HomeMy WebLinkAbout23727-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25464 Date: 01/02/97
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 220 WATER TERRACE SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 6 Lot 13.29
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 16, 1996 pursuant to which
Building Permit No. 23727-Z dated OCTOBER 8, 1996
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 TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to THEODORE LAOUDIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0060 11/03/97
ELECTRICAL CERTIFICATE NO. PENDING 10/30/97
PLUMBERS CERTIFICATION DATED 11/03/97 HENRY SMITH PLUMBING
BuilAVIng Inspec r
Rev. 1/81
FORK NO. f
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)
N? 23727 Z Date ............. ... ... ............. 19.`1,
Permission is hereby grant to•
� _ s
.V :...T�
....am*& .. ........
to
. . ... ... ...
atpremises located at ............�. ....:..... . ........................................................•
................................................................................. .................... ..............................1:3.:x.1. .
�County Tax Map No. 1000 Section ...........1Block ......!( ........... Lot No. . ...........
pursuant to application dated ..1 ......., 19.- % and approved by the
Building Inspector.
QQ"' S I
Fee $..r/..:�3 G
Building I r
Rev. 6/30/80
_0i.1 0= SOL'_�OL^
__NG DZ__ NOV ( 0
TOWN ikLlr
1802
BLOB.DEpt
TOWN OF SO
LD77 - _ =0\ FOR 0. OCCL?_vC_'
must be =___ec w t;*Dever=ter OF. _nit and subm =ed co =ze �c
0u'__C_
4_-speC=v. wtth the _O: new O: new l:Se: v
��.a- survev O. �rCD er=� w.=r 2cc rate _O CZ=_OII O. a�: bt:'_d—gs, proper- __nes,
sz__eLs, and 'unL•muZ.1 aaLur--1 or _oDograpA=c :ea, res. .
'ADDrOVa_ __om eat=.7Dept. 0= Watt SU-0-01V and SeWe_Z�'e-Q_SDOS2_(G .^.r�i
�. ADrova� O.L. e1 eC___cc_ 7 .:.
s= __a=_OII :=0m Board o= _
=e under'Zr_=e_s.
D
c. Sworn statement!- rom ?.umber cer=_ rand cue solder used syste= coags
less charm 2/1.0 0: 1: lead.
',. Co=erU.�L g 'tCL15:==� OL'".LG A, mu __D1e residences and s:-,.;_?_ OLi C=SS
. and ista_iar_oas, cert-4=_:_Zfc.._te o= Code Comb _ante 'rom a.:. _=eC= or em
o_aeer -
.:asponsib_a or the bu4d_a�.
is 8 Subm== Board ADD_onz of completed side plan. =ecu_=emeacs
- • ' or a, 19,57) non-coagoSZ" u2s (?r_ 0rm ���0 'T_
ses, o_ bu4gs and
wore-ex_sc g land uses.
'_ 3cc•__2te su---7ev of -p=ope= show =g all ?roper=-: _=zes, s=reems, bc:-d:ng and
unusual =a= rat Cr topOgrapL_.. --azzu=es.
�. b DrODe=' cOiAD' a=eC SDD�_cat'_on anc c consent =0 spec= s13T1ed ^C :e _c" -
_ _ _ HDD_ .:ate.
c Cer=N__a:_ orOcZ-_,-)caCC _S 0.e.?=_eC, ::he BL'_1C_ _:Lspec=o= shall s=alt tie
raasozs =»e_e_o- r w_---ate t0 tae
ees
'- Cer= _Cate of OcC.:D2zcv - tiew dwe_-= :24 .00, 1dc4 =_cns to dwell 5_,.00.
A.-_e_=_ions to Cwe__':0, S23.00. Jtv"*+'"cypool Accessory 5:0.00
3dd_=_ons =o acCesso—_ be=cam; .: 5.00. Bus=nesses 550.00.
of OC:--marc; on Pre-ex_s=_ag 3L:M'C_=S - SiO0.00
S. CoDv o: Car=MiCate o: OCCuDcncv - _?Sc.
Ce_=-; _C2=e o: OCC.:D2nc? - 550.00
5. 2empor2 Ce: _:_date of OcCuramcv - Res_dem=_a_ 51.,.00 Commerc___ 315.00
*,ew Corsi=lc=_oa. . . .X . . . . O1 O_/?/r'_-e-_4st4 -a Bu__d_nL . . . . . . . . . . . ..
