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HomeMy WebLinkAbout28302-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28913 Date: 10/02/02 THIS CERTIFIES that the building ALTERATION Location of Property: 28545 MAIN RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 6 Lot 24 .3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2002 pursuant to which Building Permit No. 28302-Z dated APRIL 19, 2002 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 GARAGE ALTERATION TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPHINE ANN PIGNATO & MARIA REGINA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1055481 06/14/02 PLUMBERS CERTIFICATION DATED 06/25/02 VAN ETTON PLUMBING & HEAT Authorized nature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 4 L 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 a 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. (5 1 1-7 1 0-2— New New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: z 8 S 5 M a )n 1?0cc ot D F to n House No. Street Hamlet Owner or Owners of Property: �d5r h•n� 1�r ra) a may .,A keC')na rorv»erl ZJgr•, Re. 1 Suffolk County Tax Map No 1000, Sectio 73 899 d1 Block 0 O 0 6 Lot 0 2,!q, 0 0 3 ' Subdivision Filed Map. Lot: Permit No. 2 8 3 0 z Date of Permit. ' 1°1 10 Applicant: �� n e I L , f-71 s c Health Dept. Approval: "W, W Underwriters Approval: F e fl. i I • ShcdRv eP�d�frcaP¢ � o( I� Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ o 913 jl jt�c� Applicant Signature o��g11FF0(,�co 0 W Town Hall,53095 Main Road W Fax(631)765-1823 P.O. Box 1179 X44 O`� Telephone(631)765-1802 Southold,New York 11971-0959 �Q� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. ��✓� Owner: JT/2/ g H R /aa �T'e i n ti (pl ase print) 1 � Plumber: Ya "� �7 �C » ��u .�,6r •�� ' � �a �t�►� (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 6p�j� day of 206 0 Notary Public, County JANET E.STAPLES Notary Public,State of New York No.4=949,Suffolk County pS oJ rL3nr��r��PLWE srrIn�rr�rn��n�nrr��n�rs�n���l��n��rr�r�rs������n�r��r���n�rn�n���nr�����r� M 5nr 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET -- NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 55 5 Upon the application of upon premises owned by 5 5 5 5 JIM SAGE ELEC. INC. MARIA PIGNATO S 5 P.O. BOX 38 28545 MAIN RD 5 5 GREENPORT, NY 11944-0038, ORIENT, NY 11957 5 5 e� Located at 28545 MAIN RD ORIENT, NY 11957 Application Number: 1055481 Certificate Number: 1055481 5 5 Section: Block: Lot: Building Permit:28302Z BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement, First Floor, Second Floor,Attached Garage,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 14th Day of June,2002. 5 5 Name OTY Rate Rating Circuit Tvne C5 5 Appliances and Accessories 5 5 Dish Washer 1 0 1.2 KW 5 5 5 Exhaust Fan 2 0 F.H.P. 5 Hydro Massage Tub,Residential 1 0 5 5 Furnace 1 0 Oil Air Conditioner 1 0 36,000 BTU 5 5 Air Conditioner 1 0 30,000 BTU 5 5 Wiring and Devices 5 5 Receptacle 24 0 General Purpose 5 Cj Receptacle 32 0 General Purpose Fixture 12 0 Incandescent 5 SReceptacle 1 0 20 amp Laundry 5 5 Receptacle 1 0 30 amp Dryer 5 5 Paddle Fan 1 0 5 5 Receptacle 5 0 5 GFCI 5 Service 5 C55 1 Phase 3W Service Rating 200 Amperes seal 5 � Service Disconnect: 1 cb 5C+ 5 Continued on Next Page 1 of 2 S 55 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 . D rJ�Y cP�n�lrJrJ��l�PrJ��l�lrJ��nrSrJ��n�lrJcnrJ�r�t P�l�Ir frJ�l�i