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HomeMy WebLinkAbout25469-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27556 Date: 02/12/0 THIS CERTIFIES that the building ADDITION Location of Property: 4605 STILLWATER AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1998 pursuant to which Building Permit No. 25469-Z dated JANUARY 13, 1999 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 ADDITIONS & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WALTER F & DEBORAH M WILM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N520319 04/04/00 PLUMBERS CERTIFICATION DATED 02/09/01 WALTER F. WILM 7 A54orized 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. 25469 Z Date JANUARY 13, 1999 Permission is hereby granted to: WALTER F & DEBORAH M WILM 4605 STILLWATER AVE CUTCHOGUE,NY 11935 for CONSTRUCTION ON AN ACCESSORY 2 CAR GARAGE AND ADDITIONS/ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. 2 C. 0. 's Required at premises located at 4605 STILLWATER AVE CUTCHOGUE County Tax Map No. 473889 Section 137 Block 0003 Lot No. 005 pursuant to application dated NOVEMBER 19 1998 and approved by the Building Inspector. Fee $ 160 . 60 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD FEB �- 9 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 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, 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 - .25v 4. Updated Certificate of Occupancy, - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . 4 200 . . . . . . . . . . . . . . . . . . . .. . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . Location of Property. .'%OT . . . . . . . . . . . . %1` . . . . . . . . . b(344 . . . . House No. \\ Street Hamlet Onwer or Owners of Property.. . . Wpb P.rr t .v � ,! \,• �!�!\� . . . . . . . . . . _. . . 4'13 ag -- County Tax Map No , 1000, Sec`t\ion. . .M. . . . . . .Block. . . .99 3 . . . . . .Lot. . . ��.b.. . . . . . . . . . . . . Subdivision. ,l, b�',. 6� ma. . 'YS�. . . . . . . . . . . .Fi1ed Map. . .Lot. . ? .l �.0. 3. . . . . . . . Permit No. Z�4GT:Z�. . . . .Date Of Permit. ). 131?0. . . . . .Applicant. . . . . . . . Health Dept. Approval. . . . . .IALV�. . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . , , . . . . . . . Fee Submitted: $. z�; . ,, . . . . . 1U59o92 . . . ...: . `:;�„--. . . . . . . . . . . . . . . . . . . . . C 6 a $$Pp APPLICANT O�,1�gpFF01/r Town Hall,53095 Main Road N Z Fax(631)765-1823 P.O.Box 1179 O Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Feb. 6, 2001 Walter F. & Deborah M. Wilm 4605 Stillwater Ave . Cutchogue, N.Y. 11935 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) No Underwriters Certificate on file . %% 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 4 25469-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. h�o�Os�fFOL��oGy Town Hall,53095 Main Road y x Fax(516)765-1823 P. O. Box 1179 • Telephone (516)765-1802 Southold, New York 11971 O� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. \2� Owner: (please print)) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lea`dd.. W - I (Plumbers Signature) Sworn