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HomeMy WebLinkAbout17580-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19450 Date OCTOBER 16, 1990 THIS CERTIFIES that the building ADDITIONS Location of Property 2050 DEEPHOLE DRIVE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 1988 pursuant to which Building Permit No. 17580-Z dated NOVEMBER 2, 1988 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 ATTACHED GARAGE, AN ADDITION, & DECK ADDITION PARTIALLY ROOFED TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS A. PALMER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-018135 - SEPTEMBER 18, 1990 PLUMBERS CERTIFICATION DATED OCT. 12, 1990 - K & K PLUMBING & HEATING 71 Building Inspector Rev. 1/81 / r' S.: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19396 Date SEPTEMBER 27, 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 2050 DEEP HOLE DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 4 Lot H Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 1988 pursuant to which Building Permit No. 17580-Z dated NOVEMBER 2, 1988 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 ACCESSORY SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to THOMAS A. PALMER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 47 - uilding Inspector Rev. 1/81 FORM NO. 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° 017580 Z Dote /,//v , 1918 Permission is hereby gran to: .4 - �c, 1 2/f �G.-,.�-y Cara "- //ic1C '- o 49V , cage rribrg",_ 7,1frite larri4 dealt- t-t, -et- iltiref -aryeev '6007 Weil ,t4,,H 4 4t a6Gd � ,r�a p o30 Z'..,., .%t.. . vma County Tax Map No. 1000 Section/......./.. 3 Block 0 51 Lot No. 0 gr pursuant to application dated ....d �/P , 19.tc and approved by the Building IInnsppecto/r. Q� Fee I$./V! 4 /� . `( -------- 4irre. .. ...r.. ... .. .. .. Vii' Building Insp or Rev. 6/30/80 I c -.1 IV �' Form No. 6 li '�t11 TOWN OF SOUTHOLD ) SEP � io � � BUILDING DEPARTMENT TOWN HALL LI'731761-7116,1 �j 765-1802 TOWN OF S.nUTHOLD a —" "`" ` " 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, r 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 1 less than 2/10 of 1% 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. Be 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 • CiDate . . . Sa � � J / t4 • New Construction. . . . . . . . Old Or Pre-existing Buildin •C Location of Property. (, (2 V EJ House No. reet // Hamlet Onwer or Owners of Property.. • /b 'YV/9J K e County Tax Map No 1000, Section. Bl4. . ock Lot Subdivision / 7 r Filed Map Lot .. Permit No./,{,J �o Date Of // F �/ p/�//,J • . Permit:YO - Applicant. .7.SeY✓.r•9,:./l�.M9.Z.44 ., Health Dept. Approval Underwriters Approval Planning Board Approval --- tequest for: . Temporary CertificateFier nal Certicate 'ee Submitted: $ /} • @\ 2-C.. 1•10(.91/ APPLICANT • 1 CO-2.194S0 ,""''"g Ol* TEL. 765-1802 t d '' 4 rase- TOWN OF SOUTHOLD Cpm!" �) r : `:+?P.^ W")'•'1' 12.I OFFICE OF BUILDING INSPECTOR � tan�zn '-�. '*`�r. J P.O. BOX 728 '` o► " 1 r'', TOWN HALL ?i�Ol ��Q rr SOUTHOLD, N.Y. 11971 rrr CERTIFICATION Date \ O\1`) ° ,\ Building Permit No. f 7 J gj 0 Owner `�C ��� �f,i (please print) Plumber * k \k, ? ))`t .:A\i0, \N2cN-:\ (please print) \), .' I certify that the solder used in the water supply system ° s �� contains less than 2/10 of 1% lead. • • 6(; -p�/lli/ZlaU (plumber 's signature) • • Sworn to before� methis /2 day of Oclickr �j % 19 Q , I ( :� Notary Public tIotar1 Public, ��,Lif County is"itueragrog(00. // ka miaow 1bas 'Nn , i "ft? Form No. 6 ',.7.7,177-0 ��li llllh :� .r 1r TOWN OF SOUTHOLD ' .. (4 SCP Z i �990 BUILDING DEPARTMENT ! TOWN HALL I �� _ .,,, ,�'.°y 765-1802 BLDG.DEPL '` TOWN OF SOU`IEIOLD _ IL " `%" 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. S. Commercial building, nces and and installations, a certificate boflCodeding�Compliance multiple rfrom earchitectslar orlengineerdings 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000, Commercial $15.00 Date Scf 7-ori 7 /770 New Construction. .. .. . Old Or Pre-exist'ng Building. . _ Location of Property a0,5-0 pep L� House No. Street Hamlet • Onwer or Owners of Property Ttionit.5..0. .1f erleR County Tax Map No 1000, Section. . `&J �c Block Lot. . .i? • Subdivision Filed Map Lot .. Permit No.L.75 .p D ,Date Ofpt J Permit/a -(7 Applicant.7.22. 7j.44.J.azincie Health Dept. Approval Underwriters Approval. . .y, Planning Board Approval • •'..