HomeMy WebLinkAbout26591-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27154 Date: 06/22/00
THIS CERTIFIES that the building ADDITIONS
Location of Property: 955 PEQUASH AVE CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 7 Lot 22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 19, 2000 pursuant to which
Building Permit No. 26591-Z dated JUNE 19, 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to JEFFERY S & SUZANNE SMITH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-233378 04/27/92
PLUMBERS CERTIFICATION DATED N/A
Autlo ized 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. 26591 Z Date JUNE 19, 2000
Permission is hereby granted to:
JEFFERY S SMITH & WF
955 PEQUASH AVE
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN ADDITION & DECK ADDITION TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#20245.
at premises located at 955 PEQUASH AVE CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0007 Lot No. 022
pursuant to application dated JUNE 19, 2000 and approved by the
Building Inspector.
Fee $ 75 .00
hor� ed S gnature
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
' BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OF, ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey ofpropertywith 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 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 showing all property lines, strZes�b di g'ZYYZ-
unusual natural or topographic features.
2. A properly completed application and a consent to inspect sigried by the applicant.
If a Certificate of Occupancy is denied, the Building Inspee`,fioz stl2s�aM.ianthe
reasons therefor in writing to the applicant. GUUUWU _-'
!-
C. Fees f
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling"
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 - _ .25�_
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .10.:9�. :Ot7. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . . . .p. . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . ✓ ;�:_`.. . . . . . . . .. . . . . .f�c�i7S�1YyEy.A.�fer. . . . . . . . .G.f/T��P.�jU.E. . . . . . .
House No. Street Hamlet/
Onwer or Owners of Property. 7R-FrA . . . . • . • . • • • • • • • • • • • --
County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . .. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
. Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
Permit No._�io Yrq.!f z . . . .Date Of Permit. . .. . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . .. . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. �. . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
APPLICANT
c�.aC.5S0Ct
CD-�a�15y
rY'II' <
4 -r _"J
-o ` ..Ase �' `��•+N Y �-,' TEsr NacE
RM
.4'4'SG'S "c'. "l b to a it
. _ I
_ aY ;
ttAl34
ce
w. �_ _ -4, h h sand
!cam Y :
� I
- 1- ci
LG I l
_ ty _ ":k% - -auunv,;:_EO AmAno+,on ALemoN
:
TP A f',. 70 1615 SU:vE/I$A VIOIAT:ON OF
t"- er• IE E� . is
EEl(1/E1�L�`F SCCbv KR%
Jl:.J 07 iHC W YOU��R� r' ::. ■ ���' � � ICUUiION LAW.
CL;I:S C: TI.IS SU:VLY KAP NOT GEARING i
1rl LA•L S 'A'-!TCCS tT-'T SEAL OR
• p r i, ;..j i t % '°A j / _ _ 1.•l]:'.. S:AL'.!UZ rc::T LE CONSIDERED '
rI 10 [E A Sn f.0 c,.
� �'� 3� .nY M S , I n _U r;[ -C`HALL RLN
1
C. tO , i n W-'C+:THc SURYii
0 / rI7 I.r eAI �S!',.:'.'�. Y:�✓ r'- —� is r-: Ar n C,+HsL:;iA TO THE I
�� y `V irr tm�� li ItC T.T,EC..,I.�:.r. COV.Z...':EHTAL AGEr.CY 1^=
rp.;�' S %, 1i V,._.uI,.:T.T :,aUST.0 Ari,
V.Rs��r7 WG / �V TO THL,QN ASS'L:,7 OF ZE LET TRA IVEZ I
Y f.i�Um. C..Aa:.i;CS ACE N07 1iAti$ii:AS1
/ ,7- TO nLc.;:Cnu:.`Sili�ilONS O0.5::4;ECVFYi
cwnF;.E.
io F.:ru;erj Name Fklruitrislr4l
G ti7Vr; ImBt1f ?y C 'Oct.24,1972.
