HomeMy WebLinkAbout46610-Z po�oSaFFotk py n Town of Southold 5/19/2022
P.O.Box 1179
y rn
53095 Main Rd
1 �a1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43089 Date: 5/19/2022
THIS CERTIFIES that the building BASEMENT ALTERATION
Location of Property: 2793 Cox Neck Rd.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-8-7.6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/15/2021 pursuant to which Building Permit No. 46610 dated 7/23/2021
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"finished basement(recreation room and bathroom)to existing single-family dwelling as applied for.
The certificate is issued to Schwartz,Justin&Allison
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46610 11/15/2021
PLUMBERS CERTIFICATION DATED
th riz d ignature
�suFfnt�o TOWN OF SOUTHOLD
�o aye BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
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#: 46610 Date: 7/23/2021
Permission is hereby granted to:
Schwartz, Justin
426 W 58th St Apt 4A
New York, NY 10019
To: legalize "as built" finished basement to existing single-family dwelling as applied for.
Additional certification will be required.
At premises located at:
2793 Cox Neck Rd., Mattituck
SCTM #473889
Sec/Block/Lot# 113.-8-7.6
Pursuant to application dated 7/15/2021 and approved by the Building Inspector.
To expire on 1/2212023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,172.00
CO-ALTERATION TO DWELLING $50.00
Total: $1,222.00
I ector
pF SO(/ryol
Town Hall Annex ~ O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. ox 117
Southoldd,,NY 11971-0959 G yo sean.deviina—town.southold.nv.us
.c`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Justin Schwartz
Address: 2739 Cox Neck Rd city:Mattituck st: NY zip: 11952
Building Permit#: 46610 Section: 113 Block: 8 Lot: 7.6
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 X Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 17 Ceiling Fixtures 1 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 26 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 1
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4 4'LED Exit Fixtures Pump
Other Equipment:
Notes: "AS BUILT NO VISUAL DEFECTS " Finished Basement
Inspector Signature: Date: November 15, 2021
S. Devlin-Cert Electrical Compliance Form
* TOWN OF SOUTHOLD BUILDING DEPT.
coulm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[- ] ` FOUNDATION 2ND [ ] INSULATION/CLAULKING
[ ] FRAMING /STRAPPING [�fJ FINAL pd &4_
Awl
[ ] FIREPLACE &"CHIMNEY ' [ ] FIRE SAFETY INSPECTION
[ ] FIRE.RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
6) 7 d,
DATE INSPECTOR
OE SOUTyOIo GOyypp
* TOWN OF SOUTHOLD BUILDING DEPT.'
765-1802
INSPECTION -
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] ,FOUNDATION 2ND " [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE& CHIMNEY= [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) f ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: fes' V'/ LST
L-7- G U-rt-,r-r S
DATE / 2� INSPECTOR
OE SOGIy��
# TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION/CAULK�NG
[ ] FRAMING /STRAPPING [ FINAL �C&&tAA �
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
1
DATE S �� INSPECTOR
FIELD:INSPECTION REPORT
COMMS
,
FOUNDATION(1ST) G
--------------------------- ----------- C�
S
FOU"ATION PND)
lzp
ROUGH FRAMING:& .• y
PLUM-B]NG:
INSULATION.PER N.Y. H
STATE ENERGY CODE Sb
• y
FINAL•
ADDITIbNA GUNINIENTS
0
-.6044X
S
,N O
W
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
N Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631)765-1802 Fax(631)765-9502 https://www.southoldtownn .gov
0 °1 '.
Date Received
APPLICATION FOR BUILDING PE IT
14�6tnFor Office Use Only D
PERMIT NO. V Building Inspector: V D
Applications and-forms must be filled but in theirentirety.,lncomplete - J U L 5 2021
_applications Will n6C6e accepted. Where.the Applicant isnot the owner,an-
--Owner's.Authorizatiori form(Pale 2)shall be completed BUILDINGDEPT.
