HomeMy WebLinkAbout44907-Z �gUF OF [K
CdGy, Town of Southold 7/27/2020
P.O.Box 1179
cm
C* 53095 Main Rd
Southold New York 11971
CERTIFICATE OF OCCUPANCY
No: 41292 Date: (7/27/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 5807 Westphalia Rd., Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-12-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/12/2020 pursuant to which Building Permit No. 44907 dated 6/23/2020
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 (finished 2nd floor)to existing single-family dwelling as applied for.
The certificate is issued to Caruso,Anthony
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44907 7/24/2020
PLUMBERS CERTIFICATION DATED 7/15/2020 Brad Piecu
Au o d Signature
o�sa�Fu��coTOWN OF SOUTHOLD
�a Gy BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
,
oy
SOUTHOLDNY� �r _
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)
Per, #: 44907 Date: 6/23/2020
Permission is hereby granted to:
Caruso, Anthony
5807 Westphalia Rd
Mattituck, NY 11952
To:( legalize "as built" alterations (finished 2nd floor) to existing single-family dwelling as
applied for. Additional certification may be required.
At premises located at:
5807 Westphalia Rd., Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-12-6
Pursuant to application dated 6/12/2020 and approved by the Building Inspector.
To expire on 12/23/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,067.20
CO -ALTERATION TO DWELLING $50.00
Total: $1,117.20
Bui ding Inspector
Form No.6 � ��y 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL-
765-1802 _,n
ALL
765-1802 \ _ h� � �I
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. bq �o
New Construction: ✓ Old or Pre-existing Building: (check one
Location of Property: s I W
House No. Street Hamlet
Owner or Owners of Property: 00""'Y6 /
Suffolk County Tax Map No 1000, Section Block f a— Lot (D
Subdivisionyy�� Filed Map. Lot:
Permit No. 0 Date of Permit. Applicant:
I
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: V (check e)
Fee Submitted: $ v
*cant Signature
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I, A V I C) c,,ruso residing atyl( l\
(Print property wner's name) ((Mailing Address)
,__ do hereby authorize 'AAA
(Agent)
to apply on my behalf to the
Southold Building Department.
*vwmnere's/S ignature) (.bate}
AA QL4 Ld
r' , O
(Print wner's Name)
1
JAYNE D BUCK
NOTARY PUBLIC-STATE OF NEW YORK
Registration No.01 BU4998698
Qualified in Suffolk Couniv
Commission Expires Jul 6,010
pF SOUry®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road 411 Fax(631)765-9502
P.O.Box 1179 c sean.devlinCc)-town.Southold.n us
Southold,NY 11971-0959 y
C®UNT`1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Anthony Caruso
Address: 5807 Westphalia Rd city Mattituck st: Ny zip: 11952
Building Permit#: Section: Block Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Mariner Electric License No: 45056ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 21 Ceding Fixtures 1 Bath Exhaust Fan 1
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors 3
Main Panel A/C Condenser Single Recpt Recessed Fixtures 12 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan 4 Combo Smoke/CO 1
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 4'LED Exit Fixtures Pump
Other Equipment.
Notes: "AS BUILT " " NO VISUAL DEFECTS " Second Floor of House
Inspector Signature: C Date: July 24, 2020
S.Devlin-Cert Electrical Compliance Form.xls
Town Hall Annex
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD ;
`JUL 2 0 2
13T.Tr,1DrNG DEMI.
CERTIFICATION
Date: -71/67]-107.0
Building Permit No. 0 7
Owner: Caruso
(Please print)
Plumber: &aa Pi etuc h
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(PhImbers Signature)
Sworn to before me this
day of 20 2O
OW
JUL 2 0 2020
Notary Public, //C County
I°iuR,DIT-4O I)PPIr.
r
SUSAN A.RIZZO
Notary public,State of New York
No.01 816183459
Qualified in Suffolk County
Commission Expires March 17,2020
souryO L49 101 S76 0 7 W ZsT-FKttcaA-
# # TOWN OF SOUTHOLD BUILDING DEPT.
°`y�ouNn 765-1802
1 s
PECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE &-CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) �6
[ ] CODE VIOLATION [�"] PRE C/O
REMARKS:
DATEO INSPECTOR
pF SOUTyo6
TOWN OF SOUTHOLD BUILDING-DEPT.-
765-1802
UILDING-DEPT.-
765-1802
ANSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] ,FOUNDATION 2ND [ INSULATION/CAULKING
[ ] FRAMING/STRAPPING ] FINAQ,4xj.'Jtr>.% k �vi 1
[ ] FIREPLACE 4 CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ,] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
MARKS: �� d
=� A4 -
Iwo smux-
DATE INSPECTOR
I
'tqq DI
Diehard M . Mato , Architect
TOWN OF SOUTHOLD
Building Department
54375 Main Road
Southold, New York 11971
July 16, 2020
RE: 5807 Westphalia Road
Mattituck,N.Y. 11952
TM# 1000-113-12-6
To whom it may concern,
I have visibly inspected the above mentioned residence with regard to the
installation of insulation, fire calking and rough plumbing. And to the best of my
professional ability the construction is in compliance with the applicable codes in
affect at the time of construction.
