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HomeMy WebLinkAbout29827-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29812 Date: 10/31/03 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 11535 MAIN RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 142 Block 2 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 2003 pursuant to which Building Permit No. 29827-Z dated OCTOBER 21, 2003 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 ADDITION & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARYELLEN REINHARDT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1175241 10/27/03 PLUMBERS CERTIFICATION DATED 10/28/03 HARDY PLUMB.& HEATING Auf_ orized Signature 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. 29827 Z Date OCTOBER 21 , 2003 Permission is hereby granted to: MARYELLEN REINHARDT 11535 MAIN ROAD MATTITUCK,NY 11952 for CONSTRUCTION OF ADDITIONS & ALTERATIONS TO A ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#25342 . at premises located at 11535 MAIN RD MATTITUCK County Tax Map No. 473889 Section 142 Block 0002 Lot No. 016 pursuant to application dated OCTOBER 21, 2003 and approved by the Building Inspector to expire on APRIL 21, 2005 . Fee $ 150 . 00 Au or ' zed i ature COPY Rev. 5/8/02 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. 25342 Z Date NOVEMBER 19 , 1998 Permission is hereby granted to: MARYELLEN REINHARDT 11535 MAIN ROAD MATTITUCK,NY 11952 for CONSTRUCTION OF ADDITIONS & ALTERATIONS TO A ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 11535 MAIN RD MATTITUCK County Tax Map No. 473889 Section 142 Block 0002 Lot No. 016 pursuant to application dated MAY 6 98 and approved by the Building Inspector. Fee $ 75 . 00 Building nspecto COPY Rev. 2/19/98 Form No.6 I —�? /C2-� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from 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 the solder used in system contains less than 2/10 of I% 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 unusual natural or topographic features. 2. A properly completed application and 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 I. 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 Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 // jr Date. /D/e27/ 0 New Construction: _Z Old or Pre-existing Building: (check one) Location of Property: M_-5r M&P A%oQ Aglyll%UGC` House No. Street Hamlet Owner or Owners of Property: m4e_ � 4{.V &1;L) XWbT Suffolk County Tax Map No 1000, Section /72 Block 02- Lot Subdivision g Filed Map. n Lot: Permit No. a��j o2/ atee of Permit. I� -2-4- l��pplicant: A .4It6 kJ,"A� V_ Health Dept. Approval: Underwriters Approval: 47 --- � Planning Board Approval: A.)1A T Request for: Temporary Certificate Final Certificate:_ � (check one) Fee Submitted: $ i ' i -5- Applicant Signature — co ?--? -29 Na o ��ln�rs�l-�fsL3frssLrL3rL3LrL3fE3 r�n�n�LPsLPLPLrL3 n�n�n�l�l�r�l�I�l�l�nrn��rn1jnrrrn�����s�lr3l o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 55 40 FULTON STREET — NEW YORK, NY 10038 55 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 SRICHARD REINHARDT RICHARD REINHARDT S 5 5 11535 MAIN ROAD 11535 MAIN ROAD 5 MATTITUCK, NY 11952 MATTITUCK, NY 11952 5 CC5 55 Located at 11535 MAIN ROAD MATTITUCK, NY 11952 e5 Application Number: 1175241 Certificate Number: 1175241 r5 Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor, 5 5 5 S5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 found to be in compliance therewith on the 27th Day of October,2003. 