Loading...
HomeMy WebLinkAbout27361-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27982 Date: 09/28/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 305 SEVENTH ST LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 1 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 7, 2001 pursuant to which Building Permit No. 27361-Z dated JUNE 7, 2001 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH SECOND FLOOR BALCONY AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to EDWARD V WERTHNER & NANCY E RYAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0113 07/01/00 ELECTRICAL CERTIFICATE NO. PENDING 09/27/01 PLUMBERS CERTIFICATION DATED 09/24/01 MATTITUCK PLUMBING & HEAT h5pfzed Sig ature 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) PERMIT NO. 27361 Z Date JUNE 7, 2001 Permission is hereby granted to: EDWARD V WERTHNER PO BOX 450 JAMESPORT,NY 11947 for CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES P#25377-Z at premises located at 305 SEVENTH ST LAUREL County Tax Map No. 473889 Section 126 Block 0001 Lot No. 022 pursuant to application dated JUNE 7, 2001 and approved by the Building Inspector. Fee $ 890 .40 Author' z d Signature ORIGINAL Rev. 2/19/98 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) PERMIT NO. 25377 Z Date DECEMBER 4 98 Permission is hereby granted to: JEREMY FORSELL 82 RUGBY DRIVE W SHIRLEY,NY 11967 for CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 305 SEVENTH ST LAUREL County Tax Map No. 473889 Section 126 Block 0001 Lot No. 022 pursuant to application dated SEPTEMBER 24 98 and approved by the Building Inspector. Fee $ 568.60 Building Inspector ORIGINAL Rev. 2/19/98 BPX01 *** BUILDING PERMIT APPLICATION *** 6/06/01 14 : 48 : 23 -------------------------------------- ---------------------------------- TAXID : 473889 126 • -1-22 FF T# : 25377 _ APPLY# : OWNER : MANUELE & WF VDOKAKES LOT : ADDR : 14-12 30TH DR y 305 SEVENTH ST A S T"l AH j fy53BjM,2n Road HA _ Fax(516)765-1823 APPLY P!'Ex11791/24/98 PERMI 8 DENY DATE :TeleplcGfloa j765-1802 VEsRTP4cEDTegygrkM1-0959 VERIF �$,� / 8 EXPIRATION : 6/04/00 USE CODE : USE : NEW DWE BUILDING# : 0 OF: 0 SUBDIVISION RO# : ZONING DISTRICT : PL IZE : AREA : YARDS SETBACK FRONT : BUILDING DE ENT- REAR : PERMIT OWNER/AGENT : JEREMY FO'W OF S Ohi ADDRESS : 82 RUGBY DRIVE W CITY : SHIRLEY STATE : NY ZIP : 11967 DESCRIPTION : CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR - WETLANDS Y/N : _ COASTAL EROSION Y/N : _ TRUSTEES APPROVAL DATE : 0/00/00 PLANNING BOARD APPROVAL DATE : 0/00/00 DEC APPROVAL DATE : 0/00/00 ZBA APPROVAL DATE : 0/00/00 FLOOR AREA : 3,318 `VALUE OF WORK : 601000 . 00 FEE CODE : NEW FEE : 568 . 60 ADD/CHG/DEL : CHANGE F1=Next Permit F2=Summary F3=Exit F7=Reprint F8=C0 F9=Denial F12=Clear 4o Town Nall,510f15 Main nood ;.. , { 1 �x Is 1 r;) 7�5-i g23 P. U. Sax 1179 „� rMaphone (515) 7r5�•id02 Southold,flew York 11971 ✓ r'' OFFICE OF TI-IE BUILDING INSPECTon TOWN or SOUTI IGLU C E R T I r I C 1% 'r 1 0 tJ _ un,rF: 0 puilding Petrdlt No. Owner: ----•- piense pr.i.nt) k lumbersor1-F (planse print) I Certify that the solder used in the Water supply sy:;tem contains 1699 than 2/10 of 1 % lend. � I rnnhera 5lynra j=- KATHLEEN M. MASU Notary Public,State Of New ybft No. 01 MA5087393 Qualified In Suffolk County Commission Expires November 3, Sworn to before me this 7 tlax of AAA Notnry Publico _� Q 6-I .