HomeMy WebLinkAbout23579-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24837 Date JANUARY 10, 1997
THIS CERTIFIES that the building ADDITION
Location of Property 2105 WESTVIEW DRIVE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 107 Block 7 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 21, 1996 pursuant to which
Building Permit No. 23579-2 dated JULY 12, 1996
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 GAZEBO ADDITION TO EXISTING DECK & REPAIR SAID DECK TO
EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ALFRED W. BASCOMB
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-402280 - NOVEMBER 6, 1996
PLUMBERS CERTIFICATION DATED N/A
Building Inspe or
Rev. 1/81
FORM NO. A
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)
N° 23578 Z Date ............... ....... .... .....?.. -.............,
Permission is hereby grant d to:
.33.........................
...... .. . . . .....
�l�� 7-/ ................... .............. .Y.1� " �
atpremises located at I.. ............................................
...............................................................� . . ..... ...... ... ................................ ....................
.................................................................................................................................................................
County Tax Map No. 1000 Section ......... ... ...7 Biock .......2.......... Lot No. .....z - ......
pursuant to application dated ................... .... .. . ..I;Z .........I 19.51(. 2 and approved by the
Building Inspector.
ow
Fee $•. �..•• •.••
......... . ....... .......e{••.. ....... .....................
Building Inspector
Rev. 6/30/80
TO UL OF SO TEOLD
�U p�
BliILDING D2Pa12T_EN
`'�a2]_ �J fig 3v ` i�• �4_,� IF� �{
� /"
765-1302 �d� �`� �1T Q iq.0�?
V�PPLjC (/ 99 �_ ..
APPLICATION FOR CERTIFP ATE 0. OCCUPANCYi`i
A. This application must be Filled in by typewriter OF, ink and submitted to the bu-ldiag-
inspector with the following: for new building or new use:
L . 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-disposai(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of ii 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
j 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
rasons therefor in writing to the applicant.
C. Fees
L . Certificate of Occupancy - New dwelling 525.00, Additions to dwelling 525.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building 525.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential X15.00, Commercial $15.00
Date October. . . . . .
9 1996. .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . XX. . . . . . . . .
Location of Property?105 Westview Drive Mattituck NY 11952
House No. Street Hamlet
Onwer or Owners of Property Alfred W. Bascomb
P y. Al
Alfred W. . Base . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section107 . . . . . . . . . .Block. . . .7. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map: . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
2357927-12-96 Warren A. Sambach
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .UnderwritersApproval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . ._nal Carticace. X.$ . . . . . . .
Fee Submitted: S . ?5 . 00
. . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . -"1 . . . . . . . .
APPLICANT
o�oSUFFocx�o
N Z
Town Hall, 53095 Main Road p e Fax (516)765-1823
New 9y'��l � Telephone (516)765-1802
Southold, Nw York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 7, 1996
Warren A. Sambach Sr. P.E.
7675 Cox Lane
P.O. Box 1033
Cutchogue, N.Y. 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XXX 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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 23579Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
PLEASE NOTE: If and when electric is installed, please submit Underwriters Certificate
5'YLC:1'U)N REPORT DA'1'L
1_IIiLD ___-- COMMENTS W
FOUNDATION ( IST)
FOUNDATION _ (2ND)_-____ I� ----------- -
-
-/ ii- - --- ----- -- - ----- ----- ---— —— --- - o
ROUGH FRAME 6
-- ��.---------- ------------- ----------------- _� -------
1- - II
PLUMBING
-----------------
----------------
__==-------==_-___--_____-___
INSULATION PER N. Y. u
STATE ENERGY it
----- I-----------------._----------------- --------------------.._..--_-
I
1
It-
II
FINAL.
I
-------------- -------- --- _-- -- -
ADDITIONAL COMMFNTS:
_
--- - -- -- -------- - -
- --- - - -_ --
---- --- - - - _- '�z - - -
- `
---- ----- � -- - - --- - - - r-- -- _-- -_
File No: 1596
WARREN A.SAMBACH,SR.
CONSULTING ENGINEERS PLANNERS
7675 COX LANE - P.O.BOX 1033
CUTCHOGUE,NY 11935
(516)734-7492
August 8 1996
Building Department
Town of Southold
Town Hall
P.O. Box 1170 53095 Main Road
Southold NY 11971
Re; Permit Number. 235792
Alfred W. Bascomb
2105 Westview Drive
Mattituck NY 11952
Attention: John M. Boufis
On behalf of the above, submitting revised plans showing
the installation of a new deck together with a Gazebo .
