HomeMy WebLinkAbout44499-Z ��o�S�EFOd,f� Town of Southold
1/15/2020
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41005 Date: 1/15/2020
THIS CERTIFIES that the building ACCESSORY
Location of Property: 5240 Narrow River Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 27.-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/9/2019 pursuant to which Building Permit No. 44499 dated 12/9/2019
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"accessory storage shed as applied for.
The certificate is issued to Dacimo,Fred&Maureen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44499 10/31/2019
PLUMBERS CERTIFICATION DATED
0 v uth e Signature
gUFEOjx� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
® TOWN CLERKS OFFICE
o��• 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#: 44499 Date: 12/9/2019
Permission is hereby granted to:
Dacimo, Fred
5520 Narrow River Rd
Orient, NY 11957
To: electric for'accy storage shed
At premises located at:
5240 Narrow River Rd, Orient
SCTM # 473889
Sec/Block/Lot#27.-2-4-
Pursuant to application dated 12/9/2019 and approved by the Building Inspector.
To expire on 6/9/2021.
Fees:
ELECTRIC $180.00
Total: $180.00
Bu �nspeor
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"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:
House No. Street Hamlet
-�
Owner or Owners of Property: P/�
Suffolk County Tax Map No 1000, Section Block ` Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
pplicant Signature
CONSENT TO INSPECTION
NOV 2 0 2019
--ep� ✓ �j�yJ--� , the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the undersigned(is) (are) the owner(s) of the premises in the Town of
Southold, located at ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 2—, Block a , Lot V.
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon,to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances,rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances,rules or
regulations of the Town of Southold.
Dated: z
(Print Name)
rj ,IlX
(Signature)
N fA
(Print`Name)
®af s®Uri®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.deviina-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Fred Dacimo
Address: 5240 Narrow River Rd city,Orient st: NY zip: 11957
Budding Permit#: 44499 Section. 27 Block. 2 Lot 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: AS BUILT License No.
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only
Commerical X Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Shed X
INVENTORY
Service 1 ph X Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent/LED Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures Combo SD/CO
Other Equipment:
Notes. " AS BUILT " " NO VISUAL DEFECTS " Shed
Inspector Signature: Date: October 31, 2019
S.Devlin-Cert Electrical Compliance Form.xls
�Of SOUTy ®) S✓ W / V
# TOWN OF SOUTHOLD BUILDING DEPT.IZNef �zj
`yco 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. tq tq
[ ] FOUNDATION 2ND [ ] INSULATION _1
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
i N*c- SL-&, ►XtdA c. j"A-P&ZrZ.&.*j
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DATE I� 2°{ INSPECTOR
FIELD INSPECTION REPORT -DATE COMMENTS
4 .d
FOUNDATION (IST) A y
FOUNDATION (2ND) �
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y. _ y
STATE ENERGY CODE
Aft
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 _ a L Survey.
Southoldtownny.gov PERMIT NCheck
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
' !, Flood Permit
Examined_ ,, L^,2j Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved- ,20 Mail to:
Disapproved a/c
Phone:
Expiration ,20
` ` • ir..`t� µ`���.� B ng Inspector
I APPLICATION FOR BUILDING PERMIT
'
OCT 2 9 2019
� Date 201-4-
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 codes and rregulations, and to admit
authorized inspectors on premises and in building for necessary inspections. j
"-- ature of applicant or name,if a corp ration)
l 6'2-0 Aw4--
(Mailing address of applicant)
State whether applicaiso er, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premisesX �`,�NYI_ o
(As on the tax roll or latest deed)
If applicant is a c'o`rpbf-66on;s gnature•of`duly authorized officer
(Name and-title"of corporate=-officer)
Builders License No.
Plumbers'License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed nwi
ll be do ��yy
/V a-VY"0 cc1 c¢epi geed (e
House Number Street Hamlet
County Tax Map No. 1000 Section �7-7 Block oG Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and interl4ed use and occupancy of proposed construction:
a. Existing use and occupancy kO
e � r c,-, (/+
b. Intended use and occupancy `C
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work SAodS
4. Estimated Cost Fee (Descri tion)
(To be paid on filing this application)4
5. If dwelling, number of dwelling units 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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth. Height Number of Stories
8. Dimensions of entire new construction: Front y—. J Rear Depth l�
Height Number ofStories
9. Size of lot: Front Rear Depth
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
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
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.
