HomeMy WebLinkAbout32156-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31937
Date: 10/23/06
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2850 WICKHAM
(HOUSE NO.)
County Tax Map No. 473889 Section 139
AVE
(STREET)
Block 3
MATTITUCK
(HAMLET)
Lot 6.1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 26, 2006 pursuant to which
Building Permit No. 32156-Z
dated
JUNE 26, 2006
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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to MARY LOUISE SANTACROCE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-559397
OS/29/01
PLUMBERS CERTIFICATION DATED
N/A
~.~~
uthorlzed Slgnature
Rev. 1/81
j-:
...
Form No.6
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
,;
.
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APPLiCATiON FOR CERTiFICATE OF OCCUPANCY
--.: ".,. ,--1
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:
I. 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:
I. 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. 16//0/0(
d ~5'O
Old or Pre.existing Building:
Wickham Rue
Street
<SuY"\~CDXf'
(check one)
New Construction:
Location of Property:
fnQ.w1 ~oct
Hamlet
House No.
Owner or Owners of Property: 'ffiCU\.l
\
Suffolk County Tax Map No 1000, Section
Block
Lot
Subdivision
Filed Map.
Lot:
Applicant: rYla V'.J SH\ ~ 0. (rOC ('
Permit No. 3d )5~ - Z.
Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate: / (check one)
14~i::~~aA
Fee Submitted: $~S-06
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CO ':Z:J r~ 37
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THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
I
Date
Ji'\y -c,
-'(1('.
Application No. on file
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THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
..iUtih 5ANTACRCx:::.r::, ::H~/J \,11CYHAll ,r._\/E~~UE, Hl~1"rJTUC-KI' NY
in the following locatit(ky 9( ~~~~ent D 1st Fl. 0 2nd Fl. C\Ur Section 1. 3~~Block Lot
was examined on and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
FIXTURES
FLUOIl:ESCENT
RECEPTACLES SWITCHES INCANDESCE
? 1
OTHER
RANGES
AMY. K.W.
DISH WASHERS EXHAUST FANS
AMY. K.W. AMY. H.P.
COOKING DECKS OVENS
AMY. K.W. AMY. K.W.
H.P. GAS
NO.
FUTURE APPLIANCE FEEDERS SPfCIAI REC'PT. TIME CLOCKS
A. W. G. AMY. AMP. AMY. AMPS.
BElL
TRANS.
UNIT HEATERS MUlTI-OUTlET
SYSTEMS
AMT. H.P. NO. OF FEET
AMT. WATTS
DRYERS
FURNACE MOTORS
H.P.
AMT.
AMT. K.W.
OIL
F
SERVICE DISCONNECT
NO. OF
METER
EQUIP, l' 2W l' 3W 3' 3W 3"W
AMT.
AMP.
TYPE
OTHER APPARATUS:
SWUlMING POGL-l
G.F .C.I:-'l
'(SWIMMING POOL) 1~1!s certificate
covers compliance at the date of'
inspec.tion c.'nly, Becauf;e of unusual
environments it is advisable to
-hctve frequent test/and. or repall"s
made hy a tJUa 1 i ,f i eel per-soP.
<<< C:c,nt i nued on Page 2 >>>
DIMMERS
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.
20
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NO, Of ce CONDo
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C
A.W.w.
OF Ht.LEG
NO. Of NEUTRALS
A.W.G.
OF NEUTRAL
V
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A.W.G.
OF ce. CONDo
NO. OF HI.LEG
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GENERAL MANAGER
Per
This certificate must not be altered In any manner; return to the office of the Board II Incorrect. Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COpy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
I
dr:'l ')':l ''''_K).
Application No. on file
Date
'.' c, C, (. -:. ~;'.'
THIS CERTIFIES THAT
only the electrical (.quipment as described below and introduced by the applicant named on the above application number is in the premises of
.JOHN ~~p.",,'\l'l']\CE~X~::=; 285C WICKHJlJi AVENUE:: r ~t'\T-;:'T'~~.1CV! }f'"
in the following location~ 0 Basement 0 1st Fl. D 2nd Fl. ;JI.?".:"' Section ~39Block ~:-: Lot (.~
}fAr l4, 2001
was examined on and found to be in compliance with the National Electrical Code.
