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HomeMy WebLinkAbout20973-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22148 Date FEBRUARY 19, 1993 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property 725 TERRY LANE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 65 Block i Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 17 1992 pursuant to which Building Permit No. 20973-Z dated SEPTEMBER 23, 1992 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GARAGE TO CONDITIONS OF ZBA APPEAL #4126 9/17/92. The certificate is issued to DONALD & JEANNE KURZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 033410 FEBRUARY 16, 1993 PLUMBERS CERTIFICATION DATED N/A Building Inspector 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) NaN9 20973 Z Date .3 19 z- Permission hereby gropted to: ..z.,~.. to . 64411 4 v '4 .1... .7 4 / 164. at premises located at a 943'. GIs ..........................................4 r County Tax Map No. 1000 Section Block f......... Lot No......../..? pursuant to application dated 7,17 L 19........, and approved by the Building Inspector. 7~9 719 Z Fee B ding Inspector i i Rev. 6/30/80 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. November 27. 1992 NEW CONSTRUCTION ...X...OLD OR PRE-EXISTING BUILDING...... VACANT LAND........ Location of Property .?25 Terry Lane. Southold HOUSE NO. STREET HAMLET Owner or Owners of Property • • Donald and Jeanne Kurz County Tax Map No. 1000 Section 6.5 Block 1 . Lot 17 Zubdivision Filed Map Lot...._....- Permit No. 20973_Z._.. Date of Permit .9 23 92 . . . Applicant . Ron Morizzo Builder . , Inc. Health Dept. Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate X Fee Submitted: APPLICANT. . rev- 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS rAr,J, a 90M1450 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date rlit1RDJ# y Application No. onfile 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 DONALD A„ RDRV, 725 TERRY LANE, :70UVROLD, N.Y> lst Fl. El 2nd Fl. Section Black Lot in thefollowing location ? Basement El UAR~OUm FEBRUARY 32,1993 was examined on ondfound to be in compliance with the requirements v/' this Board. FIXTURE RECEPTACLES SWITCHES FIXTURE$ RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCAND^cSCENT FLUpAE5CEN1 OTHEP AMi K W. AMT. -KW AMT. KW AMT. K.W AMT. H.P l 9 3 f DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMER$ AMT K. W. OIL H. P. GAS H. P AMT. NO. A, W. G. AMT. AMP. AMT. AMPS TRANS. AMT H. P SYSTEMS pMi. WA1T5 NO. OF FEET SERVICE DISCONNECT NO .OF S E R V I C E METER NO.OF CC COND A. W G. A W O A. W G. AMT. AMP. TYPE EQUIP, 10 2W11 A 3W3%3W 3,e XW PER% OF CCOND NOOF HbLEG OF HLLEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: fANP;LP3(LARD1:1-2 CTI:R, 30 775 TERRY hANh ;30115'H0LI;Y NY, 11.372 GENERAL MANAGER 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. • AN NE. L FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be','filed in typewriter OR ink and submitted to the Building Inspector with the folloifing; for new buildings 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 of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of 12 lead.! 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant, 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If al Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. 10/14/88 I INSPECTORS _ Victor Lessard Principal Building Inspector Curtis Horton ~~O . SCOTT L. HARRIS Su Supervisor Senior Building Inspector 1 + p va ; ..r, C :vg• of Thomas Fisher Southold Town Hall 1Y A'.i 5 nl t Building Inspector P.O. Box 1179, 53095 Main Road Gary Fish Southold, New York 11971 Building Inspector Fax (516) 765-1823 Vincent R. Wieczorekz y Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD NOVEMBER 20, 1992 RON MORIZZO BUILDER, INC. P. 0. BOX 789 SOUTHOLD, NY 11971 RE: DONALD s JEANNE XURZ 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) / XXX No Underwriters Certificate on file. Y// ~ The check is J%XXRTXZWnot 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 # 20973-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: DONALD a JEANNE KURZ C cV APPEALS BOARD MEMBERS SCOTT L. HARRIS Supervisor Gerard P. Goehringer, Chairman .