HomeMy WebLinkAbout35036-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34025
Date: 10/20/09
T~IS U~KTIFIRS that the building DECK ADDITION
Location of Property: 1155 LOVE L~ MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap No. 473889 Section 140 Block 1 Lot 20
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 30, 2009 pursuant to which
Building Permit No. 35036-Z dated SEPTEMBER 30, 2009
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 ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL & KATHY PERIVOLARIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
EL~UrKICAL CgI{TIFI~TH NO.
PLUMB~R~ CERTIFICATION DA'r~3
N/A
N/A
N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTItOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAb
This application must be filled in by typewriter or ink and submitted to the Building De
OCT 19
BLDG. DEPT. ~
TOWN OF SOUTHOtO '-~
~artment with the following:
At
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 o f 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.
Bo
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.
Fees
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
3.
4.
5.
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $I00.00
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Old or Pre-existing Building:
HOuse No. Street
New Construction:
Location of Property:
Owner or Owners of Property:
(check one)
Hamlet
Suffolk County Tax Map No 1000, Section
Subdivision
3 -o b
Permit No. - of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 7'~
Block 0 0 I Lot O 72k ~-~
Filed Map. Lot:
Applicant:
Undenvriters Approval:
Final Certificate: ~ (check one) /~-~ -)
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII/)ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35036 Z
Date SEPTEMBER 30, 2009
Permission is hereby granted to:
MICHAEL PERIVOLARIS
.~iPO BOX 800
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR W/FEMA PERMIT. REPLACES BP 32319.
at premises located at 1155 LOVE LA MATTITUCK
County Tax Map No. 473889 Section 140 Block 0001 Lot No. 020
pursuant to application dated SEPTEMBER 30, 2009 and approved by the
Building Inspector to exqpire on M3LRCH 30, 2011.
Fee $ 150.00
Authorl zed SIgnature
ORIGINAL
Rev. 5/8/02
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. 3~2~9 Z Date AUGUST 25, 2006
Permission is hereby granted to:
MICHAEL PERIVOLARIS
PO BOX 800
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR W/ FLOOD PERMIT.REPLACES BP# 28438
at premises located at 1155 LOVE LA MATTITUCK
County Tax Map No. 473889 Section 140 Block 0001 Lot No. 020
pursuant to application dated AUGUST 15, 2006 and approved by the
Building Inspector to expire on FEBRUARY 25, 2008.
Fee $ 250.00 ~d Si/g atu~re
ORIGINAL
Rev. 5/8/02
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. ~2~438 Z Date JUNE 4, 2002
Permission is hereby granted to:
MICHAEL PERIVOLARIS
1486 SWEETMA/~ AVE
ELMONT,NY 11003
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR WITH FLOOD PERMIT
at premises located at 1155
County Tax Map No. 473889 Section 140
pursuant to application dated JUNE
Building Inspector to expire on DECEMBER
LOVE LA
MATTITUCK
Fee $ 250.00
Block 0001 Lot No. 020
4, 2002 and approved by the
4, 2003 .
~d S ignat~~u~ri
Rev. 5/8/02
ORIGINAL
765-1802
BUILDING DEPT.
//INSPECTION
[ ] FRAMING [ ] FINAL
[ ] FIREPL~LGE~ & CHIMNEY
REMARKS~~
DATE 7//~.~'~ -INSPECTO~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING ~"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~
DATE
FIEI,D INSPECTION KEPORT I DATE
FO~DATION (1ST)
ROUGH F~G &
~SU%ATION PER N. Y.
STATE E~RGY CODE
TOWN OF SOUTHOLD ~
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
T". r :"'0
Exammed y% ,20 ~
Approved ¢~ ,20 ~
Disapproved a/c
Building Inspector
BUILII~G PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Bu/ldmg Plans
planning Board approval
Sm-veX
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
flll~lC IVICOI/"~I~IL/t
l !LL POND LANE
E, MORICHES, NY 11940-1222
3/- g7
~o ~ $ ~ APPLICATION FOR BUILDING PERMIT
Date L ~.t.~..~ ,20D4
INSTRUCTIONS ~
a. Tiffs 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 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 perrmt.
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 prenfises available for im'pection throughout the work.
e. No building shall be occupied or used hi whole or hi part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expir~ 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. Therea~er, a n~v permit shall be required.
