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HomeMy WebLinkAbout26133-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27363 Date: 10/23/00 THIS CERTIFIES that the building ADDITION Location of Property: 1985 PINE TREE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 1 Lot 11.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 1999 pursuant to which Building Permit No. 26133-Z dated NOVEMBER 5, 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 PORCH ADDITION TO ACCOMODATE A HANDICAP RAMP L WHEELCHAIR ELEVATOR STRUCTURE TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTINE KOSMYNKA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-538951 10/11/00 PLUMBERS CERTIFICATION DATED N/A llr;zA Signa ure Rev. 1/81 r 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. 26133 Z Date NOVEMBER 5, 1999 Permission is hereby granted to: C KOSMYNKA (BURGER) 1985 PINE TREE ROAD CUTCHOGUE,NY 11935 for CONST OF A PORCH ADD, TO ACCOMMODATE A HANDICAP RAMP AS APPLIED FOR . AMENDED TO INCLUDE A WHEELCHAIR ELEV. STRUCTURE. MAINTAIN 4 ' SIDE YRD. SETBACK. at premises located at 1985 PINE TREE RD CUTCHOGUE County Tax Map No. 473889 Section 098 Block 0001 Lot No. 011 . 002 pursuant to application dated OCTOBER 5, 1999 and approved by the Building Inspector. Fee $ 75 . 00 Ql� A Auth i ed Signature ORIGINAL Rev. 2/19/98 Y 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. 26133 Z Date NOVEMBER 50 99 Permission is hereby granted to: C KOSMYNKA (BURGER) 1985 PINE TREE ROAD CUTCHOGUE,NY 11935 for CONSTRUCTION OF A PORCH ADDITION TO ACCOMMODATE A HANDICAP RAMP FOR A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1985 PINE TREE RD CUTCHOGUE County Tax Map No. 473889 Section 098 Block 0001 Lot No. 011 . 002 pursuant to application dated OCTOBER 5 99 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Si ature ORIGINAL Rev. 2/19/98 Z�rA (!� j �r v� Form No. 6 To � ` i 11' TOWN OF SOUTHOLD En 15 2000 , s'+ BUILDING DEPARTMENT TOWN HALL F, D 765-1802 fOWdi 3SOUTNOLC� 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 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. 8. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land 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 f1. Certificate of Occupancy - New dwelling $25.00, ,Add%tions 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 - .25v) 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction. . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . .V.. ..i+.. . . . .L-E . . .. .. . . . . . . . . .� . .. ..1. .. . :. . . . . . . . . . . . . . . House No. r Street Hamlet Onwer or Owners of Property. . !. . . . County Tax Map No 1000, Section—ftpp. . . . . . . .Block. ./. . . . . . . . . . . . .Lot. .//,R. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . � �.Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . :. . .-- . . . . . . . . . . . . . Request for: Temporary^nCertificate. . . . . . . . . . . Final,Eer icate. . . . . . . . . . . Fee Submitted: $. . . . . .0 : . . . . . . . . . . . . . . . . . . c� , ss637 comma? 3`3 L�CAN. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001071 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 11,2000 Application No. on Ale 1001.0200100 N 533951 THIS CERTIFIES THAT rI;RMIT N0. 