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HomeMy WebLinkAbout27412-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29183 Date: 01/08/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 460 ANDERSON RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 2 Lot 2 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 2001 pursuant to which Building Permit No. 27412-Z dated JUNE 18, 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 SINGLE FAMILY DWELLING WITH SCREENED PORCH & WOOD DECK AS APPLIED FOR. The certificate is issued to TED HOYLE & RAYMOND RODRIGUEZ, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0095 01/07/03 ELECTRICAL CERTIFICATE NO. 1051378 05/09/02 PLUMBERS CERTIFICATION DATED 05/17/02 PECONIC PLUMB.&HEATING Authorize Sign ure Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29184 Date: 01/08/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 460 ANDERSON RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 2 Lot 2 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 2001 pursuant to which Building Permit No. 27412-Z dated JUNE 18, 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 ACCESSORY TWO CAR GARAGE IN REAR YARD AS APPLIED FOR. The certificate is issued to TED HOYLE & RAYMOND RODRIGUEZ, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0095 01/07/03 ELECTRICAL CERTIFICATE NO. 1051378 05/09/02 PLUMBERS CERTIFICATION DATED 05/17/02 PECONIC PLUMB.&HEATING Authorized Si ature Rev. 1/81 1 5- Form No.6 TOWN OF SOUTHOLD _ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department wits the fallow! `a A. 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 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- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. �',1(00/0 New Construction: X Old or Pre-existing Building: (check one) Location of Property: 7 60 D. J o�TNoc D House No. Street Hamlet Owner or Owners of Property:-TJp {�oy�E f gnolmivb fZv62tGUGZ- Suffolk County Tax Map No 1000, Section 05'1-1 Block Lot - 1 Subdivision Filed Map. Lot: Permit No. 2.74/'L Z Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature co �aq� �y o�gUFFO(,�co Ilk� Town Hall;53095 Main Road • Fax(631)765-1823 P.O. Box 1179 ,fi O� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: —O c Building Permit No. ( a Owner: IED &Y LZ V-44 ymo�vD t7,r17 2 (please pp�rint) / J � Plumber: JoeLo!? /G /L Ui1/ /��/ 9�1?60,,///U6 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbe s Signature) Sworn to before me this day of 20 BBARM�42 Notary Yo No.01ST4844752 Qualified in Suffolk County (� Commission Expires Sept 30� Notary Public, County r.PrJ�rJ�rJ-rJ�rJ�rJ�rJ�rjrr :1nrJ�cnrJ�rJo LSJ BY THIS CERTIFICATE OF COMPLIANCE THE I 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 c5 BUREAU OF ELECTRICITY c5 40 FULTON STREET -- NEW YORK, NY 10038 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 5 5 P.O. TED HOYLE BOX 061S P.O BOX 1656 5 SOUTHOLD, NY 11971-0932, SOUTHOLD, NY 11971 5 5 Located at 460 ANDERSON ROAD SOUTHOLD, NY 11971 S5 5 Application Number: 1051378 Certificate Number: 1051378 5 5 5 5 Section: Block: Lot: Building Permit:27412 BDC: NS11 S 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 rj found to be in compliance therewith on the 9th Day of May,2002. �5 5 Name OTY Rate Rating Circuit Tvoe 5 5 5 Alarm and Emergency Equipment 5 Sensor 1 0 Carbon Monoxide 5 5 5 Sensor 5 0 Heat 5 Appliances and Accessories 5 5 5 Dish Washer 1 0 1.2 KW 5 Oven 1 0 4.7 KW 5 5 Exhaust Fan 2 0 F.H.P. 5 ej Furnace 1 0 Oil 5 5 Pump/Motor 1 0 1 H.P. 5 5 Air Conditioner 1 0 42,000 BTU 55 5 Wiring and Devices 5 5 Receptacle 42 0 General Purpose 5 5 Switch 38 0 General Purpose 5 Fixture 35 0 Incandescent 5 5 Fixture 10 0 Fluorescent 5 fj Dimmers 7 0 5 5 Receptacle 8 0 GFCI seal 5 5 Receptacle 1 