orJ�rJ�r lrJ��I icP�niIi:jili-rJ�rJ��n�l-rJ��l-�I-r ji:l,rJLiiPdr L3i-rJ�Li_L3PL�ri_ffL-3 o nr������nr.n����n�n�nnsLPL�nr3PLrc- r�����n�rrn����r��rn���r��n����nnn� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE S 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 4 5 5 O F ULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 5 SJIM SAGE ELEC. INC. MARIA PIGNATO 5 5 P.O. BOX 38 28545 MAIN RD 5 5� GREENPORT, NY 11944-0038, ORIENT, NY 11957 5 7C Located at 28545 MAIN RD ORIENT, NY 11957 �5 Application Number: 1055481 Certificate Number: 1055481 5 5 5 C5 Section: Block: Lot: Building Permit:28302Z BDC: NS11 5 c� Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor, Second Floor,Attached Garage,Outside, 5 5 55 C5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 found to be in compliance therewith on the 14th Day of June,2002. 5 ,CSJ Name QTY Rate Rating Circuit Tvve C� 5 Meters: 1 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 l sea e5 5 5 2 of 2 C5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 nrnrJ�rJ�rJ�rJrJrJ�r�rJ�rJrJ�rJ�rJ�rJrJrJ�rJ7�n�PcPrJ�rJrJi n rJrJrJrJ�rJrrrJ"rJ'rJ�nrJ:lif rr rL3FrrJr PL.rrJ�rJ-rrrrrJrJr�rJrJrJ�I-rJrJ�P�nrJ� o LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 April 22, 2002 To V1hom It May Concerns Res Residence of Pignato/Regina 28545 Main Road, Orient Garage alteration to mother/daughter appartment I have reviewed the above plans and attached letter of Gary Tabor, and note the residence has been built within the last 10 years with 3 bedrooms. The septic system and the leaching pools have been maintained. The addition of the bedroom and bathroom will not exceed the requirements for a private subsurface dipsosal system of the current criteria of the Suffolk County Department of Health. Sincerely, Lawrence M. Tuthill, P.E. OF NEy r y�P�NCEcc m iLU Fo 032254.1 or 9�FESSIONP� 13NEliGY COUE CALCULATIONS Igor Nott-Electric Heat) Design Criteria 6 , 000 Uegree'.Days O.A. /10"F I .A. 70°F FOR: PSti�"� PLR: L�Qk �1Soht DATED: $/C) p-C 3 D2 GG-`QP( 2rndrl'al�, DESIGN '1'11ERMGL REMARKS SUBSYSTEM AREA "U" RATING I•,xtcriur Walls (Opaque) 38Q /1 Glazing 27 / r/q- 34� - 2 Q u� e Doors Ceiling/Roof (Uhadue) Skylights Floor 47,6 D� Coundation Walls Slab Insulation TOTAL t/b Moles: Building Envelope SysLems Lo uteet requirements of 7015. 2 11VAC Equipement to meet requireittents of-, 7015. 11 I1VAC SysL•ems to meet requirements of 7015 . r2 Duct Systems to meet requiremeiiLs of 7015 . 13 Ventilations Systems Lo meet requirements of 7015 . 14 111su.lation of piping Systems to meet requirements of '1015 . 15 Service Water Heating Systems & Equipment to meet- requirements of '7015. 7.1 Electrical & Lighting Systems & Equipment- to meet requirements of 701.5 . 31 ��OF NEW yo 11'o the best of my knowledge, �P SCE . TL belief, & prof•essio,nal CO judyemenL, these plans are 9.n compliance wi6i L•he code . � W nv l le Z SFO 032254-1 �aV p9OFESSIOP� BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: /_/02 DATE REVIEWED: /L/02 APPLICANT: DATE•SUBMITTED: /L/02 SCTM# DISTRICT: 1,000, SECTI N: ' , BLOCK: �, LOT: STREET ADDRESS: ��M,q w �• CITY: ��t SUBDNISION: PROJECT DESCRIPTION: kx ftok 6;hRAC�E 61TAl�;� ESTIMATED PROJECT COST: 0 OOD ARCHITECT/ GIN : FAST TRACK? P-t) SINGLE & SEPARATE CERTIFICATION-REQUIRED? /Oy NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.MCI ger. nonconforming at anytime after 7/1/83 