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20421-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20796 Date JUNE 16, 1992 THIS CERTIFIES that the building FOUNDATION & DWELLING Location of Property 1670 KING STREET ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 42.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 1992 pursuant to which Building Permit No. 20421-Z dated FEBRUARY 6, 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 FOUNDATION PERMIT AMENDED 3/19/92 TO INCLUDE PLACING A RELOCATED ONE FAMILY DWELLING The certificate is issued to DERRICK CEPHAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-05-JUNE 15, 1992 UNDERWRITERS CERTIFICATE NO. N-235846 - MAY 18 1992 PLUMBERS CERTIFICATION DATED MAY 15, 1992 - KING PLUMBING & HEATING. Building Inspector Rev. 1/81 FORM NO. $ 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) L N°- 20421 Z Date ....4.q ......-p 19.1. Permission is hereby granted tom 0 G.z( .4.~...^z.......... V..9.l to..~s,..4V1 I.................................................................................... of premises located at ...~..4P1........ 114d ....w~~tA~4dA........~1..Anla~1..... County Tax Map No. 1000 Section :4:.~R....... Block 5?..~ Lot No...A.A...... I....... pursuant to application dated ialm~ ,......Q..1 19.%2_1 and approved by the Building Inspector. Fee $.7....:.....J..... ala.Ll 3Je 1 ~ Building Inspector F Rev. 6/30/80 , Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT L 14"~,C 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, 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15 0, C ercial $15.00 Date .....5 ~ Z- New Construction.. ~9 ~ Old Or Pre-existing, /Building Location of Property.. J ~sS QaCet6? Hou a No. moo ~JdGL y ST /~7o K j t Hamlet a Q1EAj'T Onwer or Owners of Property ......ifA . County Tax Map No 1000, Section 4....... Block Lot. . Subdivision .......................Fi//led Map............ Lot...................... ?ermit No.. ..Date Of Permit .....°~~Cl Applicant '.lealth Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval tequest for: Temporary Certificate........... Final Certicate........... ree Submitted: C~a~796 APPLICANT.. COUNTY OF SUFFOLK ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HIBBERD. M.D.. M.P.H. COMMISSIONER NOTICE PRIVATE WELL The attached permit has been issued by the Suffolk County Department of Health Services for the premises shown with the utilization of a private well for drinking water supply. It has been determined through a comprehensive water analysis and/or the installation of treatment devices that the water quality of the well was within minimum New York State drinking water standards and/or guidelines at the time of approval. However, please note the following facts and recommendations regarding this well: 1. The WATER QUALITY of a private well is subject to change. 2. APPROVAL by the DEPARTMENT does NOT guarantee that the water quality will always meet drinking water standards. 3. The DEPARTMENT strongly recommends that the owner have a periodic comprehensive water analysis performed to monitor water quality to prevent the unknowing consumption of contaminated water. 