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HomeMy WebLinkAbout26223-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27401 Date: 11/13/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 380 HOPE LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 9 Lot 26.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 1999 pursuant to which Building Permit No. 26223-Z dated DECEMBER 27, 1999 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 WITH ATTACHED 3 CAR GARAGE, & COVERED PORCH AS APPLIED FOR. The certificate is issued to EARL D. BROCK & MARGARET M. LUCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0186 10/16/00 ELECTRICAL CERTIFICATE NO. 43433 10/03/00 PLUMBERS CERTIFICATION DATED 10/19/00 HARDY PLUMBING & HEATING e ze!4 A horized Signature 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. 26223 Z Date DECEMBER 27, 1999 Permission is hereby granted to: EARL D. BROCK & MARGARET M. LULL 380 HOPE LANE SOUTHOLD,NY 11971 for CONSTRUCTION OF A NEW ONE FAMILY DWELLING WITH ATT. 3 CAR GARAGE & COVERED PORCH AS APPLIED FOR & TO CONDITIONS OF THE HEALTH DEPT. at premises located at - 380 HOPE LA SOUTHOLD County Tax Map No. 473889 Section 059 Block 0009 Lot No. 026 . 012 pursuant to application dated DECEMBER 3 1999 and approved by the Building Inspector. Fee $ 1, 111 .40 Author' Sign ure ORIGINAL Rev. 2/19/98 Form No. 6 I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 electrical installation from Board of Fire Underwriters. L/4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. •5:� Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from ar iegt` r engineer _ responsible for the building. (v a, dA.. Submit Planning Board Approval of completed site plan requi ementspp.((� B. For existing buildings (prior to April 9, 1957) non-conforming iAes, lSYrb� Aps and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, str ets� building unusual topographicfeatures. 2. Aproperly completedaPPlicationand aconsent to inspect signed by the a PPlicant:� 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 - ew ,dwelling $25.00 Additions to dwelling $25.00, Alterations to dwelling $25.0', 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 - .25kj 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ��/!7/!0 New Construction. . . . . . . Old Or Pre-existing Building. . . . . . . . Location of Property. . . . . . . . . . . . . . . .0 . /fOPL! L. . . . . . . . . . . . . ``/0//�>: House No. Street Hamlet Nt le6f1!e� /_4,r_,5 f- !�: eeOGIL Onwer or Owners of Property. . - 42 County Tax Map No 1000, Section. . . . ..f /. . . . . .Block. . . . 97.?. . . . . . . . .Lot. . . .aG:� :. . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . ,� ti92G D •/3rleG/L Permit No. .T. . ... ... .Date Of Permit. . . �. . .Applicant. . . . !. .. .1.:� ?. . .*cc. . . . . X10 99e12'_1. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . �. . . . . . Fee Submitted: $. . . . . . . . . 5:ero. . . . . . . . . . G AXc. SAPPLICANT co -.a?ya =3r1.•�ySYi. Pb, ri .t tf.°�,.siSl. ,;t•3, ii;S�j:, Oji; .� r .`5+t, ;t. .c.1,r, .;iP LB hi�L%. •.t'ih!1 �� . 2��;15,t:.f;.. sit h,r,S 1. S.l�r4fjy.x2i!''y,y,��..,t�., pt(i•f,r JLfy. ,AP. .i. itt. ii a. tyJ �• , r?, nt itfu..)L%'• a. a •_. f i, w1, '.th Q'd i=}� \tt, .�5,l.., ..Irl i;l\NiS,a, ...ig r y •,W'1• „.i.. 1t•nR..\. K<hs' \, r 1'@.'y,�'v,f <3 .q4$ ,7,Y5 •i,lw leo y✓a., ,fi 1,%: �f(,'i; .,11I •, ..,�I,..t, l ,Lr„<3:>u„ ••f<r ,t,,!• „rr. >1�ru.},,,<Y.,.1t�:,,,e.,. .�l,i�pi:,if,.,. „r+•t•,f1., \,�ir�3.,1`r�?.,.•,�. }'% .S�,J,3..Z I„.,.1,v :.)'�;iv.l 11,l1•,u}7),,, i,L,,.,�,1'H n"1�..�),v1Lr q.,n., .nvx)',t,,,,y .y,r.. A..yva,"V{S.; 'f,,•,� ..'fiy„r T"17. .,!v'., ' :`,p'p. .P, —"�` .... ,z;i. nu: •.f^ y';fj.. .,.e• ni ,:v,. .1 ••t.• ',.v„m; v�..,r. .A, 'f1 ',Y'.,u:,,,jf ly:•"=._ s_:� i• '1 f'fn r%} ,.•"N n %:j(°� Yn.l .+...J , ff9.. • eNJr . i. a yb” S';JrSfg}.. "�..fjf{�t`i'+,;�'Nfs. ”'&' , t . 1 , ,u ;�k f t .ii•./,,, pit .... : r,i3.....�.:_3 �., S ...,, J ..! rS}T.+, r„+T1trr yy y„r£•3Ik *4RK R<t Electrical Inspection Certificate {'Ni if erlee'<� Electrical Inspection Service Inc. ` 375 Dunton Avenue <, East Patchogue, New York 11772 ” a«4`, �% (631)288.8842 OW2 ft--- Date: 10/3/2000 pp 43433 .