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Home My WebLink About28986-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT -_ Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29666 Date: 08/27/03 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 940 RUCH LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 2 Lot 32 .4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 26, 2002 pursuant to which Building Permit No. 28986-Z dated DECEMBER 6, 2002 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 COVERED PORCH ADDITION, SCREENED PORCH ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LAURA KRATOCHVIL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1117743 08/14/03 PLUMBERS CERTIFICATION DATED 03/14/03 MIKE JACOBI th ized ignature Rev. 1/81 FORM NO. 3 TOWN 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) PERMIT NO. 28986 Z Date DECEMBER 6, 2002 Permission is hereby granted to : LAURA KRATOCHVIL 61 JANE STREET APT 15G NEW YORK,NY 10014 for ADDITIONS AND ALTERATIOPNS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 940 RUCH LA GREENPORT County Tax Map No. 473889 Section 052 Block 0002 Lot No. 032 . 004 pursuant to application dated NOVEMBER 26, 2002 and approved by the Building Inspector to expire on JUNE 6, 2004 . Fee $ 408 . 30 C ;At ori ed S ' ure COPY Rev. 5/8/02 O r3.PLFJLrLJ.rPL. J-cPcPr!1211 PQIr11r11EIIE1'arJ�5JrJ@PEJ�rIr�rJcPE9 NIFlRP 211J�rJ�rPrJrJarJ�rJ�cPrJrJ�rJ�r_frJarJ�rJrJ�r1rJciii:ii �rJtPcPr��PcPrJ�rJ�cP o SBY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY e5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by S 5 PAUL R. BURNS LAURA KRATOCHVIL 5 P.O. BOX 1061 940 RUCH LANE C5 C5 SOUTHOLD, NY 11971-0932, SOUTHOLD, NY 11971 5 NJ e Located at 940 RUCH LANE SOUTHOLD, NY 11971 SApplication Number: 1117743 Certificate Number: 11177435 5 Section: Block: Lot: Building Permit:28986 Z BDC: NS11 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: rj 5 Basement,First Floor, Second Floor, Outside, 5 5 55 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 rj found to be in compliance therewith on the 14th Day of August, 2003. rj 5 Name QTY Rate Rating Circuit Type 5 5 Alarm and Emergency Equipment C5 Sensor 2 0 Carbon Monoxide 5 5 5 Sensor 5 0 Smoke 5 Appliances and Accessories5 5 Dish Washer 1 0 1.2 KW 5 5 Furnace 1 0 Gas 5 5 Air Conditioner 1 0 48.000 BTU 5 fj Wiring and Devices rj 5 Receptacle 29 0 General Purpose 5 5 Switch 30 0 General Purpose 5 Fixture 24 0 Incandescent 5 Dimmers 1 0 5 rj Paddle Fan 5 0 5 L5� Receptacle 2 0 20 amp Laundry 5 5 Arc Fault Circuit Interrupter 2 0 15 amp 5 Receptacle 8 0 GFCI 5 5 Service seal 5 5 1 Phase 3W Service Rating 200 Amperes Continued on Next Page 1 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. OrPrJ�rJ�rJrJ7tPcPrJrJrJr1r�rJ��Jdl�rJdJrJrJ@PrJ�rJ�rJ7rlrJrJrJ�rJ�rJcPrJr PrJ�rJ�rJr frJrJ�rJ�rJ�r�rJrJiJ@PrJrJrJ�rJ�rJ7rJrJrJrJrJrJrJrJ�r�rJrJrJrP O t] �PcPrlorJ�rJ�rJ�rJ�rJ@PrJ��P�PrJ�rJ�rJ�rJ�cPrJ��PrJ�rJ�rJ�r�r PrJ�rJ��!acPrJ@PrJ�rJ�r�cPrJ�rJ�rJrJ atJ arJ�rJ�rJ�rJ acPcPrlAJcPcP�JrJ�rJrJ arJ arJ�rJ�r�rJ�rnrJ�rJ@PrJ a FBI BY THIS CERTIFICATE OF COMPLIANCE THE 5 ^' NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5 L 40 FULTON STREET — NEW YORK, NY 