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HomeMy WebLinkAbout30034-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30160 Date: 04/30/04 THIS CERTIFIES that the building ADDIITON Location of Property: 640 ISLAND VIEW LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 57 Block 2 Lot 4.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 23, 2004 pursuant to which Building Permit No. 30034-Z dated JANUARY 23, 2004 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 "AS BUILT" DECK ADDITION WITH SHOWER STALL AND STORAGE AREA TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY MARK K SCHWARTZ, AIA ONE 3/3/04. The certificate is issued to ROBERT M & STEPHANIE SWING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A W r,� k Authorized tgnature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 30034 Z Date JANUARY 23 , 2004 Permission is hereby granted to: ROBERT M SWING 7 WINDSOR LANE EAST NORTHPORT,NY 11731 for "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR; FLOOD PMT. INCLUDED/. at premises located at 640 ISLAND VIEW LA GREENPORT County Tax Map No. 473889 Section 057 Block 0002 Lot No. 004 . 001 pursuant to application dated JANUARY 23 , 2004 and approved by the Building Inspector to expire on JULY 23 , 2005 . Fee $ 400 . 00 Authorized Signature Signature ORIGINAL Rev. 5/8/02 5EO<o Form No.6 -. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8 20 765-1802 APPLICATION FOR CERTIFICATE OF OCCUI�-AN& This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I%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- $100.00 3. Photocopy of Certificate of Occupancy-$ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. 0-3/0 3 O �" New Construction: Old or Pre-existing Building: (check one) Location of Property: 64.0 I S(ANb VIF—k) ie cg, nmT : House No. Street Hamlet Owner or Owners of Property: )2069AT: A. 1411 N U Suffolk County Tax Map No 1000, Section 57 Block 02- Lot ¢ •Do/ Subdivision Filed Map. Lot: Permit No. 3©O 3L- Date of Permit. O/ 23 04- Applicant: /t�r_ J 1LV&tTz Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 2 5 00 (d ican Signature Mark K. Schwartz, AIA -Architect, PLLC Ai'"W Phone:(631)734-4185 �i ��C: P.O.Box 933 Fax: 631 734-4185 •���'� Cutchogue,New York 11935 ( ) March 03, 2004 Southold Town Building Department Main Road Southold,New York 11971 Re: Swing House 640 Island View Lane Greenport,New York Bldg Permit#30034 To Whom This May Concern: I have been back to the site and inspected the deck structure, shower, and dryer ventilation at the aforementioned property. These items have been constructed as per code requirements when built in 2001. Please call this office if you have any questions or require additional information. Very truly yours, N SC a � N ,4� r all ►�� ,� Mark Schwartz Swingl.doc fir/ �Y/",;�,{'^ •� .Q'4•f/"'�';.,'�. r -. nn /ice( l�Ct. ti)it I� JlSy2� (4 ar< V 4 , ` ( r • • : i • i• • • ;� Ll B FF 7. i c:�• 1'111 111 , a 7� �p / .rS, \1/�Sl V.J. J -3:':l� L'':3� •'.:F.� �L•':.F 'ii"v J'� '\hili . `�' �rJ .�. r- `:. .�, -Il r�/J� I`� i `F f t rft,�P• III io 0 o-;-7_ q . TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET V VILLAGE DIST. SUB. ,. ' LOT r FORMER OWNER TI yee l I N E ACR. ,. dei S W TYPE OF BUILDING LC SEAS. L FARM COMM. CB. MISC. Mkt. Value - LAND IMP. TOTAL DATE REMARKS je , � 6 0 6k, X11 0 '313 0 6 .S" 7 a AGE BUILDING CONDITION �A N41/ NORMAL BELOW ABOVE A �Y X41� ` FAj2M Acre Value Per Value Acre G> o Tillable 1 s L1 7 Q 611 t� 06,6 billable 2 -illable 3 Voodland ;wampland FRONTAGE ON WATER irushland FRONTAGE ON ROAD77a70 � 1 0 louse Plot DEPTH BULKHEAD 'otal DOCK I N7 r. ON MEN MEMO MENEEMEMENEMOMME■No 4 t K ONE EMENEEMMENNEMMEM■ME MENNEN NEENNEEMMMEMMENERME EMEMOMMENOMEMMOMMEM mom■ 0 MENNNEENNNEEMEENEME -a-MOMMONNOMMMEMEM MENNEN ■MENNEN ■MENNEN MEEMMEMEENNEENNEEMM ■OMMEM UNUMMEMMENNEMENEEMM Foundation i 'Basement Interior Finish Recreation Room Rooms 2nd Flo r ormer Driveway TOWN OF SOUTHOLD PROPERTY RECORD CARD , OWNER STREET VILLAGE DIST. SUB. LOT - dry /'� FORMER OWNER N Eat` ACR. d 3 S W ' TYPE OF BUILDING Uv 4dAAj Vfi RE SEAS. VL' ) FARM COMM. CB. " MISC. M6. Value LAND IMP. TOTAL DATE REMARKS A/o- Qld d 1 3 � Vc 7 11-2 f 'r LAWN ye � � AGE BUILDING CONDITION NEW NORMAL BELOW ABOVED3J FARM Acre Value Per Value Acre Tillable 1 Tii'fable 2 Tillable 3 Woodland Swompl,and FRONTAGE ON WATER FRONTAGE ON ROAD Brushland House Plot DEPTH BULKHEAD Total DOCK t , Town of Southold March 16, 2004 Main Road Southold,NY Building Dept. To whom it may concern, In reference to building permit 300342 for 640 Island View Lane. Plumbing was done by home owner and no solder was use containing lead. Robert M. Swing Ho 7 LAURA J ZONA Notary Public-State of New York NO.01 ZO6055438 ln-Suffolk unt My Cornr>Msaion Expires - STI-LDII' I�I;�� C--JL I ~ Applicant/ Date. Owners Name: S Reviewed.- �3 Architect/ Date Engineer: Submitted: 11.2,114 SCTM #: District: 1,000 Section: Block: _- Lot: Project ✓ n / �G Subdivision Location: �y V ! c7` � .— Name: Sin&le & separate Required �y certification: (Yes/No) �V M Req. �> ,� Rey. Zoning I)istricc 11,0(size. v Actual: tJ- I (Lot coverage I'roposcd C Req. ,� i Req. ��1 t ( r RVI. /l i (f'ronl Pard _Proposed: [Side Yard Proposed:��) [Rear Yard �5 Proposed —J , r Project Description: AGENCUERMITS Permit . REQUIRED FOR REVIEW N.A. ISO YES Number Suffolk County Health Dept. New fork State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval.I Flood Plane Elevation??? Flood Zone: Notes.: �' ' r fawn 1lcrll. 5.111 5 �-jai" r T. T.CRRY P.O. nt►x 1170 l�trr S 1 O WN CLERK t riulhcilrl. Nc��� k 1 � ItEGISFRAP OF VITA.SfATIS-TICS � (Ob U, Fax (5 10) 765.I R�1 E-, O` ` MARRIAGE - Tcicphonc (51(11 7(r5. 1y RECORDS MANAGEMENT OFFICE:12 '��l �� FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 : RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under tNe Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93) ] , and "Certificate of Compliance for Development in/%/ Special Flood Hazard Area CC/C(93) ] . BL:�G. DEPT TOWN OF SOLM101-D � T . Terry Southold Town Clerk August 25 , 1993 ' APPLICATION f PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION I• GENERAL PROVISIONS (APPLICANT to read and sien): 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TO THE T OF MY Y41qO GE,TRUE AND ACCURATE. .s (APPLICANTS SIGNATURE) Y DATE O 6 SECTION 2: PROPOSED DEVELOPMENT CTo be complctedj v APPLICAPM NAME ADDRESS TELEPHONE APPLICANT BUILDER ENGINEER PROJECT LOCATION_ To avoid delay in processing the applicatioa, please provide enough information to easily identify the project location_ Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark A sketch at(ached to this application showing (he project location would be helpful. 