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HomeMy WebLinkAbout26754-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27477 Date: 12/18/00 THIS CERTIFIES that the building ALTERATION Location of Property: 32570 CR 48 PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 4 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 2000 pursuant to which Building Permit No. 26754-Z dated SEPTEMBER 6, 2000 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 ALTERATION OF AN EXISTING ONE FAMILY DWELLING TO INCLUDE A GIFT STORE WITH HANDICAP ACCESSIBILITY AS APPLIED FOR. The certificate is issued to ANDREAS & STACY PALIOURAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-541583 11/06/00 PLUMBERS CERTIFICATION DATED N/A Aut rize Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26754 Z Date SEPTEMBER 6, 2000 Permission is hereby granted to: ANDREAS & STACY PALIOURAS PO BOX 434 PECONIC,NY 11958 for ALTERATION OF AN EXISTING ONE FAMILY DWELLING TO INCLUDE A GIFT STORE WITH HANDICAP ACCESSIBILITY AS APPLIED FOR WITH PLANNING BOARD APPROVAL. at premises located at 32570 CR 48 PECONIC County Tax Map No. 473889 Section 074 Block 0004 Lot No. 009 pursuant to application dated MARCH 16, 2000 and approved by the Building Inspector. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT •�� r �O TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1.--Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply. and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board off' Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-confo ungs�s,f.or bi]�dings and it land uses: 1. Accurate survey of property showing all property lines streets, building and unusual natural or topographic features. 14 2. A properly completed application and a consent to insp ct;�sizned by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25vj 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . !, OCA . . . New Construction. . . . . . . . . . . Old Or Pre-existing Buildping©N�. !1, .'! ;Y,P�✓L L�-p •I N • . . Location of Property. ,- .�A.._ . Y e. . . . . . . .Rou-1 I O . . . . . . . . . . . . . . . . . . . . . . !': .�?. . . . . . . . . . . . House ��Nffo. /gyp �q Str\e/et Q Hamlet nsOnwer or Owners of PropertyllN.,Y. [��:. S, • , . `ST CI. . . . . . . . . . . . . . . . . iou . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .0�.Ly . . . . .Block. . . 012e�4. . . . . . .Lot. . .O.Q.�. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No':: /. ...fl , , , , ,Date Of Permit. . 1..�. . �p. . •Applicant:S.7��:�. .'. .,7 Health Dept. Approval. . . . . . . . . . .. . . . `./. . . . . . . ... . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval NnVC�J6F. 6 . 3j. . 1 Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .� . . . . . . Fee Submitted: $. .� . . .�. . . . . . . . . . . . . . . . . . . . • • ./.�. . . . . . . . . . . . . . . . . . 