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HomeMy WebLinkAbout26083-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27319 Date: 09/27/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 225 PINE ST MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Nap No. 473889 Section 141 Block 1 Lot 36.3 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1999 pursuant to which Building Permit No. 26083-2 dated OCTOBER 27, 1999 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 GARAGE & COVERED FRONT & REAR PORCHES AS APPLIED FOR. The certificate is issued to ANTHONY & DIANE BLADOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0173 06/12/00 ELECTRICAL CERTIFICATE NO. N-524404 05/16/00 PLUMIXRS CERTIFICATION DATED 09/18/000 BERTSAND PLUMB.&HEATING /A� utp rized Signature Rev. 1/81 1 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. 26083 Z Date OCTOBER 27, 1999 Permission is hereby granted to: / JAMES WILSBERG PO BOX 1429 MATTITUCK,NY 11952 for CONSTRUCTION OF A TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. at premises located at 225 PINE ST MATTITUCK County Tax Map No. 473889 Section 141 Block 0001 Lot No. 036. 003 pursuant to application dated SEPTEMBER 24 99 and approved by the Building Inspector. Fee $ 777 . 00 7St Authorized Signature COPY Rev. 2/19/98 1 , FORM NO. 3 1 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. 26083 Z Date OCTOBER 27, 1999 Permission is hereby granted to: JAMES WILSBERG PO BOX 1429 MATTITUCK NY 11952 for CONSTRUCT A FOUNDATION FOR A ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 225 PINE ST MATTITUCK County Tax Map No. 473889 Section 141 Block 0001 Lot No. 036 . 003 pursuant to application dated SEPTEMBER 24 99 and approved by the Building Inspector. Fee $ 75 .00 3 uv.,,li�- Author z d Signature COPY Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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-dispo,sal(S-9 form) 3. Approval of electrical installation from Board of 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-conforming uses, or buildings and "pre-existing" end uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .2. WA. .1.7 . . . . . . . . . . . . . . . . . . . . . . New Construction. . .`./ . . . . Old Or Pr existing Building. . . . . . . . . . . . p . . r Location of Property. . O1 ? . . . . . . . . Ifl . ....�. . .. . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. TS:�?p � l���.� . :. . . .. . . . ... . . . . . . . . . . . . .. . . . . ... . County Tax Map No 1000, Section. . . 1.q.( . . . . . .Block. . ...( . . . . . . . . . .Lot. .V. t . . . . . . . . . . . . . . Subdivision.. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .FiQled Hap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.d`��� . . . . .Date Of Permit. ���f�� ,, 1�. . . .Applicant. R)�OOQA . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate.v. . . . . . . r7 n Fee Submitted: 0� • • • • • • • • • • • • • • • • • ,LC?��- 4 .14 ."6ka,�. . . . . . . . . . . . . . �� S8s11 APPLICANT ?,d ? 3/1 • %F 71111111111111 �.! Agw L .a.. %i "4111 TV I� M VM ♦ f9 �w r tl �1ofF( f��p� OGy� 0 Town Ifall, 53095 Maln Road H 2e Fax(516)765-1823 P. O. Box 1179w Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: September 18, 2000 Building Permit No . #260^832 Owner: RAJpt) , %"NCXy�cl c�C53 (please print) Plumber: Bertsand Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/30 of 18 lead. Plumbers Signature) Sworn to before me this 18th day of September , 2000 Notary Public, _ Suffolk County PEEN M.ROACK ft"Pk *,SlatedN$wYafk No.4828912 Q WNdInSuffolkCounty CawdaYan Exoa"A"31,21''71-- r M-11102 