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HomeMy WebLinkAbout19023-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19914 Date MAY 16, 1991 THIS CERTIFIES that the building CONVERSION Location of Property 240 LOVE LANE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 3 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 1990 .pursuant to which Building Permit No. 19023-Z dated MAY 15, 1990 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 CONVERT CARD SHOP TO A LAUNDROMAT AS APPLIED FOR AND AS APPROVED BY PLANNING BOARD. The certificate is issued to RICHARD BLOCK & RICHARD REILLY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-90-008-MAY 16, 1991 UNDERWRITERS CERTIFICATE N0. PENDING - APRIL 25, 1991 (App.#723386-9) PLUMBERS CERTIFICATION DATED N/A C~~'L Pte---. Buil ing Inspector Rev. 1/81 row x®. s TOWPI 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) Na Date 1 s i 9~1~ Z I9.4~ I Permission'is hereby granted to: r~ eK.....2..4...t. ' ro..C..aa,Sr~r.~:"...~~?..... ..~....s~..,.....p`~..4ctai,.plt~7r.'~a~......~...4!~:~. ~7p. -~y--,~.......0 G at premises located at ..°~.T~.......t.l..~..r'>`.'~:....~n,••C'.!:?,,.~..........~.~4~!~tli!~ i County Tox Map No. 1000 Section .....~..~..Q........ Block ......~5..~....... Lot No...5~..3„ pursuant to application doted I..~.. a 19..9.4?, and approved by the j Building Inspeetor. r Fee 5...~.. ~ / e i l Building Inspector I i { Rev.6/30/80 E ~ r--- _ e Form No. 6 TOWN OF SOUTIIOL? ~ ~ mom, BUILDING DEPARTMENT TOWN HALL g MAY t~61991 765-1802 jf$ p APPLICATION POR CERTIFICATE OF OCCUPANCY 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. 3. 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. Fees ' 1. Certificate of Occupancy - New dwelling $25.00, Additions to duelling $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 Euildi.ng - $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 - Residentia//l~~ $15.00, C_~otmmercial $15.00 Date ...14~rt4/162.'tl!.~9~ few Construction........... Old Or Pre-existing Building..,~~.~....//Y~~........... .ocation of Property..~.!f0 ~uv~, r~(~a.... ~~~~:l.'Y4'rw.. ~c • House No. Street Hamlet )nwer or Owners of Property. ~c~%~a!ff.~~0.,` :ounty Tax Map No 1000, Section.... ./.".~......Block.....3 .........Lot...~:j....... ubdivision ....................................Filed Map............Lo11t~~...................... ermit No. f. .;.~a.,`~.,L'.,,,Date Of Permit..~~!y~g.~ ..Applicant.~'c:n!+~~:D„~!O¢.~ ealth Dept. Approval ..........................Underwriters Approval......................... Tanning Board Approval equest for: Temporary Certificate........... Final Certicate........... ~6,a ee Submitted: $ „ 0.c. y, 7a ~ n~~~• . 0~ l q v~~ ~ f APFLICANT ~ ~~~F~l~f~®~~~ ,c s r=~ ~ PLANNING BOARD MEMBERS ~ ~,;~a ~ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman °YQ~~ Supervisor George Ritchie Latham, Jr. n'~ff~ Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald p.0. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telepfione (Si6) 765-1938 TOWN OF SOUTHOLD Fax (516} 765-1823 May 15, 1990 i~ K'C~~vr~~ . J J i ,(~7 r~~ld. D Richard Block and Riehard Reilly s " SAY ~ 5 ~ P.O. Box 1072 ~ i i Cutchogue, NY 11935 t~, RE: Site Plan Proposal Love Lane Laundromat Dear Messrs. Block and Reilly,: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, May 14, 1990. WHEREAS, Richard W. Block and Richard B. Reilly are the owners of the property known and designated as the Love Lane Laundromat, SCTM#1000-140-3-3.1, located at Love Lane, Mattituck; and