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HomeMy WebLinkAbout22332-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23416 Date DECEMBER 19, 1994 THIS CERTIFIES that the building NEW DWELLING 100 DONNA DRIVE & Location of Property 6700 NEW SUFFOLK AVENUE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 15 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 1994 pursuant to which Building Permit No. 22332-Z dated SEPTEMBER 16, 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 A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & CARMELA KOHLER (owner, lessee or tenant) of the aforesaid building. J~ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-94-0064 12/09/94 f UNDERWRITERS CERTIFICATE NO. N335461 DECEMBER 6, 1994 PLUMBERS CERTIFICATION DATED 12/14/94 BERTSAND PLUMBING & HEATING INC. Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date SEPTEMBER 16...................... 19.... 4.... N°_ 22332 Z Permission Is hereby granted to: EAST ISLE CUSTOM BUILDERS - A/C LINDNER, FRED 278 JAMAICA AVENUE MEDFORD, NY 11763 to CONSTRUCT A ONE FAMILY DWELLING AS APPLIED FOR. . . . . 100lonn2 Lw-iuC .4 at premises located at..... 6704..N HW..SpFf.QT,9..AY.T;PA1i;.,............RtAif7fzMCK . County Tax Map No. 1000 Section j5 Block 5 Lot No 2k.............. pursuant to application dated AUGUST ..26.......................... 19 94............ and approved by the Building Inspector. Fee $.,?.T..k~...... ...G..-r.-.. r...... ding Ins ctor v. 6/30/80 I FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted n1rw~ to the Building Inspec- tor with the following: for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. ' 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10 - 00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date NewConstruction X„Old or Pre-existinBuilding Vacant Land Location of Property eq......... .-su • K / ~d J (I l ~Ck House No. `n Str et Hamlet Owner or Owners of Property County Tax Map No. 1000 Section !.l Block S Lot . SubdivisionlW..aLt? `wc w!5gf~bS,Filed Map ..Lot No. Permit No........... Date of Permit AppIicantE-A-5y- 5;~~CUST. 7)-~?.D_5 Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval . .Planning Board Approval , . Request for Temporary Certificate .....................Final Certificate I 0c, Fee Submitted $.Z, Construction on above described building an er it m II ap icable codeancl regulations. A. C~ Applicant . • . Rev. 10-10-78 SA- 7- >IzS~O`u<~U ~ZS c~~FFOLkI' T~1.. 7bS-1~A~ ~p Ol TOWN OF SOUTHOLD, OFF1Cb OF BUILDING INS1ewrOR P.O. BOX 728 TOWN HALL pV SOUTHOLD, N.Y. 11971 ~rol ya ' C E R T I F I C A T I O N Date December 14, 1994 Building Permit %No. 22332 R n~ 'Owner Kohler z t5 u r (please print), DEC 5 1994 Plumber Bertsand Plumbing & Heating, Inc. (please print) BLDG. DEPT & TOWN OF . UTNOLD ? . r I certify that the colder used in the water suplAy *y40tom contains leas than .2/10 of 14 lead. ~~u plumber's signature) - Sworn to before me this 14th day of December , 19 94 G~ k)c Notary Public Notary Public, Suffolk county EILEEN M. ADACNE Notary Public, State of NewaYork ' No. 4826942 