HomeMy WebLinkAbout45039-Z o�g�EFo1K�oG Town of Southold 8/11/2020
y P.O.Box 1179
o -
�' .� 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41339 Date: 8/11/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 640 Longview Ln. Southold
SCTM#: 473889 Sec/Block/Lot: 88.4-51
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/16/2020 pursuant to which Building Permit No. 45039 dated 7/27/2020
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 AC unit installed according to manufacturer specifications as applied for.
The certificate is issued to Eastern Suffolk Properly Two LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45039 08/05/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
OFF04 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
z TOWN CLERK'S OFFICE
� NY� SOUTHOLD ,
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#: 45039 Date: 7/27/2020
Permission is hereby granted to:
Eastern Suff Prop Two LLC
c/o Miles B Anderson
16 Round Pond Ln
Sag Harbor, NY 11963
To: legalize "as built" AC unit as applied for.
At premises located at:
640 Longview Ln. Southold
SCTM # 473889
Sec/Block/Lot# 88.-4-51
,1
'Pursuant to application dated 7/16/2020 and approved by the Building Inspector. _
To expire on 1/26/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
Buis ctor
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- $56.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. July 16, 2020
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 640 Longview Lane, Southold
House No. Street Hamlet
Owner or Owners of Property: Eastern Suffolk Properties Two LLC
Suffolk County Tax Map No 1.000, Section 088.00 Block 04.00 Lot 051.000
Subdivision Map of Terry Waters Mop #2901 y Filed Map., Lot: 70
Eastern
Permit No: �b� Date of Permit. Applicant. Suffolk Properties Two LLC
Health Dept. Approval: n/a Underwriters Approval:
Planning Board Approval: n/a
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ Eastern Suffolk Properties Two LLC
HIA A
By: jtl�& VeNK--A
Applicant Signature
Miles B. Anderson, Attorney & Agent
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I Eastern Suffolk Properties Two Yding at 16 Round Pond Lane
(Print property owner's name) (Mailing Address)
Sag Harbor, NY 11963 do hereby authorize Miles B. Anderson
(Agent)
to apply on my behalf to the
Southold Building Department.for an Electrical inspection.
Eastern Suffolk Properties Two L C
July 16, 2020
(Owner's Signature) (Date)
Miles B. Anderson, Managing Member
(Print Owner's Name)
CONSENT TO INSPECTION
Eastern Suffolk Properties Two LLC , the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s) of the premises in the Town of
Southold, located at 640 Longview Lane, Southold
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 081.00 Block 04.00 Lot 051.000
That the undersigned(has) (have) filed, or cause to be filed, an application in the
SoutholdTownBuildin Inspector's Office for the following:
i
Electrical nspect on
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon,'to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with.the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
EasternSSuffolk Properties Two LLC
Dated: July 16, 2020 /--/,4 13
(Signature)
By: Miles B. Anderson Managing Member
(Print Name)
(Signature)-
(Print Name)
®��oF so�j�®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Eastern Suff Prop Two LLC
Address: 640 Longview Ln city,Southold st: NY zip: 11971
Building Permit#: 45039 Section- $$ Block. 4 Lot: 51
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser X Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower X Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 40 Circuit Panel - 23 Used
Notes: " AS BUILT, NO VISUAL DEFECTS " AC and 200A Service
Inspector Signature: Date: August 5, 2020
S.Devlin-Cert Electrical Compliance Form.xls
