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HomeMy WebLinkAbout28204-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29143 Date: 12/23/02 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 3663 ROCKY POINT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 6 Lot 3 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 2002 pursuant to which Building Permit No. 28204-Z dated MARCH 21, 2002 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH, REAR DECK AND ATTACHED TWO CA~R GAR3~GE AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES INC. (OWNER) of the aforesaid building. SUFFOLK COUN=I~f DEPARTMENT OF ~IEALTfIAPPROVAL R10-02-0037 ELEt-i~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~ Rev. 1/81 111657 11/01/02 WILLID~M SCHWAUB Autho~r~~e 11/27/02 1~/16/02 "~, Form No. 6 TOWN OF $OUTHOLD BUILD~G DEP~T~NT TOWN HALL 7'6~-1802 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted'to the BuildLng Department with the following: Ac 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 ~a~d sewerage-disposal (S-9 form). 3. Approx~al of electrical installation from Board of Fire Underwriters, 4. Sworn statement from plumber certifying that thc solder used in system contains less than 2/10 9f 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer ~espousiblc for the building. 6. Submit Planning Board Approval ofcomple~ted-~itiplan- 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 a 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. Photocopy of Certilicate of Occupancy- $ 0,25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occup .andy - Residential $15.00, Commercial $15.00 New Construction:  //V Date. Old or Pre-existiag Building: Location of Property: ~ ~ ~I~)C/~/ ~--/'-. ~._/~/~ ' House No. ) t ~tfeet . Owner or Owners of Property: (. %LP.wt/~ ~ ? ?~. ~'~Lt~ ~ (check one) - ~x_ Hamlet Suffolk County Tax Map No 1000, Section 'c~l Block Subdivision '~ .~.&A,t)6~ ~D~ FiledMap, ~ Pe~tNo. ~¢~0~ DateofPe~t. ~l~[O~Appli~i: H~lth Dept. Approval: ~ I0 ~0 Z- O0 ~ Unde~fiters Appro~ah Planning Bo~d Approve: · Request for: Temporary Certificate Final Certificate: hembri mes CUSTOM HOMES OF DISTINCTION December 11, 2002 Town of $outhold Building Depadment Town Hall To whom it may concern: Please be advised that I have agreed to have Schembri Homes, Inc. lay my driveway and rough seed at my new residence, Lot #3, Rocky Point Road, East Marion Woods, (SCTM # 1000-21-06-03, File Map #: 8759 6/7/89) when the weather perm ts. Homeowner Sworn to before me this~.~t y of~.~C~_.~ILL~:~, ~Oog-- J~ '~,~,.--~~ Nota~ublic, Suffolk CounN, New York ' ~ ~7~ 102 Sandpiper Drive, Riverhead, New York 11901 · Sales Office: 631-727-4127 · Fax 631-727-3791 Construction Office: 631-208-8262 · Fax 631-208-8265 OFFICE OF THE BUll,DING INSPECTOR TOWN OF $OUTHOI. D JOSHUA Y. HORTON SUPERVISOR TOWN HALL - 53095 MAIN ROAD Fax. (516)-765- 1366 JAMES A. RICHTER, R.A. ENGINEER TOWN OF SOUTHOLD, NEW YORK 11971 Tel. (516) -765 - 1560 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD November 26, 2002 Bennett Orlowski, Jr. Chairman - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Re: East Marion Woods Adjacent to Rocky Point Road SCTM #: 1000 - 30 - 3 - 11 & 12 Dear Mr. Orlowski: A two (2") inch thick lift of blue stone blend has been placed on all roads within the above referenced project area as required by the Planning Board. All "minor" road construction for this Subdivision has been completed in a satisfactory manner. If you have any questions concerning this report, please contact my office. CC: Sincerely, .., Peter Harris (Superintendent of Hl~'hways) iMi~ V~',rtt~ (Building Depadment) LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. 