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HomeMy WebLinkAbout26878-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29023 Date: 10/28/02 THIS CERTIFIES that the building ADDITION Location of Property: 240 MEADOW LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 2 Lot 28 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 27, 2000 pursuant to which Building Permit No. 26878-Z dated OCTOBER 27, 2000 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 CARPORT ADDITION AND AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ERNEST W CASE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 069419 10/03/00 PLUMBERS CERTIFICATION DATED N/A (;"/, �k'g"" Authorized Si ature Rev. 1/81 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 I%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$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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. /012/ /o2_ New Construction: �7 Old or Pre-existing Building: (check one) Location of Property: 2 D L AN6 CV 7U C,//O G"V E House No. Street / Hamlet Owner or Owners of Property: 2Ae Ir--:0- W c y/ gy r T P (�?Iq S� Suffolk County Tax Map No 1000, Section Block 2 Lot Z Subdivision Filed Map. Lot: Permit No. 2 6 777 Z Date of Permit. �� 27 OGS Applicant: z W C-5r W, 0.4s-67 Health Dept. Approval: R Underwriters Approval: ✓ Planning Board Approval: NA Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ ( a (� Applicant Signature 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. 26878 Z Date OCTOBER 27 , 2000 Permission is hereby granted to : ERNEST W CASE PO BOX 285 CUTCHOGUE,NY 11935 for . CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#25267 . at premises located at 240 MEADOW LA CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0002 Lot No. 028 . 001 pursuant to application dated OCTOBER 27, 2000 and approved by the Building Inspector to expire on APRIL 27 , 2002 . Fee $ 75 . 00 d�w� Authorize Signature ORIGINAL Rev. 5/8/02 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. 25267 Z Date OCTOBER 22, 1998 Permission is hereby granted to: ERNEST W CASE PO BOX 285 CUTCHOGUE,NY 11935 for CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 240 MEADOW LA CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0002 Lot No. 024 pursuant to application dated SEPTEMBER 1 1998 and approved by the Building Inspector. Fee $ 75 . 00 Building Inspec or ORIGINAL Rev. 2/19/98 THE NEW YORK BOARD OF FIRE UNDERWRITERS prLE 1 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date "_Tf-oBEP 03,2000 Application No. on file THIS CERTIFIES THAT PEP111"i" NC'. 25207' only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ERNEr"11_' P. C'-^E. 240 14CADOW LANE, CUTCHOGUE, NY in the following location; ❑ Basement X❑ ist Fl. ❑ 2nd FL 'UT Section Block Lot was examined on SEP,�F,MBER 2h •20@@ and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS I RUORESCENT I OTHER I AMT. I K.W. I AMT. I K.W. I AMT. K.W. AMT. K.W. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. IWATTS 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• P. TYPE EQUIP. 1 1W 1 l!JW J JW J AW PER O OF CC.COND. NO.OF HI-LEG OF NI-LE6 NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: S'!:DIX DET'£CTOG,,._1 EFVE-=T WCASE L�, L L L'. Q. B(-;X 285 CLI TCHOvUE, Wf. 11°=.5 GENERAL MANAGER li Per This certificate must not be altered In any manner;return to the office of the Board If Incorrect. Inspectors may be Idenfifled by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. d 0 � MiTek® MiTek Industries, Inc. 14515 North Outer Forty Drive Suite 300 Chesterfield, MO 63017-5746 Re:00105as Telephone 314/434-1200 PENNEY\00105AS Fax 314/434-5343 'ne truss drawing(s)referenced oeiow have been prepared by MiTek it Jusiijes,ilia:. aii c mn j:LrC i:iUP'r"v: i07i based on the parameters provided by P.D.J. Components Pages or sheets covered by this sea112049215 thruI2049215 My license renewal date for the state of New York iskPRIL 30,2002. v2 01; pF NEW yo C�PO��a,RLFs 9� Et T r C1 i �j;Tt1 s LU `PFS 064248.1 A9OFESS February 13,2002 Wert,David The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer,per ANSI/TPI-1995 Sec. 2. o - russ Truss Type Qty ply 12049215 00105AS . T1. FINK 5 1 o tional . . . s an T e n t nes, nc. on Feb 11 15:24:55 20112 age -14-0 7-0-10 12-M 16-11-0 24-0-0 25.4-0 14-0 7-0-10 4-11-6 4-11-0 7-0-10 14-0 Scele=1:43.6 4x4= 4 5.00 F12 1.5x4\\ 1.50 3 5 2 6 9)1 7 jY 0 0 3x4= 9 8 3x4= 3x4— 5x5= 8314 16-0-0 24-0-0 8314 7-8.2 8-0-0 Plate UITSetS LOADING(psf) SPACING 2-M CSI DEFL in (loc) Vdefl PLATES GRIP TCLL 