HomeMy WebLinkAbout25398-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26806 Date: 11/29/99
THIS CERTIFIES that the building ADDITION
Location of Property: 540 EAST LEGION AVE MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 143 Block 4 Lot 10.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 13, 1998 pursuant to which
Building Permit No. 25398-Z dated DECEMBER 10, 1998
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 ALTERATION, GARAGE ADDITION & GREAT ROOM ADDITION WITH COVERED STOOP
TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EILEEN BERGEN TALBOT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-505845 11/04/99
PLUMBERS CERTIFICATION DATED 10/29/99 TALBOT PLUMBING & HEATING
Bu' ding enspector
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)
PERMIT NO. 25398 Z Date DECEMBER 10 98
Permission is hereby granted to:
EILEEN BERGEN
PO BOX 1406
MATTITUCK,NY 11952
for
CONSTRUCTION OF ALTERATION, GARAGE ADDITION AND GREAT ROOM
ADDITION WITH COVERED STOOP AS APPLIED FOR.
at premises located at 540 EAST LEGION AVE MATTITUCK
County Tax Map No. 473889 Section 143 Block 0004 Lot No. 010.001
pursuant to application dated OCTOBER 13 98 and approved by the
Building Inspector.
Fee $ 560 .40
Buildin nspect
ORIGINAL
Rev. 2/19/98
TOWNOFSOUTHOLD
BUILDING DEPARTMENT b(�> -
,. TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC,
A. This application must be filled in by typewriter OR ink and ed to ,the'-,bu ldi
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 buildir
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 ar
"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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .2. .
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. . . . . . . . . . . . .. . . . .
Location of Property. 6. .. . . t?l L66-t&�1 lol : . . . . . . . . . . . .!'�(t`r,f, !l Ct. . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . (z���l . .G !Y. 1'Rl/ 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 10002 Section. . . . . . . . . . . . . .Block. . . . . . . . . . . ... . . .Lot. . . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . : .. . . . . . . . . . . . . . . . . . . . . .
�! APPLICANT
C,C) 2- 0 6
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1185077 BUREAU OF ELECTRICITY
r— 40 FULTON STREET, NEW YORK, NY 10038
Date NOVEMBER 04,1999 Application No. on file 18265899/99 N 505845
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
EILEEN BERGEN, 540 EAST LEGION
ry AVE. , MATTITUCK, NY
in the following location GJ Basement 1st Fl. 2nd Fl. GAR/OUT Section Block Lot
was examined on OCti'O �ryLJ BER 29,1999 and found to be in compliance with the National Electrical Code..
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. I K.W. AMT. H.P.
46 33 33 43 3 1 7.5 1 1.2 2 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. TAMPS.. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
2 F 2 20 6 600
SERVICE DISCONNECT NO.OF S E R V I C E
METER OF CC COND. X W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W NO. PER 0 OF CC. G.
NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OA.W.G.
F NEUTRAL
1 200 CB 1X i 2/0` 1 1/0
OTHER APPARATUS:
PADDLE FAN F-1
WELL PUMP-1
3 TON A/C-1
GENTRA 10 CIRCUT TRANSFER SWITCH-1
MOTORS:1-3 H.P. ,1-F H.P.
PANELBOARDS:1-1 CIR. 60
G-.F.C.I:•-10 --
SMOKE DETECTOR:-4
<<< Continued on Page 2 >>>
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. UST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2
1185077 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK,NY 10038
Date NOVEMBER 04,1999 Application No. on file 18265899/99 N 505845
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
EILEEN BERGEN, 540 EAST LEGION AVE. , MATTITUCK, NY
in the following location; ® Basement ® 1st Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot
was examined on OCTOBER 29,1999 and found to be in compliance with the National Electrical Code.•
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS I 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, If 2W 1/3W 3/3W 3/4W GO
PER 0 OF CC. ND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
ROSLAK ELECTRIC LIC.#3677- L L
P.O.BOX 164 Or
CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER
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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
SpFfO���OG
Town Hall,53095 Main Road y Z Fax(516)765-1823
P.O. Box 1179 0 • .F Telephone(516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: lo R
,3: y
Building Permit No. a 5' 3
Owner: rL-' �, � �►� ��/��iy rJ � � �/3oT
(please print)
Plumber: ( kL80T �{
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
J ��s`
( lu ers ignature)
Sworn to before me this
day of 19_1
Notary Public, County
MARIE A.WOODSL
Notary Public,State of New York
No.01W05031860
Qualified in Suffolk County nn
My Commission Expires Aug.15,20 L11
BUILDING oar.
