HomeMy WebLinkAbout22480-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25058 Date JUNE 2, 1997
THIS CERTIFIES that the building ADDITION
Location of Property 415 GOLDEN AVE. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 135 Block 2 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 9, 1994 pursuant to which
Building Permit No. 22480-Z dated NOVEMBER 17, 1994
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 SECOND STORY ADDITION & FIRST FLOOR ALTERATION TO AN
EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM & RUTH HAUER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-411686 - FEBRUARY 21, 1997
PLUMBERS CERTIFICATION DATED MARCH 20, 1997-MARK BAXTER
29z=::Z 41~
B lding Id ector
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)
Date..........c-y? / ../.7 19.9
NQ 22480 Z
Permission Is hereby granted to,
. 5~
, .
........~..'..~?1•f~/~°e '
to 1k w;7 r~....
.
.:ln . . w
/ . 5 .
at premises located at........... /......~..(9 -401.....
.1~............~YY.Y/.......................
County Tax Map No. 1000 Section Block ...........4.;::;Z ..Q..... Lot No.
pursuant to application dated ...........74.../ 19..1..., and approved by the
Building Inspector. Fee $..G..... ,g.........
Building Insp or
Rev. 6/30/80
Form No. 6 Al/ 14, h /2_~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT J
TOWN HALL
w~
765-1802 MAR 2 41997
1
APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT.
TOWN OF SO~it901.0
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-0 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 525.00, 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 - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .....:#1119.7
New Construction........... Old Or Pre-existing Building.v~_...r.........
Location of Property.... . ~Ll ...~P~ ~'.~l...&e'. .Sou-t-Ao 1.1
House No. Street Hamlet
Onwer or Owners of Property.... VA . b.. WI v! Q.?.P! a'.W_~
i
County Tax Map No 1000, Section Block ....°Z........... Lot ...1-
Subdivision ....'.L ................................Filed Map............ Lot...........
Permit No.. ~ V.Q ....Date Of Permit... A°2/! ......Applicant. ~ h ° ) • U~
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...Y....•..
i
Fee Submitted: $....,°?S Op
\e ~ ~ ds ~ S APPL'I CANT
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7D,ATIOV _(1st)
I,
QATTONI
(2nd) y~
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H FRAME A o
PLUHHTNG iyli d~~o "f.r.
• I l' ,Sa-~ca~c~a-• nom/ ~C~ y '
LATIONN PER - m
N. Y. n
• /e en ••F- • • "7
STATE ENIERGY II
CODE II
I
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FI,'LAL
ADDIT70NIAL C0.MMMITS: m
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SE2Gh0 Z02I ACHITEGT '
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fficient`/'Healthy House Destgn
' 33'9A #IVO@,: ShA CL/FK LONG Xi ANtl,.NENGYORd(11579"J911
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`518 67&9676
t:
11~areh '21,,' 1997
'
Building Inspector
"
ToWn of Southold
E 10,
Southold,:,L Ii~N;Y
old"e
R Insulation at Bauer House, 415 Gz1 sane',, Soutlivld ,
Dear Sit,,
' At'...the- .above referenced liuildmg alterattgn and additt¢ris the ;installed
insulation values Are, is follows
FIRST LOORWALLS Eke Wing 4wall o4v~ties %flled with 3 ~%2" o~
K17ETE cenieritidous •foam insuulA66ii 1 3 6 /inch ~3 5" x 6 R;12 b
AIR
€ In, "Addition, the, entire exterior .was sheathed with 1 1/2" of l~olytsocyanurate
r
1 ~'f 7 2 lb 8 ,
insulating sheM ing 17 21 inch
:FIRST 1F LOOR : T O f A >R VALUE 23 4 mi~iirnurn U VALUE = 0 04
p 5 '
SECOND FLOOR, WALLS Neyv wall catties Filled with 5 11.;2" o
k AIR KRFTE cementitious-foam insulation R 3,¢ !inch . 5 5" x 3.6' R;.1Q 8
In addltlon; the "entire exterior alas sheathed Zvi l " of Pol~isoeyanurate
u
il, 7 2 ; -R 10 8' -
Irisulati}ig sheathing R 7 / inch 1 *5" k
ne, '7
Vol, Wr
SEC OWFLOOR TOTAL R VALUE R 30.( UnV•A~,UE
In "S,
ROOF " In 16" deep Truss Joist 'Roof, a' 14 172'" r thickness of Blown Cellulose
Insulation installed: R 3 4 finch 14, 5 x_' R 49 3,
In additxc~u~ vent baffles installed to provide continuous vr~tmg space above the
k _ insulatttzn xn conjunctxbu wzth ridge vent ;and soffit vent , x
C v -IY
'In
t f f
ROOF TOTAL ft: VALUE wL R 49.3 U VALUE J616
2
yn,
f 5y f 4 ' /
Its
~ l4 .u....
