HomeMy WebLinkAbout28023-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28666 Date: 08/12/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1075 FOURTH ST NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 8 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 18, 2002 pursuant to which
Building Permit No. 28023-Z dated JANUARY 22, 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 NON-HABITABLE ACCESSORY ONE CAR GARAGE/GARDEN SHED AS APPLIED FOR.
The certificate is issued to DAVID L & SUSAN A NOONAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 62570 05/08/02
PLUMBERS CERTIFICATION DATED 07/31/02 PERFECTION PLUMBING
00*
uth ized ignature
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. 28023 Z Date JANUARY 22 , 2002
Permission is hereby granted to:
DAVID L & SUSAN A NOONAN
27 NORTH MOORE ST
NEW YORK,NY 10013
for
CONSTRUCTION OF NON-HABITABLE ACCESSORY GARAGE/GARDEN SHED AS
APPLIED FOR
at premises located at 1075 FOURTH ST NEW SUFFOLK
County Tax Map No. 473889 Section 117 Block 0008 Lot No. 004
pursuant to application dated JANUARY 18, 2002 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
Form No.6 !
TOWN OF SOUTHOLD rC'D».e-
8 i2 BUILDING DEPARTMENT
!
uiTOWN HALL
l /
L
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 I%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$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. ?IS 6 o?_
New Construction: Old or Pre-existing
lB/uilding: (check one)
Location of Property: 7 �JLIy`f��L
House No. nn a Street Hamlet
Owner or Owners of Property: ,,OAyl K �&V,-7
Suffolk County Tax Map No 1000, Section f 17 Block O Lot
Subdivision Filed Map. y Lot:
Permit No. 5�t?FLI>02.3 Date of Permit. l o'Ad:2 Da-- Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ;2, ll?�
Applicant Sign ure
OFFot,�co
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Town Hall;53095 Main Road ' Fax(631)765-1823
P.O. Box 1179 ,fi Telephone(631)765-18C
Southold,New York 11971-0959 ��l 41
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: 02i
Building Permit No. 8"Oa'j
Owner. >6j) t�k�n R n
(please print)
Plumber: e C4 0-, 3 I.,11-t L In -X
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signatuie)
Sworn to efore me this
day of 20_v�
Not Public, County
JOYCE M.WILKINS
Notary Public,State of New York
No.4952246,Suffolk County
Term Expires June 12, a0 p
ISO �111
Electrical Inspection evelvomficate
Date Electrical Inspection Service, Inc. Application#
5/8/2002 375 Dunton Avenue 62570
East Patchogue, New York 11772
(631)286-6642
k
Issued to: David 8 Susan Noonan
Street: 1075 Fourth St.
Village: New Suffolk Zip:11956 Town:Southold
Section: Block: Lot:
s}
Introduced by. Lademann Electric Inc. Lic.# 4141-E
was examined and found to be in comp/lance with the National Electrical Code
❑ Commercial ❑NV Defects ❑ Pool W 1st Floor W Indoor ❑Basement ❑ Hot Tub
W Residential O Det. Garage ❑Attic W 2nd Floor W Outdoor ❑ Addition ❑Survey {;
Switches Receptacles Fixtures GF/ Heaters A/C Fans _ a
�r
8 9 11 4
' - Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal
Furnace Oil Gas Circulator Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Telephone Television Carbon Monoxide
❑ ❑
Other Equipment: Building Permit#
single dedicated receptacleelectric baseboard f�
heater180amp sub panel
Hugo S. Surdi
President
Rough Inspection:
Inspector: Ed Scavelli
Final Inspection: 5/7/2002
Inspector: Ed Scavelli
This certificate must not be altered in any manner.Inspectors may be identified by their credentials
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: / /2z101
.DATE SUBMITTED: 75-8-102-
/02.
APPLICANT NAME:
—
SCTM# DISTRICT: 1,000 SECTION: /—.BLOCK: S LOT:
STREET: .10 7S" -f u�rr/ c�r CITY:�i/ , SUBDIV. NAME:
z1v
PROJECT DESCRIPTION:
ARCHITECT/ENGINEER:—As,,�,rr--; FAST TRACK? �✓O
SINGLE&SEPARATE CERTIFICATION-REQUIRED? A/- NOTES:
LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1,
ZONING DISTRICT: R-yo CONFORMING? No
/01019
Zo 90
REQ.LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV.
