HomeMy WebLinkAbout33116-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
lIIo: Z-32736
Date: 11/19/07
THIS CERTIFIES that the building
ALTERATION
Location of Property: 135
(HOUSE NO.)
county Tax Map No. 473889 Section 54
SOUTHOLD
(HAMLET)
Lot 11
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 1, 2007 pursuant to which
Building Permit No. 33116-Z
dated
JUNE 7, 2007
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 INTERIOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to JOHN & MARY MCCAFFERY
(OWNER)
of the aforesaid building.
SUFFOLK COlIHTY DEPAR'l'MER'l' OF HEALTH APPROVAL
N/A
BLBCTRICAL CERTIFICATE NO.
3035972
10/25/07
N/A
PLUMBERS CERTIFICATION DATED
rized Signature
Rev. 1/81
1/.,0 :lV75"
Form No, 6
TOWN OF SOUTHOLD
" i\\-~i BUILDING DEPARTMENT
\, \",.........-- '0\ TOWN HALL
\. ~_.'. 765-1802
.,\r C'\
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J'S' A.prtIC~,TION FOR CERTIFICATE OF OCCUPANCY
\....--- . - ,'.0 ." ,," .
This application 11l\-l~t be filled ill by typewriter or i,* and submitted to the BuIldlllg Department With the followlllg
'.
A. For new building or new use:
I. Final survey ofpropeliy 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 t!rerefor 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.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Celiificate of Occupancy - $50.00
Temporary Celiificale of Occupancy - Residential $15.00, Commercial $15.00
2.
3.
4.
5.
Pe>e
flf'l'''''j - No Solde.,--
Date. No", 19
, 2.oD 7
New Construction:
Old or Pre-existing Building:
,./
( check one)
Location of Property:
House No.
gro'th Ro....ol
Street
So~(J
Hamlet
Owner or Owners of Property: :::r'o k "'-
Suffolk County Tax Map No 1000, Section
McCe..~
S <.{ Block
7
Lot I {
Subdivision
Filed Map.
Lot:
Pennit No. S 3116
Date of Pennit.
Applicant: k;' II"""'" ,g<<-"'IJ..v~
Underwriters Approval 3.P '3 ~ "1 7 L
Health Dept. Approval -1YA
Planning Board Approval K ,4.
Request for:
Temporary Celiificate
Final Certificate:
v-
(check one)
Fee Submitted: $
2.:> -
&,c.. 'l)y \'-1
CO -f:.327:3 ~
YLvt
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.
33116 Z
Date JUNE
7, 2007
permission is hereby granted to:
JOHN MCCAFFERY
20 PARKVIEW CIRCLE
BETHPAGE,NY 11714
for :
INTERIOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
13 5 BOOTH RD
SOUTHOLD
County Tax Map No. 473889 Section 054
Block 0007
Lot No. 011
pursuant to application dated JUNE 1, 2007 and approved by the
Building Inspector to expire on DECEMBER 7, 2008.
Fee $
200.00
/I~~o~ 6/
( Authorized Signature
ORIGINAL
Rev. 5/8/02
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~ Located at
I Application Number: 3035972
~ Section: Block:
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~ 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 25th Day of October, 2007.
~ Name OTY Rate Rating Circuit ~
~ Miscellaneous
~ furnished 2nd floor
~ Alarm and Emergency Equipment
~ Sensor
~ Sensor
~ Appliances and Accessories
~ Electric Heater Baseboard
~ Electric Heater Baseboard
~ Panels
~ Wiriug and Devices
~Outlet
~ Fixture
~ Fixture
~Outlet
~ Receptacle
~ Switch
~ Paddle Fan
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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
JIM SHAW ELECTRIC INC.
530 MIDDLETON RD
GREENPORT, NY 11944
JOHN McCAFFERY
135 BOOTH ROAD
SOUTHOLD, NY 11971
135 BOOTH ROAD SOUTH OLD, NY 11971
Certificate Number:
3035972
Lot:
Building Permit:
BOC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Second Floor,
I 0
3 0
Carbon Monoxide
Smoke
I 0
2 0
.375
1.25
KW
KW
100
10
5 0
3 0
2 0
27 0
19 0
12 0
3 0
Fixture
Incandescent
Flourescent
General Purpose
General Purpose
General Purpose
seal
Continued on Next Page
1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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I Located at
~ Application Number: 3035972
I Section:
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~ 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
i!j! authority having jurisdiction, and found to be in compliance therewith on the 25th Dayof October, 2007.
~ Name OTY Rate Rating Circuit ~
~ Receptacle 1 0 GFCI
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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 1 0038
CERTIFIES THAT
Upon the application of
upon premises owned by
JIM SHAW ELECTRIC INC.
530 MIDDLETON RD
GREENPORT, NY 11944
JOHN McCAFFERY
135 BOOTH ROAD
SOUTHOLD, NY 11971
135 BOOTH ROAD SOUTHOLD, NY 11971
Certificate Number:
3035972
Block:
Lot:
Building Permit:
BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Second Floor,
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
3 '$ J L ~-2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
[ ] FOUN~A~~S~E~~~~.
