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HomeMy WebLinkAbout23403-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25166 Date JULY 31, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 705 FISHERMANS BEACH ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section III Block 1 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1996 pursuant to which Building Permit No. 23403-Z dated MAY 2, 1996 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 & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is. issued to LLOYD K. & LYNNE S. CHANIN, TRUSTEES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-419493 - MAY 12, 1997 PLUMBERS CERTIFICATION DATED JULY 22, 1997-THOMAS LICO Building Inspecto Rev. 1/81 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) 23403 Z Date c�J o�................................... 19... Permission Is hereby granted ''to: ....................... ... d¢�.�,:.............................. . .. . ...... ..... r. ,�,. / .. �.1' i G...... .A'- .. ...... �...... /`,rr � .. / .C; ..... `-9? �.. ........./h id .......,,4�.1��1� ...... .. ............................................... .............................I................................................................................. ' ............................................................................ . ... .......................................... at premises located at............. Y.J-� ••••.. .,��.�lf/ .�/'��} �f.... ..................... ...................... ............................................ . ..................................... ............ County Tax Map No. 1000 Section N Block o� Lot No. ��. pursuant to application dated .....,/ /f 4-............/x�......... 19... .., and approved by the Building Inspector. Fee$..3.r........... ... ... ............................. uilding Inspector Rev. 6/30/80 12 0 8. t Form No. 6 4 , IO 7,S3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of ,p-roperty 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. 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'a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . J ULY . i 1.9.17. . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . 7f�S �/ h.. a�ruE Location of Property. . . . . . . . . . ,11jrNM' (',Qc�9C� . R . . . . . . . . . . . . House No. ,J Street Hamlet Onwer or Owners of Property. . . . y®. . �. . ,c'.��??j. . . 4• .Lv/�n�E• •S•.. LIT, /N. �• . . . .S County Tax Map No 1000, Section. . . . U . . . . . .Block. . . . . 1. . . . . . . . . .Lot. . . . . . . .�z. . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . .. . . . . . . . . . . . . . . . . . f AIN Permit No 23. . . . . .. . . . .Date Of Permit. .5.��./.. �.�° . . . . .Applicant. _.. O yb. • r0j. .M. . • • , • . • Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certic te. . . . . . . . . . . $. . � '' Fee Submitted: •. . . . . . . . . . . . . . . . . . . . . . I. . ;_. e© A . . . . . . . . .APPLICANT . . . . . . . p . Ip 1p ,• J Town Hall,53095 Main Road P. O. Box 1179 ' �.•- Fax (516)765-1823 Fax (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N H DATE: ! 'a o2- 1-p 7_ Building Permit No. 023 44 Q 33, Owner:. Pw/�/Vj/v, (please print) Plumber: (please print) ' I certify that the solder used.,in the water supply system contains less than 2/10 of 1% lead. (P um er Signature) Sworn to before me this �C3 day of 199"] Notary Public,- /V �a,i , County TERRY ROSENBAUM Notary Public,State of New York No.4992279 Qualified in Nassau County_ Cr, _ COtnmission res/,CJJFeb* �,19.C1 U •sal.:1..e•>'Nip/+aR4:x.'.1Ya(C+te. ..e+i•a..✓I'szr:.:+( ".