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Home My WebLink About24072-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25248 Date SEPTEMBER 8, 1997 THIS CERTIFIES that the building ADDITION Location of Property 420 PRIVATE RD. #17 MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 6 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1996 pursuant to which Building Permit No. 24072-Z dated APRIL 24, 1997 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 & AS PER ZBA #4440 The certificate is issued to ADLYN SYVERSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - APRIL 5, 1997 PLUMBERS CERTIFICATION DATED SEPTEMBER 3, 1997- EDWARD F. SCHILLER Bui ing Inspector Rev. 1/81 FORD[ 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° 24072 Z Date ...........F. .....1./............................... Permission is hereby granted to: IL...... �.✓.. .. ..t�/�............................. �d....X, ....... d,��. �.......................... to .. . ..f�'•� -�............j�, ... .. 4f:....�"c. .`C ...... �. :7f,�.... .... ........ .... . ...... '�.� ....... /. �'/..1 .....�.... . .. ......... .... ................... ...... ..... .. ...... . ...... .i. ...... . ..��... ... . ........... ................... at premises located at..... .... . l�.r.....f4 .....�...1.. .................1.':'/�/.!. — County Tax Map No. 1000 Section .. 'z .......... Block ....... ... Lo No. ...,� i.. ... pursuant to application dated ............ C�.� .. .....••...•.•.......••. 19 ., and approved by the Building Inspector. Fee 5... . `, .......... ... . .1�i�c ... ...................................... Inspector Rev. 6/30/80 COWL OF SOUTHOLD B L_ D��v D D RTMENT TOWN iii 3 X65— SC2 PPL1CAT=ON FOR CF�T=_=C=T . OF OCCU71�NCV z. T._s appl-cat-on must be filled in by :7, ewr;ter OR -nk and subm_t_ed z the build_,_ inspector wt the follow-ng: for new building or new use: _ Final gal survev or property 'with accurate location of a-1 buildings, property lines, streets. and unusual natural or topograpdic Features. =. -nal Approval From Hea!tn Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of F-4--e Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1e lead. 5. Commercial 'building, industrial building, multiple residences and similar buildings and instaliat-Ons, a cert-=icate of Code Compliance from arcnitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For es=sting buildi*igs (prior to April 9, 1957) non-conforming uses, or buildings and "ore-e__x_st-ng" land uses: 1 . Accurate survey of property show-ing all property lines, streets, bu;?d_ng and unusual natural or toDograpnic features. A prODerly completed application and a consent to inspect sJ_gned by the applicant. ?f a Cer=-_f icate of Occupancy is denied, the Building 7nsDector snail state the reasons therefor in wr_t_ng to the appl-cant. C. Fees 1 . Cert-f icate of Occupancy - New dwelling $25.00, additions to dwell--ug $25.00, ?iterations to dwelling $25.00, Swimming pool 525.00, Accessory building $25.00, Add-tions to accessory building 525.00. Businesses $50.00. C2=-t_fic=te of Occupancy on Pre-eS_st_ng 3uild-ns - $100.00 3. Copy of Certificate of Occupancy - .25 . Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commerc_al 515.00 / Date ./.9.��. . . . . . . . . . . . . tie*a Construction. v. . . . . . . Old Or,PPre-exit-aQ Bu-ld-ng. . . . . . . . . . . . . . . . . Location of Property. . .T . . . . . .�l �l.