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HomeMy WebLinkAbout23414-z � s FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24603 Date SEPTEMBER 6, 1996- THIS CERTIFIES that the building NEW DWELLING Location of Property 1805 JOCKEY CREEK DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 2 Lot 26.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1996 pursuant to which Building Permit No. 23414-Z dated MAY 7, 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 ONE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to LAWRENCE & VIRGINIA RUBIN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0027-SEPT. 4, 1996 UNDERWRITERS CERTIFICATE NO. N-394845 - AUGUST 22, 1996 PLUMBERS CERTIFICATION DATED AUG. 20, 1996 _- K&K PLUMBING & HEATING Building Inspecto Rev. 1/81 I C a 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) Date .../% .1..•.... ..../••.•............................... 19l..S�'.. NP 23414 Z Baa 699. Permission Is hereby gran d to: {...�l.cz ........................... .,...,/...0-.�.ea .... .. .... 1.. 5��. to .. C:�T . ........ ............ �d�C� 1 .. ........ ... .. . .................... .... ............ .. .................' .... . .. . .: .,. .. c� .................................1............. . /....U. ... ............. .................................. ... at premises located at....... F...-.................. .................... !�.......,,............ ....,... .... ..........I.............................. County Tax Map No. 1000 Section .,...... 7....... Block.........:�. ........... Lot No. ... .�.. . pursuant to application dated .....................:. .:.. ,.rrr.............. 19... .,.6.... and approved by the Building Inspector. Fee S.Ip..F..G............. .....(. Building Inspector Rev. 6/30/80 z 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) Q�J / Date .1 ..., 19.7..J.... NG 22628 Z Permission Is hereby granted to: ra ........... 2,. ........ ....... /e.. ...Ah.w. .... ��� `. . .. ,. ....... ..r...... . . ..... ... ...... .S..... .1�. �.. �.r ...�..... .................................................................................................................................................................. ........ ...................... ...... ...... .....h........................ �........`.. . ............................................................. 4. at premises located at.......I(f41.�.. A..7 ..../!. ll�.... .......................... .............I .. ®,C...........n .. ,........ County Tax Map No. 1000 Sectlon ........70....... Block............;Z........ LottNNo.. .. �... r pursuant to application dated ........... .2G`d .........�74V......... 19...I�...... and approved by the Bulldigg Inspector. Cd0 Fee S�..c�... ............. i Building Insp ctor Rev. 6/30/80 I Form No. 6 ea - TOWN OF SOUTHOLD --� /- BUILDING DEPARTMENT TOWN HALL L/L 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 linesi 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 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, gCommercial $15.00 Date . . . . g /. !�. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. . .lQ . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . !� 1 12CiUCE. . . �. . .�C? ��. . . 0 . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . d. . . . . . .B1ock. . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .o2 3.�.�.y ? . .Date Of Permit. . 1 A�. . .Applicant. . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . I . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . : Final Certicate. . . . . . . Fee Submitted: . . . �JCIO ✓ — . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT Co `x00 3 a511FFUlke T9L.;101tl03;�r.. TOWN OF SOUTHOLD Orr1CC Or BUMD114C INSrEcTo1L 1 `u P.U. DOR 728 - "� �'► TOWN HALL 1 SOUTHOLD, N.Y. 11971 . 