WHEREAS, a formal application for the approval of this site plan was submitted on April 20, 1990; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, -declared itself Lead Agency and issued a Negative Declaration on May 14, 1990. ~ , WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; and r ~8~' ~ii'~~ ~ = that the Southold Town Planning ~C}~~puIP~"a"1~`~hprizq,° the Chairman to endorse the final survey ated May 11, 1990 subject to a one year review. Page 2 Love Lane Laundromat Enclosed please find a copy of the map which was endorsed by the Chairman. Please contact this office if you have any further questions. Very truly yoursQ 17 - •s~ Bennett Orlowski, Jr. Chairman Encl. cc: Building Department ~ Assessors Office f~Q,oc,~ COUNTY OF SUFFOLK Yc~ ~20~? p BLDG, D TOWN OF gO~U~~ ;p`~ n~~~. PATRICK Cy, HALPIN SUFFOLK COUNTY E%ECUTIVE DEYARYMENT OF HEALYH SERVICF_-S DAVIp HAkill M.D.. M.P.H. COMMISSIONER 3une ].8, 1990 ' Messrs. Richard Reilly, Suchard IIlock Love Lane Laundromat P. U. Box 1072 Cutchogue, New York 11935 RE: Love Lane Laundromat NY 0?.21112 Gentlemen: T have been directed to inform you that the effective date of the above referenced permit will be held in abeyance until such time as you obtain an approval to construct and final approval of the sanitary disposal and water supply systems from this Department's Riverhead office. The contact person is Mr. Robert Jewell, P.E., and you may reach him at 548-3312. Any discharge of wasi.ewater from this facility prior to the above approval will be a violation of your permit arld may result ili enforcement action. If you have any questions, please contact me at 451-4648. Very truly yours, Gordon JWatt Associate Public Health Sanitarian Bureau of Pollution Control kn cc: R. Jewell, P.E. J. Maloney, P.E. W. H.i.Lbert V. Lessard A. Koerber, P.E. 1 S HORSIERLOCK PLgCE ~ FgNMINGVILLE, NEW YORK 1 1730-1$20 fii 1 W 431.46 ~ FA%#]32.1531 'r COUNTY OF SUFFOLK _ - n-~ auN + 5 4~0 ~ ~ i j11,, ~ ~~>,~11 4~_p ~1~~,...--~_ - " ~ t ;il Il ~~t e PATRICK G. HALPIN ~ i~si G; i~ E!ii ,'~'SiJ~ CCU SUFFOLK COUNTY EXECUTIVE ~ " DEPARTMENT OF HEALTH SERVICES DAVID HARRIS, M.D., M.P.H. COMMISSIONER June 8, 1990 Mr. Victor Lessard, Executive Administrator Town of Southold Building Department Southold Town Hall 53095 Main Road Southold, New York 11971 Re: Love Lane Laundromat SCDHS Reference #C10-90-008 Dear Mr. Lessard: This letter is to confirm our telephone conversation of this date regarding the status of the above referenced project. An application for the change of use of the existing building to a laundromat was received in this office on May 1, 1990. Since the existing well and sanitary disposal system do not meet current SCDH5 requirements and therefore could not be approved, the application included plans for proposed new water and sanitary disposal systems. However, the proposal does not meet SCDH5 standards, and the applicant's engineer has been notified of the need for variances. No approvals for the change in use for the existing building or the construction of the new well and sanitary system will be issued until the project receives all necessary variances. Our Bureau of Pollution Control has reviewed and approved plans for the design of the laundry waste disposal system only. This should not be considered to be Health Department approval to change the use of the building or to install a new well or sanitary system on the lot. Please do not issue building permits for the laundromat without the usual SCDHS black "Approval to