[ ] JDUNDATION 2ND [ ] INSULATION
[..1 FRAMING I STRAPPING [t FINAL
[ ] FIREPLACE & CHIMNEY [ .] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENE1RA11ON
REMARKS: F~ '!- jJ ~q-f ~
~..~
DATE 4f~pJ7
INSPECTOR
~
3.31'''?-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
~NSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECnON
[ ] FIRE RESISTANT PENETRATION
jJ(J fJYLfL-~--,
(f= I S ~
DATE
(,~)..I-07
INSPECTOR ~~
~3110i-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH G.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING I STRAPPING [. FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS:
DATE /t!1 to 7
{
INSPECTOR
$SI/? r
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] R~GH PLBG.
[ ] FOUNDATION 2ND [v(lNSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS: -:C,V~~ ~_.<
DATE
t ( J... L I () 7 INSPECTOR
/ l
.
FlFJ,D INSPECTION REPORT DATE COMMENTS ~~
FOUNDATION (1ST) ::::~
'('"..,
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FOUNDATION (2ND) ~~
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4 <:I-=:llZ. z
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ROUGH FRAMING & oj
PLUMBING o ..,
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INSULATION PERN. Y. ~..,
STATE ENERGY CODE ~
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If ///"110 {Q~'j- . . ", ., "{/ ~ .Y:. 'L
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FINAL
.
ADDITIONAL COMMENTS '3
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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
Cantkt: . \
Mail to: R.~.9... Rome;:;.
e.o. liD" 111\ s......~lJ
Phone: 7bS - 2.'7 S"
,"J'
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL II
~
SOUTH OLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
,-
PERMIT NO.
33 f(t,:c
ih:~~~
Examined
Approved
Disapproved alc
Expiration
,;ft-, ZouL
rc: r~ r \,(.' ..
...:....~..c " I~.v LICATION FOR BUlLDI~G PERMIT
'". I 2L ~
. DMe~JS
BcD<~. DEPT.. INSTRUCTIONS
.J TOWN Qf Sf'I}THOlD
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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 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 Inspector
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 month,s from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building.Insp~ctor may authorizf, jp. .\\Criting, \he extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPpCATION IS HEREBYMADE to the Building; Department for the issuance of ~ Building Permit pursuant to the
Building Zone Ordimince of the Town ofSouth~ld, Suffoik County, New York, and other applicable L.lws, 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.
r:~)
~
.
,20ll-
RomQ;;> 8......~ ll\<...
(Signature of applicant or name, if a corporation)
eO. 61>...., III S Il...:tfu l.9.. I{ Yo
(Mailing address of applicant)
wnl
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~ c.....:tC"...J.-
Name of owner of premises .:r4"'~ Me. C...-Hu1
(As on the tax roll or latest deed)
lie t is a corporation, signature of duly authorized officer
,.~s.
(Name and title of corporate officer)
Builders License No. I::' oS 3. H
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location ofland on whichproposed work will be done:
J ~S i.?cole.. R.oai $~olcl
House Number Street
Hamlet
County Tax Map No. 1000 Section 5 .y
Subdivision
",IH:);)l)rAAMJJJJ3WlIM
Block ~3M,0 3T....,..i'.ttf' l'M1'jM
. 1l~1".IJI'
FIled Map ~""'JCJO:t_"~UO
-JIIl.U . \10M 83lII<lQ MOII8I1I1 10::1 VIII
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy DKL &.-.11 t"I1.L...u... It .
b. Intended use and occupancy ()".. f.......,~ rcs..t-a.....
,
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration ..........
(Description)
4. Estimated Cost H {)()O
I
5. If dwellihg;fi\.unbet of dw~lling units I
If garage,. number'of cars c"
Fee
(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 S"
,
Height ~t Number of Stories I
I
Rear S'
Depth ~ 7 -,
,
Dimensions of same structure with alterations or additions: Front $'"
Depth----.# ' Z 7-' Height ",6 Number of Stories
,
Rear .s,
I
Rear
.--
,
,. Depth r-
/ ",feri;""" f,~,,~~ ... ~
8. Dimensions of entire new oonstruction: Front
Height Number of Stories
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO --
13. Will lot be re-graded? YES_NO./ Will excess fill be removed from premises? YES_ NO_
:tP l'~,,,,,, Co,..!....
Address I!>r:Ic. P"O... 1/1I't Phone No.
Address Phone No
Address fa e,... 1111 Soo.N.JJJ>hone No. '7'-S' -7.67S'
14. Names of Owner of premises ;I;I.... iI\..c:..~~
Name of Architect
Name of Contractor R....... L/Jrl.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO .......-
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO .......-
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
, 1.' ,
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 O~\A.tfo\Jq..
i? ,,~9-. K.o~ being duly sw.orn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, " -, -"-
(S)He is the
c....-Jn.. k-r-
(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.
