HomeMy WebLinkAbout15032-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificnte Of Occupnncy
No. Z-15751 Date May 13, 1987
THIS CERTIFIES that the building . One family dwelling with attached deck &
· h't'f fi~h'e'd ' ~'a'ffi~ ............................
Location of Property 670 West Creek Avenue Cutchogue, New York
House No. Street Ham/et
County Tax Map No. 1000 Section I 03 . .Block 13 .Lot 5
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
J u n e 1 9, 1 9 8 4 .. pursuant to wh/ch Building Permit No. 1 5 0 3 2 z
dated Jun e 2 7, 1 9 8 6 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 .........
ONE FAMILY DWELLING WITH ATTACHED DECK & ATTACHED GARAGE
The certificate is issued to L INDA M. FAULKNER
..................... ?oh;.'o'r, .....................
of the aforesaid building·
Suffolk County Department of Health Approval 1 4 - S O- I I 9
UNDERWRITERS CERTIFICATE NO. N 7 9 2 6 2 4
PLUMBERS CERTIFICATION DATED:
April 15, 1987
Rev. 1/81
~l)~,,~r /~O. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERJ~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
15032
Z
Permission is hereby granted to:.~
...~~.~.....~.-.~.,.....!.L.'/...~.~C..
.~ 1 ~.~.~. ~ ................................................................................
o, ;7;2,2~ ;o~;~;~ o~ ...~.SL...~..~ii.~...i~.:....ii~~i~ .....
County Tax Map No. 1000 Section ..... 1...0.....~... ....... Block ...... ~...~ ........ Lot No.....,~.'~. ................
pursuont tO opplicotion dated ..... ~....~..O~. ...................... , 19.~....'~.., ond opproved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CONiPLETION OF THE WORK AUTHORIZED)
N? 13~5 Z
Permission is hereby granted to:
........ .~.,~.... ~.:.....~.~.~.~. ~ ~_~
........... .~.~ ....... .7.£Z ...................................
.~.~ .~'-:..:::.. ~ ~....~. ~
... :~ ...............
,o...........~.~..~.~.~.~.....~....~..~.~....... ...... ~~.,.,.. ...................
at premises located at~' ~'~~,~..(~......~.~'--'~z...C~,~....~/'~...~:
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::
z'" ..... ./...~... ......... Lot No....0...~.~...-~... ....
County Tax Map NO. I000 Section ...Z~.~. .............. Block
pursuant to application dated ...~.~/~,,......~...~.. ......................, 1~..~,~.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southoid, N.Y. 11971
APPLICATION FOR CERTIFICATE OF
Instructions
This application must be filled in Wpewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4, Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1, Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2, Sworn statement of owner or previous owner as to use, occupancy and condition of buildings,
3, Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
'C.
Fees:
1, Certificate of occupancy $5.00
2, Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date..~.~.,..!9~l ..........
New Buitding ...,X ......... Old or Pre-existing Building ............ Vacant Land .............
Location of Property 670 West Creek Avenue, C..u.t.c.h.o,g.u.e
Hou~ No. Street Ham/et
Owner or Owners of Property Linda M. Faulkner
County Tax Map No. 1000 Section 103 Block 13 Lot. 5
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No...1.5.0.7.2...ZDate of Permit . .6~'~.7./.~.Applicant Linda M. Faulkner
Health Dept. Approval . .5../.5/,8.7. ............... Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Fina~ Certificate .... .X ..................
Fee Submitted $.,..2.5,..0. ,0 ....................
Construction on above described building an~meetsfaH'3j,~ble c~gulations.
Rev. 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
DOO~L2]. BUREAU OF ELECTRICITY
~, B5 JOHN STREET, NEW YORK, NEW YORK 10038
J~ E. Fanlike=, ~e~t Creek Drive, Cutohogue, ~.Y.
in thefollowlng locatlon; ~ Baseo~ent ~ Ist Fl. ~ 2ud FI. Section Bilk Lot
~s exarnlned on F ~E~ ~ ~ ~ ~ 7 and found to be in cornpI ante u'it k the req~ rernents qf this Board.
FIX~O~E FIX~UEE5 EAN~E$ C~KINGDECKS OVEN5 DISH WASHEE$ EXHAUST FANS
35 35
DRYERS
SYSI'EMS
OTHER APPARATUS:
2-G.Fo C. I.