The original deck was rotted and the supports needed to
be replaced .
Sincerely,
Warren A. Sambach Sr . P.E.
was :s
cc: Bascomb
Nu j AUG 9 �qqc
BLDG. D"'tPT.
TOWN OF SQtPTnC1Li
.__-.)
WARREN A.SAMBACH,SR.
CONSULTING ENGINEERS- PLANNERS
7675 COX LANE • P.O.BOX 1033 / `-
CUTCHOGUE,NY 11935 JUC
- (516)734-7492 .
�
�OwNOpSOFpT I
OOr�p�O i
July 23 1996
Buil:d-ing Department-
Town
epartmentTown of Southold
Town Ball
53095 Main Road P.O. Box 1170
Southold NY 11971
Re : Permit Number 235792
Alfred Bascomb
2105 Westview Drive
Mattituck NY 11952
Gentlemen-Attention John M. Bou£is :
On behalf of the above Building Permit number, I submit this
amendment letter to replace deteriorated deck lumber and
make any necessary corrections and connections . Less then 850 sq. ft .
Sincerely,
Warren A. Sambach Sr. P.E.
was :s
cc: Bascomb
r
0-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARK -d
DATE INSPECTO
6
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE &
CHIMNEY
REMARKS: �� .�•-• l � ~ C � ;x
DATE 0- INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1
2000014 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NY 10038
Date NOVO4BER 06,1996 Application No.on file 12781096196 N 402280
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
A, BA,SCOMB, 2105 WESTVIEW DRIVE, MATTITUCK, N.Y.
in thefollowing location; ❑ Basement ❑ Ist F1. ❑ 2nd Ft. OTJT Section Block Lot
was examined on OCTOBER 29,1996 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT I OTHER AMT. K W. AMT. K,W. AMT K.W AMT. K.W
2 1 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PTj TIMECLOCKS I FELL UNITHEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. 011 N.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT, AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W O. A.W.G. A.W.G.
AMT, AMO. TYPE EQUIP. I X 3W I F 3W 3 F 3W 3.0 AW pER B' Of CC.COND. NO.OF HIHEG OF H4lEG OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
G.F.C.It -2
ALESCI ELEC. CORP LIC4127-E 1... L
1720 HIAWATHM PATH
SOUTHOLD NY, 11971-1824 GENERAL MANAGER
11
This certificate must not be altered in any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT.BE ALTERED IN ANY MANNER.
OOAFO ' OF NEALT1t . . . . . . . . .
11,1�r
PowNo, 1 3 sETs of PLA14S''. : . : : : : .
TOWN OF,SOUTHOLD SURVEY 33 JUN 2 1 19 13UILDINd1bEPARTMEN7 IICCR . . . • . : . . • • . : . . . . .i-. TOWN NALLSEPTIC FOlttl . . . . . . . . .
SOUTHOLD, N.Y. 11971
BLDG. DEPT: g , �
. TOWN OUTHOL J TEL.: 765.1802 t.OT 99 _ .
CALL . .7-.�`�_,Xa�. . . . . '. .
Examined . . /L .+ lc} � MAIL TOaW.A. Sambach , Si .1
PO BOX 1033
Approved . ` . ., i Permit flpl. • CUTCHOGUE NY 11939
. , .
Disapproved c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . .
(Buil Inspect
LIGATION POIA BUILDING PERMIT
Date .June . : , . :. . . 2.0. ., 199.6.
INSTRUCTIONS
A. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3
'sets of plans,accurate plot plats to scale. Fee according to schedule, ,
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises of public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
catWn. '
c. The work coveted by this application May not be commenced before issuance of building Permit.
d. Upon approval of this apptieatlon, tite Building Inspector Will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for Inspection throughout the work.
e. No building shall be occupied or used In whole of in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New Yotk, turd other Applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or altetations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code,.and regulations, and to
admit authorized Inspectors on premises and in building for necessary inspe tions.
: .. . . . . . . . . . . . . . . . .
- (Signature of applicant, or name, if a corporation)
P.O, Box 1033 7675 Cox Lane
�.0 chQstte. Idk . 11.' 39... . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessed, 'agent, arclutect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . : . . .
ALFRED W. BASCOMB
Nameof owner of premises ;. . . , , . . 1 . . . . . . . . . . . . . . . . . . . . . . . : . . . . . + . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax toll or latest deed)
if applicant is a corporatloti, signature of duly authoriied officer.
(Name and titie'of corporate officer)
Builder's License No. To be selected
Plumber's License No.
Electrician's License No. , . . . . . . . . : . . . . : . . . , . .
Other Tradd's Llcense No. ,
1, Location of land on Which proposed work Will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . • • • • • •
2105 WESTV,IEW DRIVE MATTITUCR • . , , . , . . . . . . .
I-louse Number Street hamlet
Cotinty Tax Map No, 1000 Section . ; . . . . . . . . Block . : , „ . . , ; , i . Lot . . z . . • • . . , . : _ • • • , .
$UbdIVISIOn . . . . , t . ... . . . . . . : . . . . . . . . . , . Filed Map No, . . . . . . . . . , . . : . Lot . . . . . . . . . . . . .
(Name)
2: State existing use and occupancy of premises and bitended use and occupancy of proposed construction:
a. Existing use and occupancyONE FAMILY RESIDENCE .
. . , . . . . . . . 11 . _'•
ONE FAMILY RESIDENCE A r'
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•3, Nature of Work (check Which applicable): Now Building . : . . . . . . . : Addition . . . . . . . . . . Alteration . . . . : . . . . .
Repair . . . . . . . . . . . . . . Remobal . . . . . , , . . . . . . • Demolition . . . , . . . Other Work G. 41 13P. .QN.DELI•
;(Description)
A. Estimated Cost . . . .MOO.,Q0 . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
• to be paid on tiling this application)
5. If dwelling,itutnber of dweliffigunits . . . . . . . . . . . . . . .. Number of dwelling units on each floor . . . . . : . . . . . . . .
lfgarage,number ofcars . . . . . . . . . . . . . . . . . . i . . . . . . . . . . . . . :, . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mtxed occupancy, specify nature amt extent of each type of use . . . . . . . . . . . . . . . . . . . . .
1. Dimensions dl'exlsting structure', if any: Front 225 ' . : . . . . . . , hear, . , . , r 25.'. . . . Depth . 4Q . . . . . . . . . . .
Height , .14 . . . . . , . . , . Num erofStories , . ONE . . . . . . : . . . . . . . . . . . . i : . . . , . . . . . , . . . . . . . . . . . . . . . . .
Dimensions of shtne structute wi It alterations or additions: Front . . . . . . . . . . .j . . . . . Rear . . . . . . . . .
Depth . , . . . 14.'. . . . . . . . . . . f . Height . . . 12 '. . . . . . . . . . . : . : Number it Stones ONE . . . . . . . . . . .
8. Dimensions of entire new construction: Fronk . 14. , . . . . Rear . . 14 . ii.", . . . . . . Depth 14', ,
Height . .1.2 : . , Number of Stories.. . :. .QNE, . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . ... .
9. Size of for: Front ,ARC 65' ; Rent. 37 .., , , , , , , Depth 18 . . . . . . . . . . . . . . . . . .
10. Date of Purchase ,. . . . , . . . , „ , . , . , , , . ,RottofFormer Owner . . . . . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district 3n which pre�ises are situated . . . . . . . . . . . . . ... . . . . . . .N�... . . . . . . . . . . . . . . . . . . . . , . . .
12. Does proposed constructiod Viofi to any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded W. . . , Will excess fill be removed from premises: Yes No
14. Name of �remise9ALF ED ,W.H�ascomb , Address 2105 Westview AR Phone No. 298-4456
Name o .Vt xeri .$W440. . . , . , . . . . Address PO Box, 1,033 . . . . . . Phone No734,;7492.
Name of Contractor . . } . . . . . . Phone No. ... . . . . . . . . .
15. Is this property within 300 feet of a tidal wetland? *Yea$. . . . , . No. . . . . . . . .
OM yes, Southold T'iciwn Trustees Permit may .be required.
PLOT DIAGRAM
Locate cle rly and distinctly till buildings, whether existing or proposed, and,indicate all set-back dimensions from
pro erty lines. ive street and block t{umber o escriptiou according to deed, and show street names and Indicate whether .
Intior or corne Iat•..
e0
_ b b.
r, N d
(1+,
t
a .
STATE OI' NEW YORK, S, S
COUNTY OF . SRFFQLK , ,
Warren A. Sambach St , , , , being duty sworn;deposes and says that he Is the applicant
(Name of individual signit g contract)
above named.