APPLICATION IS I-finley MADE to the Building Department for the issuance of a BuildIng Perruit pursuant to the
~Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the constmctton of building, additious, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, homing code, and regulations, and to admit
anthonzed ~nspectors on premises and m building for necessary inspections.
(Signature of applicant or name, if a corporation)
(Mailing addre}s of applicant) /{q~/'
State
whether
applicant
is
owner, lessee,~j[rchitect, engineer, general contractor, electrician, plumber or builder
(As on the tax roll or latest deed)
If applicant is a corporation, s~grm~u'e of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 S~ion [ %O
Subdivision
(Name)
Block I
Filed Map No.
Lot c~f_.)
Lot
2. State existing use and occupancy ofl~ises and intend~ed use and occupaucy~roposed construction:
a. Existing use and occupancy -- ad,t~ ~;/~, tC~o~,.g.f.~--
b. Intended use and occupancy .~
3. Nature of work (check which applicable): New Building.
Repair Removal Demolition
4. Estimated Cost oq .5OO -
5. If dwelling, number of dwelling units
If garage, number of cars
F~
Addifion'/o
Other Work
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ] ~/. 5' Rear -* ~ ¢ '
Height /~ ~ 5' Number of Stories 07 ,~-b-,, .
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stodes
Depth
Rear
8. Dnnensions of entire new consh'uction: Front
Height Number of Stories
9. Size of lot: Front ¢ ~ / Rear 6]0'
Rear Depth
Depth //o/. (~O '
10. Date of Purchase Name of Former Owner
I 1. Zone or use district in which premises are situated /~ - L{ 0
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~'
13. Wilt lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES
14. Names of Owner of l~emis ddress Phone No.
Name of Architect Don ~'~'/e¢' Address
Name of Contractor
__NO X
Phone No ~ 93~ - ~-'4~
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES__ NO__
* 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/q OF~o~=~
(_'/} ~ Or~ ~ .~ ~5~ o~L~ being duly sworn, deposes and says that (s)he is the apphcam
(Name of individual siLming contract) above named,
(Contractorl A~nt, Corpoz/a'}e Office, etc.)
of said owner or owners, and is duly authorized to perform or have pea'formed the said work and to make and file tl~s 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~tfi before me this
"'7' day of
~) Notary'Publi~'
of Applicant
ELIZABETH A STATHI8
NOTARy PUBLIC, State of New York
No..O1ST_6008173, Suffolk Counht
·erm I=xpires June 8, 20(D-z~ _
TOWN OF SOUTHOLD PROPERTY REC:ORD CARD
)WNER STRE~//55 v,L~GE D,sT. SUB. LOT ~
OWNER N E ..... - ACR. j
S W ~PE OF BUILDING
~/~ S~S. VL. FA~ COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION
l~ NOR~L BELOW ABOVE
~RM Acre Value Per Value
~c re
liable 2
liable 3
~lond
~mpland FRONTAGE ON WATER
O
,use Plot DEPTH / ~
BULKH~D
tal D~K
t. Bldg.
<tension
~'ension
xtension
3rch
Ireezeway
orage
)atio
'Oral
?/
/o~'
COLOR
TRIM
Foundation
Basement
~lExt'
Walls
Fire Place
Type Roof
Dormer
Driveway
Recreation Room
Bath
Floors
Interior Finish
Heat
Rooms I st Floor
Rooms 2nd Floor
/
Dinette
LR.
DR.
BR.
FiN. B.
· . g~134TH T.
T O ~F/ CLEI~
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 211, 1993:
RESOLVED that the Town Board of the Town of Southold hereby adopts
two (2) new forms to be used under the Flood Damage Prevent regulations
of the Code of the Town of Southold: "Floodplain Developmen} Permit
Application" [FDP(93)], and "Certificate of Compliance for Development in
Special Flood Hazard Area [C/C(93)].
B LD.,3.. 0 ~ ~...
TOWN OF SOLr~O,LD
. Terry
Southold Town Clerk
August 25, 1993
TOWN OF $OUTHOLD
FLOODPLAIN DEVELOPMENT PEI~4IT APPLICATION
APPLICATION
PAGE I of 4
This form is to be filled out in duplicate.
