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HomeMy WebLinkAbout25287-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26909 Date: 02/03/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1755 OLD NORTH RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 3 Lot 26.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 27, 1998 pursuant to which Building Permit No. 25287-Z dated OCTOBER 27, 1998 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 COVERED WRAP AROUND PORCH AS APPLIED FOR. The certificate is issued to SCOTT LATHAM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0158 01/28/00 ELECTRICAL CERTIFICATE NO. N 510288 12/20/99 PLUMBERS CERTIFICATION DATED 11/11/99 PECONIC PLUMBING & HEAT. Authorized re 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. 25287 Z Date OCTOBER 27 98 Permission is hereby granted to: SCOTT LATHAM BOX 595 SOUTHOLD,NY 11971 for CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH WRAP AROUND PORCH (FRONT & SIDE) AS APPLIED FOR. at premises located at 1755 OLD NORTH RD SOUTHOLD County Tax Map No. 473889 Section 054 Block 0003 Lot No. 026 . 005 pursuant to application dated OCTOBER 27 98 and approved by the Building Inspector. Fee $ 902 . 80 Building nspect /� ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT DO(0 TOWN HALL 765-1802 y N p �( APPLICATION FOR CERTIFICATE OF OCCUPANCY l�J,fr A. This application must be filled in by typewriter OR ink and s hmitted to the lu"ildips'j inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings;-<,popet;,ty�l,}nes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9"^f r 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 buildit 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 at "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 - .250 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15. 0, Commercial $15.00 1� Date .I. I.•3.1.-�. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . .C . . . . . Old Or Pre-existing Buil ing. . . . . . . . . . ��\7KY .'�� �� � Location of Property. . . . . . . . ... . . . . . .��_ 94:..:1:1. . . . . . . . . . . .cct9tCv`�. . . . . House No. A Street Hamlet Onwer or Owners of Property. . . �. 7. . . � T! ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .q. . . . . . .Block. . P 3t . . . . .. . . .Lot.;? % .� . . . . . . . . . . Subdivision. .. . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fille22d Map. . . . . . . . . . . .Lot. . .4-1.44M �.�,... . . . . . . . . . Permit No. .(,ri �Y.� .Date 00 Permit. . ��f�7�:16. . . .Applicant. .: .41.44 `• Health Dept. Approval. . ���.}. .6. . . . . . . . . . . . .Underwriters Approval. . � ,i.s� • 1 Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . :Final Certi e. .WANT Fee S bmitted: $. . . . . . . . . . . . . . . . . . . . . . . . . 1L G S 7�2 /PP THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 40038- " DECEMBER 20 1999 1814539919? . N 510288 Date Ap�ZZcation No. on�Lle THIS CERTIFIES THAT YP+RMIT NO. 25287 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of SCOTT LATHAN, 1755 OLD NORTH ROAD, SOUTHOLD, NY in the following location; ® Basement ® Ist Fl. ® 2nd FL OUT Section Block Lot was examined on DECEMBER 15,1999 and found to be in copephance with the National Electrical Code.- FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCA OUTLETS NDESCEM FLUORESCENT OTHER I AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. T H.P. 53 55 45 53 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT. -TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP rpiAT.- AMPS. TRANS. AMT. H.P NO.OF FEET AMT. WATTS 4 F 2 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND A.W.G A.W G. A.W.G. AMT. AMP. TYPE EQUIP. 101W 103W 303W 30 dW PER0 OFCCCOND. NO.OFHI-LEG, OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2/0f ' 1 1;0 OTHER APPARATUS: WELL PUMP F-1 PADDLE FANS F-3 G.F.C.It-11 SMOKE DETECTOR:-6 ROSLAK ELECTRIC LIC.