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HomeMy WebLinkAbout23121-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24187 Date MARCH 5, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 14695 MAIN ROAD MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 8 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1995 pursuant to which Building Permit No. 23121-Z dated NOVEMBER 20, 1995 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 ALTER EXISTING DWELLING TO DENTAL OFFICE AS APPLIED FOR. The certificate is issued to ALEX BOUKAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 10800 - DATED FEB. 27, 1996 PLUMBERS CERTIFICATION DATED FEB. 26, 1996-TANDY PLUMBING a HEATING ui ing inspector 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.. N2 23121 Z Permission Is hereby granted to: > ~ . ~I }i77T~t N.:.... /Z? ............r--'.ll..rw to ,.A j ? ........~-U t ?c~9 .........©tf`! f........~....~....~................?......................................... `13-4 wa s'......./..~............................................................ at premises located at............ SG~a. 4: o.... n O.F~ County Tax Map No. 1000 Section ..../~,5 Block .........fir 4 ..pp Lot No. ~ pursuant to application dated ...........ZV47 19... 5......, and approved by the Building Inspector. Fee $ ilding Inspector Rev. 6/30/80 05/16/1997 12:37 5162985221ALEX,BOUKAS PAGE 02 ALEX BOUKAS, D.D.S. P.O. box 95 mattituck ww Yuck 99<452 T~ie(sht r f314 } 296-W,134 May 14, by)7 Ii ° .W, I € 31Y. A m our tclophom " on uAiy, i an rtu~ly t1'y ia'a~ to nmAw the isau With the Heaml Iq TO the t at' my IM)WWP an w x and amc test and p s art; adcquate vei n VWdc uos. I wifl be om"a racy reWesentadva miming my ps Cv(sk to t ckly msolw the Ream M-pt, approvats. Ale Ekmsk , DDS COUNTY OF. SUFFOLK C 0 P y C_9~ e k t R ~ f 3i99f ROBERT J. GAFFNEY MAY I SUFFOLK COUNTY EXECUTIVE , DEPARTMENT OF HEALTH SERVICES MARY E. HIBB..~D, IFr7€Af.~i ~.~..-J R__ _ COMMISSIONER CERTIFIED MAIL -RETURN RECEIPT May 7, 1997 Alex Boukas, D.D.S. P.O. Box 95 Mattituck, New York 11952 Re: Dental Office H.D. Ref. # C10-94-0008 S. C.T.M. 1000-114-8-5 Dear Dr. Boukas: I am in receipt of your letter dated April 28,1997 concerning the above referenced project. Please be advised that in review of your project file I am hereby notifying you that you are currently in violation of the Suffolk County Sanitary Code specifically Article 6 Section 760-603 which prohibits the occupancy of any permanent building unless Department final approval has been obtained for the existing or proposed water supply and sewage disposal facilities. This Department had issued a permit to construct on August 22, 1995. A permit to construct as indicated on your plans for approval to construct, states specifically that "This approval is granted for the construction of the sanitary and water supply facilities.....and is NOT an implied approval to discharge from or occupy the structure(s) shown". In addition, the Department repeatedly requested that you submit a complete water analysis for review of your application for final approval. You were sent FIVE notices of non-conformance (copies enclosed) and you were obviously well aware that the Department had not issued final approval since you note in your letter of February 23, 1996 to "Please call if any further information is required or when approved". DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD, N.Y. 