HomeMy WebLinkAbout23834-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25453 Date: 12/23/97
THIS CERTIFIES that the building OFFICE BUILDING
Location of Property: 7905 MAIN RD LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 122 Block 6 Lot 29.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NO.VEMBER 14, 1996 pursuant to which
Building Permit No. 23834-Z dated DECEMBER 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 NEW OFFICE BUILDING (MEDICAL & DENTAL) AS APPLIED FOR & TO
CONDITIONS OF PLANNING BOARD.
The certificate is issued to MATTITUCK REALTY LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C-10-96-0002 12/17/97
ELECTRICAL CERTIFICATE NO. N-435859 10/27/97
PLUMBERS CERTIFICATION DATED 11/12/97 JOSEPH SEXTON
//, BU;71ng Inspector
Rev. 1/81
FORM NO. 9
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)
N® 23834 Z Date .......... . :'....................................... t9....
Permission is hereby granted to:
A&&911-.
Ae
... . . . .... _ ......../ ...� ��
ro .........................�t.�.�.?.. ..................... �—..............`ref? ...
.. -::. .f. ............................. 1 ..f�.,� t. . ........................................
�j
atpremises located at ...............1.. r�.��.... ... �� ........................................................
................................................................. ....................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section � 0�.... Block �.......... Lot No. gq"
........ .. ...... ........................
pursuant to application dated ................. Z ......... .. 19./..W, and approved by the
Building Inspector.
LIMP
Fee $. ,mac.
..... .... .. .. . ...'.�..... .. .......... ..... .......
Building Inspector
Rev. 6/30/80
Eorin No. b j -7 733
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1.802
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 .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. t
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 a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
t 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25e,.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
i ,
Date . . . . . ��Ir���. ! �. . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . . .✓. :. . . Old Or Pre-existing Building. : . . . . . . . . . . . . . i
Location of Property. . . . . . 5 . . . . . . . . . .I.'.,.�.1i11. .��eiC.•. . . . . C K. . . . . . ... . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . . . . . J.'. !! :T:�:I�U. . . .���. '�''/ :L� 1. . . .�LC.. . . . . . . . . . . . . .
County Tax Map No 1000, Section. i:Z-.Z. . . . . .Block. . . . . !' . . . . . . . . .ILot. . �.I:. z. . . . . . . . . . . . .
Subdivision``�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(. . . . .Fiilled Map. . . . . . . . . . .n./Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. .� . . . .Date Of Permit. . !.?'.�Z� !.?. . . .Applicant. . 1C 11�1�.1.�1:N�:S !`:�'A
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . :Underwriters Approval. . . .. . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . .
Request for: Temporary Chhert/i11ficate. . . . . . . . . . . Final Certicate. .f. . . . . . . . .
Fee Submitted: $. . . . r V .U .!. . . . . . . . . . . . . .
. . . . . . . . . . . .... . . . . .
e 0 a-LIS Y'S�
J
Town Hall, 53095 Main Road z Fax (516) 765-1823
P. O. Box 1179 ;��� Telephone (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
DATE: llh4� -?
Building Permit No . `"r^
U 1
Owner:
(please print) I
Plumber: ��� � 1`U A
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
/U(Num1bers Signature)
Sworn to before me this
-7 a day o f� .- 19
Notary Publ * c".. . County
- MARCIA I N
Notary Public,State York
No.02LY5068337
Qualified in Suffolk County
Commission Expires Oct.28,
o��g�FFO��co
PLANNING BOARD MEMBERS
yet Town Hall, 53095 Main Road
BENNETT ORLOWSKI,JR. O
CA P.O.Box 1179
Chairman v, Southold,New York 11971
WILLIAM J.CREMERS Fax(516)765-3136
KENNETH L.EDWARDS O
GEORGE RITCHIE LATHAM,JR. �l �a Telephone(516) 765-1938
RICHARD G.WARD
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
TO: Gary Fish, Building Inspector
FROM: Robert G. Kassner, Site Plan Reviewer r
RE: Mattituck Realty Medical Building
Main Road, Mattituck
SCTM# 1000-122-6-29.2
An inspection was made of the above property on this date. The site
conforms to the approved site plan of September 30, 1996, and a
recommendation is made that a Certificate of Occupancy (CO) be issued.
cc: Edward Forrester, Director of Code Enforcement
DONALD A. DENIS
A R C H I T E C T S
Aquebogue Square
Route 25/P.O. Box 565
Aquebogue, New York 11931
(516)722-3511 FAX:516-722-3859
Donald A. Denis,A.I.A.
Frederick R.Weber, R.A.
November 19, 1997
Southold Building Dept.
Main Road
Southold,NY 11971
RE: MATTITUCKREALTY
75553MINROAD,MATTITUCK
SCTM#1000-122-6-292
BUILDING PERMIT#23834Z
Dear Sir/Madam:
This is to certify, to the best of my knowledge and belief, the building as listed above
designed by this office complies with the'NYS Uniform Fire Prevention and Building
Code.
ry 1y yours,
f ' I
DONALD A. DENIS, A.I.A.
DAD:dmh
13FF01
��o oGyc
Town Hall, 53095 Main Road y Fax (516)765-1823
P. 0. Box 1179 v. Telephone (516) 765-1802
Southold, New York 11971 41,
ol
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 12, 1997
Mattituck Realty L.L. C.
P..O. Box 153
Mattituck, N.Y. 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX The check is (not on file. ) $50.00
XX No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 23834-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*PLANNING BOARD FINAL APPROVAL REQUIRED BEFORE CO CAN BE
ISSUED.
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PLANNING BOARD MEMBERS SVFFQ(�
C'� Town Hall, 53095 Main Road
RICHARD G.WARD O�� �/ P.O. Box 1179
Chairman
Southold,New York 11971
GEORGE RITCHIE LATHAM,JR.
y 2 Fax(516)765-3136
BENNETT ORLOWSKI,JR. y
WILLIAM J.CREMERS Telephone(516) 765-1938
KENNETH L.EDWARDS 4
4J�.! �aO�
PLANNING BOARD OFFICE .