SECTION I: GENERAL PROVISIONS fAPFLICANT lo read and sign):
1.. No work may start until a permit is issued.
2. The permit may be revoked il' any false statements are made herein.
3. If revoked, all work must cease until permit is re-iasued.
4. Development shall not be used or occupied until a Certificate of Compliance ia ksued.
5. The permit will expire d no work is commenced within six months of issuance.
6. Appticant ia hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant bercby gives consent to thc Local Administrator or his/her representative to make t:easonable
inspections required to ',wa-fly compliance.
8. I, THE APPLIGAHT, CERTIFY TI-~T ALL STATEMENTS HEREIN AND IN ATTACI-IMF_ANTS TO
. THIS APPLICATION ARE, TO q~I~ BEST QF MY KN.O-¥qI~.DGE~ TRUE AHD ACCURATE.
SECTIQN 2: PROPOSED DEVELOPMEI~' (To be comrfleted by APPLICAA~
NAME ADDRESS
BUILDER
TELEPHONE
ENGINEER
To avoid delay in processing the application, please provide enough information to easily identify the project
Iocatiom Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-lmown l~cknark. A sketch attached to this appliCation showing
the projec~ location would be helpful.
FDP(g3)
· ~ ~ APPLICATION
PAGE 2 OF ~
DESCRIPTION OF WORK (Check ail app[icnblc boxcs):
A STRUCTURAL DEVELOPMENT
ACTIVFY'Y
STRUCTURE T~PE
[] New Structure
~ Addltin~ I~
[] AJtcration
[] Relocatiou
[] Demolition
[] Replacement
[] Residential (1-4 Family)
[] Residential (More than 4 Family)
[] Not)-residential (Hoodproofmg? [2] Yes)
[] Combined Use (Residential & Commercial)
[] Ma~nufactured (Mobile) Home (In Manu-
factured Home Park? [] Yes)
ESTIMATED COST OF PROJECT 5 ~}.~O O
B. OTHER DEVELOPMENT ACTIVITIE&
n Fill [] Mining El Drilling [] Grading
[] Excavation (Except for Structural Development Checked Above)
- [] Watercourse Alteration (Including Dredging and Channel Modification)
[] Drainage Improvemen~ 0.ncinding Culvert Work)
D Road, Street or Bridge Co~trucliou
[] Subdivision (New or Expansion) /
D Individual Water or Sewer System
O Other (Plense Specgy) ~ ~
Alter completing SECTION 2, A2PLICANT should submit form to Local Administrator for re~4ew.
~EGTION 3: FLOODPLAIN DETERMINATION (To be completed bv LOCAL ADbllNISTRATOR)
The proposed development k located on I~LKM Panel No. , Dated
The Proposed Development:
[] Im NOT located in a Special Flood H~?ard Are~ 0"loli~y thc applicant that the appllc~tiou
review ix complete ~.nd NO Iq.~ODPI..AIN DE!VELOPMF-NT pER/vwr IS REQUIRED).
CI Is located ia a Special Flood Hazard Area.
FIRM zone designation ix
100-Year flood elevation at the site i~: Ft. NGVD (MSL)
g] Unavailable
Thc proposed development is located in a floodway.
Fl3FM Panel No, Dated
See Section 4 for additional inslructions
SIGNED DATE
/~PPLICATION # --
PAGE 3 OF 4
SECTION 4: ADDITI~NAL INFORMATION R~0UIRE~9 hc c~ted by LQ~CAJ~ ADMINISTRATOR]
The applica~nl must submil thc documents checked below bclore thc appbc~tJon ca~ be processed:
12 A site plan showing the location of ail c~stmg structures, water bodics, adj~ccm roads, lot
dimensio~us ired proposed development.
C] Development plans, drawn to scale, and specifications, including where applicable: details for
anchoring structures, proposed elevation of lowest floor (including basement), types of water
resistant materials used below the ,rust floor, details of floodproofmg of utilities located below
the l-u-st floor and details of enclosures below the ,ru-st floor.
AI~o,
[] Subdivision or other development plans (If the subdivision or other development exceeds 50
lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations
if they are not otherwise available).
IZI Plans showing the extent of watercom-se relocation and/or lanclfom alterations.
[] Top of new fdl elevation
Ft. NGVD (MSL).
