HomeMy WebLinkAbout38398-Z �o�gUFFOtKc�Fi Town of Southold Annex 10/20/2013
3 P.O.Box 1179
y 54375 Main Road
oy Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36571 Date: 10/18/2013
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 2740 Main Bayview Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 75.4-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/13/2013 pursuant to which Building Permit No. 38398 dated 10/9/2013
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:
existing shed converted to non-habitable laundry room with sink"as built"as applied for.
The certificate is issued to McConnell,Geraldine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38398 190/3/13
PLUMBERS CERTIFICATION DATED 10/18/13 Fa wski/Smith Plumb&Heat
76,ri&ed S6ature
�WFOl,fco Town of Southold Annex 10/20/2013
o Gyp P.O.Box 1179
54375 Main Road
dy • �� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36569 Date: 10/18/2013
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 2740 Main Bayview Rd, Southold,
SCTM#: 473889 See/Block/Lot: 75.-4-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/9/2013 pursuant to which Building Permit No. 38399 dated 10/9/2013
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"bathroom alteration in an existingdwelling welling as applied for.
The certificate is issued to McConnell,Geraldine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38399 10/3/13
PLUMBERS CERTIFICATION DATED 10/18/13 Falko /Smith Pdumb& t
/— -A-e�"
Auth Si ure
Town of Southold Annex 10/20/2013
y P.O.Box 1179
54375 Main Road
`i%^,� • Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36570 Date: 10/18/2013
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 2740 Main Bayview Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 75.4-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/13/2013 pursuant to which Building Permit No. 38398 dated 10/9/2013
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:
existing_garage converted to unheated pool house/exercise room and pool pump shed addition and outdoor shower stall
"as built"as applied for.
The certificate is issued to McConnell, Geraldine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38398 10/3/13
PLUMBERS CERTIFICATION DATED 10/3/13 Falkow i/Smith Plumb&Heat
'__� )_ ;44�
Aut Si ature
o�SUFFnt��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 38398 Date: 10/9/2013
Permission is hereby granted to:
McConnell, Geraldine
2740 Main Bayview Rd
Southold, NY 11971
To: as built" alterations to (2) Accessory buildings as applied for
At premises located at:
2740 Main Bayview Rd, Southold
SCTM # 473889
Sec/Block/Lot# 75.-4-21
Pursuant to application dated 9/13/2013 and approved by the Building Inspector.
To expire on 4/10/2015.
Fees:
AS BUILT-ACCESSORY $531.20
AS BUILT -ACCESSORY $328.00
CO -ACCESSORY BUILDING $50.00
CO -ACCESSORY BUILDING $50.00
Total: $959.20
Building Inspector
FFo-t,r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
12, TOWN CLERK'S OFFICE
cn o • SOUTHOLD, NY
y,�014f
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#: 38399 Date: 10/9/2013
Permission is hereby granted to:
McConnell, Geraldine
2740 Main Bayview Rd
Southold, NY 11971
To: as built" bathroom alteration in an existing dwelling as applied for
At premises located at:
2740 Main Bayview Rd
SCTM # 473889
Sec/Block/Lot# 75.4-21
Pursuant to application dated 10/9/2013 and approved by the Building Inspector.
To expire on 4110/2015.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $438.40
CO -ALTERATION TO DWELLING $50.00
Total: $488.40
Building 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$15.00
Date.
