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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 9-23236 Date SEPTEMBER 19, 1994
THIS CERTIFIES that the building ADDITION AND ALTERATIONS
Location of Property 1750 BEEBE DRIVE CUTCHOGUE, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 3 Lot 5.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 7, 1992 pursuant to which
Building Permit No. 20827-Z dated JULY 14, 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 A SECOND STORY ADDITION & ALTERATIONS TO A ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to BARBARA BEANEY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N284601 & N284602 JULY 30, 1993
PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING SEPTEMER 2, 199
A 4 x4z
f
/Plilding Inspector
Rev. 1/81
FORK NO. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
F
COMPLETION OF THE WORK AUTHORIZED)
NM zoszzz Date 1. J..q 19.9.2-
. ,
Permission is hereby granted to:
~:.....!!.q..3.~.
.T....q. /.~.V.~?d M:1..... v .1
to .5. ...0..... ^!4~....:.o.!E!'` -1....4 t~"tl.1-- t.b....
I ~ 1 111 .
j ..`.:5..... .7.. ne ~,.....~!r.:4... e(Q
at premises located at 5......1'4." " p ...~i.... C'- t^L-e.
,f
t ~l
~...i3~. ~
County Tax Map No. 1000 Section bo..,3 Block ;?.3....... Lot No...,5..:... I............
pursuant to application dated 191-1-1 and approved by the
Building Inspector. `
i
Fee S•dl
• G!r
uilding Inspector
i
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
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,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-O 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 $t151.i00, Commercial $15.00
Date
New Construction........... Old Or Pre-existing Building
°
Location of Property. ~7Jd.. OJ5..Rnive Qigvc,14L9&tl6
House No. A, Street Hamlet
Onwer or Owners of Property. .'ZK A.-_ A , B.e ftk.4 . .
County Tax Map No 1000, Section. e 00..... Block. .0. 1.0.42......Lot..(M? 4.0.i.........
Subdivision ...pp....yy .............................Filed Map............ Lot......................
Permit No.VUc~aJ Z ...Date Of Permit ................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted:
a.~
APPLICANT
U ,+s~
INSPECTORS
Victor Lessard $QFFOjk
Principal Building Inspector OHO COG
Curtis Horton %A SCOTT L. HARRIS, Supervisor
Senior Building Inspector r°n Z Southold Town Hall
Thomas Fisher u- P.O. Box 1179, 53095 Main Road
Building Inspector •
?o Southold, New York 11971
Gary Fish Building Inspector Fax (516) 765-1823
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
Sept. 9, 1993
Ms. Barbara Beaney
Fruit Ledge Road
Brookville, N.Y. 11545
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.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 20827-Z (ADD&ALT)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
r
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAre 1
r1001389 BUREAU OF ELECTRICITY
I 85 JOHN STREET. NEW YORK, NEW YORK 10038
Date `111by 30,093 Application No. on file 6113 3~~3 16L1 fr G3 k'
THIS CERTIFIES THAT
only the electrical equipment" described below and introduced by the applicant named on the above application number in the premises of
LRUCE R BARBARA Blium' 9.750 RC1Fi Bhi; b1RIVFIE CEI9'CBQm, TV.Y.
in the following location; ? Basement ® Ist Fl. ? 2nd Fl. Section ;103 Bloc,03 Lot 5001
was examined on J 11 L Y 2 7 , 1.9 9 3 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTAGLES SWITCHES FIXTURES RANGES COOKINGDECKS OVENS 11 DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FIUORESCENT OTHER AMT K W. AMT K W PMT K.W. AMT K.W AML H.P
2. I
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS SELL UNITHEATERS MULTI-OUTLET DIMMERS
AMT. K.W. Oll H. P GAS H. P. AMT NO P. W. G AML AMP AMi AMPS TRANS. AMi H A SYSTEMS pMT. WATi3
NO. OF
FEET
SERVICE DISCONNECT NO. OF S E R V I C E
AMT "P. I TYPE METER 1-92W11 % 3W130 3W 3,9 dW NO. OF CC COND & W. G NO. OF HI-LEG A W' G NO OF NEUTRALS A. W G.
EQUIP. PER % OF CC C ND OF N, LEG OF NEUTRAL
OTHER APPARATUS:
KITCHEN E1 IC1914CY iRJIT 11,25KP1-1
ELEC, WATER iMATEM; I-?.5 R.M.
I
! ftAJES?'If: 11[,EC'l'RIC CORP. LIC,ik3il4@F,
857 LINCOLN AVE
80HEHIAK, NY, 11716 GENERAL MANAGER
11 y. 1'
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.
