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HomeMy WebLinkAbout26447-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27629 Date: 04/18/01 THIS CERTIFIES that the building ALTERATION Location of Property: 7480 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 11 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 2000 pursuant to which Building Permit No. 26447-Z dated APRIL 12, 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 ALTERATIONS, FRONT PORCH ADDITION, SECOND FLOOR BALCONY & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES P. BORLAND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTM@PT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-553122 03/13/01 PLUMBERS CERTIFICATION DATED 04/06/01 GLEN M. WOLFEAGER — a%4" Authorize 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. 26447 Z Date APRIL 12, 2000 Permission is hereby granted to: PAUL W HAUG PO BOX 415 MATTITUCK,NY 11952 for ALTERATIONS FRONT PORCH ADDITION SECOND FLOOR BALCONY AND DECK ADDITION AS APPLIED FOR. at premises located at 7480 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0011 Lot No. 012 pursuant to application dated FEBRUARY 81 2000 and approved by the Building Inspector. Fee $ 121 . 60 Authoritrbd Sig ture ORIGINAL Rev. 2/19/98 L Form No. 609 it S®`��er Cork . \�ICIcS 'C� ur\de1 wflti-erS Cert S5°3 /,2.7, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building 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 12 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 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 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building ,$25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - ' .254+1 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .�.PrQ: .�. .� � ,.aOO.�. . . . . . . . . . . . . . . New Construction. . . . . Old Or Pre-existing Building. Location of Property. . ?'4 $.® . �L O V1tC �� �l, , , , , c gu CG4 \. .. . . . . . . . . House No. Q Street Hamlet Onwer or Owners of Property. . . . .arn . . pt' (:No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .J, a.G. . . . .Block. . . . 0. . . . . . . . .Lot. . ./ <-✓L. . . . . . . . . . . . . . . . Subdivision. .// . . .Filed Map. . . . . . . . . Lot. . . . . . . . . . . . . . . . .. . . . . Permit No.`�.5.y y._7 . . .Date Of Permit. y//5-.l O O . .Applicant. �Ob&%r� � C Oak 0 - ix_q Ti en l Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters .Approval. O P.ie .3'.a CtCSnCA j Planning Board Approval. . . . . . . . . . . . . . I . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certi e. . /e Fee Submitted: $. cA . :Cl). . . . . . . . . . ... . . .. . .. bZec , 59317 . . . . . . . . . . . . . . . . . . . CC, Z APPL CANT APR-06-01 12 :42 PM CENTURY 21 ALBERTSON 5167653803 P. 01 �ggFfOlK�, Town Wall,53095 Main Road Fax (518)765.1923 P. 0. Vox 1179 u8 Telephone(516)7651802 Soulhoid. New York 11971 '& 41 OFFICE OF THE BUILDING INSPECTOR, TOWN OF SOUTHOL.D C E R T I F I C A T I O N DATE". Building Permit No. Owner Jf)"�: , .o'-kAxa, (p/lease prlint) Plumber: b1�� /�iprT/i -(please print) I certify that the solder used in the water supply system contains leas than 2/10 of 18 lead. ,&,- 7� s (Plumbers Signal �) Sworn to before me this ._ day of _F1 PR/z- Notary Public, S /s-' County JONATHAN KAH Rotary Public,Rtate of New York No.01KA5065261 Qualified in Suffolk County Commission Expires