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HomeMy WebLinkAbout22226-z 4 s t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23813 Date AUGUST 15, 1995 THIS CERTIFIES that the building ADDITION Location of Property 900 TRUMANS PATH EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 12 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14, 1994 pursuant to which Building Permit No. 22226-Z dated AUGUST 1, 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 2ND STORY ADDITION WITH FIRST FLOOR ENCLOSED UNHEATED PATIO ROOM TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL & EVELYN McCONLOGUE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-332062 - NOVEMBER 1, 1994 PLUMBERS CERTIFICATION DATED N/A Building nspecto 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 19.. 22226 Z Permission is hereby gra d to; . tf.G......I......... .6vw...../-..Yl i..!!i.zru.......'~ ......%/..s q ) to ...C.:d ?s!a C..Grr ...:.............e.-31...........7; t ,:1.......... ?r /..f / ......,/~~-/r=:......../°r.....?.~./.~.,......... s?. r.•~ 's.... '4fe)pp........../4! s. ...i......~.. ? ~ ©osd ...oooo,r„.® G~. at premises located at /..~....-~!fIfv,. ?.`5......... T/r................. Ise- . ..................................ff.,..,,..,..... °'s~ eleg.~........~.................... County Tax Map No. 1000 Section d/ Block...../ Lot No...... pursuant to application dated 19.... 91 (Ve and approved by the Building Inspector. Fee $ Bui dispector Rev. 6/30/80 Form No. 6 TOWN Or SOUTHOLD BUILDING DEPARTMENT TOWN }TALL 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 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 f.l.r~..,/,.i.1..`.~r.......... New Construction... ...(~0ld Or Pre-existing Building...........:..... Location of Property...... C. ad g T „1.??}Tile House No. Street /H'a'mlet Cower or Owners of Property... OC? , County Tax Map No 1000, Section ~3.~...... Block e......... Lot..... Subdivision Fiiled Nap............ LLot...................... Permit No.°`:®91AA .Z,,Date Of Permit. .V4/??~....Appli.Cant.?, ~IN(G.t/,,~`KPAq q,4//,- Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary CC~ertificate........... Final Certicate.... Fee Submitted: $......as .."A , Q,`~9gN5 %~c a3st3 64, , _ PPLICANT o~~gOFFO(,~co o~ Gym C Z Town Hall, 53095 Main Road - • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. Box New York 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 20, 1995 Mr. Daniel Mc Conlogue P.O. Box 8 East Marion, NY 11939 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) No Underwriters Certificate on file. xx The check is not on file. $25.00 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 # 22226-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1_4D L :i DA Cai4Lu OUNDATION (1st) - fN y ti OUNDATI01) (2nd) _ M 81 ;O GH FRAME I -PLUMBING_ : 71 . ti H m _itSULATION PER N. Y. STATE ENERGY CODE r ` • r~o FINAL ADDITIONAL COMMENTS: x ro ' - x H • A\ CD \ p - r m o i H r,' Ihv e S > ¢t Pb~ ~ L TN ~ rn ul ' $dv ~ N .v a f ~o'CYdt'k . w r'1 ^ f'A rF . 0 r VOGT t rr Cz - •O. 1. +VACANT) 'T To y~ 19~~ ; 1~z a ~.`p k4yve ;ro w ~j Z38.0 -4v N ,JS£r x t '-x a LANK POOL .#kriro~ x X .S'.Y ---~l,f s0 ! t ` 1141 r wRLL W n.O O X q iF <?~•d s # ! TS r~{~ { V r tai ' t~ 9 { Q't Y < rse 'ir:.t tat s , r" it Y,p/y J AY l.lk_f V.,~ f .f tNIle ~ ? 64 c~5 o w 9 238.0 ~ A b / t Un~Nlu+died aA 27bnor addlUa+ mthiaaurvaYtaavoadonof l7~ Section ~zoe of It a New vo swaI !Q ap n OF Educedon Law WKW ~ othY d CoPtea wMrviee6Yu.e.%', y x G ' 1118 mod aee~sfup mtbeconaWaa,ed „~"~%i,`,w emboss i,r £,Wbe,avagdiNetbPY•;3~''k r ~+_,1 ~ , jefoated barren, / n.to - whom th Paatin ~ A p~n~abom the survey - ,onrytome,PeTW and sFNO4~cas lha tith, le co company, go ~yoQ ~ tft (ed. en ovemlmantvl age n-'Y and - . , - ih„ f', , t ' J < _ lending Insdrudcn ca„ad hnd"q lns9. qND SUPS 11 { } f"'1 F•''• U f ' .