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HomeMy WebLinkAbout26437-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27034 Date: 04/12/00 THIS CERTIFIES that the building ADDITIONS Location of Property: 950 ROSEWOOD DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 2 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 2000 pursuant to which Building Permit No. 26437-Z dated APRIL 6, 2000 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 TWO STORY ADDITION WITH WRAP AROUND DECKS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEO & IRENE B. SLEDJESKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-387248 05/29/96 PLUMBERS CERTIFICATION DATED 03/27/00 TIMOTHY HORTON Au orized Signature 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. 26437 Z Date APRIL 6 , 2000 Permission is hereby granted to: LEO & IRENE B. SLEDJESKI PO BOX 510 MATTITUCK,NY 11952 for CONSTRUCT A TWO STORY ADDITION WITH WRAP AROUND DECKS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. REPLACES BP #22821-Z at premises located at 950 ROSEWOOD DR MATTITUCK County Tax Map No. 473889 Section 113 Block 0002 Lot No. 021 pursuant to application dated MARCH 27 , 2000 and approved by the Building Inspector. Fee $ 158 . 80 ?Authorized S ' nature COPY Rev. 2/19/98 IUWN7601 �,UWBULIJ n (� p (� �Q5 BUILDING DEPARTMENT' 7nt f;t FEB —92.000 7,000 �J -^ APPLICATION FOR CERTIFICATE OF OCCUPANCY ULDG. D'€ PT. T i' rC f( tion must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building 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 from 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 the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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 a '.'pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican 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, Swimming pool $25.00, Accessory 1euilding $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 - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . ix . . Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. . . 960. . . . . . . . . .. �: . . . . . . . . . . . . . LT! pG . . . . . . . . . . . House No. Street / Hamlet 1. Onwer or Owners of Property. . . �S .�Q./C. .L�£� �:'� . . � �!�• =•�/•e . . ...• • • • • • • • • . . County Tax Map No 1000, Section. . . .<.�3. . . . . Block. . .�G. . . . . . .. . . .Lot. . .Z/. . . . . . . . . . . . Subdivision. . . . .,,pp. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filled Map. . . . . . . . . . . .Lot. ... . . .... . . . . . . . . . . . Permit No. .�.l�. cw.2 ?? . . .Date Of Permit. . 01015- -. . . .ApplicantL4Fes18��].T.�. T�F���• ^ Health Dept. Approval. . . �. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . Planning Board Approval"%/f . �tp�?�. . . . . . . . 9 Request for: Temporary Certificaate. . . . . . . . . . . Final Certicate.V. . . . . . . . . Fee Submitted: It. . . . . . 0. . . . . . . . . . . . . . . . . . . . A LICANT 5773 comma?03y TEL. 765-1802 0�0 Ol✓ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR 7 Vera cj� ` �• '_ti'.m,� rn P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date__. Building Permit No. 22, 921 Owner LeO A . Slpoy Pskl (plealse pri t) T Plumber ! ) Ytlo rhe A-c,(-+On (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. ( �umfKex'ls signature) Sworn to before me this day of 0,4— _, p No p ' lic A,7--- Notary public , County ALICE M.SH`AUGHNESSY ''I Notary Public,Stats of New YOAt No.82.4528113 +� QurlNled in SuffIp k Ceurlt�r i OMrmiwion.Explroa ab111J7J o��gUf F�(�CO ELIZABETH A. NEVILLE _� Gyp Town Hall, 53095 Main Road TOWN CLERK H P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Q T Southold, New York 11971 MARRIAGE OFFICERFax(631) 765-6145 RECORDS MANAGEMENT OFFICER y�Ql �aO� Telephone (631) 765-1500 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 2, 20 CERTIFIED MAIL RETURN RECEIPT REQUESTED Leo A. and Irene B. Sledjeski �n P. O. Box 510 Mattituck, New York 11952 Dear Mr. and Mrs. Sledjeski: Your check No. 1280 in the amount of $25.00 dated 02/02/00 issued to the Town of Southold for an Certificate of Occupancy