'a C E R T I F I C A T I O N F e. i1 Date \0 b 1 Building Permit No. � 3�Z Owner P ee86pr nt I. Plumber_ c �Ip ease print! �o INC I 14 certify that the �.. soLdAr uaAd in the watesuppiy $ atcontains ices than of 18 lead. s` ft � c;�� ti ~ Sid,.,r`3-h` '�, `l4•,• (plum er s signature) ' ' - .'���, ��' f,..t•;' Sworn to befor* mo this .cab _day of " r' t ,ZscTfd' .s.., Notary bliss liolAt f hubbLv� G� County '.: SUSANNE J. PERRICONE I ' • NOTARY PUBLIC, State of Now York �. No. 4882799 ':Ye:�Sj' 'F.;r •• r Qualified in Suffolk County t' Commission Expires Jan. 20, 1997 ^^'^ .. ' w THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 1195099 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date AUGUST 22,1996 Application No.on file 11930496/96 N 394845 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of DMB CO. , JOCKEY CREEK DRIVE, SOUTHOLD, N.Y. in thefollowing location; IN Basement ® Ixt Fl. IN 2nd Ft. GAR/ATTIC/OUT Section Block Lot was examined on AUGUST 19,19961 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K.W. AMT. K.W. AMT. K.W AMT K.W. 32 49 47 32 1 8.4 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALREC'PTJ TIMECLOCKS &ELL JUNITHEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO, A.W.G. AMT. AMP Mr. AMPS. TRANS. AMT H.P. SYSTEMS AMi. WATTS NO.OF,FEET 2 - 1 SERVICE DISCONNECT I NO.OF - S E R V I C E MT. AMP, TYPE METER L�,]W L�.DW 9 SW S X,W NO.OF CC CONO A.W.G. NO GF HbIEG A.W.�' NO OF NEUTRALS A.W.G. EQUIP. PER P' OF CC,GOND OF HFIEG OF NEUTRAL 1 200 CB 1 X 1 460 1 2/0 OTHER APPARATUS: WELL PUMP-1 MOT0118:1-F H.P. G.F.C.I:-9 SMOKE DETECTORt-5 JIM SAGE ELEC. INC. LIC.#3638 f ' dw _ L 350 MARINE PLACE GREENPORT, NY, 11944 GENERAL MANAGER 11 \\ a5 Per \,tificote 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY p2 3Y14�' co �a46 43 F— 85 JOHN STREET, NEW YORK, NY 10038 Date OCTOBER 31,1996 Application No.on file 12.202696/96 N 401776 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of DBM CO. , MOCKINGBIRD LANE, SOUTHOID, N.Y. in the following location; ® Basement ® lst Fl. O 2nd Fl. GAR/ATTIC/OUT .Section070 Btoek2 Lot 26.2 nws examined on OCTOBER 2.S,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES I RANGES ICOOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENTI FLUORESCENT I OTHER I AMT I K W. I AMT. I K.W IT. I KW. ANT. I K W. AMT. H.F. 48 64 56 46 7. 1 1.2 4 F DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'►T TIME CLOCKS BELL UNIT HEATERS MULMOUTLET • DIMMERS AMT. K.W. I OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. I AMP. I ANT, I AMPS. TRANS. AMT H PSYSTEMS WATTS NpMi.O.ST FEET 4 F 1 1 20 1 1 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A& W G. AW.G. A.W.G. MT. MMP. TYPE EDUI►. 1 A]W 1,e 3W 3,e 3W 3,6'pW PER B' OF CC.GOND. NO OP HIAEG OF W.G- NO.OF NEUTRAL$ OF NEUTRAL 1 200 CB 1 X 1 4/0 OTHER APPARATUS: AIR CONDITIONER 5 TON-1 MOTORSt1—F H.P. ,1-•5 M.P. PANELBOARDSil-1 CTR. 60 DISPOSALt1—F K.W. G.F.C.It-6 SMOKE DETECTOR:-8 JIM SAGE ELEC. INC. GENERAL MANAGER, 350 MARINE PLACE GREENPORT, NY, 11944 03% Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be Wbntified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ��gOFFO[,�C O o�O Gyp H = Town Hall, 53095 Main Road t$ Fax(516)765-1823 9y �aO� Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 26, 1996 Mr. Herbert Mandel P.O. Box 2130 Greenport, N.Y. 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy becaus of the following reasons : 17xx% An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (wabdatwWnot on file. ) $25.00 ffi 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 1423414Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I U F(Irllllln'I'IOil ri l ol mm.,m. ol uuu(;N Fnnm=. R 01 -------------- tJ I "--`--- I � SIAII; Itlll!IU7Y --- -��- - - . _ - 1 I' I IIA1, -- �l ^^^ --- ------ ----„------ ^^m-_ ^ AM)i'I'I OIIAI. C111111I+111'5 : ------------------------- ------------------- - - - - - - - - L� � __ . . . . .. . ._ 'a THE NEW YORK BOARD OF FIRE UNDERWRITERS I-1 WE ARE IN THE PROCESS OF ISSUING A - ” --"" _ _ y, \ -.