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HomeMy WebLinkAbout22354-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24410 Date JUNE 10, 1996 THIS CERTIFIES that the building ADDITIONS 2330 ANCHOR LANE & Location of Property 800 BRIGANTINE DRIVE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 4 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 8, 1994 pursuant to which Building Permit No. 22354—Z dated SEPTEMBER 26, 1994 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 AN ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & MIRIAM LASTORIA (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.. N372734 12/12/95 & N341889 02/07/95 PLUMBERS CERTIFICATION DATED N/A Building Inspec r Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24411 Date JUNE 10, 1996 THIS CERTIFIES that the building ACCESSORY 2330 ANCHOR LANE & Location of Property 800 BRIGANTINE DRIVE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 4 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 8, 1994 pursuant to which Building Permit No. 22354—Z dated SEPTEMBER 26, 1994 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 A NON HABITABLE ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to MICHAEL & MIRIAM LASTORIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N362377 SEPTEMBER 11, 1995 PLUMBERS CERTIFICATION DATED N/A Building 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..��..� ............................................. 19.7 ..... N® 22354 Z Permission is hereby grante to; Q` a ............................. ............. .... .......... C � 3���..s' .... . _ �d. .. ........... 5. ...... to<!O�V44 ,........ ... `. ,...... . . .. .... ,........ •• • • . .1 ••••••:,,..1.1....••.• ..•...• . •....... . . ^ •.......M ..................... .................................................................................................................................................................. •........................................ ......... ...........•............ .... . ... •...................................... .......................• at premises located at..........: ............ 1 �..• • -.... 'I .................................................... .................................................... .................................................................... County Tax Map No. 1000 Section .......;�......... Block..... �/............. Lot No. ...- ............... pursuant to application dated .......%.. ... ....... 19. ..., and approved by the Building Inspector. Fee$.. . � !0 f G�,CiG Kg�.... .... ....................6 � ultor) .. 0 �-o 4'CVj 1 - 4 V 8-9 3 0 Rev. 6/30/80 Form No. 6 i ti d o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL MAY 211996 765-1802 33 G.DEPT. TOWN OF SOUTH ION FOR.CERTIFICATE OF OCCUPANCY Aa 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 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 $25.007 Accessory uilding $25.00, . Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildiniz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . .. . .'/.� . . . . . . . ! .�. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. y. . . . . . . . . . . . . . . Le Location of Property. . . Z.. ... . . . . . . . . . . . . . . . !� 1� .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street 1 Hamlet Onwer or Owners of Property.. . . If��.�.�. .: 1-1.1.!-tQ 'ye. L4_,it� �l . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision.v .°�`:°'.�a°.b:�. L� .. .5 . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .22:3.5".4. . .Date Of Permit. . . .�1.?G1.g�. . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . Fee Submitted: $. . . . . . :.! . . . . . . . . . . . . . . . . . . Q� 1 LP . . . . . . . . . . . . ..l. . . . ..-.. . . . . . . . . . . . . . . . . . t`'"G APPLICANT a44�� Form No. 6 ft R i r (0 OT p F SOUTHOLD u W � LNG DEPARTMENT �6WN HALL I ' 7�5-1802 G MAY 2. �3.9- L CERTIFICATE .OF OCCUPANCY TOWN OF SOUTHOLD 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 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 l% 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 a, q 1 qb' --'`� Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . ��Q Location of Property. . . . .3a . . . . . . . . . . . . f4 h ilia?. .� . . . . . . . . . . . . . . �!b`:�:-�:+. . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. a,l?�';�'! '..1? .;r�.%t�:Y9. : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . 4 '. .�►6� . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.� . . . . . . . . . . . . Date Of Permit. . �2`.. .Ci. . . . . .Applicant. .�. .T1 . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . � . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . s c3 LP Q j. . . . . . o� . . . . . . . . . . . . . . . . . . APPLICANT. . . IS r_ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date FEBRUARY 07,1995 Application No.on file 06878955/95 N 341889 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 MICHAEL IROTORI?l, 2330 ANCHOR LANE, SOUTHOLD, N.Y. in the following location; ❑ Basement �ETIC/OUT 1st F(. ❑ 2nd F'l. Section -Block Lot was examined on 'EBRUARY 02,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS IDISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 10 / 9 ©1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER �,YW 3W 3 0 3W 3,0.4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: 140TORS:2-F 11,P. U.F.C.I:--2 PAU.L R. BURNS LIC.9.3897—E P.O.BOX 1061. SOUTHOLD, NY, 11971-0932 GENERAI•MANAGER 1:1 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ., 1000121 BUREAU OF ELECTRICITY F_ 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date S.EPTLI-IFNR 11,1995 Application No.on file 88102595195 N 362377 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 a- a330 Pmc-h6l la--,.,, 114.ICHAEL LASTORIA, IdDLRIGANTINS ROAD, SOUTHOLD, '.. Y. in the following location; T K Basement lst Fl. 2nd FI. GAP"Ot7T Section Block Lot was examined on AUGUST 28,..1.995 and found to in co ce with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 12 5 9 12 1 F 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. AMPS. TRANS. AMT, H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER �,7W 3W 3 0 3W 3,0.4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: PAUL R. BURNS LIC.