HomeMy WebLinkAbout39142-ZNo: 37368
Town of Southold Annex 1/8/2015
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building SHED
Location of Property: 235 Latham Ln, Orient,
Date: 1/8/2015
SCTM #: 473889 Sec/Block/Lot: 15.-9-1.26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/18/2014 pursuant to which Building Permit No. 39142 dated 8/28/2014
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:
"AS BUILT" ACCESSORY SHED WITH OUTDOOR SHOWER STALL AS APPLIED FOR
The certificate is issued to Valentino, Carl & Valentino, Jennifer
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39142
12-30-2014
Permit #: 39142
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIOP
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
Valentino, Carl & Valentino, Jennifer
235 Latham Ln
Orient. NY 11957
Date: 8/28/2014
To: Construction of an "as built" accessory shed/outdoor shower as applied for.
At premises located at:
235 Latham Ln, Orient
SCTM # 473889
Sec/Block/Lot # 15.-9-1.26
Pursuant to application dated 8/18/2014 and approved by the Building Inspector.
To expire on 2/27/2016.
Fees:
AS BUILT - ACCESSORY $344.00
CO - ACCESSORY BUILDING $50.00
m_.._1. 4-)nA nn
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
e
1 nV
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. z �/I I q
New Construction: Old or Pre-existing Building: -/( (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property: brj 4 () Wt( 14 (,�/I eA,! 110
Suffolk County Tax Map No 1000,,J Section Block 0 Lot Zip
Subdivision ! V `[to oyG1�G1 `S Eyk Filed Map. 3—q Lot:
Permit No. q 2,27 Date of Permit. Applicant: (� �%611/lj� '9 Uzi
P/1i7 ��
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
R
S bmed�-$11
4
DEC 2 F 2014
BLDG. DEPT.
TOWN OF SOUTHOLD
Final Certificate: (check one)
— W/ t�-
uZ.,
Ap scant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
oE SOcouffm
Ur�o�
Telephone (631) 765-1802
Fax(631)765-9502
roger. riche rt(aD-town.southoId. ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Valentino
Address: 235 Latham Ln City: Orient St: NY Zip: 11957
Building Permit#: 39142 Section: 15 Block: 9 Lot: 1.26
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: REP Electric License No: 46688 -me
Residential
Commerical
New
Addition
X
Indoor
Outdoor
Renovation
Survey
Duplec Recpt
SITE DETAILS
Office Use Only
X Basement
X 1st Floor
2nd Floor
Attic
INVENTORY
Service Only
X Pool
Hot Tub
Garage
Service 1 ph
Heat
Duplec Recpt
Ceiling Fixtures
2
HID Fixtures
Service 3 ph
Hot Water
GFCI Recpt
1
Wall Fixtures _
Smoke Detectors
Main Panel
A/C Condenser
Single Recpt
Recessed Fixtures
CO Detectors
Sub Panel
A/C Blower
Range Recpt
Fluorescent Fixture
Pumps
Transformer
Appliances
Dryer Recpt
Emergency Fixtures
Time Clocks
Disconnect
Switches
2
Twist Lock
Exit Fixtures
TVSS
El
Other Equipment:
SHED, 3ft lighting track
Notes:
Inspector Signature: Date: Dec 30 2014
81 -Cert Electrical Compliance Form.xls
so
TOWN OFSOUTHOLD BUILDINGDEPM."
765-1802
INSPECTION
]FOUNDATION IST ROUG MBING'
UF
L I
I FOUNDATION 2ND I ULATION
L
FRAMING/ STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTMT CONSTRUCTION FIRE RESISTMT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
f4f s 0
7cou
TOWN -OF SOUTHOLD BUILDING DEPT.
765-1802
I SPECTION'
N.
FOUNDATION IST ROU PLUMBING
FOUNDATION .2ND ]I ULATION
I e
X L
FRAMING/ STRAPPING FINAL
FIREPLACE& CHIMNEY FIRE SAFETY. INSPECTION
]FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
121:RmAnk,-Q-
DATE _IN,4PECTOR,/,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
BUILDING PERMIT APPLICATION CHECKLIST
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502 I �r"N —772
SoutholdTown.NorthFork.net PERMIT NO.
Examined —'20.
