HomeMy WebLinkAbout28365-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28455 Date: 05/22/02
THIS CERTIFIES that the building ADDITIONS
Location of Property: 1795 PIPES NECK RD GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 53 Block 1 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 8, 2002 pursuant to which
Building Permit No. 28365-Z dated MAY 8, 2002
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 DORMER ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN ECKARDT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H4142 01/21/99
PLUMBERS CERTIFICATION DATED 03/20/02 ROBERT VAN ETTON
y
Auth&5ized Signature
Rev. 1/81
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. 28365 Z Date MAY 8 , 2002
Permission is hereby granted to:
JOHN ECKARDT
1795 PIPES NECK RD
GREENPORT,NY 11944
for
CONSTRUCTION OF A SECOND FLOOR SHED DORMER AND DOGHOUSE DORMERS AS
APPLIED FOR. THIS PERMIT IS A RENEWAL OF PERMIT # 24863Z
at premises located at 1795 PIPES NECK RD GREENPORT
County Tax Map No. 473889 Section 053 Block 0001 Lot No. 014
pursuant to application dated MAY 8, 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
h riz d
COPY
Rev. 2/19/98
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. 24863 Z Date MAY 11, 1998
Permission is hereby granted to:
JOHN ECKARDT
1795 PIPES NECK RD
GREENPORT,NY 11944
for
CONSTRUCTION OF A SECOND FLOOR SHED DORMER ADDITION AND DOGHOUSE
DORMERS AS APPLIED FOR.
at premises located at 1795 PIPES NECK RD GREENPORT
County Tax Map No. 473889 Section 053 Block 0001 Lot No. 014
pursuant to application dated MARCH 34 1998 and approved by the
Building Inspector.
Fee $ 175 . 00
Building qnspectot
ORIGINAL
2ev. 2/19/98
` __C
Form No.6 ...r�_ (ti .(r'._�_.n fir, r `—� LVY)
TOWN OF SO*
n tt
H-OL1) . ._ E ��
BUILDING DEPARTMENT 62002
_
TOWN HAL �-�
765-1802
APPLICATION FOR CERTIFICIT-E OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 1 le
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 a 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 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. 5/16/02
New Construction: x Old or Pre-existing Building: (check one)
Location of Property: 1795 Pines Neck Rd Greenport
House No. Street Hamlet
Owner or Owners of Property: ECKARDT
Suffolk County Tax Map No 1000, Section 53 Block 1 Lot 14
Subdivision Filed Map. Lot:
Permit No. 28365 Date of Permit. 5/8/02 Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: a (check one)
Fee Submitted: $ 25.00
4c-- (C W")(.((3 Applicant Signature
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EAST PATCHOGUE,NEW YORK 11772
(516)286-6642
114142
DATE: 1121/99 APPLICATION No.ON FILE
VILLAGE, Greenport TOWN: Southold
ADDRESS: 1795 Pine's Neck Rd
ISSUED TO: John Echardt
INTRODUCEDBY.: Above LICNo:
was examined on 1/20199 and found to be in compliance with the National Electrical Code
LOCATION: Base.. I st 2nd XS 3rd Attic
Det.Garage Hot Tub Pool
SWITCHES RECEPTACLES I FIXTURES HEATERS FANS G.F.I. AIR.COND.
13 19 4 1 1
DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKEDETECTOR
4
FURNACE OIL GAS CIR MOTORS BELL TRAN SERVICEDISCONNECT
METER AMPS PHASE
OTHER
EQUIPMENT
MADE O TSE EX
EQUIPMENT IN THE PREMISES NU
Ya5!lAI.DEffCxS FOUND
15--
GO S. SURDI
SIDENT
BUILDING PERMIT No. This certificate mast not be altered many manse
LWertm may be identified by flier aedwtiab
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
TEL. 765-1802
S�FFOLIr TOWN OF SOUTHOLD
�O < OFFICE OF BUILDING INSPECTOR
=o P.O. BOX 728 ,
v' yr TOWN HALL
SOUTHOLD, N.Y. 11971 MAY 6 2002
C E R T I F I C A T I O N
Date I• ` � �d 1 0
n
Building Permit No. �y
Owner J-4DA, � Ec kkyd-
(please print) ��/� ,,,
Plumber RQ6tw+ V0-V1E4+.,n
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber 's signature)
Sworn to before me his
AD -q�day of � Q
nS�R• Notary Public
Notary Public, County
JANET E.STAPLES
Notary Public,Stc'a dNaw Yoh
No.48319Z Sabo&County
Cloaraal oE*"July31,20Q�
APPLICATION #_
PAGE 1 of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sign):
1. No work may start until a permit is issued.
2. The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if no work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT, CERTIFY THAT ALL 5TATEMENTHEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE, TO -70 THE OF MY D E, TRUE AND ACCURATE.