670 MIDDLE COUNTRY ROAD ST. JAMES, NEW YORK 11780 (631)265-3075 Fax(631)265-6057 Application No.: 111657 Permit Number: 28204Z Block: Lot: Section Owner: Schembri Homes Address: 3663 Rocky Point Rd Municipality: East Marion OwnerPhone: NY Agent: Top Gun Electric Address: P.O, Box 1464 Southold NY License#: 5150E top gun Agent: 11971 No. ITEM 37 Switches: 43 Receptacles: 6 GFCl Devices: 0 Dimmers: 30 MediumBaseFixtures: 0 FluroescentFixtures: 0 HID: RangeOvenCookTop: 1 DryerElectric: 0 ExhaustFans: 0 CeilingFans: DW: I Laundry: 1 HeatingEquipMotors: 0 ExitSIgns: 0 EmergencySigns: SIZE No. ITEM SIZE No. ITEM 0 SubFeeds: 0 PoolsAbvBIo: 0 Timers: 0 PoolslnGround: 1 Transformers: 0 Pools Filter: 0 ACEqulpmentCentral: 0 Pools Lights: 0 ACEquipmentWindow I CO Detectors: 0 MotorsbyHP: 0 Disposal: 0 Generators: 0 Metal Halide Lamps: 0 WhirlpoolHotTub: 0 RefrlgUnlts: 1 Microwave: 0 WalkinBox: 0 WaterHeaterElectric: 0 ExhaustUnit: 6 SmokeDetectors: 0 SteamShower: 0 TrackLightingStrlp: 0 BreadWarmers: 0 ElectricHeat: 0 GarbageDisp: 1 PumpMotor: 20 A 0 CentraIVac: 0 Disconnects: 0 ChandelierLifts: 0 FutureOutlets: 0 ElevatorLifts: LOCATION OF WORK: []Basement []FirstFIoor Comments New Residence Final 10/24/02 / Additions SIZE [] SecondFIoor [] Outside ~ Addition [] Survey [] New Const.  OH [] UG [] Amp: 200 Temporary [] Phase: I Volts: 240 Wire AL Conductor 4/0 #of l_ Type: Size: Meters: MemberI.A.¢l. Electrical Certificate Certificate No. 111657 LONG ISLAND ELECTRICAL INSPECTION SERVICES, lNG% THIS CERTIFIES THAT OUI~ LO~AL [~ICT Certificate Issued on: 11/16/02 INSPECTOR CONDUCTED~N ~NSPE~CTIC~N OF THE VISIBLE PORTION OE,THEiELEOTRICAL / issued to Schembri Homes INSTALLATION D~i~IBCD ~RE¢ AN,~ IS Address: 3663 Rocky Point Rd COMPLIANT Wxl,~-I THE C~JR~ENT/~NAT/ONAL Top Gun Electric P.O. Box 1464 IAEI Certified Inspector Southold NY 11971 Applicant/ Owners N n¢: ArchitecV Engineer: SCTM ~: Projecl Single & separate Required cerlifieatio,: JYes / No) ~L~ Req. Zo, mg I)islrici: Reviewed Date Submitted: Subdivision ~.~ ..__ Nan,e: (:' ~7. {~ t/r; Li __~.,1- U:rom Yard ~ / -- Proposed: P~oj¢c~ Dcs~dptiom AGENC~WERMITS REQUIRED FOR REVIEW Suffolk County Health' Dept. New York State D. E. C. Town Trustees Town Zoning Board, approval: Town Planning Board approval: I [Side Proposed: _ ] [Rear Yard(~''~g' Proposed .Permit . N.A. NO YES Number Flood Plane Elevation ??? Flood Zone: Notes: JOSHUA Y. HORTON SUPERVISOR TOWN HALL - 53095 MAIN ROAD Fax. (516)-765- 1366 JAMES A. RICHTER, R.A. ENGINEER TOWN OF SOUTHOLD, NEW YORK 1197l Tel.(516)-765-1560 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD November 26, 2002 Bennett Orlowski, Jr. Chairman - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Re; East Marion Woods Adjacent to Rocky Point Road SCTM #: 1000 - 30 - 3 - 11 & 12 Dear Mr. Orlowski: A two (2") inch thick lift of blue stone blend has been placed on all roads within the above referenced project area as required by the Planning Board. All "minor" road construction for this Subdivision has been completed in a satisfactory manner. If you have any questions concerning this report, please contact my office. CC: Peter Harris (Superintendent of Highways) ~1Veri~ (Building Department) STATE OF NEW YORK ) ) SS: COUNTY OF SUFFOLK ) , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at That on the/~ day of ,/~/~.'~-- ,.29e'1~deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# lO00- street address ~ o 7~Z Sworn to before me this I~,"riuay of ~r~_c¢_.~ ,200~ ~otary Public W. BRUCE STUKE N0ta~/?ubtic, State 04 New ~ No. ~866773 Qualified in Suflotk Count/ Commission Expires August 5, 21) g:~ cc: Applicant Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/18/02 Transaction(s): Septic Permit - Construct - Resid. Receipt#: 5557 Subtotal $10.00 Check#: 5557 Total Paid: $10.00 Name: Schembri, Homes Inc Po Box 163 Wading River, NY 11792 Clerk ID: LBOHN Internal ID: 51324 765-1802 BUILDING DEPT. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE~.HIMNEY REMARKSS~~~~ 765-1802 BUILDING DEPT. [, ~,OUNDATION 1ST ROUGH PLBG. [~-./] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL~~CHIMNEY 765-1802 BUILDING DEPT. I"$PECTi N [ ] FOUNDATION 1ST ["" ] ROUGH PL [ ~/~OUNDATION 2ND [ ] INSULATION [ ] F/p, AMING [ ] FINAL / [ (.,,]/FIREPLACE & CHIMNEY C~J~-,- DATE . ~ INSPECTOR 765-1802 BUILDING DEPT. [ ] FIREPLA,C~ & CHIMNEY REMARKS ~~--c~, INSPECTION [ ] FOUNDATION 1ST [ ] ROU~LBG. [ ] F~DATION2ND [,~'INSULATION ~_~'i~RAMING- [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ['-~] INSULATION FRAMING /~~ [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE ~ ?//_K'/'/~.._ INSPECTOR FOUNDATION (1~) ................................... ~S~ATION PER N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTI OLD, m7I TEL: 765-1802 BUILDING PERMIT APPLICATION CHECKLIST Examined .~ ://9" , 200~ Approved ~)/,~t , 20 O,,~ Disapproved a/c Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This 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 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 a Certificate of Occupancy is issued by the Building Inspector. ,20~ 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. /0 / ! [ (~ignamre of app~cant or na~'e,-if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder o Name of owner of premises ~/' ,,d-~~~. (as on the tax roll or latest deed) If applic~m{ 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 w~~.e.d wcuqk will he~ don~ ~,aV~.j~'? 7:~ ?;?, . t.I · House Number Street I w.~.,~,o:, ~rff~i~'~.~ County Tax Mao No, 1000 Section ~l , Block & Lot ~ Subdivision ~2L~/-- JL~OotCitS:~ ~%/~.~ Filed Map No. c~'7.~ ~ Lot (Name) State existing use and occupancy of premisesal~ int~intended use and oec.upancy of proposed const~ction: a. Existing use and occupancy j,~r~ / g2t~/-//7o,- / Addition Alteration Other Work b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ ](~/ ~ Fee 5. If dwelling, number of dwelling units [ If garage, number of cars (>D. (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height. Number of Stories~ Dimensions of entire new construction: Front. ~gL~ '~', ~pt~ (~ ,~..,.~ ~ ~_~ / Depth Height ~ ' Number of Stories__~[ .... Size oflot: Front /X...~'~' Rear /'~"'~' 10. Date of Purchase Name of Former Ow~/i~ 11. Zone or use district in which premises are situated ~ , 12. Does proposed construction violate any zoning 1aw, ordinance or regulation: NO 13. Will lot be re-graded I 14. Names of Owner of premise~ ~ ~~s Name of Architect Address Name ofContractor r-; ~OT.A:~ddress Will excess fill be removed from premises: YES 15. Is this property within 100 feet of a tidal wetland? *YES Phone No. Phone No Phone No. so X' IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 9o2q- 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) ,~~~ __ being duly sworn, deposes (Nan~e of i~vi~a'[ signing contract) above named, and says that (s)he is the applicant (S)He is the ( ntractor, 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 tree 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 ~a~~e ofS~:cant JOB No. 02-06 TAX I.D, No. 1000-21-06-03 Z N 76°54'10'1~ 150.00' OPEN SPACE FARMLAND 1020 101 0 WELL O WELL FRONT YARD 150' TO PROP SEPTIC LOT 1 PROPOSED DWELLING -/ / / / LOT 4 PROPOSED DVVELLING PROP WELL NORTH END OF LOT LOT5 PROPOSED DWELLING PROP VVELLSOUTH END OF LOT 75' ¢ !O¢ LOT 2 PROPOSED D~VELLING WELL FRONT YARD 15~ TO PROP SEPTIC S 76°54'10'~V 150.00' 25' ROW LOT 6 PROPOSED 17~VELLING PROP WELL SOUTH END OF LOT N 7~'54'10"E 321 81' WELL FRONT YARD 150' TO