1 1901-3397 852-21 13 In this regard, please be advised that an Order on Consent will be forwarded to you concerning the above mentioned violations of the Suffolk County Sanitary Code. This office cannot extend any approval to you unless and until all requirements concerning this project are met. Should you have any questions concerning this matter, please contact me at 852-2100. Sincerely, rai Assistant Public Health Engineer Office of Wastewater Management cc: Peconic Surveyors, P.C. Town of Southold Building Dept. Stephen A. Costa, P.E., W WM Royal Reynolds, P.E., WWM Jodi Cerasuola, R.S., WWM DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD, N.Y. 1 1 90 1 -3397 852-21 13 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL L/ 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool. $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000,% Commercial $15.00 Date New Construction........... Old Or Pre-existing Build 'n Location of Property.. .gS............!!°~~?7..! .C7 ./..Cepll AC House No. Street Hamlet Onwer or. Owners of Property .....~e:.. 1 -6, County Tae Map No 1000, Section.... 1 .Y.....Block........6? ......Lot.... Subdivision ....................................Filed Map............. Lot........... Permit No..4~' ...Date Of Permit a v .61.1.99-5 Applicant. Health Dept. Approval ..........................Underwriters Appr.oval......................... Planning Board Approval Request for: Temporary Certificate........... Final erticate. X.... . Fee Submitted: C.~ . So853 APPT ir.AN•r Co~~ylf~7 COUNTY OF SUFFOLK (I i 4. l9 i API; 2 8 lr9w ROBERT J, GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HIBBERD, M,D., M.P.H. COMMISSIONER CERTIFIED MAIL - RETURN RECEIPT April 24, 1997 Dr. & Mrs. Boukas P.O. Box 95 Mattituck, New York 11952 RE: Dental Office Health Dept. Ref. No. C 10-94-0008 S.C.T.M.: 1000-114-8-5 Dear Dr. Boukas: An inspection on April 23, 1997 by a representative of this department indicated that the above referenced facility has been opened for business: This is a violation of Article 6 Section 760-603 of the Suffolk County Sanitary Code which prohibits the occupancy of any permanent building unless Department final approval has been obtained for the existing or proposed water supply and sewage disposal facilities. You are hereby ordered to cease operation. Please take note that this illegal occupancy will be grounds for this office to initiate formal proceedings for the alleged violation(s). Upon receipt of this notice you are hereby instructed to contact this office with regard to fulfilling requirements of the Suffolk County Sanitary Code. Sin ely, Vaignepper Asst. Public Health Engineer Office of Wastewater Management cc: Town of Southold Building Dept. Stephen A. Costa, P.E., W WM Royal Reynolds, P.E., W WM Jodi Cerasuola, R.S., WWM DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD, N.Y. 1 1901-3397 052-2100 02(29/1996 12:57 516-734-7206 LADE"Ala'ELEC INC PAGE 01 0 0c~ooocaoo•o•o•ca•o•aecoo#4:3, ooo?©oQ#4a QoGa000cl, 000000 p (516) 286-W2 ELECTRICAL INSPECTION SERVICE, INC. 0 ° 375 BUNION AVENUE o EAST PATCHOGUE, NEW YORK 11772 0 1nRnn _ 0 0 tale _A/I4ICATIaN Ne.11N FILE O 0 /V°1 ° Road VILLAGE,Eattt tuck 7pWNe Southold ADDRESS :.14§95 gain 0 0 I55UEDT0:_A1flX SOLkeB DDS O • t_IC.NO. 41411._______ O O INTRODUCED BY ~E1~Tll? F~.~.-~-~ 'I BC e r? 0 ° waa examined on _ and lowsd to be In complienra with the National Electrical Code- 0 0 tiva~aviivvv...w.r..v.v.vv.v..v..v...vOVV .vovvO V6vrvrMYwv.vv=~ 00 0 LOCATION XX _BASE. XX 1st. -3rd ^Attic POOI 00 O 0 OUTSIDE r RES . DET'. GARAGE HOT TUB ° o 0 rrwww..e.... o r,rwa~wavuowwwwwc -"-awrmrewwrr~.w.rrrww ..wP±••a...~~.rw.vs... 0 FIXTURE RECEPTACLES SWITCHES G. F. C. I. DIMMERS PANS AIR. COND. 0 0 5 0 22 24 16 0 e 0 0 DISHWASHER DRYER CLOTHES WASH, GAR. OISP. RANGE O\IEN SMK. DET. e 0 0 4 e OIL Q - 1, 0 FURNACE GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT 0 0 0 1 =200OH ° 4 ~ ° 1-Exhaust 1st floor,Hath 0 6 2-power Packs 0 2-Exit Lights p~res~iden~t~~~~/~~Nl~ e 0 This W01194t. man not be •8.r.dr mennn. O p ~mp.ct•.. m.y w ranun.d t" mar v.au.u. 0 Vry 4 O Qpo©OQOd000C~•Q?©0G?0Cl•©0000 •d•©•O000Q000.~•0000©00000Go 1-C a 2 121 , N TEL. 765-1802 ~cUEFOC/(c TOWN OF SOUTHOLD OG Z y< OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N r Date v o2~ r, Building Permit No. d 31 a / Z Owner tea, /JLCX C3ou+~r~S (please print) Plumber ' j,)NON AA (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature Sworn to before me this r7f 4h day of FEF3e Q 19 Notary Public Notary Public, cjU( Dt4~ County NANCY A. PESTER Notary Public, State of New York No. 4940985-Suffolk County Commission Expires Aug. 15, I° q U M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 14-1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: J . DATE j 6 k~ INSPECTOR yu F f lWiP "LION RIiPORT DATE COMf1liN'f5 - - UIINbAT TOM (I S'[) OUNDATLON (2ND) ~ - AIGII FRAME _ NIP, - - o fff~ ~ ~'1 H ~ WMATaON P,?R N. Y. STATE RRRRCY r• a Nnt. I 0 ADDITIONAL COMMENTS! e~ ~S :a O r, - FFO4co fc~ Gyp x Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 1, 1996 Alex & Alfrodite Boukas P.O. Box 95 13075 Sound Avenue Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $50.00 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 # 23121-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I 7 STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 EDWARD J. Pm7Ro. JOHN B. OALT REGIONAL DIRECTOR COMMISSIONER October 30, 1995 Mr. Robert Kasner NOV 6 Town of Southold Planning Department Route 25, Main Road sir.;iw. Southold, New York 11971 Tr'•"-'!~'r~~_z' ' Dear Mr. Kasner: Alex Boukas, D.D.S./State Route 25, Mattituck This is in reference to the application which was submitted to this office concerning the access to the property at the above noted location. In conducting our review, we anticipated that the use of the property by Dr. Boukas would generate traffic which would park on the shoulder in front of the subject property. In our conversation with your office we were assured that the on site parking was sufficient and that the shoulder would not be used for parking. Based on this information, we will,in&Ay~reduire the installation of concrete curbing on Route 25. Therefore, Dr. Boukas will nct be required to secure a permit cc modify the existing driveway which now services this site. Questions concerning this matter may be directed to this office at 952-6025. sinc rely, VITO F. Q Regiona erm:_t; Engineer ~OgUFFO(k~o PLANNING BOARD MEMBERS aO Gyp Richard G. Ward, Chairman uo Town Hall, 53095 Main Road George Ritchie Latham, Jr. p P. O. Box 1179 Bennett Orlowski, Jr. Southold, New York 11971 Mark S. McDonald Fax (516) 765-3136 Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 31, 1995 I' fG' p NOV 6 1995 Henry Raynor P.O. Box 1459[::} Mattituck, NY 11952 Re: Proposed site plan for Dr. & Mrs. Alex Boukas Dear Mr. Raynor: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, October 30, 1995: BE IT RESOLVED that the Southold Town Planning Board authorize the Chairman to endorse the final surveys dated July 19, 1995. Conditional final approval was granted on September 11, 1995, however, the condition of obtaining a curb cut from the New York Department of Transportation was not required, according to a letter dated October 30, 1995 from Vito Lena, Regional Permit Engineer. Enclosed please find a copy of the map which was signed by the Chairman. Please contact this office if you have any questions regarding the above. Sincerely. Richard G. Ward Chairman enc. BOARD OF REALTH FORM NO. 1 3 SETS OF PLAYS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NDT IFY ; a~~. ? CALL Examined MAIL TO Approved /X/1__1 19/.>. Permit No..................... Disapproved a/c . 7 di /Inector ) AP PLICATION FOR BUILDING PERMIT ~p Date ...n ro 199? INSTRUCTIONS at This application must be completely filled in by typewriter or in ink and submitted to 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 remov or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinanc building co using code, and regulations, and to admit authorized inspectors on premises and in building for necessa pectic _ .v. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) y, y, //9,52 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 1 Iev kR 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 officer) Builder's License No. . &'.741t1`7FT A10V 6X995 Plumber's'License No. - Electrician's License No Other Trade's License No. 1. Location of land'on which proposed work will be done. ~f' . " " " " " " " House Number Street Hamlet County Tax Map No. 1000 Section I.... Block ...a, , , , , , , , , , , Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...RIO 1Cesr.c~>°~. ll?.,~..... , b. Intended use and occupancy . 3. Nature of work (check whichl!, applicable): New Building • • • • Addition Alteration K _ Repair , • • • • • • , lmoval Demolition Other Work . 4. Estimated Costkl'.1 (Description) ~ I Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . Number of dwelling units on each floor , . , . , , , , , , If garage , number of cars AV 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use nnensrons of existing struct ' 2 % tires, if any: Front 21 r......... Rear I:. Height , Depth . f ! , , , N mber of Stories 7- . U Dimensions of same structure ',with alterations or additions: Front , . • ' ' ' • • • Depth , l Height Rear • • Number of Stories 8. Dimensions of entire new construction: Front Rear ...:?I,' Depth 5~ gltt . Hci Number of Stories ......«2 . . 9. Size of lot: Front Rear . Depth y......,. 10. Data of Purchase ~ P A17 q![ , , , , , , ,Name of Former Owner 11. Zone or use district in which ' ' • • • • • , . . remises are situated , O 12. Does proposed construction violate any zoning law, ordinance or regulation:14= . • . 13, Will lot be regraded ...N12. , , , , , Will excess fill p be rem v d from premises: Yes No 14. NName of ame of OA wner o premises ~C remises , ~ov~ • ' ' • Address-Q U s~P.4;esO X f Phone Not)9g: g3, 3!t , 5 t 7*1 ~ t..... . Address(RCP.P,l T.U A LN/MN~phone No2y0 52$¢ Name of Contractor . Address . 15. Is this property within 300 feet of a tidal wetland? * " ' .Phone No . Yes *If yes, Southold,Town Trustees Permit may be required.