.,acac_ou or ?rope==v. . . . . . . .1. 'Tz r : : /.°��. �,�. . . . . . . . . . . . v(� J"V.rY. . . . . . . . .
House No.
S c_ee= Hamlet
:'ewer or Owners of ?roper=v. . . . J.�1.�Q4�C}. . .�C(.Ol�..� 15( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:ouaty _arc Map No 1000, Sect_ca. . . . 0 1.. . . . . .Koc:�. . . .� �?. . . . . . . .lot. . .
}�
((. . . . . . . . . ._. ed Mzp. ��.�. . . .' . . . . . . . . . . . . . . . .
No.a �p� . .0a=_ O: ?er-:+:_c. . 'v/. J.�. . . . ...
Dp
: .e=-= Dept. Approval . . . . . . . . . . . . . .
. . . . . . . . . . . .untie=w==e=s :DD-oLa_. . . . . . . . . . . . . . . . . . . . . . . . .
:F Bcar_ =pD_o- a.. . . . . . . . . . . . . . . . . . . . . . . .
ecuest =_rper==.' Ce=_-=-.4cgta. . . . . . . . . . . ?_ .� Ca==-Ca=a. .�. . . .
� � � C25Y� y
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
111071 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
Date NOVEHBER 04,1997 Application No.on file 1,31,53997/97 N 436744
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
TED LA.DDIS, 27 AWLE SHORES, SOUTHOLD, NY
in thefollowinglocation; ® Basement ® Int Fl. FLI 2nd FL OUT Section Block. L a t "7
was examined on OCTOBER 30,1997 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT[FLUORESCENT OTHER AMT. K.W. I AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
40 50 36 40 1 E'
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS "LL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMG AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS
NO.STOF FEET
2 F i. 12 2
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE
MITER I'N 3W I�/3W 3 R 3W 3 X 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A•W.G. NO.OF NEUTRALS A.W.G.
EOUIF. PER& .COND. OF HI• OF NEUTRAL
1 200 CB 1 X 1 4/0 1 4/0
OTHER APPARATUS:
WELL PUMP-1
WHTRLPOOL'BATH-:1
MOTORS: 1--F H.P.
DISPOSAL-. 1-1 K.W.
G.F.C,T:-12
owL
G & S CONTRACTOR LIC.#578 E
BOX 2151 An GENERAL MANAGER
SOUTHOLD, NY, 11971
Per +
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.
COPYFOR'BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Town Hall, 53095 Main Road Fax (5 16) 765-1823
P. O. Box 1179 O Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
33/03/97
DATE:
Building Permit No . 23727 Z
Owner: Theodore & Angela Laoudis
(please print)
Plumber: Henry Smith Plmg.
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
( b rs Signa ure)
Sworn to before me this /
day of V 19 &?7
Not y Pu ic, !� County
GJ -
��
John Bertani Builder Inc.
1380 Oakwood Drive
Southold, N.Y. 11971
(516)765-1594
FAX(516)765-3916
January 2, 1998
Building Department
Southold Town
Town Hall
Main Road
Southold, NY 11971
To Whom It May Concern:
Re:Permit#23727Z-Ted Laoudis
As per your request, we hereby certify that Mr. Ted Laoudis, Owner of the above referenced property
Mich is a speculation house currently for sale, will hook up a refrigerator and a stove at the time of
sale.
Sincerely,
Linda D. Bertani
Vice President
day et Jctn,rary ►u 00
BERNADL.TAPUN
NOTARY PUBLIC
C ff4844893
State of New York
Rfl,iding in Suffolk Count
Sept.3N1
suauiNa DEPT.
INSPECTION
[ ]
FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND SULATION
1 FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE Z Z f I�'7 -INSPECTOR
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CFIIMNEY
REMARKS:
e�, A— r..4�
DATE z `� / � INSPECTOR -
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
as
REMARKS
i
i
i
DATE fl INSPECTO
M.isox
BUILDING oar.
INSPECTION
[ j FOUNDATION IST [ ] GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK
� OlC
DATE /G 1� INSPECTOR2L
T65-1802
BUILDING DEPT.
INSPECTIO"
[ ] FOUNDATION IST [ ROUGFI PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ MING [ ] FINAL
[ FIREPLACE & CHIMNEY
REMARKS:
DATE 9 / INSPECTOR _1P�G
a 3 7a74
V/ BUILDING DEPT.
