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HomeMy WebLinkAbout19707-z ~ FORM NO. 4 i TOWN OF SOUTHOLD - BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20195 Date SEPTEMBER 9, 1991 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 150 SUNSET WAY SOIITHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 91 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 22, 1991 pursuant to which Building Permit No. 19707-Z dated MARCH 13 1991 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 & ENCLOSE PATIO ADDITION OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #3991. The certificate is issued to JOHN & GRACE FIORE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-200359 - AUGUST 16, 1991 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 iroazx xo. 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) N ~ ~ ~ ~ Q ~ Z Dote . c~~/3 i9fl. Permission Is hereby rontff~~ to: ~ ~ ~r J G~~.•C Vii... ~~...z~~':t....~~"r......`.~.~;?.~1D~.Q ~ ~~!lt:~ ..,....~.......1. ,..1.1~3q at premises locoted ot ......1~ .............5'Z"1..F~'••••................................................. .~~`.Z~n:rc~ c/~~% .1:.,''~..Tt~6~~..,.-1l.Cl.~..•I~QP..RA.y(.r..p....~~1.~.~ ..~~1~.~....... ~/¢Tj County Tox Map No. 1000 Section .........~,.1........, Block Lot No. pursuant to application doted 19.q,~., and approved by the Building Inspector. a~ Fee S..•L~~ ji~~.../.. . ' ~ _ .~,r 9 B in 1 for Rev. 6/30/80 ; f (~~~j 4 Form No. 6 ~ TOWN OF SOUTIlOLD ~A~ 2 a~99~ I BUILDING DEPARTMENT p ~ @@ u f~~~ TOWN HALL ~~@~,..~.,.....~,..,,.s.ry,..,~~ 765-1802 6LPJC==. 4)Ek- t. 70pEtp S'i3U"~tirr)f x?w~. 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 Ccmpliance from archi=ect or engineer f 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 o£ 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 Buildi-ng - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10,00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, C/,ommer igal $15.00 Date ...........~~~:~~1~ 'dew Construction........... Old Or Pre-existing Building........./..... Location of Property........~$0,,,,.,_„...,, Suw,S~':'(-: w~,,,,,,,,,,50;~-~}pe~ House No. Street Hamlet )nwer or Owners of Property.......~.0~...~..~2~'~C,,,F„tOJ~Z,~ ;ounty Tax Map No 1000, Section..... 9.~......Block....J ..........Lot subdivision ....................................Filed Map............Lot...................... 'ermit No ................Date Of Permit....~.knS-ff .!3y.~1{~plicant............................. fealth Dept. Approval ..........................Underwriters Approval:m ,Fv4cv~„/ lanning Board Approval equest for; Temporary Certificate........... Final Certicate...Y....... ee Submitted: $ Z~~ 6Z ' L .r••••••••.. ^ (~Y (;Q ~a~ S~S APPLICANT I r T - _ ~ _ THE NEW YORK BOARD OF SIRE UNDERWRITERS P>lf:n 1000'1. / I. ¦UREAU OF ELECTRICITY SS JOHN STREET. NEW YORK, NEW YORK T009EI ~ AUGUST .16,1991 7103049]/91 N 200359 pate Application No. un file TN19 CERTIFIES THAT Only the elaeMealegnipment Y dscribed 6eloTe and IntnsdtACed by die applicant named ow eh. aheY appNoatbn nnmfAx in the proTnisY qJ iw h: ~ :IONN YJ.URS, 50 SUNSRT WAY, PI,.l.fq, SUU'fNUi,D, N.Y. E in thefolbtrinR lucatiow• nt g~yypp Ol)T ? gY~ L"] IAt Fl. ? Ynd Ft. Section MOek Lot AUtiUST 06,1.1. nW exOmiwed On end found to 6e in compliance with the rvgaircmenM of tAh Eeard. _ - _ - IRt111M RIITYME OVNEi ~-T p!