#3897-B P.O.HOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 31,1995 Application No.on file 88102895/95 N 362377 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 LMToQJ`H MICHAEL LESTORIA, BRUGANTINE DRIVE, SOUTHOLD, N.Y. in the following location; © Basement ❑ Ist Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot was examined on AUGUST 28,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS. EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 12 5 9 12 1 F 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. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1',4W 1 0 3W 3 0 3W 3,9 4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI•LEG Of NEUTRAL OTHER APPARATUS: G.F.C.I:-1 PAUL R. BURNS LIC.#3897—E P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER 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 8E ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 100.121 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date DECFSABER 12,1995 Application No.on file 10782495/95 N 372734 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 MICHAEL LASTORIE, BRIGENTINE DRIVE, SOUTHOLD, N.Y. in the following location; ❑ Basement ® 1st Ft. ❑ 2nd Fl. Section Block Lot was examined on • DECF.MER 07,1995 and found'to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT.FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 9 8 6 9 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. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO..OF - S E R. V I C E METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP 10 2W I Jr 3W 3.0'3W 3 0/W F C . OF CC.COND. NO.OF HIAEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FANS-2 MOTORS;2—F H.P. PAUL R. BURNS LIC.#3P97—E P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER a.1 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. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ INAL [ ] FIREPLACE 8 HIMNEY REMARKS: 2 f DA INSPECTO ,65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP,�A E � CHIMNEY REMARKS: 6�r DATE � Y � INSPECTO M.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO,t1N-DAT10N 2ND [ ] INSULATION [:FRAMING [ ] FINAL REMARKS: t DATE `I � J INSPECTOR M.isos BUILDING DEFT. INSPECTION ( ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 14�o/ IAiC o D/PTE lW,> INSPECTO 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOJJNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /BAD' vx/ DATE l � � INSPECTOR 765.1802 BUILDING DEFT. INSPECTION [ ] FOUND ION 1ST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ RAMING I 1 FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ,65.180Z BUILDING DEFT. 1 PECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ^,alv llww--ro ------------- � LyeC y DATE e/ i S INSPECTOR _ 765-1802 UILDING DE IN ECTION [ J FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS-a' G DATE INSPECTOR BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOU TION 2ND [ ] INSULATION RAMING [ ] FINAL REMARKS: I � DATE INSPECTOR B ILDING DEPT. INSPECTION [� UNDATION 1ST [ ] ROUGH PLBG. J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARK DATE �� 0-INSPECTO �/' ��g�FFO[�co �o Gyc o ca = Town Hall,53095 Main Road $ • Fax (516)765-1823 