HomeMy WebLinkAbout30093-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30613 Date: 12/08/04
THIS CERTIFIES that the building ADDITION
Location of Property: 800 ALBO DR LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 3 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 19, 2004 pursuant to which
Building Permit No. 30093-Z dated FEBRUARY 20, 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN E & PATRICIA A. CLARK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Au o/zed ig a eure
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. 30093 Z Date FEBRUARY 20, 2004
Permission is hereby granted to:
JOHN E & WF CLARK
BOX 670 ALBO DR
MATTITUCK,NY 11952
for
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR PER ZBA
at premises located at 800 ALBO DR LAUREL
County Tax Map No. 473889 Section 126 Block 0003 Lot No. 009
pursuant to application dated FEBRUARY 19, 2004 and approved by the
Building Inspector to expire on AUGUST 20, 2005 .
Fee $ 150 . 00
Auth r ' ed Tignature
- AkoN -P ALL45
ORIGINAL
Rev. 5/8/02
lam....
1
Form No.6
TOWN OF SOUTHOLD }
BUILDING DEPARTMENT 2 42004
TOWN HALL
765-1802LI-T
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 1% 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 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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
Date. November 23, 2004
New Construction:Porch./Deck Old or Pre-existing Building: (check one)
Location of Property: 800 Albo Drive, Laurel
House No. Street Hamlet
Owner or Owners of Property: John E and Patricia A. Clark
Suffolk County Tax Map No 1000, Section 1 2 6 Block 0 3 Lot 0 9
Subdivision Filed Map. Lot:
Permit No. 30093 — z Date of Permit. 2/2 0/0 4 Applicant: Owners
Health Dept. Approval: n/a Underwriters Approval: n/a
Planning Board Approval: n/a
Request for: Temporary Certificate Final Certificate: XX (check one)
Fee Submitted: $—25.OD
Applicant Signature
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: January 9, 2003
AMENDED: January 21, 2003
TO: Joe Clark
PO Box 670
Mattituck,NY 11952
Please take notice that your application dated January 9, 2003
For permit to make additions/alterations to an existing single family dwelling at
Location of property: 800 Albo Drive, Mattituck,NY
County Tax Map No. 1000- Section 126 Block 3 Lot 9
Is returned herewith and disapproved on the following grounds:
The proposed addition/alteration to this existing singley dwelling, on a non-conformin lg 7,435
square foot lot in the Residential R-40 District, is not permitted pursuant to Article XXIV, Section 100-
244 B. which states that lots measuring less than 20,000 square feet in size are restricted to a maximum
of twenty 20)percent lot coverage.
The propertyurrently has a lot coverage of 20 percent. Following the proposed construction, the
property will have;a total lot coverage of+/- 23 percent.
i
This Notice of,Disapproval was amended on January 21, 2003, to correct errors in lot covaern
calculations on behalf of the Building Department.
r
Authorized igna re
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
APPEALS BOARD MEMBERS O`OS�FFO��'CD
y� Southold Town Hall
~ �
Lydia A.Tortora, Chairwoman 53095 Main Road-
Gerard P. Goehringer P.O. Box 1179
George Horning O Southold,New York 11971-0959
Ruth D. Olivay�► O`' ZBA Fax(631)765-9064
Vincent Orlando Ol �� Telephone(631) 765-1809
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF JULY 10, 2003
App1. No. 5336 -JOHN AND PATRICIA CLARK
Property Location: 800 Albo Drive, Mattituck; CTM#126-3-9.
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type II category of the State's List of Actions,
without an adverse effect on the environment if the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 17,434.74 sq. ft. parcel has 126.08 ft. frontage along the
west side of Albo Drive in Mattituck. The property is improved with a one-story frame house with sunroom and
attached garage totaling 3,006 sq. ft., a 648 sq. ft. swimming pool, and 196 sq. ft. deck. An accessory shed
structure overlaps the side property line as shown on the survey prepared by Joseph A. Ingegno, L.S dated
December 3, 2002, revised March 20, 2003. The lot coverage of building areas is confirmed on the survey at
3,850 sq. ft., or 22.08% of the lot area.
