HomeMy WebLinkAbout26568-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27719 Date_ 05/29/0
THIS CERTIFIES that the building ADDITION
Location of Property: 1245 INLET POND RD GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 2 Lot 29
Subdivision Filed Map No_ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 7, 2000 pursuant to which
Building Permit No. 26568-Z dated JUNE 12, 2000
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 ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARJORIE SNYDER & ANN NOTTES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ N-555223 04/05/01
PLUMBERS CERTIFICATION DATED N/A
Authorized S nature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26568 Z Date JUNE 12 , 2000
Permission is hereby granted to:
MARJORIE SNYDER
134 LINCOLN PLACE
BROOKLYN,NY 11217
for
CONSTRUCTION OF AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
at premises located at 1245 INLET POND RD GREENPORT
County Tax Map No. 473889 Section 033 Block 0002 Lot No. 029
pursuant to application dated MARCH 7, 2000 and approved by the
Building Inspector.
Fee $ 75 . 00
Authori d igna� tu�
COPY
Rev. 2/19/98
Form No. 6 r r -- ---
t � -
TOWN OF SOUTHOLD
BUILDING DEPARTMENT r
TOWN HALL !I
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY---: -
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 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) no or-ming--uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property,shoWing all property lines, streets, building and
unusual natural or tgpogf phic features.
2. A properly cqniplefed application and a consent to inspect signed by the applicant.
If a_90rtiflcate 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25%0
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . 3�lA�ol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . .OYX^.. . Old Or Pre-existing BuildijRg. . � . . . . . . . . . . .
Location of Property. . . 1.F' ., ;.n�V�". ,ohtQ. .1.R. wIt :�: . � a.4`} . . .
House No. Street Hamlet
Onwer or Owners of Property. . . .M4�jgo:t:-. 4r. . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . .:; ?! . . . . . . .Block. . . ?'. . . . . . . . . .Lot. .27 S. . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .fFiled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit NoDate Of Permit. . . (Z` PA . . . . .Applicant. .!�-,rj.".e. 5. 0 .. . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .II.Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .. . .
Fee Submitted: $. A—.M. . . . . . . . . . . . . . . . . . . . . .
SR5w5 7l�
APPLICANT
FAIRWEATHER-BROWN
DESIGN ASSOCIATES,INC.
P.O.Boa 521
413 Main Street
Greenport,N.Y. 11944
631-477-9752 (fax)631-477-0973
April 13, 2001
Building Inspector
Southold Town Building Dept.
Southold Town Hall
Main Road / ,6
Southold, NY 119771
Re: Nottes& Snyder Residence
1245 Inlet Road
Greenport,NY
Building Permit#265682
r
To whom it may concern,
This is to inform you that based on visual inspections of the above referenced project; to the best of my knowledge, belief and professional judgement, the framing has been
constructed in accordance with my plans and specifications.
Sincerely,
Robert I. Brown,A.I.A.
RIB/akm
cc: Anne Nottes
ED ARO r_._.._.._.._ _ .___'_-__1
Q��oPT 4.Bgyr� I rel l
1
ream oPr
OF NEv1 l -
THE NEW YORK BOARD OF FIRE UNDERWRITERS
o;'7
BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
P-RIL 05 .20,31 " ? . lilt Di 55522 &
Date A�tpQtiRlp �yD. on e
THIS CERTIFIES THAT r.uE tjo N0I• ��-M 56
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
INN NOTTES &fi.SWMER, 1245 INLET POND ROAD, GREENPOR ' :;T;
in the following location• ElBasement1-1Ist FL ❑ 2nd Fl. .a Section Block Lot RR
was examined on 1fA( H 29 .20131 and found to be in compliance with the National Electrical Code. - P_
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDIeSCENi FLUORESCENT OTHER AMT. K.W. AMT, K.W. AMT. I KW. AMT. I K.W. AMT, H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT.1 TIME CLOCKS I BELL IUNIT HEATERS I MULTI-OUTLET DIMMERS
AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP, AMT. AMPS. TRANS.I AMT, I H.P. I NO.OF FEET AMT. WATTS
SERVICE DISCONNECT I NO.OF S E R V 1 C E
METER NO.OF CC GOND. A W.G. A.HI E A.EW.L G.