Sept 3,9v,-u ;Z,- 1312111 1jj:f!jj:Q!I!QI THE NEW YORK BOARD OF FI'RE . UNDERWRITERS PAGE 1 1135207 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY,10038 MARCH 13,2001 °'a.,:u+"1".'C J. N 553112 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JAMES BORLAND, 7480 PECONIC BAY BLVD. , TAURLL, NY rr� F C`AR;+.iE t''C . in the following lo 'o as t L"1 Ist Fl. L"J 2nd FZ. Section Block Lot was examined on and found to be in compliance with the National Electrical Code. t FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES OUTLETS INCANDESCENT FLUORESCENT I OTHER AMT, K.W. AMT, K.W. AMT. I K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL I UNIT HEATERS M$YSTOEMS ET DIMMERS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. ,AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.6. AMT. AMP. TYPE EAUIP. 1 D RW 1 D 3W 3 0 JW J 0 4W PER 0 OF CC.COND. NO.OF HI OF NI�LEG NO.Of NEUTRALS OF NEUIRAI OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in 'the prenli.ses indicated, " "No obvious unsatisfactory Condition Was found. JA14ES MURRAY LIC.#3653 ` yarn )L P.O.BOX 305 LAUREL, NY, 11948 GENERAL MANAGER E11 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. Town Hall,53095 Main Road COD Fax(631)765-1823 P.O. Box 1179 1$ Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOVVN OF SOUTHOLD 10, 2001 PAUL (::LMR. HAUG P O�j P.0. BOX 415 TU MATTITUCK, N.Y 5�2 � To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . XX The check is (not on file . ) $25 .00 No Health Department Approval on file . No final inspection has been made . XX No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26447-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT DATE .,._., ,> COMMENTS rr —n- y FOUNDATION ( IST) I FOUNDATION (2ND) II�I i ew ROUGH FRAME 5 _ PLUMBING r It n INSULATION PER N. Y. n n -- -II H STATE ENERGY n ii lul----tet CODE u n -- II —jj II 1 ♦ r. H II II FINAL ADDITIONAL ----- ------- ADDITIONAL COMMENTS: ra — — y 9-, ' H 0 z H P---- r� ro �,;�gAFFO(,tc Town Hall K Albert J. rupski,President ht� �Gy 53095 Main Road James King,Vice-President :e P.O.Box 1179 Henry Smith y 2 Southold,New York 11971 ..._,AYtie,Foster. 5 �� Telephone(516) 765-1812 � BtPo�w�F�a' �Q �0 Fax(516) 765-1823 1�r1 I MAR _ 3 2000 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 14, 2000 Donald G. Feiler, Architect 11725 Main Road Mattituck NY 11952 RE : JAMES BORLAND SCTM #126-11-12 Dear Mr. Feiler, The Southold Town Board of Trustees reviewed the survey dated and received in our office on February 8, 2000, and determined , that the construction of a second floor balcony and a new deck to an existing house to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within 75 ' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call . Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. ��%JSFF0Q, Town Hall Albert J. Krupski, President „yam r/y 53095 Main Road James King,Vice-President C .mac P.O.Box 1179 Henry Smith CA x Southold,New York 11971 _.Artie.Foster G a Oy Telephone(516) 765-18!32 feni fo)iwdda Fax(516) 765-1523 MAR _ 3 2000 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 14, 2000 Donald G. Feiler, Architect 11725 Main Road Mattituck NY 11952 RE: JAMES BORLAND SCTM #126-11-12 Dear Mr. Feiler, The Southold Town Board of Trustees reviewed the survey dated and received in our office on February 8, 2000, and determined that the construction of a second floor balcony and a new deck to an existing house to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within 75 ' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call . Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc . Bldg. Dept. eptal co20 New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 -SUNY, Stony Brook, New York 11790-2356 Phone: (516) 444-0365 • FAX: (516) 444-0360 Wep ".sge: ydec.stata.rly:us John P.Cahill �c , ,, I, Commissioner MAR _ 3 20(10 LITTER OF NONJURISDICTION--TIDAL WETLANDS February 24, 2000 James Borland Re: 1-4738-02561/00001 7480 Peconic Bay Blvd. Borland Property Laurel, NY 11948 7480 Peconic Bay Blvd., Laurel SCTA1# 1000-126-11-12 Dear Applicant; Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The portion of the property landward of the seaward bulkhead constructed prior to 8/20/77 as shown on the survey prepared by Howard W. Young dated 1/7/76 is beyond the Article 25 Tidal Wetlands Land Use Regulations jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, 4 9.4v Ro r Evans Pe 't Administrator Lcc:KI{/file CENSUS 1000 D. Feiler, Architect ,f 1IiT wTM,luorrt IfNII[AIF 4 dB141 ental Co,os New York State Department of Environmental Conservation o A l•� Division of Environmental Permits, Region One Building 40- SUNY, Stony Brook, New York 11790-2356 Phone: (516) 444-0365 • FAX: (516) 444-0360 YEgRs d 1 Stet nysUS John P.Cahill Commissioner 1, i. . MAR _ 3 20100i T`- ER OF NONJURISDICTION--TIDAL WETLANDS o ' y FA,4 l February 24) 2000 James Borland Re: 1-4738-02561/00001 7480 Peconic Bay Blvd. Borland Property Laurel, NY 11948 7480 Peconic Bay Blvd., Laurel SCTll19 1000-126-11-12 Dear Applicant; Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The portion of the property landward of the seaward bulkhead constructed prior to 8/20/77 as shown on the survey prepared by Howard W. Young dated 1/7/76 is beyond the Article 25 Tidal Wetlands Land Use Regulations jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Ro r Evans Per 't Administrator Lcc:KK/file C6Ns'°us soo D. Feiler, Architect al p"T wTM6 4O uu rrrrx u dura 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I�N�S i 'ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ' ,DATE INSPECTOR,,,Z94 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [rte] RROUGH PLBG. [ ] F DATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: .c _ DATE �`� INSPECTOR �� 765-1802 BUILDING DEPT. NSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r DATE ` INSPECTOR M-1802 BUILDING DEPT. IIVSPECTIO N [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: rz ,DATE JINSPECTOR 765-1802 BUILDING DEPT. NSPECT7, ROUGH [ ] FOUNDATION IST [ PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A HIMNEY REMARKS: f-Ij-'t _ L r G DATE INSPECTOR S BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . ... . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: �r, CALL 2I - 01) ./2O.QU' �. . . . . . . . . ExaminedMAIL TO: ... ........ , . . . . . . . . . . . . . . . . . Approved... .... ./!..> a Permit No.Q~b............. t.`�. T.T..S�.�-�.�y.��.1 ...... Disapproved a/c .................................. Q? ' 1 `.J• !!,-!!. ......... (Building Inspector) s.'. �Fg r 8 2nri� APPLICATION'FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 2O. . . . J INSTRUCTIONS a. 