HomeMy WebLinkAbout15454-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC~umANCY
No Z-24230
Date MARCH 25, 1996
THIS CERTIFIES that the building
Location of Propert~ 1180 NAVY STREET
House NO.
County Tax Map NO. 1000 Section 25
Subdivision
NEW DWELLING
ORIENT, NEW YORK
Street Hamlet
Block 4 Lot 4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 29~ 1986 pursuant to which
Building Permit No. 15454-Z dated OCTOBER 30, 1986
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 AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
ROBERT C. & MARJORIE g. i~EEVES
86-SO-211- MA~CE 8, 1996
N-853486 - FEBRUARY 16, 1988
MAliCE 19, 1996-ROBERT C. MEEVES, JR.
· OR~ NO. I~
TOWN OF SOUTHOLD
B~JILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDinG PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
15454 Z
Permission is hereby granted to:
~.~....~.t..~C ......... .V.. .................................
County Tax Map No. 1000 Section .....¢~.....~...~ ........ Block ...... .~..~. ........ Lot No .................
pursuant to application dated ...... (~.~i~.....~...~ ............... , 19.~..~.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DE~ Ai~TMEI~
TOWN HALL
APPLICATION FOR CERTIFICATE OF 0CCUPA~::TOV~,v~OF':::,C:~.~.___~::~:~.:
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 slactrical 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 Comp'liance from architect or engineer
' responsible for the building.
6. Submit Planning Board Approval of completed site plan ~equirements.
B. For existing buildings (prior to April 9, 1957) ~on-conforming uses, or buildings and
Vpre-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 a 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 $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - $202OO
4. Updated C. ertificata of Occupancy - $50.00
5. .Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .............................. .. .... .
New Construction.. ~.P.$ .... Old Or Pre-existing Building .................
........ .......... ..........
Location of Property
House No. S tr~et Eamlet
Onwer or O ers of Proper ,.
County Tax Map No 1000, Section ............. Block .............. Lot ...................
Subdivision ............................ Filed Map ............ Lot . · ·
Permit No ................ Date Of Permit ................ Applic~nt~~,~./~-~.~ ........
Health Dept. Approval ................ ... .......Underwriters Approval ..................... .. . ·
Fee Submitted:
Planning Board Approval ........
Request for: Temporary Certificate ........... Final Certicate...~. .......
..................
Town Hall, 53095 Main Road
P. O. 8o;< 1179
Soulhold, New York 11971
Telephone (516} 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
Ow n e r: ~ ~ ~-~,/~ & (please prin%)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Si~nat~) ¢
Sworn to before me %his
/ ~ day of /~
No~ar¥ Public, _ ~~ /~., County
Notary Pu ~ic~¢
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~000~73 BUREAU OF ELECTRICITY
. Jo.. ST.EET..E. YO.K,.EW YO.K ,OO 8 3486
O.,. February %6, 1988 ~.p~..~o. ~o. o.f~. 450043/87 N "'"~''
THIS CERTIFIES THAT
o~y the oJec~ricaJ equipment ~ ~scribed be~w a~ introduced by the applicant ~med on the a~ve application number in the prem~e~ of
Robert C. Reeves#
in t~e follo~clng Iocatlo.; ~ Hase.*ent
FIXTURE
Navy Street(orchard & Village)Orient, NY
~ Ist FL ~ 2nd FI. Section Block
and found to be in compliance with the re¢l~iremenis of this Board.
Lot
RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS
OTHER APPARATUS:
E R V I
NO, OF
1
OF NEUTRAL
2/0
Arthur Ruroe~e
Main Road
Orient, ~ 11957
Lic~2334-E
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect., Inspectors may ~e identified by ,their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY MANNER,
T0'grN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
ILO. BOX 1179
TOWN IIALL
$OUTIIOLD, N.Y. 11971
TEL. 765-1802
rigs7
To Whom This May Concern,
We are unable r.o complete your Certificate
of Occupancy because .of the following reasons.
/
/_~ An application for Certificate of Occupancy
is not on file.
/// No ileal, th Dept. Approval on file.
/-_~/ No final inspect£on has bee~% made.
Please contact ()ur office on this matter.
Thank you for your cooperation.
Bui 1~ Dept.
***/~ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
~OUNDATION (1st)
'OUNDATION ( 2nd )
IOUGH FRAME &
PLUMBING
iNSULATION PER N.