#3677— L L P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER Per This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identifieii by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ��o�SpEEOCK.,oGy o. = Town Hall,53095 Main Road Fax(516)765-1823,,Telephone(516)765-182 P.O. Box 1179 � Southold,New York 11971 • y�ol � goo OFFICE OF THE BUILDINGINSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N,�qq� DATE: ALI Building Permit No. J x Owner: Gtr r r - (please int) / ��//�� �y Plumber: �� 01)1C I-loln �lv4 ""���// (please print) i certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Plu e Signa r ) sworn to before me// this l day of /m/ 191?icy Notary Public, S JCC County 6AfMAU�1EPN0YYSK� NotyrPtRtp�i fdY*k emmlwlonB�MNBp�r� f %pFFO(,��, A Town Hall,53095 Main Road o 4 Fax(516)765-1823 P.O.Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 �flpl � �a0 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 2 , 1999 Scott Latham P.O. Box 595 Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) 9 9 XX No Underwriters Certificate on file. 5 XX The check is (not on file. ) $25.00 XX 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 # 25287-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 l la;il 11111 l l.11 l l 1111 Ill'll 1111 l.... IIS I U .. .. . l Ul 11 11.1111( IIIIIII11AT 11111 _.x 1111111:II 1'Il nlll; h O _ Ap I IIL IILnI 11111 1'IS II 11, Y ^'j, �, W 11'1 n I'P. 1'.1111,I11IY 1:111 IIS ,�� __._......__nn.. nn_--- n_--nn__n_ n_-.,--- .. . U n11111'f It111n 1. Coln In .._...._._......n._..__.n n.._.....�...,n ..n.._.......n...,..n_.._n....... ...m.... .._-___.._nn_.._n n_.,--------- f r'1 24 b- 1 pQQZ!i 70.1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL TION [ ] FRAMING [ INAL [ ] FIREPLACE A CHIMNEY REMARKS: c� C� DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND j NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 1 DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ U] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 9�- /✓�� - e DATE INSPECTO �o287a 765-1802 BUILDING DEPT. INSPECTION r� [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ¢ DATE INSPECTORS M-1802 �. BUILDING DEPT. 'NSPECTION [ /1F UNDATION 1ST [ ] ROUGH PLBG. UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE HIMNEY REMARKS: _ e DATE l INSPECTOR M-1802 BUILDING DEPT. SPECTION OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R ARKS: DATE 9 INSPECTO M-1802 BUILDING DEPT. NSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ---- DATE�� INSPECTO i! BOARD OF HEALTH . . . . . . . . . . . . . .. P OCT Z Z 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 . . .. . . .. . . E�omired. ��, 19 76 MAIL TO: . . .. . . . . . . .. . . . . . . . . ...� Approved......... ..., 19 Permit No. .;Z-5,246/ Z Disapproved a/c ................................... ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT ^^ Q Q Date l® fl1. . . . . . . . , INSTRUCTIONS a. This application most be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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 most be drawn an the diagram which is part of this application. 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 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 Occupancy shall have been granted by the Building Inspector. APPLICATTCN IS HEMY M9UE 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 al or , houslition, as herein described. The applicant agrees to comply with all applicable laws, ordi ild' ing code, and regulations, and to admit authorized inspectors on premises and in building nece tions. (Si Cure of applicant, or if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...................................... ................................................................. ............. a..,..... Name of owner of premises ....... . .... ............. ................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. ................... l 7S 1. Location of land on which proposed work will be done.? Srl N .. ..Ae�................................... ....................................................................................................................... House Number Street Hamlet County Tax Map/No. 1000//Section ...... 5.�..... Block ..�sem......... Lot ....� 'r .... Subdivision .4`( �7 .J.tv�. :......... Filed Map No. .:�........ IAC ...