HomeMy WebLinkAbout25933-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27389
Date: 11/02/00
T~IS CERTIFIES that the building NEW DWELLING
Location of Property: 1580 CEDAR DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
Couamty Tax Map No. 473889 Section 78 Block 8 Lot 17.2
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 18, 1999 pursuant to which
Building Permit No. 25933-Z dated AUGUST 10, 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 ONE CAR GARAGE & COVERED PORCH
AS APPLIED FOR.
he certificate is issued to MANZI HOMES
of the aforesaid building.
(OWNER)
SUFFOLK COIRkwlTf DEP~TMENT OF ~LT~ i~PPROVAL R10-99-0097 10/31/00
ELECTRICA~ CERTIFICATE NO. N-540083 10/20/00
PLUMBERS CERTIFICATION DATED 10/20/00 WM.SCHWAB pLUMB.& HEATING
AuthOrized fignature
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. 25933 Z Date AUGUST 10, 1999
Permission is hereby granted to:
GEORGIEFF (MANZI HOMES)
1580 CEDAR DR.
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED ONE CAR
GARAGE AND COVERED PORCH AS APPLIED FOR.
at premises located at 1580 CEDAR DR SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0008 Lot No. 017.002
pursuant to application dated JUNE 18 1999 and approved by the
Building Inspector.
Fee $ 551.80
ature
Rev. 2/19/98
ORIGINAL
FORM NO. 3
~OWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25911 Z
Date AUGUST
1999
Permission is hereby granted to:
ANGELO & WF GEORGIEFF
KARTAUSTRASSE 118 F
79104 FREIBURG GERMANY
for ~
CONSTRUCTION OF A NEW CONCRETE "FOUNDATION
SINGLE FAMILY DWEY.T.ING AS APPLIED FOR.
FOR A PROPOSED
at premises located at 1580
County Tax Map No. 473889 Section
pursuant to application dated
Building Inspector.
CEI DR
Block
18 1999
SOUTHOLD
0008 Lot No. 017.002
and approved by the
Fee $ 75.00
Authoriz~ed Signature
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 supplyand sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board o{ 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 Complianae from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Fdr existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Ppre-existing" land uses:
~. 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.
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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - , .25~D
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .. I.~%~.l~.Q .............................
New Construction....%~... .... Old Or Pre-existing Building .................
Location of Property ~.~Q .Ceda~ ,/~Xi~['~..O .~,~-kOl~
House No. Street Hamlet
Onwer or Owners of Property...~.O.~.~.l.~..~.~. .................. ' ..........
County Tax Map No 1000, Section..2~. ........ Biock...~ ........... Lot..I.'~,;~ ..............
.o. I'Z 00'2.
Subdivision .................................... Filed Map ............ Lot.. , ...............
Permit mo ................ Date Of Permit...% {~.7 ..... Applicant.. ~-, ...........
Health Dept Approval .%// Underwriters Approval ~ ......
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate.....~.. ....
Fee Submitted: $ .... . ,~,~,'.~, {~P ......
APPLICANT
]'own Ha~t, 53095 Main Road
P. O. Box 11'19
Southoid, NewYork 11971
Fax (510) 765 -1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
DATE:
Building Permit No. ~ ~q ~ ~ ~.
Owner:
(~'leaSe print)
Plumber: (please print)
' ~
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
~ C) day of ~)0-.
Notary Public, 5
LAURA HOOA)tt J
NOIARY PUBLIC, State of
,, No. 50090).1
Qualified in SuUolk CountV~
Commissmon Expi es ~a[cb 15.~~ I
County
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~' 40._FULTON STREET, NEW YORK, NY 10038
Date OCTOBER 20,2~0 lication No. on fite 1~5636~/00 N 540083
~IT NO, 25933
THIS ~ERTIFtES THAT
only the e~c~al ~q~nt as desc~bed be~w a~ i~duced by the applicant named on the above applicon number ~ in the premises of
P~ROLINO, 1580 CED~ A~, SOUTHOLD, NY
tn the fo~wing ~c~n;
w~ e~mtngd on OCTOBER ~9,25~ and fou~ to be in compl~nce with the ~aaonal Elec~cal Code~.
F ~RE .=~*~,e~ em ~ueS FIGURES ~NGES ~OK~N~ D~KS~ OVENS DISH WASHERS EXHAUST FANS
DRYERs I FURNACE MOTORS I FUTURE APPUANCE FEEDERS ,PEClALREC'~. TI~CL~KS J SELL [UNIIHEATERS aU~I~ET DIMMERS
s evcE s
1 2~0 CB ~ ~ ~ 1 X I 2/0 1 2/0
Co2 DEr~CTOR- 1
SMO~ DETECTOR: -5
77-7 ~I~80R
IS~DIA, ~, iI722 Per ~ IGENERALt MANAGE~o~ ~ti
~t cefllfic~e must not be
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971~0959
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
Fax (516) 765-1823
Telephone (516) 765-1802
OCTOBER 28, 2000
NkANZI HOMES, INC.
P.O. BOX 702
ROCKY POINT, N.Y.
11778
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX
XX
XX
XX
An application for Certificate of Occupancy is
XX
not on file. (Enclosed)
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 # 25933-Z (GEORGIFF)
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST [ ] ROU/GH PLBG.
/
[ ] FOUNDATION 2ND [ ] I.~ISULATION
[ ] FRAMING**--'~ ~ [~/]/FINAL
[ ] F IREPL CE~~~Y' /~A ~
jDATE ~"~/~~~/~i .SPECTOI
~0NDATION (2ND) ~
PLUM~ING ~
~SULATXON PER N.