•~~•• No.?5...... PLOT DIAGRAM Locate clearly and distinctly alb buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. s STATE OF NEW O COUNTY F.., av Qk 8•S rk.x.., f4 s • • • • • • • • • • • • • , being duly sworn, deposes and says that he is the applicant (Name of individual signing: contract) above named. L He is the l 0 Y 1 'l r0.C'~,d (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly apthorizdd to perform or have performed the said work and to make and file this application: that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i............... day of./. 19. i. Votary Public, wQ./t~; °4//Z1Q/x , • . , , , County \ • NEIL W. TONER Notary PubJic, State of Now York z; • • No. 4854162 (Signature of applicant) Qualified in Suffolk County Commission Expires 3/10/19 (p i we+/ v\ S.C.D.H.S. # CIO-94-008 f ~f 7- CL MAFFIC 8"RwE `S gg.l 6, f Fausnra wAaE WEB ,so JOHN LOPER T M co m eo z wAx. N/0/F 07 30., E. e G) N. T4, rs~ / R_ +RLET a~E N APPROVED T PP£ virOl 0T' M YVIII noon - " _ _ I/B' PER. FL 9 p v t^d - bl ~ d o v c vl \ CaL o A _ G 10 384, - u _ 0 - 4 - o ov Z E PREIUS OF PROFp5E0 p m n66 4 4. 4 1 tN5RPO a' - `L c P X50 p0~5 CESSP e14r;'scoxs - t N adArAf apHM T_ pr'P \ prop SANITARY LEACHING -c Ose~#i e o POOL J7 w Z z s p o . sy y~ (rre NO SCALE MLAI N1 1,7, AALr , n C3 iE p.1 RiiFY~>'r I ' r ~ A. O N SANITARY DESIGN o oP - `/os+ • r p e°~ wan b2~y ~r r °lN GROUND WATER MANAGEMENT ZONE IV U 300 g.p.d./ Acre - 0.48 Acre - 145 g.p.d. 1 0 go A' EXISTING GROSS FLOOR AREA PLAN OF OF 900 GAL. SEPTIC TANK 10 A/ S N G a.& Proposed Medical Office = 1453 sq.,,. v, q m/- re (basement to remain unimproved) RTY Z PROPERTY 'M O (-J L P/rr~n \ 6'f><IS'l 1453sq.lf. 0.1= 145.3 gpd. !TUCK m ab P D~ v blq~K joh O. Ps O PPRO ROVIDE 2 L90 .P.S.LP EPTICD~ ANK A T MA TTITUCK VIDE N Existing Building to De Utilized TOWN OF SOUTHC ~)UTHOLD n m p O of b ° as Dental Off!., only SUFFOLK COUNTY, UNITY N. Y. < o t-1 \{ao ( }cchA y. ~Tell+'s~ ; =Septic System to Do 1000 - 114 - 08 - 05 08 - 05 fn Backlilled with Sand B Abandoned- p N SCDHS to Witness Scale: 1" = 20' - 20' 0 ? m ye o - = OIL TANK SIZE 275 gait mammill" CD o ae b z s~ y d' n April 19, 1994 = 1994 00 C~ffi .TKFWr«W OF HEALnf SEA( rv Q \ Test Boring # l irsh5n y1 !+°k NO DATE_ REVISION SION 141PO D FOR COIESTRIX1404 041' Ramp R0.RaCIQ,:9tl-00$ D• _ N !o, +q B raP. a I 515194 H.C. Ramp N: 4 q aEYUR eR U -4 P al N 2 5/23/94 Parking I Pavers" Vol Pave NFO aReW G 1 9 9 \~'o-J ~+o 29.~ N 4 30595 H.S. (INFO 11 EuY Cn \{r ~e - ati Co 5 5/23/95 H.S. INFO 14 INFO app" is drmM for the cnnsduetion of the Pary e• ?c N ro s 2 THERE ARE NO CESSPOOLS 6 7119195 H.S. INFO #A INFO dim" a~"y ywhr supo, 48emb s pu wpt to Amok V and BROWN WITHIN 150' OR 57"ORM DRAINS M 1 of die ~SV~Tl.h Coemr Unitary Code and is not an eapr Nor implied approval Io dt=hatp frmh er aeou t11e `zAY`~ \ A n s (AFTER RELOCA T+ON WITHIN 50' lnztut"Ill Own, [ [HIS APPROVAL EXPIRES nV0 M s, 5b E N p b~eryb~t ,red OF PROPOSED WELL PALE J VIK DAVE OEM. BROWN bE \ A{ 2; 1141, rv = w ~ -(o y.