~'' ' ~ fWITCIRE INCANetECFM HUaFX2N1 OTNEa AMT. K. W. NAT. K. W. AM(_ _ K.W AMT. E W AMT. N I. 26 13 12 23 1 ]7.1 1 1 ~ s F' ORIIElf 111RIEAC! MOTORS glTIME MlIIAIIa IREYME EMOY REC'?T TIME GOGIf Mµ....UMT a AMr. c. w. at N. r. aAC N. r. NAT. ao. A. w. o. AMr. AAV. AMT. NMA 1Mllir AMT. N. r. f~T Na. wAm Ii00 t ERKYIq gEfONNlCT NO.Or S E~ R v 1 c E AMT. NM. TnE ~ 1 / [W 1 R TV 7 / JW T / IW ~E£.,COND. NO. W IN.IEG Of ~~l C Na. p NEUIRNS a NWENGNAI s OTNMI MTARATUE: - - G.~.c.A:-2 - TNACtf I,1'GHTTNG:-t{ •O _ ' of ~1 y C'-. t~ l 1 7 z PAUL R. BIJNNS flt('.N?,87.-F; 275 TOWN HAN130N IRAN}; SOUTNOI,D, NY, 1.1.971 EMU MANAYY - _ 7 'i ~ 1/ Per Thit aAificaN MuN, not ba attend in. .rv r ~ Mt TM oNiSa of Nw c he-iElyMJfNd tFleir credanNalt. fi1R ~N \ IcLD ir.s:~EC.IUN ~~uATE ~ coMrccurs \ ~ m ~p ~v t " H Q y FOUt7DATTdN ( 1st ) c FOUNDATIOtJ (2nd) ~ - - P,OUGH FRAME & ' PLUMBING 9~ 3. IIJSULATIOP! PER N. Y. STATE ENERGY CODE CL ~ ~s G a' 4. a 2~ FIiJAL o z ADDITIONAL COMMENTS:- x ~(/)LQ-~~u~cx-~-t~L to ~),(,t~ C~.~,. 1976 , ~////'d`ry ~ x 1! 77 ~W 9 or z l x m a • r H \ ' x d ca •o H ~~~o~ T65-1802 BUILDING DEPT. 1 NSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION MING [ ]FINAL REMARKS: -f' "F DATE ~ C ~ INSPECTOR FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTiVIENT TOtiVN CLERK'S OFFICE , SOUTAOLD, N.Y. NOTICE OF DISAPPROVAL Date September, 24,...... 19 90.. . To Paul!,A,.,~aminiti,,(Attorney) JOHN J. fi GRACE FIORE P.0. BOR 992 SOUTHOLD, NEW YORK 11971 , PLEASE TAKE NOTICE that your application dated . , _ SEPTEMBER 12, .19 90. for permit to CONSTRUCT A DECK ADDITION TO DWELLING ...............................................at Location of Property . , , 150 SUNSET WAY 6 CEDAR BEACH ROAD SOUTHOLD N.Y. House No. Sheet Ham/et County Tax Map No. 1000 Section .....9 ~ Block I 5 ..............Lot Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds , IInder Article %RIV Section 100-244B: construction has insufficient set-back from property line side or rear (corner lot) and under Article %%III Section 100-239.4B construction is less that 75 feet from the bulkhead. Action required by•the.ZoninU•Board of Appeals. Waiver. of jurisdiction also required from•New York State•Department•of Environmental Conservation. ~ildi ~ Inspector RV 1/80 ' ~ APPEALS BOARD MEMBERS r ? ~ ~ it SCOTT L. HARRIS r G' Supervisor e~ ~i~~ Gerard P. Goehringer, Chairman _c~~ ~ Charles Grlgonis, Jr. _ Y, i~ Town Hall, 53095 Main Road Serge Doyen, 3r. z~~. ~,*rr ~ P.O. Box 1179 James Dinizio, Jr. Southold, New Yotk 11971 BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Appl. No. 3991. Application of JOHN AND GRACE FIORE. Variance to the Zoning Ordinance, Article XXIV, Section 100-244 and Article XXIII, Section 100-239.4, for permission to construct extension to screen enclosure for patio and existing wooden deck with insufficient setbacks from the bulkhead and side (or rear) property line on this corner lot fronting along Cedar Beach Road and the west side of Sunset Way, Southold, NY; County Tax Map Pareel ID No. 1000-91-1-5; also referred to as Lots 158 and 159 on the "Map of Cedar Beach Park Subdivision." (The dwelling as exists is nonconforming as to the rear yard and side yard setbacks, and the lot area and depth are also nonconforming in this R-40 Zone District.) WHEREAS, a public hearing was held on January 11, 1991; and WHEREAS,. at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. By this application, appellants seek a Variance for permission to extend and enclose the existing patio with a screened-in enclosure to a size 18' by 17', leaving a set back from the