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Home My WebLink About23948-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25222 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the building ADDITION Location of Property 25 EAST SIDE AVE. MATTITDCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 28, 1997 pursuant to which Building Permit No. 23948 Z dated FEBRUARY 28, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4456. The certificate is issued to FRANK & PAT REILLY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-426438 - JULY 23, 1997 PLUMBERS CERTIFICATION DATED AUG. 1, 1997-PECONIC PLUMBING & HEATING Bu' ding In ector Rev. 1/81 POEM X0. 2 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) M 23948 Z Date ..........,l,-a.-V............................. 191017 Permission is hereby grant d to: _/ I ..��4,lCz�a!1. .../}.. ...f!?�h✓ /5i//y � :..! i. .��....................................... to ...... ...... .. w� �i .`... ....... �J ...... GIFT ..,e , Z P...F.?.! ....:....... .. slp of premise/located at .......... ... .,�.�1............// ...... .:.......................................... X17 ......................................................... ............................................................................................................................................./..................... County Tax Map No. 1000 Section ....1�...<�............. BBloEc�kj .....a�......... Lot No. ....(...U............. pursuant to application dated ............ ..... T!...................... 19-4.land approved by the Building Inspector. Fee 5... !.. ...... ....... ............ .... .... .f............................... ng for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD D BUILDING DEPARTMENT TOWN HALL AUG R 765-1802 BLDG. f UTH L APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1 . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . 02.1 R. 7?. 7.7. . . . . . . . . . . . . . . . . . . . New Construction. . . . .?. . . . Old Or!!Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . -.5. . . 4= T. . . . . . .S _,4.uj . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. p Street Hamlet Onwer or Owners of Property. . . .F/�-$CJu1�. . . � . P.4-1. . . . T�F,L .LI t�. . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . 1. . . . . . .Block. . .C!;� . . . . . . . . .Lot. . . . . 0. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J. . . . .Filedd Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.aqqDate Of Permit. ./. $ . ,(. . .Applicant. 6 � . . . . . . Health Dept. Approval. . . . Att:A . . . . . . . . . .f. . . . . .Underwriters Approval. . . . . .✓. . . . . . . . . . . . . . . . . . Planning Board Approval. . . .ti� . . . . . . . . . . . . . . . . . / Request for: Temporary Cert:ificate. . . . . . . . . . . Final Corticate. . V. . . . . . . Fee Submitted: $ �.'° . . . . . . . I . . . . . . . . Cbz.� 53n 333 �d oCsda� AF CANT dC N; Town o e � z Town Hall. 53095 Main Road S m x Fax (516) 765-1823 P O. Box 1179 Q s 4 Telephone (5l5)--76--5---l-802 Sovthold, 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. a31 4%'2- 'i?