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HomeMy WebLinkAbout39050-Z F04Town of Southold Annex 9/4/2014 py P.O.Box 1179 54375 Main Road 'v i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37124 Date: 9/4/2014 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 13000 Route 25, Mattituck, SCTM#: 473889 Sec/Block/Lot: 114.-11-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/14/2014 pursuant to which Building Permit No. 39050 dated 7/24/2014 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: ALTERATION TO AN EXISTING COMMERCIAL SPACE BARBER SHOP)AS APPLIED FOR. The certificate is issued to 13000 Main LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39050 08-27-2014 PLUMBERS CERTIFICATION DATED 08-21-2014 lhrdy Plumbing&Heating Au e Signa ure TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY f BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39050 Date: 7/24/2014 Permission is hereby granted to: 13000 Main LLC 11185 Main Bayview Rd Southold, NY 11971 To: Alteration to an existing commercial space (barber shop) as applied for. At premises located at: 13000 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 114.-11-12 Pursuant to application dated 7/14/2014 and approved by the Building Inspector. To expire on 1/23/2016. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 o $300.00 Building Inspector 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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$15.00 Date. - 1 11 1--Xo 114 New Construction: Old or Pre-existing Building: (check one) Location of Property: 13tpoo M A I Ar 37 MATT IT V C- �L House No. Street Hamlet Owner or Owners of Property: 13000 ni&%r.V LL C_ Suffolk County Tax Map No 1000, Section 1194 Block I I Lot Z Subdivision Filed Map. Lot: Permit No. Date of Permit. M-W - Applicant: R. R/A.A 4r T" Health Dept. Approval: I Underwriters Approval: Planning Board Approval: YE S Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted:$ So O.- Applicant Signature o��OF SOUjyo! � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G • �Q roger.richert(p7town.Southold.ny.us Southold,NY 11971-0959 COU '�,�a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Rene Zepeda (13000 Main LLC) Address: 13000 Rt 25 City: Mattituck St: NY Zip: 11952 Building Permit#: 39050 Section: 114 Block: 11 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GSL Electric Inc License No: 36273-me SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 8 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 11 Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: 1-combination smoke/co detector, 2-paddle fans, 1-exit/emergency fixture Notes: Inspector Signature: Date: Aug 27 2014 81-Cert Electrical Compliance Form.xls v TEL. 763-1802 TOWN of SOUTHOLD OFFICE OF BUILDIN."i INSPECTOR �,`. �• ,� �+ P.C. BO:' ;28 ;� I TOWN I•:.%LL J I %r SOUTHOLD, N.•1. 11971 I AUG 2 1 2014 • BI_Ji, ,_ T. C E R T I F I C A T I O N Date Building Permit No. � Owner_ /E&f- (please print) �N(r- (please print) 4 I certify that the polder used in the water supply system contains less than 2-/10 of 1% lead. w (plumber' s signature) Sworn to before me this day. of _ 170tary ublic Nota,.­ ht+ -;.ic, County adfM yok *jaw In0"2 20JQ i oF sooryo� W TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) k ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 2� INSPECTO i i SOF SO!/ld h� l0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING Ili REMARKS: co DATE Y� INSPECTOR FIELD IlV•SPE N M- ORT DATE COAZEI.NTS FOON(IST) rlrrrrMrwr�7r�rrrrrrrrrrrrrrr FOUNDATION(2ND) C � �1 ROUGH rRAM[ING& y PLUMBING � INSULATION PER N.Y. H STATE ENERGY COME FINAL ADDIMNAL CCINIlVIENTS 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 Suryey SoutholdTown.NorthFork.net PERMIT NO. �'c(0 5_0- Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application (*L� Flood Permit Examined ,20 14- Single&Separate Storm-Water Assessment Form Contact: Approved ` 7 17--& ,20 Mail to: Disapproved a/c JUL 14 4 Phone: (0—_7 3q— d-7 . Expiration ,20 BLDG. D T Or SO J11TH