to before me this day ofiej�LJ � z©© ! Notar Public, CA y U CA County, ELIZABETH A STATHIS TARY PUBLIC,State of NewYork No.01 ST6008173,Suffolk County Tenn Expires June 8,20.r2z THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000314 BUREAU OF ELECTRICITY F ; 40 FULTQN STREET, NEW YORK, NY 1A038� APRIL 04 2000 1,7888999/99 N 520319 Date A14lRMTnPTO.D469 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 WALTER WILM, 4605 SS�T-IIILLWATER AVENUE, CUTCHOGUE, NY in the following location- 'CJ Basement 10 1st Fl. El 2nd F1. OUT Section Block Lot was examined on 14t CH 30,2000 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMi. K.W. AMi. K.W. AMT. K.W. AMT. K.W. AMT H.P. 16 2 6 15 1 A F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS I H.P. AMT T NO. I A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NOSYSTEMS.OF FEET AMT. WATTS 2 SERVICE DISCONNECT No.of S E R V I C E METER NO.OF CC COND A W.G. A.W.G. A.W G AMi. AMP. TVPF EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W pER 8 OF CC.COND NO.OF Mf-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 X00 CB 1 % 1 2/0 , 1 2!0 OTHER APPARATUS: G.F.C.IL-2 B.J.ELEC. CO. Orn r� BOX 16,STILLWATER AVE, CUTCHOGUE, NY, 11935 GENERAL 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 COPY OF CERTIFICATE MUST NOT 'BE ALTERED IN ANY MANNER. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO GH PLBG. [ l INSUFOUNDATION2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �o INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. j ] FOUNDATION 2ND [ ] INSULATION [ FRAMING FINAL [ FIREPLACE & CHIMNEY RE RKS: C L DATE L INSPECTOR 'tel M-1802 BUILDING DEPT. INSPECTION [j ] FOUNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: l DATE INSPECTOR \ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINA r [ ] FIREPLACE A CHIMNEY REMARKS: cog ,DATE d/ INSPECTOR P ELDeTTNSPECTION_REPORT DATE ----- ---- ----- -COMMENTS_____ x-x 3s (.JN 11 I H j II - H `N FOUNDATION ( 1ST) I "= II jl _ `7 FOUNDATION (2ND)-_- III- i ----------------------------- II J o ROUGH FRAME h it ri--It PLUMBING II it O II� II II INSULATION PER N. Y. STATE ENERGY CODE It ll i It II NJI FINAL It ii a16✓ < ,III^ xxxxxxxaxsmxxxxxasxxxxxsx8xxsavice=$xxxxs=m=cx=_xxx==------=_======x=xxxx=rx=xx=xxxxxxx O ADDITIONAL COMMENTS: r) W N z � ro H SUMMARY OF WORK PLANNED Site A-Repair or replace as necessary: The foundation for the covered porch; stairs leading to the porch; porch decking; railing and roof. Site B—Convert 10' x 24' crawl space to full basement(existing full basement cross- hatched); remove two chimney's; install fireplace and two flue chimney; relocate bilco cellar entrance. Site C - Enlarge front entry and cellar, convert 3' x 8' and 6' x 8' crawl spaces to full cellar resulting in additional first floor space approximately 66 sq. ft. and cellar 138 sq. ft. Site D—Expand one car+ garage and carport to two car garage. PAW 115 T Board Of Southold Town Trustees SOUTHOLD, NEW YORK 9 PERMIT No. 419' 7 K DATE: N �.Pvember 19, 19 ISSUED TO ...... ..WALTER F. _WILM 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 State of New York 1952; and the Southold Town Ordinance an- titled "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 19..9$...., and in consideration of the sum of $150-00 ... ... paid by Walter .F,. Wilco...._ .......