HomeMy WebLinkAbout25907-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27541 Date: 02/05/01
THIS CERTIFIES that the building ADDITION
Location of Property: 220 LAKEVIEW TERRACE EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 9 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 14, 1999 pursuant to which
Building Permit No. 25907-Z dated JULY 28, 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 NEW FIREPLACE & CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to WILLIAM & MARY FERGUSON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Authorized Sig ature
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. 25907 Z Date JULY 28, 1999
Permission is hereby granted to:
NORMAN H & JUNE WQOD K
PO BOX 625
EAST MARION,NY 11939
for
CONSTRUCTION OF A NEW FIREPLACE/CHIMNEY.
at premises located at 220 LAKEVIEW TERRACE EAST MARION
County Tax Map No. 473889 Section 031 Block 0009 Lot No. 016
pursuant to application dated JUNE 14 1999 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorize Signa e
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT IJ 00 1
FEB--- 2 TOWN HALL
�Tm � . 765-1802 J
[t_;.jra.P:ori'rr.W.,.,-,3 7J( — z'13S /4�
APPLICATION FOR CERTIFICATE OF OCCUPANCY V
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 ire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
pre-existing land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - " .25ip
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .ZJ.yln�. . . . . . . . . . . . . . . . . . .
New Construction. . . . . Old Or Pre-existing Bu`�/lding.
Location of Property. . . 2�, , , , , , , , , , , , . . . .0�K) 7CV-rccc2 eas-(- y avior,T
House nN'o., I ' Street Hamlet
Onwer or Owners of Property, ^:i(1I ( vvk aµcQ {nn x{ - F )soo
County Tax Map No 1000, Section. . ./ . . . . . . . . .Block. .q. . . . . . . . . . . . .Lot. . . . A . . . . . . . . . . . . . . .
Subdivision. . . . . . . . __.__. .
. . .Filed Map. . . . .`. . :". .Lot. .:: . . . . . . . . . . . . . . . . .
Permit No.2.?.0,� ,Z-. . . . .Date Of Permit. ./?2d �, , , , , .Applicant.cc�ill(q�y�.J et�7 Jdoy. . . , . . .
Health Dept. Approval. . . .wlIA , , , , , , , , , , , , , , , , ,Underwriters Approval. . � a. . . . .. .. . . . . . . . . . . . .
Planning Board Approval. . .':': . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
cN4C.5 906 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
000 t X)59 ) APPLICANT
04/lA/00 FRI 09:23 FAX 631 852 4691 DPW PURCHASING ,.�004
VI 1"(�V1- il� I 1
. 5uffoL.K GOUN7
AST MARION o00 -at
)OUTHOLD
'CUNT-r, NY
i�
WI
Ij c�nF
�'Zxvate ��1d WILLIAM AM a
MARY L F2
23 .37• N64 053 1, COMMON NH L
sa.00r 437 F"r WZS�yBf`7
� ro
�� �
�wp.�TT
/� n�O iMtr nb of `\•
•[ .N.Q� e3F+
J C 140 ♦,n
I � V+e ' PROPOSE
14Ew cola RVC-TION
0
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63 �a 1 11 11
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1 CT .Lj QygT P� :i rlh
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11 •. '' /lam
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br :�y
:FOR USo�I
2227 I—Qe: VIEW 1> "*c-t
Pc-Nmri- 15907 11l zZo� o•
04/1,4/00 FRI 08:23 FAX 631 852 4681 DPW PURCHASING _,. 005,—
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27-0 LAKE vl6w TBRAAC6 I
! EASY MARIOri !
PERMIT z54o�S
I EXlST.'N�
• I �2 ucYuR_s
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T I 3 2></0 girder I T
i !
