HomeMy WebLinkAbout45038-Z t�SgfFO K
'o�q c0, Town of Southold 8/21/2020
y� • P.O.Box 1179
o ! 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41376 Date: 8/21/2020
THIS CERTIFIES that the building DECK
Location of Property: 145 Budds Pond Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 56.-5-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/17/2020 pursuant to which Building Permit No. 45038 dated 7/27/2020
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"deck addition to existing single-family dwelling as applied for.
The certificate is issued to Florio,Michael
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
n
tl
ignature
V
o�gaFFot,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
s TOWN CLERK'S OFFICE
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#: 45038 Date: 7/27/2020
Permission is hereby granted to:
Florio, Michael
82 Bromleigh Rd
Stewart Manor, NY 11530
To: legalize "as built" deck addition to existing single-family dwelling as applied for.
Additional certification may be required.
At premises located at:
145 Budds Pond Rd, Southold
SCTM #473889
Sec/Block/Lot# 56.-5-4
Pursuant to application dated 7/17/2020 and approved by the Building Inspector.
To expire on 1/26/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $524.80
CO -ADDITION TO DWELLING $50.00
Total: $574.80
Buil ing 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" 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: j�/� 8 oat d S P68d Poed S®AD Id ]' , 11971
House No. Street Hamlet
Owner or Owners of Property: 14A J.-e Fto k to
Suffolk County Tax Map No 1000, Section ®S6 Block 5- Lot pGL
L 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: $ 50
Applicant Signature
ho�aUF SOUK,°lo
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
--INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]78ULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL) VA ev;��y
[ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE GOAUdENTS
4 �
FOUNDATION(IST)
' c<ra;
-------------------------------
FOUNDATION(2ND)
LN
ROUGH FRAMING&
PLUMBING '
l IM
INSULATION PER N.Y. y
STATE ENERGY CODE
' F
1410)
FINAL
ANDD _, N C1XMENTS
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e
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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 <Zs s of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.-
Trustees
Application
Examined 20 Flood Permit Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 NgYYIe,��C�.�►[1.�I C�DRCD
Disapproved a/c 441%le2h FLOC�
Phone: 'l(, -S'?Q
Expiration 20
T ( Q�,P ( 'ti ding Inspector
i. `
APPLICATION FOR BUILDING.PERMIT
7 2020 Ems. ;
,
INSTRUCTIONS Date 20
1l?°1CT)IF,131NM)C E .%
a.Wi's 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,housih&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,Ik JC ft0/ 6 1 le-eil Aoe+4 P-6 r i n
(As on the 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 proposed work will be done:
House Number Street Hamle
County Tax Map No. 1000 Section Block Lot_ VCL y
Subdivision w t t IaLd 'n"4- FiledMap No. Lot KeL y
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
As eU (J-eC�{ ,
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
04 Estimated Cost �l 1,000 __ 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
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 Rear Depth
Height Number of Stories
4 a
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
v. Zone or use district in which premises are situated 160 0
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.frozn premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
4
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.G. 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, 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
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D.BUNCH
Notary Public,State of New York
(S)He is the No.01 BU6185050
Outdiflud I,,Suffolk eaunty
(Contractor,Agent, Corporate Officer,etc.) Commission Expires April 14,20,)-(-(
of said owner or owners, and is duly authorized to perform or have performed the said work'and to make and•fi•le 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
4-k day of 20 20
U& /�c
Notary Public Signature of Applicant
2. State existing use and oc upancy,of pr mi es and intended use and occupancy of proposed construction:
a. Existing use and. ccupane_i-. . i
b. Intended use and occupaody
,As P�i'1�- CIfC�'`
3. Nature of work(check _ 'cih•applieab e):NewBuildin Addiction Alteration
Repair Re oval ' emolition Other Work
�, ' (Description)
l4 Estimated Cost/,).0&, Fee
(To be paWt h filing this:application)
5. If dwelling, number of dwelling units N ber of dwell i g units:on each floor
If garage, number 60'c0d,
6. If business, commercial ormixed occu any, specify nature and extent of each typd, of use.
7. Dimensions.of existi;ig,si ructures.if k.y: F ront Reay Depth
Height Numb r o Stories
Dimensions of same structure with alterations oradditions, Ftrolll t ? Rear .
