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HomeMy WebLinkAbout23370-z FORM No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24308 Date APRIL 24, 1996 THIS CERTIFIES that the building ADDITION Location of Property 630 LAKE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 4 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 1996 pursuant to which Building Permit No. 23370—Z dated APRIL 16, 1996 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 DORNER ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to WALLACE A. & MARY S. MCGAHAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - APRIL 22, 1996 PLUMBERS CERTIFICATION DATED APRIL 23, 1996-WALLACE McGAHAN Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9/ N 23370 Z Date ............... !.J.{..�.. 19...!..t�. Permission Is hereby granted to: ......,.�.��.lf�.�.......�:..... ..moi...`..�z.�...�; ......... l KOO.......(A✓....C x........e� .......... ...... .. .. 4/ �°^?/, 1...�...` .......... ............. ......... .... .................................................................................................................................................................. Cr ..... ............I.................. .................. ............................ .,..... ...,.....g...... ...... at premises located at..............�. �✓ ............................... .............. .a...................................................................... County Tax Map No. 1000 Section ....,�U............. Block......��....../.... Lot No. ....er............ pursuant to application dated ...... // .......... . .............. 19.... .fe..... and approved by the Building Inspector, Fee $.,,../. .......... ... ...".... .. 1 ................................ / ullding Inspector �v Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD � LS ...� BUILDING DEPARTMENT ((( 1 TOWN HALL APR 765-1802 TOWBLD 0 Tr. 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 17 lead. 5. Commercial build"ing, 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. S. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ,Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date MAC . 3/j. Wk . . . . . . . . . . . . . .. .. . . . . . New Construction. . . X.. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property.A:34.�d4(Kg b12� /2E'pB,vl�f e/?N7� „S�U�lf9<,p . . . .. . . . ... . . . . .. .... ... . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . . . . . . . . . . .. . . . . . .. . County Tax Map No 1000, Section. . . ©. .... . . . . .Block. . . . ..�5/. . . . . . . .Lot. . . . . . . . . . . . .. . . . Subdivision. . . Alyelzo . . . . . . . . . . . . . . . .Filed Map. . . j. . . . . .Lot. . Vii. . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. .. . . . . . . . . . . . . .Applicant. . ! r. 4 4,fl1�3rL.' . . . . . . .. . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . .. . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .X . . . . . . . Fee Submitted: $. A,5... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT C0 �ay3og F CERTIFICATION April 23, 1996 To: Building Department Town of Southold Town Hall Main Road Southold, NY 11971 re: Building Permit No. 233707 Owner ; Wallace A and Mary S. McGahan Location: 630 Lake Dr . , Reydon Shores, Southold, NY I hereby certify that the insulation, framing, and other construction details were carried out in accordance with the submitted plans (3 sheets) , entitled "Dormer Expansion Plan, 630 Lake Dr . , Reydon Shores, for W.A. McGahan" , and that said plans were drawn by me to meet the requirements of the N.Y. State Construction and Energy Codes, ---------- ------------ Wallace MC7 a Owner STATE OF NEW YORK) )SS. COUNTY OF SUFFOLK) On the 23rd day of April , 1996, before me personally came WALLACE A. MCGAHAN, to me known to be the individual who executed the foregoing statement and acknowledged that he executed the same. `` Notary Public / INDA 8,N*y p4k Bibb of Now ywk WAI" 5th MSbtf�p&0amiy commtsslai6s�,�sh,�,988 BUILDING DEPARTMENT FEE SCDEDULE AMENDMENTS EFFECTIVE 12/30/ 1992 MSrNGLF FAMILY DWELLING New dwellings, additions, alterations including deck additions to existing dwellings - $75 .00 plus .20c for each sq.ft. of floor area in access of 850 Sq.ft_** 2) Accessory buildings, additions 6 alterations to existing accessory buildings - $35.00 plus .20C for each sq. ft. of floor area in excess of 500 sq. fc. FARM BUILDINGS Farm buildings, additions 5 alterations to existing farm buildings - S50.00 for each building. MULTIPLE ellings it business, industrial and all other buildings Ho cel, motel, multiple dw including wineries. 1) New buildings, additions 5 alterations to existing buildings - $150.00 plus .25C for each sq. £t. of floor area in excess of 1000 sq. ft. 2) Accessory buildings, additions S alterations to existing accessory buildings - $35.00 plus .20c for each sq. ft. of floor area in excess of 500 sq. ft. FOUNDATIONS Foundations constructed under existing buildings - $75.00 SWIM114G OLS ' Inground Swimming Pool with fence enclosure - $ 150.00 Above ground Swimming Pool with required fencing - $50.00 tennis courts) All other structures (i.e. fences, satellite dishes, wood stoves, and additions 6 alterations to such structure - $35.00 DEMOLITION Demolition and/or removal and/or relocation of any building - $ 15.00 minium and . IOC for each sq. ft. in excess of 300 sq. ft. of floor area. SIGNS All Sign Permits - $50.00 *** DISAPPROVAL FEE - $25.00 CERTIFICATE OF OCCUPANCY 1) Business buildings and/or business uses and additions $50.00 alterations thereto - 2) New Dwellings & additions & alterations thereto - $25-00 3) Accessory buildings h additions it alterations thereto - $25.00 4) Pre-Existing dwellings - $100.00 5) Updated Certificate of Occupancy - $50.00 6) Copy of Certificate - $20.00 7) Temporary - Residential-- $15.00 - Commercial - $15.00 ** Cellars, decks, attached garages and any habitable area shall be included in the calculation of floor area. R * 6) Amended Local Law 26, December 21 , 1993 L5 --* Amended Local Law $25 - November 29, 1994 - 8- 81966 ii' x /7,/ '= ls�f 13,3 '- 2'3.7 = 313' : - G BLOG.DEPT. l /m 9 e �3 �X(i Zc� r/Z2 TOWN OF SOUTHOLD _ April 23, 1996 1400 W. Creek Ave. Cutchogue, NY 11935 Sohn Boufis, Building Inspector Building Department Town of Southold Town Hall Main Road Southold, NY 11971 re: Building Permit 233702 In accordance with your requirements specified at the time of your April 18 final inspection of my property at 630 Lake Dr . , Reydon Shores, Southold, this letter is to advise you of the following actions I have taken to satisfy those requirements: 1 ) A hard wired smoke detector has been installed outside the second floor bedroom, and it is operational . 2) The N.Y . Board of Fire Underwriters electrical inspection has been completed by Roger Richard to his satisfaction and a certificate of compliance is being issued, as evidenced by the attached sticker . 