<�°_ ,;.,� Application No. . Issued to: Earl Brock «car, r Street: Hope Lane - ct�se. Village: Southold Zip: 11971 Town:Southold Section: 59 Block: 26 Lot: .12 .: `R ' Introduced by: D.C. Electric Inc. Lic.# 4076-E i3?`r was examined and found to be in comp/lance with the National E/ectr'ica/Code ❑Attic W1st Floor ❑ O/S Residential ❑ Pool ❑ Det. Garage ❑� Basement ❑O 2nd Floor ❑ O/S Commercial E] Hot Tub ❑ NV Defects �fl rx` G�a, Switches Receptacles Fixtures GFI Heaters A/C Fans ,y 52 58 78 8 4 F:- efj� -' Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal �^ `• 31 1 1 20 1 1 w....� Furnace Oil Gas Circulator Smoke Detector Bell Transformer s'<�''` 1 1 2 7 1 'jet Meter Amps Phase Motors Telephone Television Carbon Monoxide 41+;r{ M 1 200 Ir =: 3=aa. m Other Equipment: {�<: s t , 1 Hood, l lacuzzl, 115amp Double Pole Breaker For A/CA/r Handler, 115ampAirHonder, Hugo%. Surdi Fal President This certifcate must not be altered in any manner ra Building Permit No. ..��- ...,�:..:.' Inspectors may be identifed by their credentials - � :\ 7rr, �\ it f th.' l�.i�ilr7 aa ai�'ff1 IY 1 :ffl Lt�fi i3vi" � ilii'ii' y1t miff J} la ivf ll.}�S�� 1i7,rj pt,'; ��u r/ 'v yrr t �f;y_�d=: Gc. ,l �ff.,v+l. �, f,,,l`, .I ly`yJ,.,'N z., r�ti �_.v,iWh,=.�rr; r�, lSQ ir,�i,. y� t,y,1,iV (,aYjr• .Ili}ns;..,. Js `<yvTa:, r;j$t ��,n'41fl �vv.Y J;' ,hv,S vlti si'%'�+'.'i �!'i�i`„/j�inf721�3;:�/fllll4�l�.•�,�i1\:::y'iS{�}'(I ila";�f.i�Rf7:�}:• .111 Pit= ='l+V�iy�y' d�iili'/7::)� •ir;,i lJ�' •f�'I'�Hi7')i. .:I(t '��assf,i rbv t• •'ffii:t�j i.;. :;t=4.�=w"tf!(�/:ai J` •gid Pfd;'a-' 'i,1i 1 t . P ��i' 7 i� �.;:� '1 � S; y S;, it i . 1�i i;• ' � �' u;Jee e�41?}�;. sn•V:?�.P.,'13 S:S.SJI�fD '•.,.;}�%t", i �f•.• ''.e�iP�'• ..!.?.ift '��-,iwj � � �i<... ..,.{5.. Z....e. I TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, NY 11971 CERTIFICATION Date: Building Permit No. Q(01a� Owner: USL- - Mz� (please print) Plumber: \AK12134 ' AuM6YIy' A Ck wa, (please pr nt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. I also certify that I installed an anti-scold and/or thermal shock preventing device at all bathing and/or showering fixtures in conformance with part 902.6(k) of the N.Y.S.F.P.A.B.C. (plumber's signature) Sworn to before me this WMEMAIOM OrmyPUBUC,State of Nw%* day of 0Vr0MfL_ N0.01EC5084055 0eaified in Su0ooMy CAmmWion Ezpl 2000 (Notary Public) Notary Public, 0-W— County o��$pFFO(�co Gyp Town Hall,53095 Main Road o Fax(516)765-1823 P.O.Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 Oy • �� BUILDING DEPARTMENT TOWN OF SOUTHOLD November 3 , 2000 Earl Brock & Margaret Luce 290 Koke Drive Southold, NY 11971 RE : 380 Hope Lane, Southold To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file . (Enclosed) 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 . XX No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26223-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ADDITIONAL \ M F 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) I ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ,DATE 01-0 INSPECTOR a4� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]DATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARK iq:. L�� It.Qltf-ZA V v f D E INSPECTOR 765-1802 BUILDING DEPT. INSIDE TIO [ ] FOUND N IST [ UGH PLBG. [ ] F NDATION 2ND ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPL E & CHIMNEY RE RKS: P r DATE INSPECTOR M-1802 BUILDING DEPT. INSPECT I0 [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: D _ �( DATE �' INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [✓/] ROUGH PLBG. [ ] FF UNDATION 2ND [ ] INSULATION [ O] F MING [ ] FINAL [ )FIREPLACE A CHIMNEY REM KS: r .r c j ` r � G DATE INSPECTOR �- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR j Reference#R10-99-186, Brock SPECIAL CONDITIONS OF APPROVAL 1. Installation of the sewage disposal system wall must be supervised and certified by a licensed design professional (Form WWM-073 enclosed). r 2. This permit is subject to Town approval of grading and drainage plan. 3. Depth of leaching pools are not shown on plan, a minimum of 300 ft2 of sidewall leaching area is required. For the purposes