261332 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of C. KOS14YNKA, 1935 PINE TREE ROAD, CUTCHOGUE, NY in the following location; ® Basement ® 1st Fl. ® 2nd Fl. Section Block Lot was examined on OCTOBER 05,2000 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEM FLUORESCENT OTHER AMi. K.W. AMi. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 7 & 6 1 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTI.I TIME CLOCKS I BELL UNIT HEATERS fol SYSTEMS ET DIMMERS ij AMT. K.W. OIL X.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF "" S E .-- -R - - V — I - -- G ^E - - METER NO.OF cC COND A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 D 2W 1 0 3W 3 0 3W 3 0 3W PER D Of CO.CC;W NO.Of HHLEG Of HI LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: 30A DISCONNECT FOR ELEVATOR-1 G W S CONTRACTOR LIC.#57£3 ELrn BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER NPer. 11 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. Sits SRI IM IN;IRS;IRS;log COPY FOR -BUILDING- DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] 1 ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: zl DATE l l INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: �- G DATE D INSPECTOR ^^'� ------------ II II ,y N\ fDATTON ( IST) u u n n � ;DATION (2ND) R u (fin ,',H FRAME 6 I�------�I----- ----- -- ------- _ 1 n n PLUMBING — T — �1 ULATION PER N. Y. x H I STATE ENERGY CODE u a r4 I y II n 1 I II II II r n II — FINAL it It ;I ADDITIONAL COMMENTS: 0 z ----- - tv ro �. K �z 6�'rc..Jcti /�; ._�ti rE_N� _. Dv4:crf'. (ZGtoF' TO GO✓�/L.� h{•kN3�!c.E.�- rzc,� �x.sr.Nrr- /3 vic.�iniQ S _ ,,. ^-�:. - _s _`�' a -yam��•-.:'-' �t ^_ : '4- i .� ��vim.>. - .�� " ��:;;��_ •'r--`- ••.;"�'' � _ -a!: _ - � - _'• . •{ ■X $� - _` { i g - -- 2-Zito Z�Z`x�o. "` � Z- xso •• 3��' 6 � 5_711 : '=Q- S-jD '- . •5'-O 5 -O 3-t� - tz ki 'L2 Ge5-r✓. Z Y 2 ')r } ' f G FOOrl"i �z�� nes A e✓` a'y a +.,'v e 4, `'�y I-i ♦ 'Foe�'.k f5a + ,F: ;n.2ia •Isl 'e••I` •,P9`+i �Q4 +ef4 s� j i�>a � •[[uc.a enm :L xl Y.a � e t-. ��,�'-F ) `ieTlF +L � • Digo of ., ,Np` l�yd a �YAH w I O a2�ltl ..Jyf a Y' S 0 + •t R >,be f• _ iw Y• ab 9 p �swr v+•+r• � _ 5• ie2u . i bniJ R •Y,,. i% fnkao +d 4 IWO / I �.Kal ✓ i.d Nw I_.__ rd •aI s SO M1� •d Y Y^Y JU Q J o tae xO • ,O••. w+®• t•P••d_ _ _ "'•l' © COUNTY OF SUFFOLK =SOUTHOLi ��.�_ `,�" _-- •— -- ._ __"_ �� Real Property Tae Service Agency.— F-7e� ee..�Y e•.I., .0 1000_ pl, P.-h-4,I I N.v Yed APPEALS BOARD MEMBERS $11FF0t4 Cp Southold Town Hall Gerard P. Goehringer, Chairman = G'f� 53095 Main Road James Dinizio,Jr. y P.O. Box 1179 Lydia A. Tortora Southold, New York 11971 Lora S. Collins y o�� ZBA Fax(516)765-9064 George Horning �Ol �� Telephone(516)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD MEMORANDUM TO: Building Department Attn: Ed Forrest FROM: Jerry Goehringer, ZBA Chairman DATE: December 7, 1999 SUBJ: Wheelchair Lift Accessibility In reply to your inquiry, this will confirm that an enclosed area of approx. 6' x 6' does not enter into calculations for projections regarding restrictions of lot coverage or front, side or rear yards, similar to the Shank ZBA 1998 application. It is important, however, ,the building does not move out of the footpnnk:ofwthe wheelchair elevatdr structure, and 110 specs#ioat` designated in the Conco"rd Wheelchair Lift meef,safety codes. OCT BOARD OF HEALTH . . . . . . . . . . . . . . . i T3LU SVT FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOVV.amAOUTti01.D TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1502 NOTIFY: CALL . . . ffiomined.................. 