D {� ector APPLICATION FOR BUILDING P Date , 20 INSTRUCTIONS a. This application MUST No 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 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 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) �1 Zq 5 v a w! ST O n7 r4-c3,o►.Q �� Tc�aoAqye N 11935' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect engineer, eneral contractor, electrician, plumber or builder ENC, frilem Name of owner of premises 1300 o M F Q LLC_ (As 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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 13000 M A t+J M ATT 17-U C K House Number Street Hamlet County Tax Map No. 1000 Section I I t4 Block 1 Lot 1.2. Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy SwE ,P Pr N 4 CE'N m /f0 b. Intended use and occupancy Le `' 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work X eG-� 1914S,' .nif 14.- (Description) 4. Estimated Cost -#aoc%o 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 9.Esrwv 24.3-r A-au a 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. SAO-3107- 31+aP qt 7. Dimensions of existing structures, if any:Front 8c.I-V Rear 1R G fl- Depth aS Height Number of Stories DN t tva CHAr,aq Dimensions of same structure with alterations or additions: Front SA4,ye Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front N o 4'r4N 46 Rear Depth Height Number of Stories 9. Size of lot: Front !33 Rear IST Depth 1 S o 10. Date of Purchase_ 3 J-7 14- Name of Former Owner R'• C• k-o i= T 11. Zone or use district in which premises are situated 4A-M L.C-I- 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO X 13. Will lot be re-graded? YES NO 7e Will excess fill be removed from premises?YES NO P. Sgc 11ss MAa IN r3 •fr4E&4 14.Names of wner of premises dkutEr Address soo-►#+o,-n ug7r, Phone No. -71, 1033 Name of f 1Z. 6 a.22 A-�r Address ac 9 e g y E T°"' Phone No ?3�r-- �7 3,o Name of Contractor Address — Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO K * 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 n * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO—K * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (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. w rn to before me th' day of 20 NNIE D. BUNCH Notary Public,State of New York �� RV rv�-4 No.O1 BU618505A Notary Public Qualified in Suffolk CountySignature of Applicant Commission Expires April 14,2��� i Town Haft Annex Telephone(631)765-1802 54375 Main Road {6$1 7 P.O.Box 1179 iiOS]-.-nef fiCh@f# N/n. nY us 1 SouthokL NY 11971-0959 . I BUILDING DEPARTMENT I TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: n Dater u5i �a, ao�y i Company Name: S Name: License No.: Address: 3�`�- 1�o c1� p - tj Phone No.: . �.�►- �a� - ��-t o b - JOBSITE INFORMATION: *Indicates required. � eq information) , *Name: ENE, ZEp O A *Address: 1 � 0 �qIN oA aTrTvc1� *Cross Street: Lca j l�- j *Phone No.: Permit No.: 31050 Tax-Map District: 1000 Section: 4►y Block: i t Lot: ► a *1 W BRIEF \DESCRIPTION r !-L OF HAIR (Please Forint Clearly) .10 5 i a I1 E� 56 R�P S l� fe w E l , ,J owA ` �I CJpTNAKS irR AIR ST�i,a,rJS 6 Fr )� - / 3 (RC},CFER L'5V151 a. CEklN VtcaaS , 'D--.0u7$14 LEI 1 ,5"TS Arta p!J£ SM KE CaR�ou coM�o D E T Et.TUR <✓lrte�2 tleATE4 a fXi7" (-cSIT,S (Please Circle All That Apply) Is job ready for inspection: YES NO. Roth In OFInal*Do need a Tem C You p Certificate: YES NO Temp Information(If neededl *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-wrineof Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT _DUE WITH APPLICATION 8241equest for lWactlon Farm C-1 r Scott A. Russell ,��° u � ST O IKIMMATIEIR� SUPERVISOR MA,-A\(G IEMIENT a SOUTHOLDTOWN HALL-P.O.Box 1179 �y Ak Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 '� CHAPTER 236 - STORMWATER MANAGEMENT.WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CMCK ALL THAT APPL n Yes No t ❑E f A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. i ? Q B. Excavation or f illing involving more than 200 cubic yards-of material within any parcel or any contiguous area. E]Q C. Site preparation on slopes which exceed 10 feet vertical rise to }. 