'ibis application must be completely filled in by typewriter or in ink and s4mitted to the Building Inspector wit 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 application. ` c, The work covered by this application may not be conmennced 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 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. APPLICATICH Is MM MALE 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 inances, building code, housing code, and regulations, inspectors premises it 'ng r ssa inspections. lotions and to admit authorized i tors on •ses, and m ... .... ............................... (Signature o a cant, or name, if a corporation) (Mailing address of licant) State whether applicant is Owner, lessee, agent, architect,,engineer,,general contractor, electrician, plumber or builder 1......................................................................................... .........PYMA 6� ��» 0 Nameof owner of premises ...................• ........................................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nate and title of corporate officer) Builders License Nott'v—IK I.............. PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. 1. Location of land on which proposed work will be done...................................................•.......... 1 -4 56 Pm&K G..�':'4l...�qP.................1-- '-��� ............................ ........House ...................... Hamlet Cont Map No. 1000 section St Z(; ...... Block ...f ........... Lot �..n�t......... subdivision .......I ........................... Filed Map No. ............... Int ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of oposed c'otistrucctttiion: a. Existing use and occupancy � r L'"' . �•� i•�. ����� �N�7 ................ b. Intended use and occupancy ............................................................................. rc 3. + N3urre of work (check wlurch a licable) New IAix Sit y PP ,}ding .......... Addition .......... Alkeration t. ....... itepair ............ Removal !.......... Demolition ............ Other Work .................................. (Description) 4. Estimated Cost f.PII�?t.!......... fee .............................................. (to be paid on filing this application) 5. IE duelling, number of dwelling' units ......L....i Naber of dwelling units on each floor ................ If garage, timber of cars !.. {.............. 6. If business,-oomnerc[xhgal or mi occupancy, specify nature and extent of each type of use....^........... 7. Dimeneiogs of. existing structures if a FYonta..rD G....... Rear .�+�.,: o.... Depth ................... r��j�� � any: Dei ht �?4................. Nahber of Storx s .....�'�.'............... irel'shons of same stnhctuirel with alterations or ditiona: Front ........ ............... Depth .................... gut ...............r,.... Number of Stories ............... i 8. Dimensions of entire new cons, lr ctiou: of nt'orie ......... bear ............... Depth .............. Heigh .... ............ ..... 9. Size of lot: Front ... �.✓..pQ1......... Rear ...1.CP.CP......... Depth ...!?.6........ 10. Date of Purchase ............�.1....9 Name of Porjuer (leer an ...C.........w........V ............9 Pa� � H-A It. Zone or use district in which P emises aresituated i teld ...... .4� ...........``../..�............................ proposed ••••NO ate.an zoninglaw ordinance or regulation: .....