REQ.FRONT 3' PROP. FRONT -13 REQ SIDE ACT. SIDE %Z
REQ.REAR 3' PROP. REAR 3
C��SspRy semAc v — in +b2_ f'`4 utre-El re_o,c
WATER FRONT? /✓a DESCRIPTION:
PANEL #: `b / FLOOD ZONE: ,r
AGENCY PERMITS REQUIRED FOR REVIEW
APPR VALS REQUIRED.
SUFFOLK COUNTY HEALTH DEPT: YES of NO)(BED#): N DTE:—/—/ PERMIT#:R10-
NEW YORK STATE DEC: PRE-DEC 9/1/75 YESO
SOUTHOLD TOWN TRUSTEES: YES or
.TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES or
NYS ENERGY: YES O
EGRESS (18 H min.?4 sqotal) ---SENT(SQ. FT. x 4%) ._.---LIGHT(SQ.FT.x 8-%o
BLM DING PERMITS OPEN/EXPIRED: BP(RI -Z/C/0 Z jop Z AtITS
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR : SF
SECOND FLR : SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
'OT( SF)- SF)= SF X$ _$ +$ +$ =$ ��
2,3
BUILDING DEPT.
'SPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ J FRAMING [ ] FINAL
[ ] FIREPLACE 8 I M N EEY
REMARKS:
DATE INSPECTOR
3
M•isoz
suauINa Dear.
'NSPECTION
[ FOUNDATION IST [ ] ROUGH PLBIi.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE O 7/ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [1/�IROUGFI PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMNEY
a7
REM KS•��
DATE �l � y� IN8PECT0
suaoINa DE".
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FO DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ j FIREPLACE & CHIMNEY
REMARKS: � .�.1 ��
DATE -7' � O!/ -INSPECTOR
� av�2soz3�
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST ROUGH PLBG.
[ ] FOUNDATION 2ND [� INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE0< 114102- INSPECTOR
yes-iso2
suauINc DEPT.
INSPECTION
[ ] FOUNDATION IST [ j ROUGH PL
[ j FOUNDATION 2ND [ ] INSU ION
[ j FRAMING [l,,i4lNAL
[ ] FIREPLACE & CFIIMNEY
REMARKS:
DATE (Q V INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
-3 AAA
FOUNDATION(1ST) ,
L c
c
FOUNDATION(2ND)
G C
16
ROUGH FRAMING& ' y
PLUMBING
r
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INSULATION PER N.Y. N y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUT4 BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEP + " �' "� ` Do you have or need the following,before applying
TOWN HALL i , $ Board ofReakh
SOUTHOLD,NY 1 `" 3 sets of Building Plans
TEL. 765-1802 Survey
TURA NO. �Od 2-� Check
septic Fosaa
N.Y.S.D.E.C.
Trustees
Examined z=. ,2002 Contact:.
Approved / as '2007- Mail to:
Disapproved a/c
Phone: '��- 716 S 9p'.�2,
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date , 20
INSTRUCTIONS
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 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 a Certificate of Occupant
is issued by the Building Inspector.
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;hous' code, regulations, to admit
authorized inspectors.on premises and in building for necessary inspections.
(Signature of applicant or ,if a corporation)
aadrass o ling app cant)
State whether applicant is.owner,lessee;agent, architect, engineer,general contractor, electrician,plumber or.builder
6'1 x PA-Z
Name of owner of premises UGt U� U���ha
(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. 314r"o
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done, xr
House Number Street Hamlet
County Tax Map No. 1000 Section 7 Block Lot y
Subdivision Filed Map No. Lot
(Name)
2. State existing use add oecapancy ofpremises and int ed�use an occupancy of proposed construction:
a. Existing use and occupancy S�
b. Intended use and occupancy 6 '' L11di 4& SkC_1Z GVWL R
3. Nature of work.(check which applicable):New Buildin Addition Alteration
Repair Removal _Demolition V er Work
(Description)
4. Estimated CosttFee
(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. A1✓V
7. Dimensions of existing structures,if any: Front . _3r Rear Depth
Height _ G' Number of Stories _—1;2-
Dimensions
2Dimensions of same structure with aFterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front 1 Rear /G Depth �U
Height Number of Stories 2-
9..