STATE ENERGY
CODE
FINAL
~L
COMMENTS:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 27,
1995
Mr. & Mrs. Robert Reeves
Oysterponds Lane
Orient, NY 11957
Re: Building Permit #15454-Z
Premises: 1180 Navy Street, Orient
Surf. Co. Tax Map #1000-25-4-4
NY
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII Section 100-284, it is unlawful to occupy or use said
structure until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
$OUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher
Senior Building Inspector
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[/~INAL
DATE ///[~ / ~ r INSPECTOR
765-~,802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOU'fHOLD, N.Y. 11971
TEL.: 765-1803
Examined .O..,~.~ .~.~., 19 .~.
Approved 0 ~.~'o~,a.
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
: , tirol" 2 91986
Rebeived .........
INSTRUCTIONS
a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
s~ts ~>f 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
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 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 necessal~rm~ctiol~.
~65.ignature o_J)appticant, o~e,,if a corporation)
~mailing address o app ican
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .c~.~.~...2~..~.. 4 .zQ.~../f~./~..~..,~ ./r.e-~..o~. rT...~..~'~.'~. .c~..--:--~. ................. (as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ~ -
Plumber's License No .........................
Electrician's License No .....................
Other Trade's License No ......................
Location of land on which proposed work will be done .............................. / ....................
................... ....... ,¢4...,..¢, ................... d2,w...r. ...............
House Number Street Hamlet
County Tax Map No. 1000 Section ...... °f..~..7 ........ Block ..... ~. ........... Lot .... ~ ............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... .~.~. ~.tq..~..~,~ ~ ......................................
b. Intended use and occupancy ..... .r~..~..5'../'t~,~..,/m7~.. .... ~ .....................
3. Nature of work (check which applicable): New Building ...... ,. Addition,
Repair Removal Demolition I.'
4. Estimated Cost ~ ~.O~.~..~..O.~).
5. If dwelling, number of dwelling units ...........
If garage, number of cars ....................
....... Fee ........
(to >e paid on filing this application)
Number of dwelling dnits on each floor ............
......... Alteration1 ..........
.... Other Work ...............
(Description)
6. If business, commercial or mixed occupancy, specify nature and extent of each iype of use ...........
7. Dimensions of existing structures, if any: Front ............... Rear ..... i ......... Depth ...........
Height Number of Stories
Dane slons of same structure with alterations or additions: Front .......... i ....... Rear ................
Depth ...................... Height ....... .~. ............. Number~of Stories ......................
8. Dimensions of entire new construction: Front ...~. ~. f. ......"
Rear .. ~-...~ ......... Depth ..~,~ ..........
Height ............... Number of Stories ..... a~..~..~... ............ i .............................
9. Size of lot: Front ...................... Rear ..................... I. Depth,/, ....................
10. Date of Purchase ............................. Name of Former Owne~ .d~4~./. './//~ .~. .....
11. Zone or use district in which premises are situated ......... , ..........................
12. Does proposed construction violate any zoning law, ordinance or re ulat "'
13. Will lot be ~egraded .... ~ ~ · · .~:~ ~.~ ...... ~. ·. Will excess fill, be removed from premises: Yes ~ No_
14. Name of O~vner of premise~ ~'.'.'.~. ~ ?~'~,..~.t~.~, .f~. Address d?~'/~...~. ~d~,/,.... Phone No.~?.~
Name of Architect ........................... Address ............. : ...... Phone No ................
Name of Contractor .......................... Address ............. i ...... Phone No..
15. Is this property located within 1.00 feet of a tidal wetland? i* Yes ..... No
· If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly ail buildings, whether existing or proposed, andlindicate ail 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,
COUNTY OF ................. S.S
................................................. being duly sworn, de, poses and says that he is the applicant
(Name of individual signing contract) i
above named, i
He is the ........................................................... i ..............................
(Contractor, agent, corporate officer, e!c.)
of said owner or owners, and is duly authQrized to perform or have performed th~ 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
............. '~'2". ..... day of....~...C-~... ............ ,19 .~. ~ ,
No O0~k M (Sig~r~faPphc~t)
',.%
RODERI~CK VAN ,T~UYL, ff.C.
LICENSED LAND SURVEYORS
GREENPORT NEW YORK
SUFFOLK CO. HEALTH DEPT. APPROVAL
H.S. NO.
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
APPLICANT
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES -- FOR APPROVAL OF
CONSTRUCTION ONlY
DATE:.
H. S. REF. NO.:
APPROVED:
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT. BLOCK ~CL,
/ooo 4 .q
OWNERS ADDRESS:
TEsT HOLE
SEAL
I SUFFOLK CO. HEALTH DEPT. APPROVAL
'~'-'-'-'-'-'-'-'-'~,'~-~/~t~ ~ ~ h. S, NO.