BASIS OF APPLICATION: Building Department's Notice of Disapproval dated January 9, 2003, amended
January 21, 2003, citing Section 100-2448, in its denial of a building permit to construct additions and
alterations to the dw,%Iling which result in a lot coverage exceeding the code limitation of 20% of the lot area.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on June 19, 2003, at which time written
and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the
property, and other evidence, the Zoning Board finds the following facts to be true and relevant:
AREA VARIANCE RELIEF REQUESTED: Applicant wishes to construct a full front porch as shown on the
March 10, 2003 survey revised by Joseph A. Ingegno, encompassing the existing front entrance and 13.5 ft. x
6 ft. open deck addition. Also proposed is a new wooden deck at the side of the dwelling, 20.6' x 14' in size
(288.40 sq. ft.), after removal of the existing 14'x 14'wooden deck (196 sq. ft.) in the same side yard.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal
inspections, the Board makes the following findings:
1. Grant of the alterative relief will not produce an undesirable change in the character of the neighborhood or
a detriment to nearby properties. The lot coverage of 22.5% will encompass the existing front entry area
proposed as a new porch, plus open 13.5' x 6' deck along the side of the porch, and will.encompass the area
proposed for a new wood deck, after removing the existing open deck, at the side of the dwelling. The setback
of the new side yard deck is proposed at 13 feet from the side line, in conformity with the code required side
yard minimum, and the setback of the front porch with open deck will be within the existing footprint. Also, the
new front deck will have a greater front setback (57.8 feet) than the existing 53.5 ft. front yard setback of the
house.
Page 2—July 10,2003
Appl. No.5336—J. and P.Clark
126-3-9 at Mattituck.
2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to
pursue, other than an area variance. The lot contains 17,434.74 sq. ft., and the maximum coverage of the lot
for new building area would be limited to 3,487 sq. ft. The existing lot coverage is 3,850 which is greater than
the code required 20%.
3. The alternative relief granted herein is substantial because the coverage of the lot by building area is limited
under the Code at 3,487 sq. ft., and the variance results in a total building area of 22.5%, or 3,923 sq. ft. This
percentage results in 436 sq. ft. over the code's 20% allowed limitation.
4. The difficulty was self-created when the design of the deck and porch areas were planned without
conformity to the Town Code requirements.
5. No evidence has been submitted to show that the grant of the alternative relief will have an adverse effect
or impact on physical or environmental conditions in the neighborhood or district.
6. Grant of the alternative relief is the minimum action necessary and adequate to enable the applicant to enjoy
the benefit of new construction for porch and deck areas, while preserving and protecting the character of the
neighborhood and the health, safety and welfare of the community. l
RESOLUTION OF THE BOARD: In considering all of the above factfj'rs and applying the balancing test under
New York Town Law 267-13, motion was offered by Member Orlando, seconded by Member Goehringer, and
duly carried, to
DENY the variance requested, and to
GRANT Alternative Relief, as noted below and subject to the following CONDITIONS:
1) The new 21' x 8.4' front porch and proposed 13.5' x 6' deck extension shall not exceed the size
shown on the December 3, 2003 survey prepared by Joseph A. Ingegno, L.S., revised March 10,
2003;
2) The proposed 13.5 x 6'extension is permitted for a new deck, open to the sky.
3) The lot coverage shall not exceed 22.5% of the lot for all building areas.
This action does not authorize or condone any current or future use, setback or other feature of the subject
property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly
addressed in this action.
Vote of the Board: Ayes: Members Tortora (Chairwoman), Goehringer, Orlando, and Oliva. (Absent was
Member Homing.) This Resolution was duly adopted (4-0).
Lydia A. ora, Chairwoman—Approved for Filing
7/x^ '/03
765-1 802
BUILDING DEPT.
NSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO TION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE � �� INSPECTOR
°3(90 ?'3-2--7
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING 1 =
[
FIREPLACE A CHIMNEY FIRE SAFETY INSPECTION] [ ]
REMARKS:
DATE - //hLo; INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
V' y
------------------------------------
FOUNDATION(2ND)
40 . .-� o(�
o .
COO
O
y
ROUGH FRAMING&
PLUMBING
y
r
INSULATION PER N.Y. - y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
Z
O
rrJJ Z
01 m
O
L\°z
x
r
r
y
x
d
r�
b
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before`applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Byi4ding Plans
TEL: 765-1802 Survey
PERMIT NO. ,�nC�`(��" Checlt �
Septic Form
N.Y.S.D.E.C.
Examined4cf
20Trustees
Contact:zef'Approved 20_ Mail to:
Disapprov
Phone:_p;2
Build' 6WMTTor FEB 192004
APPLICATION FOR BUILDING PERM T T W�yQr SOUTHOLD
I y 2003 ao�3
Date � -
�,.�, y, 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 waterways.
c.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Bu l0 g Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throi�*put the work.
e.No building shall be occupied or used in whole or iii part for any purpose what-so-ever until a Certificate of Occupancy
is issued 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,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
PO Box 670
Mattituck , NY 11952
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
owner
Name of owner of premises John E . and Patricia A . Clark
(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:
POO Albo Drive Laurel
House Number Street Hamlet
County Tax Map No. 1000 Section 12 6 .0 0 Block 0 3 . 0 0 Lot ,0.0 9 .0 0 0
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy one family dwelling
b. Intended use and occupancy one family dwelling
3. Nature of work(checkwhichapplicable): New Building Addition Alteration
Repair Removal Demolition Other Work PP—Okn ' PC Q.c 0 ' 15 i~e-
(Description)
4. Estimated Cost S 6 u c� 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 5-S Rear V., Depth
Height . Number of Stories 1
Dimensions of same structure with alterations or additions: Front Rear
Depth .� Pa id ICE Height Number of Stories $7}Gvt� C.
8. Dimensions of entire new construction: Front 3,S ' Rear Depth o 3
Height Number of Stories
1 3 4 x 7
9. Size of lot: Front Rear 44 Depth
10. Date of Purchase 7 �j
�
Name of Former Owner-–, A/�..
11. Zone or use district in which premises are situated E es 104 krl I R L
12. Does proposed constructioniolate any zoning law, ordinance or regulation: N o
13. Will lot be re-graded no Will excess fill be removed from premises: YES NO
14. Names of Owner of premises Address Phone No. 29P-9614
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES NO X
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines. d
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:
COUNTYOF SUFFOL1
John E . Clark being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Owner
(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 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✓r�"� -Zoo?
day of^ 4owe0-44,
Notary Public Signature of Applicant
BARBARA ANN RUDDER
Notary Public,State of New York
Nn.4835805
Qualified in Suffolk Counii��,,��d
Commission Expires April 14wc�.
54
I D •• lbtk
S
!
lip
INV
Qc
p � k
�` , \
\ tIK ` \ +
► Q0 ►.
bt
a .• � .ate \ � .•. . •,.. ,�; c'
' s
A
�, "etc' •�'�� ,4
00
N 00
Flo
,� 5
{
:1 i { r� �, { i► �arrt
{
+tit
.r
.i
'T
' y
s „M
r sem_— �, � i
SO-
- y4 • j
IK z
r
OEPP
iq
y
�1
f
-. s
1 yap �d
Q� roop
I
lot
y9o4
i
{
i
1
ti
CUSTOM VIEW
CUSTOMER --
DATE II/10/00 REF Deck00315
RBS
1093 PULASKI STREET
RIVERHEAD, NY
(6311 727 7713
�
's$.��-
popo�eo
c.
lr
A
PLAN VIEW RBS
CUSTOMER -- 1093 PULASKI STREET
DATE II/10/00 REF Deck00315 RIVERHEAD, NY
(631] 727 7713
35'
e,
c�
I
14'
LOAD AND SUPPORT: Your deck will support a 44 PSF live load. Posts have 36" below-ground
post support.