�........... (Name) 2. State existing use and occupancy of/ premises and itended usepnd ompaocy of proposed construction: a. Existing use and occupancy ........................... b. Intended use and occupancy ............................................................................. .DL JTODP.1 Ys43004 *MY well to 916:u,Dildu9%no M pmwo9 AloHu2 Mi bbiNist o osoc*SCloz to A14 w.......o.yf$yaM terlqu3 t4ttt� Q� , 1. Nature of work (check which applicable): New Building ✓......... Addition .......... Alteration .......... Repair ............ Removal ... ...... Demolition ............ Other Work .... .4............. (Description) i. Estimated Cost`/TQI PJa ai j....... fee ........ (to be paid on filing this application) p 5. if dwells number of dwelling tits ... Umber of dwelling units on each floor v.'.99 hxr ...... If garage, number of care .............. / cn— s.S'• 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.................... 7. Dimensions of existing structure, if any: Front................ Rear ............... Depth ................. Height ......................... ...................... anber of Stories ............4......... Dimensions of same structure witalterations or additions: Front ............... Rear ............... Depth .................... }Heigh ..............4..... Umber of Stories ............... S. Dimensions of entire new ceoetxuttien: Front ...,�.3.......... Rear ............... Depth . Height ....... .............Umaber of Stories . ................ 9. Size of lot: Pont�/4�A . ....... Rear .................... Depth ... .. ... r 10. Date of Purchase .� .. Name of Former Qwner y 1` ! 11. Zone or use district in which isea are situated W 12. Does s�construction violate any zoning law, ordinance or regulation: ...111................. P 13. Will lot be aced L........ Will excess fill be removed frau premises: YES 14. Names of Owner of premises ... .................... Address .............................. Phone No. .............. Name of Architect ..............,...................... Address .............................. Phone No. .............. Nmrme of Contractor ........... .. Address .............. ...........Phone No. .............. . ail.. .... ...... 15. Is this property within 300 feet of a tidal wetland? * YES .........4 NO ..x.... IF YES, SOU11TdD MM 7991 110S PEMITT MAY BE RE IRM. 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 amber or description according to deed, and show street nares and indicate whether interior or corner lot. SPA1T OF taw YORE, ..... n ' mlNlx or �......... ......... ..................Ueing duly sworn, deposes and nays that he is the applicant (Name of individual signing contract) above named, Ile is the ..... ..................... ............................................... (Contras , agent, orporate officer, etc.) of said owner or owners, and is duly r�ththor'zed to perform or have performed die said work and to make and file thin application; that all statements cont AiZ in this application are true to the best of his knowledge and belief; and that the work will be performed in the mover set forth in the application filed therewith. Sworn to }before ne this VJe_/) .day of Notary Publi .... q0 ERT 1. OTT JR ( lgnmtu of Applicant) NohryAb'ft n of w- flew Yak Q11 ipd in olk Courcy No.018 472 Tom lboros May 31, ) 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) Date,,.,,,DECEMBER 10 , 9. 97,,, 24542 .. . .. . ..:................................. Z Permission Is hereby granted to: .......AUG,EN.E SEKELSKY ....................................... :......,11 WADE DRIVE ,,,,,,LAKE„GROVE,,NY„11755,, to.....CONSTRUCT„A FOUNDATION AS APPLIED„FOR,......,, ................................................................................................................ ............... ............................... ............................................................. .....................:................. ........:.....................I ............................................ ..............::::: ..: .::::::::....:::::::::..................................................................... at premises located at................. 755.....OLD„NORTH..RD,,,,,,..........I.................. QUTHOLD,,,,,,, ............................................................................................................................................................... County Tax Map No. ....473889..... Section ...0.5. 