Wood Construction Notice Application

(in accordance with Title 19 NYCRR PART 1265)

OWNER OF PROPERTY:

SUBJECT PROPERTY 9ADDRESS AND TAX MAP NUMBER:

PLEASE TAKE NOTICE THAT THE (CHECK ALL THAT APPLY):

• New Residential Structure
• Addition to Existing Residential Structure
• Rehabilitation to Existing Residential Structure

TO BE CONSTRUCTED OR PERFORMED AT THE SUBJECT PROPERTY REFERENCE ABOVE WILL UTILIZE (check each applicable line):

• Truss Type Construction (TT)
• Pre-Engineered Wood Construction
• Timber Construction (TC)

IN THE FOLLOWING LOCATION(S) (CHECK APPLICABLE LINE):

• Floor Framing, Including Girders and Beams (F)
• Roof Framing (F)
• Floor Framing and Roof Framing (FR)

SIGNATURE: DATE:

PRINT NAME:

CAPACITY (Check One): Owner Owner's Representative

Page 2 - designation sign diagram

The second page is a diagram of a round sign 6" DIAMETER with a 1/2" STROKE, marked REFLECTIVE RED PANTONE #187 and REFLECTIVE WHITE, showing the letters "V" above "FR". It carries the NYS Building Standards and Codes logo and these labels:

The construction type designation shall be "I", "II", "III", "IV"or "V" to indicate the construction classification of the structure under section 602 of the BCNYS

DESIGNATION FOR STRUCTURAL COMPONENTS THAT ARE OF TRUSS TYPE CONSTRUCTION