HomeMy WebLinkAbout20844-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21146 Date NOVEMBER 16, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 395 HARVEST LANE CUTCHOGUE N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 3 Lot 13.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 29, 1992 pursuant to which
Building Permit No. 20844-Z dated JULY 21, 1992
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 PORCH & GARAGE AS APPLIED FOR
The certificate is issued to MOHRING ENTERPRISES INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-110-OCT. 16, 1992
UNDERWRITERS CERTIFICATE NO. N-255909 - NOVEMBER 5 1992
PLUMBERS CERTIFICATION DATED NOV. 12, 1992-HARDY PLUMB. & HEAT NORTH
Bui ding Inspector
Rev. 1/81
FORK 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)
WN° 20844Z Date ............I..
Permission is hereby granted to:
41-x.
;~A .x.. -
to n~ r...4..... Wis... ..4 ....g.4r di e
4I i.,~..... kl..r~O1~A Z .
. V
at premises located at . 9.S.....N. 4i-!tR . ...............C.er Ao .
.
County Tax Map No. 1000 Section ........01.7... Block Lot No. ..11A
s pursuant to application dated .Ak(z.!?.R.-A.7 19.9,?.-, and approved by the
r
Building Inspector.
Fee $..ll2'r23s...........
'ding Inspector
Rev. 6/30/80
a
n ~Icl FORM NO.6
TOWN OF SOUTHOLD
Building Department
#i P Town Hall
Southold, N.Y. 11971
B1O 765 - 1802
Sptltt APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF
Instructions
A. This application must be filled in typewriter OR ink, and submitted to t to the Building Inspec.
for with the following: 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 or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00
1'. Certificate of occupancy New Owel.lin" $25.00, Accessory $10.00 Business $50.00
'2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $
4.Vacant Land C.O. $ 5.00, over 5 years $10.00
20.00
5-updated c.0. $ 50.00 Date .1~'.J3.:~
New Con s t r u c t i on , , , c , Old or Pre-existing Building Vacant Land
Location of Property X' 7. ~
House No. Street Hamlet
Owner or Owners of Property , .
County Tax Map No. 1000 Section ~,GJ.7. , , , Block .3 , . , Lot :
Subdivision . C/TMTiK,15 . YAACU < 5*sA . , ,Filed Map No y?.e .5 4,Lot No. 3 , , , , , , , ,
Permit No. 02Oeef:` -4. Date of Permit 7 W..--.1TA-,Applicant ~ c
Health Dept. Approval . !ff-~o , , , , , , .Labor Dept. Approval
Underwriters Approval ../V~?,9,0.9• ,Planning Board Approval
Request for Temporary Certificate
....Final Certificate ~
Fee Submitted $ . , ..Construction on above described building and P ets applicable codes a *regulations.
Applicant .
Am. 70.10J
ca~ally~ .
TEL. 765-1802
~p O TOWN OF SOUTHOd.1J
O " OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
~i' i:RM1•: TOWN HALL
SOUTHOLD, N.Y. 11971
Ol ~ ~lU
C E R T I F I C A T I O N
Date November 12, 1992
Building Permit No. 20844Z
Owner MOHRING ENTERPRISERS - Job 113
(please print)
Plumber HARDY PL. & HTG. NORTH, INC.
(please- print)
I certify that the solder used in the water supply system
contains less than 2!10 of 1% lead.
(plumber's signature)
swore to before me this
11 day of QoVem bicc
19 9oL Notary Public
Notary Public, 3VfF0 ) x JoanneForlan
County County, NPublic, A4991777
Commission Exp. 2-10-9
TEL. 765-1 &02
y TOWN of SoUTi€OLI)
Or[-ICE OF BUILDING INSPECTOR
P.O. BOX 728
SOUTHOLD,IY.Y 11971
y
C C" • g T I p I C A.~ T I O N
Date November 12, 1992
Building permit No. 208442
Owner MOHRINC ENTERPRISERS - Job I)3
(please print)
Plumber HARDY Pt, & HTC. NORTH, INC.
(P1e-a-se pj iRt)
I certify thlk thn solder usecl _n the water supply system
contains less than 2110 of 1% lead.
(plumber's signature)
Sworn to before me this
f3 "day of e~cm^~rs
19 902. Lca2
Notary Public
Notary I'ulalir., County
SUSAN ES OONMRO
NOTARY PUR :Slayd NOWYM
SEW. 3yW518118
wo.30,
5895972 390 OPERATING CORP 976 P02 NOU 13 192 13:47
1
1155613 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1L BUfTREAU Ole L1-ECTRICITY
85 JOtEN STEET, NEW YORK, NEW YORK 1003g
Pate NOVEMBER 05,1992 AppltcotionNo.onffle 78573092/9 N 255909
'PHIS CERTIFIES THAT
on1y,NSe electrical equipment as described bolo and Introduced by t!w applicant eamedon the above application number in the preFnisea of
MOliR11G ENTERPRISES, S/9 HARVE T ROAD,CUTCHOGUE, N.Y,
'in tliefollowinp location; M Basement 11 Pst Ff. 1) 2nd Fl. GAR/OUT Section Black Lot
OCTOBER 29,1992
rtHea ex?mtned on arty/found to be in compliance with the reyuirenren In of /his Board.
