HomeMy WebLinkAbout32424-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32474
Date: 07/16/07
THIS CERTIFIES that the building REPAIR
Location of Property: 65490 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 53
(STREET)
Block 5
GREENPORT
(HAMLET)
Lot 12.6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 13, 2006 pursuant to which
Building Permit No. 32424-Z
dated
OCTOBER 13, 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 REPLACE EXISTING PORCH & REPAIR COTTAGE #29 AS APPLIED FOR.
The certificate is issued to BREEZY SHORES COMMUNITY
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
01/17/07
ELECTRICAL CERTIFICATE NO.
3017335
N/A
PLUMBERS CERTIFICATION DATED
~~/..
". ~ut~ize;(ignature
Rev. 1/81
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Form No. 6 ~' ~ rn ~ ~ M f' (\"
TOWN OF SOUTHOLD ) ~. I!J ~ ,
BUILDING DEPARTMENT
TOWN HALL IJ JLl ,; 2r -J'~I
765-1802 ;: _ _ j
<bUQl " IIIIBF-
APPLICATION FOR CERTIFICATE OF OCCUPANCY l ~!IQ;lr~'''' .'J) .'
-- ---
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 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. ., -- I 3 - (l 7
New Construction:
Old or Pre-existing Building:
S41t !Sl-./D.
Street
Owncr or Owners of Property: '}l1 a (L J It" e .f- f/ ~ '1 () e 1\ il. j
Suffolk County Tax Map No 1000, Section ~ 1 3> tJ s } Block
Location of Property:
~q
( check one)
House No.
Hamlet
b <) I:> SLot
~ \ 2.. 0(> <:> b
Subdi vision
Filed Map.
Lot:
Permit No. "3 2 -"\ z.. '"
Date of Permit. 10-(3-.. b Applicant: B.-<:.e."Z..J jhQr~J C..rv--......"'''-,.t.J
Underwriters Approval:
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
1fJ1~~"""~,,
~"J.-17'
Co t.3:J'f7'f
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.
32424 Z
Date OCTOBER
13, 2006
Permission is hereby granted to:
BREEZY SHORES COMMUNITY
PO BOX 546
GREENPORT,NY 11944
for :
REPAIR COTTAGE AND REPLACE EXISTING PORCH AS APPLIED FOR, COTTAGE
#29, PER DEC & TRUSTEE APPROVAL. THIS PERMIT REPLACES 31447.
at premises located at
65490 MAIN RD
GREENPORT
County Tax Map No. 473889 Section 053
Block 0005
Lot No. 012.006
pursuant to application dated OCTOBER
13, 2006 and approved by the
Building Inspector to expire on APRIL
13, 2008.
Fee $
150.00
I1f-~J~ ~
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
~
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0199C
Date: Mav 8, 2007
THIS CERTIFIES that the removal/rebuilding of existing porch, repair roof, repair siding, and
replace doors and windows to existing dwelling.
At 29 Sage Boulevard, Greenport, New York
Suffolk County Tax Map # 53-5-12.6
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 10/16/06 pursuant to which Trustees Permit # 6463A Dated 10/18/06.
Was issued, and conforms to all ofthe requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is for removal/rebuilding of existing porch, repair roof, repair siding, and replace doors and
windows to existing dwelling. r" fe-Ii 1'ry
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The certificate is issued to Margaret Heidenm ner 0 f. the .~. L
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aforesaid property. :
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Authorized Signature
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
S. J. OCONNOR
1195 SHIPS DR
SOUTH OLD, NY 11971
MARGARETTE HEIDENRY
29 SAGE BLVD
GREENPORT, NY 11944
29 SAGE BLVD GREENPORT, NY 11944
3017335
3017335
Certificate Number:
Block:
Lot:
Building Permit:
BDC:
NS37
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located inion the premises at:
First Floor, sun room, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 17th Day of January, 2007.
Name OTY Rate Ratin. Circuit ~
Wiring and Devices
Outlet
Fixture
Outlet
Receptacle
Switch
Receptacle
1 0
1 0
8 0
6 0
2 0
1 0
Fixture
Incandescent
General Purpose
General Purpose
General Purpose
GFCl
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This cerliflcate may not be altered in any way and IS validated 0~l24Jy the p\ sence of a raised seal at the }ocatlon indIcated.
seal
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PROFESSIONAL ENGINEER
1725 HOBART ROAD I PO Box 616 SOUTHOLD, NEW YORK 11971
TEL: 631,765.2954' FAX: 631.614.3516 . e-mail: joseph@fischetti.com
Date:
Reference:
May 15, 2007
29 Sage Blvd
Southold Building Dept
PO Box 1179
Southold, NY 11971
Dear Sir,
I have been asked to comment on the use of a double top plate instead of a single top
plat shown on the drawings of the late Mr. Sambach, the engineer who provided the original
drawings for this permit. I certify that double top plates are standard for residential wall framing
and in accordance with New York Codes.
