HomeMy WebLinkAbout34058-Z of Sao Tyo`o Town of Southold
* * P.O. Box 1179
io 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45862 Date: 12/30/2024
THIS CERTIFIES that the building COMMERCIAL
Location of Property: 51820 CR 48 Southold, NY 11971
Sec/Block/Lot: 135.-3-22
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 07/11/2008
Pursuant to which Building Permit No. 34058 and dated: 07/11/2008
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:
handicap ramp addition to existing church as applied for.
The certificate is issued to: Shiloh Baptist Church
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
uth ri ed 'gnature
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. 34058 Z Date JULY 11, 2008
Permission is hereby granted to:
SHILOH BAPTIST CHURCH
PO BOX 201
SOUTHOLD,NY 11971
for
CONSTRUCT ENTRANCE RAMP FOR HANDICAPPED TO AN EXISTING CHURCH AS
APPLIED FOR. THIS PERMIT REPLACES 21137.
at premises located at 51820 CR 48 SOUTHOLD
County Tax Map No. 473889 Section 135 Block 0003 Lot No. 022
pursuant to application dated JULY 11, 2008 and approved by the
Building Inspector to expire on JANUARY 11, 2010 .
Fee $ 100 . 00
uthori d Signature
ORIGINAL
Rev. 5/8/02
r
FORM NO. s
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)
e"ot,4 3 Lj o S�
N214-3.7,,.Z Date ... .�. .......................................
Permission is hereby granted to•
�.. ..........
. .. .,.... . ...,,.. '��
to . / . .... ... .. .. . �. ..
.... . ....... . . ..... .. .... . . .......................
�G �J
at premises located at .c: -.�O.h; ' .... ....../... ..I.........�e......................................
............................................. ..y..............................................................................
.......................................................................2....�.......................................................................................
County Tax Map No. 1000 Section .. 4 .... Block ......��............. Lot No. ......
-
pursuant to application dated ....... lr`...................................1 19?.7 and approved by the
Building Inspector.
Fee $....
.. . .. . .. . t. ............
l I
Rev. 6/30/80
o��oF souryol
couNi'{,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIO N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ];INAL
SU TION
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE ETRATION
�REMARKS:
DATE INSPECTOR `
kim
a 'C
y
OUI7DATI0*7
-----------------
'OUNDATI01.7 (2nd )
o
;OUCH FRAME & I
•PLUMBING
3 . I �`
.
:IISULATI0,1 PER N. Y. c-I y Q
STATE ENERGY I \
CODE I �
a17 /o
FI,1AL
s
ADD ONAL COMMEP s .
' x
O
l
y
cnc
.5770
' 'JlCt 10,'E'-: BOARD OF HEALTH . . . , . .�_.
FORM NO. 1 3 SETS OF PLANS
. . . .
� q TOWN OF SOUTHOLD SURVEY . . . . . . _ _ . . . . . . . . . . .
zV
BUILDING DEPARTMENT CIICCK . . . . . . _ . . . . . . . . . . . . .
TOWN HALL SEPTIC FOR.I . . . . . . . . . . . . .
r SOUTHOLD N.Y. 11971
TEL.: 765-1802 .:(>-LFY
e0v
Examined . �0 CA L L 7�.� :..??.�6. . . . . . .
. . . . . . . . .. 19�z MAIL TO :
Approved . . l /?�. . . . . . 19 Permit No. . // . . . . . . _ . . . . . . . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J ( ildin� • spector) •
APPLICATION FOR BUILDING PERMIT
Date . . . . . . . . . . . . . . . . . .. 19 . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans,accurate plot plan to.scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property.must be.drawn on the diagram which is part of this appli-
cation.
c.%.•The work covered by this application may not be commenced before issuance of Building Permit.
d. .Upon approval of this application, the Building Inspector will issued a Building Permit-to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate Of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, bu' g code, housi , and regulations, and to
admit authorized inspectors on premises and in building for necessary ins ns.
(Signat re of applicant, or name, if a corporation)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician;plumber or builder.
. . .
Nameof owner of premises . . . . . . . . . . . . . %a . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
. .
(as on the tax roll or latest deed)
If a is a orpor ion signature of duly authorized officer.
10
• . Name and ti le of corporate officer)
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . .-. . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . .
Location of land on hich proposed work wi be done.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . .
House Number �
Street Hamlet
./5�. . . . . . . . . . . . . . . . .C>
County Tax Map No. ]000 Section . . . . Block � . . . . . . . . Lot . . :�: . . . . . . .,, .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot
(Name) . . . . . . . . . . . . . . .
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition � • `�
• • • • • - •Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . .. . . . . . . . . . . O.the'r Alteration Work . . . . . . . . . . . . . . .
4. Estimated Cost . . . . . . . . . . . . . . . . . . (Description)
. . . . . . . . . . . . . . . . . . . . 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 • • • • . . . .
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 . . . . . . . . . .
8. Dimensions of entire new construction: • • " ' ' ' ' . • • • Number of Stories . . . . . . . . . . . . . ..T
Front . . . . . . . ... . . . .Rear Depth
Height . . . . . . . . . . . . . Number of Stories . . . . . . . . . . • . . . . . . . . . . .
9. Size of lot: Front Rear • " " " ' " " " . .
10. Date of Purchase . . ,��•, l� � • " " " ' " " " ' --. . . .
• . . .,. Name of Former Owner •
11. 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 Phone No. . . . . . . . . . . . . . . .
Name of Contractor . . . . . Address No. . . . . . . . . . .
. . . . . .
" . " ' "
15. Is this. property within 300 Leet of a tidal wetland?--*- . .
YesYes:. . . . . . . No. . . . . . . . .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing'or proposed, and.indicate all set-back dimensions f�r�om
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
-FATE OF NEW YO RK,
OUNTY OF . . . . . . . . . . S.S '
!��• . . being duly sworn, deposes and says that lie is the a lie(Name of individual signing contract) PP ant
love named.
isthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have-performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the
)rk will be performed in the manner set forth in the application filed therewith.
torn to before me this
. . . . . . . . . . . . . . . . . .day of. l ?;l;)r:�e�; . . . ., 19
tary Public,
County
LINDA J.COOPER . . . . . . . . . .. . . . . . . . . ... . . . . .
Notary Pubtle,State of New York (Signature of applicant)
No.4822563,Suffolk CountyG',1/
Term Expires December 31,19
BOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS • • . , •
T11
1 4' SURVEY . . . . . . _ . .
� . . . .
BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . . . . . . . .
TOWN HALL SErTIC FORM . . : . . . . . . . . . .
SOUTHOLD, N.Y. 11971
i Diu
TEL.: 765-1802 r:OT-LPY
Examined . Xz
� CALL �. . . . . . . . . . . . . . . .
- . . . . . . . .. 1992 3�� O HAIL TO :
Approved . . l /�. . . . . . ., 10 Permit No. . . . . . . _ . . . . . . . . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . .
.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . .
( ildin� spector)
APPLICATION FOR BUILDING PERMIT
Date . . . . . . . . . . . . . . . . . .. 19 . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and,submitted to the Building Inspector, with 3
sets of plans,accurate plot plan to.scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property.must be.drawn on the diagram which is part of this appli-
cation.
c. : The work covered by this application may not be' commenced before issuance of Building Permit.
d. Upon approval of this application, the Building.Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. 1�o building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, bu' ' g code, housi , and regulations, and to
admit authorized inspectors on premises and in building for.necessary ins ns.
(Signat re of applicant, or name, if a corporation)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .!. . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber.or builder.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises
(as on the tax roll or latest deed)
If a is a orpor ion signature of duly authorized officer.
. . Name and title of corporate officer)
.l
Builder's License No. . . . . . . . . . . . . .. . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . .
Location of land on hich proposed wo;2�
• done.
���� c�. . . . . . . . . . . . . . . . . . . ./% . . . . . . . . . � � . . . . . . . . . . . . . .
House Number '
Street Hamlet
County Tax Map No. 1000 Section . . . . ./`:5:':� . . . . . . . Block . . . . . . . ;
Lot .
. . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . Filed Map No. Lot
(Name)
. . . . . . . . . . . . . . .
State existing use and occupancy of premises and intended.use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... : :. . . . . . :. . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New.Building . . . . . . . . . . Addition . . Alteration
Repair . . . . . . . . . . . . . . Removal . . . . . . . . .. . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . .
. _ .,. -. , . , , •
. (Description)
4.' Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 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 • . •
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 . . . . . . . . . . . . . . . . . . . . . . . . . . .` . . . . . . . . . .
9. Size of lot: Front . . Rear . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . ,r�.. U. . . . . . . . . . . . . • ' me of . . -ner O ner4 De�. . . . .�: . .