-...........I............................. a of ............Cutchogue.......... .... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to repair or replace as necessary foundation for covered porch, stairs to porch, porch decking, railing & roof, convert 101X24; crawl space to full base. , remove 2 chimneys, in- stall fireplace & 2 flue chimneys, relocate bilco entrance, eiOar. e • frontall in accordance with the detailed specifications as presented in entr)the originating application. & cellar, with addit. first floor space, expand a one car garage to a 2 car garage, install 241X301 land- scapediretai*bWITNESS WHEREOF, The said of Trustees here- wall by causes its Corporate Seat to be affixed, and these presents to dryw4kissubscri6ed by a majority of the said Board as of this date. and haybales mg constr. on north a d- Bout side o property. . .. ... ......... �57 ..... /?X .... .................................... Trustees A �00gUFFO(,�-C Town Hall Albert J.Krupski,President �.t0 ��/y 53095 Main Road James King,Vice-President o= P.O.Box 1179 Henry Smith y x Southold,New York 11971 Artie Foster 0 py • �� Ken Poliwoda Telephone(516) 765-18g2 �Ql �aFax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 19, 1998 Walter F. Wilm 4605 Stillwater Ave. Cutchogue NY 11935 Re: SCTM #137-3-5 Dear Mr. Wilm, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on November 18, 1998, regarding the above matter: WHEREAS, WALTER F. WILM, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated November 2, 1998 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 18, 1998, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, r . RESOLVED, that the Board of Trustees approves the application of WALTER F. WILM to repair or replace as necessary the foundation for the covered porch, stairs leading to porch, porch decking, railing and roof, convert a 10 ' X 24 ' crawl space to full basement, remove two chimney's, install fireplace and two flue chimney' s, relocate bilco cellar entrance, enlarge front entry and cellar, convert a 3 ' X 8 ' and a 6 ' X 8 ' crawl space to full cellar resulting in additional first floor space, expand a one car garage to a two car garage, and install a 24 ' X 30 ' landscape retaining wall, all with stipulation that drywells be placed to hold runoff and haybales be placed on the north and south side of property during construction, and, BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. . Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None Very truly yours, Albert J. rupski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State Bldg. Dept. New York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY AM Stony Brook, New York 11790-2356 Telephone (516) 444-0365 OWN Facsimile (516) 444-0360 John P. Cahill Commissioner LETTER OF NON-JURISDICTION Walter Wilm 4605 Stillwater Avenue Cutchogue, NY 11935 Date: September 30, 1998 - Re: 1-4738-02063/00001 - - - - - - Wilm Property 4605 Stillwater Avenue Cutchogue, NY 11935 SCTM # 1000-137-3-5 Dear Mr . Wilm: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The property landward of the 10 foot elevation contour as shown on the survey prepared by Anthony W. Lewandowski on September 12, 1998, is beyond the jurisdiction of Article 25 (Tidal Wetlands) . 