✓Gt;&_'. ./ .. . . . . . . . . . . . . . . . . . . .! ll fT .,N. .1'. . . . . House No. Street Hamlet Onwer or Owners of PropertyAd/,M) . .5Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Count-r Tax `M_ap No 1000, Section. . ./A� . . . . . .Block. . .06. . . . . . . . . .Lot. . .�7� . . . . . . . . . . . . . . Subd-vision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FriedSap . . . . . . . . . ..L,o•t. . . . . . . . . . . . . .. . . . . . . No Date Of ?e`m-_. .2y g7 . . . . .Appl_cant 7L' . !t . . •��`"'" • • . . . . 3e'1_h Dept. Approval. /(X. . . . . . . . . . . . . . . . . . . .Undei_ vArirersApprova_. . . . . . . . . . . . . . . . . . . . . . . . . nM_hg 3Card =Dproval. .!Y. eCL'25z FJr: Te:,pCra'v C2-'i=_ ate -inial C2r=icaLe. . . . . . . . . . . -ee �l;Dmi=ted: � . . . . . . . . . . . . . . . . . . . . r)Q. . . . . . . . . . . . . . . . . . . . L.L �e �33�J C 0 YV ;t-G/0 72ni 5 - C a THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER 11,1997 Application No.on file 14248697/97 N 431291 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 ADLYN SYVERSON, 420 PRIVATE RD.# 17, MA.TTITU+7, NY l 3 b _ o, in the following location; ❑ Basement M Ist Fl. ❑ 2nd Fl. .Section Block Lot was examined on SEPTEMBER 0S,19`37 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 3 6a. 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 20 Y SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1 p 2W 1/3W 3 p 3W 3,R'IW NO.OF CC.COND. A.W.G. NO.OF HIAEG A'W.G' NO.OF NEUTRALS A.W.G. EQUIP. PER d F CC. OND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 MOTORS F:H. P. -1 SHOKE DETECTOR:71 PAUL R. BURN, LIC43$97 E 1.. L PO BOX 1061 SOUTHOLD, NY, 11971--0932 GENERAL MANAGER 11 , X+ 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. AR�,EALS BOARD MEMBERS �O�' COG Southold Town Hall Gerard P. Goehringer,Chairman y 53095 Main Road Serge Doyen y Z P.O. Box 1179 James Dinizio,Jr. p Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Lydia A. Tortora Ol �a Telephone (516) 765-1809 BOARD OI+ APPEALS /,21/ TOWN OF SOUTHOLD Appl. No. 4440 ACTION OF THE BOARD OF APPEALS December 12, 1996 APPLICANT: ADLYN J. SYVERSON LOCATION OF PROPERTY: 420 Private Road 17, Mattituck. COUN'T'Y TAX MAP DIS'T'RICT 1000, SECTION 123, BLOCK 6, LOT 17.1. 13ASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated October 7, 1996 due to "Insufficient side and total side yard setbacks for this 27,029 sf. lot." (Code requires minimum of 15 ft. and 20 ft. for each side, plus a total of 35 ft. for both sides.) PROVISIONS APPEALED FROM: Article XXIV, Section 100-244. RELIEF REQUESTED: Addition squaring off the northwesterly corner of existing one-story frame house, which slighting reduces the side yard setback to the west to 14'7", while maintaining the present conforming sideyar.d at 17 feet at the southwesterly corner of the existing house. The reduction is less than a foot based upon the present code requirement (20 ft.), and a total of 2417" for both sides, instead of the required 35 ft. REASONS/FINDINGS: Variance is not substantial. Difficulty is due to the location of the dwelling at an "off center" point on the property and the westerly property line, as located. MOTION MADE. BY: James Dinizio, Jr. . SECONDED BY: S. Doyen ACTION/RESOLUTION ADOPTED: APPROVED proposed northwesterly corner addition as applied, squaring off the dwelling, leaving a setback at approximately 20-21 feel, frorn the closest northerly property line, 14'7" from the closest westerly side property line, and a total 247" for both side yards. VOTE OF THE BOARD: Ayes: Serge J. Doyen, James Dinizio Jr. , Robert A. Villa, Lydia A. 