4. Should water quality deterioration occur, it may be necessary that public water mains be extended, or treatment devices be installed for the water quality to be restored. Under provisions of the Suffolk County Sanitary Code, it is the responsibility of the owner/applicant to provide a copy of this Notice and Permit to the Buyer of the premises prior to sale or resale. WWM-056(Rev. 2) DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD. NN 11901-3397 BS2-2100 TEL. 765-1802 O OGy1 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 .Y cis TOWN HALL SOUTI10LD, N.Y. 11971 May 19, 1992 Ratsey Construction 207 Sixth Street Greenport, New York 11944 To Whom This May Concern, we are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy in not on file. /44 No Underwriters Certificate on file. The check is(outdated/not on file.) /Xt No Health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit II 2 0_ 4-2 1 _ Z Building Dept. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) SUFFVIA- TEL. 765-1802 o TOWN Or SOUTHOLD Lu2'•fi < OFFICE OF BUILDING INSPECTOR P.O. BOX 728 ~crs i r TOWN IIALL %DbO~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 2, Building Permit No. CV0 Lf Owner, eer•r.,4. cc 4~.> (please print)" PIu:~.ber 4// A) PlG-sv~s,~~ q~/ s r/0 C_ (please pri t)/~ ~ 2 certify that the solder used in the water supply system contains less than 2/10 of 1; lead. (plumbcr''s iynature) Sworn to beforo m- this J day of c\§~~,~y ~/J Notzry Public" 170tary Public,_ County CLAIRE I.OCEW No" ry N Stove 8~ Yak QueitHed in 48795 Suffolk Cou q ©on+pliseton E>q~iree Cecembxrz THE NEW YORK BOARD OF FIRE UNDERWRITERS Phu r119:111^ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 HAY 7. ii,t447 Application No.anfile 762821.92/12 P1 235 ~G Date 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 11GRR1'CI; CEPHAS, C/O KING ST. & DOUt3GA1 9T, f POLF,021, ORTENT, N.Y. in thefollowing location; © Basement M I.st Fl. E 2ad Fl. ONT Section Block Lot was examined on uAY 14't992 and found to be in compliance with the requirenIt ents of this Board. j FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS l OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMi K W. AMT KW PMF KW. AMi K.W. AMT H P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS SELL UNIT HEATERS M LTI ODUTSLET DIMMERS SYSTEM NO. OF FEET AMT. WATTS AMi. (W OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N P SERVICE DISCONNECT NO. Of S E R V I C E O METER 140, F CC COND. A. W. G. ry0, Of NI-lEG A W NO OF NEUTRALS A WO AMT. AMP TYPE EOUIp, 1 B 4W 1 q 3W 3 % 3W 3 $ 4W PER % OF CC COND OF HI-LEG OF NEUTRAL 1 jO Cf1 1 A 2(0 l 210 OTHER APPARATUS: PANNLBOAR1)SII-30 0 _R. 200 G.F.C.1:°4 SAGE & LAUNPIANN INC. L1C43638"N ~ P.O,Box 1768 _ 80UTH061'it NY, 11971 GENERAL MANAGER Per11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cre cnPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. PF IELD I;.'-S c7 0IN ~~DATE I, ~OCf tLNTS 1. K. m 0~ FOUNDATION I 3"? (1st) FOUNDATION] (2nd) 2. r - YG" _ ROUGH FRAME & e 11 Aog.~e~y -PLUMBING u~n~e All, 3. 