(APPLICANT'S SIGNATURE) it DATE
SECTION 2: PROPOSED DEVEL PMENT T e com feted by APPLICANT)
NAME ADDRESS TELEPHONE
APPLICANT
BUILDER
ENGINEER
PROJECT LOCATION:
To avoid delay in processing the application, please provide enough information to easily identify the project
location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing
the project location would be helpful.
FDP(93)
COMPLAINT REPORT
1C(AM M (e-t-C9, '0J r9eWW_ DATE
ADDRESS at PES ckee
PHONE#
HOW RECEIVED, TEL MAIL IN PERSON—/
LOCATION OF II Q�
COMPLAINT l 9 L .PSS 1 `.ec
NATURE OF
COMPLAINT -(xG �P
6d LD
C Ross �� e Ef 7 OP U/&
0 F 6i
- 9 � (
ASSIGNED TO
INSP. DATE
REMARKS
ACTION
TAKEN
FILE # (IF APPLICABLE)
RE-INSP DATE
Albert J.Krupski, President �QOFF042 Town Hall
James King,Vice-President h�0 Q'y 53095 Main Road
Henry
P.O.Box 1179
Smith o= Southold,New York 11971
Artie Foster on Z
Ken Poliwoda O Telephone(516) 765-1892
y�►�l �a0� Fax(516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 16, 1998
John T. Eckarit
1795 Pipes Neck Road
Greenport NY 11944
RE: SCTM #53-1-14
Dear Mr. Eckardt,
The Southold Town Board of Trustees reviewed your survey dated
and received in our office on March 11, 1998 and found that the
proposed construction of a dormer on an existing house is out of
the Wetlands jurisdiction under Chapter 97 of the Wetland Code.
However, this determination is not a determination from any
other agency.
If you have any further questions, please do not hesitate to
call.
Sincerely,
aM4A./ 9.
Albert J. Krupski, Jr.
President, Board of Trustees
cc. Bldg. Dept.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOU DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
'tet- -
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
�ro(CP
2k- --16�
DATE �9 J�'� INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] "INSULATION
H PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE dJ INSPECTOR
a f�c 3 t�
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1SOLATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: 14
D 1
Ar 01 if 9:j ot
0
DATE INSPECTO <
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ VTIFINAL���
[ ] FIREPLACE & CHIMNEY
REMARKS:
r
DATE INSPECTOR
PCC-:U;+ I�llni� �I COMMENTS
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FOUNDATION ( 1st )
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FOUNDATION ( 2nd ) — m
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STATE ENERGY
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ADDITIONAL COMMENTS : x
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INSPECTORS NAME: z '
APPLICATION#: INSP.
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TF,AM- QAAA,-k-
BOARD OF UEALTfl ,y• • • . • • • . . .
FORM NO. 1 3 SETS 0!/PLANS /- . . . . . . . • • • •
TOWN SOUT
OLD
TEP
BUILDINGFDEPARiTMENT CDECR�j. .l.�'.�. . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM
. . . . . . . . . . . . . .
n L SOUTHOLD, N.Y. 11971 /
TEL: 765-1802 NOTIFY:Z/
BLDG.DEPT. ,
4CALL !• •7� . . . . . . . . . .
TQWNF . . . . . . . . . . . . . .
_ Q MALT. TO: . . . .
1'sxanined. 19 9S! ...............
/.I...., 56.
Approved....... Permit No.
..........
Disapproved a/c ...........
(Building Ins tor)
APPLICATION FOR BUILDING PERMIT Date. l - • •Ll + 19.��
INSTRUCTIONS
a.
This application must be completely filled in by typewriter or in ink Axl sidmitted to the lAiilding inspector wi
3 sets of plana, accurate plot plan to scale. Fee according to schedule. premises
b. Plot plan sixrwing locatdieta11ec11deacot AriPCia of layouof buildings tnoE property mistime clra�m an tl,ehip to ndiagran wlchois pirt`of
streets or areas, and giving
this application.
c. The work covered by this application may not be conrnenced before issuance of Building Penin t.
d. Upon approval of this appl.icatian, the Building inspector will, issue a Building Permit to the applicant. Shhclh
permit small be.kept on the premises available for inspection throughout the work whatever until a Certificate of
e. No building shall be occupied or used in whole or in part for any purpose
Occupancy shall have been granted by the Building inspector.