-e co a. a a ° Serge Doyen, Jr, Town Hall, 53095 Main Road James Dinizio, Jr. P.O. Box 1179 ~'?dj Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Telephone(516)765-1809 Telephone(516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD September 16, 1992 t: t'ra Daniel C. Ross, Esq. Wickham, Wickham & Bressler, P.C. P.O. Box1424 Mattituck, NY 11952 Re: Appl. No. 4126 - Donald and Jeanne Kurz (Variance) Dear Mr. Ross: Please find attached a copy of the findings and determination rendered by the Board of Appeals in the above matter at our September 10, 1992 Regular Meeting. Before commencing construction activities, the builder or property owner should obtain written approval from the Town Building Inspector for issuance of other permits which are appropriate under the circumstances. Copies of this determination have also been forwarded to the Building Department for their permanent recordkeeping and to the Suffolk County Department of Planning which governs projects within 500 feet of the sounds, creeks, estuaries, and county lands. Very truly yours, Linda Kowalski Enclosure cc: Building Department (Attn: Victor Lessard) Suffolk County Department of Planning f Yom='<« APPEALS BOARD MEMBERS , SCOTT L. HARRIS Gerard P. Goehringer, Chairman Supervisor Town Hall, 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 James Dinizio, Jr. Robert A. Villa Southold, New York 11971 Fax (516) 765-1823 Telephone(516)765-1809 Telephone(516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS " Appl. No. 4126: DONALD AND JEANNE KURZ. Request for variance to the Zoning Ordinance, Article III, Section 100-33 to build new, enlarged garage as an accessory in the front yard area (replacing existing garage which was approved under ZBA Appl. No. 2332 on 8/29/77). Location of Property: 725 Terry Lane (just north of the Southold Park District), Southold, NY; also referred to as Lot #5 as approved by the Town of Southold; County Tax Map Parcel No. 1000-65-1-17. WHEREAS, after due notice, a public hearing was held on September 10, 1992, and at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. This is an appeal of the August 18, 1992 Notice of Disapproval by the Building Inspector for a variance to build a new detached garage in the front yard area of this 28,700+- sq. ft. nonconforming parcel. 2. The premises in question is located in the R-40 Low-Residential Zone District. The survey submitted with the application shows that the premises is improved by a one-story frame dwelling with attached garage, and the setback for this principal building is shown on this May 29, 1990 survey to be 122.3 feet from the front westerly property line (along Terry Lane). For the record, this parcel is shown as Lot #5 on the Minor Subdivision Map of Ollie Overton approved by the Town of Southold on or about July 18, 1972, and is identified on the Suffolk County Tax Maps as Parcel #17 of District 1000, Section 65, Block 1. 3. The plan submitted for consideration shows the building to be of a maximum size of 24 ft. wide by 36 ft. deep. The Page 2 - September 10, 1992 Appl. No. 4126 - DONALD AND JEANNE KURZ Southold Town Board of Appeals SEE building will be limited strictly for storage purposes accessory and incidental to the owner-applicant's residence. This building may not be used or operated as a principal use such as a business, residence or other type of habitable unit, or for similar gainful purposes (such as rental for non-owner storage, etc.). 4. The location of this accessory garage building is requested at 23+- feet from the northerly property line and 10 feet from the side property line which appears to be the same location of the existing 10 x 10 accessory shed. It is noted that the existing accessory shed was the subject of a prior conditional approval rendered by the Board of Appeals September 15, 1977. That variance required minimum setbacks from all property lines at not less than 15 feet. 5. The height of this building is proposed at between 20 and 21 ft. maximum from ground level to peak. This building will not be two-stories and is more particularly shown in detail on the construction diagram submitted with this application (prepared by Ron Morizzo Builder, Inc.). 