INSPECTION
FOUNDATION IST [ ] ROUGH PLBG.
a, FOUNDATION 2ND [ ] INSULATION
I 1 FRAMING I ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
Aoet.
DATE � � INSPECTOR
1°1 I;1.1) I ti(;mu-1'loll lu'rUtt l' I)ATV. (;Ur1H1`Nl�S
__�..., -----------
,r/e to �,,�•vim. .. � v
. ..._ ... .. .. ... .. -.
1--()I IN DAT 1(IN
FOUNDATION (L
I,. gs .�-
� . 'All
I'I.urNI 1 rlc
I NSMAT I ON I'Elt N. Y .
STATE. r,Nr.u(:v
0700,3
/YO ._ I .... - ._ ..0�� ............. ..
I•-1 rinl. 1
' nU111'I I UNnI. ---------------- -
----- -- ----------- ------,f
.
' ' - �.
t
t
t
� g
0
BOARD OF HEALTH . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . .
TOWN OF SOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . ._
6 I TOWN HALL SEPTICFOR:1
SOUTHOLD, N.Y. 11971
19 TEL.: 765-1802 t:OT I F'f ; • • . . • . • .
Examined . CALL . . . . . . • . .
r1AIL TO .
Approved (� 191?;Permit No. ! 4 / . . . . . . . . . . . . . . . . . . .
Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . .
. . . . . . . . . . .
. . . . . . . . . . . . .
(Building Inspect
PLICATION FOR BUILDING PERMIT
Date SCrl�2T. . .a. . . . . . ..
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
set's 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
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is art of his aor public re lis
cation. p PP
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued 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) j go
State whether applicant is owner, lessee, agent, architect engineer,
, general contractor, electrician, plumber or builder.
r�a2z. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ... .. . . . . ... . . . . . . . . . . . . ... ..
Name of owner of premises . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature.of duly authorized officer.
(Name and title of corporate of icef' r . . . . . .
Builder's License No. . . . . . . . , ,
Plumber's License No.
Electrician's License No.
Other Trade's License No. N".. l A� Cr
1. Location of land on which proposed work will be done. . . .. . . . .
. . - C>2 0. . �.c�.Q.�"�r2. .T.� . . . . . . . : . . . . . . . . : . . . . . . . . . . . . . . . .
Q
Mouse Number Street . . . . . . . .'. ... . . . . . . . . . . . . . ..
Hamlet
County Tax Map No. 1000 Section . . . '
. :�+'�.� . . . . . . . . . . . Block . . .d.G. . . . . . . . . . . . Lot . . . .�
nn
Subdivision . . :/��,C��,�. . 's#04J-5 . . ... . . . . . . . .". Filed Map No. �72 . . . . 2 . .
``
(Name) Filed . . Lot . . . . , . . . . . . .
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . .. . V!aC� v_T , , . . . . • . . • . . • .
b. Intended use and occupancy . . . . .Ckk . . . '
' �4%y. : ... . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . V./. . . . A
Repair . . . . . . . . . . . . Removal . . Addition . . . . . . . . . . Alteration . . . . . . . . .
• • Demolition • . • • • • - • • • • Other Work .
• • . • . • . • . (Description) .
4. Estimated Cost . . 4b?J . . . , , . ,
' Fee . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . .
5. If dwelling (to be paid on filing this application)
b,number of dwelling units . .. . . . . . .
If garage, number • • • • • Number of dwelling units on each floor.
r of cars _ � . . .
6. If business, commercial or mixed • • • • ..... . • • • • • • • • • • • • • • • • • . .occupancy, specify nature and extent of-each type of use . . . . . . . . • • • . • •
7. Dimensions of existing structures,if any: Front . • • •
Height . . . . . . . . . . . . . . . Number of Stories . • ' ' ' ' ' • Rear . . . . . , , , , . . . Depth . . . . . . • . . . . .
Dimensions of same structure with a " " " " " • • • • • • • • - • • • • • • • • • • - • • • .
Depth . . . . . . . , , Iterations or additions: Front . • . , • , • , , , • . •
• • • . Height . Rear . . . . .
S. Dimensions of entire new construction: Front . • ' Number of Stories . . . . . . . . ; • • • -
Height . . . : ?.`, . . � . . . . . . . Rear . . . .1�o`. . . . . . . . Depth . •3,q . . . . . . . .