4,,,,,,,,,,,,, Block .....Q.Q.Q.;5........ Lot No. .Q.2.0...0Q5.... pursuant to application dated ....NQVEM,$ER,,,,,,,,5,,,,,,,,,,,,,,,,,,,,,,,, 19......0:7...., and approved by the Building Inspector. Fee 5........75.:��.... ...................... . ..........9... .........................:...... Bulldin In ector Rev. 6/30/80 r . . BOARD" OF BEALT•N . . . ... . . . . . FORM NO. 1 3 1 ,4 of PLANS . . . . . .. . . . . . . . TOWN OF SOUTHOLD SURVEY '.": rr . . . . . . . . . . . . . BUILDING DEPARTMENT CNECR 't .Y. .• . • • . • • • • • • • • • - �p TOWN HALL SEPTIC FORM . . . . . . . . . . . . . : . . . . . d W7 SOTEL: 765- N. 971 NOTIFY . . `1 � r +� CALL rq r O` Q � ' U © h% MAIL TO: . .�.Joo.,,l. . . . . . . . IS Approved. /� 19./.. / Penut No. �d�.&i.............. ....., Disapproved a/c .................................. .................................... (Building Inspec or) " APPLICATION FOR BUILDING PERMIT \\ (q� Date.\\\\., . . . . . . . , 19.1 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wid 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. 'Bue work 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 Occupancy shall have been granted by the Building Inspector. APPLICATI(N IS HERE-By MALE 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, ordiTMe =pplicantr g code, and regulations, and to admit authorized inspectors on premises and in building in (Signature ofif a corporation) (Mailing address of applicant) Stere w1"r applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pinnber or builder. i............. ...... .... QMe Nae of owner of premises .`� 'r.�'.1. .• i S �..e.��. •v`.{ r' ° ' '.J .... (as on the ta>t roll or latesd deed) APPROV D AS NOTED If applicant is a corporation, signature of duly authorized officer. DATE: 2 �G B.P. # MW z \\ FEE:" —BY: ......••"••• ""N'[ """" NOTIFY- BUILOING DEPARTMEN AT (Name and title of corporate officer) 7SS-tS62"9 AM TO 4 PM FOR THE FOLLOOyWNrlti INSPECTIONS: 1 POUNWON - TWO REQUIRED Builders License No. ......................... *POUMDCONCRETE Plumbers License No. ......................... 9. ROOM • O • Kamm a. NORM M Electricians License No. ..................... 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. other Trade's License No. .................... ALL CONSTRUCTION SHALL MEET 1. Location of land on which proposed work will be done........................7M.AEQUIREMENTS..OF--TMO-N.Y,... TE'CON8TRUCTION 8 ENERGY ��5... ..:....,.. R PON8ISLE FOR D CONDUCTION ERROR$... Besse Number Street CantyTax Map No. 1 W Section ...2.. .... Block ..C3. ...(... Lot Subdivision Filed Map No. ...?b V....... Lot ............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:' a. Existing use and occupancy ...:0.&A-9........................'................:...........:..... b. Intended use and occupancy ...........................................................:..:. appl on 3. N•pair .. work ..Awmai .111.1 1... .abl.... �liticonnl............ 0 er1Work Tn Atte aIio IL-pair ......... ,.... r 1� ., M4 . a e) tion) ., 4. Cstimated cost /.... ...�....... fee s��,, Tf ckwellin txniuer oE'dwelli i (Lo be td on Pilin th' IiA�Clbg, units ............ tbd)er of dwelling units at ea��—M- 5. _ if garage, n nber of cars ..... ............... 6. If businesscoanercial or mdwedl,occupancy, specify nature and extent of each type of use...................... > i 7. Dimensions of,existing structure , if any: Front................ Rear .....,......... Depth ................. Nid)er Dimensions of sam•atructure•wit� alters io stories ,tion,...... t ....... ' � alterations or additions: Front ............... Rear ............... Depth .................... lleip)i� .................... IAnber,of Stories'............... R. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. lleitoit .....................,... Nniuer of Stories ..................... 9. Size of lot: Front .........{...��'h....... Rear .................... Depth .................... 10. Date of Purchase ... TlU GRA 6 ..... in Qvi h pre. tires of situated . Owner ,, �f44.