`orm No. 6 ` TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 SEP 2 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 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. 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 - ; .Z5ip 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential` $15.00, Commercial $15.00 / Date . . . .1.`.x.9�Z+ j(. . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existin Building. . . . . . . . . . . .. . . Location of Property. . . . . . . . . . . ..�. ._ (S( "�?�. . . . . . . . . . . . . . . .�;;'�UR��.-. . . . . . . . . . . . House Not.{ c-� Street Hamlet Onwer or Owners of Property. . . . . Cy . .R.r . . . ..�. . . . . W. . .c�2C-1�N�2 . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . ...: '. . . . .Block. . . 000 .) . . . . .Lot. . .�.� . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. .`.1.;3. g. Q .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No . . . . . ..p.Date Off Permit. . . . . . . . . . . . .Applicant. . . . . . . . . .��,.-.. ��__ i� I'�.�'. .,g. 1[ . . . . .Underwriters Approval. . Health Dept. Approval. . AT C.I�W. . . . . . . . . . . . . Planning Board Approval. Is 3n 17 w . Z. Request for: Temporary CCeertificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee ubmitted: $. :-�:O� . . . . . . . . . . . . BUILDING PERMIT REVIEW CHECK LIST Application Name: �;EoRbb -rvr4 tLL O-r%tbRS Iop_5se LL Architect/Engineer: ( O6ynAi5 SCTM #: District: 1,000 Section: 2 Block: J Lot: ZZ Subdivision Name: "049 Redd., Na (( Regd.. Zoning District: [Lot size: Actual: f J� ] [Lot coverage Actual: /or 1 /011 Reqd.. C Regd.. I ,I Reqd.. i [Front Yard 3J Actual: ] [Side Yard �D , r 5 Actual: ] [Rear Yard Actual: ] Project Description: CCOX67eum//0A, S( ,yI At,,�If=, AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. ' New York State D. E. C. Town Trustees X Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: 45ev»en ' Q (rT s P-e 75 TIRSrft &0 .424D A147� C?l q 33 ► Zoe qq 3. �o DRthe we 6l* _ 2-Z I I % Lpsi *M- M2�� __ --- �fFOLK. C.6NSLLT � �CSICoN�a.S C � r B YS Y"T W 7o t. cG sc� f� u z3 48 �� � ��,►ws �1 rY1 e+vS j�►.�S � - -- - - 5 � � Cform a '� :�4­�� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [v, 7FIREPLACE l GIING [ ] FINAL & CHIMNEY R MARKS: .'74- A A WL4,A 0 L/h- DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. tAl [ ] FOUNDATION 2ND 7 [ S ULATION FRAMING [ FIAL [ FIREPLACE A CHIMNEY^ REMARKae ,0-�44,4- &4' hw�1�uk- 1,4!1 L�!,Lk�,q 44��-17 t4!�A� DATE l aJ � INSPECTOW�� 0 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY � REMARKS• DATE Oep -INSPECTOR X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ) FOUNDATION 2ND [ ] 1 TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: (7)p 4/, DATE D INSPECTOR a73 6 /L?7- M-11W2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INTION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: co _ DATE ` / � INSPECTOR WA WA { i,l- 1 BrAOAFM FAWWA PI fl ;A W, _ �l - - � �� %I►a��rN I A/ ,WAI fel// W-4r,170i' _ - I�I " - w 1 r BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD `SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . .,:. 