HomeMy WebLinkAbout32489-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32177
Date: 02/05/07
THIS CERTIFIES that the building ADDITION & ALTERATION
(STREET)
Block 3
SOUTHOLD
(HAMLET)
Location of Property: 56025 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 63
Lot 26
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 13, 2006 pursuant to which
Building Permit No. 32489-Z
dated
NOVEMBER 13, 2006
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 & ALTERATION TO AN EXISTING BUILDING AS APPLIED FOR.
The certificate is issued to PRESSLER LIVING TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3016449
12/04/06
PLUMBERS CERTIFICATION DATED
11/20/06 GEORGE J. BERRY, JR.
Rev. 1/81
- - - -----'---
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Form No.6
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
,
10-----,..
APPLICATION FOR CERTIFICATE OF OCCUP
i,'"
This application must be filled in by typewriter or ink and submitted to the Building Department with the follow ng:
A. For new building or new use:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natur I or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 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 2/1 0 of 1% Id.
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.
,
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B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laqd uses:
I. 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
1. 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
New Construction:
Old or Pre-existing Building:
Date. AJ-v. ~ ~ () ~
/
V (check one)
Location of Property: .5' 02 ()
House No.
mlJ"l# 7104-1>
Street
s c> l.C\ #-0 L-Ji
Hamlet
Owner or Owners of Property:
€D/nWI4/9
.fl \T() 1'1-1>1
c,.j
PRI5~S'Lcl?
Block ,g
Filed Map.
Applicant:
Lot
;z,
Suffolk County Tal' Map No 1000, Section
Subdivision
Lot:
Permit No.
2. 3 ??~.i?:-
I/Jn
Date of Permit. /0/.23/ 7t.
, ,
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval: tV ,().
Request for:
Temporary Certificate
Final Certificate:
./
( check one)
Fee Submitted: $
~~
Applicant Signature
~.11112
(O?:; 3J,J 77
I
W 5. - :5 - 2(.
[!].~[!]
~ '7 ~
~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
I NEW YORK BOARD OF FIRE UNDERWRITERS I
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ EDMUND PRESSLER EDMUND PRESSLER ~
~ 650 GROVE DRIVE 56025 MAIN ROAD ~
~ SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 ~
~ ~
~ Located at 56025 MAIN ROAD SOUTHOLD, NY 11971 ~
~ 3016449 3016449 ~
~ Application Number: Certificate Number: ~
I Section: Block: Lot: Building perm3 3-lf8C) BDC: ns11 I
~ Described as a occupancy, wherein the premises electrical system consisti(1g of ~
~ electrical devices and wiring, described below, located in/on the premises at: ! ~
I ~~~~~ I
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or pther ~
~ authority having jurisdiction, and found to be in compliance therewith on the 4th Day of December, 2006. , ~
~~~ Name OTY Rate Ratinl! Circuit ~ I'. ~~~
~ Miscellaneous ~
~ as built-1995 I ~
~ Appliances and Accessories I ~
~ Dish Washer I 0 1.2 KW ~
~ Range I 0 40 Amps ~
~ Exhaust Fan 2 0 F.H.P. ~
~WiringandD"iC~ ~
~ Outlet 8 0 Fixture ~
~ Fixture 8 0 Incandescent ~
~ Outlet 31 0 General Purpose ~
~ Receptacle 20 0 General Purpose I
~ ~~~~hers I ~ ~ General Purpose ~
~ Paddle Fan I 0 ~
~ Receptacle 3 0 GFCI ,~
~ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is beliercd to I
~ be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring sYsl!'nr i ~
~ Continued on Next Page I of 2 ~
I I
~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
EDMUND PRESSLER
650 GROVE DRIVE
SOUTHOLD, NY 11971
EDMUND PRESSLER
56025 MAIN ROAD
SOUTHOLD, NY 11971
Located at
56025 MAIN ROAD SOUTHOLD, NY 11971
Application Number:
3016449
3016449
Certificate Number:
Section:
Lot:
Building Permit:
BDC:
ns11
Block:
Described as a occupancy, wherein the premises electrical system conSistirg of
electrical devices and wiring, described below, located in/on the premises at:
Second Floor, Third Floor, Outside,
,
,
,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent de ailed
herein, was conducted in accordance with the requirements of the applicable code and/or sta dard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 4th Day of December, 2006.
Name OTY Rate Ratine: Circuit ~
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
~
~
Fax (631) 765-9502
Telephone (631) 765-1802
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: 11/ 2f.J Je t
I '
Building Permit No. Z 3 77 C; ;?
Owner:
tQ)J1tIIV~ ?7?tES.dcR
(please print)
Plumber:
c,eoqe-. -j (krrZr
(please print)
J6Z.