__ . _ .. _. ..___ _._ __-__.__ _ V CERTIFICATE OF COMPLIANCE FOR THE -- --- - ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION NOTED BELOW _ .... .... .. ..._ ._____.__..._._.____ __._...._. .. _ _ 4�4 APPLICATION NO. - - - .. -_ _ .__. - --------- LOCATION .._.__LOCATION INSPECTOR DATE l;l II 1 IBD(REV B/90) ,V JAM X 1995Al SCHOOL CJ�ST �. � '\ \ • ✓acarv'f•) � �I � \\\ � \\ u � �� \ �Q\ •O 5.82'32'E. �` / Aem fest lwL J` CL i linea pros.wef77 t 1 .'. � N.77"9�a��O�W. _ 2X7.0 h---�--•- �.�.,_lc�a-^ Jpck�EY I wart � ti '• �� Weft. . p w°t��'.X' to # Con�dur do4oal: rrsaam $ea lave 1,NGVO. rc cesspool ;• i Premises& in flood znne"c;: p. ,UED�'NE PMT N$1310 -' COUNTY OF SUFFOLK r�1_ . � FEB '' 1985 ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HIBBERD, M.D., M.P.H. COMMISSIONER `` PERMIT _ r THE ATTACHED PLAN, WHEN DULY SIGNED BY A REPRESENTATIVE OF THE ' DEPARTMENT, CONSTITUTES A PERMIT TO CONSTRUCT A WATER SUPPLY AND/OR A SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY AS DEPICTED. CONSTRUCTION MUST CONFORM WITH APPLICABLE STANDARDS INCLUDING THE STANDARDS FOR CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND STANDARDS AND PROCEDURES FOR PRIVATE WATER SYSTEMS. THE PERMIT (PLAN) EXPIRES THREE (3) YEARS AFTER THE APPROVAL DATE. ANY MODIFICATIONS WHICH MAY AFFECT THE PROPOSED SEWAGE DISPOSAL SYSTEM OR WATER SUPPLY REQUIRE SUBMISSION OF A REVISED PLAN AND ANY ADDITIONAL FEES, PRIOR TO CONSTRUCTION. NO INSPECTIONS WILL BE PERFORMED BY THE DEPARTMENT ON EXPIRED PERMITS. PERMITS MAY BE REISSUED UPON THE SUBMISSION OF NECESSARY APPLICATIONS, PLANS AND FEES, AND WILL BE REQUIRED TO MEET THE STANDARDS IN EFFECT AT THE TIME OF REISSUANCE. A PERMIT MAY BE TRANSFERRED INTO ANOTHER PARTY'S NAME UPON RECEIPT OF WRITTEN PERMISSION FROM THE ORIGINAL APPLICANT AND THE RECEIPT OF ANY REQUIRED TRANSFER FEES. IN THIS CASE, THE PARTY PAYING THE ORIGINAL APPLICATION FEE WILL BE CONSIDERED TO BE THE ORIGINAL APPLICANT. WWM-058 PAGE I OF 2 DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD. N.V. 1 1901-3397 852-2100 18-380..12/92 INSTRUCTIONSIiFOR FINAL APPROVAL OF CONSTRUCTED SYSTEMS It is the applicant's responsibility to, call the Department to arrange inspections of the sewage disposal system and water supply facilities prior to backfillingf These include inspections of the soil excavation for the sewage disposal system and inspections of the water supply,well, well lateral,public water supply line, disposal system,piping and final grading. Other inspections may be required. Following satisfactory constmctioni and inspections: 1. The applicant must submit 4 prints of an as-built plan (up to and including 11"x17"), by a licensed design professional, of the subject property showing the following: a. the lot location and dimensions; b. the lot number(s) and the name of the subdivision, if applicable; c. permanent structures (i.e.,buildings, driveways, walkways, swimming pools, decks, etc.); d. the exact location of the private well, if applicable (give at least 2 dimensions measured from the comers of the building); e, the exact location of the public water line, if applicable; f, the exact location of the septic tank and leaching pool(s), if applicable. Give 2 dimensions from the building corners to the covers of the septic tank and each leaching pool; g. the exact location of the sewer line from the dwelling to the street; if applicable; and h. have a clear area at least 3''x5" for the Department's approval stamp. 2. The applicant must submit a certificate from the sewage disposal installer attesting that the system has been installed according to the criteria of the Suffolk County Department of Health Services, when applicable. 