5%9057 % ©S 1 APPLICANT � � 1 y THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1165094 - BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 DWO NOVEMBER 06,2000 AppUcadon No. 0,flk 11241600/00 N 541583 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ANDREAS PALIOURAS, 32570 ROUTE 48, PECONIC, NY in the following location; ❑ Basement ® -10 FL ❑ 2nd FL OUT Section Block Lot was#xamj"d on OCTOBER 30,2000 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHES FLUORESCENT F OTHER AML K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 3 1 3 3 'I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC". TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS MAT. K.W. OIL H.P. OAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT Mali S E R V i C E AMT. AMP. TYPE NO.OF CC A.W.Q. A.W.6. A.W.G. EQUIP. 1/ZW 1 6 3W 3/3W 3/4W PER• OF A. GOND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: EXIT SIGN-1 JOSEPH H. PETERSEN LIC.#4102 L 85 SILVER COLT RD. CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 1 Per cerlltlecde must not be altered In any manner,return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY -r REMARKS: ,DATE � I;C4 �� INSPECTOR '�j BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING [ j FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� �W6.0 INSPECTOR 7A4-'�, suaoiNc DE". INSPECTION [ j FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS• (Sze_.e__ ,DATE4 ✓� —INSPECTOR --------T-------------�- ----- it s UNDAT ION ( IST) II n —n ii UNDATION----OND) ------- -- i r II M IUGR FRAMEif PLUMBING u ii 0 ii ifIf ii . II 11 _ H I'1 if 'SULATION PER N. Y. ifif H O(\ STATE ENERGY if u u CODEif I�----u u u u u lu ii II II H II �• ' N- FINAL 1if arr ADDITIONAL COMMENTS: Y ra H i H O nA z lF� b 11� 1� WARREN A.SAMBACH,SR. -6 ?M391 CONSULTING ENGINEERS• PLANNERS 7675 COX LANE • P.O.BOX 1033 CUTCHOGUE,NY 11935 (516)734-7492 September 5 , 2000 Bruno Semion Building Department Town of Southold 53095 Main Road P.O. BOX 1170 Southold NY 11971 Re: Andreas Paliouras P.O. Box 434 County Route 48 Peconic NY 11958 Mr. Semion: Fire rating for bearing wall will conform to ANSI/UL 263 , design no. U301 2 hour. Fire rating for ceiling of first floor will conform to ANSI/UL 263 , Design no. L536 , 2 hcur. Sincerely, M 11 --Q Warren A. Sambach Sr. P.E. - - _ PLANNING BOARD MEMBERS ��S�FFO(�- � � - BFNNETT ORLOWSId,JR. ' C Town Hall, 53095 State Route 25 Chairman h�� P.O. Box 1179 WILLIAM J.CREMERS O 1 Southold, New York 11971-0959 KENNETH L. EDWARDS W 2 Fax (631) 765-3136 GEORGE RITCHIE LATHAM,JR. Q • yC Telephone (631) 765-1938 RICHARD CAGGIANO _v PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 14, 2000 Andreas Paliouras County Route 48 & Pauls Lane PO Box 434 Peconic, NY 11958 RE: Request to open a gift shop in family room SCTM# 1000-74-4-9 Zone General Business (B) Dear Mr. Paliouras, The Planning Board has received your revised "as built" site plan as requested in the Boards letter to you of March 22, 2000. The Board has also received the area variance granted to you by the Board of Appeals on November 3,, 1999. Contact has been made with John Fitzgerald of the Suffolk Department of Health Services who informed me that the Department has approved your project and you can pick up the stamped approved plan on Tuesday August 15, 2000. If you have any questions, or require additional assistance, please contact this office. Good luck with your gift shop. bRlaReviewer Ka sn it cc: Edward Forrester, Director of Code Enforcement Gerard P. Gorehinger, Chairman, Board of Appeals . i ,STATE OF NEW YORK ) ss COUNTY OF SUFFOLK ) WARREN A. Sambach Sr . , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at 7675 Cox Lane, Cutchogue, NY . 