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HomeMy WebLinkAbout21903-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23723 Date JUNE 21, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 1140 CROWN LAND LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 7 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 1994 pursuant to which Building Permit No. 21903-Z dated FEBRUARY 4, 1994 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 GARAGE AS APPLIED FOR. The certificate is issued to LEWIS EDSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-50-81 - MAY 5, 1995 UNDERWRITERS CERTIFICATE NO.-N-323282 - AUGUST 10, 1994 PLUMBERS CERTIFICATION DATED SEPT. 13, 1994-K&K PLUMBING & HEATING. Qa~ z1v f Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date 19...f.. C N2 21903 Z Permission Is eby granted to; ?X..,.610.P f4 T...... 15........... /~_4 J / o,........ ?a r s........ ......i1 .`t om.:.....W ~-e~ 1...,..,....... s at premises located at. / .P~.P~/ ..`."C'/~.....Y.P-~?! ,~....C:............................./................. County Tax Map No. 1000 Section ~d~........ Block.....O. .......QQ.... Lot No. pursuant to application dated 19-9 and approved by the Building Inspector. j Fee f i Building Inspector Rev. 6130/80 t Form No. 6 TOl-114 OF Sou'rt101,U BUILDING DGPARTNLNT 'TOWN HALL 765-1802 APPLICATION FOR CCRTIFICATIS OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to Lite building inspector with Lila following: for new building or new use: 1. Final survey of property with accuraLe 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 electricarl installation from Board of Fire Underwriters. 4. Sworn statement from(plumber certifying that Lhe solder used in system contairs less than 2/10 of 1% lead. 5. Commercial buil.dinll, 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. 11 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 525,001 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 - $2o.U0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00.,, Commercial $15.00 Date 1.4;,41 ~,/~r"......... New Construction.... L.. Old Or Pre-existing Building Location of Property..... A.. ~.~J. House No, Street 7 7' ~ Hamlet amlet Onwer or Owners i:f Property... 4 A0~w f,,j; [r .4-045 County 'fax Map No 1000, Section ...~Q•z , ....Block........7.. • • . •.Lot..l Subdivi.^,ion.(..•~~Ww L/gNA / p Filed Mop.fP F~ ...Lot... 411 'ermit No, p7,1~7-Q.T.Z „Date Of PermiC. .~...npplicant. Ilealth Dept. Approval............................. . Undcrwriters Approval 'fanning Board Approval • tequest for: Temporary Certificate........... Final Certicate.... 'ee Submitted: $•,~.c~. ~d. c 33 f F OL C3 Town Hall, 53095 Main Road I M Fax (516) 765-1823 P. 0. Box 1179 15 Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 3, 1994 Robins & Speed, Inc. P.O. Box 678 Greenport, NY 11944 Re: Lewis Edson Premises: 1140 Crown Land Lane, Cutchogue 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) No Underwriters Certificate on file. xx The check is not on file. $25.00 . XX 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 # 21903-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. TOL TOWN or. ~ F.,r• C°~~ oc s(nrrHor,ti 3 OFPICC OM IMILD?flo msrrxrolt ` P.O. 13OX 728 • p t'? TO%VN HALL ' SOUTHOLD, N.Y. 11971 r ~ G E 11 T I F I C A T I O N ;t f r Date Building permit No. ~ kz)~ owne r P ease pr ntl Plumber a a 1• Ip ease print L ~y2 a.'