3) The lead free solder certification is attached. 4) My sworn statement is attached that certifies that construction was completed in accordance with the submitted plans. I understand that the enclosed completes all the requirements for issuance of a C.D. You have on file my application and check . Therefore, I request that a Certificate of Occupancy be issued as soon as feasible, and that your office call me when it is ready at 734-5472 for pickup personally. You and the other members of the Building Department with whom I have dealt have shown the utmost in courtesy and helpfulness in assisting me to obtain the permit and C.O. , and I wish to express my sincere thanks for such service. Sincerely, Wallace A c8ahan W ` �O�OgUFFO(,{-�oG� A Town Hall, 53095 Main Road N x Fax (516)765-1823 P. O. Box 1179 Telephone(516) 765-1802 Southold, New York 11971 O.J� • O� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N� _` DATE: r��2--3 1?;A�; Building Permit No. a 3 70 Z Owner: (i//'/}"/}c W * h10 ?' S_ c 6/qt1i✓%'v (please print) Plumber: al Z.4e67 A, A=` 6 llvmfev (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumber ignature) Sworn to before me this, of 3 day of 1961 LINDA a,TA RT /J Stye 01 N*W Ycrk Notary Public, -County 1' NoOjemw.404M cCouw 1 Cwabft Eon March 48s I IRt L61 ;I.¢ji l'IRCCIUII IUi I'111CI Up IL' l'Ulll llilll:i � _•,,...�... �.,.. gym,.,,,,..•...i .,m. ..�.. ..•.......::.:. ..•,_.,,-..-..,,,...�,........,.,.,,�...,,,..a....,..,,•:.,,m.,..�,....,,,.. W rouRlnn'rlou ( Isr) - - — ---- Iouuunrinu ------- ----- e� ..1, ---- ------------------------- - ------- ---- -----_.,e --- - - ... - - - - vucu r•nnlnt r, ------------------------ ,. a -- .,,n , --------- ........ ..----- �..me.,....ee.. t - - I11l;Ill.n 11011 111i1( 11. Y . - i SPnll? ISIII!IlOY ------------------------- -------- --e„ ADDI ( IONA1. - ------- --- - --- - .-.. - .... r- — --- -------- . -- ------------- t � ••I March 11 , 1996 1440 W. Crook Ave. C+.atrhonne, NY 11935 Tnm Fisher Ruildinq Dept . , Town of 9nuthnld Town Hall I`'laen F2oad Hn"thold , NY 1 .1971 D-ar fnm, In 1986 1 bo+uoht a house at 630 Lake Dr — RnvHnn Shores as a i ntirement: home. In 1987 1 made some revavations, inrludi'nn onlarr3p:nani-, of a dormer- and a new bath . All the work WAS done by mysr. lf. anvi=.h.H h„ my family members, and was comoleted in 1989, 1 was operstloo and v a ati �'ycuns:r>nt;ion that no buildinu uermit; was r'cau "Pri . sitaro thmre w-n nn c'h'ange_ in the foundation or around area . Now 1 have learned that: a n+ vmlk won required, "Ins :a new Certificate of rlccuoancV , t_ant Wr"w t:hb F,<,"V'� was So & and l am reouestino your assistance to helA* -H1H nhi:mn Kbe ideal ldinq permit and C.J. Enclosed on- the two acrolications, 4urvev- -t +, nnies Df n1ar*s. c1+c�<:ks -for $75 and $25. Please call me at: 734--5472 when you wish +a e�fm,- :and innoevt th" promises , Your :assistance in hein+ +to = - to ror+rclntk-2 t1htaininO the now C.0. Is areatly annry-10teci . winc -+ 01y '' FAPR - 8 1996 ",',1 TOWN OF SO'SLOG.DEHOLD ' m�i ■pw�- -2 ,3 - M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] IN ELATION [ ] FRAMING [ FINAL [ ] FIREPLA CHIMNEY qREMARKS: DATEf INSPECTO TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Pre C.O. # z14744 / x/ Land - DateAugust 1 , 1986 Building(s) Use(s) located at 630 Lake Drive , Southold , New York Street Hamlet shown on County tax map as District 1000, Section 080 , Block 04 Lot 025 does not conform to the present Building Zone Code of the Town of Southold for the following reasons: insufficient total area; side yard set-back on main dwelling and metal utility shed are non-conforming . 