13xanined.... /........ I�.��.p., MAIL TO, . . . . . . . . . . . . A1>jhrwc'd......'� ' ......, 19.14. Permit No. .........77-Z�3 .................................... Disapproved a/c ....................*............... ................................... . .............................................. ... ... ..• lding• •... Inspector) �1 i0N FOR BUILDING PERMIT q C� G���---�-=---- P2.. Date� f. . .I�. . 2 4 �ggg � I TRACTIONS Ct fill in b typewriter or in ink and sndhmitted to due BuildingTns cfor wi a. phis appli tion 7 c4 � Y 7'[ 3-sets of plans, accocete-pf f 'p an to scale. Fee according to sdreckil.e. • h. Plot plan slhowing location of lot and of buildings on premises, relationship to adjoining premises or 1xiblic streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram whlch is pnrt or this application. c. 'llhe work covered by this application my not he commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wilt issue a Building Permit to the applicant. Suds permit shall be.kept on the premises available for inspection throudiout the work. e. No building sliall 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. APPLICUUM IS IEREIIY MALE to the Ikhilding Department for the issuance of a Building Permit pursuant to the Iluilding 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 cvnply with all applicable laws, ordinances, building code, housing code, aux] regulatiois,;ad to admit authorized inspectors on premises and in building for necessa tions. (S t�epp , or name, 1f a c rporad ou) (Mailing address of applicant) State whetlwr applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or lxnilde ..... �A ...........................................................,....................................... 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) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on whidh proposed work will be done.............................................................. ....................................................................................................................... ibuse Number Street lWet County Tax Map No. 1000 Section :Q... Block ©.�. �eQ.... Lot .( �•.•. dd Subdivisio.c eq .i;;?!k0l d.01he9-g........ Fil.ecl llep No. o. I...:...... Lot .°�.':........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..U.h� 5.1► ::0� �.. arxzi�...................................... b. Intended use and occupancy ... e......................:......... "1. Nature of work (check which applicable): New Building •••�... Atklition ••• .......... Alteration .... Repair ............ Removal ............. Demolition ........... Other Work .................................. (Description) 4. list ihhhste<1 Cost �.�..©Q�........ fee .............................. (to be paid cxh filing this application) 5. If &el l ing, hx,nbher of dwelling limits . . . .J. t&niher of dwelling units on eadi floor .... .. Ifgarage, hxnber of care ...........�...................... 6. If Ixesioess, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dihuensions of existing structures, if any: Front................ Rear ............. Ik:tgiht . M.dber of Stories ................. Dineensions of sans structure with alterations or additions: Front ............... Rear Delhtlh .................... Ileiglht .... Rxiber of Stories ... H. Dimensions of entire construction: Front . -,r ,.,., '). '..••.• as1 l Rear ..J. ....... Depth ......?. 1 Ileight ...... .. Umber of Stories ......... ............ 9. Size of lot: Front Aq.-.95 ......... Rear t 75........ Depth ...15 ............ Ip. here of Pur(:hale ..................... Nom of Former (Mier ........................................ 11. Zone or use district in which premises are situated ............................................................+. 12. Does proposed construction violate any zoning law, ordinance or regulation: I:3. Nill lot be regraded �............... Will excess fill be removed from premises: YES Ar Iii. Names of Owner of premises ........................... Address ............................... Nhahe No. ............. Name of Architect .................................... Address ............................... PIhone No. ............ Nene of Contractor ................................... Acklreas ...............................Mhone No. ............. 15. is this property within 300 feet.of a tidal wetland? * YES .......... NO ..., *iF YES, S(UflI ID IU14N IMMIFLS PERHIT MAY UR RC(r11RFD. 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 nidher or description according to deed, and show street nares and indicate wi►ether interior or corner lot. SIMS (M- Nld Y(MIIC, di }b v SS QQ.*S [.�.......... ....Ix.-ing duly sw)rn, Qelxeses Sod says Lhat he is tlw appl.ic;eml: (M-111L. of iodivi(Iuai. �iilalditg ccxntract) above honied, lie is the ........Qu.1 A i ........ ........................................................... (Contractor, agent;corporate officer, etc.) of tudd (mx-r or owners, and is duty authorized to perfonn or hFive lx-rfonned Lhe said work avid to nuke and file L his aighl icaLioo; that all sLateirents contained in this applicatioth are tnhe to tike beat' of his luxvwledge and belief; ahxl that Llhe work will be performed in the mnuer set fordi in Lhe appl.icaLicxi filed therewith. :1<worn Lo before me this ...../D..........day of Notary Publi .., tHERESAA RADZICi(I_ Silnhal:chre of. •tic... it)....... ..•..• NO . Public-Stats of New ork AualNled nl Sufffoolk County Commission Expires October 12forl •� COMPLXANCE WITH N.Y. STATE MORGY OONSERVATION OCNSTRU mW CODE AS AMENDED Fl`ECTIVE J%RCH 1, 1991--NCN-ELECTRIC O MEWT HEATING ........................................................................... Part 6-Building Design by Thermal Rating Method, for 5000-6000 Degree Days l (If the total thermal rating is zero (0) or greater, the building envelope complies with the agove code.) ......... ....... ....... .... 4 Component Area, SF U Value Thermal Table Insulation Rating Used to be used Roof/Ceiling Type 1 /Q ✓ _ �7_ Type 2 Net Walls Type 1 Type 2 Glazing Type 1 15S -_69 — o G/ Lr=•5 Type 2 Skylights Floors /D o 7 --2o 12- • Exit Doors 4,!2 ,(f p ,_ G _ " '90 Q o Foundation Walls /! wall Perimeter FT Exposure above grade FT Wall U Value Depth of U Value below grade INCHES Slab on Grade Slab Perimeter FT Insulation R Value TOTAL THERMAL RATING + The building construction shall comply with the below list4d sections of this