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HomeMy WebLinkAbout25973-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z- 2760 Date: 04/27/01 THIS CERTIFIES that the building ALTERATIONS & ADDITIONS Location of Property: 1200 REYDON SHORE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 80 Block 4 Lot 17 .1 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 1999 pursuant to which Building Permit No. 25973-Z dated AUGUST 25, 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 ALTERATIONS, PORCH ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS J MCCARTHY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 50109 03/20/0 PLUMBERS CERTIFICATION DATED N/A Qw, Authorized Si ature 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. 25973 Z Date AUGUST 25 99 Permission is hereby granted to: THOMAS J MCCARTHY 57 WILLOW STREET FLORAL PARK,NY 11001 for ALTERATIONS, PORCH ADDITION AND DECK ADDITION AS APPLIED FOR. at premises located at 1200 REYDON SHORE DR SOUTHOLD County Tax Map No. 473889 Section 080 Block 0004 Lot No. 017 . 001 pursuant to application dated APRIL 23 99 and approved by the Building Inspector. Fee $ 75 .00 oe Author 'ed Signaorure ORIGINAL Rev. 2/19/98 r i< Form No. 6O 9 ?(1. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL N ri 765-1802 J 7 CJ j LG-Of j FLDQFIL_ e�tk ((j0 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25441 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $155.00, Commercial $15.00 Date . . . . � . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . Old Or Pre-exi ting Bu illd�]n�g. . . . . . �. Location of Property. . . .Ir2Q�. . . . . . . . . . . c1bQ4�{. IJtC �.te( . . . . . . . .Z'A'J. :�.*.4-P. . . . . . . . . House No./ Street Hpammlle�t Onwer or Owners of Property.. . /.CIQM�p1 . . .xwp✓.:����� �. . :. .6 C. t�'N4[f/?✓�. . . . . . . . . . . . . County Tax Map No 1000, Section. . .0 . . . . . .Block. . . ©dd.. . . . .Lot. . . . . . . . . Subdivision. . . . . . . .Z. . . . . . . . . . . . . . . . . . . . . . . . . . . .Filedd Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. � ?.??. . .Date Of Permit. .��a��l:l . . .Applicant. . �q�F?1 . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . .. . .. . . . . . . .. . . .. . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C0 S 7G y ICI rOWIV OF SOUTHOLD OFFICE OF BUILDING INSPECTOP rowN HAV P.O. Box 1179 Saurt 413 .i., 4A 11071 April 9, 2001 MR. THOMAS J. MCCARTHY 57 WILLOW STREET FLORAL PARK, N.Y. 11001 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. 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 4 25973-Z- Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. April 9, 2001 MR. THOMAS J. MCCARTHY 57 WILLOW STREET FLORAL PARK, N.Y. 11001 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25973-Z- Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1., 4i t ';fL f•. �'d,� �'ti4' �„ lt:.fyt`I4. �:. t ,,uun}�'f i;t .+jg�H•i�r�$:;�+i{ t'SN �'�+f,�f fi' `!s'a `'N{ SgNy � Sre Ny..� ..2� SSI ,r .y.,,• Tr1it '"xx /,}785 '•i £iiryi ��f}s (e:••�R }rZ.t. �£ , ��'i$,.• r' '%i>lt�,4.atr /ectrica/ Inspection Certificate C y - OK Electrical Inspection Service, Inc, y 375 Dunton Avenue East Patchogue,New York 11772 i� (631)286-6642 r sx Date: 3/20/01 Application No. : 50109 U'J;.'i Issued to: Tom McCarthy ,. Street: 1200 Raydon Drive Village: Southold Zip: 11971 Town:Southolda = Section: Block: Lot: _ rral� Introduced by: Lademann Electric Inc. Lic.