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Home My WebLink About14435-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southoid, Certificate Of Occupancy No. z-16266 Date October 8, 1987 ONE FAMILY DWELLING THIS CERTIFIES that tile building ................................................ Location of Property 595 Fiddler Lane Greenport, N.Y. House No. Street Hamlet 02 001 County Tax Map No. 1000 Section 036 .Block ............... Lot Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 21, 1985 14435 Z ....................... pursuant to which Building Permit No ...................... dated. ..................N ove mb e r 25, .......... I 985 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 GEORGE & DOROTHY GILLMAN The certificate is issued to ..................... [o~n'o'r'~f%~ ..................... of the aforesaid building. Suffolk County Department of Health Approval 13 - 80- 149 UNDERWRITERS CERTIFICATE NO... N 832937 & N 7677 I 4 PLUMBERS CERTIFICATION DATED: July 10, 1987 Building Inspector Rev. 1/81 FOR,~ NO. 0 TOWN OF SOUl*HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14435 Z Permission is hereby granted to: ..... .~?x.~...~...:....~.//~..~.....A ........ ~z....~c,~:c....~- - ~ ............. ...... ~/~....~~,..~,.:~....// ,o ..~o~~....~.....~.~...~..~ ............. ~ .................... ..... ¢~~....~ .................. ~..z... ..~g ................................................................... ~, ,,,,,, ,~,,~ ., ....... ~.~ ........ ~ .............. ~.~,......~.....~..~. , . cou,,ty To× Mop No. 10oo Sect~o,~ ....'2.~.~ ....... B~ock .....~..~. ...... Lot No..~.~../.. .......... pursuont to opplicotion doted ~...~-..........~..../. .......................... , 1~......~, end opproved by the Building Inspector. Fee $... j...~....~.......-~ ' Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUR Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- ,/~or with the following; for new buildings or new use: · 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate s~rvey of property showing all property lines, streets, buildings and unusual natural or topographic features. 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 requ ired to p repute a certificate. C. Fees: Additions $25.00j 1. Certificate of occupancy New Dwelling $25.00, Accessory.iS10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copv of certificate of occupancv $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 ~ ~_ ~.,..,, 5.Updated C.O. $ 50.00 Date ............~.~J ~ ...... NewConstruction... Old or Pre-existing Building ........... Vacant Land ....... Location of Property .....-~..~.-~.~. '-~' / O~L~.fC ~.~ .2~. ~. ~? ~.~--'~./~. .]~.1~.'~. /.¥ y./ /~ House No. Street I/am~et Owner or Owners of Property .. ~-~.(P,~76~-.~.. ....... bOP--q..~/./././././././~fl.~. ~.J.~.f.Y)./~A0 ' ~..f~ : .... County Tax Map No. 1000 Section ....d?~'. ~ ...... Block ~- Lot .... /i Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ......... Date of Permit .......... Applicant.. . .~..'¢. /'.+./.~...~'..~. ~'//-- Health Dept Approval ' Labor Dept Approval Underwriters Approval ~' Pla lng B d Approv I ........................ nn oar a ...................... Request for Temporary Cert f cate ............. Fina~ Certificate Fee Submitted $ .~...~.. ~..~. ............... / // .,-~..-.~ Construction on above described building an,M/pe~t meets all aJa!~licable codes and ~gulations. /), App cant ~.'.. ..." ............... Rev, ~o.