VA -,' TU'IL t 60H
'C.Y.�f� 4t �li�� C � -� Z t-`�- G�'ce,ased Land Su�erjor•s I�
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1185077 BUREAU OF ELECTRICITY
F— 85 JOHN STREET. NEW YORK.NEW YORK 10038
Date APRIL 27,1992 Application No.on file 75503291191 N 233378
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
JEFF SMITH, PEGUASH AVENUE, CUTCHOGUE, N.Y.
in the following location; T Basement T !st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on APRIL 22,19 9 2 and found to be in compliance with the requirements of this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT[FLUORESCENT OTHER AM. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
5 5 7 4 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS
NO.OF FEET
SERVICE DISCONNECT NO.OF S E R V I C E
AMT
AMPTYPE METER t 0 ZW 10 3W 3 Ar 3W 3,0'AW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•w.G. NO.OF NEUTRALS A.W.G.
EQUIP. PER.0' OF CC.COND. OF HIAEG OF NEUTRAL
OTHER APPARATUS:
ELEC. ROOM HEATERSt1-1.5 K.U. ,1-2 K.U.
ROSLAK ELECTRIC LIC.#3677-E
P.O.BOX 164
CUTCHOGUE, NY, 11935 6011RAL MANAGER
11 ,�'✓
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 CO Y OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
"am X06 v '
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL J
SOUTHOLD, N. Y. A 4tY I
L/� 1
BUILDING PERMIT
�C
(THIS PERMIT MUST BE KEPT ON THE PREMISES Ui
COMPLETION OF THE WORK AUTHORIZED)
No 20245 Z Date ......Q.(; v .. ... a........... 19`l1.
Permission is hereby granted to:
.. t I,......
I... ..` C 1 .................
s�.�!�.e .....tom:. :.... t.l.A,3.�...........
to .. - qx-..1 ,..... ;. .�.... .... Q... ,... '1
...... . ....... ....Awn..... ......................... ......... .. ...................................
at premises located at ... . x .. t 4 m#i. ....�3. :..... ... ... . ........ V4 , ,...................
................................................................................ ................................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section .....I QA........ Block .....Q..71........ Lot No. ... —�,...........
pursuant to application dated ...... .....aQ.............. 199..1.., and approved by the
Building Inspector.
Fee $....`� ,..--...!,�
�S o+.c
ing Inspector
Rev. 6/30/80
I
&-4
c ESTATE r_ 7-sjr NOL=-
� �7 •. ,tok-SOII i II
N.44'Sz' �.
199.34 — {
b� .o /oarrr
7
13
S. W. � I I
y V /;` 1 a4•u �/o N
I v �' '\L_ {Y=..IIP- h0. Ia�A K hT Q
; Led b in In Till �
4.1 Sax
5. 46 ' 34 '00a-----
G� 1 199.52 y f
I -TO THIS SURVERTILDD uTA VICE, oe AnorttON
1 TOTHIS7U 9 l5 A VIOUT:ON 0T
�f PPP ,•': - . _ , _'o SECTION 75:9 OF THE NCW TOC[STATE
L; rl P
Y 45 Fl m` EDUCATION UW.
CONES OF 71:15 -W5 I PAP NOT BEARING
• 1 - ...t I 1 THE LAND SULV;Y;ALL N-T SERI 02
SI
r r. r ♦-' FMEvSSW SEAL E!:ALL Nei LC CONSIDERED
= Zk� 3 - //LL w h;� of P/�. TO EfAVALID ii.Ut CCF'/.