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 ap ovals from other agencies . r trul y s, 4 n A. and puty Permit Admini rator CC: BMHP File BOARD OF UEALTH ... . . . . . . . . . . . . . • FORM NO. I o3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . .. . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TES.: 765-1802 NOTIFY`:` CALL // ��pp l W W�vY\. Exanined...It.ytt......... 19.1 � BAIL TO: . . :Cf . . . . . . . r , Alrproved...... 19.1.4 Permit No. ........... . Disapproved a/c .................................. „�llt\yllJ 9 1.1� �....... ,.P. � � tin -r� \ ..... .. ......... I►nilding inapector) I 11 vow I ! �ggg , "d� r. .iCATION FOR BUILDING PERMIT 191.4 . IN S'1'RucTTONS T .,.� n, 'ibis application most be carpletehy filled in by typewriter or in ink and submitted to the !kid ding Inspector , 3 seta OF. plana, accurate plot plan to scale. Fee according to sclied ule. b, Plot plan allowing 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 most be drawn on the diagram which in pnrt of this application. c. live cork covered by this application may not be ctmmennced before issuance of Building Permit. d. Upon approval of tills application, the Building inspector will Issue a Building Permit to the applicant. MMB permit shall be,kept on the premises available for inspection ibroiglwut the work. , e. No building shall be occupied or used in whole or in part for any propose Aintever until a Certificate of Occupancy shall have been granted by tine Building inspector. APPLICArI N 19 HEREBY MADE to the iuilding department for the Issuance of a Building Permit pursuant to the Wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordbmnces or Regulations, for the construction of buildings, alditions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, Ilding code, touslog code, all regulations, and to admit authorized inspectors on premises and in ld fo ry inspections. (Signature of applicant, or name, if a corporation) .................... ., ,G/a nod.. .... (Mailing address of applicant) State wbmether applicant is wirer, lessee, agent, architect, engineer, general contractor, electrician, plumber or 1ui1 ....().\A �............ ..........................:........................................ Name of owner of premises ....ATA.QN K.�.••`��"��..:•'�:•'•'� ........... . (as on Uwe tax roll or latest deed) If applicant`ia a corporation, signature of duly aiftiorized officer. .............................................. (Name and title of corporate officer) iuilders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. dncation of lard on which proposed work will be done......................