HomeMy WebLinkAbout31219-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31757 Date: 08/11/06
THIS CERTIFIES that the building DECK ADDITION
Location of Property: 300 COTTAGE PL SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 62 Block 3 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 10, 2005 pursuant to which
Building Permit No. 31219-Z dated JUNE 22, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to KATHRYN M PULVER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ N/A
PLUMBERS CERTIFICATION DATED N/A
/ - I/-/L4
Aut6rizeA Signature
Rev. 1/81
Form No.6
-- — TOWN OF SOUTHOLD
r BUILDING DEPARTMENT
TOWN HALL
I� I 765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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.
New Construction: V Old or Pre-existing Building: (check one)
Location of Property: CU t+acXe est wToldl N 1
House No. Street Hamlet
Owner or Owners of Property: -"(Z`It-1 ? j—\j
Suffolk County Tax Map No 1000, Section (o 2 Block 3 Lot \
Subdivision Filed Map. Lot:
Permit No. 3\2-k-\ Date of Permit. :Y +a 't 2 o S Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 2S—• O-J
licant Signature
co 31 X57
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. 31219 Z Date JUNE 22 , 2005
Permission is hereby granted to :
KATHRYN M PULVER
448 EAST 88TH ST APT 4B
NEW YORK,NY 10128
for
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 300 COTTAGE PL SOUTHOLD
County Tax Map No. 473889 Section 062 Block 0003 Lot No. 015
pursuant to application dated JUNE 10, 2005 and approved by the
Building Inspector to expire on DECEMBER 22 , 2006 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
SOUTyolo
Town Hall,53095 Main Road 4 41 Fax (631)765-9502
P.O. Box 1179 G C Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 20, 2006
Ms. Kathryn M. Pulver
448 East 881h Street—Apt. 4B
New York, N.Y. 10128
To Whom It May Concern:
We are unable to complete your Certificate of Occupancy because of the following
reasons:
An application for Certificate of Occupancy is not on file. (Enclosed)
No Electrical Certificate on file.
The Check is not on file. —$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file. (All permits involving plumbing being
issued after April 1, 1984.)
Certificate of Compliance from Southold Town Trustees.
BUILDING PERMIT #31219-Z
aOF SOUryo���
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
r -
REMARKS:
L-
DATE � y� � INSPECTOR
pF Sojit//o.
COUNT
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE 1013 0 INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) y
x
---------------------------------- C
FOUNDATION (2ND) m
z
0
v
o yy�
ROUGH FRAMING&
PLUMBING
C
INSULATION PER N.Y.
H
STATE ENERGY CODE
;47 60
FINAL
ADDITIONAL COMMENTS
C
o
z
- z
m
Q~, k
_ N
°z
x
y
d
b
y
IU 75,01
z
�1 w
N
-� p
FM -e -
pgopnst� mc-4
W
9`� toi 74, 9z - -
of NEty
ytiF� . .
$ r
�0 032164-7 �t1 -
V
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET C) VILLAGE DIST. SUB. LOT
a
/ �� l V& 6. �L•+.d?xn.. �1..%6Cx.•s.Z-.{t.('.�'i
FO ER W R N E AIV
��
SW TYPE OF BUILDING
C.�L�2_�, %i2i ,�j vl . /(• .�i AjilrP�f'A�r9i✓ L-,y t
RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
2-/6 / 7,X jDoc p
4 - u I✓car 9"st +, 6 �u �✓r,y•
5 c v 51" 56 ov 11-2qlnI �` S
�f�.� rDh x- Grt..H De,,?
AGE BUILDING CONDITION I�z33D6 s-7- u lVer a lyer
NEW NORMAL BELOW ABOVE
FAM Acre Value Per Value
Acre
Tlllabl 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
3rushland FRONTAGE ON ROAD
douse Plot DEPTH
BULKHEAD
rota) DOCK
,., . ■OMEN ME■■■■■■■M■■M■■■E■E
■■■ON■I MEMO■■■■■■M■■M■MM■M
■E■N■■ M■M■N■■■■■MM■MMMM■■
■■■A■=■ M�!�E■IEE■■■■■■■■■■■M
■Mr.J■M■ �i�•]■■ ■■■■■■■■■■■■■
■■■wee■■M■MM■■■■■■M■M■■■■■_
■■■■■■■M■�■M■M■■■■■■■■■■■■■
FIVE IT.W, unclation
sement ..
r. ®
Fire PlaceJD.