�� .............. I I. Lone or use district' 1n ritid� premises are sxtuuated x. 12. [kuea proposed construction viol's p po Sr �.e.a•' zoninglaw ordinance or regulation: ....y -u. 13. Will lot be re graded ��,. ... Will excess fill be removed from premises: YES 14. Nacos of owner of premises :....'r..................... Address .............................. Biome No. .............. Nage of ArddtecL' .............:iii...................... Address .............................. Phone No. .............. Nate * SO f Ca:tractor .......::. ei..................... Address ...............................Phone No. .............. 15. Is this property within 300 f of a tidal wetland? * YFS .......... NO ..(....... IC YES, MMUD MM IROSI�IFLc3 FI Wr MAY HE WgARFD. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street block nnber or description according to deed, and show street nares and indicate whether interior or corner lot. r MA M MORI% AYAO t'A 1 AAMTRA�130 01410JIUR Y11700 PIT A01 M9 P OT MA 8 1081.718 :8HtliYaii M M srnl�� - IIOITA�ON •� oOIIM •••• l �q{�P NIT.. ...................being duly maorn, deposes and says that he is the applicant (Mare of indivi" amt) abovV3M*4JAldi3 NOITOUAT8NOJ ijo .Y.N SHY 40 8TI43M39lU0BA MHT,` lie of: said owner o and ts�ch�4A ...................................................................... i10a Rd 818N i#f13cIT rporate officer, etc.) r owners, c MdS)MAH NOIT. 014 $8 thorized to perform or have performed the said work and to make and file Chis application; that all statement's contained in this application are true to the best of his knowledge and.lielief, a:d bat the work will be performed ib 'ti'mimanner set forth in Lhe application filed therewith.' to to before me this pp I� 1 ...J.. ......day ofd AVA,&6 ...19. .... ry Publ ?, ........... ELVAOl MANI�NE`V�l1E. (Signature of'App icant) Not®rY Public S0ta of- York' 11, 522 g1258ra0,Suffolk ea�n�t��± Term Exp++res OCtobr lS E t A PIS - - FORM NO.3 - TOWN OF SOUTHOLD. - BUILDING DEP) WMENT " YgWN WALL - - $OUTdOLD;N.Y. •`.r; IVIG PERMIT�� (THIS PERMIT MUST BE KEPT, THE--�PREMI9 'UNTIL LL COMPLETION OF THE K AUTH. )ZED f n D' D.. I '.10 q 97 245421, bate.,,: 1 Permission Is hereby gra ed to; .: SEIZE 5 ......,.... WA E DRT E LA ,.GVOVF.,. :1, 55 to.....,. ti .$. ELz. .,.4. ZOONA zt?fit.. . ... ?#' ,1P.,. 0 ;...:..:;........ ;...... ......... ... ...... q .,.. .... .......... ....... .... ... ... ,.. .... . at premises,located at......... .......X.7.6.5:...ALP. NRRT . ............. ............... CountyTax Moo No ... 4,7.�a $.9 . . Section r pursuant todpplicatlon:'dated° QVkklt 19,.!!,, ..97 and approved bythe r` Inspector, . 8uildln� Fee$",.,....7 ,. Q..,. .........,,,...... ..., Building In,„ 90 . r Rev, 6/30/80, - _s 1 Wap/F & ,1. ANY AL TINA TIQV OMP AtJOMON TO niMB SWWY a A M"TM orTMl9 OF TW NEN' YO W STATE SM"TM LAW. C / � T AS t�lEiP 71QA1 TKO*-sUWMMM L ALt. V "' " - Al VA TMV YAP AMP COPES OAE Y F SAD MAP OR COMM WAR 7W MOWSS€D SEAL OF TIE SURVEYOR MOM &SO T& MM:APPtARS AOLEM \ {est hole AWTXV"U Y TO cOAM Y WYN SAD LAV of TEM .'AL TM7ED BY' A"r BE USD By ANY AND ALL "VEYORS IJ?tia IlMi A COPY ` 307-470 Et. 0 OF ANM)M P SirWVEYO"APAP. TMW SUCH AS 7MMTP'EC7M�'AND 84y0"50' E. TRC)MYT-7V-DATE'ARE AV N COM UMICE MM7?I "TMT IM The locations of welts and cesspools 0 shown hereon are from field observations y 0 ift� and or from data obtained from others. �. Fl am famM r with the STANDARDS FOR APPROVAL <01, AM0 CONSTRICTION OF SUBSURFACE SEWAGE L DISPOSAL SYSTEMS FOR SINGLE FAA&Y REMENCES and wE abide by /he condItions set forth therein aid on ft permil to construct. fesf hold a 40 5 4 t a d 4 S SURVEY OF PROPERTY AT SOUTHOLD '•�, to He s✓�� � �'o tS �� 0. TOWN OF SOUTHOLD SUFFOLK COUNTY . N. Y. aP -� VW - 54 - 03 - lll&5 SCALE Y' = 100' Q� OCT. 15, 1997 ELEVATIONS ARE REFERENCED TO, AN A SSLV" DA TL#A 100 T sr BY TNER6 'h rye. O TMSNT OF MEALT�SERAr=; ". E BOLE O 'h � � OptRSTYDffi'AR ���F .NEW yD�P h' Oa 5 .:-A �,`Q' ��s•"'E's`c; 'y pSRI�/T F�, ovAL of F Z Z 100 L6. DATE-"-7- APPROVED NO. 4961 B AREA = 3.3471 ACRES v 'id30 FORr/��M�F BBnRO€r:�s s°6 4AN ,:. MIRES THREE YEARS FROM DATE OF APPROVAL 1 P. � BOX 9 TRA VEL ER STREET UTHOLD, N.Y. 11971 97 - 332 f N �'� J. J. & J MY AL rERATIaN ON ADaTroN TO TWsuPVEY Is A N/O/F vroca OF