SPECTION
[ ] F DATION iST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK
DATE ��v INSPECTO
MAeo2
suaoINa oar.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLB6.
[ ] F UNDATION 2ND [ ] INSULATION
/�n [ F114 [ ] FINAL
[ Gj' FIREPLACE C
REMARKS: �
�t/.S
DATE INSPECTOR
suauINa DEPT.
lNSPECTl0"--"-
[ ] FOUNDATION IST [ OUGN PLBG.
[ FOU DATION 2ND [ ] INSULATION
RAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY--��>
REMARKS: &M4
ri
dY.-p�.LD�i..,-�OGS5'Ii(Hiti�a�9 .4-lo�v �a �¢e�
s��e�,�,.
72
4e,4 ao,�lo
�6—�42 if ,;�
DAT /J IN8PECT0
suiLnINc oar.
NSPECTION
14-FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
( ] FRAMING [ ] FINAL
[ j FIREPLACE 8 CHIMNEY
REMARKS:
DATE��`� I INSPECTOR
5
765.1802
BUILDING DEPT.
INSPECTION
( ] FOUNDATION IST [ ] ROUGH PLBG.
[ j FOUNDATION 2ND [ J INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE O INSPECTOR
BUILDING DEPT.
INSPECTION
I 1 FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [p,�INS ULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
�OS�FFO��-c
O
o�O G?1
Town Hall,53095 Main Road Fax(516)765-1823
P.O. Box 1179 Telephone(516)765-1802
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 9, 1999
Eileen Bergen
P.O. Bog 1406
Mattituck, NY 11952
RE: 540 East Legion Ave. ,
Mattituck
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
%% An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
%% The check is (not on file. ) $25.00
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 # 25398-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
�f �� %moi —t...
IMAN WL MA M
Elk
,-o
-.re W-
- �►
--_ -
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS
. TOWN OF SOUTUOI.D SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN IIALL SEIPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
&_ _
CALL �.��..? . . .. .
Examined :. ...., 19*ye MAII. TO: . i . . . . . . . . . . . . . . . .
Approved.. :.!.... 19.90 Permit No. ..o.....�..gz2. ....................................
.,
Disapproved a/c .... .............................. ....................................
.................... ..................................
... ........... ........
(Building Inspector)
APPLICATION FOR BUILDING PEIRMIT
a ., n
ate. . . . . . . . . . . . 19. . . .
` INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink aril submitted to the Building Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to scl►echile.
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 mist he drawn on the diagram which is part of
this application.-
c. The work covered by this application my not be commenced before issuance of Building Permit.
ds Upon approval of this application, the Building Inspector will issrte a Building Permit to the applicant. Such
permit shall be.kept on the premises available for inspection throwjtout elle work.
e. No building shall be occupied or used in wtrole or in part for any purpose whatever until a Certificate of
Occupatucy shall have been granted by the Building Inspector.
APPLICATION IS HIEBEBi MARE to the Building Department for the isskvm,-e of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New Yoric, and other applicable Laws, Ordinances'or
Regulations, for the construction of buildings, additions or alteration.;, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordiwinces, building code, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary inspections.
_
•(Sigt ture of ap lica.t. or.namn,.if.a•corporation)
......� R.... :�.,..� G ..9..77• :�....
(Mailing address of applicant)
r
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................................................................................................................
Name of owner of premises ......&CL'hJ f7QG.� .........................
..............................................................
(as on the tax roll'or latest (Iced)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
.. v �
Builders License ND. ........................•.
Plumbers License No. .........................
M
Electricians License No. .... ..............
�ii
Other Trade's License No. ....................
1. Location of land on which proposed work will be done..............................................................
........................ .....r-Pr...!- �.o�`!... ...........M #_7 :-.l:R?cN......................
House Rxiber Street hamlet
Canty Tax Map No. 1000 Section ...�9- ....... Block ....Q.'4'..... I,ot .. .:. ......
