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HomeMy WebLinkAbout23621-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,- N.Y. CERTIFICATE OF OCCUPANCY No Z-25169 Date JULY 31, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 260 DEER DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 10 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore - filed in this office dated JULY 24, 1996 pursuant to which Building Permit No. 23621—Z dated AUGUST 7, 1996 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 ATTACHED TWO CAR GARAGE & ROOFED OVER FRONT PORCH AS APPLIED FOR. The certificate is issued to JAMES & DAWN DEERKOSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0022—JULY 1, 1997 UNDERWRITERS CERTIFICATE NO.- N-425663 — JULY 15, 1997 PLUMBERS CERTIFICATION DATED JUNE 17, 1997—KEVIN REMPE ilding In pector � - Rev. 1/81 FOILK NO. b 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) N° 23621 Z Date � .. ...................... 19 Permission is hereby granted to .. ✓. ..................... ..... ........ ....... ............... ro . . .... ............. .... . . p� .. . .... r.� - .. . ,, ..... ... ......... . at pr s located at ............... �u ................................................ ...................................................................... .................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ...... ... Block ..... ....... Lot No. ... ........ pursuant to application dated ............. ........ ...;V................ 19../..6 and approved by the Building Inspector. Fee $.... .. .... ... ...............I ...................... ............................... Building I for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT JV,97, TOWN HALL 765-1802 ss, ,.JAPPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building �pv�\ inspector with the following: for new building or new use: J �( Final survey of -property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: Accurate survey of property showing all property lines, streets, building and usual natural or topographic features. 2. A p erly completed application and a consent to inspect signed by the applicant. If a Ce t`ficate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees O0 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. Copy of Certificate of Occupancy - .25>�:, 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date J /! f New Construction. . . . . . . . . . . Old Or Pre-exist' g Building. . . . .�.J. . .�._. . . . . . q Location of Property. �. . . . . . . . . 3 4-sf� 1� .. . . . . . 11d !'4>. . . . .�V.�`/sz House No. Street 4 Hamlet �'?d Onwer or Ow-Hers of Property. . . . . . .. . . . . p County Tax Map No 1000, Section. . . . 141, . . . . .Block. . . /0 . . . . . . . . .Lot. .'Z;;� . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . .. .Date Of Permit. . . . ..... .7.. . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval.t&.9.. OL .