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HomeMy WebLinkAbout21145-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22592 Date SEPTEMBER 16, 1993 THIS CERTIFIES that the building ADDITION Location of Property 925 FIRST STREET NEW SUFFOLK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 8 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1992 pursuant to which Building Permit No. 21145-Z dated DECEMBER 15, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CARL AVENT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #2421 - NNE 1 1993 PLUMBERS CERTIFICATION DATED JULY 26, 1993 - RBT. BUGDIN PLUMB. & HEAT. Building Inspector Rev. 1/81 Foam NO. f 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) N 2N9 21145Z Date ...~s" 19.x? Permission is hereby gr ted®tOO:O n/ - q ` ll~.. ` ! ...j.., to at Premises located of ~e~1J^ County Tax Map No. 1000 Section ..../.17.......... Block Lot No. pursuant to application dated /7 19..2 and approved by the i Building Inspector. ~O Fee 3..~.7..!...yl~.. Bui ng Inspector i i Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD" BUILDING DEPARTMENT TOWN HALL a~ c i6s-lsoz FP ! 41993 APPLICATION FOR CERTIFICATE OF OCCUP NCY+~V'i~~~ D,'~ti':.! s 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 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 $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 $15.00,/ Commercial $15.00 DatejLpf .9.~. ' New Construction............. Old Or Pre-existing" Building Location of Property... ........1> i:l~¢ r~?l House No. Street I Hamlet Onwer or Owners of Property. .~~,I,,,Il P7Y County Tax Map No 1000, Section..... 1.? ..Block..... o . ......Lot....! . Subdivision ....................................Filed Map............ Lot...................... Permit No., ,J r I I1 .~~~.Y~~...Date Of Permit. .~.'~'lIS.~J.~:..Applicant,C~+-,I:Je~,.i1C~:prs, health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $.a S o n nT ^ 9 . L Qkr 4D r, . v•~~ f APPLICANT co aasq p--/ INSPECTORS SCOTT L. HARRIS, Supervisor en r z Southold Town Hall Thomas Fisher Building Inspector P.O. Box 1179, 53095 Main Road Gar Fish Southold, New York 11971 Building Inspector Fax (516) 765-1823 Telephone (516) 765-1800 Robert Fisher" Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR " Telephone (516) 765-1802 TOWN OF SOUTHOLD; C E It T I F I C A T I O N - DATE: Building Permit No. Owner: (please print) Plumber: /~e !~'72T l3c~Gl>/N P6$G-y 5~7 q (please print) I certify that the solder used in the water supply system contains less than 2/10 of 11 lead. (Plumbers Signature) Sworn to before me this day of 19 y~. Notary Public, County FONCES Fats-r_owwszt C. _ 402ARY PUBLIC, State of New Yab Notary Public No. 4709862 Qualified in Suffolk Cowrfy . Sb y/~ mminion expires -7 w*t.. 0 3 g '14 -11 9 > v y N ~o y VI N (jJ p (p L -1 C% m y ) & .4 (D co -0 CD MO 3 Ot GI btl C y m ~ f 'a HJ 0 M (a m !v W • N m 7 -Ow co o rb ~ ° ; N w a pmt I • x to y~ mQQ N M " ° ) ~ 3E f f w 4 a m m ~ to ~ y N rD D ~ ° > pq x w i d ~ N 1 •0 w r. 1 m H Ng D N G w r N 0 Z l B° x y oM h+~ n Bo T 7 cp_ : C+ = 3 V~ 00 D c o g M 3 'a n a G) z -4 m ' Z o_ v m c mD x r m , C = _ ) x .