HomeMy WebLinkAbout45497-Z �o�ag�FFOl,�coG Town of Southold 6/29/2021
P.O.Box 1179
W + 53095 Main Rd
Gy�jo� �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42131 Date: 6/29/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 800 Laurelwood Dr.,Laurel
SCTM#: 473889 Sec/Block/Lot: 127.-7-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/24/2020 pursuant to which Building Permit No. 45497 dated 11/24/2020
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:
accessory in-ground swimming pool with fence to code as applied for.
The certificate is issued to Boyle,Gerladine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42568 8/9/2018
PLUMBERS CERTIFICATION DATED
th ze S afore
ofMotTOWN OF SOUTHOLD
c��y� BUILDING DEPARTMENT
y 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#: 45497 Date: 11/24/2020
Permission is hereby granted to:
Boyle, Gerladine
800 Laurelwood Dr
Laurel, NY 11948
To: Construct an in-ground swimming pool as applied for.
Replaces BP#42568
At premises located at:
800 Laurelwood Dr., Laurel
SCTM #473889
Sec/Block/Lot# 127.-7-7
Pursuant to application dated 11/24/2020 and approved by the Building Inspector.
To expire on 5/26/2022.
Fees:
PERMIT RENEWAL $150.00
Total: $150.00
I napaet6fr
�uF�cK, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C21 Z I
TOWN CLERK'S OFFICE
�y • 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#: 42568 Date: 4/13/2018
Permission is hereby granted to:
Boyle, Gerladine
95 Lockitt Dr
Jamesport, NY 11947
To: construct an in-ground swimming pool as applied for.
At premises located at:
800 Laurelwood Dr, Laurel
SCTM # 473889
Sec/Block/Lot# 127.-7-7
Pursuant to application dated 4/10/2018 and approved by the Building Inspector.
To expire on 10/13/2019.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
•
Buildi g 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: ;�bc_Old or Pre-existing Building: (check one)
Location of Property: gvU L.RuZL_ZGvta>> '7T1. Z/701762-
House No. Street Hamlet
Owner or Owners of Property: —zoyi.E
Suffolk County Tax Map No 1000, Section /Z;7 Block Lot e)7
Subdivision 1_4*A&4--1Lx;7 Filed Map. Lot:
Permit No. 2 5(P Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: Vl (check one)
Fee Submitted: $
pp scant Signature
%3V SO
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 ® CoQ roger.richert(-)town.southold.ny.us
Southold,NY 11971-0959 ®��c®U
N V
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Gerladine Boyle
Address. 800 Laurelwood Dr City: Laurel St: New York Zip: 11948
Building Permit#: 42568 Section 127 Block: 7 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc License No: 4814-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 2
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks 2
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment: In ground swimming pool to include, bonding, 3-GFCI circuit breakers, 1-pool purr
I-Polaris pump, i-pool light,salt generator
Notes-
Inspector Signature: Date: August 9 2018
81-Cert Electrical Compliance Form.xls
Of SOUTyO�
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
,�Z.<Z'z
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
\�N v -11
a
DATE INSPECTOR` ,
# # TOWN OF SOUTHOLD BUILDING -DEPT.
�Y�OUNI i,� 765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATIOWCAU
[ ] FRAMING /STRAPPING [ FINAL`�� o
[ ] FIREPLACE &,CHIMNEY [ ] FIRE�SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Y� P'l
DATE (PIVS(WA INSPECTOR
y5 `iq -
�o��oP souryO6
# # TOWN OF SOUTHOLD BUILDING DEPT.
• .ao
0ourm, 765-1802
-INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] IN LATI N
[ ] FRAMING /STRAPPING [1,14INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
1 ZC04 u IJ
(v )_sw V�czD�_,d
DATEY[ INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (IST) y
------------------------------------ -
U'
'FOUNDATION (2ND) N
7-1
ROUGH FRAMING& H
PLUMBING C
INSULATION PER N.Y,. H
STATE ENERGY CODE '
i
tA✓ t � Y vc
J
FINAL
ADDITIONAL COMMENTS
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T \3 \Z
4 1 6-Ua 6
YO-�I
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I •
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans V/
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 -) (� Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application/
( Flood Permit
Examined '20 Single&Separate
Truss Identification Form /
Storm-Water Assessment Form
Contact:
Approved / ,20 Mail to:
Disapproved a/c
' S
Expiration ,20
.