STATE ENERGY
CODE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
REMARKS:
[ ] FINAL
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND
FRAMING
[ ]~SULATION
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
///~REMAR/KS: '~' *~ '
,DATE '~~ INSPE~ ~
JJl~ ~l, ~000
7o~n o~
t~uilding
[GLDG, DEPT,
414 Main Street
Port Jefferson, N.Y. 11777
(516) 928-4456 Fax: (516) 928-9543
~.e: Permit. ¢ 25qSgz, cedar Avenue: Nianzi Homes.
The builder has subsf, lt. ui-.ed two 1-3/4" x ci-1/2" micro-lams ~or t. he
~1o header a~ ~he rever~e gable ~raming In the grea~ room roo~, ~e
substituted header is 5u~l~ien~ to suppo~ the required live and dead
loads.,
Please contact me iF gou require an~j additional information.
Thank ¥ou,A .
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ~OUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMAI~KS: ~ _~
DATE
7/
I NSPEC~..~,.
IN
BUILDING DEPT.
[ ] FOUNDATION 1ST iGH PLBG.
[ ]/~3UNDATION2ND [ ] INSULATION
[,~F~-~ [ ] FINAL
[ ,~'I~EPLACE & CHIMNEY ~
R~:MARK~S,
. ~/~ mSP~CTO. ~~
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [
FOUNDATION 2ND [
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS:
] ROUGH PLBG.
] INSULATION
] FINAL
DATE
INSPECTOR~/~~//~
765-1802
BUILDING DEPT.
~/~ INSPECTION
[/./] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
] FRAMING [ ]FINAL
] FIREPLACE & CHIMNEY
DATE?////~/~'~-) INSPECT~
JU~I-18-99 WED 10.~
FOI~ NO.
T(~TN OF SOUTBOLD
v BUiLDiNG DEPARTMENT
'tOWN HALL
T~L:
~.~-a, ined .................. 19 ....
~r,,ved ...... ~. .......... ,~.'}..'!. P~t ~. ..,R...~..?.L£ :r~
Disapproved ale .................
........................................
_ ~..I~L.,..~ ..... O~.'f I ~ ~'~ J~
INSTRUCTIONS
BOARD OF DEALTH ...............
3 SETS OF PLANS ......... ' ......
SURVEY ........................
CHECK .........................
SEPTIC FORt{ ...................
~OTIFY: ~
a. Ibis application mint be empletely filled in by typewriter or in ink and sutmitted to the l~filding Inspector wltl
3 sets of plans, sccurate plot plan to scale. Fee aconrding to mMmdule.
b. Plot plan mhoaing location of lot and of buildings on prmises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of la3~t of property must be dra~n an the diagram ~nich is part of
this application.
c. The ~ork covered by this application my not be ccmmeeod before ismiance of B~ilding Permit.
d. Upon appreval of this application, the Building Inspector will iasue a Building Permit to the applicant.
pemit shall be kept an the premises available for inspection throu~ont the ~ork.
e. No building shall be occupied or used in ~hole or in part for may purpose ~hatever ontil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLIC/t_Tlilq IS BERE~Y MAlE to the Building Departrmmt for the issuance of a lluilding Permit pursuant to the
lluilding Zoue Ordinance of the To~ of Southold, Suffolk County, lq~ York, and other appliceble La~s, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demalition, as berein
described. The applicant agrees to con,ply with all applicable l~s, ordimmces, building cede, botming code, and
regulations, and £o admit authorized inspectors on premises and in building for necessary in,~eetiops.
(~ure of applicant, or name, if a corporation)
(Ma~hng ~klress of appl cant)
State ~fnether applicant is o~er, lessee, agent, architect, engineer, general contractor, eleetriciee, planber or builder,
~ o~ mr o~ pr~ses. ~. ...................... -:f...W.' .....................................................
(as on the tax roll or la"est deed) .
If applicant is a cerporation, siguature of duly antborized officer.
(Name and title of corporate officer)
mo
Builders License lib. ..................... . , ..
Plum~rs License No ........................,
Electricians Liceuse No ................ . . . . ..
Other Trade's License No .....................
Location Of laad on ~hieh proposed ~ork will be dorm .... ..(v:..~..~....~, [.~..%....-~.-...0~--.'~.--c:---k~.- .............
House limber Street ttanlet
o,=~ T~,,~ No. ,o0o ~tion ..... 7.~ ..... BI~ .... ~ ......... ,~ .Z ............
~ivisim Fil~ ~ ~ l~t ........
(~)
2. State e~st~ ~ ~ ~ of ~8 ~ Jnt~ ~ ~ ~ of pr~ c~stmcti~:
t/~c~ . ............
a. ~sti~ ~ ~ ~ ................................................................
lleraotitio~ ......... Other ~brk
4.
Estilmt~
If ~rage~ ~t~r of ~rs ..... ~
t~iO~t ................. ~r of Stories
Di~nsi~ o~ ~ stature ~ith ~lterati~s or ~itioas; ~ont .............
' ' ~rbf Stories ' · .....
~ of ~tr~tor ~ ~ress .....
~LOT
STA'IE OF M~-','/
.................... m duly ,om, that he
(~ of i~i~l ~i~it~ c~tract)
l~ i, the ~ . --- . ..........................
(~tractor. agent, eor~r~te officer,
of ~{d ~r or ~ra, ~ is duty ~O~or~ to ~rfo~ or h~e ~rfo~ Om ~id ~ ~ to m~ a~ file this
al~l. lcat[~; that alt atat~nts e~ta{~ ~, this a~llcati~ are t~ to 6~e Imat of hla ~1~
that the ~rk will ~ ~rfon~ ie tt~ ~mn~r ~t forth in 6~e a~l. ic~ti~ fil~ t~.