30.0 Plates Increase 1.15 TC 0.53 Vert(LL) -0.10 9 >999 MII20 197/144 TCDL 7.0 Lumber Increase 1.15 BC 0.67 Vert(TL) -0.25 8-9 >999 BCLL 0.0 Rep Stress Incr YES WB 0.40 Horz(TL) 0.06 6 n/a BCDL 10.0 Code BOCA/ANSI95 1st LC LL Min Vdefl=240 Weight:94 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 TOP CHORD Sheathed or 3-10.9 oc purlins. BOT CHORD 2 X 4 SYP No.2 BOT CHORD Rigid ceiling directly applied or 9-0-6 oc bracing. WEBS 2 X 3 SPF Stud REACTIONS(lb/size) 2=1224/0-3.8,6=1224/0-3-8 Max Horz 2=20(load case 3) Max Uplift 2=434(load case 4),6=-434(load case 4) FORCES(lb)-First Load Case Only TOP CHORD 1-2=18,2-3=-1971,34=-1791,4-5=-1836,5$=-1978,6-7=18 BOT CHORD 2-9=1811,8-9=1283,6-8=1817 WEBS 3-9=-382,4-9=627,4-8=662,5-8=-383 NOTES (5) 1)This truss has been checked for unbalanced loading conditions. 2)This truss has been designed for the wind loads generated by 90 mph winds at 25 ft above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load,10 mi from hurricane oceanline,on an occupancy category 1,condition I enclosed building,of dimensions 45 ft by 24 it with exposure C ASCE 7-93 per BOCA/ANSI95 If end verticals or cantilevers exist,they are exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33,and the plate grip increase is 1.33 3)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 434 Ib uplift at joint 2 and 434 Ib uplift at joint 6. 4)This truss has been designed with ANSVTPI 1-1995 criteria. 5)THIS CONFIRMS SPECIFICATIONS ARE ACCURATE AS SHOWN»»»>PLEASE VERIFY ALL INFORMATION: ACCEPTED BY: DATE LOAD CASE(S) Standard GNAR�p 9,f. r w era �� Dsa^rFa•t 4'�� February 13,2002 AwarwrNa-veri&design parameters and RzAD mares on refs AND PcVZRSX srDe saFows use. ��e It Design valla tot use only with Mliek connectors.This design is based only upon parameters shown,and for an Individual building component to be Installed and loaded vertically. Applicability of design parameters and proper Incorporation of component is iesponslbll8y of building designer-not truss designer.Bracing shown is for lateral support of Individual web members only.Additional temporary bracing to Insure stability during construction is the responsibility at the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer.For general guidance iegolding fabrication,quality control,storage,delivery,erection and bracing,consult OST-86 Gualsy Standard,DSB-89 Bracing Spe t lcatlon,and NIB-91 M iTeke m Handling Installing and Bracing Recomendctlen available from Truss Plate institute,683 D'Onofrb Drive,Madison,WI 63719. Symbols Numbering System AGeneral Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property 13/. *Center plate on joint unless Damage or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and building designer,erection supervisor, property securely seat. J2 J3 J4 owner and all other interested parties- 'A"' Ye TOP CHORDS 2. Cut members to bear tightly against each T 117-1C2 " other. WEBS N3, Place plates on each face of truss at each o joint and embed fully, Avoid knots and wane *For 4 x 2 orientation, locate = ; o at joint locations. plates r/8"from outside edge of cr 0- = o 0 4. Unless otherwise noted,locate chord splices truss and vertical web. a C7 o at r/4 panel length(+6"from adjacent joint,) *This symbol indicates the BOTTOM CHORDS 5, Unless otherwise noted,moisture content of required direction of slots in J 1 J8 J7 J6 lumber shall not exceed 19%at time of fabrication, connector plates. 6. Unless expressly noted,this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative treated lumber. * For tabular plating format refer to the AROUND THE TRUSS STARTING ATTHE LOWESTJOINT 7, Camber is a non-structural consideration and Forta GanglNall format Placement Chart. FARTHEST TOTH E LEFT. is the responsibility of truss fabricator. General MITelkWEBS ARE NUMBERED FROM LEFT TO RIGHT. practice is to camber for dead load deflection. 8. Plate type,size and location dimensions PLATE SIZE shown indicate minimum plating requirements. The first dimension is the width CONNECTOR PLATE CODE APPROVALS 9, Lumber shall be of the species and size,and 4 X 4 perpendicular to slots. Second in all respects,equal to or better than the dimension is the length parallel grade specified. to slots. BOCA 86-93,85-75,91-28 10,Top chords must be sheathed or purlins LATERAL BRACING HUD/FHA TCB 17.08 provided at spacing shown on design. Indicates location of required 11,Bottom chords require lateral bracing at 10 continuous lateral bracing, ft.spacing,or less, if no ceiling is installed, ICBO 1591, 1329,4922 unless otherwise noted. SBCCI 