HomeMy WebLinkAbout14499-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18555
Date NOVEMBER 13~ 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Propert~ 2905 STILLWATER AVE. CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 136 Block 02 Lot 004
subdivision M.S. HAND Filed Map No. 1280 Lot No. 86
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JAN. 13, 1986 pursuant to which
Building Permit No. 14499Z dated JAN. 13~ 1986
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 AMENDED TO INCLUDE DECK.
The certificate is issued to MICHAEL & LORRAINE LO GRANDE
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 10~SO-84 FEB. 18, 1987
UNDERWRITERS CERTIFICATE NO. N785607 DEC. 24, 1986
PLUMBERS CERTIFICATION DATED N/A
REPI~tCES B.P #11452Z AND B.P.#12806Z
' /~Bui~ding ~nspector
Rev. 1/81
lvOl~ NO. ~
TO~N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14499 Z
Date ~ . ............................ , .....
Permission is hereby granted to:
...... ~.~.~..c.....z~:.....Acz.~rz~u.~
.... ~.~....~.~.~~...~.~..0. .............
...~.~../2.,~..~..9..~-...,.. ~.:...W.: ....... 1.~..7..~3
,o .................................
....... ..~:~L~.~...c~.~..rz~¢2.....~.~.:..~ ........ ~ .................................
at premises located at .............................. ~l..~,~..~..~.~,~..'~..~.~ ............/~...~.~ ..............................
............................................................................................................. .O..o...'~.t:~.a~.~.%...~..,
........ ~..~...,.....~.~,¢~.o. ..................... ~.~ .~... ..................................... ~'..Z'..~... .................
County Tax Map No. 1000 Section ....... .~,-~..(~ ..... Block ..... ~....'~... ...... Lot No.....0~.~...~... .......
pursuant ,0 application dated ....... ~.'~ ......... [.~. ..................... , 19.~., and approved by the
Building Inspector.
Y Fullding Inspector
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~d~l~ B5 JOHN STREET, NEW YORK, NEW YORK 10038
Date Deccu'~oe$ 24, 1986 Application ND. on file 300225/84
T.,S C~.T,.,ES T.AT ~,:~28067 N 7 8 5 6 0 7
ordy the electrical equipment os described below and introduced by the applicant named on the above application number in the premises of
'Hichael A. LoGrande, Stillwater Avenue, Pe~/uash Ave. & Track Ave.,Cutchog~e, N.Y.
q
i,, thefollowl,g Iocatio,~ ~ Basemen, ~ I~t FI. ~ 2,4 Fl. Section 136BIoc~ 02 Aot 04
,~e.~,,,inedo,, Decanter 15, t986
FIXTURE
OUTLETS
41
RECEPTACLES
64
FIXTURES RANGES OVENS FANS
55 41
DRYERS
FURNACE
FUTURE APPLIANCE
TIME CLOCKS UNIT HEATERS
SYSTEMS
NO. OF
DIMMERS
SERVICE DISCONNECT
OTHE~P~S: l-lnp, 1-3/4hp
Track Light~ng32'-O", 8 lites
2 Smo~e Detector
7 GFI
S E R V I C E
o~ lc. ~:oh~.
63 Ptnedale Rd.
Hau~auge, N.¥ 11788 , GENERAI.~ANAGRR
Per ' "~'~?"~' ~ / ' %1
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 FOE DF'PAl NT. THiS COPY OF CFE~IFI ED IN AHY tv
~1ooo~14 THE NEW YORK BOARD OF FIRE UNDERWRITERS
~ BUREAU OF ELECTRICITY
-- 85 JOHN STREET, NEW YORK, NEW YORK 10038
B.t. April 15, 1983 ~..lic.tion No. o,/ile 209176-83 N5 9 9 3 2 0
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application nu,nber Jn the premises of
~fil~e Lo~re~c~, Stillwater t~ve. l¥~k Ave. C/O Sher~, OuCchogue, N.Y.
in the following location; [] Basement ~ ~s~ FI. [] 2nd FI. Section BIocl~ Lot
wa~ e~a~i,~d o, April 11, 1983 and found to be in compliance wi~h £he require~nents of this Board.
FIXTURE t FIXTURES RANGES COOKING DECKS OVENS DiSH WASHERS EXHAUST FANS
OUTLETS ~ECEPTACLES SWITCHES
FLUORESCENT VAPO~
DRYERS FURNACE & FUTURE APPLIANCE FEEDERS TIMECLOCKS
UNIT HEATERS MULTI-OUTLE~
SYSTEMS
NO, OF EEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
S E R V I C
OF CC COND.
