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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26062 Date: 10/26/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1050 CLIPPER DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 4 Lot 17.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1997 pursuant to which Building Permit No. 24437-Z dated OCTOBER 28, 1997 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & WRAP AROUND PORCH AS APPLIED FOR. The certificate is issued to CHRISTOPHER & SUSAN CONLAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0095 06/23/98 ELECTRICAL CERTIFICATE NO. N-455281 06/04/98 PLUMBERS CERTIFICATION DATED 10/07/98 ALL SUFFOLK PLUMBING Builbing Inspeiftor 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) 24437 Date......OCTOBER.......28................:......... 19...97... Permission is hereby granted to: CHRISTOPHER CONLAN ................................................................................. .I...... 116 GLENMERE WAY ...................................................... ................................... HOLBROOK,NY 11741 ....................................................................I..................... to CONSTRUCT A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND WRAP AROUND PORCH AS APPLIED FOR .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .......................•............................I...,......................................................................................................... 1050 CLIPPER DR SOUTHOLD atpremises located at............................................................................................................................... ................................................................................................................................................................ County Tax Map No. .....473889.... Section ....079........... Block ......0004 ..... L t ..017 006... Ck o No. pursuant to application dated .... 3.EPEi.IBER 16 97 ................................. . 19.. ......... , and approved by the Building Inspector. 20 Fee$...... 07 9...... ... .. . . . . .... ..Buildin spector...................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD 1 BUILDING DEPARTMENT Q O C7 1 \ TOWN HALL �1 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY �� 1 X. 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. 3. 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. 3. 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 - _ .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date . . J.&..J. A[fJ.4. . . . . . . . . . . . . . . . . . . . . . . few Construction—/. . . . Old Or Pr -existing Building. . . . . . . . . . vocation of Property. .l Q,�Q . . . . .C. .11 �!: . �r. . . . . . . . . . . �Q v( .�.©.1.j . . . .. . . . . . kJ House No. Street Hamlet )nwer or Owners of Property.. .6 C/S% q'A!*.en • .�• •�•V.S.a1'�. . .��!��Q�. . . . . . . . . . . . . . . . ;ounty Tax Ma Npp 1000, Section. �t Q 7� . !. . . .Block. .. .�.� . . . .Lot. . . �.7.f Q.�. 4p. . . . . �paw L� hf S1�eG7 • � >ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. �.�--. .Lot. us0.�.�;��.�. . . . . . . . . a y�f 3 1 4 C4M JA k7 'ermit No. . . . . . . . . . !. . . . .Date Of Permit. . . Q :: ��/�,pplicant. .4��.�� lealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . -Z . . ;e uest for: Tem orar Certificate. . . . . . . . . . . Final Certicate. . . . lee Submitted: $ . . . . . . . . . . . . . . . tr . . . .�N! .t��. . . . . . . . . . . . . . . . . . . . . APPLICANT -- -- cul Ax AuddiAl DepP_ +!' OCT z l Town HNA 53M MOM ROM g � Fax(510)7WI823 S01MM,Nvw Y** 11971 ToaPh (31 7861002 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD- C $• R T I F I C A T I O N Building Permit No. a 114 3 7 owner: i S?o l9 A2vn p was pr nt Plumber: 4A� S d}%1&©1 y In J Ifq Can't S'nC4 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 13 lead. - f Plumbers S ur . i Sworn to before me this day of .rotary Public. �`����K County JO ANNE MUMCK NOTARY PUB=809 d Now Yak Tom Mom Na 9A01 so9 I "d V66 L L9V ON I8Hn1d-A10ddf1S--11d HO?JJ HVFIZ'6 8661-L Z-0 l os THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1205047 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date `TUNE 04,1998 Application No. on fele 15838298/98 N 455281 THIS CERTIFIES THAT PERMI ;N0. 