� IF4 Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. .. . . . .. . . . Final Certicate. .. . . . . ' ' Fee Submitted; $• • .... . .. .... . . . . .. .. . . . . . C� ➢,� ,53� ..4 . . ... . . . . .. . . . . APPLICANT PI-10Q40f Fat Town Hall,53095 Main Road ca lZ Fax(516)765-1823 P. O. Box 1179 ® Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Buildings Permit No. J 7t Owner: /r ®isi� Qnd J_a,1S . � I Y1 S (please print) Plumber: y/} e please ri t) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn before me this day of 719_ Notary Public, County ��Sw Gf New Ya* Stshdk Expites.l�.31,19 James J. Deerkoski , P. E. 260 Deer Drive Mattituck, N.Y. 11952 ( 516)298-5506 July 21 , 1997 Attention:Mike Southold Town Building Dept, Main Road Southold N.Y. 11971 Re: Ammendment to House Plans (236212) To Whom It May Concern: This letter is in regards to a change of plans fort the "Deerkoski Residence 260 Deer Drive" , permit number 23621Z. A overhead door was installed instead of hinged doors entering the basement . The door was set below grade and is to be used for access to hold storage . ' ncer� Jame J%.De k ski P.E. 0 ' kjr zu §, n �3 j` Board Of Southold Town Trustees ? s SOUTHOLD. NEW YORKIJ y " ' ` rl PERMIT No. G9 DATE: .. May Z3.,...1996 ISSUED TO9 James Deerkoslu........._ . ...... s ,Z�lYfl�Qxt��I�tDlt Pursuant to the provisions of Chapter 615 of the Laws of •' ' the State of New York, 1893; and Chapter 404 of the Laws of the 04 /i State of New York 1952; and the Southold Town Ordinance en- titled n titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the \ REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM fi \ LANDS UNDER TOWN WATERS;" and in accordance with the ` Resolution of The Board adopted at a meeting held on _May...22 ....... ty 19.9.6.., and in consideration of the sum of $- 150..00 _ paid by I ` 1 J... Deerkask:... .......... ._--.. >' a; of . ........ .................. _ .... ........ N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, I y► of Southold Town Trustees authorizes and permits the following: rh to construct a single family dwelling approx. 75' from ` wetlands. Hay bales must be placed 50' from the northwest property line and no clearing shall take place within that 50' all in accordance with the detailed specifications as presented in i the originating application. / 7 IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to .' a be subscribed by a majority of the said Board as of this date. G VIA Naz \ ' 0 -` i y � J*r Trustees iJ /r //- 1.195197 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 15,1997 Application No.onfile 12994096/96 N 425663 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JAMES DERROSKI, DEER DRIVE, POLE NYT 3, MATTITUCK, N.Y. in thefollowing location; ® Basement Ist Fl. ❑ 2nd Fl. GAR/ATTIC/OUT Section Block Lot was examined an JULY 11,1997 and found to be in compliance with the National Electrical Code. R%TURF ECEPTACIES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLET$ INCANDESCENT Fl. OTHER AMT. K.W. M1i. K.W. AMT. K.W. AMT. K.W. AMT. X.P. 70 49 56 59 11 1 3.5 1 1. 