SECTION 7209 OF TIE NEW YORK STATE EDUCA TKMf LAW EXCgrT AS PER SECTION 7209-SUBoVISON z ALL cER CALLAHAN IEWON ARE VALD FOR TM MAP Aro, COPES rAETEOF ant 0 0uTPioLp well !c P !sa+ SAID MAP OR COPIES BEAR TIE 1PRESSED SEAL OF 77E SURVEYOR WHOSE SIGNATURE APPEARS PERSON. ADDITIONALLY TO COIFLY W TH SAID LAW TIE TERM ALTERED BY' s CAF Y, �t MUST BE USED BY ANY AND ALL SURVEYORS UTLQNG A COPY 307.47' _ 3z o,a� S f OF ANOTHM SURVEYORS MAP. TERMS SUCH AS 915PECTED'AAD \ N. 84.10'50' E• e TROUQHr-TO-OATEO ARE NOT N COAF%A NCE WITH TIE LAW. MT yo The locations of wells and cesspools sP� 1�eQ e� shown hereon are from field observations mho 2 T s°�\ and or from data obtained from others. . .90�� I am familiar with the STANDARDS FOR APPROVAL T2: AND CONSTRUCTION OF SUBSURFACE SEWAGE o. L DISPOSAL SYSTEMS FOR SINGLE FAAol RESIDENCES y� and wlif abide by the conditions set forth therein and on the y permit to construct. '9 O fest ho/e �i� �•' Aa tf, � ` �d ?� Op 4 Sand `rF-o ',& " �0 g2�ho C7 SURVEY OF PROPERTY Sip — `' k9� A T SOUTHOLD sill Qs TOWN OF SOUTHOtD Y" coo-n6 • CSj /��c�Q O< '' O SUFFOLK COTe, NY QP SCALE 1" = WO' OCT. 15; 1997 Mar- 5 1,998 /setl E "\ JAN. l2, 1999 (conc. foundation 1 ELEVATIONS ARE REFERENCED Ta AN ASSUMED DATUM 0 �V ,w M .�. TEST HOLE BY OTHERS .%9 5 a : �tipE MfW >n5 � 9618 PEC SU OR (5161 765 AREA = 3.3471 ACRES P. 0., Box so F v� SOUTHORD,VELEY. . 97 - 332 SCDHS REI. # RID- 97- 0158 N/A IF J I & 1. alvY aLM 700 r arr THE TOV1EW O $ sFE`W Is a. N LAW aw t aF SETIS 7Z0$Or rrf 6 STATE AU aWT 1C C �, �! HEREON As PV sEc OR �Z AU CE14 FF/CaY F y SA !M O YOP W 77 5 YAP AND EDS TfA F T QALY F SAV!MAP S fM COPES APPEA AMORPRESS�D sEaLe OF $� YQAT wwQSF S,�nra}TJX aP�.aR$ r• \ lesf hole �}fl aF ' Ap19fT1QNiAfLLY TO CQN'LY M9TN SAD LAM' TIC TElrMI ALTA7RFD BY- ® " 4w AWT BE USED BY ANY AND ALL SUMEYQRRS UTLMM6 A COPY • E. 307.47' �o�� ,f5 QF AAIOTtEK SLRVEYORS AAP. TEIMIfS SUCH as aECTi�°AAD \ N. 84°!050 SROUGNT-TQ-DATE-AW NUT N GQMAP/JA7JLE WTN THE LAM. we '138 �' ti ,� The locations of wefts and cesspools 0 shown hereon are from field observations p� "T� Wit,' and or from data oblaared from otherslo . AllI am o fan0ar with the STANDARDS FOR APPRO 01' SUBSURFACE SEWAGE AL f. "`oma f1 y DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and wil abW by the con4tfons set forth therein and on the Q permit to construct. dz 2 �. NCeWYOL v EL t M t• � Q0 Y • login q0'. � a 5 6d � "f s�p -o� b,' e , � #9 I1 1 h 6 SURVL"Y O PROPERTY �s� a. A T SCTHL L3 ep �••� a� o .aye, fOWI OF SClJTiLD V=4/ , LIFF K COUNTY NY �QQ�.rYr 54 = 08 - 285 /7 sv cb6�, SCALE, I" s r 'y . SMOLK t OI1Ai7 yr Dom, v7 JAN. fZ)- 1-499 -f cone, toundatkm I A25'fiMEA'9'OFiiEgt,TFpSIARVICE3 `� AFppg9v/2kKrsftSWOR" AUG. 4, 1999 f final 1 ELEVATIONS ARE.REFERENCED P 5 C? ,s Ai AN_:9SSUMED DA TUR Date , A1C h�0k9 ` y q , iIS .tet:NO.- 9 y t�04 NEGV y TEST BOLE 8Y O OTHERS ' -�-0.Ailit �(J S'7 O r S � "h �� 77tc s wzge d p€r€ral ana r tt�s 5 S�o��t. M�r2cFO�/l _ - Fes» »'d anctor cer ilicL Bg t3ais p itics et this location have bm Ar/eR e1 s CERTIFIED TO, q c.sa efiactotyFOR ¢ torot+tran�ple a?dfxtndto ey 0� 6 SCOTT LATHAM --;Lt? ROt3i� ALLISON LATHAM 1 L NORWEST MORTGAGE ` Y.S. LIC. NO. 496f8 A.C'%L-,p - ,S,,{dfef COMMONWEALTH LAND TITLE OAlaeefWondWast7wt WSURANCE COMPANY RS, P.C. AREA = 3.3471 ACRES Iz � LER SMEF T I SbUTHALlS, MY. It 9 .., _ . 4 1 pa y..: I F e .;rl i r c Ari r Iif a s54 nt��f u,'F yll4 1 I��`a 0A I' d b i�; 4f 1 o Ka�� ria✓S�rr1� I,nei "6�V(� rg u .. - '" 1 . ., 7, M1 , .N �'�"'qIII r '"+{sr yu PA14g10.9'1y'4eq}t�p�p,{ yX{rC- i in F., - ,-�__... "-.___....-.. _�_._._.___-_'-__ -_,_.-._,-_.. ,—„-____..._.._..-__,-,_•_.•____..-.._..-.__..1C).:..�..-_.,._._.,..-_...._--. ..- "-_-__-.---_-_ ._.._.._--•- _ tQV '^' ,�' zr '♦ r fJ7 rA.7 i�tl � 4 'Sw� , ' ✓ J 4 (��� h�YYyS T�•d 1 A✓� .. D�. �r-4" .,_. . L1Y .. y-U '_ _•_.•___._„ -�� � _y.'1O _ _.�'�„ b atom, --'�a _ . . .. . __`_-__ • _._-...- --.. _ _ : ......... ... .- __. ., . ._. . .- - .. •_ __ .-. ... .,_ . - u v, �t P, .r, 1 n.'! �_';f iHa hed Y°f�e Afei r ave M'2" JrIII° 'PJ= ° 11=`I" 4•u' 11=4" '6'_, A!0'. ! '.M J r ilao-,ald 'x ` " "��+k,+�R S I^u i -..x 4 -ULWrl F;n yrs 1 a� N �! g rr Tla l�l,I i 5 If Wil I I cvt 1 , lL 'p" .