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL TION [ ] FRAMING ( INAL [ ] FIREPLACE & CHIMNEY REMARKS: �� co r"`" DATE �� �' INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO:A"TION G. [ ] FOUNDATION 2ND [ ] IN [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY i REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ , ] FINAL [ ] FIREPLACE & CHIMNEY REMAR S: - DATE // C/O INSPECTOR i 65-1802 ILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4 � J = � �S DATE INSPECTOR r77, T65-1802 UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION j ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: "7 i• /� ` -' DATE �INSPECTOR ND% J I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: - DATE � �l INSPECTOR ; r M-1802 BUILDING DEPT. SPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1117) DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ F�IGING [ ] FINAL [ FIREPLACE & CHIMNEY REMARKS: DATE c�-O INSPECTOR THE NEW YORK BOARD OF FIRE' UNDERWRITERS PAGE 1 1000884 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK;-NY 10038 Date MAY 16,2000 Afpltcatloa No. an ffle 200'79U�0,1t80' N 5254404 THIS CERTIFIES THAT 1PyRMST NO. 26083 _ only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DIANE 14. BLADO5, 225 PINE STREET, NATTITUCY, NY ' in the following location; ® Basement ® 1st FA ® 2nd Fl. GAR/ATTIC/QUT Section Block Lot was examined on MAY 09,2000 and found to be in compliance with the National Electrical Code.. FIXTURE RECEPTACLES SWITCHES FIXTURES , RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER I AMT. I K.W. I AMT. I K,W. AMT, K.W. I AMT. I K.W. AMT. I X.P. 36 43 39 36 1 10.5 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS N.P. AMT, NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT. H.P. NO.OF FEET AMT• WATTS 2 F 1 2 SERVICE DISCONNECT NO.OF _ S E R V • F_ C E_ METER- NO.Oi CC COND. A.W.G. A.W.G. A.EW.U G. AMT. AMP. TYPE EQUIP. I D RW 1 0 JW J 0 7W J D 4W pFR 0 OF CC,GOND, NO.OF HI LEG OF NIAEG NO.OF NEUTRA OF NEUTRAL 1 200 CB 1 X 1 2/0 .� 1 2/0 OTHER APPARATUS: PADDLE FANS F-6 WIRLPOOL BATH--1 WELL PUMP-1 SMOKE DETECTOR:-6 TOWLE & SONS FILEC. CONTR. LIC,#550-E 33 LINCOLN AVE GENERAL MA AGER NASTIC BEACH, NY, 11951-1605 This cedlflcate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identifle k� thelr credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST-NOT`SE ALTERED IN ANY MANNER. MAR 3 1 M �11 7 �IVA Town Hall, 53095 Main Road 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 1 0 N DATE: March 2, 2000 Building Permit No. #26083Z Owner: 'Qa-Mond I /2 (pleaselprint) Plumber: Bertsand Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this 2nd day of -March 2000 Notary Public, Suffolk County EUEN M.ROACNE "Public,State ol Now YakNo.,EON2 OwNetlinSdolk0wq Cmahelon EVkes Jwjwy 31,200-R v N BOARD OF HEALTH . . . . . .. . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: p ' CALL �.Gq Ex�a"mined................... 19.... n2 MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved........l�l? d..., 19.��.L. Permit No. ................ .................................... Disapproveda/c .................................. .................................... ...................................... .... .......... Dov NDarroxo �rm mf L, F3LDG. Building l�Iz� 9B1LDJ-,J PerwmP'r W LI APP I ATION FOR BUILDING PERMITDate. . . . .UT. INSTRUCTIONS �1T;.OLD a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector Wil 3 sets of plans, accurate plot pian 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 mist 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 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 BEMW MIE to the Building Department for the issuance of a Building Permit pursuant to the Building ?.one Ordinance of the Tom of Southold, Suffolk County, New York, and otber 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 premisesr.