10038 C5�j CERTIFIES THAT C7 5 Upon the application of upon premises owned by 5 PAUL R. BURNS LAURA KRATOCHVIL 5 5 P.O. BOX 1061 940 RUCH LANE 5 SOUTHOLD, NY 11971-0932, SOUTHOLD, NY 11971 5 �I Located at 940 RUCH LANE SOUTHOLD, NY 11971 C� r7 Application Number: 1117743 Certificate Number: 1117743 j7 5 Section: Block: Lot: Building Permit:28986 Z BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor, Second Floor, Outside, 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 14th Day of August,2003. 5 55 Name OTY Rate Rating Circuit Type r� Service Disconnect: 1 200 cb ,] Meters: 1 5 5 5 5 5 5 5 5 5 5 5 seal 5 2 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 o ��s��s�s�� 2 � ��s��s�� a� ; �Err� Form No.6 TOWN OF SOUTHOLD lJ 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 Depart Yent with the following: A. For new building or new use: AUG 2 5 2s 1. Final survey of property with accurate location of all buildings,property lines, st4cts, Ind unusual natural or topographic features. Trv.. 2. Final Approval from Health Dept, of water supply and sewerage-disposal (S-9 fort 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 2110 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 shoving 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$25.00, Additions to dwelling$25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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 - $50.00 5. Temporaiv Certificate of Occupancy - Residential $15.00, Conunercial $15.00 `�� Gddt` &4S Date 4�_�—' 1T , 3 New Construction aLtIC�C G ,Old or Pre-existing Buildinv (check one) �� Location of Property: � -c "Rua,. LCty_e, House No. Street Hamlet Owner or Owners of Property:_ 12 OL Krcxo CANV ( z Suffolk County Tax Map No 1000, Section 32- Block Lot Jar SubdivisionArc-hCow o CI C Filed Map. Lot: Permit No. ot%. ei tY1�Da�of ermit. Applicant: 'BoV&d C— C&W h ►�- Health Dept. Approval: C7h Underwriters Approval: u Planning Board Approval: o'b. Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 2SQ6-' Applicant Signature O��gOFFO(,�coG w : Town Hall,53095 Main Road Q Fax(631) 765-9502 P.O. Box 1179 Telephone(631)765-1802 Southold, New York 11971-0959 r BUILDING DEPARTMENT TOWN OF SOUTHOLD �� I2003 l I CERTIFICATION Date: ! l Building Permit No. 2 S ! 6C Z _ Owner: L Ori R t cl'r'r�. C-k ✓ 1 (Please print) Plumber: f-1I (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. / (PI ers Signature) Sworn to before me this day of_ W(2 C.c. 200-3 1-yt WNDA M. BOHN U k w NOTARY PUBLIC,State of Now York No.01B0602OW2 Qualified in Suffolk Cou Term Expires March 8,2042 Notary Public, County 11/06/02 WED 22:21 FAX 212 807 0998 Ann Clements Borum louu2 Albert T. Krupski,President Town Hall James King,Vice-President �S�FF042. 53095 Route 25 0e Foster P-O.Box 1179 Ken 1P liw da .2 Southold, New York 11971-0959 P, ggy A.Dickerson cc Telephone(631) 765-1892 Fax(631) 765-1366 9J►pl � dao BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Octo ,er 16, 2002 Ms. . .nn Clements Bout aik&Assoc. LLC 345 - Jest 13"' Street Suitt 3A New Fork,NY 10014 RE: LAURA KRATOCHVII. 