5 5 Name QTY Rate Ratine Circuit Type 5 5 Miscellaneous C 5 bathroom&laundry only CCCS SAppliances and Accessories 5 Future Appliance Feeder 4 0 15 Amps 5 5 Future Appliance Feeder 1 0 30 Amps 5 5 Wiring and Devices 5 5 Switch 3 0 General Purpose 5 Fixture 1 0 Incandescent 5 5 Receptacle 1 0 GFCI 5 5 A visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to be 5 in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. L+ 5 5 5 seat 5 5 5 I of I 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 O cPrJ@PrPrP'r PLrj �LPLI'rJ'r pEpLc pLpL LLpd'3 ILPLPrJ'rJ' PaLIaLI PrP'rJ'arJ'ar LrL3L3pLpLrJ�tJ'arJLrt3pLpLjC3p3pLpr rL3 rP lr3rJ�r�rJ�rJ@P O P. Oct 29 03 01 : 51P TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, NY 11971 CERTIFICATION Date: 10 Building Permit No. (D?)dc)J Z Owner: Mari em %"Of (plrint) Plumber: Hardy Pilumbina,Heating &Air Conditioning. Inc. (please print) I certify that the solder used in the water supply system contains less than 2110 of 1% lead. I also certify that I installed an anti-scold and/or thermal shock preventing device at all bathing and/or showering fixtures in conformance with part 902.6(k) of the N.Y.S.F.P.A.B.C. rimb 's signature) Sworn to before me this VT C27thday ofD�Y" ( NotaryPublic, nu O� - County Mary Public) MIMI New Yok MAGGed 0wrisdaMmE o�na 7 o s� Y-2, � "-(" 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOU ATION 2ND [ ] INSULATION [ t FRAMING [ ] FINAL [ j FIREPLACE & CHIMNEY REMARKS: i f ZaL r DATE11ZC71-� INSPECTOR j les-1802 i / "UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: L DATE � � � INSPECTOR I ACL 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ZAL LA [ ] FRAMING [ [ ] FIRE =NEY REMARKS: L l L ;DATE l INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ INAL [ ] FIREPLACE A CHIMNEY REMARKS: — z 3 DATE �O az7 �.3 INSPECTOR ,/ l FIELD INSPECTION REPORT DATE COMMENTS IIQJ `�f, II FOUNDATION ( 1ST) _ I if l I C FOUNDATION (2ND) ---- ,i/fes% 77 cJ/ c ROUGH FRAME S jlj---� PLUMBING if it II II INSULATION PER N. Y. n—__—moi STATE ENERGY if CODE i n ----------- If II 0 II J /L Qq CL t4 II II L � H n n 3 u � FINAL _-__-gyp n � ADDITIONAL COMMENTS: — — -- -- -------- — -- --- ----- -- r 1 c e 4� � s � H zU� ea ro H id � - BOARD OF UBALTN . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . I . . . . . . ` BUiLOING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . . _. ..,..._of TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . ` 3. "` SOUTHOLD, N.Y. 11971 i l"% i u tiO2iiHOLD TEL: 765-1802 NOTIFY: ( �/ j,�yj,- CALL . 99f� dt D I . . . . . . . . . . . . . . . . . L''bmmined.!.X!.:•../�..., 191.`f - MAIi. TO: . . . . . . . . . . . . . . . . . . . . w .�1 q6 oZS3 ��i Airovctil.'?�. ......., 19.!.. Permit Iki. ...........:ir... ................................... Disappnrved a/c ................................... ................................... _ (Ifrilding Ina tor) APPLICATION FOR BUILDING PERHI'r Oate. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'Ibis application oust be cohpletely filled in by typewriter or in ink aril submitted to the Building Inspector w 3 seta 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 mist be drawn on the diagram u#hich In part of this application. c. 'Ibe work covered by this application may not be ommenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector wilf issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shell 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. APPI.ICNrI(N IS HEREBY MM 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 iows, Ordinances or Regulations, for the construction of buildings. additions or alterations, or for reroval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, arxl regulations,imid to admit authorized inspectors on premises and in building for necessary inspections. . .......... (Signature of applicant, or name, if a corporation) .........:....d .. .....': (Hailing address of applicant) State whether applicant/is owner, lessee, agent, architect, engineer, general contractor, electrician, pltrdber or builik ..............I........I.W���r�b./7..11//,L;1 .................................................................... Name of carer of premises ..../<ILFa � ../.,tom/I•NffA4�r��r.............. ............................................. (as an Bre tax roll or latest deed) �d if applicant is a corporation, signature of duly authorized officer. ......................................................... (Nave and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. location of land on which proposed work will be done.............................................................. ll.1�3 ............ ;A%v..... .1?.......................I....RIO ...i�cX.......................... (louse Nunber Street 1laalet County Tax Map No. 1000 Section .....!�:..... Block .....2......... bet ..f to.......... Subdivision ...................................... Filed Map No. ............... let ............... (Nm e) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constriction: a. Fxisti use and E rJ�hX E Y � tE'........................................... bYl occupancy ......../�..S.... .. ....r7.... b. Intended use and occupancy Fs« 3. Ncuure of work Zeck %thidt applicable)[ New building .......... Addition ...4!..... Alteration ..l!...... itelwir .... ....... Removal ............. Demolition ............ Other Work .................................. yy�ttppQQ �`2� ........(Description) 4. I!stivated Cost !!.lQf QQ ............ fee .....f.C).rk-A....... ................ . (to be paid on filing this application) 5. If d+elling, dxaber of dwelling units ......j..... timber of. (Melling units on each floor .......'-//.:.... if garage, u ........... timber of care :77. (( ....................... 6. If Ixhehhesa, comnercial or mixed occupancy, specify nature and extent of each type of use....................... 7. Lihmonidxts of existing structures, If any: Front.....10....... Rear ....2y..... Depth ....SP�5`........ ............. Muber of Stories ...... ............. Dimensions of sere structure with alterations or adklitions: Front ........ .... Rear ......... ... ... Depth ...)p?3............. Iklgiht ...Wf ............ Nnber of Stories ....a... 8. Dimenxiaha of entire new construction: Front .d/ ,,., Rear ............... Depth .............. lieigitt .........................gMother of Stories ..�.""................... 9. Size of lot: Front ......!�1.•.J..'T.... Rear ..,.Ltp.O....... Depth .... 10. Dw a of Purchase .....�. .l.2....... Name of Former (Mier .../.!/.L lks ........_............ . II. Zone or use district in %Abed premises are situated ......fQ .Q'FF14...........�.. ....................... ... 12. Does proposed axuy truction violate any zoning law, onlinadtce or regulation: ....... .-:.17........... 13. Will lot be regraded .................... will excess fill be removed from premises: YES ND 14. Nares of Owner of premises ...f'LG�...f'�t4J �pl, /vkireea ..1/ .. (. ......4f�!�I€/L`.. I'fane No. a1g " '`, .. Nate of Architect /� ►�1 ..� 9'z,z Address Jft...l� G ....N 4.. etxx,e No.Z./ .7Tf.�OZ/ Pare of Contractor .......Q" ........... heiress .................../.. .......Ilton No. ............... 15. Is title property within 300 feet.of a tidal wetland? * YRS .......... NO .....Y.... *IF YES, SDUDKID T" 7ld6SfM PERMIT MAY 013 MAIIRFD. PIAT DIAGRAM - Locate IAGRAM -locate clearly and distinctly all bolldings, whether existing or proposed, and indicate all set-back dimensions Fran property lines. Give street and black rznber or description according to deed, and show street nares and indicate %Amther Interior or corner lot. S1'A'I13 0E N;W WALK, (1lIN1Y (1R(��,s�// 4.1k:..... ppp 1 ......... r- L4.......�....../4:EIHh#A.t7iniug duiy s,,,xn, delxtses atxl says Lhat he is the applicam. (Rite of itdivi(Mal. signing contract) alxwe tuned, lieis the .........R.w.^1.f:.1:.............................................. ............................. .. (Contractor, agent,-corporate officer, etc.) of said (mer or wttera, and is duly authorized to perform or have perforted the said work mid to nrke six] file this algil ieatiat; that all statements contained in this applicaCi(xh are true to the heat of Ilia lumledge std beAief; six] that the work will In performed In tide manner set forth in Lite nppl.icaticm filed therewith. Sworn to before me this T. . ......(P.. .......day of .. A:.':`......19.1qq 19.1K.. Notary INJA id;'OrAlagi�. ' (Signatire of Applicant ELIZABETH ANN NEVILLE Notarryy Public,State of K.:w York No. 52-5125850,Suffolk Countu Term Expiros October 91, 79 . r. 3 -r t r�, - v Y r. .