HomeMy WebLinkAbout38666-Z pt Town of Southold Annex 6/19/2014
" P.O. Box 1179
54375 Main Road
��� Southold,New York 11971
'Q{J1'/.ti1X
CERTIFICATE OF OCCUPANCY
No: 36980 Date: 6/18/2014
THIS CERTIFIES that the building COMMERCIAL ALTERATION
Location of Property: 55 Skunk Ln, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 85.-3-2.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/10/2014 pursuant to which Building Permit No. 38666 dated 2/10/2014
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:
alterations to an existing retail store as applied for.
The certificate is issued to Skunk and Main LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 8666 6/16/14
PLUMBERS CERTIFICATION DATED
Autliorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 38666 Date: 2/10/2014
Permission is hereby granted to:
Byer, Phyllis
55 Skunk Ln
PO BOX 1161
Cutchogue, NY 11935
To: Alterations to an existinig retail store as applied for.
At premises located at:
55 Skunk Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 85.-3-2.1
Pursuant to application dated 1/10/2014 and approved by the Building Inspector.
To expire on 8/12/2015.
Fees:
COMMERCIAL ADDITION/ALTERATION $250.00
CO -COMMERCIAL $50.00
Total: $300.00
Bui ding Inspector
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 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 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: Is C5 � N10- C "J
House No. StreetI a let
Owner or Owners of Property: S►C,,V„( )fe_ -1— LL
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision c� Filed Map. Lot:
Permit No. O (p�p Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
SO(/ryol
Town Hall Annex O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roger.richert(C�town.Southold.ny.us
Southold,NY 11971-0959
N%
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Byer
Address: 55 Skunk Ln City: Cutchogue St: NY Zip: 11935
Building Permit#: 38666 Section: 85 Block: 3 Lot: 2.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Big Blue Electric License No: 35348-me
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only
Commerical X Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt 22 Ceiling Fixtures 5 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 6 Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 6 CO Detectors
Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 15 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 200a overhead service, 20 ft lighting track, 2-combination EXIT/EMERGENCY li h
Notes:
Inspector Signature: Date: June 16 2014
81-Cert Electrical Compliance Form.xls
OF SOUjyo{o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ) FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE 11 INSPECTOR
TOWN OF SOUTNOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOU ATION 1ST [ ] ROUGH PLBG.
ON 2ND [ ] INSULATION
RAMING/ TRAPPING [ ] FINAL
[ ] F CE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ j FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE � r INSPECTOR
3 FL s
TOWN OF SOUTNOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] jiOUGH PLBG.
[ ] FOUNDATION 2ND [y�INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
off\
DATE -n INSPECTOR
T
pF SOUI�OIo
U4
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ CAULKING
REMARKS:
DATE �� INSPECTOR
7 _ _
pF SO(/lyo� �G
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING FINAL
[ ] FIREPLACE A CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
-
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(� 0,PLp ®rt/
DATE _ -7- �l INSPECTOR
ROUGH FRAbMq
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INJUIATIONPERN.Y.
STATE ENERGY • r
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ADDITIONAL COMNMNTS
410' WN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 /J" Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
42/ Flood Permit
Examined 120 Storm-Water Assessment Form
Contact:
Approved 20 1 Lf Mail to:
Disapproved a/c
Phone:
Expiration Z— 201,
U °) B ng Insp cto
PPLICATION FOR BUILDING PERMIT
10 20
Date r , 20
L:�L! hi; G INSTRUCTIONS
application MUST be completely 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 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)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
z ..
Name of owner of premise^
(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.
I. Location of land on which proposed work will be done: `
C'v �� v-(
20(Z-C-1 1
House Number Street Hamlet
County Tax Map No. 1000 Section �S �� Block 3 Lot '
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy C
3. Nature of work(check which applicable): New Building Addition Alteration
Repair ?C Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories #
or
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear 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 NO N iCtG NSCC
13. Will lot be re-graded? YES NOS Will excess fill be removed from premises? YES NO �- !
,�
14. Names of Owner of premises �C�,���ne Address Phone No. 6^7y Z
Name of Architect J \ -., `�D Po�- NCo>K Address Phone No, Zq 5s —7 1 1 1,
Name of Contractor Address Phone No..:::� �—7 —ca
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 NO pr
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines. .-
SO
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
* IF YES, PROVIDE A COPY.
CONNNE D.BUNCH
Notary Pubft,State of Now York
STATE OF NEW YORK) No.01OU61SMSS: otaTM in&Mdk {,
COUNTY OF ) CommMlon� l���''r"
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.
Sworn to before me
81r!h' day o 61JL1JL 20
Notary Public Signature of Applicant
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy C
3. Nature of work(check which applicable): New Building Addition Alteration
Repair ?C Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units op,each floor
If garage, number of cars
6. If business, commercial or mixed occupancy; specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
V I it NMI
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear 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 NO
13. Will lot be re-graded? YES NO� Will excess fill be removed from premises? YES NO t��c4"t"-�f�.l
CC..��-lc ���0)
14. Names of Owner of premises 1<<-des ��e�e S SQ address Phone No. "7 (6-7 - y V Z
Name of Architect J 1:�)ep�- N(-o>)c. Address. Phone No 2q 5 —7 1 1 1�,
Name of Contractor' 1-�\c :1L J)c Address Phone No. ,-7 -- 1 2
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. PERMITSMAY BE REQUIRED.