~ S l - gIDO .oEy +.f. ,.r A Voj4OfSO I certify that the sotdnz ttserl in the water supply syatinl 'Cohtuitls 1600 than 2/lo of 11 lead. { 1 J : r.1 ytf~j . (plumber's signature) FhiL"f r t 1 3j ' Sworn to beforh a this 1 "2~Lddy of 19 Lary Public floktlty Itubiin ounty JOYCE M. WILKINS Notary Public, State of New York No. 4952248, Suffolk County Term Expires June 12, I,.~ All, , x~,.p R a is , ~ NII THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r1001071 BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 10,1994 Application No. on file 84552894/94 N 323282 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 LEW EDSON, CROWN LAND DRIVE, CUTCHOGUE, N.Y. in thefoltowing location; ® Basement IN Ist Fl. ® 2nd Ft. GAR/OUT Section Block Lot 14 was examined on AUGUST 08,1994 and found to be in compliance with the National Electrical Code. FIXTURE LET ECEPYACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K W AMT. K W. PMT. K.W AMT K. W. T. H P 39 53 51 35 4 1 1.4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECPT TIMECLOCKS FELL UNITHEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W. OIL H. P. GAS H. P. AMT NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT H P NO. OF FEET AMT. WAITS 1 F 1 SERVICE DISCONNECT NO. OF S E R V 1 C E MAT. AMP, TYPE METER 1.0 2W 1 ,e 3W 30 3W 3 0 4W NO.OF CC COND. A. W. G. NO. OF NI-LEG A. W G. NO. OF NEUTRALS A W: G. EQUIP. PER 9 OF CC.COND. Of HHLEG OP NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: JACUZZI-1 MOTORSs6-F H.P. G.F.C.It-9 SMOKE DETECTORS-1 - I G & S CONTRACTOR LTC.#578E GJ/% BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per 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 Ml9ST NOT Be ALTERED IN ANY MANNER. 'I ~,Lf/) -:'C 7,1011 ID III II ......F>,?N+;vU^^Cn'9.r.~ r. r. tilY'•w .+v v"y+T.TT+. CoHmraTzl mm ~ FOUNDATION ( 1st ) `3(^I~. Aae~ c FOUNDATION (2nd) ytx m 2. - - z~ o~ ROUGH FRAME & PLUMBING O 3. y3 m INSULATION PER N. Y. m H STATE ENERGY CODE 4. H FINAL O ADDITIONAL COMMENTS: x ell ~r h D - ~J . m I M H P O I ' S 0 ' d `4v H SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. n I i yf y / STATEMENT OF INTENT % THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOL EPT O HEALTH SERVICES. i (S);r 3f 6 gca~ i APPLI NT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL FOR fi { ,r CONSTRUCTION ONLY /'?1 F~ ~h' _ ._J... ' 14 H. REF. NO.. CJ • _U V1~N L !V L./ L A ~V - APPROVED: ~SUF'.~:JLk CO. MAP /v0, eZ89) SUFFOLK CO. TAX MAP DESIGNATION: X11 ~ CUrcHOGU!"LiJ.1'; DIST, SECT. BLOCK PCL. a4sterr ' 1400 !02 7 1/ +nt--+) SUl2U~YO FCJ/c~ OWNERS ADDRESS: rf E Wl -S L) S G 'N P, o. Sax ISZ6 s50417"HO1.D. N. Y. 1197! SCdl~ = -~O'~ 7,55-22_$8 DEED: L. WA P. TEST HOLE STA . au crx t this survey to a violation of action 7206 Of of the NOW Yank State ducadon La r. opies of Ihb' "'May map not beadnp t alar+tl sol.''-fz Inkadsealor mbossed •soal shall not be considered a valid Vuo Wpy. _ be afanteoe Indicated hemcn shall run u y to the p en:, for whc: Vt'l survey m preparco. 'tiecore;;- :,,y and l=1L G D lending h; „d to the ass h'1.4 p,;~.,bla P ution. C _ ue to adc, ) ~ L' ~.~-ooh ,G G~ ED0 Ja rveyeOct. 6, 9 y RODERICK VAN TUYL P.C. /z JN LTO LICENSED LAND SURVEYORS GREENPORT NEW YORK .ue U --o C\j cr cso _ ho. nr,~rz.° s~sa~&. - 198.89 t I -l - sheaf"!