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HomeMy WebLinkAbout20360-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-24813 Date DECEMBER 18, 1996 THIS CERTIFIES that the building ONS FAMILY DWELLING Location of Property 26405 MAIN ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 2 Lot 13.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 30, 1991 pursuant to which Building Permit No. 20360-Z dated JANUARY 2, 1992 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 WITA ATTACHBD GARAGE & PORCN AS APPLIED FOR. The certificate ie issued to GISSLA MORCHEL (owner) of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-86-APRIL 28, 1992 UNDERWRITERS CERTIFICATE NO. B-232165 - APRIL 15, 1992 PLUMBERS CERTIFICATION DATED APRIL 16, 1992-LARRY LISO PLUMBING & HEAT. *THIS UPDATES CO Z-20694 DATED MAY 4, 1992 & INCLUDES FINISBED 2ND FLOOR. Q ~~i Bu' ding Inspector Rev. 1/81 FORM NO 1 TowN of sourHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 2 0 3 6 0 Z Date ..~~:4??~-~~-~-x,~..... Z i9.9 Z- Permission is hereby granted t y.:.....119.~:~...... tom..`::~...~I.......~....~.......`~.,,~~,2P~.}...R....'~I..~.. ~ J 1~.:~::.`...~~:~e~,....... at premises located of ..,a~..lr..~:.°...~. ~ 1~---~ .......4!::~ `fit.. ....~5~.....~...St.~iRr~9........~.lr~r4.Gd:1~¢~G.. County Tax Mop No. 1000 Sec`lt~ion\.....~..©.~....... Bloc^k .......5?...~.....q, Lot No...,,L.a~:.S~.....,. pursuant to oppllcatlon doted ....Ind??SR.^.x~.&a.......~.1.J 19..t..~.,, and approved by the Building~Inspector. Fee S„ ~~:~9...... ~~M. B ng Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765W-Nl 02L ~~C ~ ~ APPLICATION FOR CERTIFICATE OF OCCUPAN`C'Y".'.' 'r`, :„,:,,.,4 A. 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 17 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 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 - .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date :~:eG::.~.'_(~'.l.tF' New Construction......../.. ~O{ld Or/Pre-exiati~ngoBuilding. Location of PropertY~~~U :~.../Yi~:/.~L:. p~./~~ S ~~~~~ii~~,'~`~'~~~ ' House No. Street oL' ..Hamlet Onwer or Owners of Property.. ~ 1-d~`. pp L.~. 4z-......... 'y,., County Tax M~~,,/~app No 1000,//~~Section..l~d..... .Block.. °~'L..Q.../.....Lot. J:/: i3~.~...... Subdivision~jffi~~:~/d.j.'"~~C~~ t/YCC~C~~.QJ155~`~ Filed Map. ~k ~`......Lot..l Permit No,OS Y.~.1~~.. Z..Date Of PermiQQtppl . ~..~~......Applicant ~~SO/~. /~p6~~: • • • . Health Dept. Approval~~ ~~...~?.L6L......Underwriters Approvall-?~~~. ~.1.?~~~....... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~'....... Fee Submitted: $ ~ ~ ~ ~..3c~3 ~ 3 APPLICANT co ~.avs~J 3 i r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20694 Date MAY 4, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2605 MAIN ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 2 Lot 13.