HomeMy WebLinkAbout33800-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32977
Date: 04/14/08
THIS CERTIFIES that the building
ALTERATIONS
Location of Property: 3175
(HOUSE NO.)
County Tax Map No. 473889 Section 68
SOUNDVIEW AVE
(STREET)
Block 1
PECONIC
(HAMLET)
Lot 11
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 7, 2008 pursuant to which
Building Permit No. 33800-Z
dated
APRIL 7, 2008
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 ALTERATIONS TO ADD LAUNDRY ROOM & OFFICE IN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to DAVID F & STEPHEN E. NOCKLER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMEIlT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-197304
07/11/91
PLUMBERS CERTIFICATION DATED
04/11/08 JOHN W. REICHERT
~~
Authorized Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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 2/10 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 nses, 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
tf~I1-4r
Date,
V
New Construction:
Old or Pre-existing Building:
311S ~ ~
House No. 0 ,1 _' Street
Owner or Owners of Property: ~ II- b ~
b1
( check one)
/'~
)
~~
,
Hamlet
Location of Property:
Suffolk County Tal' Map No 1000, Section
.
Block
Lot
I I
Subdivision
-
Filed Map,
Lot:
-
+-7 - 0 Z
Permit No.
33'(00 Z-
Date of Permit.
Applicant:
~ /II~
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate: V
(check one)
Fee Submitted: $
<;'" .G..- N....tt.....
Applicant Signature
()..)J( _ ',1.-\ I \ I
CD of:: 3Jr7 7
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.
33800 Z
Date APRIL
7, 2008
permission is hereby granted to:
DAVID F NOCKLER
PO BOX 43
PECONIC,NY 11958
for :
CONSTRUCT LAUNDRY ROOM & OFFICE IN EXISTING ONE FAMILY DWELLING
AS APPLIED.REPLACES EXPIRED BP # 19803
at premises located at
3175 SOUNDVIEW AVE
PECONIC
County Tax Map No. 473889 Section 068
pursuant to application dated APRIL
Block 0001
Lot No. 011
7, 2008 and approved by the
Fee $
200.00
Aut
Building Inspector to
ORIGINAL
Rev. 5/8/02
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THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU 01' EUCTlttcITY
85 JOHN STREET. NEW YORK. Nl!W.YORK 10038
7JWi 1191/91
AppUc.~ion No. onJil..
VAG,: I
0....
THIS CERTIFIES THAT
only tM __ "".."'_..t......_...,.,.., .....,..t_ by .". ypU"""'t __.... tM.boN .,.pUe.tlon ",,"""r m tM,.,.."'- of
,1l1l,Y 24,1991
,,197'<;)4
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MR .T,F:F: COHOTTO, SOUNDVU:W {,IINF:, SOH'I'ltOI,D, N. V.
i"'MjoUo",m/lI"".tio.., ~ '/99_..t D/otFI. 02"" Fl. ,'I<<...i.... a/",," Lot
1&'01 exumiMd on JUf" Y 11{. 1 .ndJound to'" in compUanre It'il" tlte ",,"ireme,,'" oj th;. Board.
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ACIIS SWlTCHIS NCANDlSCfNT PLUClII5aNT OTHER
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DUllS IUINACI MOTOIS
AM". K. W. CMl H. ... GAS H. P.
""UII APPUAHCI _ SPICIAUIC'Pr _ ClOCKS II1L UNlt_tHI MUL1toOU11If DlMMIIS
AMT. NO. A. W.O. , ~T. M/II. AMY. AMfIS, TlANS. AMT. H.... ..&~ AMT. WATTS
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HlVICI DISCONNICT
0'''' APPAlATUS:
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Il.J. "ToEC. CO.
I\OX 16, S'flJ,joWATEk A VF..
CUTCHOGIH: , NY, 11935
I,TC. ,2670-Ji;
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COPY FOR BUILDING DEPARt
. THIS COPY OF C
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be ~ by tIlei, cNdonlials.
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Thi. cortificote ""'" not be altoNd in any manno,; ,",urn 10 "'" o~ aftho
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
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- - Fax {631) 765-9502
Telephone (631) 765-1802-
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
tf~/I~?
Owner:
STE\lt
33'T1J() :L
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Building Permit No.
(Please print)
Plumber:--:S:;HA/ W. e/c~~<Rr _____ _
(Please print)
lead.
I celtify that the solder used in the water supply system contains less than 2/I 0 of 1%
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~-~
(Plumbers Signature)
Sworn to before me this
Notary Public, --3ilh/ ~ County
LINDA S. CARLSON
Notary Public. Slale of New 'lbrll
No.01CA6137178
aullllfied In Suffolk County f)(}
CommIaalon expIres Nov. 14, 20 ~
33 Z"OD Z-
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING J><f FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRucnoN [ ] FIRE RESISTANT PENE'TRAnON
REMARKS:
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DATE INSPECTOR /~~
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FOUllDATION
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FOUNDATIOU
(2nd)
2.