/ ? O N 1 - N zeal/ to o 1-7 .r 1 . 10 ~c + .5.42033'So"W. - 24!.53 i E (vaGarat) } &:,~DYNe loci M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( FINAL REMARKS: DATE ` INSPECTOR l 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL REMARKS: DATE / INSPECTO 7-7 - M-1"2 BUILDING DEPT. INSPECTION [ } FOUNDATION 1ST [ * ROUGH PLBG. F UNDATION 2ND [ } INSULATION j FRAMING [)FINAL REMARKS: T~ CLAM r E ~ff I~ DATE INSPECTOR M-102 BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: `f1 4 i r' ~ f r i E I i DATE INSPECTOR i k M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION, 1ST ( I ROUGH PLBG. ( ] FOUNDATION 2ND [ I INSULATION [ ] FRAMING [ ] FINAL x R ARKS: t S 1 t E i DATE INSPECTOR r•,nt~alcV ccntle ttr:.vlr•:w r (non--eleclrlc) ' ' f 7014 (1'at.l: 5) G,0(xl deyr.enrdayn Cor_ ,r5~ ©t7ryt ~~a~~~ Per friige ~B11o~Y ~ulr, b~ Envelope ConponettL It-Value Exterior wall 0-10 door/ce111ng n-19 Floor 0-19 Foundation wall it-if) Slab Edge InsulaLlon n-lo clazing 0-1.7 Entrance boors All IIVAC Equiltntent to nktet requlten~ntn of 7014.11 All IIVAC Control, Systems to nx+et• tequirenwntn of. 7014.12 All DucL sysletrty to meet regttirentants of 7014.13 All Ventllatfug SystmtO to nteeL requirements of 701.4.14 All Plploq lhonlntloo to to nt tequirement:n of 1014.15 All Service Water "nnting syntemi and Edulpnent to eleet Cequitetnenl;n of 7014.21 All ElecttlC SysLem to urel- tequieemento of. 7014.31 ` y. 'lb the boat of my knowledge, bollaft and professional. ~~O NEW"0, Judgelnenti these plan-1 are In coltjrllanco wllh the code Tyr f I It , FEB A t KIM ^ ' 117-27-7-01- ~OIY ,,./'.~7yJO ~'~6i6zh'aa'dly~~dp //i(/V~P~oi'k'l~Ay^ Ppyj'Xg7 'rv oyorsuno~r~o.vMO n~orvJ1n~nroity,.x~7 .a?~2f.~if~$' PNd'~ 6B.?7aN .~N6 JONb'7NMO~i'~ :to7 ~.Yf~TNO'.~1!.~7YN~M~iY.lN~i NO~t?,.7'b'/M3~'~'v.~'•r~nv'~'s' .z 4+.xt god ~apnnp3Nya ^ 969 EE b ~ ° N 0 Y (:;a - --q I N o ~o o * 0 4 96'S bAt 3l ' ffi` ~ ~Mb7 pSSO a a u g o 0 0 f*Nb ov o ono ' ~rad~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal • Demolition Other Work OO (Description) 4. Estimated Cost ..........o............................ Fee.............. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....4N F Number of dwelling units on each floor If garage, number of cars .CkTTRCkt#~ 70 ,}~.ov.$E~, , , , Ti.~PJ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front - Rear - Depth Height r:77 Number of Stories Dimensions of same structure with alterations or additions: Front Rear . Depth • . . . . . . . . . . Height . . . . . . . . Number of Stories . 8. Dimensions of entire new construction:: Front .......7 , • • . Rear 7~'( Depth Height ....Va t Number of Stories ......T4~.o . . 9. Size of lot: Front O Rear Depth 4- 4 " . 10. Date of Purchase Name of Former Owner . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . , No 13. Will lot be regraded Will excess fill be removed from premises: ® No 14. Name of Owner'of premises/ Address e-P: OAk M4,.S0.774abPhone No. 7.65. A44'ti:.... Nw . Address Phone No............... . Name of Contractor &BI A-4 jt'So f /IVC:...... Address P. 0,ank.67.GA PAftone No.. 4-77.x/.708.'.. . 15. Is this property within 300 feet of a tidal wetland? *Yes........ No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whet4ier interior or corner lot. Ski SUR" STATE OF NEW YQRI P'_ S.S COUNTY OF......