by the Building Department was returned by the bank due to INSUFFICIENT FUNDS. This office is required to collect the money for the check and an additional $15 charge for each returned check. Payment must be cash, money order, or certified check. The total amount due is $40.00 and must be received no later than Town Hall closing time at 4:00 P.M., Friday, May 5, 2000. Failure to pay this amount within the specified time will result in referral to the Town Attorney's Office for collection and revocation of the Certificate of Occupancy. Thank you for your anticipated cooperation. Veryours, Elizabeth A. Neville Southold Town Clerk Enclos 'res C( : Building Department Town Attorney o��$UFFO(,�co ELIZABETH A. NEVILLE _� G'y� Town Hall, 53095 Main Road TOWN CLERK c P.O. Box 1179 COD = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS py �.F Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �Q! y_ ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER +� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 2, 2000 CERTIFIED MAIL RETURN RECEIPT REQUESTED Leo A. and Irene B. Sledjeski P. O. Box 510 Mattituck, New York 11952 Dear Mr. and Mrs. Sledjeski: Your check No. 1280 in the amount of $25.00 dated 02/02/00 issued to the Town of Southold for an Certificate of Occupancy by the Building Department was returned by the bank due to INSUFFICIENT FUNDS. This office is required to collect the money for the check and an additional $15 charge for each returned check. Payment must be cash, money order, or certified check. The total amount due is $40.00 and must be received no later than Town Hall closing time at 4:00 P.M., Friday, May 5, 2000. Failure to pay this amount within the specified time will result in referral to the Town Attorney's Office for collection and revocation of the Certificate of Occupancy. Thank you for your anticipated cooperation. Veryours, Elizabeth A. Neville Southold Town Clerk Enclosures cc: Building Department Town Attorney THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date MAY 29J996 1996 Application No.on file 10606895195 H 387246 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 LEO SLEDJESKI, 950 ROSEWOOD DRIVE, MATTITUCK, N.Y. in the following location; ❑ Basement IN 1st F1. X 2nd Ff. OUT Section Block Lot was examined on MAY 22,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K.W. AMT. K W I AMT. I K.W. AMi I K W T. H.P. 14 1.7 1.6 13 1. 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PTj TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. pMT H P. NO.OF FEET pMi WATTS 2 - 2 600 SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO.OF CC GOND. A W.G. A.W.G A.W G. AMT. AMP. TYPE EgU1P. 1 p 1W t R 3W J.e 8W J,e'AW PER 9 Of CC.GOND NO.OF HI-lEG OF H4lEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ELEC. ROOM HEATERS-1-2.0 K.W. G.F.0.I2-3 `, - � � ` 6d� SMOKE DETECTORt-1 ROSLAK ELECTRIC LIC.#3677-pL L P.O.DOX 164 CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 1a 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 MUST NOT BE ALTERED IN ANY MANNER. FIELD=INSPECTION=REPORT DATE _ CO_MM-NIS FOUNDATION OST) FOUNDATION (2ND) n -------------------------I---- I V ol ROUGH FRAME 6 __ __, � I PLUMBING I INSULATION PER N. Y. I¶' STATE ENERGYAA CODE Ii� C . II� M II y FINAL I , ADDITIONAL COMMENTS: _ ________________________________ _ ________________________________________________ h - H �°A IS 169 03r N \ V6 pN \ A0\10 N 610 \ Syr \ z 6 \ / N : 0 1 SK' i >6 �^ p O 06 .10 a \ m ; 0 1o33r 1q`M• ; °(, \\ LOT Q 0 ROSEWOOD DR/VE i I imutismrized alterglimn,q' addition to phis survey is a violation of � :lion 7209 of the,New York Slate Education Law. 1 •pies of, 'his survey mmis not hearing the land surveyors inked f nt -embossed seo0 shotil not be considered to be o voLd cora f ne No^s or certifications (ndienlnd be.o..,. .Mtt _._ __r.. .. .