K
THE NEW YORK BOARD OF FIRE UNDERWRITERS 7 7
r1001,31}9 BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK, NEW YORK 10038
Date JVLY 30,1.99:3 Application No. on file 78974892142 N 2W14f'~01,
THIS CERTIFIES THAT
only the electrical equipment" described below and introduced by the applicant named on the above application number in the premises of
BRUCE & BARBARA BRAN8V, 1750 BE98F18 DR.,, CUTCHOGUN, N.Y.
in thefollowing location; M Basement LX Is( FL IV 2nd Fl. GAR/ATTIC/OUT .Sectionl,0.4 Bloc/03 Lot 5001
was examined on J111 Y 2 7 , 19 9 1 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS RECEPTACLES !t DESCENT FLUORESCENT OTHER T. K W AMT K. W PMT K W. AMT K. W AMT. H. P.
33 20 34 3 ! B.6 t 121 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS DEU UNIT HEATERS MULTI-OUTLET DIMMERS
AMT K W. OIL H. P GAS HP AMT. NO A. W. G AMT. AMP AMT. AMPS. TRANS. AMT H. P NO. SYSTEMS
FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V 1 C E
AMT AMP. TYPE METER 1 .0 IIW 10 JW 3.e SW 3,F' dW NO. OF CC COND. A W G. NO OF HbLEG A W E NO OF NEUTRALS A' W TR
EQUIP, PER % OF CC. COND OF HbLG Of NEUTRAL
OTHER APPARATUS:
NOTORSi;6 F II.P,
G. P, C. TI-9
.SMOKE; DFT1XT0R; - 2
TRACK L1'GNT1N(}1-24
hIAJ'fIL'9'1:C EC,f'CTRTC CQRR, LTC.#30408
857 L'LNCQLN AVE
BONSRTAr, NY, 11716 GENERAL MANAGER
11 V
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.
~p TEL, 76-3,1802
Y G~`` c C J;
TOWN OF SfjUTHOLk9
OFFICE Or BUILDIING INSPECTOR
29
r' ? hl"" -c TOWN 1-:,'.LL SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date
Building Permit No<
Owner_ En r- kAra S (please print
~ P / , L- SEP 16 1994
Pluma2r f [ y /nl /0,4 y, hq b'
(pl ase print) ? rJ
I certify that the solder used in the water supply system
contains less than 2!10 of 1% lead.
ate,
(plumber' signature)
Sworn to before me this
afl-d day of
1911- / Rotary Public
Nota°_, PvV'_ic, County
MELISSA ECKFIARDT
Notary Public, Slate of New York
No.4995913 • Suffolk
Term Expires May 4,19
VgsaFFOL/(
Town Hall, 53095 Main Road °y Z Fax (516) 765-1823
P. 0. Box 1179 W .F Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 24, 1994
Ms. Barbara A. Beaney
Fruitledge Road
Brookville, N.Y. 11545
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 is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (outdated/not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 20827-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
~~O~~gpFFO(,~~oGy
Town Hall, 53095 Main Road y x Fax (516) 765-1823
P. O. Box 1179 W- ' Telephone (516) 765-1802
Southold, New York 11971 .y~ol dap!
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 21, 1994
Ms. Barbara Beaney
Fruit Ledge Road
Brookville, N.Y. 11545
Re: Building Permit #20827-Z (ADD & ALT)
Premises: 1750 Beebe Drive, Cutchogue, N.Y.
Suff. Co. Tax Map #1000- 103-3-5.1
Ms. Beaney:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
A final inspection was made on August 27, 1993 and was
okayed for CO. A Plumbers Certificate and application for CO,
enclosed herewith is required. Please submit both documents to
this office along with your check in the amount of $25.00 so
that we can issue the Certificate of Occupancy.
According to the code of the Town of Southold, it is
unlawful to occupy or use said structure until the Certificate
of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
encls.
765-1802
BUILDING DEPT..
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
REMARKS:
s
c~
DATE 1"d 194 INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ j RO tHTPLBG.
FOUNDATION 2ND INSION
[ ] FRAMING [ ] FINAL
! REMARKS:
{
s
DATE INSPECTOR
F
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ vl"IROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING FINAL
REMARKS: - r~
r'
DATE l' G_1,,-_ _INSPECTOR~
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ j FOUNDATION 2ND [ ] INSULATION
[RAMING [ ] FINAL
REMAR S: 0z,
If t ~ / /
.e_ G~
I
4 0
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DATE CZ INSPECTOR
LNTS t~
0
.-OUIIDATION (1st) ~Il y
a
7OUNDATION _I
(2nd)
r
;OUCH FRAME & R L
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-PLUMBING
y
;tISULATIO?I PER N. Y.