Per
Thll certlflcafe mUlf not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials.
FIXTURE
OUTLETS
FIXTU~ES
FLUORESCENT
OTHER
~ANGES
AMT. K.W.
COOKING DECKS OVENS
AMT. K.W. AMY. K.W.
RECEPTACLES SWITCHES INCANOEIa
D~YE~S
FU~NACE MOTO~S
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
BELL
T~ANS.
AMT. K.W.
OIL
H.P. GAS
H.P.
AMT.
NO.
A. W. G. AMY. AMP. AMI. AMPS.
SE~VICE DISCONNECT
NO. OF
METER
EQUIP. l' 2W I' 3W 3' 3W 3' 4W
NO. OF HI-LEG
S E
~
A.W.G.
OF CC. CONDo
v
NO. OF CC CONDo
PElI'
AMY.
AMP.
TYPE
OTHER APPARATUS:
BETHEL ElkX':. CONTR . INC.
] 88 ifILL [101'.[1
Hi'.NORVILLE, NY, 119')9-1805
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LIC. #2880-
DISH WASHE~S EXHAUST FANS
AMT. K.W. AMT. H.P.
UNIT HEATERS MULTI-OUTLET
SYSTEMS
AMT. H.P. NO. OF FEET
D1MME~S
AMT. WAns
C
A.W.G.
OF HI.LEG
E
NO. OF NEUTlIALS
A.W.G.
OF NEUTRAL
L L 2<1WL
GENERAL MANAGER
11
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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.
32156 Z
Date JUNE
26, 2006
permission is hereby granted to:
MARY LOUISE SANTACROCE
2850 WICKHAM AVE
MATTITUCK,NY 11952
for :
CONSTRUCT ACCY INGROUND SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR IN REQUIRED REAR YARD. THIS PERMIT REPLACE 27233.
at premises located at
2850 WICKHAM AVE
MATTI TUCK
County Tax Map No. 473889 Section 139
Block 0003
Lot No. 006.001
pursuant to application dated JUNE 26, 2006 and approved by the
Building Inspector to expire on DECEMBER 26, 2007.
Fee $
150.00
v!.
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Aut orized Signature
ORIGINAL
Rev. 5/8/02
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)
~ ?:>~l'\l..
PERMIT NO. 27233 Z Date APRIL 12, 2001
Permission is hereby granted to:
MARY LOUISE SANTACROCE
2850 WICKHAM AVE
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR
at premises located at
2850 WICKHAM AVE
MATTITUCK
County Tax Map No. 473889 Section 139
Block 0003
Lot No. 006.001
pursuant to application dated APRIL
3, 2001 and approved by the
Building Inspector.
Fee $
150.00
?U~~~
Authoriz Signa re
ORIGINAL
Rev. 2/19/98
3~15~ Z
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING M FINAL k ~ (00 L.
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE 1-/;J- - (j t
INSPECTOR'~~
.'
3 :LlSbZ-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING M FINAL ! ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
F~ ~ ~X
C~'~~
~ . ~~~
DATE ~~~7-o'
INSPECTOR ~ ~
"
.
FIELD INSPECTION REPORT DATE < COMMENTS
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FOUNDATION (2ND) II II..
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FOUNDATION
(1ST)
ROUGH FRAME &
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INSULATION PER N. Y.
f\
STATE ENERGY
CODE
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FINAL
ADDITIONAL COMMENTS:
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 30th, 2006
Mary Louise Santacroce
2850 Wickham Avenue
Mattituck, NY 11952
RE: 2850 Wickham Ave.
SCTM # 1390003 006.001
Dear Ms. Santacroce,
Please be advised that your Building Permit # 27233 issued April 12th, 2001 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 $150.00 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.
---..<.-..-.---.---. ....
IV~l~ V.!"':'VUll1VLlJ
BUILDING DEPARTMENT
TOWN HALL ,~
SOUTH()LD, NY 1191f
TEL: 765-1802
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,
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,
I
i
_ .PERMIT NO.