9.. Size of lot: Front ! D Rear Depth
10. Date of Purchase z Z& 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: All)
13. Will lot be re-graded D'✓� Will excess fill be removed.from premises: YES O
/bvi3
14. Names of Owner of premises Oaod Aldo",, Address �7^'�ovarl, Ay NY Phone No. P19 Syr• S`,16�
Name.of Architect - AddressM7&1L#,yajk-CukJVa Phone No-7 71 .27J
Name of Contractor &-lrr/ , hlEnv j3Ywi DE-R Address Pi,Rr< ecoilor, Phone No: 74,t- W,,2
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES 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 }
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the LG�r
(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 this
$ day of oaf . / 20_Q 1
tary Public Signahtre of Appli
JOYCE M.WILKINS
Notary Public,State of New York
No.4952246,Suffolk County
' nr�Expires June 12, �- 03
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SUSAN&DAVID NOONAN
PLUMBER CERTIFICATION NEW SUFFOLK
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY ^ �`1-IPA ° v ,4�° XlF1CArE
SOLDER USED Ifv1 Vj'4TER U
SUP Y S)`�T7M CA!,"V0T T CES: E
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NOOTIFY BUILDING DEPARTMENT AT
765-1802 6 AM TO 4 PM FOR THE
F
160 - LOWING INSPECTIONS:
----- -- t FOUNDATION - TWO REQUIRED
O FOR POURED CONCRETE
fl� 0UGH - FRAMING & PLUMBING
INSULATION
F-- K, 3! FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
'SHE REQUIREMENTS OF THE N.Y.
- NATE CONSTRUCTION & ENERGY
OODEL NOT RESPONSIBLE FOR
OESM OR CONSTRUCTION ERRORS
_ z PLUMBING
�- ALL PLumamG wASTE
=-k- =o ( is 3 �� �� w I -� i
TESTINGWATER LINES NEED
BEFORE COVERING
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If copper tubing is used Chicago,u.60640
for water distributing Ph:773-275-1807
system; piping shall be Fax:773-275-1858
of types K or L on
UNDERWRITERS CERTIFICATE
REQUIRED
NOONAN GARAGE & SHED
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NEW SUFFOLK
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` OUTLINE SPECIFICATIONS. NOONAN GARAGE & SHED
ROOF ASSEMBLY SUSAN & DAVID NOONAN
CONTINUOUS RIDGE VENT, 240#ASPHALT SHINGLES, COLOR BLACK ON 30#ROOFING FELT ON NEW SUFFOLK
3/" EXTERIOR GRADE PLYWOOD, ON 2 X 8 WOOD RAFTERS @ 24"O.C. W/2X 12 RIDGE BEAM AND DOUBLE 2 X 8 '
RAFTERS @ VALLEYS. 3'-0"W. ICE AND WATER SHIELD @ EAVES &VALLEYS. 20 GA. GALV. DRIP EDGE & 1X 10
FIR FASCIA (PAINTED)
EXTERIOR WALL ASSEMBLY
BALLOON FRAME CONSTRUCTION — 12" EXPOSED INTERLOCKED CEDAR SHINGLES (GRAY COLOR FINISH) ON
3/"T. & G. EXTERIOR GRADE PLYWOOD ON 2 X 6 WOOD STUDS @ 24"O.C.- HEADERS @ DOORS &WINDOWS: 3-
2 X 8 W/2- %- PLYWOOD . (EXPOSED INTERIOR= UNFINISHED)
INTERIOR PARTITIONS TOILET
2X 4 WOOD STUDS @ 16"O.C. W/%-GYPSUM BOARD BOTH SIDES & 3 " SOUND ATTENUATION BLANKETS c@
TOILET ROOM WALLS. (1/2" PLYWOODSTORAGE AREAS 1.6 GAL. WATER SAVER TOILET W/TANK, WHITE PORCELAIN. 'AMERICAN STANDARD' REF: `CADET II'
@ ) ELONGATED REF#2174-139 W/TOILET SEAT: 'AMERICAN STANDARD'"RISE & SHINE" REF#5324-019
WORKSHOP FLOOR ASSEMBLY
PROVIDE SHUT-OFF + VALVE DRAIN FOR WINTER IN BOTH FIXTURES.