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 30, 1991 taursuant to which Building Permit No. 20360-Z dated JANUARY 2, 1492 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 ATTACHEI3 GARAGE & PORCH AS APPLIED FOR The certificate is issued to GISELA MORCHEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-86- APRIL 28, 1992 UNDERWRITERS CERTIFICATE NO. N-232165 - APRIL 15, 1992 PLUMBERS CERTIFICATION DATED APR.16 1992-LARRY LI5O PLUMBING & HEAT. uilding Inspector Rev. 1/81 ~ as ~a g51 h ( / L~(~1V/•{ry~p.),fe Form No. 6 IJ I _ S ,]y TOWN OP SOUTIIOLD ~`~."L'~ ~U BUILDING DEPARTMENT 3? ~ `r; i f k ;1116663 TOWN HALL ~l~,:y~,~,:. 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 17 lead. S. 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 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 accessary building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00G, Commercial $15.00 / Date .~.~.~.~..1 New Construction.. Old Or Pre-existing/Building Location of Property..~~'.~~®a~......p.~~l`~..YS~......... ~'...;,U cbEa°l°.1.~ House No, Strut Hamlet Onwer or Owners of Property... Ca.l .J. .4? U ; County Tax Map No 1000, Section..1.4.~,':.....Block..r-~...........Lot.lC:~:::.~.~:,'~ Subdivision'1l~•lvQ"~Lad-~bl'y..~ I~~SL"SR: ~:SS/LSGr/.Piled Map. ~~7~..l...Lot... ~ Permit Noo~•43~'~.,,7.-..Date Of Permit./Jv7.[,r/~.a~.....Applicant[„(S~U.~~+„N,ct,,c,,,O,R,P,;,,, Health Dept. Approval ~(Zl~,-. 0.2~.~:~ gO~.......Underwriters Approval.~OQJ.C . ~s~:..... Planning Board Approval Request for: Temporary Certificate........... Final Curticate..~.... h Fee Submitted: $,,,VZ;S,•o~J,,,,,,,,,,,,,,,,,, APiPL I CANT cn~.ao~9y ~~s~ ~d~ s7"~e.~2P a~z3~o-.z C~~ :-:~~~ry THE NEW YORK BOARD OF FIRE UNDERWRITERS ea~~l 113.1h 21 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 , Date B1'R7G i."i,1992 APPlicotionNo.onfile 763."s?.A92/92 td 32'1.45 THIS CERTIFIES THAT only the electricol equipment os deacrihed below and introduced 6y the opplicant Homed on the ohove application numher in the premiaea of GLSFliA MORt'.II~L, (a~lrr~~TIMA.1:N RU &Ir~~C1TTROi~M T,l2rryyEt~TR T,A11E, LI~1?,5ft, C,ll'CCFIt~ISUh;, dI.K, in thafollowinq location; CI Boaement LJ let Fl. L"J 2nd Fl. Ci ~TI[t/X1.'I'TIC/C)fIT Section B/ock Lot wos exomined on A Q 81:11 ~a , 1) ~ 2 arrdfound to be in compliance with the requirernenta of this Board. ' FIXTURE FIXTURES RANGES COOKING DECKS QVENS DISHWASHERS EXHAUST FANS OUTLETS FCEPTACLES SWITCHES INCANDESCENT FWORESCENi OTHER AMT. K W. AMT. K.W AMi KW AMT. K W AMT. N P. 37 M3 ;1G 28 1 7~~ 1 3,4 k L.2 ? iS i» V-_ j DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME BLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS ~ AMi K. W. Oll M. P. GAS H. P AMC NO. A. W.G. AMT. AMP AMT AMPS. TRANS. AMT H P NO. GF FEET AMT WATTS I 2 2Y 3 - 1 i SERVICE DISCONNECT NOAF S E R Y 1 C E ~ METER NO OF CC COND A. W 0. A W G. A. W G. - AMT. AMP. LYPE EDUIP 1,9' YW 1 ,e 3W R,a 3W 3,e' dW PER d Of CC. COND NO OF NI-LEG ~ HI-LEG NO'OF NEUTRALS Of NEUTRAL t 1 2.tAL3 CB 9 R 1 ,`/~l 2!q OTHER APPARATUS: ~ P{OT'ORSL1 2.!i H.P.,1-9. 7i, P. ,3-I? It. P. (;.1toC.T. 3 St•[O[('I; DNl'1'L"C'COft: 1 f TRRCK LIGIf!t'ZN/~F 1~ i I TffitGE "C" C[,LC'I'f2LC Idl'C.#:3327°E ~c"l RT. Mfr Rt1$ 45If :iQURIp A6'1'1NIJ 4C GENERAL MANAGER rzva'nIll,na, z/t, J1991 .z-x-~ i.