New Construction: J Old or Pre-existing Building: ✓ (check one)
Location of Property:?4l 4 1 MA�1� AAV V� CA
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000,Section Y73g8''9 7: �i}'-2131ock Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
/ �
App 'cant Signature
o��pF SO(/jyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roger.riche rtCa)-town.southo Id.ny.us
Southold,NY 11971-0959 .c`
��y�OUNT`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Geraldine McConnell
Address: 2740 Main Bayview City: Southold St: NY Zip: 11971
Building Permit#: �` � of Section: 75 Block: 4 Lot: 21
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BJ Electric License No: 2670-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat oil Duplec Recpt 51 Ceiling Fixtures 16 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 13 Wall Fixtures 16 Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO Detectors 2
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt 1-30 Emergency Fixtures Time Clocks
Disconnect Switches F49 Twist Lock Exit Fixtures TVSS
ROther Equipment: whole house survey to include main house, pool house and laundry room,swimmir
pool was done on another application.3-paddle fans,2-exhaust fans
Notes:
Inspector Signature: Date: Oct 3 2013
81-Cert Electrical Compliance Form.xls
Town Ha{(, 53095 ?fain Road Fax {516, 765-1823
P. O. Box 1 179 Tetephone {5.6, 765-1802
Southoid, New York 11971
OFFICE OF THE BUILUNG INSPECTOR
TOWN O SOUTHOLD
CERT IF I C A T 1 O N
DATE:
Building Permit No. i� U 3 `�
Owner: �e�(o�\C1�`ne 0cCnn � 11
(please print)
Plumber "
'J i'��`� ���i✓�� ���J -�ftS ��
(F;Iease print)
I certify that the solder used in the water supply system
contains less than 2/10. of 1% lead.
Y '
(Plumbers Signature)
i1A
Sworn O before r-h *S LyNbA M. to of No
NCtery Public,State of New Yoh
No.01 RU6020932
C— day C=i CommisCualifision
x Suffolk County Z
Commission Expires March a ZO�-.S
Votary Pub7iC, county
�0��0 Ulyolo
??2�-
coutm,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: '
DATE 10 ` 7 13 INSPECTOR
DF �Ur
�o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] �INSL-ATION
[ ] FRAMING /STRAPPING [ FINAL 2-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: C
DATE 1�9 1 ;7 1 J INSPECTOR
FIELD INWASN MP MT DATE CON Il mms
FOUNPA17ON(IST)
• ,ram
F (2ND)
ROUGH FRt N:C Q& Q
PLUAMING
]MULATION PEIt N.'Y'.
STATE ENERGY CODE
zz
FINAL
ADDITIONAL COMMrNTS
�m
C�
FIELD RWROWNOI�T DATE CONIlVIENTS
W�FOUNDAtION(IST)
FOUNDATION(2ND)
z
ROUGH FRt),lYMQ&
PLUMING
IN6UIyATION PE12N.'i'.
y
STATE ENERGY CODE
. y A
r I AL
ADDITIONAL COMMENTS
90
. . . � m
O
�(JJk y�
11
►•f
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 �3 Planning Board approval
FAX:(631)765-9502 Survey
SoutholdTown.NorthFork.net _ PERMIT NO. % Check
E ^ eptic Form
D IIIVJ" .Y.S.D.E.C.
rustees
�,,,,� food Permit
Examined _J4 20_ „�,p torm-Water Assessment Form
�� SEP 1,3
Approved 20� ail to:
Disapproved a/c
BLDG. DEPT. J
TOWN OF. DEPT.SOUTHOLD one: 3 � ���
/
Expiration 2 01-S-
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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 regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of�ap�pl2cant or name,if a 6rrpoat�on)
2� j lAv Vjpif ra
(ldl _
arlt—ng ddre ofapp rcant
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premisesMC— CDq , E112W-�MN14L—'
(As on W tax—roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No. [ 5MI b J ^M r
Electricians License No. ^ ELECT e—tc
Other Trade's License No. C;M C e) G�S
1. Loocation ff hand on whi It oposed work kill bed ne:
u J
House Number Street Hamlet
County Tax Map No.1000 Sectio Block Lot
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
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration 45
Repair Removal Demolition Ot er Work
twy-tz,t escription) any ljc 'j,
4. Estimated Cost� Fee .2007 cunt.
(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.
rC�tt r // ll ( N �� t•
7. Dimensions of exist�g structures,if any:Front e..J l�pat• Depth
Height 1 to of Stories 1 ��tthli�!� `v
t rt {�15
Dimensions bf same structure with alterations or additions: Front Rear r
Depth Height Number of Stories .
