HomeMy WebLinkAbout26514-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27464 Date: 12/12/00
THIS CERTIFIES that the building ADDITION
Location of Property: 1330 GILLETTE DR EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 38 Block 2 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 12, 2000 pursuant to which
Building Permit No. 26514-Z dated MAY 22, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER
CONDITIONS OF ZBA #4814.
The certificate is issued to RONALD & ANNE WILSON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-533664 08 16 00
PLUMBERS CERTIFICATION DATED N/A
Authorized gnature
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. 26514 Z Date MAY 22, 2000
Permission is hereby granted to:
RONALD & ANNE WILSON
1330 GILLETTE DR
EAST MARION,NY 11939
for
ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & TO
CONDITIONS OF ZBA.
at premises located at 1330 GILLETTE DR EAST MARION
County Tax Map No. 473889 Section 038 Block 0002 Lot No. 014
pursuant to application dated JANUARY 12, 2000 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorized Sig ature
ORIGINAL
Rev. 2/19/98
FORM NO.6 .U_ 3 ( 2a U l
TOWN OF SOUTHO�D ' s
Building Department L'_�S.GeP7 i
Town Hail iOW"OF SOUTHOLD ;
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted •6�to the Building Inspec-
tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00
1. Certificate of occupancy New Dwelling $25.00, Accessory $ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50 . 00
3.Copy of certificate of occupancy $ 5 .00 , over 5 years $ 10 .00
4 .Vacant Land C.O. $ 20 . 00
5 .Updated C.O. $ 50 . 00 Date ,July. 31 , 2000
New Construction , .X, , . OldorPre-existingBuilding . . . . . . . . . . . . Vacant Land
Location of Property1330 Gillette Drive, East Marion
. . . . . . , . . . . . . . . . . . . . .
House No. Street Hamlet
Owner or Owners of Property „Ronald & Ann Wilson
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . . .Q38. . . . . . . . . Block . , - 0062 , . , Lot . . . , , , 014
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . Date of Permit 5/22/00 Applicant . . R & R Builders, Inc.
Health Dept. Approval . . . . N/A. . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . .
NIA . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . .Nle
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . X. . . . . . . . . . . . . . . .
Fee Submitted $ . . 25 ;00„ . . . . . . .
Construction on above described building and r it meets all a i b -c regulations.
Applicant . . . . . . . . . . . . . . . . . . . . . . . .
Rw. 10.10.78
Ca��� y� y
APPEALS BOARD MEMBERS
YQ OG Southold Town Hall
Gerard P. Goehringer, Chairman a y` 53095 Main Road
James Dinizio Jr. P.O. Box 1179
�9 ,Y 1 8 7000 y x
Lydia A. Tortora p Southold, New York 11971
Lora S. Collins ZBA Fax (631) 765-9064
George Horning �Ol 41 �p Telephone (631) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD `
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF MAY 10, 2000
Appl. No 4814 RONALD and ANN WILSON
STREET& LOCATION: 1330 Gillette Drive, East Marion 1000-38-2-14
DATE OF PUBLIC HEARING: May 4, 2000
FINDINGS OF FACT
PROPERTY FACES/DESCRIPTION: The applicants' property is located on the westerly side of Gillette Drive in
East Marion, referred to as Lot 20 on the Map of Marion Manor, and consists of 10,000 sq. ft. in size, with
100 ft. lot width and 100 ft. depth. The lot is improved with a single-family dwelling as shown on the
September 29, 1966 survey.
BASIS OF APPLICATION: Building Inspector's January 20, 2000 Notice of Disapproval for the reason that the
prilposed additions will exceed the lot coverage limitation of the Zoning Code. The Code requirement is
20% for building area (exclusive of ground level patios). The Notice of Disapproval states that the existing
area is 1,960 sq. ft. (porch, garage and sun room included) and the proposed is 23.80%.
