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HomeMy WebLinkAbout23924-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25206 Date AUGUST 19, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 420 VILLAGE LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 1 Lot 9.1 Subdivision_ Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 23, 1997 pursuant to which Building Permit No. 23924-Z dated FEBRUARY 19, 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 ie ALTER, REPAIR & RENOVATE AN EXISTING NON-HABITABLE ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to CHARLES E. WEBB (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-426359 - JULY 22, 1997 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 WORM NO. 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) N.O 23924 Z Date .................. ...1...���.........................., Permission is hereby granted to: 6kI644...1� .............................................. to . Fj.�.�.. ,e! f .... e ... .. .... .. .�? . ........ ................................. .... ...... ..!S'S.... at premises located at .......:Z`or?a........... ..... .............................................. ............................................................ ....1.. . y1....................................................................... .................................................................................................................................................................. County Tax Map No. 1000 Section ...0 . .. Black ...©z......... Lot No. ............. 14Y 9 pursuant to application dated ...... '' L1....... ....` �?.. .<. ..... 19/.,/, and approved by the Building Inspector. Fee i.. .� .... ... . ....... . . . ............... .. ing for Rev. 6/30/80 TOWN OF SOUTHOLD 3-23-ia>i 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-disposai(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 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 325.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 431 Copy of Certificate of Occupancy - .25r 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .0. ... . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Bruilding. P.. . . . . . . . . . . . Location of Property. . g7:Q. . . . . . . . . . . ?L\\ . . L,4`M . . . . . . . . . . �� �.r4.�^. . NI . . "OOs . House No(.� \Street Hamlet Onwer or Owners of Property.. .ti`LW��.\� 5 W�.Y1� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . -". . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . 1. . . . . . . . . . . . . . . . . . 0 Permit No. . � I Z .?_ .Date Of Permit. ?110!19 . . . . . . .ApQiicant. .c�wAva , �N�b_ , . . . . . . . . . . Health Dept. Approval. . . . . ?:? . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . .N d?. . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . 4A . . . . . . Fee Submitted: $ . . . . .Z.�s.'.�?�. . . . . . . . . . . . . . . . APPLICANT Co O��gUFFO(,�-CO Town Hall, 53095 Main Road y Z Fax(516) 765-1823 P. O. Box 1179 U. n* Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 13, 1997 Boardman Builders P.O. Box 322 Orient, N.Y. 11957 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : fXX An application for Certificate of Occupancy is not on file. (Enclosed) XX 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 # 23924-Z (E. WEBB) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. PII!!„) I !I:Ii'!':I:'C (M lil•:;'UK I' PA 11; COMM."N'1':i .-__.____________________.___-__.