([ I _ �
ATE O / ONLY TO
INDICAT.F R W;4C EHA0.RUN
" f + •C� 1p[y■' E/E`R V GJ�VE•Y_`L F'O
ONLY TO 0. 1,D C:q FOR DEN ALF
THE SURVEY
6aa I$FRETAn;p, ALD O:J Hi5 GEaA;i i0 iNE
. d 4 FFFnnn���R■R■R■ - /j�-'-^ A.� ^)7 /).. / TITLE CCIA ANY. GOVE:L:MFNTAL AGENCY FIND
OF o � � �-/ 4 F-! !� Y SMI ` •/ / LENDING ISSIGN:,$O L'STED LENDING
I AND 1
--_ LE THE ASR;TuTI N THE LENDING AN
TUTiON.GVA0.A14TU5 ARE NOT T0.ANSiFRAW
/ r7 7• TO ADDITIONAL INSTITUTIONS OR SWSEOU PLT
OWNFRS,
Cut"C/-lOvU�, N. Y.
/ Guarail tee, a' `"a rhe r1tfe Guarantee
CI _ r17or1 rrrlars7 Go- Odd to P-arrrtErS k4we Adrtriai5/'ra-
rafiar 'a tian-d.S.A, as surveyeo'Oct.�4,1492-
�leyaf'ions shafcJlr
I
= Gess Awl aesurrrE�clew. 3�,'0 afi S. iY. col,
7 2 � Larrri Surveyors
S
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
( ] FRAMING [ NAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
7l
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ NAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ` -c
91
C-4Z
/c,0DATE r INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2NDINSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE INSPECTOR.
M-1802
BUILDING DEPT.
INSPECTION
[ } FOUNDATION 1ST [ } ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[pYORAMINIG [ ] FINAL
REMARKS: �i rYft-i
dd �..-
4
DATE L 5' l INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: C
DATE INSPECTOR AW ?�A
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ 44OUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
I
DATE INSPECTO
w
ETI �C3
a1-2
H
FOUNDATION � ( 1st )
"14
FOUNDATION
( 2nd ) _
2 .
Z
ROUGH FRAME &
•PLUMBING
3o I�
m
INSULATION PER N . Y.
. . H
STATE ENERGY
CODE
T
7
4 •
FINAL
0
ADDITIONAL COMMENTS :
4:2 AZ
i
H
� s
• O f
Z
BOA FO OF HEALTH
3 SETSOF P NS . . , .
• it
FORM SURVEY
3 01991 TOWN OF SOUTHOLD CHEC[
. .
BUILDING DEPARTMENT SEPTI FORPI
1`kw�,Tct `i + lr 4 '' :rfG3 r TOWN HALL
SOUTHOLD, N.Y. 11971 N �/
TEL: 705-1802CnL Q• ' �fa7 . .
MAIL TO :
Examined .P:� .+�., 194 1.
. . . . . . . . . . . . . . . . . . . .
Approved . .v"a -.4.0-11991. Permit No. ��qa S
. . . . . . . . . . . . . . . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a- - . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERNIIT
Date . . .. . . . . . . . .. . . . . . .. 19 .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,wit!
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 strer
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan of this aps
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 peril
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 Occupan,
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 ti
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant a^_rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspections.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporarion)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .
Name of owner of premises . . . �.��. 5 . . .'s �.—. . .)r�: . � !� .)- :`.A . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporaIe officer)
BuiIder's License No. ... . .1� l og . —L. . . . .
Plumber's License No. . . . . . . r
. . . . . . . . . . . . . . . . .
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 No. 1000 Section . . . . �.Q3• • • • • • • • , Block . . . . . .¢ . . . . . . . . Lot . . . . . . . . . . . .,,T
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . .. . . . . . . . . .
(Fame)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . 1�1lLFi
�p
b. Intended use and occupancy Y'+r e—`e: • y�i`6`' !fir( . . . . . . . . . . . . . . . . . . ,
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . Alteration . . . . . . . . . .
Repair . . . . . . . . . . . . . . Rlimoval . . . . . . . . . . . . . . Demolition . . . . . . . . . . . .: .Swimnin,h, pool. . . . . . . ... . .
