Loading...
HomeMy WebLinkAbout22971-z O FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24196 Date MARCH 8, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 770 CHABLIS PATH SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 3 Lot 3.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 1995 pursuant to which Building Permit No. 22971-Z dated AUGUST 28, 1995 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & COVERED PORCH AS APPLIED FOR. The certificate is issued to MICHAEL & CHERIE FINGERLE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0081-3/5/96 UNDERWRITERS CERTIFICATE NO. PENDING - MARCH 4, 1996 PLUMBERS CERTIFICATION DATED MARCH 6, 1996 - WALTER F. KOPP Building Inspecto 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 AUTHORI��ZED)G 7 Date ...............��.`•. •............................... 19..7 22971 Z Permission Is hereby granted to: �..�l....H....EG....../............ ............ , ... ,�-.. �.� -................................... a�r��m... %I....... :.../ 1�2; .............. . ...s . A .... .. f : . .... .to ..... W..Wr .,.::71 .....'9 w .......... .......�......... /�s........� rf .d............ ........................................................................................... .................................................................................................................................................................. .......................................................................................p......................................................I.................... v at premises located at............. ....... Z,.. ..................................... ............................................................... ..4................................................................. County Tax Map No. 1000 Section .....`S/.......... Block.......4�......... Lot No. ........ .......... ` pursuant to application dated ......... uG N lT.......Z< ..t............ 19.. ...3...., and approved by the Building Inspector. FeeS...J��� ..,. ... . ., ............................... Building Inspector Rev. 6/30/80 ` s� 10 R �� j - Form No. 6 ill's- W7W7 r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL L_- -' 765-1802 ELGt; TOWN Of: 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date �.�. . .! New Construction. . . . . . Old Or Pre-/existing Bu ld'ng. . . . . . . . . . . . . ' �^ Location of Property. . . . 1. J.G . . . . . . . .1-!! D�. . . . . . . . . . . . . . . 1J1 � V1D�. . . . . . . . . House No. Street Hamlet y� �c 7ael f C heille, C g PY C Onwer or Owners of Property. . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . �. . . . . .Block. . .0. . . . . . . .Lot. . . .��.�Y . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . F'led Map. . . . . . . . . . .Lot. . . . . . . . .. .. . . . . . . . . . . .. Permit No. . ���.1. .Date Of Permit. . . O �L Applicant. .D�tC. DD .(.� �gpvl ` Health Dept. Approval. . . . . . . ... . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . . . . . . . . . . V Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . r. . . . . . . . . . . . . . . . . L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT C'n �l,1N1 ti a PIfSLI) MVI,CJlQti REPORT DATE COMMENTS -=-2' ----- ------------- _--- «t ms`s LLe�lt���j—� �_ PONNNATTON ( IS'I) FOUNDATION (zNN) 71011CN TRAMP, S PI.IIMR CNC - --- INSULATION PER N. Y , STATE FHERCY fI Fi � Cour•. n i i -------------- PT.NAI. O A rtoNAl. cormr - �r- --_ . - -- ---- - _-_-------- ----- j 1l 130 -- — -- - -- - ---- a bl aid Q THE NEW YORK BOARD OF FIRE :UNDERWRITERS PAGE 1 1135021 BUREAU OF ELECTRICITY F— 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date MARCH 08,1996 Application No.on file 10758595/95 N 379638 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 MICHAEL & CHERIE FINGERLE, CHARDONNAY WOODS, CHABLIS PATH, SOUTHOLD, N.Y. in thefollowinglocation; ® Basement T lst Fl. 91 2nd Fl. GAR/ATTIC/OUT Section Block Lot 10 was examined on MARCH 04,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COCKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. 28 50 43 28 4 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EE<l UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. Oil H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT: H.P. SYSTEMS NO. T AMT. WATTS 2 - - 1 30 1 SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER 1 q'TW 1,N 3W 3 0 3W 3,I AW NO- CC.COND. A.W.O. NO.OF HIAEG A.W.G• NO. NEUTRALS A.W.G. EOUIP. PER A OF CC.COND. OF HIAGO OF NEUTRAL 1 200 CB 1 X 1 4/0 1 4/0 OTHER APPARATUS: WELL PUMP-1 MOTORS:1-3.5 H.P. ,1--F H.P. ,1-F H.P. PANELBOARDS:1-1 CIR. 60 G.F.C.I:-8 SMOKE DETECTOR:-2 THREE "C" ELECTRIC LIC.#3327E RT. #1, BOX 45H a SOUND AVENUE GMIERAI MIMIAGER RIVERHEAD, NY, 11901 11 Psr L,.''�• This certificate must not be altered in any manner; return to the"04ice of the Bogrd'if incorrect. Inspectors identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE AiERED IiINY MANNER. Town Hall, 53095 Main Road .� :}_ _ Fax (516) 765-1823 P. O. Box 1179 , '::Z' Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: / Building Permit No. Ze- t _U0111 ., owner: MAR (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i ( Plumbers Signature) Sworn to before me this 6 day of l9� Notary/Public, 5 County 2 FRA'XAS N.ANDERSON NCM V Pu61ic,State o1 N"York No.4897730 oualKatl in Suffolk Coun ys�/ CoRunfgion Expires O��gOFFO(,f-CO Gyp H Z Town Hall, 53095 Main Road "p _ Fax (516)765-1823 9y?/�.f! � Telephone(516) 765-7802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 6 , 1996 Mr. Michael Fingerle P.O Box 1615 Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file.- xx The check is not on file. $25.00 xx No Health Department Approval on file.✓ No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22971-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. aa; 765_1802 BUILDING DEPT. INSPECTION [ I FOUNDATION IST [ I ROUGH BG. [ ] FOUNDATION 2ND [ 11 L.ATION [ I FRAMING [, I FINAL [ ] FIREPLACE j& CHIMNEY REMARKS: DATE INSPECTOR (7 7"-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �ILATION [ ] FRAMING [ , ] FINAL ( ] FIREPLACE & CHIMNEY REMAR - el� wort 7C_ r s ! G DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROyGH P ULLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIR PL CE CHIMNEY REMARKS: r DATE ` /J INSPECTOR 765-1802 BUILDING DEPT. IINSPECTI® [ ] FOUND ION 1 ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ) INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACEE & CHIMNEY / REMARKS:/moi s► vaa,& mi DATE �� INSPECTOR 765-1802 BUILDING DEPT. NSPECTION [ ] F NC�ATION i ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ j FINAL [ ) FIREPLACE & CHIMNEY REMARKS: Q DATE `�cS / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ } INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: iZ��Kt, rL,'7 �4 Zewll DATES J INSPECTOR 1 ld�a as N ox �ouT/aco,Ny//17/ S661 765-5/9-P7 *art SUFFOLK COUNTY DEPARTMENT OF taiQN&74 FOR APPROVAL OF CONSTRUCTION OF familar with the Standards for SIDLE FAMILY RESIDMICE ONLY Ap roval :and Construction of Subsurface DAM JUN 2 g ft SS REF. I). R ic, � S wage Disposal Systems for Single Family ��> .r R sidences and will abide by the conditions APPROVE et forth thereinon pn the permit to EXPIRES THREE YEARS FROM DATE OF PROVAL onstruct //�y i(1, �J i"�✓y � EXCAVAM ION iNSPE � C.yABL/� P,CJT�/ e�775 \ 4 0z k K 171 P.Pepa�a ^V PLEASE OTE MiniMUM distanc between well and cesspool is t �e I50 feet. Wcerc CegS/noG T N h, .. a0 LA#Vj ., add LEiF l• �• goo o V � �- N/O•/o'o3 E a369� aw O/,Z/V .�PQCE °lNcwro .4•vr,4c7/VY YY 10E'vvq/✓LX�vV0&1* �'1,24EYFA¢•/YJ/C//.4EL �C/.N'E,P/E F/NGEk'G6 [ANv.�u�y�`�� far /a C,w�,eL�.V.oY �✓©oD� Sc�x�/.cre L�Cfi'T/O/✓/�LITi/C7LOf �UF?E XX a-4y.V l-y, Y, � dGllj/V,lam. //97/ CcLv¢.5d/✓TEEOTd•MJGN,DEL CNEe/8.�"/J✓GECLE.�GLOBE/yD4lRACT ea" . love-e/199.g ' 4 1995 Joao- -6 -c3.oJ NlicH,9�z r/nr��,eiE' ,I .am familar with the Standards for Approval and Construction of Subsurface Sewage Disposal Systems for Single Fami17 Residences and will abide by the conditions set forth therein and on the permit to construct. �iy�G'fi'•i/T . i ,. G's�,4BG/� ,a.�JT•U .ec773 C=2a.oa. Zty,07' � d lu V )We=ll. N 5 b Z 04$f.D LANG 9 fJ.vrc'ovY vS�Lr✓,!9�vc�vw.a.�;,'..—. �/,eyEYFoe•/S?/C//'4EL � C.�1E,P/�/�N1 GE.E'L� �,vvo�u,�v�re�.e �_.s>L•C4,�''`'�fX.Y1/.�/.aY�as2offc�ur,�/c�coiV.Y. tr�'71 tour/ona•snvrNc a��t i�xx 4;2 u rr4N Y. <�ypgh3NT6'EOT4 h1/cH.9EL�CNE'.e�f F1NGE.2CE���GCoBENG.>7'RAtTL'oev _„_ FntivGl�J'iaNdQ.c.OtrbdE,a+,3i� pCVLd'/~''t14' FTtyd uffCN DEPAFi f7.e e OF HEJt�t1t S!RyiO LE FAMILY DWE=LLING ONLY 765-//9�7 Crn3lrUdedi"VO4B va 5- 6 14.8.f*Ai". U06 '.-s..'.? ` /)1�, x `� �� `�Yvercu ":v i m familar with the Standards for �:.�:. Cert*tacttx�this 2''rta Z r.ro ,.ar ler a' a tY#^31Appro 1 and Construction of Subsurface arx9 Pat^gid fo bc±aEati:>PEic+^•=^r. Sewa Disposal Systems for Single Family Resi nces and will abide by the conditions StESLhEx9 A.C a, p, „ v' set orth therein and on the permit to f?Pflco of uJa_ler t+ #YYestsrwtter AMMM _enter�t -_ ruct. ----- i 1�•9c.-v�lT i ,o.IJT.0 Z 77-V ' C;zo. ZZ-Oe 07' i 2 • L v V ,o = r In Lcar /p .gNT.40NY YY•CEYY.�NGY�I�v�X/' �,riR✓EYPGi¢-/Yl/ClJ,4EL ¢"C.tJE,p/E F�NGE.PLE LANO.������� Lor^/a . L'a�,e�vs�,oy �✓oao� Scar's�'u6 LOCHT/ON �OUTN47L0 ZtMFA-499 N Y. 6u.oes�yT6EVTa �t9ic.+J,9EL�'C.�/Exi6'F/NGE•eLE �GloeE.�D.�T.eAcl oey. .�iwsvavr/ovd�+c.ocmece,�/ypS- t7avc �ucYrr.�-�ro z f/yyG 61,a r, r ,�ROARO OF HEALTH ' r + r PORMNO. 1 /`3 SETS OF PLANS TOWN OF SOUTHOLD / SURVEY • " " " " ' • " ' • • ' BUILDING DEPARTMENT /CIIECK . . . . . . . . . . . . . . . TOWN HALL /SEPTIC FORH . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 1 �� 4q TEL.: 765-1802 tto I r-•r ; LI! P/ n/ CALL . . . . . . . . . . . . . . . . . Examined . . . . . .4pp y. . ., 19 .7J� tIAIL TO : Approved . . . . . . . . ., 19 :5. Permit No. A'5 21 '-. . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B ing I Spector) APPLICATION FOR BUILDING PERMIT t� Date . . . . . . . . . . . . . . . . . .. 19 ! .qf 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 appy 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 Occupanc 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 th 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 cod ousing code, and regulations, and t, admit authorized inspectors on premises and in building for necessaf? it s e tion L!v t rC: . .: . . . . . . . . . . . . . . . . . (Signature of applican4, or name, if a corporation} Fa.t3 . Abtc _ ��u,.� 1�.�ik . . . 1 . . . . . . . / ^1 (Mailing address of applicant) State whether applicant ' owner, a see, agent, architect, engineer, general contractor, electrician, plumber or builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises V!1 ` . �, . tP l t yl (L . . . (as on the taxoll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. .L� t .CrQitiQ Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I . Location of land on which proposed work will be done. C�LG tGY1 ✓I& . . .�. . . . . p '�. . . . . . . . . . . . �I d. . . . . . . . . . . . . . . House Number tStreet n Hamlet County Tax Map No. 1000 Sections . :S/ . . . . . . . . . . Block . .Y. �. . . . . . . . : . . . Lot . . . ?3.� 6` /. ©./�/. . . . . Subdivision l.d/t^° s 1KAh►1. ( . `�� ndlK/JS . . . . . . . . . Filed Map No. Lot . . . . � 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . Yue,-. `� . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition ., . . : . . ... . . . . . Other Work . . . . . . . . . . . . . . . (Description) Q� o 4. Estimated Cost . . . . . . . I . . . . . . . . . . I . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling units . . . .'T. . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . ,c1-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . .t- AAW!� . . . . . . Rear . . . . . . . . . . I . . , Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . ... . . . . . . . . . . . . . . . Height . . . . . . . . . . : . ., Number of5tories . . . . . . . . . . . : . . .�. . . . . . . 8. Dimensions of ejitire new construction: Front . . . . . . . . . . . : Rear . . . .3.g. . . . . . Depth . . , . . . . . . . . Height . . Z�. . . . . . . . . NumberofStories . . h- . . . . . . . .� . . . . . . . . . . . . . . . . . . . . . . . . r 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . Rear . . . .I6J . . . . . : . . . . . . . . Depth . . . , . . .r. . . . . . . . . 10. Date of Purchase . . . . .�/.q5. . . . . . . . . . . . . . . . !`]]Nary of FoLmT Owner YflrKe S . . 11. Zone or use district in which premises are situated . . K +`+.1DL4��!F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . .°. . . . . . . . . . . . . I . . . . . . . . . . . . 13. Will lot be regraded . .610. . '. . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . rr . . . . Address .rs . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect i Pzri�'},�{ m9"< Address (�ri�/h ar . . Phone No. . . . . . . . . . . . . Name of Contractor4°^ .L fx . . CrQY!^�5. . . . . Address�!i�loo. .X. . Phone No. . . . . . . . . . 15. Is this property wi lin 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 whether ZED or corner lot. el-, 4BL/.15 laQT� 77s S3 Svc I �T V TATE �r Nf;W YORK, S.S ` 'OUNTY OF . . . . . . . . . . . . . . . . . , , , , being duly sworn, deposes and says that fie is the applicant (Name of individual signing contract) bove named. eistile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . (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 )plication; 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 w`. . . . . . . .da of . . .Clc `�Ct ` jam. . ., 1977: otary Public, . . . '� ;" .< County 1 n JOYCE M.WILKINS (Signature of applicant) Noeary Public.State of New York Na 495224$,Suffolk County TermExplresJunalZ 7s ENERGY LODE MUM 1' � (nou-eleclrlc( 7014 (Pant 5) 6,000 degree day❑ / for / f��(� "h /�Z�' /[' Per Utrgs_�f%hnt Dated v � Envelope e0upollenL It-value RxLerlor Wall 11_10 hoof/celllny 0-I9 Cloor R-19 EoDndaLloo Wall n-lo Slab Edge IOaulaLlou 0-l0 Clazing V-1.7 ' Entrance Doors 11_2,5 All IIVAC EgulpnonL hatimet rsqulren�eute oC 7014.11 All IIVAC Control, SysLema to meet regulremeuLn of 7014.12 All Duct, Systentn Lu n,eeC requlreniente of 7014.13 All Ver'"latilly Syate O to Met requirements of 7014.14 All 1'1p1119 111n111a"011 to meet wyultenenls of 7014.15 All SerVlcs Wntor. Ilenting Syntere and CqullxnenC Co ".OL reyultenients of 7014.2L All EleeLrle SysLe1a to Met regulremeits of 71314.31 To the Lest of Dry knowledge, 1WHOI and professloual Juddelaent,l Lheae plans are In caDlillmlce W1Lh Llie cixle y of NEW, 4:r �Ic[�LD9,f. TZr i W / e I �\ _ -------------------- IfI - Do PLUMBER CERT1f1CAT/ON OCCUPANCY OR of•�, PROVIDE OPENINGS FOR ON LEAD COR�TENT BEfORE DO NOT PROCEED WITH PROVIDE% NR. FIRE EMERGENCY ESCAPE AS CERTIFICATE OF OCCUPANCY USE IS UNLAWFUL FRAMING UNTIL SURVEY RATED SEPARATION TO + REQUIRED BY PARL714 OF SOLDER USED/N WATER WITHOUT CERTIFICATE, OF FOUNDATION LOCATION PART 717.3(f)(1) OF w N.Y. STATE BUILDING CODE. SUPPLY SYSTEM CANNOT OF OCCUPANCY NO BEEN APPROVED. NA STATE BUILDING CODE. P , � ,t EXCEED 2/10 of 1% LEAD. APPROVED AS NOTED PLUMBING DATE _ � aP.s ' ALLPLUMBINGNMSTE ¢.. &WATER LINES NEED NOTIFY SUILDIING DEPARTMENT AT TESTING BEFORE COVERING 766-1802 9 AM` TO 4 PM FOR THE O 1p I FOLLOWING . 7. FOUNDATION :11� TWO TWO REQUIRED FOR POURED CONCRETE /� 6 Ifcoppertubingisused 2. ROUGH • FR!/yRNG a PLO MBING z � for water distributin , C���- r : S. INSULATION 33 U ' Phone 477-0400 g 4. FINAL - CONSTRUCTION MUST �,ST� 19P Main Road system;piping shall be BE COMPLETE FOR C.O. �1 (, OftypeSKOrLon ALL CONSTRUCTION,_SHALL MEET Crf[6� GRFENPORT, N.Y, 11944 THE REQUIREMENTS OF THE N.Y. p ® 23 UNDERWRITERS CERTIFICATE STATE CONSTRUCTION At ENERGY X b �Je N1 Qs /aI/K� REQUIRED CODES. NOTRESPONSIBLE FOR 6�QG DESIGN OR CONSTRUCTION ERRORS DWG'. �\ 4l.aa NO.— — � i '� SCALL 4 ic(� CN 3i e:14 see I y73a i ezc j� DW � — 1 I I LlvINCz- ih=off DinlinlG � .,� Ki r -- 1 OAK I FF �i o ISR b_ O F l 4 6 wf i IJ 7-X10 FL, _ FL. 1 CPbis j fr l * Y 4x4 �.srs ' SAF 1 0 i gC) -7(0Of VE 9c9 to til hMGE e: T W L � FES91U11P�4 dBOq (,iYM AAP i ! .Y.VI ,TflO9VI33Aa Dwo 3JA92 041 lnAJ9 ' IZ ' q'� 18r �1-------- IL 1 I I - inn �D -00 I� 150 I 1 ,1 I14 90 7o 1 ' z4 � oil----- ---- ----- I A ticc.reMr y s Main Road ' Phone 477-0400 n C GREENPORT. N.Y. 11944 03:2 ., /sjE r /yl fS ,eE in/6 Or?oF�gN^�l� Y 3 DWG. -LAN NO. SOLE I L _ J Ria LEl rNFAL /"ASTER 10 0 4 - th t3M5. e 1411 oc (� zr I I i i .m Ob 00 I I` Y +4 YlN�i Ch I --- � 17 13 1 0 SIDE �j GAR PETO V£rC C ISS ''z bM --__ 71 I rl� 1' S cto - - 11 _[Ns. proN @ 1..1 NC zxG CU Sltw i g NC. 4 811 _ _ J✓— 38 ai1 � I r beoSl nieM s / s " :, OOPO-CCP snorl9 e min, �° �/.� .F- /Ni��S /M//�'� �ly✓6E,>✓L� 401I .Y.Vi ,T5109Vf93Aa o aFE=O*O`a awa 9JA02 .ON NAl9,