Village of Cedarhurst
200#Cedarhurst#Avenue#Cedarhurst,#New#York#11516#
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-
ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER
CONSTRUCTION
Owner: ___________________________________________________________
Subject property address: ____________________________________________
Section/Block/Lot _____________________
Permit # ______________________________
Please take notice that the (check applicable line)
_____ New residential Structure
_____ Addition to existing residential Structure
_____ Rehabilitation to existing residential Structure
To be constructed or performed at the subject property referenced above will utilize
(check each applicable lines)
_____ Truss type construction (TT)
_____ Pre-engineered wood construction (PW)
_____ Timber construction (TC)
In the following location(s) (check applicable lines)
_____ Floor framing, including girders & beams) (F)
_____ Roof framing (R)
_____ Floor framing & Roof framing (FR)
Date ______________________
Signature ___________________________________
Name _______________________________________
Capacity (Owner or owner’s representative) ______________________________________
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