0 20 amp Laundry 5 Continued on Next Page 1 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 a �������������������������������� I����������amoommonapLpL�L������j v D �PrJ�rJ�rl�nr�r l�rJ�rJ�rJ�r nrJ��nr�cnrJ��ncmnz.rmm rrsc. mmpLrJLL.nr3rL3r3r3r3r3i'I g lir i nrwrygyir�rJ�cnrrrJ��nrJ�rJ�r ncnrJ��rrJ��nr nrJ�rJ�rJ�r1rJ� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 c5 BUREAU OF ELECTRICITY S 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT 5 Upon the application of upon premises owned byPAULR. BUR5 5 5 5 TED HOYLE P.O. BOX 061S P.O OX 1656 SOUTHOLD, NY 11971-0932, SOUTHOLD, NY 11971 C� Located at 460 ANDERSON ROAD SOUTHOLD, NY 11971 7� Application Number: 1051378 Certificate Number: 1051378 �c Section: Block: Lot: Building Permit:27412 BDC: NSI 1 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 rj found to be in compliance therewith on the 9th Day of May,2002. 55 5 Name OTY Rate Rating Circuit Tvoe ,7 5 Receptacle 1 0 30 amp Dryer 5 Multi Outlet System 12 0 12 ft 5 5 5 Service 5 1 Phase 3W 5 5 Service Disconnect: 1 200 cb 5 Meters: 1 5 5 5 5 5 5 S 5 5 5 5 sea, 5 5 5 5 2 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 o �rs�rr�n�n�lr��nrn�l�rrmmo nuffl nurrr�r��l�n�lI�1��r�r����lan�i��rsrs�`.-d3 QPr d3 MM nEUMMMrE�l�n�l�rs� o O �IrJ�lrr�lcn�l�l�lr�r�rJ�r�nr�I]IIM Lr@-L3PL-LrLPLrE3i.P�lcnr�cP�l r��n�nrJ�rJr�rJ�r�rJc rr n�lrJ�r�r r�urPrJrJr�C rrJ�rrJr�cnrJ�rrr��nrJ 5 BY THIS CERTIFICATE OF COMPLIANCE THE L5J 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT S 5 5 5 Upon the application of upon premises owned by 5 5 ODRIGUEZ P.O. BOX 061 460 ANDERSON RD 5 SOUTHOLD, NY 11971-0932, SOUTHOLD, NY 11971 5 5 Located at 460 ANDERSON RD SOUTHOLD, NY 11971 5 5 Application Number: 1079727 Certificate Number: 1079727 5 5 5 SSection: Block: Lot: Building Permit: BDC: NS11 S 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: c� 5 Second Floor,Detached Garage,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 5 found to be in compliance therewith on the 22n Day of October,2002. 5 5 Name QTY Rate Rating Circuit Tyne 5 5 Panels 5 S I 60 4 5 SWiring and Devices 5 5 Receptacle 4 0 General Purpose 5 Switch 7 0 General Purpose 5 NJ Fixture 7 0 Incandescent 5 5 Fixture 2 0 Fluorescent 5 5 Receptacle 3 0 GFCI S 5 5 5 5 5 5 5 seal 5 S 5 5 I of I 5 55 This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. 5 5 o �LPC6UM00fflffl@n�rr�n���r1nt��n��C.an�l-�RPLP� dn�n�n � o 4W APR STATE OF NEW YORK ) ; a ss COUNTY OF SUFFOLK ) .. being duly sworn, deposes and says That deponent is over thea e of 18 years and resides at /2i� //'' .�/Y� �C/�t C.T I�PEh JOE" Al y 2001 That on the // day of fp.--i 21199' deponent architecUengineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- Q2 r 2 , , street address 144PC ANDV'E0kL�, AEID Engineer EIIEENS.SANTORA NOTARY PUBUC,Stals of New a L No.30491601- Qualified in -' Commiuion ' Sworn to before met is -41-.A§!Y_of g , 2004. I _ EIIFEN 5. � Slate of �OF HE. YO NOTARY PUBLIC,Slate of New York " No 304916018 ... Qurllited in Nauru... CommiWoe Expires _ LAJ :: ! ♦f:_ 1t` - 2 AFD 032254-1 �9OFESSIONP� BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: t /8 /01 �J DATE SUBMITTED:�1?�101 APPLICANT NAME: /I ��r �f�a SCTM# --- DISTRICT: 1,000 S CTION: S4 BLOCK: y LOT' �- I STREET: ¢f0 10 04,-1�7 CITY: ?f+ j SUBDN. NAME: PROJECT DESCRIPTION: ADD ALT ACCO N/D S� -m T/� �� 2(�Pi / cK !77�/. -a ARCHITECT/ENGINEER: /a7Nice_ FAST TRACK: ES RNO �+ / / SINGLE& SEPARATE CERTIFICATION-REQUIRE : YES NO NOTES: r/ c 4�rew4J LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDE TS FROM JAN.1997 10 er.