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HomeMy WebLinkAbout41435-Z ��o�ruFffi(,f�OG Town of Southold 12/5/2017 P.O.Box 1179 53095 Main Rd oy o�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39378 Date: 12/5/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 840 Southern Blvd., East Marion SCTM#: 473889 Sec/Block/Lot: 22.-1-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/8/2017 pursuant to which Building Permit No. 41435 dated 3/17/2017 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 IN-GROUND SWIMMING POOL,FENCED TO CODE,AS APPLIED FOR The certificate is issued to Schuman,Gary of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41436 08-16-2017 PLUMBERS CERTIFICATION DATED \4L JA 000 ed Signature oda Enc�co TOWN OF SOUTHOLD BUILDING DEPARTMENT s TOWN CLERK'S OFFICE o s SOUTHOLD, NY 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#: 41435 Date: 3/17/2017 Permission is hereby granted to: Schuman, Gary 267A State St Brooklyn, NY 11201 To: construct accessory in-ground swimming pool, fenced to Code, as applied for. At premises located at: 840 Southern Blvd., East Marion SCTM # 473889 Sec/Block/Lot# 22.-1-15 Pursuant to application dated 3/8/2017 and approved by the Building Inspector. To expire on 9/16/2018. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Al ild' 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. /p �I New Construction: 401,45 0tl Old or Pre-existingcheck one Building: ( ) Location of Property: k 4-o a7w 1_,1z7u /6"i4j 12 j117?4 a House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section - Block ® / Lot Subdivision(( II Filed Map. Lot: Permit No. �l I Lj 3 S Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: _ (check one) Fee Submitted: $ 5D Applicant Signature ®��pF SO �® Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® roger.richert(cDtown.southoId.ny.us Southold,NY 11971-0959 ®l�C®UIVT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Schuman Address: 840 Southern Blvd. city,East Marion st: New York zip: 11939 Budding Permit#. 41435 Section: 22 Block. 1 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: MJM Electric License No: 42868-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 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 1 Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks 1 Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Inground Swimming Pool to Include: Bonding, 30A Pool Panel, 1- GFCI Circuit Breaker, Gas Pool Heater, Salt Generator. Notes* Inspector Signature: �'- Date: August 16, 2017 0-Cert Electrical Compliance Form.xls Certificate of Compliance - ...... . ..I. ..........- ........... :...: , = -'CERTIFIED-ELECTRICAL-INSPECTIONS,`INC.' , „ - 188-PARK AVENUE ; AMITYVILLE, NY-11701; P: (631).598-561,0 . . . .............'.......... ; ........ -„...,........ THAT . . ...................................................._ • ..1.. CERTIFIES Upon the application of : Upon premises owned by _ = Custom Island,Homes"- Schuman;'Residence,�-- _ PO"Box 842 840 Southern Blvd = M4 Hampton Beach, NY 11978 East-Marion, NY 11939 - 'Located at- 840 Southern-Blvd,' East-Marion ; NY 11939 'APPlication-Number#: 17-44645 #: Certificate. '17-4,4645_ _ = Eledthcal,Licens6 M, Suffolk 42868-ME' ; Section: Block: Lot: .Building,Permit M House,#41150-/ Pool • - i#41435, , Described as'a Residential occupancy;wherein the premises electrical,system consisting of electrical-devices,and-wiring,,described below,.locatedin/on,the premises at: „ New'Hou'se w/Service Equipment and Inground Swimming Pool _ A'visual inspection of'the premises electrical system,,limited to electrical devices•e nd wiring to_= the extent,detailed herein, was conducted in accordance'with the-requirements of the_applicable' code-/or standard,promulgated by the-State of New York, Department