Building n for APR 1 0 2018
APPLICATION FOR BUILDI B"Ii`�'' G
TOWN OF SOUTHOLD
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 applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
71ZAe>y12
Name of owner of premises �i2l�z Di,✓[� 3vY��~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly a—r zedice
,!5uC,ctiz
(Name and title of corporate officer)
Buildersticense No. /S-1z,>/-1'
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section Lot/-);7
s
p ;1 ,�J .,::i•.E s.J ai,;.t,.. (ilh?�. YI6":'9'n� —�
Subdivision 1,UILs iV Filed Map No. 5�j�'S Lot23
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 0,yl: gWi
b. Intended use and occupancy, 4/e 7w
3. Nature of work(check which applicable): New Building AdditionAlteration
Repair Removal Demolition ther Work_ /rt/-�,Zcxl;,�
(Description)
4. Estimated Cost ff/&ouO 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 7D ' Rear Depth y, 3 '
Height-
, ; Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth - Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height` Number of Stories
9. Size of lot: Front Rear_ Z5 ' Depth �Y6
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ��5i7e i�L
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 premises6e,-T/ /;,,,Ac-- Address 940 P.?, Phone No.G31 779- 3/Zp
Name of Architect Address Phone No
Name of Contractor GyrfiK puts i_yv Address g eL ,A*,a Phone
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 NOS
* 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 N0_
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF 1,
__v, I
being duly sworn, deposes and says that(s)he is the applicant
(Name—of individual signing contract)above named,
(S)He is the ��)V1 J--e�kr—
(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
day of y y 20
SARRM M BORN
State of New York
Notary Pu lic No.01806317038 Signature of Applicant
Qualified in Suffolk County
Commission Expires Dec.22,2018
( _
sco%- A. Russell ,��°SU�gy�z �T�O�)[���J[\�vA\�C')E)E�
SUPERVISOR 0 z �1/)C.A\�A\�G�)E��JC]E1 �C'
SOUTHOLDTOWN 13ALL-P.O.Box 1179 O_ Town O f Southold Main Road-SOUTHOLD,NEW YORK 11971 OC3'
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
- -- - DOES THIS PROJEGr INVOLVE ANY OF THE FOLLOWING:
1
(CMCK ALL THAT APPLA
Yes No
❑0 A. Clearing, grubbing, grading or stripping of land which affects.more E
than 5,000 square feet of ground surface.
❑[� B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑W-C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
D_ Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area. `
EJ[A E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
[1CA F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP'. Complete the Applicant section below with your Name,
isignalure,r6ontac�Ini'oxmatior�Date-&-Gonnt-y-Tzx-Map-Numbex! ChapfeF-23�-does-nuirappl.,-to�u�pto.}ect.
If you answered YES to one or more of the above,please submit Two copies of a Storm-water Management Control Plan
and a completed Cbeck List Form to the Building Department with your Building Permit Application.
S.C.T.M. 4: 1000 Date
APPLICANT: (Property Owner•Design Professional,Agent,Contractor,other) Mtrict
l07 e? 07
NAME N/7uL� �vvz 5 L� ! Section Block Lot
w..�n
�y �7
1.OiL B1.1:LJ]!\v DLt":i7?1.`EtNT L1i GIN-L`;'
Coniact informuliort —"
Reviewed By:
Date:
Property Address/ Location oi- COnSlluclion work: — — — — —
/Approved for proce»ing Building Permit.
— — Stormwater Management Control Plan Not Required.
//95�� Stormwater Management Control Plan a Required-
(Forward to Engineering Department for Review)
FORM ` SMCP- TOS MAY 20)4
Town*W Annex Telephone(631)765-1802
54375 Main Road CA
P.O.Box 1179 ` roof riC W 31 7 - o
Southold,NY 11971-0959 •� V LE-2
0 AUG ® 7. 2019
e�B�UtIIIL.�DING DcEPTARTUTN�EMT�
TOWN 7r 3\ OF SOUMOLD OL D B iJlili.DI G DEP li
APPLICATION FOR ELECTRICAL INSPECTIQN�''I7F 't" �',OLD
REQUESTEDBY: Date: _r
Company Name: _
Name:
License No.: I _ m C,
Address: _ ® �
Phone No.: 45
16 :3 322j-
JOBSITE INFORMATION: rindicates required information)
--*Name:- - -- --- - &,Y\C)
- --- r -- - -. --
'Address:
- *Cross Street
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block:�_ Lot..