I certifY that the solder used in the water supply system contains less than 2/1 0 of 1%
lead.
Y1~ ~~
(plumb S1gnature)
Sworn to before me this /1
day of .lo, 20~
~~ ,-(1 ~\C\ -a tK O~ '
Notary Public,
County
VIClO L. LOPER
NolaIy ~ SliIe 01 Now 'tIlIII
~1L06010081
~~~
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.
32489 Z
Date NOVEMBER 13, 2006
permission is hereby granted to:
PRESSLER LIVING TRUST
650 GROVE DRIVE
SOUTHOLD,NY 11971
for :
ALTERATION & ADDITION TO AN EXISTING BUILDING AS APPLIED FOR.
(THIS REPLACES BP #23774-Z)
SOUTHOLD
at premises located at
56025 MAIN RD
County Tax Map No. 473889 Section 063
Block 0003
Lot No. 026
pursuant to application dated NOVEMBER 13, 2006 and approved by the
Building Inspector to expire on MAY 13, 2008.
Fee $
150.00
ORIGINAL
'tev. 5/8/02
- -
9~\\\^(I~~
~(~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802 32~ YJ
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RAE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[~IRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
~
L~ S.IT{)
J /JU\T) m S
cv~
DATE..l-~ \-0/
INSPECTOR
3L'rf7Y:-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INS ATION
FINAL
] FIRE SAFETY INSPECTION
REMARKS:
~~JA
EUc ~
I~U~ ~~M~
DATE
INSPECTOR
~) 77'f~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [] ~GH PLBG.
[ ] FOUNDATION 2ND [0-NSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & "'MNEY
REMARKS: ~-,,-,- a
/J/ ~ ~.
DATEqj7jt7 INSPECTOR ~
765.1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION 1ST
[ ] ~NDATION 2ND
~FRAMING
[ ] FIREPLACE & CHIMNEY
REMA~' {j:,~ ~/C
/
[
[ ] INSULATION
[ ] FINAL
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY ~IRE SAFETY INSPECTION
REMARKS:~ ?=Xn1\J60~3 <-rO
~ ~~ Oe- 1~~./rNfl/JM-Df
<?LtS"L\~ U)\~J ~t SLUnO~
?4L 110 B,sW\N'\
7~ L\.~rt\S 10 WD~
DATE 11- ~u -ub
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GEORGE RITCHIE LATHAM, JR.
BENNETT ORLOWSKI, JR.
WILLIAMJ.CREMERS
KENNETH L. EDWARDS
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York It971
Fax (516) 765-313$
Telephone (516) 765-Jl938
PLANNING BOARD MEMBERS
RICHARD G. WARD
Chairman
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
September 17, 1996
Edmund Pressler
350 Grove Drive
Southold, NY 11971
RE: Waiver request for
350 Grove Street, Southold
SCTM# 1000-63-3-26
Dear Mr, Pressler,
The Planning Board has granted your request for a waiver of site plan
requirements for the above referenced property,
A memorandum has been sent to the Building Department on the waiver
grant. You should apply to the Building Department for your Building
permit.
If you have any questions, or require assistance, please contact this
office.
cc: Thomas Fisher, Senior Building Inspector
U.: - 119815
F",'
FORM NO. 1
TOWN OF SOUTHOLIJ
BUILDING DEPARTMENT
TOWN HALL
SOUTJIOLD, N.Y. J 1971
mI.: 765-1802
1I0ARU OF HF.AI.TIl ..........
3 SETS OF PLANS ...........
SURVEY ......................
CHECK... ...... ................
SEPTIC FORH ...................
..
I;xm.ined....../.~).., 19.9.t-
APProved.......lo/;'-.}.., J9?~ Permit lb. .rl.!.??Y.i-:..
Disal'l'fUV"d alc ..................................
NOTIFY:
CAU, ...7.6~-;-)~;;.l... .
HAll. TO:. ~ -7tS:-.I.:;2.Q.~. ..
.......................................
........................................::2;;;: ~........
(J).'iJli;"~tor )
APPI.ICATION FOR BUILDING PERMIT
. Date?~<?P.0... ~.. ,19f:(.
INSTRUCTIONS
a. n,is application mISt be c~letely filled in hy typewriter or in ink and suI:mitted to the J).lilding Inspector wiLh
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
. h. Plot plan showing location of lot and of huildings on premises, relationship to adjoining premises or puhlic
streets or areas, and giving a detailed description of layout of property '"St be drawn on the diagr3ll which is pert of
this application.
c. n~ work covered hy this application ony not be crnm>oced before issuance of Building Permi t.
d. Upon approval of this application, the lJuildi"R Inspector ..ill issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the work.
e. lb building shall be occupied or used in Mlnle or in pert for any purpose whatever until a Certificate of
Occupancy sliJall have been granted by the Building Inspector.
