The URL can be used to link to this page

Home My WebLink About15090-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19000 Date APRIL 30~ 1990 THIS CERTIFIES that the building_ Location of Property 3955 PINE NECK ROAD House No. County Tax Map No. 1000 Section 070 Subdivision ONE FAMILY DWELLING Street Block 06 Filed Map No. 80UTHOLD, N.Y. Hamlet Lot 27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15, 1986 pursuant to which Building Permit No. 15090-Z dated JULY 15~ 1990 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 ~ ATTACHED WOOD DECK. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PAUL MARCHEEE ll-SO-38-JULY 18~ 1989 N-091647-SEPT. 14, 1989 JULY 20, 1988-MATTITUCK PLUMBING & HEATING y Building Inspector Rev. 1/81 IPOILM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/AlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15090 Z Permission is hereby granted to: ....~..~....~ ........................................... ..~..t...~.~.~.~....~..~..~.~ .............. ..~~........~...~... ...... 1/....~.........~. ....... ,o at premises located ar ...~.~..',~..~. ........ ~t~ .................... ~~ .......... County Tax Map No. 1000 Section ..... .~....~.....0. ....... Block ...... .(~../~ ........ Lot No ..... ..'~...'~ .............. pursuant to application doted ............. ..~. ~.../.C .............. , 19.~..(P., ond approved by the Building Inspector. Fee $..,.~t.,.~,..~,. ........... Rev. 6/30/80 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) Dote PermissiOn is hereby granted to: ...... ~..~.~...~..~~.~...~ ...... ro ...... ~~..~......~.~......~.~ ...... ~/~z~....= ............... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ........... :::: ........ · ~.... ~:.~-. .......... ~.... ,";" . ............. ............................................................................................................. ~~a~.=.~.~ County Tax Map No. 1000 Section ....~...~...(~.. ..... Block ....C~..~ ....... Lot No....(~...~:~.t/.~. ...... pursuant to application dated ...... .~..:~?~.~/..'~. ......................... , 19..~..~7 and approved by the Building Inspector. Fee $ ,,c~,,,,,~,;,~ ....... Rev. 6/30/80 TOWN OF SOUTHOLO BUILDING DEPARTNgNT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property....~.~.~ ........ ~ ................. '.. HOUSE NO. STREET HAMLET Owner or Owners of Property .......... . . ~o,,,t,, Ta~ ~,ap ,o. ,000 Section ..qT.o. ~loe~ ..O..¢.. Lot' ''~7'--- Subdivision ....................... Filed Map ........ Lot .......... Permit No../~.d2~.(~..~..Date of Pe~.~/..~.~.~...App[icant .~.~..(~.~.o.~,...~..~.~?~L.~_~_- Health Dept. Approval .................. Underwriters Approval Planning Board Approval .............. Request for Temporary Certificate ....... Final Certificate Fee Submitted: $ .................... 'er. 10/14/88 co R I f'ooo Ae FORM NO. TOWN OF SOUTtlOLD B~ILDING DEPAR'I~NT TO~N IIALL 765- ~802 APPLICATION FOR C~RTIFICATE OP OCCUPANC~ INSTRUCTIONS '~hls spPllcstlon must bel £11ed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ~. Final survey o£ property with accurate location of all buildlsgs, property lines, streets, and unusual 9atnral or topographic features. 2. Final approval of Health Dept. of · 1 ' water supply and sewerage-disposal(S-9 form). 3. Approval of e ectrlca~ installation from Board of Fire Underwrlcers. 4. Sworn statement from plumber certifying that solder used in system coutalns less th~n 2/]0 of I% lead.I 5- Commercial buildlogs,iindu~trlal buildings, multiple residences and similar. bu!ldiugs and installations, a certlfle~te of code compliance from the Architect or'Engineer responsible for the bnildln~. ~. Submit Planning BoardlApprova1 of completed site plan requirements. For existin~ buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land rises: ]. Accurate survey of property showing all property lines, streets, buildings and unusual natur~l or to~ographlc features. 