HomeMy WebLinkAbout37439-Z ,i--a:,tic Town of Southold Annex 8/16/2012
P.O.Box 1179
� 54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35890 Date: 8/16/2012
THIS CERTIFIES that the.building AS BUILT ALTERATION
Location of Property: 160 Sunset Ave,Mattituck,
SCTM.#: 473889 Sec/Block/Lot: 115.-3-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/31/2012 pursuant to which Building Permit No. 37439 dated 8/13/2012
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
"as built"alteration for bathroom in basement, bathroom on second floor, deck and stoop additions to an existing one
family dwelling as applied for.
The certificate is issued to Pedro,Mary
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. N198417 12/13/84
PLUMBERS CERTIFICATION DATED
Aut d Si ature
�goFEac,r�o�
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
g 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 #: 37439 Date: 8/13/2012
Permission is hereby granted to:
Pedro, Mary
160 Sunset Ave
PO BOX 1243
Mattituck, NY 11952
To: 'As Built', Additions &Alterations to a Single Family Dwelling;
Baths (2nd Floor& Basement), Deck, Stoop, as applied for.
At premises located at:
160 Sunset Ave, Mattituck
SCTM #473889
Sec/Block/Lot# 115.-3-7
Pursuant to application dated - 7/31/2012 and approved by the Building Inspector.
To expire on 2/12/2014.
Fees:
CO-ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $620.80
Total: $670.80
r
uilding Inspector
Form No.6
TOWN OF SOUTFIOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802 C2a 69-
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Tbis-applicationmust be filled in by typewriter or ink and submitted to the Building Department 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 DepL 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,midtiple residences and similar buildings and installations,a certificate
of Code Compliahce'from architect or engineer responsible for the building,
.6: Submit Planning Board Approval ofcompleted 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 epmpleted 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,
E Swimming pool$50.00,Accessory building$50.00,Additions to accessory. building$50.00,Businesses$50.06_
2_ Certificate of Occupancy-dii Pre-existing guiiding- $100.00
3. Copy of Certificate of.Occupancy-$2.5
4- Updated Certificate of Occupancy- $50-00'
• 5- Temporary Certificate of Occupancy -Residential$15.00--,Commercial$15.00
Date. 7r, 3-® — )Z
vew Construction: Old or Pre=existing Building: (cheek one)
!ovation of property: ®
Housd No. S eet Hamlet =
)wnir or Owners of Property: -j " n6 Z ` 4.i, 6% `0
iaffolk County Tax Map No-1000,Section -%/ Block .3 Lot `7
i"'Vision q Failed Map. Lot:
'emit No. '.j 3 ! Date of Permit.J r3- r Applicant: 12
lEeaith Dept.Approval: N Underwriters Approval:
'harming Board Approval:
request for: Temporary.Certificate Final-Certificate: `'
(check one)
ee Submitted: $
Applicant Sienature
THE NEW YORK BOARD OF FIRE UNDERWRITERS
ak BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK. NEW YORK 10038
oaleDeeember 13, 1974 Application No.on file 684794 N
THIS CERTIFIES THAT 19 417
Ionly the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of~ John Pedro, Sunset Lane, W/side, Reeves & Marratoo Lane,
Mattituck L.I.
in the follotcing location; �] Basement �p 1st Fl. P 2nd Fl. Section Block Lot
teas examined on December 5, 1974 and found to be in compliance with the requirements of this Board.
FIXTURE RECEPTACLES SWITCHES
FIXTURES MERCURY RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT.FLUORESCENT yAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
22 27 22 22
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
1 1/4
SERVICE DISCONNECT NO'OF S E R V 1 C E
METER NO.OF CC.COND. A.W.G. A-W,.-,G. A.W.G.
AMT. AMP. TYPE EQUIP l,�2W 1,6'3W 3,0'3W 3,0'4W PER B OF CC,CON.. NO.OF HI-LEG OF HEG NO.OF NEUTRALS OF NEUTRAL
1 150 CB x 1 1/ '; 1 1/0
OTHER APPARATUS:
Motor/s : 1-1/2hP
Frank Stepnoski
42C Little Neck,Id. , - -. ----
Cutchogue, L.I . 11935 GENERAL R cs
- 11
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.