•;4f1� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000090 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NY 10038 Date MAY 12,1997 Application No.on file 12587396/96 ITT 41.9493 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of CHANIN, 705 FISHERMANS BEACH ROAD, CUTCHOGUE, N.Y. in thefollowinq location; ❑ Basement ® lst FL ❑ 2nd Ft. GAMUT Section Block Lot was examined on MAY 07,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 24 35 28 20 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT.' H.P. NO.OF FEET AMT. WATTS 2 - - 2 20 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1,B'4w 1 0 3W 3 0 3W 3,e'4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER H. OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 CB X. 1 2/0 1 2/0 OTHER APPARATUS: G.F.C.1:-7 SHOICE DETECTOR:-6 BLU14ENSTETTER ELEC. INC. Gwz 782 CAR WELD ST. F'iANKLIN SQ. , NY, 11010-3726 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERE6 IN ANY MANNER. t�7-3 ��d3f BUILDING DEFT. INSPECTION [ ] UNDATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA1tKS: :J7 DATE INSPECT R 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION AM[ FRING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR M-iso2 BUILDING DEFT. INSPECTIO [ ] FOUNDATION 1ST [ ROUGN PLBG. [ J FOUNDATION 2ND INSULATION [ J FRAMING [ ) FINAL. REMARKS: _ k4n 71-- 07- DATE W INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ �ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE ( 1" INSPECTOR G � T65.1802 BUILDING DEPT. .INSPECTION [ "FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C DATE /e5Lr/��INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOU TION 1ST [ ] ROUGH PLBG. [ OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE R CHIMNEY REMARKS: DATE f/` INSPECTOR n� 765-1802 suauiNa oeVr. INSPECTION ( ] FOUNDATION 1ST [ ] ROUOR PLBG. [ J FOUNDATION 2ND [ INSULATION [ 7 FRAMING [ ] FINAL REMARKS: DATE INSPECTOR sus-iso: BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �d�°�...���U� /30 - fz2E-�-17 DATE � � � � INSPECTOR S5, 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION _ [ ] FRAMING [ FINAL��) [ ] FIREPLACE & CHIMNEY REMARKS: DATE �/.7 INSPECTOR _�_�� ��h ,65.18oz BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [/FINAL SH PLBG. [ ] FOUNDATION 2ND [ ATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: zD DATE INSPECT Ii ,da ....... ...... ATI()I I FUMIDATI011_ Ln ----------------------- ol -2-j— FRAIll," . ............. ��.� � - - e��,r ���---v� --ep�-- �rt � ------------ ------------ --- 11INIII.Alloll STA-1 R CODIF .. . ..... .. I I IIAI. -- --- ---------------------- --- - ADDI'I'1011AI, ------------------------- ------------ ---------- . ............. ------------ .......... .......... ........... NEW^K STATE DEPARTMENT OF ENVIRONMENTAL CONSER)''"tON DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01211/00001-0 12/4/95 FACILITY/PROGRAM NUMBER(S) P E T EXPIRATION DATE(S)• 12/4/2000 lr the �nYirona�►tal Conservation Lew TYPE OF PERMIT (i New ❑ Renewal 0 Modification Q Permit to Construct 0 Permit to Operate ❑, Article 15, Title 5; Protection 0 6NYCRR 668: Water Quallty p Article 27, Title 7; 6NYCRR 360: of Water& Certification Solid Waste Management 0 Article 15, Title 15; Water 0 Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR 373; Supply Hazardous Waste Management ❑ Article 19; Air Pollution 0 Article 15, Title 15; Water Control ❑ Article 34: Coastal Erosion Transport Management p Article 23, Title 27: Mined land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain island Wells Management 0 Article 94: FreshMater Wetlands 0 Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; scenic and Recreational Rivers Article 25: Tidal Wetlands 60CRR 380: Radiation Control 0 other. PERMIT ISSUED TO TELEPHONE NUMBER Lynne S. Chanin 516-627-6600 ADDRESS OF PERMITT99 12 Montfort Drive Huntin ton NY 11743 CONTACT PERSON FOR PERMITjED WORK LS !; �,. TELEPHONE NUMBER Samuel$ 8 Ste@Wp 6 Architects, Tom Samuel 25235 Main Road -Cutchogue NY 11935 NAME AND ADDRESS OF PROJECT/FACILITY i Chanin Property 705 Fishermans Beach Road Al r,,r " •• LOCATION OF'PROJECT/FACILITY Cutchogye COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Cutchogue Narbor CE9MIPTICN (F AUi} NZ® PCFIVITY