2. A Properly completed ~ppllcstlon, a consent to inspect si§ned by the applicant and a certified abstract of title ~ssued by a title company whlch shall show single and separate ownership of the entire lot prior to April 9, · If a Certificate of O~eupauey is denied, the Building Inspector shall state the reasons therefor ia writing to the applicant. 3. D~tn of any housln§ e~de or safety inspection of buildings or premises, or other pertinent informationirequired to prepare a certificate. For Vacant ~and'Certlflc~te of Occupancy: ]. An application for vs~an~ land Certi£1cate of Occupancy shall be submitted, and a certi£ied ahstra~ct of £itle issued by a title company showing single and separate ownership of ithe entire 10t prior to April 9, 1957 shall also accompany the applicatioa. If ~ Certificate of Occupancy ~s denied, the Building Inspector shall state the reason.is therefor in writing to the applicant. FEES:! I. CERTIFICATE OF OCC~ANCy - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dweliling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Oacbpancy on pre-existing dwelling - $]00.00. 3. Copy of Certificat~ of Occupancy - $5.00 - over ~ years - $]0.00 ~. Vacant Land Certificate of Occupancy - $20.00 5. ~pdated Certlflcat~ of Occupancy - $50.00 6.. Temporary Certificate of Occupancy - $25.00 Residential $50.0~ Commercial TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTttOLD, N.Y. 11971 TEL. 765-I 802 CERTIFICATION Date Building Permit No. I/-~o 0wner ~c~c3/ ~r c~$ f_ (please print}, Plumber ;~,~ ,~,~,.~c~,L ~{u~qI',,~ % {pieas~ prznt) JUN.~O ~989 ~4~O. O£p~ Or I certify that ehe s~!der used in the water supply system contains less than 2/10 of 1% lead. (plumber's signa~ ~e=or,_ me this / Notary Public THE NEW YORK BOARD OF FIRrE UNDERWRITERS 1 O0 ~. 0 71 BUREAU OF ELECTRICITY ] 85 .JOHN STREET, NEW YORK, NEW YORK 10038 SgP'~'FJqBJ~;~,~ (4, ~989 A308~88~;/~ ~ Date Application No, on file THIS CERTIFIES THAT only the electrical equipment ~ ~scribed below and introduced by the applicant ~med on the above application number in the prem~es of in the followlng Ioc.[i~,. ,.~aspme~t ~ Ist Ft. ~ ~,,d YL G~/ATt['IC Sectio,t Bilk Lot was exatnined on and found to be in compliance with the require.tents qf this Board. FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES FLUORESCENT OTHER ~3 OTHER APPARATUS: TRACK E R V I C E AWG. OF CC, COND NO OF HI-LEG A, WG OF HI-LEG G &,, ~'' CONTRACTOR. {BOX 235 hIC.#578-E GENERAL MANAGER 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. I I ! FIELD IN~,PECTION iDATECOMMENTS ~O~ND~TION ?-?~ __ ~' / C,OD~ ~ ADDITIONAL : ..,'.,.O..'T. ~' INSPECTION [ ] FOUNDATION 1ST I ] ROUGH PLBG. FOUNDATION 2ND [ ] IN. SULATION FRAMING [/~FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION BUILDING DEPT. NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~NSU~TION 7GS-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: ~/~ FOUNDATION XST []ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL DATE,, 2'65-],802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ,,INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBGo FOUNDATION 2ND [ ] INSULATION · INSPECTOR ANGELO FRANCIS CORVA & ASSOCIATES, ARCHITECTS March 2, 1984 Building Inspector Town of $outhold Southold, New York Re: Marchese Residence Southold, New York Dear Sir: Enclosed please find three (3) sets of plans, building department application and health department approval for the above referenced project. Please calculate the building permit fee, notify us and we will forward the same to you. If you should have any questions, please do not hesitate to contact me. Very truly yours, STANLEY STEVENS cc: Paul Marchese encls. SS/caf 99 QUENTIN ROOSEVELT BOULEVARD, GARDEN CITY, NEVV YORK I 1530 518-542-7700 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Received ........... ,19. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with~3 sets of plans, accurate plot plan to scale. Fee according to schedule. ~ b. Plot plan showing 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 must be drawn on the diagram which is part of this appli-~ cation. 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 applicant. Such permit', shall be kept on the premises available for inspection throughout the work. / e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for.,t;Rmoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build~cqde, hojisinjg/~ode, and regulations, and to admit authorized inspectors on premises and in building for necessary insp/tion~.~ ~ ~ (Sig~tur ojre j. ppli_cant, or name, if a corporation) 99 Que~fffr[ Roosevelt gou!evar~ , _ C ~__Iq .e y..Y. 9 .r k 11530 (Mailing address of applicant) : State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder./. ~ Architect Name of owner of premises P au 1 Ma r c h e s e ' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) To Be Provided Builder's License No.. To Be Provided ~- Plumb~er's Lidense No> ......................... Electrician's License No. T.o..B.e...1>5o.v. .i.d.e.d. ...... , To Be Provided Other Trade s License No ...................... 1. Location of land on which proposed work will be done ................................ . .................. N~ Pine Neck Road, Southold House Number Street Hamlet 70 6 27 County Tax Map No. 1000 Section .................. Block .................. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant a. Existing use and occupancy ......................... '.; .: :..,:,. 5~ .'.,2r:~?,I ................................ One Family Dwellin, g, b. Intended use and occupancy ....................... y..~..' ....., ~.~, ~ ..:..;.¢,;?~ ............................... property lines. Give street and block interior or comer lot. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..... .~. Repair .............. Removal ....... Demolition .............. Other Work ............... ' ~~ ,ZJ(0Z/~/0;>~'''Descripti°n) $200,000.00 ' ¢. Estimated Cost ............. i .............. (to be paid on filing this applic~ation) i 1 If dwelling number of dwelling ~4nits .............. Number of dwelling units on each floor ................ number of cars ' 2 If garage,. · ...................................................................... If business, commercml or mixed, occupancy, specify natgre and extent of each type of use ..., .................. · . . i . pth ~ Dnnenmons of existing structure~, If any Front ............... Rear .............. De ............. Height ............... Number of Stories ........................................................ Dhnensions of same structure with alterations or additions: Front ................. Rear .................. Depth: Height .. Number of Stories Dimensions of entire new construction: Front .~10: 0. o.A ....... Rear ....... Depth .. 720...A ....... Height ... 1 &' .... Number of Stories ........ 1.. ~ ¢ o.r.y. .... gtI Size oflot: Front ~.8.Q,~2. i Rear 18 .0 Depth 184.98 . Date of Purchase ........... i .................. Name of Former Owner ............................. i Z one or use district in which premises are situated ..................................................... . Does proposed construction violate any zoning law ordinance or regulation: ................................ i Will lot be regraded ......... i ................... Will ~xcess fill be rernoved.fl~opl premises: ~ 86 -Y~ 85 No ~ · Paul Marchese 48 Ingranam ~±v ~ - I Name of Owner ofpgqmlses .... a ................. Address ................... .Z~'ltone No ................ . . ~ange±o ~. ~orva nerapsEeaa, m~ ~ Name of Architect .......... ~ ................. Address . 11'5'50 ............ Phone No ............... Name of Contractor .... %0..I~. ~z.o.w %~t.e.4 ..... Address ................... Phone No ................ · 99 Quentin Roosevelk Boulevard, Garden City, NY 11530 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from umber or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ............. A ng h 1 o F. Co r v a, R.i.A being duly sworn, deposes and says that he is the applicant (Name of individual sigOing contract) ~bove named. I Architect He is the ..................... i ................................................................... : (Contractor, agent, corporate officer, etc.) of said owner 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 performed ~n the manner set forth in the application filed therewith. Sworn to before me this ........ /. .............. '~,day o~... fi.Q [ ~-~,~ ....... 19. Notary Pubhc, ........... /,¥.~ ....... County ! "-/'-'5 ~. ~. ~, ~ XY. /~.f-_k~ tlo~l'~b~,~t~of~'tor~ ................... / ...c,~.~o,/-,~ . NO. 80',gO~ .................... I . ;inature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~xamined ........... 19 (~ / ~-'c)~O ~ Received.. ~pproved '~.:...'~.-- .... , 19~...~Pennit No~. ...... ' ' ....... (~ilding Inspector) .... *" APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~3 .'ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets,: r areas, and giving a detailed d~scription of layout of property must be drawn on the diagram which is part of this appli-i~ ttion. ,, c. The wo~k 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 Per;nit to the applicant. Such permit ~all be kept on the premises available for inspection throughout the work. e. No building shall he occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance~ Of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or forjgmoval or demolition, as herein described. he applicant agrees to comply with all apphcable laws, ordinances, buildi~cq/de, hoh~si ,ng~ode, and regulations, and to 'Jmit authorized inspectors on premises and in building for necessary insp~'tio.n/, · . ..... b .......................... (Sigfi~_ture o,e'.~pplicant, or name, if a corporation) 9~ Que~/i-I/ Roosevelt Boulevard .....C.~.~.d. ?: :~.q ~. ~ ?.,..~. ?.~. y.o..r.k....~ LS).0. ........ (Mailing address of applicant) ;tale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Architect (Name and title of co¢orate officer) To Be Provided Builder's License No.. To Be Provided Plumber's License No ......................... Electrician's License No.~ Be Provided To Be Provided · Paul Mar chese . . ~mne of owner of premises .................................................. -' '-~ '~" ~OT[O ....... (as on the tax roll or lates~O~ ~TIFY 8OlkO~ga 766-1802 ~ A~ re · P~ ~R THE F~LOW N~ FOR ~OU~ co - - - 2 ROUGH 3. iNsu~TIO~ BE cOmPLETE FOR C 0 Other Tradc's license Ho ...................... A~ CONe-RUCTION REQUI~MENT50~ ~HE N,Y Location of land on which proposed work wilt be done ................. ~A~' CO~'~[~,~i~ '~R ' ' .... N~ Pine Neck Road, Southold ~'NOT~"~ House Num bar Street Hamlet 70 6 27 County T:~x Map No, 1000 Section .................. Block .................. Lot ................... Snbdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant a. Existing use and occupancy ......................... ;¢.;; ?. :~ .