Loading...
HomeMy WebLinkAbout36975-Z Town of Southold Annex 2/14/2014 P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36773 Date: 2/14/2014 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 275 ALOIS LANE MATTITUCK, SCTM 473889 Sec/Block/Lot: 123.-6-4.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/31/2012 pursuant to which Building Permit No. 36975 dated 2/6/2012 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: "AS BUILT" ALTERATIONS; FAMILY ROOM, BEDROOM, BATH, GARAGE CONVERSION TO LIVING SPACE, TO A SINGLE FAMILY RESIDENCE AS APPLIED FOR The certificate is issued to TIMOTHY & NANCY HOUGH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36975 03-12-2012 PLUMBERS CERTIFICATION DATED 02-12-2014 Matt k Plumbing & Heating A'p& Ized ignature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE m SOUTHOLD,NY 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 36975 Date: 2/6/2012 Permission is hereby granted to: Timothy Hough 275 Alois Lane Mattituck, NY 11952 To: 'As Built' Alterations to a Single Family Dwelling; Family Room, Bedroom, Bath, Garage Conversion to Living Space, as applied for. At premises located at: 275 Alois Lane, Mattituck, NY SCTM # 473889 Sec/Block/Lot # 123.-6-4.7 Pursuant to application dated 1/31/2012 and approved by the Building Inspector. To expire on 8/7/2013. Fees: CO - ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $1,113.60 Total: $1,163.60 Building Inspector Form No. 6 TJ 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 $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 1 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. 301 12 New Construction: Old or Pre-existing Building: x (check one) Location of Property: Z~ A[o%6 Atklxtk House No. / ~Street Hamlet Owner or Owners of Property: T MDT~CI / I-~o-t4 Suffolk County Tax Map No 1000, Section Z3 Block b Lot Subdivision Filed Map. Lot: Permit No. p I Date of Permit. o?'6 a Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: V/ Request for: Temporary Certificate Final Certificate: V (check one) da Fee Submitted: $ DV )°Y Applicant Signature pf SOUTyolo Town Hall Annex yy Telephone (631) 765-1802 54375 Main Road T Fax (631) 765-9502 P.O. Box 1179 c Q Southold, NY 11971-0959 roger. riche rtta7town.southold.nv.us ~~y00UNi'1,Nc~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Timothy Hough Address: 275 Alois Lane City: Mattituck St: NT Zip: 11952 Building Permit 36975 Section: 123 Block: 6 Lot: 4.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Modern Elec East License No: 34283-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 22 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 14 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 20 Twist Lock Exit Fixtures TVSS Other Equipment: Notes: Inspector Signature: Ci1 Date: March12 2012 81-Cert Electrical Compliance Form.xls pE SUUp Town Hall Annex _ Telephone (631) 765-1802 54 Main Road + _y4 Fax (631) 765-9502 Jc P.O. Box 1179 G Southold, New York I197I-0959' BUILDING I)EPARTTviF NT TOWN OF SOUMO;LD FEB 1 4 2014 ~ CERTIFICATION Date_ cbr-, u-vU 'l>ly Building Pennit No. Owner: -i he h\\ lTTj (PleasC prin Plumber: MCO~+IJG ~Ivr l~ ` p c t t' ~Cr~l (Please prm -J J I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead. (Plumbers Signature) Sworn to before me this Z day of 61- u 20_Lx~_ 1~ ,-I~, 11~C~~~ CHELSEA L CHALONE ~_y~~~'=!