24437—Z only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MR. CHRIS CUNLAN, 1050 CLIPPER DR. , SOUTHOLD, NY in the following location; ® Basement ® Ist Fl. ® 2nd Fl. GAR/ATTIC/OUT Section Block Lot was examined on JUNE 04,1998 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. I K.W. AMT. K.W. AMT. I K.W. AMT. H.P. 38 67 45 38 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL HP. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 3 F 2 - - 1 20 1 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. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: SPECIAL RECEPT, AMP.30-1 PADDLE FANS-2 WELL PUMP-F-1 WHIRLPOOL BATH-1 G.F.C.I:-5 SMOKE DETECTOR:-6 L THREE BROTHERS ELEC. INC. LIC.#3792- GENERAL MANAGER 6 ENTERPRISE DR SUITE A EAST SETAUKET , NY, 11733 Per This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be Nbitified by their credentials. __ W 1111111111 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 763-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ �OUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE l �`f INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE zI-36f INSPECTOR suaoINa oar. ` INSPECTION [ " ] UNDATION IST [ ] ROUGH PLBG. [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: H � DATE INSPECTOR M-1802 BUILDING DEPT. INSPECT104- [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 144/'FRAMING [ ] FINAL [ �IREPLACE A CHIMNEY REMARKS: t 4-rlm Ohl- DATE INSPECTO Ago;; /&z%d 5741 e4-**, 'S BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ]�FI PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] F ING [ ] FINAL [ FIREPLACE & CHIMNEY REMA S• 7 DATE INSPECTOR_1�� suauiNa oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR_2! � v```�� O T65- 802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 TION [ ] FRAMING INAL [ ] FIREP ACE F1IMNEY REMARKS- DATE INSIDE i_ IM <- i M�IFKI-P, ME i' i irol 0 ';i FORM NO. 1 _,�— 3 SETS OF PLANS . . . . . . . . . . TOWN OF SOUTHOLD ,J''SUrtvEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT %'CiIECK . . . . . . : : : : : : : : : : : : : . y$�p �,s TOWN HALL �sErTlc rortrr SOUTHOLD, N.Y. 11971 TEL.! 765-1802 NOT I FY � ��� CALL . . . . . . . . . . . . . Exai �d ,%/r7 MAIL To . .0r .V�7 . . . , . . . . . � . . . . . . . . . Approved . . 19 . . . Permit No . . . . _ . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . (Building Inspecto A (CATION FOR BUILDING PERMIT Date+c4,--/. /` `4/. . . . . . ., 19 97 INS'T'RUCTIONS a. 'flus 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 shalt 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 Innspector. 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 in ections. �. . . . . . . . . . . . . . . . . - (Signatur(Uf applicant, or nanne, if a corporation) . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . '"'. ?. . C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises .4.h2iSTo��t . . . . . . . . . . . . . . + . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . �f.�i �4� . .,���!U . . °�Th90.�QV,, , . . , . . I'louse Number ' Street Hamlet County Tax Map No. 1000 SectionV.7. !. . . . . . . . . . . Block : d . . Lot ..sect � � Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. 7.7.q'?�. . . . . . Lot . . 8 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy . . . . . . � e `���P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended Use and occupancy . . . . . . . . . . . I . . . . . . . . . . . t. �? �jl• • ���/�< 3. Nature of workcheck which h applicable): New Building . . . , , . . , Addition Alteration Repair . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other f6rka.� . . . . . , . . . . . . o�S—Oj Doo (Description) 4. Estimated Cost . . . . , . „ , „ 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 . . . . . . Height . . . . . . . . . . . . . . . Number of Stories Depth . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . Number of Stories . . . . . . . . . . 8. Dimensions of entir new construction: Front - ,t Rear ' Depth .�� Height . . . . . .ca�9. , Nu��n be of Stories . . ,. " " " " ' 9. Size of lot: Front .'.q Rear , b�! , 7 10. Date of Purchase • • . /Q--.2— De th I2�, •1� . . . . Name of Former Owner . . _� ,�?'JT,�/• 1 1. Zone or use district in which premises are situated , 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . .4?Q, , 13. Will lot be regraded Will excess fill be removed fro 14. Name of Owner of premises /j.Q( J� h p� n premises: Yes of Arch P LK A!��!W1Address ''� �' �. 4hone No.2656 kt7o(p Name Architect . , W��(ift�rl; �c h!�/�frtT2�,,. . . . Add /v�i�k:n �fi ress .CRS€»9 Ch Cri.. . Phone N�?3 Name of Contractor . Address . Phone No. =5. Is this property within 300 feet of a tidal wetland?• * *If yes, Southold Town Trustees Permit may be required . No„X, , , 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. SPAT 079, DO I' 8(cof 0v.oa 40-r 0I-7, Mo' ' � O t 0 14 77 �3 7S A- T &3 yvleiv Saf TATE OF NEW YORK, OUNTY S.S�ing . . . . . being duly sworn deposes and says that he is the applicant (Name' f individual signcontract) )ove named. eisthe . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the irk will be performed in the manner set forth in the application filed therewith. to before me this . .day of, . . . . . . . . .. . 1, 41)lic, . . . . . ��:. Cour HELt:NE d.14(�t�1�E ' y Notary Public,State of New York No.4951364 , Qualified in Suffolk County(9.-7 • • • • • . . . . , . , . Commission Expires May 22, 19Z/` (Signature of applicant) 01/16/02 16:20 FAg 1101 rxot4. "k -1 fzffn H111'&-IAlways plumb gas One installation per local Superior strongly recommend&that the CF-ADVHearth EYtenslonsnd a I Shields codes.Check all connections with soap suds; Adapter Kit be purchased and installed on the leaks will bubble.Never test any gas line con- KC-38 and KC43 fireplace.This wall help pre- A hearth extension must be installed with all nection with a match or open flame. vent outside intrusion air from entering your fireplaces.Itis to protect the floor in front of tfle I home through the fireplace. fireplace from both radiant heat and sparks. IMPORTANT: RE-PACK INSULATION MATE- The hearth extension must extend 8' beyond ( RIAL IN SQUARE HOLE AROUND GAS LiNE, Nate.A2'airspace must be preserved for all both sides of the fireplace opening and 16' INTERIOR AND EXTERIOR,TO SEAL. combustible materials extending for any eon- beyond the front.Use a hearth extension con- finuous lenglh adjaceal to the chimney. structed of a durable non-combustible material This provision is intended only for connection having an equal or greater insulating value of k to a decorative gas appliance incorporating an It is especially important to insulate between -,84BTU-IN/FT2HR-°F or a thermal resistance automatic shut-off device and complying with the studs of an outside chase cavity and under that equals orexceeds r-1.19 MR-°F-FT2/8TU- the Standard for Decorative Gas Appliances for the floor if the floor is above ground level.Do IN. A minimum 3/8' thick non-combustible i installation in vented fireplaces,ANSI Z21,60. not place insulation directly against the fire- material is all that is required over a non- Install in accordance with the National Fuel Gas place or chimney system. combustible or slab floor. Code, ANSI Z223.1. This complies with the revised U.L.127 standard. FIREPLACE FINISHES Note.Any1/2'non-combustiblematerialwhose I Mantels and Trim k value Is less than.84 or whose r value is more CAUTION;PLUMBING