2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. NAT. - NO. A.W.G. AMT. MIP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS MIT. WATTS NO.OF FEET 7 F 1 20 2 600 SERVICE DISCONNECT NO.OF S E R V 1 C E AML AMP. TYPE METER 1,e'2W 1.a 3W 3 R 3W 3 F lW NO.OF CC COND. A.W G. NO.OF HI-LEG A.W.G. NQ Of NEIITRAlS A.W.G. EQUIP. PEP a Of A&MON[) OF HNEG OF NEUTRAL 1 200 CB 1 X 1 2/0 1 0/0 OTHER APPARATUS: WELL PUl11P-1 WIRLP00L BATH-1 PADDLE FANS-2 11OTORS:1-F H.P. ,2-F H:P. PANELBOARDS:1-23 CIR. 125 G.F.C.I:-9 �IIOKE DETECTOR:-5 L .ry L��s...._..� L M � . <<< Continued on Page 2 >>> GENERAL MANAGER aG 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195197 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Bate JULY 15,1997 Application No.onfile 12994096/96 N 425663 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of JAMES DERROSKI, DEER DRIVE, POLE NYT 3, MATTITUCK, N.Y. in the following location; ® Basement ® Ist F'1. ❑ znd FL GAR/ATTIC/OUT Sertion Block Lot was examined on JULY 11 1997 and found to be in compliance with the National Electrical Code, RXTURE ECEPUCLEs SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT. OTHER I AMT. I K.W. AMT. I N.W. T. I K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPE IAL REC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NAT. K.W. OIL H.I. GAS H.P. AMT. NO. A.W.G. AMT. IMP. AMT. AMPS. TRANS. AMT. M.P. NO.OF FEET AAU. WATT$ SERVICE DISCONNECT OF S E R V 1 C E AML AMP TypE METER i J I p.3W 3.a 3W 3 F AW NO.Of CC COND. A.W.G. NO.Of MI-lEG A.W'G. NO.Of NEUTRALS EOWP: PER$ Of CG COND. CK HI-LEG Of NEUTRAL OTHER APPARATUS: SABA'P ELECTRIC Id,tL 50 PAT LANE I-MTTITUCK, NY, 11952 GENERAL MANAGER 11 A Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified Their «edentials. o� ®F NE a � . 07-- E� 5 r fY t , � S� � E Wn WX l��` D NGL IZII W+ 2�v s..2rt EA0'Y�. ra�tiD A'nnN LPN CHA�VC�C_. FP..6'M AnPiLN OJM raunwA i/oro�oss�—"�1 orJ g (31v r � G ! L' NS""' CTION /y 1 1 1 1 1 1 1 INSULATION FRAMING FINAL �r�L_ -v 1 r e DATE_ INSPECTO suiLDiNo oar. INSPECTION [ ] FOUNDATION 1ST [�UGN PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ RAMINQ ( ] FINAL REIMARI(S: � 2 DATE is INSPECTOR suu.oiNc DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � �c7� _;KGs �l� �,✓s�/� DATE INSPECTOR suu.uiNa DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE � INSPECTOR i BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ `' NAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ::�'P4�5� jllm DATE Z� S7 INSPECTOR v 12 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1 FRAMING [terFI NAL�i , [ ] FIREPLACE & CHIMNEY REMARKS: DATE 7 yb 9 INSPECTOR V P t G1.1) I NSI'L;C"1'1 ON it DATE. CUCIh1ENT:i W -- - -- --- ------- --- - — rOnNDAT I ON i v ` FOUNDATION (2ND) ---------------- - r ! o PLUM It I NG 11 Ul I NSIII.AT I ON VER N. Y . 1 STATE EMERCY ! 7 . ol 9 - _ i FI NAI, I I! .------_-------.--------u------.-_ll��---- -- ---.- -_ ------ ----- ----- x_+ )I11T NA(, COMMI N I S: "74-e� co, - D� I .a ti N BOARD. OF 111?A1 f11 , r6 �`1 FORM N0. 