. H
STATE ENERGY 611
n
CODE
y
FINAL
ADDITIONAL COMMENTS: m
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BOARD OF HEALTH
FORM NO.1 __.....-.3 SETS OF PL\:7S
P -SURVEY
P f`~', i (fit . TOWN OF SOUTHOLD - - • •
BUILDING DEPARTMENT _~-'CIIECK
TOWN HALL SEPTIC FORM
f JUL ' 9
E'`t SOUTHOLD, N.Y. 11971
;L9 ub TEL.: 765-1802 NOTIFY ; 1 p
Examined .
199 2- ~ CALL 1
MAIL T0.
Approved 1 . ! 199i. Pennit NO. Ao'R.A?• . .
Disapproved a/c -
Y. (Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . 19 OVIL
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
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
~ ~ Y
admit authorized inspectors on premises and in building for necessary inspections.
..................w.............
(Signature of applicant, or name, if a corporation)
'4 G t NLl26f (/jay 14,~~~,+7
(Mailin address of applicant) T?
State whether applicant is owner, lessee, agent, architect, engineer, general contractor,' electrician, plumber or builder.
F.. S?4'.N k rT...........................................
Name of owner of premises t_~f • {~I2 IJG~a• El~h t ,Y
(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 License No.
~5q3-p ~
Plumber's License No.
Electrician's License No. 040 h
E
Other Trade's License No.
Location of land on which proposed work will be done. . . . .
,
1. !{~r
House Number ~L,I'C"G1..:>< `Cx, ,-71_F~"+
Street Haplet
1
County Tax Map No. 1000 Section V).3......... Block , ; . Lot ..9.? PP.
_ h n
Subdivision ..c5 ! a.. ....M1V,).O.Q...... Filed Map No Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
i
a. Existing use and occupancy •CZSI
b. Intended use and occupancy
i 1.,1... aLw.r: Il4.wi...+WbLL4iww.. ~ ww.c
3. Nature of work (check which applicable): New Building Addition . Alteration . i"~ .
Repair , , . , . Removal Demolition , Other Work .
4 4p`~,0 . . . . . . (nescription)
. Estimated Cost . Fee
(to be paid on filing this application)
S. If
If dwelling. garage, number , numb of of dwelling units Number of dwelling units on each floor. .
2
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . .
7, Dimensions of ex st<inytructgres, if any: Front 3 Cp.- fv.... Rear ..5.C-;,.". Q, Depth
Height I.4?1-. , . • , Number of Stories ........I. •S
Dimensions
Depth `~a•.G of . ; E , same f3:9, structure with alterations or additions: Front .....:.~~.':.G'; , . Rea`
I32.C . Height ......'2 '
Number of Stories ? . .
l f.
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories , ela.6 w • • • . , .
9. Size of lot: Front . 13.fq°n Rear C? Depth .
10. Date of Purchase . (0 t,'V, , `LA , , • • . • , , , , • Name of Former Owner . HF)) L' . /?r ` } va 4744'
11. Zone or use district in which remises are situated . .
12. Does violate any zoning law, ordinance or regulation: ....tA .
13, Will lot be proposed d traction . IN-1.0 .0 Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .rz PA Y, Address 'rl+?Q l rt.N y Phone No. .
Name of Architect 1' C 13+~~o?t , ' ? S, , , , , , Address i 44?bR1f?'C'1 IVY,. -~*hone No. ? ~l XIt fa. .
Name of Contractor . . Address . Phone No. .
15. Is this property within'i300 feet of a tidal wetland? *Yes.. N ` 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.
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STATE OF NEW ~YYORK,
COUNTY OF ?f~P... S.S
T Irl &,1 • • , ' • • . •C... • • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the .th }i TEtC"'l ?~tfl aJfT .
^ (Contractor, agent, corporate Officer, etc.)'
