HomeMy WebLinkAbout49190-Z �OSOfFOt�cpG_ Town of Southold 8/24/2023
0
P.O.Box 1179
0
o 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44482 Date: 8/24/2023
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 2223 Indian Neck Ln.,Peconic
SCTM#: 473889 See/Block/Lot: 86.-5-11.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/14/2021 pursuant to which Building Permit No. 49190 dated 5/1/2023
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:
"as built"alterations to existing single-family dwelling as applied for per SCHD approval.
The certificate is issued to Ospreys Compass LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL SHIP#22-00732 5/1/2023
ELECTRICAL CERTIFICATE NO. 49190 8/7/2023
PLUMBERS CERTIFICATION DATED 7/17/2023 (NticFkd Pressler/?
t ri Signature
�SUFFoi TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 49190 Date: 5/1/2023
Permission is hereby granted to:
Ospreys Compass LLC
365 Seawood Dr
Southold, NY 11971
To: legalize "as built' alterations to existing single-family dwelling as applied for per SCHD
approval. Additional certification will be required.
At premises located at:
2223 Indian Neck Ln., Peconic
SCTM #473889
Sec/Block/Lot# 86.-5-11.3
Pursuant to application dated 9/14/2021 and approved by the Building Inspector.
To expire on 10/30/2024.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $636.00 ,
CO-ALTERATION TO DWELLING $50.00
Total: $686.00
Building spector
pF SOUjyol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q Jamesh .southoldtownny.gov
Southold,NY 11971-0959
olyIrou
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Ospreys Compass LLC
Address: 2223 Indian Neck Lane city:Peconic st: New York zip: 11958
Building Permit#: 49190 Section: 86 Block: 5 Lot: 11.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Homeowner Electrician: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 20 Ceiling Fixtures 3 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 4 Smoke Detectors 2
Main Panel A/C Condenser Single Recpt Recessed Fixtures 21 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 2p 4'LED Exit Fixtures Sump Pump
Other Equipment: 8 15 amp afci breakers, 2 20 amp afci breakers
1 fridge, 2 ovens, 1 dishwasher, 1 microwave, 1 cook top
Notes: AS BUILT
Inspector Signature: Date: August 7, 2023
2223 inian neck In
x
Town Hall Annex Telephone(631)765-1802
54375 Main:Road Fax(631)765-9502
P.O.Box 1179 G �:
Southold,NY 11971-0959
ID
BUILDING DEPARTMENT AUG 17 2023 ` T
TOWN.OF SOUTHOLD
BUJI DING DEPT.
" „CERTIPFICAT.LON
Date: ? ` C7 -
Building Permit No.
LSC.
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Owner. 54 ?�
(Please print)
<..:: .
Plumber:,.
(Please print)
I certify that the:solder used in the water supply system contains less than 2/14 of 1%
lead.
(Plu ers Signature)
Swom to before me this 11 tµ
day of j..6 ' 20
JEFFREY C. MACKENZIE
Notary Public,State of New York
No.01 MA6446728
Qualifier in Broome County
Commission Expires Jan.23,20 Z7
Nota ublic, County
Sopl�O
TOWN OF SOUTHOLD BUILDING DEPT.
G @
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/C KING
[ ] FRAMING /STRAPPING [FINAL Ji •
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
V.� r
Co MMtf AT �A��P W044 rnjvh6z,
DATE INSPECTOR
q SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
u631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: ks �uu 1+
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DATE a3 INSPECTOR
- i d"OLK #JeeC1 w
oF su ! lo Oa3
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* * TOWN OF SOUTHOLD BUILDING DEPT.
u 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[
]. FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
l.J
DATE 0 T A 3 INSPECTOR 14UVOd W,
�aOF SOUIyo � l ���✓ i`GC��S�vI dl/�G /
* # TOWN OF SOUTHOLD BUILDING DEPT.
co 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: a :5 bL ,
g�
DATE 7-o?3 INSPECTOR _
`
a(qo hp�aq SOUTyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
`ycomm", ' 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL ge�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMRKS:
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DATE "! INSPECTO
AMP Architecture Address:10200 Main Road,Unit 3A,Mattituck NY 11952
Phone:(516)214-0160
Design + Build DJuly 191h, 2023
JUL 2 1 2023
BUILDING DEPT.
Town Of Southold
T07-N ''.'b!.0T7TL,:
P.O Box 1179
Southold NY 11971
RE: Bolliver Residence
2223 Indian Neck Lane
Peconic NY 11935
To Whom It May Concern,
Based on my inspection at the above address the framing, rough plumbing and insulation were installed
per the approved plans and NYS Code.
Please contact our office if you have any questions.