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.................. 19.... Permit No. .. ��3 .................................... Disapproveda/c ......................... .. .... .................................... (Building Inspector) KATION FOR BUILDING PERMIT / Date. . .{.r/t;. . . . . . . . . 119.17 INSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 cork 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 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for 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. .............................................. (signature of applicant, or name, if a corporation) ................................................... (Mailing address of applicant) State wl ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder l.................................................... ............................................... Name of owner of premises .. FF/. f.J.N..'...CJ-/re1 SC(,C....JOE? S�?J /f fiti .......................... (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. 1.lz.K.,t(.(............. Pluduers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. 19q .r� ..... � .2c.�....................... House Number Street / Hamlet County Tax Map No. 1000 Section .....fqq.�....... Block ...)........... Lot .. �e 2 ...... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed' stfuttl6n: a. Existing use and occupancy ....C::. :S.0.Czeah.a.l.............................,..........,.r.......... b. Intended use and occupancy ..../`�S i.'C/e vl Cc ........ ..... Nature of work (check wltidm applioable): New Building .......... Addition .......... Al eration .......... Repair it ............ Removal 1........ Demolition ............ Other Work (Description) a el/f/0 EstimatedCost ..................'I ...... fee ............................................. . (to be paid on filing this application) If dwelling, mriuer of dwelling ttnits ............ Number of dwelling units on each floor ..... ... . ... . ... Ifgarage, number of cars ...................................... If business, commercial or mixed �Ioccupancy, specify nature and extent of each type of use.......... .......... .. Dimensions of existing structures, if arty: Front................ Rear ............... Depth ... ... ... . . ...... Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear .. .......... ... Depth .................... lleigjiC .................... Number of Stories ............... Dbrensions of entire new construction: Front ................ Rear ............... Depth .... .. . ... .... lleigat ......................... !Number of Stories .................. Size of 103 FnxhC ...... .� ��.. Rear ..$.�.......T .:. Depth ...�;(o a...... ..... /)G 0. Date of Purchase ...' Z..... Name of Poxmrer Owner ....................................... . I. lore or use district in whichPromises are situated ...[\ :S.C'!n.L!✓�i.+,( .................................... 2. Does proposed construction violate any zoning law, ordinance or regulation: ..A-//.0 ........... ..... 