAR/ 741 B NTINGT N, N.Y TURNPIKE HUNTINGTON, N.Y. 11743 row/t/ OF sou;r/✓OG 0 219 SYOSSET-WOODBURY ROAD SC/FFOG.K c-ouNTy, SYOSSET, N.Y. 11791 UNAUTHORIZED ALTERATIONOR ADDITION S A VIOLATION SECTION OF THE NEW YORK STATE SURVEYED RAOReZ rY G/�/ESTAKES 718-631"7595 516-496-4530 EDUCATION LAW. MgArCN S, 1.998 , _ CO/IES OF THIS SURVEY MAI NOT BEARING AMEA./.0d.P f"EB. /O, RECORDS OF WALTER I.BROWNE& THE LAND SURVEYOR'S INKED SEAL OR /999 P`�N EMBOSSED SEAL SHALL NOT BE CONSIDERS fOvwO.OT/ON STAtiES:AP�ti�S, /999 - O TO BE A VALID TRUE COPY. FOuv47471411A( 40 Locq�-,o.V sdev�r MArP, 1999. ^� `�Q GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON k FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY GOVERNMENTAL AGENCY'AND LENDING /lQ INSTITUTION LISTED HEREON,AND TO THE LOT NUMBERS RE`EQ+ TO .vIAP o.F 'PEeQLE BEgCoS/ 4 /�O GASSIONEES OF UARANTEES THE CERTIFICATIONS DARE NOT P-1'4_-.0 ON r/[/.VE //� /,975 As MAP Ne. 6t 6c - 9 TRANSFERABLE TO ADDITIONAL INSTITUTIONS �' 4290 P, OR SUBSEQUENT OWNERS. ���' -sfTreu�c(GdFj'er/a�GSc�N��6YJ»nvjie-i9�7, SFp LAND 5J io•r�-i 6 •x�ssu,Fv�'R,�' STANPAT PRODUCTS INC. N120921 TITLE NO. SURVEY NO. 7178'_ THE OFFSETS OR DIMENSIONS SOWN HEREON. FROM THE PROPERTY LINES TO THE STRUCTURES. ARE FOR A SPECIFIC PURPOSE AND USE. THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION Of FENCES. ADDITIONAL STRUCTURES 5pJ \ OR ANY OTHER IMPROVEMENT. .II n 40 E / DISTRICT 1Q'a0 - SEC T/00 30- T-AX e)LOCK 2 qGe /SEA _ Appa xA5pgA W IAApP' W N i 6�j0p LI�e x,10 I r` R�a ^I D Sg P�Es�° �e✓JjG� $ �� `SJR W .�p.'✓• /�.I DPD�Ij6& � 1 A V iEVry " fes:G� LOT W�r♦Mp � A'et o 1 AA _vq0 P fL�LSE �R�TL .�D O SEtf' ZH 5� 0 X01 � S / e 1.4111^. N " 0 1 nA'a 9'� ui R. u'dUSE w 'MARAM�,le. 4 c ti O 3iWe a• I � C S No Y R T / ✓� eouRg .^� Mo�� Nar<:-aJ�co�✓c 4-isE7S pkp 10. MEASo.PEMfd�1D fOUdOA7/O.0I R• LU- A DQiYEWAY .14L :1� LUsbV r E 09E d.✓ 4✓O SEPTIC e•E 6.(0 610 np SYS fEM OiHES.O./S iN d�PE4K� •10 D�. I'O.l(� <a. .4. lvC3. .UBO' Y c • MAP OF PROPERTY HAYNES LAND-URt/EYORS SITUATE AT 741 B WEST JERICHO TURNPIKE EAST MQR1ovv HUNT , 11743 718-631-77595595 63311--692-8728 TOWN Or 490(47 DGD SUFFOLK COUNT)1,Al l/. RECORDS OF WALTER I BROWNE S GUSTAVE A ROULLIER UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SEC21 TION 7OF THE NEW YORK STATE SURVEYEDSURVEY- T-Wr/7, ZOOt EDUCATION LAW. FIES THE LANDF SURVEYOR'THIS SURVEY MAP NOT RING INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED GUARANTEED TO.