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Home My WebLink About16741-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR~4ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18275 Date AUGUST 14, 1989 THIS CERTIFIES that the building. ONE FAMILY DWELLING Location of Property 2705 SIGSBEE RD/10810 PECONIC BAY BL~D. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 06 Lot 01 MATTITUCK PARK Subdivision PROPERTIES, INC. Filed Map No. 801 Lot No. 105A conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 3, 1988 pursuant to which Building Permit No. 16741Z dated FEB. 17, 1988 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 ONE FAMILY DWELLING, ATTACHED GARAGE, AMENDED TO INCLUDE REAR DEC~. The certificate is issued to EDWARD QUINTIERE/RICHARD PULCINI (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-218 JUNE 9~ 1989 UNDERWRITERS CERTIFICATE NO. PENDING SLIP 8/11/89 PLUMBERS CERTIFICATION DATED MASTER PLUMBING-AUGUST 1~ 1989 Building Inspector Rev. 1/81 I~OEI~ NO. ~1 TOWN OF $OUTHOL~ BUILDING DI~PARTMENT TOWN HALL SOUTHOLD, No Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_l 6741 granted to: ._ ,?~"~¢'"";~ ............ ,o.,~,x _ ~~~~'""~~'"'~'~'"'~~""~ ................ ...v~_........:~.~.~.....:_.:....~ ........... .: ............. ::;;....: ........... : ........ .: ........ ... ...... ~~ ~ ~ .. co~ ~o~ ~p ~o. ~o0o s~t~o~ ....... ~.~ ...... ~k ........ ~ .......... lot ~o ....... ~ .............. Building Inspector. Fee $..~...~....~..~ Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION RE: SC Tax Map, 1000-126-6-1 Date August 1, 1989 Building Permit No. 16741 Owner R. Pulcini & E. Quintier~, III (please print) Plumber Master Plumbing {please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 1st day of Auqust , 19 89 Notary Public, Suff0]k County N~tary Pu~ lic TOWN OF SOUTHOLD BUILDING DE?ART?IENT TOWN HALL $OUTHOLD, NEW YORK 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CO:;STRUCTIoN -. -.OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ~OUSE NO. STREET ~ HAMLE~ coup=, ~ ~ ,o. ,000 ~o~ ~:~ ~o~ ..~... ~o~.....] ..... Health Dept. Approval ....... ?lamnlnC Board Approval ................ 2equc=t for Temporary Certificate ....... Underwriters Final Certificate Approval .............. v. 10/14/88 FORM NO. 6 TOWN OF SOUTIIOLD BUILDIH~ DEPAKT~NT TOWN IIALL 765 - 1802 ~PL~CATION FOR CERTIF~CA~ OF OCCUP~y INSTRUCT~ON~ Inspector with the foIlowin~; ~or new buildings or new u~e:~ . I. FinaI SU~ey of property with accurate loca~on of all b~ild~ngs, property streets~ and unusual natural or topograpblc features, iJ . 2. F~o~I approval of Bealth Dept. of water Supply and sewer~ge-d~sposol(~-9 3. ~pptoval o~ electrical i~stallatlon ~om Board o~ ~i~o 4. Sworn statement from pl~ber certifyin~ that solder USed ~in ~ystem contaln~ less than 2/I0 of ]Z lead. 5. ~O~ercial buildings, ~ndustrlal bu~ldin ..... ' . DuzSdin~s ~-~ 4 .... ~,_~, . . 8o. ~czple russ,deuces and sim/la ' ' or ~ ~"~ ~u~cxons, a Certxfxcate of code COmpli~anc~ FY'om th r~ . Engineer reSPonsible fo~ the building. [ · e Archztea~. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, 1957~ nOn-confo~i~g uses, or buildings ]- Accurate su~ey of property sbowlng all property lines, s~reets, buildings and unusual n~tural or topographic features. 2. A properly completed application, a consent to i~pecC si~ued by the applicant and a certified abstract of title issued by a title COmpany which shall show mingle and separate O~ership of the entire lot prior to April 9, . If a Certificate of Occupancy is deuied, the Building InsPector shall state the reasons therefor in ~iting to the applicant. 3. Date of any housing code or safety inspection of b~ilding~ pertinent info~tion required to prepare a certificate, i or premises, or other For Vacant Land'Cer~iflaate of Occupancy: l. ~ oppllaation for vacant land Certificate of Occupancy shiall be submitted, and a certified abstract of title issued by a title company showing single and separate O~ership of the entire lot prior to April 9, 195;7 shall also the application. If a Certificate of Occupancy i~ denied,[ accompany the Building Inspector , shall state the reasons therefor in ~iting to the appllcabt. FEES: i CERTIFICATE OF OCC~c~ - New ~elllng $25.00, AdditiOns ~o ~elling $25.00, Alteration to ~ellimg $25.00, Swi~ing Pool, $2~.00. Accessory building $25.00 Addition to A~cessory buildings, $2~.00 - Bu~inesse~ $50.~0. 2. Certlfi~ate of Occupancy om pre-exlstln~ dwelllng - Copy of Certlflcate of Occupancy - $5.00 - over 5 years - 4.Vacant Land Certificate of Occupancy - $20.00 5.Updated Certificate of Occupancy - $50.00 6.Temporary Cer~iflcate of Occupancy - $g5.OO $50.00 Co~ercial~ FOUNDATION FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 7GS-tS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] ~NSULATION / FRAMING [r~/] FINAL REMARKS: DATE /////~/~ ,INSPECTOR t~ TY/ 76S-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. [JFOUNDATION 2ND [ ] INSULATION []FRAMING r~NAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]/~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECT J [ ] FOUNDATION IST [~//ROUGH PLBG. /~ [ J FOUNDATION :)ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS.' ~ 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION XST [ ] ROUGH PLBG. ~J FOUNDATION ZND[] INSULATION ]FRAMING [ ]FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL BOARD OF HEALTH ~/.-- 3 SETS OF PLANS SURVEY S~PT~C FOR~ .¢~ ......... : Examined ............... , 19... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BLDG. DEPT, ,,TOWN OF SOUTHOLD a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. c. The work covered by this application may not be com~nenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in ~vhole or in part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe( The applicant agrees to comply with all applicable, laws~, ordinances, building c,9,od'e~houfiing co~'~, and regulations, and t admit auth°rized inspect°rs °n premises and in builaing r°r necesi~~~ .............. (Signature of applicant, or ne,me, if a corporation) -sv 0m'.~.~.u..~etd ~ · ...~?..[O ..... .tO. a3 ...................... "~'~ ) ~4 ~W ~:~ (.9'~ (Mailing address of applicant) ~'x~_~[ State whether applicant 4s_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ....... .om.~.t.