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HomeMy WebLinkAbout32240-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34276 ~te: 04/16/10 THIS U~K'rIFIES that the building COVERED PORCH ADDITION Location of Property: 2715 NASSAU POINT RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Ta~ Map NO. 473889 Section 104 Block 13 Lot 8 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 2006 purs%~qnt to which Building Permit No. 32240-Z dated JULY 26, 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ROBERT G SULLIVAN & JACQUELINE STEVE (OWNER) of the aforesaid building. S~FOI~(C~DI~qT"fDEPAR~TOF ~%L~"~APPROVAL N/A EI~-r~ICAL ~KTIFIC_AT~ NO. 3011706 06/07/07 pLiERS CERTIFICATION DA'rKo N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP.4 This application must be filled in by typeWriter or ink and submitted to the Building 13 __ TOWN OF SOUTHOLD 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 fi.om plumber certifying that the solder used in system contains less then 2/10 of 1% 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 anusual 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 dweiling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. · 2. Certifieate 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 ofOcqupancy - Residential $15.00, Commercial $15.00 ~ Old or Pre-existing B,u,uilding: House No. Street NeW Construction:. ' Location of Property: · Owneror Owners of Property: ~-~t~ ~",,e~ ~ OJ~..~C j t,/,~-/[2 Suffolk County Tax Map No 1000, Section BlOCk Date· (check one) Hamlet Lot Subdivision permit No. 3~Z40 Date of Permit. Health Dept. Approval: Planning Board Approval: Filed Map. Lot: Applicant: ]/~,~ Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: · (check one) 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 STRYKER ELECTRIC ROBERT SULLIVAN 4 OAK LANE 2715 NASSAU POINT RD BETHPAGE, NY 11714-6012, CUTCHOGUE, NY 11935 Located at 2715 NASSAU POINT RD CUTCHOGUE, NY 11935 Application Number: 3011706 Certificate Number~3011706 Section: 104 Block: 0013 Lot: 008 Building Per BDC: ns11 Described as a occupancy, wherein the'premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Detached Garage, Outside, Attic, 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 I~romulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority h~ving jurisdiction, and found to be in compliance therewith on the 7th Day of June, 2007. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide Sensor 8 0 Smoke Appliances and Accessories Oven 1 0 I 0 KW Dish Washer 1 0 1.2 KW Exhaust Fan 1 0 F.H.P. Furnace 1 0 Gas Air Conditioner 1 0 36.000 BTU Air Conditioner 2 0 48.000 BTU Wiring and Devices Receptacle 40 0 General Purpose Switch 25 0 General Purpose Fixture 54 0 Incandescent Fixture 17 0 Flourescent Receptacle 2 0 20a Dimmers 9 0 600w seal Disconnect 3 0 60a Air Conditioner Continued on Next Page 1 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. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STRE~-I ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by STRYKER ELECTRIC ROBERT SULLIVAN 4 OAK LANE, 2715 NASSAU POINT RD BETHPAGE, NY 11714-6012, CUTCHOGUE, NY 11935 2715 NASSAU POINT RD CUTCHOGUE, NY 11935 Located at Application Number: 3011706 Certificate Number: 3011706 Section: 104 Block: 0013 Lot: 008 Building Permit:32345 BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Detached Garage, Outside, Attic, ~ ~.