Approved —'20
Disapproved a/c
Expiration , 20_
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm -Water Assessment Form
et:
Mail to: I � �'� 1' -1(./ Vca)
y6o UAUS-r a L7'C)UZU'1be
Phone: VN —A;5 r75G7e
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date N1fAUJ ( , 20 14
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
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)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
A ti OK
Name of owner of premises �"'I (-' �J J e N P 1 Fr --e V A LEIU ( 110 D
(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:
7✓35 LATfiAIV LJA �IZf 1(1
House Number Street Hamlet
County Tax Map No. 1000 Section %1J Block Q q Lot /1 2
Subdivision M„JP Q p_-ij� Filed Map No. Lot Z411
2. State existing use and occupancy of premises and intended use and occupancy ofroposed c
a. Existing use and occupancy '�/Orj /%U7 -&We, (,OA
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 4kf7-1A1 /5 1. VI L7—
(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 /� 3 `f Rear ��I r , J� Depth
Height Number of Stories
Dimensions of same structure with alteratiops or additions: Front Rear
Depth Height %"12 i Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear /70.6 c Depth ? 4 � • 96,
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO—Az
13. Will lot be re -graded? YES NO V Will excess fill be removed from premises? YES NO
C 0,1-- V4L.:F-nl T) N10 44 L.Olg6lAO'n�- DC &316149
14. Names of Owner of premises Address /VTiI e" SDN Phone No.
Name of Architect D LC- J'0Z4 Address �� Phone No 2a i- �
Name ofContractor Z05rr--4qYiA•(, t0l(,rl GZAddress 65' 04Z„ Phone No. CIE -P
cv�c crlf
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 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.
18. Are there any covenants and restrictions with respect to this property? * YES NO f/
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF) e6aa—�Y-1 5 "A*�
F11,:x/ C -k6 kmu being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
44 OLlr
(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 /1Q 20/4
Notary Public CONN D. BUNCH Signature of Applicant
-
Notary Public, State of New York
No. 01 SU6165050
Qualified in Suffolk County ,���
Commission Expires April 14,
Scott A. Russell
SUPERVISOR
SOUTHOLD TOWN HALL - P. O. Box 1179 n
53095 Main.Road - SOUTHOLD, NE"' YORK 11971
55TOR.1M[WATEI
M[ANAG]EMENT
Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
DOES THIS IPROJEI CT I[la VO LVF, ANY OF THE FOLLOWING
(CHECK ALL THAT APPLY)
Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
Site preparation on slopes which exceed 10feet vertical rise to
100 feet of horizontal distance.
Site preparation within 100 .feet of wetlands., beach, bluff or coastal
erosion hazard area.
Site preparation within the one -hundred -year f loodplain as depicted
on FIRM Map of any watercourse.
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. s
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 Check List Form to the Building Department with your Building Permit Application.
(Property Owner, Design Professional, Agent. Contractor; Other)
e�- JEN Vq L,"rj51 r -/No
81LE4 _Jlj . �4 /�//io�A
Contact Information:
ra�Fn�n� xsmha
Property Address / Location of Construction Work:
.........
FORM SMCP - TOS MAY 2014
S.C.T.M. 1000 Date:
District ^
011
Section Block Lot
#M" ECiii B�G_ RTNI IT USE ONLY:�"
li
ate:
Approved for processing Building Permit.
Stoi-mwater Management Control Plan Not Required.
Stormwater Management Control Plan is Required.
(Forward to Engineerin; Department for Review)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
roger.richertCafown souih�o9d.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY- 2 — C jZ Date:
Company Name: c-
Name:
PL
License No.:
Address: PO
Phone No.:
63
JOBSITE INFORMATION: (*Indicates required information)
*Name: \J 42�_o Q �o
*Address: I rv\ f
*Cross Street:
*Phone No...
Permit No.:
Tax -Map District: 1000 Section:__ Block: i
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
15'�
?CY-0.4 /-/ruse:.
(Please Circle All That Apply)
*Is job ready for inspection: YES ! Rough In Final
*Do. you need -a Temp Certificate: YES ! NO
Temp Information (If. needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re -connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUF WITH APPI ir.A-nnni
B2 -Request for Inspection Form
1
LOT NUMBERS REFER TO "MAP OF LAND'S END" FILED
IN THE SUFFOLK COUNTY CLERK'S OFFICE ON MAY 3, 1975
AS FILE NO 5909
LOT 28
1
(CU to
LOT 27
CHAIN LINK FENCE
(TO BE REMOVED)
R
AREA=41,085 SQ. FT.
w
m
(U
fU
M
CD
ra
RAIN RUNOFF CALCULATIONS
PROPOSED CABANA = 750 sq ft
750x1x017=1275cu Ft
127 5/42 2 = 3 02 vf
PROVIDE 1 DRYWELL W DIAMETER x 6' DEEP OR EQUAL
uAu_�±a c eFrAr
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n...w ms r MM�rR�
• Ir .c -T,•. O
IMPR.sO MET DETAIL
V l�rr�c r.�i.� IWC_ 1anR rwt'�
MY 1Ml.aM V 12 .u�
A Y -Y
tlJETi1.5LY.
