HomeMy WebLinkAbout32715-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32303
Date: 04/18/07
THIS CERTIFIES that the building ADDITION/ALTERATIONS
Location of Property: 1345
(HOUSE NO.)
County Tax Map No. 473889 Section 38
SHIPYARD LA
(STREET)
Block 1
EAST MARION
(HAMLET)
Lot 14
Subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
FEBRUARY 12, 2007 pursuant to which
Building Permit No. 32715-Z
dated
FEBRUARY 12, 2007
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 PORCH ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to DENNIS & JEAN T DELORME
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2018652
09/16/04
PLUMBERS CERTIFICATION DATED
09/30/04 RBT.VANETTEN PLUMBING
~~~'"""'"'"
Rev. 1/81
,.
Form No.6
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 witb tbe following:
A. For new building or new use:
I. Final survey of property witb accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Healtb Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swom statement from plumber certifying tbat tbe solder used in system contains less than 2/1 0 of] % 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:
] . 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. If a Certificate of Occupancy
is denied, the Building Inspector shall state the reasons tberefor 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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. ~// 7";0 7
New Construction:'/ Old or Pre-existing Building:
Location of Property: / .J tiS JJ" :1'<1 rd La ~ c
House NO. Str et
Owner or Owners of Property: ..zl-, )oJ n IJ l2- L 17 r m e-
Suffolk County Tax Map No 1000, Section fl' t7 3 Ii
(check one)
/:. .nL}li? r In,
Hamlet
Block (J'tJ 0/
Lot O/!j
Subdivision
Filed Map.
Lot:
UjJ/"ar / /
Permit No. .:;/(7/,) 7fll/n Date of Permit. .2/12 tJ 7
,
Applicant: :04 ,." ~/ hI C I, ~ v
Healtb Dept. Approval:
A/,f
Underwriters Approval:
dP'>
fJe
Planning Board Approval: k A
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
v
(check one)
"'A~.lc/;~,~
Applicant ignature
hE4J~ iliA IL /tJ
./Jf,f' ZJ.E'K/V// OE-LI7A'Ht!
/3//5 J'..t'IPl1R/.} L.4/fL'
E-1Jr;'1'+/?/I)"j/ ".y. Y 1/139"
&...u... 7) 0 16.,5
C. 0 -c3,;r3~3
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.
32715 Z
Date FEBRUARY 12, 2007
permission is hereby granted to:
DENNIS & JEAN T DELORME
1345 SHIPYARD LANE
EAST MARION,NY 11939
for :
PORCH ADDITION & ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES 30413.
1345 SHIPYARD LA
EAST MARION
at premises located at
County Tax Map No. 473889 Section 038
Block 0001
Lot No. 014
pursuant to application dated FEBRUARY 12, 2007 and approved by the
Building Inspector to expire on AUGUST 12, 2008.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
... ....... ~ 'l-7 r$
.@]
i BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ PAUL R. BURNS DENNIS & JEANE DELORME ~
~ P.O. BOX 1061 1345 SHIPYARD LA. ~
~ SOUTHOLD, NY 11971-0932, EAST MARION, NY 11939 I
~ Located at 1345 SHIPYARD LA. EAST MARION, NY 11939 ~
~ ~
~ Application Number: 2018652 Certificate Number: 2018652 ~
I Section: Block: Lot: Building Permit: BDC: ns11 I
~ Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
~ First Floor, Outside, PorchlDeck, ~
~ 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 andlor standard ~
~ 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 16th Day of September, 2004. ~
~ Name DTY Rate Ratina Circuit ~ ~
~ Appliances and Accessories ~
~ Dish Washer I 0 1.2 KW ~
~ Wiring and Devices ~
~ Outlet 8 0 Fixture ~
~ Fixture 8 0 Incandescent ~
~ Outlet 13 0 General Purpose ~
~ Receptac Ie 6 0 General Purpose ~
~ Switch 7 0 General Purpose ~
~ Paddle Fan I 0 ~
~ Receptacle 4 0 GFCl ~
~ ~
~ ~
~ ~
~ ~
~ e~ ~
~ ~
~ I cl 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. I
00.00
Town Hull, ."i30\jS M~iJl Ruad
1'.0. Box I J 79
S""lll<lld, N,',w Y il,k 11 Y71.0959
Fax {(".:\1) "76'i-t)~{12
Tt.lephonc: (ri~~ I) 7tj5-l~
BUILDING DEPARTMENT
TOWN OF 80UTHOLD
OCT - 5 ~iJu'#
CERTifICATION
"~I
--",,_.~.."
',.'"
Dllte:_$~~__~gr-.Qi-
/
Building Pennit No. _ ....~____ ~ ~.J 1$
Owner ___~_~lQ~-'^0.&_.._._____ --
(Please print)
Plumber __lR_o_b~+, V~ry8.1't--~
. ' 7yTease pnnt)
/ II
(~~
)
/
,
,
,
I certify lhalthe solder used illlhe water supply SYSll'1I1 (:l,nlains le~s thall 2/10 of 1%
!.
