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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No. Z-24819 Date: DECEMBER 26, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 8095 SOUNDVIEW AVE. SOUTHOLD., N.Y. House No. Street Hamlet County Tax Map No. Section 59 Block 6 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building .Permit heretofore filed in this office dated MAY 3, 1996 pursuant to which Building Permit No. 23457-Z Dated MAY 17, 1996 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 ONE FAMILY DWELLING WITH ATTACHED DECK & GARAGE & UNFINISHED STORAGE AREA IN NON HABITABLE BASEMENT AS APPLIED FOR. The certificate is issued to: MICHAEL PISACANO OWNER of the aforesaid building_ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-96-0002- NOV. 27, 1996 UNDERWRITERS CERTIFICATE NO. N-403999-NOVEMBER 22, 1996 PLUMBERS CERTIFICATION DATED: DEC. 5, 1996-LARRY LISO PLUMING r i Buil ing Inspector Rev. 1/81 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) Date ..............01. 1.7.................. 19. N2 23457 Z Permission Is hereby granted to: q!2 - �- ........... .. . ......................... ....................5 :.............. ...... ... .......... ..:.. �... to ..... ... .....er �,/.ffi4T..../!%S, '.. ...........c ....................... e T•: ... .... .......... ................................ . .... ... ................ .......... . ... ... .. .... .. .. . ... .... ....... ..... ...... . �.. �.. :.... --- ... ../ i... -.... at premises located at............. ..... r... ................ .... ... ........................... County Tax Map No. 1000 Section ........ ,�...... Block............ ........ Lot No. ....1 .............. pursuant to application dated .......... 6 . ..................... 19.Z.,("-,?..... and approved by the Building Inspector.�� Fee $. � . Buildin In ector Rev. 6/30/80 . MAR 28 '86 11:87 M)'S ENV.CONS.-- " P.2 New York State Department of Environmental Consi 6rvation , ♦� '�y i Sanding 40 -SUNY, Stony Brook, New York 11790.2356 25 March 1996 �qt, c Michael Pismo Micheal D, Zapata P.O. Box 1931 cornnoaodorver Southold, NY 11971 RE: DEC #• Dear Mr. Pisacano: l f In response to your request for a f VShwater wetlands determination for the property identified below, the New York State Department of Environmental Conservation has determined that the proposed Project is more than 100 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act (Article 24 of the New York State Environmental. Conservation Law). Proposed action: Construct a single family dwelling, septic system, and driveway. Town: Southold ' Surveyed by: Anthony W. Lewandows3d Dated: 19 March 1996 Location: North of South View Avenue, Southold, NY Tax Map Number: 1000-$9-6-16 Please be advised that this letter does not relieve you of the responsibility of obtaining any necessary Very truly yours, I GL Permit Administrator cc: Bureau of Environmental Protection p ' ; Ik ' MAY 31996 BLDG.DEPT. TOWN OF SOUTHOLD RECEIVED FROM 5167517900 207 03. 28. 1996 11*56 P. 2 70-1902 BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL [ ] FIREPLACE & CHIMNEY REMARKS -� DATE 5 INSPECTOR --' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] F ING [ ] FINAL [ FIREPLACE & CHIMNEY REMARKS: 77 DATE / INSPECTOR �� i . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 18T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING (-J FINAL REMARKS�a���o DATE C �O INBPECTO 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: d DATE INSPE 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: t 11 --66 A'&.4—z,z lr—.Ool he r G ti a DATE INSPECTO� ez 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 44 rfm��i� �� �d��.e �� - DATE l INSPECTO f c)-3 765_Z802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR (/ y l 0-1802 v BUILDING DEPT. INSPECTION [ ] FOUN ATION 1ST ILI ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: oaa,1�7/e- � ®` k�- ���f e DATE INSPECT 70-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST [ ] UGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: Z&7 1 Y , DATE INSPECTOR 1 765-1802 BUILDING DEFT. PECTION [ ] FO DATION iST [ ] ROUGH PLBG. [ UN ODATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:L��Ae DATE INSPECT 765-1802 BUILDING DEFT. NSPECTION [ , FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING , [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: U DATE d-2 INSPECTOR C�� Form No. 6 - Y TOWN OF SOUTHOLD r BUILDING DEPARTMENT I a � TOWN HALL 765-1902 I • APPLICATION FOR CERTIFICATE OF OCCUPANC:i A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 supDly 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. 3. For existing buildings (prior to April 9, 1957) non=conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property shoaling ,all property lines, streets, building and unusual natural or topographic features. 2. A properly completed an and a consent to inspect signed by the applicant. If a Certificate of Occupanc_y .is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Buildins - $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 . . .��. c� �. . . . . . . . . . . . . . . . . . . . . . . . . . Jew Construction. . .X. . . . . gOld Or Pre-existing Building. . . . . .. ..,.�. . . . . . . . .�� :,ocation of Property. . . .��./. . . . . . . . . . . . . . . , ?L�.?� �! . .���! .. . . . . . . 'V►. �_.�. . . . . . . House No. Street Hamlet )nwer or Owners of Propertv. :/Aa? C6. . . ounty Tax Map No 1000, Section. . . .0. .Block. . . . . �. . . . . . . . .Lot. .Ilz .. . . . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map . . . . . . . . . . Lot. . . . . . . . . . . . . . . . . . . . . . .'er Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . mi y II . . . . !�/. . . . . . . . . . . . . . . . .Under.ar_t �J Paltn Dept. Approval. i Underwriters � i Approva_ . . \inning Board Approval_. . . . . . . . . . . . . . . . . . . . . . . . �\est for: Temporary Certificate. . . . . . . . . . . Final Certicate.:. �. . . . . . . . �. 5 Y � .. . ./�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ay o ) 7 r:.11"•; I'EL.,765-1802 F UL TOWN F O SOUTgOLb ►� �c OF ICE Ol7 BUILDING INSPECTOR ?T P.O. BOX 728 ' „ 'TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. Owner (please print)`�:._ Plumber Z-A�" (pl ase pr nt) I certify that the solder used in the water supply system contains less than 2/10 of 1% 'lead. (plumlyer s si nature) Sworn to before me this OF&d a y of 1.9 -` Notary Pu is Notary Public, --...,County DOLORES L. LISO Notary PuW16,State of New York Suffolk County-No.48410 Commission Expires Oct.31, ..... . .. .......... r ,.00l / ., OIL V., iz spa /, ..,, �,4 .."'r� ?