(....................................... S�L�WA�*�l '��!a........................I......4y;Cc Nab ....... ---- ...... ..........".. i4i ..,'lbuse Number Street - - -- --- -- - - - �iamiei-'—'�._--- -_- r —-- County Tax Map No. 1000 Section ....\Y.)....... Block ......3........ int ...5............ Subdivision AV . b.�.`.. .. .,. �D..... Filed Map No. . 1 gQ.,..... Lot ............... 2. State existing use aid occupancy of premises and intended use six] occupancy of proposed construction: a. Existing use and occupancy ..... HrOLfi . NzhTCll\�-V UWzM-).N(r................................... b. Interned use and occupancy ......SlN( ! n11\ CtL�hIG ............... ........... ahoy V1., y ¢►aurna ;.r;;,,..��ni�De�ilan� —0-9.0C arrmrL as„a* arne�' 1. l;dure of work (dw-k ithidi applicable)t Neu Building ........... Addition ..... Alteration . ... ,. lelxidr ............ Removal ............. Demllition ....N..... Other Work .................................. A (Description) 4. Estimated Cost' .. .1k41 1U .......... fee ............................(Descr.....iptio ...... (to be paid on filing this application) S. if t1wel'ling, ii,n11er of ik+elling (nits .....1....... Amber of dlwe111ng (mite on eadl floor ................ Ifgarage, amber of care '..........Z........................... A. If Ixlsdixess, connercial or mixed'occupancy, specify nature and extent of eadl Lrpe of use.....................• 7. Dimenalons of existing structures, If any: Front.... ��.:0f..... Rear ..4.�tS........ Depth ..3�.R,��cels•,wtSl Ilaigllt .........ZT-P�.',A ........ Mnber of Stories ...�K.......... 5t0 dd �N Dinienslons of sore stricture with alterations or additional Front ...5..:....1.... Rear ............... Depth ....0 ............. lleflolt ....Apt:Q.......... Umber of Stories ......i......... R. Dialeoslons of entire new construction: Front ................ [tear ............... Deptl1 ......:........ lleigllt ....................... ... Amber of Stories ..................... � I 1 1 ). Size of lot: Front ......�]5........... Rear ..... ............ Depth .Z- 5. .Z�Z...... 10. Mite of Purdmse ...�1�� .�4 ....... None of Former Owner .%%QQ wPA..................... If. Zone or use district in whidl premises are situated ... r............................................. 12. Does proposed cdiniskruction violate any zoning law, ordinance or regulation: NA\..Qu: .� ........... '+ 1:1. Will lot lie regraded .... \1V, .......... Will \excess fill removed reved Fran premisestt ® ND � 14. Wura of Omer of premise�W( !„^ W? .�1��(� AdilressftWQ Plione Wale of Ard1itecC ...k�W ..I� }l P.ir. /vklreas l � .�tkl4lr`� .M.�4hfr.. Picone No.'D-.' YPL Woe of Contractor .$�.�. ��7:��.................. Address ....... O...................Hione No. . 15. Is this property within 300 feet,of a tidal wetlantl7 * YI>.S .� �'.... NO .......... *1F YM, S(lOnl(1D 10101 11=11I I.S PEIHI1• MAY 09 MfllR(fi. S-U \C-rwk— , PLOT DIAGRAM to ate clearly and distinctly all buildings, whether existing or proposed, will Indicate all set-back dimensions frau property linea. Give street and block nuither or description according to teed, and allow street names and indicate wlietli:r interior orcornerlot. R " SCG `Y�\1\nCb1 VV�dL� SG�MiJ.Yt�o� �h(�� Q�L SI'A'Ili (11' N1J Y(X K, SS (1111NIY (M•' 14.......... 