HomeMy WebLinkAbout38763-Z�
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
1
631-765-1981
CERTIFICATE OF OCCUPANCY
No: 37434 Date:
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 555 Village Ln, Orient,
2/13/2015
2/13/2015
SCTM #: 473889 Sec/Block/Lot: 25.-2-5.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/18/2014 pursuant to which Building Permit No. 38763 dated 4/3/2014
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:
interior alteration to an existing non -habitable non -sleeping accessory garage with workshop.
The certificate is issued to Constant, Karin
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
38763 2/11/2015
/1!&ho(izSignature
t 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 #: 38763 Date: 4/3/2014
Permission is hereby granted to:
Constant, Karin
555 Village Ln
PO BOX 225
NY 11957
To: Interior alteration to an existing accessory building as applied for.
At premises located at:
555 Village Ln, Orient
SCTM # 473889
Sec/Block/Lot # 25.-2-5.4
Pursuant to application dated 3/18/2014 and approved by the Building Inspector.
To expire on 10/3/2015.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $276.00
CERTIFICATE OF OCCUPANCY $50.00
T�tal: $326.00
Building 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. _� h g L-,�
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: , ,)�fS V t � G e
House No. h Street)Hamlet
Owner or Owners of Property: N \ n n _,�+* rJ_
Suffolk County Tax Map No 1000, Section 0? 4, Block . Lot IS
Subdivision Filed Map. Lot:
�y 1
Permit No. Date of Permit. Applicant: K r 1
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $(��
Final Certificate
(check one)
Y /rc
Applicant Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
,kOF SOUlyo�
Cn
y�DUNV
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roper. riche rt(aD-town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Douglas Constant
Address: 555 Village Lane City: Orient St: NY Zip: 11957
Building Permit #: 38763 Section: 25 Block: 2 Lot: 5.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini License No: 33419 -ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors 1
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 3 Twist Lock Exit Fixtures TVSS
Other Equipment:
Notes: 'BARN'
Inspector Signature: Date: February 11,2015
Electrical Compliance Form.xls
r4f s 0
38
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPEC
]FOUNDATION IST
FOUNDATION 2ND
FRAMING I STRAPPING
FIREPLACE & CHIMNEY
FIRE RESISTMT CONSTRUCTION
ELECTRICAL (ROUGH)
CODE VIOLATION
RPMARK-4t!
IZI
GH PLUMBING
ILATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
CAULKING
DATE INSPECTOR,`�
i
��oF so�ryo
3 376j<� h �O
• h0
coUNI'1,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1 ST
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE A CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
REMARKS!
[] ROUGH MBING
[ ] 1 LATION
[ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (FINAL)
[ ] CAULKING
DATE
INSPECTOR
SO(¢�o�
qjo� -
�'% ycnu�m,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ]
FRAMING/ STRAPPING
[ ] FIREPLACE A CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ELECTRICAL (ROUGH)
[ ] CODE VIOLATION
REMARKS:
[ ] ROUGH PLUMBING
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT PENETRATION
[KELECTRICAL (FINAL)i
[ ] CAULKING
<1 o .& Lt, :,2 e r �<
DATE 2 INSPECTOR `J �
M IMNSMECTI N R-39PORT DATE
FOUNDATION (IST)
FOUNDATION (2ND)
ROUGH FRAAM40 &
PLU-MING,
INSUL ATION PEA N. Y.
STATE ENERGY CODE
FINAL
OWN
f
I
C"A
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined
r+pprovea�
Disapproved a/c
20
q 1
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BUILDING PERMIT APPLICATION CHECKLIST
PERMIT NO. 38 -?69z3 -
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
Flood Permit
Storm -Water Assessment Form
Contact!
Mail
Phone:
Expiration, 20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date % � 6 � � , 20
INSTRUCTIONS
a. This 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)
5` r e V f\f I N 5 7
(Mailing address of applicant)—�—
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0 t."i V-) tx.
Name of owner of premises
(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:
-5 55 Vi 11aa'a L-arf- 0rl-eI-4A
House Number JStreet Hamlet
County Tax Map No. 1000
Subdivision
Section Block -:2 Lot . y
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy
a. Existing use and occupancy iQAA?Al
b. Intended use and occupancy
��C� ` ""�'
�s
proposed construction: W DR ky
A
3. Nature of work (check which applicable): New Building Addition Alteration_Z
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost
5. If dwelling, number of dwelling units,
If garage, number of cars
Fee
(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. �1" le.
,7. Dimensions of existing structures, if any: Front o2 R -"
Rear rs7. t —Depth—/ r
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth / q I Height Number of Stories 2_
8. Dimensions of entire new construction: Front I Rear Depth
Height Number of Stories
9. Size of lot: Front 5 , `i)` Rear_L,' ,' / , ` ' Depth /
10. Date of Purchase a.1� `I o �6` Name of Former Owner t b -- �, N ('' c r,. •
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO__Z
13. Will lot be re -graded? YES NO ---Will excess fill be removed from premises? YES NOS'
14. Names of Owner of
Name of Architect _
Name of Contractor
e (-) k.