3/"T& G PLYWOOD DECKING ON 2X10 WOOD JOISTS @ 16" O.C. 2X4 BRIDGING @ QUARTER POINTS. DOUBLE UTILITY SINK
STAIR ASSEMBLY FREE STANDING—PLASTIC OR SOAPSTONE DOUBLE BOWL UTILITY SINK—MIN 18" DEEP
OPEN RISERS, 2 X 12 ( 1 %.-X 11 Y.-ACTUAL) FIR, 2X12 FIR STRINGERS. CONCRETE SLAB
RAIL ASSEMBLY 4"TH. CONCRETE SLAB (CONCRETE 3,000 PSI) W/6"X 6" 1.4 WWF X 1.4 WWF @ CENTER ON 6" COMPACTED
WOOD ALTERNATE: 2X4 HARDWOOD (T.B.S.) FIGURED TOP RAIL W/2X4 TOP&BOTTOM RUNNER PLATES W/2 X CRUSHED STONE ON 6 MIL. POLYURETHANE VAPOR BARRIER ON COMPACTED SOIL.
2 HARDWOOD SQUARE PICKETS @ 4"O.C. STAIN FINISH.
BROOM FINISH W/SCORES EVERY 4'-0" O.C.
METAL ALTERNATE: 1 Y2" DIAMETER STEEL PIPE TOP RAIL& STANCHIONS W/ 1 %"X%"TOP & BOTTOM STEEL CONCRETE FOUNDATION WALL
RUNNER PLATE W/'/:" SQUARE BAR PICKETS @ 4" O.C. PAINT FINISH. 8" TH. CONCRETE FOUNDATION WALL (CONCRETE 3000 PSI) W/#4 BARS @ TOP & BOTTOM —
FRENCH BALCONY RAIL ASSEMBLY 12" L. ANCHOR BOLTS @ 4'-0"O.C. TO ANCHOR WALL PLATE. TYP. PROVIDE 2'-0" STYROFOAM RIGID
1 '/2" DIAMETER STEEL PIPE @ TOP & BOTTOM W/%.- DIAM. BARS @ 4"O.C. VERT.- PAINT FINISH. INSULATION (CONTINUOUS) @ WALL & SLAB.
TOP RAILING @ 42"A.F.F. CONCRETE FOOTING
ALTERNATE: SIMILAR METAL RAILING @ INTERIOR RAILING. 12" HT. X 24"W. KEYED CONTINUOUS CONCRETE FOOTING (3,000 PSI) PERIMETER DRAIN TILE (4" DIAM) ON
WINDOWS GRAVEL IF REQUIRED.
CLAD/WOOD, FIXED AND AWNING WINDOWS AS MANUFACTURED BY"PELLA" REF: 2323 &3535 EXTERIOR TRIM
SKYLIGHT 1"X 8", 1"X 6" & 1"X 4" FIR TRIM @ EXTERIOR ELEVATIONS.- NO MITERED CORNERS—WHIT- AINT FINISH.
FIXED SKYLIGHT W/VENT FLAP "VELUX"30"X 46" REF#FSF 306 OF NE►vy0
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FRENCH DOORS FSSC�'��
6'-8" HT. CLAD/WOOD, FRENCH DOORS, IN SWING @ WORKSHOP LEVEL, 'HURD' REF#4-OX6-8CSPD. INT. PAINT
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EXTERIOR: 1 3/" TH. DUTCH DOOR W/ 1"TH. RABBETED DOOR FRAME BY 'HURD'OR EQUAL- PAINT FINISH. �Fp �a• 0525,
INTERIOR: 1 3/8"TH. 6 PANEL DOOR W/ 1"TH. FRAME FOR PAINT FINISH A90E—SS%O�P�
GARAGE DOOR
7'-0" HT. X 8'-0"W. GARAGE DOOR ON TRACK AS MANUFACTURED BY'WINDSOR DOORS' (1-800-WINDSOR)-
PAINT FINISH (4APA
Chicago Associates
GLASS GARAGE DOOR Planners&Architects
1807 W.Sunnyside Suite 300
10'-0" HT. X 8'-0" W. OVERHEAD GARAGE DOOR, WOOD FRAME W/SINGLE GLAZING AS MANUFACTURED BY Chicago, 11.60640
'WINDSOR DOORS' ( 1-800-WINDSOR). 10'-0" HT. X 8'-0" DOUBLE OUTSWING DOORS (BARN TYPE) ON HEAVY Ph:773-275-1807
DUTY HINGES. PROVIDE OUTSIDE STOPS EACH DOOR.
Fax:773-275-1858