~/0
NO OF HI.LEO
OF HI-LEG
NO, OF NEUTRALS
AW, G
OF NEUTRAL
1/0
B. J. El,~tric
$ti!lwater Ave.
Cutchogue, N.Y., 11935
LIC. ~2670
GENERAL MANAGER
Per
This certificate must not be altered in any manner; return to the office of the Board if incoi:rect. Inspectors may be identified by their credenfi
FORM NO. 6
TOWN OF SOOT}tOLD
BUILDING DEPARTMENT
TOWN HALL
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must be filed in typewriter OR ink and submitted to the Building
Inspector 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).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that solder used in system contains less
than 2110 of I% lead.
5. Commercial buildings, industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the 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, I957~ non-conforming uses, or buildings
and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
. If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
I. An application for Vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing Single and
separate ownership of the entire 10t prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6, Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
er. 10/14/88
TOWN OF $OUTUOLO
BUILDING DEPARTMENT
TOWN HALL
SOUTDOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
i DATE ....... ~ .... /o-.
NEW CONSTRUCTION --~----0LD OR PRE-EXISTING BUILDING ...... VACANT LAND.
Lo~n~io~ o~ Property .... , .............~.C..~.~..~_.~_
HOUSE .................
NO. STREET HAMLET
Owuer or Owners of Property ...........
co~t~ ~ ~. ~o. ~00o .~o. 73~ ~o~ CA ~o~' .~
Subdivisio, ................. Fil ~e ~.
'-- ed Map . ..Lot..
Health Dept. Approval .................. Under.riCers A~proval ..............
Planning Board Approval ...............
Request for Temporary Certificate ....... Final
Certificate
APPLICANT.. . .............
rev. 10/14/88
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
TEMPORARY
Certificate Of Occupancy
NoZ15305 Date February 26, 1987
THIS CERTIFIES that the building ...Qn.e. ,f.a,m.i,l,y..d.w.e.I.l,i.n.g,. .........................
Location of Property ...2.9.0,5....S.T.I.L.L.W.A.T.E,R., .A.V?..' .......CUTCHOGUE'
House No, Street Hamlet
County Tax Map No. 1000 Section 136 . .Block 02 .Lot .QQ4...
Subdivision M.S. HAND . .Filed Map No. 1280 .Lot No.86.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·..Jy~bt ... 1.3.,.. 1.9.8.6. ...... '., pursuant to which Building Permit No. !4.4. 9.9. Z. ...............
dated .J.a,n, .., 1,3,,.. 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 amended to include deck.
The certificate is issued to MICHAEL A. LO GRANDE
..................... ioYnb;,'l .....................
of the aforesaid building.
Suffolk County Department of Health Approval .... 1.0.-.S.0.-.8.4 ...............................
UNDERWRITERS CERTIFICATE NO ......... N. 5. 9..93..2.0 .~,/J .5./.8.3.&...N.7.8.5.6.0.7. J .2./.2.4 ./.8.6 .......
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southotd, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m~,,.,-~- to the Building In~oec-
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 featu res, ~
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 survey of p~Operty 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 required to prepare a certificate.
C. Fees:
1. Certificate of occupancy New Dwelling $25.00, Acc~ssory',~10.00 Business $50.00
2. Certificate of bccupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O, $ 20.00
5.Updated C.O, $ 50.00 Date ..........................
NewConstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ...~..0..~ ....... .~. .T./:z.:. ~ .t.~.~. .~. . .,~.. . .~. ?. ........... .~..L~. .7~. ./~Q.4.L<~'-'' ......
House No, Street Nam/et
Owner or Owners of Property ~./.C/,'/,,~Z,,.../~1..,.. ?..~.~....~:.~..~.~..~././~.~.~...~.....~...~..~..~...~.~. ....
County Tax Map No. 1000 Section .... ~.~. ~. ...... Block ..~. ~ .......... Lot. ,~).0. ~ .........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit m~eets all applicable codes and regu)ations.
~IELD~-'~ ~ION COMMENTS
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
~FiELD) INS?ECTION DATE
FOUNDATION.~ (1st) __
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING --
INSULATION ?ER N. Y,
STATE ENERGY
C)DE
ADDITIONAL COMMENTS:
~ (~_~_ ~.._...._... .... ~ o~_ /~_~_~=~. ~:.~,~,.,~,~:~._a_~--,.,~-~ .
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
REMARKS:
ROUGH PLBG.
IN~SULATION
[~FINAL
DATE ~/~/~
INSPECTOR~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH pLBG.
[ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING,,/ ~-fl~L
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ]INSULATION
[ ]FRAMING . [/~1 "AL
REMARKS, ~~ ~ ~
JUL 8
Heat~ Calculations
LoGrande Residence,
Still~aterAvenue,
Cu$chogue
subsystem S~ ft
floo~ 1257
ceiling 1312
glaztng
windows 241
fixed glass 153,
doOr~ to
unheated 42
gross wall 2375
opaque wall 1897
.glazing area / wall area
478 Sq ft / 2375 sq ft
U-factor tem,p heat
~lff loss
0.05 70 $399.5
0.03 ~ ?0 2755,2
O. 52
O. 58
O. 52
,' 7o 8772.
7o 5569.2
0.12 ?0 3~2.8
0.07
Total heat, loss
~ 70 9295,3
3~524.8 Btu
LI~J YO~K S55AS~E Di~,AR51.~,.2~ OP ~i~9~5POI~I'~L COI!S~~flVATION
p~31atory Affairs
Bldgo d0~ SU£~ ~ Room 219
Storfj Brook~ New York 1179~
(516) 751-7900
?/a/gl
ROFERT F o ~LAC'~
Con~issioner
Michael A. LoGrande
63 Pinedale Rd.
Hauppauge, N. Y. 11787
re: ~TW 15276-0341(formerly Teich)
o-0-6~{ruct a one family dwelling and assoc, septic system.
Dear Sir:
Yo~ recent request to e~3~% ~a~ s.bove ~t has ~ revie~,~
o~t to 6 ~ P~t 661~ It has be~ dete~nec1 ~]at ~%e ~ent nat~e
~f ~ ~ade ~n~ons v~l~h e~st at ~d a,~_jap~pTc ~ ~i~ at ~e t~
s~h pe~it l~as issued trove not subst~.ally d~ng~ and the site is still
s~le for pe~tteD, ack.ties ~
%llerefore~ t/,le e.~iration date is extendad to 6/30/82 ·
~is letter is an g.~en~dm,,~nt to the original permlt~ au%d as ~uch~ sh6u!d be
attached t~hereto.; to the revised permit issued 10/19/80 and be kept
available at the site wh,enever work is in progress.
Ail of the conditions still r~/n as ~rjglnally ~ritt~n in the permit°
c. c. 1-File
Regulatory Affairs
Building 40, Sb%IY
Stony Brook, ~ 11794
(516) 751-7900
Robert F. Flacke
Commissioner
A COPY OF THIS AUTHORIZATION I~JST BE AVAILABLE ON PROJECT SITE
Victor Teio~,
33-34 166th Street
~'lus~ll~, Nmw York 1135~]
K E V I S E D
TIDAL WETLAI~DS NOTIFICATION LETTER AP?ROVAL
Dear Sir:
This is to inform you that we have reviewed the notification letter (or
permit application) filed on l.'-.reh 2!, 19~3 and have determined that
it=will not be necessary to file a permit application (or secure a tidal
wetlands permit) to coe~truct u oeo ~[ly dweliiag a~td assocla~ud
Sea,ion 2 - Property of ~<.S. lmnd" uortuurly side of Mtillwa:~r Aven~,
CutchoEue, T~ of Southola, Suffolk County, i;ew York.
Assuming you have obtained all other necessary permits, you may proceed
.with your project adhering to the special conditions (if any) found on this
letter.
SPECL'J.. CO.;DITION:~
1. All s=ruct'~re~ auld construction ~ctlvl~ie,~ are :o b~ wi=hie 95~ of- S~il~wa~er
Regio~l ~emig Ad~nis~rator
(Revised)
Date Issued
613
Expiration Date
cc: U.S. Army Corps of Engineers
NYSDEC Law Enforcement - Region
ii. Lo Oran, la w-~
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved ~--~....(.'~.., 1 .9~.. Permit No ..........
Disapproved a/ .....................................
(Building Inspector)
Rec e ire d...¢~. ~.~. .... , 19(~..
APPLICATION FOR BUILDING PERMIT
Date ....
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 throughout 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 Jn building for necessary inspections.
(Signature of applicant, or name, if a corporation)
2 88
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . .~../4 .~..~.~..~....~.....~...~..(.~..~..~..~t. ~..~.. .................................
(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 ..........................
Plumber'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 N6. 1000 Section ...[~' .~. .......... Block ....... .~.P'. ........ Lot....~].O..~. ....... '...
Subdivision ..... . .~..'.~..°.....~t.~..A~.~ .............. Filed Map No...4.~.~..O. ...... Lot..'8.~. .........