3::L)S~
".2 7;)-:? 7 z=
tlUiLlJiNU t'nKMH MPLlCAflUN CHECKL1S
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
NYS.D.E.C.
Trustee;' .
Contact:
<:!--'
Examined
Approved
Mail 10:
Phone: ~C-/.61-6
~~
Building lnspector
APPLICATION FOR BUILDING PERMIT
Date
,20_
INSTRUCTIONS
a. This application MUST be completely filled in by iypewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to scliedule.
b. Plot plan showing location oflot 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 Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection througho\ltthe work.
e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ofa Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, Suffolk;County, New York, and other applicable Laws, Ordinances or
Regul~tions, for the construction of buildings, additions, oraIterations 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 nece~s'-ry inspections. .
OCCUPANCY OR "IMMEDIATELY"
USE IS UNLAWFUL -=,JIOOI.1O C> v~~ }4/~ ~~/"
WITHOUT CERTIFICATE ~ 'Ywulll'l ' (Mailing address of ap icanl)
sQF wOGCurAN~wner, lessee, agent, architect, e~gineer, general contractor, electrician, plumber or builder
Builders License No.
~~
(as on the tax roll or latest deed .., 7
.' ~ . U. - ~.33 e
Ifa plic~l.is a~mporation, signature of9yly authori~ed officer FEE: '/. -O.clu BV:~
' 1~1<b _ ~H'. . NOTIFY BUILDING DEP ME Ii.
(Name and title of corporate officer) 785.1802 9 AM TO 4 PM F THI
FOLLOWING INSPECTIONS:
1. FOUNDATION. TWO REQUIRED
FOR POURED CONCRETE
2. ROllGH . FRAMING' PLUMBINQ
3. INSULATION
4. FINAL . CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION' ENERGY
S. N,OT RESPONSIBLE FOR
ONSTRUCTION ERRORS
CZ~N'T~~IZ
.j ottT f/..fts
Name of owner of premises
f/z.
~6~~
Plumbers License No.
Electricians License No.
/INllERWlbll:/Q CtIc.lf.,.
REQUIRED
Other Trade's License No.
I. Location of land on which propose
~,!20 W I(!..
House Number Street
Hamlet ~
.( .
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"
County Tax Map No. 1000 Secti~.
Subdivision klT1l'7T'u~
(Name)
/lef.
,
Lot
Lot
cO " (.
/ '7-fJ' -0C(
. Block
Filed Map No.
s
State existing use and occupancy of premise
a. Existing use and occupancy
d use and occupancy of proposed construction:
I<r
~ V P' J .51.A- , H I-t r"" (}..o f;::,o.GC
b. Intended use and occupancy
-::r..1J
l. Nature of work (check which applicable): New Building
Repair emoval Demolition
Addition Alteration
Other Work T tv ~f.Zp..CJlUlJ ::S;-"""1'r0'
(Description) I ~~(
f. Estimated Cost
~a-~.
Fee
If dwelling, number of dwelling units
If garage, number of cars
(to be paid on filing this application)
Number of dwelling units on each floor
>. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth
Height
Number of Stories
Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
, Size of lot: Front
IC~
Rear
/r-6-
Depth
<::. 0- ~
O. Date of Purchase
Name of Former Owner
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation: /tJd
3. Will lot be re-graded f\J ~ Will excess fill be removed from premises: @, NO '.
- .....(14"' '" U.iJ.rNt~<. r~ ~
4. Names of Owner of premisesS'..J.IJ,t ..\A,.,u. 'fA.~~Atlidress Y' I't"ft", 1"""'...&.1<.., Phone No. ":z-"1' IS" c:::) 1- i ~
Name of Architect ::r~.s e~,iJ~~'- Address ~:.:~mJhone No "'S' 7!f' [- !d.pr~
Name of Contractor 'l;:::,.//'IVII. /TK FD~AddressR~Jtl' II~ M~eNo. S--~~--tlo II",
. 15~ He--MI""
5. Is this property within I 00 feet of a tidal we~l:m. . ,d? *YES ~ NO k RO YO~AqU~30
. IFYES,SOUTHOLDTOWNT~~__. AYBERBQ~J'1WAJ~U 2132U
6. Provide survey, to scale, with accurate foundati~ces to prope~l'A~nITR33 TUOHTIW
7. Ifelevation at any point on property is at 10 feet or below, must provide topographical dai(~Wy'330 =to
TATE OF NEW YORK)
SS:
:OUNTY OF )
~~C;~~6''.)p1~ ~ing duly sworn, deposes and says that (s)he is the applicant
Ii . v;~~l ;:'~~lllllg it "ac above named,
.v" rq
;)~ 1f;lhe! i \"<;1, -:--'"7"7& 'V 'f2....
