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HomeMy WebLinkAbout23403-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 9-25166 Date JULY 31, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 705 FISHERMANS BEACH ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 1 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1996 pursuant to which Building Permit No. 23403-Z dated MAY 2, 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 ALTERATION & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LLOYD K. & LYNNE S. CHANIN, TRUSTEES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-419493 - NAY 12, 1997 PLUMBERS CERTIFICATION DATED JULY 22, 1997-THOMAS LICO Building Inspecto 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) Date........... .... ................................... 19... . NQ 23403 Z Permission Is hereby granted to: Z'-'.. .. i�......./. ..... '�, ....................... z..... .. ............................... /,f...L,14....../,w. 7.Of ........ ...... /���'r� 7 .. ..� .....�` �.�J........../ . �/.. . ...... . .......�����r �...I....V.......... . ..:. ............................................... ........................ .. . ............ _ .................................................. .................................. .0 � .. ......................................... at premises located at............... o �rf//z�,e/' �f /� ./.. G.-..................... f............... ......................................................I..................../ ��R.:G c�� County Tax Map No. 1000 Section (�........//.!/........... Block k......4 j............. Lot No. ....3�.............. pursuant to application dated ...../lL&..4............lr!. ......... 19...?�,�.,..., and approved by the Building Inspector. 3 �s��Fee S.. . , . ..... . ......... �-/�... ...:.. ...�- � / uilding Inspector Rev. 6/30/80 r� u2 Pa 13• < � Form No. 6 v'°'(' : N•/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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�_j 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - _ •25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . .~`�. 0 L Y. . �: �.9.9,?. . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . • . . . . y.?s�!$s! House No. Street Hamlet Onwer or Owners of Property. . . .4byp„ County Tax Map No 1000, Section. . . . P1 . . . . . .Block. . . . . !. . . . . . . . . .Lot. . . . . . . . �. . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No 23~03• ?: • • . .Date Of Permit. .S.l2.'. �r° . . . . .Applicant.4-1.¢yb. . Crk(hft0q. . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certic e. . . . . . . . . . . �``� Fee Submitted: $. .��1 : . . . . . . . . . . . . . . . . . . °o Z dJ r fb� APPLICANT p' 1 I 11 Town Hall, 53095 Main Road 3 Fax (516) 765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 y OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N �/ p DATE: �- Building Permit No. 02 3 0 3 Z Owner: (please print) Plumber: 1 — AeOM AZ (please print) I certify that the solder used,in the water supply system contains less than 2/10 of 1% lead. (P um er Signature) Sworn to before me this 0t3 day of II 1991 Notary Public,, t'V �/ t � County TERRY ROSENBAUM Wilery Public State of New York No.4892279 QualMon in NassauaFeb.2430 2 Commisaton reaFe //--tt►^ \+\ �;a�,. , 5x-sisxi..wiJ•wu.'Atcftllt 'h-',rFa d a:1,3aii s-.w.. .nam..,+ .. .,_ . -,,.,x. _.<.....,... .- ,, as . �y:�q. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000090 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date MAY 12,1997 Application No.on file 12587396/96 N 419493 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 CHANIN, 705 FIS11ERHANS BEACH ROAD, CUTCHOGUE, N.Y. in thefollowing location; ❑ Basement ® IRE FL ® 2nd Ft. '-AR/OUT Section Block Lot was examined on MAY 07,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DICKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W AMT. KW. AMT 9.W. AMT. H P 24 35 28 1 20 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS I BELL UNITHEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP AMT. AMPR TRANS. AMT. H.P SYSTEMS AMT. WATiS NO.OF FEET 2 - 1 2 1 20 SERVICE DISCONNECT NO.OF S E R V I C _ E _ _ AMI. AMP. TYPE METER 1,e']W 1,e JW J d 3W 3.F AW NO.OF CC COND. A.W.G NO.OF MI-LEG A'W G NO OF NEUTRALS A.W TR EQUIP. PER.B' OF CC.CONTI. OF ,W G OF NEUTRAL 1 200 CB X 1 2/0 1 2/0 OTHER APPARATUS: G.F.C.1. -7 SMOKE DETECTOR:-6 BLUM6NSTE'1'TER ELEC. INC. � L L 782 GARFIELD ST. FRANKLIN SQ. , NY, 11010-3726 GENERAL MANAGER 11 >a 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. grurm COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 1 Ilt l.11 lual'ISI;'l lull it li relit UAII': ,�..:,:,I. ,, . _,.:,,:•.._....:,,,.:,•,. :,.,- CUlllllilll i -- Full] I)AI IoiIvi An .,^,,:,.,, ---- ------ -- - ---- - _..._..-... - 01 / - --- - ---------- „' S I'A I li If III!IIQY FINAL .--- t AIM111011A1• Clll1111!11 I'S : _._.------ ---------------- - - - r ' - j NEW'K STATE DEPARTMENT OF ENVIRONMENTAL CONSER)^ION DEC PERMIT HUNGER EFFECTIVE DATE 1-4738-01211/00001-0 - 12/4/95 FACILITY/PROGRAM NUMBER(S) pE IT EXPIRATION DATES) 12/4/2000 Lir the Emireipyptal Conservation Law TYPE OF PERMIT I New p Renewal 0 Modification p Permit to Construct 0 Permit to Operate 0 Articlo 15, Title 5: Protection 0 6NYCRR 608: water Quality p Article 27, Title 7; 6NYCRR 360: of Water$ Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES a Article eu27, Title ste ea9; 6NYCRR 373. supply 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management p Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Walls Management 0 Article 241 Freshwater Wet lards 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers I Article 25: Tidal wetlands 6NYCRR 380: Radiation Control p other: PERMIT ISSUED TO TELEPHONE NUMBER Lynne S. Chanin 516-627-6600 ADDRESS Of PERMITTEE 12 Montfort Drive Huntington. NY 11743 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Samuels & Stgelmen Architects, Tom Samuel 25235 Main Road Cutcho ue NY 11935 Arin NAME AND ADDRESS OF PROJECT/FACILITY ' Chanln Property 705 Fishermane Beach Road LOCATION OF PROJECT/FACILITY Cutchogue COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Cutchogue Harbor OESMIPTICN CF {ILf"IZM ACTIVITY Renovation of existing residence; addition of garage (Approximately 18'X301) and deck (Approximately 51X91) on North aide; addition to residence on South side; demolish and remove existing garage and Shed to an approved off-site location. All work shall be in accordance with NYSDEC approved pion. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINI STRA= ADDRESS Bldg. 40, SUNY, Roos! 219, Stony Brook, NY 11790-2356 AUTNO ED SIGNATUREl^y DATE ("( R a 12/6/95 Page 1 of 4 esza, aa�—sa New York State Department of Environmental Conservation NOTICE v The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Roe Permit Number t4w-yta,r60f-0 A Q Expiration Date ��` ='OOQ APR / s W f f NOTE: This notice is NOT a permit 7- Soho LD ��guFfot,(co Albert J. Krupski, President O py Town Hall John Holzapfei, Vice President c 53095 Main Road William G. Albertson y P.O. Box 1179 Southold, New York 11971 .Martin H. Garren �,t, • .�'� Peter Wenzel '116 �a0 Telephone (516) 765-1892 Pax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 31, 1995 Samuels & Steelman Architects Ural Talgat 25235 Main Road Cutchogue NY 11935 Re: LYNNE S. CHANNIN SCTM #111-1-32 Dear Mr. Talgat, According to the information given a copy of the Survey submitted and an on-9 tla inspectioh; the Southold Town Board of Trustees have found this project out of out jurisdiction under the Town Wetlands ordinance. Please note that any activity Within the 754 of Wetland area will require an application from this office, If you have any questions, please call our office. Yours truly, 9. i4A.,� - Albert J. Krupski, Jr. , President, Board of Trustees AJK/djh cc. Bldg. Dept. �� Q)J CAC `- QQ` v� ��°X/ M-1802 BUILDING DEPT. INSPECTION [ ] UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:jz/ ~ alb DATE INSPECT R c)2Ko3e- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION AM [ FRING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: -14 DATE a INSPECTOR M-1802 BUILDING DEPT. NSPEC"ROUGH ( ] FOUNDATION 1ST [ PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: " ell / 1 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ J FRAMING [ ) FINAL REMARKS: DATE ( y INSPECTOR M-1802 BUILDING DEPT. NS�ECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: _ C DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION IST [ ] ROUGH PLBG. [ OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE ,& CHIMNEY REMARKS: l DATE ,� INSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ) ROUGH PLBG. ] FOUNDATION 2ND [ INSULATION [ ] FRAMING ��[JJ ) FINAL REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]] 1 CATION [ ] FRAMING [ ]v FINAL [ ] FIREPLACE A CHIMNEY 0 3c 411 REMARKS: ,®Y -� 3� ' ..e DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL AA4-1`q ) [ ] FIREPLACE S CHIMNEY ,f j REMARKS: CS� '�.......... DATE -`� /� INSPECTOR TW-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [/FINAL H PLBG. [ ] FOUNDATION 2ND [ ATION [ ] FRAMING [ [ ] FIREPLACE A CHIMNEY REMARKS: e DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE / INSPECT BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 {� TEL.: 765-1802 Examined . . . . . . Y. . . . . . . . . . . . . . . . . . 111 ., 19 �/ IAIL T c� �a. A , �.� , _q Approved . . . . . . . Y . . . ., 19 . {�Permit No. .v� `. .�.(.�. . . Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Buildi g spetL` or) APPLICATION FOR BUILDING PERMIT Date . . . . ./. . .�. / . . . ., 19�G. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submittedto the Building Inspector, with 3 sets'of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 inspectio _ —' (Signature of applicant�r- ?e, if a corporation) (Mailing address of applicant) //9 35 State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . .... . . . . . . . . . . . . .... .. .. .. . .. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . Name of owner of premises . : . / f .!:!11?6. . . .�17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. _ D (Name and title of corporate officer')' A� 19 Y Builders License No. Plumber's License No. . . . . . %e.__ TOWN OF SOU NOLO Electrician's License No. . . . . . .. . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number / Street / Hamlet County Tax Map No. 1000 Section . . . i /.//. . . . I . . . . Block . . . .`. . . . . . . . . . : . . . Lot . v '. . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) , 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existin use and occu ane �5/et a. . . ..... . � . g P y . . 4%1? .1 b. Intended use and occupancy /-- Repair . . work (check . . Removal le): New Building . . . , . , . . . . Addition . .. . . . Alteration e><. , . . . 3. Repair of work .check which a Demolition ., , , , , , Other Work . . . . . . . . . . . . . . . Natureapplicable): (Description) 4. Estimated Cost . . . . . . � ry, .li Q� © . . . . . . . . . . . . . . . Fee , . . . . . . . . . . . . . . . < , g (to be paid on filing this application) garage, hits . .. . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . , . . . . . . Ifarae number of cars . . . . . . . . , . . ./° . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . 6, If business, commercial or mixed ',occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . dwelling, number of dwelling u 7. Height . . . .?e , �7 ru Numb if any: Front . . . �?j , f�, , Rear, . . . .G,T. Depth . . . T Dimensions of'existing structures p hr of Stories . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure wit alterations or additions: Front .V.. .rT • • , , . Rear . ./�F, .. .. . . Height . . . . . . . ,4•(;.r.r • , ; , . Number of Stories . . . .� . . . .. . . . . . . . . . . . . . .Depth h �. . .. Numbction: Front . . . . . . . . . . . . . . : Rear . . . . . . . . . . . . . . . De th 8. Dimensions of entire new constru' p Height r of Stories 9. Size of lot: Front . . . 05. 7i . . . . . . . . Rear . . . . �f� /?7, . . . .Depth . . :?.? �. .o�F.7• . . . . . . . • . • . . . . . I . , . . . . Name ofFormer Owner . . . . . . . . . . . . . . . . . . . . . . . II. Zone or use districtp in which remises are situated , , , , , , , .O 12. Does 13. Will tog rbeoe rade construction violates any zoning law, ordinance or regulation: . . . .!U d , • • • • • • • • • . . . Will excess fill be removed from remmses: Yes No 14. Name of Owner of premises .�.1,N. Address 1APA10mA7.Pwll`/u�netho. Name of Architect SA . . . 7��LH9A!v, ,', Address ,c1e74VK5ne No.13.40.,fe5; , Name of Contractor . . .. . . . Address . . . , . . . .— . . . . . . . . . Phone No. 15. Is this property within 309. feet . . p p yfeet of a tidal wetland? No , . *If yes, Southold To n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW YORK, S S ..– ;OUNTY OF . . . . . .rrtttl.r7y.4Et, :• . • • • • . . . . . , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. [e is the . . . . AA C, (Contractor, agent, coeporate officer, etc.) f 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. worn to before me this . . . . . . . . . . .day of . . . � €!Fc Qi . . . . . . . ., otary Pubfi . . . . �County � . . . . N�RW$WeofNowYork (Signature of applicant) T SUM , 6P 023 03 LOCATION MAP SITE DATA " SCTM # 1000 - 111 - 1 - 32 EAST � -• ' CUTCHOGUE ! d ,I PROPERTY: 705 Fishermans Beach Road ADDRESS Cutchogue, N.Y 11935 i cq rP, DD. Cj rP. Pip. 6 1, _ I ��,. J {'<c� OWNER: Lynne Chanin J 12 Montfort Drive / I. - I •°` Huntington, 4 3 E Tel6# (516) 7-4864 SITE: 0.376 Acres / 16,378.5 sf AREA u �p�t LITTLE ZONING R - 40 \ _ Tt2,IM6TkLL_ __ —_ > '� HOG NECK PLUMBING J SURVEYOR: Roderick Van Tuyl �e reenport, N.Y ALLPLUMBING WASTE cv C GUE � r°II. , 1� I NASSAU LC�i ense # LS 2562644 } i &WATER LINES NEED 6 HApBOR V L I POINT Dated. July 21, 1993 TESTING BEr'ORE COVERING _ Iii co•. p� \ - - -- s PLUMBER CERTIFICATION SITE'I wc. 3 ELl?wi�xTIOIN rJ EL,G�/4.TIoN C.° Amended: October 22, 1993 N If copes tun,.In . Used .'° ' I z Z SECOND FI oU* Fz PjAT+ IR�U` M IIJTE�P-(D F-J,ey. for water ON LEAD CONTENTBEFORE � NOTES: Elevations shown are based on � system; pipet, " ,d .a CERTIFICATE OF OCCUPANCY Suffolk County Department of Z LU of types K or L onl,• �- Public Works Aerial Survey O Q SOLDER USED IN WATER (Mean Sea Level, N.G.V.D.) UNDERWRITERS CERTIFICATE SUPPLY SYSTEM CANNOT REQUIRED F- EXCEED 2/10 of 1 LEAD. Public water IS not available Q within 500 ft of property. Q CaY P, e'v, Ca`r P. e, 06 PROVIDE 3i NR. FIRE t ® I Uj AP�RpNED AS NOTED RATED SEPARATION TO z - N PART.717.3 (f)(1) OF Z o 1..` FEE: —BY- N.Y. STATE BUILDING CODE. NOTIFY BUILDING DEPART ENT Al y6I2p�UIJP I ' F- 1 765-1602 8 AM TO 4 PM FOR THE Q FOLLOWING INSPECTIONS: 7 .6PJ,ALNII.L4,c,4.0, FT?.� PROVIDE OPENINGS FOR O -_ _, _, 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE r j 2. ROUGH - FRAMING & PLUMBING EMERGENCY ESCAPE AS %N'EN,� Z -- - 3. INSULATION REQUIRED BY PART. 714 OF LU 4, FINAL - CONSTRUCTION MOST BE COMPLETE FOR C.O. N.Y. STATE BUILDING CODE. aS - ALL CONS;iRUCTION SHALL MEET � � THE REQUIREMENTS OF THE NY. -- STATE CONSTRUCTION & ENERGY PLAY WATERS " VG -/ Q S _ — .1_ FOR SIDLE a CODES. NOT RESPONSIBLE T. 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