11939 That on the 16 day of August , 2000 deponentl {engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at 9CTM4111000174, Q4-0,9 0 , street address County Road 48 & Paul ' s Lane, Peconic, NY 11958 Architect/Engineer Sworn to b e this 16 day t , 2000. LAND Notary public.State of New York No.4795237 Suffolk Coanty Term Expires cc: Applicant L Robert J. Gaffney Suffolk County Executive Department of Health Services Clare B. Bradley,M.D.,MPH Office of Wastewater Management Commissioner 516 852-2100 PERMIT Health Services Reference# C/d -'DD --000 Project NameA�a//oh /gSCH -'¢ SLiop The attached plan, when duly signed by a representative of the department, constitutes a permit to construct a water supply and/or a sewage disposal or collection system for the property as depicted The applicant should take note of any conditions of approval,which may be indicated on the plan or enclosed herein. Construction must conform with applicable standards including"Standards for Approval of Plans and Construction for Sewage Disposal Systems for Other than Single Family Residences." Omissions or lack of detail on the plan do not release the applicant from the responsibility of having the construction done in conformance with applicable standards. The permit(plan)expires three(3)years after the approval date. Any modification which inay affect ` the proposed sewage disposal or water supply systems requires submission of a revised plan and additional fees(if applicable)for reapproval prior to construction. No inspections will be performed by the department on expired permits. Permits may be renewed, extended, transferred, or revised in accordance with the procedures described in Instructions to Renew, Extend, or Transfer an Existing Permit for Other than Single Family Residences (Form WWM-018). It is the applicant's responsibility to call the department in advance to arrange inspections of the sewage disposal and/or water supply facilities prior to backfilling. These include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability of the soils for sewage disposal systems. The department must be notified at least 48 hours in advance to schedule an inspection; and excavation inspections must also be confirmed by calling 852-2100 prior to 9:30am, the morning of the inspection Final approval issued by the Department is necessary prior to the occupancy of new buildings, additions to existing buildings, or for the use of sewage disposal or water supply systems. WWM-016 (Rev.3/15/99) Page lof 2 . . Project Name G, Si�TQ Health Services Reference # CIO --60 -'dG�og CONDITIONS FOR OBTAINING FINAL APPROVAL OF CONSTRUCTED PROJECT As a condition of this permit to construct, the following items must be completed as a minimum, prior to building occupancy and use of the sewage disposal system or water supply facilities. For further information concerning this,refer to Instructions For Obtaining Final Health Department Approval Of Constructed Projects For Other Than Single Family Residences(Form WWM-19). Excavation Inspection by the Office of Wastewater Management prior to installation of any leaching pools to determine