Renovation of existing residence; addition of garage (Approximately 18'X301) and deck (Approximately 51X91) on North side; addition to residence on South side; demolish and remove existing garage and shed to an approved off-site location. All work shall be in accordance with NYSDEC approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the C#eneral Conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR; ADDRESS Bldg. 40, SUNY, Room 219, .Stony Brook, NY 1179072356 AUTHO ED SIGNATURE DATE 12/6/95 Page 1 of 4 W20-1 (8187)-9d New York State Department of Environmental Conservation AM . NNW NNW NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the. Environmental Conservation Law for work being conducted. at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number C shown when contacting; the DEC. Regional Permit Administrator Roe Permit Number t'4-UT•orall -0 r'� 0 1 � Expiration Date =°OO 41 APR 91996 NOTE: This notice is NOT a permit �- Tow MO SOUP OLD o Albert J. Krupski, President �O p Town Hall John Holzapfel, Vice President o y 53095 Main Road William G. Albertson Ca Z P.O. Box 1179 . .. .Martin H. Carrell � • ._ `� Southold, New York 11971 Peter Wenczel �JQl �.��� Telephone (516) 765-1892 ir Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 31, 1995 Samuels & Steelman Architects Ural Talgat 25235 Main Road Cutchogue NY 11935 Re: LYNNE S. CHANNIN SCTM #111-1-32 Dear Mr. Talgat, According to the information given a copy of the survey submitted and an on-site inspection; the Southold Town Board of Trustees have found this project out of our jurisdiction under the Town W6tlaftd8 '0rdihAhc0. Please note that any activity within the 751 of Wetland area Will require an application from this office. If you have any questions, please call our office. Yours truly, Albert J. Krupski, Jr: ' President Board of Trustees ' AJK/dj h cc. Bldg. Dept. . CAC BOARD ' OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . .•. . . TOWN OFSOUTHOLD SURVEY . . . . . .. . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . _ TOWN HALL SErTZC FORK _ . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 �� Examined . . . . . . y 19 1A IDLT �, . _ . . • . . . ��, .��. Approved . . . . . . . . . . . ., 19 (Permit No. .aj.M_t7' . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Buildi g spe tor) APPLICATION FOR BUILDING PERMIT Date .. . . ... . . .. . . . . . .119 . . . 1 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 giving a detailed description of layout of property must be drawn on the diagram which.is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 inspectio (Signature of applicant,oq­e-, if a corporation) (Mailing address of applicant) le'? 35 State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . .�/�.� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . :. . . . . . . Name of owner of premises . . . Y !��J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. _ (Name and title of corporate officer) a APR 19 . Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . 1996 t j Plumber's License No. . . . . . ... . . . . . . . . . . . . ... . . . TOWN OF OUPT THOLO Electrician's License No. . . . . . - . . . . . . . . . . . Other Trade's License No. . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . : . . . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . Subdivision . . . . . . . Filed Map No. . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use`and occupancy sl . .� !!�l�Y. : . . . ... . ,e , � b. Intended use and occupancy . . . . . . . . . . . . •,:�„�.�.,,,'. . . . . . . . . . i -3. Nature of work (check which applicable): New Building . .. . . . . . . . .. Addition . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . , , . . . . . . . Demolition , ,,,>. .. . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . ©C9 . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . ... . . . . l . . . If garage, number of cars 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 . . . 357. .,F. 7_. . Rear . . .. /, , Depth . . . Z f=T Height .?�. , /T7 Number of Stories . . . . . ' ' Dimensions of same structure with alterations or additions: Front f�. . .1. , , . , , Rear Depth . . . . . .• ® !�7 Height . . . . . . . .�� .! Number of Stories 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . Depth .Height . . . : . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front Rear. . . . . :. T. . . . Depth 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . Name of Former Owner 11. Zone or use district in which premises are situated . . . . . , , 1L fo .12. Does proposed construction violate any zoning law, ordinance or regulation: ..;e,2.4 13. Will lot be regraded �? . Will excess fill be removed from remises: . Yes No '` 14. Name of Owner of premises ..44.y�� .G ��/,/�., Address!Z-f�ea?� i�7.D./2 ��A. Mo.S Name of Architect S%?fnp, .,r.,5enr4llfld!u Address ?5 .w!�Gv�?. '7 io e No16..-5 Name of Contractor . Address . . . . . . . . . Phone No. 15. Is this property within 300 feet of a tidal wetland? *YeS. . .,�S , No. ' *If yes,- Southold Town Trustees Permit may. .be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and.block number or description according to deed, and show street names and indicate whether interior or corner lot. 'TATE OF NEW YORK, °`S.S :OUNTY OF . . . :: : —� . . . . . ..... . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. :e is the . ... . AA C,h. 177 . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this-application are true to the best of his knowledge and belief;and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this .7° . . . . . . .. .. . .day of. . . 91 . . ... ... . . 19 ��G otary Pub i4'e;'�. . .�. . . . . . . . . . . . . . . . ounty LM FoROSICH . . . . . . . . . . . . . . . . . . NdXYPaN;Stale of Now York (Signature of applicant) N0.4985883,Sulfdk County Tam EWM Sept.3,19; 6P 023 03 LOCATION MAP SITE DATA " SCTM # 1000 - 111 - 1 - 32 EAST � -• ' CUTCHOGUE ! d ,I PROPERTY: 705 Fishermans Beach Road ADDRESS Cutchogue, N.Y 11935 i cq rP, DD. Cj rP. Pip. 6 1, _ I ��,. J {'<c� OWNER: Lynne Chanin J 12 Montfort Drive / I. - I •°` Huntington, 4 3 E Tel6# (516) 7-4864 SITE: 0.376 Acres / 16,378.5 sf AREA u �p�t LITTLE ZONING R - 40 \ _ Tt2,IM6TkLL_ __ —_ > '� HOG NECK PLUMBING J SURVEYOR: Roderick Van Tuyl �e reenport, N.Y ALLPLUMBING WASTE cv C GUE � r°II. , 1� I NASSAU LC�i ense # LS 2562644 } i &WATER LINES NEED 6 HApBOR V L I POINT Dated. July 21, 1993 TESTING BEr'ORE COVERING _ Iii co•. p� \ - - -- s PLUMBER CERTIFICATION SITE'I wc. 3 ELl?wi�xTIOIN rJ EL,G�/4.TIoN C.° Amended: October 22, 1993 N If copes tun,.In . Used .'° ' I z Z SECOND FI oU* Fz PjAT+ IR�U` M IIJTE�P-(D F-J,ey. for water ON LEAD CONTENTBEFORE � NOTES: Elevations shown are based on � system; pipet, " ,d .a CERTIFICATE OF OCCUPANCY Suffolk County Department of Z LU of types K or L onl,• �- Public Works Aerial Survey O Q SOLDER USED IN WATER (Mean Sea Level, N.G.V.D.) UNDERWRITERS CERTIFICATE SUPPLY SYSTEM CANNOT REQUIRED F- EXCEED 2/10 of 1 LEAD. Public water IS not available Q within 500 ft of property. Q CaY P, e'v, Ca`r P. e, 06 PROVIDE 3i NR. FIRE t ® I Uj AP�RpNED AS NOTED RATED SEPARATION TO z - N PART.717.3 (f)(1) OF Z o 1..` FEE: —BY- N.Y. STATE BUILDING CODE. NOTIFY BUILDING DEPART ENT Al y6I2p�UIJP I ' F- 1 765-1602 8 AM TO 4 PM FOR THE Q FOLLOWING INSPECTIONS: 7 .6PJ,ALNII.L4,c,4.0, FT?.� PROVIDE OPENINGS FOR O -_ _, _, 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE r j 2. ROUGH - FRAMING & PLUMBING EMERGENCY ESCAPE AS %N'EN,� Z -- - 3. INSULATION REQUIRED BY PART. 714 OF LU 4, FINAL - CONSTRUCTION MOST BE COMPLETE FOR C.O. N.Y. STATE BUILDING CODE. aS - ALL CONS;iRUCTION SHALL MEET � � THE REQUIREMENTS OF THE NY. -- STATE CONSTRUCTION & ENERGY PLAY WATERS " VG -/ Q S _ — .1_ FOR SIDLE a CODES. NOT RESPONSIBLE T. 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