AMT, AMP. TYPE EQUIP. 1 0 2W 1 0 JW J 0 JW J 0 GW PER 0 OF CO COND. NO.Of HI LEG Of W G. NO.Of NEUIRALP Of NEUTRAL
OTHER APPARATUS:
t42CHAEL J. HURLEY LIC. #4221E
9905 NASSAU FT. ROAD
CUTCHOGUE, API, 11935 GENERAL MANAGER I
Per
This certificate must not be altered In any manner; return to the of of the Board If Incorrect. Inspectors may be Identified by their credentials.
I SO IMI 0111111 IM MI W III 21515Rnsaffim 5111�_
COPY FOR BUILDING DEiPARTMENT. RI COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY-MANNER. -
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26568 Z Date JUNE 12, 2000
Permission is hereby granted to:
MARJORIE SNYDER
134 LINCOLN PLACE
BROOKLYN,NY 11217
for
CONSTRUCTION OF AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
at premises located at 1245 INLET POND RD GREENPORT
County Tax Map No. 473889 Section 033 Block 0002 Lot No. 029
pursuant to application dated MARCH 7, 2000 and approved by the
Building Inspector.
Fee $ 75 . 00
Author z Signature
ORIGINAL
2/19/98
o�OgUFFO(,��oG
Cz
Town Hall,53095 Main Road ti Z Fax(631)765-1823
P.O.Box 1179 O Telephone(631) 765-1802
Southold,New York 11971-0959 'y�f 9w
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 9 , 2001
Ann S . Nottes &
Marjorie A. Snyder
134 Lincoln Place
Brooklyn, N.Y. 11217-3600
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the fcllowing reasons :
An application for Certificate of Occupancy is
not on file . (Enclosed)
XX No Underwriters Certificate on file.
The check is (not on file . ) $25 . 00
No Health Department Approval on file .
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 26568-Z- *
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*NEED CERTIFICATIFICATION FROM RBT.BROWN, ARCHITECT REGARDING
DOOR FRAMING. (SEE INSPECTION DATED 10/16/00 DONE BY M. J. VERITY
</73'�
0 /
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO H PLBG.
[ ] FO DATION 2ND [ INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ti.y
PATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] =INAL
ATION
[ ) FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
c� 7�
.DATE �—Z � � INSPECTO
FIELD INSPECTION REPORT DATE COMMENTS f u
________________________________
II II ro
II 0 � op
H
FOUNDATION OST)
I N
FOUNDATION OND) _ II
____ __________
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---ii o
ROUGH FRAME &
U
PLUMBING ri n
II
N �
INSULATION PER N. Y. a tri
STATE ENERGY I---- 11
CODE u II
II NI
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--------------------- — __ ___-----_--------_--------------------------------------
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II II J�
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FINAL a ii
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ADDITIONAL COMMENTS:
epi
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BOARD OF HEALTH . .. . . . . . . . . . ..
FORM NO, 1 3 SETS OF PLANS . ... . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . ... . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . ... . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . ... . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL . . . . . . . . . . . . . .. ...
Ermined....../............ 19.... MAIL TO: . . .. . . . . . ..... . .
a��('S
Approved....IP.L:.........;�:'n:? Permit No. ............... ................................
Disapproveda/c .................................. ................................
..................................... .... ...........
S" (Building instto )
i
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
1
a. rs application mist be completely filled in by typewriter or in ink and submitted to the Building Innspecto
3 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 giving a detailed description of layout of property mist be drawn on the diagram which is part r
this application.
c. The work covered by this application may not be erruenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Stu
permit shall be,kept on the premises available for inspection thrraughant 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.
APPLICATICN IS HEREBY MALE 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 r necessary spections.
.... :��.. .tion
(Si tore ofr ltcant or name if a corporation_
(Mailing address of applicant)
State Cher applicant is r„ lessee, architect, engineer, general contractor, electrician, plumber or bui
.... ... ..li�/.... ..... 4.....................................................................
Name of owner of premises /+ilial' O�/C.� p�jVtl,p:E/E� NrY'..,./f_01/,�',S
.....;. ...... /. ... . ................................
as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nam and title of corporate officer)
Builders License No. .........................
PlumbersLicense No. .........................
Electricians License No. ......................
Other Trade's License No. —...................
I. location
��)of land on which proposed work will be donne............................................................
........!....1.,5...................................i✓�Tf�D .......................... ,t4.0X.......................
