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HomeMy WebLinkAbout40419-Z Q�511FFOt,�caG Town of Southold 3/29/2016 P.O.Box1179 cf. 53095 Main Rd y4Q� �� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38184 Date: 3/29/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2995 Reeve Rd., Mattituck SCTM#: 473889 Sec/Block/Lot: 99.-3-4.17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/8/2016 pursuant to which Building Permit No. 40419 dated 1/20/2016 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: "AS BUILT"BASEMENT CONVERSION TO FINISHED SPACE IN AN EXISTING ONE FAMILY DWELLLING AS APPLIED FOR The certificate is issued to Tsavaris, Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40419 03-10-2016 PLUMBERS CERTIFICATION DATED 03-04-2016 Jos;ph Whitecavag Auth ;f-d S' ature fa�SUFFuI��oTOWN OF SOUTHOLD ,�,�o 4'- ) BUILDING DEPARTMENT TOWN CLERK'S OFFICE oye o SOUTHOLD, NY a BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40419Date: 1/20/2016 Permission is hereby granted to: Tsavaris, Susan 2170 The Strand East Marion, NY 11939 To: legalize an "As built" basement alteration as applied for. Additional certifications will be required. At premises located at: 2995 Reeve Rd., Mattituck SCTM # 473889 Sec/Block/Lot# 99.-3-4.17 Pursuant to application dated 1/8/2016 and approved by the Building Inspector. To expire on 7/21/2017. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,584.80 CO -ALTERATION TO DWS $50.00 Total: $1,634.80 Building Inspector 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: 1. 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: 1. 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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_ O p - I(p New Construction: Old or Pre-existing Building: (check one) Location of Property: 2-I?7 S �s S �� q G House No. Street Hamlet Owner or Owners of Property: G-.e.r,rc�P d_ v s�-. S q,r ✓ s Suffolk County Tax Map No 1000, Section 7 Block 3 Lot / P7 Subdivision o- " -, S'4-c.-/e, /Lii 1/S Filed Map. Lot: Permit No. tiO 14( cif Date of Permit. Applicant: ' Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: check one) Fee Submitted: $ L � r Applicant Signature es em®��QF $®(/ly�l® Town Hall Annex � Telephone(631)765-1802 54375 Main Road 1111 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 `fly Q , roger.richertl'a)town.southold.ny.us COUNT(A, e. �iiii BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Tsavaris Address: 2995 Reeve Road City: Mattituck St: New York Zip: 11952 Building Permit#: 40419 Section' 99 Block: 3 Lot: 4.17 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 24 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors 1 Main Panel NC Condenser Single Recpt Recessed Fixtures 20 CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture 4 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 23 Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" 2-Paddle Fans, 1-Exhaust Fan Notes: Inspector Signature: Date: March 10, 2016 Electrical 81 Compliance Form.xls ,_$/� ilii I / pFS004, it eis ,Town Hall Annex 41 Telephone(631)765-1$02 54375 Main Road % Fax Fax(631)765-9502 P.O.Box41179G 1t Southold,New York 11971-0959 �•� �O,�1 `-_ COMM Ail 2 ECEDVE D BUILDING DEPARTMENT TOWN OF-SOUTHOLD VAR 2 5 2016 BUILDING DEPT. TOWN OF SOUTHOLD CERTIFICATION Date: 3 - -- / & Building Permit No. 40 7 f 9 z. Owner: .5 VSA-A) / 5 4- J A4 ie IS (Please print) Plumber: iciSf6 4.4 e cie.vg3-e (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of/ll-1,-e1- , 20 ./s a4 L Notary Public, / County ©© CHRISTIE HAIXOCK Notary.PUbli Q btteO f NB wnOV q Q lltlires-luay�l,a ' 1 04,0E S00,5,;;\ , ,,,,I ,. , , 0 #/,� ', TOWN OFSOUTHOLD BUILDING DEPT. 765-1802 1 N-S P ECT 1 . N, [ ] FOUNDATION '1ST - [ ] R GH PLUMBING [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: c97/ i CO 1 y t (' i ihrt&tAtA /14 DATE 3frg' 't/167 INSPECTOR 17` (-4-'/ I i ---- " il F 11 .LS C ill LE 'TT 1 } - ... .. ,........_ ........._ L. _ ...._ L. L .:_,..,. _ E ,N G !IN E ;ERINO 8 January 2016 Building Inspector , , , Town of Southold , . h JAN - 8 2016 11 Main Road , , Southold, NY 11971 Dear Sir, , I certify that the as constructed basenient.finish-at the dwelling 2995 Reeves Road, in Mattituck have been constructed in accordance with New York State building codes. The insulation installed in the basement meets the New York State Energy Code. ii 4 j ®. 05.5.4 ONi. P 040 e° . , ' A'FESSO r BOARD CERTIFIED IN STRUCTURAL ENGINEERING JOSEPH@FISCHETTI.COM FISCHETTIENGINEERING.COM 631 -765-2954 1 725 HOBART ROAD SOUTH OLD , NEW YORK 1 1 97 1 , IF J S C 11 LE TIT 1 Its I-J/ I II _!l JAN 1 1 2016 i �.' 11 January 2016 HOr, ICP( ---- TrOi,0( ;(1('1h0'D Building Inspector Town of Southold _ ' Main Road Southold, NY 11971 Dear Sir, I certify that the as constructed basement finish at the dwelling 2995 Reeves Road,in Mattituck have been constructed in accordance with New York State building'codes. The insulation installed in the basement meets the New York State Energy Code. I certify that the existing sanitary system noted on the final appr'oved'Health Department survey dated Dec 16, 1993 is adequate for up to 4 bedrooms. . • 101 ,ire' , ,f,„ t * a 4 , ,,..- ,,,- , b • II, , . . . <,• 12. oneto),� f' . �"IrI' BOARD CERTIFIED IN STRUCTURAL ENGINEERING JOSEPH@FISCHETTI.COM FISCHETTIENGINEERING.COM 63 1 -765-2954 1 725 H O B A R T ROAD S O U T H O L D , N E W YORK 1 1 9 7 1 1 FIELD IIISPECTXQN RED'ORT , DATECorwin S ' Ri R Y .INpA ION(1ST) , -----r-----+ 'r .� r�.r. I - s FOUNDirTXON(2117)) y-'--- �� • lvy� ROUGE.FRAM:L�IG& PLUMBTN'G _.._..�.— • . . , , . , .. ro • • omm...m.... • T . ... ----,-,-- .. ' +•�.'... , . . -.. • • ' ,. r •\ - • • ' . , I e•-' • INSULATION PE1 N.Y. . . • • y STATE ENERGY COHSE , • • r . 3 eW i., � o _ . . �_ , -- ...-- _. . J '._ , • 1191(71.(1) . C5i1 l)& `1 nw , " O . •p r 10 . '. 1l V) 71 . , . . ....._. , . • . . .. . . . . .. . __ . ,. .. „ . _ , , • . . .. ' Irl. . J , _.:. . .. ., . ,. . • -I 1 4 '1 , aF-i --.., 0 . .,•_ . . — , 2 • I 5... 