TOWN O:1~SOUTHOLD
Date:
OWNERS)OF'PROPERTY:,
Name: JUSTIN SCHWARTZ SCTM#1000- 11300-0800-007006
Project Address: 2793 COX NECK ROAD, MATTITUCK, NY 11952
Phone# 917.509.0502 Email: JUSCHWARTZ@GMAIL.COM
Mailing Address: 426 W 58TH STREET,APT 4A, NEW YORK, NY 10019
777=7 7
-.CONTACT PERSON: '.
Name:-KATE RUMMEL,AGENT,COLE ENVIRONMENTAL SERVICES
Mailing Address: 425 MONTAUK HIGHWAY, EAST QUOGUE,NY 11942
Phone# 631.369.9445 J Email: KATE@COLEENVIRONMENTALSERVICES.COM
DESIGN PROFESSIONAL INFORMATION:
Name: N/A
Mailing Address:
Phone#: Email:
CONTRACTOR.INF.ORMATION
Name: N/A WORK HAS ALREADY BEEN COMPLETED.
Mailing Address:
Phone'#: Email:
DESCRIPTION.OF:PROPOSED`CONSTRUCt10N
❑New Structure ❑Addition []Alteration []Repair ❑Demolition Estimated Cost of Project:
®Other EXISTING FINISHED BASEMENT,, $ N/A
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property: PLECI D E NT 1AL Intended use of property: ?_Ej� D%TL AL
Zone or use district in which premises is situated: Are there.any covenants and restrictions with respect to
�QO this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
11 Check Box AfterUUReading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): Q �Li VV VV Q.1 XAuthorized Agent ❑Owner
Signature of Applicant: Date: 1 • 12> . 2I
STATE OF NEW YORK)
SS:
COUNTY OF r)+�r�� )
�Q 1i11M VVl being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
ll
(S)he is the A )Q i T
(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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of 20
Notaryu
AMY E:WILCOX
PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC,STATE OF NEW YORK
(Where the applicant is not the owner) No. 01 W 16224680
Qualified in Suffolk County
., //uCom/mission Expires November _
30,20
J
I, US V,j d' f1Ct ISo.� Scltr��Qi L residing at �L7g 3 N�` c RJB
*+1TVC1t/ fjY / 4C"i do hereby authorize 60CC" t o1l/1&0Are-t:;-r4L S 2Ifrcvf' to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
'X/ A<�_ 1$v ��� 5-/2 , 1 l
Owner's Signature Date
A07%v SC lti✓4tii L ���.I�, ��
Print Owner's Name
2
l
Buildin,Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
�v�.� ���soAI s W z7� COK
I, Cc-f �� residing at 3 .
(Print property owner's name) (Mailing Address)
M 4�7-oV(-L , �l Y I Z do hereby authorize
(Agent)
COLE ENVIRONMENTAL SERVICES
to apply on my behalf to the
Southold Building Department.
r 9-12 �
O ner'sSignature) (Date)
(Print Owner's Name)
BUILDING DEPARTMENT-Ele ri I InQVtaR 12021-
TOWN OF SOUTH L
LDI W
= Town Hall Annex-54375 Main Road - RBSioLo
Southold, New York 11 971-0959__ ____
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerlDsoutholdtownny.gov — seand(a)_southoldtownny.Qov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:;W4094-
Company Name: GJS Electric, LLC
Electrician's Name: Gary Salice
License No.: 4839ME Elec.email:gary@nfay.com
Elec. Phone No: 631-298-4545 '01 request an email copy of Certificate of Compliance
Elec. Address.: 6615 Main Rd., Mattituck, NY 11952
JOB SITE INFORMATION_ (All.Information Required)
Name: Justin Schwartz
c� Address: 'M�Co)(Neck Rd., Mattituck, NY 11952
Cross-Street: Bergen Ave,
-Phone No.:
Bldg.Permit#: email:
Tax Map District: ' 1000 Section:113 Block: 8 Lot:7.6&7.8
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Pzo, CD
Square_Footage: 136-6
Circle All That Apply:
Is job ready for inspection?: .. "" YES❑NO ❑Rough In Final
Do you need a Temp Certificate?: ❑ YES&NO Issued On
Temp Information: (AII information required)
Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
#Underground Laterals 1 R2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION I �/
W(qlh
PERMIT# Address:
Switches
� I
Outlets r I
L�
GFI's l
Surface I
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust. Oven W/D
Smokes DW Mini
-Carbon Micro . Generator
Co:rrmbo I -... Cooktop Trarisfer
AC_ AH Hood Service,.