of-State Code Enforcement -' and Administration,,or other authority having jurisdiction, and fourid'to be,in'compliance.therewith on the 12th day of July 2017 = Name, QTY Exhaust Fan - 15 Amp,'1,20V , _ _ 3 ; ARC-Fault;- 15 Amp,'120V' 6 _ Pool.,Light,Fixture ='15 Amp,120V 1,-_ " Duplex Receptacle --15`Amp, 120V, -28' , _ Exhaust Hood --20 Amp, ,120V- 1' - Smoke Detector- 15,Amp,120V,. ,`1 ARC-Fault-20 Amp, 120V 1 GFI Circuit Breaker-20 Amp, 120V 1 Electrical Inspector: Anthony Giordano 2P AUG 4 6 2017 g, `APPROVED:o T(11 IVN OF SOUTHOLD - = = 'T his;certificate,is not valid unless raised seal is present.- . , - - - � r '_ r ', t ' ' , - 1' -' ', I '-�, f .. •r' ,r rr I - ,. 1 f • • •- . •' , ' 'f I � 3 ` - -` I ' I 1 ' " Certificate of Compliance CERTIFIED,ELEC-TRICAL'•INSPECT_ IONS,;''INC: 188 PARKAVENU,E.- - : 'AMITYVILLE :NY'11701 „ P:- -(6311)-,598:.5610 = _ ....... :........... ....................... . .. ..................... .......... ..... ......................... - -` - CERT_ IFIES THAT ' Upon thea lication of` U" on remises owned by'., - ''Custom Island Homes„ Schuman,Residence. - ` PO Bok 842 • 840 Southern Blvd' _ 'West Hampton Beach„NY•11978, "East,Marion,', NY 11939. =Located at: 940 Southern Blvd, East Marion,;M,1.1939 - _ Ap'pli,cation Number#: 17-44645.' - " 'C ert ificate:#:"17=44645 `Electrical'License# Suffolk 42868-ME Building Permit-#: House#41150 l / Poo Section: Block: - Lot: #41"435 - I ,- ' ' ' Name ' - _' QTY ` L - Dryer Circuit-301 A' 220V Furnace Circuit-.15 Amp, 120;V.: GFI Receptacle;- 15 Amp, 120 V, _ 12 E Incand: Fixture.- 15'Amp,'120V 55 ;. Meter-,200 A_ mp,-240V _ = = Motion Light Fixture -15 Amp,'*120V_ 1' _- _ =Pool Panel -•30 Amp, 240V =Pump-Motor Circuit.-20,Amp`, 120V 1' , • y Service'Disconnect-;200-Amp, Switch - 15 Amp, 120V 42 " Time Clock--40 Amp; 220V ` Electrical Inspector: Anthony Giordano - _ 1!a PPROVED'o e 2j� s certificate is not;valid•unless raised"seal:is;present.=- BUILDING DIE". TdWN OF SOUTHOLD _ • -_ _ ; Certificate of Compliance -CERTIFIED-ELECTRICAL INS.PECTIONS;•INC." •,1.88 PARK AVENUE .AMITYVILLE; NY'.,11�701 P: (631)598-5610 " .......1....,...-.._1'............................... . ....:CERTIFIES THAT....;..............................' - -...............,...........II , ,, +_ , '. •, , = Upon the application-of' - -- - --'dpon'premises owned by. _ - Custom Island Homes - Schuman°Residence` = _ PO Box 842 840,Southern Blvd " West Hampton Beach, NY 11978' East_Marion ,-NY 1.1939 _ _ -Located at: 840 Southern Blvd,_ -- " East Marion , NY 11939. = " Application Number#:'17-44645 Certificate#: 17=44645 Electrical License#: Suffolk-42.868-ME _ - `: Building'Permit#:1 House#41150 7,Pool,' Section: Block:, Lot: _ - #41435 Name UG S`ervice'Feeder•-200 Amp,'240V _ 1 _ Well Filter-Circuit' 20 Amp; 120V .1 - = Elect_rical'Inspector: Anthony Giordano' _CAL z [APPROVED This_certificate is not valid unless.raised�,seaI is present: T09VN OF-SOUTHOLD _ „ _ q �Of 50Ury �o� Olo O�yc0UNT1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-16®2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] SULAT N [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: OK DATE l3 INSPECTOR f A FIELD INSPECTION REPORT7 DATE COMMENTS FOUNDATION(IST) 03 0 y ------------------------------------ DOC FOUNDATION (2ND) z o ROUGH FRAMING& y PLUMBING � r INSULATION PER N.Y-. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS .lam �e g�� -4 ra aa-1 ��100.co r-PK� q 3 ,i u S _ � m P � C b H 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 DDtk e_,5 TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �" Survey 1' Southo_ IdTown.NorthFork.net PERMIT NO. J 'Check -Septic Form ' - • —trustees ' ",�v C.O.Application �3 D • Peimit Examined � ,20 D "Single&Separate , �Storm-Water Assessment Form VAR 8 2017 . , Contact: �5��' ISG,dir� �cerr�rS Approved ,20_0 Mail to: .5/ 41010V- Disapproved a/csti"ING DEPT. ®y2T/ iy>y 41 /, TOWN OF SO �7j I Phone: 31 - aS8- 3 76 Expiration ,20 d-J-3 ' Bui hug for -APPLICATION FOR BUILDING PERMIT " Date 9 , 20_tj 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 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 hew 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 building's, additions,or aIterations 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.' r/ (Signature of applicant or name,if a corporation) s Am i (Mailing address of applicant) , 1/94-/ State whether applicant is owner, lessee, agent, are engineergener=contractor, electrician,-plumber or builder ra-57Z),,;j /-37 Name of owner of premises �� 2/ (As on the tax roll-or latest deed) If ap ican or t o , signature ofdy,�y authorized officer (Name and title of corporate ficer) Builders License No. � _ Plumbers License No. ; Electricians License No. Other Trade's License No. 1. Location of land on which proposed work�y.}11 be done: House Number Street ;j,. .. Hamlet 2 County Tax Map No. 1000 Section Block F�'rr "T ot. Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupa y of pr osed construction: a. Existing use and occupancy ,�,,��°—ZUJ / /7 ee�v b. Intended use and occupancy 3. Nature of work(check which"applicable): New Building Addition Alteratio Repair Removal , Demolition Other Work ZY 0- ;�,1 (Description) 4. Estimated Cost p2 ,�®0 f~i ' ¢'Fe='i �``�° .4 ;4 (Tolge paid on-filing this application) 5. If dwelling, number of dwelling units / �. Number of dweling8untt' on each floor If garage, number of cars �14 -6. .If business, commercial or mixed occupancy, spec0y'ifiYureraffJ,7eKf6At 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 '1114 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 1 I . Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO- 1_ . Will lot be re=graded? YES V, ,, NO Will excess fill be removed from premises?YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address • Phone No, Name of Contractor Address Phone No. If a. Is this property'within 100 feet of a tidal wetland or a freshwater wetland? *YES NO i E IF YES, SOUTHOLD'TOWN TRUSTEES &°D.E.C. PERMITS MAY BE. REQUIRED. b. Is this property withinE300 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. 1 . Are there.any covenants and restrictions with respect to this property? * YES NO_A IF YES, PROVIDE A COPY. S--ATE OF NEW YORK) SS: COUNTY OF'Jv / ,j' being duly sworn, deposes and says that(s)he is the applicant - -- ( aimc-vi i1 GiVIGual-signing-contiact) above nnanied,-" -- (S)He is the Contractor, gent, Corporate Officer, etc.) t of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; th it 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. S orto before me this ,• ,, / �� day of 20 i SMITH NNI � E�NFW YORK e?T—JOAto Pub i N� t�1 3 Signature of Applicant Cue1lrRed In guWlk GounW t*P ccwt, Oosurr-Q j_ ST(0�]E�"AWWAT)EIE, Scott A. Russell � SUPERVISORz �ti][A\NA\,Gi1EA\11EN T SOOLD TOWN HALL-P_ Box 1179 Main4, O Town of Sou th o l d 53095 Main Road-SOUTHOLD,NEW YORK 11971 'Y� CITTI"TER 236 - STORIYIWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) -- --------.---]D0ES7-TIIS---TROJECT"INV® —A-NY—OIi 1 OLLOWINu-i: -—--_ - --- --- Yes No (CHECK ALL THAT APPLY ®® A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. 