940 RUCH LANE, SOUTHOLD SCTM#52-2-32.4 Deal Ms. Clements: U The 3oard of Town Trustees took the following action during its regular meeting held on Wee lesday, October 16, 2002 regarding the above matter: WH 'REAS, Boudnik &Assoc. LLC on behalf of LAURA IMATOCHVIL applied to the Sow cold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Cod , the Wetland Ordinance of the Town of Southold, application dated September 24,2002, and, WH?REAS, said application was referred to the Southold Town Conservation Advisory Council for t (eir findings and recommendations, and, WH 'REAS, a Public Hearing was held by the Town Trustees with respect to said application on Oct( ger 16, 2002, at which time all interested persons were given an opportunity to be heard, and, WH ;REAS, the Board members have personally viewed and are familiar with the premises in que: ion and the surrounding area, and, WH ';REAS, the Board has considered all the testimony and documentation submitted con( :rning this application, and, WE 'REAS, the structure complies with the standards set forth in Chapter 97 of the Southold �' Tov 1 Code, 11/08/02 WED 22:21 FAX 212 807 0998 Ann Clements Borum IPJ UO3 2 WHI REAS, the Board has determined that the project as proposed will not affect the health, safet. and general welfare of the people of the town, NO'V THEREFORE BE IT, RES. )LVED, that the Board of Trustees approve the application of LAURA.KRATOCIAIL to repo- ate the interior of an existing dwelling and add a 10'X 10' screened porch and 8'X 21' porcl ,with the condition that gutters and drywells are installed on the southeast comer of the addil on. BE I 'FURTHER RESOLVED that this determination should not be considered a determination mad, for any other Department or Agency,which may also have an application pending for the same or similar project. Pern it to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable,and permit issued within six months of the date of this notii cation. Insp. etions are required at a fee of$5.00 per inspection. (See attached schedule.) Fees $5.00 Ven truly yours, AN t J. KrupsL,Jr. Pres dent, Board of Trustees AJK lms 11/66/0Y Wtll LL:21 FAA 912 51J7 UU90 Ann c;tements norum Quug +NSA, / r Board Of Southold Town Trustees hi SOUTHOLD, NEW YORK t PERMIT NO. ..Sb ?..... DATE: _October Z6200, LA.URA_... ....KRATOCH. ... VIL _ , x ISSUED 70 ................... ... ......- :_.. . - •................................ .............._....,.........�_....... Pursuant to the provisions of Chapter 615 of the Laws of. the State of New York, 1893: and Chapter 404 of the Laws of the t " State of New York 1952; and the Southold Town Ordinance en- tifled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;?:': and in accordance with the ' Resolution of The Board adopted at a meeting held on 0ctober_16, - and in consideration of the sum of S 50.00 pard by Boudnik & Assoc.LLC for Laura Kratochvil -............... ...... ....................................................._.......... .........— .. , of ._.._... Southold .................................. N. Y. and. subject to the s -----.-----. ................. ...... - ........ Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: g' t Wetland Permit to renovate the interior of an existing dwelling an add a 101X 10' screened porch and 8'X 21' porch, with the condition that gutters and dry-wells are installed on the southeast corner of the addition. all in accordance with the detailed specifications as presented in -the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to r` be subscribed by a majority of the said Board as of his date. u•s 1� _ w- .., arLn 1 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: _LL/j?4/02 APPLICANT: L.puap 1(q_ ocy*jiL. DATE SUBMITTED:_IZ( /02 SCTM# DISTRICT: 1,000, SECTION: 07 , BLOCK: o� , LOT: STREET ADDRESS: �!�0 _ F1 L� . CITY: �5wn-kmb SUBDIVISION: PROJECT DESCRIPTION: A�7�Q{1g7dy ! �� f "` sl ta•�• WAW � L ESTIMATED PROJECT COST: �aS CHITEC ENGINEER: r1 AW FAST TRACK IW SINGLE & SEPARATE CERTIFICATION-REQUIRED�NOTES: LOTS 40,000SF-100-24. Lot recognition.(CRFATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/83: ZONING DISTRICT: R_ + CONFORMING? '%/J REQ. LOT SIZE: o,�t() ACT. LOT SIZE: ,;4 REQ. LOT COV Y> ACT. LOT COV REQ. FRONT PROP. FRONT�REQ SIDE IUB ACT. SIDE -% REQ. REAR PROP. REAR / REQ. HEIGHT PROP. HEIGHT WATER FRONT? #" DESCRIPTION: t.'.. PANEL #: _FLOOD ZONE: COMPLIANCE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH YWNPT: YES o1qBED #):_DTE:—/_/ PERMIT #:R10- TOWN SEPTIC RECEIPT: Y o>(N/ NEW YORK STATE DEC: PRE- C 9/1/75or NO SOUTHOLD TOWN TRUSTEES: or NO TOWN ZONING BOARD APPROVAL: I o TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or O NYS ENERGY: YES OR NO f EGRESS (18 H min.? 4 sq total) EVENT (SQ. FT. x 4%) ' IGHT (SQ. FT. x 8%) � BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z__ HAVE PRE CO'S : Y OR N BP -Z/C/0 NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: A SF FEE FEE FEE L ( ��jf SF)- SF)= SF X $ $ 2. (—SF)- ( SF)= SF X $—=$—+$—+$—=$ M-1802 BUILDING DEPT. �l INSPEC "PLB [ ] FOUND ON 1ST G� [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE / 0 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING ( ] FINAL [ ] FIREP E & CHIMNEY REMARK y DATE NSPECT R6-1 :F,7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU H PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING ] FINAL [ ) FIREPLACE & CHIMNEY REMARKS: c lee DATE 7 t;�, U-3- INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING ( FINAL [ ] FIREPLACE CJRIM NE REMARKS: DATE A//gZJ"SPECT FIELD INSPECTION REPORT DATE COBS 00 FOUNDATION(1ST) C y FOUNDATION(2ND) z Q 14 ` c ROUGH FRAMING& r PLUMBING r _ Q � INSULATION PER N.Y. STATE ENERGY CODE Zoe _ 7 FINAL ADDITIONAL COMMENTS O z r m O x l d TOWN OF'SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BV[Lf6�IlVG DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTROLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 (� Survey www. northfork.net/S uthold/ PERMIT N Check Septic Form /7 N.Y,S.D.E,C. 1Z 6 /� Trustees _Examined /' ,20 " Contact: Approved f7 , 20 v Mail to: Disapproved We Phone: Expiration , 20 111 / Spector 1! ' .�.