Amps Have Used
Special:
Comments:.
I
a
i
An
Environmental Consulting
Wetland Project Management
425 Montauk Highway
East Quogue, NY 11942
(631)369-9445
www.ColeEnvironmentalServices.com
July 9, 2021
Town of Southold
Building Department
54375 Main Road
P.O. Box 1179
Southold, NY 11971
Re:Justin Schwartz
2793 Cox Neck Road
Mattituck, NY 11952
SCTM No: 1000-11300-0800-007006
To Whom It May Concern,
Our client wishes to legalize an existing shed as well as an existing finished basement. Enclosed are the
following items:
1. Building Permit Application
2. Building Department Authorization Form
3. Survey
4. As-built plans of the existing structures
Kindly let me know what steps we need to take to legalize these structures. If you need anything additional, do
not hesitate to contact me.
Sincerely,
C�04
Kate Rummel
Project Coordinator
Cole Environmental Services, Inc.
kate@ColeEnvironmentalServices.com
D �
e e a e ee e OCT 1 8 2021
Environmental Consulting ;L
Wetland Project Management BUILDING DEPT.
425 Montauk Highway TOWN OF SOUTHOLD
East Quogue, NY 11942
(631) 369-9445
www.ColeEnvironmentalServices.com
October 13, 2021
Town of Southold
Building Department
54375 Main Road
P.O. Box 1179
Southold, NY 11971
Re:Justin Schwartz
2793 Cox Neck Road
Mattituck, NY 11952
SCTM No: 1000-11300-0800-007006 &007008
To Whom It May Concern,
.Our client is in the process of legalizing his finished basement and a shed on his property. He owes fees
for both structures ($1222 for the basement, and $403.60 for the shed), as well an electrical inspection
fee ($250.00). A check for the total amount ($1,875.60) is enclosed.
In addition, our client has an open, expired Building permit for a pool, which he must renew. A check for
this fee($200.00) is also enclosed.
Please let me know if you need anything additional.
Best, 1�J
Q—
Kate Rummel
Project Coordinator
Cole Environmental Services, Inc.
S. C .T.M. # DISTRICT: 1000 SECTION: 113 BLOCK: 3 LOT: 7 . 6 & 7 . 3
#R10- 16-0037
I
i
LIMIT OF NYSDEC i
TIDAL WETLANDS JURISDICTIO
TIE LINE DIMENSIONS
jALONG HIGH WATER LINE.