ZONING DISTRICT: k- $o CONFORMING? Alo 07 REQ. LOT SIZE:&aV ACT. LOT SIZE:a�REQ. LOT COV. �° o ACT. LOT COV. REQ. FRONT PROP. FRONT — REQ SIDE -----ACT. SIDE REQ. REAR PROP. REAR _ ilio e'60W-All-03 - AzG WATER FRONT? A42 DESCRIPTION: �— PANEL #: FLOOD ZONE:, APPROVALS REQUIRED �-ic c�R-r orz •Ete�'T�E '�2�PT- R�-�`� '�e-t oto- � �_c7 . SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE:—/ /_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or N �T NEW YORK STATE DEC: PRE-DEC 9/1Y75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERC�rR NO : + I '5 EGRESS (1811]] 4 sq total) _,�VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 80/O� BUILDING PERMITS OPEN/EXPIRED: BP -Z/ C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL �j TOTAL: eQ SF FEE FEE FEE 1. SF)- ( SF)= SFX $ 2. ( SF)- ( SF)- SFX $ _$ +$ +$ _$ GARY TABOR LANDSCAPING Navy Street Orient, New York 11957 (516) 323-2667 Date . . . L,l /� ��� �1� . . . . . . . . . . . . . . Health Department Reference No.. . . . . . . . . . . . . . . . . . Name of Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Phone . . . . . . . . . . . . . . . . . . . . 28545 MAIN ROAD Address. . . . . . . . . . Property Location (include tie distance to nearest cross street). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hamlet . . . .ORIENT. . . . . . . . . . . . . . . . . . . . . .Township . . . . . . . .SOUTHOLD. . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of System Installed: Septic Tank 900 GAL (a) Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (b) Type (precast, equivalent, block). . . . .$RX.GAST. . . . . . . . . . . . . . . . . . . . . . . . . . . Leacing pools: (a) Number and size of pools. . .3_4ET_-LEACHING- POOLS -WIT-H •6"• -SLABS (b) Type (precast—block) . . . . . . . . PR2ECA8T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I hereby certify that the private subsurface sewage disposal system described above has been installed according to current criteria of the Suffolk County Department of Health. Date . ./. 1.�-?. Q .` . . . . . . . . . . . . . . .Signature. Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 April 22, 2002 To h?hom It May Concern: Res Residence of Pignato/Regina 28545 Main Road , Orient Garage alteration to mother/daughter appartment I have reviewed the above plans and attached letter of Gary Tabor, and note the residence has been built within the last 10 years with 3 bedrooms. The septic system and the leaching pools have been maintained. The addition of the bedroom and bathroom will not exceed the requirements for a private subsurface dipsosal system of the current criteria of the Suffolk County Department of Health. Sincerely, Lawrence M. Tuthill, P.E. SE OF NEJY * CE ti m ' inti iu 032254.1 aV �901jrESSIONP� 765-1802 BUILDING DEPT. 1 ECTION [ U DATION 13T [ GH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE &.I; IMNEYY REM S; � DATE ��/ INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY REMAR DATE �� UZ� INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: t DATE l INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) LP a, y ------------------------------------ T �t FOUNDATION(2ND) 1 Z G o z ROUGH FRAMING& � PLUMBING y 5 ' o x INSULATION PER N.Y. 5 �y STATE ENERGY CODE �L FINAL ADDITIONAL COMMENTS z m X -F' b 0 z x I � x e BUILDING WIIG TOWN EST Do You have orueed the following;before appl` Board ofEl=kh SOUTHOL ,N 3 sots