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HomeMy WebLinkAbout32473-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 12/13/06 No: Z-32071 THIS CERTIFIES that the building ADDITION Location of Property: 2280 OLE (HOUSE NO.) County Tax Map No. 473889 Section 122 JULE LA (STREET) Block 4 MATTITUCK (HAMLET) Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 2006 pursuant to which Building Permit No. 32473-Z dated NOVEMBER 6, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD L & KATHLEEN O'TOOLE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~~ 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 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 2/1 0 of I % 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 Plamting Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-couforming uses, or buildings and "pre-existing" land IIses: 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 I. 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 $1;;.00 Date. 11/30/0? . f (check one) f1 tLtrLi-LI d . Hamlet ('1 Jr~ Il/ 'f Lot /0 New Construction: Old or Pre-existing Building: i/ Location of Property: 2260 {)Le YuLe ~e House No. Street Owner or Owners of Property: ~~ t{ !Ctct:l-Lt e.e P1 Suffolk County Tal' Map No 1000, Section / J..,;l. Block Subdivision Dew- Datc of Permit. q'l Filed Map. Lot: -- I~ Applicant: I&cJ" AI; tf {()'J ~ Underwriters Approval: Permit No. 32tf737 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ d S ~f Final Certificate: ~ ( check one) ~.71502 COi..3J.o7/ II~'C.~L U 'j..... ~ ., ApW-lcant Signature 1 c1.~ @ 1.d~ 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. 32473 Z Date NOVEMBER 6, 2006 Permission is hereby granted to: RICHARD L O'TOOLE FLORAL PARK,NY 11001 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 25520. at premises located at 2280 OLE JULE LA MATTI TUCK County Tax Map No. 473889 Section 122 Block 0004 Lot No. 010 pursuant to application dated NOVEMBER 6, 2006 and approved by the Building Inspector to expire on MAY 6, 2008. Fee $ 75.00 ORIGINAL Rev. 5/8/02 3~+73 z TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING p<i FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ' DATE 1/--1' -<P ~ INSPECTOR ~. ~ J..-. t{ D~3 2:::- 3 d- ~ 13 765-1802 BUilDING DEPT. INSPECTION ~ 14NDATION'ST [] ROUGHPLBG. ) [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~~ tJ~ o /- ~ Crm;ft;.~ DATE ~;J07 INSPECTOR ??t,~ --- -- .."- ..-......---......''..- -"- --..-- .1_ --------- - - ---.. - -- -" - -, t\ ~l fl::' ~"-r ,:I~ I. !~I'!'ul!!:i[~~fllJ!!_mlJ~L" \;VIIIIIWTII .u::;. "oZ-" -""--~-.-:~r:;;- .. ~../ FIIIIIIII/\T 11111 I!lT J . " ~.. . " '. 'VIII/IIATlOII (UIIJ) '"~"~.n~~N~~~_"_~~""_~~__ -.....~~-........'""'....~~- .................~.................... 1I1/{:11 Ir 11M 1I~ " 1'1.111'111"0 ~...""...~~...-~"---""---~..._...- .~-"......_".... -;---------.-. II!:H1.