'T'ortora, and Gerard P. Goehringer. This resolution was unanimously adopted (5-0). Z13A:lk s Town Hall, 53095 Main Road Z Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 4,- 7 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 91k3 7 Building Permit No. o7�p7a Z Owner: (pleas print) Plumber: "4- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers i ature) Sworn to before me this "3-/'d- day of 19 7 Notary County V � \ IIOMry �� NMt�� coIINIIIM w .....,...I L T FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL r Date .,�0 .77. . . . . . . . . . . . . . . . .. 191k:7 To . . . . . . . . . . . . . . . . . . . . li . . .'. . VI . PLEASE TAKE N02' . .ICE ti at your application dated . . . . . ,� . . . • . . • . . • . . . . . • 19 9G for permit to at Location of Property . House No. , . . . . County Tax Map No. 1000 Section . . . . ��. Hamlet 3 . . . B1ock Street �eet . . . . . . . . . . .17. . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following rounds01 . ,. . . . . . . . . . . . . . .4. J. . .i� . 1; . . . . . . . . . . . . . . . . . . . . . . . . . . . .e .1 -9. . . . . . . . . . . ..! - W- --f-11" J7- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , f i d ' g Inspector RV 1 /SO APPEALS BOARD MEMBERS gUFFO�,�coG Southold Town Hall Gerard P. Goehringer,Chairman Z y< 53095 Main Road Cz Serge Doyen Go Z P.O. Box 1179 James Dinizio,Jr. p Southold, New York 11971 Robert A. Villa A p� Fax(516) 765-1823 Lydia A. Tortora Ol �a Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD Appl. No. 4440 ACTION OF THE BOARD OF APPEALS December 12, 1996 APPLICANT: ADLYN J. SYVERSON LOCATION OF PROPERTY: 420 Private Road 17, Mattituck. COUNTY TAX MAP DISTRICT 1000, SECTION 123, BLOCK 6, LOT 17.1 . BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated October 7, 1996 due to "Insufficient side and total side yard setbacks for this 27,029 sf.. lot." (Code requires minimum of 15 ft. and 20 ft. for each side, plus a total of 35 ft. for both sides.) PROVISIONS APPEALED FROM: Article XXIV, Section 100-244. RELIEF REQUESTED: Addition squaring off the northwesterly corner of existing one-story frame house, which slighting reduces the side yard setback to the west to 14'7", while maintaining the present conforming sideyard at 17 feet at the southwesterly corner of the existing house. The reduction is less than a foot based upon the present code requirement (20 ft.), and a total of 2417" for both sides, instead of the required 35 ft. REASONS/FINDINGS: Variance is not substantial. Difficulty is due to the location of the dwelling at an "off center" point on the property and the westerly property line, as located. MOTION MADE BY: James Dinizio, Jr. SECONDED BY: S. Doyen ACTION/RESOLUTION ADOPTED: APPROVED proposed northwesterly corner addition as applied, squaring off the dwelling, leaving a setback at approximately 20-21 feet from the closest northerly property line, 1417" from the closest westerly side property line, and a total 24'7" for both side yards. VOTE OF THE BOARD: Ayes: Serge J. Doyen, James Dinizio Jr. , Robert A. Villa, Lydia A. Tortora, and Gerard P. Goehringer. This resolution was unanimously adopted (5-0). ZBA:lk APPEALS BOARD MEMBERS gUFFO(�- �Q�� C4G Southold Town Hall y� Gerard P. Goehringer, Chairman 53095 Main Road c "'� P.O. Box 1179 Serge Doyen y = James Dinizio,Jr. p Southold,New York 11971 Robert A. Villay'�O! � Q! l Lydia A.Tortora Telephone(5 6) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD Dj December 18, 1996 Mr. Dan West 665 Goose Creek Lane Southold, NY 11971 Re: A 1. No. 4440 - Variance for Adl Syverson App