HomeMy WebLinkAbout48430-Z �o�Og�EFd1K oy� Town of Southold 3/23/2023
P.O.Box 1179
o _ fi 53095 Main Rd
y�jo! �aolj; Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43940 Date: 3/23/2023
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1100 Rambler Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 88.-5-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/6/2022 pursuant to which Building Permit No. 48430 dated 10/25/2022
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:
"as built"second story alterations to an existing single family dwelling as applied for.
The certificate is issued to Reiersen,Eleanor
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-1564 3/14/2023
ELECTRICAL CERTIFICATE NO. 48430 12/28/2022
PLUMBERS CERTIFICATION DATED 3/23/2023 Anre s J.Kupe i
u hor' nignature
�g�FFQI o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
" TOWN CLERK'S OFFICE
Cn
SOUTHOLD, NY.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 48430 Date: 10/25/2022
Permission is hereby granted to:
Reiersen, Eleanor
3019 Semmes Ln
Indian Trail, NC 28079
To: Legalize "as built" second story alterations to an existing single family dwelling as
applied for per SCHD approval. Additional certification may be required.
At premises located at:
1100 Rambler Rd., Southold
SCTM # 473889
Sec/Block/Lot# 88.-5-17
Pursuant to application dated 9/6/2022 and approved by the Building Inspector.
To expire-en. 4/25/2024.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $613.60
CERTIFICATE OF OCCUPANCY $50.00
Total: $663.60
Building Inspector
pF SOUT�,OI
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 , �Q sean.devlin(D-town.Southold.ny.us
Southold,NY 11971-0959 COUNTV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Eleanor Reierson
Address: 1100 Rambler Rd city,Southold st: NY zip: 11971
Building Permit#: 48430 Section: 88 Block: 5 Lot: 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 14 Ceiling Fixtures 3 Bath Exhaust Fan 1
Service 3 ph Hot Water 30A GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 2
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 1
Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors
Disconnect Switches Ij 4'LED Exit Fixtures Sump Pump
Other Equipment: 200A Panel 42 Circuit/ 19 Used, W/D, HW
Notes: AS BUILT NO VISUAL DEFECTS " Second Floor & Service
Inspector Signature: Date: December 28, 2022
S. Devlin-Cert Electrical Compliance Form.xls
1
of soN/Yol,;��}
S �
Town Ball Annex �jS�dQ �` Telephone(631)765-1802
54375 Main Roads a '' '1i Fax(631)765-9502
P.O.Box 1179 �G�,
Southold,NY 11971-0959
--� BUILDING DEPARTMENT
L l� I� II BUJ TOWN OF SOUTHOLD
MAR 2 3 2023 ti
sumul vu DEPT
TOWN 0FSOu1-H0u)
CERTIFICATION
Building Permit No. 7 , y 3 0
Owner:
(Please print)
Plumber: dre4.5
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(Plu lbers Si alure)
Sworn to before me this p23 C
day of./r !/G !/ 20_,p2
`AFgE.o,'�n�� DawnJohnson
"—`—-- - ---""- ? i'•NOTARY Notary Public,State of New York
`•
"PUB°LIC' No OIJ06349053 r
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Qualified in Suffolk County -s-
Corisruissiorn Expires 10/11/202- F
Notary Pu i ,
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�o�aOE SO(/TyO� l JV l 0-0 �0 ,t
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
[ ] CODE VIOLATION �[ ] PRE C/O [ ] RENTAL
REMARKS: 447- L4' 24n
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DATE INSPECTOR
OF S0UTy0� L4 E./4 3 o l l V -----
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: ,q�•�! � �,,- nr-r� ti`� SPGz'
