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HomeMy WebLinkAbout20567-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22353 Date MAY 21, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 536 LEEWARD DRIVE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 7 Lot 38.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1992 pursuant to which Building Permit No. 20567-Z dated APRIL 17, 1992 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 AS APPLIED FOR The certificate is issued to WILLIAM & VALERIE BOERGESSON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-04-MAY 14, 1993 UNDERWRITERS CERTIFICATE NO. N-272449 - APRIL 13, 1993 PLUMBERS CERTIFICATION DATED MARCH 17, 1993-PECONIC PLUMB. & HEATING I - xx~~ B din Inspector Rev. 1/81 FORK NO. a 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) N2N9 205672 Date Permission is hereby grants to: ....`.lobo..... pa-,s! to .s... 4 ...1 vq.QQ.-. i-#-L i . f at premises located at ..tia. p 1!14 . ~ 1.................................... ` 4 County Tax Map No. 1000 Section Block ......5 1......... Lot No..W.:..~ t ' 1^~ pursuant to application doted S..A 19.9-1-, and approved by the r Building Inspector. i t Fee $..•.!.:...o.... j Building Inspector Rev. 6/30/80 i ~r Form No. 6 f E_.~ ,Le a Il,,r 4 s ~ yip TOWN OF SOUTHOLD ~~~a BUILDING DEPARTMENT TOWN HALL 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, ti streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3 Approv 1 of electrical installation from Board of Fire Underwriters. 4. Sworn s ement from plumber certifying that the solder used in system contains less tha 10 of 17 lead. 5. Commercial bu' industrial building, multiple residences and similar buildings and installa io \certificate of Code Compliance from architect or engineer responsible fo t building. 6. Submit Planning r A proval 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 $L5.00, 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, Commercial $15.00 ~i Date ..9se New Construction .....C:.... Old Or Pre-existing Building Location of Property... v' 6........../ :^!5! ...04 yP ..............v vI House No. Street Hamlet . Jnwer or Owners of Property......: ° (C!! . , , v; ,t, !,r ~5~f ~5~ ounty Tax Map No 1000, Section..U ......,Block.. .Lot... t `.subdivision.....//...............................Filed Map............ Lot/.................. 'ermit No. ...Date Of Permit. .Z.0:_o?.2,, , ,Applicant.6V x 4 ~ vq e'f; ~~dPTyA'fSe "iealth Dept. Approval ..........................Underwriters Approval......................... Manning Board Approval Zequest for: Temporary Certificate........... Final Certicate........... 'ee Submitted: $ APPLZC w S~FF O(~'~ TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR uo~jzr. t P.O.BOX728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Building Permit No. Owner (please print) / Pluinber2nr' /G ~~C~rYJK///~C 1L / YC/r?~/N~~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1, lead. -b1 tier's s' nature) Swo~~ to before me th• -_day of , -7 p???