/
(Signature of apphcaut)
LYNDA M. BOHN
NOTARY PUBLIC, State of New York
No. 01S08020532
Ouallfled in Suffolk County
Term Expires March 8, ~'~ .......
-FORbi NO.
TO~/H OF SOUTHOLD
BUILDING DEPARTMENT
TO~ HALL
SOUTHOLD, N.Y. ! }97
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
CALL ....... : .........
r~,nlm<d .................. 19 ....
... S~ ~ ~
Approved .... ~..'J.Q...., ]9.c~ Permit No..&: ............
Disepproved a/c ............................ ., . . ,
(Baildlng Inspector)
MAIL TO: ....................
S~<~ Pc¥~
,," '1999
bLDG. DE~J
FOR BUILDING PERMIT
INSTRUCTIONS
a. 'Ibis application mast be cc~pletely filled in by typewriter or in ink and submitted to the ~filding Inspector wi
3 sets of plm~s, accurate plot plan to scale. Fee according to m~hedule,
b. Plot plan sho, rlng location of lot and of b~ildlngs on premises, relationship to adjoining praises or public
streets or areas, and giving a detailed description of layout of property most be drawn on the diagran which is part of
this application.
c. ~e work covered by this application may not be cc~meaced before issuance of B~ilding Permit.
d. Upon approval of this application, the Dailding Inspector will issue a ]~ilding Permit to the applicant. ~
permit shall be kept on the premises available for inspection throughout the ~ork.
~. e. No lmx drag shall be occupied or used in ~t~)le or in part for any purpose whatever until a Certificate of
Oc&pancy shall have been granted by the l~ilding Inspector.
APPLICATI(IN IS EEI~MBY PAEE to the Building Department for the isse~ce of a Building Permit pursuant to the
l~ilding Z~e Ordinance of the Town of Sonthold, S~ffolk Co~ty, New York, and other applicable Laws, Ordlr~ces or
Regulations, for the construction of Imildinge, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to ctr~ply with all applicable laws, ordinances, building code, housing code, and
regulations, and to a~Inlt authorized inspactora un premises and in building for necessary inspections.
(Signature of applicant, or na~e, if a corporation)
(Mailing address of applicant)
State ;al.m. ther applicant is ar, lessee, agent, architect, engineer, general contractor, electrician, phEber or builder
............................. : .................................................................
(an on the tax roll or latest deed)
If applicaut is a corpuratiun, siggattnte of duly autborised officer. -e' /
(Rare and title of onrporate officer)
Dailders License No.
Electricians License NO. 3.q.fg:~.. ~.~J../,?/
........................ . ...... ..
Fil~ ~ ~ ...........
(~)
2. 8rnte ~sCi~ ~ ~ m~ of ~s ~ inte~ ~ ~ m~ of pro~ cmstmction:
. . ~c'~-- ~ '. ................
a. ~stz~ ~ ~ m~y .... ~.- ..................................... <-... .........
..... '
~ ~ ~ .............../~ ....... 7.y..?:-.7:.y:...::..,.:..;~ '..
b.
~ature of ~ork (d~ock ~tdch apphc~ble): ~ ~ildi~ ...... .... ~iti~ .... ,..... Alteration ..........
l~/r ............ ~al ..... ..~.. ..... l~liti~ .......
, ~ripti~)
Estfi~t~ ~st ....... ~ ........ ~ ..... f~ ..............................................
~ .{to ~ ~id ~ filing this a~li~ti~)
garage, ~r o[,~ra ....... ~.~
,
~,~ ......................... ~ o~ s~o~ .~ ....... '"'
~ o~~
lhi~r ......................... ~r .....................
~ o~ ~o~: ~ ..... d~.~..Z~L.. ~ ..... ~O.g,~ .... ~ ....... :.~.~..
~s ~o~ ~t~tim violate a~ ~i~ 1~, o~i~e or re~la~t~: ...
~ill loc ~ ~ ~ '
................ ~... Rill ~ss fill ~
............. .......
PL(
I~cate clearly axl distinctly all buili
rc~ property lines. Gi~e street and block
i~ether interior or corner lot,
'T DIAGRAH
lags, ~t~efl~er existing or proposed, and indicate all set-back dimensions
~ber or description according to deed, and slx~ street nares am! i~dicate
L'UI~IY (g .......... II
............... ~ .............. ~ ...... i .......... I~ing duly sworn, deposes and rots
~ o[ i~ivi~[ si~it~g cmtrset)
e is the ..~ ......................... 't ............................................................
(~trsetor, agellt, co~ra~e office% etc.)
i ~id ~r or ~rs, ~ is ~ly ~horlr~ or h~ ~rfo~ 6~ ~id ~ a~ to ~ a~ file this
~o ~rfom
~lleati~; ~a~ att star--nra c~tai~ in O~s a~l. ica~ion are t~ to fl~e ~s~ off his
hat th~ ~ ~ill ~ ~rfo~ ia the ~t~r ~ forth in ~e a~l. lcati~ fil~ t~O~.
~m to ~ro~ ~ a~is
UNDA d. COOPER
Notm~ Publlo, State ~f New York
(Sil~amre of ^ppticant)
FN[WY(
I//77/ . ,
Map of Described Property
Situated at Southold
Town of Southold, Suffolk County, New York
District 1000 Section 78 Block 8 Lot 17.2
ANTHONY ABRUZZO R.L.S.~ .....
REGISTERED LAND SURVEYOR
1700 Hortons Lane
Southold, New York 11971
(631)-765-6242
SURVEYED: February 10, 204~0
Foundation Location: April 7, 2000
Scale: 1"= 40' File T46. 2292
Elevations are in assumed datum.
Well and septic system location by builder.