AREA VARIANCE RELIEF REQUESTED: Applicants are proposing: (1) a 15' x 22' addition over an existing
slate patio, and (2) 10' x 10' open deck at the rear of the dwelling.
ADDITIONAL INFORMATION: Applicants have furnished an updated survey prepared by Joseph A. Ingegno
dated February 18., 2000 which shows a proposed total lot coverage at 23.9211/o and an existing lot coverage
of 2,133 sq. ft. (or 21.3%).
The Board has reviewed the existing and proposed lot coverage estimates calculated by the Building
Department and those provided on the applicant's survey prepared by Joseph A. Ingegno dated February 18,
2000. The Board finds that the existing dwelling and lot coverage is 21.3% (2,133 sq. ft.) and that the
proposed 22 x 15 ft. dwelling addition would add 330 sq.ft. and the 10 x 10 ft. deck addition would add 100
sq. ft. for a total of 430 sq. ft.,or proposed lot coverage of 23.92% (2,392 sq. ft.).
REASONS FOR BOARD ACTION. DESCRIBED BELOW: Based on the testimony and record before the Board
and personal inspection, the Board makes the following findings:
1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood
or a detriment to nearby properties. The applicant's lot is small at 10,000 sq. ft. but similar in size to
neighboring properties in this subdivision created in 1966. The proposed addition and deck would follow the
established line of the back porch and square off the southwest back corner of the house. The requested
additional lot coverage to add 440 sq. ft. to the single-family dwelling is in keeping with the size of other
houses and lot coverage in this neighborhood.
2. The benefit sought by applicant cannot be achieved by some method,feasible for appellant to
pursue other than an area variance because the applicant's property is only 10,000 sq. ft., and the existing
dwelling occupies 21.3%of the 20% allowable coverage. The applicant would not be permitted to construct
any additions without a variance.
Page 2 - May 10, 2000
ZBA Appl. No. 4814- R.Wilson
Parcel 1000-38-2-14 at East Marion
3. The requested area variance is not substantial. Applicant wishes to increase the living area of their
house from 2,133 sq. ft. to 2,392 sq. ft., or to 23.92% lot coverage.
4. The proposed variance will not have an adverse effect or impact on the physical or environmental
conditions in the neighborhood or district. No evidence has been submitted to show that the proposed
construction will have an adverse effect or impact on the physical or environmental conditions in the
neighborhood or district.
5. The difficulty has not been self-created.
In considering this application, the Board deems this action to be the minimum necessary and adequate to
enable the applicants to enjoy the benefit of a new deck and addition, while preserving and protecting the
character of the neighborhood and the health, safety, welfare of the community.
RESOLUTIONIACTION: On motion by Member Tortora, seconded by Chairman Goehringer, it was
RESOLVED,to GRANT the variance, as applied for.
VOTE OF THE BOARD: AYES: Members Goehringer, 61io, To a, a Collin ber Horning of
Fishers Island was absent.) This Resolution was duly d
GERARD P. GOEHRINGER
CHAIRMAN May , 2000
o�osuFFoc,�oo
h� Gym
Town Hall,53095 Main Road p Fax(516)765-1823
P.O. Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 31, 2000
R & R Home Improvement & Building, Inc.
P.O. Box 555
Greenport, NY 11944
RE: Ron Wilson, 1330 Gillette Drive, East Marion.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
b@cause of the following reasons :
z XX An application for Certificate of Occupancy is
not on file. (Enclosed)
\ XX No Underwriters Certificate on file.
v XX The check is (not on file. ) ;25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984 ) .
BUILDING PERMIT # 26514-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date: January 20, 2000
To: Ronald & Anne Wilson
1330 Gillette Drive
East Marion,New York 11939
PLEASE TAKE NOTICE that your application dated January 12, 2000
For permit to Construct additions to an existing single family dwelling at
Location of Property o1s330 Gillette Drive East Marion. New York 11939
County Tax Map No. District 1000 - Section 38 - Block 02 - Lot 14
Is returned herewith and disapproved on the following grounds:
The existing lot is 10.000 square feet in total area.