1 //3 SPITS OF PLANS . . . . ... . . . . . . . . 7 "—b l• , .TOWN OF SOUTHOLD ,/SURVRY . . . . . . . . . . . . . . . . . . . . . . . . BIJILDING DEPARTMENT �CUECYC A190 6 TOWN HALL SEPTIC DORM .. . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 �, � ��- 'J'E[,: 765- I802 NOTIFY: �CG1t-" .�- �^ ��� y, -_, CALL . . . . . . . . . . . . . . . . . lix<-unux't).. ... . , ,. 19� MAIL TO _ . . . . .�.� App uroverl......... .�:.., 101% Permi.0 Ike. �1 7 " ��d . . . . . ... ..................................... Disapprover] a/c ...................:.............. .................................... 2,1CAT1ON5FOR loped or) AP BlJ LD1NG PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 71uis application must: be carSrlet:ely filled in by typewriter or in ink and suixtitted to Ilse Building Inspector wills I seLs of plans, accurate plot plan to scale. Pee according to scherkrle,. b. Plot plan sls ing location of lot aril of luiiclings on premises, relationship to adjoining premises or public streets or areas, 'asx] giving a detailed descripticm of layout of property nest be drawn on the diagran cflrieh is part of this application. , c. 'Ilse cork cvvereot by this application MAY rot be coamenced before issuance of Building Permit, It. Ulan approval of this application, the Building Inspector will issue a Building Permit to the jpfp'icant. Such lsernit shall Ise kept on Ilse premises available for inapectiuu i.hrouglrast the cork. e. No luilding shal l. be occupier] or used in wisole or in part for any purpose whatever until a Certificate of Occupancy sluall ]save teen granter] Iry CIe goildling Inspector, APPLICATION IS IEITBY IWIE to Clue Building lkpertvent for the issuance of a Building Permit purm4nnt to clue 140ilding Z<xre Orclirance of tlse Tony of SwUrold, Suffolk t:amty, New York, and other applicable Iaws, Orsliu,, es or Regulations,. Por tle constnuctOU ofWildings, a(klitions or alterations, or for removal or demolition, as herein described]. 'Ilse applicant agrees to carply with allapplicable laws, ordinances, briilding Cale, lxxusing code, and regr.datirnus, add to admit autborizecl inspectors urs premises arxl in )wilding for necessary inspections. ..., t'1,�.. ..................... (Signator . orCGal�l i -11L3p,3 or nare, if a corpnraLirn)g��/ (K-riling asklress of applicant) Ii9oI State w/lylellser applicant is Owner, lessee, agent, architect, engineer, general contractor, electrician, ph■rier or builder. Nine of: Owner of premises .. .�. .+. .... �d:�.S ................................................ ........... (as ort the tax roll or latest deed).. If alqulicant is-a r_o r signature of duly muUnrized officer.. ..- - .-•......................... (N�ne aux] ti -le oNcor rate officer) _ Doilders License as. ......................... . Plt.wieis License No. "'. 'c lilectricians License No. � ! - Other Trade's License No. .................... 1, location of larxl on aiddi proposed work will. ise dJore-55. 0 ................... kly ..............................1.'