HomeMy WebLinkAbout27540-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29012 Date: 10/24/02
THIS CERTIFIES that the building ADDITIONS & ALTERATION
Location of Property: 2075 PINE NECK RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 5 Lot 47
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 19, 2001 pursuant to which
Building Permit No. 27540-Z dated AUGUST 9, 2001
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 ADDITION, ALTERATION AND DECK ADDITION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to RICHARD D SYLVESTER & ANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 58351 03/27/02
PLUMBERS CERTIFICATION DATED 09/24/02 BURTS RELIABLE
Authorized S' nature
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. 27540 Z Date AUGUST 9, 2001
Permission is hereby granted to:
RICHARD D SYLVESTER
PO BOX 132
SOUTHOLD,NY 11971
for
ADDITION AND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
at premises located at 2075 PINE NECK RD SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0005 Lot No. 047
pursuant to application dated JUNE 19, 2001 and approved by the
Building Inspector.
Fee $ 156 . 30
Authorized ignature
COPY
Rev. 2/19/98
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).
Approval of electrical installation from Board of Fire Underwriters.
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.
New Construction: ( Old or Pre-existing Building: (check one).
Location of Property: ✓ Q 175- N C�d r% CDAb a o W 6,�>
House No. Street Hamlet
Owner or Owners of Property: ✓ 1 e � LWrL f 1AJL S yLV F—,STYC
Suffolk County Tax Map No 1000, Section ✓ 0 7� Block S Lot
Subdivision ` Filed Map. Lot:
Permit No. ✓ p2�j� Date of Permit. ✓ ����� Applicant: .- RI CA& - ZZ X4/4)E SIAL L1Ef/7rA�
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: --------
Request
Request for: Temporary Certificate Final Certificate.✓ (check one)
Fee Submitted: $
Applicant S ature
FFO(k,,oGy
Town Hall,53095 Main Road ti Z Fax (516) 765-1823
P. O. Box 1179 .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: 6 `�
BuildingPermit No .
Owner: Rc %&-J + LaRR,h4Pe, Sy 1 ue6I-ee,
(please print()
Plumber: gt�45 LQ(I" �e
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumb rs Signatu )
Sworn to before me this
c. �/Y'_ day of YFpT 19 acoa
Notary Public, I/ L p County
NAN A. PESTER
otary Public, State of New York
Commission 4940985-Suffolk k County
Expires Aug.
. _
Electrical XnSpectfion Certificate
Date Electrical Inspection Service, Inc. Application#
3/27/02 375 Dunton Avenue 58351
East Patchogue, New York 11772
(631)286-6642
Issued to: Richard Sylvester
Street: 2075 PineNeck
Village: Southold Zip:11951 Town:Southold
Section: Block: Lot:
Introduced by: Peconic Electric Corp. (L) (cc) Lic.# 5230-E
was examined and found to be in compliance with the Mfiona/Electrical Code
El Commercial ❑NV Defects ❑ Pool ❑�1st Floor ❑Indoor L]Basement L] Hot Tub
'~ W Residential ❑ Det. Garage ❑Attic W 2nd Floor ❑Outdoor W Addition [-]Survey
` Switches Receptacles Fixtures GFI Heaters A/C Fans
v 20 13 21 4 2 ., .
Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal `y'
1 20 1 30 3f
Furnace Oil Gas Circulator Smoke Detector Bell Transformer
3
Meter Amps Phase UG/OH Telephone Television Carbon Monoxide
❑ ❑ 2
Other Equipment. Building Permit#27540
1 a/c receptac%s
Hugo S. Surdi
President
Rough Inspection: 12/11/01
Inspector: Quentin Reynolds
Final Inspection: 3/26/02
Inspector: Quentin Reynolds
This certificate must not be altered in any manner.Inspectors may be identified by their credentials
S Y L UE
STATE OF NEW YORK )
) ss:
COUNTY OF SUFFOLK' )
UL Bing duly sworn, deposes and says:
That deponent is over the age of 18 years and resides at
That on the 1*9 day of�, 2001 deponent architectlengineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire Prevention and Building Code (9 NYCRR); said plans pertain to property
located at SCTM# 1000-
street address 2p 7S f 1A1rc 19ee/?o W
Architect/Engine r
Swqrr11 to bef re me this
± day of ��� 2001.