0
/
SLrFFOLK CO UNT~ DEPARTM~E~;T OF F1Eb& .wrl SFi1Vi~
Map of Described Property
Situated at Southold
Town of Southold, Suffolk County, New Yo~'k. c;:-::: ;,,,, ,.,,, :.: ,.~,...:::..~,;, .,._. ...... .,,~'.' ;~. _
District 1000 Section 78 Block 8 Lot 17.2~ ...............................
NTHONY ABRUZZO R.L.S.
EGISTERED LAND SURVEYOR
1 700 Hortons Lane
· Southold, New York 11971
(631)-765-6242
SURVEYED; February 10, 2000
Foundation Location: April 7, 2000
Final Survey: .S..~ptember 1, 2000
Scale: 1"=~.''j File~b~. 2292
.2x~5 FJ 1~'" OG.
(o) 1-~/4" x14" FLU.~,H
2-2X12
F- /~1\~
~ / !l
51HK.
Kfi'C, HEN LAYOUT
2-2X10
2
L.I¥IN~
2-2X10
5'-10"
POP. C_,H
5/4"X~,"
2-2X10 HI;~I~. Y~TH ~-2X4 TOP' pLATE
LI",/IN® AI~.EA
E~IC, NIC, OSIA
P-.t~ 15TEI~E~ AP-.C,H ITEC..T
d, 14 t,.lain 5t;r'eet, Po~ JeFi=er'~on, N.T'. 111T7
Tel: (51g~) q2.&-445~, Pax:
PE'"i"~OLINO ~ESIE::)ENC. E
t=It~.ST F:LOO~ PLAN
JOE#:PATE: 8/4/qq %ALE: 9/1 ~,"lr -- 1'--0"
FOUNDATION ON ~
2-2×10
PJ
H~°.TH
D/I&" = 1'-0"
0 12" D' &'
414 Main DEreeL, Po~ ~ffe~on. N.Y. 11~
Tel: (Dl&) ~4D~ Pax: ~D
PE~OLINO ~E~IOENOE
FO~N:2ATION P~N
~ZZZZSZZZZSZZXSSZZZZZZZZZZZZZZZZZZZ~
~zz_-zzzz-zzzzz-zz2z2_-zzzzzzzzzzzzZz'~
Eric Nicosia
I~E~IS'I'E~_~T) AI~-_.,H ~T
414 Hain ~.rcet., I=o~ Jef~er'e~, N.Y. 11~
Tel: ~lb) ~ F~: ~16) ~
~o~,~ ~, ~LINO ~I~
~! ~A~2
E_.L ................... L .......................... j__h
F~NT ELEVATION
]2
OCCUP ICY OR
USE IS UNLAWFUL
ITHOIJT CERTIRCATE
OF OCCUPANCY
DO NOT PROCEED WITH
FRAMING UNTIL SURVEY
OF FOUNDATION LOCATION
HAS BEEN APPROVED.
PROVIDE ~ HR. FIRE
RATED SEPARATION TO
PIJJMBING PART. 717.3 (f) (1) OF
.ML~t~SiI N.Y. STATE BUILDING CODE.
of~K m'LoM~,
AlYPIq~qltl) AS IOTED
N.,,,¢Y BUILDING DER~.RTMENT AT
7~;-- ~q~- 9 AM TO 4 PM FOR THE
F,., ' ~NG INSPECTIONS:
1 ' DATION - ~ REQUIRED
' 'OURED ~
2 , :;.l . F~ & ~BING
3 ~ ~T~ON
4 ~ CON~ON MUST
g' ;" '~LETE ~R C.O.
~cc , :' ~S~RUCTION SHA~ MEET
THE ~EGUI~EMENTS OF ~E N.Y.
STAT~ CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRU~ON ERRORS
Pm)VIDE OPt111N6S FOIl
EMERGENC/ESCAPE AS
RE~IRED !!~ FAll[ ~4 OF
N.Y. STATE BUILDING CODE
PBOVIDE SMOKE-DETECTING
ALARM DEVICES
AS TO PART. 721.1
N.Y.S BUILDING CODL
: I 51999
P.I~HT PI PVATION
~ A~L1) AND/OR
· IRt'Ii, IAi flIOCK ~iN6
BEVlCES 11~ 10 I'AIIT, ~02.6(K)
l.t STAIT. IOH. DflIG CODE.
PLUMBER CERTIFICATION
ON LEAD CONTENT ~,£cORE
~ERTIFIC. A~E OF OC'C'L~'/- .VCY
SOLDER USED
SUPPlY,SYSTEM (/,4:?~ :)T
EXCEED 2/10 OF
Eric Nicosia
~owd ~,
~LINO
~ECTION
~ALL U-VALUED
CEILIN® U-VALUED FLO0t~ U-VALUED
Eric Nicosia
I~ISTE.~ AP. CH ITECT
4.14 Hain 5tre~, pcq~t ~e~, N.Y. 11~
Tel: ~l&) ~ F~: ~l&) ~
4.*
~'-10"
L
2-2X10
11'-D"
2-2X10
11'-~"
BATH
9'-10"
2-2X10
OLOSET
11'-E'
2-2X10
(2) ~'X1'¢"
LI'VIN,~ AREA
FF
2--2X10
~IENEI~AL NOTES;
5'T~JJ C.,TLfl~kL. NOTt~:
414 Hain 5~ree~, POr~ JeFferson, N.Y. 11~1
Tel: (51¢) ~5~45~ P~: ~¢-~
~ ~ESI~ENOE
~ FLOO~ PLAN
JOB~: ~08~ R~: I BY: ~N
�I
A
J
n b '
o,
APPROVED AS NOTED
DATE: -3 ISI B.P.It
FEE: X15 4 PM FORBY:
NOTIFY BUILDING OT AT
765-1802 9 AM TO 4 PM FOR THE (�
FOLLOWING INSPECTIONS:
1 FOO - TWO REQUIRED
FORR POURED
CONCRETE \`
2 ROUGH - FRAMING & PLUMBING
3 INSULATION �
4 FILIAL - CONSTRUCTION MUST
EL COMPLETE FOR C.O.