Should you have any questions regarding the enclosed, please feel free to
contact me.
(12 o\V/L
DD
JUL 2 4 2020
Sincerely,
RUI PING DEPT.
Richard Mato,A.I.A
�eS�ERED q9
QI�,Q�GNp,RD/�j�CyiTt�`C�
O
P.P. Box 2284 d
(P
Aquebogue, NY 11931 1q� 0418 61
Tel:(631)523-5879 _FpF NEW NO-
E-Mail: rmatoarchitect@gmail.com
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) y
------------------------------------
C
FOUNDATION (2ND)
z
O
H
ROUGH FRAMING&
PLUMBING
t�
INSULATION PER N.Y. H
STATE ENERGY CODE
*y0
� n
FINAL
ADDITI NAL COMMENTS
e (o'' / ' 7
p
Z
m
X
z
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b
H
TOWN OF'SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILMING 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
Southoldtownny.gov PERMIT NO. YA6 7 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20�� Single&Separate
Truss Identification Form
Storm-Water Assessment Form
�� Contact:
Approved 20 Mail to:
Disapproved a/c
? Phone:
Expiration 20
4
B ector
APPLICATION FOR BUILDING PERMIT
JUN 1 2 2020 Date !�f a , 20 !C4
INSTRUCTIONS
a.This applicatibn,MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot'ph6'6scale.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 code,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises A 0-a4 d• C v4 o
(As on t e 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.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposeA work will b done:
Pn
House Number Street V I Hamlet
County Tax Map No. 1000 Section 114 Block Lot �
Subdivision Filed Map No. Lot
u '
2. State existing use and occupancy of premises and intended use and occ pancy of prPp"posed construction:
a. Existing use and occupancy W,0W l b6NC+,:
b. Intended use and occupancy �Irj6ror,- tL z� -
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work 6 - , utL"T-.
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars Z
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N If+
l
7. Dimensions of existing structures, if any: Front 76.3 Rear 76.6'l Depth -4
Height Number of Stories Z
Dimensions of same structure with alterations or additions: Front 7v:3 Rear -7G- 1
Depth 1i I.3' Height Number of Stories rL
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
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 v
13. Will lot be re-graded?YES NO'J Will excess fill be removed from premises?YES NO
14.Names of Owner of premises Address Phone No.
Name of Architect WOMW �1. HAW Address . &Y 229 4- Phone No (P-31- 23�5�?�
Name of Contractor Address Phone No.
1 q3!
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.
- I
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
I
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
IC ) H. H 'rte A J. being duly sworn,deposes and says that(s)he is the applicant
(Name bf individual signing contract)above named,
(S)He is the R �e k(lVevrr .
(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 fileAhis'application;
that all statements contained in this application are true to the best of his knowlJXW9f; and that the work will be
performed in the manner set forth in the application filed therewith. Notary Public,State of New York
x`01 tA6179883
Sw�r�a to before me this t�uatHied M Suffolk County `
j`lo, y of 20 T®f111 Expires December 31.20 Z
NohkrZPOlic Signature of Applicant
ryyR , �f UILDING DEPARTMENT- Electrical In pector
-JUL TOWN OF SOUTHOLD
2 0 2020
-` Town Hall Annex - 54375 Main Road - PO towl
-` ' Southold New York 11971-0959
� 1�ING DEPT.
i - ` ..; -r ; ®I,Telephone (631) 765-1802 - FAX (631) 765-9502
roqerr@southoldtownny.gov- seand(aDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 7
Company Name: _'04C -r(c'
Name: euL�
License No.: ,��_ t-/,5-o 5'6 email: �t 7
Address:^ ,-D -150x, tiX - 3_
Phone No.: SI 6 1 7 I
JOB SITE INFORMATION (All Information Required)
Name: Ro6er�_ -�-a�ne���, car,-e,��-I fz-ef\4
Address: 590 w j- ((ex rJ Lck
Cross Street: ,rA 1-0"6. - do,,n r 1Jwk- 7 uti I
Phone No.: 5/6 - 1 C4— 7 ( q
Bldg.Permit#: L/90-7 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
6orrer'4- own tw� on 'opL►� oat �l .� O
syJ K - !'Vv. -7 n .e,c� s divtl�' el �tuvl - n�
'OxonT LGe o.l co�,co7/�0
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In
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: 1 a,-% 4ke, I�ce�5 .�1 , rt e bL�j Ki-S
PAYMENT_ UE WITH-APPLICATION
X/
Request for Inspection Formals
S C T M. NO. DISTRICT' 1000 SECTION TTJ BLOCK 12 LOT(S).6
214.88'
S 24'p1'50" E
TOWER
I)EP( t
LIPA POWER LINES I EL 97.