Depth Height iNulmber of Stories
8. Dimensions of entire ney constriction Frc nt _ x+Rear :_Depth,
HeightNEl ber of Sferi�s?
TJ i VUL cy
9. Size of lot: Front a Depth
10. Date of Purchase a of Former Owner'
Zone or use district in w 'ch premises a situated 160,0
12. Does proposed construction violate any zo ' g law, ordinance or regulation? YES NO
13. Will lot be,re-graded? YES NO ' Will excess fit=be.removed.froin premises? YES NO
14. Names of Ow'nier'of pre 'ses Ad ess Iihone No.
Name of Architect Address P'hone•No'. ;
Name of Contractor Ad ess1Pone No.
15 a. Is this property within 100 feet of,a ti ial wetland or a eshwaterwefland? *YES ; NO
* IF YES, SOUTHOLD TC VVN TRUST ES. D.E.C.-P 1 MITS-MAY BE R y QUIRED
b. Is this property within 00,feet of a-ti dl- etland? * S N0 _
* IF YES,-D.E.C:'PERIVLYT hMIAY BE Q D. ; `
16. Provide survey,to scale, with accurate foundation plan d'distances�o property lin' s:
17. If elevation At,anypointnpropeity is 01feet or Belo w,must provide topographical data on survey.
18. Are there any covenants d restriction s wi h,respect to this property?!* YES, IN 0
* IF YES;-PRO�IDE A C PY.,
STATE OB NEW YOR4)
COUNTY OF
being'd ly sworn dOpo es and?days tliat.(s)lie is the applicant'
(Naive of individual signin g contradt)i abo ve n ed, CONNI ).BUNCH
.. ,. !Notary I,ublici tete of New York,
(S)He is the Flo.01 St 6185050
(Contraetor,Agent, Corporate 0 Meer, etc.) Commission Exp( es A%% 14,Ly
of said owner or owners, and is duly authorize to perform or have performed the said work and to make and,fi•le this application;
that all statements contained in this application are ue to the best of his'knowleoge and,belief, and that the work will be
performed in the manner set forth in the applic tion filed therewith. "
Sworn to before me this
day of 20
U& i'
Notary Public- I Signature of pplicant
TOWN OF SOUTHOLD • BUILDING PERMIT APPLICATIQN CHEECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL - Board of health' '
SOUTHOLD, NY 11971 .- 4'!s'• �ofBuild%ri&•Plaiis, _
TEL: (631) 765-1802 Planning Board approval
FAX:,(631) 765-9502
Southoldtownny.goy PERMIT NO. (J Check
,. .t;Septi'oFoirti'
N.Y.S:D:E:Q
T� stees•. ',
Application
Flood Permit'
Examined _, Single&Separate
-T1us0den`tificafign',' n�
_Storm=t3Vater Assessment Form
--'Coatact., _
Approved .. 201Q*A—�u ,�_Gil'1lle��•�1'r�Q� r'�D��
Disapproved a/c " 'i1'leen,FLo'r d-0
•Phone:'Sly -S'7Q 030?
Expiration 20 ,
V' sv ding`Inspector.
r.M
iP.
PLICAT,I4N FQIt$
IDE `
2020
20
INSTRUCTIONS. ;
BUILDING DEFT, i�'
a.Wis aplflicati`on l STjb—e 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
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 inay'ndt 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 througiiout;tlze
e.No building shall be occupied or used in whole or in part_,for any purpose what so ever uptil the Building Inspector
issues a Certificate of.Occupancy, _ -• :• "
f. Every building.permit shall expire if the work•authoriz$itbas"riot,commenced within 12 months after the date of
issuance or has not been completed within 18 months fromsuch da#e:;Ifnozonmg•amendments or-other regulations affecting the
property have been enacted in the interim,the Building Inspe6tor may authorize,in writing,the extension of the permit for an
addition six months. Thereafter,a new pent it shall,be required.;..• .' j-
APPLICATION IS HER1yBYMARE to the�Building,4ePartment,for•tha'Jssoanee.6f.a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk count ,lewQxFsandoleiC;applicable saws,Ordinances or
Regulations, for the construction of buildings,additions,or alterations or for;remosal,gr deimolition as,hexein described.The
applicant agrees to comply with all applicable laws, ordinances,building code,housing code,and"regulations,and to admit
authorized inspectors on premises and in building fQr necessary.iuspeFfons
' " (S�igiiaii�ire of ap ilioani:•oi iiiiiii,"if a corporation) '
(Mailing address oi~dpplicarit)
i .
