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HomeMy WebLinkAbout23883-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25072 Date JUNE 3, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 1620 BROADWATERS ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 9 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16, 1996 pursuant to which Building Permit No. 23883-Z dated JANUARY 6, 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 ACCESSORY NON-HABITABLE STORAGE BUILDING AS APPLIED FOR. The certificate is issued to JOHN & MARY IRVING (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-420180 - MAY 16, 1997 PLUMBERS CERTIFICATION DATED MAY 20,1997-RBT.VANETTEN PLUMBING & HEAT. BuildioInspector Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT T6WM HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) P,., Qd� 1�i o 23883 Z Date ........i `C�............ 19./... . Permission is hereby ed to: ...Ak&l.. ..... .... ,0-x.-.:� ....... at premises located at ............ ...... �... .. ....................... ...........................................................................................................®.................................................... County Tax Map No. 1000 Section ...... .... Block .../........7........GG��11Lot No. . .............. pursuant to application doted .................... .16........ 19..ft?and approved by the Building Inspector. Fee $2,14... ..•••.... ................. .. ....... ...... ..... nspc... I Building for Rev. 6/30/80 Form No. 6 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-UtYderwriters. - - — --------_4____ 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar 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 - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000`, Commercial $15.00 � / Date �f V. �71.�!. New Construction. . . . !. : ... O�ld�9Or Pre-existiyn�p{�Bnild' . . Location of Property. . .! [c?F (✓ . . . . . . . . . . .,(/.IV�F"fl�fS�!Y T. . . . . .`.:�:1. . P HouseNo. BBStreet /// Hamlet Onwer or Owners of Property. :!/ . !•�• - � •�• • • • • • • • • • • • • • • • • • • 749 County Tax Map No 1000, Section. . . .©-�/. . .Block. . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . .. .Filed Map. . . . . . . . . . .Lot. . . . .:: . . . . . . . . . . .. . Permit No.Z38. �!.✓ .-;,Date 0 Permit.S �. � . .Applicant .'.� /1� •%� • s?4" . . . . • Health Dept. Approval. . . l� ...yy��. . . . . . . . . . . ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . I? . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -. . . . . . . . . •LICANT COQ a50 ?2 1 �'f �F Cr Town mall. 53095 Main Road z Fax (5 16) 765-1823 P. O. Box 1179 r v Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Ata:�, 1?00 9 1) Building Permit No. g ? Owner: .T7r v 11 (please print) Plumber: flober+ V0.nE4jen f�I.iVri�!{1q lG l�'1 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. LVe�nJ (Plumbers Signature) Sworn to before me this l day of Notary Public, Xounnt-cy.� Notary PU'btlic, Stta.<:o:Navv York Quafiedo Yin S urfo! -ounty CamrrsissionL'Vrey fflay 22 1 �ggFFO(,�c C=* pGy� N Z. Town Hall, 53095 Main Road 5 • Fax (516)765-1823 Southold New York ox 911971 y'llpl ,�,�4�' Telephone(516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 29 , 1997 Daniel Dunne 2175 Pine Neck Road Southold, N.Y. 11971 Re: John Irving 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. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23883-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1' 11.1.11 Ill;il'BLI lull 111!1'1111 l' DAI (: � ^ ----, -,._• _� _-. ,,,nom-.m..nn ..---- •-.-__.--- � n`� r i ruUnun1 u)tl (gnu) -m" nn _ moan mn • , �..�.�.�..� ��..,nr,�n m��¢�¢a¢n,nn,x.