~ Notary Public/ Ilotary Public, UrJr~ a County ,i t1pSTEPNOW5K1 40* Public, State of New Yak No,4844752 nuapfied in aulfacoumy e6~inNgsieii rNSq.Y.9a 19-=3 I THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date APRIL 13,1993 Application No. on file 79111292(92 N 272449 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 BOERGESSON, LEEWARD DRIVE, SOUTHHOLD, N.Y. in thefollowinR location; ® Basement ® Ist FL ® 2nd Fl. ATTIC/OUT Section Block Lot FLAG Tea! ezarnined on MARCH 2 6 , 19 9 3 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DEC%S OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FWORfSCENT OTHEq AMT. K W AMT. K. W MIT K.W AMT K. W AMi. N. P. 29 41 35 29 1 1.5 1 F. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS MIT. K W. Olt N. F.. GAS H P. AMT. NO. A W G. AMT. AMP AMT AMPS. TRANS. AMT. H. P. SYSTEMS AM. WAITS NO. OF FEET 4 F 2 _ SERVICE DISCONNECT M~EiO S E R V 1 C E AMT. AMP. TYPE EOOIP 1,9 ]W , 0 [W q 3W 9A 4W NO. OF CC. COND. A. W G NO OF HbLEG A W G. NO OF NEUTRALS A W G. PER 9 OF CC COND OF Ill LEG OF NEUTRAL 1 200 CB 1 B 1 4/0 1 2/0 OTHER APPARATUS: MOTORS:1-F H.P. SMOKE DETECTOR:-1 - t G & S CONTRACTOR LIC.4578-E BOX 215 SOUTHOLD, NY, 11971 e GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ma~si d ntified by their credentials. tC'~~ :(i•1LNT r AK 0 • H FOUNDATION (ist) J 'OUNDATION (2nd) o v TOUGH FRAME P -PLUMBING 3. . y cr] INSULATION PER N. Y. y STATE ENERGY II CODE a H FINAL I a y9~~ r? Ad 0*~e //L ~f/C~< /f Ile' t~if /L .e• /3~ / 0 ADDITIONAL COMMENTS: YA~ - ~ . 411 M ' x H C ti d y dN r - W . 1 - i0 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ "NSUTION [ ] FRAMING [ ] FINAL REMARKS: DATE 7i INSPECTOR X76-iso2 f11,4 5 B NIP 'DE". INSPECTION [ ] FOUNDATION 1ST ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I (INSULATION [ ] FRAMING [ v1 FINAL or REMARKS: C h DATE r INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ROUGH PLBG. FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMA S: v~ 71z4 - DATE INSPECTOR 7'sS-lN2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: IZ2~ r DATE INSPECTO 7657-1802 BUILDING DEPT. INSPECTION N 1ST [ ] ROUGH PLBG. [ I FU "TIO FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 4 21" DATE y Z INSPE Man 765-1802 BUILDING DEPT. INSPECTION OF UNDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ ) INSULATION [ ] FRAMING FINAL 76 REMARKS: -.11'e 7 07 DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST f I ROUGH PLBG. FOUNDATION 2ND [ ]INS LATtON [ ] FRAMING [ FINAL REMARKS: k7 r " f l DATE ~ ~ ~ INSPECTOR 3 S S THE NEW YORK BOARD OF FIRE UNDERWRITERS t'A(ifl 1001071 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 (9111232/9? @} 1%7 4 Date AHI rt, I;5,199,3 Application No. onfile 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 Wl1rJAV BONM,,N1 WN, 11TIEWARO MzIv17, SOUTHOW.1, N'Y' inthefollowinglocation; 9 Basement ® IstFI. ® 2nd Fl. ATTICIOUT Section w Block Lot FTIAG as examined on M A 1.? f' If 2 h , 19 9 3 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES I SWITCHES INCANDESCENT FIVORESCENT OTHER AMT K.W. AMT. K. W ANi K.W AMT K. W, AMT H.P '7.9 41 i3 (i 29 '1 l . zl :I. k DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS 6EtL UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. Oll H. P. GAS H. P AMT. NO. A W. G. AMi AMP. ANT AMPS TRANS. AMT H P SYSTEMS pMT. NO. ST FEET WATTS 4 E SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER I,e 4W 1 e' iW 3.R JW 3 p 4W NO. OF CC. COND A. W. G NO. OF M4LEG A W. G NO. OF NEUTRALS A. W. G. EOUIF' PER .e' OF CC.COND OF HbIEG OF NEUTRAL 1 200 CfS 1. 