• . tequest for: Temporary Certificate �NJ Final Certicate•.a( 'ee Submitted: $ • Sag, . . . • . . Q.., yo.S$2, • APPLICANT - eO-ti939c /t,,/4/fl,.-s VICTOR LESSARD C Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ; �. Z P.O. Box 1 179 ` a ' Southold, New York 11971 (516)765-1802 ifs �`' FAX(516)765-1823 Q 4fraOJ yam $`'/,'t OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD September 27, 1990 Mr. Thomas A. Palmer P.O. Box 218 Cutchogue, New York 11935 Re: Building Permit #17580-Z Suffolk Co. Tax Map #1000-123-4-5 Dear Mr. Palmer: Enclosed please find Certificate of Occupancy #Z-19396 for the Accessory Shed in your rear yard. The Certificate of Occupancy for attached garage, addition and deck addition will be issued as soon as we receive the Underwriters Certificate and the Plumbers Certification. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish Building Department GJF:gar encl. SURVEYED FOR:- 7:17c//6i �{/c,ifl Z . • LOCATED AT 7/0 -- i'F'o4O, .-C:75147 {: lt-j)/ ti LOT /S QESrlidEp MAP OF %s ,si��,-4/ SCALE T'= - t1 be 13,5 a c,-- 41 ..,... .4„, • it!) i• ,,,t 0„,,,,,,,c,„4:, „eft.r. . 4 -1 rer �t t7! .r'C. � • ‘' yy�/ . • 290 I� �� > �` ' o 0 Nii ''''..". "'''' 191/4 zzo , 0 s- vq 4 .\ �T y , t•-•••< a. Q O CC r ] > k . • 6�9,eIiiT�Eo 7.C. Gi6��T wi/Oi//6 Gro SURVEYED j// S 19 aCO BY /.v7.PlCoq AC /4117 6Ct 42% WILLIAM R. SIMMONS III 70 WEST MAIN STREET EAST ISLIP, L.1., N.Y. •t, .-g FILE NO. /575-7, PAGE GRID lELD I;:S:'EC: O;i !DATE 1 COMMENTS //// P G 4 ' *e ,. .,4 _at," AY" 11.1L, L., 4y ,t,.. c. FOUNDATION ( 1 t ) / / ' FOUNDATION ( 21 2 . Nalija . ,hi ... e ROUGH FRAME & � �. 'ICi • PLUMBING G 0 �//- cell k� INSULATION PER N. Y. / y Liir STATE ENERGY CODE � 3 CUAr I -k FINAL 4 . tifr-ott,E1,,,,..1/2,0 , 1--__fr,i '4,qt 7 , . . 2-n� nq . . 1 . . . • . .„., �/{ ADDITIONAL COMMENTS : 611 (� 7ili y - �7 x (i �� �i�S- �'® �La- _.�_Lr�� �� - � ;rte,, i r f x • H O % l R. • r H C7 H inOat :\ • • s Ji oa- •• ���` ,I TELEPHONE BOARD OF TOWN TRUSTEES (516)765-1892 TOWN OF SOUTHOLD Town Hall, 53095 Main Road _ , P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES. OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS , ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS , FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THEpCODES OF THE TOWN OF SOUTHOLD. �7c APPLICATION NO./ =0 _J�J - _,cDATE OF APPLICATION .204±T P age- IDENTITY OF APPL I CANT__ 67. Y_�j�/f3 6� __PHONE NO- ADDRESS OF APPLICANT PO 4_ OXO__ (, /Cgo5U Ai)/ 1I1 TAX MAP NO._D2V' 4 /OIQ & CJ EIl ek_er, ji /o 9`• -_ AGENT PHON ' NO . PERMIT REQUESTED TO__1111. �. � A<.E�-._. ..03r G''f)Tl.'• e /6_25 rt _1a-/e2.6.�.�tjTa eco?LL at LOCATION OF PROPERTY FOR WHICH. PERMIT WANTED /906-0 tee, _i1QLe _ - Mac_D4CLC U�x-1_I JIgsr HOME ADD ESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION CREEK, BAY OR HARBOR FRONTING PROPERTY_____I 1..�t.e.L1J & CRec /7 _ SIZE OF PROPOSED WORKy2 3".% 4' /6 LENGTH LENGTH 5 WIDTH Y r - HEIGHT ABOVE HIGH WATER_--_L ` 1) DEPTH BELOW LOW WATER qJ� J/j ' YARDS TO BE EXCAVATED - YARDS TO BE FILLED LYj/).9 yY WIDTH OF CANAL;!, CREEK OR BAY FRONTING PROPERTY-M.s/T Soo ' DEPTH AT LOW T,1 DE CA J .0111g� AVERAGE RISE IN TIDE _0/ . 1-2 _a fl2. 3 I DISTANCE TO THE NEAREST CHANNELa(2_O�s __FT . DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA 0 F7 IS THIS FOR PRIVATE OR BUSINESS USE?_-_P J44 j' AREA ZONI NG__`_L EALYILL$ MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED /1.04 INTENDED USE OF PROPERTY__ DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE ;64121s flinc 1gsf4tib.i_g .46.462.�sc.CLIL��_5 �. cn n ,t AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS ORILICENSES WERE EVER SUSPENDED OR EVOKED BY A GOVERNMENTA AGENCY u.•-' Q _ISStsW-rH ( DESCRIBE FULLY LITHE REHABILITATION -AND PROPOSED CONDITION OF T AFTERTHE WORK IS COMPLETED INCLUDE AN ADDITIONAL SU •VEY OF P- • - SITE IF NECESSARY_Iab_VOs' - .i TLilaQ_ J7�is/ _ 1. !/ t_ arid nG--= 1'2tel? 1�7�L _GS! AIMI _ • . • •F THE OWNER OF THE PRO- r IF NOT THE SA• AS THE APPLICANT. ____A .1 ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? 1 16L4(2/87)—text 12 , ` . • (✓ ROJECT I.D. NUMBER 617.21 SEOE „41 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only ' PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) y 1. APP (CANT/SPON UTI 2. PROJECT NAME `inolnEj q4 Pe lRen __ . _ 3. PROJECT LOCATION: &OSO Wee o�-t C e/rW ,t,.