{1Ao............. IZ. [kiss ra sed ecxistructionv+i�o�l�,�,� .`..,.�•I r h 13. Will lot be r aded .... Will ewces//s��fill be rem�ovrd from prmdses: YES C� �1�...1::'«:. I.X. Address � ( � ' I on 14. Nares of Owrer of premises '�...,. ..��.1I.ppz�nh .-.r................... Phone No. .......,,qq.,,.��..��. Nam of Architect D ..1 F4�5 7rr............. Address .I::.t" l�.i .0 r........... Phone Nam of Contractor 4. .�..................... Address ...............................phone No. .............. .. 1•N' 15. Is this property within 300 feek ofSa tidal l, �l ? * YES ...X..... Na .......... IC YES, S0D1 UD 1DWN -r — BEI REXIMI Td). PLOT DIAGRAM Locate clearly and distinctly all buildings, wheelIF r existing or proposed, and indicate all set-back dimensions from property lines. Give street andlblock n nber or depeription according to deed, and show street nares and indicate whether interior or comer lot. cr r C i,,�p•xd „" Itow( i I�ST•c°"'C P�jO 3420 M u r III lar lh5 li �s� UUVIE OF NW Y(1RR, P��n sta C0l)N[Y (1C ..........I )eing duly sworn, deposes and says that he is the applicant (Nam of individual signing contract) above n•►md, �1 lie is the •••••"� tracto agent or rate officer., e ...... P Ip �c.) of: said owner or carers, and is rhhly authorized to perforin or have performed die said work and to make and file this application; (:hat all staterents contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the '�minoer set forth ih tihe•appiication filed therewith. Sworn Lo fore Fre this .da f ... ..120.�b Notary P&1_i .......... .� �l CLAIREL GLEW ..... .. a)i .,.. Notary PubBa, LV1 of Now York (Signatlure Appl t) No.01GL4879506 Qualified In Suffolk Ccu ( -L) Commission Expires Dec.8, -- 11 I I A�_ �, _ 1 • 'TIr� O � ; 4R1.s CFV-r-> 3 T _ `1 C `' I I l�1'� �1--G F. __.— _—__ —_ - __ �_._ _ . ._ _ __-- _ , I'9' 2 x6 CaSbi=, DEGK;Ir-.Y., t cEn +- c¢' wc �I01 z C s 2 (xo) $ EgUA�. 1=-C1, 1=Q lJTL !✓Q. '1;C.2. � �4'. _ — 0 60'L (ono) 2,s,41 - 47 -4 , -2s41 ' 1- t�£I(exp ; 3"747 . 2 -674-7 - 2 294-7 _--_-- F , d 00 O � j — \ - l 1 � I (11Mc� � ',I \ d 312xq 'i2 ML (FLu-s- �, n Ln x � N[N�Foo•�, .p". r I. �` ►III -- � I 30, I, w 1 1/2 x11 '/2 MLI � ' - el I 0 LL - I -3y2X 9'/2 MKfo4b�n FwsH) 2q+I 1 -r 31(0'3 ' 2 � 33 v5 _ 3-153- 2 $ �? +� s��lo��-<-w,�•u� -ems. �� _.��' -� 5'-e° �+) �-e'., � , � �7 ✓ r - v Ir up j" LflRIFIGTd �jlGS 2141 IIII 2IM 37Co5 - 2 g.-�/ 2 I- 2 _ 254 - 2 A��,�i0,`f � 7tI`'11TTp 46 • H j fl DATE: 31 H 11V!! Eco, o. _ l FEE:1a1 '(�o [1 (:Q. g[� OCCUPANCY OR BY:— I{ NOTIFY BUILDING UEr40IES! ' ���JJJ USE IS UNLAWFUL FOLLOWING OLLO 19 TO 4 INSPECTIONS: FOH 41 " 2x4`h " I �-�- L 00 -_-L� N �4 WITHOUT CERTIFICATE FOLLOWIN POURED lo'v 4x4 COST -cam 1. FOUNDATION - TWO REQI.IIPE �-- A I" WO,Ta Mbit y.IW+I= ---_ -- -- FOR POURED CONCRETE 2 OF OCCUPANCY ROUGH - FRAMING & PLUMBIN ' 4 FINA INSULATION CONSTRUCTION MUSTL BE COMPLETE FOR C.O. I Q.z 5/4x4 PIAIL. M"t:4 '.fsr.1 41 �o /^/ �t THE REQUIREMENTS OF THE N.T TS` ✓ { I /4 CODES. RESPONSIBLE IEF IDI'-O" DESIGN OR CONSTRUCTION ERROR T- �� �oo� Nom, T c_o E cc�Nl P L - f G ----- L ca >= H =L >=cTf�l►CAL L ty> 1 r� ,°- _ I Ffj•6 M I MG L-U M Yt=om -Ti7 r_-_7r_ 1-.. 7t.pb rlfzl N"14 M° Z-19 r�(RSP.) E' I,o r.lo+ LJN�� I NS I.c� =.ufvFbc'E.C:or�Tr-t V cTlnw OF dN .K�.T�'F ICK W a.L L. sw b-IT 1•-i GI r-�' *r �'T fz,uc-T I o�-1 - - G e I L I r-1C--1 '� Kru Rr - QT if PROVIDE ANTI-SCALD AND/OR 7 2.. IhICRINE t5SIA L.uMr�ER, To 1�E_ MIGIQD=L6NA L. r- = x10+ 'P51 �f{`'�f',U5.501�-.' IS R; ' .LAGG�f lt4t:01 Ttory sN6LL i".