Under Article XXIV. Section 100-244., Non-conforming lots..
Lots with areas less than 20.000 square feet shall have a maximum lot coverage of 20%.
The existing dwelling which includes the front porch. garage & sun room addition. has
A total area of 1.960 square feet. ( 19,60 % )
The proposed dwelling addition is 320 SF and the proposed deck addition is 100 SF.
The total combined area as proposed would be 2.380 square feet ( 23.80 %)
This is 380 square feet over the 20 % allowed.
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Building Department
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Cfefk's o f iaG As Asap No• Z038,
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1(40Icl71 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Dale AUCUST 16,2!104 Application No. on file 1`;E,''"'_Ae9":ej'0 N 533664
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
PON WILSON, 1330 GILLETT3. DRIVE, EAST MARION, 14Y
in the following location; ❑ Basement 1st FL ❑ 2nd Fl. I.)UT Section Block Lot _
was examined on AVGVST 10:2't70GT' and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INICANDISCINT1 FWOMSCENT I OTHER I AMT, I K.W. I AMT, I K.W. AMT, I K.W. AM, I K.W. AMT. H.P, j
1 a
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL IUNIT HEATERS I MULTI-OUEMT O DIMMERS
AMT. K.W. OIL N.P. OAf X.U. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT, N.P. NO.OF FEET AMT. WATTS
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SERVICE DISCONNECT NO.OF S E R V I C E
METER NO. i CO CONO. A.W.O. A.W.o. A.W.G.
AMT. AMP. TYPE ECUIP. 1 e 1W 1 e SW J JW J R IW PER a OF CC. N0. NO.OF HIAEG A W LEG NO.OF NEWRAII C NF A
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G & _ C�NTI.ACT412 LICA488#4aa.2—E I
BOX 215 ANN
SC^1JTHOIZ. NY, 11971. GENERAL MANAGER
11 ,ir
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Per
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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
v
CO�r FOR OUILDfNG DEPAPTMENT THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER--
765-1502
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ SULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
a
DATE /;-lf� INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNIrION IST [ ] ROUGH PLBG.
[ ] FO DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & C''HIMNEY �f
REMARKS:
DATE C`� � INSPECTO
765-1802
BUILDING DEPT.
CNSPECTION
/FOUNDATION
DATION IST [ ] ROUGH PLBG.
2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ]
FIREPLACE A CHIMNEY
REMA�R1 '�5: -
DATE INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
0
oe
DATE INSPECTO
BOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CUECR . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NOTIFY:
/ a CALL. . . . . . . . . . . . . . . . . . .
Examined.. MALI. TO: . . . . . . . . . . . . . . . . . . .
Ap>{nrcrvt'cl...4
V; !........, f Permit No_ ^"' /�4-`
Disapproved a/c 1,Cq- jO.R !4�1�..'3.8o srA-
.................................
......................................................
(Building Inspector) .
JAN f Z2"D ' J APPLICATION FOR BUILDING PERMIT
Date. . .Jan. 10 ,_ . . ig200!
TF �7_J INSTRUCTIONS
a. this application mist be ccmpletely filled in by typewriter or in ink and sulimitted to the Building, Inspector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan slowing location of lot and of lxuildings on premises, relationship to adjoining pritises or public
streets or areas, and givirg; a detailed description of layout of property must lie drawn on the diagram which is part of
this application.
c. The work covered by this application My not he COMIlencel before issuance of Building Permit.
d. Upon approval of tbis application, the Wilding Inspector will issue a Building Permit to the applicant. Sud-
pe-mit shall be kept on the premises available for inspection throgbxut the work.
e. No Wilding shallbe occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy sliall have been granted by the Building Inspector.