Joseph Fi c etti, P.E. ,
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H~;d<1~lryw"lIlfaming ('An,(v<;
"NC;:NCi."F<
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Board Of Southold .Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. ...?937 DATE: ....iJ!.24/CJ.4mu.
ISSUED TO .m.uu..~~.~9.~~.E..!,.}:;I.E,:~P.1';!'!RY. u.. uu..muuu........ uum."
i\utl1nrizatinu
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
. State of New York 1952: and the Southold Town Ordinance en-
titled ."REGULATINGANDTHEPLACING..oFOBSTRUCIIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS.fiOM
LANDS UNDER TOWN WATERS;!'. and in accordance with .the
Resolution of The Board adopted at a meeting held on ......J..!:l.rJ,~~f.:'\.
. 2gg.~... and in consideration of the sum of $.25()u..u. .... paid by
Margaret Heidenry
~;-..:..::::?~~.~~~.~~t:::"u.:~:~~:~~"'::~i::~".~:'~h:
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the foUowing:
wetl~nd permit to re,:,ov~ ~nd: rebuilJ the existing porch,
repalr roof and repalr -sldlng on existing dwelling a d
replace doors and windows. .' n
prepared by Warren Sambactne.s1lld~~ege!;'~g~'1J~ on the surv
aU in accordance with the detailed specifications as presented in
. the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its CorfXll'at~ ~al to be a~xed. and these P!'esents to
be subSCl'l'bed by e melority of the SlIld Boerdes of this dets.
~
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
~
I DEC PERMIT NUMBER
1-4738-03467/??oo1
FACILITY/PROGRAM NUMBER(S)
.
PERMIT
EFFECTIVE DATE
Auaust 19, 2005
EXPIRATION DATE(S)
Under the Environmental
Conservation Law
Auaust19,2010
TYPE OF PERMIT. New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate
o Article 15, Title 5: Protection of Waters o Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
o Article 15, Title 15: Water Supply o Article 19: Air Pollution Control
0 Article 34: Coastal Erosion
o Article 15, Title 15: Water Transport o Article 23, Title 27: Mined Land Management
Reclamation
o Article 15, Title 15: Long Island Wells 0 Article 36: Floodplain Management
o Article 24: Freshwater Wetlands
o Article 15. Title 27: Wild, Scenic and 0 Articles 1, 3, 17, 19, 27, 37; 6NYCRR
Recreational Rivers . Article 25: Tidal Wetlands 380: Radiation Control
8 6NYCRR 608: Water Quality Certifica- 0 Article 27, Title 7; 6NYCRR 360:
tion Solid Waste Manaaement
pERMIT ISSUED TO TELEPHONE NUMBER
Margaret Heidenry 917-741-5778
ADDRESS OF PERMITTEE
2658 Griffith Park Blvd., #205, Los Angeles, CA 90039
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Breezy Shores Comm., Inc., P.O. Box 356, Greenport, NY 11944 212-260-2624
NAME AND ADDRESS OF PROJECT/FACILITY
Heldenrv property, 29 Sa e Blvd., Greenport, NY 11944
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold Peconic Bay
, DESCRIPTION OF AUTHORIZED ACTIVITY:
. Remove and replace 10' 6" x 14' 4" porch on existing dwelling. All work must be done in accordance with
the attached plans prepared by Margaret Heldenry last revised April 2, 2005 and stamped approved by
. NYSDEC on August 19, 2005,
In addition, your proposed project, as shown on the above referenced site plan, is more than 100
feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater
Wetlands Act (Article 24 of the Environmental Conservation Law)
By acceptance of this permit, the permittee agrees that the permit Is contingent upon strict compliance with the
t=CL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included
liS part of this permit.
1"
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PERMIT ADMINISTRATOR:
August 19, 2005
Page 1 of 4
George W, Hammarth
. AUTHORIZED SIGNATURE
3~f~tz-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
,0' FOUNDATION 1 ST
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
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DATE / I ,- r,- 0 ,
INSPECTOR ~ ~
32- yz- )I'~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] F.9U"DATION 2ND [
[ ~RAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
.Yv~
-
DATE /I !-Is' \ 0 (.,
INSPECTOR
---
30/ J-y &--
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] .yuNDATION 2ND [
[ t-1FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS: ~- ~~
(J#- f~ {h/h- 17fP--<k. ~,,- NO
ff:-4!.~.fJ! J 14-fxJ-vL W / "J/~ oi- ~ -
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DATE II ,;- VI o{;
INSPECTOR
32-lf2-1
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[~AL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
REMARKS:
DATE
:~ L-/a 7
/ /
INSPECTOR
".