.:.
lead
_~Y.u-:Y~'
(Plumbers Signature)
Swam 10 before me this ._~__
dayof~____, 20Q_'l
.__.:.':.&:f2~)A J
N~tary PUbli~_COUU1Y
JANET E. srAPlES
Notary Public, StatB of Naw 'tbltl
No.4831949 Suffolk CountY c-
Commission Ejplres July 31, 211 b.::.J
u_ ___ ~_ __~~____
- ~),7f ~~
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUcnON
[ ] ROUGH PLBG.
[ ] IN~TION
[~NAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE 01/J ftJ 7
INSPECTOR
~
3'd'L \ :) -e-
~~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I~TION
[ ] FRAMING [ YfFINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
INSPECTOR
~
? ')."1 IS (Q.j\J
765.1802
BUILDING DEPT.
INSPECTION
....
'f'-
DATE
INSPECTOR
3~'J')i:!;J
765-1802
BUILDING DEPT.
, INSPECTION
I~UNDATION 1ST
[. ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARK\.:: - ~t ~.
j)Lv I..JSS'
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
o,l(
q: \ \~ hNSPECTO~ ~
DATE
13'21 \-S
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [4H PLBG.
[ ] ~NDATION 2ND [ ...nNSULATION
[vfFRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMAp, /;~6
~ O.A. er-~ c;;C~
DATE
INSPECTOR
"
.,
~y~gg
PROFESSIONAL ENGINEER
-" -,
-) ,
JUN \ 42.illlil
1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971
TEL 631-765-2954 , FAX631<i14-3516 . ..mail: joseph@fischetti.com
I
"r 1
,_~ J
Date:
Reference:
June 3, 2004
1345 Shipyard Lane / DeLorme
Southold Building Department
Main Road
Southold, NY 11971
Dear Sir,
Please be informed that an egress window made by Andersen 30410 will be installed in the
Master bedroom of the above referenc d p perty. This letter shall be an addenda to the plans submitted
for the renovation. If you have any q stions egarding this matter, please do not hesitate to call.
Ocl..orroo-lcutranwlnoow.OOc
FIELD INSPECTION REPORT DATE
~ IIID I~, o......c:..-t.
FOUNDATION (lSn
r-----------------___________________
FOUNDATION (2ND)
COMMENTS ~
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ROUGH FRAMING &
~mmING ~
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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, ADDmONAL COMMENTS
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LAND IMP, TOTAL
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER
STREET
VILLAGE
DIST.
'SUB.
LOl]
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-3
ACR.I
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TYPE OF BUILDING
FARM
DATE
300
o oV
.5- ?-8
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AGE BUILDING CONDITION
NEW
FARM
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
-illable 1
"illable 2
'illable 3
Vaadland
wamplond
rush land
FRONTAGE ON WATER
FRONTAGE ON ROAD / I) ()
'P'"
~ --= t '9-0
louse Plot
DEPTH
BULKHEAD
It..
'atal
DOCK
.
COLOR
i
i 81 Uk
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Extension /<>~:l."""': '>'1;,199;1 .:/# D ..:J9i'..t. ~ement ("vi-I-. Floors I) ,q I( K.
.
Extensj~c ..
rl ~/I.-''' I~ 2~ ' t,S""" Ext. Wolls .../1) SHIN!. . Interior Finish 5IIIETfo C I:. LR.
Extensio";;- Fire Ploce Alo Heat H0 DR.
Type Roof t"::~o.U: Rooms 1st Floor ! BR.
Porch Recreation Roon Rooms 2nd Floo FIN. B.
Porch >I~/9.- ?bJ 26" I-q. ,96rmer
Breezeway ,
Driveway
Garage /;a>/. / " 2?3 / /- " ,,273 /
Pati~ ~~If- 0'1<2-0= 100 \~ 2-S-
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O. B.
Total 1./7';' ,;
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,HE OffSETS (OR DlMENSrONIJ
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ST~:JcruREs TO iHE PIiOPEP.TY
LINES ARE fOil A Sr~{;:t;l p.J~
POSE AlHi USE AN;) T;;~p.HOjn
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. ; :~t~1 herr.nn ~~.!!U run only to tile
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',.,; j;,:';;Hitun lij:ed he/eon .