ROUGH FRAME &
PLUMBING
3.
IllSULATION PER N. Y.
STATE ENERGY
CODE
4.
FINAL
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ADDITIONAL COMMENTS:
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OWNER
/_ / / TOWN OF SOUTHOLD PROPERTY
I 5 VILLAGE
RECORD CARD
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DISTRICT SUB.
LOT
XxvlcrF~~+-ef\ut1 ~Nockler'
FORMER OWNERDc\'vld. f,f\lo !ors
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C.REA~E
3.A
YPE OF BUILDING
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FARM
CB.
, MISC.
LAND
IMP.
TOTAL
DATE
REMARKS
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AGE
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BUILDING CONDITION
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ABOVE I l;"' I) I ~" .~l~_ -r' (:J :l S .
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Farm
Acre
Value Per Acre
Value
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Tillable .1
Tillable 2
Tillable, 3
4
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LIZD3t/f022- ;I/o1/er ~ ors ~ ;V6ck?I'!t70)i /:/~
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Woodland
Swampland
Brushland
House Plot .
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Foundation ~..I.._ \.\ c;.: Bath / >'
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i-I , osement Floors F'
Ext. Walls Interior Finish /.,'"
Fire Place Healt F fI
/50 ,
LV Porch /90 Attic
Porch Rooms 1 st Floor
Patio h I" / Rooms 2nd Floor
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~ riveway
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Examined . .~.;l..~.., 19':1.t
APproved~. .<?l.~. .,19'\l.PermitNo.I.~~~~~
Disapproved alc ................ . . . . . . . . . . . . . . . . .. ..
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 11971
TEL.: 765-1802
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SEPTIC FORn ...~..........
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NOT! F'f:
CALI.. .]V;$:~.5'~""""
"All.. TO:
................................{~.. ... 0
........................~...
(Building Inspector)
. . . . . . - . . . . . . . . . . . . .
,
,
APPLICATION FOR BUILDING PERMIT.
INSTRUCTIONS
. ~ ~
Date (r.. ...... ....,19.J
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 0
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 pr~ises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram wliich is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 purposewhatever until a Certificate of Occupancy
shall 'have been grant~d by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Tow!: of Southold, Suffolk County, New York, and other applicable Laws, 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 neces~~~. i.n.s~~~t~~~~&. . ~_, . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
e,
.. .......... ..... .............. ......... ......
(Mailing address of applicant)
State whether applicant iscpwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.................... (:.'?~~ .'("0c-(.. Cp.~.ff.q.~~............................ ............
Name of owner of premises .... .te.e...+..r r.e.~~... ('a,kto.'f:f))...........................
(as on the t~ roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. ......... ... .............. '" .... ... ..... ....
(Name and title of corporate officer)
Builder's License No. ..1). ~~0. .H..L. . . . . . .
Plumber's License No. .............0..........
Electrician's License No. ......................
Other Trade's License No. .....................
C'
I. Location of land on which proposed work will be done. .................................................
... J) 75 ... .. . .. . .. .. . . .. . 5QY.~~vi~.~. . A~~.:. ....... .~~... .. .......... ....
House Number Street Hamlet
County Tax Map No. 1000 Section ...b 3. . . . . . . . : . .. Block ...j............. Lot...! (, . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy.... h0-.~t!.J.n1" JQCJ.Iv1..j' .p.r:(~..:C?1~. 9f.fir:;.~. ................ ....
b. Intended use and occupancy ... }..~VN.d. J...y.. R.ti.-a~ J frJ.v'Q.fg .clfke..................
.......
J. 'C!w~rk (check w ch applicable' ew Building. . . . . . . . . . Addition.. . ,~",: \Iteration .. .~. . . .
Repair .............~. ............ Demolition .............. 'uLller W"'&ii:~~~i~~) . .
4. Estimated Cost. . . . . . . . . .0/10 r:!. . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling. number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . .
. If garage, number of cars ........................................................................
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 of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front ................. Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Num ber of Stories . . . . . . . . . . . . . . . . . . . . . .
8. Di\nensions of entire new construction: Front. . . . . . . . . . . . . .. Rear............... Depth ...............
Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.. Size of lot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ....;....................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises. . . . . . . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . Phone No. ....... . . . . . . . .
Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. .... . . . . . . . . . . .
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. .......... . . . . .
15. Is this property within 300 feet of a tidal wetland? *Yes........ No.........
*If yes, Southold Town Trustees Permit may be required.
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.