i � 00
S
;��WE S J >~
i
�cr
N IF OSS F LE 0 tROsj �' MON. \ \ CSS r
LPNOOF OW RENOGPgLE SR LAN N W REVOCAO \` X65. z ' o 11
CNPRLES &oEANNA SDWELLING
W/P BCN
LIC WATER MON O AR�ES &O�PNN RAIL FENCE ,q,2 \1 61 r ���
150' UAU\ 4.6 / r
.O �u 0 `\ II \ �' ,-� •--- •—� � ,---�.��,-- •-� ,—
O• �j 2t' Zq � '\y r tf 1 J ,-J •--� ,� ,-� ,—, r-
416.00 MON.
24.0 RpOREENED
\ ERVICE _ s PoRcr+ —'� o m S •� ,-- r ,-
\ __ � --- P
\\ 3 EXt ELL EES�EE RG o. 1p ECK
MEil2 N I / / y� 9TH ,---� •-- •---
(irrigation only) T O 106,
\ vEWAY __ ® PORCHD �n m i
INGRESS & EGRESS \\\ L FENCp SHED S10NE ORI
U.P. nq STON ALL a'xta.y' Q ouNo' -
\ RA CRO ice' C O 22 STONE POINT A" 2 n z� `GP OPS. —
RIGHT OF WAY \p/ "Lj L�� 5tEP5 OI % e9
NrF LIBER 12310 PG. 357 \ 0052 0?,
gyeQse 5
1�7
GE°RGA �23v STONE WALLS w.GARAGE�UNDER 1 12 \� ENTIDaAS DE INE TS0102Y707R14
U.P. GF o 1 % PR / / /
%DWELLING 52'0?' 0 3 i 5�0.F2 9\'W 1.. TAP w/ 2" SUPPLY LINE �a o 3 gpSEo
W WELL WATER o 0/
N�0 w F� 2 / 9 olNrs DRIVEWAY �.�o \ 10 P
c N( OF ' �6 H 5 �� ROR • '' \\ \\ `� °� 100 a t'K
25 RSG 0�,40�0,� (EL 10RZ'J0ON)� .moi NOS �•�
f� 9
oo FENOE `O.F °ONS
I= 1
r� Rp1L "11t S-6 BEDROOM SYSTEM
D p - +02 1.500 GAL S.T. NZ I Cn
--�
U.P fir, U Pcgn�U.P 0052 (5)8'DIAx4'DEEP LP. I Ion �• y �•�� _-.J
00
o '30„E 11 o.�N ��I�II 41
16
MON. N77 0.3'N � of i ;� �•
P. y ImI
8.0' i
3'N op�a
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_ L�9 LAND N%F J* AT ��NOCO C PATIO
N
O ”- F��T OF S1 / 5 I
COYOTE PROPERTIES LLC DWELLING , % G PDLL
�., FENCE 113.20 I LOT 58
VINYL
d ry _ 6'30„`fir W/PUBLIC WATER / SWIM 20
C� 0.1 N C11 0.5:E57 1 0 16'30")V
cc
I
U0 ♦♦ �j�O
� SANITARY LOCATION q,q 5 �� I FEN°E I
O 2 OL O I
v �� a' ?0
POINT"A" POINT"B" z ` ?COEQP
S.T. INLET 31' 15' % I LOT 59
CIO
S.T. OUTLET 33' 18' LIMIT OF NYSDEC
K TIDAL WETLANDS JURISDICTION \
LP#1 39' 33 0 (EL 10 PRIOR C5
LP#2 46' 43' � To CONSTRUCTION)
♦ ` PIPE MON. �
LP#3 44' 35' ♦; \`� 112 00 LOT 60 I W% WELLLI GS
LP#4 51' 43' r
I
LP#5 50' 36' �O ,� `\� s72o 11 00111W
S�
� MON. I
ON. LOT 61_
AVENUE
MEDWAY —� � � ------' ------——
I LOT 62 �
2g' \15
`I. a LEWOpO # i DWELLINGS
MON. MAP OF TOS LOT 63 W/PUBLIC WATER
150'
DRAINAGE CALCULATIONS: �0 oa FIRM ZONE MAP #36103C0481H
FC'n S72o I LOT 64 o
2325 x 0.166=385.9 < 386 REQUIRED
DWELLING, COVERED PORCH & SCREEN Roots: 2325 S.F. o.z'w 4 PIPE I THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
v W 2
(1) 8'DIA x 9' DEEP DRYWELL=398cf PROVIDED /9 MON. 4 j Q LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
�� LOT s5 I R.O.W. 13,985 SQ.FT. or 0.32 ACRES AND OR DATA OBTAINED FROM OTHERS.
B) UPPER DRIVEWAY 64.B 465c I AREA: 117,102.18 102.18 SQ.FT. or 2.69 ACRES NGVD 1929
2,800 x 0.766=464.8 < 465cf I ELEVATION DATUM: ----------------- -------
1WDIA x 7' DEEP= 480cf PROVIDED LOT 66 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
I MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
B LOWER DRIVEWAY=2600 547cSQ.FTI ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
2,600 x 0.166= 431.6< 432cf LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE N07 TRANSFERABLE.
(2)70'DIA x 4' DEEP= 547cf PROVIDED
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
C SWIMMING POOLS SHALL BE EQUIPPED WITH A PUMP-OUT NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND MINIMUM 4' x 4' DRYWELL FOR POOL DISCHARGE. ZONED R-80 AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
FRONT YARD: 60'MIN SURVEY OF: DESCRIBEDPROPERTY
REAR YARD: 75'MIN CERTIFIED TO: JUSTIN SCHWARTZ;
GRAPHIC SCALE
SIDE YARD: 20' MIN (45' TOTAL) MAF OF: ALLISON SCHWARTZ;40 0 20 40 80 160 FILED: FIDELITY NATIONAL TITLE INSURANCE COMPANY;
-- SITUATED AT: MATTITUCK
;, FINAL SURVEY FOR SWIMMING FOOL 09-20-19
FINAL SURVEY FOR DWELLING 03-12-18 TOWN OF: SOI THOLD
KENNETH M WOYCHUK LAND SURVEYING. PLLC
IN FEETSUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
( ) �
1 inch = 40 ft. P.O. Box 153 Aquebogue, New York 11931
FILE # 14-112 SCALE: 1”=40' DATE:AUG. 1, 2014 PHONE (631)298-1588 FAX (631) 298-1588
N. YS LISC. No. 050582 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
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PLUMBER CERTIFICATION
;PLUMBING ON LEAD CONTENT BEFORE
Alt.PLUMBING WASTE CERTIFICATE OF OCCUPANC',
&WATER LINES NEED -
��.,.. -. Tt�'�`ING BEFORE COVERING SOLDER USED IN WATER
'__ � SUPPLY SYSTEM CMNOT
`
EXCEED 2110 1 OF 1% L EA"
12!' -ct ' 00 AP RO ED AS NOTED ELECTRICAL
t ti .tt�f I IIiSIPk CTION REQUIRED
U �- DATE: B.P.#
-= COMPLY WITH ALL CODES OF
C
e, lto"10,69
1" NOTIFY BUILDING DEPARTMENT AT NEW YORK STATE & TOWN CODES
765-1802 SAM TO 4 P FOR THE AS REQUIRED AND CONDITIONS OF
• E. �t���+ t olor -' L� FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
.t .. . Blower d dllC twOT� .�� �'
.I oor
FOR POURED CONCRETE ING BOARD �r
2. ROUGH - FRAMING & PLUMBING 8 ✓ ��""� °'
U, .. 3. INSULATION USTEES testing required. -
�, 111
�� t�1Qc1"�t I4 4. FINAL - CONSTRUCTION MUST S.DEC
cla� BE COMPLETE FOR C.O. �— MARC A. ANDREASSI, P.E.
a6 ! ALL CONSTRUCTION SHALL MEET THE 1523B Church St., Holbrook, NY, 11741
REQUIREMENTS OF THE CODES OF NEW Additioncl
YORK STATE. NOT RESPONSIBLE FOR
CertiilC"tion W
I DESIGN OR CONSTRUCTION ERRORS. ko,
Play Be required.
-�: ✓ � , �� �
OCCUPANCY OR
,ft CmuCtatran to C yktwn
USE IS UNLAWFUL 2o2i ��pyo S��� � om
o ° JUL 1 5 ,��FES 0?�t n
WITHOUT CERTIFICAT 425 Montauk Highway
OF OCCUPANCY ?3UITDTIN PT.
East Quogue, NY 11942
(631) 369.9445
Date:Md`-�,•ZOO Scale: Dwg: ov-