Loading...
HomeMy WebLinkAbout34642-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34520 ~te: 08/25/10 THIS CERTIFIES that the building IN GROUND SWIMMING POOL Location of Property: 745 GAGENS LANDING RD SOUTHOLD (HOUSE NO.) (STREET) Tax Map No. 473889 Section 70 Block 10 Lot 32 Subdivision Filed Map No. Lot No. (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 2009 pursuant to which Building Pezmit No. 34642-Z dated APRIL 30, 2009 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 ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to VINCENT C & DONNA A DALEY ( OWNER ) of the aforesaid building. SUFFOLK COD1TI'Y DEPART~T OF HEALTH APPRO%L~L N/A ~.RcJrKICAL CERTIFICATE NO. 28816C 06/26/91 PL~I~I~ C~gRTIFIC~TIONDA-r~a~ N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34642 Z Date APRIL 30, 2009 Permission is hereby granted to: VINCENT C & DONNA A DALEY 9 HARBORSIDE COURT EAST PATCHOGUE,NY 11772 for : INSTALLATION OF INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 745 GAGENS LANDING RD County Tax Map No. 473889 Section 070 Block purs-~nt to application dated APRIL 24, 2009 Building Inspector to expire on OCTOBER 30, SOUTHOLD 0010 Lot No. 032 and approved by the 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP This application must be filled in by typewriter or ink and submitted to the Building 12 A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). ~ Approval of electrical installation fi.om Board of Fire Undenvriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 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" laud uses: 1. Accurate survey ~f pr~perty sh~wing a~ pr~perty ~ines~ stre~ts~ building and unusua] natura~ ~r t~pographic features. 2. A proper!y completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, thc 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 $25.0C, 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 $15.0C, Commercial $15.00 New Construction: Old or Pre-existing Building: ~ (check one) Location of Property: '-7,4&~ ~(~/'~-") J.~r~ [1~ t~ '~CQC:) House No. ' ~ Str~ OwnerorOwnemofPropeny:~t~(~C *V'~G~c ~ '~Je7 SuffolkCo~WTaMap No 1000, S~tion~Bq Block ~, -- Subdivision permit No. Health Dept. Approval: Hamlet lo-3& Filed Map. Lot: Date of Permit. ~F} ~P.z/~(~ Applicant: ''~[fi~}(2~t Xil~,c?~F~_' q~J~;'~} ~ Unde~fite~ Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~'. (~0 Final Certificate: 'X (check one) ApPlicant Signature issue Date 6/26/2009 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 128816C East Patchogue, NewYork 11772 (631) 286-6642 Issued To: Street: Village: Vincent Daley 745 Gagens Landing Road Southoid Section: Block: Contractor: US! Electric (L) Zip: Lot: 11971 Town: Southold Lic.# 2740-E Was examined and found to be in compliance with the National Electrical Code. [] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement [] HotTub [] Residential [] DeL Garage [] Attic [] 2nd Floor [] Outdoor~ [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi / Television CO Detector Bldg. Permit: 34642 Other Equipment 1-Raintight Subpanel/1-Time ClockJ 2-20 amp 3ec. outlets Hugo St Surdi President Rough,~spe~on: -- Inspector: J6hn McMahon III This certificate must not be altered in any manner. Inspectom may be identified by their credentials. TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ,._~AL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RE$1$T/~ ~~ [ ] RRE RESISTANT Iff. N ~Ell~TION REMARKS: ~d~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ [ ] FRAMING / STRAPPING [~'J~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARK:: ~ ~-~'~ DATE INSPECTOR_~~ FOUNDATION (2ND) ._~ ~ ROUGH FRAMING & ~ PLYING .~ STATE ENER~ CODE ~ ~DITION~ CO~ENTS ~' TOWN OF SOUTHOLD BUILDING DI~, PAttTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined [ /~ ,20~i] Disapproved a/c PERMIT NO. 2009 APR 2.4 BLDG. DEP[ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Platming Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Phone: Building Inspector ACATION FOR BUILDING PERMIT Date INSTRUCTIONS :ely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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. 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 ali applicable laws, ordinances, building code, housing code, and~gulations, and to admit authorized inspectors on premises and in building for necessary inspections. /~ (Signature ol-fipplicant or ~tne, ifa co,oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofownerofpremises V\iA0~/r o~ ,~0~n3 (As on the tax rollbr If applicant is a corporation, signature of duly authorized officer latest deed) (Name and title of corporate officer) Builders License No. 44 J b Plumbers License No. Electricians License No. oq'740 Other Trade's License No. L o ~._~;n_ of land on which~.~/~og~proposed ?orkjp~tl )/ff~)will beKodone: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet 32. State existing use and occupancy of premises and intended use and occupancy of proposed constmc'tion: a. Existing use and occupancy b. Intended use and occupancy Nature of work (Check which applicable): New Building Repair Removal Demolition Estimated Cost~ \q,O00 - 5. If dwelling, number of dwelling units If garage, number of ca'rs Fee Addition Alteration Other Work ~'Nc~a0~ V~c ~,,nr~,~ (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 _Depth ~O' Rear 5© Rear 5 5 Height Number of Stories I ,. Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories 8. Dimensions of entire new construction: Front i~> n $ 5' 19ox. Rear Depth Height Number of Stories ~ .... 9. Size of lot: Front i ~ ~, ff~ Rear I ~ I, qfi' Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NQx// 13. Will lot be re-graded? YES__ NO ~// Will excess fill be removed from premises? YES ,/ NO__ 14. Names of Owner of premises ~/~tl~t ¢ ~Oa~, [~tee~ Address qqg ~eaz /.4~ go Phone No. oq 76-- b 795~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 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 MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES __ NO x/ * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO v/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~_.~ ~, ~.Oh/,+~'as 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 tree 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. Swom to before me this/I O9~~° dayof ~ I Nota~ Public' 2ovq MARGARET A. KIDNEY · -~'~"~! P~ ~',ale of New York No. OIKI60')III I Qualified in Suffolk Counly My Commission Expires March 8, 201_.[_ Town of S?uthold Erosion, Sedimentation & Storm Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 10oo 10 i0 ~Z District Section Block Lot STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (,~) for each Question is Required for a Complete Application) Yes No 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? ~/~ J J (This item will include all run-off created by site clearing and/or construction activities as well as all Site -- Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? ~ F-1 This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterF~ow! -- 3 Will this Project Require any Land Filling, Grading or Excavation where thero is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to F'~ One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off F'~ into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material. Removal of Vegetation and/or the Construction of r~ any Item Within the Town Right-of-Way or Road Shoulder Area? 1~1 -- (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within lhe One Hundred (100) Year Floodplain of any Watercourse? F---] ./ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and ~lust be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Does this project meet the minimum slandards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl Yes No STATE OF NEW YORK, / That I ................ ~...O..,..~O~().~ ................... I,emg dub, sworn, delx ses mM says ~at he/she is d,e apphcm,t R~r Pem~it, (Name oI indMdual s[gnlng Documenl) And that be/she is Ibc .................................... ~~.: .................................................................................................. (Owner Contractor, Agenl, Co~orate Officer, etc) Owne~ and/or rel)~esvntadve of die ()wiley Of OWIIeI"S, and is duly audmrized Lo peri,tm or have perlormed d~e said work a~d to m~e ~d file flus application; ~at MI smtemcnU con.ned in Ods application are ~e to tim best of bis ~mwledge mM belief; ~d fl~at tim work ~511 he perfbrmed in Ihe manne~ set foi'fl~ in tim applicafioi~ filed hereusfl~, Sworn to belbre me this; .............. .................... d,,>, ........................... ' ...............: ............. A. KIDNEY .......... , ~ u~. ..... : ................................ FORM - 06/07 Qualifi~ in Suffolk Coun~ My C~mi~ E~ims Mamh 8. ~ TOWN OF SOUTHOLD PROPERTY RE¢:ORD CARD VILLAGE! SUB. STREET DIST.I LOT Total Bru~land House Plot Swampland Woodland Tillable 3 NORMAL FARM Acre Value Per Value Acre Tillable Tillable 2 /~'~1 L ~/ ,~.~ ~ ,~'~/,~ ~. ~ ,;v ,~ eCl- ? 't ~-I -P~ ~h~o ~ lc BUILDING CONDITION -7 . ~'~ ~'5 * / ~ BELOW ABOVE/ / / FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK AGE ~ER O)/vNEI~'.t~/c:~ Vl~41. ,. .~ -,- W ~ ~ OF BUILDING RES. ~/0 ~S. ' VL..' . FARM COMM. ~. MISC. Mk,. Value ~ND IMP. I TOTAL DATE REMARKS M. Bm~j. ~17 ~(~ C> = Extension i Extension Extension Porch Porch Breezeway Garage ITPail° Ko. B. COLOR /,,/W ~ 't'Z'~ TRIM /~H r'r ~ Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room ,ormer Driveway Both Floors Interior Finish Heat Rooms !st Floor Rooms 2nd Floor ACORD. CERTIFICATE OF LIABILITY INSURANCE 0P,D A~TtF3-1 01/14/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bagatta Associates, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 823 W Jericho Turnpike Ste lA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Smithtow~ NY 11787 Phone: 631-864-1111 Fax: 631-864-8274 INSU R ERS AFFORDING COVERAGE NAIC# Contracting Co Inc DBA Asthur 929 Route 25A Miller Place NY 11764 COVERAGES LTR RI TYPE OF INSURANCE POLICY NUMBER DATE [MMmD~{) DATE (MM~D DfYY) LIM~$ GENERAL LIABILITY EAC~ OCCIJRRENCE $ 1000000 A I X COMMEECIAL GENERAL LIABILITY MPABG0912 01/01/09 01/01/10 