�s.t u?; � `+t ..4 r - I At '_ �.. ,.S ,3 �u 1t''r V �� K {- r ;tb - ;'�' eY'4' ^'.t r - ,. t ,r ,tt _i _,f .' .; y` .a'31: r ,r +E.R` \rt r , Y,"v .' '-y �C •rK tau �� 'r/„•. 1 ' tl'?''di�ll r .-I 3'},�w, C t '. , ,, Tai` ':; ,s 1 ri 1j c a lofX sLidef' f 1 t �''� 7 t - Li,w-aLi - Y .. . -" h�, ' j "T�M�} 5 '� - - L 4)! 'uc4 bt cci:af3i ,` . 4 -,,, - � Y i ,, t flittiCEiEdF�T£'ldr'$'^x? ' r Sf, �u a _ 7_ ,, ! M1 c + �� _ y j 4 i i. 4 ;4 r; n - ! . , .'.r1 Y'4°- .t a t x::s 3 :—' tr y-. �; et 31.�,'IS i k� to��f ; '%"' T. W r +1 x`t 7 Y s. �:t r`: rt I Y. t y r - rl� o r 4� �k�% +s kt, a -L '_- - s a r q i3 ;{ ti s - "� ':' n Y t t F y .4 t t l z t ` ty4 e f a 5 1 �'. _Y a r - I , - .° i . 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S ? 1 i - r'• 1r �L 't V t :. ! 4l f x K :.3", H s f. •r, �- f �, t '�'.`i jig 'i ri 4 r , F :i ; ,Fa•_ y F t C 1{ �t ,C 7 � S �l d•- ,; r n w.•: i t�a, r y t r r "Y:x i Pr r L r .j a ,, L ., t y t A,�.�., i(` i -1.,._ 0 1 h �•, ' t S ; ,y'l,fir., L Sl I ,�' .. ,. t 16 N >M l�. , a J i "�. 4 `j t r >k �.-5,; .' d 7, "e { ` 3 '.•rr ' r}: 3 k'. - A r t ,. 'r 3 �•.r rt aF _ , 1 :,'L '(` �,r:' 'II y ..raw. :' ,. :u ! .! Y �' 7, '� 'Y,.4 ,,1 Via. (' - i1 l• ' ti t,. '" - :! a t tri'r k L t�"'+', a�,, COPPER ROOF COPPER ROOF FLASHING AS RED. �4 FLASHING AS REO. �1 A" 0V D AS NOTEDDI : OCCUPANCY OR '} DATE:jGB.P.# USEt� UNLAWFUL FEE:�'�' --BY: WITHOUT CERTIFICATE NOTIFY BUILDING DE E AT OF OCCUPANCY 765-1802 9 AM TO 4 FOR E O 2%10 LEDGER 2X10 LEDGER FOLLOWING INSPECTIONS: s®`6 s 1 FOUNDATION - TWO REQUIRED Aas g FOR POURED CONCRETE 18" 11 WRC SHINGLES 12 ti*� 18' p1 WRC SHINGLES 12 ti�a 2. ROUGH - FRAMING & PLUMBING e ,3. IN.S•ULATION VENT HOLES VENT RED�6� 4. FINAL - CONSTRUCTION MUST As RED. BE COMPLETE FOR C.O. BIRDS A/WTHA AREa 2%6 2X6 JOISTS 0 16 O.C. BIRDS MOUTH RAFTER AS RED. 2x6 JOISTS 0 16' D.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR R19 KRAFT FACED INSULATION KRAFT(ACED DESIGN OR CONSTRUCTION ERRORS INSULATION NS 5/8" GYP. BIRD. 5/6" GYP. BRO. ` If copper tubing is used PROVIDE OPENINGS FOR 2%4 STUDS 016" O.C. 2x4 STUDS 016" O.C. for water distributing EMERGENCY ESCAPE AS R13 BATT INSUL. R13 BATT INSUL system; piping shall be REQUIRED 61f PART. 714 OF 5/B" GYP. BOARD UNE OF 5/8" GYP. BOARD of types K or L only N.Y. STATE BUILDING CODE. EXT. HOUSE UNE OF EXT. HOUSE PROVIDE ANTI-SCALD AND/OR UNDERWRITERS CERTIFICATE THERMAL SHOCK PREVENTING REQUIRED DEVICES AS TO PART.902.6(K) 18" SHINGLES OVER N.V. STATE BUILDING CODE. 18" SHINGLES OVER /30 BUILDING FELT ON /30 BUILDING FELT ON PLUMBING PROVIDE SIAOKE•DETECTING 3/4"PLYNVOD 3/4" PLYWOOD PLU 3/4• PLY. SUB—FLOOR ALARM DEVICES 3/4" PLY. SUB—FLOOR PLUMBING WASTE 2x4 SILL i 2x4 SILL &WATER LINES NEED AS TO PARL 72L1 PLATE (TIP.) PULE (TW) R19 BATT INSUL. FLOOR INSUL. TESTING BEFORE COVERING Ny S BUILDING CODE. 0 FLOOR WOLM. 2%6 SOLE WOW. 2%6 SOLE PLATE (TYP.) 2xe JOISTS 0 i6" O.C. PLATE (TYP.) 2X8 JOISTS 016" O.C. PLUMBER CERTIFICATION A H,µoR 60I.� pKc uoR polv5 PG& 1115 Coot CRAAL SPACE ON LEAD CONTENT BEFORE Pr;P, mys Ccft \j/\ CERTIFICATE OF OCCUPANCY CRAWL SPACE SOLD USED IN WATER ExT. BLOCK FID. WALL SUPPIL YSTEM CANNOT ° REPAIR OR REPLACE EXCEED 1�O OF �%LEAD• 6 MIL. POLY VAPOR BARRIER 0 FRONT PORCH \WALL !C% 0 LAUNDRY ROOM /\\\//\\\ •I FOUNDAPON/SLAB MONOLITHIC POUR /\// L•_ \� 3000 LBS. GRAVEL MI% + 2" ROUGH CONIC. SLAB // • W/1'4 REPAR 0 12" O.C. VERT. AND HORZ. °• 6 MIL. POLY VAPOR BARRIER ° EXT. CONC. FOOTING D ARC \y ID sib INSULATION SHALL MEET architect: ar „;,«,., .ea[. r ;,�, �am° d°7.:9 November 1998 WALL SECTIONS NEW YORK STATE ENERGY COD P ,< a REINHARDT HOUSE :���_ Frederic Schwartz Architects } 11535 Main Road 1/2" = 1' — 0" ^ of 1I 2] 4 180 Varick Street 75th Floor \ h ,,�U Q- Mattituck New York 11952 1 I_ _L New York New York 10014 02 — ,t0 d1r.eq, "O. G tel. 212 741 3021 toe. 212 741 2346 6 OF NES