APPLICA'1'IfN IS DEREiiY MADE to tlne Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Tome of Southold, Suffolk Csxinty, New York, and other applicable Laws, Ordinances or
Regulations, for Llne construction of buildings, additimis or alterations, or for remrlal or domlition, as lnprein
described. the applicant agrees to coqrly with all applicable laws, ordinances, building ode, bousing code, and
regnlat ions, and to admit mnthorived inspectors on premises iixl in building for rx:cessary inspections.
R & R Home Improvement & Building , -
.....................................................
(Signature of applicant, or n'lin, if a corporal:ion)
..... PO--Box -555.....................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pludner or Ixiil(
Builder
•.....................................................................................................................
Name of owner of premises •- Ron Wilson
............................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, sijVmture of (hely mntlurized officer.
Pres.
.........................................................
(Name and title of corporate officer)
Builders License No. ....13301HI...........
Phmbers License No. ....Nl''.�.................
Electricians License No. . G & S Electric
Other Trade's License No. NJ A..............
L Location of land on which proposed work will be dtxae.............................................................
1330 Gillette DriveEast Marion
......................................................................................................................
Iluse Nunher Street 3g ^ Lk'anlet
County Tax Map No. 1000 Section ....g: g...... Block ......!:-...... IIG., .. :_.� ....
Snldivision Filed Map No. XVS-!.......... int ....a�.Q......
(Nave)
2. State existing use and occupancy of premises and intended use anal occupancy of proposed construction.
a. Existing; use and occupancy ....1 Family. Residential
.....................................I...........
1 es
b, intended use and occupancy .............Famil.X..R......idential.....................................................
AAM
*WW4W%itMli�aldt>A yj*0
tlMtitlO i1MM6 N ta>I �J
f6t6,4Rdlll M�1i1t9�Nrl�
S. W.ilme of cxnk (check fdcidc ap{dicable): Nw Ituilding .... .. .... hklilion .....X.... Alteration ... ...... .
KvIlah ............ ltetImal ............. lknnlil.ion ..-......... Other 1lrnlc ., ..................... ...........
(Deset i pt.icxf)
It. lisliacrte<l CosC . .. 17 x,000 .00....... fee ........................................ ......
(to be Iwti(I nt filing this alq)l ical ion)
5. 11 <kael ling, umber of 4ell inn units . ...1....... tinder of (knelling Units on each 171 nor .. . }. ...........
If garage, uni:er of cars ....NI,A....................••.........
6. If Ixcsimss, cxrncercial or mixed ocoillanc:y, specify cunure mill extent of each tylxr of use,. .........
7. Ilinensinfs Of exist:ing stnx;trrres, if ally: Prot-It.. . 66.x......... Rear . ...66 f.-..... Depth .. . .40..........
Ik ight .....1 7 ................. mwwr or stories . ....1.... ............
Dinensinfs of sane sLnx;ttire with alterations or :xklitions: Front . .66 ......... Rear .., 66_l........
Ikpth ............ llei111 re ........17......... Roller of stories .. ...
11. 1t,iuensi01fs; of entire new conslr,.r.l:ion: Front- ...22'........... Rear . ...2.2'.-r.... Depth ...22�.......
(+
IkiI)lt .....17 ................. lirnlx;r of Sl or les .................... 1 .l
'). Size of lot: I%roll ....100...........-. Rear .......10.Q�....-... IkpUc � 00.x.....-..
IO. fine or i'(frch:ue ..................... CLme of Foillel tk.nfer .. ... ... ... ....-.. ...f.,,......... ..... i
Residential
I1. %,o:e or use distr i(A in ri:id: premises are siaualed ..
12. Ides pntliosell const rfxa icxf violate any ux<int; law, ordicuax:e or regulation: ... No
11. WiII lot be regraded ..NR.,............ Will ex(:ess fill be rafnved Fran preni sea: YES
14. Nines of 0Ale-r of prenises , Ron Wilson 1330 Gillette Dr . 477_
..................... Address ..............................
Nine of Architect ....N/A. ..... lxkhess ....... ....................... ['lion. No. .. ..........