of this permit it is assumed that the pool depths will be a minnimum of 6 feet each. 4. Due to the poor soil conditions which extend below the water table, it is recommended that the excavation for the sewage disposal system be conducted prior to installation of the foundation. If it is not possible for the Department to clearly ascertain that the excavation has been completed to the required depth (because of groundwater conditions and/or caving), then dewatering or sheathing may be required. i 1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ `FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: - DATE INSPECTOR 765-1802 �1�� EFT. INSPECTION [ ] OUNDATION IST [ i.-"000H PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ FIREPLACE A CHIMNEY REMA KS: 1 a VV RJ DATE? 5 OD INSPECTOR. M-1802 BUILDING DEPT. INSPECTION �FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE & nCHIMNEY R MARKS: Pot,e 4 - v i ,� `vt/✓l �G e c DATE /` CSU INSPECTOR "� - Reference#R10-99-186, Brock SPECIAL CONDITIONS OF APPROVAL 1. Installation of the sewage disposal system wall must be supervised and certified by a licensed design professional (Form WWM-073 enclosed). 2. This permit is subject to Town approval of grading and drainage plan. 3. Depth of leaching pools are not shown on plan, a minimum of 300 ft2 of sidewall leaching area is required. For the purposes of this permit it is assumed that the pool depths will be a minnimum of 6 feet each. 4. Due to the poor soil conditions which extend below the water table, it is recommended that the excavation for the sewage disposal system be conducted prior to installation of the foundation. If it is not possible for the Department to clearly ascertain that the excavation has been completed to the required depth (because of groundwater conditions and/or caving), then dewatering or sheathing may be required. }}- ��o E�-e /•�a�i� 9�s1I fir•-�W�� � d(� ,.;., DEC w,romv A G.DEA STATE OF NEW YORK j ss.: COUNTY OF SUFFOLK ) /cA044s being duly sworn, deposes and says: That deponent is over the age of 18 years, and resides at That on the day of 1999, deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans-compliance with the New York State Fire Prevention and Building Code (9 NYCRR). Archited � Sworn to befor me thi day of �- a' ' u UNDA, u ic,State of NewYork No.52-4502164 Qualified in Sufk r'temrnission Expires cc: applicant . .., . - �3 it I OARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . .. . . . . . . . . . .. .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . ... . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL qG. . . . , . •744 /44.5-3.. MAIL TO F'y,/2L Bk'D :! N/,FY6 JO Examined. .. - "Ae. . . Approved. .., 19 � Permit No. .. ............ .... ............................ Digapproved a/c ................. 5'ou�o!< 77, p (Building Snspector) DEC , y ;r ,� APPLICATION FOR BUILDING PERMIT rel q � J Date. . . . . n/n. . . . . , iT. INSTRUCTIONS a. This application most be� Icompletely filled in by typewriter or in ink and submitted to the Building Inspector wilt 3 sets of plans, accurate plot planjto 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 deta�led description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be cammenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 occup ed 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 HER= MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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, buildin 'code, housing code, and regulations, and to admit authorizes) inspectors on premises and in building for neces inspections. (Signature of app t, or name, if a corporation) PPO Zo,t/t drt. S'Da�,-,&IA /V f cop 7/ ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluaber or builder. .......04wge ?................ ................................................................................... Name of owner of premises 4WI2G 4 �40eBe-......P'- N?�9 �aar3•g'�T ieE ................................ (ss on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate offi r) Builders License No. .........L............... Plumbers License No. .........li............... Electricians License No. ..................... Other Trade's License No. ............ 