*OF SOUTyO C/fU PW l ^
# TOWN OF S UTHOLD BUILDING DEP;.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ANSULATIOWCAULKING
[ ]- FRAMING /STRAPPING [ ] FINAL
[ ]
FIREPLACE-&-CHIMNEY [ ]- FIRE-SAFETY INSPECTION
[ ]- FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION-
ELECTRICAL-(ROUGH)
ENETRATION-
ELECTRICAL-(ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
-f/AAA le- IALTV�-t-`9-&Z
DATE. INSPECTOR
FIELD INSPECTION REPORT DATE GOMIIMNTS
FOUNDATION(IST)
FOUNDATION(2ND)
ROUGH FRAMING&
PLUMBING y 1
INSULATION PEA N.Y. y
STATE ENERGY CODE
_ r-1
a
FINAL
ADS ,,I�?NAL CI11X%IMEf��S
1 a MI!,
W)*
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 �y Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20� Single& Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20�u Mail to:
Disapproved a/c
Phone:
Expiration ,20
Buil pector
APPLICATION FOR BUILDING PERMIT
Date July 16 2020
• - INSTRUCTIONS
.a
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, and regulations, and to admit
authorized in o 'Pk*ne's s�b ' i g for necessary inspections. Eastern Suffolk Properties Two LLC
D � u
By (Signature of a licant r nam
J U L 1 6 2020 ( g pp o m ,if a corporation)
16 Round Pond Mane, Sag Harbor, NY 11963
� '� �"DE1 (Mailing address of applicant)
Statbyae�her applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Eastern Suffolk Properties Two LLC
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
Miles B. Anderson, Manager
(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:-------
640 Longview Lane, Southold
House Number r Street +"dfi 3sq,,r;'v;,i aml'e't'`
,•
County Tax Map No. 1'000 Section 088.000 _Block'' .04 00 "'''"' ' Lot 051.000
Subdivision Terry Waters Filed Map No. 2301 Lot 70
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Single Family w/ Rental
b. Intended use and occupancy Same
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work As built AC Unit
% (Descri tion)
4. Estimated Cost Feeto
(To be paid on filing this application)
5. If dwelling, number of dwelling units One Number of dwelling units on each floor One
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 58.3 Rear 58.3 Depth 37.9
Height Number of Stories One
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 100 Rear 100 Depth 150
10. Date of Purchase July 12, 2018 Name of Former Owner Marco Vezza and Regina Vezza ,
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO X
*Eastern Suffolk Properties Two LLC, 16 Round Pond Lane, Sag Harbor, NY 11963
14. Names of Owner of premises—* Address Phone No. 631-725-4400
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 survex, to scale, with accurate fqundation 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 l
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK )
Miles B. Anderson being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Managing mem_ber_of LLC
(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 EV YNNE RAMUNNO Eastern Suffolk Properties Two LLC
16th day of J u 1 Y 9 LIC,STATE OF NEW YORK
Registration No.01RA6299138
C� &_1 Qualified in Suffolk County 11y: Lr
Notary Public L;ommisslo,i Expres March 1 Signature of Applicant
D
f 4 BUILDING DTOWN OF SOUTHOLDaI s ctor5UL 1 6 2020 -
4Y
=` = Town Hall Annex- 54375 Main Road - PO B', 79
. .. �t�ING D.BV T
Southold, New York 11971-095b •
tr ,.r '7�'rHOLD
Telephone (631) 765-1802 - FAX (631) 7
ro err south6ldtownn" . .ov_= seand southoldtownn ov.
APPLICAT}ON FOR- ELECTRICAL INSPECT-
0,
NSPECT
ELECTRICIAN INFORMATION,-(Alrinforr nation Required) Date:-July 16, 2020 -
Company Name: AS BUILT
Name: . -...._
License No.: email:
Address:
Phone No.:
4
JOB SITE INFORMATION (Ail Information Required)
Name: Eastern Suffolk Properties Two LLC
Address: 640 longviw+Lane, So"uit:hold e
= Cross"Street: Main 'Bayview Road
- Phone No.: 631-.725-4400
Bldg.Permit#: email: mbalaw@optimum.net .
Tax Map District: -' 1000. Section: >o88.oo Block:I o-.4,_00 Lot: 051.000
'BRIEF DESCRIPTION OF WORK (Please,Pdnt Clearly)-
A/C Unit and new service panel
Circle All That,Apply:
Is job ready for inspection?: <a/ NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: ZDD A #Meters Old Meter#,
New Service- Fire Reconnect-Flood Reconnect-,Service Reconnected- Underground -Overhead
#Underground Laterals- 1 2, H Frame Pole Work done on Service? Y N
Additional Information* Panel Murray
AIC unit - Lennox1UAUl3-3U-JP
---------- — ------- ------ - --P-A-Y-MENT-DUE—WITH-AP-P-L-IGATION -- ----�I.r.-A
Request for Inspection Form.xls
`u'A'J 4- hem&
4o) CI P C U F-
D B�LVZ
6
BUILDING DEPARTMENT-Electrical s cto
4i
5UL 1 6 2020
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO BQB117
DE
6Southold, New York 11971-095
,
HOLD
Telephone (631) 765-1802 - FAX (631) A b502-
rogerr southoldtownny.clov — sea nd @southoldtown ny. ov
APPLICATION, FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: July 16, 2020
Company Name: AS BUILT
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: Eastern Suffolk Properties Two LLC
Address: 640 longview Lane, Southold
Cross Street: Main Bayview Road
Phone No.: 631-725-4400
BIdg.Permit#: email: mbalaw@optimum.net
Tax Map District: 1000 Section:. 088.00 Block: 04.00 Lot: 051.000
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
A/C Unit and new service panel
Circle All That Apply:
Is job ready for inspection?: C.LEY/ NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: ..ZQD_A #Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected- Underground -Overhead
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information: Panel Murray
A/C unit - Lennox- 10713-30-3P
PAYMENT DUE WITH APPLICATION
Request for inspection Formals
k
MILES B. ANDERSON
ATTORNEY
16 ROUND POND LANE
SAG HARBOR,NEW YORK 1 1963
Admitted to practice: phone (631) 725-4400
State of New York i t, �
G �C; {( ,f� LUimialea (631)mum. 23
District of Columbia �G u V ba,
{
July 16, 2 0 J U L 16 2020
Michael Verity, Chief Building Inspector
Southold Town Building Department u- p� IN ��{y'�pr�{�
�V�.l�lA,�n1:+L ��
P.O.Box 1179
54375 Route 25
Southold,New York 11971
Re: 640 Longview Lane, Southold
SCTM: #1000-088.00-04.00-051.000
Dear Mr.Verity:
I represent Eastern Suffolk Properties II,LLC which is the owner of a home at 640 Longview Lane in
Southold. My client purchased the property in 2018 and relied on the existing Certificate of Occupancy. Last
fall, following the adoption of the new requirement, my client applied for a rental permit. An inspection was
made on November 19, and the inspector said that the prior owner had updated the electric service panel and
installed central air conditioning without obtaining a building permit or electrical certificate. A copy of the
inspection report is attached.
Since that date I have been trying to arrange for an electrical inspection by your Department. I had
several questions regarding the forms I needed to fill out.I have made several unsuccessful attempts to contact
your department by telephone and email. I stopped in person at your office yesterday and was told by one of
the clerks in the Supervisor's office who happened to be passing by that I could only see a building inspector
by prior appointment.
I realize that, like everyone else, your Department has been disrupted by the COVID-19 pandemic.
My client would nevertheless like to obtain a rental permit so that he can do a year-round rental starting in
September.
Without knowing exactly how much information you will need to perform the electrical inspection
and issue an updated Certificate of Occupancy I am enclosing the following:
1. Application for Electrical Inspection [The work was done by a prior owner, and I have filled out
the application as best I can from the information available to me.]
2. Consent to Electrical Inspection
3. Authorization (Where the Applicant is not the Owner)for Electrical Inspection
4. A check payable to Town of Southold in payment for the electrical inspection [The amount is
blank,and I am authorizing you to fill it in.]
5. Application for Building Permit [This covers a new electric panel and installation of central air
conditioning. Again, all of the work was performed by a prior owner.]
6. Application for updated Certificate of Occupancy
7. Consent to Inspection for updated Certificate of Occupancy
8. Authorization (Where the Applicant is not the Owner)for updated Certificate of Occupancy
9. Photocopies of existing Certificates of Occupancy
'-s
t ®i
Michael Verity, Chief Building Inspector
July 16, 2020
Page 2
10. Survey of premises last revised June 8, 2018
11. Photocopy of deed
12. A check payable to Town of Southold in payment for the Building Permit and updated Certificate
of Occupancy [The amount is blank,and I am authorizing you to fill it in.]
13. Application for Rental Permit
14. Consent to Inspection for Rental Permit
15. Authorization (Where the Applicant is not the Owner)for Rental Permit
16. Floor Plan of house
17. A check payable to Town of Southold in payment for the Rental Permit[The amount is blank,and
I am authorizing you to fill it in.]
If there is anything else needed to process these applications,please let me know. The easiest way to
reach me is by email.My email address is mbalaw(a-)optimum.net.Please return or destroy any unused checks.
With regard to the inspections and COVID virus precautions,the house is unoccupied, and it has been
thoroughly cleaned since the last tenant left. To gain access to the house, the electrical inspector or building
inspector should telephone my son,Jeff Anderson,who lives in Mattituck, at 631-235-6532.