code regarding equipment and systems, as applicable. Performance of HVAC equipment Section 7813.21 Control of HVAC Systems Section 7813.13 Duct Systems Section 7813.20 and Section 7813.19 Ventilation systems Section 7813.16 Insulation of Piping Systems Section 7813.18 Service water Heating System and Equipment Section 7813.31 thru Section 7813.34 Air infiltration of Envelope Systems Section 7813.4 Fireplaces Section 7813.5 To the best of my knowledge, belief and professional judgment, these plans -••y- are in compliance with the above identified energy code. of n�t� L �rX,pS E. s r 4` r , O i IL , c) ov. 4—`. _ .L— fl t1� Oa a , _ I IJ to d PROVIDE HR. FIRE DO NOT PROCEED WITH RATED SEPARATION TO FRAMING UNTIL SURVEY PART. 717.3 (f) (1) OF OF FOUNDATION LOCATION N.Y. STATE BUILDING CODE. PLUMBER CERTIFICATION HAS BEEN APPROVED. UNDERWRITERS CERTIFICATE ON LEAD CONTENT BEFORE PROVIDE SMOKE-DETECTING REQUIRED CERTIFICATE OF.00CUPANCY ALARM DE-ICES EMERGENCY ESCAPE AS PROVIDE OPENINGS FOR SOLDER Up fl y SUSED s EM CANNOT AS TO PART. 721.1 REQUIRED BY PART. 714 OF OCCU P02Y OR EXCEED 2110 OF 1%LEAD. N.Y.S BUILDING CODE. N.Y. STATE BUILDING CODE. USE IS UNLAWFUL PR If copper tubing Is used WITHOUT CE�p T I�-I CAT E PROVIDE ANTI-SCALD AND/OR g P �3 rtZ - OF OCCUPANCY THERMAL SHOCK PREVENTING for water distributing B.P DEVICES AS TO PART.902.6(K) system;of typespiping K or L only shall a FEE: . By. c N-Y. STATE BUILDING CODE. �� NOTIFY BUILDING DEPARTMENT AT �U C 786-1802 9 AM TO 4 PM FOA THE COD . FOLLOWING INSPECTIONS: + F p► IVB lye r�'s� 1. FOUNDATION - TWO REQUIRED DAT Z" R• _ TC- ()IY rQf�SS►=l.l. . 1� pP nr� FOR POURED CONCRETE 2. ROUGH - FRAMING & PL 04WA E. 3. INSULATION ; r c`' SU1=H O�.tt COtygU I..'T'C�N 1 S.. ICS GN 5. 4. FINAL - CONSTRUCTION MUBT �.. BE COMPLETE FOR C.O.PLUNIBING ALL CONSTRUCTION SHALL Mfff psi y A `L, STATE CONSTRUCTION & E ALL PLUMBING WASTE &W TER LINES NEED CODES. NOT RESPONSIBLE FO#1 TESTING BEFORE COVERING DESIGN OR CONSTRUCTION ERRORS ED j7z L 1 17 fl q i I ISb � ASA. Rl=.�F% L 12— /(A-T 1 C> N i I � I ix8 S��=1=o�K Com►s�>,.��uT � b�5c G�►_�,. s��-�►oN I3 - I3 _ - - , 'ZX.C� RAF, t CoL,i3+-S �Cs,O.C. -q'-ow.c, II �� Ie Af !_ t 5/8 S►+C:�=T1�4G ) 12 � 11 1; NEW, Cc RAD�i.—. UA.1-T SHI! IV T-T-71 Lj LQ 10 _ N 7' M-( SS ELL.. Self FOL�< �octi 5VLT._ w � z 111-1-171 1 6 I� i j --1'w 8 1 0 - - - - -- - - -- - - - - - -- - - - - ,--J AS IL `EFT S► D L��AT1C1!� ' flE- LUxE ccavk COD_ �.-5•�►8 �Ct�L� f4=1-O S►1Z',4aC=8 \ Awa Sc:Pt�o�K Co�sut..TANTS� l7Es►G►t\l`S_ '•o'� - v�4 r ' O too- � 4oao P�><Co _ 4y Ny rc L PopF.7. �. M- 8 — t V ► #i I I C3 - 9- K 0 IV tT CSG N f F k�• az- I , cc?. c? r n � � z` � Z6 I C"7 �• `Kj . O .. ,► _. T , ,. .. T 4-0 IWO dz min, :r o - D N o L,� tz?L v r 1 - woo to ol— ' v li fv Z — -- -- - —`� Rip t of B- 3 .�� d ,► ,, ' o o•�• �.z Kms_ - ' � � 4i1 5 8 S►IGC'i'RO 4 c�NC I C.4t. 6 .C6 00�. r 2 L` A R. G�c>KP C,,C ti t = •— t 3 •• O W: 13 . IL bC- Lul - - CaPC COD. N � E' 1- gip.•� . ��JIE:S.J C tZEMY �o RSS E�.�. .�IJFC'ClF' �(�t1�laLt.l%T U IcR,Ioll �' 2- 2K6HErbERS• e►•�K7-o O►ARo0.S. C N �, y Corti n +•, tO is • .. 13 - a d 4 E q Tib© 0 B M - I�IN ilo N , U OD ` d v O �00 N N c'\L t. ht 3.2.it �i t�t�'i.