�: �. !• ,� •� p?°��. :' e , o /* .'z 10 GRFAT POND f-IOW • SUFFOLK COUNTY 50 I SUFFOLK COUNT, @) -2 —T N L4 COUNTY OF SUF IF- FOLK T0,NOT SO THOLD Real Property Tax Service Agency stAGE OF- -- 059 0 ...... ......... PROPERTY MAP 7 ';-,hC.. t.I.,New Y—k THE NEW YORK BOARD OF FIRE UNDERWRITERS 350y1 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date jOL'ri }LfF3ER 77,1`?` 6 Application No.on file 12160896/96 i1 �1Q3�79�) THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of tf%CiL,'�Pi, PI1—Ac'lo, SIOUNDVIEW WIFE US, LII,.11 157-GS, SOUTHOLD, IN.Y. in thefollowinq location; 1Z Basement U lst Fl. ® 2nd Fl. (---A ,/,-!TT1C/OUT .Section Block Lot was examined on mrv'-'tr)'I-t 19 r 1` 9r:' and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. No. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS 3 F 2 - ? SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER I X 2W 1.83W 3 0 3W 3.0 4W NO.OF CC COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER Z OF CC.COND. OF HI-LEG OF NEUTRAL 1 20U CL 2/0 1 2/(l OTHER APPARATUS: 3.F.'C.I. M Cj i T r)I?:_'ECT OR: G L1'�i ?; "� P C'FRIC 7�IC..;r3327 L RT."1- BOX 45H SCIUM AVE r{IVERf7 ram), Y, 11901 GENERAL MANAGER .IZ as Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I o��g�FFO(,�co Albert J. Krupski,President „y Gy Town Hall John Holzapfel, Vice President c 53095 Main Road P.O. Box 1179 Jim King...-,,,,;, p5 • Southold,New York 11971. Martin H. Garrell Peter Wenczel �oj �`�� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 1996 MAR 2 A 1996 Michael Pisacano P.O. Box 1931 Southold, NY 11971 - - -- -- RE: 8095 Sound Ave. , Southold SCTM #59-6-16 Dear Mr. Pisacano: The above referenced lot was inspected by the Southold Town Trustees. As per map dated March 19, 1996 showing the DEC flagged wetland boundary, the proposed house is out of the Trustees jurisdiction. This is not an approval from any other agency. If you have any other questions, please do not hesitate to contact this office. Sincerely, //�/ 6W� 9. / Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd cc: CAC / Bldg. Dept.V . _ 3199 i71�� M AY 6_ 1� ` BLDG.DEPT. TOWN OF SOUTFiOLD �F„crwo as o• c11n j ��d�U'- A/ I 46 I poll / I \ 0,04 10 ?sorr� r6 �yto����o"v✓/oad' 296.so' To E�vy NSF(�YA.Q/3' V •� � FisxO•Nd�1•) • I y✓C'LL /j�0lJ}L� HavyE Tr `GIf.NSED Lmry.SG ,r oc oriay 3aurtia o.ariFxoc r Cou,.r� co 7j► d3Ho8 �!f rY 01F. A �Nly�LVY �'Y•LE/t(•6t/vJOiOrVAK/• �/":5a ' L.4NVStt?Y�/r l7.vlE•�1.9.QcN/9,/= 10,5094wa, ✓BOARD Or IiRALTII . . . . . . . . . .'... . . . . POREI NO. 1 - 3 SL'I'S OF PLANS r 1' TOWN OF SO11'I'1101,1) SURVEY . . . . . . . . . . . . . . . . . . . . . . . . Ill111.1)1NG IMPARTHRN'1' �`AIRCK . . . . . . . . . . . . . . . . . . . . . . .. t TOWN IiAi.i. �`SRPTIC I:ORM . . . . . . . . . . . . . . . . . . . St)UT1101.1), N.Y. 1 1971 1'1sl:: 765— 11102 NOTIFY: �J CAM. . . . . . . . . . . ... . . . . . . Rxnnined.... 19 G.� _ R1n1i, TO: : . . . . . . . . . . . . . . . . . . . Algircrved...... l. ., 19� I'enniL )k)t �. .................................... i)iralgerente<I ri/c .................... .......... .................................... ithg lnsliector) O APPIiAN 11011 11111.I.D1 NG PRIM IT Date. .