~1 t„- ~.1+, 1 , tothe3SSiVUS ;yl"l UfatL moon c aru w equent SURAYfEi1C)id. TL-ST I-10U: Owrlsrs~ DAN /Ac: f ' c: CO N M... 0 (--D u L~ \ 70°'SML A1- 4 s k'' E ff yg'T r7- f i~ " 3 r IN V r )l___l'1 •r ~„1 L am, I sn.u!? w ; ' 77 ri - - anln j MOW, 'y[ a "~IGLt, i' ElMEW--P 1Vlta.v. :;1r M~ .Z1,19~aF ' l1Pp.4~CY'GC~~a~91L1+TUAVC-'t2.8n197is 15 ry MODE Y L, ~3d M. t 1~ V r ` tJq~ C).O w'S1 fgRfa LIIJ[r 9~ % ( h. 11 EN`ii. fANl7~J.1'rT r 4*A1'CJpN LAX ~C ~~'~~.ap, x x `f -,-r GFt`4# i.bfih0+(r°Z i ~yo ~~eLCE E[~A't~~~3Z.l.N~ Y. u~~, NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-00508/00001-0 July 26, 1993 FACILITY/PROGRAM NUMBER(S) PE M IT EXPIRATION DATE(S) July 31, 1995 Order the Emirorimental Conservation Law TYPE OF PERMIT ¦ New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply 0 Article 19: Air Pollution Hazardous Waste Management 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Lard 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management - e Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers 0 Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Daniel McCOnlogue (516) 731-3512 ADDRESS OF PERMITTEE 20 Snapdragon La., Levittown, NY 11756 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER os G~ NAME AND ADDRESS OF PROJECT/FACILITY 00 +G~n 900 Trumans Path, East Marion 14 m o LOCATION OF PROJECT/FACILITY _ L- G SCTM #1000-31.12-4 O Ind COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Marion Lake CESMIPTI(N CF Affl-CMIZID ACTIVITY Construct an addition to attach to an existing single family dwelling. Install shoreline access consisting of 3' x 50, timber walkway on bank slope, 31 x 20, timber catwalk, and 61 x 81 fixed dock. All work shall be as shown on the attached NYSDEC approved plans. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADDRESS ADMINISTRATOR: George W. Hammarth Bldg. 40, SONY, Roam 219, Stony Brook, NY 11790-2356 AUTHORI gDSIGRATURE, DATE July 26, 1993 ` Page 1 of 6 BY'" %i 4 rC..~ ? e. ~/~o?~'"v^^~ ,_,erv'.~~~P'9:n'"^`r yip=rM`1~'r'Fd'n'4,_°".01' Fru _',^w^ .-psi. T1riR+%..L • Board Of Southold Town Trustees y; SOUTHOLD, NEW YORK itn. 16 ' a i~~{u1i PERMIT NO. 4308 DATE: April 30„ 1994 ~k ° ISSUED TO . ...Daniel & Evelyn McConlogue.. 14t I h Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the jW - State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the Ic !I REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the . n Resolution of The Board adopted at a meeting held on April 28, r 9 11 19 94 , and in consideration of the sum of $ 294.00 paid by y Daniel McGonlogue / N. Y. and subject to the Terms and Conditions listed on the reverse side hereof,_ t` y k aI of Southold Town Trustees authorizes and permits the following: fl to construct a2 bedroom, 1 bath extension to existing house wit Y drywells. A staked row of hay bales will be placed at the top of the bluff. Construct stairs, a 3' X 20' catwalk, replace and a repaira 6 X 8 dock as per revised plans dated March 29, 199 ry1 all in accordance with the detailed specifications as presented in the originating application. f 1 c IN WITNESS WHEREOF, The said Board of Trustees hlere- ~Ek 01 by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. l~ FFO l t` zi, 9. 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SHIM Min DEPARTMENT OF THE ARMY R NEW YORK DISTRICT, CORPS OF ENGINEERS I~ (5 D (N 12 v L5 JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 ; tt 1996 ma O-EMYTO •ncr~noN or January 19, 1994 BLDG, D 30EP? gUN Or Regulatory Branch ~_tJ SUBJECT: Department of the Army Permit No. 10GP-94-00290 Mr. Daniel J. McConlogue 20 Snapdragon Lane Levittown, New York 11756 Dear Mr. McConlogue: We have completed our review of the above application. From the information submitted it appears that the proposed work is authorized by our General Permit for Non-Commercial Mooring Structures (NYDGP-10) a copy of which is enclosed. Your work should be performed according to the conditions of this General Permit. Please display the enclosed Notice of Authorization sign at your work site. A copy is enclosed for your records. You are required to submit to this office the dates of commencement and completion of your work. Enclosed are two forms for you to use to submit the required dates. Notice is hereby given that the permittee should recognize that a possibility exists that the structure permitted herein may be subject to wave wash from passing vessels. The