87206,86217,9190 12,Anchorage and/or load transferring WISC/DILHR 870040-N,930013-N,910080-N connections to trusses are the responsibility of BEARING others unless shown. Indicates location of joints at 13. Do not overload roof or floor trusses with which bearings(supports)occur. ® stacks of construction materials, 14.Do not cut or alter truss member or plate without prior approval of a professional engineer, MiTeke 15.Care should be exercised in handling, O erection and installation of trusses. RPAL PEL TM © 1993 Mitek Holdings, Inc. FORM018,019 HMRO,AIR® re ol 70'P-- LJL' G BLDG. ENERGY CODE CALCULATIONS (Cor No[i-Electric Heat) Design Criteria 6,000 Degree'.Uays O.A. LU°C Z.A. 7U°C FOR: PER: f Ghn�a(VP� 1c_ DATED: RLP- y 1� O V SUBSYSTEMAREA DESIGN THERMEL REMARKS U RATING Exterior walls (Opaque) Glaziny g Doors 20 Ceil.iiiy/Roof (opaque) 32 -3 0 D Skylights g Floor -723 vS U Foundation Walls Slab Insulation TOTAL I 't32- NaLes: Buildiny Envelope Systems to meet requirements or 7015.2 HVAC Equipement to meet requirements aL' 7015. 11 HVAC Systems to meet requirements of 7015. r2 Uuct• Systems to meet requirements of 7015. 13 Vent'ilaLione Systems to meet- requirements of 7015. 14 Insulatiau Of Piping Systems to meet requirements of 7015. 15 Service Water IIeatinq Systems & Equipment to meet- requirements of 7015. 7.1 Electrical & Lighting Systems & Equipment to meet requirements of 7015. 31 To the best of my knowledge, wtof NEw)'A belief, & professional juclyemellL•, these plans are i11 compliance witli the code. W ss 032254-1 `1V I G r Oo�UFESSI6NP�ci. --- - UUX �19 � _ -_ 2'7 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Za.&,a-1 z K DATE f( INSPECTOR,, /�, M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Oc, DATE 3 ZS I INSPECTOR `4 7--r- 765-1W2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( INSULATION [ ] FRAMING [ ] FINAL ( j FIREPLACES CHIMNEY REMARKS:/ /Cr ' GC a DATE J INSPECTOR l F7F M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLAC CHIMNEY R7ARKS: 0012ge�— �� �K�Z,v DATE 110 INSPE OR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING I'_ [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 2---IN-s- 7 I � � I—I • I—I ISI � I�I I_I / On ALFRAOAWMW •r 1 i • (/� �_ fit— . �_IL�'4. __i ���..�.��_ ,�.�I�,�. / . "—w %:!ni Ur. / / �✓//`/�� Lim �-i-/.a.'LI ;?. �' CI v r _I BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . SEP _ ! TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUTLDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . E TOWN IIALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUT11OLD, N.Y. 11971 TEL: 765-1802 NOTIFY: t�,,!! / CALL .. . ..! ». . . . . . Examined.!. vl .� ., 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approvc•d.f � 19.... Peril No. 5 ................................... Disapproved a/c ... ................................... ........................................ ........... �vl 1 (Building Inspector) L.ICATLON FOR BUILDING PERMIT Date. v�vs' � . . . . 19g�. INSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application my not be camienced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will, issue a Building Permit to the applicant. Such permit shall bekept on the premises available for inspection througlout 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 11EIIERY tVM to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the loan 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,,ad to admit authorized inspectors on premises and in buildijp for necessary inspections. ....� ..................... (Signature of applicant, or name, if a corporation) my gqTS-- �. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or b uildc . dGoN e4- ... .............................................................................................................. Name of owner of premises . -,v ES 7 W CA.SE ............................................. (as on the tax null or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on whidb proposed work will be done.............................................................. 7-It 1WEAPvw 2,�JNE Cc�7CHoc C/E . ........ ....................................................................................... (louse Number Street llanlet County Tax Map No. 1000 Section ..,// & ...... Block ..O�....... hot . fL.y.......... Subdivision ...................................... Filed Map No. .........I..... hot ............... (Nate) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .O.lv b. Intended use and occupancy . .........SAMF ................................................................... 