CONSTRUCTION SHALL MEET
11+ REQUIREMENTS OF THE N.Y.
..c CONSTRUCTION & ENERGY
3 NOT RESPONSIBLE FOR
OR CONSTRUCTION ERRORS
DO NOT PROCEED WITH
FRAMINGUNTIL SURVEY
0
OF FOUNDATION LOCATION
HAS BEEN APPROVED.
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ASPHALT R00FIN6 514INCA-M A �0 D AS NOTM
KIM 61mER5 AND
IF^DERS ON IX6 FASCIA OTIFY UIL IDN DE
VINYL 51DIN6 765-1802 9 AM TO 4 PM FOR THIg
FOLLOWWG INSPECTIONBC
t FOUNDATION - TWO FAISSWAM
MRPOUREDCONMOM
! ROUGH • FRAME a fL=mft
R INSULATION
4 FINAL • CO -POP
WCOWL® mw
ALL CONSTRUCTION
® LL MEET
THE REOVIREMENTS OFATHE N.Y.
® SATE CONSTRUCTION A ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORg
M1�1� pX I i I I I 5oK MIN f P
I I I I I I I I I FOM"Ml Td LOO GRAVE f�01� I I I BELOY'l GRADE 7y �X Z�
I I I I I J��f
I I I I I I I 1 I j STEP FOO'nN6'JO DE6 MAX /
I I fl
I I I I I I I 1 1 I I I �f
I 1 I I I 11 I I 1
LL ------------------- -------------------------- --
FRONT
/-211
! j' y
l
12
TYPICAL S.F.PLATE 1EISHT
YycD ANico
SC
12
4'�O1"
6+- APA 10
S.F.ELEV WINDOW MIN
TYPICAL FT-,. TE FE16HT
PLATE HEIGHT -
4 T
r
PP.ELI_V. r ic, Nicosia
a^R Awm !;p REGISTERED ARroHITECT
AREAWAYS A5 i 414 Maln Street. Port.leFfereon.N.Y. 11TT7
REWIRED 1 Tel: (516)426-44:56 Fax: (516)426-4543
I 1
I I I
Approved Ey' PETROLINO RESIDENCE
I I 1 I
I I I I
TIONS — 1
RIGHT.ELEVATION �_____�_______ ELE1/A
Swig.I D•-I'-0'I Dram EY.E.N-mfu A-1
Da..5r Aq .WA,gW650 Psv,A
®�•
�a
I I �
I I
El El 0
1313
FZI
------------------
L _
T..IJ Y 6n
12 RIDGE VENT
6
TYPICAL S.F.RATE HE164T
r� i=r ASC
-' RID6E VENT
ICO
12
4'9ELOW 6+-
.1
WINDOYV MIN
S.F.ELEV
TYPIGN. FF,PLATE HEI6HT
0 a
RATE HEI6HT y0Q`
o
GARAGE ELEV
Eric Nicosia
REGISTERED ARCHITECT
414 Main Street,Port Jefferson.N.Y. 11-M
Tel: (316)926,4436 MAX. (316)
� � � Approval 89•
FETROLINO RESIZMNCE
LEFT ELEVATION ELEVATIONS-2
5cal.�l/6'=I'-o• Dry 9y�E A-2
Datoo3/2"'R .bbi,dI40680 ROY.
57-0"
11'-11"
I
b"X16"P.G. PIER, 5TOP
— �BELOW GRADE
VENT —_ -
- WA5H DRY HOOK UP5
1 I I b'CEILING
it CELLAR 1
4"P.G.5LAB
LL 7O
L n
zo
F I 1 N - P.G. FOOTING I ------- _�- -___L--
1 0 - -- ----- k -- - _ - ---- r-------- 1
LL
1 5 5-7' 5'-'7" , 5'-'7"
8'
- UNEXCAVATED I I _
Im
1
(2)1-3/4"x -1/4"MICR
O-LAM 1 i0' i� HEAT
61RDER ON 5"DIA 5TEEL (V I
9 i i I :0
COLUMN ON 2'-0"X2'-0"X1'-0"P.G. 1 i X I -
FOOTIN65-(2)1-5/4"X 9-1/2"
MICRO-LAM (V IL O ' U 1
1 1 I 1/2"ANCHOR BOLT5 V O.G., I I ry Oci
1' FROM CORNER5 IN I I X 1 N
- - 1 I b"P.G.FOUNDATION ON
1 1 2-2X10 1 1 1
8"X16"GONTINUOU5, KEYED, I n FJ
P.G. FOOTING I _
HEAR '
OI -
1 �
11 1 =
1 —• T- HANGER TO GGA LEDGER
-------- 11 1 �-
1'CANTILEVER i =
1 11 1
1i ' i i ----------------J 0111 1
-6' 8'-4" 2-O'i 8-4' 1-6' - :o
1'-0" 6'-0" a V-0" 'I'-10" 1'-2" p
2-2X8 GGA
-- ------------ - - - - --------- _
----------------------------------- ---------
22'-0" 26'-0"
5T-O"
4X4 GGA WITH '51MP50N"COL GAP d BASE
3/16" - 1'-0" ON 12"MIN DIA.P.G.FOOTIN65 TO
UNEXCAVATED 501L
o 12" 3' - FRIG NICOSIA
LD
/w wcRE615TERED ARCHITECT
414 Main Street, Port Jefferson,N.Y. 11'TM
Oft Tel: (516) 928-4456 Fax: 928-9543
PETROLINO RE5IDENCE
"4 �� FOUNDATION PLAN
" DATE: 3/29/00 SCALE: 3/16" = 1'-0"
A73
JOB#: 990650 R1=V#$ BY: EN
22-0"
2bbb U.L.L15TED, 3/4 CENTER ON 2_2X10
HOUR, 5ELF
HOU -
R, FIRE 51NK, VERIFY
5-2X4 POST DOOR TO P.G.5TEP Fj N,j KITCHEN LAYOUT 3030 28(78
- 0 U-22-2X12 /"/ 2'-4"
I l
(2) 1-3/4"X 11-1/4" I i i 2x10 FJ 16"OG - MUD �j �p
MICRO-LAM GIRDER KITCHEN �D RM
ON 3"DIA COL ON I I V `fl (tpl
2'-0"X2'-011X1-0P.C.