�1-y„ iU.. - _'>rr•y, 'Yy xr ,�` rl� e -a $;j lri�k.� �'ti it "r2y" CgJC. PIER_ C7N 16° 8° b ¢lgQwi, - CONC , FIG, ww�C�� CyJAl9.Y G ftc-C CuoTF T60 DG PI F'R_ Tu $F MIN 8° iF_404� hq .�/ ,: 1 _ t I 4 -x i 1 r• ' Ill �xr �✓r�f ' q FINAL �+_.I Rol c_I _—�_ — __ GF,>L $UK SM - � / � - -\ /� N 1 1.a - '4 r i, :� t ,7� _ _ _ __ /_ �3) Z. io f71Rp5, — (3 n10 CLIRCeK — PIC, FdUNA"IIMI 4N Ib"X9'� _ — _ _ - aM POC I ,i,i�F T oN E'I'*. AM I I a�I� E. 4- _-- .�.P'1. �1 ! - �Ilpf ';'� l""`'r "4 13lL-co �IC', bnok _o li II I + y- (/ 1 ,000, SAAB I �4 N � � I �rliIn.EilaR r ; 4 i � yr �I � I �� t h yNS'1 ALJ.4.b :13 PF,F'✓, o r MANF. SPEC c axx NUTE:,MIN, - o o n v Ja h d 1how" g4 71 FIRe-fta'isli �H,fir- ! + T' I t'•za v i5 Y ROCK AWV� F1A- k o i /i .s l.,r.h J i rr 1•,Pi I t l,¢ Ir- t pY r lrv+n�< { fM ' , ,vµ NACE AS AER Nn'6 �' N Po I S 1r Ili ivy ? f41 J11 .D, a o{ 1 ''i'4, ,IIx y ! II i 17 ' M < _I M c rgl {+1 '� I I I 7 r t{ u5 1 *i}�,+)\ o ¢ O M yI O 9 F f =� - + '$ypl^q IlYpa'YN M eit' .I , 'I7, "p, I {; ,�5;ry7 � � `N I 31"; Sa CUL: OL.1 ���M��T � ,3y2"� bTL 'CIX., Ohl. h �t h,A� ! ,������ � i 14 ;li" NOTE' STEP P,t I rl-'.0:. ,� r o° x l-U" CanIC', 2 0'd Z f O" ..I-rJ' CCNC I r I. AS %tE4UIkED _ $M. POC.—. PrCq lY$)' Rbc SPI �+ ,�, . +'IiW#� d. '1 -/ r ,� 'cy" 4 I __ ._ (/f S)2a10 CI IROE2 _ _ X19 tRAEK _ _ 1 Zx rO-(pIR�E&� _ ,ZX 10 y12DEC - - 112 O 1p/CAER (3) :tl -._tll I 1 '�' " ,I r•+ 1^- I� rFl` f� 'M � ca cr' 4 a � - — - y 1 I)7�PPE 2 - r.. ZSWB AOR I 111 i . , --I L` a xdfhYG! y . h FWNbAY14N r-+7R I f,�b'1z �I 'I 42 I I I II P6L 2 to } Pc. SukB _ (- I I r L - _ ��� '� I ��', MExCANAi Ed � r. 3 pit � z � I W, 2h - mow. Poc._ _ ro - •° IA IRbett 4 .,1 A a k%r 24" CoNC. ?IEF. {,/��3) III 4,i(a CCA POS`f OM I ff'+ Iv'C J n e_B, �' — — » +�s RE NK c4�nU-Y a cat'ic, 41EV, ori 4LOI x Olf l.o` I Av `L'' I .. a 'Q, N0�', �P PTO \. Y y SPRCE1s lNotF', Toa of I- J,0 CoNc.. r MoA 3\,o, CSFisn,,( °a titer b; �� as ��qulRea - ,1 l� 8]F� 'to aE MIN of P �ti �� Hyl :.a4"' BELOW FiMq,L C a c/K - y to �1 - R z L to<.ce _4' _ C 2�ro 44� _4l3._ Lz>_z to cc,F giec t _ �� L. _ J L _ -J b L - - - - - - - - - - - _ - - - - - - - -I A, -f- - -- - - µnF._ Locn;LaN aF PTc. it -- -_----- _ �,m .a' use - -T 13 FIN ..� -rel , k" i i - - _. . . . Y9`o - - - - -- -- - J i7 { II R ( 7 or9• f'YoiTF mA¢'A1.,. IY�ii I ;I r' n { 11 1 log! a, .. '� , � uh4 M1J4�N I , 4 -j" T {gip r l ` y ' „4H j r IF i - , J - ' - • ' 1 ' I n11E t l - 1 ENEIIGY CODE CALCULA'T'IONS (, Desiya Cri Leria 6, 000 Ueyree' Days ( (For Non-F let frit it/eatJ/ //10'r I-��A. '70'r FOR: SGb � I �C ,!�a� YCIt fcnn7 �uhn,�+ k � L— DESIGN '1'llE IiMGL REMARKS SUBSYS'T'EM AREA "U., RA'T'ING Exterior Wails (Opaque) /,527 - US Glaziny 23 9 k73 . 3Z, - 38 av ce ", Doors Ceil.iny/Roof (Opaque) IIY 71 O S kyli,yhts 5- Y fZ .3r _ 2. G ov e. l++1l rlccr /h' 23 OS FUulldation walls Slab. Insulation TOTAL totes: Iluildlny Envelope SysLems Lo meet requirements of 7015.2 IIVAC Equi.pement Lo meeL- requiremenLs of 7015. 11 IIVAC Systems to meet requirements of 7015.12 OucL SysLems to meet requirements of 7015.13 Ventilations SysLems Lo meeL requiremenLs of 7015- 14 Llsula 0011 of Yipilly SysLems to meet reyuir.emellLs of 7U15 . 15 Service Water Ileatiuy SysLems 6 EquipmeuL Lo meet requireuwuLs of 7015 . 21 Elec Lrical 6 Ligh Ling Sysm Les & Equip'aent Lo meet requiremenLs of 7015 . 31 To the best of Illy knowledge, belief, F, pror: ssional judgement, these plans arc compliance with Che code. i1'FQ aJ?e'dJ.I�Ci1 V . P90FES5IB'v1P. g 9 YI�+ �`!••�' :."- 4�NTf^'R ! mo.- r r. .. fit?nm,;,'— i, _ ..,.1.._. _ 717 1 I 'may, i -r e y I .f UNDERWREERSCERTIFICATE DO NOT PROCEED WITH FRAMING UNTIL SURVEY �L.L..� - {- � - - --� OF FOUNDATION LOCA - - .I - I I h H'AS BEEN APPROVED. I I I PROVIDESMOKE-DETECTING - 1ROVIDEViMR. FIRE ALARM DEVICES RATED SEPARATION TO AWOVIDASOM OAR! Joh A AUPOMBINGWASTE PART 717.3.