HomeMy WebLinkAbout41086-Z �o�OSUFFQI,f�Q�� Town of Southold 8/28/2017
P.O.Box 1179
? 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39179 Date: 8/28/2017
THIS CERTIFIES that the building ALTERATION
Location of Property: 60 Rambler Rd, Southold
SCTM#: 473889 See/Block/Lot: 88.-5-36
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/17/2016 pursuant to which Building Permit No. 41086 dated 10/17/2016
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:
INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Hurwitz,Marshall
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41086 05-11-2017
PLUMBERS CERTIFICATION DATED 08-28-2017 (VeqNe Berry.Ir
t e Signature
g11fFa(,t TOWN OF SOUTHOLD
��o. BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
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#: 41086 Date: 10/17/2016
Permission is hereby granted to:
Hurwitz, Marshall
655 Pomander Walk#502
Teaneck, NY 07666
To: construct interior alterations to existing single-family dwelling as applied for.
At premises located at:
60 Rambler Rd
SCTM # 473889
Sec/Block/Lot# 88.-5-36
Pursuant to application dated 10/17/2016 and approved by the Building Inspector.
To expire on 4/18/2018.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $252.80
CO -ALTERATION TO DWELLING $50.00
Total: $302.80
Bing 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. /0 —// — /,&
New Construction: K Old or Pre-existing Building: (check one)
Location of Property: (, �C ti6L.L-A _
House No. Street Hamlet
Owner or Owners of Property: Hanj_8y®
Suffolk County Tax Map No 1000, Section C>Q Block Lot 6
Subdivision f� Filed Map. Lot:
Permit No. h)(/ " Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for:, Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ *0
Applicant ig ture
rO SOU�y®�
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G ® �� roger.richert _town.southoId.nV.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Hurwitz
Address: 60 Rambler Road City: Southold St: New York Zip: 11971
Building Permit#: 41086 Section: 88 Block. 5 Lot 36
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electric License No: 3897-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 3 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 2 Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures 9 CO Detectors
Sub Panel A/C Blower Range Recpt 40A Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 95 Twist Lock El Exit Fixtures TVSS
Other Equipment: "Kitchen, Bath Renovation"
Notes: 1- Range Hood, Under Cabinet Lights, 3- Exhaust Fans.
Inspector Signature: Date: May 11, 2017
0-Cert Electrical Compliance Form.xls
Town Hail,53095 Main Road �° �"`r - � �
� � " � Fax(631)765-9502
P.Q.Box 1I79 '� - �� Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING-DEPARTMENT
T D
TOWN OF SOXMIRO�
AUG 282017
BUMDING DEPT.
C E R T'IF I C A T I O lit TOWN OIC'SOUTHOLD
Date: ✓
Building Pe_nnit No.
Owner: Ai,.9J� Ld
(please Print)
Plumber: e!—
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(I'lurmb SH e)
Sworn to before me this
day of 20_�—,I-
Notary Public, Count Notary Public,Siam of Now Yc
No.nt®E46946%
+ is In Suffolk Courtly
�o��OE SOUly�lo -
410S OOUM'I,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE �/` Iq INSPECTOR - - ��
1,`os� O��pF SOUTyo
��'YUOUNi'1,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
-INSPECTION
[ ] FOUNDATION 1ST V/] **F, OUGH PLEIG.
[ ] F UNDATION 2ND [ INSULATION
[ FRAMIN /.STRAPPING [ ] FINAL-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ! / v—V/
ok /zl��sulad�oh) Q- r—/
DATE IV o INSPECTOR
SOUryOlo
�o
OOUMV
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION '
[ ] FOUNDATION IST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) , ELECTRICAL (FINAL)
REMARKS:
�4 �_
DATE Lr12 INSPECTOR
I O or ��OE SOUIy�
h� l0
4
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION, 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
�- )4�'P� �
lo'. -w w
1
DATE INSPECTOR
I �� pF SO(/lyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ^ [ ] ELECTRICAL (FINAL)
REMARKS: onf✓
41 ,--
L V - (&4
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
rd
FOUNDATION(IST) oo,
y
------------------------------------
C
FOUNDATION (2ND)
z
CD
� � l tari► � VM r Q� � �
v►PAOyj
H a
ROUGH FRAMING&
PLUMBING y
INSULATION PER N.Y-.
STATE ENERGY CODE
Vow Ill- i
FINAL -Av —
ADDITIONAL COMMENTS
OA � C
o
f 11-4 e�11 i 4- a6ell,
OL<2 pu P-ec, KaD itWd E 0
�z
y
d
b
y
i
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) 765-1502 i Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
i Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
i
Contact:
Approved '20 Mail to:
Disapproved a/c
Phone: 60 VZ;1_3
Expiration ,20
du
Bui n ctor -
o
DAPP' LICATION FOR BUILDING PERMIT
OCT 1 1 2016 Date M7-045t_ L/ , 20/6
i INSTRUCTIONS
BUILDING DFP .