�.`.�. �. . . . . . . 19�6 i N WIT 11CT IONS ' I ir It III) ntix nrLIe ccr ) etely filled i y tylxsrier or An i rl rul> ilted Co LiteWilding Isleit. ctor w]llr 3 ..its of plans, accurate plot plan to scale. Pee according; Lo schedule. 1). Plot plan rlKrwing locatiex) of log: and of Ixilldings cx) preinises, relaLionsliip to adjoining, preinisetr or imblic streets or areas, nixl giving a detailed description of: Iny"it: of properly mist he drm-ni cxr Lire diagram Wh]ch in part of Chi!; iippl icadon. c. the writcovered by this ahlrlicaticxt may rx)t be c:caniieix:ed before isrtimx:e of 1lciilding Permit. if. Illxm npprovni. of this uppticatioti, the Ili)ildinfl lnrgrector will issue a Build]ng Permit to the applicant. Stich ievIniL Ovill he kept on U)e premises available for inspecHon thrcxigliout' Lite vmrk. e. No Ixiildinl; t;liall be occupied or used in Whole or in part for nay lxirpose vAialever until a CerLificnLe of: Omill<nix-y sliall. have been gratiLed by (lie Ikiilding bispec-Lor. AI'l'1.1(A'U10" iS 1011-11Y ME to the lkiilding Department I`or the ismn-we of a Ikiilding•; Peimit gxirsuanL to Lite Wilding 7xx)e Ordinance of the 'I'cxwrr of 9MAhold, Suffolk Catnty, New York, and other applicable Laws, Ordmancen or ilegulaticxis, for the c:cx)stmeLioti of Ixrildings, ackliLicx)s or alteratiotis, or for reimal or rlernoliLion, as 1►erein dercrilx41. 'fix- npplicant agree's to ccxrilily With all applicable ltxws, ordiiiarx:er, Wilding; axle, Ixxu)ing axle, rnxl regulaLiotts, aril to rxiniL m t-horized inspectors at pmnires nix] in Imilding for necessary iT)gl*etiais.,. (Sigr)nlure of alg)lil�aril, or t><o le, if a corim-TILion) ' /�3 .�i-T/fC-1- ID ..................................._.....--- (t•iailing rxklress of applicant) StaLe Wlietlwr nitfAicanl is (wner, lessee, agent, ardiiLect, engineer, general cotitracLor, electrician, pluiber or Indider. ............Cw.!N ..................... ........... ............ ........._ ...................................................... ...... 1lixiie of miner of premises ....!> GCS 2..................a..4....f. ............................................. . (as o) l.he Lax roll or lntesL deed) If alrplic.mL is a corlioraticx), sigtu)ture of. duly millxrrized officer. ..................... ............................ .... a . (ftmie nix) Lille of corlx)rate officer) . ' MAY 319� Ikiilders I.ic:enre No. ..................... .... G ISo BLDG.O UTHOLD 1'ludrert) i.irenre No. ........................�'1 ! �C Cam:=one l� TOWN OF SO Electricians license No. ..................... Other Trade's i..icetive No. .................... I. l,ocnticxt of lmxl on v;lticli proposed work will. he done..©UW-��if l ��... t" ` s........................... ....................................................................................................................... ikxise Rxiber Street //Ilaiilet Cexnel:y Tax fill) Nu. Ill(x) Sect]ori ...� ........ Illmk .....l(I......... lA)t ..G. ........_. FAIlAivislcx) ............................ .... ...... PlIed Kip lk). ............... loL ............... (Name) 2'. State exisl]ng; tire aryl cccupaix:y of�premises nixl iiteixled use nix] occupancy of proiosed cousLrucHon: :i. l?.xislirgl aryl cx tine :ctiixitxy ....4!. ................................................................. h. Intended use nixl oc:oyan:y ... J.K .1�L`G•.... ���l ai. r.DCAJ\zL4--(of-C,.............. ;+'FP ;' fr '.Fri 1 l 1---- tita if I; wik (clx:ck %AIIdI ill I)IirailiIa ; lkaj Ikfll(Iinl; . .