HomeMy WebLinkAbout31253-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31357 Date: 12/28/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 5000 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 128 Block 4 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 29, 2005 pursuant to which
Building Permit No. 31253-Z dated JULY 5, 2005
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 AS APPLIED FOR.
The certificate is issued to ALAN E & PATRICIA CONGDON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2072300 10/06/05
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
-- TOWN' OF SOUTHOLD -
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY !
A. This application must be filled in by typewriter OR ink and submitted to t2e''btlildinF
inspector with the following: for new building or new use:
1 . Final
survey sewith accurate
location all bu 'll.d_i_ngs-,- property lin. es,
streetsand unusual natural ortopographicfeatures - .
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 12 lead.
5. Commercial building, industrial building, multiple residences and similar buildir
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 existingsbuildings (prior to April 9, 1957) non-conforming uses, or buildings am
"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 - .25c
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . .}. . . . . . . . .j _
Location of Property. . .
House No. J Street 1 Q Hamlet
Onwer or Owners of Property. (A'� C,.A_ .. ..�C�n4t.��P.1?. . . .\� 1��:��� • • • • • • • • ' • • . • • ' • • •
County Tax Map No 1000, Section. . . . .
. . . . . .Block. . . '}a. . . . . . .Lot. 1. . . . . . . . . . . .
Subdivision. . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot
��. . . . . . . . . . . . . . . . . . .
31 : 5 . . � V1� '.Applicant. . . .l. : le�. ./.v) i � \eft . . . . . .
Permit No. . . . . .Date O/f� Permit.
Health Dept. Approval. . . . . �P.lk. . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .! . . . . . . .
1 ``-
Fee Submitted: $. . . . . . . . N.'.C.t:. . . . . . . . . . . . . . ' -=-
c� . . . . . . . . . . . . . . . . . .
L4s- ' APPLICANT
CTrT?lGP L3rC3J CP GPrJCPGP CPCPCPCTCPCPCPCP CPCP[RCffi.I�C-I�CJ�CPLILILnCPLIGI�CI�GI�CPCJ@PCPCPCT�Limlim PCI�C ugl LICE U°
5BY
5 TCERTIFICATE OF
NEW YORK ARDOFFIRE UNDERWRITERS5
5
5 BUREAU OF ELECTRICITY 5
40 FULTON STREET — NEW YORK, NY 10038 c�
CERTIFIES THAT
5 Upon the application of upon premises owned by
5 JAMES MURRAY MR)MRS. CONGDONP.O. BOX 305 5000 PECONIC [LLr777
c� LAUREL, NY 11948, LAUREL, NY 11948Y BLVD. e�
Located at 5000 PECONIC BAY BLVD. LAUREL, NY 11948 5
c5
Application Number: 2072300 Certificate Number: 2072300
SSection: Block: Lot: Building Permit:31253 BDC: ns11 �5
5 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: rr5
..5 First Floor, detached garage, Detached Garage, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5
5 authority having jurisdiction, and found to be in compliance therewith on the 6th Day of October,2005. S
Name QTY Rate Ratin¢ Circuit Tyne
5 Miscellaneous 5
rj garage 5
5 Wiring and Devices 5
5 Outlet 3 0 Fixture C5
Fixture 3 0 Incandescent L�
S5 Outlet 5 0 General Purpose 5
Receptacle 3 0 General Purpose 5
5 Switch 2 0 General Purpose 5
C,] Receptacle 2 0 GFCI 5
5
5 5
5 sea/
5 I of I 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
O CP CPcP Clr3PrlrJ��fCPCPCPrJ@PrJ'cPrJL r3rffl'JrncPrJ�rJdJ� r�rJrJrl�rJ�rJ�CTu rJrJ�rJcPrJrJ�rJrJ�rJ o IM
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. 31253 Z Date JULY 5 , 2005
Perm-ssion is hereby granted to:
ALAN E CONGDON
49 NORTH DRIVE
MANHASSET,NY 11030
for
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE FRONT YARD AS APPLIED
FOR
at premises located at 5000 GREAT PECONIC BAY BLVD LAUREL
County Tax Map No. 473889 Section 128 Block 0004 Lot No. 001
pursuant to application dated JUNE 29, 2005 and approved by the
Building Inspector to expire on JANUARY 5, 2007 .
Fee $ 97 . 80
Authorized Signature
ORIGINAL
Rev. 5/8/02
New rorK ousLe Lich..u..�... ... _.....