.- SlNC L= FAMILY DWELLING ONLY
OCT ~8 3~V3 ~'EAR8 FROM DATE OF APPROVal
.......................... ~ ~ 0~ ~ g C~g~ ~. ~F ~: STATEMENT OF INTENT
· 5~/~'V~; :. ~ ~ ' THE WATER SU~LY AND SEWAGE DIS~SAL
SYSTEMS fOR THIS RESIDENCE WILL
,~, ~ l~. ~ '~' ' '- ~ ~ SUFFOLK~q. D~T,p~.EALT. ~RVICES
APPLICANT
........ SUFFOLK COUNTY ~EPT. OF HEALTH
~O,~ ~, y, SERVICES -- FOR APPROVAL Of
CONSTRUCTION ONLY
, DATE:
'~ 4o'=,'" H.s..~. NO.:
APPROVED: --
SUFFOLK CO. TAX MAP ~ATION:
DIST. ~CT. BL~K LL,
' SEAL
RO~mC~ w~ ~U~, ~.C.
LICENSED LAND SURVEYORS ;,
GREEN~RT NEW YORK
MODEL
CODE
iB) DASEMENT
C) CRAWL SPACE
DO Di-LEVEL
DESCRIPTION
NAME
D, STL,
' PI ~E COLUHN
)ASEHENT
~-~ m COHCRETEf
-.< OT,MO !
PIER
CRAWL SPACE
GIRDER
SUPPORT DETAILS
1/4'=1'-0'
~DL,
HEADER
OPENING
FOUNDATION, FOOTINGS, & FLOOR
BY OTHERS.
BASEMENT
' ~J~54 '- Z"
FOUNDATION PLAN
STAIR DETAIL DETAIL
NTS
', ., NOTES
1. FOUNDATION DRAWINGS ARE NOT A BINDING DESIGN AND ARE PROVIDED ONLY TO
SHO~ AN ACCEPTABLE MEANS DF SUPPORT AND SPACING OF MAIN GIRDER COLUMNS,
ANY ALTERNATE FOUNDATION ACCEPTABLE TO THE LOCAL BUILDING OFFIClA¼
INCLUDING ANY PROVISION FOR BULK-HEAD EXITS, IS SATISFACTORY,
8. SILL PLATE SHALL BE ANCHORED TO FDN. WALL ~ITH 1/8'x18' BOLTS @
CORNERS AND @ INTERVALS NOT TO EXCEED 6'-0.
3, THE FOUNDATION SHOWN IS NOT PROVIDED DY CONTEMPRI HOMES INC, AND IS
NOT PART OF STATE APPROVALS. THE FOUNDATION PLAN SHOWN IS FOR BASIC
DIMENSION INFORMATION ONLY.
4, · SIZE VARIES PER STATE AND LOCAL REQ~E~NTS,
5, ~ THESE DIMENSIONS SHALL BE USED ~/HEN ENERGY PACKAGE IS APPLIED,
6, A 38~x88~ ACCESS DOOR & (4) 16'x12' VENTS SHALL DE pROVIDED DY OTHERS WHEN CRAWL SPACE FDN. IS USED.