-UTIL--�-A Owner: J P.rar»c. ( please print) Plumber: (please print ) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead . (P1 s Sig ture/) / Sworn to before me this day of 19- Notary Public, - -51/ T L u1(1— County � � l ' Notary PL-NC,Stara c't:aw York Iva.r18T.J4 C:-? Qu::!6iad in EndoN county Comm"!on Expue3 Se„1.30,79 '7 PI i..!.I7 ItIJ I,!,,c 1' Iurr RI,:voR I' IIA'I'E. RIHI-1I-I_ ----------- -----------II-III ---.------- ------ - - --- y9 CIA I FryUNDA'FFON ( I;T) i ! I — II Fuuwt)nrtorr gnu) - r ' - -itI R( iwir FRAME f. PLt)FI IS I NC iI it �----- INSULATION PER N . 'r . .� . .. `i ;TATI? KNF.R117 � 1 n , a=. 1i jl j 1 F 1 NAI. - I I AUb ITIONAt. CUHF1IiNT;: z' m -------------------------- ----------- ------ f-: iy u r 3 C" ! O fl .y APPEALS BOARD MEMBERS gUFFO(,�Coo Southold Town Hall Gerard P. Goehringer,Chairman y` 53095 Main Road Serge Doyen w a P.O. Box 1179 James Dinizio, Jr. p Southold, New York 11971 Robert A. Villa Fax(516) 765-1823 Lydia A.Tortora �l �a Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD AS PER RESOLUTION ADOPTED FEBRUARY 25, 1997 PUBLIC HEARING HELD FEBRUARY 6, 1997 ACTION OF THE BOARD OF APPEALS Appl. #4456- FRANI{ AND PATRICIA REILLY PARCEL #1000-99-3-18 LOCATION OF PROPERTY: 25 East Side Avenue, Mattituck. BASIS OF APPEAL: Applicants are requetsing to construct addition to an existing dwelling which does not conform to the 35 ft. setback requirement. FINDINGS: Code requires 40 ft. setback today for new construction. The existing setback is shown at 35 feet at its closest point, and the proposed setback is 27 feet. No other buildings existing within 300 feet on the same side of the street, same block. MOTION by Member Villa, seconded by Member Tortora, it was RESOLVED, to GRANT the relief requested under Appl. #4456, as applied, for the reason that applicants' property consists of a corner lot with paved town road; has three front yards; and has insuficient distance; is a half-moon shape; and access is adjacent to a paper street which is the nature of this appeal. REASONS: 1 . The amount of relief is not substantial. 2. There will not be an undesirable change in the character of the neighborhood, based upon the setback from this paper street. 3. Property contains three front yards with no private access needed off of paper streets since access is gained by use of town road (East Side Avenue. ) . 4. Difficulty is not self-created and is due to the extremely irregular shape of the property. VOTE OF THE BOARD: Ayes: All (4-0) : Members Goehringer, Dinizio, Villa and Tortora. (Member Doyen of Fishers Island was absent. ) This resolution was duly adopted. The following signatures confirm the above to be correct. A refusal to sign or ther no-signature will no t the validitt 's d rminati r /� M ER J. D IZ CHAIRMAN/MEMBER G. GOEHRINGER / C� �/ MEMBER R. VILLA ME R L. TORTORA ENERGY COVE CALCULATIONS (For Non-Electric heat) Design Criteria G , 000 Degree•.Days O.A. 10'F I .A. 70"F FOR! �Cr /C! pER: Pe I7 ., f r '4' /'7J S DATED., IL- IClrl DESIGN TIILIU4CL SUBSYSTEM AREA 110" RATING REMARKS Exterior. Walls (Opaque) 2 p 4-33 —{-- �}- (;laziny 3 -7 6 6• Q, �Jtl C I Doors Celliuy/Roof (Opaque) 2 (1 Oy Skylights B Floor L c3 0 j U Foundation Walls Slab Insulation TOTAL t Z - Notes ! Uuildiny Envelope Systems to meet requirements of 7015. 2 IIVAC Equi.pement to meet. requirements of 7U15. 