Notary Public
HELENE D. HORNE
Notary Public, State of Newyork
No.4951364
Qualified in Suffolk County.
cc: Applicant
1 ,
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STATE OF NEW YORK 1 /nV(_
DEPARTMENT OF STATE
4 1 STATE STREET .ALBANY. NY NY 12231 -GOOi
RANDY A. DANIELS
SECRE'ARY OF S7^T.
--------------------------- -----------------------------
In the Matter of the Petition of: DECISION
Mark K. Schwartz, AIA
Fora Variance to the New York State PETITION NO. 2001-1166
Uniform Fire Prevention & Building Code
---------------------------------------------------------
Upon the application of Mark K. Schwartz, AIA, filed pursuant to 19 NYCRR 450 on December 3, 2001, and
upon all other papers in this matter, the Department makes the following determination:
NATURE OF GRIEVANCE AND RELIEF SOUGHT
The petition pertains to an addition and alterations to an existing building of Al (single family) occupancy, two
stories in height, of type 5 (wood frame) construction, approximately 1,700 square feet in area, located at 2075 Pirie
Neck Road, Town of Southold, County of Suffolk, State of New York.
The petitioner is seeking relief from:
9 NYCRR 711.2(b), which requires that bathrooms, toilet rooms, kitchenettes, corridors and recreation rooms
shall have a minimum height of seven feet. [The petitioner requests relief to allow a bathroom built into the roof
area of the second story with a ceiling height of less than 7 feet at the side wall.)
FINDINGS OF FACT
1. As part of proposed alterations, a bathroom is to be constructed into the roof area of the second floor of the
building that is the subject of this petition.
2. The ceiling height in the bathroom is 8 feet 1 inches at the flat portion of the ceiling and 5 feet 5 inches at the
knee wall.
3. With the placement of the fixtures, the ceiling height is adequate for normal usage.
4. The petitioner has proposed to install a fire and smoke detecting alarm device in the second floor as required
by the Uniform Code.
5. The local Code enforcement official has been consulted in this matter and does not object to the granting of a
routine variance under the provisions of 19 NYCRR 450.6.
WWW.DCS.STATE.NY.US E-MAIL: NFO`DOS.STAT£.NY.L'S
wcc+cacc ..cn
• 2901-1166 .
_ r
CONCLUSIONS OF LAW
Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce a
negligible additional health, safety and security benefit to the occupants of the building.
DETERMINATION
' WHEREFORE IT IS DETERMINED that the application for a vdriance from 9 NYCRR 711.2(b), to allow a
bathroom built into the roof area of the second story with a ceiling height of less than 7 feet at the side wall, be and
is hereby PROPOSED TO BE GRANTED with the following conditions:
1. That the petitioner install a fire and smoke detecting alarm device in the second story in conformance with the
Uniform Code.
This DECISION is issued under 19 NYCRR 450.6. Unless objected to by the petitioner in a writing received by
the Department, the decision shall become FINAL after fifteen days of receipt of the decision by the parties.
This decision is limited to the specific building and application before it, as contained within the petition, and
should not be interpreted to give implied approval of any general plans or specifications presented in support of this
application.
lf�
'*tor.
Clark, r.
DirJe6tor. Codes �ivvii ' n
DATE: ((!Q
RAS:Sg
BUILDING PERMIT REVIEW CHECK LIST
DATE REVIEWED: 6- / 9 /01
DATE SUBMITTED:6 //'�/O1
APPLICANT NAME: Sys/srrq
SCTM# --- DISTRICT: 1,000 SECTION: 7 y BLOCK: S LOT:
STREET: 20;�S CITY: SU/BDTV. NAME:
PROJECT DESCRIPTION( ACC oR_N/D: , ,r/k-� ✓' o -
ARCHITECT/ENGINEER: FAST TRACK: E R NO
SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o O NOTES:
LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LATS FROM JAN.1997 100-25.Mergennr.(A nonconforming at any time after 7/1,
ZONING: PERMIT ESTIMATE AMOUNT:-$ 'f0 K .00 PERMIT USE: EXISTING: —f��J INTENDED:
ZONING DISTRIC . R4 R80 AC,_CONFORMING: YES o O REQUIRED LOT SIZE: SQFT.