7-0 CLA40 dle 134, f avr arc FDP(93) APPLICATION PAGE 2 OF a DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE O New StructureResidential (1-4 Family) Addition O esidential (More than 4 Family) O Alteration ❑ Non-residential (Roodproofing? O Yes) O Relocation ❑ Combined Use (Residential & Commercial) O Demolition* ' P O Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? O Yes) ESTIMATED COST OF PROJECT S 0444 B. OTHER DEVELOPMENT ACTIVITIES: O Fill O Mining O Drilling O Grading O Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Dredging and Channel Modifications) j O Drainage Improvements (Including Culvert Work) , O Road, Street or Brid'&Construction O Subdivision (Newf Expansion) O Individual Water; Sewer System O Other (Please 0-pecify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located oa FIRM Panel No. • Dated The Proposed Development- 0 Is EQI located in a Spedal Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). O Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is:" Ft. NGVD (MSL) ❑ Uoavailablc O The proposed devclopmen( is located to a floodway. FBFM Panel No. Dated ❑ See Section 4 (or additional instructions. SIGNED DATE APPLICATION 4 PAGE 3 OF 4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMMISTRATORI The applicant must submit the documents checked below before the application can be processed: O A site plan showing the location of all cpsting structures, water bodies, adjacent roads, lot dimensions and proposed development. O Development plans,drawn to scale, and specificatipns,including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor, details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also O Subdivision or other development plans(If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). O Ptams showing the extent of watercourse relocation and/or landform alterations- 0 Top of new fill elevation Ft. NGVD (MSL). 0 Floodproofmg protection level (non-residentialFt:NGVD (MSL . For only) ) floodproofed structures, applicant must attach certification from registered engineer or architect- 0 Certification from a registered engineer that the proposed activity in a regulatory (loodway Will not result inany increase in the height of the loo-year flood. A copy of all data and calculations supporting this finding must also be submitted. O Other- SECTION therSECTION 5 PERMIT DETERMINATION ED be completed by LOCAL ADMINISTRATORI I have determined that the proposed activity. A-O Is B.O Is not in conformance with provisions of Local Law if , 19 The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from (be Boafd of Appeals. • APPLICATION W PAGE 4OF4 APPEALS: Appealed to Board of Appeals? O Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6 AS BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a Licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual(As-Built) Elevation of the top of the lowest floor, including basement in Coastal High Hazard Areas bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). L Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. / SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADN11NISTRATOR will complete this section as applicable based on inspection of the, project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCIES? O YES O NO SECTION $• CERTIFICATE OF COMPLIANCEag be completed by LOCAL ADh4iNISTRATORI Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLI"CE for Development in a Special r'lood Hazard Area t r • t ' •I t .` TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑EXIS'T'ING BUILDING ❑ VACANT LAND ' f THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 . SIGNED: DATED: B. COM-PLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: CIC (93) ass-isoi suaoINa DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 TION [ ] FRAMING [ NAL [ ] FIREPLACE & CFIIMNEY REMARKS: �0 r DATE IN8PECT0-7 tc� Q � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: c�� 7 DATE INSPECTO FIELD INSPECTION REPORT DATE COMMENTS b i FOUNDATION (1ST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) - ---- - - �O ROUGH FRAMING& - - y PLUMBING - r INSULATION PER N.Y. STATE ENERGY CODE - - -- --- - ell FINAL --- -- --- . _ - ADDITIONAL COMMENTS - --- -- O rn Lo W H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT 2 3 ?P94Do you have or need the following,before applying? TOWN HALL JAN Board of Health SOUTHOLD,NY 11971 _ 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 _ �.,._. Surve Y www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined L�>3 ,20 d Contact: Approved d 20 A Mail to: Disapproved a/c i PD &Z 933 W7Lf}aGr/f Phone: ��3 4— 41 ef,5'— Expiration /T 3 ,20O104_ Building Inspector APPLICATION FOR BUILDING PERMIT Date p 104 , 20 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. b0lot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or area, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may-authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 admit authorized inspectors on premises and in building for necessary inspections. (Signature f applicant or name if a corporation) 61'0 /jo.Y 9Z-3 Cm&V I/9 35 (Mailing address of applicant) State whether applicant is owner, less , agent, archi ct, engineer, general contractor, electrician, plumber or builder Z q4 e PC' V4-n,T-7 Cly Name of owner of premises AVU0 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 5- 7 Block 0 Z Lot ¢ I Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of prem ses and intended usetand bceicy of proposed construction: a. Existing use and occupancy b. Intended use and occupan 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost (/(XJ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Sf1r, e4l4X�5 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories S&44/,Cy 9. Size of lot: Front_Rear / Depth ' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated L?= 4-6 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO 10.64&7--�f TT/fftAvv'.0 7 (,4wr .S 71 a 14.Names of Owner of premises SwJ.yla► Address e. A1.04 77tl'0KTT Phone No. �,�4- Name of Architect ,Al. CC Address Phone No 7-14— 41 � Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF4 /vG being.duly sworn,deposes and says that(s)he is the applicant (Name of individ al signing contract) above named, (S)He is the (Contractor Age orp orate 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 day of 20O'e�� x7 41 " No ary Pub is S gna ure of Applicant LINDA J.COOPER Notary Public,State of New York (' No.4822563, SyLffolk f;+�.gjnnt.,�.7 {�a1 akr i.�i'�.3YoC:1✓ecsamler 61,G.� d CIO cm cm YC E B L TZ ��t � rn c: '�i0 •,, J �i -Ate:--,:•gin.-�:�.�c��•�_:,� A N �- cr�;f p EW .. r _ IV S 1�/<�t C� f-fO vS� •�--� ISL�}�r� V(,Ew (.,A� C7 v 4rq�n ecc7 to Ame r•r carr VO t.! =- 'LC.•7� /'!!f�>•'L7G'i':. I hen s %r Y � �' : �::,I.JG �L�► GAJ/t�71"�^' V.,{'{,r /•C, r ✓!/•�'S LJAf,IaC ..% �` \ Gt%• 'tl, f i/G' �17. ��'�V :.�i a�j' t/ •/'1f14'a:C� ('f ? Q . L/1'{/�11 L"C� /"7 U Q. Z 3, I9 7f _G_ 'j -'rr •�'/2 ivo. //.Z� 'safe ; r- i' APPROVED AS NOTED y DATE: 4 � -- -- BY. NOTI BUDDING DEPARTMENT AT 765.18 8 AM TO A .FOR THE FQLLOWING Nd _ - .,"0 AfOUIRED R OX40WE 2. RO H F ING & PLUMBING c 3. INS T N 4. FIN TRUCTION MUST BE OM LEE FOR C.O. ALL C SLK TION SHALL MEET THE REQIJ OF THE CODES OF NEW "-;, r YOR -RESPONSIBLE FOR Q DES OR STRUCTION ERRORS. II \ c Lou* lab CE OF !C3G-H4� TS�TrP� ICATION NAILIN ICONNECTIONS 4CG MOD ZONE QUIRED. COMPLY WITH CHAPTER " FLOOD DAMAGE PREVENT N SO THOLD TOWN CODE. OG NCY CH ALL CONSTRUCTION SHALL USE IS UNLAWFUL MEET THE REQUIREMENTS OFWTHOUT CERTIFICATE 'CODES OF NFW YORK STATE. ��, o A `. OF OCCUPANCY X¢ c� la �:