11 I1VAC Systems to meet requirements of 7015. 12 Duct Systems to meeL requirements of 787.5 . 13 Ventilationu Systems to meeL requirements of 7915 . 14 Insulation of pipiny Systems to meet requirements of 7815 . 15 Service Water Heating Systems & EquipmenL• to meeL- requirements of 7015 . 21 Electrical & Lighting Systems & Equipment Lo meeL requirements of 7U15 . 31 •a To the best of my knowledge, FIIRV),0 belief, & professional judyemeiiL, these plans are In complialice .with the code. (OM1�r11 YA •, r. opgsFESS1V�� /� G. ,-Z rnnw nx, 'r I OJVN or .So(r nc)Lt) IMIU)IN(; t)f•.VAR I NIF.N F IOIVN CC.L•Ilr; s carrtcli Si)1 P1'llt)a.l), N.Y. NOCF. or• MSAPPIuw Oate . . . .. . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . 1'LGAS6 T'AKTS NO-,'rt-ICfi Ural your ni,l,licntirnr doled . . . . . . . . . for permil In Locnlion of Properly Hnusr All y/7� Sirn?r2 JQ� llnmlat County fax Ninp No. IOQO Section . . . . .L. . . Block . . . d. . . . . . . . . Lo( ./c7 . - . . . . . . . . Siihdivi.sion . . . . . . . . . . . . . . . . . Filed Mnl, lo. . . . . . . _ . . . . . . . . . Lot No. . . . . . . is rete ,rd hercwiU, ;urd disnl+in ovq%I nn the f<,11<nvinj+ I�rauods�,-�!'�!"�f�t .4��1�E!'C'K�. �.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - -dam . . . .Com . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I3ui lding Lnspect r. RV 1 /lira f/ 76S-1802 BUILDING DEPT. INSPECTION Z11F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNE,ZY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ VreFRAMING ( ] FINAL [ ] FIREPLACE & CHIMNEY REM A KS: 2' � ll DATES INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & C IMNEY REMARKS: " OAC Of DATE y !n 7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ Cle'ROUGH PLBG.� l � [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &�JCHIIMMNEY REMARKS: DATE S �� /� —INSPECTORG,%� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEEJY REMARKSa �r-Q► d- Zr DATE -- Y -7 INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ' 1 10091071 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 23,1907 ApplirationNo.on file 1429"'697/97 N 426438 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abode application number in the premises of FRANK RETLLY. 625- EASTSI:DE AVENUE, CORRECT # 25, 1Y.TTITUCK, N.Y. in thefo!lowinp location: El Basement 0 7Rt Fl. El 2nd i'l. .Section B7cefYry 5 lot was examined on JULY 16,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES I RANGES 1COOKINGDECKS1 OVENS I DISH WASHERS I EXHAUST FAN OUTLETS ECEPTACLES SWITCHES It I INCANIXSCENT FLUORESCENT OTHEF AMT. K W. AML K W. AMT. K.W. AMT K.W. MIT. H.P. 9 7C el 1 1 . DRYERS FURNACE MOTORS FIITURE AP►UANCE FEEDERS SPECIAL RECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMi NO. A.W.G. AMT. AMP AMi. AMPS. TRANS. AMI, H P SYSTEMS MIT I WAITS NO.OF RET SERVICE DISCONNECT NO .OF S E R V 1 C E AAV, AMP ry� METER I X PM 1 X 3W 3 R 3W 3 X IW NO.Of CC CONO A W G. NO Of HbLFG A.W'G _ NO.Of NEUTRALS E000. PER p f CC. O. OF NI-LEG Of NEUTKAI OTHER APPARATUS: .__ —.. PADDLE FANS-2 t-NJTORS:2-F N.P. G.F.C. 1:-3 ^� & a CCIN'S`RACTt?R LIC.