~0-78 ~ FIELD INSPECTION FOUNDATION (Ist) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ODE S 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. i- ] FOUNDATION 2ND [ ] INSULATION I' ] FRAMING £~INAL DATE ~'~/~:~/~ 7 ' NSPECTOR ~:'~)A~ ~'~',~ 76S-1802 BUILDING DEPT. IN$'PEI TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [~NAL DATE ~//,,~ ~/ INSPECTOR :~ ~ TOWN OF SOUTHOLD OFI:ICI?. OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUT OLD, I TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of ~he following reasons. _/~ An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificnte on file. .~ The check is(outdated/~ot__on fil~)%~%.,~c~ /~/ No Ilealth Dept. Approval on file. /5/ No final inspection ]]as been made° Please contact our office on this matter. Thank you for your cooperation. Building Dept. ***/5/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. 14'455'7. Owner (~iease p~int) (pleas~ print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (~lumber ' S signatZ're) Sworn to before me this /~ . day of _ ~ , i9£7 · Notary Public,~County Notary Public State ,~' THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ] '"~ ~E~p'~(~]:x~r 54 ]RE~ JOHN ETREET, NEW YORK, NEW~0~j~YORK 10038 THIE CERTIFIER THAT Block Lot FIXTURE FIXTURES RANGES :OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 49 62 46 49 DRYERS MOTORS FUTURE A~!.I~NCE FEEDERS TIME CROCKS ' UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: 1-G.F.C,i., 2--Sm31~ Detectors NO, OF CC COND A.W. G NO OF HI.LEG A W ~* NO` OF NEUTRALS A W O 1 1/0 1 1/0 C,a~ r~e Gilh~mn 83 Roockol Avenue Valley Strean, N.Y. 11580 G~4$RAt MAN&GER/ / Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE N~UST NOT BE ALTERED iN ANY THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 "% THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of George Gil~mmu, ~9~ Yickile~ La., Co~eenport, ~.Y. in ~he follo,~i.g &,cation; [] B~se,nent [] ~ FI. [] ~nd FL .%cthm ~lo~ Lo~ teas examlned on ~'~)y~r 1~ 1[;)~7 andfoundtobelnco.~pllonce~'itbthereq.iremen~s~fthlsBoord. FIXTURES RANGES COOKING OECKS OVENS EXHAUST FANS FIXTURE SWITCHES OUTLETS DRYERS SYSTEMS NO. OF PEET E OTHER APPARATUS: E R V I C AWG O~FCC COND - George W. Gillman, Jr. 83 Ro~ckel Ave. ¥~lley Stoma, ~.Y. llf~O GENERAL MANAGI~R 11 Th~s certificate must not be altered in any manner; return to the office of the Boord ~ incorrect. Inspectors may be identified by their COPY FOR BUiLDInG DEPARTMENT. THIS COPY OF CERTIFICATE ~T HOT BE ~LTERED IH ANY ~ER. 83 Roeckel Avenue ~alley Stream, June 1, 1987 11580 As You Requested, Permit iN 144352 The eualassd pamphlet describes the fireslate used in our home at 595 Diddler Lane, Greenport. There are specifications as well.as recommendations enclosed therein. Eor the most park, the data stipulated is representative of what I was told when I purchased this product. But, some of the installations instructions are somewhat more stringent than what I was initially advised. I, therefore, have ordered a cast iron heat shield which will mount on my Vermont Castings Resolute mode], stove, 'between the stove bottom and the fireslate, as per the revised recommen- dationso In addition to the fireslate and the heat shield, there is an insulator in the form of 2" of sand which reposes on the interior of the s~ove bottom. Please review the data provided and advise me if you require any additional inforuamtion in order to reconcile my problem. I appreciate -tour assistance and your coopreation in this matter' and I look foward to your reply. Examined..'~.....'~...<..., 19 Approved .'.'~r~....~... 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ......................... /Q .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................., 19 c~,~- . ..~..o b~ Z2.-- ... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection througkout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) .~.~. ko. ~c.~..~..