•,,,,...... J l x}08 ((~5, , , , , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . (~v4~Qpf....................... (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 that the work will be performed in th anner set forth in the application filed therewith. Sworn to before me this ...day of ......XRb.Y.~Wd~...... 19Q. J _ %04 Notary Public, County ....?~J ROBERt . Ti JR. NOTARY C, State of NX (Signature of applicant) o. 472 89, Suffolk Coa TOM Expires May 31,19 BOARD OF HEALTH FORMNO.1 3 SETS O~PL.I:IS ' 1994 TOWN OF SOUTHOLD SURVEY . BUILDING DEPARTMENT CHECK-#. TOWN HALL SEPTIC FORCI . . TQWNt+I%?t.'a'. SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY Examined . . . . 19 CALL MAIL TO: Approved , ..a `'T' , 19 ?KPermitNo. .~~7©3 . . Disapproved a/c . 77_[77 (B 1 g Inspector) APPLICATION FOR BUILDING PERMIT Date 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 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 appli- cation. '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 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 or 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 York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. RoelNq#f PEz,..~^!C - (Signature of applicant, or name, if a corporation) G>,o. Apk .Q7i ~pa~rAl Kw r (-XV Mailing address of applicant) State whether applicant is owner,.lessee, agent, architect, engineer general contractor, lectrician, plumber or builder. Name of owner of premises 1dC_4t/1.S .A DSO N...... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . Name and title of L~of for . ( rplte officer) Builder's License No. 2,.9 `l Plumber's License No . . Electrician's License No. .....II . ! Other Trade's License No. ....I! . 1 . Location of ]and on which _proposed work will be done . . . House Number Street . . . . . . . . . . . . Hamle County Tax Map No. 1000 Section An ? Block 7. , Lot /t' Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: , hT, , , , , , , , T a. Existing use and occupancy p b. Intended use and occupancy ! S/NG ~i5!Y7,/Gcf /C~5/C.E~G -J s , w V q_ Qc a's e IX ~y W L "n U. 'r rN 3 '0 z tau w * 0. F ©Z a a~ z$g•`~m O" r1~1~e"~ m ra LL a u 00 Y A W V y by y^~t[' p LA J LL. LL in .2 } ~~1 WiS v in tn (A L, RsF As Its? zoIOAO 4 fy,- t_. 44 kill, y 4 M 4 ~{!L 1'i)~ ~ 1 . ry r ~Tt :~i ~ I' ~ -.-.,-K-.,»..eµc~r---v.rYw~«~*e.v--1r~..L .k*-k+;ji,°...i-^-,aW.:... ...,..r w.A,._ ~...a.5... ~ a;~#-•u ~I~T~'»+'"' s y } All' ' d y margr»sm or.,~smrvv~ ~xxzsux° ~rxw ~'zaamtsssrpmamy2~n., q : ~ ~ S~S~ti~~ °C3# $ t d~tb6 Y~ d~ B ~dT P'2X 6Ou"1brD,~A~"' o- SING LE FAMILY 6 v.. no'l. Ma 4`0 -.So 4a5d3jt 1,'`r~i'dJ:';-3nt~ 66 "Wy. t. 0.n s` A1GWi~ y7xr B.Bf ~ D .FO a;.caam..,.nMreuuu..M,m..,...,~} akf~.u+u~tat OR/v67yvY lv Z-71, 68.3' o Unsadwrtzadsfrd «eddidon g ar tlds wnrey is s NWsw Yor h%,h' N E eierNwvencsute N CogesaNsaassYmeVn«barlno b ~ ms's' m.anduev.~aew~wd..a« N : y 5 tobe&eedeeaenrmee.aorobarw `l ,0 ~ vy aWawdewaegr• N Q y' cumo Mee Yl mm h«son ow run O iQ O ill 0 wamforw&o nn».aNer we mm" gowmmwvw sow" am pn renoao "wnom . <iwrsneses «e notaenerenbis b adOlo W insdvAons of eubS@WW Owrw0. 5~L• .~'3'?ors-v ZD%53 ~J 5UC'?EYFO ¢ LEWI~EG~ID/V °jB LA g ~yVL ~'f• L0T• /•ff C•t'oH'NLAND NE .c.v/Y°tP ~rJJ7,~GDY//J/ L0.^ATioiV.CvTCr/pGUE !?~NOFSoUnS/OGO N. 414 5rir°lmccC/a•T.9XM,cNo./cloo-/a2-o -/I f o~ Q~`~' - ,s n 1 j I 7M, 4 ( i y I I t 7-4-1 _ - I r L PLUMBING PLUMBER CER!