(A nonconforming a any time after 7/I/83) ZONING: PERMIT ESTIMATE AMOUNT:_$ I x.00 PERMIT USE: EXISTING: INTENDED: ZONING DISTRICTR40 R80 AC CONFORMIN . YE \R NO REQUIRED LOT SIZE: '(-O< SQFT. WHERE ACTUAL LOT SIZE FROM?TAx CARD S"tteX S,(31�Q ACTUAL LOT SIZE:-$Ift SQFT. REQUIRED REQUIRED T REQUIRED 1ST FOUND:FRONT:SD 'PROPOSED: ' SIDE YD: l/� PROPOSED:2/�'I/.S REAR:SO 'PROPOSED:p.4 ' 2ND FOUND:FRONT: ACTUAL: ' SIDE YD: '/ ' ACTUAL: '/ ' REAR: ' ACTUAL: ' LOT COVERAGE: OWED:% EXISTING: sf_% NEW: sf_% TOTAL: S CORNER? YES oft NOVWAT ER FRONT? YES OR 00 DESCRIPTION: FLOOD COMPLIA ZONE: PRE-FIRM 3/18/80 PANEL #. FLOOD ZONE:_<, AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APPLICATION TOWN SPETIC PERMIT: or NO 11-w 3 3d�o I SUFFOLK COUNTY HEALTH DEPT: E or NO, (BED #): DTE: 7 //2 / 97 PERMIT#:RIO- V-00 9S JAPPVALS RE UIRED: NEW YORK STATE DEC: PRE-DEC 9/1/7s YESOUTHOLD TOWN TRUSTEES: YETOWN ZONING BOARD APPROVAL' YE TOWN PLAN. BOARD APPROVAL: ES r NAQ gi / 79 S. O Ke 4o.9 re✓`�{�>g TOWN HISTORICAL PRE (SPLIA/): YES N NYS ENERGY: S R NO �/ GRESS: VENT: LIGHT: r T,2ar BUILDING PER S OPEN/EXPIRED: BP Z/C, - HAVE PRE CO'S : Y OR N BP -Z/ C/O Z- NOTES: r/6 acs, :.ti-ilc �1 b�rJ FEE STRUCTURE: FOUNDATION: 1611/ SF FIRST FLOOR 190 / SF SECOND FLR SF MIT OTHER TOTAL TOTAL: g7/2 SF FEE FEE FEE 8-<6 3 'OT( ¢7/2- SF)�- (-4@ SF)= e--"e SFX $ .�v =$ 7,12 �4+$ �S r- +$ �' = $ �� ICO /J,j /'J`-mss Al ze,- - Cr '�-u /o ' S.-� //sz-So�2K.-U =%'S.`o -f-5S =Zoo.�a %��� �•yfde__ APR i 2 212 " `��� S I-ATE OF NEW YORK ) ss COUNTY OF SUFFOLK ) al'e.J r{h « M c/ �' being duly sworn, deposes and says That deponent is over thea e of 18 years and resides at (!57,l-eehpor' Ny 2001 That on the // day of Xpk-1 2449e deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- 64 - Q2 - 2 , i street address AE4r:) Engineer 1111EN S.IA NTORA NOTARY PUBLIC,State o/New re.h No.30.49160" Qualified in ' - Commiuion SWOM to before met is .AOY.of, 2004. EILEEN S. SANTORA OF „E Y NOTARY PUBLIC, State of NOW Yat .` 0 - N, 30-4916018 p.��cE TU�9�' - Qualified In Nasfeu e . Commimoa Enpirea eT� 032254-1 �V oPgOfESS%O%'? �i ENERGY CODE CALCULATIONS (Por Non-Electric Heat) Design Criteria G , 000 Degree*.Days / 0. 11./ 1UOP I .A. 70°P FOR: �o yJ� YGIZ: %�emA f urn be so /o/ DATED: Re,. 3-�z b- o/ SUBSYSTEM AREA DESIGN '1'1IERMEL REMARKS"U" RATING G.xLeriur Walls (Opaque) Glazing 2 6 3 A 4s�a �>�tiYti ea Lr __ 4' Z 3 54 - I/� o, e p�2/ Doors Ceil.iny/Root (Opaque) lG6b° oS 0 Sky liy[Its o, LS' B Lf floor , 6 72 o.r 0 foundation Walls Slab Insulation TOTAL + u Notes: Building Envelope Sy ns to meet requirements of 7815. 2 HVAC Equi.pement to meet requiremenL-s of 7815 . 11 11VAC SysL•ems to meet- requirements of 7815 . r2 Duct Systems to meet- requiremeirLs of 781.5 . 13 Venl•ilations Systems to meet requirements of 7815 . 14 1nsulal•ian of Piping Systems to meet- requirements of 7815 . 15 Service Water 11ea1-iny SysL-ems & Equipment- to mecL requirements of '7815 . )1 Electrical & Lighting Systems & Equipment to meet requirements of 781.5 . 31 To the best of my knowledge, pFHEiy �� YO belief, & professional judgement- , these plans are in compliance wit-(1 the code. ° r Lu s uj ZSF 032264.1 cA9OFFSS%C Nj / 2 �� Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/30/01 Receipt#: 4986 Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Check#:4986 Total Paid: $10.00 Name: Hoyle, Ted Po Box 1656 Southold, NY 11971 Clerk ID: LES Internal ID:29201 765-1802 BUILDING DEPT. 00 NSPECTION [ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLACE A CHIMNEY REMARKS: 12izw/- r DATE INSPECTO 765-1802 BUILDING DEPT. i SPECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP ACE & C NEY REMARKS: l CZ2- DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUND TION IST [ GH PLBG. [ ] F NDA TION 2ND [ ] INSULATION [ ] FRAM [ ] FINAL [ REPLACE & CHIM(NEEY, REM KS: v2 � DATE `J INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR S rloo" 