1 Smoke Detector
I C
NO, OF HI-LEG
,~/0
4/0
275 l~o'**v~ Harbor La.
$ou~hold, ~o¥11971
Li~#282E
This certificate must not be altered in any manner; return to the office of the Board if i~correct. Inspectors may be identified by their credentials.
TOWN OF SOUT[IOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.
Owner~//Q~ /~, ~
/
(please print)
Plu~er ~o~ ~,
~please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
7_ Z_day of ,
19F~ ·
Notary Public,~County
'-(Plumber ' s
signature )
' Notary Public
LINDA J. COOPER
Notary Publio, State of New York
No. 4822563, Suffolk County ~
Term Expires December 31, 19.,~
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TO Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because,of the following reasons.
/Z~/An application for Certificate of Occupancy
is not on
/Z~ No Underwriters Certificate on file.
/~/ The check is (~r~d/not on file.)~
/~/ No Health Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Dept.
***/--~No_ Plumber Solder Certificate on file.~&~C~
all permits involving plumbing being
issued after April 1,1984 )
COMMENTS ~. ·
FIELD I~FE~TION
1,
FOUNDATION (1st)
FOUNDATION (2n<
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
Cp E
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
ROUGH pLBG.
INSULATION
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION ~.ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSU~.ATION
FRAMING [~~L
DATE ~/////~///'~.~
Ron Morizzo Builder, Inc.
P.O. Box 789 Health Dept. Ref. ~ 14-S0-119
Southold, N.Y. 11971
SUFFOLK COUNTY HEALTH DEPARTMENT
SINGLE FAMILY DWELLING ONLY
..~. R~. NO._ '/f/--
e, IOP/¥ FAOt[ Fi'lES FOR THIS
,'AL AND WATER ...........
THE sEWAGE 9!~SF'~Q~,_,,, '",'~PECTED BY TH S D~PARTMENT ~ND
FOUND TO BE SATISFACTORY.
- "Chief-6~Wastewater Mana! ;merit Sec ion
NiORiZZO_
BUILDER,INC.
P.O. Box 789 · Main Road, Southold, NY 11971 · (516) 765-5772
Octcbar 202 1986
Building Department
Town of Southoid
In reference ts building permit # 15032 issued for Fauikner
residence iocated at 670 West Creek Avenue in Outchogue, the
Following changes have been mede:
Eliminated
Eliminated
Eliminated
Reversed basement stairs and added a staircase to
side door on garage
window in laundry room and replaced with exterior door
one bathroom door in master bathroom
attic
Thank You,
~INSPECTION
[ ] FOUi~D~T~ON 21~lD [ ]
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION ZND []INSULATION
FRAMING []FINAL
REMARKS,
0 ~ "C -
DATE
INSPECTOR
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. ! 1971
May 9, 1986
TEL. 765-I 802
Linda Faulkner
Box 787 W. Creek Ave°
Cutchogue, N.Y. 11935
Dear Ms. Faulkner:
You are granted an extension on Building
Permit #13445Z until September 19, 1986.
After that date if it is not completed,
you will have to get a new permit.
Yours truly,
Vic%or Lessard
VGL:hdv Exec. Admin.
ows and exterior' doors
' ~.~ B~%hroom #f la,out
, 0 h roof on front~ Of :h~use
:C]):set layout, in~ be oo ;#2 :
'Cliset in foyer :
Br,~akfast area wall move~' one
~tion of chimney ~0r boiler:
l~dry room l~yout
.>
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
May 9, 1986
TEL. 765-1802
Linda Faulkner
Box 787 W. Creek Ave.
Cutchogue, N.Y. 11935
Dear Ms. Faulkner:
You are granted an extension on Building
Permit ~13445Z until September 19, 1986.
After that date if it is not completed,
you will have to get a new permit.
Yours truly,
Victor Lessard
VGL:hdv Exec. Admin.