ST'.fND.IRD PRECAST CONCRETE CATCH BASfN
Uhl —.11VIC01 (S FEET TO 20 FEET P1 DEPTH)
TId
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1 aw D[r ui �
LOT 25
.•
•BE RELOCATED)
•
i`sIL
SHED
221
RELOCATED POOLI
EQUIPMENT
N9 ZONE
PROPOSED CE
x—
N 88.57'40" W
LATHAM LANE
GRAVEL
B B CURB
69 4' WELL
m
(U
•-I
CS)
(U N
CU
m
•
T
SURVEY OF PROPERTY
AT ORIENT POINT
TOWN OF SO UTHOLD
SUFFOLK COUNTY, N. Y.
1000-15-09-1.26
SCALE: 1'=40'
AUGUST 26, 1999
AUGUST 30, 1999 (REVISION)
SEPTEMBER 24, 2001 (PROP HOUSE)
NOVEMBER 14, 2001 (CONC FOUNDATION)
FEBRUARY 25, 2003 (FINAL)
JULY 30, 2003 (CORRECTION)
MARCH 19, 2014 FINAL)
MARCH 28, 2014 PROPOSED CABANA)
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON
OF SEC71ON 72090F 77-1E NEW YORK STA7F EDUCATION LAW
EXCEPT AS PER SEC77ON 7209 -SUBDIVISION 2 ALL CERTIFICA77ONS
■ =MONUMENT HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR
• =PIPE WHOSE SIGNATURE APPEARS HEREON
FLOW
/J/ n
SLOPE .-/ 4 VERTICAL
FACE
BEDDING DETAIL
ANGLE FIRSTSTAKE TOWARO q
PREVIOUSLY LAID BALE.
FLOW A
x —POUND HAY SALE.
i PLACED ON CONTOUR
2 H r $TA STEEL PICKETS OR
I c T STAKES 1 5 to 2 IN GROUND
DRIVE STAKES FLUSH WITH TOP OF
HAY BALE3
ANCHORING DETAIL
STRAW BALE DIKE DETAILS m
Pf RSPECTNE VIEW
31 W -MM 2%2
FENCE POST
WOVEN WIRE FENCE
(C %.1011 Y 1
"L"t, CLOTH
� P
FUER LOTH
C
.N 6 WUCR LOT. ...I z
PAN i TO
NOTE, L
M "MUTA DRAINAGE AREA
112 ACRF 1 100 LINEAR FEET
SECTION DETAIL
SILT FENCE DETAILS
NOTE STORMWATER MANAGEMENT CONTROL PLANS MUST SHOW CROSS
SECTIONS AND/OR DETAILS FOR ALL PROPOSED DESIGN ELEMENTS
(This Drawing is only one example of an Adequate Stormwater Management Control Plan )
r
SEPTIC LOCATION FROM OTHERS.
FLOOD ZONE FROM FLOOD INSURANCE RATE MAP
MAP NUMBER 3(�I8a-M686,H SEPTEMBER 25, 2009
1 �
i
AN VM
ROAD I
tRGSS K(:R(k1
TEMPORARY CONSTRUCTION ENTRANCE
l�►caI Section@LeachfngpoolS�ection@Leaching pool
Stale NTS
S 88.57'40"
E 170.00'
r
�x
FE
�' i g.S
CHAIN LINK FENCE
2'S
I
�
LOT 26
k
I
O
ENCLOSED PORCH
(DECK OVER)
Y
l
7&0' O
26 0'
z
k
ST
0
0
to
e
OUT
k SHOWER
PATIO
31
40 i,
to to
96,
(
d
h
C4
C3
a
o
NN
x
100—
o 8.1
178'
M h
n
40.0•
30 0'
.•
•BE RELOCATED)
•
i`sIL
SHED
221
RELOCATED POOLI
EQUIPMENT
N9 ZONE
PROPOSED CE
x—
N 88.57'40" W
LATHAM LANE
GRAVEL
B B CURB
69 4' WELL
m
(U
•-I
CS)
(U N
CU
m
•
T
SURVEY OF PROPERTY
AT ORIENT POINT
TOWN OF SO UTHOLD
SUFFOLK COUNTY, N. Y.