l. ROW off Camp Mineola Roa a uc Dear Mr. West: Please find enclosed a copy of the December 12, 1996 determination rendered by the Board of Appeals in the above matter. A copy of this determination has been transmitted to the Town Building Department pertaining to the owner's pending building permit application request. However, it may still be necessary for you to contact the Building Department (765-1802) to be sure your application request is in complete form and returned to the shelf for �7 re-activation and processing. As you know, construction activities are not permitted until all other permits have been issued and received. Also, due to the proximity of this project within 500 feet of a waterway, State or County Road, the Suffolk County Department of Planning is conducting a county review, which is expected to be left for local (Town) determination without further steps on your part. If you have any questions, please feel free to call. Very truly yours, Linda Kowalski Enclosure Copies of'Decision to: Building Department Suffolk County Department of Planning I. V /r, ♦j APPEALS BOARD MEMBERS �p�Qg�FFU�,�coG Southold Town Hall Gerard P. Goehringer, Chairman y� 53095 Main Road Serge Doyen y Z P.O. Box 1179 James Dinizio,Jr. p Southold, New York 11971 Robert A. Villa 'j�jJ p� Fax(516)765-1823 Lydia A.Tortora �l � Telephone(516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD Appl. No. 4440 ACTION OF THE BOARD OF APPEALS December 12, 1996 APPLICANT: ADLYN J. SYVERSON LOCATION OF PROPERTY: 420 Private Road 17, Mattituck. COUNTY TAX MAP DISTRICT 1000, SECTION 123, BLOCK 6, LOT 17.1. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated October 7, 1996 due to "Insufficient side and total side yard setbacks for this 27,029 sf.. lot." (Code requires minimum of 15 ft. and 10 for each side, plus a total of 25 ft. for both sides.) PROVISIONS APPEALED FROM: Article XXIV, Section 100-244. RELIEF REQUESTED: Addition squaring off the northwesterly corner of existing one-story frame house, which slighting reduces the side yard setback to the west to 14'7", while maintaining the present conforming sideyard at 17 feet at the southwesterly corner of the existing house. The reduction is less than a foot based upon the present code requirement (15 ft.), and a total of 24'7" for both sides, instead of the required 25 ft. REASONS/FINDINGS: Variance is not substantial. Difficulty is due to the location of the dwelling at an "off center" point on the property and the westerly property line, as located. MOTION MADE BY: James Dinizio, Jr. SECONDED BY: S. Doyen ACTION/RESOLUTION ADOPTED: APPROVED proposed northwesterly corner addition as applied, squaring off the dwelling, leaving a setback at approximately 20-21 feet from the closest northerly property line, 147" from the closest westerly side property line, and a total 24'7" for both side yards. VOTE OF THE BOARD: Ayes: Serge J. Doyen, James Dinizio Jr. , Robert A. Villa, Lydia A. Tortora, and Gerard P. Goehringer. This resolution was unanimously adopted (5-0). ZBA:lk T65-1802 BUILDING DEPT. INSPECTION [ F4) NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ j INSULATION [ ] FRAMING [ J FINAL [ ] FIREPLACE & CHIMNEY �REMARKS:G DATE � �� 97 INSPECTOR �� M-1102 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR X65-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ ] ROU BG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ J FINAL 1 FIREPLA 8 CRIMNEY REMA S: DATE INBPECTO 0 7, 1-i�>-- BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU N [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY REMARKS: _ DATE � INSPECTOR �; I t:1.11 I Ilfil'I;l�I'I llll Illti • ,,,__ .l'1111 f 1111 l l•: .. .Ulrlrun f lull ( lrnl) h �"��". T1.1 T7r �'R.