*:3,~,:*td ................................ b. lntendeduseandoc6upancy One Family Dwellin, g.-: ....................... ,~{,~;, ,. ,.~ ~:, ,; .; ~.[: ';.; ................................ 3 Nature of work (check which applicable): New Building Add~ Alteration Removal Demolition ' Other Work Repair . ' ' ' ' (to be paid on filing this applic,ation) 1- If dwelling, number of dwelling i . 1 ' ·': ~. qmts ............... Number of dwelling units on each floor,.... ........... If garage number of cars ~2 ' · 6. If business, commercial or mixed! occupancy, specify nature and extent of each type of use ..................... ~1' Dimensions of existing structure~ if any: Front Rear ' ~ ' ' Depth' ' '~ ~' ~ Number of Stories Height structure wi~h alterhtions or additions: Front Rear' ' Dimensions of same ' ' i Depth I Height Number of Stories 8~ Di ti ,onstr9 ' F 80:D A R ' " D pth 7213. ,, mensions of ell re new c chon: rent. ,., . ..... : ear .............. e .. .,A. .... i Height ,..1~2 ......... Number of Stories ........... 1..$t:OX, Y. ............................... fl ~8~q !g pta 9 Sizeo et:Front., . , ,.! ........... Rear .... .La.q:99 ........... De ,...[18.4...~.~ ......... 10[, Date of Purchase ....... i .................. Nam~ of Former Owner .......................... I I i' Zone or use district in which premises are situated ~ 12ii Does proposed construction violate any zoning law, ordinance or regulation: ............................. Will lot be regraded ....... ,..., ......... ~ ......... Will exc~s fill be removed_from premmes .... Yea ~ _ Nc /" eo~ ncr f mises raul Marcnase ---- ~ ~ngranam g~Wt.. ,, I man i ow o p,r~l · ~ ............ ' ........ Aaaress ..................... l'none mo ............... ........ angeAo F. Corva ___ nerapaEeaa, mi Name of Contractor . ~o ./t/~ p.ro-/$~l.ed. Address ........ Phone w,. ~ *99 Quenetn Roosevel~ Boulevard, OardenJCity~ NY 11530, ? ' q ' ,/I Locate clearly and distinctly all !buildings, whether existing or proposed, and, indicate all set*back dimensions fron' prope~y lines. Give street and block: mmber or description according to deed, and show str&et names and indicate whethe interioror c0rnerlot, ' ' :, ' STATE OF NEW YORK, !S.S COUNTY OF ................. Angelo F. terra, R. l^. ' .... ; the ppii ............................. .................... being duly sworn, deposes and says that he is a cant (Name ofindividtml signing contract) ;, , ,. above named. ~ . ~ He is the ' (Contractor, agent , corporate officer, etc.) ' of said owner or owners, and is duly authorized to perform or have ~erformed the satd 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 performed in the manner set forth in the application filed therewith. , I' Sworn to before me this , : 1 uti shouJd be' rioted that since this property is located in an bgricultural area, the possibility exists that the water su,o~;[y may contab trace amounts of pesticides and/or nitrates. Special analysis ~/K required. Contract this Depa~ment prior sampling". RODERICK VA .C. (s}-;~__ _~ ~'¢~r/APPL ICANf SUFFOLK COUNT'~ SERVICES -- F'O CONSTRUCTION'ONI DATE: H. $. REF. NO.:~ ~PROVED: ~iST. SECT. 1o00 OWNERS DEED: L. ~,,,E,~I TEST HOLE I N/O/F LAND BoYD OF ~__ / ~ 180,00 | N. 78°04'20 N/O/F LAND OF 61BOSON S. 76o 50' O0"W' pINE __ I \ol/WeIl 180.3 ~he seWaBe dlspoSa 8~d wav,~ -, P~ - m familiar with the Sta~ar~ for A~roval a~d 8ye bePn inspected by ~ls O~adm~nt and/of ,nstruction of Subsume ~ewage Disposal S~stems location h ' ~ J.,,d ~n ~ ,~ti~a~Y. MARCHESE ~lqgle FadHly Residences i~d will abide by the ~dlti-c"~s s"-"~'Tort-"~ ther~-"~l ~ ~e permit to nstruct. ~ ,/ ,,~ ~OUTHOL OF SOUTHOLD J,c LLA. L5. and approved and adopte4 for ~uch u~e by. The New York State Lan~ ~itle A~soclatlot~. SUFFOLK COUNTY , N.Y. I000 - 070 - 06 27 ,": 40' SEPT 26 1986 JULY 29 (J 516) 765 - 50.20 P, 0. BOX 909 MAiN ROAD SOUTHOL'D:, N.Y. 11971 APPROV£D 86 - 492 A ~j½ should be fiO~e~J fhat since this p~operty Js located in an agricultural area, the possibility exists that the water supply may conteb trace amounts of pesfici~s and/or nitrates. Special analysis ~ required. Contract this ~ment prior to Sampling''. R~FRtC~ VAN TUYL, LICENSED LAND SURVEYORS GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT, APPROVAL H.S. NO.. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL CONFORM T,.., THE S/T~ANDARDS OF SUFFOLK D T.,ff HEALTH S .V CES SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL Of DATE: ~ H.$. REF. NO.: ~ [ ~ ~ ~PROVED: ~FFOLK CO. TAX MAP DESIGNATION: D]~. SECT, BL~K ~L. / ~o~o 7o oWNERS ADDRE~: DEED: L. ~i P, TEST HOLE ~AMP SEAL PROPOSED RESIDENCE FOR MR. & MRS. PAUL MARCHESE SOUTHOLD , NEW YORK ;AVtl'T O/l? AIF pILH ~Loo~ ~AVlt¥ ~I .71 Air- u ~ ~/¢.1, 7°1 ~ F CAM IH~, {o~ ~ate~' disU PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. AP?,'IG%'ZD AS NOTED FEE:~By: NO?IFY BUILDING DEPA~AENT AT 765-1802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONS: ]. FQUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PEUMBING 3. INSULATfQN 4. FINAL - CQNqTRUCqlnN MUST BE C~6~m'TE FOR ALL CONSTRI "CT]ON SHALl THE REO[HerMENTS OF TH~ N Y STATE CONSTRUCTION & CQDES. NqT RESPONS~BEE FOR DESIGN OR CONSTRUCTIQN ERRORS. I{: copper tubing is used for water distributing system; piping shall be of types K or L onl_y ANGELO FRANCIS CORVA & ASSOCIATES, ARCHITECTS 99 QUENTIN ROOSEVELT BOULEVARD GARDEN CITY, NEW YORK 11530 Ii'HESE PLANS ARE AN~ INSTRUMENT OF SER- VICE AND OR THE PROP- ERTY OF THE ARCHITECT INFR]NGE:MENTS WILL BE rOSECUTED. ROJECT NC', +'H¢¢ ?ALLL SCALE CHECKED BY ~ DRAWING ND. L T DAT F: BY fl ANGELO FRANCIS CORVA & ASSOCIATES, ARCHITECTS 99 QUENTIN ROOSEVELT 'BOULEVARD GARDEN CITY, NEWYORK 11530 PROJECT P~OJ~CT~4~,~ DRAWN BY 4 }I ~*~LOri (~) - Loll ~/~ LOIl ~, L,CI: - t . ?L~" f ~LI¢,i 1- ~ILJ~X ~1. ~II ~[ [:2, % L4L~II i ~t.b¥ ¢¢b, T' ~L4ir C & ASSOCIATES, ARCHITECTS 99 QUENTIN ROOSEVELT BOULEVARD GARDEN CITY, NEW YORK 115~0 /, DRAWING CHEOKED BY PROJECT DRAWING NO. J ANGELO FRANCIS CORVA -Y i t[ I I o ----?F-IvFF fl~let~ ,+ ~4 I [ Ii DESCRIPTION BY ~ ANGELO FRANCIS CORVA & ASSOCIATES, ARCHITECTS 99 QUENTIN ROOSEVELT BOULEVARD CITY, NEW YORK 1153'0 THESE PLANS ARE ~ INSTRUMENT OF SER. ViCE AND OR THE PROP- ERTY OF THE ARCHITECT INFRINGEMENTS WILL BE DRAWING SCALE BF;IAW N CHECKED BY SHEET DF Ii DATE i r ANGELO FRANCIS CORVA & ASSOCIATES, ARCHITECTS 99 QUENTIN ROOSEVELT BOULEVARD GARDEN CITY, NEW YORK 11530 ITHESE PLANS ARE AN~ iNSTRUMENT OF SER- VICE AND OR THE PROP- ERTY OF THE ARCHITECT INFRINGEMENTS WILL BE PROSECUTED. PRDJECT DRAWING SCALE PROJECT SHEET OF DF:lAW I N ~ NO. 4ti ~,~4~, ela~ · IL.d~ ANGELO DESCRIPTION BY j FRANCIS CORVA ASSOCIATES, ARCHITECTS 99 QUENTIN RO~OSEVELT BOULEVARD GARDEN CITY, NEW YORK 11530 ITHESE PLANS ARE INSTRUMENT OF SER- VICE AND OR THE PROP- ERTY OF THE ARCHITECT INFRINGEMENTS WILL 'BE PROSECUTED. PROJEOT DRAWING SCALE 'RO'JECT 4 ¢5,¢ I LAV, ~ I Cx~'t ~IL ~,~'~ I~[~,~, (~'> q/b'-4~ 1'oF F~$¢ ...... I ANGELO FRANCIS CORVA & ASSOCIATES, ARCHITECTS g9 QUENTIN ROOSEVELT ~BOULEVARD ~.GARDEN CITY, NEW YORK 11530 ITHESE PLANS ARE AN INSTRUMENT OF SER- VICE AND OR THE PROP- ERTY OF THE ARCHITECT INFRINGEMENTS W]LL BE PROSECUTED. [DRAWING SHEET OF