House Number Street Hamlet
Canty Tax Map No. 1000 Section ...... � ..... Block ........''L ..... zLot ..IPR/ .........
Subdivision .......... Filed Map No. .. 7...... Int ..../d 8......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....os//V GL E /3/!?i Gx yQ /D E.UC E
b. Intended use and omnpazxy �-9/1Yfr/44'Er ��/97 J4 ' T11--JE 1
.......................... .........................................
3. N•llure of wort( UYheck which applicable): New Building .......... Addition ..Y...... Alteration ..........
Repair ............ Removal ............. Demolition ............ Other Work ..................................
�
pp (Description)
4. Estimated Cost .....Qr.� .'........... fee ............................. ...............
(to be paid on filing this application)
5. If dwelling, nether of dwelling units .....I...... Number of dwelling (nits on each floor
................
Ifgarage, number of cars ......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use............./.........
n i b7. Dimensions of existing structures, if any* Front...�J.-�.C�.,l."�:. Rear ..5�.���a... Depth ....#T ......
I
Height .....hJ�._................. Number of Stories ....../............... ///
Dimensions of same structure with alterations or additions: Front .r .... Rear
Depth ..Y j•.............. Height ...../.5!............ Number of Stories ....f.........
S / S/
8. Dimensions of entire new construction: Front ....ti�.......... Rear ....":....... Depth .:............
}kight .......�� / /
.............. Number of Stories .....................
/
9. Size of lot: Front .... Lr............. Rear ...CJ.S/............ Depth ... .'45..........
10. Date of Purchase ..................... Nane of Forner Owner ........................................
11. Zone or use district in n.ihirb premises are situated .....A�i 13 E r14 .......................................
12, Does proposed construction v,i//olate,acry zoning lar, ordinance or regulation: ... IVH
.....................
13, Will lot be regraded .....Jt ........... Will excess fill be removed from premises: YES
o)iE5 - iV U S /e! fon/D ,p.. Po..T
14. Names of Owner of premises N........ .. ........... Address J ... N..............1:. Phone
.../.......
Name of Architect ...ieo6mr ORo o/) ... Address / �� /d13/ ml ST 6.�w_ No.
...................
;,her-
Name
Nameof Contractor ................................... Address ...............,.J. ............Fione No. ..........
15. Is this property within 300 feet of a tidal wetland? * YES .......... Nil ..........
*IF YES, SWn D TOM 1AUSIEES PU IIT MAY HE WgMM.
PLOT DIAGRAM
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 slow street nares and indicate
whether interior or corner lot.
C.
Slrlr or Nom
SS
..,C. <!!.LJ/ ..Y.:1.'....!':.c (47./!.`.:.................being duly sworn, deposes and says that he is the applicant
(Name of indiNidual signing contract)
above named,
fJe the ........ ....Q..... 1......
...........� 7. :./L A ................................
(Con a[4' ctor, 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 file this
application; that all statements contained in this application are tole 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.
9wom tob)-fore nem is
.........a,f!`�?.. .d of ? Roo v
Notary Public ..
. .. to
. ......................
(9i of Applicant)
VERONICA F. CIDONE
NOE40 POBUC,suns of Now Yak
Wa 52-46614M
QwI1Bed In SuHdu CMMIV
:ommmmMimn Exmiro Dec. 31, aaao
S R / EY OF LOT
# 125
2 CJ y� SURVEYED 02-10—a9
"MAP EASTERN SHORES SEGTION FIVE" SUFFOLK COUNTY TAX #
000 — 33 — 2 — 29
FILED DEG. 51, IQ68 A5 # 5254
SITUATE: CGREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY GERTIFIED TO:
N MARJORIE SNYDER
ANN NOTTES
NORWEST MORTGAGE OF NY, INC.
GOMMONWEALTH LAND TITLE
INSURANCE COMPANY
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nC �1rI- /� 'ee.t,ut.uo"o y"o a:e.e n•.•a"memrr t"aa mr•
• MONUMENT FOUND '2%4[.40 a P.aotPces:r`L:nG"surpeo::Cucl:p
ey . oaX sa.,. Halon p� . r•aua"e,
L.ne s�.eva.., sage...0 ntaaam nay .�n amr
o: n.o. a.tnnom tn• onper a ono...[.
PIPE FOUND S 9� 9� :n.'an[y"aRa 9.1a nR.a.Yra'aap"`,1.