# 4141-E was examined and found to be in compliance with the National Electrical Codi ❑Attic 01stFloor []Indoor © Residential ❑ Pool ❑ Det. Garage A=' .tom F ❑Basement E]2nd Floor ❑Outdoor ❑ Commercial E] Hot Tub ❑ NV Defects • U Switches Receptacles Fixtures GFI Heaters A/C Fans t, Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal s-. F Furnace Oil Gas Circulator Smoke Detector Bell Transformer + Meter Amps Phase UG/OH Telephone Television Carbon Monoxide M EJ Other Equipment: Hugo S. Surdi L President -NO" Building Building Permit No. This certificate must not be altered in any manner ,— Inspectors may be identified by their credentials In> V t / J pt i t ds,m4? tJ ; li 5 } ff$Hx 124$ t t r+Ifsl ,r i ':'" .;�� 5'?°i?t`,. y�A e 1 d"�, s' r •. � ,� � r, � s� .i,l r tt , s 1,,,,� . i s �I n ��� i zi t 1 a ' ( {�j Yr i' ,'�f:y'� .n/ +'+', •«tt X72.. +tt- s i>, r�;3},.0' {�'.• 1 /=�.i'�%�/A`�Jrt.����2•�*��1. < i li'.1. e "tie. " 's FIFL*D INSPECTION REPORT DATE, j COMMENTS I'f FOUNDATION ( IST) Iir FOUNDATION (2ND) II if 0 ROUGH FRAME S ii_ it ii PLUMBING I�I I -------------------- �r— I cn INSULATION PER N. Y. II ii A- 11 H STATE ENERGY p II CODE Iluy u if If �II IuI jj � - t 11 —II— FINAL if --------------- ------ --- — — ---------- p ADDITIONAL COMMENTS: rc� ate' x � F% a r - ---- ---- - 17 - m ro H ' Atwc Id 6oul—Hcv—o 765-35'Yo r�OeAL_ tl9herc -q3 -7-W r yq M/12 r on1 NI � �io�As / /aoo ('Elba,) dRi klE, mS'o�;�r®�� �/.Y. //97/ /AX MAP btq ,—A l 000 —80 - — /7• / AREA or �7 a= FJ2f7 = 07c-oc, CoizE„r, vsASq .Fr� &A2AG S3 y bc- CK ak �'onJ�2E,E -io /.? z' a`fa- aaa a nDDt F,orJHL uSAG-C REgvES�)V AbD r r(o,J --i-o Dr-GN /,06 Y74� -� q, MOYA of 400teo,< o+= 1,o 2r=e�P„�L� rio,J /yDDI ,-tJeJAc- � s� tCego9s-) r5 li -7 �l �6 C � 2EMo�E % 63 _ a63 3 i ltl�' J cISFl Cz-E c.J,i I-► /� Dt� r�on)S ��,� �3; ►�;-/ors a 6 3 3 �� . rte-, J ' ���� �� ��i� �� P �4 Su(3TEci'" L.O CAT/on1 5 I 1 765-1002 BUILDING DEPT. INSPECTION .XUN FOUN ATION IST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY _ .-�1 0 REMARKS• --' �-- DATE INSPECTO Sz 73 7+65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �]� 11NAL [ ] FIREPLACE & CHIMNEY /� REMARKS: VG 5 ,DATE INSPE M-1802 BUILDING DEPT. NSPECTION [ UNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR S_ r DATE I� INSPECTO i i --� - ScALSHMO C P a iC'E�0 f,Arc.AGE i2ooF ADD A &J eAP/a2o-Jnla o,ec.H Sc,ALE I RIME i ------------- � � Q j \... .4 i t�' +.< yir"y.. '"7y.:_ •t ` .. . .- '�tk ��""wt' � �r '„sr sr '��p,, —iia �`f�.' y mo Li ul ;eta ra 1s iFF P I t'y."a T� '-may'?''. a.._ .,, _ -_ _.... 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CERTIFICATE OF OCCUPANCY No 221143 Date November 12, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1200 Revdon Shores Drive Southold House No. Street Hanlet County Tax Map No. 1000 Section_ 80 Block 4 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 12, 1992 pursuant to which Building Permit No. 21078Z dated NOVEMBER 12, 1992 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 RAISED CONCRETE PATIO ADDITION WITH AWNING The certificate is issued to JANE C. PEACE (owner) of the aforesaid building. ' SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r uildi Ins ector Rev. 1/81 rr^ago G2aVE uq�,F r1E UNC- 17 4' 4p 1 WELL cr — s /S SHE Cv (p " W LL / \ I lij lb _A EsgpooC 4 J I I URBED gweSPONE V BAR. V DRIVE 7. w i oro C2-. f(r GY 4k If T ; I - 073 r Z RAIL FEIJCE N.r.9 48'40°w. 136, t0 N/F BEACH j � S 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: �j�'''' CALL CS/L) Examined :. S 19...1-/ MAIL TO:``/1401"41. MCnin Approv .•. 19.1Permit No. .��. 3- -Gt (.:Loc?.S��'. .T.. Disappravcda/c .................................. 4—::Ic.A-:-�AqL............. Huildi I or APPLICATION FOR BUILDING PERMIT Date. .!7.P(�IL- INSTRUCTIONS a. Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan stowing 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 . this application. c. The work covered by this application may not be comuenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Su, 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICH IS 118Y MARL to the Building Department for the issuance of a Building Permit pursuant to the uBuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinancesor 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, ordinance txn.1 . code, horsing code, and regulations, and to admit authorized inspectors on premises and in buggna0f4cant, nspec . . . ........... or name, a corporation; �� `7-tlJ �C0419c..........PZA A, ...... (Mailing address of applicant) bio U State wbether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil .................../ LIC ..�.�..... Qct.tl !e........................................................... Name of owner of premises ..l RMIS...A :°.. MAS/0�...... (as on the tax roll or latest deed) If applicant is a corpora ion, signature of duly authorized officer. A.............................. (Name and title of corporate officer) Builders License No. Plud)ers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be done............................................................ .........�4Q--....2 y !! .........JQ. neo........................................ House Number Street Hamlet County Tax Map No. 1000 Section ......C?.0..... Block .......1K...... Lot ...��`../..... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises 3po intended use and oa M, OTJI�40;4 tion: a. Existing use and occupancy .............. e,-5.Lo.e!✓..C.. n1N:'Sul.slr#SS1QC?$)'q4��•4'�---......... ��z art J�� „6i,8a�nu W.gxaMW b. Intended use and occupancy ............... ... 1.....:................................................. ;/P Rc7! . _.- .._._. _�,./,. �...,.�.. ...:.. ..........� .......... nuo,huon ........ A1Ceration .......... Repair ............ Removal ...Pnr?r pf, Dekulitiah ............ other Work !v�K............. (Description*)"'** escription) 4. Estimated Cost ....(�.... n7 ,J nj....... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling ,nits ....!....... Number of dwelling units on each floor ................ Ifgarage, number of cars .........A......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.... ��.......... I 7. Dimensions of ex�}istiT structures, if any: Front.....Y b....... Rear ....C'��....... Depth ... � Height .......t?.`................ Number of Stories ....... ... Dimensions of saw structure with alterati or additions: Front ....(a&....ry Rear ....Lx� Depth ..........3l........ Height ....... ..�....,.,.(..Pmb r of Stories ....RC.... .. 8. Dimensions of entire new construction: Front .../Y .. Rear ............... Depth .............. Height ......................... Number of St ries ..................... c tyaoa SF ,/ 9. Size of lot: Front f.�r.rS..(AH32o,�.,.._ Re ......... . ?...... Depth s�i?4 ..13C.../tIO.L 10. Date of Purchase ...�� f ya... Name of Former Owner ...0!. �..... !3Cf............... 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction viola a arryr zoning law, ordinance or regulation: ..................... 13. Will lot be regraded ........�v Will exec fill be removed from premises: YES - NO ........... 14. Names of Owner of premises ....!`?.`.0 A271 1........ Address .,r44 ��..7.!�,M.Y.Il4A!. Phone No. '17�/Y5. Uwe of Architect �............ Address ..................I........... Fhone Nr. ....... Name of Contractor %°.(-�. .. rf��n ................... Address ...............................Plhone No. ........... 