I PERMIT NO,
,.>,--~'"'~ DEPARTMENT OF ENVIRONMENTAL COl ~'VATION 10-83-1536
~- y t ~'~yORK STATE
PERMIT
UNDER THE ENVIRONMENTAL CONSERVATION LAW
~ ARTICL, 15, (P,otectio~ of W.ter) ~ ARTICLE 25, (Tidal Wetlands)
ARTICLE 24, (Freshwater Wetlands) ARTICLE 36, (Construction in Flood Hazard Areas)
PERMIT ISSUED TO
Linde Faulkner
ADDRESSOEPEm~EE BOX 787, West Creek Avenue, Cutchogue, NY 11935
LOCATION OF PROJECT (Section of stream, tidal wetland, dam, budding)
Wic~ham Creek west side of West Creek Avenue between lands n.o.f. Emery and Schubeck
DESCRIPTION OF PROJECT
Subdivide s parcel into lots of 34,124 square feet'and 33,101 square feet. Existing and
proposed residential development on both lots are to be landward of the existing 10' contour
elevation above mean sea level.
COMMUNITY NAME (City, Town, Village)
Cutchogue
COUNTY'
Suffolk
FIA COMMUNITY NO. DAM NO.
PERMIT EXPIRATION DATE
March 31, 1985
GENERAL CONDITIONS
1. The permittee shall file in the office of the appropriate Regional
Permit Administrator, a notice of intention to commence work at least 48
hours in advance of the time of commencement and shall also notity him
promptly in writing of the completion of the work.
2. The permitted work shall be subject to inspection by an authorized
representative of the Department of Environmental Conservation who may
order the work suspended if the public interest so requires.
3. As a condition of the issuance of this permit, the applicant has ac-
cepted express[y, by the execution of the application, the full legal respon-
sibility for all damages, direct or indirect~ o( whateue~ nature, and by wbo~
ever suffered, arising out of the proiect described herein and has agreed to
indemnify and save harmless the State from suits, actions, damages and
costs of every name and description resulting from the said project.
4. Any material dredged in the prosecution of the work herein permitted
sha[[ be ~emoved evenly, without leaving large refuse piles, ridges across the
bed of the wate~vay or flood plain or deep holes that may have a tendency to
cause injury to navigable channels or to the banks of the waterway.
5. Any material to be deposited or dumped under this permit, either in
the waterway or on shore above high-water mark, shall be deposited or dumped
at the locality shown on the drawing hereto attached, and, if so peescribed
thereon, within or behind a good and substantial bulkhead or bulkheads, such
as will prevent escape of the material into the waterway.
6. There shall be no unreasonable interference with navigation by the
work herein authorized.
95-~0al (9/75)
8. That the State of New York shall in no case be hable for any damage
or injury to the structure or work herein authorized which may be caused by or
result from future operations undertaken by the State for the conservation or
improvement of navigation, or for other purposes, and no claim or right to
compensation shah accrue from any such damage.
9. That if the display of lights and signals on any work hereby authorizec
is not otherwise provided for by law, such lights and signals as may be pre.
scribed by the United States Coast Guard shah be installed and maintained
by and at the expense of the owner.
~0. Att ~vork carried out under this permit shall be performed in accor.
dance with established engineering practice and in a workmanlike manner.
11. If granted under Articles 24 or 25, the Department reserves the righ
to reconsider this approval at any time and after due notice and hearing tt
continue, rescind or modify this permit in such a manner as may be found ti
be just and equitable, If upon the expiration or revocation of this permib th~
modification of the wetland hereby authorized has not been completed, th~
applicant shall, without expense to the State, and to such extent ar~ in sucl
time and manner as the Department of Environmental Conservation may require
remove all or any portion of the uncompleted structure or fill and restore th~
site to its former condition. NO claim shall be made against the State of Ne~
York 'on account of any such removal or alteration.
12. This permit shall not be construed as conveying to the applicant an
right to trespass upon the lands or interfere with the riparian rights of other
to perform the permitted work or as authorizing the impairment of any right;
title or interest in real or personal property held or vested in a person not
party to the permit.
13. The permittee is responsible for obtaining any other permits, al
provals, lands, easements and rights-of-way which may be required for thi
project.
14. If granted under Article 36, this permit is granted solely on the basi
of the requirements of Article 36 of the Environmental Conservation Law ar
Part 500 of 6 NYCRR (Construction in Hood Plain Areas having Special FIo[
Hazards - Building Permits) and in no way signifies that the project will I
free from flooding.
15. By acceptance of this permit the permittee agrees that the perm
is contingent upon strict comphance with the special conditions on ti
reverse side.