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DATE INSPECTOR �_
N. J. MAZZAFERRO, P.E.
PO Box 57, Greenport,N.Y. 11944
Phone- 516-457-5596
Consulting Engineer
March 23,2022 Design, Construction, Inspection
Town of Southold-Building Department
53095 Main Road
PO Box 1179
Southold NY 11971
Re: Rierson
1100 Rambler Road
Southold,N.Y. 11971
District-1000, Section-88, Block-5, Lot-17
Building Permit Number—As Built
Inspection—Insulation
On March 15, 2022, I inspected the insulation installed at the noted location. The
`. inspection covered the first floor ceiling, second floor walls and roof. The inspection was
for the"As-Built"conditions and the results are:
1 —Walls—Insulation provided and installed by Owner. Insulation provided rated as R-
15: The insulation provided was done in compliance with the applicable sections of the
IRC,NYS and Southold Town Building Codes.
2—Ceiling/Roof—Insulation provided and installed by Owner. Insulation pro*ided rated
as R-30. The insulation provided was done in compliance with the applicable sections of
the IRC,NYS and Southold Town Building Codes
Result-The insulation as verified by the inspection on March 15, 2022, is compliant with
all applicable codes.
Nicholas J. Mazzaferro,P.E. OF N
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ROFFSS10NP4
N. J. MAZZAFERRO, P.E.
PO Box 57,Greenport,N.Y. 11944 .
Phone- 516-457-5596
Consulting Engineer
October 24,2022 Design, Construction, Inspection
Page 1 of 1
Town of Southold-Building Department
53095 Main Road
PO Box 1179
Southold NY 11971
Re: 1100 Rambler Road
Southold,N.Y. 11971
District-1000,Section-88,Block-5,Lot-17
Re: -Ceiling Height Confirmation
On March 20, 2022, I inspected the as-built construction at the noted location. The
inspection covered the second floor layout for the existing residential structure. The areas
inspected included the second floor bedrooms and bathroom.
Based upon my inspection and development of floor plans for this area I certify the
ceiling heights to be:
Bedrooms—T-6"
Bathroom—T-6"
Please consider this documentation a supplement to the plans which have been submitted
for the as-built condition.
Nicholas I Mazzaferro, P.E. w:
y�P of At
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AR�FESS1000,
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
H
--------------------------------------
FOUNDATION (2ND) cc`"
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ROUGH FRAMING& ?� y
PLUMBING rr1AA
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INSULATION PER N.Y.
STATE ENERGY CODE
r
FINAL
ADDITIONAL COMM NT
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s°fft°ate TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
o� �aofi Telephone (631) 765-1802 Fax (631) 765-9502 ht!ps://www.southoldtommi ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
LJ Ji
PERMIT NO. I 0 �� Building Inspector: JCQC SEP O O LOLL
LD.
, . -
Appltcatio.nsand forms must be#filed out,�n th�lr`ehtiretjr Incorrip�eteBUILDING DEPT.
TOWN OF SOUTHOLD
applrcat�a'ns will not be accepted: Where the ApPUcant 7s nottfie owner,an
Ov+►ner's Authoriiation form(Page 2)shag be talmpleted
Date:3/25/2022
01NNER S OF PROPERTY -
Name:Ralph- _Rei-,e.r e n -SCI TM#s000-gg_5-17
Project Address..1.1:0O-.Rambler_Road, Southold NY 11971
Phone#: Email:
Mailing Address:
CONTa4CT PERSON
Name:
Mailing Address:
Phone#:631-445-6177 Email:
ES
2,
PROFE5SIONaL INFORMA3I,ON. k
r. k-
Name:NJ Mazzaferro,PE
MailingAddress:PO Box 57, GreenportNY...11944.......... ....... .. .. ._.,.. .-. .._,....-,......_.._........,.. . ....,._._....
Phone#:516-457-5596 Email:nickmazzaferro verizon.net
coNT Ooa fiNFORMATioN:
Name:AS Burt
Mailing Address:
Phone#: Email:
DESCRIPTION Of PROPOSED CONSTRUCTION f
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $2500
[Will the lot be re-graded? ❑Yes 51 No Will excess fill be removed from premises? ❑Yes ®No
1
Existing-use I e I o-f-p-r.o p e.r-ty:5-J'Agle-Res.id Intended use-of-property:5ingle-Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
y.ythis property? E]YesgNo IF YES, PROVIDE A COPY.