�1T7Rf.F1w.FT•.�•... tj ^� nF�}F Mr.• r�11111:11 1�11/11 11: I'1.111 I II rI , .•+M..M-_------.r_r.-------- •-/.nF A .n...rr•..r.-re.w-F.•.-.r.,r..r_„_..., ',a.w wr-F_ww ---•- `� - II!;111.A'1'I(111 1'1E11 11 . Y !;'1'hl'R P.fil;Ilt:Y �.. (A)DR ` � - V ----------------- I'111/1 I. .......,....��..r,..-.._...._..,... . ..r- nnn I T 1 u11n1. (,()11rrr;rl rli: 0 C -- 0 ti �J BOARD OF w•:ALTD . . . . . . . . . . . . . . . FORM NO. I 7 ;iliTH OF PLANK . . . . . . . . . . . . . . . S 7 1)r;El TOWN OF fi011'fDOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . ..,...-.._ .- . 1 OWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . .DET. l .Wy h OF$Ol) LD :iDll'I'IIUI.D, N-Y - 1 19/ I Y - ...._..w.... i TEL: 765 1802 NOTIFY : �j QLr CA 1.1. . . . . . . . . . . . . . . . . . . I:x:.uilxd. ... ... .. 7 r/ MA 11. TO: . . . . . . .. . . . . . . . . . . . . Aplaoved. . .T'✓� .. -/... 19/-/- Penult rkl- �. . . . .. .. . . . . . ./`0�� .. ... ... .. . .. . . . ... . . .. . . . . . . .. . . . . . ... . . .. . .. .. . . ... . . . . . . . . . . . .. .. . . . . Ir_,_. __''Ii, (Ikllld• IS .:Ix•ctc -) { APR 1 51997 ,. j APPLICATION FOR III ILDING 1'Itl(MIT DitIe . . . . .1.3. . . . . . . BLDG.DEPT. r 70Q!OF SO"TdOI O__ ] I NSTI(UCf I ONS a. This application 11111th Ix: cuq)lelely filled in by tylIcul iter or in ink :11x1 nulntitted to Ilse Building In:peclol with l sets UP plans, necorale plul: plan to scale. Fee accoldinl; to schedule. b- Plot glint IJAAJtllg IocaLicxt of 101 hl Ml of 1AIiIdily;s ext 1)1e3uises, relationship to a juininl; Itewises or InI)Iic !it leca:: or areas, aexl giving it detai ILK( elescr i pt ioo of Iayool. of: prollerIy oustbe dr+xm Oil the diapp r;oil which is pati of this application. c. Alit %Alit( cove)-Lil fly this applical iOo I,rty Ix)t Ile CO1131 OCed Itefore issomxe of Iktildiog 1'ellnil . d. Illxo approval of this application, the Hoildinl, Inslx_clor will issue: it Boildiol; 1'enall to the applicaul . Such Ixrlalil. ::hall Ix: kept oil the premises available for inspectioo tln(Alghout the wollc. L. NO building :.hall be occupied or used io thole or io loot for any IAalx)se Whatever until a Celtificale of (k_colxax:y ;:hall have Ixsen Rrarlted by (he Hoildiog hlsllec-tor. AI'VLIC)'1'ION l:i IIERl,.'RY NNf3 Co the Boildio8 lelwrw.-ul for the issonoce ul` it Boildin8 Permit Ilotsuanl to the IkllldioH AMMO Oldioalice of the 'JOWO of Southold, Alffoile 0AIllly, MM Yolk, acxl other aPplicahie Ecom, Allimowes in 14•gulalicMl:+, for the COOMI-lowdoo UP buildlols, lithlil,iotm or alterations, Or for Kanuvat or dewlhiou, as herein &scl ili(l. 'the. apIll ica It agrees to cnlj)ly Willi al l appl icable laws, ordinances, bul ldinR axle, InAlsing code, mxl legolal ions, alxl to mlllit al1UK)rIZed inalX!CtOI t Oil pluaises alxl in hoildinB for Ie Ni inspect ions. 1 rE- .1 a0/,6 (:iii;nature Of -ygll Leant, of rne, if it col lKual:ioo) 1. - Llilint; lukh esei of applicant) Sl ale IAlelher applicant is oimal lessee, al;eot , at chi eilIgh ger,eEcnuLtaclor elect Iiciau, plorlx:r of boi Idol . . . . . ... . .. .. . .. .. .... ...... .../..... .. . . .. . . . . '... . . . . .. . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . ... .. . . . . . .. .. . . . . . . . .. . . . . . . . . tl:ur of cA41Kr of ptlaui:xs -MLIAJ- .. . y1/10 Q!