FOOTING 5/8"TYPE X GYP BD :p O ; 46 ,-0„
ON WALLS f CEILING X uQ.
w l I I GARAGE ry J X _
> II n Z T n
,, 4"P.G. SLAB, � �
z PITCH TO DOORS LN
da o REF
p Ory 10'-10" I, 10'-10" �t GREAT ROOM
- = -
``� b J MICRO-LAM BEAM- MICRO-LAM BEAM 3'-0"
—� All z MASONRY
i F.P.
g i i O O 0 1 3-2X10 STAGER I U �0 ® c/
_
41.
LL I I v LL z p z <r� „
I I lTl
I I \ ry — ry
— I I - n N I ,��/ L11 I N P N X 1Z r
2-2X10 I I 2-2X10
80,7080'10 n ry Q ry - 4" 6'-O"
o o
VL I x I '`� I 2X6 RR 16•O.C.
X I = N 2-2X10 2-2X10 2-.2xle LEDGER 2x6 G.I 16•o.c �T..
-------- - --
-
D A- 4'-0"4I.
" 3'-0" 3n40 3040 �y ; L �
2-_3040 WITH 6' v2 - n 5'-10" 1'-10" o;� �;Nlc®s0tii�
5-10" 10'-4" PORCH p ,��
8'-O°= '� 5/411X6•'�A 18'-O' �
FLYING GABLE + *.
22-0" 3'-4" 8'-4" 3'-4" -' �o 26-0"
2-2X10 HDR WITH 2-2X4 TOP PLATE \�T A
5T-0"
3/16" = 1'-0" LIKING AREA
5X5 PORCH P05T YVITH GGA
921 5 q, ft TOP d BOTTOM RAIL5 ATH 2X2 ERIC NICOSIA
GARAGE AREA 484 SOFT BALLU5TER5 6"O.C.
0 12° 3' 6' REGISTERED ARCHITECT
414 Main Street, Port Jefferson, N.Y. 11-M
Tel: (516) 928,4456 Fax: 928-9543
PETROLINO RESIDENCE
FIRST FLOOR PLAN
DATE: 3/29/00 SCALE: 3/16" = 1'-0" A—IS
JOB*: 990650 REV#B I BY: EN
GENERAL NOTES:
1.ALL MATERIAL5.A55EMBLIE5,G01,15TRUGTION AND EOUIPTMENT ARE TO BE IN
AGCORDENCE WTH THE N.Y.S.FIRE PREVENTION/BUILDIN6 CON5TRUCTION AND
ENERGY CODE.
47-011 2.THE ARCHITECTS CERTIFICATION APPLIE5 ONLY TO TH15 FLAN5 CONFORMANCE
TO THE ABOVE REFERENCED CODES.
4
3.THESE PLANS TO BE USED IN CONJUNCTION NTH THE OUTLINE 9PEG'9 WEEN
�^
PROVIDED.
2640 :2640 3040/� 2318 3040 --- 2030 TT — 3040 3040 4.A--eUMED 501L BEAPUN6 CAPA07Y:2 TONS PER 50.FT.
S.ALL FOO7IN69 TO REST ON VIRGIN,UND15TERBED 501L.
i� 2-2X10 2-2X10 2-2X10
4" :::� 111-611 )Y4AL
1 —34n��10n4nyl-2n /U11—Sn40.CONCRETE TO BE PLMN.UNRIENFORGED 2500 LB.O 28 DAY TEST.49 NOTED.
L 1 �V '1.PROVIDE SMOKE DETECTOR IN EAr.H BEDROOM,HALL,FLOOR LEVEL AND
1/ Q _ BASEMENT.
° C5.THE ARC441TECT A55UHM NO RE5PONVEHLITY FOR METHOO5.TTECHNIOVIE5.5ECU1QJC.ES, ROCEDURE9 OR 5 NAFEETY FRREGWTION9 AND
BATH $ BEDROOM PROGRAM IN CONNECTION WTH THE WORK.THE ARCHITECT SHALL NOT BE
V _ _ - RE5PONVE LE FOR ERRORS OR OMMIVON9 OF THE CONTRACTOR OR
5UB-CON71RACTOR5.
q.CONTRACTOR TO VERIFY ALL DIMEN510N5 BEFORE 9TAR711,16 CON9TRUG7I014,
NOTIFY ARCHITECT OF!WY DI5GREPANGIE5 IMMEDIATELY.