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Fro (nk Rear Depth
10.Date of Purchas .2Z.7 'me of Former Owner Nj[h[l 4 'Kj NAM I Go F)�
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO
13.Will lot be re-graded?YES_NO Will excess fill be removed from premises?YES_NO_ --.�,.�
14.Names of Owner of premises0=. &k_E &Ubdress2l one Noto& • [4 16
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
*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.
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 OFF
Gg&L.*b)Nt,: 1 U Ll._.JC! LKE �eing duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the
(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 efore me th' ,
( day of 20J r
Nora�y Public V(C�TOTH Signature o Applicant
(Votary Pu c S!a of New York
0696
Qualfied in Molkk Count�yy
Commission Fxpires July 28,2D�Uc
�o��Of SO�lyolo
Town Hall Annex J Telephone(631)765-1802
54375 Main Road N (631)765- 5
P.O.Box 1179 OQ ro er.richert 1'o`wn.south�o�d.n .us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.- 70
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: O'fsW,67 6 Z I/V O
*Address:
l�rL�
*Cross Street:
*Phone No_:
Permit No.: -�—
Tax-Map District: 1000 Section:� r Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
_-_____z�'�/i'L ..��/2✓ram _—.,.
(Please Circle All That Apply)
*Is job ready for inspection: YES/ NO. Rough in Final
*Do-you need a Temp Certificate: YES/ NO
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
.82=Request forEnspection Form
a J �
MAP OF P 2G P EFZTY.
sTEP1V05Vi f�6 s.JtlweyE�i FOR
kf3:0
JOH
AT
Qee _,�►"_ o N SOUTHOLD
h r TQ1NN OF SOUTHOL D N.Y,
-----
it
J
N%k= STEPosktr
E.
ck
M
+Yx i ri u: w
f�1D
} 5i4U5 LQAN£ �NE
' m�! �y ,,; IAHIiTkF ACfT y P
SEFI T
cSL<FF2FITA:;CQDC}. JZ5 *L: Yanmra�a„_ M ^� ,�� AS St1REEi
`5 s ti
Y' v-011�n 1 Wo
coy ..
":—.8 ss �kk� � � q ,ems � �� � >�
ar!
17.
LLGLAt4fl St.1R�'l�vf
s
N/F ROSENBUSH/SMITH SURVEY OF
173.00' CONC DESCRIBED PROPERLY
N 84-45'00"E MON SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
MONO W SUFFOLK COUNTY, N.Y.
U1 6)
O° SURVEYED FOR: GERALDINE McCONNELL
o• �• ,� TM# 1000-075-04-025
o FRq Ay 2�S
.5' 18.4 4 OAF GUARANTEED TO:
Q �'ORc�'EO GERALDINE McCONNELL
ti SMPR ABSTRACT
U FRAME STFp o ry `39 4 CHICAGO TITLE INS. CO.
SC CITIBANK
GARAGE I �3 ��
Z 2� 3S STFoS STFi�s
o
N Qj
N CD egRTy a
z ,-t
M,
SURVEYED: 10 AUGUST 2005
CONC
MON CONC
MON SCALE 1"= 20'
S 88`26 00 W 129.00
AREA = 13,513 S.F.
OR
N/F CROTEAU 0.310 ACRES
GUARANTEES/NDIC47ED HEREON SHALL RUN
ONLYTO THEPERSON FOR WHOMTHESURVEY 0)
IS PREPARED,AND ON HIS BEHALF TO THE N SURVEYED BY
7TTLE COMPANY,GOVERNMENTAL AGENCY,
STANLEY J. ISAKSEN, JR.
LENDEASSIT/TUTION,lFLISTEDHGINS7AND P.O. BOX 294-
TO THE ASSIGNEES OF THE LEND/NG lNS7TTUT/ON.
GUARANTEES ARE NOT TRANSFERABLE TO /� ..