0® B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑® C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ig D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. t ❑® E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. l ®® 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 Check List Form to the Building DepartrienLwithyouur Building Permit Application. APPLICANT_ (Property Owner,Design Professional,Agent"Contractor Other) S.C.T.M. ": 1000 Date: /�/ District NAME cel"3 (lf s4xw®o �!oo"E 0 Section Bloc Lot "�•°•' tv -`:`' FOR Bl1LD1\G DEPf�F?"I:l�ENT LSE 0-NL.'; Contac[Information �31 - ( 7�-S¢7-3 Reviewed By: JA- - - - - - - - - - - - - - - - Date: 3 '7- �] � ! Property Address / Location of Construction Work: — — — — — — — — — — — — — — — P, 0 _5©u4/( &ep )d Approved for processing Building Permit. `1 �`i / Stormwater Management Control Plan Not Required. Stormwater Manage irne„t `vLtrvl , ,un iJ ncyu,red (Forward to Engineering Deparlment for Review) FORM ' SMCP - TOS MAY 2014 i o��of soUlyQl Town Hall Annex ( Telephone(631)765-1802 54375 Main Road (631)71tr�9 P.O.Box 1179 G� • O rogend hert(a o U015.ny.us Southold,NY 11971-0959 BUMUNG DEPARTMENT TOWN OF SOUTHOLD � APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: /'l! c���'.d�� , ,14� 011W 76k1 Date: d /� Company Name: Name: , ' License No.: <lr Address: v>c L? n v Phone No.: G JOBSITE INFORMATION: (`Indicates required Information) *Name: .f v /y U A4 4i *Address: *Cross Street: *Phone No.: Permit No.: y �rj JPbo i- Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) .ZZ�O -A '"�, � vAtdY �V,J (Please Circle All That Apply) *Is job ready for inspection: YES / POO Rough In Final *Do you need a Temp Certificate: <fE3�1 NO II Temp Information(if needed) *Service Size: CVPhase 3Phase 100 150 00 300 350 400 Other *New Service: Re-connectndergroun Number of Meters 6 Change of Service overhead (,e Additional Information: PAYMENT DUE WITH APPLICATION X rh 40 82-Request for Inspection Form �A J � � - SURVEY OF LOT 14 MAP OF AQUAVIEW PARK FILE No. 5621 FILED JULY 30, 1971 i SITUATE EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-22-01-15 SCALE 1"=40' DECEMBER 8, 2016 DECEMBER 27, 2016 FOUNDATION LOCATION SOUTHERN BOULEVARD , AREA = 33,841 sq. ft. EDGE OF PAVEMENT225.00' FOUND HOMEMADE 0.777 ac. MON. 0.2N. 0.7'1— r'1 N 86'49'20" E S 86.49'20" W I I N 381.46' FOUNDI I I O CONC. MON. I I W o Z I IN LOT 14 la I$ o l� w IW o d O I lu 20.9 I ---- '0----- rn O --- 83.5'--_.--- m 43.4' 0 15.2' 'd 77.2' —————— ————86.3 CONCRETE FOUNDATION FENCE — 1.3'E ^'-6.3 a 18.5' ———_ 62.0' ———_ h 41.0' 4 j o ' - v 20.0' � I J r 0) { PREPARED rC= -EVIIJIMIUM 4 9 ± o o STANBY 7H I FO HIED . AA�Q00P1fD Ln rn O FOR CH 7HE Npµ ATFrj/WD mCA ON0C' ttiON FOUND 0,� CONC. MON. FOUND CONC. � MON. 0.8'W. CHAIN LINK FENCE ALONG PROPERTY LINE N 88.16'20" W 225.83' t LOT ® Svc 1 nI S. Lic. No. 50467 SUBDIVISION MAP OF "HIGHPOINT SECTION 1" UNAUTHORRED ALTERATION OR ADDITION Nathan Tait Corwin III FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY TO THIS SURVEY L4&VIOLATION OF ON JANUARY 1, 1984 AS FILE No. 7680 SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Land Surveyor J COPIES OF 7Hi5 SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED,AND ON HIS BEHALF TO THE TIRE COMPANY,GOVERNMENTAL AGENCY AND Tifle Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTrrUT1ON LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INS°- PHONE (631)727-2090 Fax (631)727-1727 TUTION.CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF P ANY, NOT SHOWN ARE NOT GUARANTEED. James ort, New York 11947 James rt, New York 11947 j AP R VED AS NOTED -2-1 DAT B.P.# ELECTRICAL INSPECTION REQUIRED : 0L FEE —to NOTIFY BUILDING DEPARTMEN AT 765-1802 8 AM TO 4 P"v1 FOR THE FOLLOWING INSPECT4ONS: 1. FOUNDATION - T 'U REQUIRED FC``: POURED Ccs:,4C`?ETy �a - ,, 2. ROUGH - FRAMING: & PLUMBING � �������.1TE Ya 3. INSULATION ENCLOSE 00L TO CODE 4. FINAL - CONSTRUCTION MUST UPON EMS ATERN BE COMPLETE F'Or, C.O. BG_FO ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S`0�! S LD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTE S OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIF %,/ OF OCCUPANC`( jceJ,M �8 .fl -IPtcAL VAL -B dw � TO a AT f� a �o Za Lt