Thank you,
Anthony Portillo, RA, LEED AP
yi
Page 1 of 1
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST)
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��4sSufFocK�oG�� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtowmy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only U
PERMIT NO. Building Inspector: SEP 1 4 2021 L
111
Applications and forms must be filled out in their entirety: Incomplete .°. .1 � li,J �,�;
applications will not be accepted.'Where the Applicant is not the owner;an TO,
Owner's Authorization form(Page 2)shall be,completed.-
Date:
ompleted.Date:9/14/21
OWNER(S)OF PROPERTY:
Name:Laura Bolliver SCTM#1000-86-5-11.3
Project Address:2223 Indian Neck Lane, Peconic
Phone#:631-921-2993 Email:lauraotr@optonlinenet
Mailing Address:2223 Indian Neck Lane, Peconic
CONTACT PERSON:
Name:Amp Architecture, Jess Magee
Mailing Address: 1075 Franklinville Road, Laurel
Phone#:516-214-0160 _ Email_Jmagee_@amparchitect.com
DESIGN PROFESSIONAL INFORMATION:
Na.me:Amp Architecture, Anthony Portillo
Mailing Address: 1075 Franklinville Road, Laurel
Phone#:516-214-0160Emai1TAportilIo@amparchitect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION'.
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
EOther As Built $
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORfVIATION
FR-80
of property:Single Family Residence Intended use of Property: 1
g y p ' -Single Family Residence
district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ®No IF YES, PROVIDE A COPY.
s After Reading: The owner/contractor/design professional is responsible foF all.drainage•and storm water issues as'provided by
Chapter,236 of the Town+Code. APPLICATION IS'HEREBY MADE to the-Building Department for the issuance of a'Suilding Permit pursuant to the.Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and. applicable Law;,Ordinances or Regulations;for the constructiomofbulldings,
additions,alterations orfor 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:ompremises and in building(s)..for necessary inspections.False statements herein are
punishable a$a Class A misdemeanor.,;pursuant to Section 210.45 of.the Neuf York State+Penal Law.
Application Submitted By(print name):AMP Architecture, Jess Magee
. BAuthorized Agent ❑Owner ,
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
AMP Architeetu re, JeSS Magee being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the agent
(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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file ther ith.
2V.
Sworn before me this BARBARA H.TANDY
Notary Public State Of New York
_day of �I' 20 c3 QualifiedIn Suiff�o8l CCdu__
3
°m otaryu lic
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
1�J1kytr residing at 62ILLI l Ln
Pxccn 1C. -do,hereby authorize ,i 11 lD r 1!�,�( 1LC to apply on
my boalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Lto NC7-.
Print Owner's Name
2
COUNTY OF SUFFOLK
STEVEN BELLONE
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES GREGSON H.PIGOTT, MD, MPH
Commissioner
May 1, 2023
Peconic, Ny 11958
SANITARY REPLACEMENT/ RETROFIT ACKNOWLEDGEMENT
HOMEOWNER:
ADDRESS: Peconic, NY 11958
SC Tax Map Number(s) of the Property: 1000086000500011003
SHIP Reference Number: SHIP-22-00732
Please be advised that a licensed liquid waste contractor has completed a sanitary system
replace ment/retrofit at the subject site in accordance with the Suffolk County Department of Health
(SCDHS) Standards for Procedures for the Replacement and Retrofit of Existing Sewage Disposal
Systems for Single-Family Residences and Other Than Single-Family Residences.
If you have any questions or comments regarding this installation please call 631-852-5459.
Sincerely,
Office of Wastewater Management
DIVISION OF ENVIRONMENTAL QUALITY
A 1 360 Yaphank Avenue,Suite 2B,Yaphank NY 11980(631)852-5750 Fax(631)852-5760
Prevent.Promote.Protect.
Suffolk County Department of Health Services
Otilce of Wastewater Management
360 Yaphank Avenue,Suite 2C
Yaphank,New York 11980
(631)SM-5700 OR HenighWWN[@suffogicouniM.gov
CERTIFICATION OF SEWAGE DISPOSAL SYSTEM BY INSTALLER
Leave blank any items that are not applicable to the installation. **A selvage disposal system sketch alone with
location measurements from at least two building corners must be provided on the back or on a separate sheet
and attached to this form**
Health Department Reference Number. SHIP#22-00732
Suffolk Tax Map#:Dist: Sect(s) .131k(s) Lot(s)
= l :
Project Name or Address: 2223 Indian Neck Ln.Peconic,NY 11958
Applicant/HomeownerName:Laura Bolliver OCT 2 2022
Date of System Installation:08/17/20221
UA OWTS TREATMENT UMT SEPTIC TANK '
Make and Model: Volume(gallons): 1500
Rated Daily Treatment Capacity(gallons): Material: [X] Concrete, [] Fiberglass/Plastic
Material: []Concrete []Fiberglass/Plastic Shape: [j Rectangular, [X] Cylindrical
Top: [X] Slab, []Traffic Slab, [] Dome
DISTRIBUTIONLEACHINGPOOLS(If applicable) Name of Tank Manufacturer: All-County
Number of Pools
Diameter and Effective Depth GREASE TRAP
Top: [] Slab []Traffic Slab [] Dome Volume(gallons):
Name of Precast Manufacturer: Material: [ ] Concrete, [ ]Fiberglass/Plastic
Top: []Slab,[]Traffic Slab,[]Dome Name
LEACHINGPOOLS/GALLEYS of Tank Manufacturer.