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .,7:5....... *IF YES, SOHMD WE TRIISIEFKS PERMIT MAY RE RECIIIRED. 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 ember or description according to deed, and show street nares and indicate whether interior or corner lot. t H l-dc-14 ArO STATE•, DR NSI2({, ' SS coma ar .....SJFFpLK........ OMQS .. '� .. c l y!' !.^.? .................being duly sworn, deposes and says that he is Lite applicant (Name of individual signing contract) above named, Fieis Lite ........0WA(I................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the cork will be performed in the manner set forth in the application filed therewith. 9wrn��L77o before me this ....cT.. .......day of ..........'..19 ... Notary Puibl .. . . EUMBETHASTA" (Signature ' App icant) NOTARYPUBU StateofPlevlrYbft 1110,0iST80081Suffolk Q" ian►ExpIrN,Nlew18, <� ! I i MAP If AT - S �f1O.o >�E' 32 J VE 'vJN •ih SiCUTHOL D h,IY. DRIVE n E LWE� vim , r — scot. 41 40 \ a�0 T-�_ I - ,Y WELL r ':�h GK VAN p / Mf_TALfd. o�'E1JE2ATOU,.. Ln �fj I — it �'t,j (t• / covENo^ nl �Ic2. '� �I'✓;�w�?�'�,� LU % CJ v - ... i LL � i Z `F/Y .n POOL \\ Cl ' MONUI"IEPI A,[ZEA= 14,003 S,F, (TO TIE ' mEO J L / � B�UgAEG 0 i WESTONE o GARDFelve y - _ TITLE NO, RH 921 728 � —2L3S _ NOTE -m LOT NOS 'iL� [. l :�• M��H - �r REv sp a! h!G�2C .; INCU F F 5ITA)< MAP DATA' 1000-So-4,- 17.1 ;2.4Cl bLOC1C H ,RLFU iN U - FLI° FF CO '�LEQ14 °, UFPiC[_ - - - -- - - - - - �a 43 _ _ �O MAt 4- '+ i I v1.1u Fence - AMENDED NOV_ -77), 19y2 i N. 69�46�4d -1 13610 _UAI_P-�JIt-_F_U 17.E GOMMO_NWCAI_.IH LAN TITLE �i,I`U:J "INCE I•ES� '7J 11, Midi< i �,A,:.,;a bh,:',IIC1?�:i ItiJ4., gND THE ';WNE125 ------------- ---- --- Ii - - - - - -- - -- --- �VF BEACH _Ll frV��'/!_U CCi. Z1, fG'�c_ . �•;:. : �Jr,1 a BUY(_ �.•c 1 CY.. 12 _, -,r1�ENIG 'f� , N •1'". , APPROVED AS NOTED DATE .- - - NOTIFY BUILDING DEPART NT „ t - 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS- - - 1 - FOUNDATION TWO REQUIRED - , FOR POURED CONCRETE 2. ROUGH • FRAMING & PLUMBING ' - - - 3. INSULATION 4. FINAL • CONSTRUCTION MUST - BE COMPLETE FOR C.O. : - ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR JI DESIGN OR CONSTRUCTION ERRORS OCCUPANCY O� PROVIDE OPENINGS FOR � EMERGENCY ESCAPE AS, � '� !� �, ,UL REQUIRED BY PART. 714 OF fgtp CERTIFICATE g, N.Y. STATE BUILDING CODE. WITHOUT CERTIFICATE � + Or OCCUPANCY O 9 ` - 0. .- - - - . Fn I , 1� vlMfkhlh�af ��f r AA � app aoq 1° 'uI�,Ire T`s i E � fTT ry . . _. __ .. -:.__- _. -` ' _.. ` f- .__ ._.f ... �_r-r_�-.�_.. ..-., J '--.-.--�� '_'_ _ � , � k4 � '� • IT '.AL _ - - - lord., O `rrft , A Qct N1 _ f . a i _ r k. MEW1 � Xy ------------ _ > I h � O N a ", a z z Y/P 6m I � 11 -=_ - ��4a�?,,, 2iCCp" �G-r.>F �Gi✓�'�t2�:r�) {(�i�'CJ,G� - R� "'e'yft7'a t i qui>N Lu e �j� y w M i t.Y r7 " . � r `T �'Lrl�- .f`1 PC) �1 �6p F't., i ' wcirrf2o . CUeG� aa y ( (Mcr FCS(5 2Xt { j 1 Y � _" -. .- _ .--.-a ( .... _._ .mow:k {` _r—. .- r._. . _-. -.«_ .�: �. _- ..u__ ?l � _ -+x -,. _ � _�_- a•� j e �"�[ � ' <v a _ F 77 � 1. - - - - -0 f BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Reviewed: Architect./ Date Engineer: Submitted: SCTM #: Cil, District: 1.000 Section: 8O Block: Lot: -7- Project Project Subdivision Location: 004& Name: Single&separate Required certification: (Yes/Nol L� Req. 92 Req. / Zoning District: f (Lot size: � !0v Actual: / J - (Lot coverage ProIf f posed:= }, Req. Req. �p /g Req. / f / (Front Yard Proposed: [Side Yard _ Proposed: !J i {Rear Yard -2A-5 Proposed: Project Description: 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 Plaig Elevation??? Flood Zone: Notes: