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HomeMy WebLinkAbout15504-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Budding Inspector Town Hall Southold, N Y. Certificate Of Occupancy Z-I6182 No .......... Date September 17, 1987 THIS CERTIFIESthatthebmldmg ONE FAMILY DWELLING WITH WOOD DECK Location of Property .. 10.2..5 .L.e. eto.n .D.r.iye.... S..o.u.th. ol.d., .N.e.w.Y.o.r.k ........ House No Street Hamlet County Tax Map No. 1000 Section 059 .... Block 0 1 .Lot 13 Subdlvimon ..................... Fried Map No .... Lot No ......... conforms substantially to the Apphcatlon for Building Permit heretofore filed ~n this office dated October 29, 1986 15504 Z ......... pursuant to winch Bmlding Permit No ................ dated iq o.v. e mb e.....r 18 ,. 1 ..986 was issued, and conforms to all of the requirements of the apphcable provisions of the law Tile occupancy for winch this certificate is issued is . .. ONE FAMILY DWELLING WITH WOOD DECK AS APPLIED FOR The cerhhcate is ;ssued to BONNIE BALrMAN, PAUL STEWART & LIBBY TRIGG (owner, l~a~) ' of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. . PLUMBERS CERTIFICATION DATED: 86-S0-202 PENDING September 14, 1987 Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15504, Z Permission ~s hereby granted to: .~.~..~..~.~ ...................................... .~.~....~......~.:.~.: I~ ,~ ~ I at premises located ot ..4/,.~..~...~......~..~ ....,~, ..,.~.; ....... ,,,~...~ ................... County Tax Map No 1000 Sechon .... .(~..~,-c~ ....... Block ..... ..¢~..J ......... Lot No ..... J...'~ ....... pursuant to application dated .... ~).~>..<..'~,~...~.~ ...... . 19.~...(¢,, and approved by the Budding Inspector. Building Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ,nk, and submitted -, ~ to the Building lnspec- tot w~th the following; for new buddings or new use: 1. F~nal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ~ 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercml buddings, Industrml buildings, Multiple Remdences and similar buddings and instatla- tions, a certificate of Code comphance from the Architect or Engineer responsible for the budding. 5. Submit Planmng Board approval of completed rote plan requirements where applicable. Bo For exmting buildings (prior to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property ~ines, streets, buddings and unusuat natural or topograph m featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety ~nspect~on of buildings or premmes, or other pertinent mforma- t~on reqmred to prepare a certificate. C. Fees: 1. Cert~flcate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-exmtmg dwelling $ 50.00 3 Copy of cert~f~cate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 ~_~C,~¢~?. /~ (~=~ 5.Updated C.O- $ 50.00 Date ............. ? ........... NewConstruction ~/' OIdorPre-existmgBuddmg Vacant Land Location of Property.. L~, ~.~. ................... · .............................. House No..~ .~ Street Ham/et 00 °or --. ....... County Tax Map No. 10 Section ..... f. ........ Block ..... / ......... Lot.../~... Subd~wmon ............................... Filed Map No .......... Lot No .............. PermitNo .... .~... Date of Perm,t ///! .~.~(° .Apphcant ................................... Health Dept Approval ................. Labor Dept. Approval ........................ Underwriters Approval ....................... Planmng Board Approval ...................... Request for Temporary Cert~fmate ............. ~ Final Certificate ....................... Fee Subm,tted $ ...................... ///? ~ Construction on above described bulldmg and permit ~eets all aF~c~d regulations ............... Rev 10-10 78 lo~gO.. OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. STATE ENERGY CODE FINAL >I AL 765-1802 BUILDING DEPT. INSPECTION ~'~UNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL 7G5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE INSPECTOR ~'~ 7GS-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PL.BG. FOUNDATION 2ND [ ] INSULATION 7654802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~. [ ] FINAL REMARKS: -- . ("//'/~'"~ / / / INSPECTOR FORM NO. 11 TOWN OF SOUTHOLD BUILDING DEPARTMk~T TOWN HALL SOUTHOLD, NY DEVELOPML~T I'ERM IT at premises located at County Tax Map No. 1000 Section O~-~ Block O___~/ Lot / ~ pursuent to application dated .fDQ.V%~ z9 , 19~&., and ,~r,Proved by the Building Inspector. Building Permit No. z Building Inspocto,, 4180 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] INSULATION FRAMING [ ]~FINAL - // DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL INSPECTOR 155o% THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-~t~ 85 JOHN STREET, NEW YORK. NEW YORK 1OO3.8 Date Apphcat~on No on fde N THIS CERTIFIES THAT m thefollowtnglocatton, ~Be~,ement ~ IstFI ~2nd Fl ~ctton Block Lot RXTURES RANGES OVENS ~SH WASHERS EXHAUST FANS SERVIC~ DISCONNECT S E R I C E I A W G INO OF NEUTrAl5 A W G ~au£ ~our~old, RY 11971 MANAGER Th~s cerhftcate must not be altered m any manner, return to the off~ce of the 8oard If Incorrect Inspectors ma), be ~dentlf~ed by their credenhals COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER TOWN OF SOUTHOI,D OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N Y. 11971 TEL. 765-1802 CERTIFICATION Building/ermit No. Owner ,.l, rx r atr n¢ (please print) (please print) I certlfy that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 19 f~. Notary Public, Term E~res D~em~r 31, lg~ County (plumber'S signature) ~' 'Nota~ Publz~ Hsg~latory ~ffairs ~n±t Bldg. 40, SUNY, Room 219 Stony Brook, N. Y. 11794 (516) 751-7900 Dear A review has been made of your proposal to: Henry G W~lharns Commissioner New York State Department of Envmronmental Conservation has found the ~. parcel pro0ect to be: Greater than 300 feet from inventoried tmdal wetlands. Landward of a substantial man-made structure L ~ ~'~.(~z~, ~'\ ~ ~_ greater than 100 feet in length that was constructed prior to September 20, 1977. __Landward of existing 10 foot contour elevatzon above mean sea level on a gradual, natural slope. There ms to be no constructmon or disturbance to vegetation or topography wmthin 20 feet or seaward of existing i0 foot contour or topographical crest (as indicated). __Landward of topographical crest of bluff, cliff or dune in excess of 10 feet mn elevation above mean sea level. There is to be no construction or disturbance to vegetation or topography within 20 feet or seaward of existing 10 foot contour or topographical crest (as indicated). Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental Conservation Law) ms required at this time since the current proposal ms beyond State~andated jurisdiction pursuant to thzs act. However, any additional work or modificatmons to the project may require a permit. It is your responsibility to notify this office, in wrlting, if such additional work or modifications are contemplated. Very truly yours, Deputy Regional Permit Administrator FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. BOX 728 Southold, N.Y. 11971 Town Hall Main Road Southold,NoY. Instructions: The application to the Building Inspector includes (each in duplicate) 1. Form No. 10 filled out ~n ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as required in Section 46-17 of the law to minimize flood damage: A. B. C. D. Anchoring of structures, including tanks and mobile homes Use of construction material and methods Design and locatlon of utilities Subdivision proposal with drainage, public utilities deslgn and base flood elevations Specific Standards as required in Section 46-18: A. Resldentzal construction B. Non-residential construction C. Mobile homes The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structure is water tight w~th walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth ~n Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazard area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied with. Mobile homes are prohibzted. The lowest portion of the structural members of the lowest floor cannot be lower than the base flood elevation with all space below open except breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteration submitted. Building Permit. A Building Permit is also required for any structure. Both a Development and a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued within ten (10) working days. During construction, the inspector shall be notlfied in time so he may make the required inspections. Upon completion, the required certification of the flnal elevations and work must be submztted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 11/85 Application Received 19 Disapproval Issued 19 Permit # 19 FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD 1. Type OS Development Proposed: New Structure ~lnc±u~ng storage tan~s~ Addition and/or Alteration Flood Proof Below Base Flood Elevation-- Other (specify) 2. Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement ~ feet (b) In a V Zone, bottom of lowest structural member designations ~ ~ 3 FIRM--Flood Insurance ~ate Map, Zone 4. Owner of Premises ~-~V_~/~ f~P ~ V~I~ 5. Location of Property: ~ inches feet lnches House # Street Hamlet County Tax Map No., Dist. 1000, Section 0~ Block ~ Lot(s) Subdivision F~led Map# Lot(s) 6. Permission to be granted: Owner as above / New Owner Under Contract Lessee Name if not given above Contractor Phone Mailing address 7. Approval from other(s) before Permit is ~ssued: DEC ~ J. Wetlands (Town Board) Health Services ~ ZBA Build~ Permit 8. z, Planning Board , the applicant, am the Owner Co-Owner _~, New Owner , Under Contract__, Lessee __, Agent J , Contractor __, and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises authorized to perform or have performed the said work and to make and file this app!lcatlon, that all sta~ments contained ~n this application are true to the best of my kno~e~ a~-~elief and that the work w~ll be performed in the manner set /ort~ ~ ~he/applicatlon filed therewith. /~ /, ' ~ Sl~atur~ SWORN TO THIS Notary Public DAY OF O0~7~- A~plicant's mailing address and phone # if not given abova ~1/85 :*4 I~ I~C HP~U M ,,.--- ;C~,9~- TO KENNEY 'r, ROAD - ---- ~Jl~qrOl_K CO. Hrt.&IL.TH DEFT. H.~. I1~. THE WATER SUPPLY AND SlDMAG~ DISF~I SYSTEMS B · CONFORM OF' SUFFOLK COUNTY ~[Imr. ~ HIFJU -- F.OR APPROVAL t ON4.Y lO00 059 ~ GR ~E FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~0~"'~ .k4~.~ ~.., 19 ~?~ Approved/Oa-~t.~,~Lt~,~ ~ ~ , 19~ Penmt No D~sapproved a/c ......... (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a This apphcahon must be completely filled m by typewriter or ~n ~nk and submitted to the Building Inspector, w~t sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatmn of lot and of buildings on premises, relatmnsh~p to adjoining premises or pubhc strc or areas, and g~vmg a detmled descnphon of layout of property must be drawn on the d~agram which ~s part of this ap cabon. c. The work covered by this apphcahon may not be commenced before ~ssuance of Building Permit d Upon approval of th~s apphcation, the Bmldmg Inspector will issued a Buddmg Permit to the apphcant. Such per shall be kept on the premises available for mspectmn throughout the work e. No building shall be occupied or used ~n whole or m part for any purpose whatever until a Certfficate of Occupm shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance o~ Bmlding Permit pursuant to Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, anc, k6~4 apphc~&~ws, Ordmance~ Regulahons, for the construcbon of bufldmgs, additions or alterations, or for rer~,~m ke~n~Shhon,/~s hereto descnt The applicant agrees to comply wlth all apphcable laws, ordinances, building co~/,/h~us ~]cd~and j~gulanons, am admit authorized inspectors on premmes and m bmldmg for necessary ~nspectmnf/b~, . (Sagnature of apphca ~ or iPtme, ~f ~ corporation) (mailing address of applicant) State whether apphcant is owner, lessee, agent, architect, en~neer, general contractor, electncmn, plumber or buflc - _ ................. Name of owner of premises ~t~N tT~/x/ f~.'?STI ~. ................ (as on the tax roll or latest deed) II apphcant ~s a corporation, s~gnature of duly authorized officer (Name and htle of corporate officer) Bmlder's L~cense No (g/v'bl/'v' ~' Plumber's L~cense No (6''b/13 I/vp Electr~man's Ltcense No ~YktOl~T[" Other Trade's License No (~"~0 /AF~. Locahon of land on which proposed work will be done / o g' L House Number Street County Tax Map No 1000 Section t~'7 . Block Hamlet .../ Lot [3 .. Subd~wsmn Fried Map No Lot (Name) State ex~stmg use and occupancy of premises and Intended use and occupancy of proposed construcbon a Ex~stmg use and occupancy ~VC.,~ bdT. . .~f'~ J~ ................... b Intended use and occupancy [ :~l (~: .......... FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. BOX 728 Town Hall Southold, N.Y. 11971 Main Road Southold,N.Y. Instructi6ns: The application to the Building Inspector includes (each in duplicate) 1. Form No. 10 fllled out in ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as required in Section 46-17 of the law to minimize flood damage: ~ A. Anchoring of structures, including tanks and mobile homes B. Use of construction material and methods C. Deslgn and location of utllit~es D. Subdlvision proposal w~th drainage, public utilities design and base flood elevations Specific Standards as required in Section 46-18: A. Residential construction B. Non-residential construction C. Mobile homes The appllcant must submit plans and specificatlons as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structure ls water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth ~n Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazard area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other ln- formatlon as the Building Inspector may require in that the provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot be lower than the base flood elevation w~th all space below open except breakaway walls. Sand Dunes. If sand dunes ex~st on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any a!terat~on submitted. Building Permit. A Building Permit is also required for any structure. Both a Development and a Building Permit must be issued before any work can start in a special flood hazard zone. A written d~sapproval or a permit must be issued within ten (10) working days. During constructlon, the inspector shall be notified in time so he may make the required inspections. Upon completion, the required certification of the f~nal elevations and work must be submltted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 11/85 3. Nature of work (checkwh~ch applicable): New Bmldlng . ,/ . . Addition ......... Alteration .... Repair ........ Removal ..... Demohtmn ....... Other Work ....... //.~/..~. (Description) 4 Estimated Cost ,~D . Fee (to be paid on filing this application) 5. If dwelling, number of dwelhng units .'~ ..... Number of dwelling units on each floor .......... Ifgarage, number of cars .. s~. ..................................... 6 If business, commercml or mixed occupancy, specify nature and extent of each type of use ........... 7. Dh'nenslons of exlstmg structures, if any Front .... Rear .......... Depth ., Height ......... Number of Stones ............................ D~rnenmons of same structure w~th alterations or add~tlons Front ......... Rear ............ Depth .......... Height .... ,,,~7' 't t- ' ' Numbe~ of Stones . . . ¢,pth'::'. 8 D~menslons of entire new construction Front..,%.~'~ . Rear ....... Height ........ ,Number of Stones ../.'~ .... / ....... / ........ 9. Size of lot. Front /Jd Rear .. ~. .... i i i" i .... ........ Depth ~. ............. 10 Date of Purchase . Name of Former Owner . 7*~.A~.. ? .,~.L.! .~ .~..~ ....... 11 Zone or use d~stnct m which premises are situated .... 12. Does proposed construction vmlate any zoning law, ordinance or regulation ....~.o. ................. 13. Will lot be regraded . ~f~., ..... x ...... Will excqcs fill be renmved from premmes. .Yes_ _ No 14 NameofOwnerofprel~ses 9.~'l~p'/~ f_~..of..... .Address .~50%.t~, ~'.~8.~ .~. honemo Name of Architect ~.~l"~oll~ 7. ST~.. ~?t. Address .t~.t~o .~.0~x .~!~.~... Phone No. 16 .g.t lg..6~,.. Nmne of Contractor . .~Jx*~ fi, r.~.a, ter ....... Address .t*,o . .~.o~. ?.J.~. ~.tv~.~l~hone No. 7.~.~..: 15, Is thzs property located with~nl00 feet of a tidal wetland? * Yes ..... No .~... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dastmctly all bufldmgs, whether existing or proposed, and. indicate all set-back dn'nens~ons from property hues Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot ;TATE OF NEW YORK, S S 'OUNTY OF ........... (Name of individual signing contract) hove named · being duly sworn, deposes and says that he is the applicant te is the (Contractor, agent, corporate officer, etc.) f smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file tlus >phcation, that all statements contained m this apphcatlon are true to the best ofh~s knowledge and behef; and that the ork will be performed m the manner set forth m the apphcatmn filed therewith worn to before me this / ~ ~ It. ~ ,dt~ ~ .......... ;; app,c n )---:-a-t: ~.~ LEE TON i)~IVE OZ -J~ O ¢[ ACHPLUH -/r [) F/', ['~ r' r- T- V' J SCALE-.:~, ,~'"'" ~"I~ON PIP[. k~[ ,~ 2~., eXT, 4,' ~ T. .... J NQ~ OFt '4 ) Roor~,J~ICK.VAN .[./U~L, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. N~ROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISIK)SAL SYSTEMS WILL CONFORM OF THE SUFFOLK SERVICES. COUNTY DEPT. OF HEALTH 3 -- FOR APPROVAL OF '"T ION ONLY fl. S. REF. NO.: ~ a-- APPROVED: CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK IS'CL. ~00o 059 ~ 13 OWNERS ADDRESS: P. 0, BO× 2~ ,. ~X3UTHOLD, klm I]_97] TEL. 765 ' DEED: L.50!5 P. 19 TEST HOLE STAMP wA'r £ ~. SEAL ~W" i0~92 TO KENNEY'S EO^P ---- CENTRAL DRIVE ( No',r oPE~) HAP OF PROPE 1'Y AT SOU T:.iO; '~ SU~0LK COUNT~; DEPA. RT.~I~' ~F HEALm The sewage disposal and~r su~ facililie~ fa' G,- 1D. ON PIPE NQ'FE~ ', Ate E ^' 2O,OC~ .GQ. F 'LOtqG iSLAND 50UNI,~ IIqFO~I'-IATIOI, J 01'4 /'d~JOlNl N,G CEPTIC ~:[ENI"ORT NEW YORK SUFFOLK CO. HEALTH DEPT. H.S. NO. 0~6'1 "NT OF INTENT SUPPLY AND S~WAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICE~. (si APPLICANT COUNTY DEPT· OF HEALTH SERVICES -- FOR APPROVAL OF, CONSTRUCTION ONLY DATE: H. S. REF. NO.: ~u ~ ~-0,''~ , APPROVEDi , SUFFOLK CO. TAX MAP DE~ATION: DIST. SECT. BLOCK PCL. Jo0o 059 I )RESS: P,O.E~O~ ~ ":.. TEL. 765; ~-3~ .... DEED: L. SOl .5 TEST HOLE P. 19 STAMP S~AL BED RM, BED RM, 9e x II° I0° xll° ROOF ROOF ROOF SECOND 436 SQ, FT, CERTIFICATE OF OCC'~pANC¥ SOLDER ~ IN WAIER SUPPLY ~ CANNOT EXCEED 2/fO ~ 1~ LEAD. OCCUPANCY OR USE IS UNLAWFUL ~TI'HOUT CERTIFICATE OF OCCUPANCY APPROVED A~ NOTED NOTIFY BUILD!NO DEPARTMENT AT 765-1802 9 AM TO ~ ~l~ ~R THE FOONDA*~U~ ~0 ~OUIREO 56'- 0" MASTER BED RM, ~ BED RM, 9e x I{° m __ I~4 x {54 uP fle x 158 ~) DINING LIVING RM, 28° x 15S FIRST FLOOR ~,~_, · 1384 SQ, FT, ~,',' . , DESIGN #2472 ©HOME PLANNERS, INC., DETROIT 16310 GRAND RIVER AVENUE DETROIT, MICHIGAN 48227 A 2472 CL. -I- ~£DROO/W 0 F' / ,~ ,S 7' {l rs nc...-r, o, 5 C( DO, AS1 ~ I I IL ..... O;ECTIOI, I D- D ~ ~lanners. Inc, ..~.o. 5 7 ~E0770~ ~c-c" 112"=/~0a I ,/-.tl//A/,~ A~EA /2 7 '1 ~-+ . . /P ,~A'7'A4 =¸I tn®rs, Inc. "-'- .o2472 4 (a) ££ NOTE: ,=IRB~/- A 0,= $~D-FIOX! ,t VAIL) / Dme nn inc. OF 5 q y LINE ITEM QUANTITY & MATERIAL UNIT TOTAL NO, COLUMN NO. I UNIT MEAS. (TYPE and/or SIZE) COST COST 39 ~ Pea. F~ s~ In--er ~s ~ ~a~e~ ~ ~.~. ~ x ~ ~ ~m s~ 8 Peru. ~x ~x ~t.~ ss 7 Porn. ~x 8"x l~t.~ . LINE ITEM QUANTITY & MATERIAL UNIT TOTAL NO. COLUMN NO. 2: UNIT MEAS. (TYPE and/or SIZE) COST COST 5 16 Porn. ~x ~x ~'.~ " 8 lq2 ~.~. 16 lq P~. ~x 8"x ~'.~ . la 176 ~ ts 192 ~.~ 1" x ~ B~ a2 1~ ~.~. ~ ~ B~ ~ ~e~ ~ Door ~rame5 ~ ~ ~ 1 ~t ~'.~ x 6'.8" " ~'0~ }'.~x 6~ .SNx ~ 2 ~ 9'.~x 59 ~ ~.~. 1" x 8" F~& B~ ~ 1~ ~. C" x W' ~ " st ~ ~.~. 1" z 1~ " " ~ Pa~. ~x ~ 6'.~ . 7~ 8 ~a. ~x ~"x ~'.0" 72 ~ POSe 74 ~0 ~'~e ~ 22 Lbm, 91 ~ Lbs. LINE ITEM QUANTITY & MATERIAL UNIT TOTAL NO. COLUMN NO. 3 UNIT MEAS. (TYPE and/or SIZE) COST COST s 8 Peru ~ 34 8 ~l 2e.~ 6e.8" LINE ITEM QUANTIT' & MATERIAL UNIT TOTAL NO, COLUMN NO, b~ UNIT MEAS. (TYPE and/or SIZE) CO':' COST 6 ~-~ ,o ~~" 23 ~ Lbm. ~ . . M ~ Lbs. -- . ~ ~ 2~ . . ,3,.._ __~ ~ " - '1 SCHEDULE OF ABBREVIATICONS DESIGN ROO~S FLOORS NOTE: MATERIAL ome¢"'lanners, Inc, LIST 2472 T~T HObD ? LiH. biVIMG / Qi~th, JG 1- T i L_J 't ~11,4 F~L.. DJ,.: 4. il /-r~' V~ ~'I~INC~