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HomeMy WebLinkAbout30673-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30945 Date: 05/27/05 THIS CERTIFIES that the building ADDITION Location of Property: 20 SOUTH OAKWOOD DR LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 145 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2004 pursuant to which Building Permit No. 30673-Z dated SEPTEMBER 29, 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 DORMER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID P & DOROTHY MCKELVEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2029775 11/01/04 PLUMBERS CERTIFICATION DATED 09/17/04 MATTITUCK PLUMBING Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled 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 210 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 St5.00, Commercial$15.00 Date. 5 0» - y New Construction: Old or Pre-existing Building: (check one) Location of Property: aQ S 0 O._i&w 6'0-A D(L 1 .r-__ House No. S Street M Hamlet Owner or Owners of Property: , ���f t C� P �- G Suffolk County Tax Map No 1000, Section Block Lot Subdivision r, Filed Map. Lot: Permit No. -J U LO-1 Date of Permit. -I -aft-o y Applicant: Health Dept. Approval: Underwriters Approval: Planting Board Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted: $ 5 00 G0 C, Applicant Signature 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. 30673 Z Date SEPTEMBER 29, 2004 Permission is hereby granted to: DAVID PATRICK MCKELVEY 180 FONDA ROAD ROCKVILLE CENTRE,NY 11570 for CONSTRUCT DORMER ADDITION TO AN EXISTING DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#24255 . at premises located at 20 SOUTH OAKWOOD DR LAUREL County Tax Map No. 473889 Section 145 Block 0003 Lot No. 001 pursuant to application dated SEPTEMBER 29, 2004 and approved by the Building Inspector to expire on MARCH 29, 2006 . Fee $ 150 . 00 Z/iu . gnature i ORIGINAL Rev. 5/8/02 MATTITUCK PLUMBING&HEATING CORP. P.O.BOX 1429 MAIN ROAD MATTITUCK,NEW YORK 11952-0933 Phone 631-298-8393 Fax 631.298-1130 FEBRUARY 23, 2005 REFERENCE: DAVID MCKELVEY 20 SOUTH OAKWOOD DR LAUREL,NY 11948 TO WHOM IT MAY CONCERN: WHEN WE INSTALLED THE ROUGH PLUMBING FOR THE 2ND FLOOR BATHROOM AT THE HOME OF DAVID MCKELVEY AT 20 SOUTH OAKWOOD DRIVE IN LAUREL. WE DID A VISUAL TEST ON THE WASTE LINES BY RUNNING WATER THRU THE PIPES AND WE DID A PRESSURE TEST ON THE WATER LINES, IF YOU HAVE ANY QUESTIONS PLEASE LET ME KNOW. ,SINCWR,ELY Y S WILLIAM LSBERG VICE-PRESIDENT �,-X/0/1 FORM 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) 3 a(40 3 r N° 24255 Z Date .......... . ........... ......................, 1 .. Permission is hereby gronte to: / ..5 ... . .....�� .. .............. .......... ............................ /V..y ......... to . ................ 4&.&..... ..... ... . .......... .......... .......1..-�....... ........... 1... ... ... .............................................................. at•premises located at.� ...`.......�l � G�+'.�4f.,�.... ... ..................................... County Tax Map No. 1000 Section .. ..... Block ........3-..... Lot No. .1................. pursuant to application dated ............. .. .. ...1 ..............., 19. i, , and approved by the Building Inspector. Fee5......<.. .. ......... . ... ........ .. ....................... ................. Building Inspector Rev. 6/30/80 DAVID P. MCKEL,V EY 180 FONDA ROAD ROCKVIL]LE CENTRE, NEW Y®IK 11570 (516) 381-8038 May 25, 2005 Ms. Conny Branch Town of Southold Office of Building Inspector Town Hall Southold, New York 11971 RE.rmit Number: 30673 Z Jff i Powd: September 29, 2004 tion: 20 South Oakwood Rd 1 MpV 2 6 1�JJJ� Laurel, New York R .IDear -,P.ixsbanf to your request, enclosed are copies of everything I have with respect to the C of O application, due to the fact the file cannot be located at this time. The engineer, Robert O'Brien certified the Mattituck plumbing letter, which he personally dropped off to your office. I do not have a copy of the letter with the certification on it. I believe you mentioned you had that letter. Enclosed also is a check for $25. We have placed a significant amount of money in escrow during the period, so I respectfully request this application be processed in an expedited manor. The certificate should be mailed to me at the Rockville Centre address above. If you have any questions, please do not hesitate to call me at 516-381-8038. Thank you for your time and consideration. Sincerel , D id P. McKelvey ❑° CPC.PC.I�LI�C.I�LI�C.�I�LI�LI�C.I�LI7LnC.�r�LI�C.ILI�C.IC.ILn C.�C.I�LILI�C.�C.I�C.�C.I�CnC.I�C.�LIC.I� C.l�Ll�rl�C.l�rfl�Ll�C.I�C.II�C.n C.IC.I7C.I�C.I�C.IL✓�LI�C.�I0 ❑1 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY c5 5 40 FULTON STREET — NEW YORK, NY 10038 S CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 DAVID MCKELVEY DAVID MCKELVEY 5 180 FONDA ROAD 20 S. OAKWOOD DR. 5 R070 ILLE CENTER, NY LAUREL, NY 11948 5 Located at 20 S. OAKWOOD DR. LAUREL, NY 11948 5 Application Number: 2029775 Certificate Number: 2029775 5 5 Section: Block: Lot: Building Permit: BDC: ns11 rrr5 C7 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Second Floor, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 1st Day of November,2004. 5 5 Name OTY Rate Ratin Circuit Type 5 5 Miscellaneous 5 as built-1997 5 5 Appliances and Accessories 5 Exhaust Fan l 0 F.H.P. 5 5 Wiring and Devices 5 5 Fixture l 0 Incandescent 5 Switch 4 0 General Purpose 5 5 Receptacle l 0 GFCI 5 5 An as built inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to 5 be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 S 5 5 5 5 seat 5 I of I S This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 Jr!rJrJ�frJ�cPrJ�cPrJ'1JrJrJrJrJr�rJ�rldJ�cPr�cPcJr�rJ�c1rJcP�fs rJ�rJ�rJ�r PrPrJ�c f�cPrJcPrJrJ�rJ�rJ�rJLrL3 Pc.tcPr-PCM@@I PCJRU0c 1-Q 9 LAWRENCE M. TUTHILL +' (I C ��,..�� -'-�(?—�-�-y� • PROFESSIONAL ENGINEER r P.O. BOX 162 h; L 9 J ± GREENPORT, N.Y. 11844 _ 1 1 (631) 477-1652 b,0(- DFF'� L Tl1NPl'1;7_.__.' June 9, 2005 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Residence David McKelsey 20 South Oakwood Drive Laurel, NY Permit # 30673 S To Whom It May Concern: 1 I have inspected the work for the chimney extension for the above mentioned residence and found that all work has been done in accordance with the New York State Building Code and the Southold Town Building Department. Sincerely, , of NEW YO ';�NOE Lawrence M. Tuthill, P.E. Ile v 6 << TZ 9 032264-1 �t1V OF VQ -� —' e Include This Material In With The File on �� 1+ y Permit #30673Z Dated 09/29/04 Report On Chimney at 0 South Oakwood, Laurel NY FROM: CHIM CHIMNEY 314 CHAMPLIN PLACE GREENPORT, N.Y., 11944 PHONE 631-477-1868 CUSTOMER tier. David CLMcKPlvpv MAILING ADDRESS 180 Fonda Road Rockvilllp Center. NY 11570 PHONE S16-181 -8028 DATE 03/23/05 Following a cleaning and some repair work I inspected the construction and condition of the chimney at 20 South Oakwood in Laurel. The brick chimney services a fireplace with a clay lined 8x12 flue, and a gas fired boiler and hot water heater with a clay lined 8x8 flue. The chimney is clean, has a good draft, and is in good condition. On 03/15/05, at my request, Lawrence Tuthill inspected this chimney. Larry has agreed to write an engineers report if needed. If I can be of further assistance please feel free to call me at 477-1868 Thank you for your attention. Robert Jester 1y53 - 1 TuwnHnn570951•Anlnno0d . , t\ , � •i lar (Slr;) 7r,5,iy1,l P. U. fins 1178 . 