3. If a well has been installed as the potable water supply, the applicant must submit a current well water analysis (within one year) and a well driller's certificate. if the well or water quality does not conform to standards,proof of corrective treasures will be required. Refer to "Standards and Procedures for Private Water Systems." 4., In those cases where public sewers are utilized for the dwelling, the applicant is also to submit one (1) copy of the sewer line inspection approval from the public sewer district. In districts operated by Suffolk County, two (2) copies of Form S-9, duly executed by the Suffolk County Department of Public Works, are required, 5. In those cases in which the installation and connection of the public water service line has not been inspected by the Department of Health Services, a tap letter from the appropriate water company is required. HEALTH DEPARTMENT REFERENCE NUMBER MUST BE ON ALL CORRESPONDENCE OR DOCUMENTS SUBMITTED. SUBMIT ALL NECESSARY FINAL PAPERS AT THE SAME TIME. PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED. WWM-058 PAGE 2 OF 2 18.980..12/92 c;23X1Z M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC IMNEY REMARKS: DATE INSPECTOR 765.1802 BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE A KS: DATE INSPECT 765_1802 BUILDING DEPT. INSPECT N [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ /FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4 - - ewe d DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: c r 1 DATE INSPECTO I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLB [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY f REMARKS: c > DATE INSPECTOR 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: s��� rrk tcx�� rho ZVehoz, DATE o INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. ( FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ' DATE INSPECTOR r' BOARD OP ItkALTN ronMNO. 1 3 SETS BP PLAtd$' , . { : , , , { , t , • .SDRueY , ,i : , i , i { 1 . , , { lII . t { Yl . � TOWN orSOUTHOLD Cltiich BUILDING1DrPAhTMt:NT SEPTIC t-DRN TOWN HALL SOUTIIOLD, N.Y. 11971 NOTti Y ; ?,?��//�� / TEL.: 765-1802 CALL „ :'t , tl', Examined /��1 .7 . . . . ., 191 BAIL Tat t ! 3 / 1 PPror'c 7 (�19 t cnnit N Disapproved a/c . (Building Inspector) APP C TION I'of1 BUILbfNd ht13MIT t Date 19 INSTRUCTIONS d, This application trust be completely filled in by typcwritet or in ink and submitted to the 13011ding itispectof, With 3 sets of plans,accufdte plot plan to 'scale. tee according to schedule. , b. Plot plats showing location of lot and of build'uigs on premises, relationship to adjoining premises or public stteets or areas, and giving a detailed description of layout of property must be drawn ort the dingtdin,whlclt Is pact of tills npplt- cation, c. Tire work Covered by tills applicdtlon may hot be commenced before issUdhed of building Mmit. d. Upon approval of this application, tile building Inspector Will issued a Building Permit to the d�plicant. SUch permit be kept on lite premises available rot inspection Ihrougltout the work. e. No building shall be occupied or used In whole or fit part for any purpose whatever Until it Certificate bf Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to file Building Department for the issuance of a Building Petthit pursuant to the Building Zone Ordindnce of tine Town of Southold, Suffolk County, New Yotk; and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or fat iehioval or demolition, as herein described. The applicant agrees to comply with all applicable laws. ordinances, building code, housinh j e, dhd teguidtions, d admit authorized inspectors on premises and in building for necessary inspect rts. Q (Si atttte�of applicant, of name, If a cotpotattufl • P •� . �.°;x ,7, 1 ,3, ?, � lZ�—�,v�d,Q.> I (&tailing add test of tipplibant) A-) y r r 94Y State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electriciaN, plhtnbet of buildet. ' . . . . —?.