WHERE ACTUAL LOT SIZE FRONt2" ACTUAL LOT SIZE: SQFT
REQUIRED ,tr REQUIRED rE REQUIRED
1ST FOUND:FRONT;``'PROPOSED:.2t SIDE YD: A3 'l?6 ' PROPOSED: /9K'l0S ' REAR:.3!9- 'PROPOSED•'
2NDFOUND:FRONT:_' ACTUAL: SIDE YD: '/ ' ACTUAL: '/ REAR: ' ACTUAL:—'
LOT COVERAGE: ALLOWED:?o% EXISTING: f_% NEW: sf_% TOTAL:_,4'a sf// %
CORNER? YES o WAT ER FRONT? YES o DESCRIPTION:
FLOOD COMPLIANCE ZONE: PRE-FIRM 3118/80 PANEL #: 016a FLOOD ZONE:?,
AGENCY PERMITS REQUIRED FOR REVIEW
INCLUDED IN APr ATION
TOWN SPETIC PERMIT: YES OrNO
SUFFOLK COUNTY HEALTH DEPT: YES or C (BED #): DTE: /_/ PERMIT#:R10-
APPROVALS REQUIRED: i
NEW YORK STATE DEC: PRE-DEC 911n5 YES o
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BOARD APPROVAL: YES or
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES o O
NYS ENERGY: YES OR NO EGRESS: VENT: LIGHT:
BUILDING PERM OPEN/EXPIRED: BP -Z/C/0 Z_
HAVE PRE CO'S JY R N OjO BP -Z/ C/o Z- /4f;78 -t110 s .�
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR S21 SF
SECOND FLR 3 SO SF INTT OTHER TOTAL
TOTAL: 7 / SF FEE FEE FEE
TOT( Fs 7/ SF)- ( 8-<6. SF)= 21 SFX$.3U =$ +$ /SU +$
SYS UE gw-
STATE OF NEW YORK )
) ss
COUNTY OF SUFFOAinz, LK )
V(. eing duly sworn, deposes and says:
That deponent is over the age of 18 years and resides at
�a_gyL.74k'.J .61542v ay..Gc Cs CIO
That on the M day of L)&A19— , 2001 deponent arch itect/engineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire Prevention and Building Code (9 NYCRR); said plans pertain to property
located at SCTM# 1000- 70 — o,5---4 7
street address 20?SS 19/NrcN9ee-/20W
Architect/Engine r
Sworn to b re me this
may of2001.
Notary Public
HELENE D.HORNE
Notary Public, State of New York
No.4951364
flualified in Suffolk County
22, 0(,00
cc: Applicant
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
R _N!7�
DATE G INSPECTO '
7s�
765_1802
BUILDING DEPT.
INSPECTION
[ ] FO NDATION IST [ ] ROUGH PLBG.
[ OUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPQACE & HIMNEY
REMARKS
- zZ_
DATE INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOU DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: F- 4)
O
r
DATE 1 / INSPECTOR '
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO PLBG.ULAT
[ ] FOUNDATION 2ND [ INSION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
L
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]7SAeATION
FRAMING [ L
[ ] FIREPL & CHIMNEY
R MARK w )Ida
l O
ZCW
C��c
/ as—
� �
DATE �/1 ?� INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLAC C IMN
REMARKS:
DATE AnI�S�D!/ INSPE
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TOWN OF SOUT14OLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: 765-1802 Survey ,/
PERMIT NO. 2S4a a Checkltr22 . .L ISD.
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 051.7 2040/ Contact:
Approved 200/ Mail to:
Disapproved a/c
Phone: 7 3`1-
� 11711.
� 1711
[ -- '7 1, Building Inspe or
F U
APPLICATION FOR BUILDING PERMIT
P�Dc. n7-7T.
'r QF • u `.3L0 Date O 20
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 bf lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupancy
is issued 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,addititins, oralteration's•orfor 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 inspections.