DECK AND POST HEIGHT: You selected a height of 30" from the top of decking to level ground.
The top of the deck support posts will therefore be 21.25" above ground level. Your salesperson
can provide information for uneven or sloped ground.
JOISTS: Set joists on top of beams, 16" center to center.
NOTE: The design may require knee braces and bridging between joists. Your materials list includes
the necessary items. The suggested design is not a finished building plan. You are responsible for
all measurements being correct, for verifying that the design (and any substitutions or modifications
that you make) meets all local building codes and requirements. To verify that the suggested design,
and any substitutions or modifications, is consistent with conditions at the construction site,
review the design with your architect. Also consult your architect for proper construction and use
of materials in the structure.
Be sure to follow the deck construction detail available from your store salesperson.
:rte
I 1
_� �- -- �rXy_ee�a
-34
'J11AI6; l aiC AVAe-0 CoNCit tT
Pc lie e e s-CA
Ho ,a A �c��v A Avs �
ze
Ali, 7f
c t� Y•1 L S o� U#A ere, 1 5 ,fie ✓l��� )
uc e-
Fa
/.vU laa
1 C � ee �QLt/eRse s,DeFet Oef7?
F. T ���•�� si ,��vs e
Sipe ()eck oFf leJ /L/ a�o�
4
C'ONl�2�c?�!••,
F,t..✓ /o ��
SURVEY OF PROPERTY
SITUATED AT
LAUREL
(,a2� 5 ,3463p eTOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
9JRr� � 223,3,. S.C. TAX No. 1000- 126-03-09
SCALE 1 "=20'
a� 230.00,
DECEMBER 3, 2002
AREA = 17,434.74 sq. ft.
1� '�n �,yo�• y� OHO __ 0.401 ac.
LOT COVERAGE DATA
�� /
°� 'Y�.`. �rM,� � DESCRIPTION AREA X LOT COVERAGE
�I G (INCLUDING ROOF OVERHANG)
HOUSE 3,006 sq. ft. 17.24%
C0 WOOD DECK &
r. 601 aq. fl. 4.59%
WOOD PATIO
+`�oQ�l \ / `{ /`�� •�87' ��� POOL 648 sq. ft. 3.72%
C /
° 'F •�• / / ��• •,
OVER PROPERTYPORTION OF EDLINE 24 .q. It. 0.14%
TOTAL EXISTING 4,479 sq. it. 25.69%
PROPOSED ADDITIONAL 174 sq. ft.
PORCH & DECK AREA
h (� ' TOTAL EXISTING
$ PROPOSED 4,653 ft. 26.69%
/ .NST"Oa. MY CP
00 � ? /
.&lk'
as ` 0 ��
Rq, (n M1 q„E i
LZ U
UP.
let-/' Ste: °
b M19 O. �I
94 ry �J �ptL
^Y �• ° a 'CJS1) ��� UNAUTHORIZED ALTERATION OR ADDITION
W TO THIS SURVEY IS A MOUTON OF
S ` FIS SECTION ]]00 OF hIf NEW YORK STATE
EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BEARING
A ' Y SEAL OR
R� 'O �6 EMBOSSSED SEE LAND ASFyA11NOT BE CONSIDERED
�v 0. TO BE A VALID TRUE COPY.
CERTIFICATIONS INNCATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
n p 9 v V ITLE COMPANY. GOVERNMENTAL AGENCY AND
J n,� LENDING INSTITUTION LISTED HEREON, AND
O TO THE ASSIGNEES OF THE LENDING INSTI-
�.J ^±\Q TUITION cERTIRGTIONS AAE NOT TRANSFERABLE.