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i { , + . , { . . . . . tt . . t , + Name or owner of ptemises. . .�-,R„u? R.,OC E. .-I. V (as on the tax roll of 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. . . . tlectrician's License No. . . . . MAY _ 6 1996 Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . BLDG.'DEPT, TOWN OF SOUTHOLD 1. Location of land on tvhicli proposed work Will be dobe; r+ . . . . . . . . . ..aO.C-K Y. C,?,4 S6 . • • • 44 , . Ito Nd16Ct , 1�a1i11Ct : , Codttty Tax Plat) No. loon Section . . . . . f. V , . . . . . . . . Block . , . .�. . . . . , + t + + . , LOt,. , 1 1;11 , , , i , ,, -2-- Subdivision ( i t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Riled Map No. . . . . . . , , . { , { { { Lot , t , , , l + + , . • �(N:uncj � , State existing use and occupancy of ptemises and intended use and occupancy of proposed constfUeHon! A. Existing use and occupancy. . . . . V"q Pr �/ . . . !:.; 9' zi�{ . . . , , , , :. t „ { . . . , , . . . +. B. Intended Use and occupancy. . . . . (. . r./A HA LA 4-3 J. Nature of work (check which applicable): New Building . . , Addition • , , . f c . 1 + 1 AllEtalloh ,,+ . . , +! + + ' ' . a , . 1 a , ttepa3{• . . . • , / , . . . 1 , ltoinoVdl', . . , . . , . Demolition = . . . . . . . . + . , . 180 matn 8 pooi. l + , . 'tennis Court + . • . . . . . i Accessory BUl Id tng. • : • . , . , . fence , • , t1 , .bther Work t i . it 1 . i + . . + ` + 1 A. Estintaled Cost . i .'. . . . , . : + • ' + " • " " " + " " ' ' + " . Fee • . I , , . i1 . . + I . 171t111 , 1 , +� + ' (to be paid on Itling This opplication S. it dwelling, number of dwelling units . . . . .1 . . . , . . . . . Number of dwelling units bh each floor . 1 11 , 1 . . . , 4 1 , ltgatage, numbetofcarg . • i :i±. . . . . . . . . . . . . . • • . . . . . . • • ... . . . + + + • + . fi . 1 , 1 . It1 , . , i , / t . 11 . + + G. It business, commercial or nixed occupancy, specify nature and extent of each type of use + • + + + + + + + , , + . . . . . . 7. Dimensions of exisling structures, if ally: Ftcnt . . . . ... . . • + . . . . . Itdar : of . . . . + , 1 1 , . , Depth , . , , , , , , , , + . height . , t . . . : . . , . . . . . Number of Stories . . . I . . . . . . . . . . . . . Dintcnsions of same structure with allctations or additions: Front . . . . . . . . . . Depill . . . . . . . . . . . . . . . . . . . . . . height . . + . . , . Nunnbet or sloties 8. Dimensions of entire new construckion: Front '. . .4�`4'. . . , . . . • Rear . . , . A ?i . 1 , i i f f Depth t t . .�r,y i 1 , 1 t . . t + tt1cight . . . k9 . . . . . . . . Number of Stories . . .`?-r. . . . . • i . . + . + . • 1 . 1 + 1 . . , + = . . .�l , , , t ./. . . . . . . . . . . . . 9. Size of let: Front .q. + ItCar • •� eptil f . , . i I� 44'• : , 10. Date of Purchase . . . . . . m . . Nae of Fortner owner 144i-,�rT + , ✓+�. IQrQ c� b�` • ' • + ' 11. Zone or use district In which prcrlsesate Situated , l „ 1 , 1 + . , . , 1 , . . . i . , 11 . , , t . , 1 , • . I , , . . rtt . , , 1 , . • . . . . . . 12• Docs proposed construction violate any zoning law, ordinance or regulation! + • . . : . _ • • + + + + ' ' + ';+!` ' " ' ' ' " ' " ` ` 13. Will lot be regraded . . . , 1 . 1 . . . . . . . Will excess fill be tennoved fto premises: , Yes l'1. Nantne of Owner Of prem icesL t 1j I,R U Li/ til Ad dress e?EHRIC, St COHNhone No. Name of Architect . .n . . i . . . . . . . . . . . . . . . Address . . . , 1 , 1 , . Phone Nb. ;+ , , , , z i 3, Narita of Contractor O!�+ /i °;} Address f i, �,;111 f(tone No. �i i i is .xs thin ptdporty lob: E' �d aitblu 3001 1•et•t or n tiAnl tiotinnd? �tL!l,. + . 11ta.'