P. 0. Box 1179 y �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 13, 1996 Mr. Daniel Fischer 38785 Main Road Orient, NY 11957 Re: Michael Lastoria - SCTM#1000-79-4-33 Prem: 2330 Anchor Lane, Southold To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx Application' s for Certificate of Occupancies are not on file. (Enclosed) No Underwriters Certificate on file. xx The check' s are not on file. $25.00 each. No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 223547Z Please contact our office on this matter. Thank you' for cooperation. SOUTHOLD TOWN BUILDING, DEPT. 0 BOARD OF .HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLA.:S . . . . . . . . . . y _ B TOWN OF SOUTHOLD SURVEY . . . . . _ _ . . . . . . . . . . . . S� BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . . . . . . . . ' TOWN HALL SEPTIC FORri r � _ - . . . . . . la � SOUTHOLD, N.Y. 11971 �. ., �_.. `_�'`P.' TEL.: 765-1802 r:OclFY �a3_ ,��'l,� eCALL . . _ _ . . . . . ... . . . . Examined . . . . . . . . ., 19/. qhWFL' T0 : _ Approved . . . . . . . . .1 19 f Permit No. . . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2spector) (B idi APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . ., 19 . INSTRUCTIONS a. This application.must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which 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 purpose whatever until a Certificate of Occupancy shall have been granted 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 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 c de, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection . . . . . . . . . . .�!. . . . . . . . . (Signature of appllliican"►t, or name, if a,ccoor`p/oration)? (Mailing address of applicant) . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ppG�? rQ� Cor��rvcoY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .1. !./L f'JJG1�, 1!">Gc rf'! L S/Ctv4 . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) 113 Builder's License No. . . ..`. . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . Electrician's License No. t . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . l. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3.D. . . . . . . . . . . . . . . . . . . . e?carcL . . . . . . . . : . . . . . . . .®u .i . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet �j County Tax Map No. 1000 Section . . 71. . . . . . . . . . Block . . . . . . . . . . . . . . Lot ..), . . . . . . . . . . . . . . . Subdivision 419A` s SeCf: �. . . . . . Filed Map No. 5/!�.7. . . . . . . . Lot .'!�. . . . ... . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . �`?"/ !2Slc�eyf e2. . . . y b. Intended use and occupancy � !??-e . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l , 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal , . , , , , , , , , Demolition Other..W,ork r;e11 t,r,�erislr�, t7 ©pen Qzc&��Z Xj� .i1 � � Via; . . . . . . . . . (Description) 4. Estimated Cost . . . .I•S g D®. Fee /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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 natyre and extent of each type of use . . . . . . • • • . , , , , , , , , 7. Dimensions of existing structures,if any: Front . Rear 54 . . . . . . . . . . Depth-��. Height �6�. . . . . . . . . . Number of Stories . . .�. . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front !?��?a!?Q�fL, , . , . . Rear Depth . . . . . . . Height . .��. . .�_ Number of Stories /. . • S. Dimensions of entire new construction: Front ./ 2 Rear . Depth :2,2 `. . . . . . . . ja Height E? ies. .�. . ... . Number of Stories .� PA, a C. 9. Size of lot: Front Rear f�S. ... . . . . . . . . . . . . . . DeP t �A� . . . . . . . . . . . 10. Date of Purchase . �o,7,/f,*r,a c;v!!� , • , , • , , , • Name of Former Owner . �d? rr?Au!�" . 11. 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�/��//�Ey 4-Mel-7 'F. , . Address . , , , , , , ,Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . Phone No. Name of Contractor 15. Is this property within 300 feet of a tidal wetland? *YeSi �• . • . . No. .4. *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. 1,o/eense ae , xzz.. vee, , STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . . . . . !a r L L,- / S e,'f . . . . . . . , . , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . . . . . . . . . . . C . . e/7`Zp O4 G 7-0 4L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. Sworn to before me this F. . . . . . . . .day of. .� e!Yt4:��. .4>. ., 19 � Notary Public, . . . . . . . . . . , , . . . . County Notary Public,State of Nowlfbrk (Signature of applicant) m Expires 3,Suffolk Courtly. Term Expires Dec®mber 31,99.� UNDERWRITERS CERTIFICATE �-� �Sr/�y /�UCCs.L-F - - — --------- REQRIREOF --- ---- I'll,p Roly,d A S PHOTIFD -_-�_ 76 -_THE ---7o 6r�_--� FOR POURED CONCRETE -- -- LO _ ---- — --_------ - 4. FINAL - .CONSTRUCTION MUST -----------5 ��T-�-FpS�;�;---' ----_— _--- �. gwD�RSFv ALL CONSTRUCTION SMALL �r�2E� CH/- _--� - ----- THE REdU-ItREMENTS OF THE N.i;: CODES. NOT RESPONSIBLE FOR _ I ' ERRORS — t /i e! 6a vim ' p 'r - - - - -- - - - - -- - --- - --- ---- --- - - - • JiS '6'E� { i - i I i i ��/��'G - ----------=-------- ---- ---- -- -- - - - - t i II G r.Y arT - --------- - -- 5 /<L r CO tt.,- r ",' �s vX wR1�ERs�� / f-,c kel APP 0 ED AS ROTED CAM. V% B.P# - - FIE: s`�1(: - INOTIFY BUILDING ®EPAR AT ;�-i BCC AMi:. F FO TI HE •ems-- 'e', C�.Zx t�7/or o FOLLOWING INSPECTIONS: 1. FOUNDATION - 7wo REQUIRED FOR PQl1 &ED CONCRETE 2. ROUGH o FRAMING & PLU BIND 3. INSULATION 4. FINAL CONSTRUCTION:IafILIST �`t BE COMPLETE FOR C.O. + j ¢'�7 do®.' �.. � ALL CONSTRUCTION SHALL. �MEET THE. REQUIREMENTS OF THE i N.Y STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE+ OR ' ' DESIGN OR CONSTRUCTION ERLJ R®RS '' � � � ff,3Ae3 /j� �_ /Y �...�`�/ ox Utz L5i"l h �k, r� �Lt�i/�JI�e✓t'��ar � -,�� r, y► �b pC r '�` ;t tock, T- 436 77"e�� oSCtiE Ear ad sLiP 4,60V6 �t — "--•--�F` ;C'ktl,Lt,�,7� ^i..��'?.r^2,� �..��ri,.r�.'e.F+�„�.+ ,ar.�r�`« ,,.e.» l � �_3•w,d 7 5'' C.6TJ.4R t`4VSE,' Jo- /ro A3/ � et id KX��7/ III �`7+�•'LS '91 /Y ! 01, C9 AY4 77 111177�� Ctf;4' Jhla,6- C-//PVZIY AAP rs '27 Au, -ran 4 1-74 tV . 1•.t � ,� '� • y� -mil .^ 16 Nil 7. 22.9 26.7 T. a ;' •• _ =•L +1'' ,{ =• cr- .00 ? .�..� , .�".':j ►,�, -1 ate L ..J�. /•._t :; PTE �X _ �: t, s: * i a J•. f JOY 1 �• Lr }�:� r L.Fr{JS '1.