APPLlCATI(lI IS IEREl1Y mE to the J).,ilding DeperlJrent for the issuance of a alilding Permit pursuant to the
Building ZoI;1e Ordinance of the Town of Southold, Suffolk (',OlJIlty, New York, and other applicable Laws, Ordinances or
Regulations~ for tbe construction of buildings, additions or alterations, or for rrnuval or denvlition, as herein
described. The applicant agrees to ~ly with all applicable laws, ordinances, building code, housing code, and
regulations, and to adnit authori?ed inspectors on premises and in buil~or necessary inspec~.
~~I.~~...
(Signature of applicant, or I1!I1Ii', if a corporation)
..............................................................
(Hailing address of applicant)
St:Jte whether applicant is eMler, lessee, agent, ardlitect, engineer, general contractor, electrician, pltl'fi>er or huilder.
/MWNcr'D
..................................~..........l"";:-............................................................................................
Nane of owner of premises .... qt?Ij:':!..~..tF..~'!1H!<!P. ..P/?~S:~~.'!:'!:........................ .....................
(as on the tax roll or latest cIeecI)
If applicant is a corporation, signature of duly authorh',ed officer.
(Nane and title of corporate officer)
c
_ "7 laQ~
V'~,\..1
Builders l.icense lb.
Plumbers License NO.
Electricians License lb. .....................
Other Trade's License lb. ....................
I. location of land on .A,ich prnpnsed work will be cIone......9.(C??:?..11.1:{"!.'..:!j}!.~j).t.$.Clv.r.HO.l.}2.........
.........................................................................................................................................
Hoose tumer Street llmilet
County Tax Hap lb. IlXXl Section .... .??(3..... mock ....3.......... lnt . .&.~... ......
Subdivision ..... .~~................ ........... Filed Hap lb. ....-:-:-:........ lot .... :-:-:-... .....
(Nane)
2. State existing use and occupancy of premises and intended lL,*, and occupancy of prnpnsed construction:
a. Existing use and occupancy ... ?Urhf-:. :'!:r!>.~i.<X. .~.~.. !!'fJ/.'r1IJ:'!!.~7r.........................
b. Intended IL,*, and occupancy .. ..~t;.'(o'}!.t.,. .~nR.e:(.. .~.~.. ~.~~~'!'!::'t'.~7!............... .........
: ,- ,.~, . '1 ~, ...'.' i
,t, v.J;" Yt/.,'[OLi
",ii',. ,,'::'''; ':'..;,..t... '"C:~\:, ,to''''
_~" t: .: L 'f:..,~1 c;.dFi~,J m~Jr
l.
Nature of: \.o\:Hk (check wfdcla nppl icalJle):
I~'I"' i ,. .;(......... llenolla 1 .............
Nt...>y Uuilding .......... Addition _......... Alle.-ation x........
Ue'llllition ............ Olher \.Jc.Hk ..................................
(llesc:ription)
II.
Estill.lled Cost I,;.'?<!>. p..............
fee
..............................................
5.
(to he paid on fil ing Ud~ appl icution)
If (\Jelling~ rUli>er of tklling '"1its _...~...... U..lIlIher of {l\-lelling \milS Oil each floor ....z.............
"J f garage, ,ulher of (:ara '" .1:14....................... ........
6.
IJ.
If' husiueBs, (:llllnet'cial or mixed oceu()Cuw::y. specify nal.lJJC iIIKI extent of eud. lype of use......................
,. _,1./",.;1.&(. -,14" (.H , dC',,,
Uillk.:nsiolls uf existing 6tructures, if allY: IIOllt...:-:.,.;.......7. Hear ....E.......... lleplh ...7./...........
lleight ..1D.?u.~.. .3.Q.!........ Ihll",< of Stodes .. :r.~~ V)..........
Dimeusions of Silre stlucture wilh alterations or additions: Front... S ~c&:.... near .s:itI:h.<....._
I\'plh .. ;$l1:><kf.fO.......... lIeiw," ..:s.thM.~......... n...I",< of Stoden .. ..~~I......
nilll~ilsions of enlhe new coostTuction: Fronl ....;$..tA4A..A... ReaT ....::r~... IlepLh .~~.....
lIei[~lt ..... $t2wF............. n...I",r of Slodes ... :f~..........
Si"" of lot: 1'r<Xlt ...f.s:..'f.'f......... Rear ...'l/..(?......... lleplh ...?':?;J..:J.1........
1~'le of I\m:hase ... /fl!?........... N""Je nf I'ur",,< ().,oe< .. .lfU'''#<~r..s:'?~ .(. .;(Ar.~..........