1401, DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [�] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEYS- REMARKS: i� �G DATE / Z a INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] F MING [ ] FINAL [ FIREPLACE REMARKS:- � Com ' 11114d G;/ri� /41/17 DATE INSPECT �� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL i [ ] FIREPLACE & CHIMNEY RE ARKS: A oor 10 DATE o) G �D Z7 �- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [X] FINAL -- [ ] FIREPLACE & CHIMNEY REMARKS: � � 'u���• ��_ �f' � „ I&H Ile F DATE- ,// lc INSPECTOR ; '7 511� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING A FINAL [ ] FIREPLACE & CHIMN Y REMARKS: DATE INSPECT FIELD INSPECTION REPORT DATE _, . COMMENTS oeo FOUNDATION OST) I H Itt — I n n a Z FOUNDATION (2ND) II n _---------- _____ or ROUGH FRAME 6 PLUMBING I{ Itt �j � 1 1 '3 (Ole 47 INSULATION PER N. Y. =/ 03- STATE ENERGY II� ii S v;✓� ,.,c , ` G CODE {{ {{ u I I�I _ I II H FINAL I i� AV - __ TIO COMMENTS: d/ lr J,.✓eo -1-•✓ S/NJe Er l/0 e- /1.0- Ole •� 4teicSo is- -7 ri r. 14, G !2�/ GtJOa /ter see►✓ /1,G �S llpw srt' $ s ,,4&7,L � -Ore - //e.1 / �r/ Y / ij ai /lets.o rrd /we: t Lsf 4eeessar7r dnmkWe JaLO —2 C s H r e1v aZ p 1 p ' ro _ H 1VWiv Vr 0Vutr1VL1A t3UiliJlNliYlrxM11 AY!'Li(;A'1'lUN ( Hl~LKLIs BUL.DING DEPARTMENT Do you have or need the following,before applying TOWN HALL Do of Health SOUTHOLD, NY 11971 3 sets ofBuilding Plans TEL: 765-1802 Survey PERMIT NO. 27 `f/2 zZ Check Septic Form N.Y.S.D.E.C. Examined 6 L& 206/ Contact Trustees Approved 6 l8 ,20_S/ Mail to: Disapproved a/c • Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date x/29 , 20 61 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 ori'premises,relationship to adjoining premises or public streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout'the work. t e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued 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 coinply with all applicable laws,ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.' (Signature of applicant or name, if a corporation) A0. (daL /65- Sou-A0k, JVY 1671 (Mailing address of applicant) �— State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder crkl'h�v✓ Name of owner of premises T � � (as on the tax f611 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. 1. Location of land on which pioposed work will be done: 4(0 And,0144W House Number Street ti County Tax Map No. 1000 Section 5-'/, Block—0 Subdivision Filed Map No. Lot (Name) va r+vatuow eulu itimuuuu use ana ocCU ancyo proposed construction:, p a.' Existing use and occupancy. no / b. Intended use and occupancy 1. Nature of work (check which applicable): New Building k Addition Alteration Repair Removal Demolition Other Work (Description) 1. Estimated Cost l '7 5r Dao Fee (to be paid on filing this application) If dwelling, number of dwelling units I Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front —Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories I Size of lot: Front Rear Depth 0. Date of Purchase 8�4�9q Name of Former Owner A-4bv MCAX� &_w (&Jkf' �ipn-2) 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: -h o r 3. Will lot be re-graded aw Will excess fill be removed from premises: YES 4. Names of Owner of premises Pk4v Address Pb Pj&,—v Phone No. 7L4Y Name of Architect Address Phone No Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO X • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK). SS: 'OUNTY OOF - jz y Ll£ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, >)He is the O LZ V1 Ce (Contractor, Agent, Corporate Officer,etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and ,file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn to before me this a2 y of 20 r /' l a ublic Signature of Applicant NOTARY Pu�BUC State off ASTATNow York No.01 ST6W8173.Suffolk County Tenn Expires June 8, �A,Q,Z.:�- x x;i SURVEY OF PROPERTY s SITUATED AT MORTON'S POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK f S.C. TAX No. 1000-54-02-2.1 SCALE gggg o MAY 3, 1999 ,? r JUNE 6, 1999 ADDED NEIgiBORING WELLS & CESSPOOLS JULY 9, 1999 ADOEO NEIGHBORING WELLS & CESSPOOLS n Ss, AREA = 51,970.10 sq. ft. 1.193 ac. F ° f w � s �1 ?