6. It is the position of the Board in considering this application that: (a) the circumstances are uniquely related to the property; the rear yard area is technically that area between the dwelling and Southold Bay {Town Harbor), which is low in elevation; (b) there is no method feasible for appellant to pursue other than a variance - particularly since the property is a nonconforming lot on Southold Bay and will require possible variances from the Town Trustees and N.Y.S. Department of Environmental Conservation under the wetland ordinances. (c) the relief is not substantial in relation to the requirements; (d) the variance requested does not involve any increase of dwelling unity density; (e) the relief requested will not cause a substantial effect on available governmental facilities since the structure is for enclosed parking and storage of the owner's own lawn and other items; (f) the relief requested is not unreasonable due to the uniqueness of the property and the immediate area; Page 3 - September 10, 1992 Appl. No. 4126 - DONALD AND JEANNE KURZ Southold Town Board of Appeals 1' . (g) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience, or order of the town, or be adverse to neighboring properties since the proposed building will be substantially setback from the front property line at 25 feet '{or more}. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Doyen, it was RESOLVED, to GRANT a Variance to locate a 24 ft. wide by 36 ft. deep accessory garage/storage building in the front yard area as applied SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the setback from the side property line not be less than 15 feet as conditioned by the previous variance; r 2. That the setback from the front property line not be less than 25 feet; 3. That the building be limited to an accessory use for garage or storage purposes incidental and related to the principal dwelling use of the owner and not be operated for gainful purposes (not for rental storage or other separate business purposes), etc. 3. That the building height from ground to top (peak) not exceed 20 feet; 4. That there be no cooking facilities or utilities other than electric; 5. That there be no sleeping or living quarters, as restricted by the accessory provisions of the code in this R-40 Zone District. Vote of the Board: Ayes: Messrs. Doyen, Dinizio, Villa and Goehringer. This resolution was duly adopted. lk GERARD P. GOEHRINGER, Cwi-u~ l FORM NO. 7 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . August ;18 19.9?. . To RON MORIZZO BUILDER, INC. a/c DONALD 6 JEANNE KURZ 789 . SOUTHOLD, N.Y. 11971 PLEASE TAKE NOTICE that your application dated , AUGUST 17, , , 19.9?. . for permit to CONSTRUCT AN. ACCESSORY GARAGE IN THE FRONT YARD ...............................................at Location of Property 725. TERRY PANE SOUTHOLD, NEW YORK Street Hamlet County Tax Map No. 1000 Section 65 Block .....q! Lot ...1 7 Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds . ACCESSORY BUILDINGS AND STRUCTURES SHALL BE LOCATED IN THE REQUIRED REAR YARD. ARTICLE III CHAPT. 100-33. ACTION REQUIRED BY ZONING BOARD OF APPEALS. AM~n Inspector RV 1/80 765-1802 CQAr, BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL R ARKS-. e DATE bo INSPECTOR 23~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: -aL/22 DATE /"INSPECTOR i 1=LJ 1::S:E N 11DA77 it U-'(i'1ENTS pp m a OUNDATION (1st) c • ti OUNDATION (2nd) m • I z TOUGH FRAME & .PLUMBING r m m =NSULATION PER N. Y. STATE ENERGY CODE p /0 m FINAL ` ~J\ ? o ADDITTO AL C .MEHTS: m.~p\ x~ V . x ro~ N x ~ 9 c,- ' H\W m a \ • r v H 1 BOARD OF HEALTH r 3 SETS OF PLANS 4; 4,i t FORM NO.1 SURVEY AUG I T 1992 TOWN OF SOUTHOLD CIIECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL . SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL 9 •765-5772 Examined ! ~~Z 19gq7r..,,Z 2 MAIL T0: Approved IY.~Pcrmit No.77<J 4 Disapproved a/c~?~, (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .August 15 92 . 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. 