9. Size of lot: • " • . . Number of Stories . . . . .. . , , , , , , . . . . . . • • • •
10. Date of Purchase . . . . . . ��. . . . . . . . ... . . Rear . . . . .! J- . . . . . . . . . . . Depth . .44-vp • , • . . . . . . . .
11. Zone or use district in which . , , ,•premises are situated , amp of Former Owner . .
12. Does proposed construction violate any zoninglaw, . . . . . . . ' ' . . ' ' ' . ' ' ' ' • ' • • • • • • • -
13. Will lot be regraded . . , , , , o • , ordinance or regulation: , • , _ , , , • • . • *Yes
14. Name of Owner . !
' ' ' ' ' ' ' . . • • • • Will excess fill be removed from premises: Ye • • • � � -
of .`!�/.?.G..�vcxcJQCc,SAddressa� Phs )c" No
Name of Architect . 1/o . , vghr�� �.Gf. one No. . . . . . . . . . . . .
Name of Contractor . • • • • • •Address i:.?' �S•�31CtG(.�, 'NQ76Phone No.
�.j4�. . AeiGG�. . . Address 1 -4 A �� �t4t : d% . . .
15. ' Is this property within 300 feet of a tidal wetland? * • Phone No. 7�td-.%� / L
*If yes, Southold Town Trustees Permit may be required. . . . . .
Nv. • x; "'"
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. 5e(F Sc�rtcJ
TATE OF NEWYORK
:OUNTY OF S.S
• (Name of individual signing contract) being duly sworn, deposes and says that he is the applicant
bove named.((�,�„
e is the . . . (� . . . . . . . . . . . . :. . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer,etc.) . . . • . . . . . . ' • ' ' ' .
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
)plication;.that all statements contained in this application are true to the best of his knowledge and belief;and that the
ork will be performed in the manner set forth in the application filed therewith.
your to before mep this
[.�? . . . . .da of. . . . . . . . . . . . . ., 19..Vq
�' t' '
Mary Public, . . . . . . . . . . . : County
JOYCE M. to of of NS ' •���- n . . . . . . ..
Notary Public,State New York • • • • !�
No.4952246,Suffolk Cott
Term Expires June 12,1 (Sigilature of applicant)
B
�f.
1
AREA = 3A(JOfl sq. ft a`"'f WRVMS
nA A A�OF MX•M ONLY
CO DATE . W. NO.
� N
APPROVED
am fatraEW w!M Me STANDARDS FOR APPROVAL
r r AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SYNGLE FA A&Y RESVENCES
�. ��
and will abide by the condAws set forth tt►erekr end on the
aJ °= ',ts permit to construct.
`1� S
V a y
WATM SUPPLY AND UWAGE DERM"MUM MUfr
CONFORM Wrr]3 NEW STANDARDS DATED NOVLMBM 1391999
cc
y� 00- SURVEY OF
LOT 27
`oAs 4 p sy.o,rc �i� " ��
AJV�EL. S'hK�49ES
AT BA YVIEW
•�o SZ. TOWN OF SOUTHOLD
M 0 a SUFFOLK COUNTY, N. Y.
o VM -- 88 - 06 - P105
�• rye. Scale: 1" = 40(
SVPOLK MUM EwAR'ImwrOF marl 71996
e .>
MUM 1VOR APrROVAL OF G01W1lt1AC 1Yt1h 1rOA a
4GU VAULT RRMDWfM ony
15& , DATE-? 23 9 -94-6640
APFROM
j, FOUR 1rtAXDN11rIDMROM
0
0 ' rhe 8XPlRffi THM TRAPS FROM DATE OF APPROVAL
0 0� NEW
mss ro� ,' p1sc. �.N►erza p�,,�'
Op. \a 4) MY
AL MU1X,ry AN?AMM M THS SAMY 1S A KOLA T1 W � 6P or .5M1tAM to"OF 114E AEF MV STATE EVM n W LAN,
EMMOr AS M&TrAW 7209-SADION E AU pRTF7CBA TAM '�r. S. LIC. NO. 49618
AMW AAE vALD FW THS AMP AAD CgPES MEW pit Y F _
SAE AMP(M G BAR 17E U 8 SM or 11E SU4YEM
The locations of wells and cesspools . WOW MM TLA 'A PEAW AMVX Y P.C.
shown hereon are from field observations ACINIT1 MuY ro cWtY WTH$AA LAN, T1E TEAT AL mw or $.
and or from data obtained from others. AWr Of UM kY ANY Ano ALL sU WYM ul aM A COPY / TREET
rAD A� MVMY'T-M-A it r Av Av�� rw L,v S 11371
95-211 (27)
MEQ 33,-0,00 " t ` :
a r s f wn lite STAtliq RDS FOR Af CtVAL
" A/V C TMX TM OF S OWAFACE SM
DISPOSAL SYST WS FOR $M�t-E FAIL Y IWMENCE'S
67d rrJV amide by /be "%WIMS sei hard #wab aW on ft
- �,� psrntiii is consiruci. .