-SAI�.�b?�bC .................... Ikxuse Nuriuer Street Uanlet COUTIty 'fax Map N,yo. IWO Section ...A... 1.9....... Block ......02...... I,t .... ...:... Sulxlivisirx, .. R.7?.. ....T,' lLtc;....... Filed Itup Tkp. �`�, ... in[ ... Z. State existing use and occupancy of premises aril interxJerl use arxl cx'.cuppancy of proposed construction: . a. Existing use and occupa»ey .... .??°- 7 b. Interxled ruse mxl occupancy .. ............................... :1. limine of (rock (dreck widdr, applicable): Non4 Ik,ildintl X.... . . Acklition Alteration .. ...... Relu,lr Itecrwal Deno]iLiart ............ Gilley Rnk (Ikscri pCicxr) 4 . I3sL inml col Cost ...`£.. .'. ®�........ fee .......... ........... ......_........ ......... (to lie Laid ac filing this application) 'i. if ckxaliag, cxnlrer of ckwell ilia units .... ....._. Muller of ekJellioi; units On eadc floor .... .....:....... If' garage, ,mixer of cars ...... .......................... .... 6. If Ix,aioess, etsnnercial or mixed mculuac:y, specify nature acxl extent of each type of use...................... ). Diseusions of existing structures, if any: Fnxa:....... . ... .. ... Near ............... Depth Ik:igict Muller of Stories Dinensias of sane Structure with alterations or exklitions: Front ...... . .... . ... Rear .............. . Ikpth Ikeigbt Mader of Stories ....... l!. Disensions of entire new construct:ion; From _..... .— Near Ik:i1J,L ......Z'?:,.............. Mutrer n[ Stories ..tt.,�--.1.... ...... .... 9. Size of lot:: Frout ...y..q.�.. ...... Rear .......I.�!.E__...... I)eptIt .. .�..�.� ............ � Etb.:tG'3(p n ID. Date of hirc:haaa N.ti,re of Fnnir:r aater 21C.v�.._.YJ .W"�i ....... .... 11. Zoon or use district in wlnidr praxises are situated ..fes-5I 12. Ikxas prolxn;ed construction violate any uxcing lim, ordinancecr nr regulaCio : ...F�.�................ I). Will lot lie regraolecl 4�Q......... .... Will excess fill Ile recnarved fruit premises; YES f%1VS2"ltb I4. Niles of. Owner of tirani ses .i."L �.., � g-Z4r�S"�t!]-_.. Acklress 2:. £�Ci..tom...!e........ 1'1 WA le no. ............. mote of Ynrhtrect ..... Acklress l9none Mr. ...... ... .... n % Ck.re of CtxrC racCor ... E-. ...... ................. /vklress ................ ...............11xme tJo. . ...... ...... 15. is this pmperty within 9IX) feet: of a Cielal wetlarxl'1 * YIi.S ..... NG .... ...... *IF YES, SGUIII(ND RAM 'IT4g;tFG.4 lCN4,1I'r 1k1Y Illi Rli(XIlin), FIAT DIAGRAM locate clearly anal distinctly all Ixlilclinrgs, cAnetber existing on: prolx,sed, acxl inlicate all set-Irack dimensions form prolreiry lines. Give street arxl blockrrnber or description according to tkeed� arxl allow street unities anxi irclicate cAicther interior or corner lot. r SMIE (%' U14 Y(Att(, s. SS (]FINN O . .. SLn'!