1��!'�.............. .............Ixaug duly swurn, deposes and says that be is (lie applitamt. (Wrme of individual signing Contrscl') mlxrve oriel, lie is Lhe ...1! S1 t04V\r7..................................................................................... (Contractor, ngent,-corporate officer., etc.) s, ntd is duly mlLlorlzed to perform or have perfon:nd the said work six) to nuke and fp le this appdicaLioo; that all staLements contaloall Ill 1:1118 splitieatiOn are tive to tile best of hie knowledge aril WIJef; 1110 that the work will be performed Io the nxlnner set forth in Ute applAcatitxl filed tlierewidi. ,worn Lo before ire this ....... .....day of .� h�� ...:...19 Gg...... Notary FldAic f:<t: L: .......... n� SAN SIMONH SU ypu SA State o}NewNaft (5�of A it i •not) No,30.4761390 tt�/ mlgxPirN Juriis 30.30 a� yiG,,, warmsn 1 EG,iB.9 1 /�2 �iToeY h 9 If N NSgD LA N0 , I �H LE Z W F •K 6 n . Op NEW YQA� .30 o �URl�EY Fd.C•tt/NL7E,e¢'I�'Liase.�N I�GM�__W...�.. Lo�✓i>io✓ C'o>cyETrw�r!ad�aG%� oi%s/Y.__.__ ----------- ,c�,u,�9ravtoc..�rrar�r�l/�9 iYO�.¢lid'yo.E'. �a�r�aa.v,y ii 7i '•i��3o :CHt xs rt Yr„s Drx•>t-' Unauthorized aitsmdon or addidon 9, to this survey is a"AtIon of lY el 2 t Eon�iOwolt $110110 Soction naNswvax cop..erfrsatwh,rnq►aet:bwb+o � ��.�� E'p.�• iy ��N� �ta 'F°s"� fw len!auna►yora Mtbad sower o �) Fx�s1T1�r S embossed aai shtl rlotM o0I1sldMec YM �� to be a ald true oopr. 1%RG oulm-, tndkall/fareen tltal no ordy a fN peHtm brrrhom fw=Wy Is prepared and on bit boW a the Cs 0 "'o 7:oownwnanw a q ane l�kj eh �T ` \/� Iendirq tmda,don Ysad huoon rds RN�L 1 awranme�sn.ss or fwd r1MbNa+. P Q�a�� l Xt�C4\ �w6� to additional Institutions or oubaequMx (Anp�N\ z�\ p> p ' owners. \� �. J CSW(,Avo 1�C frE+`; IgD LAlyd vim• �j. LtWWIq �T,� % , oda boa Fo y z cast ( � \� ��� FabtV \W�- ,Z L (P 5 � O �• V �i;� �15117.1(�- `\ c tt N 5 = RwL 5v NL( N h .SU,Ei✓EY,�'o.P• LC�.9LT,�re�fi��'j,?.4fSJ 1�G M .4iYT/,��/Y `j/•LEK�AiVl��3�C'/' L,swo ���rea� Go7'Z 4 . al,:5 3F, /�J.�crf f�ipeRsYci�HJo.y/�yuo.,lrli�. `730 �ry Y/r�°7/ OATS"%�tF'T�✓>i$�rzJ�i199� reFa'.�E'Gf1.T.gX.o�JAP.'Y'Oi'Gd�OA/37-4J'••� _r✓G�, '�/_�'y!_.�1�7?.��%=�y LTJ, I7ce.0 tuonthis tr"Is a%don o"n aodf 1etdon7aoftMhisorYOAdl5dMonM Eduetttlaslttl►. *=���` ZQerciQ•g��8 ceaw11td1Ntltw�ttw®netWrMq � . irr,�'' �e�.=.:=:. dw and W1tMpt•HW sinal or embossed atdldwMaltMmlttdtYtsd � ///.z zwx/ tow.wdnMoow• I< _.� pevrrE only Mdw OIHMI MtItMIp1ldM MfVWt1domme lend y YotMtllotloll Wal W ar 1wgnlweofMNndirp k1sdllMott. QVWnMB{W not WMIMYIN to aEdidonal Institutions or sub~ M1l p , owners. N R) v N �N$gD LArya `6 �� LES 9�,• "�� a x o ' � Q N Q �I 1 Ayry vY if/LEiY.4NGl� Ni �U,E✓EY�''o•? �.9G7,�Rs�' ��'p•0�! .K�GM �.5W0 �!/�6/�1'� corn .