<1011
s�
3 SMVEY
L O+ T 27
AM COLWYAWMAM
?tq 41
I �I
•�, , B E
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
Wo - W- t0 - P/03
a
/� Scale. 1" = 40'
Jure 25,V96 `
Oct 4, /`I91::05-e
Oct. 25, /996 (foundation)
y i
M ;
e0A)
�,
1
ANY At WA ADWW W TW MRWY a A WVLA nnw
t� �Gr AS p, �Ecnw 1'dIC StAriF E LC4 �� .Y IC. NO. 496/8
l
AME V fare TNS JMP AM Su aNt Y Ar C
Seip AMP O N r � T1f $9It OF TAE SUNVEM
The locations of wells and cesspools MWsra►iMTUE MM'FARS MM
shown hereon are from field observations f5i161 T
Y m cq�+t r wtH s LAV > MM er A O. 90X
and or from data oblalned from others. er Aw Aw ALL StA WYM u7t+lAW A o�
ELEVAMW AW OFA�rv> SM"EM"MAP. TJJi11�S SM A$ '1rt�iErn!V AAV 1230 TRAVELER STREET
to AN ASsu� DA fir,- nr A NaT N Mriv rAE c. SOUTHOLD, N.Y. 11971
AREA = 33 d• .`ft SCOH�&^VF gpkRIQ-96-0060
N 97 A0620
X\
aM ham►.W/O the STAAVAMS FOR APPROVAL
• AAV CONSTREXTM OF St R&WACE SEWAGE
DISPOSAL SYSTB(S F W SNVSLE FAA„Y REMENCES
J�/ •� •.5�9. �� wd wR abide by On coadMons set forth /herek and on the
''S perm# to construe/.
Je�y `sem.
4
600-: SURVEY OF
is
562 LOT 27
"AAGa SHORES"Std COtuVTYAtEAtown
AT BA YVIEW
TOWN OF SOUTHOLD
.s3 s� ,s,�y 6R
.�� NI Y IN Y.
SUFFOLK COUNT
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A S;NGLLC FAMILY t ,tr C:g n@ 25, 199
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'SPT As M Mcrtrw E ALL Mr�rA�'nM N S. LIC. NO. X96/8
AA9*M AAE VAM F Mt n�Y4P AAI?G10P�S VAY i
Sii6 ANP alt BAR TAE /1°t BEAU star TM
The locations of wells and cesspools M'A E ttGl� AAM
Att7EAK , P.C.
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end or from data obtained from others. �M� �D hY ANY AAV Au $UV UTx A MY /230 T LER STREET
ELEVATIONS ED REFERIENCED t AA1311 tP EYAR;�A01P T AXW A$ 'CTS"AAV
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NOF PROI EB MAIN J
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OCCUPANCY OR onTE. aP �`l�DAPn�T 27
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WITHOUT
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FOLLOWING INSPECTIONS:
0 ®Y.�'i.YUI ANC �V�I. FOUNDATION - CRE EEQUIRED -
Z,C y FOR POURED CONCRETE
90 2. ROUGH - FRAMING R PLUMBING
S 3. INSULATION
r 4. FINAL - CONSTRUCTION MUST -
BE COMPLETE FOR C.O.
h ALL CONSTRUCTION SHALL MEET -
THE
„ /• ,< ,I/ STATE OU NOT
RESPONSIBLE
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CODES.
- - -_- -
” GL' /'�,U•NIf�'A CODES. NOT RESPONSIBLE FOR
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�[ t
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
Y - -
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B- -
SOLDER USED IN WATER
{ SUPPLY SYSTEM CANNOTEXCEED 2/1Pof 1% LEAD.� � � \\ PLUMBING_._.. ._.._ BING WASTE
ALL PLUM
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NEED
E
D
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TESTING BEFORE COVER LNG
-
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If copper tubing is used
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