issuance of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structure permitted herein and the safety of boats moored thereto from damage by wave wash and the permittee shall not hold the United States liable for any such damage. It should be noted that this permit does not relieve you of the obligation to obtain any State or local approvals for your work. If, for any reason, a change in your plans or construction methods is found necessary, please contact us immediately to discuss modification of your permit. Any change must be approved before it is undertaken. Sincerely, OVI' , a s w. Haggerty h'ef, Eastern Permits Section Enclosure I i oel e-) M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ON [ ] FRAMING [ FINAL [ ] FIREPLA CHIMNEY REMARKS: DATE INSPECTOR _ M-1802 BUILDING DEPT. INSPECTION LBG. [ ] FOUNDATION 1ST [ ] R=SULATION [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLACE ro EY REMARKS: DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUN ION 2ND [ ] INSULATION RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: - DATE 1e,))- INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ } ROU PLBG. FOUNDATION 2ND [ SULATION [ ] FRAMING [ } FINAL REMARKS: DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOU DATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMA : DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [A4RAMING [ ] FINAL i(~ REMARKS: f Ad" ~45: f y DATE /5ZG IN8PECT0 Z THE NEW YORK BOARD OF FIRE UNDERWRITERS t'AC> 1 1.001071 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 1. Date NOVEW.FR 01, 1994 Application No. on file 85815594/94 N 332062 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 DAN MCCONLOGCIF7, 900 TRUMANS PATH, EAST MARION, N.Y. 11 in thefollowing location; ? Basement ® Ist Fl. ® 2nd FT. ATTIC/OUT Section Block Lot was examined on OCTOBER 2 / , 1994 andfound to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FTDORESCENT OTHER AMT. K.W. AMT K W. AMT. K.W. AMT K.W AMT HP 7 10 J 6 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL LINITHEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P GAS H. K AMT NO A. W. 0. AMT AMP AMT. AMPS. TRANS. AMT H. P ' SYSTEMS AMT. WATiS NO. OF FEET SERVICE DISCONNECT NO. OF S E R V I C E MIT. AMP. TYPE METER EQUIP. 1O 2W 1.9 3W 3,e 3W 3,e 4W NO. OF CC. COND. A W G A W. G. A. W G. PER A OF CC. CO ND NO OF HI-LEG OF HI LEG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: - MOTORS: 1--F H. P. SMOKE DETECTORr-1 ®1 ~c~ Cx X S CONTRACTOR LTC.#578E BOX ?.15 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 per. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BOARD OF HEALTH u FOaMIV0.1 3 SETS OF PLANS SURVEY II II a~994 TOWN OFSOUTHOLD CIIECK BUILDING DEPARTMENT SEPTIC FORII TOWN HALL BLDG. DEPT. SOUTHQLD_N.Y_LL17L t,p TOWN OF SOUTHOLD 7T. U2 icy ^ TEL.: 765 1II02 CALL ..7.. Examined (9 , MAIL T0: Approved 19/.Permit No. o? a2•Y.Z~ 'Pi! 1? oir e Ag: sr/S'~X lcev./yI. Disapproved a/c fr43~ ( spcctor) APPLICATION FOR BUILDING PERMIT Date ..:~~Y IS 9~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wiL` 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 strc: oil areas, and giving a detailed description of layout of property must be drawn on the diagram which is par, of this app ca4on. 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 nppiicant. Such perry 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 Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pu=ant to t: Building Zone Ordinance of [he Town of Southold, Suffolk County, New York, and other applicable taws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe: The applicant agrees to comply with all applicable laws, ordinances, building code, housinq code, ana r gulations, and t admit authonzed inspectors on premises and in building for necessary in cttons- (Signature of plicant, c r name, a corporauon) r ..~,diY ~/s/ /~/aiy nrY (Mailing address of applicant) l iP 9 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder aW N . Name of owner of premises ~/V/~L L LYN /y~~ ~c~Go G v~ (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 Liccnsc Na_ Plumber's License No . Electrician"s Liccnsc No. Other Trade's License No . Location of land on which proposed work will be done: qe2 //~v/o.ANS f f/T/~ ~/1 T /~~i~62/0~/ Ilousu Nuntbcr••••••.