FIXTURE ECEPtACtES SWITCHES III TURFS 11 RAN ES_ COOKING DECKS OVENS DISH WASHER-5 EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHEF AMT. K. W. AMT. K. Wj AMT, K.W, PMi K. W. AMi.
37 i. 45 40 37 1 P
DRYE.IES FURNACE MOTORS FUTU E APPLIANCE FEEDERS SPECIAL REOPT TIME CLOCKS 'gE~l JUNITNEATERS MULTI.OUTLer DIMMERS
I-"
I, P NSYSTEMS
0. OF FEET AMT WATYS
AMT. K. W, OR H. P. - GAS M. P. AMT. NO. A W G. AMT. AMP. AMr, AMPS. TRANS. T, 7---
4 E I 3 - - 2 1
MITI aMl,'°. AMP. .rl EWY~PIr.I.9'tW1,99W SSw 9..0,w NO.Op GC OND. OFRC C_~OND.~Y NG. of mLtG ,•OGHIGrI.Q Of NFUJPAl5 .•.A `
C~ Gr NWEUIRA\
1 200 CB 1 1 210 1 110
OTHER APPARATUS! `
I
~ACCUZZI-1 j
MU'TORBt1W1.0 H.P. _
SMO1~E DETECTORS-1
390 OPERATING CORP. LIC.#268
1555 LOCUST AVE.
BOHEMIA, NY, 11716 GiNUAL MANAGER
11 O
Per.
This certificate must not be altered in any manna; return to the office of the Boord if incorrect. l6pecten may be identified by their credentials.
7608-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: / o
DATE INSPECTOR
Pf ~
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST F ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ] FINAL
REMARKS:
i
DATE INSPECTOR ;
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ IN AL
REMARKS:
y
I
4
DATE INSPECTOR /4tt4 k
65-1802
UILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: L~
64,
DATE zY' INSPECTOR
1EL' . .llI:1 ~IJn:L I~ 0*fl LNT^ hh..
0
H
"OUIIDATIOIJ st) I 17
y
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9Z
70 MMATIO? (2nd) i
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~IISULATIOPI PER N. Y. m Q`
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STATE ENERGY II /
CODE
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FINAL I _
ADDITI0DIAL COMMEPITS: m
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BOARD OF HE LTH..
~
3 SETS OFANS
RMNO.1 SURVEY
TOWV fSOUTHOLD CHECK
BUILDING {DEPARTMENT SEPTIC FORM r~
TOWN HALL
EOUTHOLD;N.Y.11971 NOTIFY
TEL.: 7G51,1802
MAIL TO:
Examined
Approved . l 19U. Permit
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date 19
INSTRUCTIONS
a. This application must be completely filled in by typewri ter 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 throughput 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. k
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 ov or demolition as here' i described.
The applicant a:rees to comply with all applicable laws, ordinances, buil g C de ous code, dreg ions, and to
admit authorized inspectors on premises and in building for necessary ins e i s.
(Signatrtre of applic t, or e, if a corporation)
(Mailing address of applicant)
State whether applicant i owner lessee, agent, architect, engine%r, general contractor, electrician, plumber or builder.
OCUtze~ /F!u~~!eG'
Name of owner of remises . , , UfJ~(h t,~ /Je,ShCc .
? (as on the tax roll or latest deed)
If applic t o ra ' ur f du authorized officer.
(Name and title f corpo to of tcer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No .
Plum l,or's License No. , , , ,
Electrician's License No.s1 3, , , , • , , , ,
Other Trade's License No . . . .
L ation of a n which proposed work will be done. {~.Av.. ~ Y &A , ~ . . . . . . . .
L~r 3
,~a Cry~a u.(~
ef{r'............
Street Hamlet
County Tax Nla 140. 1000 Section , , , , , , , , Block ,C# , Lot .
Subdivision . Filed Map No. .IQCr4h Lot ..i
(Nam e) . •
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , . , .
b. Intended use and occupancy ! ,!'vq! * f ~ 7
3. >4-
Repair of ..wor.k..(..check which applicable). New Building , , , , , • Addition Alteration
k~oval . f5~emolition Other Work
4. Estimated Cost U r , , Fee Descrpt
( 1O°)
5. If dwelling, number of dwellin , (to be paid on filing this application)
'units Number of dwelling units on each floor
If garage, number of cars . , •
6. If business, commercial or mixod occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front . . • . Rear . Depth .
Hcigltt Number of Stories .