(Name)
2. State existing use and occupancy of premises ahd intended use and occupancy of proposed construction:
a. Existing use and occupancy ....~.q~..~.?./.~...~/t..~'.....~..O.4~. ~ .~'.,~...O~.~..~.O'.~ .... .~?..~....~..~..~../4~. ..........
b. Intended use and occupancy ....~..4~..~....~'.~...~P.P.~.~....~...g~...~.~P.'.~...~Q.. ~. ~.~..~.~ E~/..~...~... i.
3. Nature of work (check which applicable): .New Building 'Addition Alteration . ..:; .,.
Repair .............. Removal .............. Demolition ........ ..... OtherWork....,...! ....... !..
(Description)
4. Estimated Cost .~.,. ~
'~ (to bo paid on' filin~ this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor... ..............
If garage, number of cars ........................................................................
6. If business, commercial or mixed occupancy, specify nature and extent 0f each tylpe of u~e .................. :'..
7. Dimensions of existing structures, if any: Front .......... ' .....Rear ...... ; ....... Depth ...............
Height Number of Stories
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 ...................... Rear ...................... i Depth ......................
I0. Date of Purchase ......................... ;... Name of Former Owner i ............................
11. Zone or use district in which pr6mises are situated ........................ i ............................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...: ............................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .~..~.*f. ?. ............. Address .............. ~ ....Phone No?.l~..q.:
Nmne of Architect ........................... Address .............. ~ ....Phone No ................
Name of Contractor .......................... Address Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
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,
COUNTY OF ..... S.S
· ..'~-/.~..P~..'~..~. · .~'...~..~..~.'~..~..~. · .g~".. ............. being duly sworn, deposes and says
(Name of individual signing contract)
above named.
that he is the applicant
He is the .........................................................................................
: (Contractor, agent, corporate officer, etc.)'
bf 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
.............. l~. ....... day of~ ..... ~ ......... , 19 .~.
Notary Public ...... ~.~..... ~ .~.g.-. ~.~...~--. ..... Count~ ~ ...............................
M~ 4~'t~ ~ ~untyo -y (Signature of applicant)
T~ t~Wr~ M~h 30.
SINGLE FAMILY DWEL Ni
, S~ATEMENT OF
THE SEWAGE DISPOSAL ER SUPPLY FACILITIES
LOCATION HAVE SEEN I~ECTED BY THIS DEPARTMEI~T
FOUND TO BE SATIS~O~.
Chie t~wat~ M-dnA~bment Section-
, DATE:, - ,
:': :~" ~
.~ :, ,
H.s. NO.
~L~CANT
~0 % J
a:s,
pipe
TO~N OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
July 1,1985
Michael La Grande
63 pinedale
Hauppauge, N.Y. 11788
Your request for a time extension to your
present permit has been granted to Dec. 16,1985.
Re: B.P. #12806Z.
Very truly yours,
Victor Lessard
Exec. Admin. Bldg. Dept.
VL:dsm
,4'
C
Mg:~P OF' P~OPE~:~TY
CCJT~HO~CI~
7' m~t.
OWN£R$ t
/Z-
AP?~OU:"D AS NOTED
~ATE'~.~.P. ':~~
~65-1~02 q AM TO 4 PM FOR THE
'~OLLOW[NG INSPECTIONS:
~pg~FOUNDATION - ~0 REQUIRED FOR POURED CONCRETE
ROUGH - FRAMING & PLUMBING
INSULATION
FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C. O.
~LL CON,RUCTION SHALL ,MEET
~HE REQUIREMENTS OF THE N.
~TATE CONSTRUCTION & ENERGY
~ODES. NOT RESPONSIBLE FOR
~ESI~N OR CQNSTRUCTION ERRORS.
IWr
" ; R,E¥1~ION
{/
~ , ~ ~: . .... .,... ,.
[ NOTIFY BUILDING MEMT AT
~, ~; l. FOUNnATION "~O REQUIRED
/ ~D~ ~ ~ DESIGN OR CONSTRUCTION ERRORS. -
,~4 ....'. . .-. . .
/
.... ~ ~- ., .. ,.
~ ~ - , , . ,
'"-"" .":- A Z C 14 l,...~
~ d-z~L~':. ~/4-" = t '~ o"
I
~J
- .I
51DE- F-_-'LLS-V~TI OM
Io8
~'~ P-. ~- l-J T v~' o 0 T.-,
,
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3
i
OCCUPANCY
USE
UNLAWFUL
WITHOUT CERTIFIC
,
, oK Y:
F OCCUPANCY ,, , , , x
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