�1-/�17 .:1 f A. uj . ;. ... •�._. '.. ,vl'e)! � ,�`"- s► �._ gi}fF .�•'F3' -• - •� •�t. •,:,- � JuteAnoN of ADoirFOK-: ,.. r _.�-~ O et• - '''' % +' To THIS SURYEY K A'W p,-. _ 7=D OIAnON • r r� `� SECnON OF`THE NEW TORK STAIR .' .t. + 4. L► Q I ` :r• r f 160CATRM LAW.' vi'IES OF a' . y Silly SURVET MA►NOT REAlQO �.. :�. , y I u EYORS III-MSEAL OR _ _ p. y,. I :• SSED SEAL St: NOT RE'GONSIDEttD ti vt _+, .. r f ZO� I :f _ _; ;* - - TO�[A VAUD..-:Uf COD'f. .. r Irr -1 GUAK\HlEES IPpi.ATEf)MEAE61 SHAU RUN; J 1. ).�,F j• a L -ONLY 7Ni�E^S F StJRYEY 17f� a Ot:FOR C f . �- �95.1!• _ IS PAEFED,AI�'ibN NiS WHOM TN Y z Y v. tt7 /� TITLE COMIAM.si9,YMM rdlAu F,At AND tL 1 • - ! - �' .. j`' '- •?� ,rl ., •.•'x, 101m G R3TiM10N IIST[D ltfREpF1;/Np / ° _ _ 3 - - :e r^ QIIE ASSIGNEES OF mi•lEN9lIiG•�jSiF yhrp`yT' J E yl a' T: ?' 'TUTION.GUARANTEES A:,E KOT TRANSFElARIR * � . 1 yeft ��r rr! s ? ` .s OC ADDITIONAL'1KStITIlF10Ni OR SURS ' , .. VA�rrr _ 41 J { .' `-� _.. GUARAlY .'ED,'rD�`F� QLfF�1C M� e�NAR '�R�,wKrs £s►�:; s Fe. cr. .: ! ahR.�t�tt7T• _:-D THE T LE ARa Z'�MP NO:c,'47 _- ----_� r .r4: I �', AN Ic s r' 1 firJ'E.5_-S.iN3t:E55�Es21iir'1�t.���:G(Cp.T'£���,�,•r '�JS.�RFFti�:!��MwR:duA���R:'_H'x.�_6:• I�rt,._;*;_`•�''""„Yf�, - . '',. = } �f�' ., �'• 1'. . ./' � -1 _ d F.i LE+NTHE-S-1`F-3LK:01 1'7*TY U E�K'S � FI'E A::' �f,�!X-44 5 s - N — "1 - 14 •r-� v I. r . : 1•f-' � ils�� {cAt::J R`v`�Y r _ 2•f:E', {1�f12�:, REF T�.;ai4>*•,� 'N C i f�J�.a-1cr•; h J AT N�w: . ra` ftY +ram___--. • f _ • , 1 " � ' ' f I Q/��lC/yJ•�/i' EJl'1fiy,l/0 /� ��r/6 6 � - 1 - � _. '• . .4 • ' • . � � � •1, } `'. .• -.. . ' ' '' 1j .. - .,. b .., Ire• ter. ..i�o.�-�_.- __�--_•�.�. •. _�' ,`l .•�) •r14 tY `•� w �• �.;D�'�iY';,t7�'G,G *s :���'X/,�! '. . ' � � , . 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'•'` 1 Ai FrION 72660 OF THE NEW tOR1C STATE r, _ ®' w - i • f •�E�DUCATION LAW. a .,+gy' :I .. �' S- ;• /;SOPIES OF TIItS SURVEY MAP NOT AEARM Y '' . -::'iV :a , _ •: ^ i l .. .� ~- r _ J ITEMppUk SURYEYURS (NK:DSEAL OR ' '+• - ".t i ..k. i 2®/ �/ ' a -{ _ _ S D'SEAL St:ALI NOT RE-CONSIDERED ' 4 i fi • . f J •''. _rt TO I`A VALID.'p;UE COPY. .. .• -_ -•,. e ,�l'�a t k• _ - .. `l, N �6.�• - ''" •i .. . . GUAR�EES•Il S AT`U NEREON SNAIL RUN. ` i _�^ �•� } . �' _ '• ?is:y a - '. 9J.1�: T - I OrPREPAID,AKG'�N NeON OSRRsNALFMiO S THE VET; . 1. , •i. f' - `3 / / ; i 11 `i itTLE COMPANY.,GOvERNME►tEAI AGENCY AND �. ,LEtIDING INST'tUT1ON LIST RFON,AM !!!••a - LISTED f0 ►' _ 0� =OQEIE ASSIGNHS OF TV!LCMING"TI• �- - ,:.••. .♦nrA�u� i , ' `t "��- JJ• - r� •:.5; :"TUT16N;GUARANTEES rC 10 NUL ON AT t:OT MSFERARLE'` rC c - T lO ADOliI AL'INS117UTION$ SLMSEgUE�' 1. � •• 1�1 � l.' - .•• t .. ^ t ��• .. -. .{t 11 ••1:.•, •Y •"t '•.t,'_ - WR :YI '^5-. �NK y i MhP&NAR '3s�, Errs s�,.;Fs-:Fcr.B,: - IyaAR,NN,7r� Era p TN T L ARA. 7 m ,. . - ' t ,�'�✓n�G:,,;g7 �=—u�-.. w, �1' � s'Kv7• ) .� >��• � al •• ,,, G' -+�•' 'r. i ••1T',► .r�� C • ',,•• ;• ,,.� �� � 1 - 'A '. , .�y�'r 'f• � -`.!• ���� 4 •'1: , ,•z }"•• .. 42 5 S.UN�E�51t;Q�iVI�E tr.C�{CA'T£vi.�,_'r>J.+.RFC��'_ . M)CP.�f AA� :.x; e_►?.',, �.�• p3rt,,��.