Division of Environmental Permits, Region One
Building 40-SUNY,Stony Brook,New York 11790-2356
Phowe:(631)444-0365 • FAX: (631)444-0360 taboo
Website:www.dec.state.ny.us _
Denise M.Sheehan
Acting Commissioner
LETTER OF NON JURISDICTION -ARTICLE 25
June 13,2005
Patricia Congdon O'Brien
49 North Drive
Manhasset, New York 11030
Re: Application#1-0738-03477100001
Congdon O'Brien Property, 5000 Peconic Bay Boulevard, SCTM# 1000-128-4-1
Dear Ms. Congdon O'Brien:
Based on the information you have submitted the Department of Environmental Conservation
(DEC)has determined that property landward of the bulkhead greater than 100 feet in length,
constructed prior to August 20, 1977 as shown on the survey prepared by Alderd N. Young,
dated March 24, 1966,is beyond Article 25 (Tidal Wetlands Act)jurisdiction.
Therefore,in accordance with the current Tidal Wetlands Regulations(6NYCRR Part 661) no
permit is required.
Be advised, no construction,sedimentation,or disturbance of any kind may take place
seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit.
It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or
other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction
which may result from your project. Such precautions may include maintaining adequate work
area between the tidal wctland jurisdictional boundary and your project (i.e. a 15' to 20'wide
construction area)or erecting a temporary fence, barrier,or hale bay berm.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies or local municipalities.
Sincerely,
r//z
Mark Carrara
Deputy Permit Administrator
cc: MHP
file
DONALD G. FEILER * ARCHITECT
11725 Main Rd•Bax 1692•Mattltuck,NV 11952•631 298.5453•Fax 2981380
2
October 28, 2005 1
Mr. George Gillen
Southold Town Building Department
Main Road, Southold, New York
Re: O'BRIEN GARAGE
500 Peconic Bay Blvd, Laurel, NY
Building Permit # 31253Z
Dear Mr. Gillen:
In regard to the concrete block foundation installed at the above mentioned
project, I can certify that this substitution (for poured concrete) and the 2-2x12
headers at the overhead doors will be adequate for its use.
ERED 4R�9i
* Don He
015556 L
W
f TF DF NE ���
�o�ypF soutlp
�"cvuHn,�
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
m- Arm
coo / Y-
vA- �
L
DATE /0 d s, INSPECTOR
,&0f SOUryo6
3 � � 7-
coum
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ J ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: )
AiA-
DATE 3a 'a-5' INSPECTOR �` ' '—
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ]
FIREPLACE &/�CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: /Y ✓� "go�_
/-�- tit
d / C
DATE - _ as INSPECTOR " /a�
Of SoUTfolo
"ooulm,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: I
i ✓ 1
DATE INSPECTOR
/a a _ ¢_ , TOWN OF SOUTHOLD PROPERTY RECORD CARD
U o
STREET VILLAGE DIST. SUB. LOT
OWNER
G�D►1 ACR.
N E
FORMER OWNER } G'
41 J� r " � W TYPE OF BUILDING y I LJC
�'✓t 4-rte'^ � l S`^
M l
S VL. FARM COMM. CB. MISC. Mkt. Value
zEs. a10
LAND
IMP. TOTAL DATE REMARKS
6 (} Q d U a GI U 9 9 a' SB 4 - s S `4 14FLg? i
Loa
3 �o o C D U �,oqo a '# OO
Zai Soex� g 2�a 1 l4
3 vn al�e�uip.�
32o c� 7 o o I t Do
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable I
Tillable 2
rillable 3
Noodland
FRONTAGE ON WATER
swampland
FRONTAGE ON ROAD'
3rushlandi
DEPTH K S ! `" L"
louse Plot Q_s
�' BULKHEAD '
DOCK
total
Fig ■■■■■■■■■■■■■■■■■■■■■■■ilii■■■!!
K
Foundation
Basement
Ext Walls
Driveway
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■1111■■■��il■■IL■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
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r P :. ■■■■■■■ ■■■■■■■■■■■ ■■■■
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COLOR ■■■■■■■■■■■■■■■■-N■■■
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■■__ ■ ■■e■■■ ■■ ■■■■■-
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11 4 ,1
FoundationBoth Dinette
=xtension 3v 3oojBasement Floors
Extension C/ Ext. Walls Interior Finish LR.
xtension Fire
Place ••
Type Roof
Rooms I st Floor BR.