7, THE FDN, DESIGN SHALL BE BASED ON LOCAL SOIL CONDITIONS AND
THE DESIGN SHALL BE DONE BY A P,E, OR PEG, ARCH, LICENCED
IN N.J. & COMPLY WITH ALL REQUIREMENTS OF N,J,A,C, 5.83-4.87(d),
PLUM~£~ CERTIFICATION
ON LEAD CONTENT 2: FFORE
CFRTIFICAT.~ OF OCCUPANCY ~ di~iutl~
sOLDER USED W WA TER
SUPPLY SY~E~ ~ANN O T
EXCEED
2/10
.odaPRoV~ED
· '. , ,',, ,,, ~ R~ UNIT ND,
WITHOUT CERTIFICATE
OCCUPANCY
SHEET ND,
~A11~ CONSTRUCTI(~4 & ~NERGY
(~. NOT ~E ~ ~
'~ OR ~ON ~RS,
LIGHT & VENT CHART
ROOM ! LT. A£G~ LT. ,~ '~. ~.G~D VT. SUP'TI
MALTA DOUBLE HUNG WINDOWS
TAG ROUGH OPENING UNIT ND LIGHT VENT SU.FT,
A 30'x37-I/4' 8414 4,31 8.36 53,8
B 38'x37-I/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 6,51 143,87
E 75-1/8'x57-1/4' TWIN 3884 20,44 10,76 855.5
F 97'x57-1/4' 1648-84 85.64 6.16 380,5
G 93'x58' 8'-0' DDW~ 36.75 18,38 459.4
H 38'×65-1/4' 3888 11.59 6.41 144.87
J 46'x57-1/4' 4084 18.8 7.19 160,0
ANDERSEN DOUBLE HUNG WINDOWS
TAG ROUGH OPENING UNIT NO LIGHT VENT SQ.FT,
A 30-1/8'X37-1/4' 84810 4.7 8.7 58,8
D 38-1/8'X37-1/4' 30810 6,3 3.5 78,8
C 38-1/8'X57-1/4' 3046 10.8 5,93",i~
11 48-1/8'X57-1/4' 3446 18,1 6,61 151,25
E 75-3/4'X57-1/4' TWIN 3046 81.6 11.8 270,0
F 97-1/8'X57-1/4' 18-4446-18 85,4 6,6 389.8
G 97-1/8'X48-1/2' C 44 DOW 36,8 18,4 460.0
H 38-1/8'X6§-1/4' 3052 18.6 6.89 157.5
J 46-1/8'X57-1/4' 3846 13.4 7.3 167,5
· REUTEN KLEIN BO~/ VINDOW
DDDR SCHEDULE
TAG WIBTH X HEIGHT REMARKS
1 3'-0' x 6'-8' STL, INSUL,
2 8'-8' x 6'-8' STL, INSUL,
3 8'-8' x 6'-8' STL, INSUL. 3/4 HR. FIRE RATED
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, DOUDLE 2'-8'
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' WOOD BI-FOLD DOUBLE 8'-0'
12 2'-0' X 6'-8' WOrlD BI-FOLD
13 5'-0' x 6'-8' WOOD BI-FOLD DOUBLE
14 2'-6' x 6'-8'* WDDD BI-FOLD
15 2'-0' x 6'-8' HOLLOW CURE
~x~ MALTA DOUBLE HUNG WINDOWS
ANDERSEN DOUBLE HUNG WINDOWS
NDTES
1, GLAZING TO INCLUDE C,P,S,C, STANDARD WHERE APPLICABLE
8, WINDOWS MEET 0,5 CFM/LF SASH CRACK MAX, INFILTRATION AT
85 MPH WIND
3, SWINGING DOORS MEET 1,0 CFM/SF MAX, INFILTRATION AT
85 MPH WIND 1,567 PSF ~!'
4. SLIDING DOORS HEET 0.5 CFM/SF MAX, INFILTRATION AT 85 MPH
WIND (TEMPERED GLASS)
5, OVERALL DIMENSIONS ARE BARE STUB TO DARE STUB
6,t;; ADDITIONAL INSIGNIA'S DF APPROVAL ARE REQUIRED IN
CONNECTICUT, MASSACHUSETTS, AND RHODE ISLAND
7. RHODE ISLAND SMOKE DETECTOR LOCATION BY LOCAL FIRE MARSHAL
LEGEND
· DENOTES LOCATION FOR INSIGNIA DF APPROVAL
U,L. APPROVED SMOKE DETECTOR ( AC-DC POWERED
IN CONNECTICUT>
WHERE APPLICABLE U,L. APPROVED SMOKE DETECTOR LOCATED
ON CEILING AT BASE OF STAIRS (ON SITE BY OTHERS)
~ 28 1/8' x 30' ATTIC ACCESS
5/4
BATH
MASTER BR
DINING KITCHEN
TH
1 -
HALL
®
I ~W~TCHi w
[F~g. C~lUi~d LI/.HT
L-e
LIVING RM BED-RM 4 BED-RM3
---..,ii. -
54'-~"
FLOOR PLA N
LOCATiOK~
5I;~iTJ.I ~ NT
MDDELi
DEALER,
CUSTOMER,
SIGNATURE
UNIT NB.
SHEET ND,
2
of 7
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ALUM., ~IDIN& TO ~g GR6~NDED
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?~"2/,~ UTY ~P~ 't~P ~.NORD L. IYE 4~ ~F ~ ~ ~P C~O~ LIVE 40 ~F ~ F
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NTS TrPtCAL
NOTE5
OF
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WALL 11'45L)LATIONI P01NT3 FLOQ~ FRAMINC DOUBLE TRI/~MF_J~ AkiDNEAD~$
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