�nding fonnecenssary ' spections. 4-mac...Y.!1y�1��;-�-�;J................ (Signature of applicant, or nate, if a corporation) (Mailing ress of applicant) N y 1 i S-;> State whether'applicant is owner, lessee, agent,, architect, engineer, general contractor, electrician, pinber or builder .. .(.X..-lLA...............:!:...:.:ie.5............................................................................... f�ra P"v Namof o>GmdV:of 'pi'emi 8 ....... . ............................................................................ ""(as of,the tax roll or latest deed) If applicant is a corporation, signatgre.,of duly authorized officer. 91) t - ..r..............................:.,.:.................. (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ..1 q?.�7.P........... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. 07 .�......... ine .. e ........................ House Umber Street' / �jHamlet Canty Tax Map No. 1000 Section ....1`Z.1...... Block. ...M........ Lot ..O7.�at �..... Subdivisioxn ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy ✓Iof premises and intecnded� use and occupancy of proposed construction: a. Existing use and occupancy ..vo-cQ- x... r) a .{p ..................... , ............................ b. Intended use and occupancy /14 rn. .,_. 3. Netu'e of work (d kw�1: applicable): New Buildiug .V/.. Addition .......... Alteration ......... 1 Iwo ..... Demolition ............ Other Work . .... (Description) 4. Estimited Cost �1 }�)U�j.. .... fee .............................................. (to be paid on filing this application) 5. If dwelling, nudner of dwelling uni�s ...I......... limber of dwelling units on each floor ................ Ifgarage, nnher of cars ......... ........................... 6. If business, commercial or nixed occupancy, specify nature and extent of eadn type of use...................... 7. Dimensions of existing structures, {f any: Front................ Rear ............... Depth ................. lleight .......................... limber of Stories ...................... Dimensions of sae stneture with a}terations or additions: Front ............... Rear .............•. Depth .................... height .................. lknber of Stories ............... 8. Dimensions of entire new constructs ..... 1 . Q ' {:n: Front / �q ....��.... Rear .....13 o.1 ... Depth ..5 0....... height .......................... Nuiber of Stories ....';S.....:....... 4�av oK. QQrrII ��ii 9. Size of lot: Front ..�S.l....... .... Rear ....�� ......... Depth ..':79ap .i......... P !10. Date of Purchase N id .��e�"^L.S. Name of Fomer Owner JS• r 11. Zone or use district in which premL s are situated ............................' ¢e r.. 12. Does proposed construction violate �ny zoning law, ordinance or regulation: ..hJ4.................. 13. Will lot be regraded .. .��.5. i..... Will excess fill be removed from premises: YES �N3 ' N:rne of Architect q`. k n 4... �o._ 14. Names of owner of premises ........i.............�.. ... Address ..........`................... Phone . .............. � Sf n �r a6Jesi y+' 3 Y"'W& re�.� �'"fcw2 z C 7.a ..... SAY[klress �.. .......... �.... Phone No. •• OG R�arY-h •r••St�r'l�G Name of Contractor Rs'f 2s/< �l}5 �>u ..... gess �s??. ,..i t >`Dt�y`'. FNS .Plwne 15. Is Gnis property within 300 feet __�__o�F� a tidal wetland? * YES .......... No .