----- �� rl.ueln I na - IllfiIILA1'11111 I`ICR H. Y . ti'1'A'I'1{ ICIIIS Il11Y r .......... rt.,.,.,,m, nllll l'I'I()nAl.�(;C1f ,IP rrt ".,a,,.¢¢mna.,a.,n,�.-a,....am„rt„-•x, _+--,. ✓3!' (_.__.l��I�:. II ,- /-((Q'—J//-�.- '.—` . ...'...........-..-- �annn=a>m [ill �`((��� • _ 41'11 ��--�-..amu_u,--W-.-vu�.•.+•..u..u..r•.0 .r—_..�__�_-.--..............r.....-� .•u�x.u..•.u•...u....•._u•-.-... __ _. . -All - 3 LoT i Qcocr LiG[o V 4... r IN/Gal w.YE� �✓ w.occ Po.E /QoN � k26 ' /gF2K Y CD p �6C6C� ''��V 7 coT �Y � .• Ps�pf;-' �QJ � � �.4.v �Q�sit+dNcF� . A A a (00�I 5J�9E soq<s V � \ � N � � /85.7 Q/ •I /yqJ E.✓f � (o i/t4H WArFR �02`.K GOwG. 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C r Su,Bv�S'ED -✓.�4.J. 3®, /9�3� itI? i000- /c¢- 9-� MAR - 61961 JUDITH T.TERRY ° a 8n 95 IV�ain Road M TOWN CLERK "1 70WNOFSOi} 1d4)L�gx,11,Y9 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ' , Fax (616) 766-1823 MARRIAGE OFFICER ��; „.�.t""'°� Telephone (516) 765-1500 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1570 R Residential X Non-Residential Fee $ 10.00 Septic - Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner IRVING, JOHN ------------------------------ Mailing Address 1 45 MARQUETTE DRIVE ------------------------------ ------------------------------ City St Zip SMITHTOWN NY 11787 -------------------- -- ---------- Property Address 1 1620 BRAODWATER ROAD ------------------------------ ------------------------------ City St Zip CUTCHOGUE NY 11935 -------------------- -- ---------- Tax Map No. section 104.00 block 9 lot 8.000 Cross Street HAYWATER ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 11/19/96 Judith T. Terry -------- Southold Town Clerk (TOWN SEAL) JUDITH T.TERRY Town Hall, 53095 Main Road TOWN CLERK sri t � P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER "- - RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CI.EILK TOWN OF SOUTHOL D TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: Novmeber 19, 1996 Transmitted herewith is a copy of application No. 1643 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for John Irving Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to this office. Thank you. ��op v.Ya'K...Gw Linda J . Cooper I have reviewed the application and location map of the project listed above and make the follow' g recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings property lines and water bodies. EXCAVATION INSPECTION REQUIRED Signature RECEIVED NOV 1 9 1996 `OFFit-E OF 1"IIF -IOWN CLERK Town of Southold Judith T. Terry, Town Clerk �� 0(/y Application No. Town Nall, 53095 Main Road Z Cons N^uclion _ P. O. Box 1179 c rn Southold, New York 11971 to ye Alteration_ Telephone Off. ��t' $10.00 -Residential (516) 765-1601 � > $25.00 -Non-Residential--_-____-_ TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ .. . DATE APPLICANT NAME: 4-1-4 APPLICANT ADDRESS: SEPTIC CESSPOO DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR AI_FERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: y s -��� t r Lr� OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: CROSS STREET: 1�, 'Z" ILot TAX MAP NO. : Section _ Block t BUILDING PERMIT NUMBER CROSS REFERENCE: p ' upiliu of Appli .o�l RECEIVED BY: ! own Clerk's Office ----____ ,�., �y ss-> � d 5�� �� �5 ,3c� �� ��� 5 441027'0o 3 toA I z'S9 a,✓6LE � W ¢SO/N/Gal w.o-;SR �✓ w,pc� 1O4E FbUNO , e X50 L407r :1�� Q r4Ay�A�� � '„ 0 tV�� o ri �� ,zF4S ��// ' x'"'00 OC? Mi4F N T'� 4,5 FCJJc /(1 .=iGKD 1,7416. /G, /922 FILEN? /3'6 0 Tbi✓n/ C>,cr w '� 6&WR, 72n: �o X3745 { i GAn/O OUJAAGR5 ABs7'RAtT ca,QP \ S7-"i% r -r-lmdf � /sr ��pU�Uc MOR r6g6E Bgp/Kdst'S Jori/-/ iQ✓/.�/G ' ! _ _. _Rl GOU/.S JR. __ ..// (/�No SUR✓�Yo� NYS ut.3,7225 P.O. BOx ZZ9 "551-045^17 * 0 �treveYo -,IA/J. 30, i9�� �icJ° 9- +� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION 1 [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR2LO 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ki4RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: s DATE INSPECTOR 2 l 765-1802 UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ (/feROUGH PLBG [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 1�A 7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 7 l DATE INSPECTOR�U 765-1802 BUILDING DEPT. 1 NSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 17 INSPECTOR / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ UGH FLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3/> -2-1 97-INSPECTOR ` 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A C IMNEY REMARKS: DATE J-1-110,f7 INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS P-Aux 1 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date MAY 16,1937 Application No.onfile 13533897/97 N 420180 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 JOAN 5 ltkRY TRVING, 1620 HROADWRTERS ROAD, CUTC110GUEI N.Y, in thefollowinq location; ❑ Basement ❑ Ist FL ® 2nd Fl. GAR/OUT .Section Block Lot was examined on MAY 13,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKINGDECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES $WITCHES INCANDESCENT FLUORESCENT OTHER AMT K.W. AMT. K W, qMt. K W AMT. K W T. H.P. 13 22 16 1@ s DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PTj TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT K.W. Oil H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT H.P. NO.OF FEET AMT. WATTS 2 I' 1 1 20 1 1 1 SERVICE DISCONNECT NO.OF S E R V 1 C E PMT. AMP. TYPE METER 1 p RW 1,e'3W S,e'SW 3,e dW NO.OF CC.GOND. AWG. q.W.G. A.W G. EQUIP. PER a OF CC.COND NO.Of HblfG OF HI-LEG NO.OF NEUTRAIS OF NEUTRAL 1 1.@@ CB t. % 1 2 1 2 OTHER APPARATUS: PADDLE FANS-2 MOTORS:24 H.P. G.F.C.I: -3 SMOKE DETECTOR:-1. Q.C. ELECTRIC INC. LIC.4382.3IN= L L P.O.BOR 518 TAUREL, NY, 1191$-0518 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office ofthe 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. - BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . DEC 6199S BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . .. . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . .. . . . . . . . . . . . . Examined.... , 19y� 7 MAIL TO: . . . . . . . . . . . . . . . . . . /.✓ 3�e Approval. ... ... 19 Permit No.... - - ...............::�................... Disapprovedc .............................. ................................. .. ... (Building inspector) LTCATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS i a. Ibis application most be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public s4ets 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 commenced 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 a" purpose whatever until a Certificate of Occupancy shall have been gr mted•by the Building Inspector. AM.ICATI(R1 IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and reputations, and to admit authorized inspectors on premises and in bu o ing for recess inspections. i19�? - i4C P..................... (Signatu///rpplicant, or name, if a corporation) r.Zs/.!hP.m-r,�.a ...................... (Mailing address of applicant) State whether applicant is owner, le/s�_see, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ' '/ �/ n - (as on the tax roll or latest deed) If. applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporatez-offficer) Builders License No. PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of lend on which proposed work will be done.............................................................. ....................................................................................................................... House Number Street Hamlet County Tax Map No. 1000 Section ..f/..e.`�... Block .....Z........ Lot ...C1........... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing; use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................. b. Intended use and occupancy .............................................:[tv,l.?G'.K,.t7ffa3fSt's`2........... =Y.k4 Yt- sskc!r ,giFl0;�ac� Yf7AG`.=� ylrrr.f{twb sliGiSai : .k".�u�:2'C�.i1fi.R —A-4 ,i(; yaN,ecnnlx:3 tnigl 1. NrLrre of anak (clu:ck vAddl aillAicable): Wxw Iknildiol. .......... (ukllHou .......... Allcr.0 ion . . . .. .. . .. Itelutir ............ ItairNal ...!,......... Ilelx)IIIIo,I ............ Ocher Work ............ ......... .. . ... .... . .. (1)Lcr1 pL irm) 4. Rill la¢:lcvl (oat: .., �. (_' J........ fee ............. ..................... ........ .. .. (to Ire braid of filing this application) 'i. If (Aaellinllnumb ! number of (1wellin ! utlnlnfits . ........... of (hae111n u�ni(ts txn each floor ... . .. . .. .... .. . IF garage, vOldwr of care ....t3�.. b. If Ixraisann, colnnercial or mb,,41 o:colmocy, npecify nal'ure mu[ extent of each type of time,..... ... . .......... .. 7. Uillr±nsions of existing atrucLurVII, If fifty: Front... ..... ... ...... [tear .......... ..... I)epth .. . .... .......... Ile fghc .......... ..............'. Mnlrer of Stories ................... ... Diltensions of s(nr: stria:cure wd,tit alterations or nklitions: Frolic' ....... ........ Rear ............... DeJA 11 .................... lieibl:t ..... Mniwr of Stories ............... a 2 t Z � R. Ik,ll(;hflnm of.e ir�rreci/cure x•C irxr: 1?rarC ... .,lw..... Reno ....✓Q........ 1)eplh ..... ......... / I - �'Mnirer of Sl:orieS ...... ..... 9. Sita of lot.] Froot ...... ........ Rear ..�/ J7Depth ... .� ....... Ifl. Date of I\rrch+nve ............. ....... Nmre of Porar;r ()Aiier ....... . .. I... .......... .......... ..... . It. /lxle or line diaLr'ict in rdnich premises are sfRrate(1 ( (6J.i. w f(.i.��.... ....�.J.�..... .... .......... ......... .. 12. (toes proix>aed conaLrrrc:tion viol ate any z(xning low, ordinance or regulaclar: . p.1/. ................. r 1'1. Will lot lie regrailed ..........'.......... Will excess fill Its reloved fYan pretiseit: YFS ....I. 14. N:nr:n of ()arnmr of prr�nisea ��'��"/!?.�vC�'�...... Mklreas ................ .............. 17:orx• Na. ...... . ....... Neale of Architect ! ................ A(klrea» ........................... Rime No. ... .. ..... . .. . tl:ni: of C(x Ifactor ✓I.1.9,""{ icf:'.!:`f! ................ Mire It /.r!te'•..•a� I.......�,`^,'ZVNOF.�(,11:one No. h. In This prupercy within 300 fee t: of a tidal wetlfinll * YIHS .. .... .... NO ...... .... *[F mg, smillllD 'ITTiltl '1R116117?S l KNIT' my Ig? ItCviltJ). , PLOT DTAGRAM l.o:ate clearly and distinctly It Ixllldings, whether exisl:ing or proposed, moll indicate all set-back dimensions ['lima property lines. Give street anti block nni>er or description according t'o deed, mxl show street notes moil iniicale wlietlxer interior or corner loc.' l)111N /INQ. IN IF .. ncoA:... ....... 9! .*' •.... .. . .��!• • . •.u..........1'...... ..... ...... . . ..Ix!iug duly sworn, detxnaes and atryn that he in cho applicant (Wnc of llilividual nigoiug contract), nlxrve lusted, tit! is the ....... ................... .. ....... ... ... .... ......... ...................................... ...... (Ctmlraclor, lent, 'Icorlxnrale officer, el( .) of said owOur or tial . , rain is duly !'aulhorized to txtrfont or have Ilerfornled the said work soft to nid(e slxf file this ap[ lication; Ihnl. all Slaleneots cont�lllntl in this alitAicolion lire title to the bent: of bis knoaiedge and ix4lief; Roil that. the wont wilt lie perfoanetl in div nramer net forth in the appl Ication filet] therewldi. !).xa.n to [1before nn this ! .. . . . . ..�.t9 ......day of: .. ..( .... . .. I ..ZKJ. .. Ma sly Lldnl it.: ... .. ........... ...... ....... BERT I. SCOTT JR. Si goal tit o ' App itaull) N Ry PUBLIC,State of N. - No.4725089.Suffolk Cou Term Expires May 11. 1 V, -e t 0�sc 4725b89 a$1 1 a�Y id'r{h' ' �t' • hal � v St �r �' �r i ,$ �� �N' 6p rr• ri�� !� ^ ra l laV( '� 1 �rc !�t b�q8 �'rl�� { f�d4Y' i '�� by r y A ' .,4 r � I t lP° rdnh C r f{y v i ♦i "'Fr "(S"7�.�e a - --•--"_-,. �� --�---'--•---'-�-�_�.=�-". _•_ .' j P�n. k P 'r, iJd, ;�#r _ ;� ''„-;-., r „E ,a,�: q �e t,',. ;', . I i I :' � , �, L9 � 't�'.l ���x� Y A,c �,'�,Wr�- '' ,i s MV; 1 + a m� w S 1 ��� � �� _.. •_,-- -__"_ __- � - --. -... - � � �( r *, r � -;r,. . .;- :. ,, � � r r x i,ti"`6i i '�`C k Ner,.�ya" .rAil IM, ��� ��,r ^_++"_..�V-':—._. �'_”^" .._ _._ - -- _.-• _ - - _ _-_ _ - - . ' `i rt� , v r d. it i ..r;' r kv; ' i �r�,�}��M1I�A �d F r .� It F`m' t� ai1``I � a .r'i, _ __ _- .. -- _ - _ __ __ _-- __ _-- -_._ I a !t of � 'r �f „� ? � ite,!:°" r ''al � I �d us,d,a`x, � y' �� r r nrl�!`f i,7ly p�•. p a M gi 4w ' e� ��� ''. � � rt') � I tly r✓<.i P k7 , ye i Q 'fe i; I 1 Y lr:�=� �-� f t nTy ' .;i'r'1 • I , � i,tr'; �1° S" -,w lY OCCUPAND' OR J lia e ' r i.Eiil d4 Ji �' lw q 'y l$ rFt �Ih o�►--r USE IS UNLAWFUL Ea iii; a Y r� --�E ` ' :tl•�Af i {` E Y ' lk'Q '� r V s" Cf 1; l "' �° 3r7'r N� ' I& ' ' �d Int r 1 �jj' � 1 1 I�,.e t t ° I U y t e �a �' J 't '' C � 4 ' I d` r41' var a' >ib� i ry"1` J r d�� � t @t r C 1 Yt�yd u^ M I H p yR 1Fry}yp�A7 1,- �. m F ilY a am r u [' Aro, ;rl 1 'i t „�3 iM SI ifl4 n'V'0� ro ' dry r; eaAr9e 'A�i O�v� `1JA@��B i`U;" t, a Ne r �.1--�6JC_Ie_= 1 d 4 �w 'gyp t q -LCY t�� F r ,a 1 , I '� .: AkI�4, �q 'a OF e pCY i.v - 1/y.M/" IMIDFNWRREQUIRD ERS RTIFM,ATE c �t'el lu..r ERTI1r 1 i fi X' ; I' a r I PLUMBER C�ITENT �3E�ar�E ARP I�. aro as NQSb q ON LEA�COCF C CCPf1'�f dCY ��" uarP B. a �3 k r ':Z" I, d { qrG' A 11 7! ih A k h t° 4 :1'do dw ie rr, r e: v .ut n, g � ;. e y p ,� nl of � .'+"�t1 8" Pt Js x A"r r u 551 w RTIFI CF Br,� r� f .1W- a Ilei V'Yf croft �i ��, CE USE E V ' ,YI= � r r. copper tubing is used S'OLOER G I 4 t uTIPY E 2VILDiNG D If Cope lNFq.r, ' "3tr5-1902 9 AM TO M FOR THE SUPPLY SYSTEM �'. rO r OWING, INSPECTIONS: for water distributing �� J „ system; PlPrng Shell be CE-L Zl7ll O� J I^C R POURED rTWORF REQUIRED O{ types K Or L Onl Eh PLUMBING FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUNKING ALL PLUMBING WASTE ?. INSULATION &WATER LINES NEED TESTING BEFORE COVERING er. FINAL - CONSTRUCTION MUST i - SECOMPLETE FOR!C.O. f': h r4 t<r i g{ i ALL CONSTRUCTION SHALL MELTY. t rtr THE REQUIREMENTS OF THE N. • 4 STATE CONSTRUCTION 8 ENERGY _ "v ��:' DESIGN OR CONSTRUCTION ERRORS e" ' _._"-- —.r.+---•"„T'...�-���.�_,_'--._.�...:��_'^,--._..--- _... __. �_�. -�� .- _ ,.. ___. __ r� to gg�' IV � ..,I "ur r ,'�'", '��Sry�,Ya',"tlyk '?I xlr� J r °,��r1rR'�;�Fih � 9i�f {cV� �'� ;,` _ — ^ 44 ie 'c-t�,a I1ri �q r y _•_ --- -'—�gawii- � '- ,: 4 '�',�� ,,Iy, to � L r �',,r� ' 1, l �k 0 ' krri k! r M1il A i I m n h J Fry 7' k,a L ^ t �t Y ' IT MIj VI +l ol, 4 k a ' 4e F'. vhf 4 i''fE ,i,. i�rtri;, 1t+ MWv, A v f i�` T * exp w ,Y � a ;�, I I, !h r.fT�a�f. we, d @ - xu�"F!'i11, H�v r6vlr iPprt9 y j3S Ulh �duJ Rz. w ,Wow Ili f 9yy���ylrYbq i .{ } Ir q, ] I., ,hA �i•y�r �1 N nn .1 ��� i� 1 'RfV nt E 5iq ;1 y rP1 h ° u I i +ryi � '� rv, ✓� q d n � ry 4 n a �' 6 rw n 8i P d nb >r i adid4 Y + tp� h "v pT n M DIV ; '�, •?AFS' r"� r d.=; so i II tit f' N� ": lii i91 s • rnµstl Yv � ; ,EA,.11 M1v1 11 'chyllMe�wtdl f�il1 r - r, '�q, 0o I j �i I 121��>,Nou.. 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