Construct" stamp, and please do not issue a Certificate of Occupancy for the new use without the usual SCDHS green "Approval of Constructed Works" stamp. If you have any questions, please feel free to contact this office. Sincerely, Pat Floria Assistant Public Health Engineer Bureau of Wastewater Management cc: G. Watt, SCDHS A. Koerber, P.E. COUNTY CENTER RIVERHEAD. N.V. f 1901 ro 'p c C= ri ~W` . H 1 v FOUNDATION (1st) r~ a c ti FOUNDATION (2nd) ~ 2. q - s i3 o L b P.OUGH FRAME & PLUMBING r.. 0 G ~ r' ' ~ ~ 3. ~ m H IidSULATIOPJ PER N. Y. STATE ENERGY CODE x r a ~ . ro 4 . FI;dAL z - ADDITIOAIAL COMMENTS: m ` , t~ ~ ~.au~ _ C.c ~ v~ ~ 1 A H W e. `F ' o ~ W-QXA1~ Z ~ Q a • r H - S C7 m ro s H . _ ~ + COUNTY OF SUFFOLK a°i$// PATRICK G. HALPIN SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES DAVID HARRIS, M.D., M.P.H. December 14, 1990 COMMISSIONER Mr. Richard Block - P.O.Box 1072 Cutchogue, N. Y. 11935 Subject: Board of Review Hearing -October 23, 1990 C10-90-008, Love Lane Laundromat, Mattituck, Town of Southold (SCTM 1000-140-3-3.1) Dear Mr. Block: At the hearing on October 23,1990, you had an opportunity to pzesent your appeal of the department's ruling on the subject application. Based on the following information and in accordance with the provisions of Article 2, Section 760-220, of the Suffolk County Sanitary Code, the determination of the Board of Review is as follows: Statement of Problem Commercial construction standazds require that the distance between a sanitary system and shallow private well be at least 150 feet. The applicant is proposing to install the sanitary system less than 150 feet from private wells. Distance between leaching pools serving the laundry wastewater treatment system will be 5 feet rather than 8 feet. Distance between a well acrd septic tank will be less than 100 feet. The site lacks area for 50% expansion of sanitary system and the proposed sanitary system has irasuffrcient side-wall leaching area. Findines and Facts 1. The proposed project consists of an existing building approximately 1,332 square feet in uea on a 10,252 square foot pazcel to be converted into a Laundromat. BUREAU OF DRINKING WATER 226 RABRO DRIVE EAST HAUPPAUGE, NEW YORK 11766 (3181348-2778 Y Mr. Richard Block Page Two Subject: C10-90-008, Love Land Laundromat, Mattituck, Town of Southold (SCTM 1000-140-3-3.1) 2. A system is to be installed to treat the laundry wastewater. Treatment elements to include a lint filter, equalization tanks, chemical addition of alum and polymers, sand filtration, sedimentation, carbon filtration and sludge holding tanks. The facility has been designed to comply with New York State Pollutant Dischazge Elimination System pexmit requirements. 3. The sanitary discharge from the facility is in compliance with sewage density requirements of Article 6. 4. Site is in Groundwater Management Zone #]V. 5. Depth to groundwater is approximately 13.6 feet below grade. 6. The hearing was held open for the applicant's engineer to submit additional information. The letter proposal dated 11/16/90 contains clarifications and plan revisions. Under the finalized plan submitted, the on-site septic tank wiU be located 91 feet and the leaching pool 106 feet from the nearest off-site well. The existing sanitar,~ system will be abandoned. At present the existhng on-site sanitary system is 34 feet from the nearest off-site well. Point of use carbon treatment will be provided for the potable water source which will be from a new 5 inch supply well also used to supply water for the laundry washing activities. The applicant's engineer confhrned that the freon in the drinking water and laundry effluent wi71 be removed by the cazbon treatment. 