1q0#iq eFl1g0tytJf0Mbe completely filled in by typewriter,or in ink and submitted to the Building Inspector with 4
sets of plans, accurate ploit 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 Perinifto 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 buildingpermit 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, 6r 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.
i
(Signature of applicant or name,if a corporation)
i76
l SZ,? 5avlV0dv
(Mailing address of applicant)
State whether applicanti is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
A
Name of owner of premises a J U)Zc,j 1
(As on the tax•roll or latest deed)
JBulders
is a co rafioh, s' ature of duly uthori officer
me and titl j or orate officer)
cense Noicense Ns License No.
e's License No.
1. Locati//on•of land oni which proposed work will be done: -0y ,,o
House Number iStreet Hamlet
County Tax Map No. 1000 Section 0 Block Lot
i
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 j/4 G Ce -a ,)CA J Rd-C-
b. Intended use and occupancy , 7OVS
�°-a�p'�Q.Q®off
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
e� (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 Stor':esl �-,r-�
8. Dimensions of entire new construction: Front Rear 1 a Depth i
Height Number of Stories
9. Size of lot: Front Rear Depth CC��
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 N
13. Will lot be re-graded? YES NOWill excess fill be removed from premises? YES NO
14. Names of Owner of premises A-PJ� � '� Address 6-=- 8C&-C-T-- Phone No.
Name of Architect./ Address Phone No
Name of Contractor . W Com- Address pS')e .500*14hone No. 4631 ''7GS 'f9�n
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUI ED.
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)
SS:
COUNTY OF )
®k] C- -p"i being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
CONNIE'b.BUNCH
(S)He is the (!ZiJNotary Public,State of New York
(Contractor,Agent, Corporate Officer, etc.) p� g;�U618 5 \
Qualified in Suffolk county
Commission Expires April 14,2
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 n o before me this
_day of OLUM. ,20�
Lc':i Lrh
Notary Public Signat1u7 ppl—icant
Scott A. Russell , �° �� STO]E AWWA\T]EIK
SUPERVISORI�V][A\N A(Gr]EIMHEN T
SOUTHOLD TOWN HALL-P.O.Box 1179 Q m
53095 Main Road-SOUTHOLD,NEW YORK 11971 ti Town- of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
-- --- - - -- - - - - - -- - - - - - - - -
Yes No (CHECK ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D.-Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑lij
E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent Contractor,Other) S.C.T.M. #: 1000 Date-
NAME- lct
Sect ton Block Lot
:tom� .. .
FOR BL It_1}lti(� DEPA N \T 1 ; t:)1L
Contact Inf rmano 3
Reviewed By:
Date.
Property Address / Location of Construct Ion Work: — — — — — — — — — — — — — —
o�
h 0 L' w� fit^ ,� ❑ Approved for procebsing Building Permit.
Ja-�0`� V1 Stormwater Management Control Plan Not Required.
_50 Aj ❑ Stormwater Management Control Piaci iJ Rcquired
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS Nl] \Y 2014
pF S�►jtyOP
o
Tom Miall Ann" 41 41 Telephone(631)765-1802
54375 Main Road pax 9 Q2
P.O.Box 1179 G� rower dchert LOWI180UtIl0 5 nv us
Southold,NY 11971-0959
BUILDING DEPARTMENT f
Towle of SOLFrHOLD
k
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Date:
Company Name: ��. I Sur^j
Name:
License No.:
Address:
Phone No.: - - q?,3 S
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: Block: c- Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: ��is- NOougDIn Final
*Do.you need a Temp Certificate: YES/(n
Temp Information(If.needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
W42 equed for rnspedon Form ��
��SUFtpcKc �
Town Hall Annex Telephone(631-1802
54375 Main Road Fax(631) 734-9502
P- O- Box 1179 0GO
�T
Southold, NY 11971-0959
o qb-
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: l o f
Owner. L,/)Tz--
Location of Property: b/_D Sd J-��
Please take notice that the (check applicable line):
New-residential structure
Addition to existing residential structure
Rehabilitation to an existing residential structure
- : to be constructed or performed at the subject property referQnce above will utilize
(check applicable line):
Truss type construction (TT)
Pre-engineered wood construction (PW)
Timber construction (TC)
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
-F1 r and roof framing (FR)
Signature:
Name per on submittin is form): a^jr_
Capac,ty( heck applicable line):
t Owner
Owner representative
TruSSResReg15.docx Effective 112015
DEPT.APPROVAL
------ -- - -- --- - ,1Lcl 86-5U 1Bri N
SUFFOLK COUNTY HEALTH DEPARTMENT i JUN 26 1987
SINGLE FAMILY DWELLING ONLY r SC DEPT OF
..t
H.D.REFSuk" F� HEALTH.NO._ ��R�-SC)-/�n �•
_:1---a f+ 1._•��;Y,�-� .� STATEM NT OF INTENT
DATE JUL 0 2 1987 j THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR HIS RESIDENCE WILL
THE SEWAGE DISPMAL AN4,WATER SUPPLY FA TIES FOR THIS Br�Y't'lt�'yV CONFO ,II S RDS/OF THE
LOCATION HAVE BFE14 44SPEGTED BY THIS DEPARTMENT AND �• SUFFO �O. ��1H SERVICES.