...............
j8 CheC1C 13GXAfter-'Reading
--'
. --- stortnivaterksuesl!s'. M&W-�
6
Chapter 236 of tNe i�v 4,
tlXd�nance of the '4ikn,Ws6uf OPP 19,
Ordinances ---&il
�*:k -u 'i"Lpir the construct�bn of buildings,
ai�d�tions,alterations or for removal`ardemohtiop as hereih described C'he applrcan#agrees#o tompty with aif applicable laws,ordinances,6u41ding code;
housing rode and regulations and to adml#authorized Inspectors on:premises;antl Cn bu)Iding(f j forne¢essary fnspe�ions tatse s;atemenLs made herein are- '
Application Submitted B
MAuthorized Agent D Owner
Signature of Applicant: Date: TV
STATE OF NEW YORK)
SS:
COUNTY OF SU-P-PO�L<=
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(Contracto ,Agent, orporate Officer, etc.)
of said owner or owners, and is duly authorized to p 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/her knowledge and belief, and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of
20'Ra,
NV Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Ralph Rierson
Print Owner's Name
2
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ONO IF YES,PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code.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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name): ❑Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF, )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of .20.
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
do hereby authorize. to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature PDA
Date
Print Owner's Name
2
� �y�¢EQtIrc� BUILDING DEPARTMENT- Electrical Inspector
d �y TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
vA Southold, New York 11971-0959
& �"` p� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(@-southoldtownny.gov seand(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: Dx-c,9 on,02-a-
Company Name: 4avi-R') odds
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: �3 yy5 6 17 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: 1 t1" 9tr, Q. /'1 0,14.1 7V e-- Y 9S
JOB SITE INFORMATION (All Information Required)
Name: WA yne, /�i2i^S 0,e7
Address: //oo
Cross Street:
Phone No.:
Bldg.Permit#: ` � email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUD SQUARE FOOTAGE (Please Print Clearly):
lKd
�J
Square Footage:
Circle All That Apply:
Is job ready for inspection?: &.,YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES F-QVO Issued On
Temp Information: (All information required)
^^
Service Size 1-11 PhF]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
G�.l
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
3�• ,<,
7f Town Hall Annex - 54375 Main Road - PO Box 1179
E `n z Southold, New York 11971-0959
t ti ® �,� � Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a�southoldtownny qov seand(p southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION,(All Information Required) Date: Dx-c q FIs
Company Name: 4av►-Q,J adds Pknpoil in ,
Electrician's Name: e,�l �' v