Garage
Total
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. 3t t Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined /1,0 ,200S Contact:
Approved P1 1 1-2- 200 Mail to: St L - 3'18' - :�O"
Disapproved a/c `l 4 P E ev 0- St' `fig
Phone: VJ-i %3'-j \ O�2.$
Expiration 12- Z 2,200�,
--/Building Inspector
I �v 2005 �yI APPLICATION FOR BUILDING PERMIT
�LIU
i
Date 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and 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
sh;.11 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(0VN-Q-r
Name of owner of premises �°�t �Mr• M • S w�v er
(A;; 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. 70 lx gaktr K,.tc ,A
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
-2 o Cnt�.-- ykacn So .-Cl o�d
House Number Street Hamlet
County Tax Map No. 1000 Section a 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 „e
h. Intended use and occupancy S\4g �e� .lZ. .=e a_4 ilw I rlo CA--
3. Nature of work(check which applicable): New Building Addition r/ Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. 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
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner TQ\A 1,
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-Z
13. Will lot be re-graded? YES NO—ZWill excess fill be removed from premises? YES_NO -Z
14. Names of Owner of premises__�Cct ,,.Z,, Address 3— Col+W (A,c, Phone No. 63 Zg l S
Name of Architect nc n -'Cu 4kQ. Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NOS/
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
Ss:
COUNTY OF QuTL le
KfI7 Fa I2 y N �v C YL being duly sworn, deposes and says that(s)he is the applicant
(Name of Individual signing contract) above named,
(S)He is the O W na r
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of SJne 20U>
N tary Public ignature of Applicant
MARCY E.LANDRAU
NOTARY PUBLIC, State of Now YbA
No.01LA6033274V,/77,e4 -� ° Gf
Qualified in Qeeees County
Commission Expires Nov. 15,20
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ALL CONSTRUCTION SHALL
PWEE THE REOUIT G"t;; C'THE
EXI'a-IIJG CODES OF NE „TE.
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USE IS UN'.Ab JL
2�L,
c o m WITHOUT -I '47"E
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11 ,�YCS DATE: _ - 2 e /9 �
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RETAIN STORM WATER RUNOFF
PURSUANT TO SECTION 45PURSUANT TO SECTION 45-1 OCC
OF THE TOWN CODE.
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WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
USE THE FOLLOWING OR APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. FOLLOW MANUFACTURE'S RECOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY.
4-MAX
4'MAX.
4'OIA.MA%IMUM }}-
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POST
GIRDERIHEADER
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DECK POST FTG. CONNECTION ,L-`, ',; n