Recreation Room Rooms 2nd Floor FIN. B.
Porch
• •
Porch .
BreezewayDriveway
. .. ��
Patio
10
wmi*M-
MORA
_�
J ,
FIELD SPEtTION REPORT DATE COMMENTS
FOUNDATION(IST)
---------------------------------- - -
f
FOUNDATION(2ND) 04"
y_�
z
ROUGH FRAMING&
PLUMBING
Y
INSULATION PER N.Y.
STATE ENERGY CODE - -
FINAL
05 0
ADDITIONAL COMMENTS
a, o
Z z
A
-- - - --- -
J $
d
ro
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 DEC . . .. . . . . . . .. .. . . . . .. . . . . . . .
TEI.: 765-1802 TRUSTEES . . . . . . . . . . . . . . . . . . . . . .
NOTIFY:
CALL . . . . . . . . . . . . . . . . . .
Examined........... �5?_, 20.0.5— f MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved...........?/.5., O.� Permit No. .. C4?:� �.�.. ...................................
Disapproved a/c .............. ...................................
............. ..
..���7......,;, .` ................
(Building Inspector)
i
APPLICATION FOR BUILDING PERMIT
Date. .W.V/. . . . . . . .
INSTRUCTIONS
a. This application must completely filled in by typewriter or in ink and submitted to the Building Inspector wi
3 sets of plans, accurate pi-ot4lan 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 mist be drawn on the diagram which is part of
this application.
c.. The work covered by this application may not be camenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue 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 One Building Inspector.
APPLICATION IS IEREBY MYDE to the Building Department for the issuance of a Building Permit pursuant to the
Building 7one 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 ildj'ng fornecessary " spections.
. !"':.... ........................
(Signature of applicant, or name, if a corporation)
.1rL . 1� �i ... �..t.....
(Mailing address bf applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
....................��eRa�.....0 ►7 t . iZ .........................................................
��Nam of owner of premises LC.1.�.....Cp.rlr`.....U..13!1 .................................
(as on the tax roll or latest deed)
i
I applicant is a corporation, signature of duly authorized officer.
(Nam and title of corporate officer) CC pp
Builders License No. .!1..�..(.l: .L.7.
Plumbers License No. .....��
Electricians License No. ..............
Other Trade's License No. ... ..............
1. Location of land on which proposed work will be done..............................................................
PPQ ..........!?e.c-.Qr.t:r. ....?�a ... � 1.VA......,....1.-ra ..)AeA.....................
House Number Street Hamlet Hamlet
Comity Tax Map No. 1000 Section ..141.P ....... Block ...... ........ lot ..........!....
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises
' and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... ....
b. Intended use and occupancy ......�.l.l`'�Q........`!�sY.). :1 .-r.......................................
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SURVEY FOR �E Q�G
PATFOCIA CONGDON O'BRIEN �� WY
LAUREL �p4'D W.
TOWN OF SOUTHOLD * g * L
SUFE . CO., N.Y.
rel - 1" = -f)' r
AISLL °n wSD110�.
,E,C su 6 IE A NEW 10N OE
EDUCATI nw or IX( NEW .OR srArl
'
EDUCATION LAW
OCOPIES OI 1X8 SUPVfY MAP NOT IIAINNO
IXL LA 1° sW L SHA L INR'°SEAL On
FEELA D SEAL SHALL NO' o[ AL.1 nE°
ELLEN A YAL° TRUL COPY
,f ]VAPAN(EfS INNIGIf° XNUON SHALL LUN
' ONO 10 THE SEASON 'CK WHOM INE SULYEl
Jv 'yr0 L 15 PREYASED. A141 ON HIS (MALI 10 1HL
IITLt COMPANY. GOYERNMENIAI AGENCY AM
LEN°IIJ. INL,L'U➢ON UITIC HLAEON, AN°
10 ME ASSIGNEES OE ME LENDING INST"
°
IUTION, GUARANI LES All NOl TIANSELAEP
O AD. I°NAI NSNN➢uNS OR EUOEODFM
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OF LFM1°9° 41 _YLA_- -`S�
03 r ° e , � SURVEY FOR
ALAN E. CONGDON a PATRICIA W. CONGDON
° AT LAUREL
�� D D +� TOWN OF SOUTHOLD
SUFFOLK COUNTY , NEW YORK
/ P
w
GUARANTEED TO+
' b^ ALAN E.CONGDON -
5� PATRICIA W CONGDON
NOTES: POQ AIME SA yI OF NEWRK
Qn�i�' AME ET C NIB NCE CO.