1 •�.I Trlaphon9 (515) 7c�,.1007 ini'll.ul•I, Ilaw York 11971 •,.,�.' � ; ' Y OFFICE OF THE BUILDING INSPECTOR TOWN OF SOU1•I IOLU U E R T I F I C. A T 1 n 14 nuilding Permit No . ( please pr. lnt) (,�/ /I Plumber! J/J1cJ "I oc c_ Y.(_ur,b;,. (plense prim.) 1 certify khat the solder used in the vuiLer supp) y syr- tam contnins loss than 2/10 of J % lecld . ( fluulfiers lynnl.iir=�j Sworn to before me this ddy of Notary PtIb11C0 GCS Ccn y . No" N4w Wk V.30 474 i Qualified in Na3aau/ commission Expires -__ ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD. P.O. BOX 456, LAUREL. NY 11948 631-29B-5252 I i 1 � : May 9, 2005 ` 2005 11._1 Southold Building Department Southold, New York Re: Certificate of Occupancy for Second Floor Dormer Bath 20 South Oakwood Drive Laurel, New York Permit No. 306732 (McKelvey) Gentlemen: On May 7, 2005, 1 re-inspected the hot and cold-water supply lines, along with the sewage waste and vent lines. There were no signs of leaks. To the best of my judgment and knowledge, they have been installed in accordance with the Codes in effect in 1997, when the bath dormer was built. For your records, please find attached a letter dated February 23, 2005, from Mattituck Plumbing, also certifying the work. If you have any questions regarding the above, feel free to call me. t�t0 of NEw yo Very truly your * 5o��a� F O r Att. r Robert O'Brien P. E. .t16 tiQ 052.11 v,= Una ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES /_07ft 2074 MAIN ROAD. PO. BOX 456. LAUREL. NY 11946 631 -298-5252 R'IN 3 �� November 26, 2004 Southold Building Department Town Hall Southold, New York Re: Certificate of Occupancy for Second Floor Dormer Bath McKelvey Residence 20 South Oakwood Drive Laurel, New York Gentlemen: I hereby certify that the bath dormer at the above-captioned property appears to be structurally sound. Further, that it was constructed in accordance with the building codes in effect in 1997, when it was built. Very truly yours, <E OF NEW * yF. OB9° Robert O'Brien P. E. o r Z QROFEssl TA � 7 m tj Al Z� y=' " - v.t�,d� � y \ � -- ?Sri a vr,..rsr�•-a�.�t air eAs r 7�7 Ir 13 y O r st,�,rw.ep s,ss.r — vr is m m c 33 o m a z m D O Z m o a `' m � 3 , �G �/fGv,Ev �dS//fA✓G,t� ,iia—�7�- ®�.�(.►/etc_ A D,D�T!.�.- 2o So.ir7¢ GA�i�Cw�,D i4rli✓R �j26/v lf. iry �►; ,�I l 1T w� r n • _ <__ '--arm. _ ' _ — _ •..� T.J'�- TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT >av d cK ery � N1 C FORMER OWNER N E ACREAGE ? �� /C Sau.CCe 015 S W TYPE OF BUIILDING / '/ Q '✓ /t'1 /Y lox !1 7l ( 119 RES. a SEAS. VL. FARM COMM. IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS D 4z 2-0p 00 S l a la-L 117 -5 ulle or at i4lcKe-)N6 4 U ' v 7 /7 7 . 8P#a�{a55 ConSf l�orn;er e�z l 40 a) 6 zoo-L '1?©o z (dorrnee ) c. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland ^ .� House Plot Total,® .e.. Q M. Bldg. g)c Foundation G `j Bath Extension x 76 Basement u I Flo tension Floors ( xtr �j �l�U Ext. Walls . wv� 9a d `5lW4 Interior Finish y k Extension Fire Place I Heat Z- , — /X/ Porch ) Attic 36a � a� Q Porch Rooms ]st Floor Breezeway g Z72O) Patio Rooms 2nd Floor Garage Driveway O. B. t7/v 306732� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: T � ./S- 0-s-DATE INSPECTOR G [ ] FOUNDA G. [ ] FOUNDA I [ ] FRAMING [vf FINAL [ ] FIREPLACCEE�A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ✓ - �' L' d" DATE -t/() r1t9 ANSPECTOR r I I:I,11 I tl_il'F,t:r I III IU:I.Owl.., 1)(%T G �. .