DECK/PORCH RAILING LOCATION USPNUMBER DESCRIPTION APPLICATION
POST-TO-GIRDER/HEADERCONNECTION 4X4 POST PAULA OR WEN POST/BEAM ANCHOR APPLY TO EACH FOOTING
STAIR RAILING 6X6 POST PAU660R WE66 PoST/BEAM ANCHOR APPLY TO EACH FOOTING
USE MIN.(2)112'DIA GALV.BOLTS WITH WASHERS AND NUTS
1-10 SPACE
MINIMUM
HANDRAILS
GUIDE
POST
GIRDER/HEADER
BALUSTERS RIMIDECK JOIST POST/COLUMN CONCRETEPIE ILL
OPEN BALUSTER ATTACHED TO WALL
HANDRAIL CONNECTION
ALL HANDRAILS SHALL BE CONTINUOUS THE FULL LENGTH POST-TO-DECK CONNECTION HEADER/GIRDER-TO-POST CONNECTION
OFTHESTAIRS. HANDGRIPPORTIONOFALLHANDRAILS DO
SHALL NOT BE LESS THAN I-1W NOR MORE THAN 2'INLOCATION I USP NUMBER I DESCRIPTION I APPLICATION
CROSS SECTIONAL DIMENSION,OR THE SHAPE SHALL USE MIN.(2)12D GALV BOLTS WITH WASHERS AND NUTS (2)BEAMS PAU440R WE44 POSTIBEAM ANCHOR APPLY TOFACHPIEF O 0
PROVIDE AN EQUIVALENT GRIPPING SURFACE GIRDER/HEADER TO POST/COLUMN CONNECTION (3)BEAMS PAUNUK WE6e POSTfbE ld ANCHOR APPLY TO EACH PIER EL r
51
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FLASHING TUCKED UNDER LU
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TOPPIECE OF SIDING AND FG
LAPPED OVER FIRST CONTIN. DO III
GIROERIHEADER PIECEOFSIDINGBFLOW UNDISTURBED SOIL
112'DA UG BOLTS W/WASHERS LAY PIASTIC BASE DIRECTLY ON 0 0
CONNECTED TO BLDG®16'OC UNDISTURBED BOIL(ORGANICS REMOVED) Z O
STAIR TREAD L FIT CONSTRUCTICNTUBEANDPWMB W
POST/COLUMN -00 - BRACE TUBE
III FILL AS PER MANUFACTURES'INSTRUCTIONS
Q
RIM BOARD u FLOOR FRAMING n
2x JOISTS III-111 1= _ _ _ SII=�=_ QD
STRINGER =III-111;,111-III_III_III-III-III=,III-11
BLOCKING FOR JPIST HANGER
POST-TO-GIRDER/HEADER CONNECTION LAG aOLM •A
LOCATION USPNUMBER DESCRIPTION APPLICATION RIM JOIST I SO
4x4 SOLID COLUMN jilhURRIs I PBSEN I K. I POST CAP ANCHOR APPLY TO EACH COLUMN �`� DISTURBED / POOR SOIL
STRINGER TO DECK/PORCH CONNECTION BI165000 COLUMN PB566 I"dtJm I KC66 I VU51 CAP ANCHOR APPLY TO EACH COLUMN NAY 46 LAYER OF CRUSHED STONE OR
HOLLOW COLUMN SIMPSON STRRI2 H.C. ANCHOR APPLY TO EACH COLUMN GVEL
DECK/PORCH LEDGER CONNECTION LEVEL AND COMPACT BY HAND
- LAY PLASTIC BASE ON COMPACTED GRAVEL
LEVEL BASE
FIT CONSTRUCTION TUBE AND PLUMB ( t
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FILL AS PER MANUFACTURES'INSTRUCTIONS \1
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WOOD JOIST U
WOOD JOIST JOIST0
BLOCKING GONG. PIER FOOTING Z
BIGFOOT SYSTEMS FOOTING FORM of
GIRDERIHEADER IN ACCORDANCE WITH SECTION 1114.11 OF N Y.S RESIDENTIAL CODE THIS DESIGN O
WOOD JOIST WOOD GIRDER COMPLIES WITH THE INTENT OF THE CODE AND THE MATERIAL OFFERED IS
GIRDERMEADER AT LEAST THE EQUIVALENT IN DURABILITY AND EFFECTIVENESS OF THAT -1
40 PRESCRIBED IN THE CODE. LL
THE DIVISION OF CODE ENFORCEMENT AND ADMINISTRATIONS FINDS THIS PRODUCT 0
ACCEPTABLE FOR USE IN N.Y.S.BASED UPON KBO EVALUATION SERVICE REPORT
FLUSH JOISTS WITH HEADER/GIRDERER-5485 AND SUBJECT TO THE CONDITIONS THEREIN.