(�.. . . . . . . . . . . .. .. .. . . . . .. . .. . . (as Ixl the tax lull or latest deed) 11 al,ldicarll is a corlioralion, sigoatore Of duly aotlorized Officer. . .. .. ... ... . .. . . . . .. ........ ... .. . . . . . .. . . . ..... ... . . . . (Il:rle iax) 1 it le of corll)rat(De officer) 1 Boilderr License No. .N?... ~.lY.7 . .. . . .- . . I'ludx:rs License No. ........ ... ... .. . .. ... .. . Electricians License NO. . ... . ..... . .. . .. . . ... Other Tiatle's License No. ........ .. .. ... ... .. I. Ini-al icxl of Ialxl a) which prolIosed wullc will Iia doni! .. .... . . .. . . .... ..... c�G1... . . ... .. . . . .. . Doose Iknlx�t Street Itaidet Wilily Tax ILIA NO. 1(100 hKITi(xt .-w?• -. BIWJc . . -. .. �.. -.-. LA)I: -.�7. .- .-..... `NIlxlivinioa .. . ........ ... ....... .. . . ... . . . ... . .. Filed Hill, No. .. . . . ... . . . . ... Int .. . . . . . .. . ... .. (Hina') 1. :it/lle Cxisl hill ose alit occlllk)IK:y 01: IIIUllls(a anif IIItel Klee ose aIKl occulxnlcy of: pJoIx)sed const loot loll: it. F.Ki :l hill Use Licit ex:culx oi.--y -r,�J� e.rl�.rr—. . . . . ... .. . . . . . .. ...... .. .. .. . . . . . . . .. .... .... .. . . . . ... . . . . b. Inlelxknl use alxf occulxIIK:y I. I,itI'II. of I,),1t (ncch %Ar it 1I oil lrli(:nhlq): FLnr 14;il0infl . /vklilinn . . . . . . .. . . �Iler111ion . . . . . . . . . . 16ycril F2tvrrvoI Ihlrrrl it loo 111 h.1 Ikrlk . . . . . . . . . . . . . . . . . . . . . . 00 0lraw:f I Ili i of1) / 0 Of . .. . . . . .. .. . . . . . . . . . fer! . . . . . . . . . (I ) Ix! I,nid rel Iilinf; Ihin 11111llcfifino). . • ' 'i. If rh�tllhq, I,if f1I' (A.n!IIIIrR oniln . . � linlx�l of rh,a�lllni, oniln nn enrh flrwn . . . . . . . . . . . . . . . . If f,nlnf,c, Ix"Iw!1 of (.11111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ir. II In e;i;wa:!r, rurrlro tf Ill of fill Mild rx:rolvlocy, r;lx•cify 111;11;111 I,;,I 1!,I CnI of .nth 1 YIN! of 1rfie. .. . . . . . . . . . . . . . . . . . . . /. Ilipvnnlrwor III exi!rl inf, rtl llw:l;ocn, it ;Illy; Ili ool 14•if111 IAnh.r oI .r;I fir irrr Ilmrtn!;irxv; of 11:nr! !rl nwaure ,ill, :111.1 nl lon!r or :wklil loon: P1 onl . . . . . . . . 14 y,1Ir - 11 . . . . . . Item' . . . . . . . . . . . . . . . . . . . . . . . .. . . IL!1i1 . . . lAoluo of !it of irn . . . . . . . . . . . . . . . . . . . . / 11. Ilinr•nn irro!^, of onl 11. IM1a 1'txn11 uw:l Irx1: Rronl /� / / /6 / Itefif . .��s . . . - . ., Ih, ,1 h Cl � - i Ihii111 . . . . . . . . . . . . . . . . . . . . . . . . . I&"lull of !;I of im; 7. 'iivc of hill Ih1N1 ��r CI[ . .. . . . .0. . . . . . . ILtlrl h . . . . . . . . . . . . . . . . . . . . 111. Il ll. of 1lurlm!w! . . Il:nrr of Po ouo 0411(!1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . m Ilw! disII 11, In 1A11(11 Prrinireo ore 1;11:11viI . . .res f dM-te 0 . . . . . .. . . . . . . . . . . . . . . . . . . . . I), Ihv!n In of if npvl corral IIN'I If"I viol Ill r! r111y VINllnl' IIM, or if ionlw'c or Ify,olnt loo: . nC - -. . - • • . . . . . . . . . Will t!xrrnn 1111 IN! IForrverl floe In(.1111 oen: YPrr• • • .- IAI I1. 1lill lot Ix! 1rf,r;wLtrl . ,-� ^l 14. ll:or•!! of (Anw,r of Irl unl!:.n . . . . . . . . . . . . . . . . . . . /vLh.!'n llrrww! Ihr. . . . . . . . Il:nr! of Al tl;ilrcl . - • . . . . . . Ankh enn . . . . . . . . . . . J e lot W! IL,. . . . Il:rrr! ul 1'1x11 rnrl rn . . . . .r( . . .�/.W.�/ tr /Lre- A`n�le. `A, 740 In Illi!; Inolxrrl.y lrilhin Yx) fuel of 11 Iirinl 1A.1 111101 4 YP; All' Yl";, !;IAl11T91) 'IIA111 'IRIf1MT,; 1190111' IIAY IW Itl�glllfvll, I'l-OF IIIMMAII loWal. ci.;oly ;r1wl rli!,Ilrw:lly fill Iwliltlinl,n, 1Aw!111.1 .xinlirlf, m plolxrnrrl, mwl irxlicnle fill not -I,nrl( 11inv!l,tliut!!