1000-15-09-1.26
SCALE: 1'=40'
AUGUST 26, 1999
AUGUST 30, 1999 (REVISION)
SEPTEMBER 24, 2001 (PROP HOUSE)
NOVEMBER 14, 2001 (CONC FOUNDATION)
FEBRUARY 25, 2003 (FINAL)
JULY 30, 2003 (CORRECTION)
MARCH 19, 2014 FINAL)
MARCH 28, 2014 PROPOSED CABANA)
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON
OF SEC71ON 72090F 77-1E NEW YORK STA7F EDUCATION LAW
EXCEPT AS PER SEC77ON 7209 -SUBDIVISION 2 ALL CERTIFICA77ONS
■ =MONUMENT HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR
• =PIPE WHOSE SIGNATURE APPEARS HEREON
FLOW
/J/ n
SLOPE .-/ 4 VERTICAL
FACE
BEDDING DETAIL
ANGLE FIRSTSTAKE TOWARO q
PREVIOUSLY LAID BALE.
FLOW A
x —POUND HAY SALE.
i PLACED ON CONTOUR
2 H r $TA STEEL PICKETS OR
I c T STAKES 1 5 to 2 IN GROUND
DRIVE STAKES FLUSH WITH TOP OF
HAY BALE3
ANCHORING DETAIL
STRAW BALE DIKE DETAILS m
Pf RSPECTNE VIEW
31 W -MM 2%2
FENCE POST
WOVEN WIRE FENCE
(C %.1011 Y 1
"L"t, CLOTH
� P
FUER LOTH
C
.N 6 WUCR LOT. ...I z
PAN i TO
NOTE, L
M "MUTA DRAINAGE AREA
112 ACRF 1 100 LINEAR FEET
SECTION DETAIL
SILT FENCE DETAILS
NOTE STORMWATER MANAGEMENT CONTROL PLANS MUST SHOW CROSS
SECTIONS AND/OR DETAILS FOR ALL PROPOSED DESIGN ELEMENTS
(This Drawing is only one example of an Adequate Stormwater Management Control Plan )
r
SEPTIC LOCATION FROM OTHERS.
FLOOD ZONE FROM FLOOD INSURANCE RATE MAP
MAP NUMBER 3(�I8a-M686,H SEPTEMBER 25, 2009
1 �
i
AN VM
ROAD I
tRGSS K(:R(k1
TEMPORARY CONSTRUCTION ENTRANCE
l�►caI Section@LeachfngpoolS�ection@Leaching pool
Stale NTS
i
I
'' i '� � 2514 �'i�' � ! f v t` t`J G a f�.'7''(�I�•'t� 1� G ti�/�.`'i
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WINCO14
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2u& pri-F-,j 'Ito),oc" �7
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Lo2
APPROVED AS NOTED
DATE 1.2x-'-=-1- B P 4' � I l
FEE Ca`= BY + .o
NOTIFY EUILDING DE''ARTMENT AT u + rn
765-1802 8 AM TO 4 PM FOP THE o: "w 0,
FOLLOWING INSPECTIONS
1 FOUNDATION - TWO REQUIRED L" aI.,.
FOR POURED CONCRETE
2 ROUGH - FRAMING & PLUMBING o of
3 INSULATION v
4 FINAL - CONSTRUCTION MUST �
BE COMPLETE FOf i c6 Lo
ALL CONSTRUCTION SPALL MEET THE L0
REQUIREMENTS OF THE CODES OF NEW
YORK STATE NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
OCCUPANCY OR �-
I2`-���'j USE IS UNLAWFUL
WITHOUT CERTIFICATE � �
a�
OF OCCUPANCY o
�u
CON"PLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED �•
�11
SOUL: i I �NG BOARD , 1
SCU' � T '' USTEES
NY .�,
c
` P UMBER CER TIFICA7 ONiu
CONTENT BE;NCY
RE
J�! I'a-I_ CERTIFICATE CSF OCCU
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2110 OF I% LEAD.
2a,
1,�ITH
"-� >Hz: 7,W r, -4e
ML
23 �5 LAr�4 E
10f=�l