PROP SEPTIC LOT 7 PROPOSED D~VELLING PERMIT FOR APP~O¥,',~L OF ~ONgTRUCT!ON FOR A ~FJEE5 'rH~[~ YEA,~,~ FE0~a DA~E OF AFFROVAL _B~/DESTIN G: GRAF N.Y.S. ~ NQ 50067 FILE MAP Nq. 8.759 6/7/89 kOl 3 DESTIN G. GRAF LAND SURVEYOR 73 Weodla~ Road Rocay I:~, New Yelt(, 11778 631-821-3442 SURVEY OF: MAP OF EAST MARION WOODS EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 02J10/02 SCALE: 1"=50' JOB No. 02--06 Z TAX I.D. No. 1000-21:0~-03 N 76°54'10"E 150.00' 75' S 76°54'10"W 150.00' 25' ROW 25' ROW LOT 1 LOT 2 N 78'54'10"E 321.81' LOT 7 LOT 6 Z --I LOT 4 LOT 5 CERTIFIED ONLY TO: SCHEM~RI HOMES By DESTIN G. GRAF N.Y.S. LIC NO. 50067 FILE MAP No. 8759 6/7/89 SURVEY OF: LOT 3 MAP OF EAST MARION WOODS EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 04/11/02 SCALE: DESTIN G. GRAF LAND SURVEYOR JOB No. 02-06 TAX I.D. No, 1000-21-06-03 PROP VVELL LOT 4 X LOT 4 LOT 5 N 76°54'10"E 150.00' REVISED PROPOSED WEll LOCATION OPEN SPACE FARMLAND LOT 1 PROP WELL FRONT YARD 160' CONC FOUNDATION ..~/~//'// :lOft 75' LOT 2 PROP WELL FRONT YARD S 76°54'10" W 150.00' 25' ROW LOT 6 N 78°54'10"E 321.81' FILE MAP No. 8759 6/7/89 SURVEY OF: LOT 3 MAP OF EAST MARION WOODS CERTIFIED ONLY TO: 8CHEMBRI HOMES By DESTIN G. GRAF N.Y.S. LIC NO. 50067 EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 05/08/02 SCALE: 1"=50' DESTIN G. GRAF LAND SURVEYOR Rmkyl~W. M YC~ 1tTT8 8~t-~1-3442 JOB No. 02-06 REV 03/12~32 FOOTPRINT TAX I.D. No. 1000-21-06-03 z LOT 4 PROPOSED DWELLING PROP WELL NORTH END OF LOT LOT 5 PROPOSED DWELLING PROP WELL SOUTH END OF LOT OPEN SPACE FARMLAND N 76°54'10"E 150.00' 102 0 101 0 PROPOSED WELL O FF 1035 GAR 102.0 SINGLE FAMILY PROPOSED DWELLING wood 25' I ' ~o g WELL FRONT YARD 150' TO PROP SEPTIC LOT 2 PROPOSED DWELLING WELL FRONT YARD 150' TO PROP SEPTIC LOT 1 PROPOSED DWELLING N 76'54'10"E 321 81' WELL FRONT YARD LOT 6 150' TO PROP SEPTIC PROPOSED ~'- DWELLING PROP WELL SOUTH LOT 7 END OF LOT PROPOSED DWELLING ELEV IN ASSUMED DATUM and on his behaff to the T~;le Co~pany,Governmental Agency and Lend~g subsequ~ o~n~s The otff~ [ or d~mens,~'~ 1 ~ho~m hereon from str uct u~e~ to t he ~ot0e~ h~es are loc a Spec'~fic pu~p(~e an~ u~e and th~e~3~ are n<X intended b3 gu~e the erection ~ fences, reining waY~ poo~s pabos 13~a~ing ar~s ~ to b~dff~s o~ any O~her ~ {~ua~ameed CERTIFIED ONLY TO: SCHEMBRI HOMES By DESTIN G GRAF NY.S. LIC NO 500~7 FILE MAP No, 8759 6/7189 SURVEY OF: LOT 3 MAP OF EAST MARION WOODS EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 02/10/02 SCALE: 1"=50' DESTIN G. GRAF LAND SURVEYOR 73 Woodla~ Road Rocky pant, New York, 11778 631-821-3442 JOB No. 02-06 TAX I.D. No. 1000-21-06-03 © D.GRAF ALL RIGHTS RESERVED N 76°54'10"E 150.00' OPEN SPACE FARMLAND Z LOT 4 LOT 5 WOOD DECK 30.8 WOOD PORCH R/O I ST FRAME DWELLING 75' LP SEPTIC 55' LOT 2 LOT 1 25' ROW N 76°54'10"E 321.81' S 76°54'10"W 150.00' '~ 25' ROW LOT 6 LOT 7 ~I Si-iU;.i,',.,, :,-.,',~ON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. FILE MAP No. 8759 6/7/89 ~ ~n his ~ to the Title Compafly. Govemmefllal Agency and Lending Institutio~ listed boreal1, and to the assJgr~e9 of the Lelldlng Instltutlml or The off~e~ [ o~ dlmenslons ] ~m horeo~ from atmctuma to the pmpe~ lines am f~ a spe~tc purlx~am ~ u~e and th6.,~, e are nof ~te~ded to guide the emctloe ~ The existef'K:e of right of ways and/or easements of record, Jf any, not shown are ~ guafmlteed. CERTIFIED ONLY TO: LAWRENCE TREFCER AND DIANE TREFCER FIRST AMERICAN TITLE INSURANCE COMPANY OF NEVV YORK CHASE MORTGAGE CORPORATION By DESTIN G. GRAF N.Y,S. LIC NO. 50067 SURVEY OF: LOT 3 MAP OF EAST MARION WOODS EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 08/27/02 SCALE: DESTIN G. GRAF LAND SURVEYOR PO BOX 704 Rocky Point. Nsw York, 11778 631-82%3442 1"=50'