Qualified in Suffolk County Commission Expires January 3 1,19 , ti Date November 28, 1994 Building Department Town of Southold Town Hall Southold, New York 11971 Re: Building Permit No.: Z 3 Z Owner: Y-VR GZ Gentlemen: I hereby certify that the solder used in the water supply system for the captioned job contains less than 2/10 of 1% lead. Very truly yours, BERTSAND PLUMBING AND HEATING By Sworn to before me this 28th day UfNovpmb + 1994 _ m- hl DEG 1 3 1994 o ary u6Tic F.ILEEN M. AOACHE 6L[?C. DEPT. Notary Public, State of New York No.4826942 TOWN OF SOUTHOL,C3„ Ouallfled in Suffolk County Comminnlon F.xplren January 31, 19Y~ A5 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1035018 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date DECEMBER 06,1994 Application No. onfile 85948494/99 N 335461 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 KOHLER, S/W/C DONNA DR. & NEW SUFFOLK AVE, MATTITUCK, N.Y. in thefollowing location; K? Basement ® Ist Fl. ? 2nd Fl, ATTIC./OUT Section Block Lot was examined on NOVEMBER 28 , 1994 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACIES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OU71EYS INCANDESCENT FLUORESCENT OTHER AMT K W AMT. K W AMT K.W PMT K W AMT. H P 9 28 15 9 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL'REC'PT TIME CLOCKS BELL 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 AMi WAiiS NO. OF FEET 1 F 3 - SERVICE DISCONNECT NO. OF S E R V I C E METER NO OF CC. COND A W G. A. W. G A. W G. AMT. AMP. TYPE EQUIP 1 1W 1 B JW 0.e' 3W 3,e 4W PER a OF CC COND NO OF NLLFG OF HI LEG NO Of NEUTRALS OF NEUTRAL 1 100 CD 1. X 1 4 1 4 OTHER APPARATUS: G.F.C.Ic-2 SMOKE DETECTORt-1 PETER CHARBONNEAU LTC,#2697--E 35 SHEPPARD LANE SMITHTOWN, NY, 11.788 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 PUIL 96\1 CD : VnTLL~ YG;i LT ^ Loe J ~aNj " daV M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO H PLBG. [ J FOUNDATION 2ND [ ] SULATION [ ] FRAMING [ FINAL RE ARKS: DATE /i ` -INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] OUCH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: ®Cd DATE INSPECTO ' -D-J--3 3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [y FRAMING [ ] FINAL REMARKS r ~5 7~ DATE INSPECTOR 196-"3" 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION j ] FRAMING [ ] FINAL G REMARK DATE INSPECTOR ' ""1 I.. S. 'i.. 10N i,Jd"~ ENTS NI m W 14. Q C m °uJ FOUNDATION (1st) C. ~ Z FOUNDATION (2nd) m l=s 2. ~A /moo v2 X zo 6 ROUGH FRAME & G 'PLUMBING Z l .a I 3. ro l^J•P' INSULATION PER N. Y.~ l j STATE ENERGY-- CODE 3 4, y a" FI14AL ADDITIONAL COMMENTS: x m x W ro R M 9 ' N ^ O --V 9 • y \ d ~R m ~l ro APPENDIX B SECTION 155.3 OF THE REGULATIONS OF THE COMMISSIONER OF EDUCATION (8 NYCRR, 155.3) HEALTH AND SAFETY IN unless immediately adjacent to an approved exit. EXISTING EDUCATIONAL FACILITIES The primary exit is commonly the opening to the corridor. The second means of egress may be a door Facilities in school districts other than city school dis- opening into a separate smoke zone, or a door di- tricts in cities having 125,000 inhabitants