1. location of land on which work will be done.. 2�NWT� �'D/9 a�FaG S'Dp.vjjl/i[ruJ ................................................ ........................// C.57' �c �G��a/✓C ....... ......................... .................................................. House Number 1, Street Hamlet Canty Tax Map No. 1000 Section ®...............0 G . Block ..Q.9.:�.D... Lot Q ,D /z Subdivision '....^./1A/......Co................. Filed Map No. ............... Lot ............... (Name)' st occupancy em f proposed construction: 2. State. Ex sting use�occupancy ..^�!Y �!!� /v��A use occupancy of............................. b. Intended use and occupancy J{NG/C . �il�/�� ��.. b�iYC� ...................................................... 3. Nature of work (check which applicable): New Building .... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work ....................... ........... (Description) 4. Estimated Cost%, 0104!:E ........... fee ............................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....(....... Nurber of dwelling units on each floor ................ Ifgarage, number of cars ... -3................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use..77777............. 7. Dimensions of existing structures, if any: Front.. 777......... Rear ............... Depth 777777......... Height ......................... Nwber of Stories ...................... Dimensions of same structure with alterations or additions: Front . `�.......... Rear ....: ...... Depth .................... height .............. Number of Stories ............... o i .6 7"• /i 8. Dimensions of entire new construction: Front ...rd�.......... Rear ....6� ...... Depth .... `....... Height .....41�................ Number of Stories .... .............. i 9. Size of lot: FronC ...... ............ Rear .. 2 .�'......... Depth .................... 10. Date of Purchase ....?I/YI?Y...... Name of Former Owner rTo6N N1cLiC/C ................ 11. 7.one or use district in which premises are situated ...... �0 ................... :'. ;. ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .!VU .................. z, 13. Will lot be regraded .......Ymo v ......... Will excess fill be removed from premises: YES 6D e qnc 'b A3Qol.r- 14. Names of Owner of premises A!11Rc!3t?�T GvcG........ Address a7?B......... ..... !�A/6: Phone No. 76.S-/4 53' ......... ............ .............. Name of Architect SCJy!!//jS IOL,E?G? ............. Address !/o Mi%/2d:lU�ST//�1.ry�T s Plane Name of Contractor ................................... Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES ....r:... - N) .°�..... *IF YES, SOIHM TOWN IMS1EES FMM MAY BE REQIIIRM. s a 4e•r 1033' S 419840 , 24o.uu Locate clearly Parcel 11 " 90 5d V S 4198'40" E //o/DE /YE f it�ny from property lines. a=z whether interior qr �=9e o 64.03 T ° y •n hers 0 �(pP� 1A1.� R-50.090 0 3 o w z = ' o o .r N _ a a N 2 ♦ N 0 � j ri y N7975-8 4(fW 376.54 SPAM OF NIU 0 73 cfOG 35 0 ki N/0/F STEVE DORosia OOONIY OF 10 aL / ..........................................................being duly sworn, deposes and says that be is the applicant (Name of individual signing contract) above named, fie is the .... l?Cr1NG/L 5....�� ....!'�OrL rty ......................................................... (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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and I hat the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this /�L� (�' °� day of�tr ............I9 !..... C & aC-2 Notary Publ .. .... (. ..... Nry JEANPublic,Stele (Signature of Applicant) otaof New Yak No,OIJA7076900 ^uallfied in Suffolk Counbit Con �csionExpiresApnl BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name:LPA + t'nagq�fc " L,c-e_ Reviewed: Architect/ Date Engineer:KIc�a�a 5 V�Ro L [ e�eA T ka9, Submitted: SCTM #: q District: 1.000 Section: 1 Block:9 Lot: ��- Project1I �p Subdivision f�(� Location: Mri �Af1l Sa �e� Name: I ' t UZOIe.. `>("b Single&separate Required certification: (Yes/No)Req �j�' 9 Zoning District: Q [Lot size: w Actual: J [Lot coverage j;?0Z Proposed:-7---M Rey. / / Rey. .20 / :►� Req. J* f [Front Yard � d Proposed: �d 1 [Side Yard Proposed: 1 [Rear Yard 1'� Proposed:� r Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number A-Suffolk County p Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: V Flood Plane Elevation ??? Flood Zone: Notes. SCDMS REF. * R10 - 99 - 0166 CERTIFIED TO Earl ° truck Margaret Luce SURVEY OF PROPERTY Fidelity National Title Insurance Company of New York AT SO UTHOLD T 0 WN OF S 0 UTHOLD AREA = 1.9559 a� SUFFOLK COUNTY , N. Y. a i' 1000-59-09-26. 