�V n n (� T-4,1
�� O - O 10.DEVIATION FROM R OM THESE PLANS OUNAUTHORIZED DUPLICATION WLL NEGATE
CI THE ARGHITEGT9 GERTRGATION AND 19 A V10LATlON OF N.Y.S.LA
Jam\ NL
BEDROOM
N STRUCTURAL NOTES:
CLOSET '71-4-1
>o 3'-0" 4"4'-0" 2668 1.ALL LUMBER TO BE DOU6LA9 FIR$12 UNLESS NOTED OTHERW5E.WOOD DEV&N
N 7'-4" e"TMe A`RE ERiG``ADFo�RE9nzo��DT9 As REFERENCE ANTD`�iDREARDS RL THRu 21
0 11'-8" 141-811 -—' 2668 HEADERS AND GIRDERS:
E=1,600.000 psi,Fb=825 psi,FvA5 psi
2-2X10 J015T5 AND RAFTERS:
2X0 E=1,600,000 prol,Fb=1295 psi
2X8 E21,600,000 psi,R2z1140 psl
(2)3'X1'8"AWNING 2X10 E=1,600,000 psi,fro=1045 psi
may— --0" �N 2X12 E=1,600,000 psl,Fb=q50 psl
U/ LAMINATED VENEER LUMBER(MIGYOIa m"or EgU!I)TO HAVE MIN.VALVES A5 FOLLOVO:
27-0"
LA 'a E=1,800.000 prof,Moll 28W prof.Fv--287 psi
LVL5 TO HAVE MINIMUM OF 9"BEARIN6.
BEDROOM �ry I LVL U5ED IN TRIPLICATE ARE TO BE FAOTENED TOGETHER 104TH A MINIMUM OF 2 ROWS
OF 16D NA1L9 12"O.G.,5 ROM OF 160 NA1L5 12'O.G.FOR 14"-18"MEMBERS.
Q ry ry 2.DES16N LOADS ARE A6 FOLLON9(IM/sg4U:
LOCATION: LL: DL: DEF
15T FLOOR 40 10 L/960
2ND FLOOR 50 10 1-/960
E %0n n ATTIC(storage)ge) 20 10 L/-VO X04 161-On 4 Arne anecce"ble) 10 10 L/` •
m 1 11 ROOF(Wrtlnfsh Gig) 28snow 19 L/WO
3—0 2-2X10 ROOF(Wo/Vnlsh GI9) 286noW 10 L/240
HEADERS AND 61RDER5:LIVE LOAD DEF LIMIT L/WO
30310 30310 — — — 5,CONNECT J015T5 TO ALL FLUSH HEADERS,GIRDER5 AND L.EDC r"WTH STEEL
FRAMING HANGERS,AS PER MANUFAGTURER5 MSTRUGTION5("51MP WOR ECI UAL)
/N
IF 9FEG1FIC HANGERS ARE 5HOY4N NO W357IMION5 ARE PERMITED.
4.HEADERS TO BE MINIMUM OF 2-2X6
10'-O" 101-0" 7.DOUBLE FLOOR,1015T5 UNDER PARALLEL FARTITION5 AND TUBS.
6.PROVIDE DOUBLE FRAMING MEMBERS AROUND ALL OPEN1N65.GONNEGT WTH STEEL
20'-0" FRAMIN6 HANGERS,A9 FER MANUFAGTURER5 I1,19TRUG7I0145 C SIMFSON"OR EiXAL)•
0 12" 3' b' 47-0"
LIKINGREA A FRIG NICOSIA
899 5C>1 ft - ;1coij REGISTERED ARCHITECT
414 Main Street, Port Jefferson,N.Y. 111TT
Tel: (516) 928-4456 Fax: 928-9543
t`k I PETROLINO RE5IDENGE
� 2 ' BEGOND FLOOR PLAN
q3/29/00 SCALE: 3/16 �l" = 1'-0'
990650 REV#B I BY: EN
ROOF 3' VENT THRU ROOF 1 1 3' VENT THRU ROOF 1
BATH
I VENT TO CODE i I ; VENT id CODE
1 11 1
1 SHVR 1 I 1
Oi�iY NOTA
2ND FLR 13'V LS' V 3' V 2'V I 1 3' TL5. I. To the bet d ehe McMRecee�ti Ile/ esslorlal
BATH I KITCHEN I 3' V 'd9em°rC�e=P=I,
�p=h,l"l. rano ws l 'k s6c of ttd TlYS
1 2. 1 door desictenp.MdR be rime.127 for heaU g aid�.167 for Wolin%
I based on tdale 2-1 In"Now York State M Code.
I 1 S. Al elpossd nater pkaYq aWrWw P.W"dads to be Yrulated m Per
I VENT,'TO CODE j �VFNi 9-0 CODE 5srkton I"of file arae.skate Code.
4. F&W laces to have foe damper, �mft doom and be provided
ae1/I"4,4de aY suMlcWlk to
f I 3'V DV Outside air dict to have I damper.
5. AM 11111 ratlal not to exceed 3 I44 for mhd—and.5 CFs for door.
1 J_ NI exterior JOKS, etc.shall be ca Nwd or meatlwatrpped.
2' s b. All eg114atww t b to iroet Vie roq*wwi"d the KY-S.Energy code.
BAdKq 1•des for an an•hoal*�. tem
I Si FLR CJI
iD
LS'V 3'V 2'V r r__ FAL
wilt to a min 6M AFM-US
Cn 3' vc I
VASH HOUSE TRAP TO APPROVED SANITARY SYSTEM WALL U-VALUE-5
AREA MATeYAL wv.W
CurSOM 50" AIR ru w W.7.