I very much appreciate any help you may be able to provide.
Sincerely,
Q� �
MBA:er
Enclosures
c:\users\public\documents\clients\eastern suffolk properties\southold m-1278\permits\1etter to southold town 7-16-20.docx
SURVEY OF
LOT 70
YVj�T� MAP OF
TERRY WATERS
(J FILE No. 2901 FILED DECEMBER 29, 1958
�� moo• Js3, SITUATED AT
BAYVIEW
30
s� o4y�"9 F TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-88-04-51
ry
SCALE 1 "=20'
AUGUST 7, 2007
o e
MSN JUNE 8, 2018 UPDATE SURVEY
AREA = 15,000.00 sq. ff.
0.334 cc.
ou i
SN wE e CER TIFIED T0:
R
M� o �A/C UNIT � �! `
CONC. ���'� I FIRST INTERNATIONAL TITLE AGENCY
sTooP TITLE No. NY2735-01
9. 6 1 oo FIDELITY NATIONAL TITLE INSURANCE COMPANY
EASTERN SUFFOLK PROPERTIES TWO LLC
s00
C-2
z' o
Qi
30, C7�
'!� G°� \ T °\ OO• ° PREPARED IN ACCORDANCE WITH THE MINIMUM
DNC' D STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
G a �Yy� D BY THE L.I.A.L.S. AND APPROV ADOPTED
\ a D a
FOR SUCH USE BY THE 0 STATE%LAND
TITLE ASSOCIATION. If,
eo
0 67
NZ,
1 V\ Y
i
/ q
a i Y.S. Lic. No. 50467
of L fi UNAUTHORIZED ALTERATION OR ADDITION Nathan Taft Corwin i i i
\�J� TO THIS SURVEY IS A VIOLATION OF
,^ �V�° � � SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW. Land Surveyor
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
M� �� ° EMBOSSED SEAL SHALL NOT BE CONSIDERED
O
. , TO BE A VALID TRUE COPY.
OO
' CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S.
ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S.
IS PREPARED, AND ON HIS BEHALF TO THE
° g X TITLE LENDING MPANY,TONERN MENTAL AGENCY ED HEREON, ANDND Title Surveys — Subdivisions — Site Plans — Construction Layout
TO THE ASSIGNEES OF THE LENDING INSTI— PHONE (631)727-2090 Fax (631)727-1727
p TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
OFFICES LOCATED AT MAILING ADDRESS
J�J THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
I
APPROVED AS NOTED
DATE:
Ox/ndustrIes Inc. FEE: < BY:
-AS_ TEXAS NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
MIN_ 1OACg30-3P — "` FOLLOWING INSPECTIONS:
SIN 5895H 59108 1. FOUNDATION - Ta1'C '.SQUIRED
cimk1Ns HCFC_V2z DESIGN PRESSURE FOR POURED CO,,:; TE
FACTORY CHARGE x278 "� Psic 2. ROUGH - FR.AM1;,,3 & PLUMBING
� 4 Las 2 oza
144 LO PSIG 3. INSULATION
ELECTRICAL FiA Dig twi At 2081230 VOLTS 4. FINAL - CONSTR.ICTION MUST
m60 H� MIN 197 mAx 253 BE COMPLETE FOR C.O.
C0IAPRESSOR
FAN-MOTOR ALL CONSTRUCTION SHALL MEET THE
-- REQUIREMENTS OF THE CODES OF NEW
�u t3 7 FLA YORK STATE. NOT RESPONSIBLE FOR
►M -- __ 75 » —-- ti6 DESIGN OR CONSTRUCTION ERRORS.
riw t i t--la MAX RriE 011 CKT BM
eMetYotlR1■ar._____ rwIftI1wwtclncu1 30
FOR OUTDOOR USE ('"11 ne IItC t
1%oft" COMPLY WITH ALL CODES OF
EW YORK STATE & TOWN CODES
Vl c V� REQUIRED AND CONDITIONS OF
1p�BOARC
- S STEES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
o 'Ls�U�
D
JUL 2 2020 ELECTRICAL
INSPECTION REQUIRED
BUILPTNG DEPT.
T"' " HOLD
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BUILDING DEPT.
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