40 On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_x/ Land /_/ Building(s) / /Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: property contains a 1'-z story , one family , wood framed dwelling ; an accessory shed ; garage , and gas pump . All this situated in the A-Residential Agricultural zone with access to Lake Drive The Certificate is issued to Elfrieda A . Fortmeyer (owner, leas)e)exQRxaxapMx of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A FF . i R VW i� I ,r, a AR - 80 Building Inspector �QEPT. r' �- „ BOARD OF HEALTH . . . . . . . . . . . . . . . ID PORN NO. 1 t 3 SETS OF PLANS' . ' . . • . - ' • • • . • • • F 'TOWN OF SOIIT110I.1) "' S111MY �p AnR8 . i BUILDING NI:PARTHRNT e+ CIIECR 7�� 'TOWN HALT, SEPTIC PORH . . . . . . . . . • . . Soll'I'IIOLD, N.Y. 11971 BLDG.DEPT flit.: 765- 11102 NO'I'IIJY: TOWN Of SOUTHOLp // ��.jj cn1.1. Rx;milled.....,0." ...... 19,/..� ....... NAIL T0; .1:�`.d. Apprroved.......!,�G'....., 19�� PermiC No, 337oz�- ,...1! .. dvrc v� nig-.�r�3s' Disapprroved a/c: .................................. ............ . ...J..... .... ..... ...................................................... (Ikll�' tg Iln(1r'.CLO0 APPIACATION FOR INIII.OING PIUMIT Date. . 3f . . . . 19q� . I NS'TRUCT IONS a, 'Ibis appl icntion seat Ile cospilel.ely filled in by typx:vrriter or in ink next maxnitLed to lite Iklilding Inspector with l sets of plans, acdanrate plot plan to scale. Pee according; 1.o sJc(iule. b, PIOL plan rdowirrg 10CRtlon Of lot: arxl of Inilolings on premises, relationship to adjoining premises or pxnblic sl.ree Ls or areas, alxl givint, a oe Ladled description of layott of property most Ile draum of the diagram wbic)1 is part of 4this application. c. She work covered by this applicationnary not: be cona:cced before issuance of Iknilding Permit. d. Upon approval of this application, the Ituilding lnspec.Lor will issue a Ikrilding Peunit to the spplleant. Such permit sldall be kept on Live premises available for inspection Lbrotgllolt the woxlr. C. Ho Wilding +anal) Ire o:cupieol or used in whole or in part for any porpose whatever unLil a Certificate of: Ocorpancy shall have been granted by the Ikllding Inspector. APPIACAIUM Ig 11-M DY MALE to lite Ikrilding Iepnrhaent for (he issuance of a 1krlldbp; Permit pursuant to the Iktildh% Zone Ordinance of the '1'olm of So tlold, Suffolk Coanly, New Yorlc, sled other applicable Laws, OnNrmneen or Regulations, for Use construction of Inildings, oklitions or alterations, or for MIAMI or dkanolilion, as herein rescrilxxl. 'Nle applicant agrees 1.o emiply wiUl all applicable laws, ordinances, Wilding code, Ixnsing code, mxl regulation, nix] to rxllnil mdhorized inspectors on prwlises nix] in Ixlil(ding for necessary inspections. ...... .................... (Signature of ppiicant, or none, if a corporal ion) ................................. (14aililyl rxldress of. npp>licaot) State whether applicant is owner, lessee, agent, ardiitect, engineer, general contractor, electrician, plulber or Wilder. ..........." .......................................... ......................................................I. Weise of caner of premises .