THE NO/ORISEASEMENTS TENCE OF RIGHTS
I OF TRECORD. F
va. ANY. NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
BY THE DS FOR TIRE SURREYS AS D ADOPTED Joseph A. Ingegno
BY THE LI FOR AND APPROVED AND ADDPTED
FOR SUCH USE BY THE NEW YORK STATE LAND
TFUS
Land Surveyor
Title Survey. — SUbdlWeioRe — Site Plane — Construction Layout
PHONE (631)727-2090 Fax (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
�� c '''•/ N.Y.S. Lie. No. 49668 1380 RONOKE AVENUE P.O. Be. 1931
: RIVERHEAD, New York 11901 River eod, New York 11901-0965
22-460
_ ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
LL
VIA•NuupSi1r Li sl Sy
F.P. Gb
l✓ l� HOL.
5/4 x Pi. m"4r,Mfmy 40 M • ^
5�4 Wo pul .A cHCY t n. bSGkl xx
DOWN '{Z4i� HPJ Lcuuec(ap- 1
5 10 Tu w Ll
S• Tod N Dw / ,ui �
TI 11 �2)Z% & pjEhl.1 _i _N I
�c� cnuurnN 3r z" (2J 'h^�iHkuurn
4 x 4
COMkYYVII74'ALL CODE5OF z
NEW YORK STATE & TOWN CODES 0
- AS REQUIRED AND CONDITIONS O lh P
7 ION A SOUTHOLD TOWN ZBA E
SOUTHOLDTOWN PLANNING BOA D ,
Q� NIA SOUTHOLD TOWN TRUSTEES —
a A) A N.Y.S.DEC r
�f✓ G1` L L Iia KO � ac'T �C) z
- -V4; - � S-- 1> uq SONE WiA-
COMP WITH CHAPTER "46"FLOOD DAMAGE
'
fou rI o� -j 10 L4 w �. I APPROVED AS NOTED SOUTTHHOLD TOWN CODE.PREVENTI
_
DATE: a 2 B.P.q—3 I \
P l I '�7dsT 1NlT
T- - _ ( fir-^•4x4 �o�T-�Q iM I -° FEE: 7�
1w,li 12'� m rows gfi TE_ BY: 1 T A I __
c N071F BUILDING DEPARTMENT AT � '4
4 1 . I _ __ � ry FOLLOWING ANS EOTIONS:FOR THE OCCUPANCY OR
-¢ 1. FOUNDATION - TWO REQUIRED
GX 2> ,Y -' FOR POURED CONCRETE USE IS UNLAWFUL
2. ROUGH - FRAMING g PLUMBING
3. INSULATION WITHOUT CERTIFICA
— — — — — - - g OF OCCUPANCY Q
4. FINAL - CONSTRUCTION MUST y
!� N BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHAL_ MEET THE ci
REQUIREMENTS OF THE CODES OF NEW Q
Ti_�J ORK STATE. NOT RESPONSIBLE FOR
DESIGN FR n�•1575 �,or•. ERRORS.
p
eUI1,01Yg0 USE ReeWl91 -3
D�-o" r BUILONOAAEA 24.1 3s Q
II ' � . to -o R>!p IONr z'.rr
-- --- ------_--_-- GN,tMED AgpY VSTR "ON P�Mweoeelon Q" 1JL
4� �a�0 G i� FnJ 41MEl L - 40p.110
nO�
i n �Ir pp`, ,�P _ L [ 4pa
rWd LnIL
_ 3d• 7f CA7EQORY B 20I
11 ll A I /-� � f �^'^ }� {� � (dNENOERiN "�7�6 M �-�+•
11 V I A � � T ' 0 ` �{ r" L Fes- {`1 015856 ADQ`1 1 - ill, tld�lrl�M1►'Mm+M'rm \J
OF NEN IQAOT�rBLnUTErt�r p. T K.
N!:•a6�&Ib'briiinEcaordMo;�ywvi�Wnp;coa.
. I/ �Il:LiqA"�/yYk,IWr4i+51l�Fp�lasP+lrk'AMAM�on
1 -`- aEf 'KN7t'Itl'i!MFm oti+M.hwt Por. Gmlt'FdV