~~~~ Notary Public, Stale of New York Registration #OtCH8287108 Ouallfled In Suffolk County Commission Ezplrea August 6, 2017 Notary Public, 1 1K- County w 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 ELECTRICAL )ROUGH) [ ] ELECTRICAL )FINAL) REMARKS: DATE f 2/ INSPECTOR 7" TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) k -ELECTRICAL (FINAL) REMARKS: DATE !v INSPECTOR ~r,OF 8041 AQ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ]FOUNDATION 2ND [ ] IN ION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) t REMARK C~ (CD - 6~ &-d ~ DATE 3 ^ INSPECTOR 03, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~ueo DATE 2/ l INSPECTOR +D N RVOR2 DATE COMMENTS , W b FOUNDATION (1ST) Ny FOUNDATION MD) y O ROUGH FRAMINCT & PLUMBING LA Z INSULATION PER N. Y. y S2A7E ENERGY CODE 'h.et ~Q FINAL / l 4/34 d;A ADDmoNAL COMMENTS 0 G vu t ~e a(~ ` Z / iy Yom- z FllJri e -Olt- 3 !Z I TL, a ~ o / 2a / w~ z~ ~e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BVILD?NG 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 3(077-s- Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. C E WII 2 Trustees D LS U LS C.O. Application { Flood Permit Examined Jo ' 20 JAN 3 1 2012 Single & Separate Storm-Water Assessment Form / Con act: BLDG. DEPT. Z ~OCJ Approved 777" , 20 TOWN OF SOUVOtD Mail to: p ve a Phone: Expiration 7 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date 120 tZ INSTRUCTIONS a. This application MUST be completely tilled 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 interilm,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. (Signature /applicant orname, ifacorporation) P.O R66 293 MA0t,,j( A)? 11951_ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OwAIEg Name of owner of premises t n o f ! 1~4 ' (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. (0 {,7 .4 n Electricians License NW 2)~ Q 3 -M Other Trade's License No. 1. Location of land on which proposed work will be done: 275 A to i 5 /.1/1 Qf1'4,c1( House Number Street Hamlet County Tax Map No. 1000 Section 12-3 Block 6 Lot 4 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5 lr P,w:4D 41,E b. Intended use and occupancy S;N`1 b,.~Fllf" 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 2- 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. 7. Dimensions of existing structures, if any: Front 51 t' O u Rear St U r Depth 2-6'-0" Height 20 Number of Stories 2 Dimensions of same structure with alterations or additions: Front Rear SI 0" Depth 'Lbr- o" Height 2or Number of Stories 2 r tl t ~i l u 8. Dimensions of entire new construction: Front S I " o Rear 5 t - O Depth Z 6 - y Height Z. o, Number of Stories 2 -03 N Depth 123'- 82 9. Size of lot: Front 198 Rear I g~ 1 10. Date of Purchase tZ 1231 11 Name of Former Owner F Dv nRD -S4,pW jt q Si c q M ^ ~N 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO 1S 13. Will lot be re-graded? YES NOXWill excess fill be removed from premises? YES, NO 14. Names of Owner of premises 11^ 4" L4z ftl,. Address Z) S Alois Phone No. 6'10 611 2 aW Name of Architect Q.~FQ~ hk ~~1 d.4 Address So wddE,+ A,R[l C~Phone No 6,11 tog 33S 1 Name of Contractor Address ' `-I XPhone No. 