12 SCALE. 1, 0 JUNE 8. 1999 Soy JUNE 25, 1999 ( admllp 1 1 2g' SEPT. 22, 1999 (prop. hse 5 1'/a 5 NOV.fP,1999(=Clu el 2¢ m, �. y........aaEXCAVATIDN INSPECTIs 9 M1 FUR SANITARY S1.�ai. tt q• ,n f_,.,.• . B.Y HEALI'�FI UE1'RR yY h1P �\ Brown .io,w,y sand and sandy cloy sc . a �f T e S G Op. m O� Oa oc c rzs C y r F SO1� s �Q� r\ 0 wm., .a or... slowly soon OP, T1 \ and sandy day sc h a +l. P5 POS, TEST HOLE dpi Dwk braGLO wma, .n down nna ,o aaa„a sena sw lam OL � SO solid P C��$ \\7� ' or A 9d TESTHOLE&sen the to nY/ medYm sand st a S i/ - � 4' C p Cm Amy Q PMIIrI deY�j' swirl $C WNer /n D All 41dlSCd -re:! C s� 2), roe � Il' J'E�p?TIC si13 {t O ��baAl1 1Pahr 11 A/om P3 �l parse YO kH/', 33' O p O• SUFFOLK COUNfyOVAI 'MTOFHEALTHSERVI 10 1 .,fF�T'FORAFPROV NSTRUC7 =nm / _ ALOFCO Q = Prop e/evat.on %A. SINGLE FAMILY W&DENCE ONLY s 1 _ DA.NOV RIO - 9 i8b o .APPROVED err(( � Q SANDI I FORMMBED cl L.P.a76ERFROMDA0 OFAFPROVAL EXCAVATE 12'0 JJ "o \ ST � �sS dl COLE E ANDFPSSW71C( ♦`t'' ORA WL CLEAN SAND 4 AO BY 4jy Al 1OI�{ at Z Z1 Jds \ ii im ' !1et 3e 5 33. LLdlf,f lk*W Vol /Torn SEPTIC TAN( E 27,I 3• + / ] I E t4 It1o0¢et cM.L am familiar with the STANDARDS OF APPROVAL OF N ry AND CONSTRUCTION OF SUBSURFACE SEWAGE T Y rnM P FSS h yp DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES or. -i; T 'g'A FT 9� and will abide by the conditions set forth therein and /2 * t� „ on the permit to construct, remove yywy � '� par.. .�rd aN A�oar I_ - -- clan +pd pd - 2 The locations of wells and cesspools shown hereon are 'FIRE TO COAR SAND Z o from field observations and or data obtained from others. Ho• 0525 SEPTC SYSTEM CROSSEC1I N OFESSIONP� Elevations are refere ed datum. HN T.M8" CF _ Pit Y5. LIC. NO. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION Co EY P C OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ( 6) �76:�;..�--,50 EXCEPT AS PER SECTION 7209–SUBDIVISION 2 ALL CERTIFICATIONS � ' HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF nBOX 9 9/�.�0 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AC`s'- REE T F99-2281 ] (]_ O [J O WHOSE SIGNATURE APPEARS HEREON. $Q (9L�bP $ 11971 a7 �i.G O SCQHSREF. # RIO - 99 - OW CERTIFIED TO: Earl D Brock SURVEY OF PROPERTY Margaret Luce Fidelity National Title Insurance Company of New York AT SO UTHOLD D TOWN OF SO UTHOLD ��°$ SUFFOLK COUNTY N. Y. ! AREA = 1.9559 ac �`y_-' 1000-59-09-26. 12 Pae SCALE: 1 "=50 ��� �Op�,, •� JUNE 8, 1999 R, JUNE 25, 1999 1 oddIl I SOv ay• Zme AE el /° Ure SEPT. 22, 1999 (prop. het 26� Q oo l"65 V06 NOV.1P, 1999 rL1 4, crown loom or �� 9a 'SO• �. 11>c 29 /999(Fkw z^nc+v �. V �. p9 e`s OOS AO��tiry Ono aro.� iuomr nor rsone sc B a rCI Via, `S�1 amwn niaysy sane one snnay smy sc u cr lbls Q. J L _��(6t �O ��T� O� ��, • AO 4�\ el 17.4 G b' �a �• n `P7 �O 3"--�,,e �/ \ O wo15r .n Drown Hoyer sone FLS 0 1� Zone Hoer any se s cr SOP st. 25 �S „ eo TEST HOLE #2 � � . \`� wm.r m eroww nn. m eon.,e .nna sw 6 brow kao; OL �k�`ry loP% 9' Brawn, bony P k -- -- .__ �� ' 00 �y TEST HOLE senaG, • 90 a ' mwaa4nsod a 9. a'he Lrl�i'�� L)El. 3 0 �i9�)� Izi e@/ A�'/8, �� i Brown dory L�-- .— 3 sand sIc o' r - 2r,s 1 a. E• 54 y 1l lr sc 11, � Nz� � 2 O Water k,Am" a P �P �T'. Wale b brawn - h lbw to roars �9s8• � h� � {.fk. 2I �p0 sad Sw Zi dyad 30-S O 33' 16 k 'e 10 = Prop eYevm+Ion , 'I)(J °�1s 3' CLEAN SAND A GRAVEL L.P. COLLAR lit O 61 EHOLE Fff- t \ S.T. COARSE SAAP SW A BA'CKFILpp ll {PJ SEAN NO A a ° �b1 OI� drt L.P. Z h B'I \ fid tags flpym 9 aL 30.5 33, u(1.6 t lofted grade \ /ma V SEPTIC TAN[ As 2>/ �AfA 3, �' E 'sa` loon st am familiar with the STANDARDS OF APPROVAL s• s ss/r AND CONSTRUCTION OF SUBSURFACE SEWAGE 4 /fa 3r ad, DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES R water - — 1 and will chide by the conditions set forth therein and /2 on the permit to construct rwmsw dsrywr sad to awsa 0aM bell Mq, The locatibns of wells and cesspools shown hereon are ctake sand aN 9wsd C�---F Av from field observations and or data obtained from others. SEPTIC SYSTEM Elevations are reference re ssumed datum. CRQSS6CTICM p4 NEWYp�y Fano Zo ae. Flan Y.S. LIC N0. 