100 feet of horizontal distance. EI E D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. i El E3 E. Site preparation within the .one-hundred-year floodplain as depicted on FIRM Map of any watercourse. g F. Installation of new -or resurfaced impervious surfaces of 1,000 square ❑ . feet or more, unless prior approval of a Stormwater Management , Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. _ ._. ....._.._. . ....._-�._---_ If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Cbeck List Form to the Building Department with your Building Permit Application. S.C.T.M. #: 1000 Datc APPLICANT. (Property Owner,Design Professional,Agent,Contractor,Other) District -7 A-V/-/Y NAME: Section Block Lot FOR BUILDING DEPARTNIEiNT USE ONLY Contact Information: -'7 3,-,, r73 � tr,kphm NumWl Reviewed By: 51�f �. r f - - — — — — — — — — — — — — — — — — Date 71 Property Address / Location of Construction Work: — — — — — — — — — — — — - Approved for processing Building Permit. 3C'c +e7 Itil a �t 2fl Stormwater Management Control Plan Not Required. MArrl Tt-►c-K_ ElStormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM K SMCP -TOS MAY 2014 Robert Barratt PE FIMechE 4295,Vanston Road, Cutchogue,NY 11935, USA Tel 631-875-0275 robertbarrattnoptonline.net Town of Southold-Building Dept 07/23/14 PO Box 1179 Southold, NY 1171 Attention: Damon Rallis Subject: Building Permit application to convert use from Fitness Studio to Barber Shop 13000 Main Road, Mattituck, NY, Building Not Two south bays, SCTM#1000-114-11-12; Dear Damon, Thank you for raising the question regarding any change in the density loading of the subject premises. The current Health Services Ref#C10-11-0003 was approved on 04/08/2013 on the basis that the two south bay's in building#1 would be used as a fitness studio w/o showers. Under the proposed change the"fitness center w/o showers"will be converted into a barber shop with one hair wash basin. "Barber shop" is not listed in the HS Standards The options are, dry store, wet food store, office and medical office. As Medical Office has the highest density load at 0.1gpd/sf, I opted for this density load.. Since this is the same density load as the"fitness center w/o showers"the current HS approval can remain in effect Respectfully submitted, JE . �OF w r Robert Barratt PEPSQ � •BAR r Q818eb ss►ON�" ' J U L 2 3 2014 -- Bays 4& 5 Bays 1,2 & 3 FIRE INSPECTIO1 ' REQUIRED BEFORE P = M c M P _M _ __ - LEGEND OPENING a j B Barber's station + + l� + + b t t C Waiting area chair P BER 1FIC 3 CR Cash register ON LEAD CONTENT BEFORE Z CRK Coat rack CERTIFICATE OF OCCUPANCY i D Display cabinet SOLDER USED IN WATER Y F Fire extinguisher(2) W SUPPLY SYSTEM CANN4 E' 71 LE FL.00P- � + O/H Fluorescent lighting &XCEEQ 2f 10 OF 1 qo LEA' N ? h M Mirror/consol �M�uc Nor d L Exist Lavatory ,�_gc�aas r P Proposed 110v 30amp AC outlets S Proposed hair wash sink S -P5`l> C SC Sales counter JL WC Water closet W Existing window o N w w WH Hot water heater PLUMBING NI AST A&� 6g S tASSID ►G F�oot�. p4 EE4", S OCCUPANCY OR �E�.�tG USE IS UNLAWFUL Note: Please refer to drawing#042411 Rev for local plans and approved"MM CERTIFICATE COP.'PLY WITH ALL CODES OF OF OCCUPANCY NEW YORK STA" I~ & TOWN CODESm" Rao ,v via-yr AS REQUIRED APPROVED AS NOTED SOtf*tt8Ef { 14 DATE: B.P.# JVD ! S r' Rq Yi xtst - ! S � - ,gaTM Hwy FEE: ��.��.0 NOTIFY BUILDING DEPARTMENT AT WG 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: H ays P- 1. FOUNDATION - TWO REQUIRED TRAP �SLopE / (r ' I�JR CONCRETE 2. ROUG�- F?A?VN & PLUMBING EIAMINQ$tSER DIAGRAM 3. INSULATION PROPOSED ALTERATION 4. FINAL - CGt�ST OR 1ONC-0 MUST 1. Replace existing carpet with floor tiles BE COMPLETE FOR HAL � ALL CONSTRUCTION SHALL P"EET THE 2. Install Ohl fluorescent lighting over barber work stations REQUIREMENTS OF THE CODES OF NEW 3. Install hair wash sink adjacent to existing toilet and connect to existigvpb=bbg NOT RESPONSIBLE FOR Drawing number; 7 1 t 14 Rev o Note$ DESIGN OR CONSTRUCTION ERRORS. 