or more, shall rectly to the exterior, or a window of such size and meet the following requirements and, in particular in- design that will facilitate egress, or a door provid- stances, such other requirements as may be deemed nec- ing egress through adjacent spaces where specifi- essary by the commissioner to insure the health and cally approved. safety and accident protection of occupants. (i) Any point in a space of pupil occupancy shall (a) Exits not exceed a maximum of 50 feet straight-line (1) There shall be at least two means of egress re- distance to an exit, unless otherwise approved mote from each other, leading from each floor occu- by the commissioner. Any additional exit nece- pied by pupils, including basements. sary to satisfy this requirement shall be remote (i) When pupils enter into a corridor, there shall and may be required to be directly to the exte- rior. be a choice of two unobstructed means of egress in different directions. (ii) When spaces of pupil occupancy are defined in Handrails shall be provided on at least one n an open area by wardrobes, cabinetry and other furniture which does not present obstruc- side of stairways, and on both sides of stairways tions to egress and which allows students to cir- 88 inches or more in width. culLe freely from one space to another, the total (iii) There shall be no storage under any stairs open space is considered, for exiting purposes, or landings unless the enclosure is approved as a single space. Exits from such open-planned fire-resistant construction. space shall meet requirements determined by (iv) Provision of fire escapes of approved design the commissioner. may be required where other exits are deter- mined to be inadequate for fire safety. (6) Required emergency egress windows shall be of a size and design (2) Dead-end corridor pockets shall not exceed a , including hardware and, in ap-propriate maximum depth of one and one-half times the that instances, steps or ladder to high sills, that will ll permit and facilitate emergency egress. width of the pocket or one and one-half times the Such windows shall be free of obstructing screens width of the corridor, whichever is less, unless oth- or storm sash. erwise approved by the commissioner. (i) The minimum clear opening area for such (3) Corridors and exitways shall be kept clear and windows shall be six square feet, with a mini- free of obstructions at all times. mum dimension of 24 inches, unless otherwise (4) Fixed and portable security gates shall not be approved by the commissioner. located or used where they will obstruct exits or (ii) At least one such window in each space of create dead-end conditions for occupied spaces. pupil occupancy shall be marked with an appro. (5) Every space of pupil occupancy over 500 square priate sign identifying it as an emergency egress window. feet in area, shall have two separate means of egress from such space. A space of pupil occupancy (7) Places of assembly. A place of assembly is any is any room or self-contained space housing pupils area used for the assembly of 100 or more persons, on a regular basis, other than a place of assembly and spaces over 1800 square feet in area used for or small rooms where no more than 10 pupils are the assembling of persons. A place of assembly under direct, responsible, adult supervision. Each shall have at least two exits remote from each means of egress shall be in a separate smoke zone, other. 