C,&it/1N 0(Govaat> eovSvc7: E.c/4,
Af,4)eK sefftw�,S )
`(Signature of ap liant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, 86
nt, architec engineer, general contractor, electrician,plumber or builder
Name of owner of premises EI CIO RX J W R Z+I /E �) Ve Vg"STAIZ
(as on the tax roll 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.
1. Location of land on which proposed work will be done:
207.5 P/NE AXE CX Rd 2007-dyc n
House Number Street �7 Hamlet 4- 7-7
County Tax Map No. 1000 Section /� Block S Lot T /
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy ofpMmses and intended use and occupancy of proposed construction:
a. Existing use and occupancy. >1AZ LAE &,*/t VF_ S l bE.v E
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition__ Alteration_
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost , 600 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.
�0L j j* s 4 Svi2 (/Ey
7. Dimensions of existing structures,if any: Front r Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories.
8. Dimensions of entire new construction: Front Rear Depth
Height /_Number of Stories
9. Size of lot: Front 9 ti' , 7 Rear /00. 409 Depth 140 lt)
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ¢O
12. Does proposed construction violate any zoning law, ordinance or regulation: AJO
13. Will lot be re-graded AM Will excess fill be removed from premises: YES NO
Ftca--40-0 ""+kW 4075-0'c wj"A AV
14. Names of Owner of premises SyL✓Ft A Addresses&,r44Wy Phone No. 76.s' 9S
Name of Architect *V-4;uo Cowogw Address-& 00Y ?,02
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE�
16. Provide survey,to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of mdivi ual si g contract)above named,
(S)He is the
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners, and is duly 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 tore me this
day of 200 f
Notary Public oqAp -
Signmature ant
HELENE D.HORNE
Notary Public.State of Newyork
N0.49513i?ualified in SuffolCounty
Commission Expires May 22, 4!�,? 00-;�
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OCCUPANCY OR
USE IS UNLAWFUL
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a - - - - F14. REQUIRED
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ALL PROVIDE SMOKE-DETECTING &WATER PLUMBING
1NES NEEDS
x Nva C1WL 5�AG8 al ! P '7Yy �Z► � x `� — n
W/o I + e - rr l9 _ n APPROVED AS NOTED
— - - - TESTING BEFORE COVERT
II __ DATE: S o/ q p p 9-JS o z_ ALARM DEVICES NG
WS .fir+ 0
-•. I i y. ++ AS TO PART 721 1
I _ 3 _ N, FEE: By PLUI,?BERCERTIFICATION
({ NOTIFY BUILDING DEPARTMENT AT N.Y-S BUILDING CODE.
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765-1802 s AM TO a PM FOR THE ON LEAD CONTENT BEFORE
4 (. ¢4 � �- FOLLOWING INSPECTIONS:
' I 0 `0� I h NtUu(worlll, ryry � F �e°' rEl' g °- - `rl \T f1K�5� 3�� FOUNDATION - TWO REQUIRED PROVIDE OPENINGS FOR CERTIFICATE OFOCCUPANCY
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,{- r 3 J 2 I FOR POURED CONCRETE EMERGENCY ESCAPE AS SOLDER USED IN WATER
L 5Y3\GE `) FfSF`� ^ - - MING & PLUMBING
2 ROUGH - FRA RE SUPPLY SYSTEM CANNOT
�JO.� N�_GF1l . ., J syf 3. INSULATION
REQUIRED EXCEED 2/10 Oft%LEAD.
p New sw1 w PoL I — ��AT - - a. FINAL - coNs*RucnoN Musr N.Y. STATE BUILDING CODE.
y I �EY CAVI 6. F115715 FiLc, I I, N BE COMPLETE FOR C.O.
{ I 1 — J_ ____ _ - X. ' ALL CONSTRUCTION SHALL MEET
VAVa R. 0A a'IZ,Ea2f 111 ' THE REQUIREMENTS OF THE N.Y. If Capper tubing l8 used
STATE CONSTRUCTION & ENERGY PROVIDE ANTI-SCALD AND/OR
I THERMAL SHOCK PREVENTING for water distributing
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- CODES. NOT RESPONSIBLE FOR system;Piping shall be
DESIGN OR CONSTRUCTION ERRORS DEVICES AS TO PART. CODE. of types K Or Lonly
N.Y. STATE BUILDING CODE.
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