southerly side property line at 29 feet. 2. The premises in question is referred to as Lot Nos. 158 and 159 on the "Map of Cedar Beach Park" and is identified on the Suffolk County Tax Maps as District 1000, Section 91, Block O1, Lot 005, containing approximately 35,000 sq. ft, in area. 3. The subject parcel is improved with a single-family dwelling, which is nonconforming as to the rearyard setback and tTdLd2I I~iH 2I~J11Z2iH~O~J ' d• 3 -Q2iK?I~'J j ` ~ % xj M M M •pa~dopE 1Cjnp sEM uot~njosaz siuy {•quaSgE sEM puEjsl szagsT3 ;o ua~oa zaqutaW) •o-rztu~ra puE stuobtz0 'z2buTxgaoO •sxssaN :sadt~ :pzEOg aq~. ;o agora •(zano paganz~suoo aq jjtM goxod aq~ azauM) oT;Ed bui~sixa auk uEt~~ peagxjnq auk o~ zasojo Sou puE auTj A~zadozd ~Ijzau~nos aq~ ~uoz; ~aa; 6Z pa~sanbaz aqq uEq~ ssaj oq paonpaz aq you gozod ~oaCgns aq~ ;o xoEq~as ~EL[y 'Z :(a~Egs ~uasazd s~Z ui si sE) pasojauaun pug uado urEwaz jjEgs zaaz aq~ ut sxoap buTnTElltax auk ~ELjy 'T :SNOISIQNOO ONIMO'I'I03 ~Hy Oy yO~Pff[1S 'A2i0I3 ~O~O Qt1K I3~iOP ;o uot~EOTjddy aq~ ;o za~gE~ aq~ ut pa~sanbaz sE T66£ 'oN 'jddy zapun ;atjaz auk y~0 0~ 'QSA'I053iI sEM ~t 'oiztuTQ •zi~ dq papuooas 'stuobtz0 •zy~ dq uot;ow uo 'djbutpzoao~ •MOjaq pa~ou 'sE ';a-rjaz jEUOr;ipuoo buT~uazb dq panzas aq jjila ao;~snC ;o s~saza~ui auk 'anogE auk jjE ;o Mazn ut :saigzadozd buTZOggbtau puE uMO~ auk ;o zapzo', zo aouatuanuoo '~zo;~uoo 'azE;jaM 'q~}jEaq 'bqa;Es au} o~ aszanp,E aq uzn~ ut ~.ou jjiM aauE-rzEn auk (a) :poouzoggbTau auk ;o za~oEZEgo jEtquassa aq~ boa;;a hjaszanpE you jjzM aauEtzEn auk (p) :azn~EU ut jEUOSZad you azE puE d;zadozd auk o~ pa~;Ejaz AjanbTUn aza sat}jnot;;Tp auk (o) :saouE~sumozta aq; zapun jE~uTUT~u st pa;sanbaa ;a7jaz aq~ (q) :asr}oq aq~ ;o zaaz aq~ o~ pEagxjnq auk moz; ~aa; -+gT '~E xoEq~as ~uaT~i;;nsui bui~sixa aq~ sutE~uiEw puE '~L~.twzo;uoouou bui~stxa a~~ oq uot~Ejax ui jEi~uE~sgns you st auij ~I~zadozd djzaq~nos aq~ utoz; ~aa; 6Z o~ uoT~onpaz xoEq~as auk (Ej : LIO t~.EaTjddE stq~ buzzapisuoolui ~Eqq pzeoq siq~ ;o uoi~tsod aq~ si ;I •EazE pzEd ~uoz; aq~ ut pa~EOO,j azn~onx~s abEZEb~,.IzossaoaE uE st bui~sixa osj~ •~aa; ozaz o~ ~aa; gj uaaM~aq saiz2n xaEq~as peagxjnq yoiuM 'peagxjnq aq~ o~ xoEq;as puE xoEq~as p.~EAzaaz auk o~ sE buTtuzo;uoouou si goigM 'buijjaMp djzurn;-ajbuts E q;TM panozduct st jaozEd ~oaCgns auy (:panuT~uoo 'uoTSTOap SgOI3 - T66£ 'oN •jdd~[) 1 buT~aaN~',jEioadS T66T 'T .~zEnzga3 -Z- sj2addt~ ;o pxEOg uMOy pjou~noS I _ 'Jew York State Department of Environmental Conservation 3egion 1 Headquatrers 0 ~ ~ <;.t SUNY, Building 40, Stony Brook, NY 71794 DPTE: / `3 ~j J: ~ y f/~.n.R. Re: ;~>~'!'c~L/i~G~'o`='~~U Thomas C:°Jorling' '.,~~d ~.rt. / ~ / _ ' ~ Commisslonar ` ~ ~ a.. nr . C--_ a , , _ _ew has been made of your 'proposal to: ~y"`~~~' ~ r /rl-C - Gl' ~ r~~c.!: ~ ~.L. i(. ri~q~c-/ //'..!/7-r. ~yTO _ i I/Q ; 3a=_ed on the information you have submitted, the New York State Department''.` of En•.~ironmental Conservation has determined that the parcel project is: " ~ zi ~,~a~trPe~~'u Greater than 300' from inventoried tidal wetlands. ~ ~ ~r~~ ~ //n/, Landward o[ a substantial man-made structure I', uK~'~~-~ -r treater than 100' in length which was constructed prior to 9/2Q 77: . I ~~ndward of the 10' above mean sea level elevation contour on a gradual, natural slope. _ ~ancward of the topcgraphic crest of a bluff, cliff or dune which is ( treater than 10' in elevation above mean sea level. t: e:efcrer no permit is required under the Tidal Wetlands Act (Article 25 o` the Environmental