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HomeMy WebLinkAbout15288-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17321 Date SEPT. 19~ 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING. Location of Propert~ 11900 SOUNDVIEW AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 054 Block 06 Lot 17 Subdivision XX Filed Map No. EX Lot No. EX conforms substantially to the A~pllcatlon for Building Pernllt heretofore flied in this office dated SEPT. 8, 1986 pursuant to which Building Permit No. 15288Z dated SEPT. 20, 1986 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~ DECK AND ATTACHED GARAGE. The certifIcate is issued to of the aforesaid building. UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM B. AND MARY H. STRICKLAND (owner, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-225 OCT. 4~ 1988 N027802 AUG. 15r 1988 K & K PLUMBING & HEATING 8/23/88 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERM. IT fi.HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Perm,sslon is hereby granted...~......~...~to' ~..~.. ~ at premises located at ..~.~...~..~...~. ..................... County Tax Map No 1000 Sect,on Oq~'..~ Block ....<}....~. ........ Lot No .... .J....'] ....... pursuant to apphcatJon dated .. ~{jO ,.'~.~t,% ~ ...... , 10.~,,{~, and approved by the Building Inspector. Fee $. ~,~C:J.~, ~ Building Inspector Rev. 6/30/80  FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765 - [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Th~s apphcation must be fdled in typewriter OR ink, and submitted ,~ ~ to the Building Inspec- tor w~th the following; for new buddings or new use: 1. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natu raj or topograph lc featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal), 3. Approval of electrical ~nstallat~on from Board of F~re Underwriters. 4. Commercial buildings, Industrial buddings, Multiple Residences and similar buildings and installa- tions, a cert~hcate of Code comphance from the Architect or Engineer responmble for the building. 5. Submit Planning Board approval of completed site plan requirements where apphcable. B. For existing buildings (prior to Aprd 1957), Non-conforming uses, or buildings and 'pre-ex~sting" iand uses' 1. Accurate ~Jrvey of property showing all property hnes, streets, buildings and unusual natural or topograph ic features. 2Sworn statement of owner or previous owner as to use, occopancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent reforma- tion required to prepare a certificate. C. Fees' Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certifieete of occupancy New Dwellzng $25.(10, Accessory ,$10.00 Business $50.00 2. Certificate of occupancv on pre-ex[sting dwel{ing $ 50.00 3. Copy of certlfmate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C,O. $ 20.00 5.Updated C.O. $ 50.00 Date ........................ NewConst~'uct~on ...... Old or Pre-existing Building ........ Vacant [.and ............ 11900 Soundview Avenue Southold Location of Property ................................................................... House No. Street Nam/et WiLli~ro B. ~nd Mary It. Stricklsnd Owner or Owners of Property ........................................................ County Tax Map No. 1000 Section 054 Block 6 Lot Damianos 2 Subdivision ...................... F~led Map No ......... Lot No ............. Permit NO [59.88Z Date of Permit 9. /?. 0 ./ .8 ,~ .Applicant Edw. B. Redhead Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval .................... Planning Board Approval ..................... Yes Request for Temporary Cert~fmate ................ Final Certlhcate ....................... Fee Submitted $ ......................... Rev IO-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner tO , C~%'~c~C)~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~/~°~day of ~~ , Notary Public, ~/~ ~ County Notary Public ERIC G. KOCH Qualified in Suffolk County Term Explr~ Jan. 31, 1990 FOUNDATION COMMEIITS FOUNDATION (2nd) ROUGH FRAME & PLUMBING 3. INSULATION FEB N. Y. STATE ENERGY CODE FINAL ADDITIONAL COM~ NTS: September 17,1987 Town of Southold Buzldzng Dcpartment Town Hall Southold, N.Y. 11971 Gentlemen: RE: Building Permzt 15288Z I understand that building permits are ~ssued for a period of one year. I shall appreciate the extenszon of the above permit. Please consider thzs letter as a request for such an extenszon. Thank you for your attention ~n this matter. Slncer,ely, W~ll~am B. Strlckland 54 W~lllam Street Hempstead,N.Y. 11550 September lO, 19~6 Building Department Town of Southold TowaHall Southold, ~.Y. llg?l Att'n,: Hele~ DeVoe (Mrs.) S~b3ect. ~m. B. ~ P~r~ H. Srickl~md Oe~tlemem: Eaclosed is ~pplicatiom for B~tldimg Permit (im triplicate) for a residemce to be built for the Subject parties om So~u%d View Awenue im the powm of Somthold. Also enclosed is approw~l b~ the Departmemt of Health Serw-ices in briplicate. Please motarize this ipplicatiom, and we tha~A you for lo~r help in £ilimg this applicatiom. We womld appreciate it if you ear see ~omr vm~ elear to approwe it amd s~bmit the writer y~r b~ilding permit. TOWN OF SOUTHOLD FOE THE BUILDI4G OF A .~.W HO['Sa FOR Wh. B. L FA~'Y H. STHIC~'I~MD IN TM5 TOWN Of SO[~THOLD, h~"~,,~ YO.%K 54 William Street Hmmpstead, New York 11550 Tele. ~ 4~6-O951 Date:~January 1L, 1986 Wn~te~ By: .~dwara b. ~edhead~ P.&. [380 ~ecomz¢ Bay hlvd Mattituek, N. Y. 11952 Tele. # 298-8~66 1. The hous= wxlt Be located on Lot ,~17, block ~5, S~ct~on iSA, District ~ 1000 and bounded on north by Sound Vz~,w Ave. 2. This work ia¥olYes clearing of the lot as necessary for the house foundktion, septx¢ syste,a & driYe~ay. 3. The earth under all slabs and around foundation is to be chemically treated in accordanc6 wzth instru~t~ons ¢ontazned ~n the U. S. Dept. of Agricaltnre Home ~ G&rde~ Bulletzm ~ 6A "S~bterranea~ Termites, Their PreYeation and Control kn Bnildi~gs~ obtainable fro~ the U. S. ~rint~ng Office, W&shingto~, D.C. 2ohO2o Termite shield sho~ on Drawings to be designed in accordance ~th instructions zn this ·ame Bulletin; see also reference to foundation anchor bolts. ~. Goncrete mzx to be 1-2-~; formed; stone aggregate 3/~~' ~ax~ r~ady m~x~d; 2500 PSI for footings.'~ Walls to be hollow comcr~t~ block, eYenty laid, a~d wzth smooth joz~te. 'lop t~o courses to be concrete filled and pro¥ided wzth found- atio~ anchor bolts. 5. During excavating, any reusable top soil shall be placed ~m pilsm and used in regradxng after ~ork is co~plete. 6. The Permit of the Suffolk County ~)er~r~ment of H~alth berv~ces will be obtained by the Writer through ~nn Faz~o of that department. ~he Biulding ~er~it will also be obtained by the ,r~ter through Helen DeVoe of the couthold Bldg. Department. 7. ihe accompanying set of Draw~ag P~ans, Sheet Nos. i thru ll are to be followed as closely as possible, and to be con- sidered a~ part of these spe¢~f~eatmons. A few of the Plans are to be built in rewerse as indmeated. - I - 8. All work ahall be performed and completed i~ a ~ork.~anlike profe$aional man~er by mechanmc~ ikillea in their ~raft~ im accordance with the highest atamdards of their tradea. 