License No.: Elec. email:
Elec. Phone No: (3 yy5_6 /7 77 ❑I request an email copy of Certificate of Compliance
Elec. Address.: /you $ an e. /'?a i L Y // 9S
JOB SITE INFORMATION (All Information Required)
Name: wAn� / e2rs on
Address: // oo gapi b ler R 9 ,
Cross Street:
Phone No.:
Bldg.Permit #: 4�� email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDf SQUARE FOOTAGE (Please Print Clearly):
y Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: 11YES �0 Issued On
Temp Information: (All information required)
Service Size❑1 PhF—]3 Ph Size: A # Meters Old Meter#
❑New Servicer-1 Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#'Underground LateralsF-] 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
ell �y�
�. (J
PERMIT # Address:
Switches '
Outlets I
G FI's
Surface ( �J
Sconces I
H H's
UC Lts
Fans Fridge HW
Exhaust J Oven WAD
Smokes II DW Mini
Carbon
Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
)Ammppss , Have Used
Special:
Comments
HOUSE SLATE OR OTHER
1&0' SURALE COVER
PEREND PLUG LOOKING CASTING SURVP'Y OF PROPERTY N -- ----------
.... _
o f1NLSflED GRADE �TO GRADE EL. 15.4 T BA YVIEW Sv :I.{G�:3Lt�:'1'i�� t::t'I,✓ IPU1w�L.TFU:x:TJJCIS
W COVER TO GRADE 1' ML 25
«E,,,,°„� F DROP T IS M rCHS TOS OF SO UTHOLD x
> usm ON r�Er F��:�#�".eT�+ [qix$A„ri,r�rrT` r►��a�:CP.': �UJ iiiiJ'a�:i
LOCATE DROP 'r I.E. 8• SMlN MIN CEOPENNO FOR r rF�,�
152' (J 0LK COUNTY �, Zl_ S
f I.1- 8• 12' 8. 10 •
KEr 14.9' I•E. 1000-88-05-17
ML 4'DIA CLASS 14• 18• 14.4' }; f'li .:'::; 1 � Dy�jt>„A�y�R' / ✓ �} ^ /
24DD PIPE OR L 1/e'per tool mtn I E 1 d'I .•,'% : '- s—
EGWALENT PITCHEDIr e• 5' �min.4.,, �, ,4.0 . .::::. :.::.::. SCALE. 1 —30 ...�_.�.
1- class 2400 qro«. I FEBRUARY 23, 2021 Pon
FLOW LINE DEPTH �k
• I 2 L64CH'NG POOLS AMIL 14, 2021 (REVISIONS) �'T?. �'�ir r: `1"t:1:r„i��i.�;r'D;fii CPA ��'�►:;i, 1
(80 x e'DEEP) 1
4• MIN. - 3min. .h-
8'-0 DIMIETER
GROUND WATER EL.1.0'
HIGHEST RECORDED GROUNDWATER III _ 11- :
Ilblll III I asti-.r�c-^r••.,-,yw+e �1. '�-*•r.•y.r
BACKFlLL MATERIAL TO BE CLEAN SAND do GRAVELI-11 �.,.....s.,,a!•...i.'yti�t�.v.•�:.... Y^�"- t:'a`•.VL RnI:Q%:::.:>`::.�,4
1,250 GALLON CYLINDRICAL SEPTIC TANK DETAIL
_..
R7��.v..r:sm.cs.c.-. .�� �.•�.++smrsa-t-rs+v-..�
NTS WELL
1. A MINIMUM OF 4 INCHES APPROVED REINFORCED PRECAST ��/ U
CONCRETE BOTTOM AND 3 INCH WALLS i
2. AN 8 FEET IN DIAMETER BY 5 FEET HIGH APPROVED
REINFORCED PRECAST CONCTERE SOLID RING. �/;�N P.COR.
3. AN APPROVED REINFORCED PRECAST CONCRETE 6 INCH 0 EL13.9'
THICK SLAB TOP IN LAWN AREAS. 0� � 1 y �$ FEX
J N' v V alt,DROP T'S MUST BE PINNED OR OTHERWISE FIRMLY %
ATTACHED. s� IrS. 4F �U
5. LIQUID DEPTH MUST BE 4 FEET. 0
PROPOSED SEP77C SYSTEM
(4 BEDROOMS) C ? k OOH
[2] 8 FT DIA.x 6 FT. HIGH PRECAST CONCRETE LEACHING RINGS
BACKFILL MATERIAL COURSE SAND AND GRAVEL (3' COLLAR)
[111,250 GALLON SEP77C TANK.
SLATE OR OTHER STOPPER END O 0� ��� ;` OS
SUITABL COVER OR PLUG V ,y1•
R �!�
Q OF �.
SEWER PIPE �/ �P O �,�`C, �h� L , O 4 Fp.
\�V O 5 DICK G� 10 P C'OR.