~ .......................................... .~.¥~v/az.p ................. Name of owner of premises%~...~.~..q~. ~.~. ~. X.~ t~.~.. · .2 ~.D..~..U. 'U' '~' 'LC \ ........... (as on the tax roil or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Electrician's License No., .~.~../4~f.w ............ . . Other Trades License No~.~~ ..... ~ 7 O ~ ~ · Location of land on which proposed work will be donel .~ [.~~.. ~0.~ ~ ..................... County Tax Map No. 1000 Section .... ~.g¢ ......... Block ...~ ............. Lot.. [ ............... ......... (k-~). · · ~ ~, '"' State existing use and occupancy of premises and intended use a.nd occupancy of proposed construction: a. Existing use and occupancy .......................................... ./ 3. Nature of work (check which ~pplicable): New Building ... M'. .... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ' (Descrip~tion) 4. Estimated Cost. ~ ID 'oO O .... ~ ..... i .......................... Fee ...................................... i ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... [ ........ Number of dwelling units on each floor ................ ..q~.g ar-age ,. number of cats , ': ......... . ~ ....................................... . ,.. 6 If business; comme~/Cq~l!or mix!ed occupancy, specify nature and extent of each type of use ................... ~.. 7.: Dimensions of exlstih$;~tructures, ff any: Front ............... Rear .............. Depth Hqig~.u~,,., ~,, ¢ ' ' t,l;li~ ·: · 2.[.; .. Nu'mber. of Stories' ...................................................... '.. Dlmenslons'o'~slme s~triicture with alterations or additions: Front ................. Rear .................. Depth .............. ~I .... i. ·. Height ...................... Number of Stones ............... . ........ :- 8 Dimensions of.entire ne~v construction: Front ./~..~... ' .. Rear . ~t.~ ... Depth .'~.. C~ .. Vie ,,h .: ~', ......... Number of Sto~es ... :l .............................. 9,' Size of lot: Front .~..4~/.~.,). , . ........... P, ear ... [ .,q,..~ .,.~.~. .......... Depth . .tOg. ?.~ ........... '.. 10. Date of Purchase ffg,,q~.,...'7d'Z'i · ·. ~ ............. Nature ~ F-,~rmer Owner ...~.~.,o..'M.~1.0r.~. ,'~..%.~ ......... 11. Zone Or use district in which premises are situated ....... [~...'~.~.~3.1') ~,~l :'~. J ~J-- .................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~ID. .......................... 13. Will lot be regraded ...~. ,~. ~ ........ . ........ ,... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ~l>.t'>/?.h-C?..~9 ~ .~..~. Address .~o~ O. f>.D. ~ J..'~... Phone No.C~.q ............ Name of Architect ........ ] ................... Address ...... -. ~ o..~. ....... Phone No..~.~..~. .~.t.J .~..(0 .... Name of Contractor ....... ; .................. Address .... : .............. Phone No ................ 15. 'rs this property located w±thin 300 feet of a t±dal wetland? *Yes ..... No · If yes, Southold Town T~ustees Permit may_ be required. PLOT DIAGRAM .I Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S ..... COUNTY OF ................ ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual si ning contract) above named. Ite is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owneLor owners, m~d is duly authorized to perform 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 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 ............... '.q. ...... day!of .... .."P....~'~. · ............ 19 NOTARY PJBL C, State of How No. 4707878, Suffolk County ~ Term Expires Morch 30, ~9.-.-~ / natureof applicant]l ' ~lS ~'~M DATE OF APPROVAL J j THE WATER ~Y A~ ~A~ DI~L I ~ SY~ F~ THIS R~GE WILL ~F~K COUNTY DE~. ~ ~ALTH ~*~: , .~ J ~- ~,~7 ., ...... ..................... O~ PiPE ................ '~ VAN T . P.C. FQOL$ .! 5t. JL,,E ... SUFFOLK CO. HEALTH D[PT, APPROVAL H,S. NO. 8'7-50--ZlJ~ THE WATiN J~Y AND SEWAGE DISI~OSAL ~rllMI F~R THIS ~ESI~KE WILL ~ ~ ~ THE SERVICES. SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCT IO~ ONLY !KIF'FOLK CO. TAX MAP DESIGNATION: ol~r. ~I:CT. BLOCK PCL HO. ~VAN T L, LICENSED LAND SURY~ I~EENI~T NEW Y{~I~ L ~kJE-' o,~ rI II I t SOAL~- ~4I~ II 0[I ~4~ I ~ PC, F'!G PAG~ l o 1:,l LIGHT & VENT CHART RrlF1M LT, I~IF~LT. ~ VT, ~ VT, KITrHEKI~ 17. 14. ID. 40 6.5'7 ' DIIUIUr- Rtfl~ cl.44 I1.~1 4.72 ~,51 MSTg BD£~ 11.42 80.44- ~.7/ ID. 7~ P-D~M Z 9.q3 II.SI 4. q*'l P-D£M 3 q.?~O II, ffl 4.&~ ARTIFICIAL LIGHT SUPPLIED MALTA DOUBLE HUNG WINDOWS TAG RGUGH OPENING UNIT NO LIGHT VENT SG.FT, A 30'x37-1/4' 8414 4.31 8.36 53,8 S 38'x37-1/4' 3814 5,9 3,54 73,75 C 38'x57-1/4' 3884 10.88 5,38 187.75 D 48'x57=1/4' 3684 11,51 651 143,87 E 75-1/8'x57-1/4'! TWIN 3884 80.44 10,76 855,5 F 97'x57-1/4' 1648-84 85,64 6,16 380,5 G 93'x50' 8'-0' DDW~ 36,75 18,3G ' 459.4 H 38'x65-1/4' 3888 11,59 6,41 144,87 J 46"x57-1/4' 4084 18,8 7,19 160,0 NOTES i~'! 11, THI~ ~LAN MAY ~E FLIPPE~, ~V~SE~, RE~UCED~ DR ENL~,(E~ HAX, ~ ~ MALTA~U~LE HUNG ~IN~OVSI DR 66 MAX, LENGTH, REF~ TB SYSTEMS APPROVAL), ~] ANDERSEN DOUBLE HUNG ~INDD~S[ LEGEND ----~ - ~ .~ ~HE~E APPLICABLE U,L. APPRDVE~ SNQK~ DETECTOR LOCATED 17-3'" ,u-un' ~ .... ~~ .x~~.. ' ' / DDDR SCHEDULE TAG WIDTH X HEIGHT REMARKS I 3'-0' x 6'-B' "'TL. INSUL. 8 8'-B' x 6'-8' STL, INSUL, 3 8'-8' x 6'-8' STL. INSUL. 3/4 HR, FIRE RATE]) 4 3'-0' x 6'-8' STL. INSUL. W/1 14' SIDELIGHT 5 3'-0' x 6'-8' STL, INSUL, W/8 14' SIDELIGHTS 6 5'-4' x 6'-8' STL, INSUL, DOUBLE 7 5'-0' x 6'-8° SLIDING GLASS DOOR 8 6'-0' x 6'~8° SLIDING 'GLASS DOOR 9 8'-0' X 6'-8' SLIDING*GLASS DOOR 10 8~-6' x 6'-8' HOLLOW CORE 11 4'-0' x 6'~8'- ~,~OD9 BI-FOLD DQU~LE 18 2'-0' x 6'-8' WOOD BI-FOLD 13 5~-0' x 6'-8' WOOD BI-FBL~ DOUBLE 14 8'-6' x 6'-8' WOOD BI-FOLD' 15 8'-0' x ~'-8' HOLLOW ANDERSEN DOUBLE HUNG WINDOWS TAG ROUGH OPENING UNIT NO LIGHT VENT SQ,FT, A 30-1/B'X37-1/4' 84810 4.% 8.7 58,8 B 38-1/8'X37-1/4' 30810 6,3 3,5 78,8 C 38-1/8'X57-1/4~ 3046 lO,B 5,93 135.0 D 48-1/8'X57-1/4' 3446 18.1 6,61 151,85 E 75-3/4'X57-1/4~ TWIN 3046 81,6 11,8 87B,0 F 97-1/8'X57-1/4' 18-4446-18 86,4 6,6 389.8 G 97-1/8'X48-1~8' C 44 SOW 36,8 18,4 460,0 H 38-1/8'X65-1/4~ 3058 18,6 6,89 157.5 J 46-1/8'X57-1/4~ 3846 13,4 7,3 167,5 J REUTEN KLEIN BOW WINDOW MDDEL, 2Gx4S DEALER, CUSTOMER, SIGNATURE HATFIELD Ri-LEVEL NEW YORK STATE DIVISION OF HOUSING AND COMMUNIT~ RENEWN. ~'~ STAMP OF APPROVAL "' FOR A I~,ODEL Oi~ OOMPONENT E~5~ SELF SE~LI~ ~GPdALT .