8 1 4/0 1 2/0 OTHER APPARATUS: MO1'O(tScl.'F H.1.'. G. F, C, 7t-f, SMOKE DETECTOR, l C & 4 CONTRACTOR tIPC,4578°E HO%- 2J,5 SONT11OLD, NY, 11971 GENERAL MANAGER 2 I 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 i „ FORM NO.1 3 SETS OF PLANS AP13 17 1992 TOWN OF SOUTHOLD SURVEY . . U BUILDING DEPARTMENT CHECK R. TOWN HALL SEPTIC FORM . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOT I FY 1' U ALL / Examined(. ~ , ,~:Q„ 19 !Zr P IL TO: Approved K - I 30.., 19~? Permit No.10 SZo 7 ~L . . Disapproved a/c (Building Inspector) 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 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 of 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 in/spect'ons. (Signature of applicant, or name, ii a corpo tion) . (Nfailing address of applicant) I/ State whether applicant is owner, lessee, agent,, architect, engineer, general contractor, electrician, plumber or builder. ll G/vl,P,r...... ./r(.cr...vut.~Gl P Name of owner of premises ....~G,,l°r/ °„R,r~.,,lt(1.l~,Qr?ti, ~)P ,,J~SSpy~,,,,•,,,• (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 7 / Builder's License No. /5u ms. C1r•a 11 Plumber's License No. Pp,_--v2~i !,.c lien cf r Electrician's License No. Other Trade's License No . 1. Locations of land on which proposed work will be/~done . [ • 4(WPr.~.Q/ 7(w ~ n .rA©.r.GY....................... House Number Street Hamlet County Tax Map No. 1000 Section ?.9 Block 7 1........... Lot...,3.6..r.~....... . Subdivision (Nam e... e) Filed Map No. S cJ........ Lot .p • ?,9 , Jo, 3c~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 4 : b. Intended use and occupancy . ] s,.` e...T.-f.fo.l.. , L2cC /(~r~~( 3. Nature of work (check which applicable): New Building , , ~ Addition Alteration Repair . . . . . . . , Removal Demolition Other Work (Description) 4. Estimated Cost . Fee , . (to be paid on filing this application) 5. If dwelling, number of dwelling u nits . ~ l~eo.roo Number of dwelling units on each floor. . n6'co/ 6. If I garage, number of cars • • ' ' ' business, commercial or mixed occupancy, specify nature and extent of each type of use . . Rear Depth , . Height , , . , Number if any: Front 7. Dimensions ofexisti ng st ructures,ofStories Dimensions of same structure wrtb alterations or additions: Front Rear Depth . . ......Height Number tones 8. Dimensions of entire new constru~l tion: Front d "•-Y,p.... Rear 4W. A6 . , . Depth Height Numbs; of Stories ..........7A/- Q . . . 9. Size of lot: Front /r.-/,.? A......... , Rear ...../.6f... rl ; ; Depth ...4W Or.%Z 9 . 10. Date of Purchase , , , , , , , , , , , , , Na e of „Former Owner d ~f< . 11. Zone or use district in which premises are situated .....PS! , ~~E , , , , , , _ , , 12. Does proposed construction violate any zoning law, ordinance or regulation: , ..../L . 