� ENERGY CODE CALCULATIONS (Tor Non-ElecL•ric heat) Design Criteria 6,000 Degree- Days / /J J O.A. L0°F I .A. 7U'C roll: slle ["� ILC�Lr PER: pet) SfC�j C� L Mg1A1(6k DATED: 2C✓i51f S Kn2jc` s/� DESIGN 'TRERMEL RL•MARKS SUBSYSTEM AREA uU., RATING ExL•erion Walls (opaque) 7/ 6 v -T 77 Glazing E `� /-7 Z 3 2a.s c, pr Jrn I gp� c Doors 16 Ceil-iny/Root (opaque) 376 OS O y +N Skylights 2, /- 1 3 0 3 „vc eVit) r Floor 0,), u3- O Cow:dati.on Walls Slab Insulation TOTAL Z Notes: Building Envelope Systems to meet requirements of 7015.2 11VAC Equipement to meet requirements of 7U15. 11 ❑VAC Systems to meet requirements of 7015. r2 Duct Systems to meet requirements of 7015. 13 Ventilations Systems to meet requirements of 7015. 14 Insulation of Piping Systems to meet requirements of 7015. 15 Service Water Heating Systems & EquipmenL- to meet requirements of 7015. 2.1 Electrical & Lighting Systems & Equipment to meet requirements of 7u15 . 31 '1' apy o the best of my knowledge, 4 t: NEW 0 belief, & professional rev INCE . TUT�� judyemenL, these plans are in ,e compliance with the code. ° �' � F, rr w c3 w '. 032254-7 e*" �R90FESS10��� 0 ' toed. t. �S 169 Oat m \ wo to rMo E 0-61 O 6'0 \ 34r \ y c 6. � N tit\ t m ?03 \ S,6 v Eq � I m O O. ROSEWOOD OR/VE i :outborized alferolion,or addition to this survey is a violation of oNon 720.9 of the:New York State Education Law. 7i 'Pies of this survey mop no! bearing The land surveyors inked { >t eR embossed reoP shag not be considoied to be a voiid cot, a: "J" 11 cerltficattons Indicated hereon sbatl ..... ....t.. ._ .t_ i M-1802 BUILDING DEPT. INSPECTION [✓] FO ATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ J INSULATION [ ) FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMAR a C � DATE L v INSPECTOR 765-1802 BUILDING DEPT. INSPECTION __._.._ [ ] FOUNDATION IST [ "OUGH PLBG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: = / 91-��✓� �r.� DATE Aq INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY G RE RKS: _ DATE �� `INSPECT IC7)1� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE J INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _ c JI-0 t o DATE_ (_.I__ U"o _INSPECTOR BOARD OF HEALTH FORM NO. 1 V3 SETS OF PLAZUS . . . TOWN OF SOUTHOLD ✓SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT ✓CIIECK , . . . . . . . . , AY 261995 '' TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . h / SOUTHOLD, N.Y. 11971 TEL.: 766.1802 NOTIFY LUO.Ca CALL . . Examinee. OLD . S ��•tt•/ MAIL� (, AIL . . . Approved l 3, 19Z.�Perm it No. d�f , I Disapproved , . . . . . . . . . . . . . . . . . . . ( uilding Inspector) APP I ATION FOR BUILDING PERMIT Date . . . . io :`. . . . . . . .. Il` 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 l9cation 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 It 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. �a w. . ./?( . . SL7Z !A T. . . . . . . . . . . . (Signature of applicant, or name, if a corporation) AJ (Mailing address of applicant) . State whether applicant is owner, lessee, agent, architect, engineer, eneral contract electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . Name of owner of premises R, z/ r<S 4.C6 S L Ef`r� St�' . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. . . . d • !?l Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sa . . . . . . . . . . . . . .. . . . . . . . . . . .10?rel . . . ... . . . . . . . . . . . . . . . House Number Street Hanilet County Tax Map No. 1000 Section . . . ../l;3 . . . . . . . . . . Block . . . . ... . . . . . . . : . . . Lot . . . . l. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) • 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5/ }f!4!� D+aalLdAi b. Intended use and occupancy G . . . . . . . . .`� . . . . . . . . . . w . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition .iel . . . . . Alteration . . . . : . . . . . Repair . . . . . . Removal . . . . . . . . . . . . . . Demolition . , . . : . . . . . . . . . Other Work . . . . . . . . . . . . . . . /' (Description) 4. Estimated Cost . . . . . . . . . . .a�,.t. . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on,filing this application) 5. If dwelling, number of dwelling 'units . . . . . . . . . . . . .... Number of dwelling units on each floor . . . . . . . I . . . . . . . . Ifgarage, number of cars . . . . .'I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G. If business, commercial or mixed occupancy, specify nature and extent of•each'type of use . . . . . . . . . . . . . . . . . . • , . Height . . . of exit . g structures, tures, if any: Front . .: . . . . . . . . . . . . Rear, sO.