14 i V 516 727 3411 PO1 EAST ISLE CUSTOM BUILDERS, INC. 278 JAMAICA AVE. MEDFORD, N.Y. 11763 (516) 727-6023 November 7, 1994 Mr. Gary Fish Southold Building Department Re: Building Permit No. 22332 Dear Mr. Fish: with regard to the bracing you questioned on the captioned job, attached please find bracing as done according to engineering notes circled at top of page. cerely, O resident Enclosures wnv 1994 516 727 3411 P02 Poat•N° orrnd fox Iran°m1Ud memo 7W1 1CNtC mm 1 w ooooev+°• 38s ~ ~~'ryeQi~.. ~ jIdId r 14 9 fill 4 3WIN All aeooo8oa o ~g~ : 10 a . ae? 80000 100 a ICI ~ e i--- ---I o 0 000oo 0 # $ 81060000 0. $ sib 727 3411 P03 6 w• 4 lb k Tm(l M~ !r 1k j h I~ tics 08oGOcN Rf- m w V Y I i 1 I @g~ 11! foil G I Ntv ~ ~ ~4~~~'F Fall total lreQE f >s. w 4 r t tfit ~Bi oo:io~aoo o i xqvw ~ ooao~ D WOO a . _..i.. a,-y:~{~y: N • wyq •.yf nn.•w;•^.',M!A ~ •~OA ~jT 1$ EAST ISLE CUSTOM BUILDERS, INC. 278 )AMA)CA AVE. MEDFORD, N.Y. 11763 (516) 727-6023 October 21, 1994 Building Department Town of Southold Main Street Southold, New York 11971 Re: Permit No. 22332 Gentlemen: Enclosed for your files is the under construction survey you requested. e , CPresRi er and isan o i i RO:eac Enclosure ! Wr U OrT 199 4 '~y ~a Tao m N Z Q v x 2, W 0 3: t: ° c ~ T 77HM/i`/ 3 C ~J d o ~ N~Ois-J N ~ V q ~ w o 2~ • 6 9L ~ ~O~M.o~) V / i o~ ~ , „of,oyq. w h 0 w° ap oz© ~ d.° p d~ ~ ~ Q 4 I c° n U v 77'' Sg N O Q 1 ooz -°98 ~ o 0 a °'9 kr ~ 3 (gip ti a 92 ~3 o ~ I \ U v\, p fee a 'Og6~O~O a .sy vJ `~i ~ ~3W a V W ~v ~ W W / T• Y Q \ N ~ ~ o ~od'I ' •~J V J 00 V U N o o c0 tq~ ~C Z 000 'rj o q ul ~ 2 o o ti d o W R y a o ~ ~dP o J IAJ j~ Q a 3~~ Q = o ()C) o W~ Q X11 ~ ~\I etl yv3 ij aaoZOy~b~ a rn -'a`3a 7 ~N~i `Nip na o a m a x d Z ~cp OCT 2 4 1994 `Ir P` N a x a 1 m OFG^~EPr d °°OUr~o~ fl a L n.~ O n ~l F ~p y E G NQ^e C SIO•St0`E ' m 0 F ~ I t /~0 7Jr' ~ ~ 2N F„ fU I\ ti ~o, m iW ti ti ~ A y i D ~ o`Y ~ O F J E y ti 1 ~ ya ~ 0 m E°'> a^ 6 o2°S~o0 Ci, T 4o pw X7609 m pAON149 s, . Z Ja ~R~VE , m O ; m NhSAn~`c N m 11) Z 0 'Pf t^ N yC o~ GR A v o c b = ~ m o a m o C7 loo N 3 o N ca Z c N h 0 C=2 D 'a c o ° y N t V o, 3 0 y Ati° o° a Z 77~ a m ° 3 m o n O t a ah Fm n \ 0 1/~/~ Enc .~'V m / NrW NrOUI •I N ° Q~ m ~ i ~gO 75" ~ - rh p ~p m \ F~j~O 1 y al o ~ h C \ m NtlyNV)'tl~ 0 I 3u~~ \ 39 1 Res N J \ 1 2 0 ff~ E p I, ~l bo6 ~ p po 0 ~O YSY. N B6o ° S ~ ~ b ` m~ 6 u a 1V ~ °o 0o Ur to -510 „ Sao p `v Cn W o , Cn m 176 9 • ° ~/,q ~xs, T s T 0 O ~My~ y \ T ~ iQj vE ~ 3 2 N a ti o se A ~ENC.c in = g p C 1 C F~,1 C 1 T d A C O1 ti~ 6'`A >9y1 ;31 d \ C y Btd to ~ 3 ~ N n m 1A 1.4„ \ O C7„..W4`lT S N O T\ 5 Y f9 N y y N ) ~ A o 0 Y ~ h ~ a o d~ W Y~~vN 'A • Y L/ . ~ Q All. h ~ ~NN do20 d.. ` ?6a a ~ 0 77.Q~ Q~ •2o N. W Z Q D W ~ W y ti h d R \ Q ~ ~ ~1 V h o J ?L ~ £ 14 k ~ W~ 42 ti z W v Q ° 43 Q4 Azi t)j Z) CL OvQ ihV 14 94 t,4k~ ink 14 W W h W V o 3 a m a o o N a m > y o oa n)ob in m m Z 4 ~ 0 0 3 fi =FO ~ ~3a m r 3 p c p z 3UFFOLf< Cf9UH f Y UEFA -tTMENT OF HFgLTH SEHVOC S l~i C, SINGLE FAMILY DW%WM F Approval of Cocestra ®NLY 3 o® EC 9 1994 ~s.. 2~0y a a L Tf 5 6 sacaw < a gs4,~ Cupp #~O ~~o?9i9ies t`cars Ra._. as rod /or p CEtrli:u~s"tJe' ge.t~,°s ~Y#ft3.