���-',N sf;LE +Nfi►E_�)►`F�i'r.' :bi?:bsa*17YC _ K`a CFI E '' A RO.1' - [, .. Z. :.f� '�trhl:r� {.T [:'1 �.i f t��•�t'� h% C. T�rAr I l�. .i AT"N'w: :�C�tI�i• vI ' ' ,";�... '1I:;�jtiL�C;i�'y' j2 _ Et _ { Q1�_irlyVY E,t1 NfiO ^ Jv 7 !s�/r/'•� .4/ ., ti `w �• .K•1 •y�r. ., •ej f •�v 1• ,� Y' r • ,^ ! `1. .;• -o�y-� .k�;2 2z t ANCHOR LA!v� S ' t�..r.�` L " t' .I%o •ram JF cc �' _ 't- .. •• • .�1.' � _• 1 , .. . , • �{':,n 1 S �j;.�1 f,-17.-irL j� ty\ �' � - ~ �,' `-�1 . .........yr��}��-v-,,,,-.�„� i�.,. lit; - 49 fir•- , R •' 777/// �,+ f Xp. i /,. L L,. • ::S;J�il3 MEM: '- A. a .r.r. . F. _, � - .i,:-� ill! , ; ,i• It ' ' s • _� 'vi e t ' ;.: �+A`--�:_. N O — lfsj ., '�3 •, ^"' 1 � - .,.4' •Y kf"AUMMIZW AETEewnoiy lt OR A1011 ._ •,�• , ,+'' r_ -,� ��_ ' �' - •'• `,�, �• ••�' .�- .,F` +TO THIS SURVEY IS A VIOLwTION OF -• •' �„ a--_'•. I x- -� • ..� •• ACTION 72CV OF'/HE NEW YORK STATE �. • - .. ,f•. - L/. f-'�dyr _. •.. �'T, 'f.L .7' .DUCATION LAW �• .. � a - "'+ �� '�' •'ems �' 4•, .� �, ., ,- •. Y . • • .]j'E ' - OF INIS SURVET IAA►NOT�E .j �. J •• _ 4, - •'� -^ �r _.1I 1 r R-A (:tK.D SERE OR • f. E SHALL Duw �f y' lw�SURVF O -^.,t _ '� � •• a 201,l ' -. -` .'TE/•fROSSFD SEA LL NOT 1E CONSI Ej • ?p N 1{f A VAUD'RUE COPY. T • �• •// 1'ff f: •:���. :6.9 - •. GUACITEES INDItATSD HEREON. .. } "`,_ l���i) � - r• e t 5... s f �- - '_" (ONLY TMi/E:SON FOR S A SUIYl1, 9 •�� _ PREi WHOM • , ` _ �/ , ED,AAG;r3N NiSu TO'TM - t. i L _ .�.• / - , r I i MPANY T"Ll C IGOviltMMINTALAGENCY AMUNDING To 'R -• !• U ' A ' R IMSiiT1R1ON [D IMIdOK AND r _ '(�O • i ..:`'�s ,} �+.. T.. - RNE SSIGNEES OF TY.E-IENDbfC Tb�VT .•• . .:' I. ,•:ti .•. T d -i `TUTION.GUARANTEES A:E .. !!�� �•G r� .•_ .. �,. AOT TRANSFERAREE•. . KEES(_- r a� . �� .r'.'y� '• yw•• `' i ••,., TOO AWT"AL'MiST1FUTIONS OR SUISEQUW . '�.►./ GtJARAI!'1' ED'rD'i'N jSpT.y7�kOC.1'�.. <<' S KIKt I'J;. •NA�OF NArt�3��,>;r:rT'S'£s►�.;FS Ftr.3' ? G: R. �i7T]!E T L AR a e Z, r�:P " . .;; M/+✓t�iA:g�47 �, - AE U {�V�" D.. - ;t.: 5E ptlt. , _ l A ••M. . .�•• , .r _- 'r �'. r _' • r . : t. - ;�,frC; ' 'I• •.�`/�gI'I�s- ;• T�� « i JyL K ' � fi�'�5-1 i1N�.E SCR�•11:RW'1� _�, '. ..: r'+ ,r'• �� �- ..•^. T- ;^ _ �• •� •. a't��.._' • ` ,. ..• _ �_..._. •.:,, - - _ •GKI fv .�, J�.RF_F�f_!C. 1'VKP.rf►iA L _ t . _ 4 r•T" -1..--� J' h'�:i x••'�1••-- ti f f.. ;�/.F"'" t o r -J_ • - .. t E +N;RE_S-FOLi�' '001147Y GLEZWS 0-fFICE_A C VAP!IO.14 _, Z.l...l. ;���JET ['•1 1• f•T��t:'t��NL:�. Et T��Aj'�Ci ✓t:.. ��.h�•'N•w: r:I td: �, r t �• E.1'i�lQ�wii;�1�'`'�� v'L _:.'�'r•` . ' •• - � Cif L tJi~tJL2T N.Y-' � 1 fir �,IrTNrre �6 ZX/6 6 ` we !! .�. ••Try ..' ' '.r•. :,_•M-•'-; ., -�•�•Orj'1Vvt. A. .• .. ffp• , •fi�rr••. . - ,' ."`'•���. YL, �y .,. �r f_ .•• IF IL -pf MI Ir 7. A. t ._��. >; _n' =1 ; �s:• r b.ui ' r. . ► . ;(! .• .mil `iy. y. •- _ Jt , •v� _ �. �•. 4 • V• •� ' '�a• .1. -.w _h1D -.`• , • S- ti i .. '1R:'C �a O •` — rjfx�• T• •�+ .. ,��,' tMAUi110l ALTERATIOq OR ADD;MM r. .-•c i ► -- •_�� . - t`' ',: ';�. t ,L.1�::L,C.L' f • +YTo THIS smveY IS A wounoN a.' • i � F _ - � `, - � ..� '� t _ \ ON 72C0 OF'Tiff WMj 10RK STAT_[ .t. - 8 . I -: 1r r •s ♦ EDUCATION LAW. ► .} �OPIES Oi;nN3 SURveY lyA►NOV SEARRO'_ �. ••,.