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HomeMy WebLinkAbout24366-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25736 Date: 05/26/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 1380 JOCKEY CREEK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 5 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 13, 1997 pursuant to which Building Permit No. 24366-Z dated SEPTEMBER 18, 1997 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 SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to SALVATORE J CONRARDY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ildi Inspector 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) Date ....SEPTEMBER... S............................ I9..?7..... 24366 Z Permisslon Is hereby granted to: SALVATORE J CONRARDY . ............................................................................... ....1380 JOCKEY. CREEK DR ..1.SOUTH.O.L.D. ..N.Y .,11971.r....................................... to...........,CONSTRUCT.. A.. SHED...I N..REAR...YARD..AS„APPL I ED FOR ......................................................... ................................................................................................................................................................. ..................................... ............................................................................................................................ .................................................................................................................................................................. .................................................................................................................................................................. at premises located at...............1380 JOCKEY CREEK DR .S....... UTHOL...D . ............ ................................................................................................................................................................ County Tax Map No. ... .. Section ..079.............. Block ...0005......... Lot No. 94I6................ pursuant to appllcation dated ...pU6UST 13,,,,,,,,,,,,,,,,,,,,,,,,, 19.....97....., and approved by the Building Inspector. Fee $.......35.00 .................................1 Bu it>�spec Rev. 6/30/80 Form No. 6 Tower of SOUTHOLD APR 2 4 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. t C. Fees L , 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 - .25+x. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 n / Date . . . '�. .� . ..8 . . . . . . . . . . . . . . . . . . . . . New Construction. t,��8:�!'!. . . Old Or Pre-existin Buil ing. _ . . . . C Location of Property. .? 3 r? t 27A 7��. .500-17104J). . . :: . .l t l ?l ... K::7.. A.�?. . House No. /� I Street ` Hamlet Onwer or Owners of Property.F�/K ���. .4 .0,9?,� (Z�_` � O . . c.©/Y-eXd2�I. . . . . . . . Zb � ( County Tax Map No 1000, Section. .[.`. . .�S�. .Block. . . .. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision..[[. . .. . . . . . . . . . . .. . . . ... ... ... . .. . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . .. . .. . . . . . . . . . . . . Permit No.�.T.).4' . . . . .Date Of Permit. . . . . . .. . . . . . . . .Applicant5,V,. .�Q"W?gyp". . . . . . . . . Health Dept. Approval. . . .. . . . .. . . . . . . . .. . . .. . ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . ... . . .. . . . . . .. . . . .. Request for: Tempor ry Certificate. . . . . . . . . . . Final Certicate.;'(�1.0� . s e Submitted: $. . . . . . c a 5`73 .r. ), . . .q.Q � j . . . . . . . . . . . . . . . . . �� L# SJq-7S APPLICANT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 1,] RRAIVIING ' [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARK'S: r DATE- 51 fv INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] 7FDATION 2ND [ ] INSULATION ING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK'S: DATE ii 8 INSPECTOR l v h 3. KA11re of wotk (d,eck 'Alai, aLVlicahle): New Building .......... Addition .... ...,� Aeration ..... ..... Repair Ramous I............ Dm el ............ Other Work X6.1.. d:'2l?'...................... 4. Estiunted Cost ... �.R w............... fee .......... (to be paid on filing this application) 5. if dtaelling, nari,er of dwelling units ............ hmib r of threlling tmits on each floor ................ Ifgarage, onber of cars ...................................... 6. If lotsineaa, commercial or mixed a .................... uupancy, specify nature and extent of ea�7rn type o use.....-••� {.5......... Deth .. ........... 