~ Per I/ 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 GF CERTIFICATE MIlSY.NOT t3E.ALTERED IN ANY MANNER. c'lELD 1;:5:` :,;lu;~ ~~Un;E I~ SOM~~iLNT3 A _a 0 =W H FOUI7DATION (1st) - a c FOUIJDATIOIJ (2nd) ~ ~ }2 - ~ m~ c . Z ~f---~.-<y~ ~`-a'...,._¢.__ ~ `0111 P,OUGH FRAME & 6~ 0 ~PLUMSING ~l g~ 3 . ~ 3- y i , ~ e ~ m ~ I2ISULATION PER N. Y. m C~-- "'3 STATE ENERGY CODE . ~ ~ a/ ~ , _I r' 4 . m " H ,8 FINAL '-Y S ' I, ~ ADDITIOhIAL COMh1ENTS: ~ x F • x • a A r-.. _ H ,9 H o w z r ti . _ ~ x ~ 0 ' d~ ~ m • v _ H ° Vii', 4ry FS usT'.!'e ~s'~i .r:~~ s%/<. ' ~ _ _.G==~~y+:y~°-ni"",-`°~'y..e~°.°.«""..--a~-~... ter' ~ `r u`J Y 1 ~ L ~ S ~ h ~ i X-_ M n : _ t a ~ 7J i ~ ~ +r.;:~„u i n S Y}¢ p '~7 ~dddd ~ I) t~ ~ t.i' a ""^.""G'.'~\ s'-c7,~~. 3t ~ ~ ~ . 1 V . ''%'a+p i v ' raj y / ~ .ry7 y~/ i t{ ?ij n _ ~ 2) JJJ , ~ , '',~c. ( ~a~a.~ra. 1~ ~ - / ~ ~ -r-L v i, K'~ x... J.: ~ ~ 8! iii i~ ~ i q1.~ . " 1 .a; ~ 4 d. `i r ' / ; ~ . ~q ~ 7 aura ~ ~ry /"?fJVc7/~:. v°~'lJ~lJJ I/O a~AG7a°~ - 1r~.9d-R`~/-i 1~l'. N'a;.t1'i if/s=rc=;•<`.'~-K-,a_i ti,/.d^rJ .`~s~-''-~°b°'r~. / ~,.~aJ"3"w :-J~?~aU~ ~ .f +~J. f°pr `i /7 r~%FT.tf?~ t~~!'eSG,~te r ~~Fi N "f iJY.t, r' 'l 'y lGC^iYa k'Aj d I'":Pl P' kGa~.4_..t ~ r , ac:'.s.,•.at %.+JE?':; rJ't a°P;'etw3' 2` +R, 7 C ` . ~ r~+tj r TEL. 765-1802 ~pS~EFOIk~o TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ~ ~ P.O. BOX 728 TOWN HALL 'YO SOUTHOLD, N.Y. 11971 ''~pl . C E R T I F I CAT I O N Date ~ LLr ~Z Building Permit No. ~ j~ , Owner ~ ~ S E ~.~a ~ a (.L. c~b.l s`- , (please print) Plumber j ql.~(~-~ (_tsca ~Lun~~N~ .~l~a-icw~~, (please pr nt) ~9~ I certify that the solder used in the water supply system contains less than 2J10 of 18 lead. ~ OS~ (plumbe ' signature) Sworn, to before me this 1~ ~ day of ~~~/L ~ r,. " 19-/-~•' Notary Public Notary Public, Jy-~-~ o LAC County Nd~ry ~ Yak ~o~~'~ T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [~j ROUGH PLBG. [ J FOUNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~ . J i r i I ' DATE INSPECTOR i i 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) ROUGH~PLBG. [ ] FOUNDATION 2ND SULATION [ ]FRAMING [ ]FINAL REMARKS: ~~~2~~~d~~~-yi ~ /C- . . DATE ~ INSPECTOR~I ` ~ 765-1802 BUILDING DEPT. ! NSPECTIOIV FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [)INSULATION [ 7 FRAMING []'FINAL REMARKS: _ ~%~~~~f" DATE ` /j ~ INSPECTOR 765-1802 BUILDING DEPT. I NSPECTI®N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [I~]' FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE INSPECTOR -[~7~~` BO,1~D OF HEALTH FOHMN0.1 ~ SETS OF PL.1;1S TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CIIECI: • - - • _ . _ . TOWN HALL SEPTIC l"OR;1 . SOUTHOLD, N. Y. 17971 TEL.: 765 1II02 IIOTI F'! ; Examincd'Z 1992, CALL P1AIL T0: ~PProved .~~.aa,-t . ~ 1992. Pcrntit No. ~ O,',~,100 . . Disapproved a/c _ e (Building Inspector) , APPLICATION FOR BUILDING PERMIT 'QrG l~q( Date 19`. INSTRUCTIONS a. Tftis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 its 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ttion. 