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HomeMy WebLinkAbout31538-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31232 Date: 10/24/05 THIS CERTIFIES that the building NEW DWELLING Location of Property: ORIENTAL AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 4 Block 7 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 2005 pursuant to which Building Permit No. 31538-Z dated OCTOBER 18, 2005 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. : THIS DWELLING WAS CONSTRUCTED IN 1982. The certificate is issued to LOUISE D GAUMOND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-03-0091 08/25/05 ELECTRICAL CERTIFICATE NO. N-605550 06/10/83 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Aut rize Signature i Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN 1-1 } SEP 1 22005 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. Y,t _ r� f 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings a ``pre -�Ralti�g2 W uses 1. Accurate survey of property showing all property lines, streets, building and unusud nat` ral or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a CertxficateAPQ—ecupan_cis y Ls— 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. 5eptember:.5, 2005 New Construction: X Old or Pre-existing Building: (check one) Location of Property: (no #) East End Road Fishers Island House No. Street Hamlet Owner or Owners of Property: Georgette Rutherfurd (former) ; Louise D. Gaumond (current) Suffolk County Tax Map No 1000, Section 004.00 Block 07.00 Lot 004.000 portion Subdivision Map of Fishers Island Dev. Corp. Filed Map. A421 Lot: 15-11 Permit No. 3 15 �; 9 -& Date of Permit. I 0 1 f g' Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 25.00 6 q 1,33 Co ?, ►,23 � Applicant Signature Stephen L. Ham, III 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. 31538 Z Date OCTOBER 18, 2005 Permission is hereby granted to: LOUISE D GAUMOND 221 MARION AVE MILL VALLEY,CA 94941 for CONSTRUCT NEW SINGLE FAMILY DWELLING AS APPLIED FOR. (THIS REPLACES BP 411687-Z DATED 5/21/82.) at premises located at ORIENTAL AVE FISHERS ISLAND County Tax Map No. 473889 Section 004 Block 0007 Lot No. 0'04 pursuant to application dated OCTOBER 14, 2005 and approved by the Building Inspector to expire on APRIL 181 2007. Fee $ 1,425.00 ORIGINAL Rev. 5/8/02 Autho ized Signa ure ,rLl � f` •v�; ��i/: f � .,"-� _ i�•. 1575 - ' - x aS: �m��' �^ ., ' ` a "• die°*; TOWN ® . OUTHOL® ®PRY RECORD,. OWNER STREET VILLAGE. DIST. SUB. LOT �.. 4� W,4 SZ- 1.. FORMER OWNERN� / r v - �p E` ACRIf . S. W TYPE OF -BUILDING RES.. ' 7 O SEAS. VL. . •- FARM COMM.. CB. MICS. Mkt. Value LAND IMP. TQtAL DATE REMARKS -' D 3Ov °� ss a.i i . l it oat; AGE BUILDING CONDITION .. -NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland t - l � �� 3 t%92 FRONTAGE ON ROAD_ - Meadowlaand DEPTH House Plot BULKHEAD Total 2 DOCK THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE, BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 52'7029,14`,1, Iq 38(1 -14� Date MEW 17,.199G Application No. on file T352'7029,149,1, THIS CERTIFIES THAT only the electrical equipment as described belowand the applicant on the above application number in the premises of fintroduced gb�y$ �gynamed MRSs .�•di�?t V�-1-T.. RiflIIT0141:.YRD, I'.'Y��SVt3ION PAi.l'L7SE, I A:•ISHFI:C4^S .4.I,J!g..jMvil N.Y.a in the following location; ❑O Basement ❑ let Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on j -w and found to be in compliance with the National Electrical Code. FIXTURE FIXTURESRANGES COOKING DECKS OVENS DISH WASHERS EXHAUST TANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT .OTHER AMT. I K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. H. P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT TRANS. HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT: H. P. AMT.. WATTS 1 ry GL'J SERVICE DISCONNECT NO. OF S E R V I' C E AMT. AMP. TYPE METER EQUIP I X TW t,B' 3W 3 ,BI 3W 3.,e' 4W NO. OF CC. COND. ..pER b' A. W. G. OF CC. GOND. NO. OF HI-LEG. A. W. G. OF HI-LIG NO. OF NEUTRALS: A. W'. G. OF NEUTRAL • OTHER {�A-11'77yy**D p UB Wild-18H 0,111 i rg L 1 C .:x92,1 r 11ONAUK�!