7. Dimensions of existing structures, if any: Front......rJ......... Rear ... P Ileight � .............. %faber of Stories .....t................ Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... lieigint .................... Umber of Stories . 8. Dimensions of entire new construction-. Front ... )........... Rear .......... Depdi ...0.......... lleidnC .........i 77............... N.nber of Stories ......!.............. r^r� 9. Size of lot: Front .... Rear .... .0............ Depth ....�Jam'........... 10. Date of Purchase .....1qk........... Name of Former Owner ... ""'7•• .............••.. 11. Zone or use district in v#nicil premises are situated ...- r ............... .••p'-.. ........•....... 12. Does proposed construction violate any zoning lar, ordinance or regulation: ..../...-•-•--. 13. Will lot be regraded ... ........... Will excess fill be removed from premises: YES N0 FltiLh INSPI-J 11 4 REPORT _ DATE _ _COMMENTS -i ai s a rt.s c a _ II FOUNDATION ( IST) II II N II v FOUNDATION (2ND) II II I if It ROUGH FRAME PLUMBING 6 I PLUMHING If it I i � 1� INSULATION PER N_ Y. II STATE ENERGYCODE ii l ' I1 II if p --- ---------- 1 n -- ii II II H II II !I FINAL _ — ADDITIONAL COMMENTS: to H H -------- ---- ------------- x! 3. Kiture of work (check which applicable): New Ikrilding .......... Addition .... ... A eration ...... y j .... Repair ............ Renoaal ............. Demolition ............ OLher Work ...................._. r � 1. (Deschljitio�t) 4. Esti nhatel Cost ... 1.�.`....'............. fee ..........3�............... ............... (to be paid on filing this application) 5. if duelling, nurber of dwelling units ............ tiunber of dwelling units on each floor ................ Ifgarage, nnber of cars ...................................... 6. If business, camnercial or mixed occupancy, specify nature and extent of each type of use...................... ^I i 7. Dimensions ofexisting structures, if any: Front.....?,5......... Rear ...7.5 ........ Depth ..F. .......... lieig)it .......I�e............... Nuaher of Stories .....t................ Dimensions of sure structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Amber of Stories ............... 8. Dimensions of entire new construction: Front ......... Rear .I Z:.......... Depth lleiLAht .........`............... Number of Stories ......... 9_ Size of lot: Front ....� .......... Rear ............ Depth ...... �_ ........... H10. Date of Purchase .....�1 ........... Name of Former Owner . n..v!-''.................. 11. Zone or use district in which premises are situated ....2.�U.................................................... 12. hoes proposed construction violate any zoning law, ordinance or regulation: ....7.'•................. 13. Will lot be regraded ...Zl?��........... Will excess fill be removed from premises: YES NO 14. Nares of owner of premises ........................... Address .............................. Phone No. .......... Nae of Architect .................................... Address Phone No. .....� .............................. .... Nam of Contractor ................................... Address ...............................Ifione No. ......... 15. Is this property within 300 feet of a tidal wetland? * YES ....Al... NO .......... *IF YES, SMMKIID TOWN 1XISIM-S PERMIT MAY BE MIRRED. PI.OT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and inlicate all set-back dimmnsions from property lines. Give street and block number or description according to deed,� and/show s�ttj t nanhes 1 indicate wtheUher interior or comer lot. .iCG X+@ �C Ile VMtcl aartnu! i sums (AF lww Yoi ; (xlllrri ... ) • lAM Slt Ta3/7M t3' T? r WA Svc f l•� r XT ...................belY45_��9.- - nu — <Nan�cTA'f9l�il�r +iih� d'86xa atxnm''tdnhi{�1+ "ON a�gg1 ,:.,std MUI'19t11t11�N:,� fry IAk'3t3 / Ile is the .....................W!. ..,!............................._._........- ....................... (Cxitractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have pLrroured Lhe said work and to make and file this appiicaLion; Lbal: all statements contained in this application are true Lo Lhe best of his luhualedge and bell.ief; mm) that Lhe wurk will be performed in tine nnnher set forth in the application filed therewith. SFaorn Lo//befo ne this ..Notary nblic�.. ..... ..: .: ...... %."r F ......... V"IL (Signat:ure of Appl •- O�wMtlMimn 8.--+.H—� UX BOARD OF HEALTH . a FORM NO. 1 3 SETS OP EI ANS . . . . . . . . . . . . . . ti TOWN OF SOUTHOLD SURVEY . . �y�.• BUILDING DEPARTMENT CHECK. ,. oI. . . . . . . . . . . . .. . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . SOUT110LD, N.Y. 11971 TEL: 765-1802 NOTIFY: (� 77 CALL Jr=" ., 191,/. Permit No. G .............................. ...............•.•..............•. .............................. e96. . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date.$.-.1.,� . . . . . . . , 19f INSTRUCTIONS a. 'this application must be completely filled in by type=writer or in ink aml submitted to the Wilding Inspee 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shooing location of lot and of buildings on premises, relationship to adjoining premises or p.ubl streets or areas, and giving a detailed description of layout of property meat be drawn on the diagram which is par thisyapPlication. c. She work covered by this application may not be e mmenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issue a Building Permit to the applicant. 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. APPL.ICATI(N IS TERM, 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 on Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Ito 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. (Signet re of. applcant or name, if a corpora. { ill address of applicant) It State wiuether�applicant is twiner, lessee, agent, architect, engineer, general col0amor, electrician, plumber c .............z1aAE' �/--='••... .... .....y........,................. nam- �8 $.P.X z--` Name of cwxner of premises .. .,..,... ...,..,. .................... .,�..-....,�.g (as the tax mll o atest deed) !Y � Lf applicant is a corporation, signature of duly authorized officer. *"W �O DE - � � 4 .... IL 0 M (Name and title of corporate officer) & IWAAM Builders License No. ......................... 4, PINAL - C0NS14WfT SE COMPt ETE FS"A Plufiers License No. .....•................... ALL CONSTRUCT M I Electricians License No. ...................•. THE REOUIREMMS OM UMM Other Trade's License No. .................... COD CONOT R 1. Location of land on which proposed work will be done............................. OR COR ..-. .1..714.....-... ..�� �`..•�'[mumu. ... .. .................. House Number StreetP / m> .S _ � (� }unlet County Tax Map No. 1000 Section Block ................ Int ................ Subdivision ...................................... Filed Map No. ............... Int ............. (Name) 2, State existing use and occupancy of p'y[�,+Iices and inten&V use and occupancy of proposed construe' a. Existing use and occupancy .l..................•.........,. In. Intended use andoccupancy ... .•..'-:+G.�:..•::'::^: .. .. }^.�::.��.gE"::/ ulneY retV � YNnuz� tj 2 lit) ----------------- ---------------------------------- I lilt 111'.1t it . A 1 11, ---------------------------- ZIA 0�of 01 ------------- - -------------- ------------------------------------------- --------------------- --------------------------------------------------------------------- ------------------- ----—----—------- ay3ol6, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 44INAL [ ] FIREPLACE.# CHIMNEY REMARKS: -,7f 1� d DATE INSPECTOR P�4 CJUCi�EY'' CREE"�C' �R/tiE 4 to, MNyn l nee I�ODfJ M,q GoF PROPER 7— A7 AT L-�__ �Qv7-HOLL7 N. Y 1 / S/ur•y�yH�1 O � lhnulhprl�E alenMn aaGtlAlm r1 J�hii {r_ 1JI 60 ftn7 oflbeanwaor samotlon Lm Nw vall sale � EUucalleW law, nn -� Cppba blNb awmy map rm baa k g V J the lend sunayph ll n,K Gael . \ to b a"lseal Nalrwl be consdersA 10 be•"lid iN..My. Ouanmpes IntlkpUd hereon shall Nn �i.. . Gay IolM Darapn br Whom mBsu Q d pmpaGd Orden his bshaffolhe� _ \ b,cem WNWIGWmmanl.lapwKywd `>��. /``' 60 ' InalbmGl f the hsnm nwl taw aaagneea al the bnalp lnalF 0 u.1.wiIG emas W sna� c f�loYl4,0, t."if74 �p(E OFCO N o -4o OZ5614 su y�P -11fe Alomrc 7771le sto^c) o �� k Cr�frnc�� as strvw� � ✓u/y 3 /96B Tui/ .So« Jul wy ry` {f19 �� vocKE� L;cetiascd L��c� Sc�rv�c�tc;�-r TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREETVILLAGE DIST. SUB. LOT FORMER OWNER N. / E ACR. 1 tl W V• -/E';r nt' TYPE OF BUILDING RES. o SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS c i6 aq c> 8s oo / 8 - / airy/ 21•Z - n fCce.S5` � r� B I DI CONDI OW 7 Y-16 L NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 -- __— - — Tillable 2 --- -- -- Tillable 3 Woodland Swampland FRONTAGE ON WATER , Brushland FRONTAGE ON ROAD House Plot DEPTH p - BULKHEAD -77 Total DOCK ■ The king of storage sheds THE DUTCH BARN features 66"wall height and seemingly endless overhead storage provided by the gambrel roofline with two jalousie windows*with screens and shutters. 