4 t ... ,, ! • I r ,t r r, ,! r. r �.,, r. TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following;before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502Survey SoutholdTown.NorthFork.net PERMIT NO. q L `1 kt 9 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate / .storm-Water Assessment Form .2-0Contact: Approved ,20 Mail-to Disapproved a/c e--7Z a 6.e-�-1--- 3 ,Ze, Phone: G,3 1 ,t 3 9 1 PI Expiration ,20 / f Buildir g,In ector r` APPLICATION FOR BUILDING PERMIT " iJ JAN - 82016 ,L.,..';' Date q✓-) 7 , 20 1 6 — -- — - —- INSTRUCTIONS a:This app ica if on MUS`I` e 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 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition 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 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 necessary inspections. 4 Alf_ 1 (-----,Ii /1 -A � (Signature of applicant v name,if a corporation) Z 1 70 -The, 6 ,-ate{ , 7 - ��fp1 (Mailing address of applicant) NJ,, °.,1z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder l7LA, v1eC Name of owner of premises � c}- S s =_-, t s av r- i S (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 2-ei 7 S �.eeve s iR 4 /1/1q +/-I 4--vc-k. House Number Street Hamlet County Tax Map No. 1000 Section 1 7 Block 3 Lot LI'o / 7 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S 1� �4 --t � i i b. Intended use and occupancy S, c..-.. , \ c. X 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work a S 10 v D 1 '- (Description) 4. Estimated Cost 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 Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth II 10. Date of Purchase Z o01 Name of Former Owner vi �-o n c S�v o 1�o u ( oS 11. Zone or use district in which premises are situated i o a o 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES AO Will excess fill be removed from premises?YES 1/NO fir-eo�5e ct S as%fl �� 14. Names of Owner of premises s Address X45Frzfa. M.V Phone No. Sib Cre3 9c2 Name of Architect Address Phone No Name of Contractor Address Phone No. 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. 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY OF5U \ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 4-9-e�►�` (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. Swo before me th.s __�' day of �J� A, 20 cc), I , Arlo / mot Public CYNTHIA M.CUSATI Signatur- of Applicant Notary Public,State of New York No.01CU6100507 Qualified in Suffolk County Commission Expires Oct 20ri , .• S00)- 0 4:9 / ' ' ,. IPII.-.,. i:eto Town Hall Annex , i + ;...., ;.44.: 4(6 t Telephone(630 765-1802 1 54375 Mata Road G %; ''' .;;•.''74' rog erche .ny.tic .rirdtacivf.f6=10 P.O.Box 1.179 . • ..-c, p r Southold,NY 11971-0959 '1/4 0 01 :- - ....."'•••••..''' . BUILDING DEPARTMENT TOWN OF SOUTHOLD . . APPLICATION FOR ELECTRICAL INSPECTION - , . ., - 'REQUESTED BY: owyv-Q,-- • 'Date: t - Li — (,(e I . JCompany Name: - . l . .-.