ADDITIONAL/NS7TTU77ONS OR SUBSEQUENT OWNERS. NEW S U F O LK. N.Y. 11956
/ 631 -73 —5835
UNAUTHORIZED ALT(R1710N OR ADD/T/ON TO THIS
SURVEYORA VIOLA77ON OFSEC77ON 7209 OF
THE NEW YORKSTATE EDUCA77ON LAW. R ACE
COPIES OF THIS SUR VEY MAP NO T BEARING ►ATE _ __ f
THE LAND SURVEYORS EMBOSSED SEAL SHALL BA ENSEQS U O R NOT BE CONSIDERED TO BEA VALID TRUE
COPY NYS Lic. No. 4927 05R 1429
p -y-
j --------
o ti
OCCUPPA
P N CY
IS
UNLAWFUL
a �
/ i l i�• /®/�i*�� k
us
%, w@ez� �
SA/d we ' .
pLuMBIN
Mty pb-u-3 NG WASTE
' �f�; Ei LINES NEED ( uc
�' APPROVED O'ED AS NOTED p
� T BATE• 10 g �� B.P. #���p � is kC'Sl5���'it
FEE:s'VILY-0- BYA_n__�t
p�UMMSER�CERT1Fi0-AT10N _ NOTIFY BUILDING D PAR:MEN n- Stf
D ' ENT BEFORE 165-1802 8 AM TO 4 PM FOR Fi
FOCCUPANCY FOLLOWING INSPECTIONS:
EA1. FOUNDATION TWO REQUIRED
SOLQ�. R•U WATER FOR POURED CONCRETE
C/�NN07"'
'Vt i 6� 2. ROUGH=FRAMING,PLUMBING,
a ,
SUPPLY o STRAPPING, ELECTRICAL &CAUL'.IN O d
EXCEEDI 2110 OF 1 % L6 INSULATION
l d. FINAL CONSTRUCTION &ELrz �RICA
MUST BE COMPLETE FOR C 0 w
ALL CONSTRUCTION SW!1 I,,IEET THE
REQUIREMENTS OF C G r+._t Fp
YORK STATE. NOT RESPOl 1
Si R Sl�N��
08,81 0 OR CONSTRUCTION ERk6f,5.
If
axe axco cedvr
' bolts "o� C
Te c v To
�� p2 x y
i
cc
fl i
i
/� x a d, a
jr
( j
�. d X g l r����
__.
GXG
ti
051684
0�
I .
Pro Ve
5 1 Mk)
x 1.5 r/49
. .3 av e r PIP,
e
f
7F
^�. Ah �r 1
FQ05168 50M P
U � -
i .
i
le ell,
J-JCA-�
da
el CW
eam
oll
I
d1u
69 X� •• �(� ��:� f L,f. Go/'�in�
-�
gx
9
T
051 4 ��� 0 0
ROFESSI0
Exit s—i r►`i Ct (4A'RA�-9— •
U W EN TEA
Car\ivF-)2ix-� 1-0
2
2 MA f
�x �a ,� r� Are �, wl.� E-��
3 - (�03 - v
DATE /e t3 B.P. # 3; $
pp � .