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. . . . . . .Jb.I)!1 roo . .Sf/1f.-!b. . . . . . . . . . . . . . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the. . . . . . . . ~ 'u+~~l'.--t-". ~~tr~~t_~!: ~~~~t', ~~~~~;at~ ~'ffi~~;, 'e't~.)' . . . . . . . . . . . . . . . . . . . . . . . . . . .
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
lpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
Nark will be performed in the manner set forth in the application filed therewith.
:;worn to before me this ~
............. .~~ .~.day-Of.. .t\?~~..........., 19Q,.lkc
-<otary Public, .~kAL. .~.uM-o..... ~lmIlb8Oty
() . ~~o~~:::;~...... ....................................
CammlsaIon ~ New. 30, 1'~ (Signature of applicant)
_-"lIlIIl___.
3 n ~C(:)
IOBII 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)
N~
19803 z
Dote ...........~.....i?..(............. 19.~.!..
Permission is hereby granted to:
, ~.!b::\.~.......~~....................
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<:: ......l~.~;.........~..:.~.......I.L~..~.~...........
to.~..~....~..:~..;;..ij}.:~....~...~....
~.~..n.~...~...~~:.............. .....................................
at premises located at ...~..I..J.~.....~.':?M.W....~............ ....... ................ ...
................................................................................-................................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Sectior....F~.k~....... Block .....Q..L....... Lot No. ......I.J...............
pursuant to application doted ..J~~.....1...~................ 19.~.!... and approved by the
Building Inspector.
Fee $..4~.:...::::=:.
i~~.....
Rev. 6/30/80
::m:e or lOr: /"rOnt . . . . . . . . : . . . . . . . . . . . .. Rear...................... Depth ......................
Date af Purchase ............... _ . . . . . . . . . . . . . Name af Former Owner ................ _ . . . . . . . . . . . .
Zane ar use district in which premises are situated. _ . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Daes propased canstruction vialate any zoning law, ardinance ar regulatian: ................................
Willlat be regraded . i.,:.. .... ............... . . Will excess fill be remaved fram premises: Yes No.
Name af Owner af premises . . . . . . . . . . . . .' . . . . . . . Address .. . . . . . . . . . . . . . . . . . Phane No.. ......... . . . . . .
Name af Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phane No.. . . . . . . . . . . . . . . .
Name af Cantractar . . . - . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . .'. . . . Phane No.. .......... . . . . .
Is this praperty within 300 feet af a tidal wetland? *Yes........ Na.........
*If yes, Sauthald Tawn Trustees Permit may be required.
PLOT DIAGRAM
acate clearly and distinctly all buildings, whether existing ar prapased, and. indicate all set-back dimensians fram
.rty lines. Give street and black number ar descriptian accarding to. deed, and shaw street names and indicate whether
ar ar carner lat.
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OCCUPANCY OR PP OVED AS NOTED
USE IS UNLAWFUL DATE:";'.) 'q B.P # / I:j 'HO a"t
'OFNEWYOR~ ..(.(..~ss WITHOUTCERTiflC;,l{: FEE: ~"tJ.,.; BY: V.G./... .
IYjbF...J..... Y..... . OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT
..., 1'1' f 0Ptr .b lit . d ~'Zfip~Lijp.UI. A.~ lQ t1 .F;"rt. FOR THE
. . . . :1.. .. ,.,/, t. IT.f:--!''. . . . . . . . . . . . . . . . . . . . . . .. bemg duly swam, ep~Olro'\lvlll.il3' ~~~ applicant
(Name afindividual signing can tract) . ilE . 1. FOUNDATION _ TWO REQUIRED
lamed. U"OERWRITERSISItl~ . FOR POURED CONCRETE
Ie. . . .. . _. Ct,. 'u+~~;\;-P. R-..... ....... ... ~.I~.. . ........ . .;:. ~~~~~-r;;~~~~~~.~. ~~~~.B.I~?
(tontractp!, agent, carparate afficer, etc')4. FINAL " CONSTRUCTION MUST
awner or awners, and is duly autharized to. perfarm ar have perfarmed the saidBlicfl&!I4RtlEfi fifAR~aftd file this
tian; th,at all statements cantained in this applicatian are true to. the best afhi~Wlill!geiili\Jl:IQtH~Ltlha~T
'ill be perfarmed in the manner set farth in the applicatian filed therewith. THE REQUIREMENTS OF THE NY.
to befare me this STATE CONSTRUCTION & ENERGY
\'t" ~ CODES. NOT RESPONSIBLE FOR
.... ... .y,........ .day' af... t-\-p.e.;~..........., 19~1. ~ DESIGN OR CONSTRUCTION ERRORS
Public, .~ouk. .~J.U^O. . . . . e.fAIl61lllbeOty
..., NiIIc, Sla. 01"" M
. No. 4755734
Q/eItIedInSiJl!Qll.~"'" . .......
Commlaslan &pm New. 30, 1I~
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(Signature af applicant)