^TIOII "Ir,n II. Y. - ..-.----..-- r:T^TI', ,r.'''~nnv r: III"~ "~-"--'~--"'~"'___M_~__""_",_ u_ .. ir1b~i I -- ---:JJ _-- -71-".---..-------... ------... ~~1J . If , ""d. ~~-~----..........-...--"~...-----" ........._--~... ___r......_...__..."____~~__~___...______...________......___...____......_...~, ^IHlITIOII^1. t:llfnll~IIT!l! ..."-...--...--......---_......w____~-....----~_.~......._......_~_...~_"...~...__......___...____...___...__...________...__...____.........__..._ '-"~ d~-'lq bf ..J\R~~d PcP It '75 U ~-". - , ._--..-.__....-.~. '-- 'oJ !~ I'i -'-r.1 "1. ,.!: ~ j, ~~ .., Yo\ B~ ~ ~ ~~ i~ ~ -,.1 ~ ~ . @. t'l " ~. ~ ,'-I t\ ~ ~] 1;1 ~ ~:v-'< 1'1, :;3lS'"' '" \ -p 1:1... b. r" ~I ~ \:J 1'1 .~ -~. , -z.. , ,",,",0' 0 '7 o a'S ~ c p. '" p.1.- s . 'V$). . td 'v.'on .> / . 1.0 N.- IS $), 1.9/W- /- 'VO"I-J.; S 05' 26' 40" W. -J ~ < ,; () "'~ "Of-fSfTS (OR OI",::N.\:O/"S) .1'lOh'N HEREON fP.O.'.~ THE :;neVr.WRfS TO THE P'WPEIiJY l.INES Afef fOR A Sfl~CIFtC 11tlll:. POSE AND us~ A~D ni"moll.~ ARf Nor INTENDW 'f(J <\,;1'.'.: UtE E!;;[CTJON Of rUlef:) f.:'T"'i~j'NG WAas, P(X')lS. PATIO:5, :-tn'i~;nG '\~E."S', ADOITION ";:. :!lJ;iiJINGS Oil. .4,:IYOTHEI<: CON~TRl:i.::rION. UNAUTHORIUD Alrer.L.T10N OR: ,:'OOHlON TO THIS SURVEY 1$ A VIOLATION OF SECTION n~"1 Of Tr:e NEW. YORK STATE [OIJCATlON <AW. GUARANTEED ONLY ({~.,d HAROLD F. TRANCHON . td mon14" o o o '" ,,'" i' s -'- -'- v " "I' Q- '" '" ~ -<' -'- 0Q- " " Q- '" 0Q- Q--<' ,,0 <( Q:' <LJ o QJ <LJ ).. -J Q: I.i.J ~ Q: o '" o "., s o ~ o "., --- "., 90r If) '" -- O,h- -- \ 1 <l <l \ I 10000 . Q: o S o < oh '" "- Vl 2,2-' . I r. I a~pnalt (jnv~woY OLEJULE S' 0 \. 03' 20"E. \ 7 39' LANE LOT ARE A 17, 9 1 8 sa r- T GUAiiI.NlfES IND1C.\HO IWHQ,. S~ll "UI-, Of..iI"f T';) TIlE ;>;';,SOt\I fO" Wn","" THE $V.hn is PiU. P4.RHl, ANI; ':':j illS e~Ht,iJ TO Tile TtTlf C:OI,<;',"NY. C':;';i~:Y'l::~j. TN. J.,Gfl\'C'f .....':".l l'iNr..lt~C Ih::.n. TUTlO/,: 1.i~r:'1) '-:[F;{G, L A:.:::> TO THE A~ ':i"'U$ Of 1",~ t!~!DI,'10 INSflTul,(,tl. GI)M:..\NHO s..IlE N?( i~~.N:ij-}WU TO .\.;.,,j,ii'~:l..\l IN!\TlliHlONS l,.;~ ~UG~"~UfNT O'.\,'N!':RS .. JOB NO, 94 - 70 FILE NO I; 2 I; F SURVEY~D FOR JOSE.PH PILLUS JR ond MARGARET COLLINS SITUATED TOWN OF AT MAiTITUCK SOLI T He L D S U F F 0 L K COUNTY,NJ IS . 1 99 4 SCALE '" = FILED MAP NO, TAX MAP NO 30 DATE 3 - DATE 1 000 - 122 - 4 - 10 rqf only dl~k 11 21115.E HAROLD f, TRANCHON JR. p,c. LAND SURVEYOR SUCCESSOR TO WILLIAM G MEIER NORTH COUNTRY ROAD. WADING RIVER NEW YORK 11792 (5161929-4695 j-n::J1 2qob3 .i2=-J ~ -2:., , ",,,,", 0 '1 0.8'S s- . v~ ld 'Q"on .> . / . 1.0 N.' IS~' l.S/W. /. VO. .~ S 05' 25' 40" W. ..-J ~ -< ~ o ...~,~~lrrS(TS (OR Olh'.~N!I'ON5) . ..l._.ltl~ ~lHlEON flW.~\ THE :;rl<~'~TUIUS TO THE P'~....~,'{jnv ~'NE.. "'~E 'O~ II S":i',rIC ,'\it. OH AND US~ A~') 1'1 i'1(~"'1'H ~Rf NOT 1NTrt-l!:lf;-)r':1 1.';..;,:.: lHE ~~C~T,(JN Of~ re~;cr:;. r::~',,~I;I~r.; I\A.Lli, POI.'l.., PATln.