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FOUNDATION (1ST)
COMMENTS
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FIELD INSPECTION REPORT DATE
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FOUNDATION (2ND) f.-.
ROUGH FRAMING &
PLUMBING
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INSULATION PERN. Y.
STATE ENERGY CODE
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD "
BUILDING DEPARTMENT 'D 82005 '.)!
TOWN HALL I 'I,
SOUTHOLD, NY 119711 -r
TEL: (631) 765-1802 L--,-,_
FAX: (631) 765-9502
www..northfork.net/Sou old/ PERMIT NO.
t,
,
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N,Y,S,D,E.C.
Trustees
Contact:
j
Examined
Approved
Disapproved aI c
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Mail to. 1"\~~'iA1leT H";:;IDc?l->I~Y
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Phone. 'fi7-' ?-S'i' 2. '18i . '..z..
Expiration
,20
_or'-"
APPLICATION FOR BUILDING PERMIT
Date ':32l"'lC....lSa 13
20 oS-
'-
INSTRUCTIONS
a, This application MUST be completely filled in by typewriter or in ink and submitted to the Building fuspector with 4
sets of plans, accurate plot plan to scale, Fee according to schedule,
b, Plot plan showing location of/ot 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 fuspector will issue a Building Permit to the applicant. Such a permit
shall 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 what so ever until the Building fuspector
issues a Certificate of Occupancy,
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date, If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building fuspector may authorize, in writing, the extension of the permit for an
acldition six months. Thereafter, a new permit shall be required.
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 South old, Suffolk County, New York, and other applicable Laws, Ordinances or
R~gulations, for the construction of buildings, additions, or aIterations 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)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OvJ,.I'~
Name of owner of premises c.c:rTT^"'t ::\:1:2.4 15~;:t'( S\b>~~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
Co............. "v
,
,...fe...
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
c...."'("'t'A<;<:" '* 2'1 wt'5-r51'l'C 5-^,\~ ~o""p
House Number Street
~ /Z.c8-!folt--"'
Hamlet
County Tax Map No. 1000 Section .{' 3
Subdivision
Block S-
Filed Map No.
Lot /2.. ,
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ",.J;- FIlM t L-7 .:s...._.-'M.ilZ-. eo""", c
b. Intended use and occupancy
s~c
3. Nature of work (check which applicable): New Building
Repair >< X Removal "'.1<'J<,olZ.KOJ;Jemolition
Addition Alteration )(/
Other Work /l.<,.,.>Je p,,-ru:.,otA""!C1=> ~,.J4
....." ~"LAC. I.J ,,-,.J'" (Description)
4. Estimated Cost #/~, 000. 00
Fee
5. 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
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front /"'1 "
Height /c,r Number of Stories O.Jt
Rear l'i"
Depth 25 ~
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
SA". ~TAIC
11. Zone or use district in which premises are situated
12- 80
12. Does proposed construction violate any zoning law, ordinance or regulation? YES _ NOX
13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO x:
14. Names of Owner of premises 8k~ 5/to;z..;;5 <A'dt!1~s
Name of Architect ..,l1'rUC.J ,.,. 'IA<:.\'\ Address "..,.15c)( 1033
Name of Contractor Address
Phone No.
Phone No ':J.3'f. '7-'f72.
Phone No.
,
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO_
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY ~EQUlRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
- 5ef"'" ATTAC.'t\c.~ ~
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
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:
COUNTY OF S"'-f'f'Dl-A
i"11rV71rfl..C'f /fiftJii)VII. being duly sworn, deposes and says that (s)he is the applicant
(Name of individual si 'ng contract) above named,
(S)He is the
ovJ,.J~
(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.
20 oS-
&/
MELANIE OOROSKI
NOTARY PUBLIC, State of NewYor1l
No. 01004634870
Qualified in Suffolk County,,,^,\L
Commission Expires September 3~
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
July 17'\ 2006
Breezy Shores Community Inc.
P.O. Box 546
Greenport, N.Y. 11944
RE: 65490 Route 25
SCTM# 053 0005 012.006
To Whom It May Concern:
Please be advised that your Building Permit #29710 issued September 8th, 2003 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.
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ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
AP~~ASMnm?~~
DATE: /5/J B.p.#314'1:;~
FEE: J ;">0 BY: 'J)pR..
NOTIFY BUILDING DEPARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION. TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
A / Itt _ so: ~Ho..D TOWN ZBA
--rrrr- SCUTHOlD TOWN PLANNING BOARD
./ SOUTHOlD TOWN TRUSTEES
./ N.Y.S. DEe
FLOOD ZONE I\/(A
COMPLY WITH CHAPTER" 46"
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE.
CERTIFICATION OF
NAILING & CONNECTIONS
REQUIRED.
OCCUPANCY OR
USE IS UNLAWFUL
W1THOUT CERTIFICATE.
OF OCCUPANCY