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
, ' , dayco^ . 01. 19: V4
Notary Public . ..........•?4 el.'p.~! County
/J /J TERRIE UI$K•
~,GC.cc~e ' NOTARY PUBLIC, STATE OF NEW YORK
N0: 4918583, SUFFOLK COUNTY
TERM EXPIRES FEBRUARY 1, 199 (Signature of applicant)
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GY GA LLD LA T IO N5
90 \ GN.hGE. e PalTOP D21J ELEVATION wA,, ^FCA 6LASINA ALeA 7 GLAZING
Nb RTM 5*2 Sa. FT, Sa, FT, 97
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Z / ' 1^ m c s A wtST 77Z Sa, FT, ISk 64. FT, 2270 n - -
~ourR 575 w• 1T• 33 eA. FT, a7 ~n n
m { Y i:r sro4Y v°aCn I Eh ST ~'5i Sa FT. 0a fa. FT. _117r
Z \ ~W / w/ z"• rhr DECK
J I Tb TAL 2341 5a,FT, Z9I '+a, FT. 1277.
G O _V p E A N E Y R E S I D E N c E- I p O i F
~q TER MA0.k ~n
ROOF RooF gREA GI-AZING ACCA 7GLAZW4/pmF
93. ~a,Fr, O c
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F.f- o i STORY - I
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\ WR, F1,-oo F- FLObF AREA
C f\~ I FIRST rL OiL 840 s .FT,
v~ SELaNO FFevR ~v7J3 74 FT.
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I rorA~ 1533 sa. FT,
eR
ENEP-~Y -yaTGS
~t.- t~upeKNT, iu7TAI.LM4NT,
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k. iNq Tf oi T''nM6 ` L:N! 4~Tp
,y VL11Ntl' ALL WPM»aW! T al. ' FpL.- GNiGV wRATMLIV yTFIRLa.
t\IOrES ; IU1YMTrw. /l.a t31 WLL. F_II MiY, a a
1. P KOPE,Ty IS 5µ0W N AS PARCEI. N°'Z ON A M IIJOR F.'l1Nb 0.~ 1% Mti. W~ Mall, wI,,.T?fIIN I".L WSL''M`L~
Si15PIV 1510N MAP MhD>~ F_oR ~oNN BE BE.
2,SLIFF CD.TAX MAP DATA 0000-103-3-5.2.
pu,.vluu !x•~l- pb 4nafTw U.11'1r I'•
xi Mly 7p14, I a N.TS iI4M G.YSIFMTIUM PLUMBERCERT/F/CATION x ~T,aN a..a WNIrN A aL T• » l6ft
ONLEAD CONTENT BEFORE ANV -r.pr'r xp*+~ Z ~•~+,1"
S T E P L A N CERTIFICATE OF OCCUPANCY ~iv G"'=- A !;,gyp
40'- o"
SOLDER USED IN WATER T , rF~+e,>r,~. raF. , w73'Xa.ANaLyFTr
SUPPLY SYSTEM CANNOT N EXCEED 2110 OF 1% LEAD. i ..O1.~
N~ni~Y.: a~a~, - zsa PaauFTx
APP30VED AS NOTED ~ ~r+•r~,•,s vwYS. r y."~ 4 I~NC My IL~rfY1s'~f~e' ,I L9 7~
Fs~N NL16M~w I'~.. N~~Y~fla
4<rE..r 3TMCi" ~ 4 VENT SThGK TN[nYGH °loF' Gh"~a vEN r3 WHEM1E Fe516"E FEE:a Q ^ BY. _Y_Mi --r
a0F NOTIFY BUILDING DLf'A RTMENhIT 'f AT 765-1802 9 AM TO 4 PM FOR THE » ltTat wf7 m
/aP I I ~MI~ FOLLOWING INSPECTIONS
1. FOUNDATION - f1NCi REQUIRED ' FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
7 Eh". true sECONO F~oo N_ PWM&NO uM&NO 3. INSULATION
a i I I I ALL PLAILOW I IAM 4. FINAL - CONSTRUCTION MUST RVAMOVAM
ER LINES NEED BE COMPLETE FOR C.O.
' !p ! I I TESTING TER BEFOREUNES NM COVERN IEFORE COVERING ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y.
q C Y
CODES. NOf RESPONSIBLE FOR
aJO~s. o L - - - - - - - -7 ~ 1-----~ OCCUPANCY OR NCY OR DESIGN OR CONSTRUCTION ERRORS
ayNw.nNpR i w•~, LAY. T~6 USE IS UNLAWFUL F i res T F WITHOUT CERTIFICATE [LAWFUL
IRTIFICATE
OF OCCUPANCY IPANCY o
JUL 9 1992 6 8AN EY I,- F- 5 1 E. NcE_
A
Lf.. Ro¢,ERt M° KINNY 6AFL NES 4ED ARC
<W.u our - Neug¢i¢nv As G~a'a f bwr vumm w mm 91
BY Latd~ ~..oE ES A S M E N TC~ he Sod dt: 9 g o~
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