�.. . MIILion AlIernl.ion 1 Ika,fl . ........... . Itxmx)V1ll ............. Ik:Nlnl II.Ion . ... ...... .. 01her Ulf .. . .. ... .............. . .... ... .... (�� (Duller I pt:loo) (f. I::;I. IIWItell ('osl: ...!... �ff........ ... . fee ....... .. . ....... . ....... .. ....... .. .... . .... (to Ix: paid on fillog this nl!pliculloil) J. 1f fhx:llinl;, Ix.!l,er of chselling India . ../... ...... Iksiber of (hhMing units off encb floor ... . . ........ ... 11 llaruge, Ixi!ber of cars ��— h. I f Ixlnimum, cimiercial or mixed occulmocy, sped fy IiaLtire 111x1 excenl: of eadl type of title.'.......: .. .... . ..... 1. tlineivilcxln of exiscing litrucltires, if fifty: 1lrcxll:. . ........ ...... hear .. . .. ....... ... Depth . . . . . . ..S E Ik:iOIL .................... ..... Unib!er of Stories . .. ... ... ... ...... . .. . 1)inlen sIoils of acme st.nu:ctire withalteradotis or iKkllLions: Front: ..... . .. .. . .. .. Itear .. ....... ..... �i`C��� i)f:ptb .................... Ileiglllr .. . Pkaber of Stories .. ..... .. 11. Ili imimdcxfu of (:nt:ire new coost.mccim; Frcx!l. ...... .... . . .... hear ... . . .. . . . . .... Ikapllf .... . . . .. ..... Ik:1I-)it: ...... .................. . Rz!lx:r of filorien ...... ... . . . .. . . .... . 9. Size of loL. Il(xll . C/.......... hear .......... . . .... .. [)Litt II .... .... ....... .... . 10. ILM-P of 1'fo'cbfise ..................... Haw of Fortier Wirer ... .. ..._. . .... .. ....................... II. Mile or tine district 1 ) %A►Idf preiuisea fire situated . ../ ............. .. ....... ... .. .... ..... ... ... .... ........ . 12. lkxn prolx)sed ccxlstriwLlon violate atiy z"ihill lcxw,,ordikimice or rellulnt:icxl: . .. O I]. 14111 ]oL be regrculed ............... ..... Will excess fill be raiicived frafn prcmisea: US 6 1 14. Kamen of (Xnu:r of pranlses ....... .................... Acklrefin ... .. . .............. . .. ... ... . Motto lk). ..... .. .. ..... Ibmi : of Architect: �A ..L U!n` !��................./.. Acklracn .. . ...... . . ....... 1110f1e tJo. ...... ........ Halle of Ccxltrnctor ... 1 t rz............ . .... AtIdr off a .... .......... ...... ...........MoIle tk). .. .......... . . IS. is Ilds prolx:rcy wilbin :1(X) feet: of a tidal Oelannd? * YIN a) ..�.... *1V YI?fi, BUlM M 1) 'WHI 'lltll;IUM, 19iIt1.11.1- HAY M. Itts()1 iIwo. Lf 0� ,` „ ,,E „c 1 T / (��� 1'I.GI' DIAGIIAI.1 h �Y2"�1�� lJ Icx:nte clearly 11M cliaticreLly fill Ixllldi(11;n, %Afelller exlal:ing or proposed, (llxl 111dlcnte sll fiat:-bacac dlalenoloncf fruxii protiarry lines. Give atreel nmxl block ixitiber or dencripLim according to deed, and Mimi nt'reet ncrllen mxl hwlfcace IAuabar interior or coriter lot, t'I�1 \.... .. ls� .