--... -•- t:Ulllll't1J'!i ^^--•-- ----- �l —T.1 V(11111DA'1'11111 t 1!11I ) •rr. ►'Ut►r►un'f ------------------t ( 1tt1►) �'� t• ^ f�•r!� --AF1T.FR.T7.r.•1R1FFn• 1111111:11 I ItAIll: 1'1.111111 I NO V ...,..............F.,_.._..._.,..___F.._.._ . ��...._.._F_......__F.,FF_-F.._F 11Ili11f.A'I 11111 VFII 11. Y . !'.1A•1'K P.11I'.Itl:Y C.01IR N1, I- ----------------- - ...w—....FF__w..•—...-....F .. / � F.•«.R---Rn.-w f ww.w...w.F._--w......»w. n.—w w...w..-P 19 �t rte_ 1'I IIAI. I -_-----_R... --- ..__- ----------------------- -- --------------------- --------------- Fw__..__F_...._F....F_..----. ---- �ijb/ 6• 1-I 1 ct 1' u _ 1 . s IIOAItU 01t 11EAL:fll . . . . . . . . . . . . FORM NO. 1 3 SET'S OF PLANS V. . . . . . . . . . . TOWN OF SOU'1'IIOI.D SURVEY . . . . . . . . . .. . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . Y. . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM ........ . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Examined.... .��...., 191f�.�1./. p� MAIL. TO: . . . . . . . �• 19 9) Permit 1*15) �I .................................... Approved...... ---. .. . Disapproveda/c .................................. .................................... .......................................... .... ­ 2�?.......... ,' ••••(• •lding•Tr►spector) APDL 'PION FOR BUILDING PERMIT Date. . . . 9.r. .� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector Witt' 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application my not be ccnmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 Whale or in part for any purpose wl►atever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLIcKnON IS 1!?RI:ILY 1!1NE to the Building Department for the issuance of a Building Pennit 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) �` ).:.•.�.Y... C.:�'.��:::..�.:1.......... ..�....1........ (Mailing•address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .••.................... 4 .A.`)........................ tt ............................................................... Name of owner of premises ...........1...:�.::....� ...t...!.�6. ..................................................... (as on the tax roll or latest deed) If applicant is4corpor4ion, signature of du�y,authorized officer. ........ ....................................� � ' .. (Nae and title of corporate officer) �, Builders License No. ..`...r...�:�.. ..!L...•r.` PlunbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Iocation of land on which proposed Work will be done.............................................................. . 1 .......... 7 ......................... /\.�.......U..'.'... �:..�. --.............':.:'.`.;+:►::............ . .............. . Ilouse Number Street HamIet County Tax Map No. 1000 Section ...� f.......... Block .......'........ Iot ...... ....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Nacre) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..........'A-i. r":....... .�. :':::.......................................... 1u. Intended use and occupancy ....................... ..................................................... 1. Mahire of work (elff-o-k vAddi 014)licable): New lkiii(linp . ........ AM i t ion .......... Alteration .......... I"N"it ............ l4ruval ............. Deml i t i 011 ............ Other 14oik (Descri PI:i on) E.Mlitllato:41 Q)st .... ................ fee (L0 IX- Paid 041 filing Lhis application) 5. if 44el I ing, tinher Of ciwPl I inp olLq .. ...... IAlber of AwI I injuits fencior ................ If Parage, nuiber of corn ...................................... G. ir filminess, cunnercial or iniml ocn ...,pancY, F;PPcirY 114-11ore anal extent of each type of use...................... 7. Dimensions of existing aLroctAires, if any: Front....... ...... r -, Depth ........ .......... .. ........ Rear .... I k-i gl i t ....... ............ ..-'7 lAxiber of Stories ..... *...... Dilliensions of sivile striscUlre With alterations or niklitions: Front '-Z -7-, ....... Rear .. ...... Depth ....... .......... lieWlt ...... .. ......... Rwifier of SLorien ....... 8. Dbirnsions of entire new consUA)ction: Fruint .... ....... Ile,nr ..... depth lk-ijolt ........ ................. Amber of Stories ................... 9. Size of lot: Front ... --,�(:; ......... Depth ..... o .......... Rear .... .i.41 ............ /. . r1w 'onix It 10. lklUe of INli-cluse. r. of I, r 0�.,P r If. 7xioe or Use district in which premises are situated ....... 12. Ikms proposed constnio-LiOn violate any TAiniog law, orditu-in(:e or regulation: 13. Wil I lot be reg relied .....`,Q' ".,) ......... Wi 11. excess f i 11 be refilowed Fran premi sea: Y11-113 tu A Naims of (Mwr of premises A(lolress 4xine No. ............. Mmir of Ardiitect ..................................... Address .............................. 11W ). R ............... R' lie of ......Mine No 15. I: this property within 300 feet of a G&I wetlanil? * Yliq .......... *IF YI-,,S, S(XII-Irij) 7U4N 114)S'11%,; "Ay Ig 11FI�I1Ri 1. MOT DIAGRAM 1,ocate clearly aril distinctly all buildings, viliedier existing or proposed, nix] indicate all set-back dimensions from I)rol)erty lines. Give strPet aril block mitiber or A-scriptim according to deed, and show street winfes at-fol inflicilte iA)eLlwr interior or corner lot. (A.- ww Y(MM, SS OlAINLY . ....................... ....................Iwing, (filly swill, detxrses 01141 Says that he in Lite ntj)l icnitt (K-Rlr or ill(livid"01 Sipplifig cooLt-nU) -Ilxyvp 11,11w4l, (Q'ifiLt-nctorp or said omw--r or (mxrq, noo) is (filly ;fql[Ijorj7,e(I to Ierron" or have tk-vf'()Fn"l 01P said wr.)tk aril to ninke nool file illis n1j)l1vaLion; that 111.1 sLat.fvieoLs conLainool in (hi.g nlyi)li(, .aLion are tare to tile I)Vst, of his kouwI.e.djn,- MKI W1.411 n ril that tile work will. I)e Iferri-infleol it, LIle iminno-f- set: forth in the appl mI best icntion filed v . LI)erewith. 9W)ro to before fly? 0119 ........day of .. ...... 19. R)Uqry hiblic ...................................... JOYCE M.WILKINS of Alyplicnol-) Notary Public.State of Now York No.4962246,Suffolk Co Term Expires June I Z Iunty G•O TS' / 7 c� 0.3 3 r AC: Ca �r Y f35- (h "f �g i U B�.cTckSTo�rE �4. I V U i b �.4 L� ENt �U O 0 A„1 2 i1 I a 5.5 N v Find � GG7 Ads s i 1 ' ?,Ike BIZ C- / 2Y,lb Ce-A zee S 2X ty�- w '- lei 12 TA ' I �e O.C. I � twee- , I i Snag. f -1 AP RAE AS NOT UNKMITERS CERTIFICATE AT REQUIRED _j I NOTIFY BUILD! G, D AT ._........ �� -- -_ 785-1802 a AM TO FOR THE / QCCH PAN ,Y Q RFOLLOWING INSRECTI® 5- I. I. FOUNDATION - TWO RE IREDUSE IS UNLAWFUL NDOR FOR POURED CONCRETE PROVIDEANTI-SCALD A WITHOUT CERTIFICATE THERMAL SHOCK PREVENTING 2. ROUGH _ FRAMING & PLUMBING I 3. :NSU�_r ONI OF OCCUPANCY fES AS TO PART.902.6(K) 4• FiNAi CONSTRUCTION MUST � DEVIC f ! ( I N.Y.STATE BUILDING CODE. 8- CQV FLETE FOR C.O. J I' i ALL CONSTRUCTION SHALL "MEET THE REQUIREMENTS OF THE N.Y j --- � + '\STATE CONSTRICTION & ENERGY �� f �.►evJ `S`Yti� SES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS y. If copper tubing is used -PL UMBER CERTIFICATION _�V LEA L' CC.?I�.r TENTBEFORE _ \\ ,�3E�'� far water distributing ORE system, piping shall be , TIF ICATE Or OCCUPANCY � of types pK _oYnl 3> OL®ER USER IN WATER �. .IPPLY SYSTEM CANNOT �x t s �n5ocS ' PLUMBING -7D2110 Do ALL PLUMBING WASTE 2/�0 of 1/o LEAD. WATER LINES NEED rs T G t 1 FRIN _ E TESTING BEFORE ;.O \c --��.; IZ y-. i }