HomeMy WebLinkAbout42009-Z ��a�guFFU`,��pGy Town of Southold
6/14/2018
P.O.Box 1179
0
53095 Main Rd
001 �yyo� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39710 Date: 6/14/2018
THIS CERTIFIES that the building ALTERATION
Location of Property: 15305 New Suffolk Ave.,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-6-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/20/2017 pursuant to which Building Permit No. 42009 dated 9/28/2017
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:
interior alterations to an existing one family dwelling as applied for.
The certificate is issued to McCloskey,Thomas&Michelle
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 18-47780 3/24/2018
PLUMBERS CERTIFICATION DATED 5/16/2018 j, Kei Schineckenburger
t ed Signature
o�SU FU(�CO TOWN OF SOUTHOLD
BUILDING DEPARTMENT
z TOWN CLERK'S OFFICE
o 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#: 42009 Date: 9/28/2017
Permission is hereby granted to:
McCloskey, Thomas
PO BOX 223
New Suffolk, NY 11956
To: make interior alterations to an existing single family dwelling as applied for.
L
At premises located at:
15305 New Suffolk Ave., New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-6-15
Pursuant to application dated 9/20/2017 and approved by the Building Inspector.
To expire on 3/30/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $464.00
CO -ALTERATION TO DWELLING $50.00
Total: $514.00
Buildin '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:
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 1%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"laud 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. September 19, 2017
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 15305 New Suffolk Avenue, New Suffolk
House No. Street Hamlet
Owner or Owners of Property: Thomas and Michelle McCloskey
Suffolk County Tax Map No 1000,Section 117 Block 06 Lot 15
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ 6
Applicant Signature
Certificate of Compliance
......................... ..................................... ..............................................................................................._.............
CERTIFIED ELECTRICAL INSPECTIONS, INC.
188 PARE(AVENUE
AMITYVILLE, NY 11701
.P: (631) 598-5610
............_....._............................. ............ .........
CERTIFIES THAT
Upon the application of Upon premises owned by
Ben Franklin Electric McCloskey Residence
PO Box 1294 1505 New Suffolk Avenue
Center Moriches, NY 11934 New Suffolk, NY 11956
Located at: 15305 New Suffolk Avenue ,
New Suffolk , NY 11956
Application Number#: 18-47780 Certificate#: 18-47780
Electrical License#: 4211 ME
Section: Block: Lot: Building Permit#: 42009
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
1 st Floor-2 Bathrooms/Bedroom/Mud Room
A visual inspection of the premises electrical system, limited to electrical devices and wiring to
the extent detailed herein, was conducted in accordance with the requirements of the applicable
code/or standard promulgated by the State of New York, Department of State Code Enforcement
and Administration, or other authority having jurisdiction, and found to be in compliance therewith .
on the 24th day of March 2018
Name QTY
GFI Receptacle- 15 Amp, 120 V 3
Incand. Fixture- 15 Amp, 120V 22
Exhaust Fan - 15 Amp, 120V 4
Paddle Fan- 15 Amp, 120V 1
ARC-Fault- 15 Amp, 120V 2
Switch - 15 Amp, 120V 22
ARC-Fault-20 Amp, 120V 2
Duplex Receptacle- 15 Amp, 120V 14
Electrical Inspector:Anthony Giordano
+ APPROVED of
V � vim• � :�,
dam..
APR - 2 2018 DD
This certificate is not valid unless raised seal is present.
T O1ai SOIUTRO-LD
5
SOUTyo�o
Town Flail Annex � � Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 • ��
Southold,NY 11971-0959 o�yCaUNTV,O�a
BUILDING DEPARTMENT D [EC[ED'V[E
DD
TOWN OF SOUTHOLD
JUN 1 4 2018
IBDING DEPT.
TONIN OF SOUTHOLD
CERTIFICATION
Date: S >
Building Permit No4Zl.—Q9 Z
Owner:( ll o'S fffl I(h e l l e
(Please print) �,p
Plumber:L lir l SGi II nc(.1t)wb(j�(. r
(Please print)
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 r'
day of AA A-- Oil_
NOTARYpEVdR9 S�.SEAN
UaLIC STATE OF NEW YORK
NotaryPublic, k 1c County NO.