3. Will lot be regraded A&. Will excess fill be removed from premises: �YP�S NO 14. Names of Owner of premises ...,.��(�(?F.� ....... Address ....R/IIV !(� IV,. �fh-' °Pbrre No. ............. Naeof Architect .........!i./............/........ Address .............................. Phone No. ...... ....... Name of Contractor s.G1EG�i(L 'Ca�C(72utcfrdh ,, Acklressw. <,rt/?rj6Ce/C....Phone 15. Is this property yU1idii feet!lof a tidal wetland? * YES .......... NO .......... *IF YES,�rttY TRUSS PERMIT MAY DE RE ARED. ' I PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street nacos and indicate whether interior or corner lot. �I SfA'lB OR NV Y(AW .......1 J..(({.�/�..!!,,,,1.fj( .. .0......................being duty sworn, deposes and says that he is the appl icanl (Name of lxrdividual sign mg c act) above named, Ileas the .... ... an as duly ...................................................................... .. (Contractor agent, corporaCe officer, etc.) of. said owner n authorized to perform or have performed the said work six] to make and file this application; that all statements cntaliineol in this application are true to the best of his knowledge and belief; and Lhat the work will be performed in the manner set forth in the application filed therewith. Sworn Lo..�� its . ..... ..I. 19...�� Notary Publi .... .... ...... . g�ARELtLEW (Signature Signature.ofApplicant) pplicanC) ry1c ;Ylk 10,State eioSuffolk Commlsn Qualified Dec.S . ............. BUI1 DING PERMIT REVI CHECK LIST Applicant/ Date Owners Name: ICfl5rnVP%k�� Reviewed: Architect/ Date Engineer: T Submitted: D 9 SCTM #: District: 1.000 Section: q% Block: Lot: 11 Od a Project Subdivision Location: 118f P✓I�e Name: � u Single&separate Required 'J certtfication: Yes/Nol Req Req. Zoning District: R 4,0 [Lo(size: Actual: ] [Lot coverage Proposed: ) Req Req Req. [Front Yard Proposed: [Side Yard Proposed: 1 [Rear Yard Proposed: ) Project Description: A b b M O O 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: Flood Plane Elevation??? Flood Zone: Notes: BUILDER'S NO. GREEK /� .• 6Z p� , /� ,mac -PCO oT LoTA\/9elA Q GOT/l/' 6/ ,/� 4• �l N9ZZ p P,¢LE�PL F!A //•//Nt GoT N% to IAz spy. woop PSTN 3�laW>, FA. f - N/000 O Z SToRy TE FRAME ` �W6LG. ° p m. F�cuosEO ExAST/n/G DWEc.0-/n/G GAEs � FFE�./4.3a � a �o,4cv /^J FLOOD ZO/',/& C u SNEp O r-6000.1vGJ A5 P6R F/R/✓/ R°•" o '^ � .s.o• so. �F0000 /A/5&49AN-� RATE M.4P Js' ^ Wceo Cy.SO O FOR 7N6 To.�/A/ OF.SO(1T/lOLO o E2 SyEo O DATaFO TUNE /5/983 _ o�K lose. 4 S'2' ai W • Fes. 0 \ e e 53 /� V\/. THE EXISTENCE OF RIGHT OF WAYS �j3G CERTIFIED T0: AND OR/EASEMENTS OF RECORD IF \\Illillipl��// ANY, NOT GUARANTEED.HOWN ARE NOT \``\\\O\OF MEW NASA, CHRIST/NE MART/N KOSMyNKA e: .N�eECy, 9,F TRw TTL MSU ANCE OA- UNAUTHORIZED FUNAUTHORIZED ALTERATION OR ADDITION = yl �* ' NEW YCJRlf , /NC. TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.THELAND COPIES OF THIS SURVEY MAP NOT BEARING EMBOSSED SEAL NB SURVEYOR'S INKED SEAL O DEREDFANO TO BE A VALID TRUE COPY. //IIIIIII1111�\\ THE WATER SUPPLY AND SEWAGE DISPOSAL GUARANTEES INDICATED HEREON SHALL RUN SYSTEMS FOR THIS RESIDENCE WILL CONFORM ONLY THE PERSON FOR WHOM THE SURVEY TO THE STANDARDS OF THE SUFFOLK COUNTY To IS PREPARED, AND ON HIS BEHALF TO THE IS OF HEALTH SERVICES TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. GUARANTEES ARE NOT TRANSFERABLE. SIGNED SURVEY OF: Garnl9Z/.a P/0� zz KENNETH H. BECKI4N, L.S. Surveying and Land Planning MAP OF: /\/A_S5AC) FARMS 5 Y 018 Expressway Drive youth ?