Zone or use district in \Adcll pn~nises are situated .. .#:8......................................................
noes proposed constnlelion violate allY zoning laws ordinance or regulation: . Alp...................
Will lot I", regn.ded ......~ll........... Will eXl:ess fill I", n"OIIed frO" pn,nises: YES Illv' .
Na,,,s of Owoer of pn.nines .~"!f.'!~).n~S:ff.~!? A<kl<ens .t!S.l?-P.~{p.~~l!~S~""T!4tf.O Phone Ib.?~,s:.;.(",~"....
I.
II.
9.
10.
II.
12.
II,.
Ntlle of Ardl i lect .................................... Address .............................. Phone lll.
I~.
rt.ne of f..()UI:TBcl"or . -............ _ _........... _..... _. Address .............................. .I1K)()e tl).
c./
ls lids pml'e<ty within]()) feet of a tidal ,,,,,tla..1'! * YICS .......... III ..........
*11' YES, !HIIIDD lU.'Il'lllllS"O'ES rnl~rr I1<\Y IVl RIll~flRlm.
l'I.0T IlIAGIIAH
J.ocate clear1y and distinctly all huildings) w:~ther existing or proposed) and indicate all set-back dineosions
frOll property lines. Give street and block ....lI.>er or description according 1:0 deed) ,and ahcu street nates and indicate
\,/hether inlerior or corner lot.
~1'I\lIl (J' ""1-/ YWK,
("'r-- t ss
mlNIY (I' ...... .:?~!'.~\ . .. . ... .
..6-;D.M~!':'.\I. .Il.fl.f>.ff.4i{?,............. ........ .Ixdllg dilly
(Noire of individu.al signing contract)
..lxJVe Il<Ilk.>tI)
h"'WtJrll, deIX)HeS noel says that he is the appl iean(
Ik, j" Ihe ........................ .~.~........ _.......................................................
(Contractur) agent) coqx)rate officer, ele.)
of Raid (J../uer or ownel~s) ancl is duly inllllorized to perforlll or have perfonrk.->tl (he said work LIIKI to lI~ke and fi Ie this
appli(:atloll; Lhat all statarenLs eonlained in this application are t.rue lo the hest of his kllowle<lgc Hid belief; aud
that the work wi II be perfomed in Ihe mallner set forth in the application fi led therewith.
~}..XJnl to hefm-e lie this
26"-..k.
...................dayof
n.,tary [\d,lic ....
i
.L..._..
.
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SUQVEYED For<..
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UniwtllOri19d altenJtion or addition
to this survey is (I violation of
~GctIO~ 7209 of the New York Stl'Ite
t:dllcC!twn Law.
~(tP~~s of this suryey mBip not baarlng
l)~f' ."m::! stlrveyor a lnkod 8eal or
Blf'b~)';~'(-l{j saRi shall not ba conskterDd
t" be ;', Velll! trU6 copy.
r;t:nr,nt?'l:' indi::.'Ilt':d hGreon chan roll
v','" T!. iM f,f.m;on forwhorn thesurvoy
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~(\r,liH:~.\,. govGrr.montal egency and
':I';:'~d,jon listed hereon and
, P'j",{J3~. Gf the lending Instl-
,,:~;tuz:; fire not tr"nsfer&bl&
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J::NlmGY CODJ:: Cll.LCULl\'J:IONS
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(~'or Non-J::lectric lIeat)
Design
criteria G,UUU Degree' Days
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SUUSYS'l'EM 1\REl\ DESIGN 'l'llJ~HMEL REMl\HKS
uU" 11J\'l'lNG
-
I':xterior Walls (OpaYlIe) 1(, g ./7 r IL
Glazing 5 ~ Cj' 4- ~.Y;;---1/-~#;~'''f;'
31- , 0.... I! '1'''''' I
,
Doors 2..0 ,'to 8
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Ceil.ing/ Hoof (opaque) ILf 7 o~ 0
.
Sky lig h ts ~
Floor
Founuation walls
Slab Insulation
'l'O'J:l\L 0
Notes:
lJuiILll.ng Envelope Systems to meet reqllil:ements of 7U15. 2
IIVl\C Equipement to meet requirements of 7015.11
lIVl\C Systems to meet requirements of 7015.r2
Duct Systems to meet requirements of 7015.1.3
Venti1.ations Systems to meet requirements of 701.5.1.4
Insulation of Piping Systems to meet requirements of 7U15.15
Service Water Heating Systems & Equi.pment to meet requirements
l>1ectr1.ca1 & Lighting Systems & Equipment to meet requirements
7'
. I .
of '/ U 15 . 21
of 7U1.5.31
'1'0 the best of my knowledge,
belief, & professional
judgement, the~e plans are i.n
compllance with the coue.