CONNECTIONS SHOULD than 1.19 is acceptable. ONLY BE PERFORMED BY A QUALIFIED,LI- It is sometimes best to frame your fireplace CENSED PLUMBER.MAIN GAS SUPPLY MUST after it is positioned and the chimney is in- if the fireplace is installed on a combustible BE OFF WHEN PLUMBING GAS LINE TO FIRE stalled.Frame enclosure for chimney and fire floor,use the metal safety strips(provided)on PLACE OR PERFORMING SERVICE. place with 2 x 4's(or heavier)lumber. the floor extending half under the fireplace and half under the hearth extension. if you're installing a gas line,connect it before Note:The header may rest on the two(2)metal the fireplace is framed and enclosed In the spacers on top at the unit but the header must A wall shield is required where a continuous finished wall.The gas knockout is determined not be notched to fit around the spacers. perpendicular side wall is within 15'(18'on the by a 1-1/8' round indentation located at the KR/KC-43 models)of the fireplace opening on bottom and slightly off anter in the side refrac- The KR and KC Serfos may sit directly on a the KR/KC-38 models.Use a 40'x 40"x 1/2'wall tories.THE KNOCKOUT IS ALWAYS REMOVED combustible surface.A 2'air space is required shield constructed of millboard or a durable. FROM INSIDE THE FIREPLACE. DO NOT RE- between combustible framing and the chim- non-combustible material having an equal or MOVE THE KNOCKOUT UNLESS YOU ARE IN- ney. Combustible mantels and trim may be grealer insrllatiiiU valve ilian K = .84BTU-IN/ STALLING A GAS LINE.If removal is attempted installed 12'above the fireplace opening as per S01717-HR-TF. from the outerwrapper,side refractory damage NFPA 211,Section 7-3.3.3.and Figure 50.If a may occur. With a medium-sized hammer, mantel is of a non-combustible material.it is If fireplace is installed diagonally across a 90" lightly tap the surface of the indentation.The exempt from these requirements as long as it corner:no wall shields are required. refractory material is very thin in this area and does not interferewith the installation oropera- is easily removed.Once a small hole has been tion of glass doors or block the inlets and made,continue tapping until you have reached outlets on Models KC-38 and KC-43. Wall Shield Required sufficientdiameterfor the gas lineto fitthrough. Where Less Then 15- For 3r and 4r 0pelihip The entire knockout does not have to be re- one it for 45-00011111/5 moved.Remove insulation in the gas line chan- +T � 4r vp net Wall _ CAUTION: WHEN USING THE DECORATIVE ' /- GAS APPLIANCE.THE FIREPLACE DAMPERMUST BESET IN THE FULLY OPEN POSITION. combaslibsad TawCOLD CLIMATE INSULATION yam Wall uip If you live in a cold climate, it is especially a i/z' e c A. important to seal all cracks around the fireplace i i opening with non-combustible material and Fire0laee figure 51 wherever cold air could enter the room. Sur- 0in1n1 rounding materials must bs caulked where itvolcollastolloilan Heated Extension Dimensions meets the black metal facing of the fireplace to tSeries avoid cold air intrusion.Use non-combustible caulking material only on fireplace facing to Figure 50 Opening pe38' d3" seal.Also,the outside air inlet duct should be Width wrapped with non-combustible insulation to A 16' 16' minimize the formation of condensation. Do not place insulation materials against chimney B 30.1/4' 35' sections. 