HomeMy WebLinkAbout36756-Z
R4 Town of Southold Annex 10/30/2013
e P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36589 Date: 10/30/2013
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 11365 Sound Ave, Mattituck,
SCTM 473889 See/Block/Lot: 141.-3-6.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/30/2011 pursuant to which Building Permit No. 36756 dated 10/14/2011
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:
alterations to an existing one family dwelling as applied for.
The certificate is issued to Elliott, Kyle & Kathy
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36756 8/20/12
PLUMBERS CERTIFICATION DATED 10/24/13 George Almyroudis
A h ed S' ature /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
W ~ IN"
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit 36756 Date: 10/14/2011
Permission is hereby granted to:
Elliott, Kyle 8: Kathy
11621 Ayres Ave
Los Angeles, CA 90064
To: Alterations to a Single Family Dwelling;
Kitchen, Bath, Powder Room, Staircase, as applied for.
At premises located at:
11365 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 141.-3-6.2
Pursuant to application dated 9/30/2011 and approved by the Building Inspector.
To expire on 4/14/2013.
Fees:
CO - ALTERATION TO DWELLING $50.00
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $324.80
Total: $374.80
Build-ii g Inspector
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:
I, 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 2110 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00:
2. Certificate of Occupancy on Pre-existing Building - $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.
New Construction: Old or Pre-existing Building:.._ (check one)
Location of Property: 11-45 10 yrvno/ 4?6'
House No. Street Hamlet
Owner or Owners of Property: fit/~G Y 4A 70~AY ELL j 0 jT
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. 43G-? ~lD Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Oei 4S~~
plicant Signat
pF SO[/lyolo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Pax (631) 765-9502
P.O. Box 117 roger.richert(cDtown.southold.nv.us
Southold, NY 11971 1-0959
~IyCOUNi'I ,N~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Elliott
Address: 11365 Old Sound Ave City: Mattituck St: NY Zip: 11952
Building Permit 36756 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: North Eastern Electric License No: 41853-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph Heat gas Duplec Recpt 39 Ceiling Fixtures 15 HID Fixtures
Service 3 ph Hot Water elec GFCI Recpt 5 Wall Fixtures 5 Smoke Detectors 4
Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures 15 CO Detectors
Sub Panel 1-60 A/C Blower 2 Range Recpt 1 Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt 1-30 Emergency Fixture Time Clocks
Disconnect Switches 36 Twist Lock Exit Fixtures TVSS
Other Equipment: 3-combination smoke/co detectors, 1-paddle fan, 2-exhaust fans,
12 ARC fault circuit breakers
Notes:
C--7 -7
Inspector Signature: Date: Aug 20 2012
81-Cert Electrical Compliance Form.)ls
CERTIFICATION
2 13
Date: 10
Building Permit No. -75 (p
Owner: LC:, Fo~ , 113 5 O\d S,,A& Kj M c~A\ IAQC~L 11 15 2.
(Please print)
Plumber: 4~eorqe- A1Y~~ra~a s
13 (Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1 %
lead.
(7 PC7QgioS ~ ~/n}~~OV"'s (Plumbers Signature)
Sworn t efore me this
day of_'201S
-County ACT 2 9 2013
'?Public,'
DOROTHY A. HELLBERG
Notary Public State Of New Yak -
ranmissionlJo. 01 HE6167738
Qualified in Suffolk County
,,mmisslon EXpkes June 4, 2015
~47 Z>- 5
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECT"
[ ] FOUNDATION 1ST [ OUGH PLBG.
[ ]DATION 2ND [ ] INSULATION
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICALIRQUGH)` [ ] ELECTRICAL (FINAL)
REMARKS: 74-2
L
2
1 ~ ~ II
,DATE INSPECTOR
w~
TOWN OF SOUTHOLD BUILDING DEPT.
76S-1802
INSPECTI N
[ ] FOU DATION 1ST [ OUCH PLBG.
[ ] F UNDATION 2ND [ ]INSULATION
[ FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTR )ROUGH) [ ] ELECTRICAL )FINAL)
REMARK z</FL~?',~ ~
6,C) f i
Q
DATE 40 1? INSPECTOR
~~,OF 8U!/ly_ c
ICY
ibIA119,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE ~Z INSPECTOR
3056~~r
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT JON
[ ] FOUNDATION 1ST [ - OUGN PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ) FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE Z INSPECTOR
i o~~Of 8061
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
LBG.
[ ]FOUNDATION 1ST [ =ON
FOUNDATION 2ND [ ] FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
f%y 47
4
DATE L INSPECTOR
i
f®*
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH G.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING/ STRAPPING [ INAL
[ ] FIREPLACE A CHIMNEY [ ) FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTR (ROUGH) [ ] ELECTRICAL (FINAL)
REMARK
c1~ , C~:
DATE AQ INSPECTOR -
~-7 S~ ~ ~~,Of SDl/T
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1
[ ] FRAMING/ STRAPPING [ I L
[ ] FIREPLACE & CHIMNEY [ ] FIRE INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRIC ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR
*fg Soil),
I log
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
REMARKS:
DATE /v INSPECTORQ
OF SW/T~
TOWN OF SOUTHOLD BUILDING DEPT.