_'q'�Fic.EQ Mn,a. , /935 F�L.E n/"/i79J I' SITUATED IN: PEGon/ic/ Suite 202 TOWN OF: S'ovTNoco Ronkonkoma, N.Y. 11779 SUFFOLK COUNTY, NEW YORK. overt =oOAr� 600 (516) 588-0380 �x GnR. Fo,nvo � DATE: / 3o 92. JOB NO. BZ-/7/ cd6v, GAR, 3/ /93' � - FAX (516) 588-6395 aooel� Pf�o 'c Z/ ADpLO F/RM OATH 9�Q�L. DIST. SEC. BLK LOT F/NA[ suRVEY 6//s�fl2 Ao0E0 SN� p V✓6GL Loc. S.C.T.M. NO. /000 9B / A/'Z FouvO. Goc. Z/t0/9Z By'AB� JAN 13 X100 a FLuG. DEPT. 03 9 1f014N uW SOUTHOLD 5• Z lE � O G&Or Al-901A 0 GoT /V`Z/ B.0Z , TL tj�� G �Hr� ze Eo1/ CACE,.7 .. Z end STY°ECK O OVER /It 5Ty OE°K s reP v WOOD Deck © ` ,do", I °ECK 01' o h e STaRy E:�/ST/NG pW�GL/NG G/Es FF�e./a.34 �^ M/N/MAL srEP / Go00iN6J A5 P6R f/f?/✓I ° o. ,� O FoR Th'E To«✓v rsFSouT/lo�o r I SyE° O %33 I ^V ju I a� ZZZ V M rro✓,.[Dad o j olot, Zee h fRDA - - Ngrt¢ Z C / /E �• �jp55_ THE EXISTENCE OF RIGHT OF WAYS i�/3' `_ CERTIFIED TO: AND OR/EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT _ % CHRIST/ l/E MART/N KOSMY/VIIA GUARANTEED. FLEET MARKET CORP. TRW 7-/7-'LE //V5[JRANCE OF UNAUTHORIZED ALTERATION OR ADDITION NEW YORK , /NC. TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING `1 _(� \� THE LAND SURVEYOR'S INKED SEAL OR P�l•'`^^.'�L�JZ���••� EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. THE WATER SUPPLY AND SEWAGE DISPOSAL GUARANTEES INDICATED HEREON SHALL RUN SYS"THE FOR THIS RESIDENCE WILL CONFORM OF ONLY TO THE PERSON FOR WHOM THE SURVEY D THE STANDARDS LT THE SUFFOLK COUNTY D IS PREPARED, AND ON HIS BEHALF TO THE EPARTMENT OF F1d71LTH SERV/CES rTLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUDON, GUARANTEES ARE NOT TRANSFERABLE. SIGNED SURVEY 0F: Gor/v92/.4 /o zz KENNETH H. BECKI1h/�NIL_S. Surveying and land Planning MAP xessway Drive O : ASSAcI /-ARN/S >0 _ "18 Ex .. outh � FFAI 1 SITUATED IN: PEGOn//C Suite 202 TOWN OF: -5oc/7s'Oc.o Ronkonkoma, N.Y. 11779 SUFFOLK COUNTY, NEW YORK. -36b4 (5 16) 588-0380 Loc. GnR FouNo S///�OA DATE: //30/92 JOB No. B2-/7 / fz�v, CAR, 3/2/9,- Ny FAX (516) 588-113 )5 c anDeO P.'�oP. �, ?1i2/ ADOEO FIRM DATA 716198. DIST. SEC. EILK LOT ainiAc suavEv, 6//s/vz NO. /000 G0C. Z/Z0/9Z i i { APPROVED AS NOTED REE: NOTIFY BURRING DEPARTMENT AT 1 786-1802 S AM TO 4 PM FOR THE "•xL ex C FOLLOWING INSPECTIONS: u 1 FOUNDATION - TWO REQUIRED '— ax�L FOR POURED CONCRETE RETE ., CC a 2- ROUGH - FMMNO t PLUMBING �?Y v N - 3. INSULATION 1I 4. FINAL - CONSTRUCTION MUST � BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET II THE REQUIREMENTS OF THE N.V. u STATE CONSTRUCTION & ENERGY 111 CODES NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION EP.R"URS !PF? IFY.v"^^' OFR. W rO� OCCUPANCY OR € QE IS UNLAWFUL 0 6QUT CERTEFICATE " P.c. . ��: �iCCUP�,NCYd . _ir p nll - 1 n A'o eia4 `4W Q ? p0 JAN1� _ - IINDERNJRffERS CERTIFICATE I REQUIRED q �`�r So[s y ISI Y A _ - qT. ...-T -._ -._� -.-..� -:� _ �- ..., _ -_ -•• � . ��. tea.. _ _ _ _ . ,J .—, a-.- .... _ . - _ i .. ._ i ii rl Y1 rl e4l T- le- I k y' r � ' ��•- --�— — \ � —� it ed f