• . ,,• :�.' - , , - I- - -•� 7 _ ^" :' �Mo SUtViYOR3 I!K:D SEAL OR L ;•A y' { 2 O a i `4 `_LARmSSiD SEAL SHALL NOT K Co dfl) M + -,R, _ i . •! _I .. •� TO kE A VAL1D`IWI COZY. - T r GUA&,�ELS IeDGT'D?t OW SMALL ' ioR wno %64 ��`�,t k. — `7 .6.9• _ — --'"a. ,L ONLY�n+�hso,: M ve n� � T. - p a . - 95... 1 •w 1 IS f91EDA ED, Ta AAy pN NfS fiEllAli f0'11E t i •i - ". - .-� .'. r - /� 'LELiD COMPAN ZO MENT Y, YlIU AL AGENCY AND _ L 3, D I s• ING D!fST UtIoN LLSTED ID.R[ON,AND r a _ ". ,,a.S y• ► - ti. �• �..:''�i.' 'L_ r "+' r.. .TOQME ASSIGNEES Of Fla LEA111410'KSTF ' • - •• : _ VfiCA.♦uT - .. • .:1 �' :7• ":t - , ��- �.i. UTION,GUARANTEES A:E KOT T _ Jw a y� ! . ♦ . •+'. O ADOITIONAI'MLSTITUil01lS OR"Zak -41 a;unRa ;rr -ro t� 'sotr :OLD. -_ '. 1 •NhGeF NARP3:c�,1�1�S E�•��.;ES FCr B' , i :IAR.MIig "+i7T]��T LE UA4A L t7M,p • .�: , .,�*. '• , - �,.1n J h� �,q7 -.� .' _• , - :,• • � A�� 1f D'.: V_#+. CX J` 5-S i1�3tE�5 i QliitlSE sr:C�fCP.r>E wr `�:JS.QF_FEc.'L�M7�Por NA �k;' ` 3FilE +N�i°1E' 1i`F��iZIL ,f ._ 2.f Lf*, A'�� tjt,&?r u— tr)FN I rc,!'MEr. E I T VAI-1C1• '^n :i h7 N'w•'.' ,�41 r L �^ � tSEYsti� ►?v'FY:•.2:5 � OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Now ePPV NOTED~3DATE : P. N T FPAR T AE - - UUU %65 1802 9 AM TO 4 FOLLOWING INSPECTIONS: 7. FOUNDATION - • TWO REQUIRED - ~fl FOR.POURED CONCRETE # t 1 2- ROUGH - FRAMING & PLUMBING " 3. INSULATION ar` PROVIDE OPENINGS FOR IPERINGS FOR 4. FINAL - CONSTRUCTION MUST RE COMPLETE FOR C.O. EMERGENCY ESCAPE AS CY ESCAPEAS ALL CONSTRUCTION SHALL MEET !Y PART. 714 OF THE REQUIREMENTS OF THE N Y. _ REQUIRED BY PART:7140 N.T. STATE BUILDING CODI STATE, CONSTRUCTION IN ENERGY WILDING CODE CODES.. NOT RESPONSIpFILE FOR I i, DESIGN- OR CONSTRUCTION ERRORS,' I I~' p. k - S OF NEW y . b•C P~pCE . TG M' ~{I~Ir a y" - ;20 'A . ~ - t - idt- 16,114 ~P > pep r _ ~ r wJ e...~ R n ~~.rs .v n . a~. a.1..Y 1 n .Y-r . c- .l-. .h v. ~ - _ c W i ~ w ~ 7L 4 F Y G Y 1 1 Aye ~1 _ .I 1 p• u" AS 1'1`77" G - is W b Ai 41 s k c~ t1 of ^vL { i I 72 .t Q id C3 Z OF NEW k i w( wl 1~jiY'~w*~~( t sti -NCE r~r 91' I ~ r W + ~G C co, n FT - RpFESSl94dP k ~ v g] L.r~ tr i +a f v PARTII r,ar1~ _ Ft saqf-,~,r EWE11cy ~nuE nEV1R ' (non-electric) ' ' 7014 (1'nrt 5) 6,000 degrao,alnys Pur_ l.~d`~ UVI t Per Uwys_ V f~ Dated S/'F~„7y+,~/~~/ l? Guvelo f.'oniWOnpuC It-Value - kxLerlov Wall R-lll Itoor/celling II-19 Floor I1-19 Eoundnllon Wall II-IC Slab Edge Insulation n-lu Clarl n9 It-1. 7 EnLrance Doors H-2.5 All IIVAC Equtpnm,t Lo uwet toyulremm~Lo of 71114.11 ~t Jam) """•ti-yr All IIVAC ConLt01 Systems LO Meet tequlremenln or 7014.12 I~~F"x~•~~~1~~5_. L tiJ~5~a~~.~fl t~av~r~ All Uuct Syntcins to n,eat requirements of 7014.13 Ir, All VeotllnLLlg Syntelln to Imet requirements of 7014.14 All Plplog lunulation to meet requImnenl.o oC 7014.15 All SerVlee WnLar. Ileatlug Syntenao and Equllxneut Lo meet 'F I requ/l~teimito of 7014.71 All Electrlc oynLemg to met Lequirements of 7014.71 y;` ' 14 To the best of my knowledye, ~ . - - p be119E, and profesalotial V judgement, Lileae plans are In conllliance with the code - - - - 'j ~ p,~EOarlElvy 4 l.. * R F Ex1TkL~G ~ A. 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