.N SU LK COUNTY
P✓1Y CCMMISSIONIS AUG,25,2018
iOFSOUlyo�
cou
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] OUNDATION 2ND [ ] INSULATION
[ ] FRA^MING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] E ECTRICAL (FINAL)
REMARKS: flomm
DATE -7- INSPECTOR
%qf SOUl�Olo
cOUNi'1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: d) R �J& TW 14)14
vpV � Ql Q
l�wi( V X71/
�C/ t�;Vk
DATE 7 INSPECTOR
• l SOF S0UT9
cOUM1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPEC ION
[ ] FOUNDATION 1ST ( OUGH PLEIG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] F E SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: Pfnivio, &Z A
DATE Jklif INSPECTOR
SOUTyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ :] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: II rr
,04 f
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DATE A INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
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FOUNDATION (2ND) -
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STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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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 Survey
SoutholdTown.NorthFork.net PERMIT NO. o�® � Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 20 � Flood Permit
D Storm-Water Assessment Form
I Contact: Samuels & Steelman Architects
Approved ` 20 SEP 2 0 2011 Mail to: 25235 Main Road
Disapproved a/c
utc ogue, NY 1193b
$ ODE' Phone: 631 734-6405
Expiration ,20 OF S UTSO i
B nspec
APPLICATION FOR BUILDING PERMIT
Date September 19, 20 17
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 fouremoval 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 of applicant or name,if a corporation)
25235 Main Road Cutchogue NY 11935
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder
Architect
Name of owner of premises Thomas and Michelle McCloskey
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builder's License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
15305 New Suffolk Avenue, New�Suffolk,-NY..--1'1956"
House Number Street
_, gHarnletl _ �
..C,' ...•c. f.`.. ,-"�4,i �:"moi,ri.:1,, _ .5:
County Tax Map No. 1000 Section 117 BJq l `Q� : � �:�i�`t IRt 15
Subdivision ---- ,.,;FiledfMap`Noa,=;1aF---t Lot ----
._ t -, .T xa �_
4
.._.. .__ -., „.tit... .. ... . ....,, _ .. ..,,.. .....,. .. _- -.-
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy SINGLE FAMILY RESIDENCE
b. Intended use and occupancy Same
3. Nature of work(check which applicable):New Building Addition L_- Alteration V
Repair Removal Demolition Other Work
,� � ., (Description)
4. Estimated Cost ---- Lej r: 'E� -7 : ,` 1 l
�» H• (To be paid paling this application)
S. If dwelling,number of dwelling units Number jbf dwellin units on eacitilJor
If garage, number of cars ' mp, tS 938
6. If business, commercial or mixed occupancy, specify nature and.extent,of each-type of use. ----
7. Dimensions of existin?structures, if any: Front 15 - 0 Rear r Depth Z40
Height 2g1 01 Number of Stories 2
Dimensions of same structure with alterations or additions: Front ---- Rear ----
Depth ---- Height ---- Number of Stories ---
8. Dimensions of entire new construction:_Front /�f/a Rear Depth
Height Number of Stories
9. Size of lot: Front 172.98' Rear 181.16' Depth 100.00' westerly 128.33' easterly
10. Date of Purchase Name of Former Owner ----
11. Zone or use district in which premises are situated R - 40
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NOVWill excess fill be removed from premises?YES NOVA'
Thomas and Michelle McCloskey PO Box 2 631 298-6130
14. Names of Owner of premises Address New Su olk,NY1195Phone No.
Name of Architect Tom Samuels Address25235 Main Road Phone No sm 7m 64n5
Name of Contractor Address Phone 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
* IF YES,D.E.C. PERMITS MAY BE REQUIRED. (see attached: Letter of No-Jurisdiction
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
* IF YES,PROVIDE A COPY.
STATE_OF NEW YORK)
SS:
COUNTY OF Suffolk
Tom Samuels being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Arch itect
(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 to before me this/
day of EN M MCKISSICK
NOTARY PUBLIC-STATE OF
ry Public No.01 MC6342300 Signature of Applicant
Oualffied in Suffolk County
MY Commission Expires May 23,2020
Q17
pf SO!/l�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G • Q
Southold,NY 11971-0959 'Q
April 24, 2018
BUILDING DEPARTMENT
TOWN OF SOUTHOLID
Thomas McCloskey
PO Box 223
New Suffolk NY 11956
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Electrical Underwriters Certificate
A fee of$50.00.
/Final Health Department Approval.