- -Name: - .. ,• - _ - ., . , . . License No.: . . _ Address: - . - • . • 40BSITE 11\IFORIVIATfON:- (Indicates-required-information) - ----- _ . *Name: - i S c (.,, --.,,.. r,...s. C C.,-e..c,t,--te.. cl: s '1/4--,. c-_—_-- - . - _. *Address: - 2-1 TS— ei-A.a .,.....e 3 ' 7?c..f ,--11'c't-/-1--/ *Cross Street: - . . - . *Phone No.: • . . - Permit Nb.: 4 °4-4-i Ci , . . .. - Tax-Map District: - 1000 . Section: 7 ci- Block: 3 Lot: /-7 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) - - 4. S 6 ur I 1-- - - - _ . . . . . . . (Please Circle All That Apply) . - . . . *Is job ready for inspection: • - ( -9i NO. Rough In Final I- *Do-you need a Temp Certificate: . YES/ 16D - - Temp Information (If-needed) .. .. ' - . *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 . Other I . ... *New Service: Re-connect Underground Number of Meters Change of Service Overhead . Additional Information: PAYMENT DUE WITH APPLICATION • , - . o 1 0 82-Request for Inspection Form Itivt' (--- , ‘? • c<-_--z-) - .... TOWN OF SOUTHOLD PROPERTY RECORD CARD • qo cog _ 99 --. . - 4, 7 4c-.1,1 I • . OWNER STREET ?q q...5- VILLAGE DIST.' SUB. LOT " - . islik6ar.7.) .1.- -e,-,, ,v_.0,,r, , . 1"' ... ' N . -.cVe,, '4,---, ,), m- ,.-t ),. re 9 . i FORMER OWNER L : N E ACR. ,--\ V (c S W \ \ CODE DATE OF CONSTRUCTION W.1 (—(42-•'.: ('-? (`',) 1-2 :".7)./ 210 .." , 0 LAND IMP. TOTAL 1 DATE REMARKS i /7"1 / jori 5.15191—LIIQ34 p57?- Oak 40 / 7 -:,---D t•—• .., . 7 e"--o Il'oir i ' .71041q1-1-11 )(D p°Kin--z4-011.6 -i-o 56tvopoul os - 4GD,Doe, 6/0,20q n (-_<-2--(2-4 q 4 4/A112- 6 P 6 - ( i- 0(1-6 fa mil y ChOeiliric) E aih-41,(06,e 7 o 0 7ioo 7 cioc) //31/ p c1,3D1o ) -).--Git-ff)joicicD---S(A'vori,„1,,,f, cfiDie 4,-)--r-,,ovgri•<", 'SaSD,DDD , 69(00() -af- diraCI i 1 ce12.1 -V4\ J2))61 ti-I "...; 41 3: 1 \\/, gp. \.)OR k.) - t', bC3-5 'C. Ofi)S610 - , . , . , Tillable FRONTAGE ON WATER . • Woodland ON ROAD I ,,-5 ' ,.. . , Meadowland DEPTH 0 • \ 6.5 ' , House Plot .--„_. _. ,,, , ._- _., i L-( • 7/,- -//.- ' BULKHEAD . Total ., . i .,---------- 0....",, 0 le V • ÔL. ,L•. • • :4.1.'•FZ d . \\I}•(tilfi,q, ..'"•.;;-•,:., is. ,- 'Vt, H.xA "S - t a _ S''.. .,g eR ,iy -i ..:i, w. Ya ` r Let I �M"'" i 3 1.1"q --26L ` - • Po t,_ 99.-3-4.17 9/08 ,v,-4,,,- -, . z ,.—..___* ► /5 v t 3 — -,_ ,,,.,, -,,__-,,-,,,, . . .................._, , , .f----- ---..., ,t,..-,..L.„,,:..--...... ...:.....„.:„.„_.........„.,...._.......__ , ,.„ . ,, Extension . 2 5 �j 2 Q.(c), \,‹ I ( = 1(90 -- _ . Extension f --Extension - F , • , 1 ' Porch " 5/p$ Par 'i,wt� Deck t il`ql - ilk. ,, Breezeway - • -- - Garage - UclC\11..( - - e%M. (.. ';gitl ' 9a ,1/ ": "�,i05 ~�'- ` /,',4 T`- _:5 :(? ;GE F- SUFFOLK CO. HEALTH DEPT. Ap °r : al':= �_"��`�- ` -'' �5'. •". - • • H. S_ NO. 9t- SC 2 0 EVATLCS�2EF-ter'•` T O V.F.--.A:',. `SQA_ LE-V----L LR 9 i ' cam n JP•�l--`` ,. r ----- v-';t t RE.-`. J STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL v ' '• -SYSTEMS FOR THIS RESIDENCE WILL Iliw { '• �a ��'-�j,�" _ CONFORM TO THE STANDARDS OF THE r .7..S"' :rE + .. t`�'` 't,5•`' :> til SUFFOLK CO- DEPT. OF HEALTH SERVICES. ti' _7 11% • TIt EL? - N ...011.NAI a Lf) C � �.j :� APPLICANT lisi t ' v '� Q • � � ; - t,• �: U SUFFOLK COUNTY DEPT. OF HEALTH :" f-�; �- .