9. No wor~ ahall be covered or hidden From view umtml it has bee~ imapeeted by the Owner or any gover~img local imspecti~g agency, if ao required. lO. Amy workmammhip or ~teriala which im the O~er's or mn$oeetor's opi~io~ is unacceptable, mhall be replaced at the contractor's expe~ae, after eoamultatmon. ll. It ia req~eited that eomtraetor~ obtamn thei~ mupplmez i~-ao- far as possible, co~matamt with ~vailabili~y a~d price, from Mr. Tomy Adam~, of the G. L. Penny L~ber Co., titme~, ~.Y. 12. Contractor ahall veri£y all ~m,mslo~ and coadmt~omm ~rior to amd dnrizg commtr~ctiom. 13. All material~ and ~ork shall eoaply ~ith ~ll current applieabl~ ¢od~, ln¢lmding hat'l Bd. of ~re Underwrmter~, ha~'l ~lee~rm¢ Code, etc. and N.Y.~tate Bldg. Code. 14. Contractor shall include in his b~d, cost of ~ll requ tests, i~spec~ions, etc., excluding those ohtazn~d by the writer, as aforementioned. 15. Contractor wzll remove plantmng~ where necessary ~nd those re- quested by the O~ner. he shall provide rough gra~ng only. 16. The electrical and plumhimg contractors are responsible for fmr~ishmnE all pipe, sleeves, inserts, etc. £or their ~se, that are to be se~ ~m the foundation, amd znform ~ne fomnda- tio~ as to t~emr proper locations. Openmngs aromnd pmpes im the fo~ndatmon or between p~pes a~d sl~eves are to be packed with oak~ ~nd sealed wmth ~o]tem le~d caulked in place. 17. Owner will f~rnish the following eqmmp~e~t. The contractor wmll mastall~ pipe amd wire where necessary: Clothes Washer " Dryer Dish Washer (and Dryer) Refr~dgerator (orovid* water connection for Ice ~er) Range Light £Lxtures (bare bulbs in Cellar ~nd Garace) 18. The heating eomtractor will calculate f~om the Drawing Plams, the heat loss from each room, =nd g~ara~tee bo heat %he homge to 70 degrees with the omtzide temperatmre at zero degree F. 4e wmll specify the capacity of the f~ace hea~mag nmit and the oil b~rner. Al~i~a base- board heaters ~tll be znztalled a~d a day-nite ther~os- tat~ located ia the Great roo~. A 550 gallon oil tamk with level ga~g~ will be mo~ted on a steel sta~d the cellar amd arranged for outside fmllmng. 19. The WX 250 ~'ell-X- Troll shown in the ce!~ar on Sbt. ~3 ms man- w~fact~red by ~mtrol, Inc. in West karwmck, ~.I., 02893. 20. All wimdows thrmomt the house ~ll be ~ndersom Perma~Shmeld wroth double-pane mnsulatmng ~las~. S~y2es will be ~eezded in co~suttatzoa w~th the O~r who w~ll also decmde the desmrabzlmty of ~oof 21. Mew smbmersible pmmp to be mns%alled at bottom of ne~ will pipe, a~d made readmly removable. 22. All Fiber Glass Batts specifmed in the following shall be of Ow~s- Cornin~ ~a~factmre. ~herewer ~yps~m ooards aFe bmtted to-gcther, the joints are %o be taped, ~nd all maml beams amd jozats to be finished wmth three coats of jom~t eoapommd, allowing 24 hrs. between COatS. Final moat to be sanded smooth amd emtmre s,rfaces to be ~thomt zmperfectmoas. In o~tsmde walls 6 Gla~s Batt~ lmstalled b~tween stmds ~hth vapor barrier Gl war~ air side omly. Over this, add ~/~" thi~k b~rd. Im omtside wall~ of gauge, ~ 1/2" rolm. F~ber Glass BattS ~stalled between zt~ds w~h vapor ~rrzer o~ wa~ air side omly. Over thzs add 1/2" thick sheet ro~k boa~z. 23. A 200 Amp. eir~mit breaker pamel, lo~ted im ~ellar, is 24. Gem'l Comtractor will qwote on entire .~ob. Senmrate red~ct~oms for o~tt~g: (a) mnside ~a~nt~n~, (b) wall board~, (c) m~sulation. 2~. Comtra~tor wzll fu~z~h ~ll ~ter~l and equipment except those items where stated herezn will be fmr~shed by O~er. 26. ~o~d Coatractor e~co~ter ~foresee~ ~nditioms mmvolwng ~provided e~ense, he zhould con~mlt w~th ow~er before proceedzmg. It is expected, however, that the Comtrac- tot ham i~elmde~ ~m h~s bzd, a certaia amo~t to cover smch exigencies. 