APPi.1CKfl(N IS ligl M KAW to the wilding Department for the iisYsuanceof a Building Permit
cable laws,pursuant
tOrdito theces or
Building Zone Ordinance of the Town of Saithold, Suffolk County, as herein
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition,
described. The applicant agrees to comply w
1 with all applicable laws, ordinances, building code, housing code, and
regulations oaad to admit authorized inspectors on premises and in building fo necessary in tions.
...............
%• nature of•applicant, or name, if a corporation)
.../ .......
PG ,
(Mailing sa of applicant)
State wbedher applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plinber or buil"
........................................................................................
i ........................
Name of owner of premises ..v �.•..............
(as on the tax roll or latest deed)
if applicant is a corporation, signature of duly suthorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plnnbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. 1,ocation of land on which proposed work will be dcx,e.............•.Uv .. ..............................
� S �,,��,
U .. ...............
ekk
............... .. hamlet
Ilouse limber Street
County Tax Map No. 1000 Section '�............ Block ....01....•••. 110t ....� ...•....
Subdivision ...................................... Filed Map No. .........I..... int ...............
(Name)
of ices and inteAle� occupancy of proposed construction:
2. State existing use and occupancy' ?/?�'
�1 t vice1....................................
a. Existing use and occupancy .... // .................
b. Intended use and occupancy ... ...................................../
94yawMb�Yh►t«e4
eV—*g1'"5&J A t0.04
WOM4D AOUZ�Mi$04W
�.�.�,_...��.. .1: BBC1 tll7gia_+IiU�J•h vh'"�
✓ _.._
3. N�uture Of work (check witidr applicable). New Building 1� .
Repair ....... n8 Addition
.... Removal
1)enolttion ........ isrt ..........
.... Other Work ,.,,,
..........
// i
4. EsLiurste<I CosA. vUu
f.................. fee
Lo be laid or tiling this lsPl cal' 1�1 J 7s a
5- If tAwel t is �T
r13, nxuber of dwelling units tinber of tkoelIing (units on eadi. ....... ....
................
if garage, umber of cars ... ...
...............................
6. If Ixasinress, ecm:ercial or mixed'occupancy, specify naluuJre aril extent of eaell type of use...... .IVO
7. Dimenaiors of existing stnrctures, If any: Front...;`, ` a
']� Rear ..... ......... [leptlu
Ik ig► DO. 3...............
uL Nnluer of Stories .....41
..............
Dimensions of sere a nucture with alterations or additions: ' Front .../A
Depth .....f :..l �..... Iteiglul' ......�-:.. 1 ... Rear .../.� ........
.... Nnber of Stories ..........
8.
Dimensions of entire new construction-. Front ....Id //
��........ Rear ..l ......... Depth
neigiut ... Nober of StorIea
9. Size of lot: Dont ....... Rear .............. h
IO. Nate of Rurduase ..................... Nacre of Former Owner
.... ..............................
11. Zone or use district in uhidn premises are situated12. .....
..........................
...............................
Does proposed construction violate any zoning law, ordinance or regulation: ......R/Q,
.. ............
3. Will lot be regraded ,,,,,/J v........... will excess fill be removed from premises: Yds
14. Nares of Owner of premises
...............
Nance of Ard1I[ect ........
......... Address ........... ......
N:rre of Contractor ................................... Address ... Pierre No. .............
.......................
IS. is this property within 300 feet,of a tidal wetland? * YES ..,
*IF YES, S(1 "]ID 701,N 717U MES PlilHIT MAY RE Rc(XIIRID. FU ..........
,•See L��e�
PLOT DIAGRAM -
locate clearly and distinctly all buildings, ulnether existing or proposed, and Indicate all set-back dimensions
frtnn property lines. Give street and block ruuuber or description according to deed, and allow atreet mares and indicate
nduether interior or comer lot.
SI'A'Ili OI' NIIVMI
ti)t1N1Y (A ...... ( .... SS
r(l�...behq; duly sworn, deposes alxl says Llrll' he is llue appl.ic�unl:
(Naze Of iuxlivi(11al signing contract)
above 1xmuled,
lie is the
... ..... ......................
(Conrtractor, agent -corporate office..r,
Of said owner or owners, and Is duly authorized to perform or (lave performed the said work and to nuke and file this
apps icaLian; LhaL all statements contained in this application are tnle to the best of Ilia luxxwledge and belief; and
that the work will be performed in the nmamler set forth in Lhe appl.icaLion filed therewith.