�ao m;" J 062'_-�o' GENERAL MANAGER _ 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. , 1001129 THE NEIN YORK BOARD OF FIRE UNDERWRITERS hq BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date June 10, 3983 Application No. on file 153876-82 N 605550 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 Rutherford, Fishers Island, N.Y. in the following location; Basement GclraFe, out8i � lst Ft. 2nd. Fl. Section Block Lot was examined'on Jur .i� 7, 1983 and found to be inccompliance with the requirements of ,this Board. FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS DISH WASHERS EXHAUST FANS". OUTLETS RECEPTACLES SWITCHES INCANDESCENT 1E1 R1 FLUORESCENT VAPOR AMT. K. W. I AMT. I K.W. AMT. K.W. AMT. K. W. AMT. H. P. 54 82 60 48 6 1 7.6 1 7.3 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL TRANS. UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS OIL H. P. GAS H.'P. .AMT. NO. A. W. G. AMT. AMPry. AMT.. AMPS: AMT. H. P. AMT. WATTS 1 F 1V SERVICE DISCONNECT NO. OF -- - S E R V I C E AMT. AMP: TYPE METER EQUIP 1,0' 2W 1 /B' 3W 3,,0.3W NO. OF CC. COND. .3 ,0' 4W PER.% A. W. G. OF CC.: GOND. NO. OF HI-LEG' A. W. G. OF HIAEG NO. OF NEUTRALS A. W. G. OF NEUTRAL 1 L00 CB 1 x 1, 4/0 1 4/0 OTHER APPARATUS: Motors :.3y-F, 1U-1/6 H.P. . 2-,Sm6ke betector 2-15aw, G.F.Q.I. pmelboards;1d10cir. 100 s. r f Yoontan Servicesly f Fishes Island, N.Y., 06309 GENERAL 'MANAGER t ^L 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 BUILDINGDEPARTMENT-THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIELD INSPECTION JDATE COMMENTS �q/i^�'-► `- , ho- '`r MoA 1M1 T'" r3 v FOUNDATION (1st), "� ! ' G FOUNDATION (2nd) � 1 o �%,�,f„✓ ,meq 0� ROUGH FRAME & PLUMBING / r - zn - 3 3. w L._yJ ] -- ����. I/'✓Y/V`"' iJ I.%� /ii/^'//n4ti/� I .'r✓{'^'i.�il //V".✓✓'r -T (% INSULATION PER N. Y. 1-3 z STATE ENERGY C,ODE &11741 3 4. FINAL O ADDITIONAL,COMMENTS: - r �v F...A r3 H P `yJ t y Q x t -a ' H FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH'OLD, N: Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N911687 Z Date...............................M ................ 19....... Permission is hereby granted to: /01)70/1/ Sr- r-V(c �, ....;.siv c /� ................................................_..`.........�... �UT Ftj7"EAc'F(Ir-_� ................................................................................ ........./�C: fax >1)4 FlSHC% 0639d CAI 4 to.... .............. ............................................. .. ......... ................ .................................... .... ..../.. /U ......................J� ..�� ... .... ............................... ... at premises located at .................................................................................. ... ...... j=/SNF %f Z � G A nim .................................................................................................................................................................. ..........................................................................` ... County Tax MapNo. 1000 Section .................... Block ......... Z.......... Lot No....y................. . ... pursuant to application dated......................................................... 1 19.1.., and, approved by .the Building Inspector. � a/ Va Fee$......... ........... ................l�f�l:..........:t'!.............................. Building Inspector Rev. 6/30/80 PD 'LD 16� f .FQ_L O LSI. Y. Southold, N.Y. 11971.' HENRY E. RAYNOR. Jr., Chairman >S1 Xn.Q X JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr. William F. Mullen, Jr. November 2, 1981 Mr. George Fisher Sr. Building Inspector Southold Town Hall Southold, New York 11971 Dear Mr, Fisher: TELEPHONE 765-1938 1 At a board meeting held on Fishers Island, October_30, 1981 it was the decision of the board to release the following lots for