3 ~ Q m INSULATION PER N. Y. m STATE ENERGY CODE _a m FINAL }}y- FF/l 4 DITIONAL COMMENTS: m " s~ .01f n • ch • x -V 'c b • H ..O Fl, e • M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: r~ DATE L INSPECTOR ;20 fey/ M-1802 BUILDING DEPT. INSPECTION [FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: . DATE ~r INSPECTOR ----7~-~-- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: L" DATE INSPECTOR /4a ~J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS:-&, DATE - INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ -J ROUGH PLBG. [ ] FOUNDATION 2ND [ Ill-NS LATION ~RAMING IN' AL REMARKS: 4 DATE a v INSPECTOR BO AFD OF HEALTH FORM NO. 1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT Curer TOWN HALL SEPTIC FORK . SOUTHOLD, N.Y. 11971 KB-LDG OFSOUTHOLD TEL.: 765-1302 NO, I F'f : CALL ~xamined~,..en , ~r.. 1911? MAIL T0: lpproved- `.t . , 199 ?r Permit No. . . l~ Disapproved a/c in, Inspector) APPLICATION FOR BUILDING PERMIT Date 2. 19F.Z" INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 As 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 call be ~ ept 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 call 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 wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or .egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, build' code, housing code, and regulations, and to imit authorized inspectors on premises and in building for necessary insp ions. (Sionptur applicant, or name, if~a corporation) (Mailing address of applicant) Tate whether applicant is owner, lessee,, agent, architect, engineer, general contractor, electrician, plumber or builder. ~i l?Ptt/i~ r~!~E'.. Lame of owner of premises G . e~y.!`5 . . . . ' (as on the tax roll or latest deed) f applicant is orporation, signature of duly authorized officer. (Na nd title of corpor<f'te officer) Builder's License No. . ...2 b . , , . Plumber's License No . Electrician's License No . Other Trade's License No . Location of land on which proposed work will be done.(`.'.. ~f ~ u U aM ~~ss . 11 se Numb r ~SSttreet Hamlet County Tax Map No. 10-00 Section Block ~ Lot ..Y. Z T.1, Subdivision/ e , / A . l xg: J , aw ~S - ~ Filed Map No . Lot / (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b, Intended use and occupancy &TAOC ?T/~!y~ . 3. Nature of work (check which applicable): New Building Addition . ; r . "Ad ra tet! Repair • • • • • • Remova . l • Demolition ~ ther Work . .s SIM (DescnRtion) 4. Estimated Cost • ~ ~(5 Fee : . garage, (to b1p pak:roff"faililjs;(his,,ay 'catiog~) S. If dwelling, number of dwellin un etc • ` ±t ar* ` ....3 g its Number of dwelling uriits.on sash ffoor . If number of cars , . • • • , , 6. If business, commercial or mixed occupancy, specify nature and extent of ea h type of use , . . 7 Height of existing stru Numbe'f any: Front .w?7. , , , . , , , , , , .Rear , Depth Dimensions of same structure with of Stories . . . . . . . . . . • , , , , • . alterations or additions: Front . . . . . . . . . . Rear . . . g Height . Number of Stories , . $ Heinhtsions of entire new construction: Front Rear ...............Depth , . Number of Stories . . 9. Size of lot: Front .j.......:. Rear .Depth Name of Former Owner 10. ate of Puhase Zone or used strict in which . . . . ses premi • - - 'd are situat e , 12. . Does proposed construction violate any zoning law, ordinance or regulation: , . 