76S-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU PLBG.
[ ] FOUNDATION 2ND [ ] UL
( ] FRAMING/ STRAPPING [ ] FIN L
[ ]FIREPLACE & CHIMNEY [ ] FIRE INSPECTION
[ ] FIREJIESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
i
DATE INSPECTOR
FIELD INES= ItBPORT D COMMENTS.
J) b
FOUNDATION (1ST) Z /j,
FOUNDATION (2ND) r
. O
LI&I
c_ ~1
/0 Z~~
ROUGH PA&AMG & UI
PLUMBING
109;x"A-te r re-) Ate,
7
L
INSULATION PERN. Y.
STATE ENERGY CODE
3 ~ \
r•-
FDUL Al,
- ~ l Cwt To
ADDMONAL COMMENTS
2 lV
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans _ _
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 367s6 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20 Single & Separate
RISEP 3o 2011 Storm-water Assessment Form
Contact: ~.p
Approved 0 - 20 BLDG DEPT. Mail to:
D"ft rmvdaFc TO`:"iN OF SOUTHOLD I~T I!O
Phone: ~
Expiration _ '20 Building Inspector
APPLICATION FOR BUILDING PERMIT
Date , 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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 the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 inspections.
~~S Lr,Q~S~rttS
(Signature of applicant or name, if a corp(ooraati~on)
? 7 ( a L- (Z, VeJ n , r, J3 S
(Mailing address of ap icant)I t p Yb
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of peemi es
(As on the tax roll or latest deed)
If app ' anti a co ation, signature of duly au horized officer
GwT
(Name a ti of corporate o ficerr)
B ' ders License No. Plumbers License No. 6(2219 -
Electricians License No. Mtr'
Other Trade's License No.
1. LoI t3 d on which proposed wprk wdone: ~
House Number Street ~1•~ Hamlet
County Tax Map No. 1000 Section (31ock Ax 31MJV Lot
.
Subdivision Filed Map Not;z,. Lot
2. State existing use and occupancy of premises and inte ded use znd occupancy of proposed construction:
a. Existing use and occupancy ~~N7`is? G
b. Intended use and occupancy aCS,'Q0;'Cs.7`r L
3. ' Nature of work (check which applicable): New Building Addition Alteration y
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost /00, 000 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor 3 .Dr, a,t'~.
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_ a / Rear 3 Depth V9 r
Height o2f/ " Number of Stories 12
Dimensions of same structure with alterations or additions: Front ~l Rear /8 3
Depth iK 57' G Height ? 5-/ 0 Number of Stories a
8. Dimensions of entire new construction: Front .1 ~ en r, C teary Depth
Height Number of Stories
9. Size of lot: Front Rear 113 • S7 Depth 96 • y
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO ' Will excess fill be removed from premises? YES NO
R ~ e l alb . l
14. Names of Owner of premises I<We /o 77-Address /S J7 ? / f~G No. /d 31 S 7~/ey
Name of Architect AA( KC kMe ?w. Address l? . Phone No 6Y/ 28 G asc
Name of Contractor AA -il-rdy-s fic tes LTA Address.? ? H Phone No. .1%F,,- 4.1--r- X44
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ?
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE RE UIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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.
18. Are there any covenants and restrictions with respect to this property? * YES NO-Z
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
J p~nt1 V G'(!~ 4-So r- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing cont et) above named,
(S)He is the '
Contractor, gent, 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 to before me this
day of 20LL v
Notary Pub] c KALHORN Si nature of A
No1ary PubBc, State of New York g p
Rep : tion N01 KA6205483
Qualified in Suffolk County
Commiselon Expires May 11, 201
Town Hall Ann" 2( relephone (631) 765-1802
54375 Main Road ~~r+ (631) 765-95
P.O. Sox 1179 ~(mt5 nsou 0 U4. •nV.us
Southold, NY 11971-0959
~\v4 J l G ~G
~s rr l0
APPLICATIOI J
REQUESTED BY:
Company Name:
Name: S c y.
License No.: X853 - M~
Address: , L 4
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: GG i®
*Address:
*Cross Street: a LL
*Phone No.: Si ~v ~S 79/Ji
Permit No.:
Tax Map District: 1000 Section: LL Block: Lot: .
*BRIEF DESCRIPTION OF WORRK~ (Please Print Clearly)
c-OanD/~Tf /~cw~ie f}~ Q~.S, 5 6~c~<.~e
(Please Circle All That Apply) ( N
*Is job ready for inspection: YE NO R gh I Final
*Do you need a Temp Certificate: YES / NO
~L'
Temp Information (If ede J
*Service Size: 1 Pha 3Phase 100 150 200 300 0 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
SOUlyolo
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road 41 T Fax (631) 765-9502
P.O. Box 1 179
Southold, NY 11971-0959
com,N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 27, 2012
Kyle Elliott
1537 Redding Rd
Fairfield CT 06824
Re: 11365 Sound Ave, Mattituck
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of ccupancy:
"Before a Certificate of Occupancy can be issued, we still need a payment of $158 for hg Electrical
Underwriters Certificate
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
Final Health Department Approval.