-Y<.... *IF YES, S0111S011111111)I111MW TtoMIMS PERMIT MAY IC, 1E(XIIRI21. PLAT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nnber or description according to deed, and show street names and indicate whether interior or corner lot, I � 1 o�.rNl1aY1'toa.� ©N�y N, APPROVED AS NOTED DATE: tv B.P. l,d£S3 FEE: BY• NOTIFY BUILDING 66ARTaENT AT 786-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE UGH - FRAMING $�P4NMBING 3. IN ION 4. Fl STRUCTION MUST BE COMPLETE .0. ALL CONSTRUCTION L MEET SfAIE CF Nw YORK, STATE REQUIREMENTS OF T N.Y. SS STATE CONSTRUCTION & ENERGY CODNIY OF .................... CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .................being duly sworn, deposes and says Lhat he is the applicant (Nave of individual signing contract) above named, lieis the .... ......... I t.................................................................... (Contractor, agent, corporate officer, etc.) of said owner, or owners, and is duly auUnorl7ed to perform or have performed the said work and to make and file this application; that: all stateients contain*d in this application are true to the best of his knowledge and belief.; and that the work will be performed in the mIoner set forth in the application filed therewith. Sworn to beforg me dins a /� ............. ..clay of ,/'4�R2a •7.•1�.. /7 p Notary Public 7. ........ (Signature of Applicant) HELENE 0.HORNE Notary Public,State of Now Y" Np.4981364 Qualified in Suffolk County Commission Expires May 22, �� o / ,Y SCDHS. Ref. #R/0-99-0173 e 00 0 The loci of w4ft +fid Of*WC* Vo */WWII /+non AW aft*nWAPM 41W 9r ff)XW 4WO of 004 from oN►.rs. •c d F j cp. G _ A{� `9 1 r , 0, " Y ", RCFERTY AT MAr 14TOtW . y $CAW.- -Room or «',fir' �• p pF NEW k . .�. • '. �-, = \' t MFS �� . = p F s 1 �WI 'P • r s w • Op 1 . 4*V on AWA =XAV , ft ` ,, . ._ ri ANY AL.TEWTION 08 AWTI AN TO ms SLRVEY)S A VIOLA nON SCDHS. Ref. #RIO-99-0173 OF SECTnV 7209 OF TIE 14EW YORK STATE SX TW LAN F. EXCEPT AS PER 7YO9 - SI6DItl ALL Twivs s"A°n0wwX Ai0R VC XEjrHE A s S&4L THE iEYar o� �� So s SEC 211999 . WHOSE 5MMTURE APPEARS HOW014 v ADDffX WeLLY TO COWL.Y WTH SAV LAW TW TERM ALTERED BY' t L P� MIST BE USED BY ANY ANO ALL SURVEYORS UTX"K A COPY -,7—z- - OF ANOTHER SlRVEYARS YAP. 7ERYS SUCfI AS 74WECTED'AND /� 'BAYIUI6NT-TO=DATE^ARE MOT N COII'L61NCE MTH 775E LAM. d{ The locations of wefts and cesspools t<ovk a0Q �'O 735, - shown hereon are from Neld observations 40CP. and or from data obialned from others. /34 � � o tt CE£FD TOi AE?lA,I� BLS .' gRfM9VA119,tA*,NAT70AW SANK '¢ apSs v ifs esITY NATIONAL successors ��\v`'' � � ,,, >► FIDELITY NATIONAL T/Ti.E INSURANCE' COMPANY OF NEW YORK A5\Z �• :i'�� �6 � SURVEY OF .PROF€RTY` A T MA TV TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NY 1000 - 141 - 01 - 363 SCALE 1" = 30' o 73 7g AUG. 13, 1999 1� its. T t SEPT. 4. 1999 (revision) �� c oig0 SEPT. 5, 1999 ( certNlcatlon 1 DEC. 22, 1999 ( cont. foundationTf ) ST TEST HALE G =It SOS? o�, Brow f raMSly5 •�0. 000fz-foN V,0k owe`Pda D g. "" M� r 1. " SP am the Sh4NR4/iDS FOR APPROVAL 4 ®' AlVO CONS CTION"OF SUBSURFACE SEWAGE * Y.S. LIC NO. 49818 /4.8' ! k'OSAL SlE►i�S FOR SINGLE FAAiYL K RESIDENCES wat..m VAfp►d ,': ZW, "condptons set for/h /herein and on the C , P.C.pg7a#ate la- Y. p 65 -�5 AX (631) 765 - 1797 sanA d "" sP �� e.r A m ; S Y STREET AREA =24;991 "� ft TO AN ASSUMED"DA CP 99 293 ANY ALTERa770M OR AADOM To s S^VY IS A HMAt7owt. SCDHS. Ref *RY0-99=0�73 of S nwl72M ar THE-AEN' Y STATE ltr t� as PER' 7sos.- �.