27. GENIAL ~O~SIONS: 27a. After awa~ of comtract amd before ~tartimg work, Comtractor im to f~mizh thiner with: Copy of S~te ~d/or Lo~l frade License establzshmn~ his & hms Smb-Oo~tractors' legal qmalifi~tzon~ to per- form ~e work for which he has co~racted. List of proposed s~ppl~ers of ~$erial and equipment for him & hms Smo-Comtractors. Lf~t of proposed sab-Conbractors. Certificatem of I~smrance for hi~ & hlz Smb-Comtfactors covert~g: Comprehensive General Liability of $1000,000/ 300,000 per occurrence. Auto t ~rmek Liability of $100,O00/3~O,OOO ~,orkmen's Comoensa~on as req'd, by law. 'l~e Contractor ,~uzt sAb~dt evidence that the (~owe in- smremee coverages & lim~Ls are in force and under- writtem by Esureace carriers l~aceAsed to do b~s~ness zA the State of he~ Yorz, and comtain provlszons for at least l0 day's written not,ce of camcellation or materi~l change. 27b. l~e Owner reservez the r~:ht to perform aay work hlmzclf which ~ay be Dart o£ or be adjacemt to the work cow- ered by this contract. ~{e reserves the rmght, also, to be at the s~te at any tiae to oversee the work cowered by this contract. 27c. Progress payments w~ll be v~aid by the O~ner at the re- qmest of the Contractor covering the work performed since the preceding paymemt. 27d. ~'lmal paymeat will be made after: All claims for extra compea~atlo~ and/or credits for work delete~ from the contract have been resolYed. -5- Receiot of Comtractor's release of all liens, zf any. ~eceiot of all Euarantees on eq~:ipmemt znstalled by the Coltra~tor. ~eceipt of all payments of?~es and taxes, if any~ as required by Village, To~, State or Federal ~bhorit~e~ zn corn~ectmon ~th th~s contract. ~ll reqmmred a~prowals hav~ o~ea rOCelYed by th~ ~m~r from any re~altzmg aEenczes requiring ?er~ts a~d/or aoprowals. 'frae Owner has aoorowed all completed worz. 27e. For a oeriod af ole year from date of fLn~! Contractor shall, at h~s expense, '~rompt]y reoamr and pat znto £mrst class condition, a~v work~nshzp and ~aterials which he has £urn~shed in ~hxch defects de- welop, to ~e satisfaction of the C~?mer. Accepted by: Contractor Date 7r~-xsoz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL '/'2'" INSPECTOR ?:~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/ ROUGH PLBG. FOUNDATION 2ND [~ INSULATION FRAMING REMARKS: [ ] FINAL DATE ~//7/~ ~ INSPECTOR ~-~~~ 765-1802 BUILDING DEPT. FOUNDATION 1ST FOUNDATION 2ND FRAMING INSPECTION [~ROUGH PLBG. INSULATION FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~ [~F~MING [] FINAL 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLIBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 5A.4~ f)lq. ow ~~' --- INSPECTOR 765.~802 BUILDING DEPT. ~ ~o~u~,~,[SPECTION [ ON 'IST I' ] ROUGH PLBG. FOUNDATION FRAMING REMARKS: 2ND [ ] INSULATION [ ] FINAL DATE /,/'/~//~//~ INSPECT~ / / ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND [ ].~ISULATION FRAMING [Y] FINAL DATE // INSPECTOR ./~ ~,~ / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~INAL REMARKS; DATE THE NEW YORK BOARD OF FIRE P~* )~' BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Dale ~lppllcalion No. on file ' THIS CERTIFIES THAT ~y the ~t~ ~u~nt ~ ~H~ ~w ~ int~ by ~ ~t ~ ~ t~ ~ ~t~ nu m~r in t~ p~mM of ~. ~"RICKh~NI), 11900 SOUNOV[ ,~ ~V~:~ ~ ~ /~, SOIrFHOh~, ~.Y. ,. ,~ fol,ow,., I~.~h ~, ~n~ ~ ,,, Ft. ~ ,nd ~. OUT .