�, • kites Southold Town Trustees Pataill: rally be tnyuitdd. , y + PLOT DIAGRAM Locale cl6mly 511d distinctly all buildings, whether existing or proposed, and.Indleate 411 sdt-back dimensibnt 666 properly lines. Give street and block number or description according to deedi and shoal gitdhtu dt ndg Nhd indldetd Wltdlhgr ,.' left Interior or cornet lot. II „ i I� I6 STATE Ol- N6ty YO1t Cowry OF .,S'.tl F o b J� . . . . 'S.S r . . . , . . . + . . . . . . . . . . . . . . being duty sworn, deposes and gays that he Is lite applicant (Name of individ.uaLsi;nlltricontract) above nanied. Ile is (lie . . , •�,4+ �TRR � T bR . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . (Contractor, agen(, corporate officer,etc.)• of said owner or owners, and is duly authorized to perforin or liod petrormed the said Work and hi tNakd and t116 this aPplicaiintt; that all statements ebttl�aiited in llnis application ate true to the best of tilt khbwledge and bdlietl and tltat the wotk Will be performed In the martin set forth in the application riled therewHh. Sworn to before the tills ?. . . . . . . .day of. . . . . . . . 1 . + ., 19q(_ / Notary Public; a...�. • . . County ! / U A NE J. P. R CO E' l v r ht t8 or applicant NOTARY PUBLIC) Ste of Now York No. ',4882799 Qualified Int Suffolk County Commissiod EXipires Jan.29, 199 p�� BOARD OF HE`ItLFtiA . . . , : : Q V I " I FORM N0. 1 3 SETS OF PL�N5 . . . a TOWN OF SOUTHOLD . SURVEY . . . . . . . . . . . . . . . . . . . 2 g ��� BUILDING DEPARTMENT C11ECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC roars . . . . . . . . . . . . . . „S SOUTHOLD, N.Y. 11971 .iLDG. DEPT, r:OT i FY i TEL.: 765 1802 N of irr l.r, i �. .1 . . . . .. . . 3 /7� CALL . . . , , , , I9/ . . Permit Noo? . . . . . . . . . . . . . . . . . . . : roved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector PPLICATION FOR BUILDING PERMIT Date Febrvrxy . . . . .. 19,3,5. INSTRUCTIONS a. This application must be completely filled in by typewriter.or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. • b. Plot plan showing location of lot and of-buiidiffgs'on-prenilses; relationship to adjoining premises or public streets— or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for 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 or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe tions. . . . . -. . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) *G. Gehrhy S}ree} Car�vnacbLl nt.y, tt�2S . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . .CtaA V cnc) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . D.r... .Kfo.cFe 1 . . . . . . . . . . . . . . . . . . . . . . . . 1 .Ali� Ck {WtA�!J13t. �. . . (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. _-. . QCi' a kale . : . . . . . . . . . . . -- -- _ - - --_ Plumber's License No. . . .Pr-riatr.\.q . . . . . . . . . . . . . Electrician's License No. RM. A. .A(J . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Aa . .QAr :Awff AW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . 9.7P. , . . . . . . . Block . . . . . . . Z. . . . . . . . . Lot . . . . .a .? . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . , . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . : . . . . . . . :V"0.,-P ^:Y: .��,-A�. . . . . . .fit.:TTO32:1'TR31e0A. . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy (P`^q- �W n` 1,�. Y I t?.:)U8U4 YRATOA A �3 . . . . . . . . . . . . . . . . . . . . ...et A%*M 061**m1of ti i �. Nature of work (check which applicable): New Building . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . : . . . . . (Description 4. Estimated Cost . . . I ro.Q'0P P . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5 . If dwelling, ,num of f dwelling unfits . . . .1. . . . . . . . . . . Number of dwelling units on each floor . . .4A . . . . . . . . g. g g g . . . . a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . , . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number OfStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . I . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . 1, Height . . . . . _ . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12, Does proposed construction violate any zoning law, ordinance or regulation: . . : .00. . . . . . . . . . . . . . . . . . . . . . .13� Will . . . 14. Name ofOwner of remises .d5. , ' • • . Will excess fill be removed from premises: Yes regradedy p . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . , Name of Architect . . . . . . . . . . . . . . . . . . . . . Address . • . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . Name of Contractor . . .R'nat , , . . . . Address . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .. 15. Is this property within PO feet of 'a tidal wetland? *Yes. . . . . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM i Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block npmber or description according to deed, and show street names and indicate whether interior or corner lot. 'N1_ , i i i I STATE OF NEWQQ�K COUNTY OF . .�.$ (k' . . . . . . S S AW.W. g_Q ea1N. . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. i Heis the . . . . . . . . . . . . . . . . . . . . . . . . . .4� QV'W. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be performed in the ann set forth in the application filed therewith. Sworn to before in this 2. . . . . . . . . .day o ii . C"OY: .. . . . ., 19 Notary Public, . . . . . . . . . . . .R Cou�n y NOTARY tate of N.Y. No.472tdit*CouQ� . . . . . . . . . . . . . . . . . Term McY3l, la (Signature of applicant) . . e,. ....6 IWNk'.P' 5p4^''ryyy��f • } "r'.Y gm�qq'@R+wtte � F 97� 4'"<< ' ,°sulF'#oF';�$,'t"d ,`.'i Tia ter+-w.i f .:1 .. rikSEP 41996 'u, BLDG.DE � LSA "i {.`.[ « h S d' f?'F.� " _ Lam: Y!.. )-.IiaTT1i'+' ✓ !�!n. ° I O.V " NOF SO�HOin STATEMENT OF tNTE'NT " t,. u, x I - TFiE WATER SUPPLY AND SEWAGE 04SPOSAL vril eez•a"T3r. ' 111 �"`�roro �• � �_yt�,v, c.� 1 i .--k'*" � ;�-�r�Lj�v�*�!�,�(w�/ � SYSTEMS FOR Tt-i1S R£Stfl£NC.E WILL ' ( CONFORM TO THE STANDARDS C}F TFIE -. f ? - !( Q, SUFFOLK CO. DEPT_ OF HEALTH SERVICES. ' 01,;K j APPLICANT itfal5f � ,7Q •. . ? �" xC.eBf{ STD' C" SUFFOLK COUNTY DEPT. OF f4EALT-4. r PP R .✓ �' � .: FLi'fJFYt,I!'lt�ttl' SERVICES' — FOR A O-V A L C ✓ ✓ C€]tFSTR'UCT10N-ONLY DATE. s, H.S,,REF. NO,; f✓ . 'APPROVED: s . ' SLWFOLK CO. FAX (d1LP 1 E57 NAf1C3 t. e ,t - ..� DIST. SECT. � BLOCK PCt OW14ERS At3DRE55. 3. 04 •... �" r�'. '', +r "7°S:d' I,' v- ' "'` '` .. - - - ##" fG4di�y. z1'!.'., ' � DEED: L. P.� �. * Fit t8 H03 Ael STA ^ ov .,,,R � �, .' �.�`',/ ,{• tlm lendsmveYM4Hkedsmt bLBaiWkwcW - a q > r,._"��,� r �, dufeatdeesidmtedllBfcanefwiem ¢M'toNeDersanfmMmmflil Y { ? kPrepared'anclot Ne to"",,. 3L"' � ,� �� �' r '�` � 1�-*�xL °�"'W£✓ � � 's.; rd. � ���� �ttre SSVenY•9oieinm9nIBIBBWRf99d - `"+.� .=r".%v '"'„" lentlirg NstcWmllstetl temwtepd orsubsxyuad - JAP .- „ • . �.;.y„_.. 4 1 "SEAL t ScritrrI Old .Off L 6 # y;� ��yy,,yyyy��.i, . .�..,y,e �'.- e. ,r. 't F r .� .L .. e4 ,� � �+x•� ." r;. kNt1 0 a c"r5b _� x. IZER11'1�19a'�'_71rl^�,? y YJ 7, 0 W,*T- y mot riAs a mo 44WM.,SINGLIEi titF.FAMILY 0 04 1 - 7� q Al " AEOF I APPROVAi SUFlFOtX UNTY Avor" or,-- , Ag RU X Own call �71�111 IN, oN JN� It, WI Y IV, -I mw 77 rT It- Q 0i" o" k=mi SUFFOLK CO. HEALTH 6EPT. APPRptdAL'. H. S. NO.� - �. A IAP tom' P12OPE&77Y STATEMENT OF INTENT umoty / \� 5OUTHOL-0 THE WATER SUPPLY AND SEWAGE ODISPOSAL L 5c 4 aA=R3t_JG COUN-rY, ".Y. CONFORM TO THE STANDARDS OF THE m{4+htJ I SUFFOLK CO. 'DEPT. OF HEALTH SERVICES S! APPLICANT Y°rre' ne 5.70°3G1' 60. E / �. - ` Area= 3l, 5 b 5q.ff SUFFOLK COUNTY DEPT. OF HEALT!- SERVICES — FOR APPROVAL FOF CONSTRUCTION ONLY DATE: I H. S, REF. NO.: •z 6; APPROVED: s At- SUFFOLK CO. TAX MAP OESIGNATLON: DIST. SECT. BLOCK POI.. 1000 0T0 2 96.2 ARM 50.0 OWNERS ADDRESS: t _ yourrdatrvn - t \J 1 OSx conortite �i L �a'r I DEED: L. P. f TEST HOLE STAMP t. '� ' � t � "� •,�-� � E�neWarkad akaialkneeat� tothissurmyisavbletw"n SectionmactMe Nswyotaw, 6auwgmLaw. Zo._ i'" IC�r. l✓ ©_ (ot7llfr conies ormisa+rveSmepnet � �� / � ��eeelshenn�ww�wckarep l�rtees s4ti. rrtarkeel weF! '' _-.._.