*t44� .... ... . . ......... ... ..lxein, dui h Y r,4xcrn, deixses SIR�Saya that he is the applicant (Naze of inxliviekwl signing contract) alnrve nuaaed, lkeis Uu: .... &X:a....... ....... ... .. .. . ........... .......... .. .......... . (()0nLragtor, agent, corlxrra Le officer, et.c.) of Said oxaxir or oxmxers, mill is duly axnhoriud to laerfonn or have Ixerfonxed file Said work anxi to ncdce aril file this appl icationi; that allsCaCereutS contained in Lhis applicat ion are t:ux: to [lie Ixest: of his knimicilge mill Ciel ief; sial Ibat the work will Ire perforn"i in the urux,er set forth in like application filed UnerewUh. `kxrr'a to l,ef<ry;e x.: Ihis .3O .. . —day of -.—AL/ 91k... tNotaly ic p�p (Signatlre of App :auL) FFREY F. ZNol52 6847 QuState Of alified YOtk Qualified in Suffolk County Commission Expires mwek4iii I SA 9 ,p SUFFOLK CO. HEALTH DEPT. APPROVAL L_1DTE15 1. LOT N105. REFS 2 TO MAP OF ;aEEQ PAfZk: a� �- c� H. S. NO PLEASE NOT - �. i,..:�pLL� o SU �r Ft€.ED IN TX-fF FF_.W.(-_LERIE 5 C)�FIC E Y I - - ;45 MAS-' \40.3�'c�,r : _ Sanitary system s not t0 be �:,L a2vEYEU 2, NTt�uQs r '� ; MEAK SEA placed under driveway area. r P oeNNETTg � �. � "���- STATEMENT OF INTENT - - THE WATER SUPPLY AND SEWAGE DISPOSAL �y1gTUtiDS - -i IA T'1 'r (7 � SYSTEMS FOR THIS RESIDENCE WILL a - _.._._. 18 .rh �� ; CONFORM TO THE STANDARDS OF THE ; SUFFOLK CO. DEPT. OF HEALTH SERVICES. 0�0 OITCI-4.00UN� ^P2Y (S) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH "'WATM SUI' IM AM SMAGE DESMAL SYMM ; 4' SERVICES — FOR APPROVAL FOR '"CONFORM W1'Y. W N=STAT ARDS DATED Novadmm lot S. ' CONSTRUCTION ONLY r = to DATE: • H. S. REF. NO.: 17 :,t,rt.^ -. , 19" I APPROVED — - - t DECK SUFFOLK CO. TAX MAP DESIGNATION: i DIST. SECT LOCK PCL (14 Id 2 G� PROP. HQ, --- - -- n f I OWNERS ADDRESS: GA2. i 1 , AQEA 21,-574 S•F- j fzltilERt-1�r4D ver i t�Q 'PE i DC'tVE CFa?LS r MONUMENT ` ,�- TEL.7Z62-7 lip ' DEED: L. N(A P. CoUN'!`YDWARTMENTOFHMT148MVICES TEST HOLE 1 STAMP ( WELL- ''`moi PW..1099 GAL. t p�' 'ISO APPROVAL dF CON3I'RZWnON FOR A tneuno a at:e�anonaaee�Ir• to this survey Is a violation of v. EX N. (oA SV4(;L$FAMILY R&gjDSNCS ONLY searon rlos of the Now v«ttflue •' • �� , 1 Education Law. I 3.4`5 0 20"W, 147 .ate a' q d > ` �A! ��� _ _ I CopiesofthisWNWmapnotbaaft the land sunoyols Inked seal or f / embossed Baal dlai not be oollsidw" 11 y I 1 bbsavaidtnmeoW af baloaweflanotl al ru i FOR `_* , ; f "too*peaoll fortahoin die nay / 1 i is p wareA sn l on filaboose fie ROWS THM YEARS FROM DATE OF APIAOVAL ; tale Company,pov=111afpal agency Sold � I i tending kiwdWion Named' aid to the assionees of the knding had. �ljo -' tution.Guarantees are Uansf rabfa f , f71 N. U< yd'®< WA , O to ad6tionai kutitutans orauba.q,.tlt m .,.. !✓ !COY LANE I _ - -- _ � /V07� , �tE Qcv�Es i � W vw lard • •► � .1 , '�, � �VACANT' i�v W 6�� ( � ..� f SEA' _ lop 2ESIDtEIEEU5t»1tC> �', ',- I ( Q� P�GKV �'Zo Co I 45 SO VFYED MAir._►_3k 9-6 * J° r RO© ICK VAN TUYL. PJC. r V....� ��� do ti� oC:POOe � "•�"'u� '► •CS 2 6 J� t L LICENSED LAND SURVEYORS SFO LAND SpP ` GREENPCkRT NEW YORK J WELL SUFFOLK CO. HEALTH DEPT. ,APRROVAL _ H. S. NO. I.LOT NO'S. IEFE2 TO MAP OF IDER2 PA1 k MAP 05-_- ' *'Y' FILED Int THE SUP . Co.CtERfE'S 09FtCE _ _ I A$ NO. { 2 G_DNT0UJZ15 nE,Fa 'T 'IME-ANS S f F A Lf i. V 01 —. `. • B NN-TT STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL 1-1, 'T SYSTEMS, SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE t51 ',4. 