.e. kw._ a klR ~lw w~ Ali 1 N.1 t~
I
z
CRAWL SPACE Floor between Frst,Floor anti Clawl Spade insulated v~ith R 1g"
Insulation, batts .
z
CRAWL ,SPACE TOTtL R VALUE R Y9 £ : U VALiIE = 0 0
Note_ that K and U values are oply for the ~?llties of nstalle`d> msulafiQp and
d"o.,'hot. take into` accound'the addtt oriol ms tlatioti .value of the t1 :Spaces, "°_siding~
plywood sheathing' and `iiidtertor gypsum li'oarct
The'.m place R values of walls are aiso actually, kxiglier due to the
extexior insulating sheathing covering the Wall sta,ds
between the Interior space
A contmuotts VAPOR BARMIER was e, J
and the,'insul*d, wale ;and roof cavity byu,ajipiymg `$6001 SEAL VAPQR
BARR~Lli primer/seale~.manufatixrecl bp` I'ALIVIBR°INDUSTRtES The'pexin _ `
.hating of '86001~$EAU Is 0.69 peiin
t
Enclosed axe speczfiaattott / ittfotmal on slieets wont A R OETE and about `
86001-SEAL for youx>information.'
The' alteration and ' addition: at 415 ° C3olderi' ane is m conformance anal
` compliance with t}ie New.Yoik State Erieigy Cade In fact, tho,providecl'energy'.
performance is 'substantially better."that tho.Code 1Vltnimuta
E t, r
( If;you have, any questions about thisji formation of this Installation,.ptease
! confact me at 516 676-95 I6,~" -
} P
f
E sincerely,
E \q°
SIRCrIO, Z RI R A ~?F e sa¢ .
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(ShA,~°5 FFOCk GG
Town Hall, 53095 Main Road g Fax (516) 765-1823
P. O. Box 1179 wa Telephone (516) 765-1802
Southold, New York 11971~1
KO~YJ%/Y
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: /~~j
tVI 2° 9
Building Permit No. 2 Z
Owner: Crvl- ~2~t 2
(please print)
Plumber: mal/ L 6P V- -[-~e C
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Signature)
Sworn to before me this
C2day of Cv`~E~~v , 19
Notary Public, County
LINDA, J. COOPER
Notary Public; State of New York
No. 4822563, Suffolk County
Term 1--xpires Decambor,31, 19 6
i
U 0 It)
86001-SEAL:
rl 11 ti
VAPOR BARRIER
TECHNICAL DATA Provides excellent adhesions to all types of
PRODUCTNO:86001 subtrates.
COLOR: Clear SHEEN: Gloss or Flat 86001-SEAL provides excellent Alkali
resistance.
Reduces heat conductance through walls,
PRODUCT DESCRIPTION: 86001-Seal VaporBarrier thereby decreasing energy requirements
is a special latex primer-sealer and vapor barrier for when applied at 5 - 5-1/4 Mils.
interior and exterior applications. It reduces loss of
interior moisture through the walls to help maintain 86001•SEALisNon-Toxicwhendry.
insulation efficiencyandguard against exterior paint HMS Rating: Health -1(Drops tp0when dry.)
adhesion failures caused by condensation. Flammability - 0
MOISTURE AND HEAT LOSS: Moisture can fill the Reactivity - 0
FDA-21 CER-176.170 Aqueous and Fatty Foods
pockets orvoids in insulation, increasing the flow of (Contract) 21CFR 175.105 (adhesives) 176.180
heat, severely reducing its insulation value. Insulation Components of Paper and Paper Board in Contact
MUST be dry to function efficiently. with Dry Foods.