(/ Municipality I,^_�1T' i7'UC ( At y / `H .�j C County 5 uFFo l/ b 4. PRECISE LOCATION(Streetre° iaddress and road Intersections, prominent landmarKs,etc.,or provide map) aoso ,OeeP Moe& DiRiv€ . MRTT/TUeK Ny I/9sa 5. IS PROPOSED ACTION: ety 0 New ❑Expansion (lam Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 8t Pt,c e aenve C K 4414 Foie 2 RM Dec It To gen top house /Tuve E*irTi/v Wcsd at tau;E� New sliest avt Xwe Ferge,P PPPonn 1/1402 bemo f g pod r ,l���Elegy?` S/kj i Reflnce Cu lig 6RMCF. 441 Fro vo AhilAri i. 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 6�Yes ❑No If No,describe briefly .e, 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑Industrial �y❑Commercial ❑Agriculture ❑Park/Forest/Open space CI Other Describe: ONE Falb/l y Dwec t!,v 5 j 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATEORLOCAL)? E�Yes ❑No If yes, list agency(s)and permit/approvals Nyc b.e.- 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I��Yes ❑No It yes,list agency name and permit/approval Demo f 677'T( T 1,r,v O r S:,07/7 /4 t®/7,y qq 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? i:Yes 0 N I CERTIFY THAT T ,/ESINrsF,OJIMG'ATIION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/epeneer name (/Mg, ( I P4C-4!' G' Date: Signature: if the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 . . - PART It—ENVIRONMENTALiASS`SMENT(To be completed by Agency) C A. DOES ACTION EXCEED ANY TYPE 1 HRESHOLD IN 6 NYCRR, PART 617.12? If yes,coot 'nate the review process and use ths PFUL•L DAF. _ ElYes ❑No i 8. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a nage vtr Ueclaratlon may be superseded by another involved agency. ❑yea No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, If legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste productio or disposal, potential for erosion,drainage or flooding problems?Explain briefly: • C2. Aesthetic,agricultural,arghaeologfcal,historic,or other natural or cultural resources; or community or neighborhood character?Explain briefly: C3. Vegetation or fauna, fish,lshellflsh or wildlife species,significant habitats,or threatened or endangered species? Explain briefly: C4. A community's existing pl i;ns or goals as officially adopted,or a change in use or intensityof use of land or other her natural resources?Explain briefly ' C5. Growth,subsequent development,or related activities likely to be Induced by the proposed action? Explain briefly. .) C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly. C7. Other impacts(including Changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No if Yee, explain briefly • PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) ' INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,Important or otherwise significant Each effect should be assessed In connection with Its (a) setting (Le. urban or rural); (b) probability of occurring; (c) duration; (d irreversibility; (e) geographic',scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure the, explanations contain sufficient detail to show that all relevant adverse impacts have been Identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box-1( you have determined, based on the information and analysis above and any supporting documentation, that/, the proposed action WILL NOT result in any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons supporting this determination: Name or Lead Agency Print or type Name of kespTnsible Officer in Lead Agency r Idle or Responsible Officer Signature or Responsible Officer in Lead Agency Signature of Preparer ill different trom responsible officer) Dale 2 • • • ` i • DECfPERMIT NUMBER Cr EFFECTIVE DATE 10-83-1544 New 10/20/88 j FACILITY/PROGRAM NUMBER(s) PERMIT EXPIRATION DATE(s) t " Under the Environmental Conservation Law N/A 10/31/90 Article 15, Title 3; 6NYCRR 327, 6NYCRR 608: Article 25: 328, 329: Aquatic Pesticides N Water Quality Certification N Tidal Wetlands Article 15, Title 5: Article 17, Titles 7, 8: Article 27, Title 7; 6NYCRR 360: Protection of Water SPDES Solid Waste Management' Article 15, Title 15: Article 19: Article 27, Title 9; 6NYCRR 373: Water Supply Air Pollution Control* Hazardous Waste Management Article 15, Title 15: Article 23, Title 27: Article 34: Water Transport Mined Land Reclamation _Coastal Erosion Management