Subdivision ............. ........................ Filed Map No. ..... ........ Lot ...............
(Name)•
2. State existing use and occupancy of premises and intended use arxi occupancy of proposed construction:
a. Existing use and occupancy ........:5 1 N�. ..,FA')'.».I L..`e .... !4......................
b. Intended use and occupancy .......... �6R.........�......!.. ... . . . .DW .1.
... . N!.......................
3. Nature of work (d*ck which applicable): New Building .......... N"'I'tion ...... Alteration ..........
IL-pair ........ -'-Pamolval ............. Dewl i t i on ............ 01 i w r 1%bi k ..................................
(Description)
4. Estimated Cost . . ................. fee ..............................................
(to be paid (41 filing this application)
5. If dwelling, umber of'dwelling units .... ....... Umber of dwellin},, units oil each floor ................
Ifgarage, umber df.cars ......A.t............................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if any: Front................ N-al. ............... Depth .................
Height .......15.. timber of Stories
. .............. ..................
Dimensions of same structure with alterations or additions: Front ... .... Rear. ..........
4
Depth ....... 11. Height ....1.15............ Unber of Stories ....!..........
15152 4
8. Dimensions of entire new construction: Front ........2.4....... hear . . . . .... ....... Depth ..............
Height .......1.C'....... Number of Stories ................. . ..
15 1 -boZ' 12 1
9. Size of lot: Front .....2............... Rear ....I.. .............. I ."th .. .I.................
10. Date of Purdilaw ...........{9 6... Name of Former Owner .................
.11. ?,one or use district in which premises are situated ....�.4+o... ..............................................
12. Does proposed construction violate any zoning law, ordinance or regiijeitioii; ........................
13. Will lot be regraded ......... Will excess fill be renloved from premises: K Yr.-s NO
14. Names of owner of premises ........................... tuldress ...... ........................ Pian No. ..............
1"A'I N 00 2.96-e--A=--I.
It ./..�9.�/.T7.TVCK W-T -07 -
Name of Ardiftect ....Olt. ............... . . .. .... . ..... 1`1 K,,e No. .............
Name of Contractor .....F..C;Nofrq C-,............................ tvklress .... .. ........ .......... liwx* No. .........
15. Is this property within. 300 feet of a tidal wetland? * YES ........ . . U) X......
*rF YM, S(XMKtD IUM TRI SYMS FEM" MY BE RE(VIFT-1).
' PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or pr(, )F4A, aid ii-dicate all set-back dimensions
from property lines. Give street. and block umber or description accordi, to &ed, arid sliow street narries and indicate
whether interior or corner lot.
SMIE. or, NU YUMI SS
C"1Y UF .......................
6o
r/.... beillf" duly alyl says that he is the applicant
(Name of individual signing contract)
above named,
.,4 — . I
lk- is the .... ....Q ..................................... . .. .... ...........................
o'.
r
(Contracto (:, age corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have perfor the said work aril to make and file this
application; that all statements contained in this application are Ln,e of his knowledge aid Wlief; and
Lhat the work will be perf-onm-J in the manner set forth in the appl icaLi( :led LIKrewidl.
Sworn to befor%me this
%
of 19........
Notary Public Z.
.. ... . .....................
133 ij;i vil Ult e r I j)l i coilt-)
HELENE D. HORNE
Notary Public,State of New York
No,.4951364
'Qualified In Suffall,(Coumy <7-<�7,
Commission E,<,pl, s
ENERGY
N RGYCODE COMPLIANCE 3' d VST III
Building DKGF
g sign by "Acceptable Practice".
Construction, equipment, materials & installation to conform to <1 7r_
the New York State Energy Conservation Construction Code.
Envelope Component: R-required R-provided \� `INS w u kc
Ly'�/ 5INK. brJ 'SUI�,TT�Ef`�TI� GLlj F,xNF,c
Exterior Wall R-18 R, - t°I L �� � �}{ WbwMouryT�of,tiNK,E �F�oR�:=�� r'rrls?R.x,Tlory
_ - __ E)cIST1hIGj - '�o TnE FLMOYrr
Roof/Ceiling R-19 fz - I'1 i �._ _ru f� �sFbwec
Floor R-19 R - la u - ; o-eee t_,wf,�Nc� - - - /�
FZ „� �� - FSK Li So CYTE. =�T=G�-(�Y, 0
Glazing R-1.7 F,- 3 i' z^ a° 2" uz° a 2' z O
,I Ic,o, T �a,ya,r TTo Ey:r.