-1 C) o p n m ~ Z 3 B° y 4f x m Z Z •O ) p M = B m m I N ° m = b co ; s c C A c i m T (D B rm f9 w h) B° m N N y O to S 0 m M w in (D m is: a > CD i = °°tl I ` n m ' c a s m ' Im, g o! N 1~ C w-. y a C N o o' S2 0 CL z y m m m i _ I o w f y m m 3 7 s m to v -n m ; m m m 0 0 0 0 0 0 M0 R,00 .q y0 ~y0~ 0 0 R.04 A A0 /y0 /o y"'b to o CG'..)1 Y I ~:1;J.F 4~~7 INSPECTORS r . , Victor Lessard Tti1, ^ +Y ,a Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector a yr` Thomas Fisher k i; l„;M1, aY Southold Town Hall Building Inspecto P.O. Box 1179, 53095 Main Road Southold, New York 11971 Gary Fish Building Inspector s 9' Fax (516) 765-1823 J' zG~ Telephone(516)765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JULY 20, 1993 SID BEEBE s SONS P. 0. BOX 979 CUTCHOGUE, NY 11935 RE: CARL AVENT To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: %x% An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. x%x The check is not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. %BX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21145-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: CARL AVENT -Ilk H OUiIDATION ( 13t) OUNDATION (2n d~ ,OUCH FRAME & I ° -PLUMBING k\" m n :IISULATIOII PER N. Y. y STATE ENERGY I a~ CODE I . I r FINAL ADDITIONAL COMMENTS: s • A H ' O O -v H NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART a COMPLIANCE FORM THERMAL BA'T'ING METFiul) ONE AND TWO FAMILY BUILDINGs building address ACNM-Er:5 C3ross floor area (~72 Figa S ~ r Number of stories u.) SvFt i( Kif Ai?AA- ah~ Degree clays ooo Contractor, Architoc or Engineer-_--- I"(ar~ Z74;, C-leiro,e-o A evu-k Ci~v'+'~Lc1~1 ref,`(, r(q7( If tho buliding dons not 111001 tiro following pre-yualifylng conditlons, part G of tho Energy Code may riot be used. YES NO X - 13ullding I. ono or two fatnfly residenlial. - 13WHIIIg Is dolnchnd• x-- 1311ilding I.5 loss than 5,000 gross s(ItIme feel. - f3ullrlinq Is Ihreo rlmlos or Inns In holghl. -x Fnnnnco doors to hnvo cotllliod a valtin of.40 or Ir^s i GENENAL NO I ES: All Insufatlon to meet or exceed NYS Code: A. Walls - R -18 13. Boof - R -19 C. Floor - n - 19 "rtacst.o All doors rind winnows to rnnot coffn tefµdlernerris for air infiltmllon. FIrepiace to confotnr to code for flesh nlr & air Infiltration reyulroments. I IVAG syslom to conform to code toyuirements. TOTAL THERMAL RATING The total 'T hennas rlaling for this building design Is •i4-S _ 'I he workshoel that developed this Thermal Bnung Is attached. A thermal Baling of zero or greater Indicales that the building envelope cornplios wllh the Energy Code. SUMMARY OF TOTAL THERMAL RATING If the Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope complies with the Energy Code. THERMAL TABLE AREA U-VALUE RATING USED A. ROOF/CEILING "1 SF yS2 -4- (9_3 B. NET WALLS 6S3 5F 109z- - +-71' ~2 C. GLAZING Windows (1 st Fir) 43-; 5F, , '33 - Z Z Windows (2nd Fir) CIA Skylights D. FLOORS/WALLS/SLABS 1. FLOORS 2. BASEMENT/CELLAR WALLS Wall Perimeter Feet Exposure Above Grade Feet Wall U-Value Depth of Wall U-Value Inches Below Grade 3. SLAB INSULATION Slab Perimeter Feet Insulation R-Value E. INFILTRATION CONTROL Conditioned Floor Area Sq. Ft. TOTAL TfiERMAL RATING + 4S 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [SULATION [ ] FRAMING [ FINAL REMARKS: 14, 4 F t DATE INSPECTOR pp7V5 M-1802 BUILDING DEPT. INSPECTION ( ) FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ( INSULATION FRAMING [ FINAL f~ REMARKS: f DATE 21 INSPECTOR 4 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [v] ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION [ FRAMING [ ] FINAL REMARKS: r E i DATE INSPECTORu 7"-1802 BUILDING DEPT. INSPECTION [ ] F DATION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION FRAMING [ ] FINAL REMARKS: I f A DATE ? INSPECTOR d c 765.1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ]INS TION [ ] FRAMING [ INAL REMARKS: DATE INSPECTOR C BOARD OF HEALTH FORM N0.1 3 SETS OF PLANS DEC _ 7 I992 TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM eCaW NP!~ ~ :()49i'FiOLD SOUTHOLD, N.Y. 11971 TEL.. 765-1802 NOTIFY: _ Examincd~~. S~ 19. CALL 7 . ' HAIL T0: Approved 19&Permit Disapproved a/c • (Bu' ing Ins ctor) APPLICATION FOR BUILDING PERMIT Date ....Y......7...., 19 INSTRUCTIONS l: This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets o 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 hall 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 hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or to°ulations, 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, building code, housing code, and regulations, and to .dmit authorized inspectors on premises and in building for necessary. inspe tions. (Signature of applicant, or name, if a corporation) 46Y ? (Mailing address of ap icant) 6r93S state whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 7 ~1~ v6 Z iniI4Tve. . dame of owner of premises .02 W S.:"i,/ ~ (as on the tax roll or latest deed) f ap licant is a corporation, signature of duly authorized officer. . Name and title o rporate officer) Builder's License No. Plumber's License No . Electrician's License No . Other Trade's License No . Location of land on which proposed work will be done . ,4 , /~A?~r2sti .,~~e al ~iFF House Numb r Street Hamlet County Tax Map No. 1000 Section .....117......... Block ....O.'........... Lot 1.lv. Subdivision 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 7--• , , , , , , , , , , , • , . • , ~~p~~;,/_ti.,_:_.:_:~,,,,~e ~t 6We'=Lz~t,p+~, ~ > J,P.~-~.~ , b. Intended use and occupancy /~Bt~7pnle~/~ ~vS~~Pit/C, 0!~ • frli~, ~Qy_ L=~y;T _ ,.E. . 3. Nature of work (check which applicable): New Building • • • • • ._A iition Alteration Repair vat Demolition Other Work S ~a (Description) 4. Estimated Cast... Fee...................................... d, number of dwelling u (to be paid on filing this application) 5. If dwellin° g nits . , .....X , . , , , , , 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 . . structures, if any: Front Rear Depth 7 HeiShtsion.... f'(4 of ..exi..sting. Number of Stories .....'Z , , , , Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . Rear.................. Depth Height . . . . Number of Stories ) 8. Dimensions of entire new c nst Number of .SFront , 1• • • • • Rear Depth* )(*a . r,Z b 9. Size of lot: Front . Rear 10. Date of Purchase Depth premises Naje of Former Owner 1 21. . Z Does one or use district in which violate are situated , , • , , , , , , , , , , • , • , , , proposed to any zoning law, ordinance or regulation: .......1* . 