~, ~... · ' ' (Mailing address of applicant) , ~ y ? State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~.w..~ ~..~ ....... .. ....................................................... , ......... Nam; ...... of owner of premises...~. ~.'~ ./~...~L .~.'-.....~].....4...L-~..Q..~o. ~. ~ ~....¥C. ~//./~. · ./)..~....~..~.' (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 .......................... Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~. [ ~77'.../.O..~.~.. ~. ~..~...~.~...~.. I House Number Street Hamlet County Tax Map No. 1000 Section ...0.5.6 ......... Block ...~...-~. ........ ~... Lot....O..~...~. ......... Subdivision ........ / ' Filed Map No ............... Lot . 7-... 7'[' :2 ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~.f.¥~-....~...g. ~, .%5... ~ ~'~..~..~.~..~.. ~,ff,(~'-g'_~..('~/~5..~.~. ~ b. Intended ~se and occupancy ...~.~.: ~.e.~. ~....>,~..~.. ~~...a-r.:~d~ ...... 3. Nature of work (check which applicable): New Building ~ Addition 'i' Alteration Repair ............ Removal.. ............. Demolition ............ i~" Other Work ............... - ~ ~ (Description) 4. Estimated Cost ..... ~.Oi..~..O. ?. ..................... Fee..~.. ~..~. ~.. ....... ' tto be prod on fihng this apphcation) 5. If dwelling, number of dwelling units I~) fi~ ~-...i Number of dwelling unit! on each floor .... .'~.. If garage, number of cars .... ~D..~.. ~..'iiiiiiiii . . ..... ''" 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 -"' J Depth. - ........ Height ~ Number of Stories ~ i Dimensions of same structure with alterations or additions: Front ............ i .... Rear .................. Depth ...................... Height ........ -'-' ' t .......... Number of Stori.es ............... ¥ ...... 8. Dimensions of entire new construction' Front ~.t~. Rear ' .~. U-- / n~nth ~ 91' Height ............... Number of Stories ........ I../..'h. ............... i .......................... 9. Size oflot: Front ....... 1.{..~.~ ......... Rear .... .--F<. 2-~ ~ Denth . l.'2_~/, t ' 10. Date of Purchase ........ F:..~. h ......... 11. Zone or use district in which premises are situated ........ ~.~-.~..( .D...~..~...T'.q .ce. ......................... 12. Does proposed construction vio_la~e any zoning law, ordinance or regulation: .... /iff..Q ...................... 13. Will lot be regraded ....... ,~ ~. ~"-,,-~ .............~Wilt excess fill be remove~ from p. remis~s: Yes 14. Name of Owner of premises O'~P., ~ 3~q~O.?t~F~.t/l~ Address ~51~oect(~c~ ' ~tlgf, a,,r~,,~°%~ t~°,~/~ ~' ' ' }: .................... _!; ~ ~'~e--~; .................. F t'4'g- - ......... Name of Architect ..~.o.q~.t~q.a4....~..~e ........ Address .,~/q.~.e4~ 4' : Name of Co tra to Add ' Phone No n c r .......................... ress ......................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions t~rom property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF .................. .... ~.. ~,.~..~..~... ~.tI/f.~q~/../}.~..........~J~t~ ..... ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie 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 hislknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................ ..... dayo ...... .......... .Xlotary Public, . ........ .~. ~f: .~..l..~/~.... Cou ~~~_~ ~ (Signature of applicant) TOWN OF $OUTHOLD BUILDING DF.?ARTMr. NT TOWN CL[RY.T,'5 $OUTHOLD, H. Y. Disapproved afc ............................................................................................ ........................................................................... ~~ .......................... -g~.~ '~ APPLICaTiON FOR SUILDING Pr.RMIT No q Da~e ................................................ , 19 ........... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 oF areas, and giving a detail~ description of layout ofpraped'y must be drawn 9n the diagram whlch is port of this application. 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 permit shall be kept an the premises available for i~spectian throughout the work. e. No building shall be ~cupied or used in whole or in p:~ far any purpose whatever until a Ce~i~icate of Occupancy sh~ll have been granted by the Building Inspector. APPLICATION IS HEREBY ~DE to the ~mtd~ng Dep¢~m~nt far the ~ssuance o~ a Budamg Perm~ pursuant to th~ Building Zone Ordinance of the Town of Sou~hold, Suffolk County, New York, ~nd other applicable Laws, Ordinances or Regulations, for the construmion of buildings, addffians or alterations, or for removal ar demolition, as herein described. The applicant agrees to comply with all applicable laws ord~nanc~uilding c~e, housing c~e, and regulations, and to ~dmit authorized inspecto~ on premises and in buildings for n~e~ inspections.~ . · / .............. ~'~ ...................................... ~ .............. ~i ..................... (Address of oppllcant) ~ y / I ~ O State whether applicon, is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. ...0...~..~.~'.~. ...........~-_/A~ ............. ~ .................... ": ...................... .~O...T._....Y.....~.,,.~..L' ..~.....~..;:;.;.]., ................ :~ ............................. ' If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) Bu,der's Ueense No .... ~/-.~<'..~- ............................. Plumber's License No.../.~.//dk~........~.. ..... Electrician's License No. /'' // '- OtherTra e's L,eense No ............................................... Z 1. Lace,lan of land on winch }~,,~posed we.:~.- w {I be done. _Mop N~. /..0..~..o... . Lot No Stre_~t and Numbe~ h-.I/~.'Z. ~:.~.e ./.~_.~...L~.~....., ...... L.....:...: ...... .~..~....~a2o..~..r.L~:...Y.....: ........................ Municipality 2. State existing use and occupancy of premises and in:ended use and occupancy of proposed construction: o. Exisiting use and occupancy ............................................................................................................................... b. Intended use and occupancy ...l.~-~..~.-.~l~.-~.~.-.~'--/~-'---L2'-.--'''(~'''4'M''~'''~-''-cg'~'~---~-~' ............................................. 3. Nature of Work (check which ]applicable): New Build,ng i ..... '.. Adclition ~'- ' Alt~roiion "- ' -- Demolition ........ :.'. ......... Other Work .,.,': ........................................... . .... Repair .................. Removal,,' ................. ;~/~ (Description) ,. Est,m ted Cost ...... ................... : .............. ............................................................ i (to be paid on filing this application) i ., ........ Number ' 5. If dwelling, number of dwelli0g units ...... ..O..../~....1~.. of dwelling units on each floor ...........~ ............... If garage, number of c.~rs .... ],.,.~.~.....~.- 6. If business, commercial or maxed occup:ncy, specify nature and extent of each type of use 7. Dimensions of ex'st ng structuFes, if any: Front '- . Rear -' Depth .......~ ......... klei~ht "~ Numb:er of Stories .Dimensions of some structure with alterations or additions: Front .................................... ~" Rear ............................ ~ ~' Height '-' . .Number of Stories ......~-~. ....................... 8. Dimensions of entire new con]struotion: Front ......~....~...,..;..~ ............... Rear ..... .,~....4~.. .............. D~th .-..~....~.. ............. -~'-~ Numberiof Stores ;/ /.~.~ ........................................................... .9. si~ of !o~: F~ont .......... LJ...