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. 8"slack wall
! co v
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v j
r hv[- wafer hsater
7n eGar 6elt� C 2io
2FB�oisto Ib"O•C. er
FOUNDATION PLAN
/41I _ a Loncrek pad 46,F-.-Hco
I�C"DUGC'p
04/1,4/00 FRI 09:24 FAX 631 852 4691 DPW PURCHASING
r
rER6woN
220 LAKE VIEW7-9PRACxr
64$T MAC2[oN
pamtr 259v7 8
EXISTING
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- 'I `w 2-Z�g keodcr
I
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Anderson 283ra j `�' "/o if r" -..____.__.. .�
2- Z-8 FcaAer '
BEDROOM ; :t
i BATH m
ZK/o re$'{en} (c"o•c. C1 "Wall •.
6 o i
Z c6joi is rb"o.c.
/}ne;$-$an 28Sro
2..ZKa ender
FIRS'r FLOOR PLAN m -- - can creit pad fi• co'-5co
rr a ❑ =--_ 159I5,sto,c cal~ bast.
h�r�.ryej Area ro(v�nn
04/1.4/00 FRI 09:24 FAX 681 862 4691 DPW PURCHASING _, 11007
�b'126
uso til
ZZO 4AKAC VIEW TERAAGE ,
' BAST MAlJ�ON '
(PERMIT 75907 -2
7JrG roof r.(+er
I b •O.t.
' < •ra+ier and
�i*•med to mgteh
C><isrin9 ..
ei n
za'b joists/6"0.c.
z<6 sill
r
3- Z girder '" <
ILi
5" na 9'b
,5 a S Pyert eJ.rd4r
E'• 61cck wall
� .8°%MI6"toaEin�r
' 3
5
04/),4/00 FRI 09:24 FAX 631 852 4691 DPW PURCHASING _, 11,008
r r Y
}'cQ6U,tO nl
L20 LAKF VIEW 719RRACG.
EAST MALtION
PEk�iT $5907 z?
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d�5-90111'y
765.1802
BUILDING DEPT.
INSPECTION
[ } FOUNDATION IST [ } ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE CHIMNEY
REMARKS:
DATE INSPECTO
w
[.D INSPECTION REPORT DATE
------e__aQs—_»=------..COt4tENT5-_a-`=-----aa _. ' lTl
�_� J
H
NDATION ( IST) at 21
r
i - N
AAAA
TIDATION_ (2ND) vj_ a _ �
X
u
JGH FRAME ✓i
PLUMBING „ ! O
-tel
u $rp
SULATION PER N. Y. N y r
STATE ENERGY u 1
CODE n
N Tp
117
N
n
a
It }
FINAL 6
X
ADDITIONAL COC
r //tfi/iC�� "" •�
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d
Robert Belford
Mason Contractor
` 15 Dairy Farm Road
Stony Brook, New York 11790OAd
(516) 689-8767bor
I
Ile
U4-�9- V-e
0
,ate s�-o
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1'
Id"10
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a r"
Uj
Nw ° S `O 19ik
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10
S430 iq� 4011
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One
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6 q' 25
�. 11.2 . : - •
Q�in
_ game
o19 40 Dwelling deck
�O
BOARD OF HEALTH . .. . . .. . .
E
UN 1041999 i FORM NO. 1 3 SETS OF PLANS �/...
TOWN OF SOUTHOLD SURVEY , .. . .. . . . . . . . .
BLOG. DEPT, BUILDING DEPARTMENT CHECK .. .>i•G-� . . . . . . • . • . • . . . .
FFSQUTH�L0 TOWN HALL SEPTIC FORM .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
9 cy CALL . . . . . . . . . . . . . . . . . .
T�ami 2 �, 19.1glq MAIL TO: . . . . . . . . . . . . . . . . . . . .
Permit No. ..................................
Dia/ .................................. ..................................
G0V;Za)(Build'
APPLICATION FOR BUILDING PERMIT
Date. . . . .. . . . . . . . . . . 119. . . .
INSTRUCTIONS
a. Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector c
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 must be drawn on the diagram which is part of
this application.
c. The cork covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
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
Ocanpaocy shall have been granted by the Building Inspector.
APPLICATION IS ISS[MATE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zane 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 fur removal or demolition, as herein
described. The applicant with all applicable laws, ordinances, building code, housing code, and
regulations o admit authorized inspeetara' and in ng for necessary inspections.
.J:.