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician plumber or builder
Name of owner of premises g[CW FLO.(16_ , leeh
(As on:tlie utak roll-'0,14est d ed
If applicant is a corperatioma ,signatwe,,D uliy,-authorized officer
'1Gia$Pct "3�•{?.off
(Name and titld,o. `ctip ?ora �a. G {`l: :., :. . . „
Builders License No.
Plumbers License No.' '
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:' '
S u -h / 1
House Number _ .Street } : \ Hamle
County Tax Map No. 1000 Section+ S6 Blook Lot •i"CL y
, f
. SUFFOLK-CO, HEALTH DEPT.APPROVAL
iH.S. NO. 73-$0-73
RgX3Ff_RPMfl -3CRAYON1 STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
_ s SYSTEMS FOR THIS RESIDENCE WILL
j�
~ A� 3D�QUF CONFpRM TO THE -STANDARDS OF THE
M,41�U �pAD - ~`"�- J _ �' V SUFFOLK DEPT. OF HEALTH SERVICES:
4!.02 �b� 1� APPLICANT
SUFFOLK COUNTY DEPT. OF HEALTH
om. -
SERVICES — FOR APPROVAL OF. '
Z +Q IL7 w `� I.
SUFFOLK CONSTRUCTION ONLY
_ DATE:
H.S.REF.NO: /3-SO-73 I
APPROVED-
p�j n
J f13 'CO.TAX MAP DESIGNATION:
- DIST SECT. BLOCK' PLL.
Owl'NERSADDRESS,
a i-- =_145_BIMS,�WD. RDAD
(REa)
i s s�ti mak.No. a o _ i _ f
- - -
P.
a3 Lj_ - �'i4 I TEST-HOLE '
$1 I ! w th's su Is a wotetlon a11k;
1 + +a\ ! ice± Sear» 77A17 of the New Ya ;
A? Vii' 'rSUWLon Lew.
al•m owl net M
to be•.ialid true
SUFFALK UNiY D OF-HEALiN'CCD�wnctt Guaranrra�IndratedhtNt
_ Susr .8 aay to the pwsm for Wwm
B3o'45 00'w.• iaaoC. . . ; '• ' - SINGLE FAMILY DWEWNG,.ONU'_ it-a undo n s bet
DATE.IAN 7 R_'CRR -
' RA H.S. 1 F.;N0. /3 t—�J-2'3 woano-ima.niat WWI hor` to Int�onem d the la�_ , _ 'Tne sev+age d;sposal-and ue*F supply facilities for-this 4 t.ti,n,Guwanzew aero not tr
�"��'S PEND READ location have been inspect4 iY.this L'ypzrtmelit and/or aiDon,i itt•a4ttrtl.rt.K tnr.olr.,t
6 3 50�
other a nci nd,fou d-1 abst 0
fi
Chief Buniau of,-Watgwate�Management - - SEAL
OF NEW
OCTrq PSG 'I l 9J�
NOrES: 1. LCT NOS. REFER To "MAP OF-WILLOW PO/NTti;, •� /�S._�1lRVf�fD `' ;:28 AW
FILED MlTHE SUFA CO-C1FRA OFPC.F AS'hJi4PiVQ.4652, Ro . V Nom_,;,L.
TCOMs r a oe
2- ELEYgREFER TO AAZW SFA 11ry . CYY l S 256^b
LF
LICENSED LAND SURVEYORS
7tDVN4 ICS, N81379
GREENPORT -NEW YORK SFOLAND`'J�
f -
i
I
� I '
i
2"x 2" BALUSTERS @ M A I, N R_D. , v
5" 0/C (4" MAX. SPACING) _
2"x 8" WD. LEDGER LAG
BOLTED TO EXIST. DWLG. "23�00"E.
W/3/8" DIAM. BOLTS 2" MIN.
STAGGERED @16"O/C 1 '89
TOP AND BOTTOM O -
0
2" MIN. 4"x 4" P.