___-------------------------------------------------------.---__ I II I FOUNDA'r I ON SII �I it it I I I n FouNonrtON ( 2Cm) i1 �•� I� a !I a _ 1 t ” u PLI1H11I NC I ,{ { It f{ t _ f I I r, I NSIIr.A'r ION PER N. Y . ;'rnrr F.NA11trt t I{ I it I 1 II q r. AUI)ET'IONA(• COHPt P.Nr!i: x .._9c ,lhte— L ll r I b rt C 9 a xa ►togg � E t FCfiGC d` Govaye - Ll Q L 2Nk wrvey ice vinGitih�nt Reclipl7208 or ma New Yek lWar. � .y� .,r. i � `yy � Frtluralion Leet � V � � yy y {{ Cov7m of N6 surveym prwAb"em u I 7 1ji 6e kntl sorveyoes Ythetlsw sr 1 rnboAvmb tllolnothaeu aNry'. I � i bneanMb011bpy. 10 ,�{ i QuaronMa Md'�ceklifweonshaa-. A/ tai s•fOa'y 1• +� �` � o-ymme wrsoniarwnna»arwer • 4v"~ koUs.+e I I6.� -� tc:o;,cre4oMmFisbetWfioNe 'St �(1 iwe<mnvam:BovemromefaB&'cvr xl .-,,,_ ��' � j knamg mAitWiml llstetlMroen entl -11ec;gnee m agnaingks V J bf,c -ruc_r.�es ra m trenaaaSlw �(-----•'-'�'f � � it � f maE.:, ... .,li:u,iuns orautl aQo:.z N alta $a•t0 w I M4.09 t 1 L..bl k C frti GIH �\\� �GK Vq,��17i 1 < Ft+6N u+t1 !•'+'t'r /� p�;�r y �y t�q °F'�yO•CS 256 ' M�l� Vr L+e�tNY FO AN SJP CHARLES .G.� , a!"r.li7 G�Yo("+a`S44 +* -{1 F54 �t4lQ2Yl+►Y•4' etL�-'X'{t'�.` Rtvisiam , A*•sevicic 7'i}ic tHgNY£trtl d �_ Ca, oMCI is tkc• Nov tk F'ovk. C• avis% `cauls+ Ca- gas suvvoeLjed Nov �9, t<3Gs'3 dIZI EN-r Oitcb Wr Vd" Yutji * Sam Mown+ or SCXd'9"N(}Lo , N.Y. � jSfia ' t..�CG 6'I S�tG� t..0 ti f1 t�Y VISILjK1r5 �4YE$}1(.GW"ft, N�'Vlf YbYlt lv - � .. :..1. ....:_ t.: .r, s 3'�,.... •:. ..'wr . ..'.'.._ .'.... ... ..�.. ,. - . _ . .. .' t _ ..'. 6. _ � .a .. ... .,. �_ ._r.�.t wv''fX4:iy _ .e e2' M i 1 e e E 41 -00 140' 6 IOg tp 4.10 m __$ n N 7 202, 92' b ( W' P ~ b c o 3 IO �' It, 190' �" 11 P 204• �• � _ m o P P 0 b 192� )Q m 94' 0 a o m - 195 n 4 m r25� O _ P 1 9s 2 b N O13 � 4� 422' OD 3.2 2s Z N b � O h 150 'V r26 )4 vNi ` 6.1 P ^ P N yy N 52' J 15 !2g n 1�a n4' 0 20. 21 DI P 3.3A 4.2 s8 55' ry 126' n s6' � 7 102 15' 125' h &S, .b N .1 m h Q m 18 J m b g5 20 25 25' 20.12 Bg 101' � n � � r I�S 101 b �? r94' 275 69 kIPpER oma, 103' ,Is 17 a w,j z3gz�z BOARDMAN BUILDERS -- - PA.Box 322 OrieEd.NY 11957 v M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL r4z4lla -g [ ] FIREPLACES CHIMNEY REMARKS: DATEINSPECTOR �2,2�- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY r REMARKS a IL// ,r/ nr fZ? —z2zoop f7�iie✓'_ DATE lINSPECTOR .r,� 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i DATE INSPECTOR 11r��a THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE I BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date Application No.onfile JULY "2,1997 ][4227397!27 N 426359 THIS CERTIFIES THAT only the electrical equipment"described below and introduced by the applicant named on the above application number in the premixes of HP. WEBB, 420 VILLAGE LANE, ORIENT, N,Y. �I in thefollorring lncotigp�, 4 BgaRptgnt LJ lat FL � Ynd F7. � .Sxtion Black Lot �IUIW 1' was examined on andfound to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES �C_OOKINGDECKS16VENS _1DISF1 WASHERSI EXHAUST FANS OUTLETS INIC BTACLES SWITCHES INCANCESCENr FLUORESCENT OTHER /JAI K W. I- AMt K w� AMr. K w I AMT. I K.w, I AMT. U H.P. 4 6 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE RIDERS SPECIAL REC'PTI TIME CLOCKS 6ELL UNIT HEATERS MULTI-OUTLET I DIMMERS SYSTEMS AMT CW, al H.P. GASH.r. AMT. NO. A.w.O. Ami AMR AMT. MAlS, TRANS. AMi. H.P. NO,OF RET MIT. I WATTS _—... __._.. SERVICE DISCONNKT NO.OF S E R Y 1 C E _ MITER NO OF CC.COND. AWG A w.c A w G._ AMI. AMP. ME EOUI►. 