9wurn to bef r lie this
.. (lay .::•••\Y(. ..19.. �.
Notary IN
IIOUIyF
L g14-1Lure of Applicant)
Oonurliplan 0,a.0. ( d
�Oa i O
�1 Tp
C
00�J\ Se_ dOrvtierS . �_ .•-•� �r
j
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
nv
REQUIRED BY PARI. 7 14 OF
N.Y. STATE BUILDING CODE.
nt-jo.+Ion,
Ll 41
IT IS A VIOLATION OF THE
LAW FOR ANY PERSON,
a\ �\ UNLESS ACTING UNDER THE
�- DIRECTION OF A LICENSED
\ ALTER ANY
ITEM ON THDRAWING IN
ANYWAY. A.N,'AIUTHORIZED
ALTERATIOFI MUST BE
NOT ED,SEALED.AND
DESCRIBED IN CCURDANCE
WITH THE LAW.
1 (ZED AqO�/
-"6341
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MAY 5 1998
,
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IT A�OLkTIOE SC THE
L 6,yo UNLESS AC,(INCUNDER THE
O Z C AFCJLlIT I rk'-T`ER ANY
i
ITS ,C 7 I '11NO IN
* AN'6� ' j ;J91ZED
I q
ALTe .I c',UoT BE
ELED.AND
DESCRI u J IN ACCORDANCE
..
16341 Ot�� WITH THE LAW.
OF NEW
..s
V MAY 5 mop
up f,e
3 �ofrer boo. ds j
L4
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� 1 `IVB v1nUl� p.1 ... rkdow O � i
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IT IS A VIOLATION OF THE
LAW FOR ANY PERSON,
UNLESS ACTING L';lDLR THE
DIRECTION C=A L'r;EP 1:CD
ARCHrrCC' -5 d iY
ANY W'::'. . !HITED
- WITH THE L.N.
-_-- -- - MAY 5 1998
G\S�ERED qA,�,y'
�i.tii-E S i<- 4 E' V G`�i O b'� ,• � ,�a,gijt +
SCale
6341 OSE'
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CO 67
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LAW
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A�_,wANCE
WITH TriE LAW.
MAY 5 1998
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%P 16341
�QF NEYJ�O
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- PLUMBER CERTIFICATION AS N=D �
ON LEAD CONTENT BEFORE �' 8' &S A
CERTIFICATE OF OCCUPANCY ;z_ Fm a W.
d OL� F �N CATER 2 N'v W 11 NNMO DEPA E AT
?a6.1>IIIM f AM TO 4 PM FOR HE
SUPP � � #, ' L`AJlIOT FiOL10MM18 MilRCTgNB: '`:
EX ,_ ';� p EAL1. 1 l�OtN101�Q�ON • rM0 REGUIRED .
CES i� �7
I IIOUaI • PA Cl G PLUMBING :+ :
_. 1m
4. FINAL • CONSTRUCTION MUST
BE COMPLETE FOR C.O. r
ALL CONSTRUCTION SHALL MEET r r
THE REQUIREMENTS OF THE N.Y. '
PLUMBING STATE CONSTRUCTION & ENERGY
ALL PLUMBING WASTE CODES. NOT RESPONSIBLE FOR *4
&WATER LINES NEED DESIGN OR CONSTRUCTION ERRJiR
TESTING BEFORE COVERING :
If copper tubing is used �� ak F ..
for water distributing 1 � �% n
system; piping shall beI .PROVIDE SMOKE-DETECTINGof types K or L only UIS ' UNI � Ur,
ALARM DEVICES
AS TO PART. 721.1 UNDERWRITERS CERTIFICATE
REQUIRED VI'ITHOUT CLERTIARDAIL_
XXS BUILDING CODE.
u C P K .
KNO""
UNDERWRITERS CERTIFICATE
_ PROVIDE ANTI-SCALD AND/OR REQUIRED
'1. x
{{ {j THERMAL SHOCK PREVENTING
( t ! DEVICES AS TO PART. 902.6(K)
I N.Y.STATE BUILDING CODE. PROVIDE OPENINGS FOR
S s
{
_ EMERGENCY ESCAPE AS
_1 I REQUIRED BY PART. 714 OF
I ' N.Y. STATE BUILDING CODE:. a
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mc SS ACTS �UNDER THE T Cy/ .
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TE9 ANY
AIMING INd.
. ,r;vaiZED F
fi: V zs
I ` NO ' SErALED.AND
t $ y ;- } DESCRK1 EJ IN ACCORDANCE
WITH THE LAW. ��q .1 `�
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