HomeMy WebLinkAbout41628-Z J
o�oSUFFQI,� Town of Southold 5/5/2019
g '�� • P.O.Box 1179
o -
�' 53095 Main Rd
err Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40331 Date: 4/16/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 405 Cedar Point Dr W., Southold
SCTM#: 473889 See/Block/Lot: 90.-2-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/4/2017 pursuant to which Building Permit No. 41628 dated 5/11/2017
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:
ADDITIONS AND ALTERATIONS INCLUDING SCREENED PORCH,FIRST AND SECOND FLOOR DECKS,
AND OUTDOOR SHOWER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to K Mac Reality LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41628 04-02-2019
PLUMBERS CERTIFICATION DATED
0
ho i e Signature
��o��UFFut,r�oG� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�y • ! 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#: 41628 Date: 5/11/2017
Permission is hereby granted to:
K Mac Reality LLC
5 Acorn Ln
Commack, NY 11725
To: construct additions and alterations to existing single-family dwelling as applied for per
Trustees approval.
At premises located at:
405 Cedar Point Dr W., Southold
SCTM # 473889
Sec/Block/Lot# 90.-2-27
Pursuant to application dated 5/4/2017 and approved by the Building Inspector.
To expire on 11/10/2018.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $482.00
CO -ADDITION TO DWELLING $50.00
Total: $532.00
B 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 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 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. ,
New Construction: Old or Pre-existing Building: If (check one)
Location of Property: 40�5 ��, � � Dn ,
House No. Street Hamlet
Owner or Owners of Property: , I [u b
hIrl
Suffolk County Tax Map No 1000, Section �� Block Lot 10
Subdivision ( Filed Map. Lot:
Permit No. —1Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
. 5-0
App ica ignature
SOU��®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road eos � Fax(631)765-9502
P.O.Box 1179 roper.riche rt(ab-town.South old.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. K Mac Realty LLC
Address: 405 Cedar Point Dr W City: Southold St: New York Zip: 11971
Building Permit#* 41628 Section: 90 Block. 2 Lot 27
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: East County Electric License No: 1005-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 1 Twist Lock R, Exit Fixtures 11 TVSS
Other Equipment. "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
"SCREEN ROOM"
Notes: 1-paddle fan
Inspector Signature: Date: April 2 2019
81-Cert Electrical Compliance Form.xls
Town Hall Annex S Telephone(631)765-1802
54375 Main Road - Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 -
BUILDING DEPARTMENT D i._
TOWN OF SOUTHOLD ti
APR - 1 2019 °
5
C-E-RTIFICATION
I_
Date; V--
Building Permit No.
Owner:
(Please print)
_. -Plumber: PLY 1 I_ ' ? ( /C 7-7 �
r.
(Please print)
I certify that the solder used in the water supply system contains Iess than 2/10 of 1% {
lead.
i
(Plumb s g re)
Sworn to before me this
day of w 20�
ROBERT A MAZZAFERRO
NOTARY PUBLIC-STATE OF NEW YORK 1,
NO.01 MA6207376 i
QUALIFIED IN SUFFOLK COUNTY
Notary Public, N EXPIRES JUNE 15,20
�� f _. .CouCOMMISSION nty 1
I
i
E
I
l bye
OF SO(/TyOlo
cou Ncc�
V
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
REMARKS: Vl
DATE 10 INSPECTOR
OF SO(/T�ol
� o
coum,�c�
TOWN-OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] UNDATION 2ND [ PFI
ULATION
[ FRAMING / STRAPPING [ AL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: l ArI �S
r , (:,,tv A)041YS
z _
Mrs
DATE 144 A INSPECTOR
f
OF SOUIyo�
TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION ' c\, �'-Jo
,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. ke' p�1
[ ] FOUNDATION 2ND [ ] INSULATION
''y�� ' i
[ ] FRAMING /STRAPPING
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPE TION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAT
[ ] ELECTRICAL (ROUGH) UPI ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] CAULKING
REMARKS:
DATE / INSPECTOR i�
y� SOF SO!/ly
hog o�
# TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] SULATION� �f� � � C4
'FRAMING /STRAPPING [ FINAL `
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION =
[_ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION,
[ ] ELECTRICAL-(ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
ii f ! 9 "• " 1 d 1 !E
v;
n
MOLAT
STATE ' . • f
MAMPAVITIM
M Mr
Mr
����.%461 m
va
Jif� ► ►_t. ' .' ,� d�.�_� _ \
- r�r
w
I.