Conservation Law). '.'lease be advised, however, th8t"'' construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. Zt i •~cu•c responsibility to ensure that all necessary precautions are taken to - ~cevent any sedimentation or other alteration or disturbance to the grcund surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 1G' contour or topographic crest and the project (i.e. a l5' to 20' wide <s; construction area) or erection of a temporary fence, barrier, or hay . bale 'perm. Please note that any additional work, or modification to'the project'as d=scribed, may require authorization by this Department. 'Please contact , his office if such are contemplated. of ease be further advised that this letter does not relieve you of the ' responsibility of obtaining any necessary permits or approvals from other. n<. Very truly yours, ~ _ _ ° ~ a• ~ _ .~~r: ;f ~ D"eputy Regional IP'ermit Administrajror,," ~9y~ ~ ~ ~ B0.\RD OF HEALTH J SETS OF PL.1V5 FORMNO.1 SURVEY ' TOWN OF SOUTHOLD CIIECI: BUILDING DFPARTM[NT SEPTIC FOR:1 _ . ~ • . TOWN HALL • SDUTHQI~_ DI,y. 11!171 ttOT I FY ; TEL.: 705~1II0~ CALL . /,CC Exarttincd~~~~......., 19 CIALL T0: Approved.s~,/./.;3.......,19~PcrmitNo..~~~~,~ ~ Disapprovcda/c . .....~_i~~ (Bt ding spcctor) APPLICATION FO BUILDING PERMIT Date L~ Z~- Isq/ INSTRUCTIONS a. This application must be completely filIcd in by typewriter or in ink and submitted to the Building Inspector, vriL` gets of plans, arrutrate plot plan to scale. Fee aa:otrting to schedule. e b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strc: rr areas, and givin; a detailed description of layout of property must 6e drawn on' the diagram which is par. of this app :anon. , t C. The work covered by this application may not be commenced before issuance of Building Permit. ti. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pezr. ,hall be kept on [he premises available for inspection throuJtout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant hall have been granted by the Building Inspector. APPLICATION IS HEREBY hiADF to the Building Department for the issuance of a Building pe^it pnstanL to t: iuilding Zone Ordinance of the Town of Southold, Suffolk County, New fork, and other applicable Laws, Ordutanees c tcculatrons, for the construction of buildings, additions or alterations, or for iemaval or demolition, herein describe: 7te applicant atrees to comply with all applicable laws, ordinances, building code, housin; code, ann regulations, and t dmit authorized inspector on premises and in building far necessary inspecttons. t~ „ ~t9N.u C. /~02rJ ,OUIt„D~ ~(Siynature ai applicant, or name, iC a corporatton) o x 3-0 8 Ems: . m!4!: ;a,~ N, r 3 ~ . ~j;,1 ~ . (A4ailing address of applicant) irate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ ~niE l2aQ-t- Conri".YLA C :rU2 iameofownerofpremises ......,;~®,H~„~T,-,,,,~„~?,(f~hc~„~o2c_.....,.._~~~~~~~~~~~~~~~~~~~~~~~ (as on the tax roll or latest deed) f applicant is a eorporatio atu ~ of duly authorized officer. ' .......G..Cr.. ~Le~ (game and title of corporate ofrccr) • • ~ • . Builder's Liccnsc No.. , ,I,n i,'~'L`~ . . Plurnbcr's Liccnsc No . Electrician's Liccnsc No. , . ~,R: ; lauv?;v,S , , , , , , , OlhcrTradc'sLiccnscNo. (?1r4$D~?v~~?y..,ISonitq.r.;D Location oCland on which proposed work will be done; IlouseNumbcr ~ Street. Hatnlct ' County Tai ,,\1up No, 1000 Section , , , , ,q,~, 1 Block S'- .13.t.