13, Will lot be regraded Will excess fill be removed from premises: a No 14. Name of Owner of prem~~is$e_s L Addr'ss dell). 6~r~!t L , ,phone No.. Name of Architect jY1R tit~l Addr ss Phone No. . Name of Contractor Addr ss`3o>G..`l~~. 4. . Phone No. 15. Is this property within 00 feet of a tidal we land? *Yes No *l Ype, Southold 3own 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 accor mg to deed, and show street names and indicate whether interior or corner lot. i I I ;TATE OF N YO / OoN.Y OFb.l S. S1 ....M~eC . (Name of individual signing • • • • . being duly sworn, deposes and says that he is the applicant contract) oove named. r c is the . (Contractor, agent, co~porate officer, etc,) said owner or owners, and is duly au ' thorized to perform or h ve performed the said work and to make and file this )Placation; that all statements contained in this application are tmo to the best of his knowledge and belief; and that the ork will be performed in the manner set, forth in the application filed therewith. vom to before me this ....day of 19 Mary P lie, County CLAIRE L OLEW Notary Public, Stets of New York 4 r' f ~7/~ tS-~i ct- No.4878606 Qualified in Suffolk Coun (Signature of applicant) Commission Expires December ~,191f + I I 13. IT IS SUGG STEP THAT A CONSTRUCTION SUOOET GENERAL N01 ES 8. DO NOT SCALE DRAWINGS. CONTINGENCY OF FIVE (5) PERCENT BE ALLOTTED TO ACCOUNT FOR INEVITABLE ERRORS AND OMISSIONS. 1. ALL WORK MATERIAL, AND EQUIPMENT SHALL BE IN ACCORDANCE WITH THE NEW YORK STATE UNIFORM BUILDING 9. DESIGN CONSULTANTS OR RECORD ARCHITECT•ENGINEER ARE NOT RESPONSIBLE FOR THE INSPECTION, SUPERVISION, OR 14. ELECTRICAL AND MECHANICAL COMPONENTS TO BE DESIGNED CODE, AND THE NEW YORK STATE ENERGY CONSERVATION ADMINISTRATION OF THIS CONSTRUCTION PROJECT. AND SPECIFIED BY OTHERS. CODE, AND LOCAL AUTHORITIES. 2. ALL CONCRETE SHALL BE STONE AGGREGATE WITH A MINIMUM 10. THIS DRAWING IS AN INSTRUMENT PREPARED TO FACIUTATE CONSTRUCTION AND SHALL NOT BE CONSTRUED AS A 16. ALL STRUCTURAL STEEL TO BE ASTM A38 WITH ONE COAT EPOXY PAINT.' ALL FASTENERS TO BE ASTM'A-325 BOLTS, 3/4' 28 DAY STRENGTH OF 3000 PSI CONTRACT BETWEEN BUILDER AND OWNER. DIAMETER. 3. ALL LUMBER SHALL BE OF STRUCTURAL GRADE R2 OR BETTER, 11. SEWAGE DISPOSAL SYSTEM AND FRESH WATER SUPPLY SHALL BE DESIGNED AND BUILT IN ACCORDANCE WITH THE SUFFOLK 16. CONTRACTOR SMALL OBTAIN ALL PERMITS AND INSURANCE NBOESSARY TO PROTECT THE ENGINEER AND IOWNER. DOUGLAS FIR - LARCH. COUNTY DEPARTMENT OF HEALTH. Fb - 1450 PSI 17. DO NOT BACKFU A"T FOUNDATION WALLS WNTIL FLOOR E -1,700,000 PSI 12. THIS STRUCTURE HAS BEEN DESIGNEP IN ACCORDANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE. SYWISM' UiSITA4NT14N"I ;GGNPL~'1'E.. l . 4. PROVIDE DOUBLE HEADERS AND TRIMMERS AT ALL STAIR AND FLOOR OPENINGS, POSTS AND PARALLEL PARTITIONS. N ,r/ ~JO S. BRIDGING TO BE PROVIDED FOR ALL JOISTS AND FLOOR BEAMS. N S~ -131-00 E lol SPACING NOT TO EXDEED 8,0 FT. S. ALL DIME"IONS'AND GRADE OONDI'AONS TO BE VERIFIED BY CONTRACTOR($) PRIOR TO START OF CONSTRUCTION AND ~v ro ORDERING OF MA RIAL5. THIS FOUNDATION HAS BEEN DESIGNED FOR A SO BEARING CAPACITY OF TWO (2) TSF AND 3 27,5 GRADES LESS. THAN E%. CONTRACTOR SHALL VERIFY THAT THESE CONDITIONS ARE MET. ALL FILL BENEATH CONCRETE p 3$~~0 p SLABS TO BE COMPACTED TO 95% RELATIVE DENSITY. -~ry.