--E Tb ' II*ki Tk'I"E _- - ,,D�tS>✓G Cort:.T-R+ UGj 1�"''� ..( k1,kLL MCu1�ITl� IXTUa,� brweterdisiribWinp THERIAALSHOCK PREVENTING I a �J, WINDOLIS �I It,INGT ! (4�� - 'p�LLA' h*4P ITLcT' 52Rlt=� rG�Go WH1iE1 rTDL IN 5UL >T0N (�-YAL00:_ 1��T I T y C� TNL? WDLL -P No - - - - - - kl`�TINL o +—. PEMOVF tystem;PlpinptFWIW 4� *(joN FILLEv IN�t5NE1A INSUL, LOW-F_C*PE5 *SIMQLNm �N10R�.UGt1tl 7/g MurIT1�S. ( �S � ri4�M - 10. - T r cxT 7c ai�Fc n. of�sKaLa DEN MATEO AS BUILDING CODE. 7 -1 4, . JLI0I[NL—T S � }I VE (vDIL iL)( Ly' �P�I J�C? l� < ' 1aiZ fvEPI-1�3=Nk T GtbZt�IGt Tb J.�. U 0.31 ( u a •5e� m) +.g>=W'oD ©u (IL�T N.1C {TATEGU0.DINGCODE. NT 2'-Pi" a. F,F. "'p _ME=t.-1✓STOFMYK� K�hILE I.G� IEF S� ,3U aTMme, u� Sw1Tc+1 5. Mfg lNTewln f��rcN G<xR,S W 'Mo�G�r-I. M 3912 , AR INGcm4i'1.16Ne'WI�VTH1�ca�t=': (t)-------- ------ -------- -- -- ' PLUMBER CERTIFICATI W 9 "(t1 ONLEADCONTENTBEFRS - �`-- CERTIFICATEOFOCCUP J O SOLDER USED IN WAT RWW 7 2 X t 2 I cl o { SUPPLYSYSTEM.ANN it - - --- - r --- - - 1EJQ ZEED 2110 OF1%LE WNTE ' ITepIN6 T, �, zI 411 P-�,IEFz u PLUMBING T 'yol a� �; Qx8 DJ I�„ - v AUPTERLINES .—. TESTING IEfORECOVER W7 I r I - -T r I7 n co M� sLAP> - I IIS '' I I I L5/4 x-A 1=FiLI,II, m- N,Pa. -tt L4 t- --, �— \\_ (n 7c L :�T- CGp U - _ Dccic.l.-1 12 "0 F'✓ FIcR, 0,( � >1 N �— PDGN 7✓—GI� -- --- - PROVIDE OPENINGS FOR O (� L i_-Orq E RK Y, cob r., C2) 3/a LPG, TS - 2 f / EMERGENCY ESCAPE AS (� �K- ' �� -�� — � ----- -- - -- -�------- REQUIRED BY PARL 714 OF �4•, %q I �� I til G7 1 C^u �l o P (l c� �t 1 t NX STATE BUILDING CODE. � o 'Fct4trl[�I..s—__ G`-FµPL to _ P FF�Ib - 2xG CJ - Ib n/� �,. [2�n2�P( N' hI _ I! 2x6 D_1 t ' \ "COWrIM. v�HT 7-- " _— �— 2x2 LER:ER - i I Lf" ove7.�An�-lam , EHI / I HTO �DL t D PFRAA 1 tiJ(� I kLi 12 el t-)L LCo �-i zDr-- I+ s wP ✓�-wE Fc=�lo IYo'R wcru�P'[->=TatL ,/ Ix4wP�,e �� �— Lil _ I i \\ '� I Qr ' Tor CP�rW ROIL 46( G (Jb�. �rbt� GCp __� Q I �— -- --- r>r r�� lhClb \ '(� b�ltn IGYI.,Yyii , �I j \9 }} �� 1J I I 5/4x4Wp CTYPl�'-* p -- _ r1- -- -. 7 Gt.EbW CE^i.P.F. MICFaIt - I �'uJL TCS 1 L_ r�[ � ' �� � � � � � �-- � �'•,� /� r--- '� (�/I '\�`1, I _— 1 '4kG CtEnnR bEFGKit NA •- Ik u G - 2X ID D� -ICn mhLaGklNl_aE. `4- ' L--l_•�� �(� � � ���� � � /L !� 2 X 12.. cz,Pi x cv RcuGH 4x4 1 = T LLI FT---1 _0 L - -------- ------- ------ ------- ----- - --�-- � � 6uGN wI 'f- oVt•-x,Nat.Ka i'i' it I � EKts7 Iry 1 IP I np Ow fly —_ �/4XB HrivN7 Y, MOT p ((11 t — a l lug Rs ck.prya, 'swtR.r Carse t 1 I/ ' lz P oa v crl 24 -�-� NOPE : EoI6LCD y P0,T:� - O To 6-UG'I-J W �wINt)DH1 MULLgi F-I — +- a r U-UJJ.A)J_JN(l l 'J, xJ t IN t , V J Applicant/ CAl`(`�S b� Date Owners Name J �lar� Revtewcd l L Architect/ ` Date I- LO ngineer. -- gOti` ---.__�1 �P.l� _ Submitted SCTM ll: ^ ll District: 1.000 Section It Block `l Lot Project /► Subdivision Location _ Single& separate Required certification fYes - Rcq ZoningDistract se qo II of sru _ � �� __. Actual � I,_ ll i1 covcraf,c ��(�I'rofxiticd -- � -- --- 1 / ! / Rw Rcq Rc�5'' .tv q f as (Front Yard Proposed J (Srdc Yard -_ Proposal �__-J (Rear Yard Proposed r Project Description: _—_t'•,, AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees / Town Zoning Board approval: ✓ Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Imo(