8'xl2'shown in White with Black trim,Black roof and optional heavy duty ramp. ■ Handsome space b available THE QUAKER.611"front wall with hip p roof f[0 57"back wall and 18"front overhang with two PIN jalousie windows*with screens and shutters. 8'x12'shown in Light Gray with White trim,Black roof,optional Ij+lf flower boxes and heavy duty ramp. — I lrF�at : 1 i P ■ Sleek contemporary lines are offered in THE COTTAGE featuring 6'3"wall height and 4"from[overhang with two jalousie windows* with screens and shutters. HIGH SIDE BARN 8'x12'shown in Avocado with White trim,Earth[one Cedar roof,optional window boxes,cupola and heavy duty ramp. ■ THE HIGH SIDE BARN is Kaufold's"no nonsense—get the job dome"shed.6'sidewalls open up to a spacious gambrel roof line with _ one large jalousie window with screen. 10'x12'shown in Red with White trim,Black roof and optional ... _` I heavy duty ramp. _ ■ Practical basic storage 6 offered it BARN featuring 4' wall height and unobstructed l roof h th one jalousie -ry1 window with screen. 8'x8'shown 1; ed with White trim and White roof. t F. ". Family owned and operated since 1985,Kaufold's Country Sheds and Gazebos is committed to providing you with the highest quality products at reasonable prices along with sornedung money cant buy these days...Kaufold's outstanding service. FCustmner Satisfaction-a Kau foW_Tradrttmr! , T he }= MINIt * 6'x6', 6'x8',8'x8', 8'xl0'and 10'x10'buildings feature one jalousie window with screen and shutters. 3. tilline of voik (drec:k wihidh applicable): Neu Building .......... Adilition .... A/l/Je�ration ...... Repair ............ Ranrnral ............. Demolition ............ Other Work :f 9-'41 (Description) 4. Rstiscutecd Cost ... �.Q w............... fee .......-..3................................... (to be paid ou filing this application) S. if nkelliryl, Tuber of dwelling waits ..........-. Naber of ikaelling runts on each floor ................ Ifgarage, u■dmr of cars ...................................... 6. If lxwiness, ca iercial or mixed occupancy, specify nature and extent of eadh type of use...................... i ]. Dimensions of existing structures, if any: Froit...."75......... Rear ...7.5......... Depth ..�..LJ...........- Ik:ight ....... �............... Nuduer of Stories ........... Dimensions of sere structure with alterations or aMitions: Front ............... Rear ............... Depth .................... Dedglit .................... Nininer of Stories ............... R. Diuensians of entire new construction. Front ... .-...... hear Z lkeigbt .........`............... Umber of Stories`......�..•.-.-....... �-r/ 9. Size of lot: Front .... ........... Rear ............ Depth .... J_ I0. Ikute of Prur(iase ..... 1.�........... N■re of Forcer Owner �LIY.'.7...�..Gs�................. 11. 2axe or use district in whidh premises are situated ....�.�U.................................................. .. 12, toes proposed mistrction violate any zoning law, ordinance or regulation: ..../.'..U.............. 13. Will lot be regraded ...t/: ........... Will excess fill be removed from premises: YES U) Mi. Nares of Owner of premises ........................... Address .............................. Hone No. ............ Nate of Arcidtec:t .................................... Ackiress .............................. Phone lb. ............ Nine of Contractor ................................... Acklress ......-........................thione lb. ............ 15. Is this property within 300 feet of a tidal wetland? * YES .... NO .......... *IF YES, SOIIDCHD 3O4N 9RUSIFL'S PERMIT MAY BE? ML JIWM. PLOT DIAGRAM locate clearly and distinctly all buildings, wbetluer existing or proposed, and indicate all set-hack dimensions frrnh property linea. Give street and block n■dner or description according to deed, and slow sai street nerj xl indicate wliether interior or corner lot. _ �. -�14? /0 3M fi 0, U1aY4} � � J� 010401i'-" 1111} /• "f ;k,, - --� tom" '� � •� SI'A'M? (AV NW Y(A ii iA .. ,R . jA+RI 5.a (I tlNi I'14 T? v a, 1';0 .I A -- S�.�y'LC7..7 $...................being duly sw)rn, delouses mol says that he is the app. i7unc_._._.. (w■ne�'tif319#itdll�t�hiii�4/tfif>Y ra1'(sQ72 alxwe'nr■n4j11181403111A ' ()A .d3001 IIBis the ................... .V>'.!. '4-.Il................................-.......-......................-- (Cartractor, agent, corporate officer, etc.) of said roarer or carers, and is duly authorized to perfonn or have performed Lite said work anti to nnke six] file this application; that: all stateleuLs contained in this application are true to Lite bent of his knowledge amxl kxilieN awl that Lite work will be perfomecd in the mnnher set forth in Lite application filed therewith. ').Ann to m befo. • e this ........