..f .y:..........
.
'N (Signature of applicant, or ia corporation)
(9,a
ol�Pnowh .. setA� .
.. , ..14. . ...........
(Mailing address of applicant) IVY' 11733
State whether applicant i essee, agent, architect, engineer, general contractor, electrician, plumber or build
o!'..................................................................6.............A"KNEb U-NNED..........:.3
Fc,�il/'ccs l Fed✓cei" rt? P tilary L . F n1g-, p .0 q5`l0J
Name of owner of premises - `
(as on the tax roll or latest deed) PES: B1�
M 4 P
TO 4 P
If applicant is a corporation, signature of duly authorized officer. NARY !UR EN AE
7!B-iSDt 9 AAM M FOR THE
FOLLOWING INSPECTION&
I FOWLDMM - TWO REQUIRED
(Name and title of corporate officer) D 0111ANCY OR FORPOtMCONCRETE
USE IS UNLAWFUL 2. "0"°w' • """"1pP1g • PIAI SING
Builders License No. ...............• 4. FINAL - CONSTRUCTION MUST
WITHOUT CERTIFICATE A BE COMPLETE FOR C.O.
Phrbers License No. ................Of*OCCUPANCY ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
Electricians License No.
.....................
STATE CONSTRUCTION fit, ENERGY
Other Trade's License No. .................... CODES. NOT RESP N 8L�%; FOR
1. Location of land on which proposed work will be done.aa0 Lakes l✓e Wpg }gFL�Ct (OrQ+iEJgQg,S,....
.... rStreetHamlet
..................... .......................................... ..........................
House
o¢ 6/6,00
o... vo g1�09• lot b.
Canty Tar No loco Section ............. ............. ..........
Subdivision ....A/A............................. Filed Map No. ............... Lot ......I........
(Name)
2. State existing use and occupmX7 of premises and intended use and occupancy of proposed construction:
a. )heisting use and occupancy .. ...... .'easa. .
l .. . ..ow.................................................
b. Intended use and o�xq ..i�..C aSo.na ..bVY1 a toc.J.................................................
.. ...i. �.... ..
Repair ............ Rtmanral. .... Demalition .�........... Other Work .....u1f4)1an,of�re�jlac2
W Gh
(Description) rzhrwfney
y7Y—
r .
Estimated cost . ..... .:............ fee ..............................................
(to be paid on filing this application);
If dwelling, number of dwelling
its ... ........ lumber of dwelling units on each floor J.6dit .,�,ke-Azv.,.,
Ifgarage, number of cars taj ...................... ...
If business, con ercial or mixed occupancy, specify nature and extent of each type of use......................
Dimensions of existing structures,) if any: Front....�`:::�e.. Rear .3 7.�.�ee� . Depth .................
Height ....... limber of Stories .. ..............
to Dei t ions..
Depth � alterations qr additions: Front ............... Rear ...............
Dimensions of same structure with I,II IG.,hS9h,FllifpH�� , Number of Stories ...............
Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Height ..............oqa�.... . Number of Stories .....................
Size of lot: Front i9. 37.`1.��.de... Rear .................... Depth
Date of Purchase ... lsl9../..... I'.... Nam of Former Owner �t/r7Y!??c[N, ahcd cJblr( t4/ooc�eac�
Zone or use district in which promises are situated ............................................I..................
Does proposed construction viola any zoning law, ordinance or regulation: ........................
Will lot be regraded .....11.0...i....... Will excess fill be removed from premises: YES
Names of Owner of premises ......1.................... Address .............................. Phone No. ..............
Name of Architect °�E ................. Address .............................. Phone No. ..............
...,l, .
Nave of Contractor gherf..BE', Address ! -.Azar ravti1 44r Phone No. G.d 9.. ,.
R /�n;l........... ..... ........d 7� 7
SIVn . Ma lc �7 '/I7/° ,
Is this YES,property
within
1DWN feed a tidal wetland? * YES ..........�........
Party S PE[ M MAY 11e MQ RED.