~, '-I,,~:t:I':G .\~t..S; AO~11l0N ',."' :I~:;;JINOS 0.'. A: ,'f OlliE" CON:;'TlIl~':TJON. U"MUTHORIZ:O AlTfr.l,rION Oq ,:,OOrlION TO THIS SUiNEY IS " VIOLA TlON 0' ~ECTlON , 20~ OF 'r:f MW. YORK STAn CO~ICArION LAW. GUARANTEED ONLY ({~.,~A HAROLD F. TRANCHON . / J:::../J(..12 I- ~l ,~ 'Flt {' ~ tlt- (P" ~ o-,-cJ f7t<c.-1c 7 f '-Iff tl.ef~f.., td.mon14" . '" ,,'<1 .... ~ s- -l.. -l.. ....; ~ '<1'" '<1 ~ ~ -l.. oQ; v '< Q; '<1 oQ; ~ oQ; '< ~( .. , ~ DP cf:.- q: Q:' W o CD ?- '-' '1 - r? //<.I<j) - l?- r >- W -..I Q: o W ,., ~ Q: o '" s- O -<: . 90r " 0.1)- -, I l " " I I 10000 Q: o S o :? OLEJULE LANE LOT ARE A 1 7 , 9 1 8 SO F T GUAF.I,IHUS n~()'C.\HO lif',!~)r. SH~tl IiUll ONlfl';J Tit! j,!,~!.ON F(J" WI,.....M Tli! ~t".':r~'I'1 ,~ /l~f. PA,IlW. I,NO ':"1 "'$ ~:"'f!.V 10 !~i,4f;:'~;Z:I::;{::;:f;~i:j~ !NsrUUI,l',tl CI)"'P.'\NHt~ AU NOI ;:o,,^;.~~,J.~~.{ .0 ~:.,..,,;,' ~..s.t IN~I;li.:rIONS ....:1 ~:':C!''''U.'N' OWNr-"l~ ,... c JOB NO. 94' 10 FILE NO 625 F SURVEHD FOR JOSE P H "'LLUS JR und ,., A R GAR E T C 0 l L INS SITUATED AT M Af"T I TUCK TOWN OF SOL'THCcD SUFFOLK SCALE t" = 30 DATE]- FILED MAP NO. DATE TAX MAP NO l000-122-4'IOr.'onlydISkll HAROLD F. TRANCHON JR, P.c. LAND SURVEYOR SUCCESSOR TO WILLIAM G MEIER NORTH COUNTRY aOAD . WADING RIVER NEW YORK 11792 15/6/ 929.4695 CCPU:S ('IF THIS tURVfY MAJ> !KlT N,\~ItIC: 1 Hf lAI~" SuR....nOIl'$ IN~fO SEAl O~ [M!,CSSlO Sf AI :.11..Ll N(1T . ....;Sion'co TO BE COUNTY,N, 15 . 1994 ~ TOWN OF SOUTHOLD ~OPERTY RECORD CARD -wi 4;/.;( - /0 STREET >"2..<'60 VILLAGE u I L-.OJfIe I ';t <! I( N 80e r'a- S" " )2. hhj~ i to-tf DISTRICT SUB. LOT , . 9 ,f'C r / 'j <? q/ 11r:/(enna...../C. {:""/pn!\$ w+ JjICHflLEN/1 /1. SNIOt""R RES. ...?, / d SEAS. VL. ACREAGE .3 TYPE OF BUILDING ,. FARM COMM. I'ND~ I ca. I MISe. I Est. Mkt. Value ,VJ'( ((, LAND IMP. TOTAL DATE REMARKS JtJ6 S-tJl? ..5000 ~eO u V"" 6'. ) it .s-~ () () 1..2- " 0 57,,0 NORMAL </(/r'OClO . AGE NEW '- 9.3':>.'3 P ;Z <13 /.. "." 3.J1f, BELOW Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD DOCK YE<; Tillable 2 Tillable 3 7,S1C,. 1-'/000 , Woodland .) S' '" " /0$"0 I 2 ~ Swampland House.,flpt_ //?-Z. ~- UI(PId.,f-a1~-FrCtn'( ~ ti ~~?IIL1s::\w? -:It'8~DOD B rush land - ','- ,~._~. Total " '-'------ ., it-I i -+-+- I I' t Tn! : i . I I I Ii! ~- 1-+~---t--L--"--t--1-+1--', . I ,---i-t-ul r=rH+-L-i+-j~! i ~~.i';'-j-TJi r I-T\--;. -TT----;-:-r--i- "'1'-- ~-i',-c,.. ' ! 'n '----j- I___'.~~ I I ....1' I 4f I 1.--rt......~..'I... I I I ' ',; I" "I' I 1__.+. I I I, _-!-_:_ _ I I :__ ' i L ~ fIT; I 27 ~ "'f. f J., !';; I --rUT : -1- -I-l.:--~. :-r. o~rl",vr' , 0---.m:.~ I:\TT,( ~ '-'--~l--T-~. - . 1'1'17'.,1" + : i I '-':;z..~ ""I.:i'~ :: l(J"'JL.'~l ", r--n. ;---.-- _, L~-.-.L-r--t"_ ---1---C~n__ ._._.L l I I Ii; , I'" . L__+_L--+-----+__' 1_ . r! I;' I r+-~~~~:~.T2:.~ E_L~ ' I ! n.l.-'t~MJ ,- { i.