*3,,- •M W ° ° °ALNor ti d TEST N � d Cb ev 1r% oS k G do ti 4�y 5 w 0 N, It,3 y txsr NotALP ve rA $. (rssr"ME OUG Rr ON wim 2t foss) PRa11 OM'kY Ww a aRPw,IGwr CLAY a �4+ s 6 PAR R AE TO cas¢*Vn MIM 1PR oRMQ PR (� :/_•�•:� BROW CLAYEY P 040 I01 OMA6 9CPALE gnaw FM�v ar 24' h 0#1 OLNYh ` w«, PAORM ar.awP Pll PM r @Wft SPR TO wmRr WO SP EXCAVATIO WSTIONTEM IRED 90 Ole ri 6 LTH'DEPAR ENT ,,�0 �o py� L►►``""i ifs �� p4?,44 1�AO ID / As r% Ad Acc7AORl0mium ISM THE muFORp 1RE r01Rf SfAt M Jl p LAND 1 ORµ'Rp1/A jIIMM TRIGEb J�0 ]. TALC FORA 1 to a mmoow ROV1L Rt IA00 GAtLOW. U 5 F F 3., IfIi011M01111R. 4 ►011 A Y0 !REOI1o0r HOUSE n !oo w n RIDIrALL MFA. (. no. ir Ac PwPOlO1 R POOL �` Ss� M.Y.S. ®PROP0G10 LOW MM POOL �ALiflMTIOM d!A9pIR7M _ PRO/11w ap TAW73N Lr- OF 11E NEW VOW4iAlE A. nt�p.kr�Ifp�0K °j=p'ftA MIMSON ARE FI Tla IS A Oxcc ear s. 11t1P [Jdl� 1[}� ti11H� 9 Vlfl�P00N Ydl W P tow%SWALL Rum TOW�P IR AM OR A tl[ t. TIR 7VRTtM lllAtl RiPEOtRIEIr ORR pyi, MMR W 1�R%4 y■yyy RA1�pA1w rft sk, — AubNlimww.— sat Poem - cmrbmtm Lgost Air/ FML[ fYMI 4R1 81Yge,. FOR A OMLI[I[It 1M1(`(y iLET i0 iNE ��rt"'NRQ6110LE. t1MM 1lr1Mk111R1G tV01. ^+�' r11E PMOMf (516)717-1010 Fox (515)")21-5013 7. ARG O< C1CA1i1 1 1D f[1ROIV11LiD sR1M ACC@TAGLE SAIRI R GRAVEL Tp1[p�Done= OF MOT Or OFF♦ff5 L9G1Ep AT LpRN10 ABBRESS �R. 1.C.b"R.1. MP. R10"M-OGM RMV; �IIM[ ROt MfRiW ROT QD. ORP , ft Sork 1 P.O. Bu E Wk _,'�- ARLPoo9w, fIPM YP1t 11151 WrPrhPRA. IIPr York 11901 r qr p r nl 2Q0i SURVEY OF PROPERTY SITUATED AT --BLDG. IDEPT HORTON'S POINT T "v JN OFF7Llij3LD TOWN OF SOUTHOLD try SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-54-02-2.1 = SCALE I"=50' IV MAY 3, 1999 JUNE 6, 1999 ADDED NEIGHBORING WELLS & CESSPOOLS • �` ry JULY 9, 1999 ADDED NEIGHBORING WELLS & CESSPOOLS JUNE 15, 2001 REVISED PROPOSED HOUSE y '� Ss•7 6'0 AREA = 51,970.10 9q. ft. NO 4 1.193 OC. f tib �Y 3 ap 40 -o" S.C.D.H.S. RFERENCE No. R10-99-0095 4q� so, X43,,' .. 6s• Tia D1%4., ,a O 0, , %� �� � O O OSSC OP FENCE h S►. W TEST HOLE " n .ala POy-rs ^,f0 'h. *01 2f! 0ju 1110yD _ 9F, e ? 1hRF V--ft —7r Cy Y �Ira lo. a �o 'L' � o0 @ods 441 A a`O c �J 'Poll O o o. 06 S TEST HOLE DATA (TEST HOLE DUG BY uknDNN n[.`Er,a4x"ON MARCH 29. 1999) 20. oy DM1�HMWW'H cLArEr LURA a BROMH I.OVMY CLAY m rA BROWN Fl TO CON6E SAND WITH las GAAEL SW O r •�:•' IIaWN aAVIY 3ARD wrrH MOX 9RAVEL sc �.Y �f . 17 r 24 8111010,FMIE SAND SP k .JiRT:,y, 2a' eRORN swTr wo su ]T P3 BRORN FIE TO M[qW SAND SP ,J' e CERTIFIED T0: gbe9 FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK TITLE No. 151-S-8404 TED HOYLE RAYMOND RODRIGUEZ O�J PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE AND SHROVE AS ESTABLISHEDTED FORTIME LI ALS. AND E NEW YD AND ADOPTED FOR SUCH USE BY THE NEW YORK SPATE LAND TITLE ASSOCIATION. JYGTIS. ,'pHA 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. ( a 1 TANK; 8' LONG, 4'-3' WIDE. W-7' DEEP y 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 eq ft SIDEWALL AREA. i # y 00 1 POOL; 12' DEEP, S' dia. PROPOSED EXPANSION POOL N.Y.S. Uc. No. 19668 ® PROPOSED ULACNINO POOL UNN.fI1 DRQED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF , SECTION 72110 a THE NEW YDNIf STATE Jose • Ingegno ® PROPOSED S[IIIC TANK EDUCATION LAW. 