Dimensions of same structure With alterations or additions: Front
Depth Rear..................
Height , . , , , , , , , , Nu9tber f as .
8. Dimensions oV~Fyire new constjttction: Front . (v Rear . ,7.1h '
Height o.. Number of Stories . Depth v~4, ail, , , , • „
9. Size of lot:Front ,,~.gg-~~y,T~ rlL Rear.
0. Date of Purchase !!e(l,~i/G Dc th ,TfECl.' 97,
• • • • • • Name of Former Owner
/K ~G. •~~w~ll,
1. Zone or use district in which premises are situated .
2. Does proposed constructiop violate any zoning law, ordinance or regulation:
3, Will lot be regraded . 1.0 , .z• • • • . • • . Will excess fill be removed from premises: Yes f
4. Name of Owner of,"emises 0y 66 kn<.. , , • Address rt43 etiCcyel4t , Pttone No. (P. (';Q+f.'/Name of Architect U .WW, 41441CQ 0 . Address ,fy1Jtag% L14 fo ~G" "
Hama of Contractor ~)p 1 y~ . • Phone No. W- t!,
Nth .Address ,3!^(phoneNo,{p~~'UP{l„
5. this property locate iwithin 300 feet of a tidal wetland? *Yes No
*If yhi Southold Town Trustees Permit may be re uired.
~
I PLOT DIAGIYAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from
roperty lines. Give street and block,number or description according to deed, and show street names and indicate whether
aerior or corner lot,
III •
i
II
'ATE OF NEW YORK, S .S
_
• • ' ' ' ' ~ : • • • • • • • being duly sworn', deposes and says that he is the applicant
fY OF \amc of individual siani
ng c$ntract)
ovc named.
is the
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly) authorized to perform or have performed the said work and to make and file this
olication: that all statements contained in this application are true to the best of his knowledge and belief; and that the
•rk will be performed in the manncr set forth in the application filed therewith.
orn to before me this
(!/yof.l ...~(.~it/~........14
tary Public, CC Zll~.... County
MAEJ E SAB?fMO
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SIfi1GIF.E FAMILY DVVELL1140 ONLY
EXPIRES TW0 YEARS FROM DATE OF APPROVA1. t 0
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SURVEY FOR
DUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES MOHRING ENTERPRISES, INC.
FOR APPROVAL OF CONSTRUCTION ONLY AT CUTCHOGUE DATE'. SEPT. 15,1989
TOWN OF SOUTHOLD SCALE: 1" = 100'
1 1 `os~ S REF. NO Sa ~n SUFFOLK COUNTY, NEW YORK NO. 89-0996
NEW ALTERATION OR ADDITION TO THIS
SURVEY 6 A VIOLATION OF SECTION 7203 OF THE
9PPROVED NEW YORK STAY[ EDUCATION LAW 11AND I_--7 RCOPIES OF THIS SURVEY NOT
BEARING THE LAND IS' Y/ / SuR VE K1R3 INKED SEAL OR EMBOSSED SEAL SN4LL O
NOT BE CONSIOERED TO BE A VALID TRUE COPY O 4KGUARANTEES INDICATED. HEREON SMALL RUN ONLY TO
THE D D PE M ON HNI S SI FOR wF TO THE SURVEY IS PREPARED G
HEALTH DEPARTMENT-Ok, TO CONSTRUCT ANN
BEHAL F M THE TITLE COMPANY, ARED - MENTAL AGENCY AND LENDING INSTITUTION LISTED
B{IF UFF ST TAX MAP WAT[II MST 1000 10N
MI. _ N30URCE OF WATER M11MTE-PUBLICHEREON, AND TO THE ASSIGNEES OF THE LENDING 134 TMERL CO. ARE E 110 O ET DWELLINGS WITHIN ~ 100 L FEMET ACK OF T~INS LOT 1ROPE ER
SHOWN WTH TY INSTITUTION GUARANTEES 4RE NOT TRANSFERABLE
TNAM THOSE E SHOWN NtREON TO A001 TIONAI INSTITUTIONS OR SUBSEQUENT
OTN[R
TN( WATER SUPPLY AID SEWABL DISMAL SYSTEM FOR MY RtfIDE NCE N O OWNERS
STANCES SHOWN HEREON FROM PROPERTY LINES WILL CONFORM TO THE STAMOMOf 0? THE SUFFOLK COUNTY DEPARTMtwT TOE%If TINS STRUC MMES 4RE FOR A SPECI?IC OF HEALTH SIRVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT' PROPERTY LINES OR FOR THE ERECTION OF FENCES F'IO U
ADORE SS
YOUNG a YOUNG RIVERHEAD, NEW YORK
NOTE: ¦=MONUMENT=STAKE O=PIPE ALDEN W.YOUNG,PROFESSIONAL ENGINEER
RE LOT 3, MINOR SUBDIVISION - "CREATIVE VENTURES" AND LAND SURVEYOR N YS.UCENSE NO 12845
HOWARD W. YOUNG, LANDtSURVEYOR
*THE LOCATION OF WELL(W ),SEPTIC TANK(fTTB CESSPOOLS(C?) SHOWN HEREON N.Y. S. LICENSE N0.45893
_ a AN PROM ?IELO OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS t
BRANbIS A SONS INC. A.C.