(//. ... ..d- of .....19.�... Notary Atli c .. ..... ....., I�Q�1 /. co"V' .. ......... lr (Signature of Ap, 'nut IIIIYy 144i ^/ OotttstUMon g UX O V l5 � FORM NO. -1 3 BOARD SETS OFFORMELAN.4 . . . . . . . . . . . . . . . TOWN OF SOU' HOLD SURVEY . . . � BUILDING DEPARTMENT CHECRy,.t�le% ....J�7Y.•. . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD. N.Y. 11971 BLDG.DEPT, TEL: 765-1802 NOTIFY: _. TOtgNOFSO;JTTOLD, Q CALQL 19.{.47 ��ff 5. N . . . . . . . . . . . . . . . . . . . . Approved.:'— 411!., 19/./. Permit No. � ....... .................................... Disapprovedarc .................................. ......................_. ...... ...................................................... _ .... . .. .... (Building Inspector) APPLICATION FOR BUILDING PERMIT / Date.'pp. . . .... . . . . . . , 19:17 INSTRUCTIONS a. 'Ibis application must becompletelyfilled 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 slowing 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 wont covered by this application Prey not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issue a Building Permit to the applicant. Sxlu permit shall be kept on the premises available for inspection throughout the Cork. e. No building shall be occupied or used in Jiole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building inspector. APPLICATItN IS 13MEIfy MACE to the ILilding Department for the issuance of a Building Permit pursuant to the Building Tore ordinance of. the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. the applicant agrees to comply with all applicable laws, ordinances, building code, housing code, arxl regulations, aid to admit authorized inspectors on premises and in building for necessary inspections. (Signa[ re of applcant or Pam, if a ( ilh'ig address of applicant) (4 71 State whether applicant is owner, lessee, agent, architect, engineer, general contor, electrician, plumber or builder. Mk .............1lAf"�-... :.. /i2/t .............. A�� ....... x y3lv�� Name of owner of premises!UFW....K..o}' . ... ................. .CYJ..Bs.' . (as orJLto tax rollatest deed) �' T�f applicant is a corporation, signature of duly authorized officer. WIFV WILDING DEl Z AT ( 71111-11MMIA TO 4 W 00 111E ......................................................... swWrIm (M=e and title of corporate officer) P0101100111110111 - 11111810111211 !, NNNAION �G Builders license No. ......................... 4. FINAL • CONSIOINIM MUST Plumbers License No. ....... BE COMPLETE ROA """"" ALL CONSTRUCTION NULL MEET Electricians License No. ..................... THE REGUIREMOn OF TME N.Y. Other Trade's License No. .................... STATE CONSTRUCTION M ENERGY CODES. NOT RN)FONBMLE FOR I. ideation of lard on uduich proposed workwill be done DESIGN.OR CONPRUCTION ERRORS.............................. Rause Number Street !r 7 `S - (✓ Ilanlet County Tax Map No. 1000 . Sectionr...Q.l�.�. .... Block ................ Lot ....:........... Subdivision ...................................... Filed Map No. ............... Int ............... (Kane) 2. State existing use and occupancy of [[ryry((��,,����ises and intended�use and occupancy of proposed construction: a. Existing use and occupancy ..... 9.`:!:":+."-'...' .`!::.n............................ .. ......... b. bntendevl w,e aril ocnupaPxy ...1.:: �� � /�]ti .�y,Q . J � .. ....'t {uf .. ptgf vraok, `, . rn?z':ltG 0.0 KavM to gym.p i:.:0R1eA tel L*tPMpx4) ........ ..:.:,ui.Wiuy:u rAli►ln,nrc:e • �-�S � >� �4 L Zr- Gc t2 c5 . �.• � rt 2 �r~7 a i x!v -�Z'��2�,�1.0►� �� ► - i!.'>r`t'c -'� :r-Vfib ,vG�L� ►-�,�.G, gAt4t WA+-L -- - ----------- - --- ---- ---- -- -- ---�12+ - - i SKYLT LSr T7 We»rJ �t��l lcl L i cz)z —T �+ 711, A R AS NOTIED -rof o�- sLAI, ! ! I -- - - NoX DATE. B.P.# 3 --- -------- O f P I FEE: BY /rj � i�c -- NOTIFY BUILDING D P MENT �' I � TES-1B�12 9 AM Tri THE vi FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE m 2. ROUGH - FRAMING, & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST - ------- --_.- � � . � { ` COMPLETE FOR C.O. ALL BECONSTRUCTION SHAD. MEET ` i = :p .rte+ THE REQUIREMENTS OF THE N.Y. _ _ -- - � @ STATE CONSTRUCTION 8i ENERGY ---- --- - -- av CODES. NOT RESPONSIBLE FOR ;�',�2"6a - - _ _ - _ _ -" S _ tPkSIG1 VRlCQMSTaW=Q EMM j N z'x Io" W/ 7 �4(r{ " �l OCCUPANCY ORUSE IS UNLAWFUL j I II ----- --- - WIIHOUT CERTIFICJ- - ATE OF OCCUPANCY _ 114 ALT - y� K4 w1l r-x t<jd6x-) I -��`' 105 Ito ��" � •fut/vG-� S� ' 1 (' PL - - _ l 1 s3 j idcA v K u_ I VA r,