No,21?-31Ga- :.
cl 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 NO j,
* 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.
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.
Sworn +' before y e tlu'� AIS `,
�S da of / ' w c.� I 20 / q
Notary P&MNIE D. BUNCH
Notary Public, State of New York
No. 01 BU6185050
QuaRW in Suffolk County
Commission Expires April 14,
1n .
Signature of Applicant
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (6311)) 7965-1802
roaer.nchertf - own souttto15.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:� f �`Date:
Company Name: zz��. ' ZZ -G
41
Name:
License No.: _
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
s �
*Address:
*Cross Street:
*Phone No.:
Permit No.: - 9`2 (�2 3
Tax -Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) <'___1_191 Z/ 74 Y-0 g�
Is job ready for inspection:
*Do- you need a Temp Certificate:
/ NO. Rough In Final
YES /(
Temp Information (If needed)
*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
MR..
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
January 14, 2015
Karin Constant
PO Box 225
Orient NY 11957
RE: 555 Village Lane, Orient
oF so�jyo�
� o
CA
y�OUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
TO WHOM IT MAY CONCERN:
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
/ Electrical Underwriters Certificate.
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411184)
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 38763 — Accessory Alteration
Telephone (631) 765-1802
Fax (631) 765-9502
JAMES GARRETSON AIA
39 BROADWAY, SUITE 1110, NEW YORK, NY
10006 212-316-3882 FAX 212-316-9419
FRONT
PHOTO
NO CHANGE
IN STREET
ELEVATION
APPROVED AS NOTED
DATE: �I1 B. P. #�
FEE:` 2-(_ BY:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEE
REQUIREMENTS OF THODES F N
YORK STATE. NOT R'ONSI E R
DESIGN OR ONS T TION R RS.
So°
yr
P'Otc"y
�e
Ivo
w
r
I3,��
.��� OCCUPANCY 0
'' USE IS UNLAWFUL
ow
WITHOUT i CERTIFICA h
OCCUPANCY
s�
8
w aye
r
OC ��
tQk/ J�. )DES OF
toAr1�i6 pyo /tet s� NE?`' : 5 I & TOWN CODES
I.00 \ \ AS QUiRED .1
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PLOT "`h" ARD
PLAN
CONSTANT RESIDENCE, ORIENT NEW YORK
DATE: 03/10/14
SCALE: 1/4"=1'-0"
I,1
0
EXISTING NO CHANGE
FRONT FACADE
NO CHANGE
EXISTING NO CHANGE
FIRST
FLOOR
FRONT FACADE
NO CHANGE
EXISTING NO EXISTING NO
CHANGE CHANGE
I / l
ACCESS DOOR TO HAVE �\\,_EXISTING FLOOR TO BE
PROTECTIVE RAILING AND
NEW WALL TO BE CLOSED & LOCKED REPAIRED &FINISHED
Q AROUND WHEN NOT IN USE EXISTING
ZD STAIR COVER
WITH .BEAD WORKSHOP
BOARD NEW 4T HIGH RAILING
STUCTURAL WITH WOOD TOP.
HEADERS (EXISTING STUDIO TO BEAD BOARD
ABOVE BE UPGRADED) SIDES TO \
REPLACE
REPLACE CATHEDRAL CEILING WITH EXPOSED EXISTING
EXISTING STAIR TIE MEMBERS TO BE REPLACED AS
AS PER/ /REQUIRED. LI BEAD
OWNERS O BOARD. INSULATE
CE CEILING.
� SPECS/
ADDITION r g p - - - -
<�
FRAMING yZ
FRAM ¢ - - -
RAMREQUIEDCE
AFTER DEMO & \
SITE
INSPECTION \
NEW HVAC
UNIT / GAS \` DN
\WALLS TO BE ADDITIONAL
INSULATED & OPTIONAL NEW STAIR
FINISHED 7INBEADWINDOWS TO'\ TO OWNERS \
X BOARD MATCH ` SPECS
O \
4 CL .t
-EQUAL �- EQUAL
REPLACE NEW TO
EXISTING MATCH
EXISTING
SECOND
FLOOR
REPLACE &
UPGRADE EXISTING
ELECTRIC
mil
3 WAY SWITCH TO
SCONCE AT STAIR
AND FIRST FLOOR
LIGHT
JAMES GARRETSON AIA
EXISTING
I
DATE: 03/10/14
GARAGE
39
W1
ENTRY
10 060ADW2 2-3 6 8821 ANE
-31Rsea 9
CONSTANT RESIDENCE, ORIENT NEW YORK
\
HALLWALLS
TO BE 2
LALERS OF 3/8"
NEW CONCRETE
FIRE RATED
FOOTING TO
SHEET ROCK
SUPPORT
COLUMN UNDER
NEW PARTITION
NEW GIRDER IF
& RATED DOOR
REQUIRED. TO
(2-8/6-8)
BE CONFIRMED
AT SITE.