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply) ry
*Is-job ready for inspection: (a/ N Rough In Final
*Do you need a Temp Ceri icate: YES O
Temp Information(If needed) -
*Service Size: 1 Phase 3Phase 160 150 200 30or 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH AP LICATION
82-Fieguestfor inspecuon Form
' C6aifications itidicaied hereon signify.That ibis plat of die property depirded heu on Wvs made in dovditince with tha eximing Code of Fnidice fa:lord Surs,t yors adoplea by 8ie f dew Yoe0tate Assooclion of bAsuon:rl lana Sur vyors. ;'his oertiflcatfon is
only lor_1hc-fonds depicted hereur ord is not<elliFicgt'lon of tide,zoning er freedom of encurnkxances. Said certifications shall rur,only to the petsors and/or ailittes fisied hereon a-ic ore riot transferab'e to additional pmon§,ereves a-,sabAecivenr owners,
�1
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APPRO'o D AS AJC) ED
DATE:
FF _
NOTI Y BUILDIi`!a PARTMENT AT
��F�f 765-1802 8 AM TO , PP,4 FOR THE
�Q.� ' FOLLOWING INSPEC-f IONS:
RE
,C' v 2 FOUNDATION
RNDATION GON�RETEUIRED
�����S�� (0 G QE• 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.U.
ALL CONSTRUCT SHALL MEET THE
�j ;h�, REQUIREMENTS OF THE CODES OF NEW
G o YORK STATE. NOT RESPONSIBLE FOR
�'1�00�< �'(�G DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
F
AS (REQUIRED
SOtA�f9�6�IRl�6P�—'
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sobTmom7owNftffRs
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ON v-sa �o
s`A�1NSQ�� O C C U PAN CY 0
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
POO SI _
WITH STEP 0 E
F G H K L M N GALLONS
POOL SIZE A B ' C
12X24 12X28 12'-0" 24'-0" 3'-4" 6'-0" 61-V 8-0" 6'-3" 4'-0" 4=0" 4'-0" 4'-0" 6'-3-118" 9.050
16X24 16X28 16'-0" 24' 6'-0" 8'-0" 61-3" 4'-0" 4'-0" 8'-3" 4'-0u 6'-3-1/8" 13,750 _
16x32 16X36 16'-0" 32'-0" 3'-4" 8'-0" 8'-6° 13'�i" 6'-31 ,�'-0° 4'4r 8'-3" 4'4r TA" 19,500
18X36 18X40 " 18`-0" 36"-0" 3'-4" 8'-0" 10'-6" 13'-6" a'3" 4'-0" 4'-0" 10'-0„ 4'-0" T-0" 25,500
20X40 20X44 ZO'-0° 40'-0" 3t4" 8'-0" 12'$'� 13'-6u 10'3" 4'-0" 4'-0u 12•,,,3" 4•-r T-0" 32,000
16X34 16X38 16'•0" 34'-0" 3'-0" 8'l" 1D'�i" 1 'd° 6'�u 4'-D° 4'-0° 8'-T' 4'4r T.4°
25X50 25X54 25'-0" 50'-0" 3'-0" 8-6" 20=6" 13'-6° 12'-3u 4'-0" 4 S. 77F 4'-0" FTIR " 58,750
30X60' 30X64 30'-0" 60'-0" 3'-4" $-6" 20'-0" 15'-0° ZO'•3" 4'-6" 4'-0° 21'-3" 4'-6" 8-2-38" 79,560'
14X28 14X32 14'-0" 28'-0" 3'-4'• 6'-0" 8'-0" 12'-0" WX 4•-0" 4•-0° 6'-0" C-9 6'3-1116" 12,100
93X26 12X30 13 26 W-Cr W-W' 81-W 10'-lyu 4'•3" 4.0" 4LD" 6•-3° 4'•0" 6'31116" 11.600 oniwe�o�o a /�C��
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Complies With: - Steve Tuthalul
2016 NYS Uniform Code Supplement Sec 8326 6 M iddlethon Ave.. t �
' R326.33 in Ground Pools Shall Be in Conformance with ANSI/NSPI-5 r o �' P O{L
R326.5 Barrier requirements:Temp Fence must be installed at time of �4�pR° 0 7
i Pool construction,and Permanent fencing is the homeowners responsibility ManOlville,NY 11949 SSS N
' ----- R326.6 Entrapment Protection Installed
-------------- - -------- R326.7 Swimming Pool and Spa Alarms must be installed SCALE: NTS -
- POOL TYPE: RECTANGLE REV.
20151ECC JAMES DEERKOSKI, P.E.
Sec R 403.10.2 Time switches or other control methods that can mn DATE'
automatically turn off and on according toa preset schedule shall be 260 DEER DRIVE
TYPICAL PARCEL S'TItaFI�ER
installed for heaters and pump motors. Heaters and pump motors thatDRAWIN NUMBER
have built in time switches shall be in compliance with Sec R 403.10.2 MATTITUK,NEW YORK 11952
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