Nine of Contractor .. .R, & ,12 „-__,.„............... A.khess ..PO Box 555. Green ori xxfe 477-260
........... .... ........ ...
15. Is this proper Ly within 300 feet of a ti(hl wetlaul? * YES ... ... .-.- K) ....X....
*IP YIS, SYAfIIIRD mm NiIMI'1' MAY IN: mapliam.
PLOT DIAGRAM
lix:ate clearly and distinctly all INfildings, whetlfer existing or prolxrsecl, ant inlicate at] set-lwk dinpnsions
Fran prolerty lines. Give street and hlnck nrdfer or description according to deed, and alum street furres will inlicale
iket 1wr int er for or corner lot.
SEE SURVEY
sI'A'IP. (N� f1�W YINtK,
SS
MINIM (N. ...''...^....... ............
r'l LC I IC t+ l L 4�- .....,lx:in, dul :nxn n, fle N)FC'S 'IINI sa s that he is the pd icant
...... ...... ......� .,.. .. ..,....... ......... ... .,. g y .t , y.• :ll
(N:ne of iixlivi(kfal signing contra(A) 7
nlxme cunr!cl,
1 k.
is the .. . ....... Cc wi-r 1z ,�:-�-t-o c'z- ,.
...... ........................... ..............................._.............
(CANiLl-10mr, agent, corlxnale officer, etc.)
OF said owtmr or (r..nx:rs, null is duly authorized to lxrrfoon or have Ix�r lonced the said r ink 1011 to ur<ke and file this
oppl icntiun; that, al slaLamnts ccnrtainxl in this al>l)l ical.ion Ire tint± to the lwst of his ko:wle<Ige mxl Ixal iet; n011
hat, the milk will Ix performed in the nrinfer seL forth in the application filed therewith.
. ..... ../.xl�h... :ty oZ7/ 4&`
...
(Signa( of Applicant)
LWAILIVAL
IlIll"pa
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R & R HOME IMPROVEMENT JOB
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& BUILDING INC. SHEET NO. OF
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P.O. Box 676 CALCULATED BY
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GREEN
........................ ...............- ............................ ......................... EENPORT, NEW YORK 11944
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(516) 477-1255 CHECKED BY DATE-
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— ANO TI-1 Date,
\�5�� Reviewed
Applicant/ fir. Date
Owners
�lll)Initted.
Architect/
Engineer. ---- -
SCTM II: mock r� Lot �
District: 1_ 00 Section -_ - (� y Subdivision
I IbA � ^'`" _ Name
Project l ec -
13 ' -- ---- -- - n�,c�
Location. _
Sinp�le&separate �e9u o 't(I 57 iW - Rua. Q_-
certlficatton _,� A,co�clai;
TT UIL T�Nl/ T ll R i T W (/ 1 i 7
ApplicanU \ Date
Oval Name: __-- _—�`(� \ 5�\ Reviewed:
Architect/ Date
Engineer: _ Submitted:
SCTM #:
District: 1.000 Section: 3 13 lock: 4;L _ Lot:
Project 11 / Subdivision
Location: 133 -1 e - —►— t Name: —
Sin&le&separate Requiyeld!N
certification: (Yes o)
Req. Req,
Zoning District _ [Lo(size _Actual _ 1 11.01 coverage ?,3
ReqReq Req
[Front Yard Zr Proposed: -J (Side Yard � Proposed 1 [Rear Yard 357_ Proposed J
Project Description: Decd f �we��� ��n �,oa►��r►S�e F����Y
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: y
Flood Plane Elevation ??? t�
Flood Zone: �e /
Notes: 3 So
�fadferouk 1- 19-00
R FIELD INSPECTION REPORT DATE - COMMENTS
MMENTS
FOUNDATION
u
FOUNDATION
II II
-- --------
ROUGH FRAME &
II _JI_
PLUMBINGir
II it �1
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-------INSULATION PER N. Y. a iib
STATE ENERGY
CODE
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