Article 15, Title 15: Article 24: - ' Article 36: Long Island Wells Freshwater Wetlands Floodplain Management Article 15, Title 27: N—New, R—Renewal, M—Modification, Articles 1, 3, 17, 19, 27, 37; Wild, Scenic and Recreational C—Construct (*only), 0—Operate ('only) 6NYCRR 380: Radiation Control Rivers PERMIT ISSUED TO Thomas Palmer ADDRESS OF PERMITTEE P.O.Box 218, Cutchogue, NY 11935 AGENT FOR PERMITTEE/CONTACT PERSON TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY(If different from Permittee) 2050 Deep Hole Dr. , Mattituck SCTM #1000-123-04-005 LOCATION OF PROJECT/FACILITY COUNTY TOWN/CI$1'rf' iiaYst UTM COORDINATES Mattituck Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Construct 3' x 53' catwalk, 3' x 6' ramp and 8' x 16' floating dock. Construct 12' x 37' wood deck to rear of dwelling, 8' x 37' extension and 22' x 22' garage to front of dwelling and move existing 8.4' x 8.4' shed to west side of lot. All work shall be in accordance with the attached NYSDEC approved plan. GENERAL CONDITIONS By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compli- ance with the ECL,all applicable regulations and the conditions specified herein or attached hereto. 1 The permittee shall file in the office of the appropriate regional permit administrator,or other off ice designated in the special conditions,a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires pursuant to LCL§71-0301 and SARA §401(3) 3. The permittee has accepted expressly,by the execution of the application,the full legal responsibility for all damages,director indirect,of whatever nature.and by whomever suffered,arising out of the project described herein and has agreed to indemnify and save harmless the State from suits,actions,damages and costs of every name and descrip- tion resulting from the said project. 4 The Department reserves the right to modify, suspend or revoke this permit at any time after due notice, and, if requested, hold a hearing when, a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found;or b) the permit was obtained by misrepresentation or failure to disclose relevent facts, or c) newly discovered information or significant physical changes are discovered since the permit was issued. 5. The permittee is responsible for keeping the permit active by submitting a renewal application,including any forms,fees or supplemental information which may be required by the Department, no later than 30 days(180 days for SPDES or Solid or Hazarduous Waste Management permits)prior to the expiration date. 6 This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit 7 The permittee is responsible for obtaining any other permits. approvals, lands,easements and rights-of-way which may he required for this project 8 Issuance of this permit by the Department does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms, conditions, or requirements contained in such order or determination. 9. Any modification of this permit granted by the D, partment must be in writing and attached hereto Dep wty bcpinton,L PERMIT ISSUANCE DATE PERMIT ADMINI TRATOR ADDRESS Bldg.40,SUNY,Rm. 219 10/20/88 David DeRidder Stony Brook, NY 11794 AUTHORIZED SIGNATUREp -1 /9/2P1/2 `� 1Llek�C2j Page 1 of 4 cc: BMHP 95-20-6a(1;86)-250 i�Y' ADDITIONAL GENERAL :.ONDIT(ONS FOR AF'.CLES 15 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part-u08 ( 10. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the tet tion in the position of the structure or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation 14 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway remove or alter the structural work, obstructions, or hazards caused 15 There shall be no unreasonable interference with navigation by the work thereby without expense to the State. and if, upon the expiration or herein authorized. revocation of this permit, the structure, fill, excavation, or other 16 If upon the expiration or revocation of this permit,the project hereby modification of the watercourse hereby authorized shall not be com- authorized has not been completed,the applicant shall,without expense pleted, the owners, shall, without expense to the State, and to such to the State, and to such extent and in such time and manner as the extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require,remove all or Conservation may require,remove all or any portion of the uncompleted any portion of the uncompleted structure or fill and restore the site structure or fill and restore to its former condition the navigable to its former condition..No claim shall be made against the State of and flood capacity of the watercourse.No claim shall be made against New York on account of any such removal or alteration. the State of New York on account of any such removal or alteration. 