ofBufldiugPlans ' TEL: 765-1 02 MVIN DEPT. �.'N F S UTH LD ��J; . SUi�+ey ✓ NO. Z/ Chook Segtia Foam 1N,Y.S.D.E.C. Examined �1 Iq 20 Z Coutaat:Tlu"91W Approved q 111 20 I Mail to Disapproved aic APPLICATION FOR BUH DING PERMU Date 20 .INSMUMONS — a. This application MUST be Completely JMed im by typewriter or iu ink and subni ted.to the Building Inspector with sets of plans, accurate plot plan to scale.Fee according to scb6duie, b. plot plan showing location of lot and ofbmldhW ongrtnases,rrlatronslJ�.to adjpiningpremaises or public streets < areas, and waterways. c. The work covered by this application may not ba Ced'bCfp¢p issusaoe of Bialdmg Permit d. upon approval of tbls applit ioaz,the$ j ySggo aBtuldipg p applicant. Such a peim shall be kept on the premises avalable for hLVOcdon throughout the wozk. e: No building sball be occupied or used in whole'or in part for any purpose what-w-ever until.a Certificate of Occupy is issued by the Building Inspector, APPLICATION IS BEREBY MADB.to rhe Bu Depmt=nt for the issuance of a Building Peamit pursuant to the Builrimo Zone Ordinance of the•Towri of Southold,SUM&County,New YW;and otbbr.gplicable Laws,Ordinances or Regulations, for the constiiiction ofbuildings,addidons,or mons or for removal or demolition as herein described, The; applicant agrees to comply with all applicable laws,o &Wnoes,bang Code,housing code,=d moms, and to admit authorized inspectors,on premises and in building fpr neaessatyinspechons, (Sign m of orname,if a corporation) '(Mailing addroes of applicant) State whether applicant is.owner,lessee,'agent,arcwe moor,gcueml couttuctor, doob iciau,plumber or,builder ¢G rr erxl L"7Lj�GLs✓ Name of ownerofpremises T°Je,al,jna �yr�alo �lyoeria Reyln (as an the tax roll or'ldoa deed) If applicant is a corporation, signature of duly audwuzed•of i= (Name and title of corporate T:M-; ) Builders License No. ,2 813 6 Plumbers License No. Electricians License No. v _ Other Trade's License No, 1. Location of land on which proposed work will be done: -2 g Al 5 4.i n ko a d if/e- 2-a �M C�•� House Number Street Hamlet County Tax Map No. 1000 Section 100 Block Lot 2 4 3 Subdivision Fled•Map No. Lot " (N==) i l 2: state existing use add;o ey ofpfemim and rot=e tie and oompaaeq of pmposed constmc o= a. Exis mg-use and ocedpincy a-llo,&ti•td 2 ca.r on' rnAl, // /' mum b_ Intende4useandoccupffiCy Mef��L�riomr Sl��,n9 rQOrn•, baf� l convCrf zvi f,nq atfaeiutl gareeli fo /t✓ink �e� 3. Nature of work-(check which applicable):New Buuldiag' Adn Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost -910 000 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 acid extent-of each type of use. 7. Dimensions of existing structures,if any:Front li h a Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth f — - Fia-W - Number of Stories 8. Dimensions of entire newconstrnction Front uncia�q�4 R Height Tumber of Stories 9. Size of lot: Front 229 Rear 572,/ Dept 2 �D 10. Date of Purchasea y- Name efFomlet Owner lf' zz'% 11_ Zone oruse district in•wi #premises are situated 12. Does proposed construction violate any zoning lav,ordfi=ce or regalatioii: /Yd 13. Will lot be re- excess fill be removedfrom premises: YES IO 14. Names of Owner ofptemises J r°/6if.C1� �1 �1✓¢t�a Yurn�.r 440E G.87' Phone No.6/7> Name,of Architect Address Phone No Name of Contractor Address Phone No: 15. Is this property within'100 feet of a tidal wetland?