0 wm�+�- see��ss�oN Dwg Tale;_ GeNErtg� ArtRgn�Gren�rNT',gAy 4+513000 MAwI Ro4l> MATTITV�K Project: 4-sem-r >��.•z gErL s Ho P SCTM#: l000-- 114— 1%— 1Z CTWO Sown"erL" P--.^-JS o r.1 Facp.VT gyic.oW Owner; Opeer-mor-: RENS ZEPEDA , 319 Pls4ew_ Av4EUIVEP- SAD Ny11 ( 0.Q,q�O�if. Robert Barratt PE, 4295 Vanston Road,Cutchogue, Tel 631734 2730 0 �� These plans are an instrument of the service and are the property of the design * '� professional whose seal is affixed hereto.infringements will be prosecuted to the full tr- s extent of the law.Contractor shall verify all field conditions and dimensions and be so responsible for field fit.The design professional assumes no liability for omissions due 2 unknown or Unforeseen field conditions and or additions based upon comments not A 0818 formally acknowledged as revisions to these pians. s►oNP�' t i ANA Moan Rood-MY SOW Ra 25 45+� ^v aF X33 �� To WILV04 �► N T5 � l � PRt_ AP+D2oVE0 St�Wa► wATEIi'.. slaILVteG w+, . QNo�EteGewwD Ir►A�,3 ' *,&ecce pdv�ray . 4►��j, NOTES: SCTW 1M114-11 12 c ��11 Cm to 1161110111 COWIV MhMr AVOW* At NOW Zone:The peruses arra located st Olsratlo0 20 R and M abo- flood aortae 1041111010W.-NNW wok 21110oI00rnMMs EAW"efface syslow C10�Oi-me daMd 10f23f0i Town A ` _ Codas d praolloe.$too of New York,&d b&Cowdy 1 d* Dq*. Za a lu -I buek=e dk&lct allyls serv1"nataurant P@ -d s BuNdft He1011t M bulldlrip on SIM etre sNlgle"Y Ndw and bounds: See special nofs \ aces: Sanitary Klbchen Ex 94 94P4 a WW" fl ppd qPd �► ©w J � }. AndqudftellM Nsslslrant 1293 429 OA3 13 - m Owdlmy flow - 964 OA3 26 Knobs,flow - 064 0.12 104 W FOWn sbudb(no showers) iia 063 0.10 ii sull"02: OAS 29 C 4- \ OAkO(non ntedkan ill 41" 0 _ N � Total:VA 1190AWMI&W - 3131 3131 174 104 O, 1-- N ,! PW oeoloSik Z" N + Allowable ells dwwft(~x 0.466) 273 MW 0 _ Actual sibs density 174 Epd d _ of ` Actual lobo Aydr�- ft flow(1741104 ve� 0 0 capAyx VO)) 1200 fPft v ` R,eeld GT capacity(2 x 104) 206 fly R 1600 lls NOW tee trap capecAy.. 00 ` Exle"LP COWRYeq 400 ye ge \ Requlnd LP capecKy(27811.6) 1s$eq ft 0-n t EaCtSTtlJtt V u�X•ow Z C10-02-012 and C10-00-0006 20.10 fl e K1lcllen l ne outlet El at bold" 1111M ft 17.26 ft N 75-a �iT 11"s 1q.72i R Z.f+. ` oT olrst is SUFFOLK COUNTY DEPARTMENT OF HEALTH SERA= APPROVAL OF CONSTRUCTED WONG 8' 'm3 I Date APR A H.S.Ref.No. _ C f o - I i- 0 0 0 3 t Exlst►�q N GWOMe Trap(Naw) The sewage disposal and water supply fades cEssoee� Z ) � 1 / at this location have been inspected andlor x _ J certified by this Di�parhnent or other agerxks V W., 'A~aprons to sot locking covws � and found to be satisfactory. ST 1 Tot boretAb data:-1 9 9 z Walter J.Hobert. . ' t - - - Ett►vation I Office of Wastewater Management SON type I V 1 O 1 i-loinh Duk brown loam 20.0-19.2R __ -- -- ei 1 t loin-311 Brown sandy loam 19.2-17.08 0 p 1 0 M 1 3ft-15. 18 Fine to coarse send 17.0- 4.91t -%00 0 YJ l Z l/ — '� Mb�' 15.1ft-17R sand in ground wow 4.9- 3.OR vs � y i a KEy SCA �� i iw1 �. 400 . 0 0 0 4- ale moo O � � MUM 1 se"5 A.:r S -,s• of I J I . set%t-fE - I IJ s LO It. Rev_6 03/09/13 l�ev p,��0`y NEW yo 5 PEG 1 A L N o T E !�M R#Mil A�� r�k!Ir I � C����t Mme._ Rev S 02106/13 -Final approval as-built gti+sase trap g� tai.Q•.efp +T THIS SITE pUW WAS PREPARED WITH INFORMATION IiObMt O �M� TOIr11114MA �*NIR XS �� dimensions o �,� iso suRvEYFROM AOR.3REENPRVEY�ORTBNir�TED FEBUA VAN TYLE r �F NMt !! trap and ldtallen rk 1k DED MARCH 24,1992;APRIL 3,1992& �!!� ��' '�N Rev 412/29/12 -Install grasp p PIP�o * 1o.19Y2;AMEN Wf!!h! ,� �•i1O"' „" OCQ3 to meet eq =nt access requir+ernords MAY 5.19!2;IN ADDITION TO OBSERVATION BY � �Nt1M atter M M �M���tMslr � d.A.STRAND ARCHITECT BEFORE OCTOBER 23,2009 adpoll M p td r w�ettti� 1t�•a�tlsw Rev 3 12101/12 ibi0n AND PERSONAL OBSERVATION .flr« ►r flit eanrral..r Itflwwr�aft 9e aaftl+l w�a Irr�ft"s rtlt� Rev 2 06/23/11 Gs�t�eld '; awe ar rnlr frr..�r�ll•r fr 011111110111111e��I�IMIw `� �y 1 06I06N 1 NOIR Not •e�rrrtl�anoawloall�tllat~ Rev 0 04125J11 DM d 042411 First Subrrlillal ` �3