3-n .<:1 t~,~: t... (Col1tTac pr, Agent, Corporate Officer, e c.)
:.( .
f ~i:al!ll~et Or, 6wne\~, 'and is duly aulhJrized to perform or have performed the said work and to inake and file this application;
lat all statements contained in this application are true to the best of his knowledge and belief; and that the work Will be
erA3ime,j lI;'\He'in~riner set fort~ m the apPlica~OMU
T:'!lJ!JI MOl! "" <~" j.' , ;. """"UClA
WO'li'fr6-belore.t9~,t~<.'''< ,:1 --
,hriPl' . '.A:d _, lAo /
.. liT 'l() . r,; ;
Signature of Applicant
ELIZABETH A STATHIS
NOTARY PUBLIC, Stale of New York
No. 01ST6008173, Suffolk County
T enn Expires June 8, 2Oa,;2..
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LOTS 17, 18 & 19
AMENDED MAP OF
MATTITUCK HEIGHTS
ALE No. 1184 ALED WA/lCN 25. 1927
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-139-03-6.'
SCALE ,'=30'
JUNE 30. 1999
DECEMBER 28. 1999 RE'I/I5ED PROPOSED CESSPOOl ok WB..l. LOCATIONS
YAY 12. 2000 FOUN~1lON l...lX'.ATION
OECEMBER 9. 2000 ANAL SUFM:Y
'\
.,MMEDIATELY"
8'- 0lJI1IOCIL TO CODE
WONCOMPLEnON
_ Dh. "WAlEII"
/
AREA = 30.000.00 sq. fl.
0.689 ac.
CERTIFIED TO:
CHASE MANHATTAN BANK
AOUEBOGUE ABSTRACT CORPORATION
CHICAGO TITLE INSURANCE COlotPANY
MARY SANTACROCE
NOTES:
,. S.C.D.H.S. REFERENCE No. Rl0-00-0008
4>;.
@
INDE/ftmt I EllS l;CIll&a1l
Ilfl>>.
U*lHORIZm ALlfJW10N OR AOOmON
10 MS SUINEY IS A. VIOI.A"TION Of
SECTKlt 720e OF THE NEW 'f'tlRI( STAlE
EIlUCA.1ION lAW_
COP€S Of TltIS SU\YEY /IMP NOT BENtNG
THE t.NID SUfM:'l"OR'S INKED SEAl OR
EMBOSSED _SEM. stW.1. NOT BE CONSIDERED
10 BE A VALID TRUE COPY.
CEHl1fICfJIONS IOCAlED tEREON StWJ.. RUN
ONlY TO -lHE PERSON FOR WHOW THE SURYEY
IS PREPNED. AND ON HIS BEtW.F 10 THE
1ftl[ COIIIPANY'. GOYERtAIEHDI. NB<<:r JHJ
l.DII:MNG IN5JTM1ON us:tmHEREDH, AND
TO THE ASSIGNEES OF THE ~ INSn-
"lTVlt.Ir-nnIn"--I.'fVVI'l::IiIWNrJT~.
N.Y.S. Uc. No. 486
Jo eph A. Ingegno
Land Surveyor
r... Su"O)'S ~ Subd....... - Site Pl<ms - Conslroc6on L.,...
PHONE (631 )727-2090
Fax (631)7227-1727
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ecCUPANCY OR V
USE IS UNlAWRI. ! i~."
WITHOUT CERTlACATEi ~ ~ :.
OCCUPANCY
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