. . Name of Former Owner •s�`����
11. 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. • • • . • • • . • . . •
15. Is this property within 300 feet of a -tidal wetland?• • *Yes.. . . • • • No. . ' • " " " " " " "
If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
TATE OF NEW YORK, S.S '
OUNTY OF . . . . . . . . . . .
43,
A/A • • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
love named.
isthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �` . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have-performed the said work and to make and file this
plication; that all statements contained in this application are true -to the best of his knowledge and belief;and that the
)rk will be performed in the manner set forth in the application filed therewith.
corn to before me this
. . . . . . . . . . . . . . . .day of. �.. ... ... . . . . 19
,
ltary Public, . . . . . . . . Count
LINDA . . . . . . . . . . . . . . . . . . . . . . . .
Notary Public,State of Newyork . • • • . . .
No.4822563,Suffolk Count
y v (Signature of applicant)
Term Expires December 31,19
0
cry _
Town Hall, 53095 Main Road p • Fax (516)765-1823
P. 0. Box 1179 y� �� Telephone (516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 6, 1996
Shiloh Baptist Church
P.O. Box 201
Southold, NY 11971
Re: Building Permit #21137-Z
Premises : 51820 CR #48, Southold
Suff. Co. Tax Map #1000-135-3-22
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
oF so�ryol
ti o
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G • Telephone(631)765-1802
Southold,New York 11971-0959
UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 5", 2006
Shiloh Baptist Church
P.O. Box 201
Southold,N.Y. 11971
RE: 51820 Cr 48
SCTM# 135 0003 022
To Whom It May Concern:
Please be advised that your Building Permit#21137 issued December 12th, 1992 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $100.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
o��oF so�ryol ,�
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q Telephone(631)765-1802
Southold.New York 1 1 97 1-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 22nd, 2007
Shiloh Baptist Church
P.O. Box 201
Southold,N.Y. 11971
RE: 51820 CR 48 (entrance ramp)
SCTM# 135 3 22
To Whom it May Concern:
Please be advised that your Building Permit#21137 issued December 12th, 1992 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit,please submit a fee of$100.00 that time we can schedule
an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
OF SO(/r�ol
� o
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q Telephone(631)765-1802
Southold,New York 11971-0959 rQ
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 24th, 2008
Shiloh Baptist Church
P.O. Box 201
Southold,N.Y. 11971
RE: 51820 CR 48 FINAL NOTICE
SCTM: # 135.-3-22
To Whom it May Concern:
Please be advised that your Building Permit#21137 issued December 12t' 1992, and
Building Permit#28315 issued April 23`d, 2002 have expired. According to the Code of
the Town of Southold, a Certificate of Occupancy must be issued prior to use of the
structure.
To renew your Building Permits,please submit a fee of$300.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
BP#21137—ENTRANCE RAMP- $100.00
BP#28315—BATHROOM ADDITION$200.00
SUUlyol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road v, Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August lath, 2010
FIRST NOTICE
Shiloh Baptist Church
P.O. Box 201
Southold, N.Y. 11971
RE: 51820 CR 48 (ENTRANCE RAMP)
SCTM: # 1000-135.-3-22
To Whom It May Concern:
Please be advised that your Building Permit # 34058 issued July lath, 2008 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit please submit a fee of $100.00. At that time we can
Schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Y�
- °`
o � '�
ji
� , ,
ASP 0 D A NOTE �5
-�- 7- ;
DATE: 2- B.l�#
i. FEE: `� BY:
NMFY BOIL ING DEPART- NT AT
} q/ 765-1802 9 AM TO 4 PM FOR THE
l^i (•,(�+� �t'J� �ii ; } '� FOLLOWING INSPECT IONS:
. 1. FOUNDATION! O REQUIRED
_ � FOR POURED CONCRETE
,� ��!'a �'� _ 2. ROUGH - FP:AEV'i9�tG E� PLUMBING
cj'
� r� a� re. ;;��r 3. INSULATION
a 7_rs � �f
rr` � UT ��. I=� , L I, 4. FINAL - CONSTRUCTION MUST
� ' BE COMPLETE FOR C.O.
,.�
'� q ;� f, ,C ALL CONSTRUCTION SHALL MEET
J THE REQUIREMENTS OF THE -N.Y.
" STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
ea_o/ . � %
2.x Fc.. rS• _ � �� �
0 _
7`�
4 x 4
. D
54
L/
r
C7/i
�r
I -
i