7. Based upon water testing surveys conducted in the area by Department staff it was determined that water quality problems already exist, including excess levels of nitrates, iron, chlorodifluoromethane and dichiorodifluoromethane. Public water is not presently available. The whole community would benefit from public water main extension if it became feasible in the future. 8. A pump test was performed on the new 5 inch well. Pumping the well for 6 hours at a flow of 35 gpm, test results indicate the presence of 164 mg/1 chloride; 7.3 mg/1 nitrates; 43 mg/1 sulfates; 94.7 mg/1 sodium; 4 ppb chlorodifluoromethane and 7 ppb of dichlorodifluoromethane. 1' Ivlr. Richard Block Page Three Subject: C10-90-008, Love Land Laundromat, Mattituck, Town of Southold (SCTM 1000-140-3-3.1) 9. The roe south of the ro osed Laundromat used as a deli market has a well P P rtY P P approximately 34 feet from the existing sanitary system. Upon abandonment of the existing sanitary system the distance between the deli market well and the nearest sanitary system will be increased to 91 feet. Water areatment has been installed, including reverse osmosis and cazbon filtration. 10. Testimony was provided that there is a need for a Laundromat in the area to service the senior citizen population. 11. To m;n;mize impacts of sewage discharge and the need fox future expansion the applicant indicated that the toilet facility will not be open to the public. Determination The Board granted the request for a variance provided the following conditions are met: a. Restrict the use of the on-site sanitary system by not allowing use by the general gublic; b. Pinaiize the New York State Pollutant Discharge Elimination System Permit requiremen±s with the Department's Bureau of Pollution Control; and c. Provide treatment for the potable water supply acceptable to the Department. The granting of this waiver does not imply drat your application will be automatically approved. It is your responsibility to ensure that your application is complete; otherwise, your appxoval will be subject to unnecessary delay. Very truly yours, ~p~o.~._ Dennis Moran, P.E. Chairman, Board of Review DM:Ir cc: Patricia Floria James C. Maloney, P.E. Paul J. Ponturo, P.E. Leg. Michael 7. Caraeciolo Peter S. Danowski, Jr., Esq. - 616 Roanoke Ave., P.O.B. 779-Riverhead 11901 Mr. Michael Bourguignon-170 Love La., Mattituck 11952 Ms. Marilyn Gatz-Sound Ave., Mattituck 11952 Mr. Barry Barth-32 East Main Street, Riverhead 11901 Mr. Charles Zahra-P.O. Box 1137, Pike St., Mattituck 11952 THE NEW YORK BOARD OF FIRE UNDERWRITERS-''"'~~ l 128~>O l t E3UREAU OF ELECTRICITY BS JOHN STREET, NEW YORK. NEW YORK 10038 _ MAY ii.l,LyN:L '7`~'~{;S~i931"~32 I~ 9.flh+~~;2 Date APPlication No. on file THIS CERTIFIES THAT only the electrical equipment as described 6e/ow grad introduced 6y the applicant named on the above applicotion number in the premises of F;i,e},,g :G 3{Ei1,Tll`, L~1VF Y.z3(d$i, 1~1C1;"t'3.'LfST,'lt:, t~d.Y. ~j i,AtII~~7S't<.Y~3t"4 in the following loco r 4Ju 8 a rtt ~ lot Fl. ? 