acceptability of soils. (Call 852-2097 to schedule an inspection and confirm by calling 852-2100 prior to 9:30am, the morning of the inspection.) Satisfactory inspection by Office of Wastewater Management of the sewage disposal system (Call 852-2097 to schedule an inspection.) Satisfactory inspection of the water supply system by: Office of Wastewater Management(Call 852-2097 to schedule an inspection.) Office of Water Resources, Water Quality Unit(Call 853-2250 for inspection.) Satisfactory inspection by the Office of Pollution Control (Call 8854-2502 for inspection.) / Sewage treatment plant El Storage tanks AJOther: 4,AwAw 01J ba Four(4)prints of an As-Built plan El"Tap letter"from water district Certification from the licensed sewage disposal system installer "S-9 form" from Suffolk County Department of Public Works(SCDPW) Sewer.district approval of sewer line installation(for other than SCDPW districts) 0 Well drillers certificate Water analysis Design Professionals Certification of Constructed Works (form WWM-073) for: Sewer lines and sewage collection system Retaining walls (approved as part of the sewage disposal system) Sewage pump station/valve chamber _ Sub-surface sewage disposal system Sewage treatment plant Water supply system Abandonment of Preexisting sewage disposal system and/or water supply Other: El Other: WWM-016(Rev.3/15/99) Page 2 of 2 �r BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . Tt'iVYs`u 131D BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . w TOWN HALL SEPTIC FORM . . .. . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: 7�� �� CALL . . .!.4.. 7� Examined... .¢...., 20.Q4 MAIL T0: . . . . . . . . . . . . . . . . . . . . Approved.Zar.f.. ....,-Z6Rq. Permit No. � ................................... Disapproveda/c .................................. ................................... ................................................ .. .. (Building Inspec. r).. ...... APPLICATION FOR BUILDING PERMIT. ,�^�-� Date. �`.��'. . . . . , 20.�!t f INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 application. 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 issue a Building Permit to the applicant. Such permit shall bekept 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. . APPLICATICN IS HEREBY MALE 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signator of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plunder or bu, ...oav; er.......................................................................................................... Name of owner of premises P Y—F,!q S....S T/11-Y...?n ho C.(R A.S.......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. 4PP.M.6....Pf AQ u�WS Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. Q......................................................... House Number �a Street�Zp�T649 PAaOs 1-n1vr- Hamlet �ca SS ►Al ZONE Canty Tax Map No. 1000 Section W:.q ... Block ................ Lot ................. Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of pr emi and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .......... ...................................................... b. Intended use and occupancy ..... .