#57$-E112=1� `v w.... L L BOY 215 ANN SOUTH(MD, NY, ;.1471 GENERAL MANAGER it Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. MJAIII 01' IWAI.'III . . . . . . . . . . PIIItN NO. I 7 SEI!; OF PLANS . . . . . . . . . . . . . TOINt OF :illll'I'IIO1.0 SURVEY . . . . . . . . . . . . . . . . . . . . . . - IiIIILN1NC Otil'ARI"Gil?N'1' CIIECN . . _ . . . . . . . . . TOWN LIMA. SYA"'V 1 C PORft . . . . . . . . . . . . . . S(111'I'IIOI,L, N.Y . 11971 'I'Iif.: 765— I802 NOI'IFY: I{x:rniiks ..� ... ...., 19./., 1t 11. TO: ( Apt 1. 19^.J1./{ / !n%u ',x:"J�' .T.:3!.7.`?!. . .. ak. . .'.t�. ... . . . .. .. . ..... . .. .... ...... ...:... .................. ... C�� tFEB 2 8 AI'1'LICATION FOR 11011A)INO I'Iiltl IT 19. - „_TOWN�FSOJfHOtD t r I NSTROC'1'1lIN:i n. '11(ilc ,pill fent iexr 1161st. hee cuydel ely filled in by tyf"'It iter or in ion a[xl sulutill ed to I I w Iklf Idlog I ::lxr • .3 :;els of plan,, accurale plot plml to scale. Gee according In scLed[rle. L. ['fill plain ;dxeii lq; local,i(xl of lo( 41+x1 of Tali far f ng!i (kl pi(Inises, Ile l at ionslli1) to :xljoiu i rll; pruui se:: ur fold si mots UIareas, mxl hiving a rletailcai (fesc.riptiuil of layout of plolIelty Iola[ tx: dlsna( on the diagr%rn (Alich is ftm Oris appl ical ion. c. 'ILe lank ccwerell by (bis ap{dical ion nsly Ixtt lx: cuwrax:ed lielore issuance of Iklfldiog Ieunil. ll. OIxxI 411)1)1 Wal of fills appl f calion, the Ikli ldf nit Inslxrcl or gill i:isue a IAli 1(11 lilt W-1111iI to Ie appl icanl-. IX-1 110 ::hal l Im kc{lf. oo Ilse lit(111i ries available for insfect iwo thr(AIJI(xd the w()rk- e. No Inlilding ;;Hall Ile occopie[I or us(vl io s)liole or fu It:o-t for any Ixafose lAlulevet unlit a CeIf it icale of Wt ultmxy :dull have Ix:en granted by file Iklildiug Inslec.lor. AI'I'I.I(:A'I'ION IS IpiW91Y LWXr to the Iklildiolt Neµrrtlana. for live issrlaoce of a Ikli Llinl; 1'clolit I.o somil to the ILlildfng y.(xxe Ordilnnlce of file Town of :xallhol+l, Slffnik C000ly, Nciw Y011c, alx1 u[Iler applicable l;rw:i, 011linal)CeS ul 14y;ulat i(xui, fur IIIc CfxlStnKdiOn of Ixlildiol s, :kklil ions or alleral.iuns, or for r<v6lvnl or dcaml it fill], as holriu descrilxsl. 'ILe applicant agrees to cuoldy with all alifllicable laws, nrdivatwes, Ixlilding c(xle, hoosing c(xle, moll rel,ulal_i(xrs, alxl to mItlit. authorized iusix:clurs oo 1)4011ises mkt io Ixlildfng for Decessary ill mel fouS. . .. . . .. . . . ( S i gnature of applicant , o a,w, if a cul lxnvd i J..... /...... (nd 1 fag axkhess of IIII)l ioal]l ) Sfaie witelher atgllicant: fs nnxer, lessen:, agent, architect, eugioeer, gelaeral contractor, electrician, pluolxrr ul 1 .. ... ...`.. .. .... ....... ............................ ................................. . .... .. .. . ...... . .. POom of (Einer of prr�nises ... .. ,. ...J.-��Sl ....�i�f?:/J.K. . .. . :k:. 1. :. . ....... .... ........ ....... . ... . (as On the lax lull or Iat"L deed) If %flint ic:xd f. it corlx)rat i[nr, siguatote of doty aultn+r izerl of ficel . . . . . .... . ...... ................. ....I..... ..I. ....... ... . (N.nrcf a,l lit le of col finale officer) ISof We)n Liceu:;e No. .. ..7-. I'Ilnik-ts Ll eeuu: No. .... .... ............. .... ftlectric.ians idmilse U). ..................... Other 'I'lakke's License No. ... .... ............. / 1. 1.(x:d i(xl ul lalxl (x) w9lich pt olx>s[e[1 wank will lie do1w. .. . ...t,�A, G p ° L A>J(-'�. ..... ... .... ......... ......... ...... . �1/tatslT.tc -y-/.