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, housinti code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Ron Morizzo Builder, Inc. (Signature of applicant, or name, if a corporation) ,,,,,P;O; Box 789, Southold, NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Name of owner of premises pppAlp. Jeanne Kurz (as on the tax roll or latest deed) If appli n a cor ration, si,4pature ofd y authorized officer. f0 (Name and titl corporate officer) Builder's License No. ......67.7,2 .HL Plumber's License No . Electrician's License No . Other Trade's License No . 1• Location of land on which proposed work will be done; 725 Terry Lane, Southold House Number Street. Hamlet County Tax Map No. 1000 Section 65 Block 1. • , , . , , , , , , , , Lot ..l............ . • , Subdivision iu , Filed Map No. Lot............... ` (Name).; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and Single occupancy g fajyi•Ly. Awa llirig Wki, 4 detdched-gafa'ge ICI, ` . . 3. Nature of work (check which applicab N v uildin Addition . Alteration p bl/~G/aDcmoli[ion Swimming pool , . Tennis Court a~m Accessory Building..... ....Pehce .......Other Work............ 4. Estimated Cost 1PPP.•D9 Fee .1A7.9p.......:..... . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 3. car • • . 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 Number ofStories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction; Front Rear Depth Hei-lit NumbI,er of Stories . 9. Size of lot: Front Rear Depth . . 10. Date of Purchase Name of Former Owner if. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill be removed from premises: Yes No.. 14. Name of Owner of premises .Don Kurz , , , , , , , , , Address ...Sggthqtcj Phone No.7.6S .1.040 Name of Architect .j . Address . Phone No . Name of Contractor . Ron M9:rizzo , , , Address .$Qgtlig7 cj , , , Phone No. 74a-X7-7-2 15.1s this property located within 100 feet of a tidal wetland? *YES NO.... rmit ma *If yes, Southold Townl,Trustees PLOT DIAGRAM be required. Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block dumber or description according to deed, and show street names and indicate whither interior or corner lot. rE ~I STATE OF NEW y,O S.S COUNT1y_10F 5~~...... . t?^Im Y being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the H.) 'Aa./'zP Fx~ . (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 perforated in the near set forth in the application filed therewith. Sworn to before me this 1.~ day i • < Sd Notary Public, , , , _ ~ . County RERT 1. JR NOTADgRY PUB stelloi Ky. (Signature of applicant) Be. 47 5 ftolk Cou np fxDi M1y 31, I9 x \ \ 0 m O m 0o 3 or r n o0 c Z ~ n ~ll tq Jb O 0 -1 tir A v -i Cl 31 0 x: }a z p r Z l Q\ O {n 0 D m \z ~j ~ n C A x m U m A (n~ ( ii, Ql~r~c<{ O o it b 71 0 94 z p rJZm 0> k 4 to i" v x' m 3 10 ~'O a SpO I d nl .n O 111 xr+uN mo O M C: IN I- N i ~ p UI r In _ ~p n m°Ox {w N m T b o rnmo 3 C U <<- Yi`xm r z < m 0 a 3- (p p A k Pn 14 1 C r Fe. OWLQ.Qp ' tl eet^ r '1 ~ ~ r i4z~ o .it; - ly rjezo DecC Beut a O ABove~ o U c n n < r^ D D m Q r S' t7 tl t~ x W 1,o° ~ t F O d Z/e r o M X ///l o /D z < 0 29/ 4, ~0 RON MORIZZO BUILDER, IN&.. M M~ IAJ AContractor Horne Improvements P.O. ox 789 q 0 f' SOUTHO D, NE - W YORK 11971 OL~ (516) 765-5772 C 0tj - - - - - i r r - - / i ~ LLY 7 3031p' / r 9 a i ~ Tl- it 5;IpiI~G CT I' 303ttl I c 3 8^0 K7.0 OV.: R'7VEAv C,ARAG.r: DcJ0RS y i n O~'CUPANCY OR USE IS UNLAWFUL s - r - ~.THOUT CERTIFICATE OF OCCUPANCY ~~JJ PR ED AS NOTED OATS/ y 3 `~L B P s3 FEE . NOTIFY 0 765-1802 9 AAA TO R- PM : FOLLOWING INSPF.Cfq'1p~'FOR THE 1FOUNDATION t odO GOLLA9 COLLAR SFOR POURED f.CIJCRSIE 2 a14 -4,-d3. NBULATION AMINE, R PLUMR!!JG 2K4 'A-`a L"s 4. FINAL - CONSTRUCTIONMUST, BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET STO~A~ ~ATHE REQUIREMENTS OF THEN.Y._ STATE CONSTRUCTION A ENERGY' CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS REDRIIfICgTE an nn 'r.u 1 in" RON UnDi"n euu n....' II s ~ ' I ~ r , I ~ I j ~ . ' IT I i oc, ~ UNDERWRITERS Cy~ROE'.,2.- I Contractor - Hortie Improvements P.O: Box 789 80UTHOlD, NEW YORK 11971 - (616) 765-6772 ! A;:k.Y cows, ' A o~ (;air: , t~1 %.OPO E.°~ Tl-l.k~EE. CA f CrAt A,C~ =tJ~'4C. 2N0.. Fi1LH sut p u nvPeovEO pv. - oaewN er . x6 IAEBN f-n L -j RE - ' MoWoJ-~1'H lc FbuK al'; Icy [L:ata~w r~:7 . 1 _ C=o( h GLup-7' = TG'2r:.Y_ L.,4}S{,:~,SG2Ul"~It7L~',t~1Y