�.. ... P.................................I..:............... �t , oN•uture vE work (checkwlhid► applicable): New Building .......... Addition ........`:. Alteratiop. ........ Repair ............ Removal ............. Demolition ............ Other Work .......... ........................ (Description) scripthon) Estimated Cost .. .:. ................ fee ............................. ................. ........................... (to be paid on filing this application) If dwelling, munber of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories ............... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... Sizeof lot: Front ............ Rear .................... Depth .................... (l. Date of Purchase .... .% of Former Owner ........................................ I. Zone or use district in which premises are situated .............................................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 3. Will lot be regraded .................... Will exce fit removed from premises: YES NO n (� _�c c� o � / 4. Names of Owner of premises)M. A�?'?..-sT��y.l.. OAddress .............................. Phone No— Name of ArchitectWN. rJ.':J� �C....... Address .............................. Phone No. "> Name of Contractor ....:!!.`!:: ................ Address ...............................Phone No. ............. 5. is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SOiTnM ma 71a)'SI m PERMIT MAY HE w(xJIRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rom property lines. Give street and block number or description according to deed, and show street names and indicate thetiber interior or corner lot. lot Voo t P rNir, Or mW Y(W, SS XN(Y (lC ........................ �-'� I�.Ci.[...P ••���jl. ......................being duly sworn, deposes and says that he is the applicant Vane of individual signing contract) hove named, Q istime ...Q W !-.......................................................................... (Contractor, agent, corporate officer, etc.) F said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ppI cation; that: a.11 statements contained in this application are true to the best of his knowledge and belief.; and ihat the work wi11 be performed in the manner set forth in the application filed therewith. ,corn to,he f`ow-M th i s ......l�........clay of 20QQ.. Notary Public .............. ...... ......... �� (Signature o Applicant) HELENE D.HORNE Notary Publ oi%SW4961364O of Now York Ouallfied In Suffolk County Commission Expires May.22, mO/ wu v.� ....••+.+..`r. -� S •. I -. '„`.�. 4„'�'r rlr+p�� 'llt �.�7 "�•. _+t wx�..m. '+"R” T,. 'q ... K +'Tn .�!.r k YrR' �'r a.` .1�' :, w;A4s�i•! '' � r ' .t �.. .. � t _.�...1.� .+mac, .�.,.;�r/•IC' .+.�•rrt].« '1��+fir �.i L _ y,e �' 1 X 1 1 � y r Y•...�y +i I �e-.r � ..la.- I�� .n..�iMk.�-iA�'r� � .n y.li �4 er�y• .f' !• �f '� iJ'ti.w�'rttr: �' � 1• ....._� �..`._.►.-- :.'' trA,. '�,: 'i � .� ` .'�'.j f tr 1p ♦�. a �j 1 r 41100A-4E" C- Ir A 00 ° 1y'. ,;�. : r tii,.,.».., .z,...n ; ..� �, }. t �t. t �.,. •. .y ,,. 1 ti..•.a •.4A.x•,R�+�.���ti�•} �♦,J11� w��f f"`�.,� ,�t i�•'�� 'r Moll 6tt...,.-4Oillrjt iWM1 1f A V ION 01 ! 4" x!+ •' ' "1 .}� i q 11Ni w�vlr no N01 RNua ti.ra4 i ti� 1A►O MY{VOti MfO SM 011 i i a r f, st "i t iA�flAl,SH LL NotOVICAUP IE CO Q ! • 1• �t'' R J`�� � � � r �M'�'BAUD T(UJ}�r. a,-* pay to Im Mao 'I PW F i ' ,/J Z."