FOUND TO BE SATISFAGV RY. /`� _ :t�' GF SOc1TN0t_t•,(�...
2t 0.. 0 P,E. IS
ri, PPLICANT 7Ll.1 l
Chief 6f Wastewater Management Section /d - /i
I 6
?'a 14 1 SUFFOLK COUNTY DEpf 6F HEALTH
SERVICES FOR APPROVAL OF
w 'c/ CONSTRUCTION ONLY
(3 O
DATE*
/I tad s32�p ha. H.S.REF NO
P wi d' - =rl3,gs { APPROVED
.tt l�• b � � T � �`C
SUFFOLK CO TAX MAP DESIGNATION:'
, y�_(� b� �;•. 7 _ �/ I - / I DIST. SECT BLOCK PCL
•0 x ✓°_a. scare: 5O'= loco 088 5 $fo 1
-Iti �' rty�° 6 �/XV3 3 Area = 1.,090 Ft OWNERS ADDRESS.
irtri Pipe 94, LOUG(CA
We V t
Ik Ito 1»op't� " ) W , Ll l6Vt6W L 4A
T:V h :F- F•nc - Sou77ao+_C,N 1/971
8 r rt `jb oc �Ie.rfv<„ts ret- ,•+o mean x<r
N 1 ' 161 (b !ct�a1,.ixtturr c,:.• (:.: .: d 6.S DEED L 7248 P.479 (Qef�
` TEST HOLE _ STAMP
tiV �r �� (=1_.od.. •rP: '-,n 1.h^ F k:M. ,
I�-^-�Q.A'c g/ y Iq'h• r _ M 1•,..,....t°h,.n.Mn n..anr+.i
�. 1 G � 0, 'r.t`,f�rvm le°vinhbnn ni
_ ,¢ad..�l7g'f y,,' ® = fW�f'�e e(I ern.s{,e•i ryr•nr,'u -^n-lnr,r. MIJ[At( 1 :^7°n�lnw,thn N•r•Y.,k Pm
/ , ,b✓�pn.P.: „'l;».�Jo: roam ..V-ymcontb:ed•pj
Ba,\n,�, / rine,r,n+r Sfvr-y.•rer,;.n rh^INA
- i<e,ri:e-ti 5r4�f :sC :906
Oct to, 1986
Nov 4 , 19S6
•i ny ,N
B o A 7- F-a b. 3 . (987 Sand :• n,;�n,':'
Mar. to, 1987
.r.n r•ran..,rsbi.
Mar Fl, (987 ! -•e owns or°�.vywnt
grauet SEAL
' GvarLzmlted 710 i4m
Chita ro V+L-(naur atce.:ompairel OfNE
I°t and Jo+Ire Sovfho(d Sav/ngc P x8c I PEp�.:V4 y°s
NOA-. Lo-1- rut"beex Shown re fee- /� 1 `/ r e
4a 'Map of 7a” Vlbfsrt,,' yelled RODFRIC VAN TUY P.C. r r ; to
in•f•he Suf olk Gov Clerks o e
o�'rw as /Ykr16 Nb. 2901. r i LICENSED LAND SURV ORS ?SFoi�NogJ�
I GREENPORT NEW YORK
APPRO m ED AS NOTED
DATE: 1 ELECTRICAL
INSPECTION REQUIRED
FEE: BY:
NOTIFY BUILDING DEPARTME !?T
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED PLUMBER CERTIFICATION
FOR POURED CONCRETE 'ON LEAD CONTENT BEFORE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION CERTIFICATE OF OCCUPANCY
4. FINAL - CONSTRUCTION MUST SOLDER USED !Pd WATER
BE COMPLETE FOR C.O. _SUPPLY SYSTEM EM CANNOTALL CONSTRUCTION SHALL MEET THE EXCEED 2/10 OF 15/. LEAD.
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
P LUMBINI
COMPLY WITH ALL CODES OF ALL PLUMBING WASTE
&WATER LINES NEED
NEW YORK STATE & TOWN CODES �STJNG BEFORE COVE IINIG,u
AS REQUIRED AND CONDITIONS OF ~` Y "'
RpI n T0�"��ZE3A —
RETAIN STORM WATER RUNOFF
S'81f�OCDTOVGiV?Rtlf3 PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
t _ p
_ u[,Li u _ {
PA
IH
ob
E §
FF
f
§ i
§
toll
ILI
_ -
�, € PAl
94
OFfS