I. ■ =MONUMENT
2. SUFFOLK CO.TAX MAPtwo W. Po
Ofr
DIST. 1000 SECT. 128 BL.4 LOT 1 W. . PE. & L.S.LiC. N0. 12845 Y
DATE + DEC. 28, 1987 4HEAD,N.Y.
SCALE Iu_ 501 A
NO. 87-1906 HOWARD W.YOUFTG,N Y.S.L.S.LIC. NO.45893.
z.�.
60174
i`
BUILDING USE Residential -3 -
BUILDINGAREA - 514 S/ G N RA NO ¢
BUILDING HEIGHT I G FT 1 All construction to conform to the 2003 Building Code of Now,York State,
TYPE OF CONSTRUCTION Type V d1Y
2- Contractor to verify all dimensions In the field The Contractor is to nmrry
DESIGN CRITERIA Presaiptne Design
- LIVE LOAD a0 lest 5 apecificattio of any conflict or discrepancies on the Drawings and ,1 I O 1' q '-e52"
Z � vj
DEAD/
SEISMIC
RY
SMIICOAD ZE NE 820 m hsf ound CONCRETE a 'T _ . _-__ _ _ . - / - _ - - LLt "r i,
loSNOW LOAD 45 p p 1. C reps ngft MI®2e dayf¢n 4n - - - - - -- --- - - - ---- - -- -- ---- ---- '--- '-
- -- - -
EXPOSURE CATEGORY B ornle10 etre h. 3000
1 " WEATHERING Severe 'Ga flab: 3500 i 10/10 wwm MrYbrcmg {'
a ,aU ,: p�n��� M ®26urbe with min.
� FROST LINE DEPTH 36 2. vwxnaWfaeti !fo A
TER
ITE voce.l.to
g dap
� WINTIER DESIGN DRY BULB
aB Tmapu with ha BuildingvCode whh two*'steal reinforcingant undisturbed soil,min. hearing 21on 6L, ;-
✓� DECAY 51i hl to moderate 3. Console atutl rIW be placed when air temperature In below 40 nes F. -- ----- -
( w wllso model%mpantun is 1086 Man SO degrees F.
All indene ie dalignd crru n 4, Minimum depth of loolings to be 3-0' below,grade.
\ of New York Stele S the Pmancan Forest a Paper Association 5. Footing abed to be 1 2 raeo When required.
(AFdPA) Wood Frame Construction Manual for One 6 Two e, Nev,foundation wefts to be 6"Mick poured concren,a5 reber-
\ Family Dwellings(WCFM-9S)High Wind Addition 46'dC
ROUGH A FINIeH CARPENTRY 6 OUAILk rlCirl t"-ar-LL
WINDOW NOTE$ r � - __- # •S - , . - cif,'' ^'� �`d o
G10zatl opening proteaion shall W pbwdeC as per aha Bm1dNp Cade W New York 1. FRAMING LUMBER: Doug Fir No, 1 6 2, 1400110(rap), E=1.0 x 10. b 4 {} { i
panState, Saomn 1609 t.4 All gas-71 0"min t ic be or,orl aro precut plywood 2. PLYWOOD: COX, INT-APA,eatBMr glue. '�
j petrels to cover glazed openings-]IIB"mm MkN(4 overlap around opamn9s) 3 ROOF SHINGLES: OrganicAsphah, Oimenslonal type,to match Pause kIk� � I " x
^<', Allochmenl to ba as per Table 16091 4 Z-1/2•e6 woptl screws-17 plc 4. RIDGE VENT; Cobra Pf"IC mesh-mmim10u6 over nice overhang.
6. WALL SHINGLES. No.1 Red CeOBr Perlamons, 18"Ion
Y C,,:
J N6UIn{ eh•tlu4 wKM-� WyuHwawpp,3`,¢M aFP. A. VERTICAL SIDING. gi5"exposuiell 1 IN
EXTERIOR TRIM:-P flogph S■wn'CWhit Pine Jdhk,�N0.�2 or Eetler.� w r
S. rimed impso ldnt White Pine
* METAL CONNECTORS: 9lhl St - _
peon n Drs ie galvanized;
�'aRRG(�a�l�•'= '�.v.'w�."'iE•'� IodaOorlB,type and nailing as ehgwn an Dnwlrpa I
Yrynw-1M1,gn •{ � kw f}" rL'NL jl,p Pj (Gh(a. 0/i0 . 1J i.r,
kM4M.rMIW 1M+Wl �... IJY ,1"i•°"
tEBNOOW1 AND DOORS I 1 �ITGH '(o l-wko OCo♦^+.i Il
. 1¢I "w.'�'..',I'-sow. ...• 1 WINOOWS: Andersen,God white. 'so_ 2. ENTRY DOOR; Simpson 418. \