13. Will lot be regraded " " " " 14. Name of Owner of p • • • • . , , , , Will excess fill be removed from premises: Yes No Name of Architect i• • • • , , , , , . Address Phone No........ , , . ..........Address Phone No................ Name of Contractor remises • . . • • • . • • • Address Phone No......... , L5. 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. f APPROVED At NtFTE0 DATE: - FEE: 24L _ Lly, NOTIFY gk.hL.)INCi ort-,Aw,ro-irNT 10 765-1802 9 ANI T'f3 It ~P.A ~I3 U~2 TP9F e e 'P, y FOLt..OWiING Ue 4P' CI 1`.)`~~r pl~~~ t. FOUNDATION M!0' 0E(?I. MED FOR POURED CONCRETE 2. ROUGj-d . R/1R11lNf ku .'jLl1Mf3;NCa 3. INSULATION 4 FINAL. - CONST'RUCT~ON MUST BE COMPI-ETF FOR C.O. AL.I_ CONSTRUCTION yH~l_L MEET « THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION N ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY Oil USE IS UNLAWFUL WITHOUT GERTIEIO TATS OF F L~RK~ OF Q~,'(~UPAL~CY OUNTYO.,..C` • I ' ' ' ' ' ' ' ' , ' ' g{ • • • • • • • • , , being duly sworn, deposes and says that lie is the applicant (Name of individual sign• contract) )ove named. / c is the /J7`?~ ( ontractor, en corporate officer, etc.) said owner or owners, and is duly authorize orm 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 irk will be performed in the manner set forth in the application filed therewith. vorn to before me this dL.1~.~... Mary Public . . County -tw c1 tit . \ Notary P No' 48795066 Y S / / Qualified in Suffolk Cou 8 tw Commission Expires D®Cemer (Signat a of applicant) $OFF, Co' P NO, SAW 60 lo, o~ Jo III p I CONS \ Y~. s ts~ T ~ psi ~ . 00 a i i fmA~ ` 0 rn s r' is f S ke N O # C i3ld v Kg WIM m ,4 ro ' Fr f i N ~>qai~ ~z< IA (i s ! vt ~ arm P ~ m. And y A $~m 0 n ma 1 O O O C j m so so, fi~rr O -n Z I m '0 a ;b t r ro a c `t t A >V ~S m TI 6 Az, oo r N~ w ~ z T tl ~i C W d rn m t. 3 g} ro° t v µ < x M b ul p m In tityaq M y r s ~ ,~y2 ~ Nmrr issues/revisions. U) Q7 ~ yQo~ j W x,1401 ~ a Z O Oman 91NIIi C PAW U Is W J W H JD2$~ 41'wap ,m,r.~. ~ ~ Yq%Ff io,4i VAGANr 51,AG. ei. ~?5 I o muaui %Ek'i IC TANK K7N4 \ N Y TYP, FOR t~120Y~0~3t~f7 9'G1'TIC~i>'~.1~t~~ y YOR~ 45Y MAP &X r 1, d' a. vv, PL. p5. 3 W 41-1 Z 762, 5i N S ,1 i ! _ SEOWELG ~ O o z m W I ~v,~ h1A1DfZ~ /70/YI>, Z I i W a~ _ fnn?l§rr.Y ~ ~1 ~ p1°~ I ~A'2GYIN76lxl4/AV6~ ~ 19tavA/,ER /.YmtrRP~. W I mot. 1Y9rrrN W 1 ~ m N \ ~O ~ 7r!-AG11E6~ r~ ~ Z \ \ I Lei. e 1 NYEIA N - E ~ oQiENf N HAaaiaR, a . L!! ~ I M le a M R5. CnHAS W CA vlzi~NT, rF,~: s LLJ Z ~R V R X4'9°32'ooa, 965, 55 H 1 - - 965, 55 Q project title. dLOiNa2V /h9N 170U4LA~ih r~/f~E~T, I - Ga/1f611 Mg7Lr• V r40USr-, 2EIACAT10fy LLI drawing title. V S Q gi-r~ 1°LAN 1 ' O 9r~ypv~~ N Y. nafefl MgrrS, r99o V~2 Z ~ AfWZe 9h~x/A~r~ yo Micyq r{ ftr#,9w N, Y, O date. scale. D ,WJ 00C/G 60, rr+x R/A-~17ATA /000.O&P 1127, 92. 7,l s 4J Q m Issue. I W drawing no. I - L Bqo 341 p'E ref. no. OF NO ii I I NASBAb SurFO k BL[IEORINYINO 10 - - ' " - . 92P4 issues/revisions. N.A fZl I"o'I-`I? cnra!~ts iYli~ier~~l~ai4, Y` ¦ _ Im ti rl N W Z O a W J W H d' ~r~ ~ir+Ner~ronn'e - ri rl I T~TOhU= ~,,,~a ~ = I I = ~ 1 O I - - rlPorrri~ u,uO LAL'e: AWIid 3 ',v- Y. -~tF n.na i11 W Z ' ~ 2K6GL.~~/5fg ~ -Plz ir.>?nnrrrJc ,i~ ~ ~ ~rre~ eAe:H sa n ~ _ w~ erwo .ii~ nANrJ. .u I a-G'p o " ~m"u.pr NaW p°w" 41 _ H GULLY fXiIPrn/4. 