consid- eration by the Building Inspector for building permits,-re:'FI.DCO maps dated October 1981: Lot #3 - Chocomount Lot #16-12 Lot entitled "East Portion" #15-11 f'►i �� tov�) cy_ -7_ L/ Lot #25-5 From information received by the board regarding these proposed sites,. the names of DeBois, Nelson, Rutherford, and Bogart.should correspond to these applications. The board has reviewed the acc_es_s to these lots,- which have been -rough graded and suitable for emergency equipment. The board is in agree- ment with FIDCO directors Peter Sanger, Mr. Dupont,'Mr. Stoepher, Richard Baker and various citizens from Fishers Island... Yours very truly, - HENRY E. RAYNOR, JR., CHAIRMAN By.Sus n E. Long, Se-cre a4y (SGC--�,2-.� - �=�-� �c-�✓ � 7L C.� A FORM NO. 1 TOWN OF SOUTHOLD _ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Application No.. . ..... amined ........... . l .., 19. llm7`z proved ........... �Af —, 19Permit No........... . :approved a/c ............... . ........................................... �. ........ '�!???: 1t �� _ 6 2 uilding Inspector) APPLICATION FOR BUILDING PERMIT Date ... October, 29,..... 19 81„ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building pector, 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ion. 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 permit ill 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 ill 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 ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein .described. e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to nit authorized inspectors on premises and in buildings for necessary inspections. .... BoIto D. 5eryiees.,. 3nr-....:................. . (Signature of applicant, or name, if a corporation) PA... Box. 506.,. Fi shers..Is.land.,. N.. Y... 05390..... . (Mailing address of applicant) rte whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor .............................................................................................. Lne of owner of premises .....Guy Rutherfurd..... . (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. ............................................ (Name and title of corporate officer) Builder's License No. M. HJ ................ . Plumber's License No. 1958-P ................... c Electrician's License No. 2939-E ................ Other Trade's License No. .1,585 -Wel I . Dra l 1 i'ng.: . Location of land on which proposed work will be done. ..... ................................... East End Road .Suffolk .County . .....Fishers .Isla.nd .. .............. . Street Hamlet County Tax Map No. 1000 Section e ....... Block .... #� 7 ...... Lot �...� ......... Subd ,!N sio,g � i ��f T� cG, / 5 ...................�1 1Filed Map No . .............. Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ` a. Existing use and occupancy . .......... re, c6' �................................................ . b. Intended use and occupancy ....... Si ngl e. Fami l y. Dwnl 3 i ng....... . 3. Nature of work (check which applicable): New Building ...X ...... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition Other Work ................ (Description) 4. Estimated Cost ....$1.50'000.00 ...................... Fee ....... . �........ . (to be paid on filing this application) 5. If dwelling, number of dwelling units ... one . . . . , , . , , Number of dwelling units on each floor ................ If garage, number of cars two under house 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 ofStories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ....................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front 50 Rear . AQ............ Depth 34' Height 22.x..... . Number of Stories 2. 9. Size of lot: Front .... ... Rear ...1.55 ................ D pth 800 10. Date of Purchase ... 1,97.8 ... . ..... . ... . . . Name of Former Owner Fi s�ers .Island Development Cor 11. Zone or use district inwhich premises are situated ....R.es i.denti.a.l.... . 