16 NOTE:DIAfiRAMS d iLLU6TPATIONS NOT To SGALE C 8' 8' ;V&W�ig 9040 c C&U, INC. 140 Gary Way • Ronkonkoma, New York 11779 Tel: (516) 467-1919 • Fax: (516) 467-1934 OCTOBER 7, 1998 TO WHOM IT MAY CONCERN: WE HAVE INSTALLED ALL COPPER PIPING AT CONLON RESIDENCE IN SOUTHOLD. WE USED SOLDER SAFE SOLDER THROUGH OUT. WE CERTIFY THAT LEAD CONTENT IS LESS THEN 2/10 ON ONE PERCENT. ALL SUFFOLK PLUMBING CONTRACTORS, INC. ` RICHARD GOELZ SECRETARY TREASURE -Az:' RG/gv e_PU r JO ANNE BAFMCK NOTARY BArl"ark N*W Yo Term Explf" 1 z f 33 f7q 9 SUMMARY OF TOTAL THERMAL RATING If the total thermal rating below is zero or greater, the envelope portion of the building is in compliance with the energy code. TABLE THERMAL A. WALL.ASSEMBLY AREA U VALUE USED RATING Al. Net Walls Awl r ±E Uw ,071 1 + Z*s Aw Uw A2. Glazing AS_±IV Ug 164 Ag_ Ug A3. Doors Ad CO+ Ud 1+ 6— I fi Z Ad Ud Subtotal Thermal Rating for Section A ( Al +A2+A3 ): B. ROOF/CEILING ASSEMBLY B1. Roof/Cuing Ar Urr0Z✓q' 4 ZI Ar Ur B2 Skylights Ag -2-7 Ug , 6-3 w Subtotal Thermal Rating for Section B ( B1 + 82 C. ENTER DATA AS APPLICABLE (Either C1, C2, or C3) C1. Floor At ! lh , 060 \s�EIR Cy ndation Wall Q M J. SCti rF ` erimeter ft. r Grade Exposure ft. Q l a on Denth RF'oothg s 16049 4' NA TF OF NEW v � �• _ Perimeter R Value C3. Slab Edge InsuWion N>a Subtotal Thermal Rating for Section C ( C1 +C2+C3 D. TOTAL THERMALRATIIVG (A+B+C)........................................... + ��s , • e S ,l �'• 0 0 NOW At 1 - d N. OF 200lrlf'� �1 ��-�5 JWFITZ Tom Es 0I t Jc r 77 _ , — ALE-40 -1 AEA' � . 5-F • ,# `� x,,59 \ ....�. ."` •e weLL c SUFFOLK 11 AN CO. TAX MAt tON: i `TT 0 P E 12' Cftif. SECT. BUCK ` MCL. M9 11-6 ;z ! G ' 50 OTH 0 1 C? Ito' WN OF SOUTHO !�►'� tib .6.1.E�il�If�E WAY 11-141 12 ell 477- -J133 (1 4 bthis�bavlow;rioff j C). Section 720{of Ute Now York SM04 E;ducetion LeR Copies of this way nap not beady S,y the hand survsyofa kftd will or ambosssd seal ohd notba awmMred a ` l to t,e a vaW 1ttA popx, ,t1 � r flnianudeaskidOtladhN+aOns(gir.�a w1y to Uta penton farwhrtl the sorwty is prepared and en his t)"llo Urs .,1 two company,governnentelagerxytat lending institution listed hereon and i Al to the assignees of the lending instt- hition.Guarantees are not trensferabM to�di�onai instituiians or subsequent l i " J 41 1(67 2 VI AS SUQtLEYE 5L PT 16119% A.�Po,P A;� *OMOtCK VAN T'V's`#... r C- r WATlftiillMV AND 9 WAGE DISPOSAL SYSTEMS MM .ted. r '} e r CONFORM MM NEW STANDARD$DA'R'ED M) 490 - 3#4 -...u.� ._._ UCEMW LAND NMVUYOMSivACA ikowr _ .. .. i. - .: :. r `.. ... ,_,..... ,_ .' .. ,: ,�. -, : .-. '- .. , • ... x 3 +.si,-P•.n'�i.._...._.io,.a.;.vlx:.i:_..,.c.. 83 /66.Sg' J JAN ! 21996 SLOG.DEPT. O ' TOM OF S UTH LD 13 M �y ol 1 h BLDG.DEPT. 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L EMI ,1 1 '.. I - - - `Ira •1 I , , i [ ;.. I , I 1 , r % ART.114 OF • T7Ui=LEX OUTI v ',1 1 \ } r. f _ �/ REQUIRED BY P > 1>I' i.1 ETcacuND } 1. Cr ^41 ` I . , ,, I I, I ' I _ , I ; t : ; . 1 Il01NG CODE. I I I '� I :. i f I .10I d <C I . I ,I rJ N.Y. STATE BU ' i �r1 FrauLT PRoT crLD _" '11 �' . - , , ' L / - I f� DUPLEX DU 6FI „1. I , n : ( / p0.''� .. r. ��, _ ,i. •�I I .a 1 I J.:' 'VYA fERPRU>F7GtZ0UND FAULT PfiOTEGTf') 1 r c.l Ro -. ,:,, ,. �2') -I�""1 I52�.1iL (,'>C} �l, (I , -" V ,i� ; '�,2('rA \ - V)I$I'rf0 'SC3„� 4:-rG-. _ ! ,2 .,94-o , . =. I . 2s.-,;ti , P:hv,`r 'n a S.t 0 t: f l-- s __- t ---- } -_-__ ,.T_ _ m / __.. -- ..t L - i: . -' . 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FIRE { f _,., hi t I ,I Ut : „ ° XI'I .,. (/ r t i, �r ,n �. ,/. L a` I t/ 'r` 1. o" .. .\ .., if'' „ , ,/ ,,. 'I- ca" EMERGENCY ESG ! 1 'fI < LtLI. �� ;T :, TION TO -L. , _ ;. F3 z. iv c. /� 3 3 ifs 3 So ( , , , /� I r f RE UI APE AS ,Iql l 11 �{, � 'n I RATEDSEPARA I t,. ) - . , , : n' �. _ f. w_ -"' � _ j ,r F f -q: 19' c i s ,i � N.YQ RED BYPART,' 714OF I . : , , — „ ;J. : PART nz911){1)0 } I f ?, t . ,„ „ tY d- r I .,!'l; { j < 1 I STATE BUIIDIN 1 i " 1-E <L�' N Y. STATE BUILDING CODE.. r.r. <; ry f 1:9, � . I { ( '. i -t . , [ I I '', CODE. �, 1 .t : L �I ,I _ 'a s. t-, - / :- .-,. ' y - [ I ;f. I, r _; I <li - I t \ `,o d d t I Fc r +es F?r -: . b L, r - G ..,. �}, j,r _ J..,-_ ,a:. :. -._, -__, > - :. ,- ?`( - II. d'I. - `:_ :, TI-t-:�.Y' IIII fi1: . . . c r:.�; a s f- 1 c-� r r. - �^ s ':� �-y I 'I, +\ \ - T;:_ . ,. -?._.-.,/ [ -.:11 I ( ,.:' -! . ; 4+ 1-- (, -- - -.: I �i 4 -" ,. - \`� I:.:, i.:;:.. 1 tr P. ! -`{ rad -. ':. r .� l.l ,. :I;. (,. 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