}.. ... .. ..... .. .... ... ...... . .......... .. ..... ..... ..... . . IkElso firllx-r Sly1((.1.1 ,71? �CY ILrulef QEud y Tax Mqt No. IIXIO S<rc1 i(kl "-t.`-:... Y..! l -.. ISI[xk . . . . . . ... ... ... . .6�. . . ..,...• ... tadxfivisioo ... ............. .......... ....... . .. .. Ff Ieil FLIP tit. .. .. .... .... ... InL .. . . . ......... . (Narix!) 7, Stare exist iug one alxl occolapkty of p(+vlises mv,l iol[e+xbd use roxt (x•colknxy of plolxlsed cuosl lm t ion: �y a. P:xisl fort uac :uxl (xrulvu k:y .. . ... ....7G:� .1.Q.4�:�f.14:-.. .. . . . ... .............. ... .. ... .... . .. b. lulelxk,[l uric alxl o[:culcjlwy .. . .. .. . .b':J. .1.}?�s,tJ.j n.4—__..... ............... . ..... ... ..... .... . . I 13oden! of lAuk (check Oli(h alld iruble): fket Building .. . . . ... .. lvklilion Allernl.ion .. .. . .. . . . Iblmil . . . . . . . . .. .. Hollows .. ... ..... ... DolaI iLinn . ... . .. ..... Glher Hoik . . .. . . ... ........... .. . . . .. .. .. . . . - (tk±nrrlpl_itxt) o 'I, list invited Q)sl . ... ..L,.�)�?O.v.. .. . ... . fee . .. . ... .. ....... ... .... ... . ... ...... ... ... .. (lc) Ix± ]mid oil fit int; Ihis nppl icletioxl) P i. 11 lhA!Iling, rx ill uo of thxlling unit : . . . .. . . . .. .. tknloer of thxtll fog rnrlta tui each [true . . . ..('?,..�..� . . . . 1 If I;aral;e, earlier of Cars . . .. ... . .. .... . ... . . . . ........ ... .. . .. i. If Ixlnionun, cnanarc.ial or mixed ournImrxy, nlux:ify nature nlxl nxlunl. of ealfi lylxa of "me.. . . ... . . ... .. ... ... .. '. Ilinvneaions of exinl int; rinelul e", if any: Firm" . . . . . t. . ... . Hour . . .14. .1...... . UCpth . . . .�-S. . ..t. . . .. . . Ilcight . . . . . . . .t. . Ikrlxlr of Stories . .. .. . . . . . .. . . . .� Ilin"mull.^. --"�7quI)e slne:ture with nlleraLicxes or lelditionn: Flout .. .J51_ . . . . .. [lrar .. .`. . .... . . /.. .... . ... .. Ik±i Oil . . . . ..( .L-..... . . .. . . U.1mr of me" ir.n . . . . .. .I. . . .. . . r CC t f x7 1. Ilinx�n::itmu; al' (.111 if(! lxie ecxml nua iexr I'r ua( .... . � . . . ..... lu±ter . . . .9. . .. . .. ... ikp(h . . . .*!.. . y . " . /.. ... ....I.. lh.dw±r of Stories . . . .. . . .. . . . . .. . .. . . ..2 ). Size of lot: vital .. . ....... .. .. . ..... Veto Ik±pth 10. Run of Rur6ane .. . .. .1..x.... ... .. wen of wine Rater . . .. . . . . . . . . ... . ... .. .... .......... . ... . . ,. 11. Zxmx± or rue diner lel'. in Jilch pnmdnere nee siUm .. . ... ...TWA— (ed .... ... .. .. .. ....... .... .. .... . . .... . . .. .. . . . V. Ikm±a peulnscd count elect iou violate any zrorinl, Inw, nrdiluxx:e or legulat hill: ... . ... .... ............. 11. Will lot 1.2 legrnled .. . ... .p.. ... .... Will exrenn fill Iw rrru,vcd fetus praninen: �iS IXI Ill. IU111v.n of (bnwtof premises �440K. .A L- 1a.Vv.a.f . ... ... Atkh ern . . . . ... . ... ... ............... . Micros I4,. . . . . . . . .. . ... lltry . ... .. . ....... .......... ... .... . .. .. h1dreas . .. . . . .. . . ... ± of Aichilecl ...... .. ... ...... I1tone No. . .. . . . . . . ...,. Harv: ni' CA Hit r art olfP.�1.. .141"i.)fo l2.7nx.1.S. ...... .. . .. lvkU lits .7,�! �.��(�. .ti�04lli 0 t-la. ....N blur 1k.). H. In this prolx!r I whit!" '111(1 feet of n l idnl ;A!Llalul7 * YF3 .. . . . . ... . H(I . . ... . ... . *IF YES, S(Xfll til 11 'g X44 '11romfl+11 11?I4,II'r IIAY ffs Iil�:.(i1J11USU. 111.01 HIAGIlAtt liwnle clearly mal dlstAiwLly nil Ixlftdings, rdlether exfsling oe IM'01ased, alxl hirlients nil net-hock dinvonionn term prolxriy linen. Give at reet and block nnher or de firri pt four accol ding to Aeed, nlxl Over; street. rimes as et irrelicalr Awl line fill el for or cornor lot:. Hcsp SHrte'f5 . .. . . . . .,C>�a. . .�r„l�,I?.✓11.5.. . .. . .. . . . . ... . . . ..In+fry; duly !nun n, doix inn!: 411WI nayn Ihnl he in Ihn :ggll feral (Iltux! of ilelividilal signing role(rncl.) :Ilxlvu n:Flr!d, k! i!i Illi! . .. . . . . . . . . . . . . . ... . . .... . .... . .. ... . .. . .. ... ... ... .. . .. . . . .. . .. ... .... .. . ... ... ... ... ......... .. (fknH)nein ngrnu l , rt jar atin rr. office , el C. if BIId IMI x!1 Of (M1nts, alkl if; 41111y irriholizvl In Ixufolul or have ix!rfoolltml Ilia laelll will( next to artke alxt Zile Illin nppi icut ion; Ilnd all ill nl"until a cont ah"! in Ilam qWI icut ion tele IIIin to the last of Itis him Ml edge mel bnI ief; met I huI Ilse v ,fU will lin. lx±r Iorux±d in (Ile nmrnetr feel. for 111 in 16e fillet icut foo In led Ihetew 11 h. 'kn ern to ±�lli jjl((orrr�,,�!J-ut, Ihn ipp . . . . . . .(. .l.l . . . .l .day o,f4.�e '� . 17.<.� .., EL17ARETHANN NEVILLE (Signnlfit e of Appl ' not } Not Pubtic, Slate of f; .v York S s �l _ i.. W srr.?�` 'i ,"3...e e...`..'^.'w.r^{wr.�`r...sew•�w...w.-:L.p�pM.:xi�.��,..anrAsl++.rir4,.� r,,,, y' .,k�:l,:/......�i.Wl..n-rSi,n:�R..•wnT-.`IfdF'M" . 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I (T341 I 1 L' yytt I ' PLUMBER CERTIFICATION t ` \ ('ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER P T ffy.' tr�"Ge'w r SUPPLY SYS EM CANNOT 12 rae Irf � k 1 � ' EXCEED 2110 OF 196 LEAD. 6/I)$ Mf --- _ .. ._- .AFS'-'"_.- - •. PWMWA - .- - _, _ awUNuMr I i -ca 7ESTNfG i t I + . If copper tubing Is used ,. for water distributing F' -I sm n(, ! J " ,,{ ©, system:piping shall'bs *e I I of types KorLonh a -44� ti UNDEwnERSCMIFIGIE f. I �It � ,: Y..y'- - }bkt* . i REQUIRED ff I AI'P DVED AS NOTED I I b DATE: .�J-P .P.N �I ' �Ft-I LF:E;'i'."1 � •,! - FEE ING c- . - . , - : - _ ,.._ ._...- — —""'.-! ' a'.� -� t',I 76b NOTIFY 1 07 0 4 PM FORTTHE � ' FOLLOWING iNSPECTIONS. FOUNDATION - TWO REQUIRED 1 P • ! - - - FOR POURF�D CON RETE �i I , ! ' a 'U ' f L ' - 2. ROUGH - FRAMING 6 PLUMBING I ! 3. INSULATION _ - , I ' . 4, FINAL - CONSI RUCTION MUST BE COMPLETE FOR C.Q. ALL CONSt-RUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. _ STATE CONSTRUCTION A ENERGY ! iC CODES. NOT RESPONSIBLE FOR TRUCTION ERRORS DESIGN OR CONS W.�.ow.N,>W � - '•—�— �-^"'¢ e,7» t DEC 1 7 t< or Nelv!'a OCCUPANCY OR m Nr... it �. USS IS UNLAWFUL WITHOUT CERTIFICATE ,� P9pFL951QNP4 G C � OF OCCUPANCY v , . Q :.� 4 If- 'ley .:, .. . n r. T�. _ /( 1 - I I x k°wry I . v � rr . +Y � �rj�r'L'ya',F'{;Y'i.•lEX7F� ""�-�1�4r-1. - !�'�' � . -T V ,........... _ _......„. � � _ �.�� °�� - _ .'!w 4 �,.,, �� - `k ` w•...•.. Y TIC .` 1�,1C 1� {.{It~ �c" , taw" I g q- Gln d� Ir �� A bac it4� ir�z rr't_r—: - vo fi � - - '_"` .1(.c.>1-Fr I ,I r�rjq ' iii 'J•�, c --1. -�'' � , - -. -