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 REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO X * 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 X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF LUFfo being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing 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. DENISE KING Sworn to before me this Notary Public, State of New York i Registration #01KI6041757 ~l2 slay of -J A Y 20 /a Qualified in Suffolk County My Commission Expires Ma 15 2 1~N~ti Notary Pub is Signature of Applicant 1 ~ i Town MA A== Tckplane e68q 7as IS~4 54875 Main Rand P.O. Bar 1179 Saaahoid, NY 119714 'Wald t. KMDING DEPAnMENT TOWN OF BOUTSOLD APPkICUON FQ~2 ELECTRlC1U. IN3Pecn~N REQUESTED BY: Rube r DaW. i pony Name: c k ri -c Name: ec cer No.: 3 _ M Pddmm PO f3o a _ i No.: ~t o -1 1' t JOBSITE INFORMATION: (*Indicates required infbTlatlon) *Namw ~y t a-7 ataI$ j l~~ttk ~Y 1L~,4`, Thone No.: (D7 Pernik No.: I to q Tax AAap Dlstlfd 1000 Sedlore Lot:Lj~ _ 00 *BREF DESCWPTION OF WORK (Please PAnt Cle rn ' (PMaee CidnN AN TUM Apply] *le job ready for mspedeorr YES NO. Rough In Fk1ai *Do you need a Temp Cmakate: NO Temp 4*xma*m (1R needed) I *Sedrvice Size: 3Ph w 100 760 Q 300 960 .400 Other *New Service: ft-ow0d Underground Number of Meters of Additional lnfonnedlion: PAYMFNT DUE WM4 ADM CA a~ ~z oZ co1 s v ot L 82-Roqtlaar kr ktapedW FORT/ s THOLD PROPERTY %CORD CARD ~ OF SOU TOWN 3-f- 44,1- 7 Ct OWNER STREET G~5 VILLAGE DIST. - SUB. LOT rf , I[1 pr~f7 ~0 i 5 /te a r, e 2 u CSC / i1 R M.71 'FORMER OWNER N E x fJ~v~( Ac 51 re el m an S. W TYPE OF BUILDING f! ! ~~.rblrSS~a e r P!'tt~C~O~ - ar4o TS.ai4D SEAS. I VL. FARM COMM. CB. MtCS. Mkt. Value LAND IMP. TOTAL DATE REMARKS / 77 GV Ca r.•~ ~//4r40 .~~teflnr.ifhfr 7, /.Si^9~»e Y» /s ~S a ~g~ ~6 7~~ CCr,S/i ?/JS IMA.•~ a7eric ~ '~!/[O~r, ~o-d ? e -0 / ev l 6,96" l~CSCi 1 ~ ~l MO t 1 -JA:. t2 12-0 c, 5800 / 7000 ? 5 ie% 3 1 - Z OZO 6 3' i e D 'S'e 4 ' LL p 2. ~ .m r,ea z07 of (1100 3 . to 025 -Lit $ - Throe naa n safrs -N/~ 421 z oc! r` - G 3 0- r ~r /0/ u 7 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meodowland DEPTH House Plot BULKHEAD Total LOR ,1c!•uY TRIM frG~e _ - 1 - - - - - - - - - - - I{i" 41 Y { 2 I23.-6-4.7 1/12 - M. 7 Extensi -ro NL Extension foundation Both F y Dinette Basement Floors K. tar x 32a(psJ{~ 2S 14(00/ Ext. Walls ~V- S Interior Finish LR, Breezeway Fire Place Heat B DR Garage X = Type Roof Rooms Ist Floor . BR. P io C i Recreation ROM Rooms 2nd Floor FINt;,B O. B. Dormer Iota! Driveway L, 9,%, S 0 Town Hall Annex Telephone (631) 765-1802 54375 Main Road 41 411 Fax (631) 765-9502 P.O. Box 1179 Southold, NY 11971-0959 COU BUILDING DEPARTMENT TOWN OF SOUTHOLD January 24, 2014 Timothy Hough 275 Alois Lane Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The FollovAng Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (Contact your electrician) A fee of $50.00. Final Health Department Approval. --R,~Plumbers Solder Certificate. (All permits involving plumbing after 411/84) Trustees Certificate of Compliance. (Town Trustees# 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: BP 36975 - "As Built"Alterations UVi ~Uf IOAT'6U,X-V-`i-art D., 1 it _ 7 1 TM sewage 51tySasa+~ d sR,~ 8 p13.t•Y raciiit.tes fort ttti$ cat p a been Je Inspected by Z}1s drum bona °a R a]}} to be sattsfadioryr r a f i ~d~er -'r Cbief afto eyt.