~lL \ T FM To MATE SIC 0.TU 1 x Drain 8 leaching pools for C.B. IWRSE p \ to be relocated 50' min from new SAW P \ / _ well location rD {eo n9 p ov" A m 5 0 b Pled ~D T6 BUILDING ZONE: RO LOT COVERAGE 328 ` C2 BUILDINGS = 6% D Vim. LANDSCAPED 71% T \ 1 ( -SHEILDED LIGHT SOURCE ! PROJECTED DOWN ROJECTED DOWN) (HP. SODIUM) (FLOOD) 4-= TRAFFIC FLOW -ESSIONAL OFFICE A• \ - e PROPOSED USE: PROFESSIONAL kk 5 APPROVED Test Baring D 1 r{~~ yTa 1\ sAMTARY r-) PROVED BY [ _ WELL CAP !WATER-Va T) .a. . I G I . t r FLANNinu VUi XMiNki Kv AUG 3 11995 L) TOPSOIL m i IIH"1606 TEST GAL. Z p~ `t O G 1 ASTMRATEJI TAN. TOWN OF SOUT N OF OFSOUTHOLD suunimo IDWiV aaaNOEL` c ao ° R WADE ,R- 54 snow m TE VLANNING BOARD m P~r1 PARKING SCHEDULE ICJ 2.5' PHYSICIAN'S OFFICE BRASS rvrzess ADAPTOR ONE PHYSICIAN 5 SPACES PALE STEEL [ASWC (MEET N.SP (ASTN STANOA ELF EWE ORANGE PROVIDED 5 SPACES GR. WATER SAND I HANDICAPPED SPACE - ~114. i 0* MST - o rZ0 OP/r' 40, W NEF IPPROVEO -.1- SLACK PVC i l GR WATER / 1111' N Y. LIC. NO. 49618 13• _ I - SIA31ERSME P (5 GPM, Q 55~ PSF PO P9 [IFF.P~ i i STAKE .STEEEcamr PEC( PEC U URVEYP. C. !5161 tq WELL DETAIL P 1601 r16950RING CONTOUR LINES ARE REFERENCED TO AREA = 21,051 sq. ft. ~ NO SCALE MA /A P. O. B MAIN ROAD THE FIVE EASTERN TOWNS TOPOGRAPHIC d x SOU SOUTHOLD, N.Y. 11971 MAP p 15 94-103 1R _ T1~~i1 _ 1B" 42 min IN51Tp6 qM 455 1065 i IL 64 min 12'min 12 mm 12 m!x 13ro n - 3os 305 I,I 42 min 305 1065 36 „ max I I CLEAR `°r' R dl 975 TOILET PAPER te- FLOOR c =n °m j III.) -g' DISPENSER I SPACE E c 4 I .230 4 in Im N Q~ n~ aw 21 4 ~ * wn:re .pn.e Penna.. cnaN e1nelwma4n.rrr~ 60"min 7 1575 kil 0 - A Water Closet dS - I cN ~ W Front View Clear Floor Space at Water Closets A N d ILbV. - - i c E 17 min V II ' 3d' ~ L _ CLEARg E j FLOOR O I SPACE tis V I P. Mb ~ ~ cN FJuipm'~ N m 19 max" "~t!.k J 4115 & ` 1 I ^r• XY4„ it 11 Amin TOE CLEARAN 48 min y LEG CLEARANCE ,D n]o FIxTU RE DEPT - P4-11 h 37 311 tlhr }r., Clear Floor Space at Lavatories 30 /.it 1 1 ITiN~ iZM`~ Y NOrl P.rlmd lino uuL.nr. nunern:nnui Jranuu•.I •grtlnnul onAU Lnmr•rnJ:nmc Size and Spacing of Grab Bars Lau Clearances , T~ 7C GOM{'L-`>' vJ IT}I ANSI A I I l • I ~ I `I9 ~ AME~I( x.1,1 Nf''i"I~-I DL °-=Tr'I I ='=1d.L' - `~I s - - nnwN _ l~ xaz L=®vr - - 2),4 F'.,bil-GDP ~ 2x4 TD}° RhIL GD MTINUaUrj _ I _6; ' GLED_kTfENINbi V WIG t-~ 2kA MIU :AIL - C.o. II - iTO !ANITAPvy J - -yam ~ y1STG~A i Qx le• (~LKrlti161- I ~i ~~~I Mme' ING-~- ~ IbC1~',>?M +~-_-_--==-Ir ~ ---~-'f bI-I-WC^~j7G'pI F'>=Tn P,~=•-'%` IF.f.%N---_ F .x(n D~-Ilo"%-~~ -F AP RGIVIED AS90TED 'DETLIL DATE: B.P.N OCCUPANCY OR - NOTIFY BUIDE ~ USE IS UNLAWFUL 765A8 BUILDING DEPARTMENT AT (yDI LINCa $ CE4f_VI kLl TO g C.UNST• Caitil~[c Cam. fi5.702 9 AM `TO^ PM FOR THE WITHOUT CERTIFICATE~RaMIN~, •l-p 4-JMER„ 1. FOUNDATION TWO FOR POURED CONC ETEflEQUIflED OF OCCUPANCY 2. ROUGH - FRAMING & PLUMBING p 3. INSULATION EL, ELkLj ~ GCL LEG ~V D LE.G D 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Up;izERV;WTL;s CERTIFICATE PLUMBER CERTIFICATION ALL CONSTRUCTION SHALL MEET REQUYRE6 } GEILtM(A F1KTt)rV4L (rJµS~INCa CoNS(tzuGTloN THE REQUIREMENTS OF THE N.Y. ON LEAD CONTENT BEFORE If copper tubing is used I ed WOLF. FIK-N(Ll-- ~ET7GQN~KwTI~v J'114}} STATE CONSTRUCTION ENERGY r"KP CODES. NOT RESPONSIBLE FOR CERTIFICATE OF OCCUPANCY PLUMBING for water distributing DESIGN OR CONSTRUCTION ERRORS SOLDER USED IN WATER ALL PLUMBING WASTE System; piping l be 9 ~ pL~olee-XimN-r FiwN To R:P- RsMOJERD ~e FA & WATER LINES NEED Of types K or shall L only SUPPLY SYSTEM CANNOT TESTING BEi ORE COVERING ~xNPU~t Fia+ + J EXCEED 2110 of 1 % LEAD. UNDERWRITERS RFD CERTIFICATE SE FLED waj Al° 1 REQU -p!} S W IT~L~ ~-e DOTLET GN COJHIW, HEI!tA7 - -