_ -- M O
3. HARDWARE: Schlege A Series,PymouM,aeon brass 606.
4 OVERHEAD DOORS:wood fluM,s ookvlel, dank style,with
r iw...x Y . ...
Applied .. -
wrrx..x. x.y� ■ lawapd atY10{■rad rail,as shown on
Prevkla and Insist eHcbic automatic bpm it,at each door 1S A 'g- 2 FJIZIZ
-/ I
"...o-"rw....",w,r�,w, Nv N 16 ,
GjS �o-i r ELECTRICAL
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ZZ 1. ELECTRIC SERVICE: Electric sella rage m be ead
to New Gaoverh
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1 /4,1 OCCUPANCY OR _]
RETAIN STORM WATER RUNr)FF USE IS UNLAWFUL
OF THE OWNCOT TO crloNa6-Ica WITHOUT.CERTIFICATE
- �zloctiE. v�r-tT - OF THE TOWN CODE. OF OCCUPANCY
coti�lNDewea w�-E aeP-Il�r�
- - - - -
---
NAILING a colvNEc nl_l s APPROVED AS NOTED �
zi
REQUIRED. DATE:/ 07B,P.o 3 ---s-3�\ FEE:...,.,y_ By:. /'G._DO
\\\ NOTIFY BUILDING DEPARTMENT AT J
766-1802 8 AM TO 4 PM FOR THE
- { - �. FOLLOWING INSPECTIONS:
-- ----- r - 12 ?t'f r_ OVER{}DN I x '�R / /f \�'\\ \ N p-t-.E _ M£EILL CONSTRU�METIITS ALL 1. FOUNDATION • TWO REQUIRED
-- - - - _ ----- - FOR POURED CONCRETE �--
-- - - '--- - -- ------- ---\. s a �i F CODES OF NEW YORK S
_..
- - -- - - - - __-_ - - - - SH PLUMBING
! OF THE 2. ROUGH - FRAMING i
{--- �� ��� S�-"R^I L" TATE. 3. INSULATION
G U TCI I i 'ht"F IT f Tl`f=T c-' L�I-G' CSC,E. 4. FINAL, CONSTRUG?IQN NUS[
BE COMPLEFF FpS 0.0',
5/4x6 F;IEZE, by I? OiV�Na*W .. � _ __ ____
ALL REQUIREMENTS
OF SHALL MEET THE
REQUIREMkNTS OFTHE CODES OF NEW
-� YORK STATE. NOT RESPONSIBLE FOR -{
DO NOT PROCEED WITH DESIGN OR CONSTRUCTION ERRORS. 1..
-� = 2 r 1 Stu r•In�:I lyy _
�I -� TYPI rti) NTIL SURVEY
��� 5 H'"moi c-, OF FOUNDAT ON LOCATION
HAS BEEN APPROVED.
- - - - --T - - - Nr,'R 4 ELE_VbTlUfy
i
I I '
Applicant/ Date.
OwnersNfuile:...
ArchitteV
Crtgit�eer:. _ _
Submii �
-_ tted: �
SCTM #:
District: 1,p00 Sec(iow Block: Lor. _J.._.�
Subdivision '
Location.- Name:
Siglc R separate _ Required
cemfication: 1]'N I Nod _
Rcq. Rcy'
Zoni(% MsvicC (1.01 size: Ampl: J f bm coverage '4/f7 'WI!ri�hu�cd
/ Raq.
(I'ronl l'�rd P,roposcd: A J (Side Yard L Q Ped
ropos : �/ J (Rear Yard I'rohoscd
Project Description: d -
tG� C
Fermi t.
REQUIRED FOR REYTE N.A.A. NO YES Number
Suffolk County Health Dept.
N6'w York State. D. E:C.
Town Tr(sstees
Town Zoning Board approvat:
'Gown Plf mmn> Board approval:
Flood.Plaae Elovation 4n?
Flood Zone: ` � �