~' Lot.... Subdivision . tbF}~2 , , , , , , F.ilcd flap No, ~p • • • • . (N:uuc) Lot Stztc csisting use and occupancy of premises and intended use •rnd occupancy of propolscil;tonstntctjon: :,sg A. Exi to ' ng use and occupancy. . • ~'9~ y %v',, . 1~..::~. B. Incended use and gecupancy.........!4Dp...R:.. ~,~GI;S`~?^1~,. ~-~o~..~y ~ err C,,1.-6~~~,~,..... 3. Nature of work thee}, whit ~ a licable): Ncw building , , V • , , , ( p~ .Addition . tcrahon Repair R~moyal Tennis Court, • • • • • • • • • • • • • Demolition •Saiaviing pool. , 4. Accessory Building......... Estimated Cost , , , , , • • ~t7flz7; • • • • • • • • . • • • • 'Fence .Ocher Wock . • Fce 5. ICdwclling number of dwelling u' (tn Uc paid on filing thu apolicationj • 'nits Number of dwdlin units on each (loot If gars^c, number aC cars g 6. if business, commercial or mixcdloeeupancy, specify naturc~ nd extent of cacti type of use • • • • ~ • 7, Dimensions oCexisting structures', if any: Front . ~ • ~ • ~ ' Hcicht '••••'(~"••••••Rear Depth...{p,,, • Num tier of Stories . ' ' ' ' ' ' Dimensions of same structure with alterations or additions: Front ~ • ~ • • • ~ • ~ • • ' ' Depth .1.~C~. .d .......1.:1.`....... Rear 8. Dimensions of entire new constnt',ction Ft ~ • ~ ~ ' " • • • Number of Stories . Height root Rear . .Depth . • Numti'er of Stories . • . . 9. Size of let: Front . 10. Date of Purchase P.car Dcpttr , • . . ••••••••••......,NamcoCFarmcrOwncr 1 1. Zone or use district in which premises arc situated , • ~ ' ' ' ' ' l2. Docsproposedconstructtonviolacan 13, Will lot 6e regraded , . ~ , Y zoning law, ordinance ar regulation : . Will excess fll be rcmov d from prcmi;cs: Ycs l4. Name oC Owner of prcmues ~y-nt, ~ ~2RcE'F[u ' aq U ~eNnN~ D~• Name of Architect lCrAddress , , p,~~-~~ sq,,(7y_~t • • Phone No. a`f>C::~t$1 . Name of Contractor . • . S• t • • ' ' ' • • ' • • • Address ...................Phone No. , , •~Q'2"•~• • .Address 33• - pt f~y• l5_Zs this property located with in •300 feet of•a•tidal•wetland?n='YES.~NO, ~ *If yes, Southold Town (Trustees Permit may be required. .D.E.G W+~Ue-/Z• • • PLOTDIAGRAiv1 •Pc'NA~;vG- CF}-DUIINtT-t Locate clearly and distinctly all buildings, whether'existing or proposed, and.indicate all set-back dimension' t: property lines. Give street and block number or description according to deed, and show street names and indicate ~c::e::. ~ interior or corner lot. ' eo ~w, as ~or~a BATE:.. ~ ~.3 s, B.~l ~ 7 ' FFE:: ~D °d BY: ' NbTIFY BC Ii.D G DO:PARTM AT 76F,°tf30~ t~ AIUi TO tt PM FOR THE FOLLt']VUBdVti INSPECTIONS: b. F0.?tJhDDATtON - '11A/O REQUIREp Ff3R POlJRED CONCRETE 2. ROUCxH - FRAMING ~ PLUMBING 3. 19USL1LATdCyN FiNAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. ' STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE t=OR. • DESIGN OR COIVSTRUCTIOiV ERRORS 'OUNTY OF s~:r~1 ( ~j .............1: hI~ ~ O • ~ • ~ " " • " " • • • • • • • • being duly sworn, deposes and says that he is the applicar (i` ma c oCindividual si;nin~ contract) rove named. cistltc _ , - • • • • (Contractor, ~ •ent, corporate offtccr, etc.) saW owner or owners, and is duly aUtharizc to per orm or have performed the said work and•to make and•filc•tl: ~plication; shat all statements contained in this application arc true to the best oChis knowledge and bclict;and that L': ork will be performed in the manner set forth in the application filed therewith. °pm to bciorc me this ~ ~ , 19...E 'tan' Public. • • • • CL%UREt_Q County ~Nol 8t7960BN~wYoelt C~~~~~ • ~ QttalNltul In Suffolk Cot . 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