-..:-u-r--- H__~~__ I I I I I I M. Bldg. .i-1 S-X3~ ?O 0 I ~ ~ I 3th 0'" (Foundotion i~.e...,,,.~.>, ~Both I ./ /1 ____n______ Extension f -- ;:-'.'" 5 (. .: -:' \f~1 ~.$~ ~<29.vll Bosement -11<"fC I /",,:.1 Floors i 5f~. .;~ _C-;C~J~--------------- Extension '2 () :~ ;I..i,- .3 ,} Jf' I I Ext. Walls I. '._._ Ilnterio~_Finish : . ~~'~ :~. ""' '; "A.'-.' . ~, I-Extension J--=-==-~---- _+---I-----'iF~re Place !~, ~,,' I Heat(,\A F\ I' - ---', u____~____ i 'Q.'''~;'l~' ,,-'1':_ .~ j-~~: .... .-::~~I_ -I::~':,: F1~F~=r n_-~__~- ! Breezeway Patio Rooms 2nd Floor ,-r .. --~_.--_.~ I~~------~--- I .~- I Garage Driveway Dormer! ! , I I i I I I i I I T--i / O. B. r , ...J 1""\ , , 1'--\s,T,J. ""1 --- FORM NO. 1 TOWN OF SOUTHOI.D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 3d '-\'1.) ;;) S~,;)'0 Z Permit It>. ?!/ff'.~$. .c.. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEy........................ CHECK ......................... SEPTIC FORM ................... ...,,-. 1~[~[~P\\VI 'r-------.. APR - 9 1997 NOTIFY: ~.. ~:,:~.::.2:?f.'l. ~_IJ MAIl. TO:..6.. .e.c/~. . . . . .~.-.....P.<K:t....~J~.. ./.II:.!!'..... .//.'27.1... ... ..... nHHHHnHH'HHHHH'H~A}~ APPLICATION FOR UILDING PERMIT nate.. .i111....... ,19.1..1. INSTRUCTIONS a. This applieation 1IlJSt be ~letely filled in by typewriter or in ink and subnitted to tbe Ihilding Inspector with '3 sets of plans, accurate plot plan to scale. Fee according to schedule. . b. Plot plan showing loeation of lot and of buildings on premises, relationship to adjoining premises or pltJlic streets or areas, and giving a detailed description of lay<JUt of property nust be drawn on the diagr... which is part of ~is applieation. c. The work COII'ered by this applieation my not be """,.",,--ed before issuance of Ihilding Permit. d. Upon "1'1'",...1 of this applieation, the Ihilding Inspector will issue a Ihilding Permit to the applicant. Such permit shall be ~ on tbe premises available for inspection throughout tbe ""rk. e. It> building shall be occupied or used in whole or in part for any purpose whatever ....til a Certificate of lkcupancy shall have been granted by tbe Ihilding Inspector. APPLlCATIlJI IS IERERY MI\IE to the Ihilding Departlrent for tbe issuance of a Ihilding Permit pursuant to tbe Ihilding Zone Ordinance of tbe Thwn of Southald, !lJffolk Coonty, New York, and otber applicable Laws, Ordinances or Regulations, for tbe construction of buildings, additions or alterations, for ramval or dennlition, as herein described. The applicant agrees to ~ly with all applicable laws, ordi , building code, housing code, and regulations, and to adoit authorized inspectors on premises and in build' necessary inspections. ignature of applicant, Ol{ naue, if a corporation) ..6...~.