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ND .......................... 13. Will lot be regraded ... N9 .... , ........ ....... Will excess fill be removed from premises: Yes X No 14. Name of Owner of premises Guy. Rutherford, , , , .. Address767, 3,rd, Ave,..,NA-C.., Phone N021-3.6:9.:9120. . Name of Architect ghri stopher G1 ass . Address Camden,, Maine , , . Phone No?07-,2,3.6,-,8,2.15, Name of ContractorBouton Servi.c ........ . . . . . AddressBox 506 F..I...,N..Y , , , Phone N0516; 788-7268. 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. AS PER PLOT PLAN STATE OF NEW YORK, S.S COUNTY OF ..... SUFFOLK.... .. .... X J. Marshall being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............. Contractor............................................................... . (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 his1nowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... 30th...........day of .. October ..... 1981. Notary Public, ... .......Su. IL �`iZt1_A_0 �M,`,RB. folk. PANKIEVJiCZ 6 _ NOTARY PUBLIC, STATE OF NEW IuHh NO.:,2-8267950 - SUFFOLK COUNTY COMMISSION EXPIRES MARCH 30, 192- .. County C (Signature of applicant) N/F GEORGE IRELAND ELISABETH W. IREL "SINGLE FAMILY REST( MUNICIPAL WATE ON SITE SEPTIC S Sl1RVCY CNVIRDNMENTAL CIVIL I I N/F THE NATURE, CONSERVANCY "VACANT LAND" I" 1s -o .-1-e1 Is -a • Ran11w 1s-11 a, • •mcax °0°COOL LOCATION MAP SCALE 1 "=400' 1.) PLAN MADE FOR GUY G. RUTHERFORD; PROPOSED BEACH HOUSE; =1SHERS ISLAND, NEW YORK; SCALE: 1"=40 FT,; CHANDLER, PALMER & KING; NORWICH, CONN.; DECEMBER 1978 2.) SURVEY MAP PROPERTY TO BE CONVEYED TO GEORGE IRELAND & ELISABETH W. IRELAND; BLOCK 15 - LOTS 8, 9, 10 & PORTION OF 11; FISHERS ISLAND, NEW YORK; CME/CPK DESIGN GROUP; NORWICH, CT.; DATE: MAY 4, 2001; SCALE: 1"=100'; SHEET 1 OF 1 d4IES 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT. 2 ) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "CHOCOMOUNT 2" 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, SECTION 004, BLOCK 7, LOT 4. 6.) TOTAL AREA = 3.56f ACRES, 7.) SITE IS LOCATED IN R-120 ZONE CERTIFIED T0: MARK E. & LOUISE D. GAUMOND, COMMONWEALTH LAND TITLE INSURANCE COMPANY AND JP MORGAN CHASE BANK IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OF THE NEW YORK STATE LAND ASSOCIATION. 106 v 2005 i I F `(NII N/F NOW OR FORMERLY SF SQUARE FEET Cl CI l.,' CL' I 40 20 0 40 GRAPHIC SCALE IN FEET 0 Z O 'J ~O 0 y K p a> > <o W � 0 iii •. � m rn 4 Z r••I � Q - J IN wLE, 1 40 20 0 40 GRAPHIC SCALE IN FEET Q 3 � o a o N LID m g o N Vi m N LI K tt N 3 U O W ll O W TI 2 O J d LD � O U U Li DATE; 03/29/2003 SCALE: 1 " = 40' SHEET 1 OF 1 0 Z O ~O 0 y K p a> > <o W � 0 r � m rn 4 Z � � Q I LA J IN wLE, cr w a o _8 Cl = y V O U i a o W m Y ry Q Q 3 � o a o N LID m g o N Vi m N LI K tt N 3 U O W ll O W TI 2 O J d LD � O U U Li DATE; 03/29/2003 SCALE: 1 " = 40' SHEET 1 OF 1 Axst - I y1.� G,6" > ai I Taal — - ------ -- -- ZO � - / R o 26 g1 \ _ ----- I sao � I^slnnaow.+,anwnuc 40 S+1M�:45'F�6t"ika�+c^1,5rRAPPInW I I [6Luwr, 4v4r.t5o. 0.p�EY' fR65N ij t FOJu9hlrltxJ, C J20DM 5LUG i -NL rJmg scaJ� "12xQs ICO c- T bQIUr�Yfc�1Lf PGGQea7to U 2o0u\ I I �u QeI 8' i I f� q � �uh� X25 i6'�°u Zxi2s V. ac I - C -- A'+T�,.�USUS�E 2 I I -� I ALnQ 61 Fj� I s y2YGf2 Wi6n[R iuB'. � 1 e � ) 5 rJ SPY.) ID -o ybu - � --- �� V 00 uau- 2" Ne 2230 j Mal'& %AQ�.GCc ToI6C— SGPw.4.hTG O 12 /0��j'� Lly w c, 5r/k> G 1lj 8C—RfQJl2c—o B`l'F44— C0a6C: SA- Nauc Ft" CE106DRSSA ma 4A 6 tfVly [aLU M� 2'1 2�' ' S off[•— �y1,NR VTIL-I"rc{ 6P,Ac.G — () NEf-.� IJATC1l Y JM P� NCrC�CL .s Ta ,rte t;LC-L'C2�c Ph.wDfL_ 3 2a o 1 z:O' USE IS CNRL�WFIDL IITwT CERTIFIC IgoQ�OCCUPANCY 3�.0 MPR,,VED AS NQ EB DATE: fp 7p f , 1I (0 1_ FEE: �I `''�� BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH'- FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPI.FTE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Y ' CHRISTOPHER C. tic. 750 i !(J —'� eHa�HTo4�ea OLAHY. 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