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SURVEY FOR
SUFFOLK Coililff of i":f'?i~t ;d-t Or t!cat'"x siHVtcES MOHRING ENTERPRISES, INC. AUG'14, 1992
JULY 13, 1992
JULY 23, 1990
pr PEf S0 AT CUTCHOGUE DATE. OCT. 26,1989
DATE" _ . Ks. r;C.f. id':). ffff 11
the Yeaaalte ;i~s,;>>;s:,l arlG r aieT supply fa,iliticti for this TOWN OF SOUTHOLD SCALE 1" = 100'
location fial%i; 6ae17 1[ sr pn(teu by tLr I) : :rirnenl and/or SUFFOLK COUNTY, NEW YORK NO. 89-0996
Other agen"les a Id foulx to 'U411fa-cl K UNAUTHORIZED ALTERATION OR ADDITION To THIS
_ ~GVa.. r SURVEY O A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW
Chief of ureou of Wastewater Management *COPIES OF THIS SURVEY NOT BEARING THE LAND jr, OF NF
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL y1P
NOT BE CONSIDERED TO BE A VALID TRUE COPY 0
RGUARANTEES INDICATED HEREON SHALL RUN ONLY TO PµD
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED 0~
AND ON HIS BEHALF To THE TITLE COMPANY, GOVERN-
M NEAREST WATER MAIN_~MI T *SOURCE OF WATER PRIVATE ? PUBLIC. MENTAL AGENCY AND LENDING INSTITUTION LISTED Z
R KFF CO TAX MAP DIST 1000 SECTION 9_ BLOCK 2 LOT 13.4 HEREON, AND TO THE ASSIGNEES OF THE LENDING ~S
OTHER[ ARE NO DWELLINGS WITHIN 100 FEET Of THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
6TX[R THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEOUENT
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT R DISTANCES SHOWN HEREON FROM PROPERTY LINES
WILL CONFORM N
TO EXISTING STRUCTURES ARE FOR A SPECIFIC ! S
OF HEALTH SERVICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISH Ufr
AFOLICANT•Mphring Enterprises, Inc. PROPERTY LINES OR FOR THE ERECTION OF FENCES
EAMD $09111E
ADDREss 323 G1 n Cove Avenue
Sea Cliff, New York 1155`9 516 671-0481 YOUNG Ek YOUNG RIVERHEAD, NEW YORK
NOTE: ¦=MONUMENT L=STAKE O=PIPE ALDEN W YOUNG, PROFESSIONAL ENGINEER
RE : LOT 3, MINOR SUBDIVISION- "CREATIVE VENTURES" AND LAND SURVEYOR N YS UCENSE NO 12845
HOWARD W YOUNG, LAND-SURVEYOR
e NM LOCATIONOF WELL(W),SEPTIC TANK(ST)SCESSPOOLS(CP) SHOWN HEREON NY S LICENSE NO 45893
a ARE FROM FIELD OBSERVATIONS MID OR DATA OBTAINED FROM OTHERS
BRANDIS 6 SONS INC. AC.
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WITHOUT CFar1rrn.-
1 s It APPR VEDAS NOTED, ~ OF OCCU" "r~4HIC i {j~
PANCY u~ `3 DATE:1 ~ B.P. p.iov9v t . x~: ~~.,w,
$ 5~ FEE: BY, V. G•L- @\\ ~
O NOTIFY BUILDING DEPARTMENT AT R~wISUNl1 .
o a ~y 766-1802 9 AM TO 4 PM FOR THE - FOLLOWING INSPECTIONS: ..y dWbk" tw
dMba 1. FOUNDATION - fWiO REQUIRED ~!m"m
1 3r® FOR POURFDCONCRETE
y~ 2, ROUGH - FRAMING & PLUMBING QI ~oNr GLGva7ioti.1
3. INSULATION 4. FINAL - CONSTRUCTION MUST ~M
BE COMPLETE FOR C.O. PLUMBER .PERWICATION - . E y4o_~i_~; aE~~,~a., e. o..
ALL CONSTRUCTION SHALL MEET OyLEA1000 TEA/IBEFORE .E3 =rta
THE REQUIREMENTS OF THE MY CERTlRC"0F0`(;I/PANCy
STATE CONSTRUCTION & ENERGY
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