[] Floodproofmg protection level (non-residential only) FCNGVD (MSL). For
floodproofed structures, applicant must attach certification from registered engineer or
architect.
Certification from a registered engineer that the proposed activity in a regulatory floodway
will not result in ap.y. increase in the height of the lCD-year flood. A copy of all data and
calculations supporting this finding mnst also be submitted.
[] Other:.
~E(~TFION 5: PERMIT DEoI E, RMINATION (To be completed by LOCAL ADMINI~3WRATQR)
I have determined that the proposed aciivlty: A. [3 La
B. [3 Is not
in conformance with provisions of Local Law g ,19__. Thc permit is issued subject to thc conditions
attached to and made part of this permit.
SIGNED , DATE
fL{BOX A is checked, the Local AdminS~trator may i~sue a Development Permil upon paymcn! of designated
fee.
--If BOX B is checked, the Loc~.l Administrator will provide a written summary of deficiencies. ^pplica~t may
revise and resubmit an application to the Local Administrator or may request a hearing from the Board of
Appeals.
APPE.ALS: Appealed to Boazd of Appeals? C} Yes C] No
Hcazmg date:
Appeals Board Decision --- Approved? ED Yes
ConcLitio~s
E] No
APPLICATION
PAGE 4 OF 4
~E(3"FION 6: AS-BUILT ELEVAT1ON,.q (To be submitted by APPLICANT before Certificate of Compliance
is issued'l
The following iMormadon must be provided for project structures. This section mast be completed bY a
registered professional engineer or a licensed land surveyor (or attach a certification to this application).
CompLete 1 or 2 below.
1. Actual (As-Built) Elevation of thc top of the lowest floor, including basement (in Coastal High Hazard '
Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns)
FT. NGVO 0aSL).
2. Actual (As-Built) Elevation of floodproo£mg protection ix
lq'. NGVD (MSL).
NOTE: Any work performed prior to submittal of the above b:ffonmation i~ at the risk of the Applicant.
,,SECTION 7: COMPLIANCE ACTION {ff'o be completed by LOCAL ADMINISTRATOR)
Thc LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to
ensure compliance with the community's local law for flood damage prevention.
INSP~.CTIONS: DATE BY DEla'ICIENCIES? [2) YES [] NO
DATE BY DEFICIENCIES? [] YES r'l NO
DATE BY DEFICIENCIES? [] YES [] NO
SECTION 8: CERTIFICATE OF COMPLIANCE(To be comvleted by LOCAL ADMINISTRATOR}
~cate of Compliance issued: DATE: BY:
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZAJ~ AJZEA
(OVVNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT:
PERMIT NO.
PERMIT DATE
OWNERS NAME AI~D ADDRESS:
CHECK ONE:
[] NEW BUILDING
[] EXISTING BUILDING
O VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS
LOCAL LAW # , 19
SIGNED: DATED:
COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS
LOCAL LAW # , 19__, AS MODIFIED BY VARIANCE #
DATED
SIGNED: DATED:
OF
OF
C/C(93)
.¸ ·4
THE: EXIS'rF,~:E OF RIOHT$ OF WAY
ANO/O~ ~MENI~ OF RECORD,
ANY~ NOT SNOe/N ARE~ NOT OUARANTEED.
NOT~:
'%.
SURVEY OF
PART OF LOT 6
MAP OF
PROPERTY OF MRS. CLARA
REEVE - MATTITUCK L.I.
FILE No. 212 FILED DECEMBER 4, 1922
SITUA TED A T
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-t40-01-20
SCALE 1"=20'
JANUARY 51, 2002
Wo
AREA = 10,154.00 sq. ff.
0.255 oc.
1. FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No. 56105C0481 G
ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
ZONE X*: AREAS OF 500-YEAR FLOOD; AREAS OF IO0--YEAR FLOOD WITH AVERAGE
DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN
1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM IO0-YEAR FLOOD.
N.Y.S. LJc. No. 4966~
Joseph A. Ingegno
Land Surveyor
PNONE (6~1)727-2090 Fax (651)727-1727
OFFICES LOCATED AT klA~NO ADD~ESS
15~0 ~E A~N~ P.O. ~ 1951
~, ~ Y~ 11~1 ~v~, ~ Y~ 11901-~
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