IPREMISESU~M~: ,u~:,~,:u(Ea 0ccur~nc~) ~ 100000 IPERSONAL&~VINJURY $ [000000 ~ ~ ~D~[O~ GENE~LAGGREGATE $ 2000000 GEN'L~GRE~LIMIT~PLIESPER PRODUCTS COMPIOPAGG $ ~000000 - CERTIFICATE HOLDER CANCELLATION Town of Southold Town Hall P.O. Box 728 Southold NY 19971 0000000 SHOULD ANY OF THE A~OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA~ON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15DAYS WR~EN NOTICE TO THE CER~FICATE HOLDER NAMED TO THE LEFT~ BUT F~LURE TO DO SO $~ALL IMPOSE NO OBLIGA~ON OR LIAB~LFTY OF ANY KIND UPON THE INSURER, ~S AGENTS OR REPRESENTATWE$. ACORD 25 (2001108) © ACORD CORPORATION 1988 This certificate is an original. State of New York Worker's Compensation Board CERTIFICATE OF PARTICIPATION IN WORKER'S COMPENSATION GROUP SELF INSURANCE la. Legal Name and Address of Business Participating In Group Self-Insurance (Use Street Address Only) Arthur J. Edwards Mason Contractor, Inc. DBA: Arthur Edwards Pool & Spa Centre 929 Route 25 A Miller Place, NY 11764 lb. Effective Date of Membership in the Group 4/24/2002 Issue Date 6/10/2008 6/9/2009 Expiration Date (631) 744-7185 le. NYS Unemployment Insurance Employer Registrafion Number of Business Registered in Box "la". 24108715 lf. Federal Employer Identification Number of Business Referenced in Box lc. The Proprietor, Partners, or Executive Officers are ] Included. (Only check if all partners / officers ininded. ] Ali excinded or certain partners / officers excinded. 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as Certificate Holder). Town of Southold Town Hall PO Box 728 Southold, New York 11971 111277925 S. Name and Address of Group Self Insurer. SpeciaITrades, Contra~ing And Con~ru~ion Tmst 6250 South Bay Road Syracuse, NY 13039 Policy:W521504 This certifies that the business referenced above in box "la" is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law as a participating member of the Group Self-Insurer listed above in box "3" and Participation in such group self-insurance is still in force. The Group Self-Insurer's Administrator will send this Certificate of Participation to the entity listed above as the certificate holder in box "2". The Group Self-insurer's Administrator will notify the above certificate holder within 10 days IF the membership of the Participant listed in box TM la" is terminated. (These notices may be sent by regular mail.) Othetwvise, this Certificate is valid for a maximum of one year from the date certified by the group self-insurer.'. If this certificate is no longer valid according to the above guidelines and the business referenced in box "Ia" continues to be named on a permit, license or contract issued by the certificate holder, the business must provide the certificate holder either with a new certificate or other authorized proof the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative of the ~roup Self-insurer referenced above and that the business referenced in box "la" has the coverage as depicted on this form. Certified By: Certified By: Title: David F.rancey Telephone Number: (315} 699-8475 GSI-105.2 (2-02) Worker's Compensation Law Worker's Compensation Law Section 57 Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carder is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing heroin, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. pl,ase Iqote:This Certificate is valid only through the policy dates indicated above, OR a maximum of one year after this form is approved by the authorized representatives of the Group Self-insurer. At the expiration of those dates, if the business continues to be named on a permit or contract issued by the above government entity, the business must provide that government entity with a new Certificate. The business must also provide a new Certificate upon notice of cancellation or change in status of the policy. GSI-105.2 (2~02) Reverse Suffolk Coun~ ExecUtive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 7/1/78 No. 4436-H SUFFOLK COUNTY _l-ton ~ e .hnpro vem en t Contractor License This is to certify that ARTHUR J EDWARDS doing business as ARTHUR EDWARDS MASON CONT1LkCTING INC b~aving fimgd~cd ibe recp. fi2'cmenls~ se[ forth in accordance with and subject to the provisions of applicable laws, DiICS ~. ~, .., _c. ,.. . · and t :g~_dat~ons c~ &c Coun,7 of Stlffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. This certifies bearer is duly li(amsed by the County of Suffolk SUFFOLK COUNTY EXECUTIVE'S OFF~:;E OF CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR LICENSE ARTHUR J EDWARDS 4436-H /1978 m~,~ ~ 07~1/2010 Additional Businesses Director ~. _, ~ur .-u. ~ , "IMMEDIATE[ ,~', ENCLOgE P~L TO C~E UPON C~PLETIC APPROVED AS ~O~E~E~ "WATER ! rB ~ .(~ I ~ , ~i,,, I ~ [B FOLLOWING INSPEG'~ ONS: 1. FO~N~AT~0~ - Tv"ro a~au~la~ * FOR POLJ~EO CONCRETE 3, iNSULATI~J ~ ,~ 4. FINAL ~~UST ALL ~N~TION SHALL M~E R~UIREMENTS OF~E O~DES OF ~'t.' ~ y~ ~T ~SIBLE FOR RETAINSTOR DESIGN OR CONSTRUCTION ERRORS. ~¢~UANT Section A-A Typical Wall 1~'~' 1~' ~' 1~' 1t' ~' t' ~' ~' ~ ~,~ ~ Rou[e ~',~' ~o' ~' ~o' ~' ~' ~' ~' ~' ~ ~,~ (6~t) 7~-?~ ~ (oa~)~-o~