(SEE REVERSE SIDE)
8ou{~hold, N.Y, 11971
(516) 765-1938
september 12, 1984
Mrs. Linda Miller Faulkner
P~O. Box 787
Cutchogue, NY 11935
R~: Minor subdivision of Linda Miller Faulkner
Dear Mrs. Faulkner:
The following action was taken by the Planning Board,
Monday, September 10~ 1984
RESOLVED that the Southold Town Planning Board~ pursuant
to %he request of the applicant and after review , overrode
the Suffolk County Planning Commission's resolution of
disapproval with a majority plus one vote, with regard to the
minor subdivision of Linda Miller Faulkner located at
Cutchogue.
When the Chairman has endorsed the maps, I will forward
one to you.
If you have any questions, please don't hesitate to contact
our office.
Very truly yours,
BENNETT ORLOWSKI, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, S~cretary
SUFFOLK CO. I
.~:.. ,.-,,
WATER SUPS,
FOR ~
APPLtC~
SUFFOLK COU~
SER~41CES --
CONSTRUCTION
DATE:
H. S. REF. NO . _.~
A.~PROV E:D: ~
8INGLE FAMIE
SUFFOLK CO,:
DIST. SEC
OWNERS ADDRES:
L. ~.~ ,
TEST HOLE
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765-1802,
Approved ...~ ,71. ?.~./. ., 1.9~. f. Pe~
Disapproved a/c .......... C.~ .............. ~ .......
Date ~* ...... ~.., 19~
' '" '; INSTRUC~}ONS
a. T~s application must ~e completely filled in by ~pewfiter or in in~ anti submitted tb the Bugding Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot pl~ show~g location of lot ~d of build~gs on premises, relationship to adjoining premises or pubic streets
or ~eas, and giv~g a det~led description of layout of property must be drawn on the diagram which is pa~ of this appli-
cation.
c. The work covered by t~s application may not be commenced before issu~ce of Bufld~g Permit.
d. Upon approval of this application, the Building ~spector will issued a Build~g Pemit to the appHc~t. Such pemit
sh~ be kept on the premises draftable for ~spection ~rou~out ~e work.
e. No bufld~g shall be occupied or used in whole or in p~ for any purpose whatever untQ a Ce~ificate of Occup~cy
shaQ have been grated by ~e Building Inspector.
~PLICATION IS HEREBY MADE to the Build~g Dep~tment for the issuance of a B~lding Pemit pursuant to the
B~ding Zone Ordnance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or
Regulations, for the constmcQon of bufld~gs, additions or alterations, or for removal or demolition, as here~ described.
The applicant agrees to comply with all applicable laws, ordinates, bufld~j code, housing code, and regffiations, and to
admit auth°fized respect°rs °n premises ~d ~ bufld~g f°r necessa*~r;/~~/.L. ~/~
(Signature of applicant, or name, if a corporation)
(Maihng address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
....................................................................................
Nmne of owner of premises .. ~.fft/.~.~. ..... . .~..*....~../~...~ .*~.~..'~: .'~. ~ .................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...... ....... ..~ .......
(,
Electrician s License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
House Number Street Hamlet
County Tax Map No. 1000 Section .... l.~. ......... Block ..... JJ,~ ......... Lot... ~.. ............
(Name)
2. State existing use and ~ccupancy ~f premises a~d intended use and ~ccupancy ~f pr~p~sed c~nstructi~n:
b. Intended use and occupancy ......... ./~..dj;.~..~.. ............................................
3. Nature of work (check wh,ch applicable): New Building .... Addition .......... Alteration .... -...~...
Repair Rem6val Demolition Other Work
. ~.! ~)~.~..~.~ .~..~...~.~..~.' ..... (Descript. i~)
4. Estimfited Cost. · · ~. ................... Fee .............
~ *" (to be paid on filing this application)
. /.
5. If dwelling, number of dwelling iunits · ._ ......... Number of dwelling units on each ilo, or .... .z~...~..~ ......
If garage, number of cars .... ! ...... ~ .............................
6. If business, commercial or mixed occupancy, sp~'ci~ ~t~re'in'd ;xten~ of eac~'type'of use' i. ii. i...~...~.,i.
7 Dimensions of existing structures if any: Front '~ Rear Depth '.
Height ...... .~. ".'-. ..... Nmnber of Stories .~. '~
Dimensions of same structure with alterations or additions: Front Re;i~
Depth ' Height Number of Stories .'
8. l)~mensions of entire new const~ction: Front .. . Rear .... De,,th' " . . . .