.r
r
MAY - 4 2017 D
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL BUILDING DEPT Board of Health
SOUTHOLD,NY 11971,' _',SOWN OF SOUTHOLD 4 sets of Building Plans
TEL: (631)765-1802 - Planning Board approval
FAX:(631)765-9502 �` 7/ Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
NYSDEC
) Trustees
C 0 Application
Flood Permit
Examined 2D 0DSingle&Separate
q ®p Storm-Water Assessment Form
OCT51 C ` 2016c Contact:
Approved 20 Mail to GI 1,e.
Disapproved a/c 'BURDW °ttD��.
TOWN OFaSOV iA Phone. . 1(0
Expiration 20 0
Building I e for ,
APPLICATION FOR BUILDING PERMIT
Date (/ul(p
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 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
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 d regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of�applliiccan�t�or_n e,if a corporation)
(Mailing address of 117 r1/11
State whether applicant is owner,less0agerit, chitect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises 8 Hk)
(As'oll the tax roll or latest(feed)
If applicant is a corpor4Uon,signatu of duly authorized officer
C `
(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 ork will be done`
A-b� P X/r=2r Ahr
House Number Street Hamlet
�q �
County Tax Map No. 1000 Section (/ Block 1� Lot
{(' 1',1 -
Subdivision Filed Map No. Lot
2. State existing use and occupancy of pre nises and in nded;•use and'occu—aq cy�.gf.propbsed construction:
a. Existing use and occupancy
b. Intended use and occupancy ( /
3. Nature of work(check which applicable):New��Buil rili-.g—�dlditiYon - Alteration
Repair Removal De rr�olitiofT3 N i . t_ Opthe W ell
�` 5 V f��i-Y v.
E2 � �-� �- ! (Description)
4. Estimated Cost 1 i Fee �?
be p4'i, filing this application)
5. If dwelling,number of dwelling units Number,of dwelling nits on each floor
If garage, number of cars
6. If business,commercial or mixed occupancy,specify 6a' type of use.
7. Dimensions of existing structures,if any:Front o Rear Depth 40
Height Number of Stories a
I
Dimensions of same structure with alterations or additions: Front 1- fto�55 Rear ��-7'S
Depth s i(p, -D Height Number of Stories
8. Dimensions of entire newronstruction:Front ea Depth 1(o t�J
Height f Number of Stories f d�G�L
� I I
9. Size of lot:Front c7 9 _)?,ear_—!5L S Depthy +
10.Date of Purchase Name of Former Owner
B� 4
11.Zone or use district in which premises are situated 0
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO
13.Will lot be ie-graded?1'ES NO XWiii excess till be removed from premises?YES NO
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 X 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.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS
COUNTY OF l -
f'f-( _ ���'� being duly swom,deposes and says that(s)he is the applicant
Dame of individual individual sigm contract)above named,
(S)He is the N p MJt
(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
performed in the manner set forth in the application filed therewith
Sworn to before me this
g fh day of 20 No
—c_c -P rx-l' �Q
am v)(I R'V '4- A Z,
Notary Public 0Sig e of Applicant
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.OIDW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2D1_8
o��pF SO(/lyol ,
Michael J.Domino,President Town Hall Annex
54375 Route 25
John M.Bredemeyer III,Vice-President
P.O:Box 1179
Charles J.Sanders v, Southold,New York 11971
Glenn Goldsmith �� Telephone(631)765-1892
A.Nicholas Krupski �'�couAm .'" Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 8965A
Date of Receipt of Application: January 25, 2017
Applicant: K Mac Reality, LLC
SCTM#: 1000-90-2-27
Project Location: 405 Cedar Point Drive West, Southold
Date of Resolution/issuance: March 22, 2017
Date of Expiration: March 22, 2019
Reviewed by: Board of Trustees
Project Description: Remove 60sq.ft. of existing second-floor deck, and 60sq.ft.
of existing first floor deck; construct a new second floor roof deck; a new first
floor deck; and a new seasonal screened in porch for a combined total of
705sq.ft. onto the southerly side of the dwelling.
Findings: The project meets all-the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
site plan prepared by John J. Condon, Licensed Professional Engineer, received
on January 25, 2017, and stamped approved on March 22, 2017.
Special Conditions:,None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold'Town Code, a
Wetland Permit will be required-
This
equired.T ' isnat�rmination from any other agency.
J
Michael J. Domino,
President Board of Trustees
Michael J. Domino, President �,QF SU(lr�o Town Hall Annex
John M.Bredemeyer III,Vice-President Q 54375 Route 25
� O P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski G Q Telephone(631) 765-1892
Greg Williams �� Fax(631) 765-6641
- �
,Fu
® D
APR 1 1 2019 BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
®WN®F SpaO .� CERTIFICATE OF COMPLIANCE
# 1565C Date: February 12,2019
THIS CERTIFIES that the removal of 60sq.ft. of existing second-floor deck, and 60sq.ft. of
existing first,floor deck; construct a new second floor roof deck; a new first floor deck; and a
new seasonal screened in.porch for a combined total of 705sq.ft. onto the southerly side of the__
dwelling;
At 405 Cedar Point Drive West, Southold
Suffolk County Tax Map#1000-90-2-27
Conforms to the application for a Trustees Permit heretofore filed in this
office dated January 25, 2017 pursuant to which Trustees Administrative Permit#8965A
Dated March 22, 2017, was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is
for the removal of 60sq.ft. of existing second-floor deck, and 60sq.ft. of existing first floor deck;
construct a new second floor roof deck; a new first floor deck; and a new seasonal screened in
porch for a combined total of 705sq.ft. onto the southerly side of the dwelling.
The certificate is issued to K Mac Reality LLC owner of the
aforesaid property.
m
Authorized Signature
�l SUrFQ ,
Scott A. Russell ��° �� S`7C'(0)��I������A���']EI�
SUPERVISOR $ IWANA(GrEMUENT
SOUTHOLD TOWN HALL-P_O.Box 1179 "' 4
53095 Main Road-SOT=013:),NEW YORK 11971 'jly Town ofSouthold
of ��
CHAPTER 236 - STORNI'WATER MANAGEMENT WORK SHEET
(TO BE COMPLETED BY THE APPLICANT)
IOI1�7Ca:
YesNo -----
(OMOC alt_THAT APPLY '
.
- []UA. CIearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
r ❑[dB- Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area-
DIEWC. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance-
Flo
istance-
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area. t
❑[ . Site preparation within the one-hundred-year floodplain as depicted
OR FIRM Map of any watercourse..
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
F* 'afndoau
answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
ure, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project_
answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
completed Cbeck histForm to the Building Department✓,Mihyouur Building Permit Application.
APPLICANT: !Property ner,Design Professional,AgEm. ontractor,Other) -
District
S.C.T.NI. 1000 lite
NAM1= 10 2 a-7 5-
Section Block Lot
�., 4
FOR BLIILDIG DE Pt;}?Tl!_ -r LCL
on,act Informanorr
Reviewed By_ DIL-7
Date.
Property Address / Location of Constiuctton Work
C aApproved
for proceing Building Perit
o - n Ah; � m
tormwater Management Control Phan Not Required.
W
�l C Pia„ D.,,..
�� , I Stcrm.vater PAanage n;Ci,: `„t;trGl ,�,.�4.,,,ea
�� (Forward to Engtneerin-Department for Review)
FORM - SMCP - TOS MAY 2014
21n, �
�'®f SOUry�
Town Hall Annex Telephone(631)765-1802
54375 Main Road N (631)765 5
P.O.Box 1179 G Q royer.richert(a own.sout�i0ltl.nV.US 1
Southold,NY 11971-0959 '� � �� j
BUMDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY- R C�s Date:
Company Name: �--
Name: -
License No.: D
Address: ®� C YZ d. SSC27-66
Phone No.:. 762 _ RZ �=
JOBSITE INFORMATION: (/*II�ndicates required information)
*Name: C`
r
*Address: S"
*Cross Street: M,9 w A,
*Phone No.: 6
Permit No.: 4116416 -
Tax-Map
//641 Tax Map District: 1000 Section: Block: a Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
- f
(Please Circle-Ali That Apply)
*Is job ready for inspection: . (f;DNO Rough In Final
*Do•you need a Temp Certificate: YES/ NO
Temp Information(If needed) {
*Service Size: 1 Phase' 313hase 100 ' 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form ( (��r
r
�w/t;Y r�D aY ur _c�zw:ru I 7
G�.g_t�aiuE._I�lPfiy"---- j
/�
I E�DH RooF Yl,/
t2NcID FJ e
S^� n'fi12O is M'7I,�2t._.._ _.
_'2K4j1�(UDWAu_ _�
*m j1 -r}{I U,!�q Fo
do,31 4.2x6 C,Iwax _
--E� rL
L__ L—I
N $ --�Lo- Y411 1, 11
p_ID_DORGH
p eaD- i� I�dl�x4j1 K1u�
' 21.75 � _C'IF-�..CI.:_--— �2�Sc�1 J�(k JO�"•ILoI'O.G
zoMs X pvt D TDNa 2'2x6 G�1p D�I�
401/
U _�y1Y2111 �� r_� 611.
'21 oj1
` -o
ko \
�. J�.1f�lpl�l��D'1-lC.✓�_ � ;� JAN 2 F 1017 I
\ I,1Dr1___•-r rluzanI:Lj APPROVED '-- -
\ BOARD OF 1RUSTEES --
/ —�F� -
\ I TOWN OF SOUTHOLD
DATE mAM zz zo17
a315�j1 W —off
�14 C31PI,
�l3
ty
277, 1
r)H. Igor
2X li? 1:i cGk-
�
4114 P WA iou&
1-hL T
viro
lit µ t i
en
4 Q — All"
I•�5 � _.-_____._ _ _ .�.�---''' :�_�x� C�;� �"�"' ICS o.�..
•YID• � �� � ('i V ��" f✓I - � _...--•___..._.�_.-,._-__-....._-.........._._..--. _....,,.e.�� �a A'✓'�
PAM-)
ro
_
�- \
. 1 0-- T
1Z D
4 1_
L. CTRI�;�+L
pe.-ITU �\ y\ '� INSPECTION REQUIRED
n RLTAIN STOMA Vk'ATER RUNOFF
SIO ED AS NOTED COMPLY WITH ALL CODES OF RURSUAiuT TO CHAPTER 236
QP' NEW YORK ._.TATE & TOWN CODES OF THE TOVV`N CODE.
-�,� �,�``�` `� `\ • ` DATE: B.P.# AS REQUIRED AND CONDITIONS OF
FEE: r BY: A SOC170trC VN22
NOTIFY BUILDING DEPARTMMIT AT
765-1802 8 AM TO 4 PM FOR THE �-S - OARD
FOLLMN74G INSPECT1
IONS: SOUTHOLD TO'dVN TRUSTEES
1. FdUtyCATIdPl ' TWO h CUED
Y,
F" R rGURED C(,'%f RETL
2. FJUGH - PRAIVI'v R �4'.'"" INN
-- 3. !"HULA" IOty _,
w., vi
_ CT �rTt
4. FI�1AL coN� ,^ tc;� MUST OCCUPANCY
BE CGMPLETF .,.C. OR
ALL CCNSTRUCTidN -!ALL V-:7 THE
USE IS UNLAWPI��
REQU t✓cNTS OFT ":'7E� dr P,�
YORK STATE. NOT RESPI-,'.S13Ly FOR WITHQL urFiT(1=ICATEk '�6`4N ,
DESIGN OR CONSTRUCTION ERRORS,
OF OCCUPANCY �.°•4��"��� � ���
t
,
i
1
t�
f
±i b
1
i
I
i
I1 F
LLL
_GSD, E �' qolx r
PA
– - i
woOL—
UTITP
:L j T 7-�TM -- uafl-
�I R
_.
.40
1-
}ri 4
7=,
1
GY4 14:1 _
IP
i{
t:xt�-�tIrVL IDtt,,1YE
j
;q oE—
i
_._
� V
Q
. ....
--- ,I 17 fl10. - - -
i 406
41
it
14
OE
YW I,,
_ .. ._ , .� _ ..///���� ��' h-.-_'� 9n fry' {'1 �•°`" r ';y __ ..� - . .._....�•—�__.,... ..- .- 4
t`
I r
1 Y
t
d
4Br
_r