1/tw t f]W 7 A 3W 3/AW PER F ANO OF HI-LEG NO OF NEUTRALS CC. OPHI�IE�_ _I OF NEUTRAL OTHER APPARATUS; F.C,I._I L -)P(%$KT MCC. INC, Lir.#2941-1E= Per 425 PIAN,"ELL LAIN t,'irpC'H0GIfF, NY, 119 5 GENERAL MANAGER 3.1 'Cris 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. BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANTS TOWN OF SOUTHOLD SURVEY , � . . . . . . . . . . . . . JAN 9 3 BUILDING DEPARTMENT CHECK ,/ . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . SOU_THOLD, N.Y. 11971 TEL.: 765-1802 N.oTIFY : P t'�7, CALL Examined . . . • �/• 19 . (.� }— MAIL T O d ai�- tv-N Approved . . . l/• . . . . . 77 Z. Yad � Q. : . . ., 19,. Permit No. ✓. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( . . . . . . . . . . . ] In pe(; APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . INSTRUCTIONS a.. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi 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. APPLICATION 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 o 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 regulations, and ti admit authorized inspectors on premises and in building for necessary inspections. . . . . . . . . . . . . . . . . . . . . . . . (Si a of applicant//, orn/am�e,�if acor�poration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . : . I . . . . . . . . . . . . . . . . .O.W. IV. 4R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . .&-V W. .14 jF D. . . . . f✓L/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . ... Electrician's License No. . . . . . . . . . . . . . . . . .:. . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �1.a-c. . . . . . 1/3,1 t. . . . L Nk. . . . . . . . . .Oeer f N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . :t2� . . . . . . . . Block . . . . . .I. . . . . . . . . . . . Lot . . . . . �7 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) '_. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . .l.i+. E. . . . . . . . . . . . . . . . ..PL TT,•-Lz. I It; R . . . . . . . . . . . . b. Intended use and occupancy . . . . 43:-),q [Z� , y � -i. D .tL VcM ia}'gx3 miaT 3. Nature of work (check which applicable). New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration .? . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . I�000 Fee 4. Estimated Cost . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . CAIZ If garage,number of cars . . . . . . . . - . 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . ... . . . . . . 7. Dimensions of existing structures,if any: Front . . . . .14 . . . . . . . Rear . . . . . . . . . . . Depth . . .14P. . . . . . . . Height . . . .t-5 . . . . . . . . Number of Stories . . . . .6V9. . . . . . . . Dimensions of same structure with alterations or additions: Front . .: ."4. . . . . . . . . . . . Rear . . . cf . . . . . . . . . . Depth . . . .W . . . . . . . . . . . . . . . Height . . . f 9. . . . . Number of Stories . . .. . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . «�.. . . . . . . Rear . . .7A . . . . . . . . . Depth . . . . . . . . . . . . Height . . . . . . .t j. . . . . . . Number of Stories . . . . .%0.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner 11. Zone or use district in which premises are situated . . . )� j 1 f7 Lam' . .fit- �7. . . . .. .. . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law,ordinance or regulation: -0-0 . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . .P.0. . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes /IVc 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . "" Name of Architect 6r8 'QdJ . �f�.I . . . . . Address . C. 3t 0 . . . . Phone No.