(/a3 /horafPoaeiars� •�%s,�/i9uv a'1A73o _ Dox�sWB Av_V11 /o�r�ou C�dm»%cxUa�le�x�.yca��r.,�ryoGo A� y ir�FciG! eff z;,XAW, -A-"/t,YJO/31-03 C<i C 44 v` k L i II, 12 y I' NL 1 o m m m f Cdl I Cu I NI W ey I' I F 10'0 rtF . DO NOT PROCEED WITH O i k I I - Y FRAMING UNTIL SURVEY ` o r OF FOUNDATION LOCATION � NAS BEEN APPROVED. F5 i I z = N KctE: EXIS1lNCq StU6fAADs AAb LJ _. f { I 'Fo IIJDlCA1'E 1t1�. CdrTlb{I1P.0 SID I ' UNDERWRITERS DRTIFICATE RWRITE 'I •,.� N EVI/ r li l-GC' I I ' PLUMBER CERTIFICATION a ON LEAD CONTENT BEFORE I AV14L011 / l a CERTIFICATE OF OCCUPANCY j SOLDER USED 1N WATER h PLULIBING, OCCUPANCY OR APPROVED AS NOTED SUPPLY SYSTEM CANNOT I ALLPLUMBINGWASTE - USEIS UNLAWFUL ° ,-II- B.RB o25�{6j� a I &WATER!,NES(NEED' EMCEED 2/10 OF 1/o LEAD• TESTING BEFORE COVERING WITHOUT CERTIFICATE, NanFY BUILDING DEPARTMENT AT ' I ' OF ;OCCUPANCY POELLOWING INSPECTIONS: OR THE L FOUNDATION - TWO REQUIRED I PROVIDE SMOKE-DETECIING 2, FOR POURED CONCRETE p S1�F N0F N F W PROVIDE ANTI-SCALD AND/0R a AIARM DEVICES a, INSULATION / I AS Tp PART.721.1 THERMAL SHOCK PREVENTING 4, FINAL - CONSTRUCTION MUST i N:Y.S BUILDING,CODE. DEVICES AS TO PART.902.6(K) BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Ii N.Y.STATE BUILDING CODE. q l ; _ THE REQUIREMENTS OF THE N.YSTATE . ° r. �' `• ',y - - CODES. NOT RRESPONSIB'LE EFOfl - _ N Ott copper tubing Is Used DESIGN OR CONSTRUCTION ERRORS for water distributing _ gy OM;Piping shall!be af types K or L only 0����� - �I . . - ra V O - a , f, 3 I t' 1 - e h IS tAj © ' c � O iu . f� a _L. •— — — — — I I OLV �7 'yJ 2 032250.1 �� Op F, V 9OFESSIONP O e,i t a � � - _ _ l _ x _ l='frp41i Zt ens \ � w z -- j IBJ' U � 7' r?lC 2^ Llllih 1 j n I ,: q�COr �,��• W I C 1 R j 1 y I t V Y OC „ f Y u I J o ¢ 3 -a o rii�o einx 24$r" WIUOOW 1 �1SW" T jl I ILY . K I'D " a I , i I I I gar y 00�r� W —— 1 n� oazzent @" ' �b H�EESSIONP 0 t� r rti.. � C . , . - - � � KSI. � '�R - ._ _-' �•��1 -�_ __�__ � tf �'-_. � -_.-�/�� ,�l ' Imo_ rLx;tO r '� 1:7,W�IC� 'J_ rdXt� o { �f Rr fc2 � o R v ttu ' ra -� ago m i { T f1 2YtRN �'axl2 tjU 4:4 24V qrc C r t Cr 1 LL 0 0 111 � �✓t ,_ ��a� � � 9 i r f'' G}�pA •1WLL' V -- W.�-i. Ch.1245 -_- - --_—___ �� C (MR5 ._ �Iy CWlh5 ° V.� iJlW -' ' L_..-.:� j OD ' \.>"g) •�}4' ito (�y 4 a2�(Y�tsli. T i � Y^ " ff L 9 Wf ��I d -C.; A, �i2V /,VP // Z 2 - 2x12 49.cs` - -- rej 2u� g(r�ue- Fw- d lc ` leI Pyr as /� ' <� I�.>f"H"U'r ��I✓jy-�Iv-�G� a � LLI e7 eA a �.��-I LAI ' 20 910" I 1-.Idor� • �q° `�'i1P.�7�..[d'X�- Fjl 1714az%Il�-'T Ohti�6'�,` .G%�'1..4�t-�"I Ctt't/ � QK� r-J ® !fo0,C , - OI�t EtELUS1e � �U.- �%�•Sa.� 'I' �til�p 'I ���� y�WG' liLlt%KIF-ILt� - •, ,� ���'� -� _,=—�---.ice,; 4� 3 U 254-0 FE5510NP� Q C� • I t 1fMIN • HIP rT - i � 11 it Jl- �" I - ; ; .,� L �i �� may. •M�'l 4j�� :' '.s.� �+ - .- --,' -.Y ; ' Ht f" StGar sr I , _ a rf� 3 �Y9n - U"'-i, RJ Dy�' 3 . I � " ' . � ..'�` I � - l . . ." "�`• , ,. L- :�,�J. , . '!`�t''tlj-.r?]C� � - f,Y+>- u �� 19j t(CL� I � 44 t u � ' lials WFC'. I •� r f ' �—, Ii� . _ + ' :�4{YC1�•tij� P.?�ClCl4lvl! I u.#:R4e �^ �.hr.1C iaxa.t.t f ,S��k.�>Fa'-t — , .`.r.,.-•--- ..._ J_�.,..;_ I . - . - -. - �-. 1 _ .. - -,_r_n .�� - �. ��_.. �_-,—a.,---•--^^ _.. •� n� 4 �. 