a
'j-n Hall. 53095 Main Road p
y • �`� Fax (631) 765 5;'
P O Box 1 179 �0 �� Telcphonc (631) 'c>
New York 11971•0959
BUILDINC'DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
lj
Dater
Building Permit No. 3 3 1
Owner: AAaV� ?firo
(Please,pFint) 61MATTITUCK PLUMBING
/ 10680 Main Road
Plumber: u 1 vm _ PO Box1429
(Please print) Mattituck, NY11952
631-298-8393/Fax:631-298-1130
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(Plumb rs Signature)
Sworn to before me this C>'
.i9v of 20
DENISE KING
Notary Public,State of New York
Registration #01K16041757
Qualified in Suffolk County
My Commission Expires May 15,2
Votary Publi ounty
Of SO(/j�,o
couur+,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
lN-SPECTl0N. -'. - . .-
I FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND' [ ] INSU TION
[ ] FRAMING/STRAPPING [ INAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) . [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
FIELD 3NSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) �
- ...........--...-----------------
Qcl
coll
FOUNDATION(2ND) 1
ROUGH FRAMING&
PLUMBING
INSUL•ATION PER N.Y. ,
H
STATE ENERGY CODE
• 4
4
1 AL
# I ROIL 1/56 tv ADDITIONAL COMMENTS
O
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m
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 %' 3 Survey
www. northfork.net/Southold/ PERMIT NO. / 7 Check
Septic Form
N.Y.S.D.E.C.
/Examined �r I 120 1 l 22 Contact:Trustees
Approved_ t—j 3 ,20 f 2— Mail to:
Phone:
Expiration a'— 20_ff r
Building Inspector
E E
D APPLICATION FOR BUILDING PERMIT
JUL 3 0 2012
Date 7- 30 , 20 f�
INSTRUCTIONS
BLDG.DEP1.
a. This ' H e completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
set f plans,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and re lations, and to admit
authorized inspectors on premises and in building for necessary inspections. /
( ignature of applicant or name,if a corporation)
/0434-LCt-CL C' Ret-,11-P
(Mailing address applicant
�co2.0 /Ylcer✓� 9 1 3�a1�
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises /4Ca -t7a z,ear�r eLi �e</-, .v r
(As on the tax roll or latest d ed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whiccch,,,..proposed work will be done: /
House Number Street Hamlet
County Tax Map No. 1000 Section /cS� Block _. Lot •?•�
Subdivision Filed Map No: , ..k Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 5"wr-
b. Intended use and e
occupancy de �d /97�75
.yam ceee� i9eji i 6-�3. Nature of work(check which applicable):New Building Addition Alteration_
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 9/-&Z3.0 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: 11ront Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 10V Rear /le o ' Depth
10. Date of Purchase•/KO 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 NO X
13. Will lot be re-graded?YES NO V Will excess fill be removed from premises?YES NO
14.Names of Owner of premises_ "� "Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO �C
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16.Provide survey, to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF (G
being duly sworn,deposes and says.that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the ,
(Contr ,ctor,Agent,Corporate Officer, etc.)
of Said owner or c W-ners,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.
S orn t fore me this
day of 20
N blic Signature of Applicant
BETSY A.PERKINS
Notary Public,State of New York
No.01 PE6130636
Qualified in Suffolk Cou
Commission Expires July 18,,
WE
WE
BELL GUI
HM WE
WSTALL
MATTTTUCK PLUMBING & HEATING CORP.
TEL. 299-9393 . MAIN ROAD P. O. BOX 1148 MATTITUCX, X. 1C. 11952 NAME
DATE
1�i'°_ cTfl�ll'1 T�Af9'!'[l � '
ADDRESS 10 /8/75
9 08 Z tb- aT SERVI:: : CEMAN 7 e
JOB Flushing, N.Y. 11356
Sunset Lane, Mattituck
DESCRIPTION
CONTRACT
TIME
6
MATERIAL
P1umbin as per agreement $1570.00
ea ink, as per agreement 1240.00
Cellar bath as per agreement S 385.00O i 160 n00_ord
fixtures in cellar 18.00
Sin &; t� in cellar. 195-00
-� 2nd floor bath fixtures LL73.00
Fier — �0.00
Well & suction line 100 0
Price adjustment ®00
37097
COPY OF INVOICE #00125
J®B
7STOpmS COPY
B. P. 3 7 q 3
BUILDING PERMIT EXAMINER CHECKLIST Date Submitted. 7-3o-IR Date Reviewed:
r
P
Applicant: �' �� Owner: � - G
Architect/f&gin-eer: Estimated Cost: S�
SCTM# 1000 - 7 Subdivision: Zone: Conforming?
Property Address: ( b 0 �� City: Pre COs?
Building Permits (Open/Expired): BP -Z/C/o Z- ,Info: BP -Z/C/o Z- ,Info:
BP -Z/C/o Z- , Info: BP -Z/C/o Z- ,Info: BP -Z/C/o Z- ,Info:
Single& Separate Search Required? Y otWDetermination: STORMvNl1. _:RIA[4-
REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov: 010°jo ACT: Lot Cov.
REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear ' PROP. Rear
REQ. Height. 3 SS ACT. Height R E c;�, 6oTH SIDES A G T
� � G i r o- 3 r
Project Descrip ' n: a 1�' 04
Waterfront! o N9
If yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance:
ADDITIONAL APPROVALS REQUIRED QLq Al S(4) SIGNED, SE/#LED 0k5QRVEY DR 161 f - °k
Suffolk County Health: Y o1�N If yes, *Bed#: *Date: _/_/ *.Permit#: Town Septic: Y�
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PRF_DEC 9/1/75 Y oG Date: —/—/ Permit#: or NJ Letter- Notes:
Southold Trustees: Y oro- Date: /_/_ Permit#: or NJ Letter-Notes:
Southold ZBA: Y or& Date: / / Permit#: -Notes:
Southold Planning: Y orC!D- Date: `/ /_ Permit#: -Notes:
Town Landmark C of A: Y o]GDTE: / / *NYS CODE Compliance(page 2): Y or N
CoNTRA<T,ok 0ce-w-5 CoMA�N,54-rlow —
Notes: ,..
Fee Structure: Calculation: i
Foundation. S9 SF ' X $
`First Floor: SF + Initial Fee: $ a-0 0 , 00
\Second Floor: SF +Additional Fee ( : $
Other: SF SF X$ , _$
�\otal: SF +Initial Fee: $
+Additional Fee $ 310
-. C of o FEE E� �SO,DO
AS B t1 I LT FEE ®o TOTAL: $ � '
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load:20 Wind Speed: 12OMPH Seismic Design Category:B
Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M
Design Temp: 11 Ice Shield Underlay: YES Flood Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FME AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: YIN
HEADERS: YIN WALL STUDS: YIN GIRDERS: YIN
CEILING JOISTS: Y/N FLOOR JOISTS:YIN ROOF RATTERS: Y/N
LUMBER SPECIES AND GRADE: YIN
WINDOW AND DOOR SCHEDULE:
MISSLE TEST REQUIREMENTS- Y/N
EGRESS 5.7 S.F.: Y/N #
LIGHT 8%: Y/N
TENT 4%: Y/ICI
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FUUq- PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: YIN
.ENERGY CALCS: Y/N (KES CNEC K)
TOTAL COMPLIANCE? Y/N (RETURN TO PAGE ONE)
P-111
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..'f. •J;4f fG V "!}}' `. } !"'. ,1 - +lNAU7HOR{�ED LTC TION OP AD54
T0;7h75 SURVEY S A YIOLATIO Q
1 SECTION 7209 O THE JEW YO $T j
t t� EDUCATION LAW
�OPlCS OF THIS S YEI. AP NOTeGE F
w 5 1 � TI{E LAhD 5U8YcY0 !nh D.SEAL>O
Eh1BO�SFD SiAL SHALL NOT BF CON51 E
fj t F 7q GE A YALlD Tf UE,COPY
t. (� Gt3APAhT[FS lND1C�7ED HERE SNA
THE,F SON FOP t(H hC:'1'N
�. Aj �5<PPEFAGED; AM OM TO MA F:T0 7
�'ITLa COP1Pr\\Y uUyEit MEN1A GEh
� - I.NDING fh�TiTUi10N LI°TED HEk'EON{l.
''£ '�„ 'y � #t?7°!E ASSlt"sNtES OF THE L@NDIPlG Gti
I ;UTtQN GUARANTEES F\.4E NOT T,
0O I.ARITlQNAL lhSTi7U7lONS OR
} : C- .
. VIN�FSi
IG't +f7tt��V Sa�MSl: E` ►;t }�Q i ` '(i,�
13k'"k dot 14t a s'S>
.ar
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17 .59 16 4
Q 4� 5.85•g0'SO"wV"
• �' �� L ,gND DF I
JN UTHORIZED ALTERATIC N OR ADDTTTON 0
TO F75 SURVEY 15 A VIC I NON OF V -
SE ION 7209 OF THE NEW ORK STATE
ED ATION LAW.
CO 115 OF THIS SURVEY A NOT BEARING
'Im LAID SU'V:YIWS IN E SEAL OR m
EA.1 E CONSIDER16 1
TO 5E A YALID TLU=COP . N
•GLh RANTEES INDICATED HEREON SHALL RUN
OC!Y TO 1HC &L SON FOR WHOM THE SURVEf w
IS f'E.ARED,Ai:D ON HIS G:HALF TO THE ��O�' �QTY V
• TI7 COMPANY,GOVERNNAENTAL AGENCY AND. MA P DF
•LEN ING INSTITUTION LISTED HEREON,AND f�
TO HE ASSIGN' OF THE LENDING INSTI• S U Q VE YE V ���
TUT N.GUARANTEES ARE NOT TRANSFERABLE j f //�� —•
0 WDITlONAL INSTITUTIONS OR SUBSFOUENj �/� / /. / �/I�� /��� y T/� �•� /+��:�+:i
w rzs� ,✓i/e • Ar DATEEB 10 1975 H. D. REF. �.