REPLACE EXISTING
CENTER GIRDER WITH 3
7i
/
1/2" X 11 1/4" MICRO LAM
OR WD BEAM EQUIVALENT
IF REQUIRED AS PER SITE
INSPECTION.
CLOSET
WALLS TO BE 2�
LALERS OF 3/8"
FIRE RATED
SHEET ROCK -
FIRST
FLOOR
FRONT FACADE
NO CHANGE
EXISTING NO EXISTING NO
CHANGE CHANGE
I / l
ACCESS DOOR TO HAVE �\\,_EXISTING FLOOR TO BE
PROTECTIVE RAILING AND
NEW WALL TO BE CLOSED & LOCKED REPAIRED &FINISHED
Q AROUND WHEN NOT IN USE EXISTING
ZD STAIR COVER
WITH .BEAD WORKSHOP
BOARD NEW 4T HIGH RAILING
STUCTURAL WITH WOOD TOP.
HEADERS (EXISTING STUDIO TO BEAD BOARD
ABOVE BE UPGRADED) SIDES TO \
REPLACE
REPLACE CATHEDRAL CEILING WITH EXPOSED EXISTING
EXISTING STAIR TIE MEMBERS TO BE REPLACED AS
AS PER/ /REQUIRED. LI BEAD
OWNERS O BOARD. INSULATE
CE CEILING.
� SPECS/
ADDITION r g p - - - -
<�
FRAMING yZ
FRAM ¢ - - -
RAMREQUIEDCE
AFTER DEMO & \
SITE
INSPECTION \
NEW HVAC
UNIT / GAS \` DN
\WALLS TO BE ADDITIONAL
INSULATED & OPTIONAL NEW STAIR
FINISHED 7INBEADWINDOWS TO'\ TO OWNERS \
X BOARD MATCH ` SPECS
O \
4 CL .t
-EQUAL �- EQUAL
REPLACE NEW TO
EXISTING MATCH
EXISTING
SECOND
FLOOR
REPLACE &
UPGRADE EXISTING
ELECTRIC
mil
3 WAY SWITCH TO
SCONCE AT STAIR
AND FIRST FLOOR
LIGHT
JAMES GARRETSON AIA
WORKSHOP RENOVATION
DATE: 03/10/14
39
W1
10 060ADW2 2-3 6 8821 ANE
-31Rsea 9
CONSTANT RESIDENCE, ORIENT NEW YORK
SCALE: 1/4"=1'-0°
REScheck Software Version 3.7 Release 1 b
Compliance Certificate
Project Title: Constant Workshop
Report Date. 04/02114
Energy Code New York State Energy Conservation
Construction Code
Location Suffolk County New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non -Electric
Glazing Area Percentage 16%
Heating Degree Days. 5750
Construction Site: Owner/Agent: Designer/Contractor.
555 Village Lane Douglas 8 Karen Constant James Ganatson
Chant, NY 11957 555 Village Lane JOA
Orient NY 11957 39 Broadway / Suite 1110! 17AC
631-323-2646 New York, NY 10008
212-318-3882
Jgeomeol.com
Ceiling 1 Cathedral Ceiling (no attic): 520 36.0 30.0 7
Wall 1: Wood Frame, 16" o.c.: 1380 21.0 22.0 33
Window 1Wood Frame:Doubls Pane with Low -E: 225 0310 70
Door 1: Sold 105 0 400 42
Floor 1: AII-Wood JoetfTruss:Over Unconditioned Space: 420 12.0 13.0 15
Crawl t Masonry Block with Empty Cells: 420 12.0 13.0 69
Furnace 1 Forced Hot Air, 78 AFUE
Air Conditioner 1: Electric Central Air: 13 SEER
Statement of Compliance: The proposed building represented in this document is consistent with the building plans, specifications,
and other calculations submitted with this permit application The proposed systems have been designed to meetthe New York
State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this
page, they are attesting that to the beet of his/her bmwledge, belief, and professional judgment, such plans or speciflcattone are in
compliance with this Code.
RES
Check
EXISTING
FOOTING
CRAWL
SPACE
JAMES GARRETSON AIA
WORKSHOP RENOVATION
39 BROADWAY, SUITE NEW YORK, 1
10006 212.316-38$282 FAX 21216-94199
1 CONSTANT RESIDENCE ORIENT NE�J11t YORK
DATE: 03/10/14
SCALE: 1/4"=1'-0"
.i
EXISTING
FOo7 NU