49618 36103CO194 G CDNRb'g. VE1 PC' ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION > OF SECTION 7209 OF THE NEW YORK STATE EDUCAPON LAW lO ` � ,1 �0 �0 EXCEPT AS PER SECTION 7209—SUBDIVISION 2 ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1°2 0 TRk`b L R �T EET 99-228 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR J EOyv w� 11971 WHOSE SIGNATURE APPEARS HEREON. _ I SCOHS REF. # R10 - 99 w OW CERTIFIED Earl D. Brroowck SURVEY OF PR OPER T Y Margaret Luce Fidelity National Title insurance Company of New York The Suffolk County Notional Bank A T SO UTHOLD 9 , TOWN OF S 0 UTHOLD SUFFOLK COUNTY , N. Y. AREA = 1.9559 ac 1000-59-09-26. 12 AQo SCALE: 1"=50 JUNE S, 1999 V. 0q AE cl /o JUNE 25, 1999 1 addl„on 1 ll `3 z9, ZMe no SEPT. 22, 1999 (prop. heleffi5 NOV'12 1999 fT'%' '0'fl main n oL 5� s, I% 46 OEC.29,1999-( cord zones) � a° MAR.30, 2000 fcartlllcpcpn ) ' s, A6°� 1 no X r em»n roomy no v,ane sc 4. et' d3e• u, April 20, 2000 (foundation) July 25, 2000 N.C.) amwn owner sone ana sandy dor sc k Q ♦ G' / Ia r P F $a, O 611 Ips 9° �S dPIII aT G ryOk mea?• t^mai www .n orown c,syey bend 6F, 10,� LO/JP � own s vg �j ane randy any SC a cc d. 25 t2 ' none bond �, TEST HOLE d ry� � '•ae� wnt.r m brown me ion sw Dent bra" t,. OS, M roam 2 a�3 0' 00• 9 Pe' TEST HOLE z5 90' 10 Broon 0a 10 \ 4 iY A A E 1P weaken want s4` 5Rpgd A.. OrA 1 '0 Brown 9' S{ tyjkYf t,.� t.P Ui �_ V64 w, Wi i A aldr 0 brown \ M� � kVA ,i• Q'C r SC It Water M broom d aY hoe to coarse 90. 'fee 4 e'�e 'ei YO sand SW e'4 56 M1 O 33 O� ® :. prgf Plevadltan .o I • "a / �� Is CLEAN SNAVELGL.�P.� .�OCOLR 9'I t9 I ti�9� r II EXCAVATE T 12 \ t S.T. SSAI W ' i eac t&& WWIh` CAVELSAND R _ Al OI't nt pba \ FM FLR., se - ME. eC 30.5 a 33. ea[I.. Inhi grade /•1 111 TA L.R. E 5 SK a' u're h' 'E ' Low PL I am familiar with the STANDARDS OF APPROVAL noer e! o. AND CONSTRUCTION OF SUBSURFACE SEWAGE a IL• _ W.0, pF NEK. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES y. ruler —T and will abide by the conditions set forth {herein and /R '� n the permit to construct , r— rgnnre debdw he" toClean, sod a z e locations of wells and cesspools shown hereon are TO COARSE SAAR _ yWj m field observations and or data obtamed From others, 2 SEPTAC SYSTEMfo. 05 �.�' levations are referenced to an assumed datum, CROSSE07M t� �+►` fe o Zowes Faun Fr2M +'r euFES310 .,i. PtC'.',7151gd JJIJ aO ur,, - S. LIC NO 49618 ,3&103c e154 G "L^ 'i 1': 11! 1': If J I-10 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 0 C V .C. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW :�E� I;�I ��,_ r�,t ti_i� '� 3j 76b,, q. 21) A (631) 765 - 1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL CERTIFICATIONS P O BO�jy I s HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1' . J TRFP'i�„ ST EE 99-228 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ii , S Y , �4 1 WHOSE SIGNATURE APPEARS HEREON. (AND SUS 1 0/ , !• �.�-, � �..1 '..�,• 11 �-t r Z,;.� I.L � �� -+-�1'1 G i I i / ._...r.._. .� -f i .r "al .J J, I LI •- I-1 I +"+� I/l1 +'-1 I •-I � � I r..__ .. _ � - -. _ —. __ � ____ -\'_ 7!v11 C4 VS L�'5It11v � 1 — I d n' j �-V � _ 1 77 fn I 'lll L 41 O te! Itr C 1_. 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I 1 < � � � w pug uotuwsip 'asdellm'8u!lleat9lsute5e uoiPnnsuw 8uunp loom lie 8uuwq AlmenRlape lo) !saadsaJ aq II¢ys JOPeJ1u00 ally L uonwguou incuiu m Dpew m9arLia JoJ olgtsuod= Ion s!PaI00 P[Nb'ayy uAlsap DyI of sDBuega tleJu PDg9o41 aq((nils Uol!4aJtl D41 9 - QQ slmdni IIe in gofala!dww a JoJ Dp1Awd of S9i i11MP.Jp Dill}0 U9nua1P1 ay!Sf tI 'SAwmeyl JagewS lana — C aaua aaJd aAw Ir. s S tela a s JaAJe muo leis n+o aqua ad a t ei s suotsuow uDPu 58u!m OLD a op Pa 14 I l) Iw `I !