~PU SEn 1 STky 'N I - 7. ALL HEADERS 4,0 FT IN LENGTH AND OVER TO BE SUPPORTED IeNP9 tjiAHE BY DOUBLE UPRIGHTS, 9.0 FT AND OVER BY TRIPLE UPRIGHTS. Amipeu ~ I - v z1'-tou 4' ALL DRAW A ERS TO BE MINIMUM OF 2.2x8 OR AS SHOWN ON ZI _111(+) o' FYI ST, P st / I° _ _ Lo 2cm,v En 2Vi 1J ~I L E,tu7xl. EtiI.T yn. w, ? y E - 4 v. c. SV s Wl 'L'A r. I W12R i_ I I I 6a NT RiOCaL ~ i a F° I CTM VIC m.) 3=zx5 Hoe I., 'E,!( EuIS(1 r Sy o I Palt<H iol-o (2 n swr PAY O'S FLttoof {{II 1fo-1111 ~ 13,~1n PRa.VIOG FM1.R'CIUUE ~ rJ,' L FTical e 1=S wl/ 'P YET' R'+ cu nG ".RACLRn- o,r-m TEcu 4u ASPH4t,T SHIn14l.Gf o N Cv+Atr-9'S STuo L rF..o sN _ ~ cvuNes<pcN _ a~~ I _ _ s'NR_.f' T4PI[Ab) i, L;~ ~Iz lsgr. e.u. .w.,r.cT,.Hf y U'}19C/,l~ _ 09 F, 'PSA44~ 1 sl r B n7 Eyz~b LA U.Y ce~u,MN cwraacTZrz TL U O K - - N „ dN 2 G K Z- K I_u I/AJbLIi%N E,rI~TPe~~ ~ ~ ~ calNVEy+F~,n,~x, (IT, k l~ c=uL saPFIT rr+vrcza 4,~ue¢r~ As eca~lrcn vwT (TIP) STkEcT is used - ravTn a. C w, w ) uW t FIgsT sPkECT 11 COPPer tubinp u ~I 1~ 4 tIZ" StIECT track au 'q I. for Wete t dn9 hell be l« systgrn, TI~F`~ 9 I y '12" FlCr, PLYwo.u' O° Of types K or L onld - _ =m - 6HLATH N' ,"I Et; "MO, b L +q'IOING mMAjrn Ccnj-' R-49 5~8~ P4.y wwe ~ lDP FI Floclz I Y+b R.wlt ~ R'T 4'G~".'{T¢'Y4'' #Q FEEAIx nowE,.f USE IS UNUt "FUL a IZ 'ac. - z4' V PLUMBING - _ /I ~e.Wm Crr~un~l taro" qr A" Wd 40K " rill/ ~n ALL PLUMBING WASTE ¢2'- o & WATER LINES NEED - ~ER F4 4RerrP && CIA Sly-C SE4oFJl1 TESTING BEFORE COVERING A'up~W~af { 1`IEYE,S (6ouNVjS TR4zE _ '1EP.MTC SH'6'o rpu'~VjS TA4ifu.l FYZnVI 2~o KLO Fvle A ',If 2prSrI vAN 744L w.c SLAS ~a wTcn I VUN ~9 1 `NV Y~ L 112°AUU+o26p''T$ e ~+IZJ6Y 13Y 20l".'6Y(IGk- 1 'j 4-'-o.,..(T-0iC L) ,JgTE7 Na..Pc.WC=~K { a..Pc.W6PK +B, I'D° L su11P ~,iPG r/,nc •I. N r-~.~1 I G - wA1Elx PpctlFl,J4 A I 1 LTO'luc) AP ED AS NOTTEED~ !L PLUMBER CERTIFICATION DATE:42 =2 B.R # ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY i NOTIFY BUILDING DEPART NT AT I( 765-1502 9 AM TO 4 PM FOR THE I SOLDER USED IN WATER - -zsS FOLLOWING INSPECTIONS" Pm9,.x. 3 -#S 2fasnnS SUPPLYSYSTEM CANNOT 1 cw.l< Is-zss 1. FOUNDATION - TWO REQUIRED EXCEED 2110 of 1% LEAD. f - FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING CA I/4" - 1 0ll - + - _ II '-j ,~1~~~ I - O it R 2 3. INSULATION -e 4 FINAL - CONSTRUCTION MUST yyy ( BE COMPLETE FOR C.O .4-1 1 -,8!:wgAtL ALL CONSTRUCTION SHALL MEET ut_ N p~THE REQUIREMENTS OF THE N.V. STATE CONSTRUCTION & ENERGY - - 0 4n - - - CODES. NOT RESPONSIBLE FOR GRiLIJEj I N ti DESIGN OR CONSTRUCTION ERRORS _ 'L~lo c 3- 2Y It RIG4G FFA { I w f R,G4G 6Fi1M O (3)- Z-1, 2 or IC~.6/JCl u v~ alISLL 1° ur Z'1~1q'I, . t f4" w LVL SHINGI.-F-S 1'U HAMO $ 1'tr HA[Ltl 0 M N 1 1 ~ ~ I W ~ ocns,nn ~ I~ cAnrswc;e~'c. Y I ~ 1 iIi ~ 25-ZYS ~ ~ GI(15'TlAftir ~i G19S_-3---_. - - ~,Vt D 4,q MF~ l-ooV2 P Ar MZ AN y~~6v IN Scy` IR Z m l/41 , I -o Au, WINUaJi INY~IGpTEb A nIU 71L-~ A4C Y AIJDTLVZ,S'EN Z,D, NVAd6FJZSM - OEGEMEim 3, t` Nuwt6E12.Syr 022339 {0 OF NF v M. R C.,'y..A- T f- C T :METER S, ivlj7- ,5~~lEN'~ 21:`"slr?En1C~` ~1JT~ I L V A'jI o N \IV6ST FIOe Q g~ ` nH'GI _ NCw SuFFat-Y. FLAtj I f_AjgrA'T)oNS ` SC'cviaN ' Cgmoiet~7et - Ihdwhlal 275CI ~a (~JAVAQ4F " .dt'M11" .A r, 41 ~uilu;old`, Hew YoNi r+1~1 ie'~ 1 a~ i