- ; -.r,.` :a'rJ,;n"°QSY„ ar, _.~,paazt fo e.4 sf~ts•toaY.oa olt~s ti\ phen A. P.E., Chlof f Of"CO of WvtQr and WW Cr Mann ~ment a Erg /O2° ' m a ; ~B0 75' i v m N F ~ i A,~ 0 0 ° ~ ~ E Res v9, 3 y A ~ 4 8 p0~ m 00 ~ ~ ~y 111 1 T A EoP °o S 020 ~ 11 v3 ~ G~ c 1CJ Q ~a'w,o J. 1 76, 0 9. N iFC 5 1994 m m S.C. DEPT. OF o v F HEALTH SERVICES N IZ, y N ~ 2 r. h } t BOARD OF HEALTH S! In! I(~ u FORM NO.1 3 SETS OF PLA\ S • TOWN OF SOUTHOLD SURVEY . • . . V;r, 2 6 ~99~ BUILDING DEPARTMENT CHECK • TOWN HALL SEPTIC FORK TOWN F O iOLDy SOUTHOLD, 11977 BLDG. DEP TEL.:7G5-18 02 NOT I FY; Exdnt~ill-04 CALL 19 MAIL TO: . Approved 9 /•1 , l.(~Permit No. f Disapproved. a/c • l _ . Z.t (Bu din g Ior) APPLICATION 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 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 stieets 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 necessa inspectioncs. ha! l JL C ,/.I.S~Ozcc Lel Li,)n-ys (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises CZ -7, , l ~G? . Al~ • (as on the tax roll or latest deed) If appli ' nt is corpo t ysi..gnatur uly autho cer. • • (Name and itficer) Builder's License N... , , , • • • • • • Plumber's License No, Electrician's License No . . Other Trade's License No. . • • . , • • , • 1. Location of land tt which proposed work will be one. . liouse Number Street Hamlet County Tax Map No. 1000 Section JI J . • • • • • , • . Block x Z..: • • • Lot _ Subdivision Filed ttlap No. Lot . z Z . ...(Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy u~ , , • , , • , , . • b• Intended use and occupancy ,11~L~ 1j.-2 tl (~6(-e-IA v 3 ' . Re Natairure of work (check which applicable): New Buildin N" , Addition Alteration' P • Removal g Demolition . Other work . 4. Estimated Cost (Description) Fee 5. If dwelling (to be paid on tiling this application) number number of of cars dwellin§ units If n Number of dwelling units on each floor . , J , , , , , , , , garage, . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any: Front . Height Number o Rear Depth . f Stories . Dimensions of same structure with alterations or additions: Front Depth Height . Rear................. 8. Dimensions of entire new con - 1... Height Front , c~f~m • Num~eer 01 Stories ~ Height /e / ;Rear ...7G......... Depth . Z 7. y...... . ® berofStories. 9. Size of lot: Front . Rear . $ r? <,7S . . • . " ' 1 " 10. Date of Purchase !{a l? Depth r z 2 1 L Zone or u • • ' • .....Name Former Owner ~?K , Z!csi cwe~SrK%' district is wluCli remises are situated . . . . ' ' . 12. Does Proposed osed construction violate any zoning law, ordinance or regulatio . . n: • • • • . 