V Fplumbers Solder Certificate. (All permits involving plumbing after 4/1184)
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36756 - Alterations
e. P 3 6 7-k q
BUILDING PERMIT EXAMINER CHECKLIST "Date Submitted. ! -30-a Date Reviewed: 10 -13 41
Applicant: 492r~?- Owner: J LJ VL- E Lpt C/ 47
Architectfgagiaee, ,~L ®"1 c C~Lt~vr~ Estimated Cost:~4a
SCTM# 1000 - I'I I - 3 - - 6 1 Subdivision: Zone: Conforming?
Property Address: 'Ai City: /i/l ~ Pre COs?
Building Permits (Open/Expired): BP -z / Go Z-, Info: BP -Z / Go Z- Info:
BP -Z / GO Z- Info: BP -Z / GO Z- , Info: BP Z / GO Z- Info: _
Single & Separ a Search Re uired? Y oyeDetermination: SToRtAW4,re& RUNaF.F _
REQ. Lot Size: (PjTM10 - ACT. Lot Size: REQ. Lot Cov. d 0 % ACT. Lot Cov. _
REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear
REQ. Height. 35~ ACT. Height REst. WN SIDES ACT
'
Project Description:
Gts-
Waterfront? Y or .
If yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance: -
ADDITIONAL APPROVALS REQUIRED ('LAN S (if) SIGNED, SFALF-D -!!~SuRVEYOR ~9mft ph"
Suffolk County Health: Y or~- If yes, *Bed#: -i7- *Date: *Permit#: Town Septic: YON
If no, certification required: Y or N Received: Y or N By:
NYS DEC: PR DEcg/1n5 Y org- Date: Permit or NJ Letter - Notes:
Southold Trustees: Y or9 - Date: Permit or NJ Letter - Notes:
Southold ZBA: Y orQ - Date: Permit - Notes:
Southold Planning: Y or 1W Date: Permit - Notes:
Town Landmark C of A: Y o DTE: *NYS CODE compliance (page 2): Y or N ~ p
CONTRACTOR QCEN5E_ ISAB?LIT)! L IRB?LIT)'_.W~1ek~4ENS conlPFnrs.~rtoN~ /4Notes:
Fee Structure: Calculation:
Foundation: 8 S SF X $'f O=$ SU
First Floor: x-2-7 SF + Initial Fee: $ 01,00, 00
Second Floor: SF + Additional Fee ( : $
Other: SF SF X $ ,
Total: 3 a2 SF + Initial Fee: $
)
C OF o FEES 4-5-,0,00+ Additional Fee ( : $
AS BUILT FEE TOTAL:$ 349-'fr g`D
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 2.0_ Wind Speed: 120MPH Selsmic Design Category: B
Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M
Design Temp: 11 Ice Shield Underlay: YES Flood Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: YIN
HEADERS: YIN WALL STUDS: YIN GIRDERS: YIN
CEILING JOISTS: YIN FLOOR JOISTS: YIN ROOF RAFTERS: Y/N
LUMBER SPECIES AND GRADE: YIN
WINDOW AND DOOR SCHEDULE:
MISSLE; TEST REQUIREMENTS: YIN
y EGRESS 5.7 S.F.: YIN
LIGHT 8%: YIN
VENT 4%: YIN
NAILING/CONSTRUCTION SCHEDULE: YIN
MEANS OF EGRESS: YIN
PLUMBING RISER DIAGRAM: YIN
LOCATION OF FIRE PROTECTION EQUIPMENT: YIN
TRUSS DESIGN: YIN
CERTIFICATION: YIN
ENERGY CALLS: YIN (RESCHECK)
TOTAL COMPLIANCE? YIN (RETURN TO PAGE ONE)
d
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~-1 - J COMPLY WITH ALL CODES OF
NF_~ I +1 NEW YORK STATE & TOWN CODES _ 7 AS REQUIRED ANO-C NDtH6NS-
k1Te- LG.N - SO OLD TOWN
® SOTHOL NPLANNINGAOAAD
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AM TO 4 PM FOR THE
74 It t _0 -Z 1 M ; ~ '\,SPECTIONS.
-4 u h _~nl $'r:~. 1.•,.{,,, f"1 a`',11N ~~'-r rya`:N - TWO REQUIRED
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a ~ I s F k"^rs,~MIY, I d n'I~1m r-OO '6t „TION
=A L CONSTRUCTION&ELECTRICAL
AL- - '4',ST BE COMPLETE FOR GO CONSTRUCTION SHALL MEET THE
;r1 L J V •4I FA OUIREMENTS OF THE CODES OF NEW
td I~ LiI o I ORK STATE NOT RESPONSIBLE FOR
S DLSIGN OR CONSTRUCTION ERRORS.
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