41307r�} '— �— - X37 - ,.__. i; i'r Fri 'i ' ' T�' SUFFOLK CO. DEPT. OF HEALTH SERVICES. S SEP 2 01996 1 �� � � . �, APPLICANT I - QL0 ptTGH=t30++}W .i1 1 r l . V1y4 O DEPT. OF HEALTH !' BLDG.DEPT. �j ; SUFFOLK COUNTY To OF SOUTHOL� - ~,~ SERVICES - FOR APPROVAL POR y f ' CONSTRUCTION ONLY 4 ! DATE: H. S. REF. NO.: ' I✓ --- — ( APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. �L+ I two I OWNERS ADDRESS: A NE 32 Af2EA'21 5-?A ':5 F j R4 VI i AO t-4YY 11901 _ r j Itis 'M,M,r- T Rcv / �� � # # DEED: L. a+f�► P- ' LID 4 ST HOLF 11 STAMP >Section 7206oftheNawYgksM» l F,duca,ion L"i 0_7 (�j- .�}�4 i .�� sI Coo'ss c':his supvy n"not baa" \A znd survOYDes i iced seal or ! !✓ ► i' tossed seal shell rtot6o aonsWatap t Y � / � y_,a rasa indMated hereon shad r o the Person for wham the survey \ ! ' f w{ 1.5 .rad,and on his 6aftaHthe e V i ` i ; t r i n r vernmental aii�'4Y 9nttt edhemonand t fhc - t o lending insti- tut _ ca not eransrerah4 t W adj sial ri..t::_,ians W iri< SUbaaQU v Ui ;2-5 6 CII`IDa LA►'.I } r _iR_� �' 1 f -- ! -3 .Yf -L VAGAL rr} �_.e_ SE _ f:it �....r-- .r ro tu ►----- ---moi O i Ut i +� r✓K Vq AMES12!K. Sef T. 20,V 'k RODUR ICK VAN TUYL.-r LICENSED LAND SURV-MORS f �# GREE?'1R4RT NEIN YORK EkLpm*+M wove 1 'i -ALL SUFFOLK CO. HEALTH DEPT. ^PfkOVAL h !.LOTWd5,. :MAP CSF DEEQ PAQ� ; H. S. rro �Q Pf-L b IN P► PFF. CO.CLIeRW*5 Of FIC _MAP _ _._ _ AS MAP NO, 2, :'-CCNT ' rZiERE Q To MEAN SEA l-., ��L WGV 0, �-Jr-\MES DAWN �>�NRiTT STATEMENT QF INTENT P,t THE WATER SUPPLY AND SEWAGE DISPOSAL �. �"1.x►t3nS r 14AT � kTU(� i ! SYSTEMS FOR THIS RESIt?€NCE WILL _ CONFORM TO THE STANDARDS OF THE T N.Y. I i SUFFOLK GCA_ DEPTOF HEALTH 3ER V tC.ES. a'�?hOLK _,._. ARTM&r OF MALTH SF tvm ` (S) APPLICANT �'p'1OYdumb= arabT&DW O POR ;� -� r . lor ri�� 1 ;' SUFFOLK COUNTY DEPT. OF HEALTH I /n� /w i Dab �.�..H.S.Reit I- Q..-:-4�.....,Q ;I f SERVICES -- FOR APPROVAL FrO R CONSTRUCTION ONLY sti�citttl:�at efti^peti••gra I DATE: _..._� _ FOR OF , . H. S. REF. KO.: ►+?_ APPROVED: AL COQ P Qij� �i~r vrlA�S- OMAN or f SUFFOLK CO.-TAX MAP DESIGMATI04-. QIST. SECT. BENCH( PC L. low 11( .:^5706L'y F-1 ;-�►2 +}' ��, � {� I OWNERSAI>DRESS: `i ;....... .. .... L. moose I I 1 ire ALE-I� "t ! �_ _ AMA,21,574 5.F. 10* TAk V— H wets ,/ -,his sunray ka of Now r sect on 7208 of the New Yak AtAr ', i 3 tel• �._ • '! �4 Gd#-cationLm Cupies of this snmrey map not bessr(na r the iand wrveyds Wed steel or eaobosaed"W atsd not Loa eoncidwer eLmmntamlrldolledMsreonswr f roy t for Whore the swee t *- en hia beMI1 to tho � re4 aesd a ccmpany qowrrmntal agercY aero wcrino invi,ution Inted hemoa and to the sssig7 es ct the lerriing insti- .` ; _�_....- 1• - - f."\ '""'••� \ + tution.Cua:-, _�are not transfarabb toadd¢ional ;,tutwnsorsubsequo-w 1 t wr LE O o Yn < `} - q: VAft TAM A1P z t , '� LiC�MSS'#J 1,.AI�D SU1�'��YOR5 IW60416R7 t+iE"1111 YORK ss _mcm MTN* E pEW Y y P� 6 I ZX(e LEp611. E2 --._. Cx } - qxq ZX 68 i�a L,OA 4 a an 10 -M;SER ,o —I J IL-A L CL,, B��c- of Ha�S 7-e ,I 0 � V i L '-S' 9 '-10" -7•_7u 7._- g„ - 15 -0.. r —. N- "� I�1 � I pp��.w �y 34 310 F WCa GObG 3 31D Do troy PROCEED WM FRAMING UNTIL SURVEr O G� OF FOUNDATION LOCATION HAS BEEN APPROYEO, _ 1 „£-,b y @ 30310 ;I, KaoMmS 7ASNOT��(aoZlF so�:o FvwC�_ z.3,o - - - 3 '/yx I'_� r _ 3oaz DATE: B.P.q 2 FEE:.11a.�:--BY OCCUPANCY OR NOTIFY BUILDING D� MASs� 765-1802 8 AM TO 4 P FOR THE TJ I 5E0P`ooM PROVIDE OPENING GR I _ USE9S UNLAWFUL 1. FOUNDGINSPECTTWO i EMERGENCY ESCA AS 065 �"� Y. FOUNDATION r TWO REQUIRED I FOR POURED CONCRETE REQUIRED BY PART. 4 OF _ f WITHOUT CERTIFICATE CF�TIF6CATE 2. ROUGH • FRAMING & PLUMBING N.Y. STATE BUILDING ODE. PROVIDE IIR. FIRE ` U 3. INSULATION G� -I `�` ( 2 - �� @d� U�f�9�'�Y q.. FINAL - CONSTRUCTION MUST c - _ pl / `°, I�_ —I RATED SEPARATION TO : � 70) BECOMPLETEFORC.O. C4PAR1 717,'�(})(1)DF' x �- Z83ZALL CONSTRUCTION SHALL MEET I�:s�r� '1' zN,t STATE Ot11lDIRG CODE.THE REQUIflEMENTS OF THE N.Y.STATE CONSTRUCTION & ENERGY O6 / l CODES. NOT RESPONSIBLE FOR I ' � v 3 x of -� DESIGN OR CONSTRUCTION ERRORS 4 12”" F oe .loss 2,¢Q It a K�Tc aE.v u y 5• O?/�6N 3aSZ. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE I j CERTIFICATE OF OCCUPANCY I I wse . — � - - q„ GAeA6� SOLDER USED 1N WATER, / - - - - 2,. Fa,t y,,,, �,2 I(�'pC SUPPLY SYSTEM CANNOT w �6 EXCEED 2110 of I% LEAD. n C —44 copper tubing Is used PLUMBING _ _ If CBPP ALL PLUMBING WAFM E 310 em e ' for water distributing &yyAp ONES NEED — a 0 CL O M i in Shell be TESTING BEFORE COVERING :FR system: P P g oftypesTV DyD 11 .PROVIDE T7 OPENIN — -- \VVEMERGENCYESCREQUIREDBYPARN.Y. STATE BUILDI ` iL—w'sE- .b>r5 ,%mow; r�i+Y�E�_ Pn.nrox5 iZG 3:�31J ox,�wso � o�_zcsu �C 3T-.1'� Ci:waEo W,r :.s,.w vc li.,•• i<cF Ga>s EWy a F ' MATTITVUL N`+ q f I I: - ' 'IS `IFl s De,Eeweerx FSE 3z_ Pc.c s LA ;FwtRNc.'+D Ny 11901 FES 50 _ I I r � ZO 96 I j a .-q Dwc, '�1 ----- -- , ' 3432 ROVIDE OPENINGS FOR Cao-seT r MERGENCY ESCAPE AS S� R QUIRED BY PART. 714 OF R . STATE BUILDING CODE. _gC I y '5( m N 31 0 h ll' �✓ - — - - - - cRoo - s ' PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART.714 OF 'N.Y.STATE BUILDING CODE. 3Y32 3�3z_ 7/3i 7 Q• Z6 _— 3 MA5fNL-,<. N •Y _ q0 ON S2. PE.s-s LA K,vFG,A�o N'1 "So� I - - - - - - - --- -I/ ysl _01 17 � � 00 �x zeex 3 ro rr 65)Z x 12 joiS3S @J6 or— �'/' f/� - r" Gab ala Axch.P. &-'s @ 5' oc. \ Bn ( N WnuA�_ �bVN 01171ON - SSc.TrON - I zs '- o! .30l yu 10 ASO i I � i I � 'o•' Ti'a^ Rvsu 5D i I I I Z * 2 .]or5Tg IGS Cc - - - � - -- -- ffff m � j 7 " 0'r Is •- yu I-0 04J. Y'rG' Pnr I - _ big zMw t,,.+c 3-o W14'X22 ON ]J!i�N'X 6" - j F{J15M GDk rl x L IUnE 5: I- ClET4 NYS vim,; A_�Ii (ST., IPI j 2, SF O AR TuUc rVY !!9D! 3 Sr2vc'N2A� LV ne[Q - Z !] FSR_- - _ g4�yl. eA,�- 4- .�nm6� 17ctexaai.s pis y. AL,- Wuzn i A-ree-. " Pu raw W5 //•61� . 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