EL 943 .o (IBR 28 N',57
n
a
DWELL. o W
N
2B'BEECH
O
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m 4
NO CESSPOOLS �
IS THIS AREA v
�LJ V TRIBE BEECH L
EL 97 S 33
O_ S
Paw E�L
WELL IN DWELL. I(� AM
FRONT
YARD n
Z / 24'BEECH O
1 0
Ni
S 16'30'00" E
24' EL 98.2
37.63' 3B, p
WON EL 95.1 &ROP. GAR. 3
(99 5)
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H18' O
tt8 (98.5 FFL EL (1 5) (99.5)
PROP.
2 STY FR'
= O W/CELLAR", 28'BEECH V)
tt 50 '
-
VACANT -
(99 5)
N o
h m
n
Z
EL 95 m EL 99 2
I$'R.O.W OIAf WITH STONE
I •W I EL 7000
20D' SPK FD PIPE FD
a I,.N 16'30'00" W O1 U' 273.95' ply 992
OR ORDW
n LAND N/F OF tar
n VACANT LAND OF COUNTY OF SUFFOLK esK
CONRAD BULLOCK JR. VACANT ,
Pats
ir. ..
0SL*MLK CO
TO
oasr
PZP.=FOR A"WVAL OF CONS7'1tU4 ON'FOR A yum
MNGLE FAM MY RESIDENCE ONLY
-I'l-OCA HS RHB. D D
COX NECK ROAD (C.R. 64�
APPROVED
FOR MAXAtUM OP
�-r-w
MWIRES71E MYEARSMOM DAT6017APPROVAL,EVA ION DATUM
AREA: 87,465.7 S.F. OR 2.0 ACR - ---- -
UNAUTHORIZED ALTERATION OR ADO17ION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYDRS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICA7EO HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING ISS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTM710N, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE S7RUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
Nor INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO:KENNETH & DOROTHY WOYCHUK;
MAP OF.
FILED.
SITUATED AT:MATTITUCK
TOWN OF SOUTHOLD KENNETH M. WOYCHUK L.S.
SUFFOLK COUNTY, NEW YORK Land Surveying and Design
�y Calverton, New York 11933
p-8p SCALE' 1"=40' DATE: APRIL 21, 2000 7 i' f2P PHONE(516)727-5127 FAX(6L6) 727-5127
RLE 0
'1 N Y S LIC NO 50227 mdnLdning ILa-d.of Ro6QL J.lft=e q
6oui
AP Rk? �6
D AS NOTED
DATE' P..
FEE: 16 BY:
NOTIF,Y',BUk&)1NG DEPARTMENT AT ELECTRICAL
765-1802 -8,AM._To 4 PM-,FOR,THE INSPECTION REQUIRED
FOLLOWING:INSPECTIONS: ,
1: FOUNDATION-- TWO REQUIRED
FOR POUREO.,CONCRETE
2.-ROUGH-•°FRAMING & PLUMBING
3:'INSULATION-
4. FINAL,- CONSTRUCTION MUST Additional
BE COMPLETE FOR C.O. ' Certification
ALL,CONSTRUCTION SHALL MEET'THE
REQUIREMENTS OF THE CODES OF NEW May Be Required.
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF PLUMBER 6ER TIFICA TION
NEW YORK STATE & TOWN CODES ONLEAD;6QNTENTBEFORE
AS REQUIRED AND CONDITIONS OF CER•TIFICATE;OFOCCUPANCY
SauTNnl ,mwNM SOLDER USED IN WATER
N-R64N1�11 BOARD SUf L 1"SYSTEM CANNOT
EX
u STEES
�LL21i0 OF i% LEAD
SING
MBING WASTE
OCCUPANCY OR
. LINES WEED ;.:
USCIARE COVERIIJqj
C S UNLAWFUL � .
WITHOUT" CERTIFICATE
OF OCCUPANCY
i
EXIST. EXIST.
it (2)-3042 2042
NOT
I HAVE VISUALLY INSPECTED
THE AS BUILT CONDITIONS FOR
THIS PROJECT AND TO THE BEST
S R. OF MY ABILITY THIS MEETS OR
,411 13'-4" 21-611 8'-6" 4" EXCEEDS THE MIN. REQUIREMENTS �FOR THE BUILDING CODE PRESENT
0 4„ I 4" AT TIME OF CONSTRUCTION AND [� U M
COMPLETION.
CL.
BEDROOM
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EXIST. EXIST. Drawn By
RMM
G� A Date.
CN 15 SP405 CN 15 �/ D FLOOR PLAN G�V20
Drawing No.:
EXIST. EXIST. EXIST.
SCALE: k4"—V-0"
AREA: q76 S.F.
SHEETS