HEDGE �, * ,
AREA = I5,G2G 5F OR 0.37 ACRES '0 �0
�c N 50202
2SF0
NO SJPJ N. Y.S. LIC. N0, 50202
JOHN C. EHL SURVEYOR
GRAPHIC SGALE I 30' 6 EAST MAIN STREET
-- - RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REFERENCE N 99-116
6 FPL Lam'
2 3 4 5 6 7 8 9 10 II 12 13 14 15 IG 17
ISSUES / REVISIONS
N
AP RO ED ASNOTED
, & 2-
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DATE. 2 6 B.P.
nL�D� BY: �
FEE: ---1-�-� E
DING D
765-IB02U9LAM TO 4 PM NFORTTHE h
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH - FRAMING & PLUMBING
3 INSULATION u
4 FINAL - CONSTRUCTION MUST' (17
OF 9�NIPLETE FOR C.O. !A
F.I_L Cr:A!STRUCTION SHALL MEET W
TIIE fEQUIREMENTS OF THE NI Y •
CONSTRUCTION & ENERGY
C n;xC° OR
NOF,
101 STRUCT IOM F F(?I
I " VV
5PLIT 5HFET OCCUPANCY OR
2'xG'RAUSE IS UNLAWFUL •
ON 1
ON 2C f-TERS
@16"OC
W/R-19 BATT IN5ULATION WITHOUT CERTIFICATE >:
-
OF OCCUPANCY Z
Y CEDAR
CEDAR CLAD
1OST
jr- - — -__ - - - - -- - - - C
Lu
- - - -- - 1 - - - - - W
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RE05E Fx15TING DOOR
W.4^CCA P05T CLAD IN
CLEAR CEDAR
W
FRONT ELEVATION SIDE ELEVATION 5ER5CE`AN5ARETHE'"ROPRTYOf
YI THE ARCHITECT INFRINGFMENT5 WILL
Z B`. PROSCGUTED.
A/ a F
BA5ED ON 5URVEY
OF LOT #128 i
'MAP EASTERN 5110RE5 SECTION FIVE' V
FILED DEC.31 , 1968 A5 #5234
SITUATE, GREENFORT •
TOWN OF 5OUTHOLD SURVEYED 02- 10-99
SUFFOLK COUNTY, NY SUFFOLK COUNTY TAX #
100-33-2-29 :4
CERTIFIED TO: Lo
2" G"5TUD WALL WITH MARJORIE 51
R 19 I N5UI ATION LOT#120 ANN NOTTE5
112"GYP5UM BOARD IN51DE "MAP OF EASTERN 51" NORWEST MORTGAGE OF NY, INC.j x I/2^PLY RATED 5HEATING EALTYI
SECTION THREE COMMONWLAND TITLE
ouTSIDF. INSURANCE COMPANY IMI
CLIENT / OWNER
N72°3I ACt •
5.22'
u
m N G> z NOTTE5-5NYDER
701 J o
G rn RESIDENCE D
1 245 INLET ROAD
i = W GREENPORT, N.Y.
ERTEN 4 rx1 w m
EXTEND Ili N -r 18 6
-- - 51IING rnD_
PLOOR P�AMING _
MODIFY5rOo A5
1 W/R-19 INDICATED All H BRICK m m
TO MATCH L%5 HNG Z T -
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I 3 fr^ 1 � Q DRAWING TITLE
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- -- - _- - - - -- - . - r-_ _ - fi 569'02'10
"W 1 15,00' PLANS AND ELEVATIONS
�0 B
INLET POND ROAD ITISAVIOI.ATIONOFTHE —' DATE SCALE V
(dSPhdt fOdG WdYf LAW FOR ANY PERION.NLESS ACTINO UNDER THE ��� _�
FLOOR PLAN GR HffW GIALICENEEG ISSUE
ARITEM ON T ,f0 KIN141 IN
ANYWY.A DMWNE3W
_-- ANYWAY.ANIA Ig111ZE0
A.NOTED.
EALED.AND
W DRAWING N0.
NOTED,IEALED.ANO
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WITH THLA
WITH THE LAW.
SITE PLAN
NEpED A{7DHT
-_—- - —___----_.. - "— � tN F
- - SCALE: I "=30' Q
A I
10341 P� REF. NO.
��OFNE`HyO ,:• 0003