� ,_,--`2 �� , ti -Sp" ____ _e_. r' SERVICES — FOR APPROVAL FOR s=rtr c ' .•' j t iQ Cour- ca :1s -- - \ f CONSTRUCTIONL}! ;t ONLY Vc; �' > t'BY• ''&%• I : = -` \` DATE: r Ci • - •` �\ ? _ - - 1, • vz d `�i H.S.REF.NO.: 9#-�'�C3--9.1 in t CGAa , fv,�Ii c':4r4., u: APPROVED: UN Zj : i .f. N.,......, • ii.r '<l: ' • , CS- r6 / °ir, _ = ,� :� -- 9 /1 SUFFOLK CO.TAX MAP DESIGNATION: ?tM6>=rz ��ra�>_t=cY �rt;ti�r~~ `= I �vF, .?�Y.` DIST. • SECT. BLOCK PCL. 4 = - t''; < - • OWNERS ADDRESS: 1 , ' 1 ii) cx> • is ;� c F. .... •j �{ t cJ ., o coo f" _ .. i. "' ..✓�.,• . ttv7E°.t_ �. g G:.?;=. • d 7 -Cts vs i�LLI y c = en_ TEST I'tQk.E ' STAMP n , i11 "5F. .moi raj , Y"�a� .- t � : �'-',t.".,.7: 1�:A'/ :•_. Q: E j s i _ _-_ lJ��ut3cc z �':� r P d "'1 2 w d �.+' =.yr :~_7/n" ? y`f�5so-rr/;: :I PA ::c.,7203 c,4.....,-.J 1...-X State � - _ C.:;.:13S of it S Sime7 rasp not D_s:e cg U) cr. c ,T., .:, w rL . U> Les ! ked seal cr Ui J ! O w �+ gr. O l Isnd surveyors s in ur Er- caa:bosssd seal shall not bo considered i-. -,-- _ , �.-••••• -- < z 'L .a a- 2 .Pt ` .< it boa a v due copy. z4.7 10 m U 1 ar3tess to hereon shalt Asn `J `k r.-_G.____ v v Z. us —- —— -- only to the person for whom a surrey 2'= _ _ _ R u ,�?� •• AP12_ t I993 IN is prepared,and on his behalf to the • !7 ¢ c r r Cie company,cone. ', r . __ .____ ,_,, : • �� :--r __---________.Ws' -� + `� M 'tom ?,'__!G. ; -+"g tGft- it^>L G'�cn:5:m i,--..�i and and ts v�-..- •_.—.•,t_-• ,E' �!' ti.-'f -_ i' ' •......./— —.1.�_ .—_`'r Li i .p ea !J NOV.-.....) 1 1°93 - - �`�' totli,.u',, _ ..__._ _.,:r"�i8 ( g,-p Z cz. a a =•c. - - it _... _-_;___;dent ,• .• ,N 7, ��mij) Lu or..: .-. , - LLS i 17i SEAL 'l,`Y-- • •r.r .:. , "3 ty rid:S� N^ ^< f p e� :t . • (• �` ,i— _=.- =it _ t..r.)C , ,ta f- ..." --J DEC 6 177 : - - a d� Q \ 'Lx.fi_ a. - _- - RODERICK VAN TUYL, P.C.. . \ :11;•.-'4'.'.3,< 1 S �� _Y '.r w. '�^' C *:n�cy No.LS 25626 ,,a�' S.C. DEPT. OF �, {1j LICENSED LAND SURVEYORS ' H€�iLTH SERVICES r ►`LAFIO g� iN� 1 GREI=-NPORT 'NEW YORK TEtFDV F ApSt NS- - 1 , , ,. . ( �. .a _ i • APPROVED q'"r, ` .Et� r -\ +0 u, - , 4- " (:_,_0.,.,c., -1/2 )1---_--.—_- -----__t -____________ DATE:121)- 14��. P `[" ;/ �'. \--- l' t j - ,�t LI �; ( _! 1 -� 1 t FEE S(s$1`,s - ' . t �'``--, -- 1 . ) ZI" t L' \-4' cD C-c\-- - :e_c} Ii Cj I J �� NOTIFY BUILU.i�i , L1L;'a-,,,,,,E T- / .� ','. ,_.c'r . r-ra v 0 ' - to ; --i i �oz{ - ,1 �i4 t/-r>, 3pd� oo.� ' 765-1802 8 IN :TO I PM FOR THE 13�� i-}- } '2,1 tl-6 = �"-Gc,r�^� �� 2 I i b 9 �,.,_,�,.t- FOLLOWING INSPECTIONS: /! ` '�04 «�, f { • 1. FOUNDATION I- TWO REQUIRED — _ i , i V �f , f ; 3 FOR POURE[1 CONCRETE �e �6 1��� 1i r '� 1 I I 2. ROUGH - FRAMING & PLUMBING 1 I t 3. INSULATION 13 t 4. FINAL - CONSTRUCTION�.PJJIJST.- ,- -- _ :�- - i,4.- - —_. - - _ �-e= -- r Y I �_ _,— .�� 13 _rsz3 BE COMPLETE FOR C.O.f I I I t C` �,s4rs ''„ est ` ! _ 1 ALL CONSTRUCTION SHALL �4B�EAT THE o- I (�® i- A�'`1 dr�`I 1 = ' IT E } REQUIREMENTS 10F THE CODES DF(NE j I I ST rt- t �' -- I �,- ----- __�__.--- _ r CN , YORK STATE. 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