~ ~.~ V 0 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 other authority having jurisdiction, and found to be in compliance therewith on the 7th Day of June,:2007. Name QTY Rate Ratine Circuit Type Paddle Fan I 0 4 0 GFCI Receptacle 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. 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. 32240 Z Date JULY 26, 2006 Permission is hereby granted to: ROBERT G SULLIVAN 118 HAMPTON RD GARDEN CITY,NY 11530 for : ~HDDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR REPLACES BP# 30150 at premises located at County Tax Map No. 473889 Section 104 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 150.00 2715 NASSAU POINT RD CUTCHOGUE Block 0013 Lot No. 008 25, 2006 and approved by the 26, 2008. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ]FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING / STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE FIELD INSPECTION REPORT FOUNDATION (1ST) ROUGH ~G & PL~G STA~ ENERGY CODE F~ ~D~ON~ COUNTS TOWN OF SOUTHOLD BUILDING DEPA'ilTMENT TOWN HALL~ SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration ,20 ,20 PERMIT NO. ~© I ~ -~ Building~tnspecto~6I~~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mailto: /~o-/~C ..J-c.L/~ Phone:73 '/- '-/[ ~ ~ ,200 ~ 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 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 Inspecto/will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the~cork. 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 fi.om 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. 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) /3oK c733 ~_~ol-c.~os~.- ,~,~' //9~o'-- (Mailing address of applicant) is owner, lessee,~, ~gineer, general contractor, electrician, plumber or builder State whether applicant Name of owner of premises /~o~e~n -r ,..~///~ c... "3 (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location o~f land on which proposed~ork will be done: House Number Street Hamlet County Tax Map No. 1000 Section / ~ ~/ Block / ~ Subdivision Filed Map No. (Name) Lot 0 ~' Lot State existing use and occupancy of premises and in[ended use and occupancy of proposed constmc¢on: a. Existing use and occupancy ~q~'~ ,~ ~ '[2 ~ ~., ,./7. /'Z~ ~ i d~ c~_ b. Intended use and occupancy ,~'i.o30.... (~c..~,..-,;/~ /'l.e.,~[dz,q Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ,5~c_ .~ /~ ~.e~r .Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height 9. Size of lot: Front 10. Date of Purchase Number of Stories Rear Name of Former Owner Rear Depth Depth 11. Zone or use district in which premises are situated /~ ''/O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO__ 13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES __ NO 14. NamesofOwnerofpremises //ora~ J'~//'~.d2ress rco c.~,-~- PhoneNo. NameofArchitect/TI_r~/L ,~'c]~,~o.