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD COPES OF THIS SURVEY MAP NOT BE~ THE AFAR SMALL NOT BEAL SI La d Surveyor OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. THE LA E0 RAL YOR'SNOT AL OR CONSIDERED 5. THIS PROPERTY IS SHOWN AS LOT(t ON TO BE A VALID TRUE COPY. MAP OF LAND MADE FOR CHARLES S. RITEjRSPOON CERTRICATKX4 INDICATED HEREON SMALL RUN APPROVED BY PLANNING BOARD TOWN OF SOUTHOLD ONLY TO THE PERSON FOR WHOM THE SURVEY ON SEPTEMBER 17, 1979 IS PREPARED.AND ON HIS BEHALF TO THE 6. THE PROPOSED SEWAGE DISPOSAL SYSTEM SMALL BE EFFECTIVELY DUG OUT, DOWN TO TITLENCOMPANY BUSIED & AGE Y A IM° Surmys — Subdl"one — Site Plana — Construction Layout LENDG A SIX (6) FOOT STRATA OF ACCEPTABLE SAND AND GRAVEL, FOR A DIAMETER SIX (6) FEET TO THE ASSIONEES OF THE TENDING INFO— GREATER THAN THE LEACHING POOL TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 7. AREA OF EXCAVATION TO BE BACKFILLED WITH ACCEPTABLE SAND ! GRAVEL 8. S.C.D.H.S. REFERENCE No. R10-99-0095 THE EXISTENCE OF RIGHT OF WAYS OFFICES LOG11ID AT AWUNG ADDRESS AND/OR EASEMENTS OF RECORD, R ANY, NOT SHOWN ARE NOT GUARANTEED. 1380 ROA7NOKE AVENUE P.O. Box 1931 RNIERHEAD, Now York 11901 Rivefhood. Now York 11901-0985 4 n (" n F Cfi T 4 � � r1 SURVEY OF PROPERTY SITUATED AT _.,r A HORTON'S POINT TOWN OF SOUTHOLD - SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-54-02-2.1 I= SCALE 1"=50' ' ry MAY 3, 1999 JUNE 6, 1999 ADDED NEIGHBORING WELLS & CESSPOOLS yJULY 9, 1999 ADDED NEIGHBORING WELLS do CESSPOOLS 's' JUNE 15, 2001 REVISED PROPOSED HOUSE N AT. JULY 30, 2001 FOUNDATION LOCATION �64p, AREA = 51,970.10 sq. ft. 1.193 Oe. S.C.D.H.S. REFERENCE No. R10-99-0095 '°'�/� , >5, !46 Cbt W ° , + M O N � � 9 vo 1110, c i j / O M d+.. Aim o Q; psy A'� � � I a� 1O ae CERTIFIED TO: yam' FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK TITLE No. 151-S-8404 TED HOYLE RAYMOND RODRIGUEZ MOW=IN O` ► sr NDVES AS E5 A�A m T We M AND MOFlm AAT[tIWO ti J rt .,,. r N.Y.S, lie. No. 49866 19M ANOR®ALTERATM ON ADD" 1. im PROPID" 61 R1OWN As LOT ON 10"EURVET R A VWTION OF YAP OF 1AND MADE FOR S. WrrHZRRBPOON IM71 N 7200 OF THE NEW rax STAT[ APPROVED n """"N° 'OW TOWM OF 7OUTHO" EOXAT"`AW Jos®p A. Ingegno ON SEPr[MPER 17, 1979 COPIES OF g;Z RDAT.Y NAP NOr 9UY9ND THE 98 "M*L# NN If °" Lan Surveyor of LAND NAL 9MLL NOT K Cai9Wlm TO N A Y."TRUE Cary. cunvm m mmm mamm SwxL RUN 6 rY TO TWm.M M NURN URN MN IRMTY w oaran,aowuwrtHI AO N.A AND 7769 Sur"" — Su waloN — SN9 PION — Cwwhwuwi Loyad 04000M90T111/rION F THE ORD AND Tuna eeR nag ARE NOTiRA .E. PHONE (631)727-2090 Fax (631)727-1727 / THE E OMPICE OF INN, OF WAYS OFFICES LOCA70 AT MAEMC AOORE35 t,( / NOT�AII� 09ARAFNTEEp, 1380 NOWONE AVENUE P.O. Box 1931 ✓✓✓"` / [ RNERYM. N" York 11901 RkWhWd, Now York 11901—OM I SURVEY OF PROPERTY SITUATED AT HORTON'S POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-54-02-2.1 SCALE I"=50' deo MAY 3, 1999 JUNE S. 1999 ADDED NEIGHBORING WELLS & CESSPOOLS ry JULY 9. 1999 ADDED NEIGHBORING WELLS k CESSPOOLS JUNE 15, 2001 REVISED PROPOSED HOUSE N ss. JULY 30, 2001 FOUNDATION LOCATION OCTOBER 15. 2001 ADDED PROPOSED GARAGE ,s1 JANUARY 10. 2002 FOUNDATION LOCATION OF GARAGE O• f AREA aq. ft. 1 y 1.193 ac. o l yo/o � , �1 S.C.D.H.S. REFERENCE No. R10-99-0095 � 44 je 110, /7 o ` Cb4t , X41 b rX To ~ // 6 4y ` 2 � 8� �VO 40, �. A. �o, / �w4 0� o , 9aA. �10 Vo o ti Y l• 4c 'Pot OJ ✓l e� �Tpr JJJ 4" CERTIFIED T0: Op. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK TITLE No. 151-S-8404 AllQTED HOYLE RAYMOND RODRIGUEZ OV PREPARED UPS" axe TOR lust s TON, !N� •g lMO O N.Y.S. Uc. No. 49088 UNA IM)RUED ALTERATION OR ADDnmN 1. THIS PROPERTY IS SHOWN AS LOT ON TO 116 SURVEY 9 A VWTION OF IIAP Or LAND MADE FOR CNMM S. •R'A6 MOON SECTION 7108 OF THE NEW YORK-STATE ,w /� APPROVED n PLANNING aaARo TOM or SOUTHOLD EDUCATION LAV.ON Wsep A. �n9e9no >EP„�ER P» �a a,10 N�No Land Surveyor ,IPE O REAL NR'S INKED OPAL Olt SI TO ME A LID RUESNIC NOT R WIRIOaRD ,o EE A VALID,RU[CONI 001AR•1TRD6 INDICATED HU40DN 94ALL RUN ONLY 70 INE POISON FOR RNOY THE SOW 4 PREPARED.AND ON 16 IOUIr TO THE TIM NONE VW OOYOR N[NfX AGIDCY AND rw amvd" — A/6eM1hknR — S O PRw — CorNhlrctio0 Layout "Olson.Mo TO THE ASNOMM OF M LF)p7G Rim- TURNrL CER1r04TRNa ARE MDT 7RvaEOvwt. PHONE (031)727-2090 Fox (831)727-1727 THE EXISTENCE Or RIGHT Or WAYS OPTIONS LOGTED AT AEAEAvc ADDRESS AND/OR EAAUtrNTii ai RECORD, i ANY, NOT 9EOEEN ARE NOT GUARANTEED. 1300 RWIOKE AVENUE P.O. Omr 1931 RIVV* D. Now York 11901 RIVerINoN, Now York 11901—ON5 I - $EP L 0 2002w'I, III.'r G_iv._ SURVEY OF PROPERTY SITUATED AT HORTON'S POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK d S.C. TAX No. 1000-54-02-2.1 S SCALE 1 "=30' 'SS• MAY 3, 1999 JUNE 6, 1999 ADDED NEIGHBORING WELLS & CESSPOOLS 40' JULY 9, 1999 ADDED NEIGHBORING WELLS & CESSPOOLS ro �• JUNE JULY 1530, 3 02 02 0 0 1 01 VI UNDATIION PROPOLOCA ION HOUSE OCTOBER 15, 2001 ADDED PROPOSED GARAGE JANUARY 10, 2002 FOUNDAI•ION LOCATION OF GARAGE SEPTEMBER 6, 2002 FINAL SURVEY AREA = 51,970.10 sq. H. �i y'Po 1.193 Go. j .gs S.C.D.H.S. REFERENCE No. RIO-99-0095 o W s rrO� �l s o 1 °n C �l [V GPPVE \ o 0 x ° i YYY h /� ti a ry l \l V lam" `. / A� �•, / rySC ti iA v n/l 1P � mo STp'PY o, O<OPoO / C' Cq�q MfTORP � AQg`� / f ho �> IF /'f,pO // 4 ,vim eti 2cy moo,s .c °O zBv a wOo° "ce S tp O•' °4'• /GO a/ NrO A 0l0 Hwypr. 0 r � o\4CQ�.CP oy Ah.\0 f L J yyOd o�O 'Y� ssT O � o O S 06ry� '1 A..Tyro 2O5 OoaQ�A. C? 69. A�py° Y NOTES: 1. THIS PROPERTY IS SHOWN AS LOT(R) ON �� MAP OF LAND MADE FOR CHARLES S. WITHERSPOON Sos APPROVED BY PLANNING BOARD TOWN OF SOUTHOLD69. ON SEPTEMBER 17, 1979 °e a I � UNAUTHORIZED ALIEHATIGN OR ADDI70N TO .15 SURREY IS A NOUt10N OF EDUCATION TAW.CON 7209 OF . NEW YORK STATE EDU COPIES OF MIS 9.AI MM NOT DEARING THE IAND SURIFAMS INKED SEPT OR EMBOSSED SEAL SYGL NOT BE CONSIDERED TO BE A VALID TRUE COPY. / CERTIFICATIONS INGCxTED HEREON SHALL RUN ONLY TO ME PER21 FOR WHOM ME SURREY IS PREPARED, MG CA W5 BEHALF i0 THE 90 _CERTIFIED TO MILE COMPANY, O(AARNHENTAL AGENCY AND LENDING INSTITMICS LISTED HEREON. AND 9g6 FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK To ME ASSIGNEESCERTIMCATOF HE ENDINGNOT INSERABLE. y. TITLE No. 151 -5-8404 o TED HOYLE RAYMOND RODRICUEZ THE OREXISTENCE or RIGHTS RECORD,of I ANY, N EASEMENTS OF OTGUAIF ANY, NOT SHOWN ARE NOT GUARANTEED. �OC I/ PREPARED IN ACCORDANCE ANN THE ' INIMUM 666"' STANDARDS A-SFOR TIMEAND SURREYS PS E` AO°SHE° Joseph A. Ingegno BY ME H USE. AND E GEN YD AND .TE I-AN TED FOR SUCH USE BY ME GEN YORK ' ATE IAND TITLE ASSOCIATION News, Land Surveyor nO ZoI TD,, Surveys — Subdivisions — Site Nms — Consbucfion Layout PHONE (631)727-2090 Fax (631)727-1727 �SF�tA6D1300�ICES ROANOKETAVENUE AT P.O. BoADDRESS135 . �_S Liu No. 49688 RNERHEAO, New York 11901 Rim cd, Neal York 11901-0965 99-294E r 1 7 I SURVEY OF PROPERTY SITUATED AT HORTON'S POINT TOWN OF SOUTHOLD W, SUFFOLK COUNTY, NEW YORK ryo S.C. TAX No. 1000-54-02-2.1 SCALE 1 "=30' SSS, MAY 3, 1999 N 16., — JUNE 6, 1999 ADDED NEIGHBORING WELLS & CESSPOOLS yp,• JULY 9, 1999 ADDED NEIGHBORING WELLS & CESSPOOLS JUNE 15, 2001 REVISED PROPOSED HOUSE Do 0F JULY 30, 2001 FOUNDATION LOCATION OCTOBER 15, 2001 ADDED PROPOSED GARAGE d�'EeP JANUARY 10, 2002 FOUNDATION LOCATION OF GARAGE SEPTEMBER 6 2002 FINAL SURVEY O o DECEMBER 23, 2002 REVISED SEPTIC SYSTEM LOCATION o a� 3 N'1p AREA = 51,970.10 sq. ft. wPo 1.193 cc. a Z o r TOE, �e S.C.O.H.S. REFERENCE No. R10-99-0095 e "1 3 O w�D �s o �Y\ O Z / �1 �l ao h d Z � � � � , c�R°� a STOA} °E�o / • � G,yg4MfTOgr \\ EQ3�` sfPc /o \ PIP \ NInA W, a / Ovsf \ w le o� / lees °e v v vec v O� P°d. O / a \ 0 11V N // o o0 12 0. 