~NINGL~S ~ U.L. OLAS$ FIN. CLG. FIN. FL. DW V ~kO~-ALLJM. SIDING GABLE ENDS~ DN SITE BY OTH£R~ LEFT ELEVATION RIGHT ELEVATION · " ~ESl~ LDADINq CHORD LI~E 4~ ~F ~,~ , .." ~. ~P CHO~ LiVE AO ~F ~ . ............ ~ ~ N ~L - ~ I I DOUBLE ~1~ 6AIdD O DETAIL -~ ,/2 ~.YW~LL(PAl,'rED) OTHERS) W/ ~4" T~q C~61MATIO~ g~LA~MEMT ~O~FLd6~ 4MILL YADOR ~RRiER w/rd~qEs TOI~dEe UP TAR, FO~TikJC -- COliC, F, CROSS NT$ oPENINq& n -,-- "'~ ~_...% 1'- ' -- ',---I--mi ,I ~1 II ~/i . . iii I I II I : ./: . I 'l.I ' ,: ' i. I .I ' . .it ~ j~.. ......~'L_~i:~:, /.I. SI~CTION w~ STUDS ~,'oc DRYLUALL 0,8, (FIELD 1~STAli 5'~'~ STanDARD STEEL PiPE THESE PLANS AND/OR ~E~IFICATION$ A~ igENTI~AL TO 11.I~SE OR RLE W111t IRE t DIVISIONANDHAVENOTBEENMORIFE~ ~c~y~ DETAIL IN ANY MRflNER WflATSSEVER' ~X~NTS, TYPICAL NEW YO~ STATE DIVISION I'IOUSING AND COMMUNITY REN~ STAMP: OF APPROVAL- DETNL A MODEL OB ~NENT 40F7 TOTAL LOSS 132 $27 BTUH q, 75 WATT S GENERAL NOTES HEATING SYSTEM DES1GNED WITH INSIDE TEMPERATURE OF ?O°F AND OUTSIDE TEMPERATURE OF -20°F WITH 15mph WINDS 2. FACTORY INSTALLED INSULATION INCLUDES BATT INSULATION IN CEILINGS AND EXTERIOR WALLS $. R-19 FLOOR INSULATION IS TO BE INSTALLED BETWEEN FLOOR JOISTS ON SITE BY OTHERS 4. THE INSTALLATION OF ALL ELECTRIC BASEBOARD HEATERS ARE IN STRICT ACCORDANCE WITH ~-IE TEMPERATURE PERFORMANCE REQUIREMENTS OF THE U.L. STANDARD FOR SAFETY N° 1042 ON BASEBOARD HEATING 5~ MAXIMUM CONNECTED LOAD FOR 240 VOLT/20 AMP BASEBOARD HEAT CIRCUIT IS 5840WATTS (80% OF CIRCUIT CAPACITY) 6. TP[ THERMOSTATS MODEL N° ID.22-3 ARE DOUBLE POLE 22 AMP ~ 25/240/277 V.A.C. CEILING BATT INSULA~ I/2" GYPSUM ~ INSIDE AIR FILM I/2" GYPSUM BATT INSULATION 6" INSULATION 19.00 12" INSULATION ~.00 ATTIC AIR FILM TOTAL R-VALUE = TOTAL U-VALUE= U-VALUE USED: FLOOR 0.61 0,45 ~ .gO 0.61 O. mia o. 04__8 I/2" GYPSUM BATT INSU EXTERIOR SHEATHING- RIGID INSULATI( WALL IN,DE AIR FILM O.GG I/2" GYPSUM 0.45 BATT INSULATION ~.00 3-1/2" INSULATION 13.00 5-1/2" INSULATION 19.00 EXTERIOR SHEATHING 0~'0 3/8" ASPENITE 0.40 I/8" THERMOPLY O. 20 I/2" PLYWOOD 0.62 RIGID INSULATION 3/4" BEAD BOARD $.10 TOTAL SUPPLY ] '~ TPI SERIES 'cc' BASEBOARD HEATERS ARE 120/240/277 V.A.C., INSI,,DE AIR FILM 0.92 EXTERIOR SIDING t" DOW BOARD 5.00 I ~.~.~, 250 WATTS PER FOOT, ANO 854 BTUH PER FOOT -- EXTERIOR SIDING 33~.~"~ BTUH -~- WATTSJ B. THERMOSTATS ARE ADdUSTABLE FROM 50°F TO 75°F 3/4 PLYWOOD DECK 0.93 ALUMINUM 0.61 BATT INSULATION 13.~ BACKED 1.82 $/4" PLYWOOD 3-Yz" INSULATION I.~.00 BASEMENT AIR FILM TOTAL R-VALUE = TOTAL U-VALUE= U-VALUE VINYL 0 .BT 0.9t~ TI-Il 0.78 I~ '~/? REDWOOD 0.78 O.ofo~ OUTSIDE AIR FILM USED = 0.0(~:~ TOTAL R-VALUE = TOTAL U-VALUE = 0.17 I~. &l U-VALUE USED= BATH i_DINING RM. MASTER BR LIVING RM I ~'~ Zooo w BATH BED-EM 3 · ' NEW YORK STATE 'DIV~ ~ ~ " " I ID~CAL ~ ~ ~ F~ ~ ~ OM~ A~D HAVE mT B~ ~F~ [~11 ":'""-::'**'~qi~-&~ .................. ~ ................ ~ / · 31 3lq &4Tt4 L'r'~ / / ~,TH~ AND COMMUN~ /ENEWAL STAMP OF APPROVAl. FOR'A MODEL OR COMPONENT F_. LE_cT~Id FL,AM ~CA LE-,' Y,'¢" = / "0" w,~.. I tC~A~U~ ~" ,. ~ ~'~z"~"r~ FL~IM~ ~ STAMP OF APP~V~' ~" '~'~ /= ~ ~" ~CC ~ HEET 4 ~A~/~r~ DM~~VE~Tg~ "" ~'- ' 2"EdUI ~E ~1~, ~OAE-UP IN ANY ~R~