�rt�tcw aLL . moss - . ,�{� LQLREAN 4AE, ATfAS aN4P AAO l�ppESoFTF SAD.btAP SSFn SEAL. THE.SWMEYOR O ,V tt SUFFOLK COUNTY DEPARTMENTOFHEALTHSERVICES wM05E•�Naa,TrA4� ATFL a' To COMPLY wTH SAD LAw THE rew ALTERED'HY• E ;e cc P.5 ` APPROVAY.OF CFAMILYG"ESIDTED WORKS FOR ARJ4ST EE LJSrfJI BY-�yY AAD ALL SURVEYORS A COPY A SL4GLE FAMILY RESIDENCE At AAN E LAS sL vEYMM INP TF,RMS smH As S I CT&D-AND ®' p�� O ORQGtG�lT-TO-pATE`'ARE NOT N COWLJRNCE M7TH THE LAW. � . - � Datey,y�H.S.Ref.No. O t L I The locations of wells and cesspools ttepl �+ The sewage disPesa1 and w--er supply fas"fifties et this toom.on have been shown' hereon are from tfeld-observafiPllS r . 5r ins ectt .dter certified by his Deper anent cr eLt rgtncf sand found to and or /r}thr data ob/a�►ed fi.®m others. pt ®' . brf Ett6ryFOR OF B$DROOAS. S hen A.Cods P-2 Chief. A 'QOfticeOfWaferandVJastewawMlanagement - Rltk `P- a9 ' CERTIFJED TD=_ .. ANTHONY ti !kAPQS� DIANE At. bl Ab67§ - BRIDGEHAMPT.ON-NA P1pl AL.,84K assigns and/or successor' FIDELITY NATIONAL TITLE INSURANCE' COMPANY OF NEW YORK " eAil SURVEY OF PROPERTY A T MA TTITUCK of TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y.. I" - 141 - 01 - 36.3 sc> i SCALAE. 1" '= 30 oa - v-a ` AUG 13, 1999 o •SEPT. 4, 1999 frevision) SEPT, 5r 1999 I cerHHcotlon 1 y � 140a DEC. 22, 1999 1 cone. foundation J ;Est APRIL 6r 2000 t flnol 1 40 TEST HOLES tk' May 30,2000' !revisions} 0.51 . c e 13I5'SD W ADENO Brows, 't9 - > . � • 5' ' e 5 a , o Rk �0 � . �d Lt• � a , d a Pore brown "°�, -' OF NEW roe to sand oaN t.MerFQy�9p 'f! `T NO 104arthe STANDARDS FOR APPROVAL AAV CONSTRUC tv11p,ON OF SUBSURFACE SEWAGE -0 DEAL SYS FOR SW-XE FAWY RESVENCES N. .S LIC NO. 49618 wo►sr rh �ACP#t Ag1{,w�@ a by�condttfons set forth Therein and on the permit to construct Y P.C. iaS�S yi6 1531! 765 - 1797 fiEVATOV-S AR$�kW rr AREA =24;998 ft Tc AN ASSUWD DA TUM SS�OL , Y. STREET s7 99 - 293 Iq I � I LF- FIsl ��i �or,.;.►`T" �.�.rp.�-"► pt.,,a F21C�1--1 i C�..C�.l,�a i I r..��...1 a( s t ii Y ou [EL41 '0 F1 sum I 17 RAVED�iEPARATION TO PROVIDE SMOKE-DETECTING PART.717.5(1)(1)OF ALARM DEVICES N.Y. STATE BUILDINQ CODE. AS TO PARL 721.1 �. N. N0E. DO NOT PROCEED WITH I YS tU1LDI00D FRAMING UNTIL SURVEY OF FOUNDATION LOCATION PLUMBER CERTIFICATION A<N 3603D40W ON LEAD CONTENT BEFORE HAS BEEN APPROVED. TIFICATE OF ER II C SOLDER USED IN WATER UNDERWRITERS®� UNDERW SOZO EXCEED 2/10 OF SUPPLY SYSTEM CANNOT REQUIRED -- — . I OCCUPANCY OR IfcomrtabIrVISUnd USE IS UNLAWFUL 1 Fri' for water distributing WITHOUT CERTIFICATE °i a:IKo°i _n OF OCCUPANCY APPROVED AS NOTE DATE: o• -1 B.P.q i jrti - '`, FN7E6OET: ey.lRbatIloz FOLLOWING INSPECTIONS: 7FOUNDATION TONpEQOE NU pT IRTEHAD FOR POURED CONCRETE 2. ROUGH - FRAMING g PLUMBING 3. INSULATION - - - TE 4. FINAL - CONSTRUCTION MUST_ j �. �L r _ _ BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET I' THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR -" - DESIGN OR CONSTRUCTION ERRORS a PLUMBING A < RROVIDF AMTI-SCALD AND/OR PROVIDE OPI111NG5 FOR U,PLUMBING '' ti WASTE �p�° S WATER LINES NEED THERMAL SHOCK PREVENTING EMERGENCY ESCAPE AS - - C;o"W��v& _ - TESTING BEFORE COVERING DEVICES AS TO PART.902.6(K) REQUIRED BY PART. 714 OF E - -v��� N.Y. STATE BUILDING CODE. N.Y. STATE BUILDING CODE. ----------------- END _ „ - � �M 1 � "PROVED BY 80M4fl f DRAWN By LME* yr�R\���, f la�i}-4'S+✓✓Y•'�'IOMS ' P.� M�i4Yi(� , _ - 41iBMA1N 11KIUiw{p�7gVT'HN'CBMI' 1►MMI ` Ll�'?gws+�?>`Y' R�r+'ca,J a�+s Awlpr..�.,.rl�tfTo!-U5 DRAWING NUMBEfl `. _ 7,77 a " � w owl ai ACMei N4u�aM�h,ol'aq tlMNary iYaM�_ o +Y�M Acid 3020 - _ _ Roatlku�lohtAMM++�'h'Mh1YYrngWfpMarilM:do� �anllpa�� f ., �M' 2. AN urmlc N+dl gDMplyWl�aMe.NawYajlc At!llP, hCWw a- '. iidWf, '± a. 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