30, 2, 3 2�qR w� W W neo � W oy,HOS G n3r9ros7' � Y aLn ORs 0:1JejS 1110 /� J 3 �y ?OS 3. oe (.A �VYy. Edo6m N AO• \� AG NOTES: 1. THIS PROPERTY IS SHOWN AS LOT022 ON O MAP OF LAND MADE FOR CHARLES S. WITHERSPOON Fos APPROVED BY PLANNING BOARD TOWN OF SOUTHOLD 's9, ON SEPTEMBER 17, 1979 or 4cy UNAUTHORIZED ALIURAPON OR A0017ON TO THIS SURVEY Is A NOURON OF SECTION 7209 OF THE NEW WORK STATE EDUCATION UW. COPIES OF THIS YIRIEY MPP NOT BEARING THE _AND SURYEYBWS INKED REAL OR EMBOSSED SEPT SHAUL NOT BE CONSIDERED TO BE A VALID TWE COPY. CERTIFICATIONS ININCATED HERTEN SHALL RUN ONLY r0 ME PETSCN FOR ANOM THE SURJEY IS PREPARED, AND ON HIS BEHALF TO THE 0 CERTIFIED no. TIRE COMPANY, CONI]NMENDUH AGENCY AND 9 t LENDING INSTINTIOtI LISTED HAREON. AND FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK To THE ASSIONEES OF THE LENDING �NSn- TUTION. CERnEICATONS ME NOT TRANSFERABLE. TITLE No. 151 —S-8404 TED HOYLE 01� RAYMOND RODRIGUEZ THE EXISTENCE OF RIGHTS of AND/OR EASEMENTS OF RECORD,D, If ANY, NOT SHON11 ARE MY GUARANTEED. ;60 PREPARED IN ACCORDANCE ANN THE MINIMUM f/ STANDARDS FOR TIRE AFFIRMED ASD ESTABLISHED Joseph A. Ingegno BY THE LLDo s. AND E NEW YO ANO ADOPTED FOR sV _us BY ME rvEw roRN STATE IND rIn 0A W.P ,. Land Surveyor v3 o — Title Surveys - Subdivisions - Silo Ptak - G truction Layout G O CIS PHONE (631)727-2090 Fax (637)727-1727 668 ND SUQ OFFICES LOCATED AT MAUW ADDRESS ' - N.Y.S. Lic. No. 49668 1380 ROANOKE AVENUE P.O. Box 1531 RIVERHEAD, New York 11901 Rverhevd, NF* York 11901-0965 99-294E i , i a O �j a .tr 1 l-� I i "\ I ' y = , Im f - - 0. 4 -- _ -- �II,I IcI�I _ iqqQt ,,4 OCCUPANCY OR PLUPIBERCERTIFICATION USE IS UNLAWFUL ON LEAD CONTENT BEFORE O CERTIFICATE OFOCCUPANC%tV1THOUT CERTIFICATE SOLDER USED IN WATERzO C7_ OF OCCUPANCY SUPPLY SYSTEM CANNOT % LEAD.EXCEED 2/10 OF 1 0 ��a4yc° r.�.---..,...------- - i,, DO NOT PROCEED WITH PLUMBING ALL PLUMBING WASTE FRAMING UNTIL SURVEY &WATER LINES NEED it OF FOUNDATION LOCATION TESTING BEFORE COVERING HAS BEEN APPROVED. If copper tubing is used PROVIDE OPENINGS FOR for water distributing EMERGENCY ESCAPE AS system;piping shall be REQUIRED BY PART. 714 OF of types K or L only — --- — — -- — -- ---- --- — -- -- — — — -- — — --- — 1 N.Y. STATE BUILDING CODE. PROVIDE% HR. FIRE PROVIDE SMOKE-DETECTING RATED SEPARATION TO ^ PART 717.3 (f)(1) OF 'I ALARM DEVICES N.Y. STATE BUILDING CODE. „ AS TO PART. 721.1 APPROVED AS NOTED N.YS BUILDING CODE. DATE: d /b a1 B.P. tt 174/za UNDERWRITERS CERTIFICATE Fk-C)(- f VA -CG_-�'I - - f' w fy REQUIRED . �� r FEE: BY� G�Yr.I� IJAII< ' ' NOTIFY BUILDING DEPARTMENT AT PROVIDE ANTI•SCALD AND/OR c� Nevi- K FOLLOWING s NS To 4 S- FOR THE THERMAL SHOCK PREVENTING . .y�PSEGe fb IO FOUNDATION - Two REOUIRED DEVICES AS TO PART. 902.6(K) FOR POURED CONCRETE N.Y. STATE BUILDING CODE. IGD m W s 2. ROUGH - FRAMR:o & PLUMBING Bt7 p1 3. INSULATION o I ea m m 1 2 4. FINAL - CONSTRUCTION MUST2J'F. 032254-t P� M BE COMPLETE FOR C.O. O ALL CONSTRUCTION SHALL MEET pAOFESS01 5THE REQUIREMENTS OF THE N.Y.STATE CONSTRUCTION & ENERGY i' CODES. NOT RESPONSIBLE FOR 3 DESIGN OR CONSTRUCTION ERRORS �- m a a qSf JJ 1 t� O X35 i ' i t 1 i a � � - - _ (9, x F j IFLL jp f �4-I ori`-..+�.- `i^q+.__...�..-..�-..+i-i-. _ v'4..- I •-- _...��/_.✓`....✓+h _..� � 'i i lz 3 3fL-G � e T 1 u z I, O - z Y x y , o I � V mac !_ Y411, ,SECF MFyr Q y 2 'rjCOp O3225�-1 I Ell -, w 0 _ I n, � z y N I, fl u a > a ' ` f _ G=: _ � 4 r— --. —_. -- --- - 1 LU a a> Icc � IIrrI[� E]' � 2 Z n Q Q IL -, �.L I I i c' NEI?r e 0312541 � 3 v8 Q a CL I 1 { 11.H" F' el L'. L41 d' -- - — — _ i I LrSf� — 251-1 , i F — - Y I S itIcm - o TRP, _ z T - .( I 2- f /',c 942°1-.v - - --- - — -- ' ------ - — U1_ .. .,k � f- I r, z L _I L L J a c I �uf r}�A� arEr� w ; i• I I [i I la ---i X z. 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