17. If granted under Article 36, this permit does not signify in any way 11: That the State of New York shall in no case be liable for any damage that the project will be free from flooding. or injury to the structure or work herein authorized which may be caused 18. If granted under 6 NYCRR Part 608, the NYS Department of Environ- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation or improvement of navigation,or for other purposes,and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 12. Granting of this permit does not relieve the applicant of the responsi- (PL 95-217)provided that all of the conditions listed herein are met. bility of obtaining any other permission, consent or approval from 19. All activities authorized by this permit must be in strict conformance the U.S.Army Corps of Engineers, U.S. Coast Guard, New York State with the approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required. of the permit application. 13. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by solvents,lubricants,epoxy coatings,paints,concrete,leachate or any Thomas Palmer on 8/26/88 SPECIAL CONDITIONS 1. No dredging is allowed. 2. Catwalk to be a minimum of 3' over grade. 3. No disturbance to tidal wetland vegetation is allowed. 4. No construction debris or materials shall be allowed to enter waterway. Supplementary Special Conditions (A) throtigh (T) attached. Additional Supplementary Special Condition (M) attached. DEC,PERgtIT1 �y,BER RCRAM/FACILLI`TTY NUMBER NDNAPage 2 of 4 ' ( 1 ) STORY/ ; FRe int (. 50 r Ca 16 J Si r I 37.E t___ _--) 1a1 RA' cb a' UR beck ' ' co Irm 1 _ ! 3i I SNeB X1 I I�--'a'-----)I Icit _ Iv . • . T ex wing 3t. _ .: . . /. !.. .‘'. . nal. • I i.9„,,,T, MARK , : .,. : V • . . 50 ; ' y Deep ' ' e CRe"e K C'.' & 1-1oL • SURVEYED FOR: 14 47149-1 ,6.7:44 2Z LOCATED AT 7/o -rani o 4 fel- ct c-;. /CY)/ LOT /S f�ESrlidEO ��-- MAP OF ,9s yros./•�/ SCALE 1"- Q� ' t I .-3-`3C `"'z 'P✓ fl ` o. . `.,F ��� h� J �J RT v r� 3�, •e (k,1,414;� `>cc `!�� lam/ r•e . e/�C,.,��s/e M / lt�l \crt .?c.. 33.7 X arc. NI to ce< - 4\ •: >e a fed \ fi aw D \ l e o "\41541. \ 0, i� . o �. '9J ..4. a Lr Taj .V 6v9 TEE4 7V: �Gr L4,-, A-7,,,,,,-- z>O �ti'A�6o9.5/4G SURVEYED_1,47. S 19 8w BY 7 / WILLIAM R. SIMMONS HI 70 WEST MAIN STREET EAST ISLIP, L.I., N.Y. '57./ / _ -C _, FILE NO. /575-7, PAGE GRID t q° TwY '*c S 4: fA 4,1, b�G'y'' A ..F Y 9� n JT''^Ifi :21-e:74a kes . -h "a4= M---w._ XL 9� 2 l PPP'''yyyy���'''r���������''''''��� ��y�*,. '..��Ni.F i 44' YA L^' 1 -sit 2:1;:j •.., H•�� int "in [ Yi$'� .>4.4• 4• '�6G it.41/4'44rft:f4-.V. '�'G _'S y-, w • S' 4 ei+ ,1• }FY O Fr' ,1/4 'SF t1/4.141 n ti.... , 4 G - 11`x,. �Isrioo c ./ 3 3CY:`o • ��. F U4TCN �c _ UNL ": U. . VOl tY►ARCtt NO i FOR PARCEL � w SEt' SEC. NO. 115• NO. SEE F: JNOt • `� 11-011 SEC N0 tijilt*, i 11.01• n q ORN ‘111 Pr Aut •'igrallela`ri h. I w. 41 4 • elik iCs ,i�i , • dr t ' O ''.1d, -1,-...-c.. I to hr gra • `� • •\ ES Iy. '.y • \ 'ia.F, ra> - IYN• O[IIN4tTM LI1O) CAEE� • A s „rill • an fin" $ �.ls�f ' y\. .. > - ; ftp 1)1 • e r Zea `1. a �" *NyeQ. 34 �� ` •j _ ^ ilk I t l� • I �. .' ifs ,r:Le. Posit 23 1790 THomps A Patens-, Po13oxo?lf cur, h1craue AR/ 11933- (29Y fa )s' l& JAi O F 3cu77/o( D , 13u , 4 berv3 DQ, Pr) PLe,9ct ,3Q J9M Min et, 14111 (AiR iT 1vr TN;i LtTTe p To 1'1nve my BU, L bifugg RRm i /T It 0/?Sf a ReNe L:,,e b F q 5/4 noonfiyt`. 774 Re s (.smog K A T a ©!s. well Re Cornf'&c,slepfr "i✓ es T ',Nkyod 4,- , , a ak /1) 10 " APR 2 3199U APR 2 31990 �1 1 `i , 11 4 t U Ui BLDG. DEPT... I -- F L __>a - ,.el— TOWN OF SOUTHOLD t Pl-DG. ULP7. ab T©VUN OF ?C1U"I'HOI,D lit et S�FFntK�o ra , FRANK A. KUJAWSKI, JR., President C TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President 1 (516)765-1892 JOHN M. BREDEMEYER, III O O JOHN L. BEDNOSKI, JR. = O( .tL `NO. , HENRY P. SMITH a r,,,, q y� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD y� ��( I Town Hall, 53095 Main Road L9 ►J YAC P 0 €10011 P.O. Box 728 13 DG. 1JEPT. —1— Southold, New York 11971 TOVVV OF SOUYpd®lO January 10, 1989 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No. 10-88-123-4- 5 for a Wetland Permit submitted by Thomas A. Palmer. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, f(?)kg) Frank A. Kujawsk , Jr. President Board of Town Trustees FAK: jmr Attachment cc: Bldg. Dep't./ 70-1802 BUILDING DEPT. INSPECTION [ ] FONN ATI 1ST [ ] ROUGH PLBG. UNDATI 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: G7'/�7 //lel AdkDATE I INSPECTOR )7s--go 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL REMARKS: gt 1/2/7 C' DATE 9 /- '1 INSPECTOR Aaja 1 7(" D 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL I REMARKS: I A--/0 — / t enn 1 DATE INSPECTOR A / G` �1 /ys6c> 765-1802 BUILDING DEPT. INSPECTION [6NDATION 1ST [ ) ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ I FINAL REMARKS: (61.4 r< . # : id4-2 b CVA 6t / l DATE CI 1 ( /rr INSPECTOR Ti .1% -•:.AA•A'xa.o.n..A.:e evs:[.w..AaA;l_•AA,md.l•/.AtAATuttk,4.L1meAAtI.NAI.•R.l_•_s.L2aA._I.Aa AA/:A_E_l'J.naci_ti.11_,'4%.A_AAAA•,C.syp •!.RIJmse,4:'.,•!„:".c ..3.7pn.sn". •-s... , THE NEW YORK BOARD OF FIRE UNDERWRITERS PAO: i r A012,873 BUREAU OF ELECTRICITY - } ! I 85 JOHN STREET, NEW YORK, NEW YORK 10038 SM1'J:['Whlf{ 18, 19-0 6%995'89/89 H 0111.11 . Date Application No,on file t- THIS CERTIFIES THAT I ! only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of _ >• kAT1TAli,S A, FiU1ifER, 20rm DERt4tfou; FiR VF;, :1'f Mit3;'1'l3CK, H.I., i in the following location; ❑ Basement 1st F'l. ❑ 2nd VI. GAR Section Block Lot '.>-4! teas 06 1 990 t; as examined onand found to be in compliance with the requirements of this Board. • i �; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS ^ECEPTACLES SWITCHES Z OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K W. AMi AMT. ® AMT AMT. 1 10 e lu i(1 F r• i' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULT40UTLET DIMMERS ' AMT. K.W. OIL H.P GAS H P AMT. NO A,W G. AMT. AMP. AMT. AMPS. TRANS.aal H.P SYSTEMS A III is K NO.OF FEET '! ; SERVICE DISCONNECT NO OF a• NA i AMP. TYPE METER 1,R'3W J,9'3W 3p"dW NO.OF CC.COND A.W G. A.W.G S' EQUIP. PER B OF CC.COND OF FUG NO OF NEUTRAls OFANIAA, y OTHER APPARATUS: 1; C. v ki r I j' 'i T gi $ t-0 ti :q 1 Y } .10110P „Etd'? r i 41 2- P. 0, 1HOX 218 a CIJPCIIOONE, NY, 'I i 935 GENERAL MANAGER r 1/.. I a' c;._+a 1 Pet e; 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. a 'BiecuiYYittaidY.Y.siturit-fiiYEA.iMYY.Y.Aitie-rie Y•YSAYYeiticiiet- Y.'!iistieirlitieitiioniniY.tien i.recrWiiiieilii'WiiiYYA1'Y.Feariitti iiiiitaliekieritiett COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. . \. N _ Sc 3 -------------------------- ---- l -- • ,53 — 1 3 I _ �3e ac sAaa f I L._... G' , id T igl ( 1 . . .. - RL1iv5s - 4x4 ecA _. 9fowRWAy,e, f \ �• . , _ .. .._. . .. _\. . - . . - - - CArwnc K_ two F1O r . MAfrieo w,/y G4 GCA tiwb 1 - . 13oGTe4 To PI.Li pec ,. 1 Bonnn wACK- . 4511%6 � auluNoSe COR - c\ i y Ago Paseb CAIwle K A•uo aoa7 15Ame size- * 1 03 ANo Ns!sKrASe.orTu5 oNPRoPPRTy rWsct I I i _ _. � � � H ~ � , . � � ' / � | � / � i � � � . . . . ` | ' � � - • � � .� .. _� ' - -- -- - - - _-- -- - 1/•. \ _ - - - - - - - _ ..' - _- ' . ' ..._ -/ .~./ �t<'_-'-'- -- --- - -- - atip/ V/r*g W�^1/ i63 14 , - . i 1_ ----J- _ ' SQ4c Fi S A oil - - � ._- - �---'- - A-I 1 t - > � _ - - '__ _ _ ______ _ __ _ _ U 1 - ._ - - _-- ____ -_ - - _ /� ^ / ff/~ 7We'^v" Mut» -___--_--�--'� -'-_---'---_--- - --_ - _ _- ---_-_-____----_---_-_--__--_'- --- �--_--- --- _ - - -_-'_ - - -- _ - �r`,~- '�- -� / 1 �====�` �c`-IC _ -_ - _-_--_--__ _----__---- - _ - .I 1 -- - -_ - _.-^- '-- )cR ~ ° \ �-'1w/] ^ReE ___ __ .- - ._ ---- - _ ' '- - - - � - - - iV- - _____ ________ _ - - _} /C /f _ . / � e A _ -, � _ ' � __��� � - - _--_ _____ - . ' ��y� �-- _ _ _ _ ___ _____ ___ _ _�1/4. � � � --- - - --- - - - - - -'- _-- - .- _ _ _ _ - . -__ _ � - A X � � . _- _' -_'- _._ '-'_ _ ---_ ' _ - -_ _ _ �___ � ^ -_ __1_1_� - _ -_ _-_ - - �� -----'_ _-__�_�----�------_'-_____ -�-'---- �� � � � _-_ -'-- - _ _____ -, '' - __'- - _ - - _ - - -- - .�. / � �_ _ _� U- � - - -- - - -- _ - _ _____ ___ _ _- --- - ��� _ � � � . �_ _ � - _ _ - _ '--- - - -- • --- ___ - ' - .__~ _ _� ____ _ ,_ | | - - -�- - �._ ' � | �� �� •� � --- - -- -- -- - -- -- - - _-- - _ _ - - ' - _- __ , �� � | ! ^ __I__' - � ! ' | ~ .~' � �� � .