~-x, Address/3,,~ 9.33 Phone No 'O 3 Y- :r/ J> x~'- Name of Contractor Address ¢ '~ ~* ~' ~ ~- Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES * 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 ) -//~J/'~'~ ~/7t~/,~7~ f---,~ being duly sworn, deposes and says that (s)he is the applicant (Nam~ o~indiv~-dual signing cont~act)'above named, (S)He is the (Contractorf~olporate 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. Sworn to before me this ] C~ f'~ day of ~ 20 _0 ~ JOYCE M. WILKINS Notary Public, State of Now York No. 4952246, Suffolk County Term Excires June t2, ~rO0~ ~.~.,~: Mark K. Schwartz, AIA -Architect, PLLC P.O. B~x 933 Cutchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734- 4185 October 14, 2004 Southold Town Building Depatiaient Main Road Southold, New York 11971 Re: Sullivan House Nassau Point Road Cutchogue, New York Building Permit #~111~1~ To Whom This May Concern: I have inspected the poured footing, foundation, framing and strapping during the construction phase of the Porch addition. The construction has been completed as per plans and meets the NYS code requirements. Please call this office if you have any questions or require additional information. Very truly yours, Mark Schwartz SullivanCofO.doc Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF 8OUTItOLD July 29,2008 Mr. R. Sullivan 118 Hampton Rd. Garden City N.Y. 11530 To Whom It May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~An application for Ccntificate of Occupancy is not on file. (Enclosed) No Electrical Certificate on file. ~e Check is not 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) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval. B.P.# 32240 Porch Addition OWNER FORMER OWNER STREW' 9----//.5' S VI LLAGE W '~ (~DISTRICT I ~,,,/SUB' ~A/C~RF-AGE .7 ~ 0 TYPE OF BuIEDING LOT ~/~ RES. LAND IMP. Farm Tillobl~,~,,.o Tillable 2 Tillable, 3 Woodland ' Swampland Bru~r~ House Plot Torn I VL. TOTAL FARM BL JLDING C.,ONDITIO BELOW Value.Per Ac re~/ DATE ' r Bldg. 3 ~ A' ~ : /..To (9 I ~,O'~O ~ ~ / Foundation ~ ~ Bath ~tensi~ r ~ I ~'~ , interior Finish (~sion ~ ~ ~/~ ~o, ) Fire Place V~ ¢ He~ ,~ ,/~/~: /~ ~-~ ~' /~// Porch Affic IL , '~z~ ~ ~7_ .~ ,~ ~) ~/ Porch Rooms 1st Flor ~ / 0 Patio R~ms 2nd Flor ~e Driveway ~ L ~ , ~ H ?~ ~ b ~.",~ 0~ SURVE'K OF LOT I0 "Amended Hap A, Nc~ssou Polnf." Flied Aucju~f, I~, Iq2..2., Hap No. 1,5~ 51TUATE, NASSAU POINT TOINN, .50U'I'HOL g .St,'rT', OLK ¢_X2~INT~, N'K 5URVE'r'EI2 I0-13-02 c-.AJFFOLK. COUNT'r' TAX ~. I000-104-1~,-8~ ROBERT O. NOTES: · HONUHENT FOUND o PIPE FOUND ELEVATIONS REFERENOE N~VD'2q FEHA FLOOD ZONES REFERENCE FIRH HAP No. ~10,~C0164 ~ HAY 4, Iqq¢ AREA = ~O~24 ~F or O7/I ocr~5 ®P. APHIO SCALE I"= ~O' 5tt.69'=' ?l(o?o $~ FO~¢H ~-O~F "FLoor<" N JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\~-Ip servcrk~PROS\02-293a.pro TYPICAL COVERED PORCH N.T.S. ALT. HEADER GIRDER CONNECTIONS: UPLIFT CONNECTIONS FOR: JOISTS-TO-GIRDER I HEA~)ER D, ECK CONNECTIOt, MIN. 8ct NAIL~ 5PAN CAP.AC. ITT REQUIRED 12' 42'I lbs, 4 20' G2G, lbs, 24' 'T2G lbs. 3,2' ~j2-i lb6. USE THE FOLLOWING USP BRAND OR APPROVED EQUAL GALVINIZED METAL CONNECTORS WITH THE RECOMENDED FASTNERs AND iNSTALLATION BY MANUFACTURE. PRODUCT NUMBER DESCRIPTION UPLIFT GALV. MINIMUM bs, FASTNER REQUIRED PBS44 