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Home My WebLink About23904-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26257 Date: 02/02/99 THIS CERTIFIES that the building ALT & RENOVATE Location of Property: 1205 TUTHILL RD EXT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.52 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 1997 pursuant to which Building Permit No. 23904-Z dated FEBRUARY 3, 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 ALTERATION & RENOVATION ON 2ND STORY OF EXISTING ONE FAMILY DWELLING WITH DECK ADDITION AS APPLIED FOR. The certificate is issued to JOSEPH & SANDRA KOLLEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 02/02/99 PLUMBERS CERTIFICATION DATED 01/28/99 JOSEPH H. KOLLEN, JR. BI lding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26268 Date: 02/08/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 1205 TUTHILL RD EXT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.52 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 1997 pursuant to which Building Permit No. 23904-Z dated FEBRUARY 3, 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to JOSEPH & SANDRA KOLLEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A — -",Z- ) -Z/-� B 'lding Inspector Rev. 1/81 "UK NO. f 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) 0 23904 Z Date ..........AAL.................................. 1911. Permission is hereby granted to: N :...(..'//97./............. ....!..... .. ✓r_,t//>7!✓�j. . �i~y at premises located at ..........1. Q. .. ..... .F'".... � 1 ...... ............ ................................................. .. . :.... ...... . .. . 4p;mF�......................................................6................. ................................................................................................................................................................I County Tax Map No. 1000 Section ...SS...........yyBlock ....04.........p. Lot No. .. � ..... pursuant to application dated `jKh.`y..........a....................... 19.22, and approved by the Building Inspector. !! Fee $..1..e9... .. ....... ./in �............................... Kispector Rev. 6/30/80 p �`� BUILDING DEPARTMENT Q � cJ3oX 3Y3 LThMj10 TOWN HALL � 765-1802FEB As APPLICATION FOR CERTIFICATE OF OCCUPANCY DEPT. L e 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. 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to oodwelling $25ng $25.00, Alterations to dwelling $25.00, Swimming pool 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .. .. . . . . . . . .v Construction... ........ Old Or Pre-existing Building. .. . +•� ,cation of Property.l.;�LQ5..15�: .: t ..f .;1 4•••••••• • ••• •• • • • • • S House No. Salw1C1•• Street yy 11 Hamlet �01?. �.S^ to0.- «o1ULn. .. . . . . . . . . . . . . . . . . . . . . . . . . . . user or Owners of Property.. //. ,unty Tax Map No 1000, section. ..15�. . . .....B1ock. ..W . . . . ... . .. .Lot.15?25a. . . . . . . . . . . . . 4 ,bdivision. S1\p.Q�c� . . 95s%!5%.. . . .. . . .Filed Map. . 91a. . . .Lot. . . . .1. .+.I.-. . ,snit No. cV.ndyZ • • • •Date Of Permit1�7• • .Applicant. (4 . :S ,alth Dept. Approval. . . . . . .�)Ac. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . .arming Board Approval. . . . . . . . . . . . . . . . . . . . . . . . ,quest for: Temporary Certificate. . . . . . . . . . . Fi 1 Certicate. /�. . . . . . . . ,e Submitted: $. . . . . . . . . . . . . . . . . . . . .. . . . . . . . 4J • . 0 �lG• •/ • • • ADPL BUILDING DEPARTMENT Qd (Zo_"C 5P3 TOWN BALL % A, 765-1802 _ J / APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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. 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 - •Z5t,�• 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .!,aZ4 �9q: . . . . . . ox �a Construction... .. ...... Old Or Pre-existing Building... �^.:�^ +•`�,{p��1� ' c� !=x deck �+ sYtiud ,cation of Property.1.4C2 s?..ff� 11`1 i�t t1 Hamlet House No. So�-tlw�c3• Street �R �^. S c .. . . . . . . . .. . . . . . . . . . . . . . . tomer or Owners of Property.. . . . . ...//•� ... " ' wunty Tax Map No 1000, Section. ..r . .. ....Block. . .W .Q. . . . .. . •• •Lot.l . . . . . . . . . . . . • ibdivisionn . .�!�4Q�9L�. •. .. .. . . .Filed Map. .4�gI oZ. . . .Lot. .L �D . . . . . . . . . . . . . . . . 1 (( traLi.t No. CV590 3.1 • • • .Date Of Permit. .� • • •• • • •APplicant.V4��• 'SonACUL.' alth Dept. Approval. . .. . . .NiJII,.. . . . . . . . . .. . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . _anning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . VV iquest for: Temporary Certificate. . . . . . . . . . . Fi 1 Certicate. /�. . . . . . . . to Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . V� v ,. . . APDL ��O�QgOFFO(,��OGy owe 0 y 516 Town Hall,53095 Main Road Fax� � ( )765-1823 P.O. Box 1179 y �� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD FEB. 3, 1999 Mr. & Mrs . Joseph Kollen P.O. Box 343 Southold, N.Y. 11971 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 # 23904-Z (ACCY SHED) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *ENCLOSED IS CERTIFICATE OF OCCUPANCY FOR THE RENOVATION FOR YOUR DWELLING. PLEASE SUBMIT THE ATTACHED APPLICATION AND CHECK FOR $25 .00 SO THAT WE MAY ISSUE THE CERTIFICATE OF OCCUPANCY FOR YOUR SHED. IF YOU HAVE ANY QUESTIONS, DO NOT HESITATE TO CALL THIS OFFICE. h�o��ggfFOLK��Gy o � Town Hall,53095 Main Road y x Fax (516)765-1823 P. O. Box 1179 �0 • 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: Building Permit No. 39Oy owner: Ja40 j —go-nc' re-- (please print) J Plumber: �nc. n� . 14A' f (pleabe print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. //Y umbrerd Signature) Sworn to before me this day of (G(32 V i9-tz 16 9 9 Notary Public, U FOLK County �rt� nP�� arP��lB &a'� 99 h�O�OgOFF014,�oGy o N Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 y O� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 29, 1999 Joseph & Sandra Kollen P.O. Box 343 Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. 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 # 23904-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I Ir.l.0 Irl;,;•r,(-I ION -----I' -.,_IrnIIC CONI'lriN'r'G-- ----- ij ii rrmNlin V[ON ( nrr) li . if �I ItIt rF I I'UIINun 1*10N > ------------------------ �I'-------- ---- - — --- -- ----------------- ✓ 671 PLUMB I NO II II { INSIN.AI'ION PER N . Y . If- II II I I II Ipl N ------------------- ADDI I'IONAL ----- --- --- ------ ---- . _ . . _ - . 1 --- ------ fi'----_ - --------------- , _ c� AL o � of •y i. Iq , . �osephji: *Sandra Xollen .PO fax 343 Southold, 11971 516:76'5'1747 September 11, 1998 Southold Town Building Department PO Box 1179 Southold, NY 11971 Building Permit#23904Z To Whom It May Concern: At this time, we would like to extend our building permit for another six months, expiring February, 1999. Please advise if this change is acceptable to the above phone number or address. Thank you for your consideration. Sincerely, Joseph &Sandra Kollen G 90 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8068560 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date FEBRUARY 09,1999 Application No. on file 14943897/97 H 063068 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 JOSEPH H. KOLLEN JR. , 1205 TUTHILL ROAD, SOUTHOLD, NY in the following location, ❑ Basement ❑ Ist Ft. ® 2nd F1. Section Block Lot was examined on FEBRUARY 02,1999 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 AMT. K.W. AMT. K.W. AMT. K.W. AMT. K W. AMT. H.P. 9 15 14 9 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 NO.OF FEET AMT. WATTS 1 600 SERVICE DISCONNECT NO.OF S E R V I C E METER AMT. AMP, TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W NO.OpECRC0 OND OF CC.COND NO.OF HI-LEG A'W'G NO OF NEUTRALS A'W.G. OF HI NEUTRAL OTHER APPARATUS: PADDLE FANS-F-2 G.F.C.It-1 SHOKE DETECTORi-A JOSEPH H. KOLLEN JR. L � P. 0. BOX 343 SOUTHOLD, NY, 11971 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. 11 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ �FODATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE d- INSPECTOR rte---- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ FINAL REMARKS: " DATE INSPECTOR DR R BOARD OF UEALTN . . L5 L5 FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . D TOWN OF SOUTBOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . jiPln� JJDt! BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . 'TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 ,q(g, BLDG. DEPT, py ; TEL: 765-1802 NOTIFY: T / A CALL . . . . . . . . . . . . . . . . . . Examined...34•3J ........ 19. yy,gMAIL TO* . . . . . . . . . . . . . . . . . . Approved.................119..._ Penn �yiL Tkn t7t✓..7 o.3�p. . /:,... .................................... Disapproved a/c ....... I ''iti(((��...��Q��t,,,�� ,,� d� .................................... ...................................................`...yt✓tnA.' ... m.q...........9(............ @nilding Inspector) APPLICATION FOR BUILDINC PERMIT MC Q Dateyq 1. INSTRUCTIONS a. 'Ibis application mist be completely filled in by Lypewriter or in ink and sulmitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schechnle. b. Plot plan shaKing 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 is Wirt of this application. c. lbe work covered by this application may not be coamnced before issuance of Building Permit. d. Upon approval of this application, tine Building Inspector will issue a Building Permit to the applicant. &'ch permit shall bekept 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. APPLICA'rI N IS DERE8Y MADE to the Building Department for the issuance of a Building Permit pursuant to the 11ailding Zane Ordinance of the Town of Southold, Suffolk Canty, 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, buil7icnt, de, 1 ing c e, a regulations,jand to admit authorized inspectors on premises and in building fo ceaapecti s. (tai n ure of applo if a nporstion) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pltjdoer or huildei ....... ..................i....I......,.`......Q.........................(.....J..._ Now .......................... Naof amner of premises .�Q.�. �. ...4�..!`Y%...�!.�....:5...��f..".....'. `6l.......................... (da on line tax roll. or latest deed) If applicant i a corporation, signature of duly authorized officer. ............ IX.,...................................... (Nam and title of corporate officer) Builders License No. .1 J................. Plumbers License No. .11.....................'. Electricians License No. ..................... OLber Trade's License No. ................... I. Ivcation of land on which proposed work will be done.1 .. l.� n �5 ..�1C .:........................ goOt .. ` .... 1�4;1. ................................ Douse Naber Street hamlet County Tax Map No. 1000 Section ...�........ ... Block ... . Tot ...�....:��.... s .... ........ Subdivision .. I'1 f%l \`SKF!-!-a"� :... Filed clap No. `(�9l o N..... Lot . Alp ........ n Name) 2. State existing use and occupancy of premises and intendqd use and oca��of proposed canatnnctian: a. Existing use and occupancy . ....................... b. Intended use and occupancy ...UG4..Ylti --:--------- ..'5 ............................. 0 "�' oJ." .,:Oy cks,A4 is atR . iit) lpq �sfl�> 33terat ). Kiwis of work (deck which a licabla)o New Building Acdit'ion ionI-.._.�.,,� 1 lyh .......... Itelwir ............ ltenwal I,.......... Iktnll[lal ,........... Other lJork .. 4. Estimated Cost 4�� ;......... fee ....4�.5.........................t. (lo be paid on filing tl eat41 5. if d+elIit%, outlier of dwell Jug Mita ..� ::... lAnber of dwelling units on each floor ................ Ifgarage, ornber of care .../ :............................ Q G. If Itusioess, camterclal or mlxedf occupancy, specify nature and extent of each type of use..K,l�l................ 7. Ik:lens ..s of g. trust res, if any: Front.................Rear ............... Depth ................. •••..... Mtber of Stories ..... U ousts Dune of existing etnlcm, Dinlensiala of sore structure with alterations or additions: Front ............... Rear ............... Depth .................... Ike101t .................... Mudxer of Stories ............... (1. Dimensions of entire new crinst a t/ ^ -.r uction: FrmPt' ..j�............ltear ....I......... Depth 1� r Ilei It ..A...�T,�rXfl.. tl iSl ...t;. Moiler of Stories ..4.I.... SOE� tl 9. Size of lot. Fmit ....9.. ......... Rear $,9td 1�8.o pq ..... Depth ...i.�......�........ T (� 10. Mile of Furoimae .... ry....... Narne of Fortner (Ismer ..f.?'w ...... .................... . If. Zone or use district in Ifddl 'remises are situated ..rte .......... 12, Does Proposed construction violate any zoning law, ordinance or regulathxi: ..I.....,.....'......., 1 1 1:1. Will lot he regraded �(,. I''...... ... Will excess fill Ile rc( ime/d�_from Premises: ,1' _YES ® �7 14. Nikes of (Jwner of premises 114 .IS4�?� .�F�!�l('p>,��I. 1Adklreae Y.�i,•7: .0�.,�-�,.:;2yfjy' Pilose Nolle of Arddl tecC .......................... Address ....I......................... "one No. .............. �•d�-�, Mine of Contractor .l!1.(��-.r...................... Address ...............................111one No. .............. 15. la this property within 300 feet.of a tidal wetland? * YF-4 .......... M) ..✓ ,, *1F YRS, SODIIC)ID 'IXXM INI FM PCWP'' my w Rf.Ql11Rrm. PI•Q'l+ DIAGRAM locate clearly and distinctly all buildings, wilelher existing or proposed, sad Indicate all set-back dimensions fruit property linea. Give street alxfl block raillber or description according to deed, and allow street nares and inlicace IAledwr interior or corner lot, 1017 + l I -+ ASPHALT i - WoOp FrtAMF i --- - - - _. --- PROP, STORACnIr SNEa - — -- _ _ v�IVa - S117sNC� 1 1'IZ ETotrf C�RA�E --- ---- ---- {St. %1ST - - 14' 1 z><b-'RA FT6Rs SI'A'lli (N' M1J tK _1611o.C. 2xMA f1 "I!....... ............Ixenlg duly mx)rn, deposes and says that he is the appl.icona: (Notre of individuali niof. contract) , atxNe nulled, Ike is dile ............ .Y Y. ....................................................................... (Contractor, agent,-corporate officer, etc.) of said owner or rimlers, and Is duly it to perforin or have performed the an id work and to make and file this appI test ion; that: old ataterenta contained ,Ill thin appl.Icatfor) are tnle to the [Pest of Itis konwledge and NOief; and lhnt the work will be performed In tile; nlmter set forth in the application filed therewith. :kaPrn to beforg fate th{s UI�/� V + . .......c./..4! �\JFIy of QQ.��.��... ..i.... 19.!1 .. Notary 1 Iblrc l.La�/,1�....... ... ... (Sf in of Appileant) M '"'""' x.20' SUFFOLK CO. HEALTH PT APP6tflt�f/lY. H.S. NO -MA- 0, OP PQGPE1 TY t, .: LAN15 PC 5A STATEMENT OF INTENT k THE WATER SUPPLY AND SEWAGE SCI.JTH SYSTEMS FOR THtS - RESIDENCE WiLt CONFORM TO' THE STANDARDS OF TH# SUFFOLK CO. DEPT. OF HEALTHSERVICES ! f&1 APPLICANT SUFFOLK COUNTY DEPT. OF HEAl.T•t+ SERVICES — FOR APPROVAL FLY# f CONSTRUCTION ONLY DATE: i H: S. REF.N, I �' APP40VED: SUFFOLK CO. TAX MAP Df,Stb, IATLtY#Y- Au `.. f DIST. SECT. 19LOCI r �. - ; OWNERS ADDRESS' cm PrppvsClA ' JL Ad-x =j P 13C Q.Ea beck t?` jy = r n 5: S Tit- I[€2L 3. t 14 :Q aA TEST HOLE O ' + �. � „` ��:�✓'1r..a. .- .. - w -"I.L�. - - �misaurvevwa wo mton� IrMmay' �• 1 *. fSec"b1i 7208 ofthe New YM.&RV ^� e.�L�.. l� T,iF� _ Fstucaftwt tax T } C�gj ^ • n: .: a �y- y' t H� ^�r� Melanstl sua'eWfs'mked s.al+karna 3 +, - �.1 �Q - i,."y �t-.a_ . 6i ��i2+2✓Z to b ava4d W0d not be mnsufs:e.' ,t' '* a - - ��,,((} £t toaeave4EWaccVY. • � G 2�- ' ?�_- t .�-.�+� µ _� �✓"S� - '- �� *.:I.S;t ` t`�✓ � GweanteesL6raled hereon shat-r'. • - - , � ordytorte parsonforwham Ne s.uvs•;" } F`� fkm t - - is prepared.arnd on hxbShsYtc;ha wang jnstauvo,lu;a•+he:con and YT✓'�`"• toile ssn- cffhole�dryrs�- € nay"_�.•- t f""'�Y - AMl�l i.• AtJG. 2a,199f; W c7 Cu -n s a r t snsiaabv baddvk:n..i Inst i.eto s su a'>q.`s'= i t i d N OV.?.,1991. � € .) SEAL _ k . 3tt I' 9 TO E 4 �fFL �'�AS? rEE c ;4422?FOiZZCs:F 7it�.2 &Gt'LTi?_ sL:-TIt +t� SExs tj INS' f a LkT.Nft� T7. I Pif' C f � PC}.TZ E�tAF7!J= rty 'AAM22,i9qt: ��P°Kvq\ , iv RODERICK VAN TUYL P.C. 0 ss LICENSED LAND SURVEYORS 3 . Ll�4TI1115.�, ?+#f r3atd,4. t fsfLEE$IPORT NEW YfJR7C tE4tavwe post Ha ata ,n •. _ : CT T IT SIT �1 ,x:' � ! ., �� r _u •..-.ry su R�` '.t'>�'.i � i� I 6 �i T w �,k,�'C� " y .�g z '1'3 � a .��h dig `� 'k � +1s r r� twi �'�'4 ,{+,m ty f�j us7 Y y �..w�`�• g_ ;d 'ki A y 1 :rt: � 'j � i � I i } y.. 4 r i ��''+" aY.�k ��" J � a-�•1.r - H�t � IF$7rt' fi, .�- ' lr"'i x � i , a'x8 f I i i r. I _ �I, - - 3/dXFoccR • I�'� q„As2 At {4 3'0is�” 22xro $`I SAO y �iihf I P- aawa I I II � GO�� to}I F i '�yKLp�^' r � ' y t9rw"'+�^ M+- 4• (ta - ��?' d ,4�ktM i� � M 5."��,�'� Tt tyl•� ,`{,��'�r `k��:D�h�'x,� t�� ' ,�ny+r,�ha�"'S`A'� H � .. �:• �"`-.vn �, Y A rM� .PST c �.a> . r a � r j fR'��c J��A r " .y�fi �,�4 'd7[ ".�' .}W,� ':, 'K��'rF }�l �U ,t'� Grp , � � F, f I ✓� t s- L 'r t 9 '�a ddt ti 'a i �Y' 1 .f'i i e �y��,, I r,✓ l i tr II k 'I . r. I I FT ni � � I - �� xb '—+' —I _ �tl7J 1�J3* fV�dt✓ yafl f,;OW a 60�3Jy } i s ll, I - '� ,§ PMA' ry k••, .Sy GQ� r�'c ;Hix IG',r— - , � 1 I ''. iT PROVIDE OPENINGS FOR 1 r i . _ � n ` — EMERGENCY ESCAPE AS. REQUIRED BY17 PARI 714 OF L – – -- N.Y. STATE BUILDING CODE. If copper tubing is used _. --- - for water distributing be - -- System, o tYPepipi_Jng l L rte- �- -�___ -.-._. — - '- - - '- -- --�--_. _.__,_.. ,. a fl _ . _ _.. KofLon UNDERWRITERS CERTIFICATE ' L .V i �J,P:J REQUIRED 1 PLUMBING $ - • —� - I - &LL PLUMBING WASTE WATER LINES NEED TESTING mloRE COVERING ._� PIumBER CERnF/CAT/ON ON LEAD CO/vTENT BEFORE r CERTIFICATE OF OCCUPANCY. SOLDER D - RU USED/lV WATER f ' SUPPLY SYSTEM C:4NNOT // f1 EXCEED 2/10 of 1% LEaD. OCCUPANCY OR USE IS UNLAWFUL I Gua r WITHOUT. CERTIFICATEOF OCCUPANCY . = } '_ APP OVED AS NOTED DATE: j X17 B.P.# �9&( 2 � 1 t _ , - �-�-_ - BUILDING TO 4PP F NOT L- FY r RTMENT AT � �' � OWING,RJSPECTIONS:M y 7E5-i HE . . ... :....... „ _ _ _ � 1. FOUNDATION - TWOREQUIRED i FOR •I. - - 2. ROUGHUR FRAMING CONCRETE& PLUMBING - ,— - _ 3. , INSULATION , } 4. FINAL - CONSTRUCTION MUST BE COMPLETE.FOR C.O. a j I ALL CONSTRUCTION SHALL MEET , THE REQUIREMENTS Z--._.' "' STATE,CONSTRUCTION _ CODES. NOT RESPONSIBLE, FOR - - DESIGN OR CONSTRU617ONERRORS * � POS- Phone 477-0400 Xlak' Road I CR FEN PORT, iN V. 11944 - �- .�.. til �!}Y Fr- �fll�l i`j•:,�,�_ - �.d Q$-. ` - y; 4-0 - r, F� - my � r,l! sq j f � .✓?(u n,56;, tGN c.h• 'SAA GH1 I I T f> , Aa. , � - � �I j � .� �.Lt,.Ak Gv irlbp MFS - � � fit., I I- � � � 'J-1 �_1:� n •!A`f'[L T> - j � � ., �� o � f f posts r-o(r a � tT'tc "Ii_ ncif f TT £ o y1 c. .. i W - Wr 1 . b /, Co" - ! I -' - oI , �Fppnra lr' r• � � �'4.! s� / t� -� ' � . N �1=Qflt�.#C+ E 21. 71 A y fiL G- . ten . • 11 .- � i - .. •-� -.__ - _ � 444 t 1. - ! L_ t ! �'r t , - �. e -moi.,- i'y�,• __.._�_� — Z3 { r _ F'uTurL OE ; STEpS AT DWRS . as1-7. II Id I I IN,G7 ' c „ o� ..�i x'_i4 ��"(� I 4' �. 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