*YES NO • IF YES, SOtJTFiOLD TOWN TRUSTEES FERI 1=MAY BE REQUMED 16. Provide survey, to scale,with acute foundafioalax at�d p distances to.piopertylines. 17. If elevation at arsypotut on property is at 10 fact or iidov;nsUat pmvi& mpographical data on survey, STATE OF NEW YORK) ss: COUN'T'Y OF (Name of iudividtW sigtung coact)ahpyc a that(s)he is the applicant S)He is the 60,17�`r� P/ (Coactrn,Agent Corporate O&cex -f said owner or owners,and is dgly audwxizCd to Sat ail statements confained in this application are the best fP�d the said d be eg n his d that the work make and file this application erformed in the manner set forth in the application filed therewitli and elteF,anwill be worn to before me otary public SiSnatme OT Applicaut OBER?1. SCUTr.JR. N ary Public.State of New. York ' Qualified in Suffolk County No.O1SC472508,�- `— Term.Expires May 31,�c:i , SUFFOLK CO.HEALTH DEPT.APPROVAL r H.S. NO. (/\V! .- .MAP OF PZC OL F f SUfZVFYED =oz O FIS LAIILY 6Aoft TEr ONLY OFA' STATEMENT OF INTENT A 7' THE WATER SUPPLY AND SEWAGE DISPOSAL ' SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE '•66 SUFFOL� cYJ DEPT. OF HEALTH SERVICES. • 50 /., !Sl �/ ��s� Scale. APPLICANT Area : 78 08Z .SQ ff SUFFOLK COUNTY DEPT, OF HEALTH Alorth T20Q[� A�Jf.00IO�@5 �7 SERVICES - FOR APPROVAL OF OCONSTRUCTION ONLY / 3 ala V.. Is DATE: _ IQ)( 1(p�� O A�JO�?fJst7B/?}' H.S.REF.NO.: \ N.78'S'¢'40"E. 371.96' 1 ---- '-- -- APPROVED: I`91A fl PKerlttses acne. i-iwoas sAawiv SUFFOLK CO.TAX M11r DESIGNATION: V17;W03-0ved jW;j r.i�i�lwj#jDrr [MST. SECT. 9L&K PCL. tasa �Errekrt d.d:r N:e N Tr4/ i000 016 p • _ - _ .- - - _- - _ i �� ►�. G. yoafaglyr0 � jt6r Jdv?r7f OWNERS ADDRESS: . � � N Q >�d Aasmriaf.�is J4a_�; 1FB.6= _ Q Z36 POOP-f* Rd rp 0. $0X Sj i oFc� t' � i � , • /� ^-a5•'-S---B3.76 0' -Ganto�s'S f>•aaf Gouty! DIEM. L. P. enveto�'e { �O TEST H E STAMP V , 1 4Rt C.i :iyyr w v viNa!b+d ��fR 4.4 J7 • L�cu-n 7,G c'S.^M�r'Td,.t4.tl ��1 C 'Ilk 7 r•� `• y7Jt7 �%} cd+Tcie.hsar.ne:�xrfmkn ]` hl—VW JIin a-1•Y eens7dr t!l•G n.f er Nkrs 7_ _ 56.05 _: -- -- - -- SEAL .5.79 Z8''40"W. - ZZ7.8J S.78'84,40">N.~ FOFNEIY r✓O - - i dared yr�pp�CK V j0,➢� a MAIN. 1 ev7a��ed sju9. t9, t9B6 - ¢° < . _ ,�" IZORp "'• N' }'� 2� ROMRI VAN TU P.C. atiXG3 r - -fig — �--- ---- LICENSED LAND SURVEYORS 13' Fotaroso GREENPORT NEW YORK 9r•d a,aAre htFovHe ios* wiav Seric ulQEb OCCUPANCY OR APP OVED AS NOTED I` `' ` 1 UNLAWFUL ,,�,,,�, VE�t" CERTIFICATE DAY E FEE I Z ,. MPP, Of G'r-UPANCY NOTIFY BUILDING DEPARTMENT AT 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE UNDERVITFri'" rrRTIFICATE 2. ROUGH - FRAMING & PLUMBING RL i<<eU & INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ►IYtI'IIIDE SMOKE-DETECTING STATE CONSTRUCTION S ENERGY ALARM DEVICES CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS AS TO PART.721.1 N.Y.S BUILDING CODE. PLUMBER CERTIFICATION PLUMBING ON LEAD CONTENT BEFORE ALL PLUMBING WASTE CERTIFICATE OF OCCUPANCY &WATER LINES NEED TESTING BEFORE COVERING SOLDER USED IN WATER SUPPLY SYSTEM CANNOT .EXCEED 2/10 of I% LEAD. PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) If copper tubing is used N.Y. STATE BUILDING CODE. for water distributing system; piping shall be of types K or L only UNDERWRITERS CERTIFICATE REQUIRED PR!)VIPE OPENINGS FOR EE?f RGENCY ESCAPE AS REQ1![RED EsY PART. 714 OF N1. -OTATE BU LDING CODE. 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