13. Will lot be regraded ~n/p , . , , , , • , y~_ Will excess fill be removed from premises: Yes N 14. Name of Owner of premises ~ rl9rt eti !!,'~r;4fv OPry~Af~d ress , cs¢RiG Jpr , , , , , , Phone Noi!•p3s,, , , Name of Architect . . . . . Address , Phone No............... . Name of Contractor . . . . . . . . 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. 'I li ~I i n STATE OF NE OIL,_ K S COUNTYr OF . °G fi:)l 1 S. (Name of individual signing ~ being duly sworn, deposes and says that he is the applicant co4kract) tbove named. ieis the ........................I'i~,c~ (Contractor, agent, corporate officer, etc.) :f said owner or owners, and is duly Iuthorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. ;Worn to before me this ,Pay of. Mary Public -~~-w~ County CLAIRE L, BLEW Notary Public, State of NewYTk No.4879505 Qualified in Suffolk Coumy1 (Signature of applicant) Commission Expires December 8, 119 ' The locodons of weds and cesspools shown hereon are from held observelIons and or from data oblahred from offism SINGLE FAM Y DWELLING ONLY X. v?iELL COVENANT REQUIRED EXPI £S •3 YEAR FROM DATE OF APPROVAL4/, F PRIOR TO *,as piNAL APPROVAL. O a0_ O i QV CJ 019, S O J (/iq of R s 29 ~Q% ~o cq ti ~ I FF y O k- 0 . d < O' % 4k, AA. ~~tr d0 oar ~~~yo \ 2 c r h G kPyb /SR bkd Q\ ~O S lei SOT w <p~ ;~O Or stx Q. .o p 2B ap • 3° ~o xA < p~ ?C n ID Ise, op GP r i w; y ,x "S.9o w a' r i 39. oP i ~ Ma'~a..r r°a o o ~sr9 3 o y"' EXCAVATION INSPECTION REOVIREO. c.1"rJ /cs°" -t44-4 t "sue 4 44 n SURVEY OF 0191 AREA. 918acres P100 LOT 29 & P/0 LOT 30 MAP OF °L EEWARD ACRES AT BAYVI EW ELEVATIONS ARE REFERENCED TO FILED JUNE411971 FILE NO. 5599 AN ASSUMED DATUM CERTIFIED TO, AT BAYVIEW WlL lAM BOE ssoN TOWN OF SOUTHOL D ~Gaf(hu, . VZ %KA X1935 SUFFOLK COUNTY, N.Y. Cpg y77-o5fk The water supply and sewage disposal 1000-79- 07- P/0 38.1 systems for his residence will conform Scale 1°= 60 y to the standards of The Sgffolh County JAN. 17,1992 Department of Health Services. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 41 FOR APPROVAL OF CONSTRUCTION ONLY . ~ N. Y.S. LIC. NO. 496W Q S. REF. N0. PE a.- P.C DATE WT711 w7* Of oBOX APPROVED 11971 3 4 ! Sa! ,a~or - ss- 71 rho locations of wells and cesspools shown hereon are kom field observations and or from data ob*ed.tram others. ~F N ~~O N Q' 1 Q~ SB SS4og F ,P 09 mss c m /NC 0°0* ~pf' \ reY ~p1 3d a c-44, O ry O F A,g $ /,9~0 Cpr Y 000 \ ~y A Q c~ / `;O 5y yv~ \ <0 p OQ ropy 4i /o/ / A /6,A ~a\k O Sp. O e~/ CQ 2e O ~u - ' i rap a0 2 ro~9 P s s ? G `Ye'w F JP i `s9oa9 / y! g0.~ 4 ~t pN ~ ~g9 oe„ aj qC14 Nri 40/ 3N 144 ?os 4 a SURVEY OF Area = 40,000 sq.ll. /9PIC LOT 29 & P/0 LOT 30 MAP OF "LEEWARD ACRES AT BAYVI EW" ELEVATIONS ARE REFERENCED TO FILED JUNE4,1971 FILE NO. 5599 AN ASSUMED DATUM CERTIFIED TO, AT BAYVIEW WILLIAM BOERGESSON TOWN OF SOUTHOL D SUFFOLK COUNTY, N. Y. The water supply and sewage disposal 1000-79- 07- P/0 38.1 systems for this residence wlll conform Scale I"= 60' to the standards of The Suffolk County JAN. 17,1992 Department of Health Services. June 