~....fH:t..J9/~....",", (Mailing address of applicant) A/f', //77/ State whetber applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumer or builder. .......... aft!t~I.. .15.. .a.wnM................................................................................ Nane of owner of premises.. ..-:J9."f?.. ..I!rll<:?....................................................................... (as on tbe tax roll or latest deed) If applicant is a LU1pu1dtion, signature of duly authorized officer. (Nane and title of co1puH1te officer) Ihilders License It>. ..?:3.t.7.Z<l..7"/I..J;...lo~ /ic......,.,..') Plumers License No. ......................... Electricians License No. ..................... Otber Trade's License No. .................... J. Loeation of land on which proposed ""rk will be done..~iJ.q....t: ~a.'''''~" .~f1.~.. JlJ~.i4~................ ....~.~.~iP;................s~;;;~.C;ie..:r.;i'~...............................~;~..;r.;~;i)7~............. Coonty Tax ~ No. UXXl Section .. ./.1. ~.. .. ... Block ... fi.. .. .. . ... Lot ...1. ~ .. ... .. .. Subdivision ...................................... Filed ~ No. ............... Lot ............... (Nane) 2. State existing use and occupancy of premises and inteoded use and occupancy of In~ construction: a. Existing use and occupancy ... .e.e;.,f:.47.6~I.I"~'71.!;... ~(. ..~............................... b. Inteoded use and occupancy ..(S~..i,:.::4(>.6.0./,..6Nn~S...QE..;~...~ -.... -..e...o J. ",,,tore of work (dJeCk ...hid. applicable): llepair ............ Ratvval ............. New &Jilding .......... Addition .......... Alteration .......... llenvlition ............ Other I-brk .~.......................... (Ilescri pt ion) fee .............................................. (to be paid on fil ing this application) ',. Estineted Costll.l5:~................. 5. If a-Jell iog, D.ITher of ~llillg ,mits '" .1... _. lln'ler of (k-.telling lmits on each floor................ If garage, l'aJl'ler of cars................ _..................... 6. 7. If business, emmercia} or mixed occupancy, specify nature and extent of each type of use....................... DirlEnsions of existing stnlCtures, if any: FronL............... Rear ............... Depth ................. l!eight ......................... Ibober of Stories ...... _.... ........ . Dimensions of sane struc~re witl, alterations or additions: Front ............... Rear ............... Depth .................... lleiwlt .................... thll>er of Stories............... .- Ilin.,nsions of entire new construction: l'ront ...IH..7.~..... Rear ...I~~..?~.. Ilepth .../.~....... . ~ u; . / IlelWlt ....8....~............. /hIl>er of Stones..................... I - --- Size of lot: Front .../?;t1............. Rear .....?~............ Ilepth ...?P!!... .h{(J.... Oate of Purd,ase .....~II!I'if/......... Hare of ~'ornEr Ck.Ir>er ..:""....~,....~............ Zone or use district in wlid. pr-emises are situated .................... h....... . u.......................... ....... fhes proposed ~truction violate any zoning IBW':J onJinance or regulation: .... ~c:2............. Will lot be regraded .......~p......... Will excess fill be renvved frcm premises: YES III Nares of IMter of premises .. .T......... f.! 11~5......... Address .~. !d~~. k. .P,X...... llione No.1..'!.'t..orf.... Hare of Ard,itect .......J:e:<:...l.tlt0............... Mdress jq,~..... ..p.4:iv.?.f.I.... IllOlle No. q?~.~.~.~ Hi..., of r.ontractor .... ..-:T.":'?.. .f/ll,:7. ............ Mdress ...:T.e. . .. ..~.. .41).'.. ...I1lOlle No. ~....... ..~~.. Is this property within 300 feet of a tidal wetland? "YES.... ..... Ill......... !1776 "IF YES, !U1I111D m~ TRIlSI1lES PElMff MAY 00 ~RlID. 8. 9. 10. II. 12. 13. I',. 15. PLOT DIAGRAM Ineate clearly and distinctly all buildings, w>ether existing or proposed, and indicate all set-back dimensions frcm property lines. Give street and block lUlber or description according to deed, and s1Jai1 street nares and indicate 'whether j nterior or corner lot. ;..,~'or Iof SI'fim 0' IICW YlXlK, OJ/NlY ~ ... .5v.frpjl......... SS ........J;;y:.C?.:I4..7...i(()(l.0h................heir~1 duly """ro, delXlBeS aoxl says Uwt he is LI>e applicant (H....,re of individuaL signillg cOIltractV alXNe wl1e<.l:J lie is the .............. .I}~f.... .... ...... ........ '" ....... ............ .................. ............. ([,oulractor, agent, corporate officer, etc.) of said owner or owners, mKl is duLy aulhodzed to perforlU or have perfoma.) Lhe said wrk and to JOOke and file lhis appl icatioll; that all stat6'lElIls contained in this application are tnJe to Ule best of his lu1(Mledge and belief; arK) that the work will 1>e perfonned ill LI>e 'mnner set forth in Ole applicBtion filed t1>erewith. flworo to l>e~n., this ~ C; 7 ........~...;)'j of .... ,;;/~}" Notary~c?U(.:.. .:v:-~.. (Cfq~ '. 5 1/2' 5'-3 3/4' 5 112' 5'-3 3/4' 5 112' 5'-9 114' 5'-9 114' v....nrI. - CL- A r 6.r <; ~ c;"~r hdr'-J { p.,..//,~ APPROVED AS NOTED'? "d'-\'1 r d" DATE: ~,I./f 7 B.P,' .HcwJi. FEE:" 7~ d-- BY: ~.........;.( NOTIFY BUILDING OEPAR ENT 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 - CONST RUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS j 2'")(4" 6' HOUSE 7'-3 1/2' 7'-3 1/2' 6")(6" TOP OF DECK I' 7'-4 1/2' 5 112' 5 112' 6'-7 114' 14'-r OC UPANCY OR U IS UNLAWFUL WI OUT CERTIFICATE o OCCUPANCY 12' tI/1;cJ7 ~I q-r& "jI ICe.. . , c f]l'~ (' ~ /;t!s {'tlfJ}J J(J C 8'-4' fXl5-hn D$c~ 1::::;-, 12 d N ~ , ::';)- -~ ",' ~ ~ \ '" -- ._--~-_. , e < Ii \..\~ ~~~I:n r () 111 ~ ::t- " r--:O,> r i' -~ R'V, ~g ~~'" ~ "'~ s ,b 12 -/T: M~~ ~'N'j;-- 1\ ~ 'A\' ~ S. ~ \\ '1' ~ t <1\ ___ ~ ~ \J d II J::. r 00,\ 'if ';I. 3 rJ -tl ~ ) r:::::::-.. () fl "" --' ........ N ~ --t.. \\ ~ r '^ ~ 3 ~ x VI ~ "\ ~ ~ x~- "\~ t~f ~ r1-t~ tJ \~ 1. .,... -,.... ~ ~ \ . ~ ) N ~ \: \J\ f1) ~ . \\i --t () 0\ \N ~ --- N x" 'l> l -,.. tV 11) ~