� NOV 2 6 PPLICATION FOR BUILDING PERMIT ToV ns i".w. Date OU , 2007 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 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 inspectors on premises and in building for necessary inspections. Bou bi)I�-, � (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 6 a/k Ite a r I Nance of owner of premises a ��lrl- Kcal U L t/ u r (As on the tax roll or latest deed) If applic is a oratioore c Qduly authorized officer G�j� SPn+ �p6✓�-n er (Name and title of corporate �y 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: k M House Number Street Hamlet c� County Tax Map No. 1000 Section —Block t 2. I Subdivision C4)i0VW Filed Map No. x:,. ., Lot r (Frame) r 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi5m: a. Existing use and occupancy /I 51' -- b. Intended use and occupancy IV 51 G& 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost az) . Fee /'S-6co TT (To be paid on filing this application) 5. If dwelling,number of dwelling units 2 Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. I / ! 7. Dimensions of existing structures,if any: Front ,3 Rear 3 Z. S Depth 3 Z Height 18I Number of Stories Dimensions of same structure with alterations or additions: Front 37 ' Rear 2 S Depth y 0, eight fit{' Number of Stories 8. Dimensions of entire new construction: Front_ Rear-12---s Depth 1 Height Zy' Number of Stories ;e_ 9. Size of lot: Front (a D, Rear t?I . 7 9' Depth %� 10. Date of Purchase (9 9 '7 Name of Former Owner //l y,5 . Erl eerl lJ ro c'm n 11. Zone or use district in which premises are situated I� q c) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO� 13. Will lot be re-graded? YES_ jj ''�.NO+/�%,.�Will excess fill be removed (frrom premises? YES_NO_ 14. Names of Own er of emises/,1�1Q �VGv UI ( Address NQ Jt • C.Phone No.Name of Architect Ou l C gs be.. Address3 WL). 137`` C I?hone No ti" Name of Contractor '1 V- AAddress 6 110OSP Creeic.U%. Phone No. Sa3h�dt a 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YESy NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS,�4AY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES V NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation 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. STATE OF NEW YORK) SS: COUNTY OF N )� f�y) C[ew e+ `' l being duly sworn, deposes ana says that Whe is the applicant (Name of individual signing contract)above named, (S)He is the _ Cd LP rZ {e (Couftetor,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. Swornobefore me this f day of Q o�f 6Q)( 20 1�)a U Note&Public *Signature of Applican JENNIFER WEI FELDMAN Notery Public,State Of New Vb* �/ / No.01FE6062818 Qualified In New York County My Commission Expires Aug.20, 2006 D��rcr= bj PLUMBING ALL PLUMBING WASTE G UNDERWRITERS CERTIFICATE L'LUML'ER CERT/f/CAT/ONTES i WATER LINES NEED TESTING BEFORE COVERING .% PROVIDE ANTI- 9�o REQUIRED GlV LEAD CONTENT BEFORE SCALD ANDIII NM ,p C°,_r,T1FlCATEOFOCCUPANCY THERMALSNOf.KPREVENTINGI DO NOT PROCEED WITH DEVICES AS TO PART. 902.610 �0ti �`''�;; APR 'aMwa" o � 9LDERUSEDINWATER N.v. srATEem 4 !