~ K ~VlriAD 4. A Ni0/F T" - L WRENCE P. v RgEVE ' I r, * ! RRd J-;'W /RPHY [ x Z 5 ~ srr a . 3..6,G? 34' 1,8'0,6 fT+ ` ~ /31 0 03' t" Ffr N a _ e ^ i. Lori roi OE. IVK0 s~~ N R1 tp j N JhHkSON t Lor.z E . ii}. I. O f yPA,.iy P - r_ , ~ N _ ~ r rY F c' 3 f ~ I yk ~P YI 3' 16} 3 "L~ I lbh BSr a er..4~r. o , 4y~ ``STK g~038'10, c4 . W. t S `.f na f f 1 ALOIS Srt ^ P~ i , ~ ~ ~ _ 4 4+ 5 U ' ~y M« wJJyyssyy « o dwanwi w ~ . , . ~ } ~ Fdrx.lloh"LeK.. 'M krrd .r YWe Inked . Iq.~ i ,1 JJ~._`jFd¢~ {j~ ~ ~ Idbrld b M O Mlld Po "h.. shall rtn Drily ro Mh e.d on hh behalf b'h. In kv MmrveNr ua.d S ;7 ' f ro Mwxut Gwmrx..l . -V fr. CO, T /OOD's•/ad3.6' ; a iA ro ddxkuraj lroNUlem „ " f+, t a i, CVW~Q & JO'ANN'A S1 G ~ryN t ` I 2 fT`1 0 F..4 R~ LONIA KIRCNG£SSN A;HAT UylPa OB,IN W y ,t y TPWK OoTHOLO ycP S4tRRpf, IPOUf~TY, N.Y Abe 27 rj~ COMPA NY MN SjAUEf "s <4r . x { y t t, NOv$ I 11' r ky+ i..~,/~~ MAY 3 {oQ S PT f 1..81: µ 'O,LAN9,5~Q !t ^ } d o? i e. S a,Y; 1t a, i-- . h... , , sa. t` > 6-P # 36 q7s _ BUILDING PERMIT EXAMINER CHECKLIST "Date Submitted. 3~ ~O2 Date Reviewed. Applicant: Owner: T~~ ArchitectA9agiaeer-, r( Estimated Cost: SCTM# 1DO- - Subdivp~sion: ~ Zone: Conforming? Property Address: City: Pre COs? Building Permits (Open/Expired): BP -Z / C/O Z- , Info: BP -Z / C/O Z , Info: BP -Z / C/o Z- , Info: BP -Z / C/o Z- Info: BP -Z / c/o Z- Info: Single & Separate Search Required? Y o(pDeterthination: SToP fAW4T-reR,_REtN4,r,.F• REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. A 0 % ACT. Lot Cov. _ REQ. Front ACT. Front RLQ Side ACT. Side REQ. Rear ' PROP. Rear REQ. Height. 3S" ACT. Height RE4R. BoTH SIDES ACT a,4- a xon Proje Descr Waterfront? o GLA- , If yes, water body: _ anel Flood Zone: B"ulkhea Bluff Distance: ADDITIONAL APPROVALS REQUIRED PLAN S (4) SIGNE0, sc,4LED /T:wRVey OR 6 fE-P" Suffolk County Health: Y oy~N If yes, *Bed#: _ *Date: *Permit#: Town Septic: Y• N If no, certification required: Y or N Received: Y or N By: NYS DEC: PR&DEC vijns Y or&- Date: Permit or NJ Letter - Notes: Southold Trustees: Y or Date: Permit or NJ Letter - Notes: Southold ZBA: Y or ICI Date: Permit - Notes: Southold Planning: Y orl% Date: Permit - Notes: Town Landmark C of A: Y o&DTE: *NYS CODE compliance (page 2): Y or N CONTRACTOR l1ctN5E DISABILITY_LIIt81liTY_-.W~~iC/'tENS Coa1A-,0VS4T-16W- Notes: Fee Structure: Calculation: q Foundation: SF g I 3 5 80 First Floor: SF + Initial Fee: $ 9-00, 00 Second Floor: SF + Additional Fee $ Other: SF SF X $ , Total: oZ SF + Initial Fee: $ y C OF o FEES -S-0, DO+ Additional Fee $ '5--s-6,90 AS e u I I T FEE .s,S-.6 . 80 TOTAL: $ 11 1 3 r ,60 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 20_ Wind Speed:. 12OMPH _ Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M Design Temp: I I " Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FME AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: YIN WALL STUDS: Y/N GIRDERS: YIN CEILING JOISTS: YIN FLOOR JOISTS: YIN ROOF RAFTERS: YIN LUMBER SPECIES AND GRADE: YIN WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N y EGRESS 5.7 S.F.: Y/N ti LIGHT 8%: Y/N VENT 4%: YIN NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YIN PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: YIN TRUSS DESIGN: Y/N CERTIFICATION: YIN ENERGY CALCS: YIN (RESCRECK) TOTAL COMPLIENCE? Y/N (RE, TURN TO PAGE ONE)