HomeMy WebLinkAbout34865-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34592 Date: 10/05/10
THIS CERTIFIES that the building DECK ADD TO GARAGE
Location of Property: 995 WEST RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 110 Block 7 Lot 3
Subdivision Filed Map No_ Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 9, 2009 pursuant to which
Building Permit No. 34865-Z dated JULY 15, 2009
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is "AS BUILT" DECK ADDITION TO AN EXISTING ACCESSORY GARAGE WITH ACCESSORY
APARTMENT AS APPLIED FOR.
The certificate is issued to PAT IAVARONE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Au/orized Signature
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)
PERMIT NO. 34865 Z Date JULY 15, 2009
Permission is hereby granted to:
PAT IAVARONE
995 WEST ROAD
CUTCHOGUE,NY 11935
for
AS BUILT DECK ADDITION TO ACCY GARAGE PER APPROVED PLANS AS
APPLIED FOR
at premises located at 995 WEST RD CUTCHOGUE
County Tax Map No. 473889 Section 110 Block 0007 Lot No. 003
pursuant to application dated JULY 9, 2009 and approved by the
Building Inspector to expire on JANUARY 15, 2011.
Fee $ 200 . 00
ov'-
Authorized Signature
ORIGINAL
Rev. 5/8/02
1�bc
Form No.6
TOWN OF SOUTHOLD ® IvI
BUILDING DEPARTMENT
TOWN HALL
765-1802 SEP Z 1 2010 .
APPLICATION FOR CERTIFICATE OF OCCUP CY BLDG.DEPT.
TOWN OF SOUTHOtD
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 6ompleted 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,.Additions.to accessory building$2..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. ! l .2,0 /0 .
vew Construction: Old or Pre-existing Bui-lding: ✓ (check one)
Location of Property: Z�Si J eg rJq C./ -'
House No. Street amlet
Owner or Owners of Property:..'..
Suffolk County Tax Map No 1000, Section' ll Block Lot . 3
Subdivision Filed Map. Lot:
Permit No. Ll 0�:S Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval
Planning Board Approval:
Request for: .Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
�eeJ���b� licant Signature
3
C OF SO!/r�,O�o
v
Olyco
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS L-ATION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
!�Lj 6 S GMI
DATE c INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
Ole
FOUNDATION(1ST) v, y
- - - --------- - ------------- - '
cs-
FOUNDATIO14(2ND)
rA
ROUGH FRAMING& y
PLUMBING —�
INSULATION PER N.Y. S y
STATE ENERGY CODE
1
G vn
t
FINAL
ADDITIONAL COMMENTS
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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 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502
www. northfork.net/Southold/ PERMIT NO. (� �f Check
Septic Form
N.Y.S.D.E.C.
----------- Trustees
��
' Examined 20� rr- D � � �q C`ont,ct:
1 ;
Approved ,20 Mail to:
Disapproved a/c
GUIIO Phone:
Expiration ` '20 T kiLDF L OLD
•DEp7. All
TH
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 0� — 20
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 the Building Inspector
4 issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations, for.the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. .
(Sig e of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of prenuses A N ( 0 A F b P e R`rj E& I- t G- 1 D —PAT z A Cull l=
(As on the tax roll or latest deed)
If applicant-is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
q (:Y t'�- �,&ZF_S ' 90AL C CU iCAY.3
House Number Street Hamlet
County Tax MapNo 1000, S,ecx n: ( Block
. „ , �Q -II ; Lot
Subdivision Fr1ed Map No Lot
2. State existing use and occupancy.of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Fes'r A E eel r /6 C__
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other 'Work
4. Estimated Cost , ' cep �n Fee (Description)
S O, c �`
(To be-paid on filing this application)
5. If dwelling, number of dwelling units.-', t Number pf dwelling units on each floor
If garage, number of cars
6. I f business, commercial or mixed occupancy, specify nature-and extent of each type of use.
7. Dimensions of existing structures, if any: Front- �/ ( I Rear Depth '6 "
Height Q Number of Stories
Dimensions of same structure with alterations or additions: Front -5-3 ' Rear S
Depth Height \? 0 ' —.Number of Stories 3
8. Dimensions of entire new construction: Front 5-,? '—Rear 2 Depth --'17 -�
Height - ISO , Number of Stories ,a
9. Size of lot: Front i Q,'O Rear I I ( , z1I Depth
10. Date of Purchase Name of Former Owner
11, Zone or use district in which premises are situated R
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 1/
13, Will lot be re-graded? YES NO Will excess fi�,be removed from premises? YES N0_Z
14. Names of Owner of premises Address Phone No,
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES /,/NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D,E,C, PERMITS MAY BE REQUIRED,
b. Is this property within 300 feet of a tidal;wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED,
16, Provide survey, to scale, with accurate foundation plan and distances to property lines.
17, If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
--OUNTY OFSO&
--rk6 W1QS '30—tKO-0S 'boirig.:duly sworn;rleproses and says that(b)he-is the-applicant
(Name of individual signing contract) above named,
'S)He is the 7 rz/lu
(Contractor, Agent, Corporate Officer, etc,)
,f said owner or owners,and is duly authorized to perform or have pa*formed the said work and to make and file this application;
hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
Aerformed in the manner set forth in the application filed therewith.
worn to before me this—
day of 20
P ILIA RICHARDS
Qj 62,tt"k
"Notary p_URjgtaW Public, State of New York Signature of Applicant
No. 01 FIi6042467
Qua.Wiled in Suffolk County .
Commission Expires May 30 /
1 _ ro T W OF SOUTHOLD- 040PERTY RECORD CAR®
OWNER STREET C G VILLAGE DISTRICT SUB. ' .LOT
FOR14R OWNER N E W ,14 _F T fe�-- ACREAGEJ Vame 2
n Q TYPE OF BUILDING
ay
RES, SEAS. VL. FARM COMM. IND. CB. MISC.
LAND IMP. TOTAL DATE REMARI<S� Z"y fd Ve diDe�
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NO
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3&��C7 0'"U D �I'3 0� , �r a
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3(orsa -311 �f
Farm Acre Value Per Acre Value ry , �
Tillable 1 l
Tillable 2
Tillable, 3
Woodland re C _ 9() —
Swampland
Brushlo d
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sip�z= 1s712 97 U/u
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Porch Attic
1 ,
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JGa�fRfFd i a66 , )
Breereway � A�� Patio Rooms 2nd Floor
Gar, e'/4� `/ So' SZ 0 Driveway
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EMEN
ANGELINA PROPERTIES, LLC
c/o Pat J. lavarone, President
6 Sutton Place, Manhassett, NY 11030
March 5, 2008
I hereby authorize Thomas C. Samuels of Samuels and Steelman Architects or 25235
Main Road, Cutchogue, NY, to apply for all required permits from the Town of Southold,
Suffolk County and State of New York, for my project at 995 West Road and Cutchogue.
Harbor in Cutchogue, NY 11.935.
Sincerely,
Pat. . ltaronr
asvFrQ/ Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
0
col PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
!OLIO /ID Q23_ STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN
District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
————————————————————————————————————————————————————
Itemm Number. (NOTE: A Check Mark(-I)for each Question is Required for a Complete Application) Yes No
---------------------------------------------
Will this Project Retain All Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? ❑
(This item will include all run-off created by site clearing and/or construction activities as well.as all Site
Improvements and the permanent creation of impervious surfaces.)
2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location?
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl
3 Will this.Project Require any Land Filling,Grading or Excavation when:there is a change to the Natural ❑
Existind Grade Involving more than 200 Cubic Yards of Material within any Parcel?
4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand(5,000)Square Feet of Ground Surface?
5 Is there a Natural Water Course Running through the Site? ❑
Is this Project within the Trustees jurisdiction or within One Hundred(100')feet of a Wetland or Beach?
6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to
One Hundred(100')of Horizontal Distance? —
7 Will Driveways,Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off
into and/or in the direction of a Town right-of-way?
8 Will this Project Require the Placement of Material,Removal of Vegetation and/or the Construction of M
any Item Within the Town Right-of-Way or Road Shoulder Area? —
(This Item will NOT Include the Installation of Driveway Aprons.)
9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodplain of any Watercourse? ❑ ✓
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm-Water,Grading,
Drainage&Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl
----------------------------------------------------
EXEMPTION: Yes No /
Does this project meet the minimum standards for classification as an Agricultural Project? /
Note: If You Answered Yes to this Question,a Storm-Water,Grading,Drainage&Erosion Control Plan is NOT Required! — —✓✓✓
————————————————————————————————————————————————————
STATE OF NEW YORK,
CAme.
OF.....S �-C.F,Fc c.!`�.....SS CNO
That I ................ being duly sworn,deposes and says that h sheWseapplicant for Pennit,
( dividual signing Document) n n�
Andthat he/she is the ........................ .C�..............................................................................................................
(Owner,Contractor,Agent,Corporate Officer,etc.)
Owner and/or representative of the Owner of Owner's,and is duly authorized to perform or have performed the said work and to
make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to before me this;
..............................(�'.............day of...C),�Iv.. ........,
Notary Public:'.�....`.....6..... ........ It;l�, �Is;Fl��l��
o9" '-5t-aw af-Kew York.. .... . .. .t . ......................
(S atu reofAc Ido. 01 R16042467
FORM - 06/07 Qualified in Suffolk County
Commission Expires May 30,2042-2 ld
s 1681802x5028 SOUTHOLD TOWN FIRE INSPECTOR
robert.fisher@town.southold.ny.us Page
NOTES
ESTABLISHMENT s/b/I 7
DATE
CZ' Z'°� ,Eht resin C- &PUT7fJ06S s
`To D��)1 ,
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FireNotes
.................... �64
S A M U E L S &
�`��, 2 S T E E L M A N
1 November
'r Southold Town Building Department
-- ,-Town Hall Annex
Main Road
Southold, NY 11971
Re: ADDITIONS TO THE IVARONE RESIDENCE
995 West Road, Cutchogue, NY. 11935
SCTM # 1000-110- 07- 03
The drawings for the above referenced project have been revised per your concerns
regarding side yard setbacks (porch width) and the non-expansion of the Attic (per
ZBA). The SCDHS permit has also been revised to account for the approved use of the
accessory building as an "apartment". Attached documentation includes the following
to be added to your existing file for the project:
1) Four (4) sets stamped revised Construction Drawings
2) Red-stamped revised SCDHS permit
Please review the enclosed and get back to me with any questions. If application is
complete, please prepare a BUILDING PERMIT, and contact my office with a total fee
for same.
As always, I appreciate your efforts.
Sincerely,
I
Thomas C. Samuels
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE, NEW YORK 11935
(631)734-6405
FAX(631)734-6407
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LbauthodYed alteration oraditm
to this survey is a violation of
Section 72D8 of the New York State
Education Lam
Nil?/•
Copies of this surrey map not bearing
40e land suri+eyoh Inked seal or y O�� �G��� r *Qa..►1 v * s .i; C' .
embossed w2131WInotbeoonakfored * r * tr+•'*s!,irs+�- '
to be'avalidtnNeW. _ I
�uuararrZeaitit5�todherooneheYnrn o b 0 C
only lathe peam forwhom Ow survey F-,. °CS2562�`�'
is PrePansdgndanhfsbohall tothe sFC SVP 4.-rae '� q. ►'st". .,r L + ':
.titre oompanY..Dovemmsrdalegencymd LAND
AW
lending Institution listed hereon and
to the asaigneesoi the lending inati.
tulion.Guaranteas are not transfambfa
to additional Institutions or sub sequem {
owners, ip
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34
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32_ _ t C %b 33
SITE TA
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30_ tp SCTM # 1000-110-07-03
�O.
Cam' PROPERTY: 995 WEST ROAD
xo�l 3�.X \` moo. ADDRESS CUTCHOGUE, NY 11935
29_ - - -
`\ -- 31ui
0 OWNER: ANGELINA PROPERTIES, LLC
c/o PAT IAVARONE
6 SUTTON PLANE O
° a _ _ MANHASSETT, NY 11030
C `� 013ro - - - -- - - - - - -30 R11/EY4A)' AREA #I . 253af sf �
N\65 a x x 2531 x 0.16 = 406.24 cf SITE: 34,932 sf = 0.802 ac
2,•, \\\ '�� �� -- �� Xfu- - - - - - - -29 V DIAL. x IO' DEEP DRAaINA &E RING = 422.4 cf ZONING: R-40
z
E�p°eN•27_ \ `\\ 28.5 ` j T1�R y�ply 422.4 cf > 406.24 of
x�255cl SURVEYOR: NATHAN TAFT CORWIN III
- �2a PO BOX 1931
f t -. _ - RIVERHEAD, NY 11901
.�v� DRIVENA"'r AREA #2 1822 sf LICENSE # 50467
1522 DATED 1/4/08 co
oo. x28., t 1822 x O.I 6 - 2ci I .52 of
�'' ��x - - - -27 S' DIAL. x T DEEP DRA�INA�GE RING = 2�f�.68 cf
,�� ... �, 2�.o Air P`
GA�RA�CGE ROOF AREA 82� sf �� x�� ��,� �� . � 2Q5.68 cf > 2cf 1 .52 of NOTES:
82-1 x 0.16 = 152.3 of �`�`'
0 277/6 - - �i 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
2 6' D I At. x 4' DEEP DRAB I NA &E RING = 1-18.6 cf �°� - i �' EXISTING ELEVATIONS ARE SHOWN THUS:
C ) °� EXISTING CONTOUR LINES ARE SHOWN THUS: - - -5- - - -
1"76.6 cf > 152.5 cf
w�° � \ ' � �1.-� � F.R. - FIRST FLOOR
RAGE FLOOR
_` \ 9�A - - -26 4' � 15�� T.B. - GAP OF BULKHEAD
t `�� "g� B.B. _ BOTTOM OF BULKHEAD
TA TOP OF WALL
BX - BOTTOM OF WALL
O
-25
TEST HO242
# 2011 sf
i F-
RES I DENGE RO
OF AREAI
- 2 - � -O 32 .7 of
_2 I� x 0.16
2 x 22`ff - - _ _
2 i
O
8 D I A�. x 4 DEEP DRAB I NA 667E RING = 337.ci cf -
2) ,
337.c of 322.E of
............ ............. .
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V
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............ .............. .....................
2
................ .............. ..............................
2 17 f:
z
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ti
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f E ENGE ES I DENOE ROOF AREA2, 1150 sf
20, 1cl80x0.16 = 516.8cf
..:
5 s .` G.: :: . , .. 2 8' D I A�. x 4' DEEP DRAB I NA�GE RING = 331.�1 cf
_ C )
PROPOSED S S 5T
sT
EPTIG Y EM c�:: ; , : 33 cf 316.8 f
x �.�
01
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19,
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HAZY BALE fa- - - xIZ2 / BY MARK McDONALD L J, a N = a
x17.3 �' a TESTHOLE GEOSCIEINCE a �.
NO SCALE SOUTHOLD, �.
17 �' /i //�° NEWYORK11971 to
TEST HOLE DATA 5/20/08 +/- 24.0
- X ts•s
1.0 FT. DARK BROWN LOAM OL
is / � Se. i' �P�E OF
x .s NFL
' 5.0 FT. BROWN SILTY SAND SM _� Soos C. So�'�
�a xZ9
16 _ _ PALE BROWN FINE
TO MEDIUM SAND SP18350-A
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E PB V,' x %''_,3'%i i'� 17 FT. R c
,� ri. ,�,� .�� ;/, �" NO WATER ENCOUNTERED
- ��' %/ �B �' LL �` ` .,,�, PROJECT NO:
SCALE. 1 20 0 _ _ ,� -�- \ 0707
�, ' ' DRAWN BY:
UT
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" CAT ION MAirCHECKED BY: TICS
0I'll q DATE:
J2 0p' �,eet�J 12/10/08
Y SCALE:
Igo --
201-011
Cc) SHEET IT�-E•
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SITE
4
SURFACE
WATER
Q �� `0�voo `0 DRAINAGE
G�5 tio� Q' �' d PLAN
SHEET NO.:
Cr V�
V�
FLEETS NECK
REWSIONS:
ITCH
RADOMWLS
DATE:
N011PY BUILD!k" "El INT AT
76',-)-1802 31 A TO 4PIVI IFORTHE
FOLLOWING llN'l'ZlPECTl()',llS:
1. FOUNDA70tq - 111-1 ' 1,1
I �,�_) FG,!j1;11il-D
FOR POURED C�""NCi",E-JE
CERTIFICATION OF
I JAILING & CONNECTIONS 2.
REQUIRED. 4. FINAL MUST
BE CU%4Pll-E-I" FOfl C.O.
ALL CONSTI'lUCTION 15HALL NIEET THIE 0
OF THE CODES OF NEIN >-
YOrt!,',' STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTEUCTION ERRORS. ui
3: Lu
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WFUL
4-
MAWNRY FOUNDATION
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PROJECT NO:
0707
DRAWN BY:
RJ13
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s 0 I'm F L 0 0 R P L A NO Fim T FLO"OFIA wi m um SCALE: 1/4" = l' -O" SCALE: 1/4" = V -0" SCALE: 1/4" DATE:V -0" 7/08109
SCALE:
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SHEET TITLE:
AS
BUILT
SHEET NO:
PERMIT DRAWIN