� DAg 06 -e,?' ,Ip�'LySySTEM CANNOT FRAMINGUNTI"URVEY tDINGCO Et q ALF Fes^ �' en �'I 'EED 2/10 of 1% LEAD. F FOUNDPT16N LOCATION - I q 00, le NOTI BUILDING DEPA T A ----'HAS-9-CEN APPROVED. PROVIDE OPENINGS FOR ''r cF i` 755-7502 9 AM TO 4 PM FOR THE -. ~� Woo FOLLOWING INSPECTION& '�` EPAERGENCY ESCAPE AS 'a? / 1. FOUNDATION • TWOR@GUIRED REQUIRED BY P j t Gveyr •. ART. 7140F�r N � GBaJ 2 ROUGHUR FR M CONCRETE/ YI ronq,G i PLUMBINGWVjv�, rT PROVI.DE SMOKE-DETECTI'N'G N.Y. STATE BUILDING 06DE, k �(1 �pP r spm d INSULATION i +, , �nTy �^><, A ALARM DEVICES y o• ♦ FINAL • CT FORC.O. MYBT __ �I l �� AS TO PART. 721.1 Q. BE COMPLETE FOR C.O. ,¢, ' ALL CONSTRUCTION SHALL*E Ul , iJ.r iItRS i t9i AT'E IS BUILDING COD , o s 8ti.i IlidU ... .. THE REQUIREMENTS OF THE NX STATE CONSTRUCTION i ENERGY V CbDES. NOT RESPONSIBLE FOR DESIGN OR CONETRUOTION ERROBB �6L"CN,PC�u�,4't�.lf �w3 r , !� FOSE i I,.I.,G_v &�16Th0l,FCY CEV OF OCCUPA---,, ti�, U roeti I NY `L. �• Jq ;'�� IJI I,.I �� I I,I I"'"�I' I I f�l;�l',. I, r � __..__.._ �� o ti t. 7 7 I. AL WoKNAON�aRM?O IH: row- N64ovvykiN4 - AWAKPy% 0 l . A. THS NT, AND ,UFPOLK co. 13111LPIIN� 40PV, -� 1i, A•166-• MANUAi- OF STFr l 601.1411 U6 )H AL-LVWAV,� �1fZ�i��✓ 1 n Xf G- lHr WWW' GOKIKUXI10H MAIv�UAl- O�( a 7, W0217 W �1?ZUGTIl7N, p 4-AjA- PF0WV- ANO ejRAe4H,- ARV MAIC SAW- ALL FWM41 RGb�r, AND WAWAS PZ03wT 619WVIlON i F-VQUIK0-, ALL WW4Wei OK SHo�ZIN� SHAD I MAIN IN PLACE A5 LOI4 M Kr t200OTO MAINTAIN 6ArMA'y', 1 SURVEY OF PROPERTY 3. Aw vIrl*N�Ot7 SHALL V0 VMrIVP IN 1`1001,12 W TNrT coNTFwcralz, 9Q AT ARSHAMOMAQUE Ai L G Imo! 12FPANG �5 sHAw � R SPolzlla Tn rHe Arco Ilya c r, <" � TOWN OF SOUTHOLD R. IuSu Ate Aw OK111 , WAwS WITH W-- li KFAP-reAeH tNsul.A M, -o SUFFOLK.. COUNTY, N. Y. IWLJI.AIG Nr-W 1W oNtl r- -00g, [�xlsTlly'j FIRsr F; 0,912- ANP Ntm -\ O - 52 - 02 - 32.4 1000-, AIS IN ruLA n,6N ?a VV IN51'AU.NP AY � W' 17r- X- 1000 ?O SCALE•, 1" = 20' MaVE av (L�12 Aci ��G2u17C�ta, j o�C MAR. 17, JULY 15, 2002 ( revision) uMiAKVI•D7 WINva,S N I xIS-rlNl 0PDNIN45 - AUG. 5, 2002 revision properly line ^) `fly I I � � c �ff AREA 10,009 sq ft to tie line Fc000 z0mFL1NEs F71or, FIRM NF,WVOq / r'� �"-""'�--�._• �� ,5 ---- . I%nel No - ��° M�.izrpN� ,'` 3100813 Oo-76 E ANY ALTERATION OR THEADDITIONNEW TO THIS SURVEY IS A VIOLATRIN ,7" __'!•'+ �= J O OF SECTION PER C THE NEN' UBDI STATE D CATIDN LAW. t\ /� •! EXCEPT AS PER SECTDN 7209+B!/BOIVISDN 2. ALL C£RTFACATIONS HEREON ARE VALID FOR THIS MAP AAD COPES THEREOF ONLY F .-LIC."nit 9618 SAID N.Y.MAP OR COPES BEAR THE AWRESSED SEAL OF THE SURVEYOR ,e° / I,,,J••,...,� W OSE SM,NA LUPE APPEARS HEREON. PECONIC SUR E' i?S,y L1. �� ✓p, +G e,�;L ADDITA"LLY TO COAFLY WITH SAD ((,,AN THE TERM ALTERED BY' !6311 765 - 5020 �! 3! 5 - 1797 3�il N. nN�.y MUST OT USED BY ANY AM ALL SUPVEYORS UIM-IZNS A COPY P. O. BOX 909 0 e ,1 OF ANOTHER SUPVEVOR'S MAP. TERMS SUCH AS 'WSPECTED'AND 1230 TRAVELER STREET 'BROU64T-TO.OATE' ARE NOT AV COAFLIANCE WITN THE LAW. SOUTHOLO, N.Y. 11971 ' 98 - 11}1 a Ozs>.6D �+a Mo„7sslowN�" I I , A� I, 0-,X1<- r 71 -ro 'Novi V P I 1'J :'4 OF I o 7 �1 i VIHIW; iz -" FwOol AN.,i,, Ar-vt; Mov�l \ k� [ p1r, t4 [ t- iv, I I T-T\-, :I1 , I': ---I -- X r=z: ( FYI ) r� po -Al �7P 6'rAW- IN A-, u kl�l l rj--!ANr-P Al I w W4J Ifs I' 1 NhW cCJ plNl sr M N M4` . ck,.0 N I � -- �,I- K _..._ V ��'r�n,' vi •:K1 � _ -* 1 . Y GMIh'INvY mq it 1 4 NO rip l<5 I' �I q I , I jj � I ✓� -� - — � _ nil .j �— — -� ') NSW r"Miwj '1 i��-•I prJr�:� �I I� I °� u4 I1 it II II II 1I I' l r n 1 Nrlkl Y : II E'e 1- \ 7�i' 14✓� ^C,. c... � D^"k, r ,y"k'i a P • �i�/ T_ t �� u U,�. 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