/F/CAT/ON a t+ r1~.C~1-~ L S A i ON N ALL PLUMBING WASTE' ON LEAD CONTENT BEFORE OCCUPANCY OR R &WATERLINESNEED TESTING rINC BEFORE COVERING 6EhT/F1cArE OF OCCI/PANCY USE IS UNLAWFUL SOLDER USED IN WATER SUPPLY SYSTEM CANNOT WITHOUT CERTIFICATE N copper tubing is used EXCEED 2110 of 1 WLEAV DO NOT PROCEED for water distributing !E OCCUPANCY UNTIL 2nd SURVEY OF FOUNDATION LOCATION "am; piping shall be Oof onl HAS BEEN APP13OVED i f n - UNDERWRITERS CERTIFICATE - AP N VEDASNOTED REQUIRED DATE: g,pq t" - 1 NOTIFY BUI DING DE ARTMENT AT - 765-18028 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED ; Z:.. ~ FOR POURED CONCRETE 2. ROUGH - FRAMING R PLUMBING 3. INSULATION 1 { 4. FINAL - CONSTRUCTION MUST I i----- BE COMPLETE FOR C.O. ' I I I\\ ALL CONSTRUCTION SHALL MEET \ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY \ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS \I'1 1\ I 1~p~ I - i I C - veRlr"r r, ?pfE5,;;6\1''`L 7 '13 6 S-- IF13- %'4 3~ /~tmfvi Ptgc+e 477 E1CYt) " '$4~~n Rack N SISSS ~ b - = DSO . -PO 75°/ ~r~ ' ~/G •~w ~ ~ ~ ntn«r l5~i~~~~~ sc -'~a'e~ j 5 t u~~ I ILJ L-T-1 1 I - - d,. I j Y'1uSr ~ T i 7 I i - t- j- ~ I l l i i L. I - n L I : ~ Fteoe ~ ` Y ! ~i ~ RSB PII{CE i ,i ' J vi4 i 5" i _ ~ry1~+;('T!,~L" i CaMTaACr'D L i COMTRAC~R, _ SyetlN VERIF'E ~ i I +7F MAStl~ Vd4EFrf N1{. I i DNSlqaauC Film r4Ofoas PIMT G Yo ptO NENi 4S~~~NE an m H1,3 7 i Y~ ~t xua Zile re ario . F4 FL 5" eFr''~ GRe gMCt' ( _ l1k ~`Q 032>3C4 ~O faxpp . R Q 3 9CFESSIONP~ I i!~Pff CAI.. ASRCSrjirp Pt R f I ~ z I jGAKAG r i FAMM.Y _ - a _ Tmr You 7 R~uc.A Yf -P~.- IS f Plus„ 1 ~ I ~ ~ ~ ~ ~ _ (!18!VCA ~ li1MD6R _ f! r! I i IPA arc _31=,. ~ 1"Q y d f. r i 5i°-- yN _ SYMrr 27 y~6gPd i -F- Al 1 v 577 Cal pn r bL TAIL 110/ J 5 72, V, io /e NI, t^----..- ~ in Bl,; '$o _F.OVNYATfOm Ira li ON' 16'%SF(lOY~aG yI I I~~ I -I (;L II , I ;zp I I i z lz :'7 I ~ ~ ~ FDR O ~ s ~ 'I I! ~U 7 47, ---'--w jCU: wq tscKET 3-Me - I ~I ~TY~ICA~ <,I "rnl STi-- cot- ..v I i N ,.nit lox I'n ci , I rooT~N~ i I T-• \ ~L@(I 1 ~ MFn1l ~E$ J Ii1 3~ -Q'-_ VERIFY; 1 I I I , U N ExC OPF 7 j71f~EN 510 N5 W I TN 1 SUpFLIER G I Ml ~1 - pS6 OF NEW pO LA~! S1 cE .TL 9fi FOUN DA-1-1 ON -P mss-- 's'.;---' a NaTr'; l~k RrFY D nH Er.a srnri g. 632554. r ¢ a r ~ °pgOFess oe p one 477-0400" Main Road I v GREENPORr. N Y. 11944 '~1Q$7 .'T~W7~!E KEht,.T~ - f%rte'r+ 7 A3 OWG. ~tlUNfvFTr °hh N - 'e•.1? l FLAN NV i - ~ I _ I 1 Eyrvr+~: ~,T„cn T„cr'hr sips r a ~ti -h~~-•~` - I._ ~&!p#-0rg.... 21'X:» _ x:23'5 9'ocl 9215 , . Go i ~L 1 r , RA!4 - - - -v~ _ S•~- 1111X1111 _ _,(ZA!4 I ~ _ ~ G~ ~ ~ C ff zi- ' ~ OIV' No USE WA4l ~ 44i - ~~j C7,tl5EY 'PE2 , r,; f ~ 17 &a M 11 L~ ~ Uf lY_ ~V rc ~x 2'- la'c~ nxe~,r. w~ M It~TM t , FO ' 3gao U _ Fix 4..nc / µfFtY>^'( blH01M 9~GNtI -'i r i y R v~ I vii r~ "Y 1 t tz~ f _ i E85 - 28,2- ptidrsF Vag. pati~C u , f i i s ~P O ~E ' ~S~a~N TGT9 NO fL" !(IeRtF 1S(7*~~'K QfONS + S man- PhUtle $77=0400 Main R©»d G f GRE'EN'OORI N Y. 11944: . UwG dk 81~ PPi„`' '~z _ t 6 ~-7 C Mi . ~ ~zzH fist; . 7'N! - •I I ~r i! t 1~~ a~ @o b" r s $ - 0.11 J UWP f ~ ~ ~ .p a ~ T ~ ' FAY t 3 ~ Co r P!4 JJ jjN ti 4-1 rv I'#~lsaewM ~ E p ~ ~ ~ ~1, . q '99 ~frE AtM rv'RI73B -:I V~21FY DIMENf"Of4 O o W wnm say?41~R, y - - SE OF. NEµ. Y i FLOO r ~1 '~n'v-~~ ~lTE,. 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