�'►.:pou C3l..0 I d L h1E N --- N g•-q." - D N • 3-2x,12.FL,C�IRDEF 00 03 I 0 I o �•-• 'v C,�-- T3CL.LIVJ S�CONL7 :LOOR PLgN l � I - <l IDE-LUXE- CONPE COD . Fc' M K I' MRS,JE F,E tv1�( 4-tZ-9 e, Scr-�e`C t!4•= 1--�� SW-i-.•� of� �e M . law y � r S�r�oL-KCoN5ULTAKTS Qaslc►c`15, G) �., Z-U 64 CO 21 D I � . o co I d' LI I I ! � I . � I � t -� L-j t a go m � I I N I fn ol �4' o0 ' ' r` __j dt ! — -- c0 r , . i apOD all %- AA, . i __ n.. CU1C.t..`. - I • —._.. ,___ — _ _! 6 6 C.r-,Ajc'0co I-ko(2 1.. r Q I 2 S i Alt cut, re 6 6- ---,�- s LL I o 13-rDci ~ '� 0 o J I N ' N O-r To I . N —....II 0.. ---- �Ce►He.A���zuN, OF nE�, YO I 573Ecs Vat, KluLTAWT45e 5 1 Q Aft . �.�C1O R.0.: 1� O. C, •GJ, � , E'tSPHt�►LT SHIh1�LE byC-1� 15 Lt3.FEL� , 2x 4-00,c-. 1��Pi.Y r1�1., iia• T=I, E�' �- $-O, 2.�.4 Vkc-h\-A C.GL Q. 4'd. C• 'Zx1C -' s. �67 •C'. - �Z j" 7-0 9-04 10 .a_•imor—mm. — On%K-T»iZ=:CG'S , iri5ll�. •. N .. - - - — aira L.S. i� O,C, �R=►g� 1VSLYi.{�T��sEy IMYL— txS So—F— do tt qj •. ; .. .. AF � ' of 3/tom PLY-wo,S•.;A?'-;. XKI, 217 �o .. _ Zr..o r.T. « c�.c, 3 1�j�x9%GAti►C� 3-2xr� GIROEF� �- 7 = `•�-,:,-�,r ra.Su'�. 4 ( ,N gon�cv�•�s:.t�s . i r � � ' ' s.. _ T. _ J Sk 4"•CQ rt.0.EL. i l i 1 0to L.,C�r: ;o - C off► :, S-catP` DDT^yt:_S — -• ,, . �: '•N 0 t� cJC owa SH - -�- - - 9_ Z 9-O 9 -2 �� . L � ff z 40 4-G-9 8 Scc_\l:s 1/4'=1-0' SHT,B of Si.1i=FOLtc,_Cc7N's LiLTAtI i 5,� Des lGt,t 5 , � : rnI :z t . SUFFOLK COUNTY DEPARTMENT OF HEALTH BERYICE& SUFMA COUNTY OEPARTMSN[OFRSMLTHSERVM APPROVAL OF CONSIRUCTEDWORRS FOR j- A. QVyf1�=FAAMVRE CE ` - - 0.1 JUL 11 WRMW..Na. 0 otk3. s j Them d dwm m:d vr�r a•�py ticSl9ee.0 Uds[OWN=hot ft d Tnsre:.td 9mlercalifledby tld51)ep Out 14mm;�eragmMS and Armdto JMOF ROOMS. � S` qmA Cuc[q•P Ofn eofwrm m,d Wae*i:evmTmaasgmwd . ..e NOTESa.a4� R old . L>J ti >1 LAME AS MT:1000 tAf: Z2 DN811Fiq.N COUNTY TAI MMS. 21 UEWLTEMCEDEp1TftMWWAY3M MEASEMENf- S Q 9I• I o aEf( o GF I�COIRRAN'I/KIT.LNfAMI-.IKITOUIISAMIEED. 3j E ATIWRNWGW A W&Sl;,0HED _ ^1{ LA F �w• ti�v as r� N STW HMN 117PERU /ATEiT LUPRrAM aINTARY LYSIEM.SIIDYMASPBI 4U/tvE%Ra'crzosNMGMRANf® 1 m • - •.r U GEOID t r,.� UH y TOW r d _ I _ - - UWIVDIOPI2®ALTFIIATfUM6OR AogDOMLro Tfl6 sumrElrs-iivla.AmMOF aECTtoxTar s - da-o - - OF 7lFM�ETmER STATEEDUDATEINtAMI. T . mFREFaui11FMMNOT'RdYEMm T1EiTpgEMSPExDR•s EWLSEIIL SNUT.NDTaE _ N(f Tjm AVAtMywTm ECOPY. l wnrEaM LwluwxONLY roTNE rEmaNwmxnnM ne EuauErre a Wf99UroFAU IMMASENaT TDA TPAETD 9 - L24 ! LyJ d 0 ; I TIEO�ETE�FWM LIFMItWWWARENDTWTWM=T0 SUM M PW i IIt J ./1 ,. EMU:maFEEMom Piff Waym A,PoCMW .ADM]=,ANDCW F11 ROMSTRULTEIN - � Z �� / , I Y� j Q gDnwurrSF TwR�crs.wl.zManLs..�smaaEwnLDnE mTowx aNsuaver. T S U R V E Ycm MAP. _>a OF NEIy Sld1't310"WI - i.H 1.a1S�7At25 Ute� '• ��S�GUBDIV1SION MAP0F: "C3� 3J1J i929 �CG'I-IOhI t7hIG M FJNAyUmln: C, <.a @Als © BY ROBERT B. HOLZMAN 4S. 199a C NO SV -LICENSED LAND SURVEYOR, N.Y.S. LIC. 649176 v 12D5 WALNUT AVENUE BOHFAX N.Y. 930 IIFAIL /,zau: Fv..na._swevsv - 1716 PHONE 9:516889 0261 FAX 6=516 588 4990 QJE. 27. /999 F UNP. Lx. - l2lrl'72 r OGT-Ir l9T9 9-!'A,e6 our ews - - .DATE: J..w SCALE: L^e3o• FILE:�OO� 5r r 411998',RWrjD pi W.I f �y --it IT SND" ��t5Z3� - y `"N ' h PtEOe"F"'+o E/�-WARD W E 2 TINYSR_ NICs v, a PP . {# l�U CA mrxw+ .$'-c a/e3 -nh(.+ _