Entrance Doors R-2.5 R- 4
r� 4-^ ToxlsT,,..,ys cajLr_•T - �tPl� uye o� �,d `�
To the best of my knowledge, belief and prole Tonal ju gment, U] N ITA!-P L" Sti sTtnq 1--L)MtA NC, $�l �' � i ✓ hr� o ��++
LO
these plans are in compliance with this Code. __—__ _._-,--._ - 1��, i r. r o•.ntF� a , __
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-PROVIDE% HR. E-.
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PART. 717.3(f) (1) OF
In _ 7, 1'
TIP � - 14?, N Y STATE BUILDING COD
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ELEVATE HEATING
APPLIANCES _ I 9
CES 18"AS � I �A a ''
REQUIRED �� r' ' 1
Q RED BY PART. _ �, ! F,y
I
_ 717.3 (e) (4) OF e a
.1° l 'I �I .Y STAT -BLU1DING CODE r �• 4
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UNDERWRITERSCERTIFICAT I °^ �. N•��=�. 4e�z-�h ' . v _
r_,z.r-mss
REQUIRED .� 4P ° ,
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37a Y�TL LbuycowNh, al - �I --y
OCCUPANCY O
USE IS UNLAWFUL �4 n z 2F� � „ 1 �Ir� a 1z)� s —
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2- x `1 I � Inlcf-nUprn ,+ -
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L.of�A�-ECC`�� F �
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0PROVIDE ^r
EMERGENCYENINGSFOR
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T✓ M } .,
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ESCAPE AS I
0 ;� --,-Nil%I 14 - -d-
REQUIRED BYPART. 714 OF ;
N.Y. STATE BUILDING CODE. — -- -- - - - - _- - -
x _� -�� y /h - �'�� -
i Ill i - ,
db
— - -
APPROVED AS NOTED -- lI
., v3 T cp 2'15`1_'.�
i
DATE: B.P.N�S'�/�� PR MDEANTI-SCALDAND/OR
FY BUILDING I
PROVIDE SMOKE•DETECTINGj FEE: JbD'L � Br: TNERMAL SIIOCK PREVENTING U 51A-
ALARM
V
A8 TO PARL 72161
FOLLOWINGNOTI-18029IAM TO 4 AE DEVICES M.Y.STATE
TO PART.902.6(K) c� - :x a �o•. ,.Icc y-I, i v - ��.FS_ - - n + l -= - - f ' r .h/wR.
BUILDING CODE _ V
N.Y.B BUILDING CODE 1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH • FRAMING • PLUMBING .�; --_- !� -� - - - - -
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3. INSULATION 1 {1
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4. FINAL • CONSTRUCTION MUST r '
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET -- -�'�L� F' 1, ) _`t
THE REQUIREMENTS OF THE N.V. Uj
PLUMBING Q- -
STATE CONSTRUCTION & ENERGY
ALL PLUMBING I _
G WASTE I
CODES NOT RESPONSIBLE FOR
&WATER LINES NEED
DESIGN OR CONSTRUCTION ERRORS l o _ ?c _
� TESTING BEF ORE COVERING i F _ _ _ ? , , _ - -_ - _ I ��I 6- -
_
- forwaterdistri using - - -- � - - ------ ---- - - ---- --- - - 'w
for water distributing
system; piping sal! be - - -r�- sp.c .�- .__ 'r e-„�.c:. � � pc� <q Aq ' 2 � Pio
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of types K or L only
UNDERWRITERS CERTIFICATE
REQUIRED I
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PLUMBER CCARTIFICATION f I�Z
ON LEAD CONj;ENT_BEFT`v,
,ORE 1 % - _
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CERTIFICATE p',FOCCUPAIIFCY-
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SOLDER USED IN lll'ATER �� T , ' <- F _ 4 -
SUPPLY SYSTEM C'A NA10
EXCEED 2110 of 9; LEA D.
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