(f)(1) 0F AS TO PART 721.1 N.Y STATE BUILDING CODE. I a 8 WATER LINES NEED LyS BUILDING CODE. TESTING BEFORd COVERING 11:AM THE t O PLUMBER CERTIFICATION I p t oo m— rdWAWA ON LEAD CONTENT BEFORE �G 4', ' l FINAL _ CONBWWJU IOM lrlif CERTIFICATE OF OCCUPANCY �.oF NEwYo BEODMPLErf roRr*o SOLDER USED 1N WATER PROVIDE ANTI-SCALD AND/OR P � yA•,^/AGE ALL CONSTRUCTION RNALL MEET THERMAL PREVENTING THE REOUIREMENTB OF THE N.V. SUPPLY SYSTEM CANNOT u, WDINE CoNBTRuctioN At ENERGY EXCEED 2/10 Of 1%LEAD. DEVICES AS TO PART. 902.6(x) CODER. NOT RESPONSIBLE FOR N.Y.STATE BUILDING CODE.DESIGN OR CONgrRUCDON'ERRORS '- ,J SF 032254-1 4: - OPOOFESS100Pr OCCUPANCY q g� ® g „� �^�y PROVIDE OPENINGS FON a OCCUPAI�IC ITi — EMERGENCY ESCAPE AS -y REQUIRED 8Y 'ARL 714 OF g, USE IS UNLAWFUL If copper tubing is used N.Y STATE BUILDING CODE. D WITHOUT CERTIFICATE for em, pi i distributing system; piping shall be °. OCT 2 6 of types K or L only OF OCCUPANCY UNDERWRITERSCERTIFICATE e�oc. �err. ,U �f b I m lei s i Ll 71 lie • �tiP�� E r�tof y� e r W ' 032259-0 � �V . • op90fESSIVA LL . . w 4 �r f - I 1 I I pf NEW �. ✓I��j F+ Q ' ar 03225, ' bl • CC l o � "da r n ` I 8 i 4 _ -- I _ i t _ _ --- T w.+ I t N p90FE5S10N s' y t _ - + . r f 'S i r- t ! .,. 4 1 � b4- +zit--F I�lqyu �l 'tv I r ;JuIlk l %ELd its GG ` to41 u It 11C I I �r , t er 1�, ,J" �,A_ 4 00, .x20 -� 4 • S I_ -ice - r r ' , 'Pft rJ E r l a to9k,.tJul llD''oc : it, P' � �l:r' 1 ¢ -04 „ Lq r � { s 1 / p ✓ y Il u fir: �C`7� �0. �* / 9 , , _ { . _ .. . . fC J4 l rri• _ j ,i :. _ 4!1, :. ..a y : , � '- �l a x�k, t .rawlx' `'a�,n�.'? ''•,a , _ s e.e ., <��'� ..::alhLu,..,.,.�vska:ar it lqq PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS m �� REQUIRED BY PART.314 OFot N,Y. STATE BUILDING CODE. 12'.l )1 I PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART:721.1 , N.Y.S BUILDING CODE. IT A !� PROVIDE ANTI-SCALD AND/OR i THERMAL SHOCKOCK PREVENTING r (eA DEVICES AS TO PART. 902.6(x) _ !#P 41 1 N.Y. STATE BUILDING CODE. IQ IT G, r' Y _ D 'q. .� {43Ill. i ,� I ,Cll 1! L.Y. -Sl i', - . 4R �r L�/914k'�11�Lu/G „� -4 IAL To (.... -,y ”. \ « ry u �JOCn{£+ j. _� _ � :a vn� � ',i. ;(f1,' v. 'F�' Tic „ '•'�.}fl° ' Y` }.�.....a �` 1 M \ 4 . ) v, y4 , y1 ` . -r q1' C _ hti y s . a 3 1 U� '. M � El, ' ,�. �' -Y, fVw*._ � 'w: A.'^f '�-;T�IrY✓ ii^ 1 * "YYd, ."C lif. Y\}ud�` l 1 w '� _ � � � •,' , ',pill Y _ J ;L'-�:� �l T- aS'3.r;.-' 1"�1 ,•' t v , I It ' tl _..— � ._. , ..' .F„ '� �' ../. �/k,u 1[ Wil' � � '•# L C �_...f A.-- � ' '�^"_ � �* _ 'rl"r i1 �' I Jw I�W' ,, C . '7 r _ •1+,t, i .'v as n. M1 i - % 'l,, _ . , { M 1 a / I ♦ f_ �.f y' , - ��. .dt -, .�" 44 , , � �_ :,- ., . t1!^i;c'£ a �..r<'t °'�• " ma�?',���`x �,,,R°.�r', a ,`� ��� �Z+d'� ��.,�'�"..;.,W,A �biftfiwv" -.§-vt '; PROVIDE ANTI-SCALD AND/OR w 4K THERMAL SHOCK PREVENTING A R DEVICES AS TO PART. 902.6(K) p.a N.Y. STATE BUILDING CODE. 0 W Q F ' PROVIDE OPENINGS FOR ° y ° PROVIDESMOKE-DETECTING EMERGENCY ESCAPE AS ALARM DEVICES REQUIRED BY PART. 714 OF AS TO PART. 721.1 N.Y. STATE BUILDING CODE. � N.Y.S BUILDING CODE. i I r I � 1 . / L � \� 061 �Y _ a� v' \ O r kuu1 m Ir 0 10-1 IN _ qgo SC '73 a �✓ 3� 0/6 AAA P W 2446 VQ F [ --•— oJ?154-1 �U F Il I y - ' - �-- � I-- ulh•a, ..i.�.-1 .W$+n�? -�2 1 4-r°-r�I-4".-n . .ail r( - ' - 3 _�._ � ?, I_ % �..-.. _ �..-.. 1� w _ r ESSI�N3I- IrI2'_� 4 �r LL it it i y i � p r I I a • OCv �J O t� i @ N C s l� yf " Grp PL:,(u0�:'r;;, IOti I'/4Y v TlN Z' LVL. 121 r-6 ' { ✓Erh Y a {�Gst IGS _ I7� ?X�4�-a W t-�+ JOS �J II✓G"t�v� �- '" a 12 " rzk cw�icaue rC /2. (� 1 12ra jc I �It�ftJU . . ... fla -ll� � ' F'p I/r .Lr�s� Iz-i�1'�r h t?- 19I r4,,-PoH' l�x�c.� t'Rra�Ilutca . . Ya U''(Pv�t T 'AL'F-��rul'a.E � rr �r1I �tsxr Fu+'OC, fi aur1 �✓i ���ra.?�.r�'et'�I to _ (y° CULL;M1.l Yell i+aR1C . Gi R►WP.17tFUL4i i09� �Y �71 . ' F� fL�i ��QF Gi W}�j I + {n 2xce Y i ., l.i► ' xFi 1G f'U Irl' t31'I-lz �ILOc L , AJ�id 0(1/7 'Fu CtE . i�f x9 Ko 2.4? Ptt OF NEW Yo . 4,11 G3. 59-1 �2 .r� V Lw lP - .P"� l x I .; :_: s, [ '� .- . :, °.,. rT.-a. r t✓ . <. - - A'-',,� ;.,: : T',..r �F .! . . ._, L �,.�, :� .� a1 ,.'.;sk .w.......>., :.raf' r,F¢s... a e4t:.,asa� . IGLaFn— Ajar , R toloc_ X416T - � ek(v IIN t it- LU i ; ryy i r i r, 4 i s s, - NO 03 254-1 �U V P�OFESSIONP , / L 11 O yy� .,..,. r_,,..::.0 .>n,Y,us'.,,.'. - �.-. � ...,_.n..1- ..._ ,_..-zv_JL...��..' ., _.�_�� _.-�.:..-r�:��w: - 1 ' .,, , .,. .., _ .. _ . _- _. ...ax'�iA .aL .� .. .. .. ........ . .... . .,_-• _ _ _ -._ . .. _ _..,. ., .,.� ,... ...v... .� .,- � ._ _ .. w�......E.�. `.Yi