Q O LAG. BOLTED
TO DECK
16" 16" FRAMING
00000000000000000000000000000 �
0000000000000000000000000000000000000000000000000000000000 ---._ —
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LEDGER DETAIL RAILING DETAIL
SCALE: N.T.S. SCALE: N.T.S.
AP RO ED AS NOTED OCCUPANCY OR DECK WOOD
DATE: 1�B.P.# USE IS UNLAWFUL
z.o
FEE: P'r: WITHOUT CERTIFICATE
Cl? EXIST. WOOD
co CK TO BE
NOTIFY765-1802B81AMNTO 4PMRTMENT FOR THET OF OCCUPANCY
MAINTAINED
FOLLOWING INSPECTIONS: 24.0
1. FOUNDATION - TVJ0 REQUIRED -EXIST.
FOR POURED C(' .:1'i2.TE
T-= :.FRAME
2. ROUGH - FRAME,;; & PLUMBING
3. INSULATION N0. 145
4. FINAL - CONSTRUC;TION MUST
BE COMPLETE Fir^. CO.
ALL CONSTRUCTIONI SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
dditi(�II�1
DESIGN OR CONSTRUCTION ERRORS. Q
Certification �
May Be Required, w
COMPLY WITH ALL CODES OF O o 0
NEW YORK STATE & TOWN CODES V_ o
AS REQUIRED AND CONDITIONS OF z m
1,,J i.I v 7 , 1-42 BOARD
TT�, O!D TOWN TRUSTEES
75.00
S 500 45' 00"W. 100.00
BUDDS POND RD.
12'-0"
5'-8" 5'-8" 4 12'-0" S I T I_ P L A N
10 103'-0"H.WD. RAILING AS
SELECTED BY OWNER W/ SCALE: 1" -20'
2"x 2"WD. BALUSTERS @
_ LINE OF 5"O/C (4" MAX.SPACING) SECTION - 56
WD. DECK ABV. ETA BLOCK - 5
Jll— 7,– — — — LOT - 4
F. (2)2"x 8" (2)2"x 8" ,� X
z
w o
/T
LINE OF EXIST. EL1.x 6" PRESSURE N
WD. DECK ABV. 4"x 4"WD. POST TREATED WD. `"
ION 8 DIAM.x 3-0 D. ( DECKING(TYP.)
CONC. FTG. (TYP.)
O
I cfl I I I EXIST EXIST. DN. b
b DN. WD. DECK M
WD. DECK 3 R. i+�
I bo I (EL. +/-2'-0"ABV.ADJ.GRADE)
(160.0 S.F.)
(V
2"x 6"WD. LEDGER LAG
I BOLTED TO EXIST. DWLG.
W/3/8"DIAM. BOLTS
I STAGGERED @ 16"O/C I 0
TOP AND BOTTOM
EXIST. 6-0"x 6-8"
F.O. EXIST.DWLG. SLIDING GLASS DRS.
MARK DATE REVISION
YEAROF DECK CONSTRUCTION
YMAINTAIN EXISTING CONDITIONS
YEAR
JUNE 2002-PRIOR TO JAN. 12003 EXIST. CONDITIONS 145 BODDS POND RD., SOUTHOLD
DOES NOT REQUIRE FASTENERS AND TO REMAIN UNDISTURBED
CONNECTORS
SITE PLAN, FRAMING & DECK PLAN
MICHAEL J. PALO MBA A.I.A.
FRAMING PLAN
PART FLOOR PLAN ARCHITECT
SCALE: 1/4" = 1'-0"
SCALE: 1/4" 1'-0"
80 ELIZABETH DRIVE, BETHPAGE, NY 11714
=
NOTES - DRAWING
1. ALL EXTERIOR FRAMING LUMBER SHALL BE PRESSURE RED A/Zcyi
TREATED LUMBER.
2. THIS APPLICATION HAS BEEN FILED TO MAINTAIN EXISTING
CONDITIONS.ANY REVISIONS IN WORK,SHALL REQUIRE g 7
AMENDED OR SEPERATE APPLICATIONS AND/OR FILINGS. _ �r _
3. YEAR OF CONSTRUCTION- PRIOR TO JAN. 12003 DOES NOT
REQUIRE FASTENERS AND CONNECTORS
N�y�, s25 yob OF 1
V/. p F N
DATE 3 - 19 - 20
MP NOTED 20.28
DRAWN CHECKED SCALE FILE