>' Paa iR II I R M nip y lr.+s lin .-mionedansip aA s JOPenuo � �] ,o zulguw Jo lmltyaJtl aqI riptoN uoilannsuw of Joud PIDg a41 m suonryuoa Put suo!suawry9!n Al?J Ilrq J t10 00ill sluawaJmbca sizatA JapuN Pur. of Lwo w al$a Jom IwuPa a £ 0 _— sutawalmbw malupedaP LPIIny 11300.1 pue,GunoJ 01 uuoplm of st Amqurn!d IpJ saPm Amppnq Irm-1 pug a1wS A N w nuqum w s!nmtowlsuoD ITV S11410K V"d - ('dl. 7 : oo•,xJ? rd � -a�l"- 11 r Nlchos APR 27 yof P,Gl I I t Y $ . __._.r.- ..,..,.....err......=a.«�.,..w......,.....-,..,,......n«-,...,....,.�».,a*+.�..r�-,.,..w.--,..o,•�..m...,,-��,.,........,e,�.•.,...�,,.-_*......-.,�-....� i. �:...," Z,,..,...,,.,.,,,_.,.,..,. „»....,m..,.._,•...�.......,,�.,-..-..a.,�.,»,.,�...�:...............•.,.. .,..,.+._.•..�....,...w,.�.-,,.,.._,........,...,_,_.�.�.,._..�..,.....,.�,�.,..,.,.w=.. ,.-..,u...,,..,-.-.s.,.Y..v_-,,..,.,r�.�..>�,..,�.,w.,..,,,.,•,.µw.:�.,�.�.-....,.,a..,..a.,..=,�,,..�._,....,N..,=. �..m...,..N,.....,�.�..w..n,�..�..win.».,e..,>...,.....,w.�,,.,..m.,.v...,..«..,.a_.,.....,.,...,,,....m.-,,.=a..-......�,.� Car a,eto 9 S uj 00 �,!s°4etN d•,a , I CrC-v ea - ' Co Cc ,EEN"AIt NOTES { ° I Iin 1 All construction is to conform to N.Y. State and Local building codes $7- - �: .- .- <'. r �- t2 All plumbing is to conform to Countyedoca sLl health depanment requirements Al _ 0 3 All electrical work is to conform to Local,NE C, and Underwriters requirements 4. Contractor shall yerify all dimensions and conditions in the field prior to constsuc ort Notify the Architect ofconflwis or discrepancies.- 4 -- - -r — - - - - - - - ! 5 Do not scale the drawings. Written dirnensions shall rake precedence over scaled ones Larger scale derails shall take precedence ®r, - 11 over smaller drawings.it is the brication of the drawings to provide for a compiete,,ob in all respects.6 "rhe Ardutect shall be notified of all changes to the design The Architect is na responsible for changes made without notification007, The Contmmrshallbe foradequat brsmn all workdari consruction nsl colla�� go g °& Pss, Nstomon and E- .� Ce%V i it ' misalignment arxwiding to all codes, and good puuice.I _ - _ ' S- Providesmohe=dcwbonrwmxideduatmuperNYS.codm.� - a , 0 I� .11 ' 7 r 9 The installatioq ofaU maretids aedpeoducts shall mea all manufaclwers requirements ;'�y-, -�. I'LIc r5-1 9q U P . a* pm'squa bearingcapacity. erify beariRgcapadb'-' ]0 Concrete is mbe3000 5 i �21oa rcfoot soil V soil in ltbld Double fame around all opeotogc,under peuflei partitions and under bath tubs. - % I 12. "Toto' connections Hush structural load r I 1 regaireda6aK carMngcoWidora. 13 Ail forming lumber is to be Do4fir,N2 16= 1150 ps i , E= 1.4m p.s.i 14 All headers and girdersm be Daug-fir 02 dr 1250 p.s,r , E- L7m.ps.i. Z. - - - % rt I 15 All exterior dark framing shall be C,C.A, treated. I 1 - — - — IN "' d : (T'(I n� G - 16 The Architect allows one ahtlqulte to be built with this set of pLas,with one building permit.The%varitect shill not he responsible : ` ^ 51for additional structures built upq62ye plow.4PKr� e 17. Prefabricated fireplaces and fthi ibas be U.� approved kr - L TYY- F Iy. cotJyl _.- 18. All headers not noted ate to be'(2)2"s12 yf r ,� 8 x -0'� P'°- F G- 19. Bridging m be either soli4 I"x3"or IB moss-bri tit not to excmd'll'-0" o c. _ 18 ga. dg g /^/] "' Wb LL 01-I 9nr Ifr _art' - . '� 1. I T1 I C I �,•°, i<T tr7 , _ _ 20 Provide damtes,Lng at all d tenor am to wails g --_ _ 21 All Flnch plates,L V.Ls and gir�rs arc ro bWr 0n solid wood v y- -7 0 22. All joists and rafters are m babtidgA�.g'-0"o c Posts and lave solid blocking down to foundation walls o ' X J ,1 Ni s 1 0 23 Interior bearing walls ape to be Mocked Q 4!4T o c �I ;n -"� I Fl + - 24 Steel ASTM A-36 painted,bolts as rotted(A307), nclds-E70XX. minforeement ASTM gr 60 Q' '}$ r -'� I F' �' 'rte--�� --!-� 25 Record Amhimet isnot responsible for supervision. inspection or administration of this project ¢' ENE$6'YHOTE'S �.. 00I Ali construction"Ito in accordance with the requirements of the N Y.S. Energy Conservation Comorucuon Code laresi edition at O - - - F y -r .. : F - the time of permit approval. 