~. ................................... Re~,-. ........ ..Z....~..~ .................... ~epm ...Z:'¢.../. .................. 10. Date of Purchase ..~.,.~..6,.~.~.J~.~..~'.,.,.Lq, LJ~.O .........Name of Former Owner._ .,.~,.~. ...... /~.,....~./~'.~....(~- .... /~, .... 11. :;'one or use district in which- ~remises are situated ..... ~.~T~.(.~_~....~..~.,../,..-~...~.....~.~, ............................................. 12. Doe~ proposed construction violate any zoning Iow, ordinance or regulahon: ...~.V..~. ........................................... 13. wi lot be re,faded ..,..~..~.~[ ............. _Will excess~f,!l, I~e removed from p~'em.ses: (,) ,Y~es~. ,, (~C~ No ~-, '" f -rem,sos ..~..~..~,-~. ~...~.~'.~Z/I'.~...~.' IJ/l~. Address.~.~.~.~a~.~/.!J.~.t.. Pho.~ N. 14. mameor~vnero p __ ... , ...... : ................... '; · ': Nome of ^rch~tect ..~.'~.~.~i~..~-~t~.S ........................... ^daress~/'~,.~*'~'.~Phon~ ~.~..t~..'..~...~:1 · ..................................................... Nome of Contractor . . I.,~...~'.i .......................... Address '~ Phone No. I P~.OT DI~kGRAM Locate clearly and distinctly ali buildings,' whether'~xisting or proposed, and indicate oll set--I~ck dimensions fron - ~ccording to de~,~d, and show street names and indicat, property lines. Give street, and bi number or whether interior or corner // /' ~TATE O~ N~V YORK, I[~' ' i ' ~N'~ OF ....... ~ ..............'.. ~' '- '~.~_~...~.~.~..,.~:~ ........... : ........... '. ..... beihg d~'y sworn, depeses and s~ys tha, he is the applic~: ~ (Name of Individual sighing contract) ~bow n~med. . .................................................... kJe iS me ..... ~= ....... ~,;.,..: .......................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is ddly autharlzed to perle, tm or ha~ p~rformed th~ said work and to ~ke this application; that all statements contained ~n this agplic,z~io~ are true to the best of his knowledge and belief; . ~ ' ' ..... hc ~,-~Hc~filed therewith that the w¢~ will be per.~rmed ~n the manner set r~n m ~ ' ~ ~.~,] 5worn to b~fore me this j ~ / / I J / ........................... , ................... ~.~.:/~g~.3;~ o, ~.~' ....... ~o~ Pqblio, St8te of New York No, 80,47] ~SP~ ~omml~to~ Exp res March 30, ~g84 ROD[RIC~ VAN TUYJ., LICENSED LAND SURVI~YORS GR!EENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s) APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLy-~ ~_ DATE: SUFFOLK CO, TAX MAP DES GN^T dN DIST. SECT. BLOCK PCL. OWNERS A~DRESS: DEED: L. 4c)~ TEST HOLE B~JON 72~, OF *mE I~' vO~ I~.A'.I~ tAW. SEAL 'X DR DA~ rApPKO~/ED ,AS NO?ED ~ NOTIFY BUILDING DEPARTMENT AT 7~5-1802 9 A~ TO ~ P~ FOR FOLLOWING INSPECTIONS: ). FOUNDATION - TWO FOR POURED CONCRETE 2 ROUGH - FRAMIN~ & PLUM~IN~ 3. INSUMTION 4. FINAL - CnN%TRUC~ION BE COh,iPl ~T~ FOR C O, ALL CONSTRUCTION $HALL M~T THE REOU~P~NT$ OP TM~ hL STATE CONST~UCTIQN & CODES. NOT R~S~OM~IS~ DESIGN OR CONSTRUCTION I1: copper tubing is used 'r'-'~"-~l -J'-~'l ~ - ~'' for water distributing of types K or L only Office Of .. : Go~don K. Ahle~s, P. E. FEE' ~/~y FOkkOWING IMSPECTIONS: ~. FOUNDATIO~ . TWO ~[QUIRED $. IMSUkATION ALL CONSTRUCTION SHALL MEET THE REQUIREME~s OF THE N, Y, STATE CONSTRUCTION & ENERGY .l 9/.. I1 Office Of Go~don K, Ahlers, P~ E, SUFFOLK CO. HEALTH DEPT, APPROVAL ' 4 THE WATER SUPPLY AND SEWAGE DIS~SAL ' ~ ~STEMS FOR THIS RESIDENCE WILL ~ CONFORM TO THE STANDARDS OF THE __~ .~ ~ o~ ~ (Si ~D,~ ~ ~ ~ ~ ~ ~ APPLICANT ~ ~ ~ ~ ~ ~ ~ ~ CONSTRUCTION ONLY (~. ~ ~r~'~ ~ ~ ~ OWNERS ADDRESS: V~t,_~~ ~,~ I t~ ~c~te: 40'=Z' , - ,,, ~d~d ~v. 14/9~ la~m ~ ~ * wu. ,*u~ co~. SEAL RO~ERIC[ VAN TU~, P.C LAND SURVEYORS GREENPORT NEW YORK