PLOT DIAGRAM
Incate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
oro property lines. Give street and block number or description according to deed, and show street names and indicate
ether interior or comer lot.
See a ffn&&4'
13 MI Zed3MM41A
9r t»
AtMAIAMM k&11G311)gi Y�itI9R!�
urrtYU.
ildV41�
y � e. ...............b4ng duly sworn,'deposes and says that he is the applicant
cl,,l lJf) � aeir�►ia��ttscia r;
:me of i rot si_ r 11Uh1 i
At
W wlxSMwo)-3?M
iN.lhtsi`..6v< ..>41t3h'�Ir?`vLi;f.�••.A.fA:.................................................................. ,
(CohbrtQYyt) pt; 7lQjrpOrate officer, etc.)
' sold-,owser,:pr,;o:IrteFta�, s�,�,s A,•�4.horized to perform or have performed flue said work and to make and file this
Rlic4itionl that,flil a[em ts„T,#.Ilhed in this application are true to the best of his knowledge and belief, and
at the work will be performed In the manner set forth in the application filed therewith.
Arn to before me this (�
� J ...d y of ...... .. ...19. ....
Notary Public ...................... il....... . ....
EILEEN REILLY (Signature of Applicant)
Notary Public, State of % York
No. 4735737
Qualified in Suff k CPuhly
commission Expires %J/
SURVEY OF PROPERTY 5URVEYED 5-22-9G
SITUATE: FAST MARION suFFoo c0 - 51Y qnx &
TOWN OF SOUTHOLD
SUFFOLK GOUNTY, NY
CERTIFIED TO:
P17vate WILLIAM J. FER6U50N
load MARY L. FER6U5ON
232 37 COMMONWEALTH LAND TITLE
N64 053,501E IN5URANCE COMPANY
3Q 0 p °Po 28J3 7,
o d
I s'w
CD 40.00'
CD '
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d P LD 0
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0 4 W
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pp r, Sno.
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F I.iw y woien�eQ
tope �t bpnk
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edq, of ov'vkt-6 I 1
eO- of I4Q II Y�r
Ma,�h�4-.A° S50 52 15
27.02'
M on
• P . E
MONUMENT FOUND
0 PIPE FOUND
HEDGE ..1 ""•"'.:°L2: .::b".d':
AREA = 5,415 5.F. OR 0.12 ACRES I 50 c J?�i `�°"+ ���• °° aelua�:i ,"....`.�`°:
N. Y. S. L.iC. N0, 50202
JOHN C. EHLEPS LAND SURVEYOH
GRAPHIC SOALE I"= 20' s FAST MAIN 5THrrT
HIVCHHCAU, N.Y 11`101
��� ]fi`.1-f37(1i1 1 ❑x 3613-R2[d! {t{ I t II{ NCI P 'Oq-}P4
ENERGY NOTES
1. The Architect seedlike that W the bell vfbir knowledge,bebefavd
peataeontsnOCingthe enwinersullrmtothe NEW)
ORF 1( (Jc
STATE Easrp CamemM1aa Camtntllon Cada Manb 11991. _1�JU(-)
IS01 j ^\���.� ]. All DVACsystems Well West the NYS Energy Cods. It Wall be the C7 L
mPooandid,vrom Mecbmlul contractor ubmirthe design, p ('(+ a1(I p
rue( rwBSR visehinlmm
tnmWw Owner re,ohlJ byml Build,.,Dep,. ty �,� _ OCT �9 [OQII
3. All work shall southern to the New York State EnerEr code. CIO
I'll �'�/ 2xd 5T2cpg v,i Ih o.c. rte.... u
tu m be D-,9 ��
6. All windows,Si -- -- ---- - --
"Jyj flog facl.Jp SPC K. "T �".
2.w44 IGD 5 All doon 0.,10... interior&aWrdoe.worths-uryetl -
.�i 6 'fh rduded shall het day programmable. -- - ----. --
-- —_T_ - -
Vol,Cb r,I ;, Imalme a0 piping and due per Lung,Code ^rte^
Yo ma4th -
II a4' � Cgi,rin
I. An aemmbhm wnn,acting.u6o F. m.al.a,n
In _
Tion Plan ro.farmamlad 6,BnIIdW6 Dmm by Thermal Rating
Method. Non-Electric mmfort base degree day,.