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 call 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 call hate been granted by the Building Inspector. APPLICATION IS HEREBY h1ADE to the Buildin; Department for the issuance of a Building wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other a Permit pursuant to the egulations, for the construction of buildings, additions or alterations, or for removal or dempblitione as here0mddescribedr :ie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to imi[ autltonzed inspectors on premtses and in building for necessary itnspections. ~n Q.. sr.Cr h{ S 6 ~ R,{~ . (Signature of applicant, or name, if a corporation) .A6.~?~`~ .'-1~3~....~a.~.z~Pmn.~,.NY.-.114.?: - (:lfailing address of applicant) :ate u~l1e[ller applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc of owner of premises , , ,~'L,v a2,,~}{~„ (as on the tare roll or latest deed) ap licant 1s a corporaUOn, s~gna[ure of duly authorized officer. ..~.c....G? . . . (Name and title of corporate o ff leer) Builder's License No. .`~.~,,3,a, , , , , , . , Plumber's Liccnsc No. .~h!-!A~NG> [lectrician's Liccnsc No. lo. S'.J, , , , , , , , , , , , , , , tiler Trade's License No. ~ boy , Location of land on which proposed work will be done. , r/R l R ~ e• / e EF® ~ - ..................~...4=..,. 0~T : . Go,Ri1sl2, ae-. C Q owT.( ,l.,l~,ra,~„ l,q,-t~ Ilouse Number , , Strcct '('~1•. std (3-5 ..••.••.Hamlr<tG.c. \aN o~~i Counq- Tax hf;ip No. ]000 Section ...1.¢~.......... Block fKu$~ Lot.~.c-.~-.:.~~car..... Subditision~.......1~t+•~•V41ill-~~RkriS61 ~~SSEL~„A -SuvTuo~~~~~u.-~ ~ilcd r11ap No. Lot ~ . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , ypw y , . h.awE~. _ . b.Intendc .r. ;ti:earl,;r4~'.a'k.,~g,..~;.~;,•,,~;a8.. d use and occupancy ..U. ~`,~}=...f;'!! Is,c 1,~{„ ~ w- I~LG l r~~ 'i"° i`°~'' . ( 3. t~apure of work check w•hiRc'applicable): New [iuJding f Re air moval Addition .Utcration Demolition ~ ~ Othcr54ork.. 4. Estimated Cost . o',a d , G~ (Description) / Fee 5. If dwelling, number of dwelli /S% Ro be paid on filing this application) rlb units F Number of dwelling units on each floor.,7T(q,~L, , , , , IC garage, number of cars k. R IC1NF/Nif~E I,~ 6. If business, commercial or mi, ed occu panty, specify nature and extent of each type of use PQrar,~~~ O71~Y~ 7 Stn~r res, if any: I~ront . Rear Ficight o ..tur,, `nbcr of Stories Depth . ~im enSip{,ls of camp • . • . exrstin~ stru Nu~'vrth alterations or additions: front • ~ ~ ~ • ~ • • ~ • ' ' ' ' ' ' ' ' ' ' ' •IIepth'::_ ................i...Ilci~ Rear................. • .......Nu 61st.........y,,,,,,•,,,,,Ntrrnb~rofStories......... Hei••Itt ~!+'t tnrction: Front Gr/.......... Rear .<p,/ "j t r . • jnbcrofStorics •••••••.•Depth~~,//,,,,,. 10. Date of Purc f entire new cons, Rear . , 9. S¢c of lot: Front ..../...~G y . base . w.~ A N ..1.5t.aaZ .............Name of Po Depth • . /.S. ~ . rmcrOwncr .~?5.5~r-~;q,,,.. 11. Zone or use district in which premises are situated , 1 Does proposed construction viglate any zoning law, ordinance or regulation: . , lYL2 . . . . : : ' ' l3. 5Vi11 lot be regraded , /yp ' 14. Name of Owner of premisesC?!~~~.b?, , ' ' ' ' ' ' ' ' ' SVrl1 excess fill be removed from premises: Yes No 1744>;.,~}v%.4.. Addressl'JA•tN,f~a:~~P,n,~Qral; Phone No. Name of Architect 1.nep•,-t-T^t 1-414-, , , , , ~.2-5{,~i.~y'$~... . Name of Contractor L.1.$s,~q}ygT , e o Q, ' • • • AddressGRf.~~?,o,(;,,t; , , , , , • Phone No. s this property within Y P•" " • • AddressQobo,Y!f.?a9:.~~+nas,~r~lPhone . *If es Southold 300 feet of a tidal wetland? * ~°•2'~~~$~~'• . Town Trustees Permit may be required,~• " ' No.V.,,,,,, PLOT DIAGRAbf Locate clearly and distinctly ally!, 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 ]ot. e ~I I ry TATS OF NESV YORK, ~u:~~'v or• s:s t^~ . . } ' ' ' • • • • • • • • . • , being duly sworn, deposes and says that he is the applicant (Narnc of individual signing contract) ovc named. is the ~ > ~r--~ 4 a-a: ~e ,R. _ card owner or owners, and is dul a ~COnIraClOr, agent, corporate officer, etc.) ~ ~ ~ ~ • alication; that all statements containe~tl,ro thidappl ccal on a°c trruc to tl~ bea of Itis knc wledgerand bclief~ and llat tlhe rl: will be performed in the manner set', forth in the application filed therewith. om to before me this ......day of ~-P;ca~.:CR`....., 19 `?l :ary Public, /•"::~,w! ' County Cr~ . CE M. Wlt•KINS • MMerY Publip, State of New York ~ ~ No. 4862248, Suffolk Cour~y • • . . TermExpir4eJune/2,18 I, Signature of applicant) Q. ~ 3 F U ~ J LL J L!) e ~ ~ 2; ~ u ~ Q Z iq3~ Ithf Y. ~ r. C. XKJ a [v t e Vl 4' a' ~ W O ~ 111 « W .aF i1 C a a ',O', ~ q pn~ t~ `4 [i. 1 ~G G N Q H W W D S X4.0 Q Z ~r~~ CMS s'sM~'~dU J ,~a NQ,{3~ W Q Q ~ F" ~ O ~ i" Q r m g' ~ w ~ ~ ° c ~ ` ' ? C>¢ Y L ~"`~b p, f" VI Q J 4 N ~ Q SL ~ ~ ~ ~ va ~ ~ n .p' ~ ~ a ~J g`' 7s\, Z Q Q S S W ~ (j} ~ w.~ ~ ~ ro'S ~ m > ~ A w ~ ~ ''SS~ d+ Ca ~ ~ N IC Z I ~ ~ IL ~ Q fV ~ (Y eft ~ 3 yro ~ ~ ~ _ b G > w w Z ~ Q Q ~ W Q 4 ~ 7: 4.a~ x~~~a a~~s ~'u~Cc~U°a s ,y 4°h~'~a %-~v -=t V V~ ~ ~i n~ o r. 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I I I ENERGY CODE REVIEW t (non-electric) t 7814 (/Part 5) 6,000 degree rdaye ~ i Foc ~~pL ~OvG ~e/' Per Owgs /P~Chn ~"m~~p` ~~,s'r7 ~r Dated ~i" ~~/Y/(~ Envelope Component R-Value Exterior Wall R-1B Hoof/Ceiling R-19 , Floor R-19 Foundation Wall R-10 Slab Cdge Insulation R-10 ~ Glazing R-1.7 Entrance Doors R-2.5 i, All HVAC Equipment to meet requirements of 7019.11 All HVAC Control Systems to meet requicemente of 7814.12 ' All Duct Systems to meet requirements of 7814.13 All Ventilating Systems to meet requirements of 7814.19 All Piping insulation to meet requirements of 7019.15 All Service Water beating Systems and Equipment to meet requiceinents of 7814.21 All Electric Systems to meet requirements of 7819.31 To the best of my knowledge, 6eliefl and professional judgements these plans are in compliance with the code Epp NEyy i, y.~P ilcE rat. ro ~9,t L P 1L`i~'Yw f 4 ' FO _ r o l x.Y n w m 2• P~ 0321541 ~~~U ~AdEESl1ONI`~ i/3J91