- 1P t TO BE A VALID TRUE COPY. y yN GUARANTEES OR CERTIFICATIONS INDICATED HER SHALL RUN ONLY TO THE PERSON AT FOR WHOM THE SURVEY 15 PREPARED,AND �) ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING O INSTITUTION LISTED HEREON. AND TO THE LOT NUMBERS_ AtffZR TO MAP OF F&AN46 No 42909 �+ ASSIGNEES OF THE LENDING INSTITUTION. BGACH FARMS F/LEO OYJ ./UNC //� /975, E'O JV, GUARANTEES OR CERTIFICATIONS ARE NOT (AND 5 TRANSFERABLE TO ADDITIONAL INSTITUTIONS AS MAO Ale 62 LG OR SUBSEQUENT OWNERS. �/DTAs 4°rJ FR lMyov:O G r SUR✓lYOefaO!-/°-/AG7' -tc-F7'�s"a - rev were�' `PR�Mt�..s riU S✓.eYGyrGAT ARKLINE TRADING CORP. 619233 `m^'Y`� �n..-sr -:. I f _ , h m+:nwxY.;�'�W4.i'Fl.,w?FwMrz,r . +A �Jr,:..=-.n-n•�ww+�+...rr•-. , 4-24 A I .,e , - .. - - — - FFF2ttt+++,_„� . "' - Y _ �Y I •. h LI 116E '-- " ' a ir.v �a'�� Y,t'£�-. - --,- __._. . - J.. —_.-.- , _ ' UZS I _ . )v- hyg _ ���*�F _ may- • . { _ .._. - �" tea. ' "-i =� �w,�""•^�,r'.T.."''-3T'- —': - --�">�-s -� _ — ��" �� \ -- Y - - — ZR1_ ,71--t 014 ^^'r-K--..'^— - 19 IGiq „ sly/.=c.v - - _ - I" �' Idh� _ _ a o -- — -- — - - gCCUPANCY OR ,. �`° _i USE IS UNLAWFUL — PLUMBER CERTIFICATION N copper tubing Is used O PLUMBER BEFORE PLUMBING for Wtlerdisuibluing WITHOUT CERTIFICATE. _ ALL PLUMBINGWASTR *Worm piping shall M OF OCCUPANCY - C, ,—,IfICATE OF OCCUPANCY A WATER LINES NEED of type/K or Len r ER USED IN V'iATER TESTING BEFORE COVERING _ _ APPROVED AS NOTED [sV55kT k / 1 \ 12 -- _ - __ - DATE: -2 -9°f B.P. 2iEED2/]D OFT%LEAD. 'o BY: j, cHr�v NOTIFY BUILDING DEPARTMENT AT �W CAI Eti, PRO�I�EANIIaCALIAND/OR FOLL 2 B TO 4 PM FOR THE _ FOU.O TNG INSPECTIONS: ' ' 1, F',OU DATION - TWO REQUIRED DEVICES ASTD PARL'Rg2.6(R) FOR OURED CONCRETE .,. IZ„ .� �L R'DIiEWMDIRC CDBE.^ 2. ROU H - FRAMING & PLUMBING uws S. IWSUTION 1 4. FIN L - CONSTRUCTION MUST IT] - AO. LLEC NSTRUCTION MPLETE FORSHALL MEET - _ THE R DUIREMENTS OF THE N.Y. .� STATE ONSTRUCTION & ENERGY _ — — - CODE NOT RESPONSIBLE FOR , !„ _ T�YIDE OPENINGS F01�ROVID�SMORE DEIECTIN6ESIG OR CONSTNUCTION ERRORS ELEVATE N I PROVIDE T6 NR. fIRE N hq;tJ R19 \ � � APPLIANCES 1C A=, � RATED SEPARATION TO EMERGENCY ESCAPE AS ALARM DEVICES xlo -Ili o c / REQUIRED BY PAFIL - REQUIRED BY PART.714 OF AS TO PART.7_21.1 a�7A�1U� G N YPtTAT7E DDILDiNG�D6 . 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