7�'�('G 'T-L $r �, e Cn_r r y"n" n �i n ' t;ze e r ' t nriuc "It T' �r� � 2yCx -, r"- PAbYLob }.1EW F0o11gRS6��Cib�CbMeJlbfG. .fmt�� "CiP1CaL py ���r I � � ar_mcT ae^K. I�(tNxG�4is�r`1'jGj'�i t � 4 Ery r•.4,L CPe +. n a. �� ���.''f_J.J� 1J+r4f/t/I„Y"t �Yf 4FFtu T,F .Fahr t-n s',a Pe.. - - " r POW Phone 47.7-0.400 � ,aco � mai"u Road r x .. ice °AOFess;5 GRFTNPORT, TilY: 1I-q4'4 1 /yl /P fIx ALIw � 3' r PLAN NO, JSGA�EI �P n - 2 v w .c cc in Q Y cc WO Z z ri - n ; ®R APPROVED AS NOTED DATE: B.P.M _ FEE: BY: tE OF NE{Y YO NOTIFY BUILDING DEPARTMENT AT 766-1802 9 AM TO 4 PM FOR THE / s FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED W FOR POURED CONCRETE s 2. ROUGH - FRAMING & PL MAMM O , 032254 3. INSULATION 4. FINAL - CONSTRUCTION MUST QfES516 Py BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY s CODES. NOT RESPONSIBLE FOR t� u, DESIGN OR CONSTRUCTION ERRORS LL 0 8' (L p. R ' r7 2 3 � w p N p m 40 Qe1G P2 � I + P'ic�� � ' [u IC 2�r✓ca�` W� u., 2� �r� f��.G'+�z->~�" t�'F h+�u.tut�i Io" d C, 54 3 F�LT 1 l9"t'[. � � � / - .- - ��th CDx- RY1rIDO L� F�{ ��.1IiUU � l 0 I Cw FLYL4001C= �4461511,iiwc m V 2 -2ui22- �sGi2 W'1asrJ6rr Y I I I W Lf:C La �O�i t:` _ � - � � 4 CL p � 4 T 9D a LU 0 Q�OR 1I U otx R C i2t2 TFC UA Z w _ M a --_ _ -- — 'F�r.' reao� rku CD Uebv� _ o � �T� ' P' � x ,C 1 into i I r_- ! o u to I i f�C A'PYLaF3 2(v Q " •_ - r�� Lr ✓i�%+�VJ-��1��4-I o "1 4 - }" ' . (,\I�'I IIS MNI✓W ' _ - - � � � � D APR 2 0 V9a9 .. S �W j35 - lL 1 n F1 �� Cu I M W S`r' m fi _ = - -=--- - - - rLlI bvtl � e I I aqui wr 1 -A vo, 4 ery. O fn L4,0, f�r I-* 0-�2 �. L �� -' .,...,•.... • APPROVED AS NOTED . - - DATE: `2-9 B.P.0 255go -2 r FEE: BY JL4}1.iY6'c - NOTIFY BUILDING DEPARTMENT'AT765-1802 9 AM TO 4 PM StiO°NFIy T, - FOLLOWING INSPECTIONS; FDR THE 2 -! TL o.p� 1 FOUNDATNNI • TWO REQUIRED . - FOR POUREDCONCRETE r m _- 2ROUGH PJIRMBr6 & PLUMBING a. INSULp1011 4. FINAL - CMCMPCTION MUST NFA 082264.1 $ BALL C NSTRUCTIQN SHALL MEET p��RES'IBNP�'� , THE.REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Z / - - ,,5• (� CODES:' NOT RESPONSIBLE rP,l I' ? `. - RESIGN OR CONSTRUCTION ER., C= -• ���"l l � p. !J N G O ( 1 i - - � � f l � � � i { i � � — � — — _� _ _ ��`� �' • � �� ani ff r F r 1 032254-1 �V r OPROEESSIONP�� .... t • W 0 x 1p Cpa I � 1 EIS 20: 2r ('G € o q - -- --e 0 - 816"OC — L�lv"hv" I 'I I 4 I � o V m T 44 s`I Ufir.', I' V.1P.�,t�n I� �i - - - ' J _ Ito', -4 5a1 >✓ /q, ', - - - - - - t 2- �� �eac-,e. LT'94- e cA x cThr xIV t?G. .'i= 012254.1 <1V O F. PROFESS111 - toQT c?arc o� W — - . - - i z- I 4 `lu wa 1 II 2—axil 2 2ciQ drs 5 - R fi Fri tF C , � I r uxs � LL ' g ,°c i I I u — IyBW" L' "245 4' g„1Xd .'24 ? bl 1 v I 1 I L I V I it I 24p ev I - /�' - ✓L'KQ'” (XZY!l�•7 �='9{e A� 'i w �¢' ' �Ib"QG QJ���8��ti'�Or.:. L.�. _ � - I i r r�l�, h rayvvte C''1-dM - Ir, y m 'r I KGkg X�/P '(F-OF NEW 1 I Y r?p�� tc0p 03224-1 � /� ROFESSIONP 15 0 CL ' I r2v 2rL Ktv CJg K? tMcatr �u l�oe a S �4CQl tIt +g` ate't - �' w E fl ?xrsc�G?Iw"c�� I yku . 70 Pii �f 1e taxi j I i �- t ens 2k'� Ka ®.4U'+©;c., CEltJaleiK tEaOMi�� 2- ay-6e O dil MILL ` G khc¢�,gt�Jl1a 414Up 6" o,. o.e, pl+clloe- - - - ��Zf NEW YO i 1 S w Ijr 032254-1 flV a rC � a