� 3. S'F C�• Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Done No. . . . . . . . . . . . ... . 15. Is this property within 300 feet of a tidal wetland? *yes. . . . . . . . No *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to.deed, and show street names and indicate whethe, interior or corner Iot. >TATE OF NEW&O$K S.S 'OUNTY OF . . . . . .:r. . . . . . . . a l?c�t l? . . .� : . . �. �. . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. le is the . . . . . . . . . . . . . . ®w'r' eq- . . . . . . . . . . . . . . . . y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this 2ROBEATI.SCOrT.JR. o � . . � 19. . . . . . . . . . . . .otary Public, . . . . . . . . . . f" . County Stats of Now Yotlf . . .. . .. .. .v LIU Qualified in Suffolk County (Signature of applicant; Term Expires May 31« g i 4 ' � M � r T�� , 1 I IIi � i E� Webb MAY 28 1991 , - BOARDMAN BUILDERS At *A _, 322 . wy 11W s19 7 sub 1 ug s 1 2xt X/2 yxy 3 � i —D L MAY2� � y� T°Plb'N OF SC" r._......3 V��o�c� �XT2V1e�Y �TA��IS pe0.v �-Uvak oN oa r e�rLDERS PA.s,k2 -Orient, NY 31955 S!9 7 SCn4 /V�,; TICK UY"gK15�11,14 - - - -- - - - -- - - - - - - RSD G4A1t Karma V' s/+X f M61NynW frIM' VP r— � I , o �\ � I WN.cPAt;: 5"To WEATNE sT�iAS SEToN I � � _ •- - - �- - - -- - _ I I-T firs zx -- — - – 57��R5�+fKtU��\T I f T. - - x � a nl - NII i r I* I 9� - ' gg ° — - 56'( N ZXyX �' - I r t� nll I AXI fl til G= - - CARS — -- - H -p �� pc��Tl2xl -- o �� 00 - Rlp F_ I�� _ -_ - _� -f• I' , - - - Trlm, , J. LLL77 Di N I � Ir, Ar_ _ - _ - I -- - - — — - O - - -- - - - - -- - - - - - - - -- - - - t r } Yq1�_ST�I-F-VATi0N } 5' 8 28� 6'-5 3"3 I 10 -2 10 -Z do n XlSTINC� gNOUNP ffKOF055-P ATTIG STOt<AG� C�COh 1T �Eer a� r.^ s� G� IFt E� A 3 0�. .,rE Eh. It. R ti L, HEH -- LL" m. It n �+ -1KR ZXIO T� L1 11, nr 11 11 -11 3x3i�Ns 17 1 LlLILILIC�1—_.I - �X�S"f d- 'I �„ � - i�CIC�CICJ�I �� �CICI''I�u❑ _�_� , ��C1�1C0 L-I� CJCIl ❑ t i ZX6 - �yE�oe� 4 >�.� _ r” ii —L �cl _ DtI.ZXE N6APEF- b 1 %�AV�MEM1' e' N!F 1 , rvn�,r� r — SMG1�1K4ToYPJATE � � t• -- - I �•� � , I�c�ISTI7.k3 - i � - - kDSy$II .�nW➢CkPu.N _ � "�, ., - IS , . �,_ �1+�B.P.k aloe i--+ h /ax6Ta rRIM b '"� 4-21 - ) ASTl �/ATiON _ --- 04- 1-Wy.SN�S"17{N - 5 F9154 NoSE>:,G�-vf -,r[I �L�Y I'1-T' C7N ' CON�STK�.`C.��ON v l.- 'IO In T - --- ------ —= UNDERWRITERS CERTIFICATE — YEhI K1'6 F IE.0 --- _. . -'----�- -- - — FOLL�1071OWING °Y NG Nu ;wv DEPARTFn�r a� REQUIRED --_ fi 7n5 W92 9 r�u! TO 4 PM FOR THE 1 y A ANq� NIJAftCdI NSD!{' 7A3< R� ' Z'uX3"5'r FouoRPO IE mous O qN➢p .'N AH9SI --��--- -- - n• I 1. FOUNDATION - TWO REQWREO h + O SjJU y�% k g �} (o FOR POURED CONCRETE - _.___ I - - 7 X'�WING7�N-T-ng 2. ROUGH - FRAMING & PLUMB! -- — 3. INSULATION G I ArU7 l xAftKouu�pd '?MyRo.y' 68 XA 5� • 6/( �fiC51'a5�y Ae F- -5NOVATtoN �- SXt Xi YMYKIM 4. FINAL - CONSTRUCTION MU �A�Y p{�� / O ,�, �I II BE COMPLETE FOR C.O. Y V G� K531 V�NV� ' 'O � N 1, N'�• y�'Y1:f �SfI�MF11Nc C AND�Y��1•AWNI>y Aty351 • tZo- „ -Jr g X I -9 ALL CONSTRUCTION SHALL ME . - y�(g� ,,j�-I- �L•wRl(.}{'rSRJ�S AC,LASS CI-TQfJ,�ES AS IN�IGATEP THE REQUIREMENTS OF THE N ,I7AT� 1121 qb I�Ey, STATE CONSTRUCTION & ENER �A ��I�^IIS & x � ' ��,y,GX�.�Ya-r/ [NA'fE(•EDAKSIIIhL:,I-F-� I`IL �i'ALr U.N ITS�'J� ��fT� 'N• R ]:�5 CODES. NOT RESPONSIBLE F - D�TAII— AG - �1 ����I DESIGN OR CONSTRUCTION ERRO i��rAw fojZ; I Yl - o:goxI -•OKI Fur, N. , II 5'f — - rWAf,FV13 pn\X3F1n Ogi i IrNy 119s ( F°po; Al