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.
18. Are there any covenants and restrictions with respect-to this property? * YES NO
* IF YES, PROVIDE A COPY. C4NfVlE p,BIJNCH
STATE OF NEW YORK) Notaryi ,Bh ft of Now York
S S: Cm~in SulMCeunly C3)
COUNTY OF ) Cornmi Worn Emfti AO 14,2211.
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,anq, s 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-
day oft OJVkAAM 20 ,14
Notary Public Signature of Applicant
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. R 46 Check
Septic Form
N.Y.S.D.E.C..
Trustees
Flood Permit
Examined ,20 Storm-Water Assessment Form
Contact:
Approved b,20 Mail to:
Disapproved a/c
Phone:
Expiration_ Z--- 201
E ; eMUST
B ng Insp ctoPPLIGATION FOR BUILDING PERMIT
Date. 201
INSTRUCTIONS
TOWNappmpletely 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 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)
LL
ailing address of applicant)
State whether applicant is owner, lessee, agent,architect, engineer,general contractor, electrician, plumber or builder
H014UG .C1 BMW)*
I"y woN in Ahs ,,� !Q 4 tr 1d
�ereusro.oil
Name of owne `rv- �2 2
(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 of land on which proposed work will be done:
v-(
House Number Street Hamlet
County Tax Map No. 1000 Sections Block Lot
Subdivision Filed Map No. Lot
Town Hall Annex Telephone(631)765-1802
54375 Main Road N �rc(631)765- 50F
P.O.Box 1179 G e ro er.richert n.sout�iod.n .us
Southold,NY 11971-0959 ' • YO
�VUIN Y,
/ BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FORE
ELECTRICAL INSPECT
REQUESTED BY: Date:
Company Name:
Name: 14tL-�f 1�d £su(3 lZ
License No.: S' 410 14 r
Address: vI 1 414-o /1 �7 ilk ck /9S Z
Phone No.: ��b _ 1-7 _ 3 2 cj
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: 6k4,,Q k 1-,m r C d fr haT
iAg
*Cross Street: - Z6'X4&1A) ?-b ,
*Phone No.: S'/( 1 -q'b�9
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
dyis)/ NO Rough In Fina!
*Do you need a Temp Certificate:
YES ! NO N�
Temp Information (If needed) <q9�
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form K-E L4 �o
January 24, 2014
Damon Rallis
Building Permits Examiner
Town of Southold
Dear Mr. Rallis:
This letter confirms our discussion today about the scope of the retail establishment I plan
to open at 37070 Main Road, Cutchogue .
The store,Phoebe &Belle,will be a home decor and gift store, much like its predecessor,
The Down Home Store.
If you have any questions,please feel free to call me at 734-4197.
Many thanks for your help.
Best regards,
P"A
Kathy Perretta
JAN 2 7 2014
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FOLLOWING INSPECTIONS:I 9
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phone:
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12• _ I I I ' �4. FINAL - C
phone:
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WINDOW BILL INSTALL IN RETAIL SPACE WITH DRYWALL BEING REPLACED
OCCUPANCY OR
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4.. EXTERIOR WALL RATING - 1 HOUR ,
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WIND-BORNE DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL
AS PER TABLE 1609.1.4,N.Y.S. RES.CODE:ALTERNATIVE FOR OPENING PROTECTION(IF NOT USING IMPACT GLAZING) ' REPLACE '
EX.OPNG
WINDBORNE DEBRIS PROTECTION FASTENING SCHEDULE FOR WOOD STRUCTURAL PANELS WOOD STRUCTURAL PANELS WITH A MINIMUM THICKNESS OF 7/16" IF
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AND MAXIMUM PANEL SPAN OF 8 FEET SHALL BE PERMITTED FOR OPENING PROTECTION IN ONE-AND TWO-STORY BUILDINGS.PANELS SHALL BE PRECUT TO
COVER GLAZED OPENINGS WITH ATTACHMENT HARDWARE PROVIDED.(REFER TO SECTION 1609.1.4,1609.6.5 AND TABLE 1609.1.4 OF N.Y.S.RESIDENTIAL 11N2431 O
CONSTRUCTION CODE).THIS 1S NOT A SUBSTITUTION FOR DESIGN-PRESSURE.ALL OPENINGS MUST HAVE DESIGN-PRESSURE UPGRADES WHERE APPLICABLE. _!
ALL PANELS MUST BE CUT TO SIZE AND READY TO USE ON ANY NEW WINDOWS AND DOORS.SHUTTERS MUST BE MARKED FOR WHAT OPENING IT IS TO COVER.
HARDWARE MUST ACCOMPANY SHUTTERS FOR INSTALLATION.
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\ AROFESP