� _-_ - � , �� - - ^ _----- ^__ _ - - --_ - __--- _ _- _'-----_'--- -- --__-------.- - - _ - ' - . ..: ^ '_ �_ _ -- _ _ -'-_ - __'_ - -�,- M / - -----'-'-_ _- --__- _- - - _ . ..� _ _ � � " i- - --- - _' _- - __ - - _,_- _ _ . - - : . ; 1 - - , - . - - f j 1 I 1 ! . i aoI . . � i I , A i Baa' �V�I 1 iF I61` ; - 37_ 4 . � . , ? , 1',:' w, G4I 4 (I� .SioR • FRA,Y,t ao>o. I : - . \IA' . 114 TI < ,` 31.' ' > ' Rpisen a' Cell tad( ' lay ' cup ' , esteD K- /..--AL _ ' _ . J - - -- ' 5He ]-1 : -A ' 14--Id--31iii ai10 . , . . . . k-8'4''-j1 . Exizr,N9 (4,,, Sik, b I(9 ?III 5° A BOARD OF HEALTH OCT 2 41988 FORM NO. 1 3 SETS OF PLANS . O• K• SURVEY G, k TOWN OFSOUTHOLD CHECK 5-3fa BLDG. DEPT BUILDING DEPARTMENT SEPTIC FORM TOWN.OFSOUTHOLD TOWN HALL EOUEOLD1071 NOTIFYT65-1802CALL .9(.. 16 Examined /w 19 ?7 MAIL TO : • Approved . , 19QG'. Pennit No. /7570 Disapproved a/c (B nspector) APPLICATION FOR BUILDING PERMIT Date , 19 . . INSTRUCTIONS a. 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 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 inspec s. (Signature of applicant, or name, if a corporation) W.80X0? .CaTchiezq c /../9?r (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Ow ie4 �J Name of owner of premises . .7.71049/.95.0 . . PRn, eie (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. p'wria-e'v • Plumber's License No. Electrician's License No. °11-0-14-32-1--1 `W n-2^ 1 Other Trade's License No. /91.41147/±. ,�^ I. Location of land on which proposed work will.be done. . . 0 "ESI ee%�1�14.'15. . Aezet �. bet.?.Lie Z . Dt:ve ,/79/I.).T2cK. .//. House Number • Street . \ A , Hamlet /� County Tax Map No. 1000 Section . /27.63.0.aO. . . . . . Block .C21.Qt.! Lot oar{/0 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 / F4 �y 6� A144.Z„(Ny /f b. Intended use and occupancy . . . . . . :SA/VC• . . . . r^ . /,re// / 3. Nature of work (check which applicable): New Building . . . , ,', , , , , Addition tra� o9� Repair Removal Demolition Bt- ` �i;. Other 1Vorkf��. . 4. Estimated Cost . . ��,©Q �riion) • Fee :,.»....:lt° ` P 5. If dwelling,number of dwelling units (to be paid on filing this application) If garage, number of cars . . , ; , , , , OC I Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . , ./Il/, 1 7. Dimensions of existing structures,if any: Front . . , . 37. . . ;. , , , Rear .3 7 Depth . 0 Height Number of Stories . . , , , ,0N4 Dimensions of same structure With alterations or additions: Front 5 7 r 37 ' ' Depth . . . SO Height Rear 8. Dimensions of entire new construction: Front 37i Number of Stories . Depth F Height 7 Rear . 7 Depth . . . .612 Number of Stories 9. Size of lot: Front . . . .'Q,�. . , Rear ],S' r Depth . ..?,o�yf'" r 10. Date of Purchase ,pl.-a jj Nime of Former Owner 11. Zone or use district in which premises are situated .CO.('j9/Y/�j I/ ad'Gent®'` A��/Q' f 12. Does proposed construction violate any zoning law, ordinance or regulation: . . /Io 13. Will lot be regraded Aliff Will ex ess fill be r c from premises: rres 14. Name of Owner of premises l kssns. APM6MIe.R, Address P 30X44.. fccn°g"'honeNo.. G. dlr. Name of Architect I Address �3' Name of Contractor Phone No. 15 .Is this property loceted within Address Pd *If yes , Southold Town Trustees Permitfeet may beofa required .tidal etland?? *YEYES . .NO. . . 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 accodingto deed, show street names and indicate,whether interior or corner lot. ...—...- 1 SEE Alvs ir . I . 1 . . li STATE OF NEW YORK, COUNTY OF S•S / r being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the j • (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 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 02 1day of �'�� Oct 19 Notary Public, i< t doe—County AP HELEN.State DEYOE a. a rr��� NOTARY HELEN, d Yin New No.4707878,Suffolk e°untyR.q / Term Expires March 30,19 t (Signature of applicant) (Rat aor- a ) z 3 3 - \e E \j- - H - ---- - 51- ,iiiuuuiluIuuIIIIIIMIIlhuIulI I 4 I /3eacti_srsNe I - :il L- :1 4' IIIIIIIIIL T [ s ; 4x4ecq 9ORWR�e san y I II cveAy !n- . 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A p PG0 1 I k • • -- — IR , ' F' L. o 0 Fc 2,1-,4.1,.i NistsT 11eNt.Zylee; - _ ,- ALL [ lmeo1pN54 coN.Dn-1ONs TOgE VERIFrffiL+AT sr= • -- -- — _ _ _ 1 f :I.. .f✓r�1M1,s.. ,�.y.. \A-Tr\.Cf-11.4 4 '� . I. { A - . G 'L`.