2nd Fl. Section Blork Lot ~~S~fCh e._r,~ waa examined on arcdfound to 6e in compliance with the rryuirenzents of this board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT fWORESCENT OTHEn AMT K W AMi K.W AMi KW qMi K W AMT. H P. I l ~fi. ~ DRYERS FURNACE MOTORS FU[URE APPLIANCE FEEDERS SPECIAL 0.Et'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS C AMT. K. W OIL H. P. GAS H P PMi NO A. W. G AMi AMP. AMT AMPS TRANS. . qMT. H. P SYSTEMS qMi WAiiS NO. OF FEET f'` SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP TYPE METER i YW 1 ~ 3W 3,A 3W 3,e 4W NO. OF CC. COND A. W G. NO OF HbIFG A G' NO. Of NEUTRALS A. W G. EQUIP. PER d OF CC.COND OF HbLEG Of NEUTRAL fi ^:°~n t:~ x 1. ~It~ e 11+~ OTHFR APPARATUS: GA:i Y11?YN1R~i lH ~.ril;Mf'':i,-fr d Sfi,7TOkr'~'f°-6-'.iq F{.i~,,,h-M1.,tf YY,f. ?~-1.'r tl.l'..,tii-T' i~t>r'.. k1At~lF7alK'i?R13;x1~-.2 't (;3`R. ?,C1G,S,..~q t:tft~ S;ISi3,1.--1 F3 i7TF~~t70 i"FfA1N;4E$(1L;$l)u:9.--IC t;'Lgt, 'j„~;1 ~ Rf>5i,f,X r'LIF;(1'i`k, tC r: iC. }f 367')-~xi D k'.fr.93o$ 1,5,E CI}'1'C'(fiYl(7l)~:~ '3~'Y, ,l `)~3 f> GENERAL MANAGER :t ~ Per t „p F This certificate must not be ohered in any manner; return to the offiice of the Soard if incorrect. Inspectors may be identified by their credentials. F E COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT-6Q ALTERED IN ANY.MANPIER. f BOe1RD OF HEALTH 3 SETS OF PLANS FORM NO.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDINGDEPARTMENT SEPTIC r•oart TOWN HALL $OUTHO LD, N.Y. 11971 NOTIFY 'o TEL.:7G5-1802 CALL \..n,,•- t•£'• 19q.V MAIL T0: ExantincJ J Approved ~ ~ , 199 ~ Permit No. 19.0• DisaPProveda/c ~ F.. ~{//fj' FM-~.. ~ 1 ~ F (Building Inspector) ' M/~Y 1515 APPLICATION FOR BUILDING PERMlT~ t3t_l;Ci. [j~t~~: 7CV~tieIV ~,,r~ ~ x~ mate ~~M'~~,"..., 159eJ • INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or jn ink and submitted to the Building Inspector, with ~ 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. e. 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 throu~}tout 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 Re;ulations, for the construction of buildings, additions or alterations, or for iemoval 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 inspe ions (Signature of appli~rt, or nam , if a corporatton) (Mailing address of ap cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~f...... Name of owner of premises . !!~~,,?'t'C?/£1Jt..1!,3 ~o ~ ~ !~:`ri.&t4..',Q . !~r!~~y . (as on the tax roll or latest deed) J If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . Plumber's License No . . Electrician's License No . . Otltec7radc's License No . 1. Location of land on which proposed work will be done: / ~ ~(D'J~ ~ ~~J ~ 3'3 • ~ ~a :y:v ............:......G,4.U.~:..1-.~:-...:................,ti.~~.-...................... House Number Street Hamlet County Tax \tap No. 1000 Section .../'~L?• • • • • • • • • . Block Lot 3......... ` , , .Filed plap No . Lot . Subdivision (Namej State existing use and occupancy of premises and intended use and occupancy of proposed construction: 0 A. l;xisting use and occupancy....l~/pC.~..-5.~~.......:...,,Y,:t'r,"?,'r~~ r+~,......... l ~,lx°', •yf%~ it t~,i }?tii~ B. Intended use and occupancy... w?+•4~UC'T • • •ry~ e`)1• • " • " 3. Nature of work (check which applicable): New Building Addition Alteration x . Re air Removal Demolition ..............Swimming pool. , . Tennis Court Accessory Building..........F~ce ....Other Work:........... 4. Estimated Cost Fee . . (to be paid on filing this application) S. If dwelling, number of dwelling units Number of dwelling units on each Roor If garage,numbcrofcars ' occupancy, specify nature and extent of each type of use . 6. if business, commercial or mixed 7. Dimensions of existing structures; if any: Front . , Rear `Depth . . Hciglrt Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . . ,Depth Iicight ......................Number of Stories . 