~,io~ Bilk ~, ~s examin~ on and found to be in compliance with the ~qulremenls of th~ B~rd. ICiPTAC~IS SWITCHES 2 ~7 RXTURES RANGES OVENS EXHAUST FANS $~RVIe~ S E R V I C OTHER APPARATUS:. ~OTOR,~: ]- PER~ OF CC. COND. (DF HI.LEG OF NfUTP,),L t 4/0 J,~/O G & S (7OIqTRgCTOR BOX 21 5 SOIJTI'IOLI), NY, [1971 fl[CgNSK NO. 5'~8-E Per v This certificate must not be altered in any manoer; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY Pm BUILMN~ DIPAR'I~It~. THIS COPY OP C?RTIP~.kTE Jd~T ~ BI ALl'fi, ID IN ANY W , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1B02 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19. Date S.ep.%e~bgv ~ ....... 19 8 INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl sets of plans, accurate plot plan to scale Fee accor&ng to schedule b. Plot plan showing locatmn of lot and of buildings on premises, relahonsinp to adjoining premises or public stre. or areas, and giving a detaded description of layout of property must be drawn on the diagram which is part of this api- cation. c The work covered by this application may not be commenced before issuance of Building Permit d. Upon approval of this applicahon, the Budding Inspector will ~ssued a Budding Permit to the applicant. Such peru shall be kept on the premises available for inspechon throughout the work. e No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MAbE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premmes and in building for necessary ~nspectlons ~ / . . ..... (Signature of applicant, or name, ff a corporation) .....~3~O .~i~ .~ .t~lxd .................. llabtituck, N. Y. 11952 ........ hU'd :-'lv State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Name of owner ofpremmes . .. Wm~. B,. & Nar/ Ih. ~X%A)~{ 6tr.ickla.n.d .. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. Pending '( " I Plumber's L,cense No ..................... Electncrsn s hcense No ....................... Other Trade's License No." ( Phone Helen De roe (765-1802) when determined. 1. Location of land on which proposed work will be done ........ .S9.an.dy.i.e.w' ALe.. ,..89.u.t.hg.l.d,. ~.I,. Y., ......... .......... m.~799 .S.o.u.n~ly.i.e.w..Ayp? ..................... So.¥t. hold, .~.~: .Y.., ................ ltouse Number Street Halnlet County Tax Map No 1000 Section .... OSb .......... Block ....6 ........... Lot... 17 ........... Subd~vmion ..... (Name) ' ' None .... Fded Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construchon. VacaBt a. Existing use and occupancy .................................................................. One Family Residence b Intended use and occupancy ...................................... 3. Nature of work (check which applicable): New Building .. X ...... Addition. ~.t.o.n? ..... Alteration Repair Removal Demolition --.- Other Work --- (Descriptiou) 4 Estimated Cost Phone Helen DeVoe ,~m~t.d.~.~.~v,dne~-'- - -'~- '~ Fee (to be paid on filing this application) 5. If dwelhng, number of dwelhng units .... Dia.e ........ Number of dwelling units on each floor..O.n? ........... If garage, number of cars ........ .T.~.o. ........................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use --- . .............. 7. Dimensions of existing structures, if any. Front....--.-. ........ Rear .............. Depth .............. Number of Stories --- Height ....'7'.'~ ................................................. .............. Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ..... 'TU'. .............. Height ..... z'~",-- ............. Number of Stories .................... 8. Dimensions of entire new construchon Front . .~.~.',-:0.". ....... Rear . .5.a.~.~. ......... Depth .~.l.'.~h.,". ....'... Height . 2.2. I.~6.~ ........ Number of Stories ...T.?. ....................... 10. Date of Purchase · 6.'