+'i -. SCALE: �l APPROVED BY: DRAWN BY it, DATE: 10. „ea REVISED 0 Tow\ AL_ ME•F _ 1 - ! _ I DRAWING NUMBER A 1$X14 nano oNso.tsNBWYIwIIRR. - •• •. - . . - I < -- 151 >; 21/ pr. I2lo" - --- A ,y , — .. rI g Ir– / it -;. TIP _ I IlutP I fof �/0p ! 0 5 '1 �orr'• FMU-jJs k IMTL. Ccs 1k1 . s YSa7e7 * -- .. X 1 5 -T" L L.J -GT , 1 i ' . . — --- nLST Access," - USE IS UNLAWFUL_� z._o Ifo°pPernib' is Used WITHOUT CERTIFICATE * for mater distributing OF OCCUPANCY . .) sYste -� m S to _ d, °f tYPes K orR hall be fi'A l ��Y 'Sj _fl-_, i£17c. )ORSE GRAVAL CeE, 1 ---- PLUMBER CERTIFICATION AP MTh/ . 1,*if _.; Amo„ 4, p.: ON LEAD CONTENT BEFORE DATE: �fJ RE �7'yO CERTIFICATE OF OCCUPANCY Aca6x. F. _..._:.- ----+ FEE: -Z-44. ---BY: SOLDER USED IN WATER NOTIFYUILDING DEPT SUPPLY SYSTEM CANNOT 765.1B02 9 AM 10 4 PM FOR THE . y FOLLOWING INSPECTIONS: I EXCEED 2/1O Of 1%LEAD. 1. FOUNDATION • TWO REQUIRED 2. CONCRETEOUGGHUH -RED FRAMING PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Q THE REQUIREMENTS OF THE N.Y. N PLUMBING STATE CONSTRUCTION & ENERGY AU.PLUMBING WASTE CODES. NOT RESPONSIBLE FOR l� NExc.,o va.'rEP Crh�AGIfE r4RBA N &WATER LINES NEED DESIGN OR CONSTRUCTION ERRORS TESTING BEFORE COVERING • Vt7GIF( ALL 171MET151ON 5 + CoWDrrI oN,s AT S,-r - SCALE_ IV//4Ii IILpc" APPROVED BY: DRAWN BY L Z_�•-O•• Y DATE. I V-98 REVISED OVtv1C7A lG.71t1 A1. l Tor Q. M R .- .. - W, _ •� _ - ADD DRAWING NUMSER rnObl +.,AL-VEtAT1aMc ,.%M kW=aw Rb.'Sail WAIIlMfla' :, .. .. F Ash t, -11 r, 1.s x G'- IGoc. yfi� L .,/�C1 1 --. "---x.- I s -r- I ,rte Com' I r 1/45 1- 0 74 ASH.FieoFlNa / l -- /I a I& Go 6 a I ll .' -R-t5 T- .`• +B cGA• Ihoc ucvRt I -_ __ -___-____ I cLo s�'T' I4 y J x..11 20 „ n --- ...I. 2,92 , "Pxt- o 11 _ I. ,frr l ��:,m,. ._-_,-- .:.,,-.., ..�i� �4, ,C� r{ „AT, ccs�� 0,1I • _ _ ii BKG"krata <=AIty. � 16''AC-;-0 cow, "� same N '� -x'19YVaLL'p 86 q). .1 - �' p 'I, I Movie - -ECK ljE Ct1.O e.1 - ' iC� Fpq �" tl Ili sib"aax vr41 ' / r ;X 4x62,n 1y.0•.�IUcyj `� it2 GDX _ - I ' _ 1 ��8couc. Aspit.IRO: fv1 ki6. „-2„„ ,-1__.<-->C> 11 ; �eYi'�7yu.� H o d p i---•./ - _/{ .G-IG'cc 1 I toL'RG?7a1 , Q Q 1 '+-B'Rtc 2raB L ill-Li Li Z ` _I' ._ 1-i.( • 3_4 12'4- IG'ovzos.4,ia , , 2•Zn ' T 'e Z 6 B J� ECT ot1 i3 ., ..g., =1a a e r= ' -Cc Q5/ . " � ,L /z' Drax ; I w "� � I '1'Yv E{: W fGap Iu. S+t,Fr�cm "� - tf°ccM1Fc . - . - " ' , 1 }f U 'e comr. H W r r: a'Fta.' i _ ,., '- Al.C.,,, G'.� L - ----5-- -- - ! ' - . - ' Spear•avec: MEW 17e4 .--..'-'_...4-,..! ... —� - . - _F`XRsT- �,t7t71T. AlN CI- .awg ----- I Z1ew T3cck- A A �. -- — , . __- - - - _ -. ._.. - - -_ter.,- r..r.,��.� r .-��-.,.- -,�,.�.,.� _„_..� - 1 G' s -1' OVEFxH�+�D T.3t• I 24" __k jtet' 4 4 ''E'ii �." w..""r ,- _ /. -_--_-___--_.._ ___ aI0 �' L Q c F. ��->4. ..� � - -__ -_ --- umg e.^ _ - _ ALL "�JIMENSIOt15 � CONDIj(IONS TO BE VF-�ZIFIGP A751Tt et !; }�IFr���e _ -.. �9y��T� 1 ` ,/�T may![' /[ _ . �y. ...�_z•}_1�,,, ,� . - c•4ei'�- n-4444.3 _ ' seALE; r�1/y_1-Q APPROVED BY: • BRAWN BY _LE . YT1Z;e_ 1�. Lr MI'".. TV;i:�, 3tMi__mT .J '^ ` 4.7 ' itz`o _7 GATE: IO •V�- � DRAWN "4 .. To rte, FA rn rn . A DRAW INb NUMBER ? i4'APh"1o14 4 AL"I•EAtION s 1t%11 ' keno ali ai.laiKa tlaMM11R. - ' - • - ' A. - I5 >I I 2aa� 614posTS o b 9ii • Ir, , iJ SII � ��1,4 NPTF' Al.4 D ck r.TL. ccry I II • - eLTE'G I 41111 7 ji--,_ X1 -S 'T- 1ti LT ,� •i UNDERWRITERS CERTIFICATE I J�' REQUIRED QST Access/ "yj �� nV If copper tubing is used �J' � $9" v 1 F •°I v i v-.61 ting US S UNLAWFUL •e '11 ,� z system; st ; piping ing Lnll be 7�C Q II� � it s __ —_ [ Id�WITHOUT I'I�i w alk. E a COURSE cFzAwL OUMBER CER /CgT/ON BEFORE , I l e 41-c:(-1 0 \csi :xn:ELDEfE0Arownty,:atIcuerlosodoivEispoortrfElobAfii RUPANCY DATE: A,©' 1i B R s 1 i AS NOTED LATE,e-- -- �ILco' t WATER sodYSTEMANNOTNOTIFm DEPA y�AT %LEAD. 766-te02 E AM TD 4 PM FOR THE , FOLLOWING INSPECTIONS: ' 1. FOUNDATION - TWO REOUIRED ` FOR POUREDOONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O D PaP{1DEiE1INo NW! ALL CONSTRUCTION SHALL MEET - LY��tlI��ED THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 0 M CAv,,.-[Ep aAE-AL Apar^. Nrisme WORE MERINO CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS • VERIFY{ ALL DIMENSIONS T CODLDITIoiQS AT ScT>= - -- -- - I PLA-t....1 . -0 Ft I.f. ' O. APPROVED RV: �� SCALE: DRAWN BY • 2a'-o" /4 — DATE: IO-g$ ' REVISED FC)VL-1t7ATIL0L . AU . Tann PAL_ MEF DRAWING NUMBER ADDcTtol,l ¢ ALTerATIOMc • IES M 1RMOW OR NG WOE CIEARIEIMI•