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IlK'CV10~ o(.NiAtFi IN 1~r of4lrrr_PMGMIOIJ WALL TO FlP{Tw fOC 16rIFGRfV-'Y G~IRGC" t Fofz -rvANVjFoFT of LCcA-Fia l GF FV~-KFT~j To 0E ~')([{J~f~IA{F17 Nl~ il-{ OCO i ~ I d"1N tbNG hCAFi m Hcb:<- MoVO9, ToP,e FILL v wl1'H IAFlG. I01.<rac L, :l l:.t~-IP/nL <Y<il Rfn'a'°~. _ Iv ~ dY626MM/noul Y UN fJP IDF" GF f'L=i( GILOr?o PJG PI.DJIrnaJ W/P~ATT IN=r74~VRON (2-111) , HI, Df i'PP-CTi P-~EDcm "y,-CL6Iv, N L^pl~~ i:.?1'11rh I~QhaG d j ~ ~ _'-!'ii'N-rrE; r:r~p rrc,.)~ ~ DN Ir~'t Hya~nNyS,l 0 ~ boULtLA~f ~"~KFCT~ I 4J o21~N"f N. LIJ i~ III Z - - l - - - - - - -Y -I U- ALI I' CI' JI III TCn.a7VOkF Gi~ocR ~ I L_~b"i - ~ Y ~ P Q project title. G l2'~l7/R Gi0ND1tl/L'E _ A 1- . T-4 a ~ W` r I-- drawing title. w a ~aoHa~»o,~ y~AN, GOUN/76I110N /~GAN M O date. C scale. LMII, m issue. W drawing no. F'l@RCD Fl%pC~~ f A, UJ r ~L 1630.1 py' Y~ O d OF NEq~-i ~ ref. no. L6 ~IZOIG NASSAU SUFFOLK SLUEPPINTING I issues/revisions. N U) ti Q7 ti ti et GC LO W Z O 2 i d W J W H iII I i d' rl 1 - - it rl m CC O iGrpier? - -New ~i~~n>eN/ aN/ 7r+dv~ilia~ l~b2o~H~~ 3 W Z ~ a N F- - O a z W W Z W D lhau /LM• r/,v, 01 Ice F- W i W fi H N H - Z ,q v O/y j 1= L~. I f N - - - - - - - - - - v, N n p web2 ~Y% .d N NIZk t7 C~rgth XleNr N, Yr r o J. ~ v W y 4 spq'y N1 1 Y T cc W Z w~ y;i~rH i a~ I AIPV R hj LAJ Protect title. c,.ni`e, s - f 18 UxoE11NIMiBIt~1VIW1E =re: !,h NOV a+~4 N -ter - 9 NGFIFv r, 765 1V Rfnir3lrar. .yr F FIOD,-`-- l/tX/5& 1f6C~9G~~/0/?• e?~Pdi ,a 76518W 7651802 4nq; r PLUMBING FOLl 014" T' F it-le O V UotvsNa;a,_ W 7. V'QUPiil•+i(ei; i"b4't) YP!)Ulh`EPi ALL PLUMBING WASTE FOO N't FOa POI!RC6 "DAICRFiF C//~UNh ~000/Z ~GFI N, ("EjC/5f7N~ ~ ~q KOePPk fubin0 Is used & WATER LINES NEED FOR PC) 'Z//~~q 1V I moll r'C<IiY,(cw5 dlaVibuting TESTING BEFORE COVERING 2 root;;, 2 ROJri4 bn •r,•. _ eMtan; P P ng shall be r' 3 in-'I Z drawing title. atYPM_Korlonly t;c ~w /11 OCCUPARc,", ruf r,rril. if_ Prrtuc;r;.tCar rHE Ivv_ Q hODG1%Glfipl,o, USE IS m" d.;4;,") ro Pq~~t r@h151°itJlIP1R1J ft, ENERC'r ~ WITHOUT CE~'uIBir:.~ise m~- '0")ES, qnr' ?FSPONSIui.E FOR Z PLUMBERCERTLFLCAT(ON FS!G OH ErFS!GPil (yld Cg1VS,i 4tjf'Yit)jy FNROftb: ONLEADCONTENT BEFO,:':= OF OCCUI'4IfJ;9.;!/ CERTIFICATE OF OCCUPAii:. , 3 date scale. ~/'/2'C/2 Nldlr0° SOLDER USED IN WATER SUPPLYSYSTEM CANiJ;" m issue. EXCEED 2110 OF I% LE, W drawing no. To the of my knovdlpdge, bpfi 1, ind t't 'Ind lie e '?a tiBkia -a~¢r,q!-, ,F~/" oaf `O~ ~A r Q ~j O 9~ `r6;~ / Yr - < OF Nk ~N ref no, L6 NASSAU SUFFOLK BLUEPRINTING issues/revisions. N L!~ ti Q! ti ti d' iC LM W Z O d W J W I N Q7 ri I ~ O CI i II 7!i - 3 W Z I F~ d. W W rI W W7 G W W 0.' H N Z O Li - N N client/owner. rl N u9 MK ~ N4 LV pNR/ ~I G or~~rrr, N'1. m II N - fnLlh,1JNG /~/EAI10o~ m W Z I C3 H Q project title, ~I H l~tvh~ IZ~GOc~rliorl, I - C9 W Eivy/i 'NviN9 H drawing title. I V Ev/~IN9/N5~[ATinM - 6,016APOr151 ¢ 6~,c-610N- a )N EX1wo/r mu&- ' I z New a-Hamr INCO? 3 date. scale. ,iP/W6~Y E?ISpNG JbI 5l I NEW F7R5EM6N1: - - m issue. m F A I 9 fi4 ovreEV EYt lyaa5 /Aifff# CpNI/tb'fE~eruVr~armH - drawing no. ~ m?d~Wn t "ED AR,, W C~+~f' S I. B H? 2 mMM pout, 4H?N ta%fNbG'~G~ ere&6MHyDGM NASSAU SUFFOLK BLUEPRINTING MW ,9r 163 Op'k'. Yr FN EN' ref, no. I I