SIMATIIN6 yr PLYH OOD --A2-
L5'v � F"
HALL PPAMINS 2X4.16'Of-
T R E AM F" bs ssla
5EC 1 I ON _�, NO SCALE nroaoe 2n
L foe MBA --In-
wTaYM.Fast MSL.MEA -am-
U-TDTPA.POR MALL J=t-
Nor he 4001 Hrdalel
CEILING U-VALUF5 FLOOR U-VALUE5
AIWA MAYERAL st-%" MEA MATMAL R-VIOW
2X10 RIDGE cufum Aft Fwm -
Ro0rN6 200;OddLe rR/V1N6 nae•M"OG
IKATIMW UT fLYYIOOD __Aa_ I011LATON 1411 Ism
puftnm 6"Mm ISO MLY S16fLMR SAY PLYWOOD .TmpLa _
USE 16' LENGTHS —► ROOF CONSTRUCTIONIRR4.ATION ft-" rost o/uc
fRAl61e 2Xe•W'04 �' - Bi149MM 0!Alft AIR PLM
12 ASPHALT:IBERGLASS ROOFING 29NGiLES ON � IM'6
159-FELT Ill I/2'CDX PLY ON
6 2X4 CT 48' OC 2x8 R.R.111V D C wwmi.rapt orup MEA _33_ WTDTAL POR STD AreA JLCL-
wT0M1 rapt INSUL-APeA 722. WIMAI POR IL'Y_AREA 2229-
LL-10TAL rapt YMLL $- U-TMAL rat 04ALL
ALUMINUM GUTTERS L LEADERS ON bass bv�qm Hrukwm IOr bat4ONL
t. Noukaw
K IV 111111- 1/2'GYP. BD. 1.6 FASCIA V/CONT. VENTED SOFFIT
2-o' 5UMMARY OF TOTAL THERMAL RATING
Ir THE TMAL TINRTAL MATINS 15 MW&V OR lFlINNI ,TE PR0Po6ea
BEDROOM
MASTER
WALL CONSTRUCTM leg"PGR M OILDIN6 29#11LOM C f ft VITH M ZMMY C40M
VINYL SIDING ON 'TYVEX'(OR EQUAL) ON T16RHL TABLE
bee OSB ON 2x4 STUDS e 16' O.C. V/R-11 INSUL. ARA �� MAT1W YAD
A. RDOr"LI16 1224._ nS4_ �_ d_
6. Nei OV413 2227_ =12- 1122_ &-I
R-I INSUL. INSULATE CANTILEVER SECTION G.
I25a_ %L _ --'M_ A-A_
Hettlatr - - - 6A
'sk1119ty fL_
VENTED VINYL SOFFIT D1. masts, AM@_
09. :LM I49A.AT10N
"t LIVING VINYL SOFFIT gkbP-WOte' =FEET
D1ND4G °" Lr.uladon R-vw.. pa_
TOTAL T 004AL RAnNs 461 _
3/4' TLG OSB
KIM BRIDGI R-19 INSUL.-M Lo Eric
i ' IOIwSILK.CONSTRUCTIVO A
(2)2x6 E.C.A. SILLS lN� SILL SEAL ON OL D ARC
=9-o
TERMITE '3(IELB WITH 1/2' ANCHOR `���`G O ��� REGISTERED ARCHITECT
-� BOLTS B'0. O.C. L 2'0' FROM CORNERS V NIC
m FOOTINGS TO VIRGIN SOIL V
i.
B'RC. FOUNDATION k► Off`1 414 Main Street, Port"1CffeT"sor1, N.Y. 7
. 11T7
DAMPROOF:NG Tei: (516) R28-4456 Fax: (516)928-q545
e' X 16' JTIN000S P.C. FOOTING 7k 11 Approved Ray:
Ft I LINO RESIDENCE
SECTION/ENERGY
Dro"n I99:E. Nlcasl
Date,W4/Q9 Joblt.4906 Rev.A J�/_
i , At
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ nn I Date
Owners Name: 6+�oR& IrSff . L7w9 el-O Reviewed: -3 '�g
Architect/ Date .
Engineer: Submitte
SCTM#: Q
District: 1,000 Section: ! Block: U Lot: 1�
Project c^�n /� -50,U+4
Subdivision
Location: I' oy I ew. Ave. 50,U Y46LO Name:
Single&separate Requir q0
certification: (Yes
Zoning District: [Lot size: Actual: aGIeG t coverage Proposed:_______j
Req. Req. ' , Req.
[Front Yard 50 Proposed: I [Side Yard Proposed: [Rear Yard Proposed: ]
Project Description: New W edi rocuD/ar�+ �L
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. N YES umber
Suffolk County Health Dept. ✓ Klo-9 1' 0097
New York State D. E. C. _
Town Trustees X
Town Zoning Board approval: 1C
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
Notes:
Q�
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ �+ //�� Date
Owners Name: ('�� �: l��'� . ,/,—t N°� Reviewed:
Architect/ Da
te .
Engineer: �R tG � cocj l� —{Ii0`4`f SCo Submitted:
SCTM#:
District: 1,000 Section: '!4K Block: Lot: _2
Project A Subdivision
Location: 1'�$o CeoAR A,, Name:
Single&separate Requires
certification: (Yes No "[
Q�(�.�') Req. R,*
Zoning
Zoning District:_ [Lot size: Actual: '•�o �C ] [Lot coverage Proposed: i
RW i• Req. ` Req.
[Front Yard -so Proposed:__] (Side Yard )J 5`� Proposed: 1 [Rear Yard S0 Proposed: ]
Project Description: eW �AjF3 �ArnU�.r DU,,Vf_) ik&
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept. 0 K' . x R►0• "004
New York State D. E. C. x
Town Trustees X
Town Zoning Board approval: X
Town Planning Board approval: x
Flood Plane Elevation??? '
Flood Zone:
to •
& t Meg Ct ZZ gf, 1'rim. e
�S
F95T FL009 '-y1%go
G49A&9 I MAC 802A1310 5f,
<5 6T.
3 ��_o • '
23 g SFX •Zo = 'f?6.OU fZSTAL fee--