ALL JOISTS CONNECTED TO A FLUSH HEADER TO BE SUPPORTED WITH SPLICED JOISTS OVER HEADERIGIRDER
THE PROPER STEEL CONNECTOR SPLICED JOISTS OVER HEADERIGIRDER PROVIDE BLOCKING BETWEEN JOISTS THAT ARE SPICED AND W
IF ABLE,SET FIR JOISTS APROX 114'HIGHER THAN LVL HEADERS LOCATION USPNUMBERI DESCRIPTION I USE WITH RTIOTYDDOYNANCHORS 2
TOALLOWFORSHRINKAGE. JOIST TOGIRUERMEADER RTU TYOOWN ANCHOR CONNECT TO EACH JOIST � O
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4� Gr ldl
DECK& PORCH NOTES: NAILING SCHEDULE
1).Unlace oUnnise noted,Nl lnminp mslMalbbe Hl ACO preexurelnr.Ietllumber. NAL NAIL
Al leelenen,hNpenerdimalun to be p lhdulmd orsWnless Neel. JOINT DESCRIPTION QTY SPACING NOTES
JOISTTO: PER TOE
2) GlNen for tleck)olvb la he bolledwenMoretl to Nch poelar plerw4h wghen endnW. SILL,TOP PLATE CR GIRDER 4-IHCOMMON JOIST NAL
Gleeson mnunts plan shall W mrMretl wnh Proper Neel mnnndom manned] rn 2
Into onnRebwlmemlmmmn112-dlaxT'long sndnrhnitwl0ensues and nals. CLIMATIC & GEOGRAPHIC DESIGN CRITERIA BRIDGINGOIST 2-eEACH tlCOMMON ENO NAL
GROUND WIND SEISMIC FROST WINTER ICESH161D F 032](ib1
3) PoeleeupgNrggirdma.mll be anchored be 125lnl2'thik..to fwUng. FLOOD BLOCKING EACH TOE
U e minlmumllTdlexYlmpanc rWtW%.N..dnW.Faatlnq Shell SNOW SPEED DESIGN WEATHERING LINE TERMITE DECAY DESIGN BNDERLAYMENT HAZARDS TO JOIST 2-6tl COMMON END NAL
I belewgrede LOAD (MPH) CATEGORY OEPRI TEMP. REQUIRED _ _ �FES34QN
BLOCKINGTO EACH TOE
1 9).Oechldcmbhsw blocklnp N69 o.c.. MODERATE SLIGHTTO 3-16d COMMON
15 LBS In B REVERE 3FT. 11 NONE SILLORTOPPLATE BLOCK NAL 0
TOHEAVY MODERATE LEDGER STRIP EACH FACE ��/ U/
✓ BEAM--3-i6d COMMON
5).Aminlmumaenec!th ulift,shall be lnetalletlbelweenlhomandngentl letlgr TO LED JOIST NAIL
/ atle- la hefaelenetl to bulMlnp mlb ip'tlle.holt wllh weehen erN nub JOISTONLEOGER PER TOE
• J.p e116'ac TO JOIST 3-MCOMMON JOIST —NAIL—
/aI6 Concreb Len shell bas minimum B'Wwe tls BTO JOIST 3-16d COMMON PER ENO
p 6m TO JOIST JOIST NAIL IJ I,
] Anloieb to he xuppwled with hangers end mcM1wx.Each .10M.NeOelsoheenuhond BANDJOISTTO PER 11
to glydeds). SRLORTOPPLATE 2-1fitl COMMON FOOT TOEN IL LL
ILDR -- `
Appl-imit/ Date.
Owners Nanaw.... `�+ -- - — Reviewed:
ArchitecU Qte:
Chgitteer:. Submitted: Fb S
SCTM #:
District: ],Q00 Secdo(t: Block: 13 Loi:
Project Subdivision
Location: _ - [ � ,=S '_ Name:
Siglc & separate Required
cetttfication: (Yes INo) _
RN Icy. —
Zottint UistricC ("t size: Aclllal: l (IAt coveragC
ff•ront Pard Proposed: J (Side Yard � S.S 1'ropbscd: J (Rear Yard _ 1'rotwscc(/
Project Description:_
A._._.. 19C)d EZ WOU a It
REQ [RED FOR PXJ VIEN YES I�tumber
Sufblk County Health'Dept.
N6w York State. D B.C.
Town Trustees
Town Zoaing Boatel approval.
Town flan mg Board approval:
J
Flood.Plaae Elevation 92?
Flood Zone: x