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, inust 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 INIEW YORK)
SS:
COUNTY OF )
czce� C/ aJ� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, Ci; NNIE D,BUNCH
-Notary Public,State of New YO*
(S)He is the No.01BU6185050
in Sawk Many
(Contractor,A it, Corporate Officer, etc.) a
Comm°°:scion Exmievs April 14,
of said owner or owners, and is duly authorized,to perforin 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 Imowledge and belief; and that the work will be
performed'in the manner set forth in the application filed therewith.
Sworn to before me this
q4
day of ' 20�
Notary Public Signature of Applicant
XPPLICATI-CYt`
PAGE20F4
DESCRIPTION 017 WORK (Check all applicable boxes):
A. STRUCTURAL DEVELOPMENT
ACTI �MX-TQ11, TYP
A', Siructuic 0 Residential(1-4 Fanfily),
O'Additio-S d,Rcsidr-ntW (Mort than 4 Family),
Ij AlterAtion, El Wo-residenfial (Floqdproofmg? 0 yes)
0 Rr-locati6n 0 Combined Use (Rdsidtotizi & Commercial)'
0 Demolition , 0 Manufactiired (Mobile) Home (In Manu-
Q Replacement factured A6mc ParkT 0,yes)
ESn- Jvj-ATED COST OF PROTECT S lx ,ae 0
B. OTHER DEVELOPMENT ACTIVITIES=
0 FLU 0 Mining 0 Drilling 0 Grading,
0 Excavation (acept for Structural Developmeiit C-heel-ed,Above)
-
0 Watercourse Alteration(Including Dredging and Channel Modifi— ications)
0 Drainage.Improveinents,(Including Culvert Work)
0 Road,Street orITRIage Construction
0 8ubAivisigii (New or Expansion),
0 Urdividual,Water or,SMr
system
i
Other,(Please Specify)--.
Aitei completing SECTION 2,APPLICANT sboidd submit fotjan to Local Administrator for review.
SECTION 3 Fo(DPLArNDEIVRMIN ON gg be completed by LOCALADMINISTRAtO
The,proposed development is located on FIRM Panel Dated
The Proposed Development
0 k�T'Iocacdd in a Special',Flood Hazard Area (Notify the applicant that the application,
ieview'is bompj6te and NO,FLOODPLAIN DEVELOPMENT FFPM IS REQUIRED).
• Q/Is located in a Special flood fiazard Area.
FIRM iqn6 4csIgnAclotj is
100-ycar flood
CleVa7_tion zitlthe site .-..FL NGVD,(MSL)
0 Unavailable
0 The proposed development is located im-a floadway.
FBF-M,Pancl No.- Dated
OSec Scctio f6r a4di'anal iastrixti6as.
SIGNED _ DATF-
APPLICATION #
' PAGE I of. a TOWN OF SOUTHOL_I)
.I-LOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be .filled out, iit,duplicate.
SECTION I- GENERAL. PROVISIONS (APPLICANT to read and'sign):�
I. No work may start until a permit is issued-
t The permii may be revoked if any false stitemeuts ate'ouade herein_
3_ If revoked, all work must cease until,permit is re-issued_
d. Development shall not be used or occupied uniul a Certificate,of
. Comp[iancc u issticd_
S. The permit will.expire if'no work is commenced,within six months of`zssuancc
6. Applicant is hereby informed that other permits inay be required to Egl(iii local`,state and federal,regulatory
requirements.
7. Applicant hereby gives consent to the LBcal Administrator or !us%bez reg resentadve to make reason--I
be
-inspections required io verify comp
THE APPLICANT;CERTIFY'THAT ALL STATEMENTS HEREIN SND IN i4TTACHMENTS Td
_TI-IIS APPLICATION ARE,TO THE - __ - 1 MY KNOWLEDGt,TRUE AND ACCURATE.
(APP'LICAt�MS SfURATURE) • - - DATE
SECTION 2 PROPOSED DEfiLOPMENrr(Ta bd cosrioleted-bvAPPLICAlTD,
ADDRESS _ -- -- TELEPHON
' APPLICANT �G' "C j - --ti J 5 Ze"� �CL�/OGtJ -- _ __. ----• � !
