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HomeMy WebLinkAbout37296-Z Town of Southold Annex �SUFFO( 6/23/2012 P.O.Box 1179 C i 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35771 Date: 6/23/2012 THIS CERTIFIES that the building RESIDENTIAL ACCESSORY APARTMENT Location of Property: 1125 Pequash Ave, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 103.-7-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/4/2012 pursuant to which Building Permit No. 37296 dated 6/15/2012 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', Alteration to an Accessory Building(Accessory Apartment): Living Room, Kitchen, Bedroom,Bath, per ZBA#6558, dated 5/17/12, as applied for. The certificate is issued to George W&George T Schneider (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 2101579 6/9/06 PLUMBERS CERTIFICATION DATED 5/4/06 Hardy PI)dpbing, Heating&A/C Inc Autho d Si ture TOWN OF SOUTHOLD o�g1)FFD(,t-C BUILDING DEPARTMENT cz a TOWN CLERK'S OFFICE oy�0 ao� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37296 Date: 6/15/2012 Permission is hereby granted to: Schneider, George & Schneider, George PO BOX 1028 Cutchogue, NY 11935 To: As Built', Alteration to an Accessory Building (Accessory Apartment); Living Room, Kitchen, Bedroom, Bath, per ZBA, as applied for. At premises located at: 1125 Pequash Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 103.-7-20 Pursuant to application dated 6/4/2012 and approved by the Building Inspector. To expire on 12/15/2013. Fees: CO -ADDITIONS TO ACCESSORY BUILDINGS $50.00 ALTERATION OF ACCESSORY BUILDINGS $840.00 Total: $890.00 BuildAg Inspector Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This-application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or aelv-use: 1. Final survey of property with acetirate'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_ 'Sw.orn statement from plumber certifying that the solder used-in system contains less than 2110 of 1% lead. . 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance-from architect or engineer responsible for the building. .6: Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and Ilpre-existing"land uses., I. 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 applic denied, the B ant. If a Certificate of Occupancy is �iilding Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificaie of Occupancy- New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00', Swimming pool 150.00,Accessory building$50.00, Additions to accessory building$50.00,Businesses$50.00_ 2. C6rtifieate 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. 0 �-- New Construction: Old or Pre-existing Building: tX ' (check one) Location of Property: E b�y g S H av� House No I Street �4 Hamlet Owner or Owners of Property.- t-z�6; re S C 40 tt ),0-"-L_ Suffolk County Tax Map No'1000, Section T1.3 9 1 p Block - Lot a b Subdivision Filed Map. Lot: Permit No. 5 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: ( equest for: Temporary Certificate Final Certificate: (check one) .Fee Submitted: $ ® •�� I AAp lieant Signature i a �dr�C12rE. '51r7l �n���ffr l r���r�rn���n������n��nrr�rn�nn ryl E SBY THIS CERTIFICATE OF COMPLIANCE -THE 5 YORK BOA 5 5NEW BOARD OF FIRE UNDERWRITERS S SBUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 SCERTIFIES THAT S 5 5 S Upon the application of 5 P PP upon premises owned by 5 S 5 GEORGE SCHNEIDER GEORGE SCHNEIDER S 5 5 PO BOX 1028 PO BOX 1028 CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935 C5 5 S Located at �5 1125 PEQUASH AVE CUTCHOGUE,CHOGUE, NY 11935 S 5 Application Number: 2101579 Certificate Number: 2101579 5 5 5 5 Section: Block: Lot: Building Permit: BDC: ns11 S 5 5 Residential 0-599 s uare ft. 5 Described as a q occupancy, wherein the premises electrical system consisting of S 5 electrical devices and wiring, described below, located in/on the premises at: 5 SBasement,gas furnace, Cj 5 e5 SA visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 9th Day of June,2006.vne 5 5 Name QTY Rate Ratine Circuit T Amount 5 Appliances and Accessories 5 5 Furnace 1 0 Gas $0.00 S S Water Heater 1 0 Gas $0.00 5 SSWiring and Devices CSj Switch 2 0 General Purpose $0.00 SInvoice Total $85.00 S 5 5 5 5 5 S S 5 S , S 5 S 5 5 5 - Sea. 55 THIS IS VOITR RECRIPT 5 Ot I of 1 cS This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 S tnrJ�r�tnrJ[P[.f[1�[.fCP[.fcP[frPr�tlr�r�r frJ7�PcJr7r�rr�I7nnrnnnnnnrnnnnnnrr 3MMM nnnnnr_m".=i"_„_,r,r,r,.=„_„ TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, NY 11971 CERTIFICATION Date: UZOC �� Building Permit No.^�J\\(-D\ Owner:iL (please printy Plumber: HAR.DV R_UM 9 W 6.RF_AT11nt64—A-jC, S.N C. . (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead: I also certify that I installed an anti-scold and/or thermal shock preventing device at all bathing and/or showering fixtures in conformance with part 902.6(k) of the N.Y.S.F.P.A.B.C. ;plumber's %9patur Sworn to before me this Lj"�day of Mprf (Notary Public) Notary Public, Z U �L.[� C&Oty JOANN aMONE Notary Public.State Of New Nbrk No. 01BA6087 ()ualified In Suffolk�Cto6unty Commission Expires 02/10/20 21 cOUNT`I,N TOWN OF SOU NOi.-B NG DEPT. 765-1802 IN [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) EMARKS: DATE INSPECTOR 3 Of SO(/l�,o --- - � o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ,INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH Lb-G. [ ] FOUNDATION 2ND [ ] 1 LATION . [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 4 T DATE /�� �Y --INSPECTOR OF SObryo� .2 -7 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION � --, . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR FIELD INSPEMON REPORT DATE COMMMNTS lW FOUNDATION(1ST) � FOUNDATION(2ND) � o ROUGH FRAMING& y PLUMBING :3�: INSULATION PER N.Y. H STATE ENERGY CODE i y FINAL ADDITIONAL COMMENTS Cv -2k — 1z ` o >tls� TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ` Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 3 Survey SoutholdTown.NorthFork.net PERMIT NO. ! '4 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined ,20 I TTj0VVN jJ �/J (� Single&Separate E U U Lc, Storm-Water Assessment Form _ Contact: Approved v '� ,20 -4 2012 Mail to: �isapp�'e�+ed-arc DG.DEPT. Phone: OE SDUTHDLD Expiration ' ��' � ,20 13 � Building Inspector APPLICATION FOR BUILDING PERMIT Date b" , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The wort: covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pen-nit 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 m val or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building co e, ising code, regulations, and to admit authorized inspectors on premises and in building for necessary inspection . ib atmre- .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 premises Cj Cb(L C1 c-- vi - (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 roposed work will be done: p a0.ASH 4 L) House Number Street Hamlet County Tax Map No. 1000 Section Block Lot a Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy area son q 1.L41/p)n a b. Intended use and occupancy Ace ,n 3. Nature of work(check which applicable): New Building Addition Alteration l� Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (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. 7. Dimensions of existing structures, if any: Front Rear--- 3 Depth j 4 Height I D 4� Number of Stories / (C*Z++c c?J(47 ) Dimensions of same structure with alterations or additions: Front 3 Rear 3 a- Depth a b Height I p4 4 Number of Stories I (�J C �{ �►,d4r� 8. Dimensions of entire new construction: Front Rear 3a Depth a Height 1D Number of Stories TJ 9. Size of lot: Front Rear 7 6 Depth 060 10. Date of Purchase S lOS Name of Former Owner m j k A")oyi 5 k- J o1,o 11. Zone or use district in which premises are situated / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO l/ 13. Will lot be re-graded? YES NOIWill excess fill be removed from premises? YES NOy 14.Names of Owner of premisesGtzgC> V 5ciw-,,, lAddress?b BMX Iba$ CU11L.�_, Phone No. 63) --105 6146-7 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 1/ * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO /1 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) v A COUNTY OF �' being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the I (Contractor, 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 true to the best of his knowledge and belief; and that the work will be OS performed in the manner set forth in the application filed therewith. MARINA If Ne Notary public�State o4 New York No.01 K06191941 Sworn to fore me this Queltfled in Suffolk County day of � --�— 20 l 2— Ni ® len 6x01res Augdbt 26,2012 Notary Public S'gnature of Applicant BOARD MEMBERS Leslie Kanes Weisman, Chairperson *tf SU�j�ol Southold Town Hall 53095 Main Road •P.O.Box 1179 James Dinizio,Jr. Southold,NY 11971-0959 Gerard P. Goehringer C10 Office Location: George Horning 0 • �p� Town Annex/First Floor,Capital One Bank 54375 Main Road(at Youngs Avenue) Ken Schneider 10'DUNTY, Southold,NY http://southoldtown..nofthfork.net I i ZONING BOARD OF APPEALS �2012 ii TOWN OF SOUTHOLD MAY 2 4 Tel. (631)765-1809•Fax(631)765-9064 - _- __._'- FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF MAY 17,2012 ZBA Application No.: 6558 Applicants/Owners: George Schneider SCTM#1000-103-7-20 C TM#1 Property Location: 1125 Pequash Avenue(corner Willow Street) ue,NY SEQRA DETERMINATION: The Zoning Board of Appeals has visited the,property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further requirements under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 16, 2012 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested.in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. REQUEST MADE BY APPLICANT: The Applicant-Owner requests a Special Exception under Zoning Code Section 280-13(B)(13)to establish an Accessory Apartment in an existing accessory structure. PROPERTY FACTS/DESCRIPTION: The subject property contains 13,996 square feet with 70.00 feet along Pequash Avenue, 200.12 feet along Willow Street, 70.00 feet along the northeastern property line and 200.03 feet along the western property line as shown on the survey dated 03-31-2005, last revised 08-13- 2006 prepared by John C.Ehlers Land Surveyor.. The property is improved with.a single-family two-story residence and a one story accessory structure as shown on the survey by John C.Ehlers.. The accessory structure has a Pre-CO of record dated October 4, 1976 under Certificate of Occupancy#Z7268 confirming that the: accessory garage was built prior to January 1,2008. ADDITIONAL INFORMATION: The applicant acknowledged that the property is for sale and is aware that the future buyer will have to re-apply for a Special Exception. He further stated that he has an application into the affordable housing director for the current renter,who he believes qualifies for the program. FINDINGS OF FACT: The Zoning Board of Appeals held a public hearing on this application on May 3,2012,at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and the surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant. i Page 2 of 3—May 17,2012 ZBA File#6558-Schneider CTM: 1000-103-7-20 In considering this application, the Board has reviewed the code requirements set forth pursuant to Article III, Section 280-13(B)(13)to establish an Accessory Apartment in an Accessory Structure and finds that the applicant complies) with the requirements for the reasons noted below: 1. The Accessory Apartment unit will be located on the first floor of the acwith an area of cesso 800 square feet of livable floor area in conformity as propos�ed,described and shown on the floor plan by Bou evard Planning East dated 5116105 and signed by Certified Architect,and as confirmed by the Building Inspector in a memorandum titled"Verification of Livable Floor Area"dated March 12,2012 and received by the Board of Appeals on March 21,2012. 2. The dwelling unit does not comply with the definition of same in §280-4 of the code and complies with the code requirements as defined in Section 280-13(B)(13) of the Zoning Code. The owner confirm accessory apartment is all on one floor with only one full bathroom s that the . The Board finds that the area variance for the additional fifty (50) square feet is not mathematically su stantial and the layout of the as built accessory apartment does not make it physically feasible to reduce the size to conform to code. 3. The applicant herein, owns and resides at the property and will continue to occupy the single-family dwelling as a principal residence in conformance with the code requirements as set forth in Article III, f Section 280-13(B)(13)0, 1-4), and as documented by Homeowners Insurance Bill and National Grid Electric Ii Bill. 4 4. The occupant of the accessory apartment is a resident who is currently on the Southold Town Affordable HousingRegistry, g try,as documented by Town of Southold Certificate of Eligibility dated May 9, 2012 and the occupancy shall not exceed the number of persons permitted, in conformance with the code requirements as set forth in Article III, Section 280-13(B)(13)0, 1-4). I 5. The owners' plans comply with the on-site parking requirements and provide for a total of three (3) parking spaces, two for the principal use and one for the Accessory Apartment, utilizing the existing i driveway areas, as shown on the site plan or survey by John C. Ehlers dated 8/13/2006. 6. Only one accessory apartment will be on the subject property and no Bed and Breakfast facility, as authorized by Section 280-13(B)(14) hereof shall be permitted in or on premises for which an accessory apartment is authorized or exists. 7. This conversion is subject to a building permit,inspection by the Building Inspector, and annual renewal i of the Certificate of Occupancy. I REASONS FOR BOARD ACTION DESCRIBED BELOW: Based upon all testimony, documentation, i personal inspection of the property and surrounding neighborhood, and other evidence, the Zoning Board finds the following facts to be true and relevant: 1) The Accessory Apartment, as applied for, is reasonable in relation to the District in which is located, adjacent residential uses. adjacent use districts,and nearby 2) This Accessory Apartment shall be in conjunction with the owner's residence in the Accessory structure, and as proposed will not prevent the orderly and reasonable use of districts and adjacent properties. 3) No evidence has been submitted to show that the safety, health, welfare, comfort, convenience, order of the Town would be adversely affected. 4)The special exception is authorized under the Zoning Code through the Zoning Board of Appeals as noted herein, and issuance of a Certificate of Occupancy from the Building Inspector is required by code before an Accessory Apartment may be occupied. 5)No adverse conditions were found after considering items listed under Sections 280-142 and 280-143 of the Zoning Code. I � I Page 3 of 3—May 17,2012 ZBA File#6558-Schneider CTM: 1000-103-7-20 BOARD RESOLUTION: On motion by Member Goehringer,seconded by Member Weisman (Chairperson), it was RESOLVED, to GRANT, a Special Exception for an Accessory Apartment, in the existing Accessory Structure, as applied off` And, GRANT an area variance for the livable floor area of 800 square feet. t Any deviation from the survey, site plan and/or architectural drawings cited in this decision, may result in delays and/or a possible denial by the Building Department of a building permit, and may requi e a n application and public hearing before the Zoning Board of Appeals. r ew Any violations of the conditions, occupancy or other requirements described herein, may require a public hearing before the Zoning Board of Appeals to review potential action to revoke the Special Exception Permit granted herein. Vote of the Board- Ayes:Members Weisman(Chairperson),Dinizio, Goehringer,Schneider,Horning. This Resolution was duly adopted(5-0). I 1�CG� G Ir Leslie Kanes Weisman, Chairperson Approved for filing— 143 /2012 j I I I i i i I . I ! PHILLIP BELTZ o Special Projects Coordinator W Town of Southold RECEIVED P.O.Box 1179 Southold,NY 11971 l J�t �`�� Tel.(631)7.65-5806 MAY T Fax(631)765-1823 BEARD OF APPEALS TOWN OFSOUTH01,D AFFORDABLE IIOUSIIM6 PR06R 6IS CERTIFICATE OFEMMSILF1 �1 e ZBA FINAL MAP ��y, SEE DECISION #p May 9, 2012 Richard Stulsky currently residing at 1125 Pequash Avenue, Cutchogue, NY has been awarded a Certificate of Eligibility to participate in the Town of Southold's Affordable Housing Programs for 1125 Pequash Avenue for the following : X Rental Housing 1 bedrooms Permanent Housing bedrooms As per attached Town of Southold Housing Application, I have reviewed and verified the tenant's financial information and residency requirements and reviewed the rental agreement and hereby attest that they satisfy requirements as set forth by the Town Board's affordable housing policies. Sincerely, _ :. Phillip Beltz Special Projects Coordinator ^; a;1 Note: Information provided on housing applications will be reviewed as necessary and this certificate may be revoked due to a change in eligibility requirements (e.g. income, family size, etc.) ...�� 1 � t 1 5 i �Y MA 'Al M4 A4: In.,fed. ,L, �esYXfl up gmic SURVEY OF PROPERTY �'�}-o b- oo SITUATE: GUTCHOGUE N TOWN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 03-31-2005 W E UPDATE 05-II-2006,01-05-2006 01-01-2006 SUFFOLK COUNTY TAX p S 1000 - 105 -1 - 20 SUFFOLK COUNTY DEPT.OF HEALTH SERVICES RIO-06-0052 CERT1aJ DTO: Gorge T.Schneider • Oeorge W.Schneider Commonwealth d d Title Y wumce Company M <97 JUL 0 7 Z006 i 0 a d$ �So S o Q A e rK\ >0 QV 4. 'L/< o 10 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES \® PERMIT FOR APPROVAL OF CONSTRUCTION FOR A 4�sJa`ss dry° j G -... ---". :_ :'_ .. Ali � C5 Y L667 BAY Kbc DATE /- -0 S REF-. 1 R�—� APPROVED TOTAL MAXIMUM BEDROOMS \ EXPIRES THREE YEARS FRO":GATE OF APPROVAL NOTES MONUMENT FOUND AREA = 13,996 S.F.or 0.52 ACRE \ I•lil L N PROPOSED CESSPOOL TO BE APPROVED 8' DIA.BY 12'DEEP CONCRETE PRODUCT TO BE INSTALLED TO HEALTH DEPARTMENT STANDARDS. EXISTING SEPTIC WA5 NOT LOCATED AND OWNER ABSOLVES SURVEYOR OF ANY ISSUES THAT MAY ARISE BETWEEN INSTALLATION OF PROPOSED SEPTIC WITH THE EXISTING SEPTIC. JOHN C. FREERS LAND SURVEYOR NEIGHBORING WELLS AND SEPTIC BY OWNER OBSERVATION 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE I"= 30' RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287 REF.\\Compagserver\pros\05\05-153.pro _ -. � PROPOSED : - : N�!f VG.ar � - GARAGE WINDOW%EXTERIOR DOOR SCH�DULr� ' - anrt� n�rBF , 'FORE.. _ .. DE"�IION� ...�.: ROL'Gtl CPFNING;. ' .ttNNf RECEIVED - .� r a.., •, - - ,16?I JnND045_ �•ttNRER COLOR' : GRILL PALI:rN GF1LL SL', �NAiJWARC CEl�71FtC,A � p L.. t : A. 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