CONSULTING ENGINEER
ilels.the . . . . . . . . . . . . . . . . . . . . . . . . . . . . : as. , . . , , , , . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly I authorized to perform or have performed the said work and to make and file this
application; that all statements contallited fn tilts application are true to, the best of his knowledge and belief;and that the
work will be performed In the manner$et forth In the application fled therewith. -
Sworn to before me this
/ ( JUNE 96
. . . . . . . . . . .day
�of. . . . . . . . . . . . . . .'. , . , ., 19 . , .
Notary Public, ` .. county' 'JOYCE M. ILIGINS \' , . : . . V P ��. . . . . . . . . . . . .f
Notary Public,Stat'of New York (Signature of applicant)
No. 4952246,Suffolk Counjy
JIM 12, is ', .
r14-r- kmf iN,oIzn<i E /
a(I*,TIN4 DFt-S
CX 1571-016 y.� 1�\—� ;T5 '=W, - �mT � .JroS � ' -tea,. Ta��keooe)lei rn�tW✓——VN-o
,
�J U
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P JUN 2 1 199
6
TOW" DGDEPT.FSOUTHOL
D
_4
4
cy
"Tk� N
MAP 1000
noO0 On
Lai
L G T -eft A 'H
T'
^ GENE N A L N O T E S
FL G.0 P, �LA IJ 1. ALL CONTRACTORS TO VISIT JOE SITE, CHECK WHERE NEN CONSTRUCTION IS TO BE
INSTALLED AND VERIFY ALL DINENIONS AT THE SITE.
2. ALL LUMBER FOR GAZEBO SUPPOFT TO BE CCA.
3. FINAL SURVEY TO BE SUBMITTED AT COMPLETION OF CONSTRUCTION.
A1110 ED AS NOTE
.--- _---_ l DATE; B.P.N
NOTIFY BUD M TAT
S-L. p L/ I 755-1802 9 AM TO 4 FOR THE
(ONT CT02 TO CONK FOLLOWING INSPECTIONS:
f' 1. FOUNDATION - TWO REQUIRED
1.LIN6 RORPOURERAMINGETE
ry e
BfiC7 1JJ5T4LLIN�i 5 e( 2. ROUGH - FRAMING A PLUMBING
4 NAL - CONSTRUCTION MUST
9. IN
BE COMPLETE FOR C.O.
-c ALL Y:-!Nn -y - — ALL CONSTRUCTION SHALL MEET
I THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION S ENERGY
CODES. NOT RESPONSIBLE FOR -
b, DESIGN OR CONSTRUCTION ERRORS
`T �AZ� l�O ou rIENL l7F � K
r u neFE G Q w ILII of
aCCUPANCy OR
MH7717llGK- /.IY IIg52
- - � �S UNLAWFULSAMBACH ASSOCIATES
ENGINEERS,
BOX 1033,, COX LANE
TECTB
S>^ GT1 t-1 OF OCCUPCCERTIFICATE ,;�" fib CUTCHOOUE, N.Y. iia35
DATE: J JN[ 2q �99L pEV$t
+ DWN BY: Se
SCALE: /4v. IL O° CHWD BY: CAP JOB NO. Isq)6
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G E R R 8. 7�1, L R P T E S -
Lo ALL CONTRACTOAS TO VISIT, JOE SITE, CRECE EXISTZMG
CONDITIONS ARD CONSTRICTION AND ROTE MNRRR NEN
F R A M I M G r L A N CONSTRUCTION ISS TO BE INSTALLED.
F L O O R P L A N 2. FOOTINGS TO REST ON UNDISTURBED SOIL,
3. CONCRETE TO RE 2560 PSI MINIMUM 28 DAYS,
�. ALL JOIST$ TO RE CONNECTED TO GIRRERS NITR TECO
COME Ton AND "Ulm CLI �
PS NNERE RIn so.
�! SCALE: 114'=1'O• TNS Qu CNQ f�->ASE a 6: `U�'I L SUR �YEIY�' To RE SUBMITTED AFTER CONSTItOCTIOR
+ � �• � _— ___ S STa soy. oo" 6 __- —._ �. O� _
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pPF Fn fLlr.. 47E C� z5E'6 ra \ 7s, — d--- ❑ —7 (bnc�) 5 °
_ o AUG 91996
i N J
BLDG.DEPT. 4
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MATTITOa my 11952
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