Plumbers Solder Certificate. (al permits involving plumbing after 4/1/84)
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.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 42009 — Interior Alterations
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SURVEY OF PROPERTY
51TUATE: NEW SUFFOLK
TOWN: SOUTHOLD W � � E
SUFFOLK COUNTY, NY
SURVEYED 05 - II - 2011 S
SUFFOLK GOUNTY TAX #
1000 - 117 - 6 - 15
LOT 2
MAP OF "KOUROS ACRES"
cCIER=D 7C®:
FILED JUNE 20, Iq-78 FILE #6&c12
THOMAS Mc CILOSK EY
hU CHEEILILIE Mc CILOSK EY
C® SAL HOME LOANS
® NE ( 0 S87o51 � ECMPANY O W YORK =E NO 3001-352408)
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sur of le roporeal
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t.Cgs on For whom the survey le praparad,
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AREA = 20,122 S.E. or 0.46 ACRES SURVEYHN OR
EHLERS LAND "' VEY®R
FLOOD ZONE X
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIG SGALE I"= 30' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287
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FCI_LO1NIING INSPECTIONS:
FOUNDATION - TWO REQUIRED
I FOR POURED CONCRETE TRUSS PtACARD1NC REQU!a_D
NOTE: I 2. ROUGH - FRAMING & PLUMBING
WHILE SPACE IS GUTTED, CAREFULLY EXAMINE
ROOF UNDER ROOF DECK FOR 516N5 OF r 3.4. FINAFiNALP,T10
j L - CONSTRUCTION MUST
LEAKAGE. NOTIFY ARCHITECT 4 PROPOSE
METHOD FOR REPAIRING ROOF ABOVE A5 REG'D A1_�E COMPLETE FOR C.O. Z
L CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
F YORK STATE. NOT RESPONSIBLE FOR
NOTE: :*p,
VINYL SHINGLE COLOR No LONGER AVAILABLE. TO -�
DESIGN OR CONSTRUCTION ERRORS,
INFILL AT REMOVED WINDOWS, USE EXISTING VINYL
SHINGLES FROM APPROVED LOCATION ON HOUSE.
REPLACE THOSE SHINGLES w/NEW VINYL SHINGLES o0DES OF W
OF AVAILABLE COLOR CLOSEST TO EXISTING
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SHOINER
RE-ROUTE STEAM LINE AND CONTROLS TO NEW -'f�f T^1 '1 II,I^
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PROJECT NO: 1604
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SCALE: 1/4" = V -0" DATE: 8/16/17 �-
SCALE:
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SHEET TITLE:
FLOOR
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————— — INTERIOR FINI5HES SECTIONS IN SPECIFICATIONS 0 J
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i \\ FRAMELESS GLASS GERAMI G/STONE TILE PER
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w/PA I NTED SEAT 12" DEEP LAMINATE GAB I NETS
I I w/FLU5H DOORS •1605
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4/4 PLYND. SHELF WEDGE
j 9 0 j LIGHTING SCONCES cy10 BANDING $ I x5 BAND UNDER
EDGES w/HOOKS BY OWNER
dJ I I MIRROR BY OWNER _ 8/15/17
FAINTED MDF PANELING. SEE
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FAINTED MDF NA I N5COT I NG SPECS. PROVIDE I x6 BASE 1/291 = 1'-0"
w/TOP GAP 4 COVE. 5EE 5PEG5.
PROVIDE Ix6 BASE 4/4 PLYND. BENCH w/EDGE _
=ry 00 00 BANDING, FAINTED, w/I x2
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PAINTED HOOD VANITY w/INSET = �t 12"w. x 36" h. OPEN CABINET Ll
ELEVATIONS
FLAT PANEL DOORS $ STONE
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w/LAMINATE TOP
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ELECTRICAL LEGEND ® SEMI-RE:GE55ED STEP L16HT5 01j 3� .
DUPLEX RECEPTACLE OUTLET SURFACE MOUNTED SPOT L16HT
220\/ RECEPTACLE OUTLET 5WITGH
PROJECT NO:
St OUADRAPLEX RECEPTACLE OUTLET DOOR SNITCH NOTE: 1604
HALSNITCH DIMMERF HOT RECEPTACLE OUTLET PROVIDE ELECTRIC WALK-THRU w/ARCHITECT, HOME OWNER, DRAWN BY:
o' WATER PROOF RECEPTACLE OUTLET ® TELEPHONE ELECTRICIAN 4 GENERAL CONTRACTOR TO VERIFY LOCATION OF
ALL ELECTRIC DEVICES. ARCHITECT WILL REVISE DRANIN6. TS
6ROUND FAULT INTERRUPTOR OUTLET 0 TELEVISION PROVIDE REVISED COST TO HOME OWNER FOR APPROVAL PRIOR CHECKED BY:
HIGH HAT FIXTURE 542SMOKE DETECTOR TO INSTALLING WIRING 4 DEVICES
�
HI&H HAT FIXTURE LOW VOLTAGE G? CARBON MONOXIDE DETECTOR ELECTRIC LAYOUT PLAN lv DATE:
DIRECTIONAL HIGH HAT X SURFACE MOUNTED CEILING FAN SCALE: 1/4" = V -0"
8/15/17
SURFACE MOUNTED CEILING FIXTURE SCALE:
® SURFACE MOUNTED LOW VOLTAGE 51-OTf UNDER CABINET 5TRIP HAL06EN FIXTURE
T SURFACE MOUNTED LI&HTIN6 TRACK
SURFACE MOUNTED WALL FIXTURE SHEET TITLE:
Q AUDIO SPEAKER ; EXTERIOR WALL MOUNTED FLOOD LIGHT
EXHAUST FAN
ELECTRIC
PLAN
SHEET NO:
BIDDING & PERMIT SET