The effectiveness of a vapor barrier against moisture is GENERICTYPE: Latex
measured by its "perm rating". To be effective a vapor FLASH POINT: None
barrier must have a perm rating not to exceed 0.75 DRYiNGTIME: (Normal 2l °C, 50%R.H.)
pe rms to q ualify as a c lass 1 vapor barrier. Touch - 30 to 60 Minutes
Recoat - 3 to 4 Hours
86001-SEAL Vapor Barrier Coating isspecifically SHELF LIFE: One (1) Year
designed to provide a perm rating of 0.69 when applied
at a coverage rate of 400 square feet per gallon. COVERAGE: Applied uniformly at400 Square Feet per
86001-SEAL Vapor BarrierCoatingapplies andcleans Gallon provides a 3 Mil thickness and a moisture vapor
up with the ease of latex wall paint. transmission rate of 0.69 perm.
APPLICATION: 86001 -SEAL is a clear vapor barrier, fro Not Apply Below 500F. Stir before using and keep
fromfreezing.
sealer providing a durable surface when applied with
a brush, roller or standard spray equipment. PERCENT SOLIDS BY WEIGHT: 42.69%
FUNCTIONS: VISCOSITY: 88 - 90 KU
a. Exhibits excellent bonding, is light stable MVTR TESTING - ASTM E-96:
and water and grease resistant. WVT.(grains/ft2/hr) 0.366
b. Reduces vapor transmission through Permeance in Perms* 0.69 perm
walls thus increasing insulation Thickness of coating .003 inches
efficiency by keeping insulation dry. *Perm =grains per square foot per hourper inch of
c. Provides an excellent primer for top mercury V.P. Conditions: Run at 75T, 55%
coats and an excellent hold out for top PH: 7.1 - 8.5
coats. REDUCTION SOLVENT: Water
PRODUCT ADVANTAGES: CLEAN-UP SOLVENT: Water
Provides a continuous Vapor Barrier not TYPEOFCURE: Coalescence
subject to the breaks around electrical
outlets, plumbing, cut ends, etc. associated with Manufacturedby:
sheet vapor barrier materials, used separately
or as part of the insulation backing. Industries Inc.
Does not interfere with the common 10611 Old Annapolis Rd.
practice of applying gypsum drywall to Frederick, MD 21701
the studs with an adhesive.
Places the vapor barrier direct) on the face
of the wall surface, where it can effectively iieMtiTit (301)898-7848 Fax(301)898-3312
keep moisture out of the subtrate.
0 1994 Palmer Industries Inc.
~2~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
ell
_DATE INSPECTO
- IT
jv:
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND Ij~1~ULATION
[ ]FRAMING [~/I FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~~g r
DATE INSPECTOR
a a ~~d
M-1802
BUILDING DEPT.
INSPECTION
[ J FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ J INSULATION
[ ] FRAMING ( J FINAL
REMARKS:
r
f
i
DATE INSPECTOR i~
~ (!eV
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL rjL"P' ej
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 4'511y IfZ INSPECTORS
THE NEW YORK BOARD OF FIRE UNDERWRITERS
F- 11.95151 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
i s iatP FEBRUARY' 21. 1`14'7 Application No. on file 1-329709-V9? 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
WILLIAM BAUER, 415 GOLDTN LANE, SOUTHOLD, N.Y.
in thefoltowinA location; ® Basement ® 1s1 Fl. ® Ynd FT. OUT Section Block Lot
was examined on JANUARY 29 ,1957 and found to be in compliance with the National Electrical Code.
MXTUU ~CIEPIACUSJ fYtITCN6 XTUM RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS NCNIOESCEM HUDIRSCEM OTHER HAT. K. W. NAT. X. W. AMT. K.W. AMi. K w AMT. H P.
14 38 29 14 F
T TIME ClOCK4 Eltl UNIT HEATERS MUITI.OUTIET DIMMERS
DRYERS FURNACE MOTORS MITURR A/FUANCE HOMES SHOAL REC'N SYSTEMS
AMT. K. W. Oll N. r. OAE H. t. AMT. HD. A. W.O. AMT. IMP. AMT. AAVS TERNS. AMf H. v. NO. OF FEET AMT. WATTS
1 2
SRRVKX DISCONNECT MS OF S E R V I C E
AMT. ARV. 1V1E 11 Ta 1 w tw ] / tw S / Aw ffC VDHD. ~ wCoci NO. M H100 OA-:W 0 OE NEUTKAIS a A. W. 0. I
OIHSR APPARATUS:
G.F.C.It-6
SMOKE DETECTOR:-2
JEFFREY SCHRAM LIC41076- L
18 ARLINGTON LANE
BAYVILLE, NY, 11709 OEFIERAI MANAQ10
11
per
This a"kate must sot be in manneri tNurn to the office of tho hoard R ' incorrod. Impactors be identified by their crodsMiah.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
- St.HrlD
v arq h. SJI:•
I -
I O
MAP OF LAND
3uRvF,YE0 FeR•
WILLIAM J.4RUTH BAUEZ
AT
SOl~7?aOLC' ~ o
a
7butN op souv"oro, t4-`e
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scale e3aaI~ - Wu
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o- iron PiPis ID >-j
a= 7rwrturlllnt I , Q •
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1 i a
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SOUND .zo°6~
V1E~ 1`r`6 -
N y65° t'~ AVENCJE:
j\2
rrnt ~ W
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? ~ Na4n- 60+ nu
Bu2KE Noss`' i ~ ~ - of Na+Nwn Gc
` d ' Cleric's eFi~cn
45.0
3 75-4514 "e.
i~ fi 6an•e • Q
` q 13
12 5. zs• `97.M Garage locates
AV6TA
..SOT yc {I
GuaralvFeed +e
_ '64-16 {nsurovu
Savinc}s Bar
van
oft
.~'~°'t=~;aE.-~`S~~~~(.'•,"-.''s-`'.rc~iic~~'•:~u-:. ya~SF~r•'r•~C _
BOARD OF HEALTH
FORM NO. 1 SETS OF PLANS .
~inl Q TOWN OFSOUTHOLD /SURVEY
- 1994 BUILDING DEPARTMENT CHECK
TOWN HALL SEPTIC FORM
Dr- D-p; SOUTHOLD, N.Y. 11971 V), akcc
Y.oTIFY;
F`' T' TEL.: 765-1802 r
6 sa-~ss
/ 3 L/
7 c/~r1 CALL
.
Examined 19 MAIL TO: U)
Approved ` 1...f~... , 19 Permit No.r $ 0 ~o
Disapproved a,'c ~L¢sJ w erg
Ilo~
~
(Building Inspecto
LIGATION FOR BUILDING PERMIT
Date 19.. .
INSTRUCTIONS
• a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
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 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 inspectio s. /
~y
(Signature of ap cant, or name, if a corporation)
68.L~v ~c .St+e ..NkYyK.PMK.,Nv,tl4tio.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..04-,N.F!Z
Name of owner of premises w<'!crAr.,..~...&.4XR
(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. 'SI1 I wp - p_
e-
Plumber's License No. . yiN~Ecrr£p
Electrician's License No. l ! J £L?IYc
Other Trade's License No .
1. Location of land on which proposed work will be done .
...4.1.5 ..........................&:Q MW..LPft-~. ................5DU oW~.....................
House Number Street Hamlet
JtCounty 'Fax Map No. 1000 Section /.95:~ Block Z........ Lot 4; .
Subdivision Filed Map No. I N~~ Lot ...6 .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy R£S~p€N~c .
b. Intended use and occupancy . M-4
3. Nature of work (check which applicable): New Building Addition X Alteration .
Repair Removal , Demolition Other Work
(Description)
4. Estimated Cost'00"Oo Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units I Number of dwelling units on each floor
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front ....3R.y Rear : 3a~ Depth
Height A............ Number of Stories . /!41 .
Dimensions of same structure with alterations or additions: Front ..3 a Rear .
Depth d v Height ...o?' V`................ Number of Stories . 2.................. .
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
.
9. Size of lot: Front ..144 Rear Depth
10. Date of Purchase . rar . I J6~ Name of Former Owner ..T4 . Avoro
11. Zone or use district in which premises are situated . 5,PwR.o.uP .
12. Does proposed construction violate any zoning law, ordinance or regulation: N.4
13. Will lot be regraded . IVO Will excess fill be removed from pre-nis--s: Yes No
14. Name of Owner of premises PIR VAn .S Address Iag.LAwlE"xs; St/J V W. Phone No. 514:35?:?s~`3.. .
Name of Architect Address '43 TrH OF Phone No.
Name of Contractor .4l VaC3-NE4 Address Phone No............... .
15. Is this property within 300 feet of a tidal wetland? *Yes../..... No.........
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
v41Tn~
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STATE OF N Y I/ S.S
COUNTrY (?F l•P .
. , ,V C{, t being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the
(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 manner set forth in the application filed therewith.
Sworn to before me this / , a
a~. .day of . . 19G
Notary Publi ! County
CLAIRE L
a GLEW of N . . .
Notary Public. State of 6W York .
No• 48795M (Signature of applicant)
Comm~bo Empkaaul~m~ 8nty
,19 if
- U 10Hw10S dO NMOl t
1dia'oms
1681 s - Aw
~ v °r4. h• w ~qrk ~n.tG ~ 2J u~ ~ 2J Nl 2i
MAP OF LAWO 1O -
soe'vEYED F02
WILLIAM J. # RUTH BAUEL2
50UTHOLD a o
'11OW14 of SOUYHOLD, N.Y. °D
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D iJ f2KE N House No{e- to± rt:Jmk cy-s shown vv'Per +n Map
of Na}have Goldir),• Filed in4+e-fu F4;0f1C Ca.
' a_ a Z Cerc's &F:ice ns mcp number tlQb
N 7S'4S S4 o
O ~ •e ~ 3 l1 ~
~t in, Ga ra ~s ~ J .
t~_ ~ 3 0
Cxyra e lOCairr~ tvc•t. 3, 19434
LIVETA g
Getarare+esed +n •f-hs Nome TrtIE Division-ChicXagt
?ikla i?+suratice Co. arid the S,®u+hoid
Squirttjs Fianlc, as survecsed Nov. 30, r9/o6
V,avi ?-ut41 avid *OVI
L icetlsed Lqs4 "..5rJt 0,4 vz
?'-O 7 ~Lil n ZIo -7 - Co ~
};i1' a''9<:?H+r,",i; ctw IvrKT'dR a84'. SST A-77
PROVED AS MUTED
;I F O B.P.
RY:
AIM . I " LOIEiG OE N S I ' I
3-902 RAM TO r, FOF9 Rvi ~ic
FInU OWN(, 1id?11FC'TIONS 1 r=Ilr.ran it r,, vrn rr-b.Imler J -19 log-o" 2°I o~ o'. - - -
„r : ;)u;,I-;; r, naltFFjl F x ;
2 Ii01JG'+ FF::-iO,iVA43 c'v il LIVI UENCi I
3 INSW LATIUN - - - ~ ~G / / -~a - - - EM RGE Y E E9i._ -I o I REQUIR S OR -
4 FINAL - CONSTRUCTION MUST ED P 'Tr-7t4QF - - - - - o
BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET } _ I IL . CI\ N.V. TALE IG CODF
THE REQUIREMENTS OF THE N.Y. - - '
STATE CONSTRUCTION & ENERGY i
CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERBORS
UNDERWRITERS CERTIFICATE'! - - - - - - G
RQUIRM - - IC- I I I
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0i"XCLIPANCY OR
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PLUMBER CERTIFICATION - nl 7 GOF N.Y. BUILDING OL-J I, f - - -
Ohl LEAD CONTENT ,BEFORE - ~ -
CERTIFICATE OF OCCUPANCY I
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT ~ E, ~ , -
EXCEED 2110 ef 1 % LEAD. -n:C'~~'ND F.LO R ~'IRANNptitr..r,
If copper tubing is used
for water distributing
system,' piping shall be 4
of Was K or L oniv
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PLUMBING ALL PLUMBING WASTE
& WATER LINES NEED 1! 11 11
TESTING BEFORE COVERING
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PROVIDE OPENINGS FOR w
EMERGENCY ESCAPE AS
REQUIRED BY PART. 714 OF
Ill STATE BUILDING CODE.
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