= 11;rn lno1witIy lirv!n. Civ" if(TP(!( Irlwl Ill(K:11 1+111)(!f of tl.Iaclip( ioo nccmrlinfS to tlrerl, nrvl ahtea filrcef nnlr�rr nlwl irvlitnlr Owll r; iolr!r iol of rorlw-f lot . - - .'ilAl P: IN� IA�I! YI NtI! rr IIA1111Y IN 5,�. .�. . . . UVQl rloly 111n n,-n111 xe;r - . . . . . . . . . . . 1 ' nlwl r.:fy!r 111;11 hay if; Ill(! nlrfrl it:ml (Il:fir! of ilNll vlrh lnl !rlfln loll tool Intl ) :;Ipnrn n:"r'r1, Ili, i!; Ili . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Conllnclo , ol,rol , (Ill lvn file of if irro rl t.) of r.;riJ o.nN!r or nlwl I!; Moly :1111hor ivod In Ix!1 foo" m I1:1rn! x!1 fonrrtl Ihr. :,plll irnr ion; lhill "II !;l ill(1tr,rlt fl rlrnl nilxvJ io IId!I oc l'I'l i(;I! fire IIly! to Ihr twill wild hio hrwnric,r llt!lr!11vl!Iw!l ilr 'rl l mol I h:11 Ilw tn,rlr vi l l Ix- IN'l lor;ovl io+lllo rrenuvn nrl for 111 io 111. nl;ld icol.loll I i lr!rl Ih.l 4"1 Ill. !?..+nn to hr•for. fir' II,1!I /-' ' IL rlroy Pohl it . . . . L/.ti CLAIRE L.GLEW (';igo;llnt. of Apldit:wll ) Notary Public, State of New York No.4879505 / Qualified in Suffolk County (/U Commission Expires December 8,19 I 1 �r !1 M 5 l', 17 1 - ..__.. i IIF HH [H-1 i : 'd �I F T ELEUATI-- I HT E L VTI IF I 4.1 Otl rr+ firs Zx l2 RiAC{fr. ,�� ` re I' i �I ` Sw ufll lle 2 yK,, 1 SHII.S(lf4E$ (MATCH `EN15'rIU(.,� —� — [tib RAFTE2. Ibbs r ' IVk 1 it � - T JI1 IL r�M oOF SryIhIC1 LE �„ � � - ul if k} I f I I + n ' VY" CP>< RooF SHEATH+u(jy/ / �' kI > M Vhr� ' j+I � � p Px IpS lG" l KAFT"FIS� % 2N4 NAeoyFk� 32"OCi„4 �a” FillFII v l / i + u veil ,w• V� �Kr + 1 ,- ,+[ x " ^��,,;,'H Id d. ,J- � I' r`k7:� r } 1 ii yyym INS __- e= h 'C °P r}I, "1'S ° P� � z yyINttVf.. 6 VE41TE CZS «A' W/M%'�WWF1 f 'I ', 4Y I/2 Ctr dy" r ar is I IL. $ HANSFA(s Al z �� Exlsrwej a GI A N.Y. S7`il "Il I>- NEy_- , I r I+W �7 REASCERIIFICATE 'voRLµ /_NUS Ib'<K� SNc`- '� yK ccn Po:,;s uNDERwR Wfzti,Frer,�\v/ 2+b SwoE 5l <A+ l niniu+ FIST Iu ) � REQUIRFA Mn+LH �'usTllvc� slAlrac� ` I � r + � a FyI, 1•, I fi u kU: �Lb"C+AR _K Y W/ TfZ lE4yP4 17-19 INS `{ q 2.N8-HCWSE- WM/y Mb ACC wIJ IK26f..QI'll _ . Z 8_S 7��'.4l_L.W�SFIp(]INCL __- „I` All MI yn .ON r.0.{l-0•YSb, tib cc W. Oc 2NI. LtA 'z) L{IU IRAFFt _. - _ - . . _ _.__— -I' 'Yh + , v4 41 ' - U OCCUPANCY OR ,- �xI C P.JC F`T MrJ ,7"9' ?.0 Ww -_ .-. .._ .. .. - - - _ _- ,, I .wi�zk} I {trr ` I ae F VIAL fRAL ^—.__,_�_ - ."Jlll ” �rI A USE IS UN �1' I ^ I DAMP pRooFrNCi t=w .frA ; /4 r8 c0u<. ARn LAWFUL 1F , , ; , IT I QN zo za o r .,, 9 �`c. FcNNCA�IOnI'- .. - a -- .1 1,,1,; ,. ),l F -_2,q ,:.a ' ";i',, r Nl e px n I,' PP rIl 14a1 . .: '2 " 1 7Yy�ll��li• 11 111`Qt41Iy� If, r{, ',p ,' IF — — WITHOUT CERTIFICATE WAY- 2 1'r, eli t, np� L T L OF OCCUPANCY -' IF1 1 f{ l I: y, !Al 11 y I k if APPROVED AS NOTED of y {I 4 I Ia 1 IF ( µ41e 41, 1G' >$F•7 Ir M h w y tl ' .},.1 r tl` A.F' P.li ��071 w A, N5t z +v n1: ;� 1, FlA `il F 1 I rc 3 1 "ti" r, ml L M1"�1r 'I 77 DATE: r��'u ' F S I, .a 41, rx +i hYl rF Iyd h M( I r I I�'�I t �7 J FEE:& --BY: . s I NOTIFY BUILDING DEPARTMENT AT 4, Lee U I 765-1802 8 AM TO 4 PM FOR THE _C r ..1 5' ,, f : F ! c4 r FOLLOWING INSPECTIONS: I„ .I?f t,'- ' ' , I„ I' " ' yr+ ++.ar d a Ali FOUNDATION - TWO REQUIRED @a pp I FOR POURED CONCRETE d �, r k " n ,fiP- r 2. ROUGH - FRAMING & PLUMBING 6 r s �� 0 Ndplq ( ' v fix, S. INSULATION IF 4. FINAL - CONSIRUCTION MUST "`•i .I .til mr}1h Pue " a1 1{I r VI BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET ,✓ , ° 11 R�, � L' , THE REQUIREMENTS OF THE N.Y. �` , ' `N a', ,'I^.I "',5 a�A�K okI! STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS rt i;�r $ '*� Al Y,Ar k Mr yr. I all n I,µ T� DT l At,Rpam+Y c I .P e IY tr , IJ Irr'"rl "oi aTni 157 ��5'Rb * '� ... AAZO CRVpTALENEM - -. r, . I MMff�r n«c«�racrs ar.rvoeeo VQ I „ I F> l;?TIM St'�u K%TU+EAI F.J I Cu FRa�lT�OOR _ � - T'0 8E"REMd4c_C OFT, WKS" Cb (I , ' Pyr-sz oN p1y C. F-re i - ll EXISrIN(i—apTI-I ZN Roomy b " 2 +I L .