. Cerlificationii
. :,~;!:- ,.:);" ioJ ad;:1!lional insiiitutiol1i OJ
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11COR TITI.E GUAR'''''1EE COM?ANY
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RE.DATED, .9~~-8<!T.e ~ /7~.s>
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''''''u..:=ce.~JC. .--n:::;l--
MAP OF PROPERTY
.,TUAn: _ _ EA7sT .--!Y-1?R/o/V
TOWN CW _,.:?J?qJ#,;?C~
SU,","OI." COUNTY, 101:. y,
SURVETEO .-9.PR..-C /~ ~ d'
"Oft ~N~J10 ~ .JSA.t."J 'T_ t:?e':Lo~ME-
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OB No_~20--l#c~ SLJRVEY IS N~1.~o. /?E-~S-
;;3 <?_2..e.J;:NSfER!,-_8!;~; ,cJ.~TtUAVEt.2
RICHARD WILHELM
AND ASSOCIATES
LAND SURVEYORS
Center Moricha, N. Y. 11934
TeL 878-0120
.Af1~/k
';.. "\~~.IQlN"'TU..--'-'
~.' . "'::-^~;;nlill.1.NT. u. .. n....u:U.ilID
~ ,"'=Al.fl ,. = 30 ~
lOIO"'UMtWTa SHOWN THUS _ .
.TAK!:. SNOW.. THUS _'_ __ ..
.
PO
L..fI.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN J;lALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoIdf
PERMIT NO.
3'l'l lS (~
~~-.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
$/1 ,2oL
~f{'ir , 20~
.
Approved
Disapproved alc
Mail to:
Phone:
Expiration
/,,2/1 JY
, 200S-
r~
Building Inspector
r
,
I
~tI'I 28 '200'
APPLICATION FOR BUILDING PERMIT
1
G~'
,l,,__
. " .,."'r:; \
.... :',' ~ -- ;"_..---
-
Date
,20d
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 oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, 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.
l?tf'J.<;I/;t?f~DUt. E. tjlWofl/.AJfI/tEJ
. (Mailiog address of applicant) I
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
-
Name of owner of premises DE: "-) 1\)1 s q'ld St'=O A ~ \ T. Del.. La R Nt
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. ~8Lj3&' f.j.
Plumbers License No. 3oo'i'? - {)
Electricians License No. 3'iSC/ 7 C.
Other Trade's License No.
'""
I. Location of land on which proposed work will be done: tJ
/345 'Stl,P\/I],eij VI/Vb ;::f1-5T nlhf'ltJlIl
House Number I Street ' Hamlet
t.. ...
Block tyrr~'~'
Filed Map No.
.~ ~'I'- q
F4::i
~
County Tax Map No. 1000 Section
Subdivision
D38
Lot
Lot
(Name)
.,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
. . .
a. Existmg use and occupancy ,
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost l::: Q50,Ooo,-
Addition
Other Work
x
Alteration ><
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars I
(To be paid on filing this application)
Nnmber of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 5?0
Height Number of Stories I
f
Rear
J
,")~
Depth
,,2.-L! /
I
Dimensions of same structure with alterations or additions: Front ,"57" c.. Rear.
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflol: Front
Rear
Depth
10. Date of Purchase
/CN/
"--
Name of Fort.er Owner
:5n<;,v#'},(osK:: "
II. Zone or use district in which premises are situated
/LJOD
.
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X
13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_
14. Names of Owner ofpremises])Etl/III/<,'rS'EA1JT. ~i14)!~ress 13115 Si:!lfhjllf.l.Jl, C.Jf~one No. l.!.l-I-?>l",(;,
Name of Architect Address' one No
Name ofContractorJJF\1\JHoL ~.",. hhle.. Address DR,6t.."ff: AlII Phone No.
. I
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO X.
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MA Y jEQUlRED.'
b. Is this property within 300 feet of a tidal wetland? * YES_NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(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 the manner set forth in the application filed therewith.
SwomJo before me thi1,\f\ _. A-I j
~dayof j. 'C~,
~ Q...J,l<- m. u_
'-if Notary Public
LYNDA M. BOHN
NOTARY PUBLIC, State of New York
No. 01 B06020932
Oualified in Suffolk Co'!.~--.
Tern, Expires March 8, 2V<.L('
~/iJIll'i:~
. Signat of Applicant
Penn it Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
RES check Software Version 3.5 Release Ib
Data filename: Untitled.rck
TITLE: Delonne - Garage Converson
COUNTY: Suffolk
STATE: New York
HOD: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEATING TYPE: Non-Electric
DATE: 05/19/04
DATE OF PLANS: 5-6-04
PROJECT INFORMATION:
Garage conversion screened porch
COMPANY INFORMATION:
Eileen Santore
COMPLIANCE: Passes
Maximum UA = 80
Your Home UA ~ 76
5.0% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling I: Flat Ceiling or Scissor Truss 315 30.0 0.0 11
Wall I: Wood Frame, 16" O.c. 424 19.0 0.0 20
Window I: Wood Frame:Double Pane with Low-E 75 0.350 26
Door I: Solid 21 0.450 9
Floor I: All-Wood Joist/Truss:Over Unconditioned Space 315 30.0 0.0 10
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications, and er calculations submitted with this pennit application. The proposed systems have been designed to meet the
New York State En r y Conservati truction Code requirements. When a Registered Design Professional has stamped and
signed this page, th e attesting hat to th his/her knowledge, belief, and professional judgment, such plans or
specifications are in pliance wi t' Date ~JJ 1 / rYf
Builder/Designer 0