13, Will lot be regraded . • • • • • • • • • • • 14, Name of owner of emises • • • • Will excess f" 1 be remov d from premises: yes Nc p~y~'n)~ . Address i~f Name of Architect 1~6C ?lZi Phone No~ . Address - L phone No, Name of Contractor~i4•bs « ~ t C 1~2...... 15, Is this, property within FSAddress 300 feet of a tidal wetland? " ' h°ne es. No........ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all 1 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. i I • TAT Eo?r C- v Ll~ • , Y CV 1OU OF ...........,•.5, ( (N mC individual • being duly sworn, deposes and says that he is the applicant gngcontract) love named. p D is the L2 (1 l'... . J....... . (Contractor, agent, corporate officer, etc.)' . 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 uk will be performed in the manner set forth in the application filed therewith. •orn to before me this .day of , 19 tars c, . , . C° r • unty EfH , ~iv +?i~, . State of . York • • • • • • • • , PUBLIC, QoniVti®a in Suffolk connv (Signature of applicant• No. 524601a 4/ ) flxpicee 1 2.o"MIr1 , I io~.oM,.., ~{~loysvaNr ' r Z4Q 't AspNa(--r - - - - _ _ ----~-„r,.-'> .•-,---_--.tee---_ _ If\ vItiYL- 5191~G - -4-- F WIUDa~J ~ cap ~IN• f'L. LN• . = e~ 4 ST~Ja ' t i L2L H c-eNriN ~o~E ~,16G16 vBUT - 0 ~,ly - 2¢a AspNh(,r _ Z~~ /Yo ylli VI t../ Y2. - I o -SIRI'1..1 Ga \ ti . IV 31:" 3L,~ „ UIaY~- SI~IN4 W f d ~p~~~}~ DO NOT PROCEED 017-~Feb M4 DP E IEp AS NOTED . ' - IgIppFNI11TF115 CpiIFIGTE FEASCOMFIGTE UNTIIJ'SURVEYOF Dr;rE: O.Rn~233-7 .3 EQU18FD FOUNDATION LOCATION ALL Np HAS BEEN APPRO\IEn nio F BL W G DEPART AT '65-1802 9 AM TO h PM FOR THE N POLLOWiNG INSPECTIONS a ` WATER LINES NIEED TES r t ING BEFORE COVERING 1. FOUNDATION - TWO REQUIRED I - _ FOR POURED rONCRET, GH - FRAA.MiMi i NC, & PLUMBING - I ROUGH -u - _ IN AYIDBi Rlhjfi'l.-,j. CONST'H'JCYION MUST S-` - - - L- 11 to - e_ 54 r t~t WAS si2ne~r SF COMPLETE FOR C.O. All CONSTRUCTION SHALL MEET lv' TN 1HE REQUIREMENTS OF THE NX.. ~od.o _ y I 1~ -311"P,TE CJ)NSTRUCTICIJV & ENERGY 610T RE POINISIME FOR w R cow,. muc7no ERRORS _ 1 p rev ~d vary n 22, Fol `t OCCUPANCY OR _ 1 ~ Y a,VAU• USE IS UNLAWFUL -a WITHOUT CERTIFICATE OF OCCUPANCY x~ s ?s 2 most s M t i -I -S ~P `a qla z- N It ®I i 411 P- i - d'I cr Ss - - 1 - A F ¢l.4nn~' r J. (p _ 1 IfJ~ I N- ~ Qi ~n I i E {"F G. j ~r+` N I Ifi~ 1`t ~i! 1 w R I -1 -p i 'GZ . I rI - p AIER I a,d,~ 9 ~a[{o 3d~ c. uG- se, S f ores i i4 4'_5„ d~ r i /J" 4" J eur T~~;LJ ~20c~j:~j i L 1 Krf. I . I n J 2 41. A. t. 31, ~ TRAP - PER Fr. SLopE .1~ IAFI~ROVGO U sooAR ra. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERJURCATE OF OCCUPANCY 414 SOLDER USED IN YJgTER If OOPPer tubing is USed ~$~Vp SUPPLySYSTEMCo4NNOT fOr*War dl EXCEED 2110 OF m ehl6uIIb gt)rc_-- LEAD. ~tO4Tspi K w O I.OnI to~.r Ti,.l uo u s ~ZaoI~Ti2vss~s ~"v=G. -(Sec ~eTklLa 1516" PLYWOOD " - /IS~ FeLr ¢ASCIA _ ~/2 DR-Y ~l41L ,~VGJ-fED JINYL Sq-FI i - ZrCo Ico" O _ L - i2-14 I.lsu~ F ~~I~?" 5'(gA~UDS&A+=-D --~I+JYL 51DI~G ~ 5 r~L-T L (2. -l9 I P SUL \ Zx cCA SI?--L- w/ - S I" S&-AL-e? L - AspAA L-TL)i--1 8' )C ate" P- ~,VftLLS ¢lCpIIG_ ~L. ~ C eo '~I~OII XQ9" P'~ '1- ?ARA LLtTL - 2eIDAR. I~ FTCtS