4x4 POST CAP 1815 POST: (12) 16d COM NAIL BEAM: (12) 16drC .OM. NAIL PBSE4, 4x4 POST: (8) 16d COM. NAIL END POST CAP 1430 BEAM: (8) 16d COM. NAiL KC44 4x4 COLUMN CAP 3265 BEAM/GIRDER: (2) 5/8' BOLTS POST/COLUMN (2) 5/8' DIA BOLTS PAU4, 4x4 FOOTING/PIER: 5/8"x7" ANCHOR BOLT POSTANCHOF; 2240 POST/GIRDER: (12) 16d COMMON NAILS CBE44 4x4 WET POST ANCHOR COLUMN BASE 3585 POST/GIRDER: (2) 1/2" DIA. BOLTS KCB44 4x4 WET POST ANCHOR COLUMN BASE 5650 POST/GIRDER: (2) 5/8" DiA. BOLTS 6x6 POST: (12) 16d COM. NAIL PBS66 POST CAP 1815 BEAM: (12) 16d COM. NAIL PBSE66 6x6 POST: (8) 16d COM. NAIL END POST CAP 1,430 BEAM: (8) 16d COM. NAIL KCC66 6x6 BEAM/GIRDER: (2) 5/8' BOLTs COLUMN CAP 5225 POST/COLUMN: (4) 5/8" DIA. BOLTS PAU66 6x6 POST ANCHOR 2350 FOOTING/PIER: 5/8"x7" ANCHOR BOLT POST/GIRDER: (12) 16d COMMON NAILS CBE66 6x6 WET POST ANCHOR COLUMN BASE 3570 POST/GIRDER: (2) 1/2" DIA. BOLTS KCB66 6x6 WET POST ANCHOR COLUMN BASE 5640 POST/GIRDER: (2) 5/8" DIA. BOLTS RTl0 I'Y-DOWN JOIST: (6)8d COMMON NAILS ANCHOR 585 HEADER/GIRDER: (6) 8d COMMON NAILS RT20 TY-DOWN JOIST: (9) 10x1-1/2 NAILS ANCHOR 1105 HEADER/GIRDER: (4) 10d COMMON NAILS INSTALLATION NOTES: 1 ). ALL POSTS TO BE ANCHORED TO FOOTING OR PIER WITH POST ANCHOR 2). HEADER & GIRDER CONNECTIONS TO BE ATTACHED TO EACH PoST WITH POST CAP 3). EACH JOIST TO BE ANCHORED TO GIRDER OR HEADER WITH TY-DOWN STRAPs. JOIST HANGERS TO BE ATTACHED TO A PT LEDGER BOARD THAT IS TO BE BOLTED TO BLDG. 4). EACH CEILING JOIST TO BE ANCHORED TO GIRDER OR HEADER WITH TY-DOWN STRAPS. JOIST HANGERS TO BE ATTACHED TO A LEDGER BOARD THAT IS TO BE BOLTED TO BLDG. 5).EACH RAFTER TO BE ANCHORED TO GIRDER OR HEADER WITH TY-DOWN STRAPS. SLOPE JOIST HANGERS TO BE ATTACHED TO A LEDGER BOARD THAT IS TO BE BOLTED TO BLDG. EXISTINm~ OIL TANK, IN ~ROUND TO P OPO E PO C,H/t=RONT ]ELEVATION SOALE~ Y4": PROPOSEO COVEREO PORCH ~/SHEO RO0~= oVER ND^I BRICKED SLAB TO EXISTIN~ BRIC, K ENTRY NE~ OOLUNIN TO SUPPORT SHED ROOF BRIC, KED SLAB RAIL UNDERWRITER$CERTIFICATE REQUIRED COMPLY WITH ALL C'ODES OF NEW YORK STATE & TOWN CODES AS REQL :tED AND CONDITIONS OF ,,SOUTHOLDTOWNZBA SOUTHOLDTOWNPLANNINGBOARD SOUTHOLDTOWNTRUSTEB ~N.Y.S. DEC RETAIN STORM WATER RUNOFF PURSUANT TO SECTION 45-10C OF THE TOWN CODE. OCCUPANCYOR USEIS UNLAWFUL WITHOUTCERT!FICATE OFOCCUPANCY ALL CONSTnl ,eTON qHALL MEET THE REQUIREMENTS OF THE[ CODES OF NEW YORK 8TATE.~ FLOOD DAMAGE PREVENTION SOUTHOLD TOWN CODE, CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. ROOF: OONST. ASPHALT SHINGLES OVER 15~ BLOb PAPER IOE/PJ, ETHER SHIELD ON )/2"DBX R.R. @ [,~" O.D. ~/ APPROVED ~AFTE~ TO HEA~E~ TO POST HUrrICANE OLIP (SEE DETAILS). EXISTIN~ 2"XS"O.J.@ h 4"X4" (AGd~) POST POST ANOHOR(SEE 5" P.E. HALL !d/~5 REBAR INTO SLAB ON 8"Xl~" PL. FOOTIN¢ 4" P.O, SLAB ~/8"X~" IO /IO K4.H.t'.4. ON cOHPAOTED SOIL 12" LIFT TO ~5° EXISTIN~ BO.R. ~'5 REBAR PINED TO EXIST. FND. EXISTIN~ BASEMENT SEOTION A-A SCALE= ,V4" = I'-O" EXISTIN® BRIOK--J'' ON SLAB EXISTIN® ~ OOLU~NS EXISTIN~ ENTRY PORCH FLOO PLAN SOALE, ?4" = I'-O'1 BRICF-,E~ SLAB TO HATOH EXISTIN~ BRIO'C. ENTRY' ! - NEH OOLUMN TO RAIL REVISIONS: I < N--~ ~n -- <~ ~ x~ < O~A~N: JOHN 5GALE, I/4"=1'-0" JOB ~: ~4 OATE= I~/~0/0~ SHEET NUMBE~: