HomeMy WebLinkAbout18635-z FORM NO. 4
TOY7N OF SOL`THOLD
BUILDING DEPARTMENT
Office o~ the Building Inspector
Town Haii
Southold, N.Y.
CERTIFICATE OF OCCiiPANCY
No 218696 uu^ate JANUARY 8^, 1990
THIS CERTIFIES that the building Oi3E FAMILY Dftir.LLING
Location of Property 4200 SOUNDVIEW AVE. SOUTHOLC
House No. Street Hamlet
County Tax Map No. 1000 Section 068 Block 004 Lot 003
Subdivision BEECHWOOD ACRES Flled i•Sap iv'o. Lot No. 1
conforms substantially Lo the Application for Building Permit heretofore
filed in this office dated OCT. 30, 1989 pursuant to which
Building Permit Iv'O. i8635Z dated ivvd. 8, 19089
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 ATTACi-iED GARAGE, DECK AND PORCH.
The certificate is issued to SCOTT JOHNSEN
(owner, - ~
of the aforesaid building.
SUFFOLK COUNTY DEr^ARTMENT OF HEALTH APPROVAL $7-Sv-i70 CEC. 14, 1989
UNDERWRITERS CERTIFICATE iv0. N105632 DEC. 4, 1989
PLUMBERS CERTIFICATION DATED R^vBERT JOHNSEiv'-CEC. 3, 1389
Building inspecto(~
Rev. 1/81
n~osai xo. s
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)
N 0 S ~ ~ J~ Z Dote 1~.~ 196
Permission is hereby grant{e~d1to~:
4~..'.."7""".
..yl. oo..aS.~.t~,cr~~...~t°r.......
of
pr~~ocated at .....~,f....a`.Z..O...f2......~~'r!y~~..(/..`.~~~+GLI..'~.s~I.L~R
/~%L%~~FtF.!../.'~.'uL~.~i~....... l~'!.(~j,.(r~J~ .......~'n...,..,~e~ilr..lpl.^.YG,~
County Tax Map No. 1000 Section .........~2.G1........ Block Lot No........C?~..3..
pursuant to application doted j~3~ 19.~, and approved by the
Building Inspector.
Fee $..S, l.r~...
........9.
.R:t...l
uil I for
Rev. 6/30/80
,T" I COMMENT° ~
i . Dn. ~ '-a
FOUIIDATSON ~ (1st)
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FOUNDATION (2nd) ~
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P,OUGH FRAME &
PLUMBING
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3. ~
IIISULATION PER N. Y.
STATE ENERGY
5
CODE ~ ~
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ADDITIOPIAL COMMENTS: x
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THE NEW YORK BOARD OF FIRE UNDERWRITERS Ynrz~: ]
(001971 suaEwu of suECrRlcm
BS JOHN iTREET, NEW YORK, NEW YORK 10038 -
Daw DECISMBBR 04,1989 Application No. on file 49935787/8'I N 1.05632
rH1s csRrlFlES rHwr
only [he e4ceried equipment o deeorthed below qrd introduced 6y the eppNcant rwmedon the ohooe appBesebrr number in the promisee q/
SCOTT J08NSEN, SOUNDYTFsii, SOUTHOLDr N. Y.
in thefoBowinR location; ®Besement ®let FI. ? End Fl. GAR(GU7' Section Bloek Lot
wee exemined un NOV$lIBBR aD , 1989 and found to 6e in compliance with the reyuiromente of thls Board.
II1I11NR AtAR6 fIMITO1Rf COOKING ttlCIIS 6 E)CNAUST
tIUTtRIS INCANO[K[NI ~ NVO[[eCEM OTHEn NAT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. X, r.
32 9 33 30 a 12.1 2 F
RRYMR RJBlAC! MOTORS luTWR ARYANC! RRRRIIf R~RGAt MC'?T TRMR ClOC1If ~Nt lRNT1MATMf RItA~YT DIMMRRf
AMT. K. w. a; X. t. OAt M. t. AMT. Aq. A W.O. AMT. AMr. AMT. AA1eE. TRANS.. M1T. It I. IIQ d! 1~ AMT. wAm
3 F a 30
lNIMICi OMCOPNRRCT NO.Oe S R R V 1 C R W~~,,
YAT: Me. irR R 117VI 1 / rN ] ~ Ae 1/ 4VI /q. a ~C CCMID. A. w. OMU. NO.OF M41EG Oi Ntl. d NEU1M4t ar 'NEUIKN
Y a00 CB 1 x ] 4/0 1 4/tl
oTtlel aMRATtIaK
~
G & S CONTRACTOR LI(:.~"~78-8
BOR 215
SOUT84LD, NY, ].1971 ®R11RlAl11TAT~lAfIM
1]
Per
Tike InuN not be ahered in airy r1lprAr; return to Nw oH3u d tlr Soord if intorred.. Mspactort.'may its identified , Ihsir ttedeatiab. ~ ,
COY i0R WILWNG DEPAitI'ti1WT. THIS COPY 11' CtRTIM~lGT! 41?5T 140T IN . R.
`
.
TEL. 765-1802
~pS~~F~~~Op TOWN OF SOUTHOLD
ti ~c OFFICE OF BUILDING INSPECTOR
c T P.O. BOX 728
TOWN HALL
''O,y~~ SOUTHOLD, N.Y. 11971
1 ~ ~
~ . p4~PT.
jC~VYN OF SOUQf_C)
C E R T I F I C A T I O N
Date ~ r~`?
Building Permit No. ~L~(~,'3
Owner ~Ci~IT ~`5dl~~sN~
(please print)
Plumber ,SCc~/~" ;~TOy~rrt7R°ar
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead.
~
t/ ~~'2~~~"~
(plum er's signature)
Sworn to before me this
~_day of ,
19"x' p Notary Public
Notary Public, ,du,~~~L County ~ NFtENN.DEVDE
P•DTitRY PUBIiC, Stato m1 New Y®rk
No. 4767878 SuffolkCouodq
Term Expires March 30,18_.x,/
}
TOWN OP SOUTIIOLD
BUILDING DEPART:fENT y
TOWN HALL 911 5 c
' SOUTIIOLD, NEW YORK 11971 ~IS~~m~w;IJ i~
~i
765 - lB02 ~~~~4i~ ~ t~i ~f~
1
;7,~ t.J~
APPLICATION FOR CERTIFICATE OF OCCIIPANC~' +1~It~ty~
t~~,~
5C}4JT1-IOLCJ
DATE _ ~.~../:&1.. s~~.....
NEW CONSTRUCTION ...OLD OR PRE-E%ISTING IIUILDZNG......4ACANT LAND........
rrll . S ~~rhG-:
LocaCion of Property...:~Y~....:.."n~fJ.~J~~Lj.K~_.k~!~~...._~r.........
$DUSE N0. STREET $AMLET
Ovaer or Ovncrs of Property.:~~`c~~/f.!.:5~~~~i5~'12
County Taz Map No. 1000 Section ~)rL Block ~y... Lot' .L>G.3
.ubdivision.?3~(~C`!z-+/o~QC;L._..L~,Gr~'=5--- Filed M?;a^^p ........Lot........
:emit No. !~4''~~...bate of Permit .u ~r~.15!_QCApplicant ~Q~i~~$~11....
$ea1Ch DepC. Approval Undcrvritcrs Approval.~~...........
Planning Board Approval
Request for Temporary Certificate Final Certificate
.
Pee Submitted: t ~~y
APPLICANT..c.~/L~*::._
~~83/
~~~~y6G
I
~ ~ FORM N0. 6
TOWN OF SOUTIIOLD
BDILDING DEPARTMENT
• ~ TOWN NALL
' 765 - 1802
- ~~4"4P~'T,'~~~TION FOR '...CERTIFICATE OF OCCUPANCY INSTRUCTIONS
p. This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings 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 of De~alth 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 solder used in system contains less'
than 2/10 of 1Z lead.
5. Commercial buildings, industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Boa{d Approval of completed site plan requirements.
B. For eaisting buildingsl(Prior to April 9, 1957] non-conforming uses, or buildings
and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, buildings and
_ ~ unusual natural or topographic features.
2. A properly completeQ application, a conscut to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and sep~rate ownership of the entire lot prior to April 9, 1957.
If a Certificate of,Occupancy is denied, the Building Inspector shall state the
~ reasons therefor inlwriting [o L'be applicant'.
3. Date of any housing',code or safety inspection of buildings or premises, or other
pertinent informatibn required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for bacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of~the entire lot prior to April 9, 1957 shall also accompany
the application. I€ a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5:00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00 '
5. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $15.0;0 Residential
Commercial
I
i
ev. 10/14/S8
3
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ( ]FINAL
REMARKS:
DATE INSPECTOR
F-~. ~ a
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. 1 SURVEY .
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971 CAL • •'~G~-~~~~• • • • • •
TEL.: 765-1802
IL T0:
Examined .g.........., 19 ~9
Approved 19~Permit No. ~~635~ y~JC~J pp
Disapproved a/c ~ U
ilding Inspector) BLDG. DEPT.
70WN OF SOU7HOt.0 _
APPLICA ION FOR BUILDING PERMIT
Date 19~J.
INSTRUCTIONS
a. This 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 nbt 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
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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
• 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 ins ections.
s'?'.'
(Signatu 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.
.....~W.K kR
Name of owner of premises ..~G.o~..~~.~N.Se'ti
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No . .
Plumber's License No. ...a~.~$.fl .
Electrician's License No. ~.d. ~..F~~/r?ie
Other Trade's License No . .
1. Location of~l/and on which proposed wAork will be doone . .
, T oZ, U 0 ........~UNULrf'y` ~£.cxJ... f1'.v, e ~C1~4v ~Q~........................ .
House Number Street Hamlet
County Tax Map No. 1000 Section ...~L'y~.......... Block ....C,.d},
tt Lot
Subdivision , ~-'.tc;tt.t.u~ ..tk~.p5 • • . • • Filed Map No . Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy O~,aa.j .
b. Intended use and occupancy .........~~~~.ir~:PA'.~i?' ` .
_ i
3. Nature of work (check which applicable): New Building , .Addition Alteration .
Repair Rettjoval , Demolition Other \Vork .
(Description)
4. Estimated Cost ~~?roc?C.~ Fee .
` (to be paid on filing this application)
S. If dwelling, number of dwelling units Number of dwelling units on each floor . .
If garage, number of cars ....iZ- . .
6. I~basirtess, commercial or mik~d occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front . r Rear , . Depth .
Height ,..r.:..~ Number of Stories .
_ Dimensi'on¢'4a~ s t ~ re with alterations or additions: Front Rear , . .
Hep • • • • u ' ' • Height Number of Stories .
• a ~ ...ruction: Front ~b.........Rear......70....... Depth ~ .
8. Di ~elns~~i
ns o w n, number of Stories ~ .
9. Size of lot: Front ~ ~
10. Date of Purchase::, . G4. &41...... Name of Former Owner ~benl~. ~:a6.vxste+....... .
11. Zone or use di"strict iri whit premises are situated ~e^ .
12., Does proposed construction vidlate any zoning law, ordinance or regulation: .~0
g p .....................Will excess fill be rempved from premises: Yes C.i~'
13. Will lot be re raded
14. Name of Owner of remf ®s . ~ca~. ,~alvi+,S PN... Address ..y~i44 ~Qc/!~d,vi~ul i~4'Phone No...'J.GS. °,SB~f~.. .
Name of Architect Address ...................Phone No...... .
15. Is this property located' ct " '•••Address .............Phone No. ~...jl:........
Name of Contractor • • • • • ' • within 300 feet of a t__gqidal wetlandY *Yes No .
*If yes, Southold Town Trustees PermitPLOXi'DIAGIZAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocif number or description according to deed, and show street names and indicate whether
interior or corner lot. 'I ~ r
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rsl2N'i $rn,oc~ci S F
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~ 60.
I
STATE OF NEW YORIC,
COUNTY OF S.S
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Heisthe
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dyly 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
...............~.U ,~da/y of..././Q~..........., 191.
Notary Public, !l - County
No. 47078'7SKSUifolkCoun York ~r i • . .
NOTARY PUBIIq Stete of New
' Term Expires Maroh 30,19~~ (Signature of applicant)
=.~1'~'1
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EL%53 gVEN~:`' .
VIEW MDN.
SOUND 2aaa5 D.9N:._--f..
EL=54.0 7
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SURVEY FOR
iUFFOLK COUNTY DEPARTMENT Ot HEALTH SERVICES SCOTT JOHNSEN
FOR PR VAL OF yCONSTRUgCTION ONLY AT SOUTHOLD DATE JULY 10,1987
AG U ~ ~ ~ f 7~ SUFFOLK COUNTY, NEW YORK NoALE. 87-Gilds
DATE ~ S,RE . NO.
NUIMUTN0111ZC0 ALTERATION OR ADDITION m THIS
SURVEY M A VIOLATION aF SECTION 7209 Of THE
l~ 1 - NEW YORK STATE EDUCATION LA• 1E OF y
APPROVED NCO?1 E3 OF TNIf SUIIVEY NOT BLARW6 TN[ LAND py'(P' ~W `
SURVEmKS INKED fEAI OR ENBOfSEO PEAL !HALL
~ NOT BE CONf10ENED TO BEAVALID TRUE COPY ~F,~1D dV S O~~
N GUARANTC[S INOIUT[D NER[ON LIALI RUN d1LY m
HEALTH DEPARTMENT-DATA FOR APPRON41. TO CON5YRUCT THE PERfON.fOR wlloM THE SURVEY IS PREPARED ~ .~0 O~
AND p1 Hlf BENALf m TNf TITLE COMPANY, 60VERN-
N NEARlfT WA~[R •AIN MI.! NSOURCE Of WATERS MIMTE. PUKIC~ MENTAL AGENCY AND LENDING INSTITUTION LISTED
R PUFF CO. TAIf MA? OIST~SECTION _Q;.Q_ BLOCK ~.2 LOT~OD HEIIEON, AND TO 7NE Aff IDNEES OF TN[ LENDING ~
R TNLIIL ARE ND OWELLINBf WITHIN 100 FEET Of TNif ?RG?LRTY INSTITUTION. OUANANT[L4 ARE NOT TRANSFERMLE %
OTNLR THAN TNOfE iNOWN HEREON. TO ADOI TIONAL INSTITU710Nf OR SUBSEOU[NT
R THE WAT[R fU/PLY ANp fEMY1B[ OIfFpAI fYfTLM FOR MI! Rq 10[MCE OWNERS
N DI STANC[f SHOWN HEREON FROM PROPERTY LINES
WILL CONFORM m TXE fTANOMDf Of TNL SUFFOLK COUNTY ItF.PAR7MENT TOE%IfTINB iTRUCTUR[f A11E fOR A S?ECIfIC 456 '
~ML4µT f[RVICEf. 1UR POSE AND ARE NOT TO BE USED TO ESTABLISH ~°Y@p ®P
`~h J,~ PROPERTY LINE; OR FOR THE ERECTION OF FENCEf t4Rp yD ~d
AOM[Sf R
M~~~9~~ "L. ` YOUNG & YC)IJNG R'OERNEAONNEW YORKE
NOTES ~=MONUMENT ~=STAKE
RE~LOTNO.I,MINOR SUBDIVISION OF'BEECHWOODACRES ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S, UCENSE N0.12845
HOWARD W. YOUNG, LAND 5URVEYOR
M TILL LOCATIpI aF WtlLtw), IIIEPiIC rANKIf»r cEffrooLftCPI SHOWN HERON N.Y. S. UCENSE N0.45883
ARE FROM fIEIA OglR1RTIONf A/W OR DATA 007AIN[D FROM O'TNERS
BRAN019 ; SON8 INC., ID48
i
SUffULK COUNTY DEPARTMENT OF HEALTH SERVitES
flfl SINGLE FAMIIY pV'lELLIRG ONLY
DATE~~C 1 ~ ~g~~ hE.:,. ;IEF. NG. .~.~~..-f.D...L. 90
Ti;A ^061' ep~~ iIIRn^ia~ r r"I WBtUf SUS"`' t8C!Ilt!c^^.
loe~~lion have ~ in: .ged b„+his p~~,,"men:-: ~ ~C
other age ~A ~ h~~.~ai,J •~f~• . -
C__hief of Bureau of NJastswate- ~~'+gP+, ~
. n J
AVENUE
VIEW NDN.
SDUND
" 284.15 ~
32;08 O~
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- ~,;r SURVEY FOR
SCOTT JOHNSEN
y/oo~^iundview avesovTdrr/~tty6l~/ Nov. zo,lses
NOV. 28 1988
AT SOUTHOLD DATE JULY 10,1987
G, TOWN OF SOUTHOLD SCALE I"=6o'
SUFFOLK COUNTY, NEW YORK No. e7-nos
k WMUTNOR12 E0 ALTERATION OR ADDITION Tp THIS G!F
NEWVYORK STATEEDUCAT ON LA WON 7209 OF 7NE S,~PtE Ar
SuR VE YOR'S dKED 9EALV0 ROEN OSSED SEAL SHALL ~P~D w E' O9¢
NOT SL CONSIDE REO TO SE A VALID TRUE COPY ~ o`
kOUARANTEES INOI GATED HEREON SHALL RUN ONLY TO Z
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TME PERSON.roR wkoN THE SVRVEY IS PREPARED ~
ANO ON NIS BEHALF TO 7NE TITLE COMPANY, GOVEIIM-
N NEAREST rAIN MI. ~ MSOURCE Of WATERS PRIWTE _PUSLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
N MIFF DD., M ? dST
~~0 SECTION GG HACK LOT L/Q 03 NFAEON, ANO i0 THE ASSIGN EfG OF THE LE NDIMG
N TNLRE ~'y~ OWELUIM/S WITHIN 100 FEET OF THIS PROPERTY dSTITUTIpI. GUARANTEES ARE NOT TRAN gFERASLE
OTNLR TN ~fnOSE SHOWN XEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ~
M THE WAT ~yPPLY AND SEMMGE DISPOSAL SVST[M FOR TMlf RLSIDENCE OWNERS
WILL CONfORMI~'~ iq TNL lTAMOARDt Of THE SUFFOLK COUNTY DEPARTMCNT ~ DI STAMClS SNOwN HEREON FROM PROPERTY LINES
OF HEALTH }~?~LS, TO EZISTING STRUCTURES ARE FOR ASPECIfIC NE~OV~ ,
F AfPLICANT• PURPOSE AND ARE NOT TO SE USED 70 ES TASLISN (AA'D S~Sg
PROPERTY LINES OR FOP THE ERECTION d FENCES 4V1--
- A0011ESS
` YOUNG a YOUNG R~0°
ER ADNNEW YORNKE
NOTE •=MONUMENT ~=STAKE
RE~LOTNO.I,MINOR SUBDIVISION OF"BEECHWOODACRES" ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE N0. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N THE LOUnaN OF wELI(w),SEP71C 7AMK1lTI•CESSPOOLS(CPI MN7wN NLREON N.Y. S. LICENSE N0.45693
ME PROM FIELD ONERIMTIONS AND OR DATA 0lTAINFD FROM OTHERS
z.a.
BRANDIS & SONS INC. 1046
E f
~ ER~''~' CODE CALCULATIONS ~F~Q NOiJ-ELEGT2/G -.S/EAr,
Foa : ~$'cof/• ery se5 PEa Ow.vys ~ ~ nA ~ESi~ Ca/rEa.,a 10000 ~eyaEE ~Ars
~AT6C ~ 7/7/g~ O.A. ~ /o
F S.A. ~ 70`F
0
.-J!/BSYSTEr~~ AREA Q LJES/4,"v Attowsc IFS/yu AGL~\VEG ~Q~c^\ARh3
-U` U BTU CiTUH
j EXTEQ/OQ \VALLS (!„QOSS) D.17
EXTEQ/oa WALLS (pPdQUE) /239 / p °'O$ 372 J
oco~ s i 5'y o.~o /,30~
GE/L/NC~S~~imF /38~ fg O. OS tf/S~
INF/LT.~.ATIc~N ( ~
I - p/
iC1p TES ~ TcTALS ~ J {oU i
1
1) HEATING EQUIPMENT TO h1EET 7813.23 - 75$ EFF. TO THE BEST OF MY KNW7LEDGB, µv~~ G,y
BELIEF, AND PROFESSIONAL o
f/~`' " ' r ~
2) HEATING CONTROLS TO MEET 7813.13 JUDGEIdENT THESE PLANS ARE ~ u ~ ~
RANGE 45 TO 75 DEGREES FAHRENHEIT.
3) WATER HEATING PER 7813.31 THRU .38. IN COMPLIANCE WITH THE CODE. ~w ~ ~ 6 r y
4) PIPE INSULATION 7813.19 j~ ~
5) WINDOWS -DOUBLE GLASS. ~ .y ~ A ~
6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. '~i^r 3225 oet
~~~MaW~
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of types K or L only-
~~CCU~A~C~ OR ,
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APP 0 ED AS NOTED a ~p <~(e~N~~ ~
~LAlM81NO ~aY U~L4~fFUL' ;'S ~G+
DATE: B.P. q L/L~'rJ3 2F ~ ' ~ ~
. . ~ ~ MMi91l1fESNEEO FEEer22~-BV:--gin 1~~/~~ITC~OUI' CERTIFaCA~ z -
~ - 1E811N0 iEl'JRE COVEABVG NOTIFY BUIL G DEPART TAT ~ r ~ _ s '
766-7802 9 AM T0~4 PM FOR THE OF OCCUPA~dCY~ ~ ~ `
~ FOLLOWING INSPECTIONS: 3~~~e't
1. FOUND/ITION - TWO REQUIRED ~ ,`'+r+~o~ yyM!
- ~ pOR POURED CONCRETE '
' ~ ~ ~ ~ ~ 2. ROUGH -FRAMING & PLUMBING ~ ~ _ ~ ~
PLUMBER CERT/f/CAT/ON s. wsuLAnoN
. _ ON LEAD CONTENT BEFORE '4. FINAL - CONSTRUCTION MUST ~ f{, K' :Sc a*c r, ~arLU,SE.U
CERT/f/GATE Of OCCUPANCY eE coMPLETE Foa c.o. - - _ . . I
- ALL CONSTRUCTION SHALL MEET - - ' ~
- SOLDER USED IN WATER THE REQUIREMENTS OF THE N.Y.., ~ w,i ~ ~ ,.~F~yR°~r, ~~rr
- - STATE CONSTRUCTION 6 ENERGY ~.-r.1-°' - ~ - ~~0 ~ D~C1,\ @' ~
SUPPLY SYSTEM CANNOT t:ooes. NOT ' RESPONSIBLE FoR ~
_ ~ EX_CEED l~~O O~,L~X1(FAD_ - - DE61GN OR CONSTRUCTION ERRORS '
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