23}1992 (foundallon) O %.AND~p SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 47 MFg FOR APPROVAL OF CONSTRUCTION ONLY G N.Y.S. LIC. NO. 496!8 DATE ~S. REF. NO. ISt 2D~~ N y0 APPROVED 11971 86-671 The locations of wells and cesspools shown hereon are ham field observations and or from dale obtained from others t3 Q N W ~ V~ ~a~ { ~ ~ ~ areo3 '1 2 ago u_ OA W M a-U ~ ' y1 ~ ~ `C) / d 2 r 41 y' 1 'g rrSe Ao @ w ro n : E V 0 9 R3/ u, 150 p n \ ,t, 16 sy'' ~~OT C S C9 v RB.0 SSTo ~O qN p~ o P9. F3 S Ago b 000 F ~ °r 3° <o o c o y Q5 r~9 \ h0 GAL ^o~ //oNi ~Aj G O\ n A~ S l . <O ~ < O O, 9 O' 2B 'u 30 .k n O X10 m` 2 s k'S ,j, A oL ~ ilk} MAY 11 1993 q L p S.C. DEPT. OF C°N /if Ad ~`3~ -4c p/ •33. 4) HEALTH SERVICES 4~, 99.43 ri 00 ti s/8 3 SURVEY OF Area - 40,000 sq.ft. ~ sz°%' 4 P/0 LOT 29 a P/0 LOT 30 MAP OF "LEEWARD ACRES AT BAYVI EW" ELEVATIONS ARE REFERENCED TO FILED JUNE4,1971 FILE NO. 5599 AN ASSUMED DATUM CERTIFIED TO, AT BAYV I E W WILLIAM BOERGF_SSON 41 BRIDGEHAMPTON NATIONAL BANK, it's successors TOWN OF SOUTHOL D and/or ass; ns COMMONWEAL TH LAND TITLE INSURANCE CO. SUFFOLK COUNTY, N. Y. The water supply and sewage disposal 1000-79- 07- P10 38.1 systems for this residence W/11 conform Scale I"= 60' to the standards of The Suffolk County JAN. 17,1992 Department of Health Services. June 23,1992 (foundatlon) ' 993 (final; NEW SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY "T ~c * N.Y.S. LIC. N0. 496/8 92 SO 04 DATE HS. REF. NO. ECO P.C. J APPROVED fill SO , Y. l197/ _ 86-671 . I '~IO~t. ~r.Z III . , _ I Y f f X~'. i ~ - f ~ , ~ _ ~ ctPA9- PCYWJvOD VV( 1 - 2=~,.,rM~ ~r_ . i. , r---~, r-~/r Ij. N~ ~ ~ 1, ~ i 1, ( ,r_.. ~ ~ ' I 4 ~ ~i _ ~ ~ '-Ili y'am'-^;r. T~ SCI Y. ~,~__III - ~ I ~f ~ i i I =r ,~~jl,...~~-~ - 3 ~ - -,i ~ I ~ _ _ ~V 1} ~ .C. ~ ~ t .w ~ ~ ~ ~ ~ ~ I. ~ 2 ~ i - ~ ~ . li, ~~C~ ~ i , ' ~ ~ili ~ ~ . 1 ~ 111 - u k I , ~ ~ _ _ ~i~_ _W_.___.__ _ ~l - «x l ~ t l I I { - PLUMBER CERTIFICATION ON LEAD COMTENTBEFORE PLUMBING ( d PROVED AS NOTED' ALL PLUMBING WASTE - CERrIF/GATE OF OCCUPANCY W & WATER LINES NEED D47B~ aD B.P. SOLDER USED IN WATER U U ~ i F'EE: d IN By-ATMEENT NT G AT SUPPLYSYSTEM CANNOT NOTIFY' BUILDING DEPARTMENT 'T ING BEFORE COVERING ' - 766-1802:B AM TO 4 PM FOR THE , EXCEED 21ilo OF 1% LEAD. v , FOLLOVVINGL INSPECTIONS.. - - ' NEW A W 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE OCCUPANCY OR wPt H. Wy~9,~ 2. ROUGH - FRAMING F. PLUMBING' ( >4 a. INSWAnGN USE IS UNLAWFUL ~ 00 qZ ~ SLALE APPROVED BY GPA NEf. 4 FINAL' CONSTRUCTION MUST IF Copper tubing' Is used GAiF 3/ AEVIBEG, RE COMPLETE FOR C Q tar ws"r distributing WITHOUT CERTIFICATE r ALL CONSTRUCTION SHALL MEET gyatsm;piping,shlIIbe TIE -'RFOUIREM'ENTS OF THE NY, ~ O7'types l(orLonl OF OCCUPANCY STATE, gQNSTRUCTION & ENERGY - ^ A~OfESS% CODES, NOT RESPONSIBLE FOR Ti'V'~ GpA NG N11MBEp J DESIGN OR CONSTRUCTION ERRORS , f - ~RIIFlCAIE q ly} i ~Y - R ' f 1 I 1 r ' I r I I 1 n 1 i 1 y f 1 I II' I I \ff ~ 1 I' e I i i lq-1 _J a bi 1 _ 4.1 { ZI; o _ ~I ~ ~ ~ , _ I _ ~'I ~ Ir ~ ~ .~Sy,O~ ~+r~-r-..r.+~.J•r. .rr ~ ~ 1 _ _ yam. 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