Tennis Court . . . . . . Accessory Building . . . . . . . . . . Fence Other Work. . . . . . . . . . . ,
4. Estimated Cost . . . . . . . . . .i.1.,.?Y!!F: .CIO. . . . . . . I . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling, number of dwelling units . . . . . . . . . �. . . . . Number of dwelling units on each floor . . . . . . .. . . . . . . . .
Ifgarage.number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify na/turcland extent of each type of use . . . . . . . . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front . . , . , fro . . . . . . Rear . .•. . X . . . . . . Depth . . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number of Stories . . . .k . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . .
t
S. Dimensions of entire new construction; Front . . . . 1�. . . . . . . Rear . . . . . . . . . . . . . . . Depth . . 1.5.1. . . . . . . . ,
Height . . . . . . . . . . . . . . . Number of Stories . . . . l. . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . i .l. . . . . . . . . . . . .
9. Size of lot: Front . . .S.a . . . . . . . . . . . . . . . Rea_ . . . . . $ . . . . . . . . . . . . . Depth . . . .. . . .
10. Date of Purchase . . . . . . . . . . . . I . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11, Zone or use district in which premises are situated . . . . . .RE5 ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . .k1_'/.V1) . . . • . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . .Will excess fill be rc o c om premises: Yes . .. . No
14. Name of Owner of premises . r5 M 1:Cly. .Address .Pk�A4
. . . . . . . . . . Phone No. .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . .
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . .
15.Is this property located within 100 feet of a tidal wetland? *YES. . i0 . .
*If yes, Southold Town Trustees Permit may be required.
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.
I ,
STATE OP F YO
elf. . .� S.S
COUNTY OF 7T' ((''�
p c� /r!l f . . . . . . . . . . . being duly sworn, deposes and says that he is the applicai
(Name of individua signing contract)
above named.
Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is drily authorized to perform or have performed the said work and to make and file th
application: that all statements contained in this application are true to the best of his knowledge and belief;and that ti
work will be performed in the manner set forth in the application filed therewith.
Swom to before me this ,
. . . . . . . .dayof. . . . ., 19 .
. . . . . . fcz
.Notary Public , , , . , , .GCounty
CLAIRE L t3LEVi►
Notary Public.State of Now Vbtk
No.4879508 (Signature of applican
Qualified in Suffolk County y,..
Commission Expires December 8,19
S FOR AUDII10N �T1I � H R� SI�� t� CE
m. - P 'C- a U A S H A\/E-.
CUTCH .^ GUc N . 1
EXIS71WG FR, t. NT ELE'JATICtd
i"
�J
i
APPROVED AS NGTED
- DATE: 4 . o ..4. - 1.1 P
- FEE: tD . BY
NOTIFY BUILDING OFPARTI'I'%NT rV,
765-1802 9 AM TO n PM., FOR 71-(Z
FOLLOWING !NS.)LCTlr)N
1, FOUNDW0N W-J REQulfr PD OCCUPANCY �9t
FOR POUREE;COP1C ETF
z. VSL 1S
ROUGH FRAMING E4 P!U!NBtNG t1NtA�'ditl
3. INSULATION IWIT"qui
4. FINAL - CONSTRUCTION MUST !�v ®f 4ccjJr?Avc'f
SE: ON .ETE FOR
ALL CONSTRUCTION SHALL SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION tri ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
FRONT ECt,VATION
WITH PROPOStD ADUITtON
-TI
L
I
� i I
i ; I
I I i I
i
F-
EX 15T 1t C-
i
5�gxb nEc�, � /
.i �tl��/w'/f
r. `1400 '_ ' _• . / /.
L � t,Rr3T`rvb 4`tiD• �•F(K./•.-� _ j ` I % (
I
13�o'I .1
FLOOK PLlNN
SEC 10 N
12
c.h
2xE • IE" C .�.
i
r
i
I
y1 L71f,
1'.
aK t i
�I
�x8 FJ. ti" G G a
Tc a.rq tTE
s..lt tp
Z - 2xfc 1
-r