� Depth . . o?g.. . . . . . . . . 7. Dimensions of existin structure , • g Number of Stories . . . . . . . . . . . . . . . . . . . . . . . Depth of same structure wa Atli alterations alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . • • . . . FIeight . . . . . . . . . . .. . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . , • • :1.4 , , Rear . . . . �. . . . . . . . . Depth . . . . 3y.0, , , , , . , Height . . . . . . . . . . . . . . . Number of Stories . . . . , . . :11".0. . . . . . . . . 9. Size of lot: Front . . . . . . . . Rear. . . . . . . . . . . . . . . . . . Depth. . . . . . . . . . . . . . . . . . . , . . . 10. Date of Purchase . . . . . , • .1. 1 . . . . . . . . . . 1 • . . . . Name of Former Owner . . . . . . . . . . . 11. 12. Does r proposed construction viol tenses are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . , . to any zoning law, ordinance or regulation: . . . . 1 . /. . . . . . . . . . . . . . . . . . . . • . . 13. Will lot be regraded • , . Zone p r use district in which re, u Will excess fill be removed from premises: Yes X10 14. Name of Owner of premises 4#"A. . 5- 194; K� . • , Address AAM-4 iQ . 04 . . . . . . Phone No. .4h . . — .. • , Name of Architect . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . N nie of Contractor trac ory �tV n3• 7�A� M. AD Address 1-.)- � . l�)9 "4�rPhone No. "1994. 15. 97. . . 00 feet of a tidal wetland? *Yes. . . . . . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may. ,be required. PLOT DIAGRAM Locate clearly and distinctly all ibuildings, 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, S COUNTY OF . . . . . . . ' °��• • •/ • • •a?�i•/�.!LT being duly sworn, deposes and says that he is the appli ant Name of individual si nitg contract) above named. Ile is the . . . . . . . Ct . . d�al� . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . 9999 . . . . . . . Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly] authorized to perform or have perfomrpd the said work and to make and file this application; that all statements contained in this application are true to the b4st of his knowledge and belief; and that the work will be performed in the manner,set forth in the application filed therewith. Sworn to before me trrhiis .� + "1 . . . . .day ofA. 19 l Notary Public. . . . . . . . . . . . . . . . . . ., . . . .. . 5!r#b.�(�County Nnt>as +f uIFT ^A Ne of ELIZAt�ET=i ANN NFV11LF • (Signature of applicant) Ne. -t3E2St?;a(�,,tsfSd;EcGo¢e®rls 7b;n Expires gcWWI, a�an� —/alsaroa�s 6 - 1 / OCCUPANCY ORDATE PP 4Y D A5'NOTED NOTIFY USE IS UNLAWFUL FEE: gUIWING 0 A EJ7 /y •----- / i � ��. � � T CERTIFICATE 765-1fJ02 9 AM TO q- ///�j • FOLLOWING Int,PFC1MONsR 7HE - �ITHOU ,�1 'L.FGUPIC/iT{f`al r;t+_'„REQUIRED FOR POUT:[b conk FErr: OCCUPANCY 2. IROIIGH FRAbrhJ, 7y PLUMBING —�--- `\y 3. INSULATION 4. FINAL - CO,"JHT'RLICTION MUST BE COMPLETE FOR C O. 1 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. t -- — —^ STATE CONSTRUCTION & ENERGY, P CODES. NOT RESPONSIBLE ONSIBLE FOA DESIGN OR CONSTRUCTION ERRORS Lj— E✓ IS7, N1c- — Aon 2 '1 0" IDS tit Cl1 PLUMBING PLUMBER CEAMICATION W PLUMBING Nr 8 WATEA LINES NEED ON LEAD CONTENT BEFORE TESTING BEFORE COVERINo CERTIFICATE OF OCCUPANCYIf - SOLDER USED MV V647ER midis ibis used ultnng SUPPLYSYSTEM CANNOT Mom;%µtt Slop e•. �z I EXCEED 2110 of I%LEAD. oftYy.alt I _ Ifs,vL• �. ♦ (Y2aC Go- 16 b 2gig MIN _. _ r r% I Ai I � i r � KnIEE WALL �V• Irwrt CXIST ' DCAM I { ' 6 1 LL - ?fC b ' - -- --' - T � I I;! x _ 1 . . _ __ __ ___ _ _ .__ ___ _ I(•.�P C`fjfl �A�—_moi�InT I` (L/i 2.Kb 10 _ T—..�__—_ _.____.. _ _ ._�_._ .M1IC SIL col LErI o ;r t CLEV 1� AR m ! , _ C 1 _ - - - - -v Fnno n, 6- ft - Cr F / � I e LILA{- TA !! G RYA C P'N� �°T,w;6-- A � .. Ej MY 261995 . e-477040Main :K'ad I r G1iEENPORT, N.Y. 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