Sworn to before me this ,
I Of*' day of ~ 20-.a!1
~ri-QQdm<t~\)':'....
o Notary Public )
MlCHEU.l!LMMTOCCHtA
NDrARY PUIUO-I1'ATE OF NEW.....
, 110. ""11I7'
QI..:';,.,.. _ IIIlM'FaL1C COUIn'I
MYCC"-UII aN~ -_NOV.I7.~
IL- f{ -:---'
Signature of Applicant '
OWNER
. .
_ .,. I ( TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET / VILLAGE DIST. SUB.
fohn .;v, ttMaVl
fORMER OWN~R,
DAn jill. JVle
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E .0. ~j .K:l /,
. . ~.;..:.t"1i!"r;~'
w. .-
, (
AI J I! )tYAf n/dJ .
COMM. CB. MICS.
r
ACR. ...
"()
TYPE OF BUILDING
N
G I ~5h~t..-'I..A."-c...._..-
e C/J ,:/-:;5 .'
RES. aiD. SEAS.
i~?t
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(Jb/,.-AAt. ~..
Mkt. Value
VL.
FARM
LAND..
IMP.
DATE
REMARKS
TOTAL
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Value
Acre
Value Per
Acre
Tillable
Woodland
FRONTAGE ON WATER
FRONT AGIO ON ROAO
DEPTH
BULKHEAD
/3 ~-
Meadowland
/~o'
/)'":J' ~ ,<,~t.'f.
,
House Plot
Total..,.. __
DOCK
..eo ""!iiP'
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.
'vk ;s-
LOT
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-
ILO~ q-fLU.{lw..L TRIM ,74 /J" 0
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15li ,
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54.-7-11 9/06 "
" . I":'';-~~ "39'0;' /1f'I1 'f; ':;) . 7/10 I
VI. tuog.' ,-
:xtenslon I
:xtension .
:xtenslon ' ,
Foundation Pc... Both Z'/-:r.- Dinette I
'arch Basement ?=VLL- Floors K. J
'arch > Ext. Walls !L{ ;"{!/ Interior Finish , LR. I
II \.f
:reezewoy : Fi re Place Nn' Heat DR. I
ic:Jrage Type Roof Rooms 1 st Floor SR. I 2-
'atio , Recreation Room Rooms 2nd Floor ~I
I
). B. Dormer Driveway
'atal 7110 (07
,
.
.
.
OF PROPERTY
SURVE.irTUATED AT
SOUTHOLD
SOUTHOLD
TOWN OF NEW YORK
SUFFOLK COU~~~O 54 07 11
S.C. TAX NO'1" 40'
SCALE 2000 PROP, SEPllC SYS, LOCATlON
SEPTEMBER 21 EsspOOLS " REVlSED
WELlS &: C ED HOUSE
SURROUNOIHG RE\ftSED PROPOS CUOON SURVEY
ED ADOITlONAL lINE 6. 2004 UNDER CONSE
AUGUST I, 2001 ADO OEcil.BfR 26, 2004. 2006 F1NAl SURVEY
FEBRUARY 1 .
,
/
19,715.56 sq. fl.
AREA = 0.453 ac.
TO'
CERTIFIE~ W~CAITER
JOHN A' WcCAFFER
WARY .
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F.
N.Y.S. Uc. No. 49668
AllEffAllON OR ~
~ISA~ST"lE
10 nes 7201 (F 1HE NEW
~I.M. BE:ARlNG
SUNE'l'1lW"N)TOR
COPESOf~INICED~
1HE LtM) S9L StWJ. NOT BE
DIIlJSSED lRtlECOP'r.
1ttIEItWJD stW.I.......
lONSlJIIIIlCIiIEDW:THESl..IR'wt:Y
--...lCItiJlllE PEIl:Sl:JflI FUR IEHM.F 10 THE
OIU' 10 MD OM ItS ifIL IG/EMC'f /IN)
IS ~ QlMIMENI'"..... 1M)
r::..: ...uno..Of~..-.c~
lO_~""""NOf
MJOII. '-"" _ Of' WAYS
Of RECoID. If
THE ~ or GUAIWfl'Em.
AND/':,. SMOWN AIlE. MlJT
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A. Ingegno
Surveyor
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""""""",,Layout
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Title Sunwys - SubclM:Jion:J - Fax (631)727-1727
(63')727-2090 _ AlllJR<SS
PHONE Box 1931
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ANCY OR
-USE I UNLAWFUL
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WITH ;UT CERTIFICATE
OF CUPANCY
CE TIFICATION OF
NAILlN & CONNECTIONS
BEaUlREQ.
NSTRUCTION SHALL
REQUIREMENTS OF THE
.. OF NEW YORK STATE.
LUMBING
AL PLUMBING WASTE
& ATER LINES NEED
TESTI G BEFORE COVERING
PL ,I/;i-o"-'-'-r ~
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EXCE;ED2Il 0 OF 1% LLAO,
ROMEO BUILDERS,INC.
P.O, Box 1111
SOUTHOLD, NEW YORK 11971