8. Dimensions of entire new constriction: Front Rear Depth , Height . Number of Stories . , . 9. Size of lot: Front Rear , Depth . 10. Date of Purchase , . .Name of Former Owner . 1 Zone or use district in which premises are situated . . . 12. Does proposed construction violate any zoning law, ordinance or regulation : . . 13. Will lot be regraded ............................Will excess fill be removed from premises: ,Yes ; No . . 14. Name of Owner of premises . ................Address ...................Phone No............... . Name of Architect ...............Address ...................Phone No................ . Name of Contractor • Address ..Phone No.. . IS.Is this property located .within 100 feet of a tidal wetland? *YGS...~NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly 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. a ~'Qe dI^~ ~ vc. q_ s STATE OF NEW YO]~: ~ S S COUNTY b . 1~,,.: being duly sworn, deposes and says that he is the applicant • (Name o individual si~'ing contract) above named. Ficisthc •..~?.r-tem................. (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 cont,aincd in this application arc 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. Swom to before me this .day of ....~O,y 19 . C 4 Notary Public, , svF~~.]'r- . County ~t"l+2"'•""'"'//,, ~~q"" _ ti.• ' I• ~ °U. ' ~ ' • . (Signature oC applicant) - - - - ~ ~ - - - - - - - -Ce~en~ 5?~6 - - - - - - - - - - j /'f, /~/6. G/asrfers I ~ 1. l 1 --~____L_._.,r__,..1,.__...-..m„lT._.~-~-1.,~_-z~-,-.--~~,~n.-.-...~-~~,..-,~=-I.~~~.._ we S.fe/ms - - - -r _ _ _ _ W2s fiery 3S/6. ~ ~ 3Sf& ~ 35i6. T 3516. ~ -Sn/6. ~ S>:+J6 ro/1©t /B/6. Blb. 1_35/6. ~eptis 3ysfiem ~er~e GlteS~e.wS - fi//ers - - -.Cen,Bn7' .S.C ,IS - - ~ Shdrel¢ 1 ,a - _ i_- - - Fo/dint' >'e.6!'et I i + ~ ~ ~ 4.y~ - d ~tyy ~'P? ~ V. f _ ___I If ~1 I, T • ~ I 5o /6-Dryer i x db ~ '~O i 4 ~ tab/e fLr7.iok Yrmoer - - -T------ - ~ ~ ~ _ I I ~ - -T--- - -r---- TSfaek Dr~erS I 30 /6: each - nrop oFF Ser~iae prey Cryer ma,nTensnae area I S/ze/yes ' OCCUPANCY OR USE IS UNLAWFUE ~~pp.//~~PP~~R VI~ED AS NOTED F/D 0 / ~ C1l `G WITHOUT CERTIFICATE DATE:"~B.P.N 1}033 Bnnun, hr~ OF OCCUPANCY FEE: / ~ ev: V. Cy L. ~ ~ ' r'7 <"?!?~C~:'', NOTIFY BUILDING DEPARTMENT A7 - 785-1802 9 AM TO 4 PM FOR 7HE °jO r~ ~ ~ 1 i; ~ i - FOLLOWING INSPECTIONS. J""__'~~'~~~ ~ ~ ~ - • 7. FOUNDATION - TWO REQUIRED _ , - ~ FOR POURED CONCRETE I ~ . r n + - ' 2. ROUGH -FRAMING & PLUMRIPJG ~/3~ ' ~ ~ ~ r~:/+'/ ~ ~ ~ ~ t' . . 3. INSULATION ^~.cc7`~._.____.~ -j_.. q~ i~,, ."~Ar T~~ I 4. FINAL - CONSTRUCTION MUST V /'FZ ~ L^1'•I Vl__~ _ ~I'~/,L~~ .r__-_ _ _ _ RE COMPLETE FOR C.C _ ALL CONSTRUCTION SHALL MEET ~ THE REQUIREMENTS OF THE N.V. STATE CONSTRUCTION & ENERGV ~ ~:~pi.~nh F f~n`±F CODES. NOT RESPONSIBLE FOR / ~ /2 E GJ ({o., DESIGN OR CONSTRUCTION ERRORS ~ /T ~ $Ob8 Tlt.B4 opcrey"e Su.~par7-~`o /am rs. e• r e• u a ase c fI o• ' O a n' 6 . e• s C6aP/eJ°ie SiAfi hva.ahene Bare r. Sori9 rube F/gs,v G'DnCref~ St1~ParT Lr'®/4mRS pelXsree N/uin a e O~ ~ O O I .Qoi6mew71~/,00~ - _ i' ~~~~w ~ie,rn.MC' 6;.isY%h.v ~ k , . \ ~ F_~ I~ ~i'rder SaP{e'rz''Sa~a.s?«r~ Ir. __...R,, i z~sq~ ~ gaSf.tSd I a.L,mark.#,- .91,i.7ta 1/c~ia• t ~ t _ r, a~ ~ ~ ~eyenel 1 I ~ L___r1 ' _ wal/ ~ Eeur~y i ~ ~ ~ ~ i ~ I f y,.nr ~ Co.~c~ete $/a6 ~ I ~ i CXis~nJr' I I n I ~ ~ ~ ~ ~ I i 1 ~ ,base rn eh~" P~ o~~s~~ RTrrz~c~c . z ~'?31.~1~1t` t3f Sam. ~'~ros~~il~~~og ~j~/son irl ~,I rtll~ n~.. - - _ :f