©.. .... . . .. .... . . ...being Iltil f;vx!rn, de xlsas niml fin n tbst be In the a !11 Icant: Y I .Y II (tlfn■: of ifxlividual. signing conl:rnc l:) i llx)Ve IIi MIC:II, tk: Ili tllf: ... ..... ....... . ... ... . ... .. . _. ...._ . ... .... . . (UmLractor, ng(:nl', (:orlxuate offic.e.r... , e.tc. ..). (11'. onid ITnK:r or InnKWII, filKI in duly fitilborizad to l)Qrfonn or have lK:rfofflr:d III(! saki "nh afxl to multi: mWI Isle thin appl icfiLion; Lim(: fill. if Litt alleot11 C011talIKA In I.l!in appl iral ioo are tim- to the hem: of bill klxrwledlle fund Ixil ief-' niml 11ml. lbe wik will Ix: perfomed in Lbe nuauKar net forth if! (lie applicfil:ion file(I Iberc-+itlf,. !KA)III to before fir: ibis ..... ..(. .......(I<!y cl . 19. ..... Ik!t ary I'Ifbl is ................. . ......... .. (:)Ignifl:ure of Appl iclnll) ROBERT 1.SC T,JR. NOTARY PUBLI ,State of N.Y. No.472508I Suffolk County Term Exp{rag May 3l e l i '� � ,,�i % ' r �. , �/, �— f '.. ` �" t ��- �i � � � � � .� � . �s - - _ e 1 , �� '/ / I r � _r 1, ,, � � �j� � �/ ! �` i M � %._ , � '. _ �. ,� .1 .�- �` � i 1. ,i .:� f r _ � �� 1 � / f• �' 1�- �� � ` � � �- - � y � � � ��� / � �.� .� �� � ,, ... ��, � � '' �sr -'ism // � rj� �/ �,� // t � i / �� 9, ,,. i / _ � r��� r i ,� � � � ,, f � i � � �7° ��� BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS U►TION t t [ ] FRAMING ( INAL REMARKS:. T' +� DATE INSP 174 r i.•, ,oallo Ss /del 10 � I 6 ZR o' Z \ N I ,o Tj _ Iq v �QUND ;j • L olea-" y✓L'LL , • T�sr iyatE' AIWAI/967 M �' 1 �vY I 4isr B,Z� yY�orde �,.•.. ;j . /Neswlw -Oar 3b, /'Ove AB r LAIV LE .i 4 oc fr/-aw, coawry °•'n oA�. .4iveyavY vY.LE�.�n/aawi' � z 4Vz7OV2r ? 17.g1E•�1.9�PtN/9/fp6 j P✓oX y�8 �.���///yro � .,. '••• �uTiSfS[o h/y ,��yply�yLe�c• uv6S/996 • PLEASE NOTE It is the applicant's responsibility to maintain adequate sanitary distance between all hater s«pply and sewage disposal facilities. t • oHa�& E�NB NI Io 0 Ifr \ 10 • � N � o NO VII&V N , .-- . y,ezc yous� ' AOMAI HIONrl4 po 14 ' GaaM SW-FOLK COCURN DEPARWEEINT OF HE SERVICES yr �icr , gx FOR APPROVAL OF COniSTrJJCTnI1J OF rzz Wo .SINGE 1=F.MILY RBIDENCE ONLY i -em r A& , • oATEMAY 3 96 � R�� APPROV �1ovo .1z' EXPIRES THREE YEARS FROM DATE OF APPROVAL. 6S E D LA IV,0 * tis V� 4 vcroTicw• �arrrrt__y Jriov;votx aN&ry.N Y. • � °eF N�W.y o�'�. .4.vrs'tcsv✓ vY.CEycrcw�o�on��i ��/Mayo LANV f�,d?Yc93b/1 I�.vl,C,�ll.9PcN/9/�� • ! �'' P,�X d/�8 A,,rig./// G • �uT.stat�N f� . ! Oc7�►s/000-39-06-/6 �/ 7/ i PLEASE NOTE It is the applicant's responsibility to maintain adequia e sanitary distance ' between all water supply and sewage disposal facilities. v��eESI7- t •. J.Ya¢Fe GiN�. n I O 5 %) N � NI a Z \ ( 10 N Aye We44- y✓acc f�ou�E � I 7:s7 1164e . A ,glAl/967 ,, hluiytJy a„ La*" SUFF W COU P 9EPART6 ENT OFF HULTH SERVICES . g.Z F® APPR °b�A?_ CIF +a '�:3 P fay OF xi9r�e SI3 GUlE FAMILY m RESDENCE ONLY a�oY 4isT R d—47 6^000 Z ®AT AY 3 96 S sj e , W"m ®' NC61NBtb6 APPROV ' �,ovo EXPIRES THREE YEARS FROM ®ATE OF APPROVAL . 09 E D LA ry401 SG y q1. �s �� ! 4 vcvYioN• �aurrtxo��riota Cocayry,.�/. , L.4NV? Y�Ya/1 PROW lol zell/9, � 9� i �47A'04. N f� ilr-W oo-S9-o6-/6 // 7/ NSze 2/'/Q"E OJam, , Ilk- JIVI AV cop- N N yr. {-����,;•..y,�� � •�. �f _ �r Y /ry .50'la ---r— ekad o ,Q�ENU� TFsr .yam' yA r F C"Q7 E ib• r Y' 1 i� �V[ G B�S�� r +.asg u F �.Z = -u gip @'$° gag �s 9`�° *,� Fm: �u9e4-LE FAMILY ���� fi�oNtlb a„ Am =j d�'E^I1(I�I11pyp1 P P� Y.A H' CCy�r r���r •D®�� yi 1 .. .. �M • .. `I„') L7 ��j ,�S'•` � �..•-�"may c 'e'yY.'',.Y. 0'•� _ �•� I A/LT. c" ....Cr' '1'4ia f 4-3 /%y:I.O ar 3 f� ot�.`... 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