#� R X„ .. / �',S.•/�[, f¢ i !f!.... ....................... ........... ...... (an on the lox roll or Intent (ked) If applicant is a corporation, signature of duly au(lorized officer. ......................................................... (Wane mxl title of corporate officer) Wilders License Ho. ......................... Ppnnbern License No. ......................... Electricians License No. ............... ...... Other Tirmle's License No. ..................... 1. location of lnrxl on which proposed work will Ile done.............................................................. �o.JO...�!4KE�,,11C':�...�?�L'�OI�iL✓..S!S`� .................. .......S.ems............................ Ilouse lkelirer Street ..... Itanlet (knnty 'tax tkq) No. l (X) Seclioln ...afe....... Block . ..®,Y ........ IRIt ... ,.I. ....... Slrlxlivisiot ? rJCeV„S(S�¢'2L ............... Piled )kip No. ..�i3`........ le1C (None) 2. State exisLing use and occolla cy of premises sop inlenled use six] ocnnparxy of proposed conlmction: a. Waling use I'M o_crpwmY ..,2L:5( E ............................................................ h. Intelxled use caxl occupancy ...IZ6�;IA 7-Xl F.............................................•....,........... ,H... 1. I.'q nos of 1x)ok (cl K.dc rrflld( nlg)'irublt:); N(.ha Ikrlldlnll ... . Poklll'ion .. . . .. .... Aller111,ao1 Ik:INdr ............ Ite(mrval I......... Ik�lnl Il Inn ... .... ..... Other Ikrllc .. .... .... ......'' I. W 4. ISsl.fuxlled (bat: .���®Q...'....�t. ....... fee'..,1��'.di) M, 4 AqA (to Ixt paid on fiIlol; Ibis applIca( 1(x1) it: Ikx:llin o(ulier of (haellin ,units 11.1ber of (knell Ing unifa Oil each floor IS. lS ..�....,.. . . If1arslle, (xnloer of cars .....r.... ...... ..I.. ........ ..... .... fi. If Ixmiox(sa, collercial or Inlxe{I a:nilmimy, specify nntlne mil extent of: each Lylle of line...... .... . ... ........ q / Ikagllt v �.......R gs, If any: @r(xd'. . .°T.�. . ,. ..... . Rear .��:�..... . ... Depth .y�.. . .. . .... .. I. Ilfnx.nelaln of exist fn ntnrcuu � r ...... ........ .. I1111er of Morten ...'Y. . ...... ..... .. Ilkt eii lops .., with aiteratfcxm or ixiditiooa: front: r / U ollenn.... of: Y-7.......urlleigld: .. . ...2aa..... . ... . 14111mv of Stories . .✓ .. .... ... L �/� / 11. Dinenoloos f tad/voewconstriocticxl: Fr"IL . .e-:/"y. ,n .. hoar . ... . .. . .. . .... I)epth .`3./.z-.�, ... L . () ........... ..ty �.. IN.nix:r of Stories . .I:Yn. . . . . .. ... ... . EA�M(sN'l ®F DdIZJNN7Z-�-NC<k/ByyNs� 9. Rize of lot: Frrxd: .....1p Itear . .. .. �r. :r.�... .. Ikplh ..[. �.. .... ..... 10. [),its of Fruchase �?r.14 .� ��... tJrrlx! of Forster (caner .�f`r`/E1�rq ,J fJRTMEry!{��.. .... . II. Zoos or use disl'riat in Wilidl lirtnnisen are aitvate/l ... ................. ....... . . .......... ... . . ....... .. . . .. . .. . . 12. Ikxen prolxoaed nlllsl.rlxai(xl vfol'',nte nny zoilhlg LAa„onllnalx:e or regulat.ilxl: .,/uq.. ... ....... .. . .... i H. Wilt lot be regrrolk:d ..... l.......... Will excess fill Ion reined frun p(ranlnest VIM, frI 14. Wllloea of (anter of pre ilses 14144.&F-A,�Nl1rY• MALA MIA(kheon /!/A!��!•. ','s/,4¢ICE.:,�'!!T,�/P,lyfi{;Ilonlx: tkr. l.� - 7?-.. Mile of; Archlterl: .... ............... ... ........ ..... .. Wrest) Moon Iko. ..... ... . ..Y.. Mile of Ccxd.ract'ov ...OWN,SII...... ................. Mkheas ..... ...,... ........ ....... ....Molle No. . ... .......... M. In (Ilia* juvil:rl'ywithin 'I(7(1 fe �t of n tidat wntlmxl7 * Y&R .. .`..,. f!D .......... 1F YIPS, S(111I1KA1) 1DIJM 'iln tilleg lull-11'1' tta lot Illypi'lil3D. FL0T DIAGRAM Irxmle clearly Roil Illatinct.ly all IxIlLiinga, rd)elher existing or prolK)aed, timl ItAlcme all net-Imic dincoalcxm Foos proloerty lines. Oiveentreet nix' block tKnloer or dPscriptf(xl according Lo deed, mil M)m street: nmooen mil i:xlicnio ldle(ller Iii(erfor or corner lot, pp S'¢C a 4G4t SV/4/ua QI Itn5� Wy I � � to',11 v F4of(a r ''. i ays t DOax+c2 eNGR2es°atrE.Vr L N,7a I St'Mit W I1-.14 yy4( IX1 K ... . it MIIJIY (M' , /G1 Ce.. .... ..l (Hoar: III' Ilxl al 'i ulnlcon r.4/`..�� x!iug duly mnorn, delxmet) mil says OOA he In ilia nppl icunl: illxlVe IloWd, / \I Ikt in (Isa .. . .... . . . . .... .... .[.��S�CJ!.�r. .r. . .. ... .... . .... . .... . ..... .... ... . ........ ............... ....... ((butractor, ng(aL,lcorlxuute officer, et'c..) of. said (Aalx:r lir (Ml Ko n, mil in duly! nuthorized to Ix:r linin m lava IKerlonlr:d Ibo (111141 wink aid to nxdut mil file thin npplical.ion; dial. lilt ntatem:ntn coil aioed fn thin npplicotloll are L[Oo to the IKtlll: of Ilia knowledlfe, noxi Ixiliefi noel Ihnt. the mule will be Ilerfonlled to Lie avaloer cel: forth hl the applicnl.foo Iiled Iherewlth. ,kxull to Ix:f a on This li rr . .........j. ... .d=ry OF .... 0.(..1.. . 19. . .k� fWary Ihlhl �.Q.. .. .. . ... 011pinlule of App Icon,) CLAIRE L.CLEW Notary Public,State of Nefv York No,4878505 Qualified in Suffolk County Commission Expires December 8,15 q” ,0. ka � DR, v 41, eta W \� •/05� S qUp J IiJ bj �� d' / SOT s wR i 7J 0 � 107- 40 Or40 v � j Q P 3„ V h /•6" t�a'! p 6Q O '�• �c.�, Q4 h 141 v Q". is• s ��Xy �� , "07- 0 or0 / k 0 to O�c CifO� NQS.; ¢F• p 10O3g'40„�'� ti 407- es ass: t APR - 8, 1996 ` s d•�. J BLDG.DEPT. / TOWN OF SOUTHOLD I CERTIFIED TO COMMONWEALTH LAND TITLE INSURANCE COMPANY LONG ISLAND SAVINGS BANK SURVEY OF WALLACE A . Mc GAHAN MARY S. MC GAHAN LOTS 1 THR U 3 ” INC L. . " MAP OP �REYDON SHORES BLOCK H FILED JULY 2 , 1931 FILE NO . 631 AT SOUTHOLD �NOSU TOWN OF SOUTHOLD o�z.me?- 9�� 'SUFFOLK COUNTY, N.Y. 9 1`Ob0 - 080 - 04 - 25 1 * SCALE I " = 30 ' , JTq Np.aaeas oQ� JULY 21 ,"19 8 6 " �OFNENy June 17,1994 N.YS. LIC. NO . 4961 $, PECONIC SURVEYORS, P;C. ( 516) 765 - 5020 P. O. BOX 909 MAIN ROAD SOUTHOLD , N . Y. 11971 86 - 377 I T— d r o - I 50UTH EL FV- AlORTN (STREET) ELFIN, H copper tubing is used PLUMBER CERUF/CAT/ON PROVIDE OPENINGS FOR for water distributing ONLEAD COI��TENT BEFORE EMERGENCY ESCAPE AS system;piping shall be PL11f�MEIING ORE REQUIRED BY PART. 714 OF of types K or L only ALL PLUNYBINGVW�STE CERT/F/CATE OF OCCUPANCY !I '1NENEED SOLDER USED /N WATER -'! N.Y. STATE BUILDING CODE. UNDERWRITERS CERTIFICATE TESTING NG EIPP6EPORE CCOVERING REQUIRED SUPPLY SYS7EA11 CANNOT EXCEED 2/10 Of 1% LEAD. 1 I _^ OCCUPANCY OR -- USE IS UNLAWFUL WITHOUT CERTIFICATE 8 OF OCCUPANCY APPROVED AS NOTED ..�' DATE: (p_MR# )Ot v 7f•. FEE: BY: �J_[_^"1_ - ------- - NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE R 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF SHE N.Y. STATE CONSTRUCTION A ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ' i i f � QOUND CAST �FE/YGF) ELEV19TIOPV �1?InFM 5XPANS/4N pAAA/ FOR t W, A , Mc e5:,o�-4N ELi' VEfT/ 0N,S 3 —r DOWN HA L Lo - --- — { X71" TEP -/2' 2a" - ,C —� �--- ---- �- ISI, bf{TY I 3," - - - / 7- / ---------- -r, STUD j zx,. / ,q>x 4J. 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