Total Number of.Pools/Galleys: 4
Diameter/Dimensions and Effective Depth: 8'x4' OTHER LEACHINGSTRUCTURFdS
Make and Model (if applicable):
Top: [X] Slab [] Traffic Slab []Dome []N/A
Name of Precast Manufacturer: All-County
Total Linear Feet of Leaching Structure(s)
COVERSAND LIDS
Installed covers comply with current standards(secondary safety device installed if cover weight less than
601bs.) [X] Yes []N/A1
I hereby certify that the subsurface sewage disposal system components described herein,have been installed by me in accordance with the
approved plans and/or standards of the Suffolk County Department of Health Services as well as any other municipal agency requirements;and
any and all mechanical/electrical components have been tested and are operational in accordance with manufacturer's recommendations.
Installer's Signature:0-4eg Date ako /J/2.'-7
Installer's Name: David Warren
Company Name: Clear River Environmental Phone 631-467-5447
Company Address: 847 11'St.Ronkonkoma NY 11779
Consumer Affairs Liquid Waste License Number and endorsement(s): LW44528
"INADDITIONTOABOVE,COMPLETEBELOWFORSANITARYREPLACEMENTIRETROFITONLY:
In-addition to the above information,I hereby certify that this OWTS replacement or retrofit meets the Department Replacement/Rctroftt
Standards,and that other alternatives are not environmentally feasible. I also certify that this OWTS replacement or retrofit installation
represents an improvement to existing sewage disposal system conditions.
Installer's Signature:
Installer's Name:
THIS DOCUMENT MUST CONTAIN ORIGINAL SIGNATURES FROM THE INSTALLER
WWM-078(06119)
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E N V I R CP N A4 E N TA L
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The ClewrRiVer Family of Companies:
•/t-I Se)Per&Drain •Ray's Cesspool Service •Priority Cesspool Sewer&.Drain
•Mangano Plumbing • East End.Cesspool Service - Fast Cesspool Service
-Bill.tValfills Cesspool - Fraser Cesspool
81711`'Street Ronkonkoma,NY 11779 27 Service Rd A,Calverton NY 11933
631467-5447 631-298-7749
Suffolk County Department of Health Services
Office of Wastewater Management
360 Yophank.Avenue,Suite 2C
Yaphank,New York 11980
(631)852-5700 OR HealthWWM@suffolkeountyny.gov
CERTIFICATION OF SEWAGE DISPOSAL SYSTEM ABANDONMENT
Health Department Reference Number: SHIT#22-00732
Suffolk Tax Map#: Dist: Sect(s) 131k(s) Lot(s)
Project Name or Address: 2223 Indian Neck Ln.Peconic; NY 11958
Subdivision Name&Lot#
Applicant Name:Laura Bolliver
I HEREBY CERTIFY THAT:
1. The first septic tank/leaching pool,from the foundation,was located and uncovered, AND
2. If liquid sewage was noted therein,was pumped dry by a licensed sewage hauler,AND
3. Tank/pool was inspected for outlet line to an overflow pool,AND
4. Overflow pool(s) was/were located, uncovered and items #2 and #3 were repeated-until all parts of
sanitary system were located,AND
5. All parts of sanitary system were removed or filled with clean backfill and any corbelled block domes
collapsed.
I also certify that the sanitary system abandoned consisted of:
First tank/pool 4 feet diameter$ feet deep(,,)precast ( )block ( )other
First overflow pool feet diameter feet deep( )precast ( )block ( )other
Next overflow pool feet diameter feet deep( )precast ( )block ( )other
Next overflow pool feet diameter feet deep( )precast ( )block ( )other
Company which pumped out sanitary system if different from certifying company:
Name of Company:
Address.
Consumer Affairs License Number:
Contractor Signature: G Dateef4 fz,f a Z_'t
Print Name/Company: Clear River Environmental Phone 631-467-5447
Address: 84711th Street-Ronkonkoma,NY 11779
Consumer Affairs License Number: 44528LW
This certification shall not be used in lieu of inspections required by personnel of the Department
and may be duplicated on company letterhead,provided it contains the above information.
PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED
W W M-080 (Rev.02112)
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�uFFO(� BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
h Town Hall Annex - 54375 Main Road - PO Box 1179
5 ^* Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCa)_southoldtownny.gov - seand(a-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: S
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: (05-j)r, CD C¢S
c� c/' ddress: a2,3
L 10, CIO . r
Cro§s Street:
Phone No.: - r 2013
Bldg.Permit#: `fid email: os r".� (,0y1tDc,_5SQop+ Inc
hc-f"
Tax Map District: 1000 Section: Block: 5 Lot: J, 3
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
/ J e
Jac 1'�-, -���f'2{7 0-" S
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y RN
Additional Information:
PAYMENT DUE WITH APPLICATION S 2 23
r'ec#-
, u D BUILDING DEPARTMENT- Electrical Inspector
A, TOWN®G TOWN OF SOUTHOLD,
Town Hall Annex- 54375 Main Road - PO Box 1179
CO' Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov - sea nd(a_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
ddress: v1 c� rc� i c lS`
Frogs Street:
Phone No.:
11 email: OS r cis apt
Bldg.Permit#: 5J( %� �e-I—
Tax Map District: 1000 Section: Block: 5 Lot: /, 3
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply: '
Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 PhF-]3 Ph Size: A # Meters Old Meter#
❑New service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#'Underground LateralsF-] 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION S 2 23
�� c I Ott YU2--
PERMIT H Address:
Switches
Outlets
GFI's Y I
Surface
Sconces 4I `
H H's
UC Lts
i Fans Fridge , HW
Exhaust Oven a W/D
Smokes "� DW Mini
Carbon Micro ` Generator
Combo Cook-top Transfer
4C AH Hood Service
Amps Have Used
- pecial: c
omments �/
AMP Architecture Address:10200 Main Road,Unit 3A,PO Box 152,Mattituck NY 11952
Phone:(631)603-9092
' Design + Build
October 27, 2022 OCT 2 7 2022 +
)ILD. nr ,
Re: Bolliver Residence
2223 Indian Neck Ln
Peconic NY
To Whom It May Concern,
Enclosed please find final paper work for the above address.
The owner is working on closing out an open permit,and obtaining a rental certification.This application
has been on hold for a while, so if you not have-all the necessary paperwork please let us know.
Also,the installer let us know they were not able to.get stamped plans from the Health Department.
Please let us know if this paperwork is acceptable or if you need the approved stamped septic plan.
Please contact our office if you have any questions.
Thank you,
Jess Magee
Page 1 of 1
SITE PLAN HATCH KEY: O. U
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PROPOSED ACCESSORY STRUCTURE W Z O
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I PROJECT LOCATION &SCOPE z m
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AP' VED AS NOTO
FIRST FLOOR AREA 1,810 S.F_ ^
DATE:
S 3 B.P.#
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SECOND FLOOR AREA 4130 5F.
FEE: PY:_
-A �'� / TOTAL BEDROOM COUNT 3 NOTIFY BUILDING D :"�rTNIENT AT VD
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DESCRIPTION (FOOTPRINT) AREA COVERAGE YOI�!t STATE. NOT P:ESPON IBLE FOR
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,
TOTAL LOT AREA 45,800.0 S.F.
EXISTING RESIDENCE 2,650.0 S.F.
1 1 / EXISTIW, COVERED PORCH 371. 015%
EXISTING DECK Lb
.0 S.F. 1:75
o
V1 EXISTING OUTDOOR 5HOVE2 34.0 S.F. 0.1%
1 �I EXIST. P1
I QI SEF'TIG TOTAL AREA OF ALL STRUCTURES 3820.0 S.F. 8.3%
1 n "MAXIMUM LOT GOVERAfE AL.L.OP4M - 20%
OUTDOOR
/ / Ik
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/1 DECK SHONER , REQUIRED EXIST. COMPLIES
COMPLY WITH H ALL CODES OF
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1 I I I SIDE YARD 20.0' 200' YES AS REOUIP,-n AND COND710I S OF
! BOTH SIDE YARDS 40.0' 41.0' YES
21.0' FR. RE51 DENGE / RR R 1
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USE IS UNLAWFUL RESIDENCE
�IITFIOUT CERTIFICATL
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SURVEYOR. T'F� INFORMATION � � �° •�,, {� I
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ON THIS SITE PLAN 5 TO THE .{.,. � " ,y 7 v ' f May q
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SITE I- L /l N 612 15TSTREET SCALE: NT5
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DATE: 08/17/21 5 OF 5