NU O ,`0 J� I �.�. EL13.0' J
3Q ELBOW V Qc xtiC� / g C3 V
0 ro^O +\y O
.O / ��. Rte, P 6 �►
TEST HOLE DATA WYE 0� ,y0 F ,pro• cL EL
MCOONALD GEOSCIENCE 4 EX.P 8'min �o '� 10.8•
12/23/2020 CLEAN OUT DETAIL 1�
EL 15.1 1, DARK BROWN LOAM OL NTS / �. E110
\ �G
BROWN SANDY CLAY CL P•CpR• / � LP'1 Lp 2 •0,
3' EL11.7' Z
BROWN FINE TO COARSE SAND SW WATER METER
N
s2s , -
s' 500;`Y TEST HOLE LITILPOLE o �vv\�
A� ELs 15.1' ^�. c„ O
PALE BROWN FINE SAND SP
d"
EL 1.0' 14.1'
WATER IN PALE BROWN FINE SAND SP
17' P.COR. VYIr
NOTE.• WATER ENCOUNTERED 14.1'BELOW SURFACE "�� EL14.3'
CL EL
12.8' s�
IU
0 jb
• =PIPE �' o• I _
OF
Existing septic system to be removed or � T. t.l�l� p jutyr z ;•.
filled in to SCHD specs.
LOT NUMBERS REFER TO "MAP OF MAP OF TERRY WAIFRS
FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE
ON DECEMBER 29, 1958 AS MAP NO. 2901
ANY ALTERA77ON OR ADD1770M TO THIS SURVEY IS A WOLA770N ...Y. LIC. NO. 49618
OF SEC77ON 72090F THE NEW YORK STA TE EDUCA 77ON LAW. ECO�II r�jJ UR VE Df7 ,' P.
EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77FICA77ONS C.
7fi �6�Q X (631) 765-1797
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF (631)
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ELEVATIONS ARE REFERENCED TO NA VD. '88 AREA=13,935 SO. FT. P.0. BOX 909
WHOSE SIGNATURE APPEARS HEREON. 1230 TRA VELER STREET
SOUTHOLD, N. Y. 11971 20-085
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APPROVED AS NOTED
,'ST
5- 830
DATE'lb a a a B.P.#o_
t 1(
=E: (AIo3,tpO
BY .�.
?TIFY BUILDING DEPARTMENT AT a::'' '
-,5-1802 8 AM TO 4 PM FOR THE
ALLOWING INSPECTIONS:
FOUNDATION-TWO REQUIRED
-OR POURED CONCRETE l Q�t: ®t 11�rtSPE
SOUGH-FRAMING,PLUMBING,
NSULATION ELECTRICAL&CAULKING TaL-OV .
"INAL-CONSTRUCTION&ELECTRICAL
RUST BE COMPLETE FOR C.O.
CONSTRUCTION SHALL MEET THE -
-UIREMENTS OF THE CODES-OF NEW UD u .
'K STATE., NOT RESPONSIBLE FOR i
SIGN OR CONSTRUCTION ERRORS,
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER jg1 SES
SUPPLY SYSTEM CANNOT
°,{,: .s? DUILDIM0 IDE,:)'f
EXCEED?110 0F 1°if LEAD. T01,"i"'OF 3OIL;i;;OLID .
ELECTRICAL
. . ..�:=.::. - _ . .... '. ._ ..� ;INSPECTION REQUIRED ScTOA 1000 B76- Q-.1`7
C6 Ly WITH all. cooEs of
C _ FL) `
NEW YORK STATE &TOWN CODES
OF � w 1=,I t04f .
AS REQUIRED AND CONDITIONS OF Y??
Additional
RAM
:;�i�i.r ze•
SOUTHOLDMNA :sy ` .• cation
` o
,C,�e ®i��O•,T- ..
SOUTHOLOTOWNRAMOGIM Be Required. �p
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D tee
SOUTHOLD TOWN�I t' Sheet Of
057 I ��� NJ FERRO, PIT.:
N.Y.S.DEC ROFEssio�°'�' PO Box 57,Greenport,NY 11944
516457-5596
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