$ , �s r is '` Me►NED.No oN Ius MALI w 11u � 1"N.Goov a mw I rl ''' Mi f * to tNt A NE1i OF tHt IENOM�O f fi MpN �yMAIAIIl AY NOT TRAPO ' nopnowu a W1sW lj 11 1&N _1_J1I J (AA Ix __J-, 1 Applicant/ Date Owners Name: 4 16ao,#s Revie\a,cd: Architect/ _ Date Engineer: �"'b/t{K — _ Submitted: _ SCrNI fl: 91'7-- - Dis(rict: 1 ,000 Section Block 04 Lot 49 ,C` .So?f Project Subdivision Location �� 4� �/Aeo-+iC Name: Single &- separate Required �d certification: Yes /No) n Rcq ltcq. C` /ovine 1)r,tnc( {�/� ILot size 6�/'\ Actual/ ^ ST Il.ot coveragex CQ' Plopowd - ..310 'eq ! / Req C Req C IFrom Yard S6 Proposed. f (Side Yard d Proposed — J (Rear Yard 40 Proposed xCSProject Description: (ere-,z-4 a 14 AGENCWERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Num e Suffolk County Health Dept. ✓ �/o-dO-0006 New York State D. E. C. Town Trustees ✓/ Town Zoning Board approval: ✓ Town Planning Board approval: ✓� Flood Plane Elevation ??? Flood Zone: l t C '� 2 c 1-C to • ' CC'S s r �:�' c7r� • �C C � ,� �Si�r✓c — g/off fS �G 114u r S �'v —�o � f I I � C d0 `C1G�-c1G%v' Co LL: 0 1 OFFO:?T ;.i 1:11 �� , .d - ELP✓ Jr II, �/ a ' �'fZ.n DA " P_�C+OWN 61L � / SANtT/ Ln�M r -, � """�• ,,�. nod w • } 1.0' M6DDL � L,9ACJ rd (lIOETF'! (eC�Al) ) \ s LOAMY 5AWD S ' 9 MW�4 Po+ .+: olc roro i f /V/C v �' 4� � +•��" TG 11JAL Fr1S I ~ - WELL_ I r_ � +� r'�,•ra 5 Za'°'r' r , a L __ `t. s _. Tte, TEST I I FIG hiFNr1CF_ _ v 7•ou y Ek'I. - I ul ,..I 1 . I t r 1 .- .� axI nil= ���,clar•_ 4� ,r -�., i - di- v I y��/jP.<•r' ! G:,6' IRON �4:.M: 1 fir( - � � SND GO'J=t TO 6R.iG9 } Vol i II Z If. �_ F-F. 43G.e � +I•Is.+� I yi r eew%e 13Iv c'4Ge/Ef SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES --- - � ' APPROVED FOR CONSTRUCTION ONLY I I I y.. .) p:.ui iwMc+�•' eell.r.+-� ? 6 3E INV z9.a` .tee• ". r., H.S. REF[.�,/II_0 G 0-00' 6 FLOW S// 1 i"• `_; 'ac TYPE L p,:,ma. % O� Lf '- + i ', v4 MINIMVM 28.03' I fj �_II +3' MINIMUM �^ $°v ZT• I This approval is granted for the construction of the sanitary V MIN, 6.. �In I 7.Y. MIN Cr ew p GI °" disposal and v;atev aupply lath ies pursuant to Articles VB and I I ? �� • �® 7 of the Sulle!4 County Sanitary Coda and lo not an expressed �M ''i ' not imp co oprmval to discharge from or occupy the r structure(s) shown. THIS APPROVAL EXPIRES THREE )3) ss -- -- m' IOOO r,; _ON I; YEARS FROM THE O TE LOW MONGL.T^IL rn y' � '�'I soo fir AUG 14 2000 , MSITM I --FATE SICNATt FRS 'I 1 —_—,_.. .�..v.. I 1AE+npyE 'Nj._- *NJ6601. 'C" A WOF:_ON�w1.r *NO V!RCIGALS" ( Vl�✓I rl.'v E 1J 1 V F_ •'•�- 7PGks,__ WITr --,-BAN MA: . 3' MINIWM 6C��t>T�ON ryQ4MRl ,soNWL eflbl+ b Y fir>�D 4� 4 PL < 7- AIV A N I T"A 'y E 1V f " ' ` c �t WARREN A. same wcH SO. r_ - / Worrss+oy4 Consulting Engli A Ptanrvr c AG / " L c",�, P..0, Boz Ifl33 7675 Co+ tarot SOT TO ', �'`'':-r;` CUTCHOOLE, NEW YORK 11935. I ���,01 CHeIa ��1� gat;arm '_a�t� d � I M G (J D L t A D e 4R ()SOL-71-4 0-DA-0) 4 A/ W1J N„oc,c non LUr4lA.Y S,hF.IIJ __ G• EL 3°s oLOT tl/JE �ay.O' '� al n 3 OMrC C ,nun qAu ✓ PA L rr. f?,Fa'[i'.V IJ mmFINEiGr cazA E' �f; --d"tA.LD HC ASPHALT 1 STor F_ - i I ry. x wyy T�..cx ^"° a TSS i PASIN AP0ASNOTED ,t 9/�/rte ``// �•i E: B.P,M�� DATT V - .____.._ _ Srr�y Fnri;ns -f - I ••<- (,' FIRE IiYS CTION FEE: Imp BY: bLUE c7DN@ _-r __�_ . _ Iz,�, (2F-s lneu<e nw�,. -J ;y i >r j`} 75111 91 .I TO 4PPMMEN THE J i F Y- f REQUIRED BEFORE FOLLOWING INSPECTIONS: FOR HE { ' OPENING I FOUNDATION - TWO REQUIRED '1 AVtaA!-NT y .( FOR POURED CONCRETE I f-I D 42-E` F ,J�(- ?: LA¢71r L IIl,j 2. ROUGH . FRAMING & PLUMBING1 7q- r�+-p�.C.'. Gti1- J_<':p r, 8. INSULATION f E( •n ---- ---- - ._ ZI�IJ I i.11 >.J 1 "� ; I'- ' F-; .: C, F-I !* 4�/�,� ., BE COMPLETE RNIBT �1 J r REQUIRED METE FOR C.O. AF�i A LV 1 (= f114 iCYi ` r ALLTHE CONSTRRECTION SHALL TH Al )f �,IF . -J \ I ErG•In,q J A(- t � 1 t' Y c >,!}pf l�Ri::y FL C/1+/ (- DEiJ<.J V' STATE CONSTRUCTION & ENERGY t n1� ,9 ` Fb?{•o' iF"P�W�ir I L!� ,�, , J � ('S1'11/�, ,,,,,; -' -�l-I (_gyp, PROVIDE SMOKE-DEFECTING CODES. NOT RESPONSIBLE FOR {} L� N I W F T A (?F C v - G? ^g,f.q / ,py *, '•i ALARM DEVICES DESIGN OR CONSTRUCTION ERRORS 10,0 4FI) AS TO PART. 721.1 --I N.Y.S BUILDING CODE s TOTAL-: �i�c� p p� (r�, c.r�.K« m �,:oTs., z�- ®YJIrI pk "' G IPY _•' i PROVIDE OPENINGS FOR USE IS UNLANVFUL 3 EMERGENCY ESCAPE AS �a REQUIRED BY PART. 714 OF �� CUT CERTIPIC�; 7 L; c N.Y. STATE BUILDING CODE. OF OCCUPANCY Ile- 'I G%h IRON FRA-ff � ! � sND GO'JGR TO SRAD: PROVIDE ANTI-SCALD AND/OR - , PLUMBING a TN RMAL SHOCK PREVENTING ALL PLUMBING WASTE ' DEVICES AS TO PART.902.6(K) &WATER LINES NEED e.nc_ 131.a' c.4 we. TESTING BEFORE COVERING i _ M.T.SPATE BUILDING CODE. u#BER CERTIFICATION I1 I NJ. „e �Q .� — - If copper tubing is used - _ =Y'�' MIN,M•Jr. T� z7.-f ",O LEADCONTENTBEFORE for water distributing lF/GATE OF OCCUPANCY system:ptPil+a s►+ell be �. ..� Of types K or L OnIV a S L'QER USED fN WATER >•.,,- ih = 1 P�°.LYSYSTEMCANNOT UNDERVAtITERSCERTIFICATE ' ('AED 2/10 of 1% LEAD. REQUIRED a J DOtl �' r' iJ WIDr µ ri A R= )T .IroWN B7ywANON "Vr ' � I' 1 _ _, 11 ry[aS�NPL w,b� 6MC4D M+.TDt f _ __ _ _ ,.'SS CG'S - 2L7"In; /i 6?, <, _- �J Y i � /I I � IJ _ . _ •rll_ _ . -.. :, s6:A 4I „ - �' f1 AI .T_ -may E 1V L WARRE III A. aA RAeN 4 �JDT TU AI 0COmWRO� Eegtnw B Pplepu . P.0 Bax iD33 7876 C& t CUTCHOOUE, NEW YORK, .irJl_y 14 Zy/ r �,., m.�....w .......,,.__.._,,.W,..., .... ..,,.__ SCALE: A4 Mowi`T i�4•f e'� A{fir. } of 1 �>fy� 4 I Yd 1siO4 i 3!; /- • .{5 �YI I�) il(,[ D%'a D G E N E R A L N O T E S 1 . ALL CONTRACTORS TO VISIT SOB SITE, r-r-,� 3 • ;�•,c' 112.�L,' CHECK EXISTING .CONDITIONS AND _ ly - -__-_'_�' _ - --- - WHERE HANDICAP 'RAMP IS TO BE INSTALLED AND CONSTRUCTED. tj a, 2- BOTTOM OF WALLS TO }� ---- -_-- BEAR ON CPn _ �_ POURED SOIL. 16, _ 3. POORED CONCRF,TE TO HE 2500 PSI, 28 DAY. 16, i�, -- --- (D67;,ISS Stlb Pu ITeD IA76pJ = 4• BACK FILL TO HE CLEAN, COMPACTED -_-,_ AND NO VOIDS. � 1'0' I , rt°.r Ri't.o' � Pea lv :flow , L 1 u,pnv l 1 iinJh 9'lc' I ..G_1V nu it P y I rT � 3 li A �I •_� I 3� _ L� H�;Ji,' _ --- ! b C 1i 1, ,l 1 In u x y n ' ��' it j� 1 /S >si7 -255sP � ..,- r% - ;r� .,• -J � - � , i�,-" �hU7 t_-r. 2nt� \_ I � \/1J � toll �r'. E• -_ , }�,�,�,/ ( FiF .. -""' i" _.i ! I , .1.{ - 2 F'AL"� Iki� Ill_% Ir,:E if�N7 '"'11'f_ : SI-,11A ` I + T( lAL 4 ns EA IAP ' 1.� •' � Y7Fy� IG_6 - _ - _ —_-_ Erl �212mI I t 1 v I -q R p I - s II oto WARREN A. SAMBACM SR. P.O Con�B�ar 1033g 5 Co1 767Planner CUTCHOGUE, NEW YORK 11935 -_ --_ hE.__._.- ' r � DATE1 �U . l: Y I r:= G1n/n:E•YI �min� � ,�.,, ,; e� J �?, tit a_ 240 1 I R n R—�—r'n r �� — ^� •�yY• J�r-� G E N E R A L N O T E S O If I. ALL CONTRACTORS TO VISIT JOB SITE, EXISTING NDITIONS SF 2. INSTALLED AND CONSTRUCTED AND OM OF WAL ,•, HANDICAP '11'AMP IS TO BE P _6 n, ' L INSTALLED AND CONSTRUCTED. t_ r - ' O BEAR ON CL3,.o• UNDISTURBED SOIL. ' 3_ POURED CONCRETE TO BE 2500 PST, 28 DAY. d 1/1 TI Ai o, 4. BACK FILL TO BE CLEAN, COMPACTED - PQoP zg•E•r5 11 ll _ AND NO VOIDS. r7y1L5 Y r!r HY56G � � q II--4—,1 £ I �f llf, �, Cl NG A•iQufY7 — _ _ ._ 'I i I 'Z 5'iopv EX157fPiti Pdfr_t.0 j � I � - ", I � � I F4MY ji Perm �_pv v.,uue s'roue - 2 5 e a O I�I .mom. ----------- '— I � �.� .._ -___'—.___..._ '"' _ I�`___.�_ __-� - .. �� I I F.F •>l IH4 ASVxnir7 1 � IN a Mtil�l;_ � .sept + VI I 10 I - - -1 I , � its I '- PR•Of'(h E�- .�-.'r,, !' F' w yy LtILItIFS 'C/ 3e: s•,r� Gr�;� M ,yoir�t� Chi Ili I� (,LA•i.• _ pl A7 I� _ f Z 4 NE-V/ hl4?Fi G,,ri s; l _—�— I/br, 'uf_ rt i I q � i) • it ArG IiLN .�" I'v' y d'' 11962 h$�"F'r lOY <AVEIuk�yE r(oG�P3f 5210] aW �!` .� 1P 1/2Cc N a ^ PS 47 � � � YALI+ !l,IG hEI�U IR'-¢ 1»E 1�7 i iit(t IIJ �7: 2 Py "TWO r�F1L7t- � ,�Ip6 ,. c4 - I°G'A141F 1 IZ E A CI 1% x _I_ — 1 •__ y �a m"TV tiaAn4€� + pati<� �nN v'I — -- s �Gol11PlkP7 0 1=f LT r -t °¢� 1 _ z { i •CIF.FLt A�� t19 5B �W I ' t q} I-Il}ntrJ1"' � It �,� _ I WARREN A -9AMHACH OR. 4 t� ' [-a. s ton17-,:�u oUH _. I<�- -- - ._ _ . _ .. ---- L, IF "*�tCU¢O ,M ' PIIAQMr �� h Q 1 I 1 I D 75 �i me LnRa – --- — �� — -- mt y -I.- - .. .---- -�- - _ •. � j3 RA'Z'E' IdpE7 "CGG IZE`! t ._ ,• ho ?Y' ': RAIL - _ —,--- --'_-------- / SGA�tct ,Jly •&NC%V L7 CYdBe rt 91 t 0 j= f o�ic� ��e75 y -` � ,,7�2[ -rOJ ICT i'�-KST CGNJ�� �•r. �TH C�/�.s� G F N E R _A L N 0 T F S ( f - - - l . ALL CONTRACTORS TO VISIT JOB SITE, CHECK G%ISTING CONDITIONS AND WHERE. HANDICAP RAMP IS TO BE INSTALLED. 1VVV _ 2 . ALL LUMBER CCA TREATED STRUCTURAL SPECTES, 3 . 2" x 10" RUNNERS TO RE BOLTED TO POSTS. DECK LUMPER L- 2" x 4 " or 2" x 6" NAILED TO RUNNER . TOP RAILING _,. ,. I " '._v_I, J � TO OF. NA TLED AND CORNERS SHAY EO- `JrD 4 . POURED CONCRETE TO BE 3000 PSI 2R DAY. _"-- 5. FXTSTTNG PORCH RAILTNG TO BE REMOVED WHERE NFW RAMI' WTLL BE INSTANNF.D. PROVIDE NEW SUPPORT FOR RAILING. � . �usT Co,.O`y 4rtra rrr s,t4c i I okle,, wx,,. -- - NLET-'PARK r ' H4 , APPROVED AS NOTED '' .. DATE: -2 B 6754 ', /7� - - B.P. N FEE:-sem_. - NOTIFY BUILDING DEPARTMENT AT i 765-1902 9 AM TO 4 PM FOR THE i au �' FOLLOWING INSPECTIONS: - '+ 5; 1- FOUNDATION - TWO REQUIRED - FOR POURED CONCRETE ' 2. ROUGH - FRAMING & PLUMBING p 6}'r -"""� " ' +� +• • ` S. INSULATION 3 sl yKQ. ' p Ik ( 1.1 H i 1' S 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NY _ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE ft " W' 30 DESIGN OR CONSTRUCTION EIiF,G.,3 a 'q 4 DO NOT PROCEED WITH OCCUPANCY OR FRAMING UNTIL SURVEY USE IS UNLAWFUL OF FOUNDATION LOCATION WITHOUT CERTIFICATE HAS BEEN APPROVED. OF OCCUPANCY 4-- ' I I pE :.ot,lc F_IY ligsx� - - - WARREN A. SAMBACH SR. frwOf,[dyConsulting Engineer & Planner & "4 PA. Box 1033 7675 Cox Lane CUTCHOGUE, NEW YORK 11935 TF_' ?.ZS-24 /wY 1 H+' TFp 411pE�� I u73e SC JOR 1Jb 2L- � G