He,ght' Number of Stones' . . ~/.~.~... ' , . .
10. Date of Purchase .t~.~..~..~.~rd... Z~..../. ~.~.~.. .... Name of Former O~v~;[' .~.-~?'..~..~.. ~. i .2{~.~/.' .~. i~: ./~/. ~.~
11. Zone or use district in which prqmises are situated ...... .,~..~,:.r..,/.,~.~'..,f~..~..,~)~.. ................. , ......
12. Does proposed construction violate any zoning law. ordinance or rem,lation" 'k.,VA',~?.~/~.~. ~.br, " '
13. Wallot beregraded ...... Z ........... :. Will x es; ll be 'fio' Ae i is: .....
14. Name of Owner of pr,.emises '~..: ~g~.....,'~_.._ _~. ~Address~'p3'. 70'7.. ~?'¢4'~6~ Phone No..~...g~.. 6 .~..~7~......
Name of Architect ,¢O_~.,/~.4 i '~,.: '~.~"~' -~-. ..... Address ................... Phone No ................
Name of Contractor ~.O.~... ;: ::o/t-dGRr...~. ...... Address,~ ~,,a,/... g~..7.~,/~l~(/~hone No.. ~ff..~.. t{.~?..~'/...
Locate .clearly and distinctly all
~roperty lines. Give street and block
~crior or corner lot.
PLOT DIAGRAM
buildings, whether existing or proposed, and. indicate all set-back dimensions from
number or description according to deed, and show street names and indicate whether
STATE OF NEW YORK,
COUNTY OF ......... i S.S
.... ~..~-/O ...........E', . ... . ...... being duly sworn, deposes and says that he is the applicant
(Name of individual sighing contract)
above named. :
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 cont ~ined in this application am true to the best of his knowledge and belief; and that the
work will be performed in the manta r set forth in the application filed therewith.
Sworn to before me this
· .... ....... ,19
.. County ..
AT
D"~ ~'i '~- / "~ SUFFOLK CO. HEALTH DEPT. APPROVAL
:--:-- ?' , , ' :,:.: ::.. ...?, , : ,,:
~ ~ ~ ~ STATEMENT OF INTENT
// ~{~ ~ / ~ EONFORM ~O THE STANDARDS OF TH[
-- // ~,~ ~ r- (s ...... : '/ - :- : ......
.L / ~7-,7' ~, ' ~/ ~ : t APPLICANT
zV :: 0 // ~ ~ SUFFOLK COUNTY DEPT. OF HEALTH
e 4¢/' ,, ' . ~/ ~ / CO"STRUCTION ONLY
<~: :~:~ // ~ I O ~.ov~: ' "
':" /: ~/ ~ / 04 ~,NGLE FAMILY D~LLING
~'~ ~ / ~ ' SUFFOLK CO. TAX MAP DESIGNATION:
~.~ ~' = /" ~ TEST~LE STAMP
~ ~ 7~ ~ /~i ~ : ~b~/'¢
~ r~t
~mCK VA~ TUYL, P.C.
L~[N~D LA~D SURVEYORS
,~,ater dt~tnbutlhg
piping Ihail be
h
$OLDER USED IN WATER
: . ' SUr,PPLY SYSTEM CANNOT
EXCEED 2/~0. of,l% LEAD;
· - T/ON
, ON LEAD cONTENT ~EFORE
'~ ~ CERTIFICATE OF OCCUPANCY
NOTI~' BUILDING DEPARTM~T~ ~T~
FOR ~URED CON~R'ETE
ROUGH, FRAMING & PLUMBING
INSULATIOn;
OCCUPANCY. OR .
USEIS UNLAWFUL'.'.
WITHOUT'"CERTiFICATE '
OF oCcUPANCY
,j
,f,
t
-¸1
¸er
NOTI~ BUILD}~A 4 FOR THE
FOLLOWING ~NSPECTION3. '
~1. FOUNDATION -~/O gEQUIRED '
FOR p~URED cOHcR~E
2. ROUGH - FRAMING'& pLUMBIN~
, 'E CQ~9LFTE ~OR ~.O. ~
' *m~ CONSTEUC~,~N: SH~LL ~ ,
' ~E REQUIRE~EN%S OF ~E N.,~-
STAT( CONSTRUCTION '
OES. NO~,, RESPONSIBLE .vdB ,
I ? L,..¢
A