•. ~ •..StrccL ,Hamlet County Tax ,Map77No. 1000 Section IIluuk , Subdivision. ;i;;C Lot...:........ Filed Map No, Lot . (Name) SUIC existing ttse and occupancy of premises and intended use and occupancy of proposed constrt+etion' P Y....: /NG<~ f~ r.< i. ~sro~tic~ A. Existing use and occu anc . F~~ / c use and gccupancy . < cr B. 'Intended G .................~~~5 3. Nature of work (check which applicable): New Building Addition ~ • • ai . , : ;t, , Repair , , , , , , , RFmoyal . Demolition Sui;nning pool . . Tennis Court 4ccessory Building.......... Fence .Other Woik. . 4. Estimated Cos ~~yy t C7J 00...... . Fee . 5. If dwelling, num (to he paid on filing thl4 app'lication) bcr of dwelling units • , , . Number of dwelling units on each floor . • If garage, number of cars 6, 1C business, commercial or mixcd',occupancy, specify nature and extent of ca t ty c of use • • . 7. Dimensions of existing structures; if any: Front . 0, ~ON ~/10' . Depth . Height Nurut}cr of Stories . ' ' Dimensions sa. structure with alterations or additions: Front aJ r Depth . , entire r Height .2 nSy~T,Ay ~ Rear 8. Dimensions of entire new constriction: Front ,~%C V ' ' ' ' ' Number~Qf Stories f~. , , , , • . Hei;lti .1 6 v Rear , Depth . z/.#...... , Numt{er of Stories p~, 9. Size of let: Front 74'._- P.car .....7 , D..h • . 10. Date of Purchase l " ~ y( 3• • . • • • • Namp of Former Owner 11. Zone or use district in which re iscs arc sits! TY.p 4.. ' P ated. !~S 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded U 14, Name of Owner o rcmis ' ' ' • will excess fill be emovcd front pr=scs: 14 Ycc • . of p es ~N/ c ~~Con<ocI Address , tDd ......sr/Y//A,?°n/Phone No. ?Sf St l Z Name of Architect . "Address . NamcofContrac •••••••••-•.••.PhoneNo Contractor F?{ it, " " " r8 C~.ZS- Address , .C c/T4C l!ra~..... Phone No. IS-Ls this property located within 300 feet of a tidal wetland? *YES.tI-.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 dimension' r Property lines. Give street and block number or description according to deed, and show street names and indicate w::c::. interior or comer lot. C PR JTIEVfNCE m dG ~ x 1~ l 60 ~ 'k d. x . '2' 3 g /.S . Eg.' Co "Sir, . &0 STATE OF NEW YORK S,S COUN OF., CY) 0L...... !°l C La~iJ 7 (Name of individual signing contract) being duly sworn, deposes and says that he is the applic_r tbove named. 4c is the .^r sZ (Contractor, agent, corporate officer, etc.) tf said owner or owners, and is duly authorized to Perform or have performcd the said work and to make and file tit 'PPhcation; that all statements contained in this aPPI cation are true to the best of his knowledge and belief; and that u: work will be performed in the manner set forth in the application filed therewith. '"Om to before me thu ~ ..day or. 19 7 'Otan• Public, County HELENE D. HONE Notary Public, St atb Of New York . OZ / No.4961364~ •i^natur fapPlican' Qualified in Suffolk County N' Commission Expires May 22, 197r ~a?9v~ ru+J~ ~ ~vf' _ • _ izw~ i i~E 1 a n - i I l :EX~S~itic. .per _~I - USE IS I MAWM F OCM"NCY APP ROIIED AS NOTED' _ . DATE: B.P.M 222 ~ , FEE., NOTIFY BUILDING DEPARTMENT AT 756-}B02 S AM TO 4 PM FOR THE,.. a FOLLOWING INSPECTIONS: - 7. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH : FRAMING & PLUMBING S. INSULATION . 4. FINAL - CONSTRUCTION MUST . "I BE COMPLETE FOR C.O. ,i i ALL CONSTRUCTION SHALL MEET - THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION i'ENERGY CODES., _NOT RESPONSIBLE ' FOR' OeaR;R OR cD!SWvC?ON ERROR6 + ~ ~~s u ~ ~ ~ _ , s ~ . a ^ S r Ittlo , ~ - ~ ~ ~ - - ~ , ~ ~ a I~. - i r r 444444444 j I 7 7, im, - - - - _ ~s~.~ i ( i S .L VI / I F ,~5 ~OPMOnrµ, _ 1~ 20 J., i 4 N „u E'*r aBCK - m Ell Co F ~ AIM {Y d ' T'rsa _N' I 4"r14k6 CvE, V i 2GV' Ult I( T 10 ~a~of (VERIFY WiTN t*znJ) I ! CLCZ_S T 17 S/.j ~ i h l j,~ SO DLC.K i-' 2 - 231---~~' - } ~y w Y ` y ~ i_ t 5 ~nMy n"e Y4~ Y { -1Yr1 'iMG,' 9'~ t4-lave c DOM' r1l Gxr 9TttwtG A i Rx 4 RAi,L :n~ I`r2LY if . it 2. 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