FEE: v_��_`?1BY
NOTIFY BUILDING DEPAr r{fin tyT J-
765-1802 8 r1V1 TG 4 PPS FOR I 1 kc '�-rt; 1
' FOLLOWING INSPrC1aONS
FOU�lDATION TUVG
FflR`ROURED CONCRET 4 k jt
ROUGH FRAMING .P!UMBING
.:
STRAPPING .ELECTRICAL&CAULKtItG
E1NAL CONSTRUCTION &ELECTRICi Y
-- ,'MUST;BE:COMPLETE`FOR C.O ;� =
4 L PJ'=ET HIz =r Ll CONSTRUCTION SHAL
REQUIREMENTS OF THE CODES 0. �NEB'
s ORK STATE. NOT RESPORSot ^'
ESIGN OR CONSTRUCTON ERRO:r":S
OCCUPANUY OR
USE IS UNLAWFUL
VVIIMHOUT
HHH 22 _
---- - - (XT
ov n
O� s/ T YTA�; E7FE,SOl1�kl ,l�
PO i BUiLLAA s uc 1ENT
So hoidBN.Y.179 11971
y
�a" ,
�0 C e c/c/ r Shrl 0
`
NEB► yo
s. r . .._... .. -.. ...-_ ...•-_....._... -_ ,... ... ...-.✓ /e•. ram.rn - a ..'.Nf.�.i J'.�.,.. x.>.e.t+r-. � �... ._.. .. :,:.._; ..r_.._,s.r.:r - --. - ...,.:.��. s-..._.,_..�..�_.�SM-nw�..s r-,.--:.w -•r'.i' .c.:.-'.�r��'_:s��saw�- .x`W'. .�s-,.av�� �'re-.. ..✓.;�. r -,F>= >•r.�x_��m_. .....,w..,l,� ,-.-L��...., <.., ,
71
2'7y� 1�A t dot ?�A�!v � �, e ti J t�E.3j LhQ A 1 tail A
-
,p i
lA
i
to 11
r
p
a _r p�,� • ' � .Y�_ �� � 3 -._.__ _.��.._�_�_ \\• `` `ate. �•
1 X i9re
j
E'e 7,
Jet
s.4
rr
C� Cf ,'lt� r , , of i .
..per � e � f�_-�-�.J`�.__��'Z--..� /L'�'� ��a_.-•.-......-'L...�t./�--•.p ^_^`•:`,s:._�.-...�'�✓' -/- '�•--^---L.-.__�---'`� :i �+ �'
or
NEW
Wil�ite C 6 h a n erl
424
P� Io �.
00/
84
rl
R�FESS�Q ! rd e
-- -----. .___�.. .._--______. =.�-_..«- ��_.___s,.-ern...-v>------.=-'--=°:�'�;-�.�:zn.:x::�•s�_.__:..;---='-.= �. .'�_ ,iv-�-:-�-�-n-^"."'-... __. _._.,..__.._�.-___..- , .,_.�..____.w�._.,�.-..y... r _,.
��,�/� L!� ►►mot 1�1��,�rv� A� �
i
.-sue .. . ... . , .. . . _
�y 1
,
}
3
lot
or
1 _ 05
ROFESS%O\
U w1n c/o w
6A RA
1
I
I IFrig ,
der
toll,
r
1 '
_ ' t °
Ci
o 0 x �
JFQ S 84 c� ---- - — -- ----
SS10NP� ' . -- -- - - ----
` Ll o. r ,�r�a i3�ycI, t,� �►Sov►
x o 5 _
pm
0:0 a
•
SIP r)
f
�, IA
3
. ; �' �X8 Ga��oy�, ��'�s _• : - a ��-ens
-� ;-
/xa�/�
rop Pare
Rol
do
Cella� � 'f � • "/�rc��' ��d'i�
eoes -
.
-3�yrqr ry, w_1 oc. i�����9
-_ --------------- aX(o a to X.6. /¢ ,���` . Wilt /=ace .� � � i pFNEWA
L e.c1 I(o''o.
/0 a
684
pRQFESSID
------
r ,
/ IT I�G� Per
*4 wo
f/y
yv
Andersoh
07
6 el �3U'a rc�
r=
CIO
-71
i n
a S4. \ I
m.cn
LAY_ U J) rij
1�
CO
rn
NE rn GO
��•� C �, p - O i Z C7
-ni 1; ���) pym0 ..� y O .
in i�n
i. zt�Ri
05
ON
rri
. NN /ti j./'�f( ..w.•�3 .Ys. ^`�.s�F�.nt%^:g� ,��-.�. ���aw�1€S?Cr n_.. �.v,......_K�`J�y.. _ .". ...
7-IPo
�O
-,P
da
aCA
�
ol
Pf, � U
06T . 1 1 2613
r
i BLuC DI PT.
ITH000
•
t