TOWN OF SOUTHOLD
October 1, 1996 r
_ 7 :
r
Donald A. Denis, A.I.A. I4 -
P.O. Box 565 4114
Aquebogue, NY 11931
Re: Proposed site plan for Mattituck Realty;fLL UC.�
SCTM# 1000-122-6-29.2
Dear Mr. Denis:
The following took place at a meeting of the Southold Town Planning Board
on Monday, September 30, 1996:
The final public hearing which was held at 71,35 p.m. was closed. The
following resolution was adopted:
WHEREAS, Dr. Richard Coppello is the owner of the property known and
designated as Mattituck-Realty, L.L.C., located at Main Rd., Mattituck, SCTM#
1000-122-6-29.2; and
WHEREAS, a formal application for the approval of this site plan was
submitted on May 28, 1996; and
WHEREAS, the Southold Town Planning Board, pursuant to the State
Environmental Quality Review act, (Article 8), Part 617, declared itself lead
agency and issued a Negative Declaration on July 8, 1996; and
WHEREAS, this site plan was certified by Thomas Fisher, Senior Building
Inspector on September 19, 1996; and
WHEREAS, all the requirements of the Site Plan Regulations of the Town of
Southold have been met; be it therefore
Page 2
Site plan for Mattituck Realty, L.L.C.
October 1, 1996
RESOLVED, that the Southold Town Planning Board grant final approval on
the surveys dated May 16, 1996 and August 20, 1996 and authorize the
Chairman to endorse the final surveys subject to a one year review from date
of building permit.
Enclosed please find a copy of the survey which was endorsed by the
Chairman.
Please contact this office if you have any questions regarding the above.
Sincerely,
01A'ard G. Ward
Chairman
cc: Building Department
enc.
OCT 08 '96 10:20 TOWN OF SOUTHOLD
PERM 42p(&93) _�.. ST-AT'"')F NEW.YdPIK DEI?AKMENT;4F,:TRACJ.SPC -ATION'
.. �- HIGHWAY WQRK:PERMiT':.: --'.
Permit Fee: $ , . .550•. qU d.,.. • ',• . . ,. ' •: :.. -1 0^b • . •
_. : permit N
: :.
insurance tree: $ 175.00 P.rojectadentification No::
Total Received: $ 725.00 y Expiration Date:
Check or M.O. No.: 1036 SH N08229
Deposit Rec, for 6.p0
Check or,M.Q.No.:
Dated:
•Permittee: Estimated Cost of Work Performed in the.State Right=of-Way S.00
MATTITUCK REALTY, LLC, Chargea�bleto.BondNo685355849
MAIN RD./ROUTE 2.5 orUndedaking•onFile:($ 5000.00)
MA1 ItUCK, NY 11952
Billing Address: (Complete It different from above) Return of Deposit Made,Payable to:(Complete if different from Permittee)
S ,
Under the provisions of the Highway.Law or Vehicle&Traffic.Law,permission is hereby granted to-the permittee to:
TO OPEN THE NORTH SIDE Of STATE ROUTE 25, EAST OF LAUREL LAKE RD,,-MATTITUCK, FOR THE PURPOSE OF INSTALLING NEW CURB
CUT FOR THE MATTITUCK REALTY. All WORK NYS SPECS OR A5081:;.MAINT & PRO-TECTION OF TRAFFIC RE$P. OF PERMITTEE AT ALL
TIMES ETC.
THE PERMITT5E IS RESPONSIBLE; FOR THE MAINTENANCE AND PROTECTION OF TRAFFIC,ANYONE WORKING ll THE STATE
HIGHWAY RIGHT-OP-WAY IS REQUIRED TO WEAR HIGH VISIBILITY APPAREL(ORANGEIYELLOW)AND HARD HAT, i
SUF'FCiL,K p tySOUTHOLD
County- Munloi all Route#5
as set forth and represented in the attached application at the particular location or area,or over the4putes as stated therein, if required; and
pursuant to the conditions and regulations general or special, and methods of performing work, if n ; all of which are set forth in the
application and form of this permit.
HAUPPAUGE:, N.Y. t /�
Dated at: 09/80/96 Gommissi er "ort
Date Signed:
B I T O F. LE N.A,.._..........
IMPORTANT
THIS PERMIT,WITH APPLICATION AND DRAWING(OR COPIES THEREOF)ATTACHED.SHALL BE PLACED IN THE HANDS.OF THE CONTRACTOR
BEFORE ANY WORK BEGINS.THE HIGHWAY WORK PERMIT SHALL BE AVAILABLE AT THE SITE DURING CONSTRUCTION,
BEFORE WORK IS STARTED AND UPON ITS COMPLETION,THE PERMITTEE ABSOLUTELY MUST NOTIFY THE RESIDENT ENGINEER,
JOHN YOUNGMAN 1900 COUNTY RD #58
RIVE RHEAD, NEW YORK 11901
UPON COMPLETION OF LWORK AUTHORIZED,THE FOLLOWING WILL BE COMPLETED, SINNED BY THE-PERMITTEE AND.DELIVERED TO THE
RESIDENT ENGINEER.
Work authorized by this permit has been completed.Refund'of deposit or return/release of bond is requested.
DATEPERMITTEE '^ AUTHORIZE()AGENT(If Any)
Work authorhted'by this permit has been satisfactorily completed and is;aeoepted. Reverse side of this form must be completed.
❑ Refund of Deposit Is authorized
❑ Return of Bond is authorized
❑ Amount charged against Bond may be released' "
❑ Retain Bond for future permits
❑ Other
RESIDENT ENGINSER—
The Regional Office will forward this form to.the Main Office with the appropriate box checked.
❑ Permit closed '
[] Bond returned/released
❑ Refund of Guarantee Deposit on this permit Is authorized
❑ Other
DATE REGIONAL TA)W C ENGINEER
The issuing authority reserves the right to suspend or revoke this permit,.at its discretion without a hearing or the necessity of showing cause,
either before or during the operations authorized.
The Permittee will cause an approved copy of the application to be and remain attached.hereto until all work under the permit is satisfactorily
completed, in accordance with the terms of the attached application.All damaged or disturbed areas resulting from work performed pursuant to
this permit will be repaired to the satisfaction of the Department of Transportation,
Upon completion of the work within the state highway right-of-way, authorized by the work permit, the person, firm, corporation,
municipality, or state department or agency, and his or Its successors in interest, shalt be responsible for the maintenance and
765-1802
BUILDING DEFT.
INSPECTION �
[ ] FOUNDATION iST [ ] ROUGH PLUG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: �� /�✓d/cR{� 7 ���,h,�
tee.
oor
( f
DATE /D d?5;7 IN8PECT0 - ✓�
rss-isoz
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ �OUGH PLBG.
[ ] FOUNDATIOPI2ND INSULATION
[ ] FRAMING- [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: Al� �✓
s�
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.�G�eg—,
[ ] FO DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE INSPECTOR_2�m4
52
765-1802
BUILDING DEFT.
INSPECTION
[ ] F UNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND ( ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
DATE l � -INSPECTOR -
f
v
765-1802
BUILDING DEFT.
INSPECTION
[ ] FpUNDATION 1ST [ ] ROUGH PLBG.
[i/1 FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
rT it' N
IV
DATE '9i Z7 Y INSPECTOR��
765-1802
BUILDING DEPT.
SPECTION
[ FOUNDATION 7ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
1 FIREPLACE & CHIMNEY
REMARKS:
Iq q �
DATE INSPECTOR
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE Ol INSPECTOR ,.�
Cal,D 5 y 3
Rolm
THE -NEW..,YORK BOARD OF FIRE : ,UNDERWRITERS PAGE 1
Os�011. 8.UREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
Ddtp` OCI'OBER 27;1997' Application No.on file 1,1"32997/9 7 N 43585`9
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
MATTITUCK REALTY., ROUTE 2 5 r ,111ATTITUCK r NY ;
in the following location; E `� ATTIC 122 ' `�9.2
Basement 0 7st Fl. 0 2nd FL Sertion Bloeb� Lot �-
[AMT.
as examined on ClC`PC)II£'h ?1 r 1997 and found to be in with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
150 145 EG: 83 . - 67 7 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
MT. K.W. OIL nH.P. GAS H::P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
2' R
SERVICE DISCONNECT NO.OF S E R -V I C - E.
AMP. TYPE METER- 1 A,2W 1.03W 3 0 3W 3 X IW NO.OF CC.COND. A.W.G. . NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G.
EQUIP. PER B OF CC.COND. OF HIAEG OF NEUTRAL
1 200 CB 4 x 1 Soo. 1 500
OTHER APPARATUS:
SERVICE IASCONN. A14P. 100XfPE-CB--3
SUITS A--B=C &,BASFIW,4 r .AND,,()UTSTDE-1
EYERGENCY PACKS-5
4 TON A/C-1 ,
7 TON A/C-1.
10 TON A/C--1
-1OTORS:3--F H.P.-,1-4 fl.P. ,1--7 H.P`. ,1=10 H.P.
PANELBOA..RDS:3--1 CIR. 60
ELEC. WATER HEATERS: :3--2 K.W.
.
L
<<< Continued on Page 2 >>>
GENERAL MANAGER
sr 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 C,OPY,OF CERTIFICATE 'MUST NOT BE ALTERED IN ANY MANNER.
THEI NEW YORK BOARD 'OF FIRE UNDERWRITERS PAGE
10000 PUREAU OF- ELECTRICITY,
85 JOH_N STREET,-NEW YORK, NY 10038
OCTOSF'R 2'7,1§97
Date Application No.on file 14232997/97 A7 435850,
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
14ATTI'TUCF: REALTY, ROUTE 25, hi TTIT'UCK, NY
in the following location; n 0 Ise FL ❑ 2nd Fl. ATTIC' Section122 Block Lot 29.2
f q El Basement
teas examined on OCTOL�ER 21`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. "T. K.W. AMT. K.W. AMT. I H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1.0 4W 1 0 3W 3 0 3W 3 X 4W PER . OF CC.COND. NO.OF MIAEG OF W.HI-G. NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
G,T'.C,I:-38
ALL WAYS EI.,ECTRIC CORP. LIC.#764-3 � ( L L
262 ORINOCO .DR.
BPIGHTWATER, , 1W, 1.1718 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.
NJ 1-1 too 11101(NJ Ill Ill IN M I
COPY FOR BUILDING:DEPARTMENT: THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY—MANNER. i
BOARD OF HEALTH . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . .
TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . . . . . . . .
TOWN HALL SEPTIC F0R:t _ . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL.. 765-1802 t:OTIF't � �.� �-
Examined
CALL _
. . . . . . . . .. 19 MAIL TO :
Approved . . . . . 2-- A. Permit NoA�e . . . . . . . . . . . . . . . . . . .
Disapproved-a/c . . . . . . . . . . . . . . . . . . . . . . _ __._i. ' ' _ - . . . . . . . . . . . .
- IJ d�:R
• • • . . . . . . . • • . . • . . . . . . . . . . . . . .
fY
(Bui ding Inspec r) _
LICATION FOR BUILDING PERMIT
Date . . . .Nov.•13 19 96
. . . . . . . .. . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
seas 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.
e. 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 inspections.
1V�attituck, Realty.L.L.C: .
(Signature of applicant, or name, if a corporation).
PO j3ox 153,. 7555 Main Road, Mattituck,•NY.11952
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . �'e : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . Mattituck Realty, L.L.C. (Dr. Richard Cappello, Dr. Neil Pyser) • • . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer. .
(Name and title of corporate officer) `�
Builder's License No. Pending
„ • , , , , ,
Plumber's License No. Pendiri . . . . . . . .
Electrician's License No. Pending. . : .
Other Trade's License No.Pending. . . . . . . . . . . . . . . "
Location of land on which proposed work will be done. (1930: west of .Factory Avenue) Main Road (north side)
\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
"AttjtucX_ ,. New York
House i\umber - — . . . . . . . ..Street Street Hamlet ,s
6 ;SS- -_
County Tax Map No. 1000 Section . , , . 122, . . , . , , , Block .. . . . . . . . � -) .
. . . . . . . . . . Lot : � . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Ma' p No. . . . . . . . . . . . . . . Lot .
(Na ) . . . . . . . . . . . .
lie
. .
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . ,Vacant. • • . • • • • • . • • • • • • .
. . . . . . . . . . . . • . . . . . . .
b. Intended use and occupanc ;Offie. . . . . .ding•(Medical, Dental)
3. Nature of work (check which applicable): New Building . . . . x. . . . . Addition . . . . . . . . . . Alteration
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . .. Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
- (Description)
4. Estimated Cost . . . .$ .rQQQ%QOO . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . .(Description)
. on) .
(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 gffice •(NIedfdaf,bental)
7. Dimensions of existing structures, if any: Front . . . Rear Depth . • . . • • • • •
.
Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front • • . • • Rear • • • • • -
Depth . . . . . . . . . . . . . . . . . . . . . . Height • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
• • • • • • • . Number of Stories .
8. Dimensions of entire new construction: Front . . 42' • • .Rear . .60! . . . . . . . . Depth Al2 '
Height .24.. . . . . . . Number of Stories one story ' ' ' ' • • • • • • • • . .
9. Size of lot: Front .127'. . . . . . . . . . . . Rear • 18•'. . . . . . . . . . . . . . . . . . . . . . . . .370� . . . . . . . . . . . . . . . .
10. Date of Purchase �1995 Depth
. Name of Former Owner Sunbow Associates
11. Zone or use district in which•premises are•situated . Qeixexa,l, wilding•."Bf' . ' ' ' ' ' ' ' • ' '
12. Does proposed construction violate any zoning law, ordinance or regulation: •1Vo• • • • • • ' ' ' ' ' ' ' ' ' ' ' ' '
13. Will lot be regraded . .yes " " " " " " ' • " ' • • • • . • • • • • • • •
14. Name of Owner of remises • • . • • • • . • •q •lt • ' ' Will excess fi11 3 removed ck Phone No29�2036S��
P Matt�.tuG�.� � .Y. Addre .I ;�5• _
Name of Architect AO aid.A•. Denis, A.•I:A..,• PC Address lap Box 565. Aquebo hone No. 722—3511. • • • • •
Name of Contractor P@4d?ng• • • . Address .Phone No. • • • • •
15. Is this property within 300 feet of a tidal wetland?• • *' ' 'es .' . • . • • • . 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 comer lot.
(See attached Site Plan, Drawing Al)
;TATE OF NEW YO
:OUNTY OF . .Su . . �[� . . . . . . S.S
Dr. Richard Cappello ;
• ' ' ' ' ' • ' ' ' ' • • ' ' ' • • • • • • • • • • • • • • • • • • • • • • • . • . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
Bove named.
eisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.) • • • • • • • • • • • • • • • • • • ' ' ' ' ' ' '
said owner or owners, and is duly authorized to perform or have-performed the said work and to make and file this
`on•-_that all statements contained in this application are true to the best of his knowledge and belief;and that the
ork. i be performed in the manner set forth in the application filed therewith.
vorn-co before me this
. . . . . . . . . . . . .d y of. . . .NQ s i . . . ., 1926
':�ta(Y Public .• . . . . . . . . . . County
• JANET V. STEWART •`-
NOT/aRYPUBLIC, state-of Now York • • • • • • • • • • •_. . , , • • • • • • • • • . . . . .. .--
Qualifiid in Suffolk County (Signature of applicant)
COMM is•:-- :'Expires Nov. 30, 199t
_ r __ __.._._.....__ _. — Lm_.__.w_.. .
. E
PROPERTY LOCATED AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK LAND N/F
i LIZZA 8 OCONNELL
k S.C.T.M. r. 1000-122-06-29.2
AREA = 47.3
61 SF. = 1.0873 ACRES
SCALE: 1"=20• STAKE ;
771 N 60-24r3 "
O E
PROPERTY KNOWN AS LOT 2 ON MAP OF 119.03' CONC.
MINOR SUBDIVISION FOR SUNBOW ASSOCIATES. MON. {
N 65-05'00"E E
9.2919 F
}
a
Z
W
0
.� 140.2'
O cn
3 a
00
a O
rn
' a
a
41.1' 2 5.8'
i
s
} LAND N/F
LAND N/F
' GUSTAVSON SUNBOW ASSOCIATES
a
t
i
CONCRETE FOUNDATION
TOP OF FOUND. EL.- 26.4S'
# 51.0'
25.8' '
W
0)
W �A
OQ
-P
N O
zo
i
i 3 '
101.0'
►Y �
i a
0
97
�s 4
937 �o� �.
r w
lq Id
tea- PIPE t
PIPE Lo
126.79' N
SURVEYED BY: S 51'58'50"VI
a BARYLSKI LAND SURVEYING
2320 MAIN ST. P.O. BOX 1302
NEWMAN VILLAGE CONDO.
BRIDGEHAMPTON. NEW YORK O A D R T • 2 5
MAIN R (N . Y . S . �.
JANUARY 9. 199r7 cmv
m
2-13-1997: FIRST LOCATION SURVEY toN ,
J
77, -7 T 7,77-7 n 7, T77,7- 71 71, 77 -7 77 L`�17� 7..:7 77
SURVEY OF PROPERTY
PROPERTY LOCATED AT MATTITUCK
TOWN OF SOUTHOLD
N/F
SUFFOLK COUNTY. NEW YORK LIZZALAND a OCONNELL
S.C.T.M. ioff, 1000-122-06-29.2
AREA = 47.361 SF. = 1.0873 ACRES
SCALE: 1"=20'
N 60-24'30
PROPERTY KNOWN AS LOT 2 ON MAP OF 119.03- N 65-OS,00"
MINOR SUBDIVISION FOR SUNBOW ASSOCIATES.
9.29
NOTE: WATER SERVICE AND SEPTIC SYSTEM BELG. BLOCK CURB ---------
LOCATION BY OTHERS. Received
s-jfro!!r County
SEPTIC LOCATION NOV 2 0 1997
'A' -B- Dept.Of Hea:ffi services
I — Lz:,,-CL-C�f waste"11111-Ir Mqmlj
S.T. 19.3, 71.0,
L.P. 1 17.2' 88.5,
L.P. 2 3 6.2' 1 58.8*
iy A'
R-P02?i4T0F11F--AC1H SERVICES
7 19971
DEC 1
1.7 pr! *,-+-as I
_j fa z GRATE II
(A 0
bwa andlor
�f Dspartmcre or'
ot h r}r a rp n c i es
fou-rid to be sa!*sfaom.
rt":so * Aye c +r-
0
0
• L4 0� ;�hon A. Costa, P.E., Chl"Of
00
0`1 cEl Of Vias!mvalor M-��magsmnt
C;
0 GRATE GRATE
0 0 SELO. BLOCK CURB
GRATE CONCRETE WALK
0 0
LAND N/F 4 0.7' COVERED
COVERED ENTRY
GUSTAVSON ENTRY
2 5.6'
A.C.
UNIT
40.31
LAND N/F
•A" 9 SUNBOW ASSOCIATES
z
n
0
LP 11 M
SEPTIC TANK ONE STORY
CONCRETE BUILDING
BUILDING LP' 2 c,<
rn
x
z
LAQ
2 5.6'
00 A.C.
UNIT
GRATE
rn 0
'El'
GRArE
0 0
I
CONCRETE WALK
0BELG. BLOCK CURB
tar
Unauthorized alteration or addition to this survey is a violation M
of section 720q of The New York State Education Law "I" iiv
Copies of this survey map not bearing the Land Surveyor's inked rt. a4A 0r
GRATE GRATE
seal or embossed seal shall not be considered to be a valid true
copy 0 0
-,T
Guarantees or Certifications indicated hereon shall run only to It
the person for whom the survey is prepared and on his behalf to SELG. BLOCK CURB
the title company,governmental agency and lending institution
listed hereon, and to the assignees of the lending InSlItUillon
Guarantees or certifications are not transferable to additional "lip .411 C)
1 1% 40 1-
InStItUtions or subsequent owners 0
GRATE
SURVEYED BY: 1 19 3 0'±
BARYLSKI LAND SURVEYING nW 126.79' m
2320 MAIN ST. P.O. BOX 1302 c-; 51.58-50
NEWMAN VILLAGE CONDO. CONCRETE WALK to
BRIDGEHAMPTON. NEW YORK
JANUARY 9. 1997 CONCRETE CURB (D
. (n
2-13-1997: FIRST LOCATION SURVEY
7-7-1997: CURB STAKEOUT MAIM ROAD ( N . Y . S . RT 25 )
11-2-1997: FINAL SURVEY tr)
i-T-7—M!P77 77 "7'
L
, 1
a
SANITARY CALCULATIONS:
LANDSCAPE SCHEDULE:
3WIM ZONE IV, YIELD, GOO GPD PER ACRE
REF. Ill COMMON NAME BOTANICAL. NAME SIZE NOTES _ ` - _ _ , - - - - -- - - _ _ _ COMMUNITY WATER SUPPLY 15 PROPOSED BY SUFFOLK CO. WATER AUTHORITY '
r PRING 199G-SEE ATTACHED LETTER) YIELD= GOO GPD/ACRE '
Rh' TIED DENSITY = 1.081 ACRES x GOO GPD/ACRE = G52.3 GPD
M SUGAR MAPLE ACER SAC(CHARUM Z I/2' CAL. BIB � - ' _ -- - _ _ , ' N/F LL�IZZA t O'CONNELL >aE !
(VA`CANT) 7
P BRADFORD PEAR PYRUS CAL.LERYANA �' CAL. BIB ti ,4 ` _ `1EDICAL ARTS FLOW; O.IO GPD PER S.F. OF GROSS FLOOR AREA
`4 E 1 ` 29 NON-11E:DICAL OFFICE SPACE: .CG GPD PER S.F. GROSS FLOOR AREA r
B -GRAY BIRCH BETULA POPULIFOLIA 8"-10' CLUMPS
o • ' • . . ; . ,,a ^� eLPvSEC BUILDING MEDICAL ARTS- 5000 s_.�.
H CANADIAN HEMLOCK TSUGA CA14ADEN515 4" HIGHE' v
C..0 GPD PER S.F = ZOO `:PD
C EASTERN RED CEDAR JUNIPERUS VIRGINIANA 4" HIGH ,' ( i�' ' �. . OOC S.F. x .OG GPD PER S.F- = GO GPD
_ � TCTAL PROPOSED FLOW = 510 GPD '
J SHORE JUNIPER 1.
TC
JUNIPERUS CONFERTA IS-18" GROUND COVER BC .29 �RI ,:� ` +295 , '� ! m yell ! `' _ NOTE; SANITARY SYSTEM SHALL aE DESIGNED TO ALLOW FOR A
E - , 1 !j F1„ ! �` I FUTURE "ALL MEC!CAL 'USE". (0000 S.F. X 0.10 Cs�D PER
Y AMERICAN YEW TAXUS CAI�EDENSIS 161-18" X'S N'� a l4) TG + 3 n) °F TUR SPACES S.F.,
T
- LLELL c v, �' \ 'I TOTAL CESIGtN FLOL' = G00 GPD
�� L I ! ! ! L F? 3' i! - _ _ 32 PROPOSED DENSITY GOO GPD / I.C81 ACRES = 552 GPD/ACRE
A PINK AZALEA RHODODENDRON SPP I5;-18' w '
Z RED AZALEA RHODODENDRON SPP 15i-18' y1, BC +301 TC +30.5 1+ : SANITARY SYSTEM: Y
32 �_ Bc +30c } I SEPTIC TANK
S SPURGE PACHYSANDRA TERM. FILATS GROUND COVER I .j - °ya, FaT'C TANK W11 (2) DAY FL -O GPD x 2 DAYS = 1200 hAL"
OW): eO ,
301 q'I _ _ '' 8' S0 �I 38' , o�'�F�° �1 SE !200 GAL. SEPTIC TANK. I) 8' C 1 x CEEP *RING
T , 0.3' I w EACHiNG POOLS:
TCP+3013 °D SANITARY FLOW: 400 GPD
1 / -�I -B� �e LEACHING RATE: 1.5 GAL"/S.F./CAY
+30 51DEWALL AREA REQUIRED: GOO GPD DIVIDED BY 1.5 GAIL/S.F./DAY = 400 S.F.
+3 I III SiDEWALL AREA PROVICED: (2) !0• 0O 14 X G'-G" DEEP POOLS = 408.2 S.F.
SSE c2) 10'-O"O x 6'-G" DEEP POOLS w/ TRAFFIC BEARING DOMES t C.I. COVERS
LIGHTING FIXTURE SCHEDULE: DRAINAGE
C +30.5
DRAINAGE STRUCTURES: 8 296 - C +30. B .29.0 m SEPTIC TANK:
POST MOUNTED 115W METAL HALIDE FIXTURE I) ' LAP. 4 L.P.
"SENTRY' MODEL NO. 5UB-NL115-MH OR APPOOVED I ! I - TC ;� C + ° ,29 ( CAST IRON
EQUAL "COLONIAL-TYPE' , BLACK FINISH. I I I ���� c ` COVERS
MOUNTi=D ON L 'x L' x 12'-0" HIGH WOOD 2'-O' i-CAST IRON GRATE I 1 1 I I'2 ! (g)- ,2 I 2'-0' - GRADE EL +2G.C' /1
POST. CHAMFER CORNERS, SHIELD FROM (-"� AT SPECIFIED ELEVATION I �; I � ) (( ))
ADJACENT PROPERTIES I I I 1' MIN./2' MAX. - P.CONC.
-- PRECAST COLLAR , � - I 33 COLLAR HEIGHT !'- 1 - f COLLAR
15R RADIUS / I--a
GROUND MOUNTED )SOW FLOOD TRAFFIC BEARING A R I N G IPROPOSED � TCI. , - T'�.,28-L _ �:p TRAFF� !
FROM TRAFFIC
ARY INLET- MIN. �• BEARING SLAB
(DUPLEX AS INDICATED) �� a /� DOME � SANiT � I Bcl+21s2 �_ «) / � +28.2 '
- ' SYSTEM 29 1 ` 335 / `+�� 4 ' 2 CO PIPE, FLQ� LINE.jl
RECESSED SOFFIT FIXTURE ,� -i_. ,,
NTERCONNECT - _ PRECAST 28 T rn -1 OUTLE0- !�11N.
MIN. PITCH I/4' �y
I / ' / �' �Ee FT. �+ _ 4•.Q 24�0 PIPE,
21 \ + - MIN. PITCH 1/8"
W/ ADJACENT -DRAINAGE � � �, $ a / �- -
O DRAINAGE RINGS ! / ` I b / / �/� _ * ` 31 _32 INVERT �, BAFFLEa3q PER FT.
RINGS W/ 12"m (HEIGHT VARIES- / \ BC +2�itP
/ / / /l I EL +23.0 '
cn CORRUGATED SEE SCHEDULE) I / / / ( 1 n +30 31 i+ INVERT
w POLYETHYLENE I t �I _ _ _ DR uvAG� 1 r \ 29 I ' �,I EL +22.5'
PIPE (TYP) ----- / �\ .14\ TG + 3, g. A 5/ +21.3 { \ _30 PRECAST CONC.
("ADS" N-12 OR / I` , H 11) , � -29 4° 4„ SOLID RINGO EQUAL) MINIMUM DISTANCE ! 1' II / } (�
TO GROUND WATER LOT I g•oin H GUSTAVSON , \ u 1+2811 oc +2eBC +21
_28OFFICE BUILDING ` �x I '� P. DID. WA ►�(PRIVATE WELL) R''(1�Ul2G \ +2 PEA a4 L.P
I (PRIVATE SANITARY) � 2c
411
;SC' RADIUS �®
/ 1 1 _
FRo^1 EXISTING- i 'I drat e�e\r�� a4I \ - Y I �I
WELL �1_� 25 +2 drem qK erea�t i �� +2 ME1)tllL I / l I r
24
Tc' +21c* (3000 5 F.) / � ) NOTE CHMGims)
- - - - - - - - - - - - - - - z B SIE AEK)
TEST HOLE 41: TESL HOLE 42: � ; � � , I,_ � - � � , I , �� � , -23 SANITARY SYSTEM: -
I PRECAST
INFb,QO TON ppRROMM�� NFpRRM TT�ON FRROG�,, J I \ / / /
McOON�� GEF C NNCE �cDON�.D GEOSCIENCE ' I ( \ �� � ' I /� �, I I LOT 3 \ �, MtN'i I'-O"(MIN) TQ C.I. COVER GRADE +24.5' CHIMNEY
F.F. L, +21.0' I / � ) F C"(MAX) LP2- EL +25.5' AS RMQjC,
Bill 1 . \ , , ! . I SUNBOW ASSOCIgTES 940� TO
PICA) -
UT OLD, NY SOUTHOI'�D, NY 1 i ��
O EL + 20 lf) O EL + 31.5 Kt) _ -/ / // . ) (VACANT) C:D
' 1 j OI `~ I 1 ` ToP W 2'-O"(MAX)
1 I �� L P _ _ _ / ,• ' ( \ INVERT TRAFFIC
I SEPTIZ'i) h� \ \ INVERT EL +2�.5'
I TANK +21 \ J BEARING
i --_= ----- I / \ EL +23. "_=__ - - ----- .� DOME r
C'Pr I lS� _ _ _ /: / INVERT �/ r
! •2c , `� , (1000 S. .) ` - - r ' \ EL +21.5 ILPI) LP-I t 2 ��
3' COLLAR
I I ` �� ---- - - - , _ _ _ \ +, EL +20 51(LP 3' CLEAN
BROWN FINE I 25 I= , 5 / , 22 , �,
TO COARSE I R
SAND I , SIDE YARD _1 _ _ ( DE YA jj j 1 SEPTIC 2"00LASS SAND t GRAVEL
BROWN FINE l ' I LP2 _r j - - - 1 1/8' PEt� 1' I,,-!
BOTTOM
COAIRSE 1 ; - ����'� � ' � R )MIN. PIT'EF+ ------- -----I--JLEAcCHING POOL `
GREYISH BROWN BOTTOM �/�
SAND , EXISTING R �� ol ui -------- ----------- (TYPICAL) I EL +15.0 (LPI) [•4[
FINE TO COARSE ' i SANITARY TC> co- �_ `J
SAND (SLIGHT (NO WATIER) 1 ! I Ry �1 ` i DENTAL ( p 8 -"1, W_111
ORGANICS) ! I _ EL +14.0' (LP2)
BROWN FINE I l / 2c z __- : _-__ _�_ __-
12' TO COARSE ' I EXISTING l/ 2 1 / I / U DR N E I -- ``=-='= '= =---=- =-----
+ f I AREA o t GROUND WATER EL +G E'
13' SAND I, 0F, I„E ( / aI I I ----_ --- -------I
EL +L.5' (t) i BUILDING ( o J / - -
DRAT AC,= L.P.
ARE tt3 -
WATER IN I I I I i �I ; -4 2G' I �_.. -_. __.....
BROWN FINE I 0 -" 1 - ` O SETBACK) SiJFfOIK COUNTY DEPARTMENT Of HEALTH SERVICES
Il' TO COARSE 11' EL +14.5' (k) I i ._r.j'I , x I APPROVED FOR CONSTRUCTION ONLY
SAND I I i dre nags ereh d3) 1 1 I I •!r
1 I drainage irRe b1 1 I +21 I H.S. REF. 0. q6 .O n�- FLOW"� `'`
I \ I - - - - - - i I +25' TG +1�.5® I `� ( �- - - - - - - •23 O T{PE
II
8 I`?4-1'� (9' «2G +25 5, L.F 24 1 this approval is granted for the construction of the sanitary DRAWING TITLE:
! _ J k-T +25 1 +25 P.CONC. WALK (TYP.) disposal and water sil facilities pursuant to Articles V9and
7 of the Suffolk County Sanitary Code and is not an expressed+2,. 1 �. ��, SITE PLAN
I ! 1 Z TC +25 11 Tc +24.5 TC +24.(T _ nor implied approval to discharge from or occupy the
BC +24. +24 B +23.5 20 t structural shown. THIS APPRO AL EXPIRES TWO(2)YEARS
I I
1 FROM THE DATE BELOW. : e
CURB/PAVING:Y ING: TF +24. I I E-P OP0 E / DATE SI AT tE
BIC +24.0 - ry 1"0 WATER LINE / Wator linos
I �, „ TC +24.5 (BURIE 54" MIN.) / must be Inspected by the
POURED CONCRETE/ASPHALT BE:LGIAN BLOCK 2�' 1 ( 1 , BC +240 0
(AT NYS RT 25- MEET ALL NYS DOT SPECIFICATIONS) (INSTALL • ALL INTERIOR PARKING 1 1 1 1 I u oc Suffolk county Dept. of Health Services.
I I/2' RADIUS LINE s s BEGINNING AT PROPERTY i i 1 (1 I a v / Call 852-2100 24 hours in advance
e" I - : 9 / to sche361a inspectilon{s) •
� CURB I t1 NYS TYPE4 1/2" BELGIAN �7TC 40 ( T- +24.0 / tm
P.CONC. 1 3Q' _ a 8 10' •+rt JOB:
I I/2' TOP COURSE �'�'---'( IA P'11X BLOCK ! I ABC �23 5 ( VBc +24. ( ° / NEW BUILDING:
TYPE LF, (403.1101) GRADE 1/'2" COMPACTED! CURB
1 1/2" BINDER BITUMINOUS MIX GRADE 1 • 1 J 2 /
COURSE, TYPE 3 J PAVING TO HAVE (BIINDER), 0 1 1 1 /( LP I m + T +22. R INA E21.9 / MATTITUCK
(403.13) ry 1/4" PER FOOT SLOPE +' i 1! �+ 11 / I (1) �,� , R A tt --�. / REALTY, LLC
MATTT�CKD. NY.25)
® /
\ p � m ! I � (TC +23 � TC +23 � , T +22.5 �NOTE: THE END OF CURB
• g I Z ! I I c +23. BC +22 B SCTM
L BASE a NOT ABUTTING EXISTING I50' RADIUS , -
TYPE i 403.IU _ CURB ALL BE RAMPED - FROM PROPOSED 7 ' - _ :2#
_ _ T +22 / 1000-122-L-29.2
_ THE A I SANI I ARY
(2) LIF1tS - � DOWN L A'AFFIC.
ZERO HEIGHT BA�3E ACTED `• � � / DQ a aGE +22 _ L•P 1 L" SUBBASECOURSE � ,F� LATIOS P.CONC. I S Y 5 T E M 4 - T¢ +21 � \ +2 TYPE 1011, (11304.1011) FACING !'-O° . - i , � ' LAND C7APE _ ARCHITECT:
BUFFER (MIN.)
NOTE. ALIGN NEW , - _
SIDEWALK 1 CURB 11 ' �I,�' �� 1 O REMOVE EXISTING 20 DONALD A. DENIS
I EWALK. INSTALL`
1
W/ EXISTING 22 �� 1 1 POL NEW SIDEWALK P R P.O.BOx 545
- - - - - - - - - - - \� 1 211 tt32G NYS DOTSP� T
!930' (t> O FACTORY AVE. MAIN ROAD
" AQUEBOGUE, N.Y.
\ SDEWALK-� S 5i° 58 5C" ' W -T2G.19';r
DRAINAGE SCHEDULE: CURB - (510122-3511
"�'�� 1- - RAMP GOWN
CURB FACING
AREA DESCRIPTION AREA 2' RAIN VOLUME - - - EXISTING TRAFFIC
DRAINAGE STRUCTURES VOLUME NEW P CONT. SURE NEW P. CONC NEW TRENCH NEW P. CONC CiJRB WHITE
(REQ'DJ (PROVIDED) PER NYS DOT SQECS ) ENTRANCE DRAIN S IE. (PER NYS__O6T SPECS.) LINE
_ _APRON (PER PIPE BACK TO SEA
ENTRY DRIVE 2980 SF ILG IN/FT 494.1 C.F. (l) ITR x I DEEP DRAINAGE RING (4n ) 5189 C F TITS DOT- SEED; •Z BURIED DJRYWELtS`� PROPOSED WATER MAIN
(p TRAFFIC BEARING DOME (1019 C.F.) - TO BE INSTALLED BY �p ARC
2 LOWER PARKING 4800 5F 144 IN/FT 194.8 C.F. (2) 10'4 x 5' DEEP DRAINAGE RING (485 C.F.) 900.8 SUFFOLK COUNTY F,P M ,
WATER AUTHORITY `y� O Ask C tC,
(2) TRAFFIC BEARING DOME {RI 8 ( 85 'PURSUANT TO SUFFOL'� COUNTY SANITARY CODE FACI I IES R'S IGNATURE �0rPv p� ,
3 MIDDLE DRIVE. 2520 SF 12) IO'0 x 5' DEIEP DRAINAGE RING rG85 C F ) ARTICLES 1 t12. I HEREBY it o
LL IN/FT 603 4 C F 5189 C.F ---� .---------
BLDG. ROOF (WEST 2320 SF 12) TRAFFIC BEARING DOME +215 8 c F ) /� t /� �] ` CERTIFY THAT THERE ►'!ILL NOT BE ANY o
4 UPPER DRIVE 3000 SF IGG iN/FT 498 O C.F II) 1TR r I' DEEP DRAINAGE RING 14I1 518 9 C F MAIN n\O A D (NYS I� T . 2 5 l
r.) TRAFFIC 9E�ARING DOME �iO19 (:F ) � INDUSTRIAL WASTES OP: OTHER NON-SANITARY -- ----- ---
UPPER PARKING (S 1110 SF 12) 10'4 . T CEIEP DRAINAGE RING 954 F
5 Icc IN/FT Io9e 9 c; F c „-,e c F WASTES DISCHARGED FROM THE BUILDING AND
SLOG. ROOF IN) u,0 SF 12) TRAFFIC BEARING l J:IS 8 C F * /
THERE WILL BE NO TOXIC OR HAZARDOUS MATERIAL DATE 0 �
STORED AT THE SITE I;NLE59 SPECIFIC PERMITS - -�- 04
L UPPER PARKING IN 3390 SF 144 IN/FT 542 1 C F II) 104 1 DEE:P DRAINAGE R'NG 1474 r• F . _BL 9 F OR EXEMPTIONS ARE CRANTED PURSUANT TO - I,,, q �' 001 b
TRAFFIC BEARING DOME "014 C.F ) ,�,
THOSE ARTICLES. �4Uo 2 2BLDG. ROOF (EAST 2G40 SF I44 IN/FT 438 2 CF. (!) 10 m x 5' DEEP DRAINAGE RING 1342 C F 449 a ��F
SITE O,p
0) TRAFFIC BEIARING C ,014 C F ' 0 5 10 20 30 50 /y
Ill = 20'-0H SYMBOLS: KEY MAP. SITUATE-ALL DRAINAGE RINGS TO HAVE A TRAFFIC BEARING DOME AND �A CAST IRON S TE MATTITUCK, NY SCDHS- IG MAY 199G •,).r �
GRATE SET AT THE SPECIFIED ELEVATION. ADJACENT DRAINAGE STRUCTURES MAP OF PROPERTY SURVEYED FOR REV.: I1 4 M 19
SHALL BE CONNECTED BELOW GRADE WITH 1200 CORRUGATED POLYETHYLENE PIPE. "MATTITUCK REALTY, LLC SURVEY
�VEY INFORMATION PER: SYM DESCRIPTION w SITE
M ITUCK, TOWN O SOUTHOLD, NY DERICK VAN TUYL. P.C. �-'e
LICENSED LAND SURVEYORS
TC TOP OF CURB Wo LOCATION DATE: 15 MARCH 1994
SCTMsr 1000-122-L-29.2 GREENPORT, NY
BC BOTTOM OF Cl o=cy uz SCALE I" 20'-O'
LOT 2 OF MINOR SUBDIVISION FOR 3 AUGUST 1995 TG TOP OF GRATE Qa ( K
JJ ,. MAIN ROAD (NYS RTE. 25) " JOB NO: 9531
PARKING CALCULATIONS: sUNE;30W ASSOCIATES TL TOP OF LID
AREA- 41,341 S.F (413tl SF/ 43540 SF - 1.081 ACRES) FF FINISHED FLOOR w
OFFICE OF PHYSICIAN OR DENTIST- (5) SPACES PER PHYSICIAN( OR DENTIST R RADIUS � DRAWING NO.
OFFICE (BUSINESS, GOVT., PROFESSIONAL)- (1) PER 100 S.F. OF OFFICE FLOOR AREA ZONING:
GENERAL BUSINESS, "B" EX EXISTING
PROPOSED USES; MAIN
(2) PHYSICIANS, (2) DENTISTS 5000 GROSS S.F. LOT COVERAGE (MAX.)- 30% (41.341 x .3 - 14, 208 S.F.) 10.2 EX. ELEVATION 4
+10.0 NEW ELEVATION � 5T � oot
GENERAL OFFICE USE - 1000 GROSS S.F. - 20% - 800 S.F. OFFICE FLOOR AREA LOT COVERAGE (PROPOSED)- 12.il (L000 S.F.) �
PROPOSED PARKING: LANDSCAPE AREA (MIN.)- 35% (41,361 x .35 - IL,51L S.F.) e
.'-`. EX. CONTOUR J ALSO
m
11.1
(4) PHYSICIANS/DENTISTS x (5) SPACES/USE - (20) SPACES REQUIRED LANDSCAPE AREA (PROPOSED)- 35.97G (11,000 S.F.) NEW CONTOUR 5 DRIVE
OFFICE FLOOR AREA 800 S.F./100 S.F. PER SPACE - (8) SPACES REQUIRED w °
TOTAL SPACES REQUIRED - (28) SPACES YARDS- FRONT
TIE(�) 100, ,� � in TOTAL SPACES PROVIDED - (35) (INCLUDING (2) HANDICAPPED ACCESSIBLE SPACES) SIDE (BOTH) 25, -
REAR 35' OF