_.-. ❑ H I0
Am U-Wue Thermal Rtun6 H00
GLAZING
-� -
GLAZING '�itl . ry -" uq
J7t/gL _
HALLS Sea .aye sI ❑D� . _ .- n0 _.- _ _
DOORS .40 LJhI
5/amu 1 SKYLIGHTS
taYwd '� / ],T.$j019N 1G"o. FLOORS 2L9 o Cl
-
ROOFICLG
.r lege 2ifl SLAB EDGE .•_-.._.....Y.,,..- . .�...�
TOTALTRERMALRATINGt
Minimum code..plume ratings 0 ------ ----- __-_,-
I d ae l0 g trite r. r" � -- ---. . . - ^•—
lliaoll„r,ro To
' o. sulPpewt g;ogee
BE yo -ig" blank wall .
14" f aat,ma
18 N
I
j
I
GENERAL CONSTRUCTION NOTES
1, All week Wing confused W NEW YORK STATE&LOCAL 220 LAKC VICW TERRACE 1
bandit&m.bg.dn. ABcndnneallaapewededeaw,me EAST- MARION
] Wdtmn tlimmtiom.bap eke pssdmee vvenmled dlmeoalont. 220 LAWr- VIGW rGRRACC
3. All dlmmtbm,ealstmi ar.ewtenB in"ciiDad by th[.nb Mr.
cASr MARamN
d. The A. nd
hilsull ml he responsible forchaept made,.lie Bold
whianhiupprwaL OnAruhinesishan not In,respwuible bar the TRI rIPlC
I .mtmsnm.mu,.meupdr.teganm we p.ttauen. EA'l3 rIANe
All ndetl and plumbingNall mvfeem to aq adatelnca4 aouely redo.
3TRV c7uF.E
i
and rbaq be inspnvd and aPPrm,d h]the gemminPilncbx General
comminuting he re ponsible,far 0InstaWum.m etnith,design,ms. n6
6. All fe.tiapWal bass no vqb,antlglarhad all with it minimum in
'in
bead.,capacity of]tom par agora but,
All finw ap Wall Its•minimum of 3'4"below peal gntle,
1. All sonersteshall have am ultimate aomprnsha strength at 21 drys
armim ML Geneses W conform m the ACI cels ane amndssde
L No b.lkml.l he placed palm the foogdm,o..alb..of Bin nmr
tomb,is W place or bun.longitudes.
9. Ment pathf.pbN bapmWded wen.nesm abun wood An
e wen
deeks abutidej.h haavfmscbg.
I l0.Dms
ubbjohm ugdv parallelpndgbm and older whldpoal,.
IL into hanger squired at ag nine structural land besd,eos,llllona.
13.Fnmi Ivmbv they be BOUG.FlR M2 or hen[o E�1.6
gS
r m I
,b [member 1030 A n i,rve memb[ IS h
N w Pm w c
I3.MWimam bP ofjob1a31rz"Igcbn.lvtldOr plain and[Irden
14, ?.,We at hear ms window do mob spare,me,,Wmhms ane union that
mafors,to the NYS ogress code Operable window to be(S)W.fa-with IS" t�
mistavuW discussing.with bottom of.pmnig go higher than 3'-6" how T
i (D(D O't T 32Al09�rder
Indio flows aad 6'-6"whew requbd b haummte, al .yC��
15,Anhltvt has at been NUWW for tovtwn,av upstanding.inspections, -'gL 00 I I l
obaervinghe WnpMand quality order work under composition or contract
tlmi.birmloo. The Orated pvLdar shall be solely sapomibll far the I -�� IaIIrt4/u sir r, i2+'8'�w51s /L" o�,:.
An,tnslim pbaeN and for idterpmtio6lhe compunction dnwivp ane M \'+`
unnerving the work ofthrreeMnon to chanter,sorted or Mtipte!crew. ..... Its
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