-3-B3 .................... Name of Former Owner .[Iv... ,X~e.v.c~lctt, t~$. Damiaaas ..... ! 1. Zone or use dmtnct in which premises are situated .... "A" ,Rea.. '/Ag.v.. ................................... 1 2 Does proposed construction violate any zoning law, ordinance or regulation' 31.o. 13. Will lot be regraded ...}iq ....................... Will excess fill be removed from premises: Ii Yes -- N 14. Name of Owner of premmesltlaB...~r~..H...S.~r.:l,ckl.a~ddress ~.li .W.:k]~l.:ka.~ .S.t....H.e?-.ttlhone No,hf.6.-.O9.~.l ....... Name of Architect .John. D..Bloodgood ......... Address Desl,I~ines · Ionia .... Phone No.~15-2~3-,o4o4 · · · Name of Contractor ... ?ending ................ Address ................... Phone No, . bib .......... 15. Is this property located withinl00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fros property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. See Survey ;TATE OF NEW YORK, 'OUNTY OF..S.u.t.t..°3.k. ..... ... S.S Ed.w~.rd B. Redhead Tel. #516-298-8h66 (Name of individual s~gning contract) bore named. being duly sworn, deposes and says that he is the applican tem the .......... .Pr?.fe, f .on. a. 1.. $ .rig e. r, 11, .St;a.. .Lig, .01hh68 ............................. (Contractor, agent, corporate officer, etc.) f sa,d owner or owners, and is duly authorized to perform or have performed the said work and to make and file th! pphcation, that all statements contained in this application are true to the best of his knowledge and belief; and that th ,ork will be performed in the manner set forth m the application filed therewith. worn to before me this ....................... day of. z. ~.~.a_,/~Ax, ? ....., / , 'otar,j Public, ?L' ?;.: ........ N:%~/~''+'~'~'':L ..... County _ No. 4822563, Suffotk Count~i~-O~ (Signature of applican T'erm Exp,res December 3~. 19 v , BLi)G DEPT. OF ~B.¢ _MAEY__ _ AM .¢ M ,.Y.. bi. _co. --"--~" ' ' I . SUFFOLK CO. HEALTH DEPT. AP~OVAL ~ ~,..~..D~-,. ~FQLK CO. ~. ~ ~ALTH ~Vl~. T ~ SERVICES -- FOR ~ROVAL ;HAP ~ P~O~I~T~ ~.T~:~- "tAN ~ ~~Y N '"' ~ ~.-..: ..... ~. ~,.._ ~. , , :.~c-~. '~ SUFFOLK CO. HEALTH DEPT. A~'~nOVAL .¢, _ ...- SUFFIAK COUNTY DEPARTME. NT OF HEALTH ~fiYlCE~ H. WA: - '~'' ' __~LE FAMILY DWELLINg ONLY ~ ~ ..... - -- ' DATE .~ 4 - T~S' ~F. N0. ~ ....... The ~a~e dt$~sal and wa~r supply f~.i'Jt~ for ~ ~ (~J* ~: '~' -'7-~ u Wa ~m THE WATER SU~LY AND S~AGE DI~SAL ~ SYSTEMS FOR THIS RESIDENCE WILL ~ ' '~_~~ :: '~ 'g '~ ~,~ ~", CONFORM TO THE STANDAR~ OF THE ~ , ~FFOLK CO. DE~. OF HEALTH ~RVICE[ ~ : ', ' ~LICANT ~ [~ I ~ ~ ' ~ ' ~ SUFFOLK COUNTY DEPT. OF HEALTH / ~ -, SERVICES -- FOR ~PPROVAL OF / ~ I '~ ' ~: ~ CO~TRUCTION ONLY ,, " ~' . .' . ':'~ Q . "- ~ ~-L:' A~OVED: ,,~ - ~, ~ ' ' / Di~. ~CT. ~ ~L. . ~ . , . ~VE~ ~ ' .... ~'~ '~ , .. ~P At~r~iD~':. '"-'~' ~...t~ . . , ................. ,' GREE~T ~W Y~K // OCCUPANCY OR OV OCCUPANgY lAD Gu"~;-ArCUPAN~" water usED NOT EXceeD J 56'-0"~ AP~OVED A~ NOTED NOTIFY BLULDING DEPARTMF~IT AT 766-1B02 9 AM TO 4 PM r-OR THE FOLLOWING INSPECTIONS: FOUNDATION TWO REQUIRED FOR FOUREO CONCRETE 2~ ROUGH FRAMIN(i & PLUMBING 3. INSULATION - 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y ~T~TE CONSTRUCTION & ENERGY CODES. NOT RESPONSIIII.E FOR ~I~IGN OR CC'~dSTRUC'I'ION ERROr, GENERAL NOTES am/K~t -~ - ' '"' '130' i ~2~ Un Y 21-8x23-4 · L ~ -- t- open '0 below / Great R x ' ' + : Main FIo~ ~ ~ t.. Upper Floor :" ~g7 ~EtL:Total - I, O© SYMBOLS J _J BASEMENT AND FOUNDATION PLAN NOTES: FOUNDATION SECTIONS FAM,/KIT, GREAT ROOM DINING ,0 MAIN FLOOR PLAN toL { BEDROOM 4 BEDROOM d BALCONY ~ ('~/4, ~ ti~/&'' BEDROOM 2 O© UPPER FLOOR PLAN