3. Hature of work (check wind► applicable): New Building .. ........... Addition Reaoral � ........ ...... Alteration•.... Alteration ..... DeolitIon ............ Other Work ................. � OOb 4. [,,at iunace<I Cost ..., . • f................. fee .............. (Description) ................................ (to be paid (xn filing this application) 5. If (kdelling, mxaber of dwelling slits .�NE,••• Ikaber of. (killing units on each floor ................ If garage, instiller of cars ................... 6. If Ixnsiness, comiercial or mixed occupancy, specify nature e(xt extent of earn type of use...................... 7. Utmenaia►s of existing structures, If any: Front...7.y,,, /?r y.YY..rI Rear................ Depth ik-igilt Nadler of Stories .4p t Dimensions of sale structure with alterations or aklitions: Front ........1�.�,,, IPU / Depth �� I . ' ........ Ilei )t ...Z6. Rear ............... 81 •••••••••.. , Nnd)er of Stories .Q!V It. Dimensions of entire new construction: Front ......... [tear ! 2411,10 n ............... Depth 2 17 a/ .............. lieiglut ........................ Muller of Stories ..Q.N� 9. Size of lot. Front ...��0 FT . Rear ..1/LM �� - ���f! �Lvs ................ Depth ..... /9G / /7 M. Ikul'e of Rnrcnase ........... Name of Former (kmer ..- 'A/✓L 6Y ,4r 4T It. Zone or use district in whid► premises are situated .................... ......................................... ... 12. Does proposed construction violate any zoning lar, ordinance or regulation: 13. Will lot be regraded ..M&,•„ ••.•• Will excess fill be removed fraupremises: YES.,... 14. Nanes of Owner of premises 4R!YES> �. Cfls'E. Addresa?yoIWEAnad44 CdfNctfd�AeNxx►e No 7 y,f7s ....p...... Nave of ArclItectEitE.... .Aw✓ToR/I`)�A P�AWY�d/HB esa/�A.�N!``'� P1xme No�»bYioo .............. Mare of Contractor ....... A(klress ..... litone No ................. 15. Is this property within 300 feet•of a tidal wetland? * YES ...✓.,,•„ *IF YLS, SwfluD IMN 1431SD�S PldiMi'I' my RL ltG(il1IRGD. NO PLOT DIAGRAM - Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all t-back dimensions. frcan property lines. Give street anxt block number or description according to (deed, and allow str t name ►duether interior or corner lot. f / / licote -76 G 4y' Woo REMOVE F�/ra" � U F6kcEs T t 0rA-1 I/6' \ N E o m ti F n9v 1 tA G 0 r8 4 DECK /f 6 ?`o N76PS-V Zo" w /8'U' SI'A'lli Ar- (w NSI Y(AW, OXINIY (Mw .S.�F G !r,•,,,,,• SS /YEW S7>FfOL/C AVE . �iCk�sT Y� C�sE .. of initKlivio.k.'at sig. .' 'ni.ng crntracf)...•.................heiug duly sworn, delx)ses amxl says dint he is the appl.i(�nit (Name above ont ed, Ile is the ... ............................ .................................... Camtractur sent -cor "•••••••••• > g poste officer, etc.) Of said owner or (mie.rs, aril is (July altlarized to perform or have perforisel'i the said work alxl to make and file 1.1lis aiq)i icatuxl; that all ataLenenta contained in this n14)I.ication are tnxa to the best of his knowledge and lx;lieF, axl that Lite work will be performed in the manner set forth in time application filed therewith. 9wurn to before me this ../...•....IN /0Notary Public ... /W c....................................... ;JANE WAppElm (Signature of Applicant) c. State of New York No.4948216 Qualified in SaffNlk County Commission Expires Mar.6, 19 o� FOS-77s 0 a 17, ze• '� V !l� �ano Pard (Av ,,��,c' • it/GTD.�' c� /Yjs�.E'/�i11 �L�S 0 / R } `��`o USO�� �dev�rEae• L�,.ei(/�5T t(/. �/.4i 467"T l v�r.��• e'E�,�y�O�1� L�T�eay Cdre.S��TaryyvF-.�a7�,�o s�yt! tr L p t � '► � �3Bs� �40vrhtnwyr-K/,LEiG'.9ivoox�s.�i' // sem/ 1�VOL29//�at-Lf� i ENERGY CODE REVIEW (non-electric) 7814 (Part 5) 6,000 degree-days For g Per Dwgs Ptah P l I L Dated Envelope Component R-Value Exterior Wall R-18 Rodf/Ceiling R-19 Floor R-19 Foundation Wall R-10 Slab edge Insulation R-10 Glazing R-1 .7 Entrance Doors R-2 .5 All HVAC Equipment to meet requirements of 7814.11 All HVAC Control Systems to meet requirements of 7814. 12 All Duct Systems to meet requirements of 7814. 13 All Ventilating Systems to meet requirements of 7814.14 All Piping Insulation to meet requirements of 7814.15 All Service Water Heating Systems and Equipment to meet requirements of 7814.21 All Electric Systems to meet requirements of 7814 . 31 To the best of my knowledge, belief, and professional judgement, these plans are in compliance with the code. of NEW Q�NGE49 A r J a r cc w 032254-1 �V A�PQFESSto% . ;.-�' \r.. f , .F". .)' - . ..'4 � ..a,. . 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