BUILDER
E3`IGII�fEf�R _
PgOJECT:DOCATI4N:
To avoid delay it pcoeessimg the application,please p 6 enouah,information to easily identify--the pr616�6t-
1ocatiau, Provide the sheet address,,lot number dr legal descripiion (attach) and. outside-iubad ares. the
diittance io the.nearestiuterseetiag road-ar well-4*dv7a ianamark. A sketch attached`to this app9ca1ion showg 9
tlze,project location would.be helpfuL
Zi-
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'FDF(93)
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�QSUFFO(,+-CO BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
CD Town Hall Annex -.54375 Main Road - PO Box 1179
CIO - Southold,, New York 11971-0959
d p� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(D_southoldtownny.gov — seand(absoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Au Information Required) D te-. {
Company Name: ' . NOV 2 0 20i9,
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: d
Address: S-ZO r
Cross Street:
Phone No.:
Bldg.Permit#: 9/ email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF early)
144
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO, Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y 'N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form As
1
MGmail Betsy Perkins<betsy.moore765@gmai1.com>
, 1
DACIMO; NARROW RIVER ROAD
1 message
Betsy Perkins<betsy.moore765@gmail.com> Wed,Oct 16,2019 at 11:19 AM
To:"Nunemaker,Amanda"<Amanda.N unemaker@town.southold.ny.us>
Cc:Moore Patricia<pcmoore@mooreattys.com>
good morning!
per your conversation with Pat earlier today,attached please find photos of the storage shed.
kindly confirm receipt and we will bring over originals later today.
thank you.
3 attachments
. ! 20190909_131706.jpg
4227K
20190909_131635.jpg
4097K
20190909_131707.jpg
4371K
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SURVEY OF PROPERTY
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TOWN OF SOUTHOLD
SUFFOLK COUNTY, N- Y ,���� S6 •
1000-027-02-04
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MAY 1 2019 / ASPHALT
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WATER IN BROWN CLAYEY BOG PT ���o DECK OUT 28.97'
9.0' +5.0' C•9TF / 1\\ OVER WATER
WATER IN GRAYISH BROWN / 5 "-S85'16'25"W
ORGANIC CLAY OH ♦ WOOD 27.66
14 / TIMBER S3940'00"W -PILE (TYP.)
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Map Effective Date. September 25, 2009 1.5986 ACRES N. Y.S. LIC. NO. 49618
ELEVA TIONS REFERENCED TO NA VD 88 P CONI C` � MORS, P.C.
-5020 FAX (631 765-1797
ANY AL TERA77ON OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209OF THE NEW YORK (6J1)'--7d5BOX 909
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P.
STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER77FICA77ONS HEREON 0. TRA !909 STREET
ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE 88- 756
IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971
FREDERICK
ROBERT
APPROVED AS NOTED WEBER
DATE: B.P.#
COMPLY TH ALL
OF
FEE:, 1 FV.
NEW YORK STIATE & TOWN CODES
NOTIFY UILQ;N'? :', ��`,R T .ENT AT ARCHITECT
i85 1802 IIAM = 1 FOR THE AS REQUIRED PND CONDI T ONS OF
FOLLOWING 1NS�EC :•INS: T„ - ,
1. FOUNDATION - TV "—QUIRED
FOR POURED C, -= :TE 5�U r ,'_ ,vVYG .....J IG60ARD 1CL •�
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2. ROUGH - FRAh.`:I�:'� a PLUMBING ��'d��1Tr, STEES .0
3. INSULATION _ T U *� a°:�� '
4. FINAL - CONS T RU C"CN MUST
BE COMPLETE F: = : .J. , ^
ALL CONSTRUCTION SHALL MEET THE P ! 10,
� � H
REQUIREMENTS OF THE CODES OF NEW OCCUPANCY ` , W
l � r,
YORK STATE. NOT RESPONSIBLE FOR I-�--1
DESIGN OR CONSTRUCTION ERRORS. USE IS UNLAWFI,"
WITHOUT CERTIi
LCYrIICAL OF OCCUPANCY
wls,PIECTION REOUIRED I
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DRAWING TITLE:
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Galy. Ground
Anchor, 48" -�-
Deep, n) a, NARROW RIVER
Each Corner MARINA— SHED
of Shed
NARROW RIVER ROAD
FRONT ELEVATION SIDE ELEVATION ORIENT. NY
1/9" 1'-0" 1/4" I1-0" TOWN OF SOUTHOLD
SCTK# 1000-21-2-4
ARCHITECT:
FREDERICK R. WEBER
41 EAST MAPLE ROAD
I GREENLAWN. NY 11140
Storage
Shelf I 52 NOYAC PATH
---------I--------
WATER MILL. NY 11914
I
TEL 431 154-5555
Shed Dormer j fweberarchitectsyahoo.com
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STO AGE I
Unhgated
ORIENT NY
I Galy. Screw
l2) 2,-6" I 6' Doors Anchor (Typ.) REV.:
Flood > ents
DATE: DEC 12. 2019
SCALE: 1/4" - 1'-0"
JOB NO: w201801
FLOOR: PLAN
DRAWING NO.
DEC 1 8 2019 Al
OF Al