--- ---- _ - - �nvela wacW ? �.-7-7s , w - �s��• ,"+w _ ©a GuamMwsindeatedhereon$Wm - 9 � , � .. ...— 1 i 21 z rep^re . his bohalfto dte i �/ .� arL ,ae-cm,2-1 gove,' ear. agertd �+�/[/--�—' py�� �+^- 'f{��' +— Y" -cn Ls:etl trereoa an0 ���" '-` � � " �'—"� �� - \ ...-�:s cf the lenamg ms& A ded 99(0 f1t2,1 tlt1 I n01subwqueN 1 � or subsequetY ls�E 23 SEAL watt b V kr b well - o �uardtrfeeoift� iy/s!t jI' JpJ Vofvct l wafer1�S- 1 7744-- htsut'Mo-G and -jo -QEhe owners;—as An- d. Fr - �a9cqa - G f /e RO�Ei}IEKTtUYL, P.C. * t i; r PG fit/ V� ..s C0r +0UI`d44Xstt4: "40an 000 (ove{,FVGVO. 3`�9 �/� LICENSED LAND SURVEYORS t7 �F 20'cs2e6q6�'� LAND Prri $ .jn-fEaa 203"�C: t F � «/ GREENPORT NEW YORK j�}YtirrdtUst - w4loxs rr- `CUA@ICY OR U% E IS UNLAWFUL MlftVWX�r�,. "1@ C @-SCUT CERTIFICATE GF ^mse► PEI " C D Al NOTED m �NAIVIOIyL DATE: /� � B.P. a 3 �� �J t�V a � Y Oftj FEF. ev: NOPiFY PIAL0ING DE R N j -- — ---- --- -- - PLUMBING les-1802 , AM ro n. THE - --�— ` --- - - ALL PLUMBING WASTE - ANG INSPECTION^a. _- - FOLLOpI . &WATER LINES NEED - 1 TESTING BEFORE COVERING FTE " RFOUII ED F, ;� FOUR(:7 C,`7;V,,e. 2. =1n1GH FR?„L71iVG 8, PLUMBING T - - PLUMBER CERTIFICATION 3. lrsuiATI0rV ON LEAD CONTENT BEFORE 4. FINAL - CONSTRUCTION MUST — BE COMPLETE FOR C.O. CERTIFICATE OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS .Y. SOLDER USED IN WATER OF THE N STATE CONSTRUCTION & ENERGY SUPPLY SYSTEM CANNOT CODES. NOT _RESPONSIBLE FOR EXCEED 2110 Of I% LEAD. DESIGN OR CONSTRUCTION ERRORS _-- - - -- - - If copper tubing la used for water distributing sY Pani; STVinQ K dr Lhoniibe - r - __ LIP, , L' _ I I I � _ W.l I"i. VJ j�j 3L �`w.,..F� V iA,,� V. 'l✓_ �Z -'L'z!=-u--P. ��������////////////i roe• e�a�` r4T 'r' EL Fj _ 1 1 - l- - -; - r'I F_ LLV/A7- 1tURA —f"���E' F, 1. �-94Ca4-T cj I . i. biz a --- — ---- - 59 -o' ------ C) o - — #--1 OUT�tPE AIR— W-. 1 FZ i ELEYAIE 7' 4" a _ NEA711p ��� �� fh 5 cr' ��ev h`" 5 �;�' �q, I W . APPLIANCES Ir -' ' � o � I REQUIRED BY PAIL �4�1. _ _ 717.7(0)(4)OF �,�Y J „t Il, - - - — N.V.STATE WILDING CODE. _ I r- a;1i ���Y Coy . I uNExck«n� =Sa co�p,�GT SILL j a ka7 /�' `V I •�-- BW-15 \d5'3i1 ^� �'oX2-'O`rc1=0"�'O�/C, F3`i/?S �72— o h 1117 - "c °9r :�l �. �`� ���tG._� /�''� ��ZFdC.�LA� S+��RICK�D�tY ,��il.t.... !'1�, I, I �'��nF��;;� �•% � 12 - _ _ _ 7^®•,��"I Zvi' `• SILL � a � � '� .`�`�,i'.t/t'I-rl:��tl�{.I� - ApE " P"klF4M( --64At-1 (3" 6111-1•- A'I,VSr�Yi�Q�sAiy'�'J� S 1l C t _DE l-r41Il.. MLEn- trQu' �ft�lr' t t�C}�% , �Mll zee 'i t.i,l .r' - - .. Yr q s' �"•J.^T`^_'^"'-"' .Yrs 1 tQ� --------- --- ----- " r, 23 , --— � 3442 S7_ - z`^ o�i _ v L - - �p,h ��� -- - I --- �• — Imo' yZ" - ,� � � El v Tri d �`1 J� � �')� � � � :� � �L�- 2'rx IDS' G lk➢L R� .}f PROVIDE li NR. FIRE �i pa RATED SEPARATION TD O A wurKY, ' — v PART.717.3M(1)OF q N APASTATE DDILDINO CODE. x Q 7z CD 2- 2-- TAN lvl� °TANlyd!� Cbl I . 1 ci � j X D �1� 1L�V/i�b'I is --I 5 43 ia R N o OF New 6—2- 28 l9 �O�tsstos�"` - u r, r Mann f2+r)d "ORT, N.Y. I 1044 Liwr PL - - -- ------ ---- 3�' o" — --.—. -- 2 3- o -------PROVIDE ORNINGS FOR r 3 N L f EMERGENCY ESCAPE AS N — m ( j REQUIRED BY PARI 714 OF i ROVIDE % HR. FIRE Fo- UIDING CO RATED SEPARATION TO l �o ENS I U MIA �P1TH $ITN _ ICi I?�2�mh� u PART 717.3 (f) (1) OF N.Y. S �� i N O TATE BUILDING CODE. m PROVIDE OPENINGS FOR - �m EMERGENCY ESCAPE AS p REQUIRED BY PART.714 Of 51, N.Y. STARE Bg)LDIN JCODE. Tb PROVIDE OPENINGS FOR �J/f E__e�-�zru_ O7 EMERGE J -- RED BY PARL 714 OF N.V. STATE BUILDING COOS /D ,:ANT yak 4Enblmaw � crRo �/� av y�-Ek �j n J� u m ry. 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