00 - ,l_ -';� x '�✓9 - - I't� "/q / `1 /.I -.J.L ) - ,% W _ x 9_�___- a . I 2 Exterior doors acrd doors m gavage U=40 max � N f �., C: "u' - 3. Windom and all glass Il-.58 hwx 4 AlffifOp)aass to be provided with a damper For outside combustion air. 130-200 c Cm, flue to have light stated damper- man air leakage 20 d.fm. Q _+ , i. 1t shall be the .-• •..� _ _ _ rt y1 I rzgwaubYlGry,of ttin OpptraGor 10 submit the sick.design and type of mechanical systems which will be used in - _ 111 ��"C. � r � sµtTiciGnt detail ss is requiread b5'the{ttddlug(kpartment. - r , r-- I 6 All lhermanals dudl be atljufabl9'45-75dag,F:far combination heauall and coping thermostats the range shall be 43-85 deg. F I I`' 7 Combmyfton equlpmem for apaaaheltpapand wireeati hng shall have a minimum combustion eRrcbncy of 7.16 and shat have 4 E - ' -0 151 LL /5 F. -I A I - cv I " �x �YY P J. k.r-o�E t +} r I standby losses beran at theioade sppdfledAravimum baud N, actual equipment sire Iµ('I o A, ins nose as1 piv?t ,+d deli ctiJp. .,> I , I I / ,I _ f. Water service 0empptahumakW be stl tit ldO h� F max t -M p 90 All lavatories and shmwera d"be pgldpPW with dcOv- to limit hot water flow to a maximum of 3 g, m U4 60 si. ressurc S n n S I - I Cv _ P P p .- - ---- -- I -N �3I r !i I. HVAC coolingwuipmtein shalt booted in acwrdanu Wath table 4-6 of the Energy Code.min EER(efcienc>)Shull pe as specified A^ -_ _-___- I N - I in tables 4-8. 4-9. and 4-10,ofthe Erin&%Code �_ -,TE' L, hY? �. , 12 Tfiermal lransmiturtec iaktns shall not be gre�aier rh:uilhc values rahulasrd rn ube i-I of the Falerge Cock. r y T� r .T _�I - - =� , �Y- 33 .All materials caMble,oPabsok*ng moisture shall be pryyected by a vapor barrier located on the winttt-w;arm side of in ddu r -- - - - -r r T 14 Insulation,shall be installed iii a manner that provides fdr continuitY of;mlalion ar plate lines bandjoisls and rnrm:r _ I 31 t"'/q x 'i /,1 L J.( - F L . 1bT .�i` I l PROVIDE OPENINGS FO - -- - --- - - —� - - - //�a�"�,a_����r��v��.J � '9f aRC ITECTS9T, EMEfiGENCY.�ESfAPEA t 'r2' 13'$ ''"q ,' - = _ I - O I Nicholas Vero Architect:state that m the best of nib I,nos IcrIge.belief and prolienionul judegtnent that the plansand ,rvc,Iiea mn, 3,r�. 1K, . @ "" • v I --- ( _ __ sp _ _ _ - - __ _ _-� I i r IiontainedinthesednwingslcomplYwiththeNYS Ercrgtrnn r,mumConstructionCak REQUIRED BY PART. 714 v1.7 f T } a F ( - fi ,� . N.Y. STATE BUILDING COI I _ =0 + _- i e' PLUMBER CERTIFICATION PROVIDE ANTI-SCALD AND/OR ON LEAD CONTENT BEFORE THERMAL SHOCK PREVENTING a) Irl I x V ° `; 4 CERTIFICATE OF OCCUPANCY DEVICES AS TD PART.902.6(N) 1 o F 5 ewe I r SOLDER USED IN WATER N.T.STATE BUILDING CODE. SUPPLY SYSTEM CANNOT o EXCEED 2/10 Of 1% 1% LEAD. PROVIDE IK HR. FIRE RATED SEPARATION TO �L��B+�� ALL PLUMBING WASTE " PART 717.3 (f)(1)OF _ N I!jIi•;1.Ii 5�'�I'.�° sLLLAW r-.M L-J/ (s --L 1 &WATER LIN ES 1NEPED N.Y.STATE BUILDING CODE.E. 00 Io "xI(, x $„ j0E TESTING BErJfl � Sapo` Ba- f <stPROVIDE SMOKE•DETECTI �,>>J ) ALARM DEVICES � TO PARI 721.1 N.T.S BUILDING CODE. J . 0 L I a - - U' L x t” 1, -_ �- t � ,h.t-j--I ✓ �Z _ 111, _ 0 2 ��i K ii 3 8 I I P. 3 iJ..r ., OCCUPAN Y-OR LAWFUL -�"` I WITHOUT CERTIFICATE II I tjf Zo600S. 'f 10 �'�.t.�.T, OF OCCUPANCY APPROVED ASN01 6 �� A- v_u5'r,7 DATE: )�a � {At{ {S T `M IT PROCEED FEE:asel;e2NsLT �H 1 ') Y 0 O eL T QUNDAi'ID LU4XI IUIY FOLLOWING INSPECRON{: Flo NG o REOsA E HAS BEEN APPROVED FOR POURED CONCRETE aROUGHFRACDFLUM0 . 4. FINAL - CONSTRUCTIONMU{T . °' -If copper tubing Is Used BE COMPLETE FOR C.O. for water distributing ALL CONSTRUCTION 814ALL MEET of peSKOrLOenV� REMENTS OF THE N.Y. STATE COTHE NSTRUCTION ION • ENERGY system; piping Y CODES NOT RESPONSIBLE FOR "'"�'-"'•�"�'T'il�-j DESIGN OR CONSTRUCTION ERRORS e �9 = o" UNDERWRITERS CERTIFICATE REQUIRED a F , cro 1 _ Ic-q" IF 1 fW♦�9oG� �� SL _ �° nl� ° � t� 4 � C� r fl � pQ Wi 00 OF G I-Z-`I C�➢ IBJ-r° _ & \3 LA cri r' Z - L� I`/q" xZ�r4'K. t (n .G.Sw � Q d'r I r, cll � — Q Q � Ln g —M 1 IF teJI WS j_�5 3P _ N I I' i 4 m1 , I tr , � v q VAG [p I aw_^ I o ` IFR�C1 Kto X11 F o o ta c 's. W 4-1>11 ,. n.F.F. Ci a y C 12 do 1 S 1 rx cap I 1 I LvO, ------------- o .r veto �. �I. 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