/V!A-rr 'ru,L k
osal and ,.rater supply
! i�wl� OF 5O(f 1*T�+� 6/l�T 1;113.s 1.0CFition ha..re been
inspected by tf1 s ucPal'cmen and fe Lwd
• _a
•,;,::�• o..J�` /1.9ia�,e/ :Co be satisfactor � -�f
w,/
Chiof Of General Engineering,
Services
Area = 0.40Z acrer.•rrvorcmfeed to Tho 7741t 6var4rrMp
CompD1°y .as sur►ro +ld (CKJ 16,19`4,
Scd/w . �40'•/" RopirtocK VAN 'TI.SYi., P.C.
' rr►O19uM4�'ft Q= we
OcerTSQd Larsd 3urY�eyorl
• * lrorr Pipe -o-= ces,Psa/ Greamport --- A tw Yorke
Ties N= IL�o91�C�.. .
w�
V Juniper 1-3728
n1aaw- tnq
L,ABOkATOk1E INC. '
260 ISUP AVENIIE,'IS1JP. N.Y.----
APPROVED BY NEW YORK STATE DEPARTMENT OF HEALTH
LABORATORY NUMBER 574324 COLLECTED BY (He GOMMM' ' DATE COLLECTED (5/21,14)
ADDRESS (.41n8Bt Lam, T4ata".ltuck. N.V. DATE RECEIVED 5/22/74
'j o N-r.S P vz�a—(a DATE REPORTED 5/24/74
SAMPLING POINT Mold water to
NAME(Hattituck Plumbing & Heat, PedirO) SUBMITTED BY 11e 530'dTan
BACTERIAL EXAMINATION PHYSICAL EXAMINATION >
Bacteria Per ML. Test for Coliform Group Color PPK Turbidity PPM Odor Cold -} Odor Hot + i
Agar Mfe C-24 Hrs. M.P.N. s Per 100 bU-
lass that 2e2
CHEMICAL EXAMINATION - RESULTS IN MGM. PER LATER _
iron (Fe) 0e03 Ammonia Free (as N) 40sygen Consumed (0)
Manganese (Mn) W Ammonia alb. (as N) _ Chlorides (CI) 42e0
Carbon Dioxide (COP 8� Nitrites (as N) Hardeess, total (as COCOS)
Fluorides (F) :in Nitrates (as N) 9e2 Alkalinity (as GCOS)
z
V Detergents Plane found pH value gel
Most Probable Number
-Very slight. 2-Slight, 3-Distinct, 4-Decided, 5-Extreme BERNARD NEWMAN, Ch.E, PhJ), Director
1
•1,rT or
dEc� �
&.3
I,
-01T�s�, ,P t Il
.D ,DEN -
tNY
i r
s
D
c.o. n� ,Z (.�ag - ,J4� 1 - 1975
a. CTR/Gd� sf�iyS
' _. ._..._ 2nd Floor__
- Zo Z
1St Floor
:4
it lot%
YC
ELECTRICAL
7� -�'_7 '� lcl4e, 4061 INSPECTIONREQUIRED
AT /7/2 . SAAIfE
c� 1=/ ,ct PLUMBING
7¢ PLUIL".BER CERTIFICATION
i ON LU D CONTENT BEFORE AI.L,PLU"1,n!NG WASTE
Note: All finishes and addition were done in accordance CERTIFICATE,OFOCCUPANCY &WATER UNESNEED
r i With the codes of time of construction. � � .. TESTING e5FO�IE COVERING
SOLD�.,R USED IN WATER
• SL1pRLYSYSTEM'CAIVNOT AP^0"' J KS NOTED
01 EXCEED 2/10 OF 1% LEAD. Tc$ N3' a P. #
_
-- - - —
_ COMPLY WITH ALL CODES OF F` —`-�' $-BY
- NEW YORK STATE & TOWN CODES _ _F� �''" DEPARTMENT AT
0L = FO a PM FOR THE
AS REQUIRED F F t:. : W!N ,N PECTIONS:
>HOLDOV4'NZ �l - -cON - TWO REQUIRED
i R J ZED CONCRETE
SPLANNING BOARD 4 �' ikn-FRAMING,PLUMBING,
S`RA.:PING. ELECTRICAL&CAULKING
SOWNT :� INSULATION
4 FINAL•.CONSTRUCTION&ELECTRICAL
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
i T
DESIGN OR CONSTRUCTION ERRORS.
Tax Map No : 473889 115.- 3 - 7
_ DATE: -26-.12
QED AR PEDRO RESIDENCE
°�2 160 SUNSET AVE.
Basement . MATTITUCK NY'
p:V ,6191.5° •-�® CHORNO ASSOCIATES
QF• S at �.�- architects.
SOUTHOLD,NEW YORK