� N L \Z°I x8's 14'O.t, x99 IV ll� 11 Ii nn7cN easTrNy h w C1 » m ESISTIN EdROOM — HD 2-9„ 9 I1js 5h' Zi ,I MIN,3:o',Ks Low 3! 3/z o A ,CUNC, FT 1 Z 10 HE� TD ExIST/ Cj CTYB 301'46 `s xv c,c>q ?oSTS ou s� YM� s op'a�nbE TYp 2 c.ow FINAL yW�Zx2 G�dyKKK " i (P) L%IQ_HbR _ _ __ _ — a 41 E>SI%TlmcC NE\nI �3AJ" IN 2.44N 2446 . �' ----- --- ��y - -- -------- - , '- ,T oah - � I T 0 ALJ I 1 eu! �i V 1 I , i n '�,� � i� 's`5n�►T+�y Y ai -t s'x i^r r.ni�i cngvs *AZO XITA LCF.6 ST2 ANiN46 / 1 " r a; L^„ v IJ LL,! r_ �� uari ons i HT -f"1 N nn s r .,ll 4 AT i, FOOF &H1ACr4ES CMAT(.H flE64Tlal AF,TE2s 16`OC_ ��2vy WA��eF-ELTs11EnTHr 'VilHn05k:, 32"Oc.Zeys IL" 11 1NINs �)1M + ') )" el r F4 '/Z cNY S.FW1,mG Roots : 14ANbR.1�U AS "FETL ,>• FSTxlsT'Ny - : , NY sT ATE r-xJP¢ 1 HE 90R31µ 2x(.'s b"4c., s-t�o•. UNDERWRRERS CERTIFICATE v a i1; vy I I 1. I i c , 1 r d . y , p 1 l I I , r ^ P y lCy C{,q Pu•ni5 WRAPYkd 'wJ M0.'2H >;,-ry 15�I,�,C� s,nlNfy REQUIRED Cr"hnk 2r6 sxoc s/8 cn,F irvrn�cµ E«ISTr:uy) . xJll 2. 6 RS7U5^� FA`7 W/ ZfZ IEAyFfC— —__ Si"191NS ,I;Ig i' 01 -.._. 2<6.a_l4' 1 4ri'u, " p� 9 2 6«A — — — — OCCUPANCY OR a, ,1 ' C'0^lL Yfi } MW 3"9`SBtulw 2rF ccn s-,L4 l2) trlu Irtnart 'I{:f� ,nl FII,IAI (1R/+,b�C -----` 51Lx ,s FAQ i'rirFM�tSNF,<p 17 I I DAMP '}'400F,NG —'w ClrznWl «� /4't @' ctlu< RR rp, � r 4 , .,` _ �,•.��` pN z_o,,,,ry' �11�� USE i8 UNLAWFUL �'pu'S�� h~� a ` 1 � , y ,� ,r . ' � �� , �� B . .C. rcUlvhATlaN 2" P,c. �(.q8 - .___ .;" � i 4� w:. `,N r I �, 41 1 < Y v nw�..A �": f V a I V fxv, KerwAr "— I IT CERTIFICATE — r �If- a �. r rr rt OF OCCUPANCY _ `o-;11 t Iy� r r , - NLIN 1 1 { A I Y Y �Y 11 {' APPROVED AS NOTED tr s v1., dN,I 41 a t h rl�I i,. DATE: .p �Q�-�2�.�' FEE:'Zf NOT AT P o 765-1802I9FY 1LAM TO 4 PM FOR DING TTHE QN— Y11 s �It4l m'! YF�� FOLLOWING INSPECTIONS: -0"- 7. FOUNDATION • TWO REQUIRED � { ,^ '"'� "S,n ' v r d a �{ _ , , tis�' d, ;�I�, i � 'fA'�. fe �Y�lilti+. in I FOR POURED CONCRETE ', _ r v't 2. ROUGH - FRAMING & PLUMBING ,. S. INSULATION x y "Nr 4. FINAL - CONSTRUCTION MUST .a BE COMPLETE FOR C.O. 1 r ALL CONSTRUCTION SHALL MEET ^aM Y u I m THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY ly ' ' ! I1 (`I} ■IAOR 1 CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Aej+ ' n1 ' I � 1 rl �,�� PM .GAN,Iat-0Ifilletnw�' Ay1!lA'F i r �°',i ppOve OR I A, i ,h t IiY. r 154 /IwWv .A-1 CPVSTALCrvE1FJ 21.31 AntwlTtcsc sT...A". 1o0. I tryM it svR( r� I I I p Y r 'I ' Y yA yj. a �E� Erl.$Tlhl(�i Ex 1571µG KI�Y.Hk'�I � ' I .� FRoJT ooR 'To'8£ �RpH6yEb - oPr, Ie`K8' CoNc, y 1 x11NG BATH ;�� g'a lb` poI (j q o 1 ? E,=o"tZ�O"n M IN S i. Ido" .;..__ r- L J exnw� sPAce Cmn�rt.0 rxlsrltJ�T � IST�G7�ry"" I � � � nll I 71.10 MIRro exl S7/kj j <T P I —F` y a. CONC, w$2+•Z S u wI h) r yK4 CCA ?oSTS oN Z jJe,Cec -'J m Fr g MM do". 91 v k _ Aie HbKC FwAL yi"Ab� "rYh. it _.__ _ SZL? I __ —,F�. �y 1 1 \, 9 I,. A , e ,,-q,t to" . 3.�h.=,__ •o- -----'�.�I'---- ------�'�%z'---- C" ,�y. Lay - ti ', �1h { - & rl ,.i ya , ��4� r, 4��} 3yn i1'w 4f^''++waf• �'� � � i 4r�,J rl .r1 e N d 14 I f �y n t � sr't re ic ! 4 u A ♦std F AT + q I A �yI�I � �{yy Y�!+4YIT� 11M[NITSCTY'STw NOhHO �'Oq M' � I"' d tee}'