HomeMy WebLinkAbout28395-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28972 Date: 10/08/02
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 1085 WIGGINS LA GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 5 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 16, 2002 pursuant to which
Building Permit No. 28395-Z dated MAY 16, 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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to PASQUALE & SANDRA SANTANIELLO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1063153 07/12/02
PLUMBERS CERTIFICATION DATED 05/13/97 K & K PLUMBING & HEATING
Au rized &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. 28395 Z Date MAY 16, 2002
Permission is hereby granted to :
PASQUALE SANTANIELLO
285 CARROLL STREET
BROOKLYN 11231,
for .
CONSTRUCT AN ADDITION & ALTERATION ON AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR. THIS PERMIT REPLACES PERMIT # 23971-Z
at premises located at 1085 WIGGINS LA GREENPORT
County Tax Map No. 473889 Section 035 Block 0005 Lot No. 009
pursuant to application dated MAY 16 , 2002 and approved by the
Building Inspector to expire on NOVEMBER 16, 2003 .
Fee $ 75 . 00
(ACCESSORY SHED ONLY) `
r
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORK X0. 2
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)
N° 23971 Z Dote ................ /1�.........................., 19.<..�
Permission is hereby granted to:
...............................
to ....07?!J1T,�G�r.:...PX'! ...... l.�.11..`I.�7?!�...... . ....la....... �7��i4..... ?
f✓ . ....... � ......./ ..�.�.--�. ./ . f:.......�✓'°lr��........
atpremises located at...l .......f/..G.G;r,..s............................ .......... . ............
County Tax Map No. 1000 Section ....Q ...... Block ..45....... Lot No.
pursuant to application doted .......a t?....................... 19l. Z and approved by the
Building Inspector.
nspector.
Fee $..../.. ��...
/2 . .... ........ .
u71 ng Inspector
Rev. 6/30/80
Form No. 6
10«N N OI' SO U I ROLD
1 &UZ ; ' BUILDING DEPARTMENT
l TOWN MkLL
7654802
_^ LD
APPLICATION FOR CFRTIFICATE 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 Appiov A fiom IIe.alth Dcpt. of«pater supply and sewerage-disposal (S-9 66111).
3. Approval of electrical installation from Board of Fire Underwriters,
4. Sworn statement fiom plumber certifying that the solder used in system contains less than 2110 of 1% lead.
5. Cormnercial building, industrial building,multiple residences and similar buildings and installations,a certific
of Code Compliance from architect or enguneer 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 ust
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 Occupan
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$25.0(
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.0
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Photocopy of Certificate of Occupancy-$0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00
Date. 5 fou
New Consttuctiow Old or Pte-existing Building. —(cheek one)
Location ofPropetty: tyts t.tu..a,..0 f -, r- o.V o r4'
House No. `Street -��^ % Hamlet
Owner or Owners of Property-, A l,15: J"_r-rary ►9v
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision CA Qo �^ Filed Map. Lot:
Permit No. �_
C,-a
rmit 3 lb Applicant:
Health Dept. Approval: Underwriters Approval:
Planining Board Approval:
Request for: Temporary Certificate Final Certificate: _ _ (check one)
Fee Submitted: $ _- -
C �l DL _
c- ���� Applicant Signature
vfFat ==
Town Hall, 53095 Main Road
P. 4. Box 1179 v Fax (516) 765-1823
Southold, New York 11971 C:P
Telephone(516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE:
Building Permit No . oZ 3 Q1 -7 1 -7-
owner:
owner: S4A)bP-h S4^_J-77,q A) 1 G L L 0
(please print)
1< `F' 1C P L CJ M 6( A-)<3 -+- 14EA7-i10 rj
Plumber: R O IS c-,QT 1/ 0 W A t S tl 1
(please print)
-2-
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
A
(Plumbers Signature)
Sworn to before me this
1�3 day of 19 q?
Notary Public, �� County
14-11 ST!SANNE J. PrUNCOW
NOTARY ?LI'!IC, of N:w York
in Suffolk Cooney
Commi,a-.on Expires Jan.1D, i9Qq
o ���L���������������������������������������d�@�����::I ��L��r3P o
BY THIS CERTIFICATE OF COMPLIANCE THE ? �'
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY ni
5 40 FULTON STREET — NEW YORK, NY 10038
5�
5 CERTIFIES THAT 5
5 Upon the application of upon premises owned by 5
5 5
5 G & S ELECTRICAL CONTR. ' SANTANIELLO
BOX 215 1085 5 SI
OUTHOLD, NY 11971, EAST NI11939
5
5 5
55 Located at 1085 WIGGINS LANE EAST MARION, NY 11939
5 Application Number: 1063153 Certificate Number: 1063153 C5
5 Section: Block: Lot: Building Permit: BDC: NS11 5
5 5
5 Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at:
5 First Floor,Outside,Porch/Deck,
5 5
r55 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
j found to be in compliance therewith on the 12th Day of July,2002. 5
SName .QTY Rate Ratine Circuit Type C5
5 Ej Wiring and Devices
Receptacle 4 0 General Purpose 5
5 Switch 2 0 General Purpose 5
5 Fixture 2 0 Incandescent 5
5 Paddle Fan 2 0 5
S 5
5 5
5 5
5 5
S 5
5 5
S seal 5
I of 1
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
ocPr.PcPr�rJrJ�cPrJ�rJ�r�rncPcPcPr.PcPr�r��PrPcP�Pr..IrJ'r1'tPr.PcPcPcPcPr�i:Pr_fr_PtPrlrlr�rPr1r?P�fr?PG.P[.l�cPrJ��P[PrJ7r���I'rJ�cPr�"rJ�c_frs[1�P �
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i
1195099 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NY 10038
Date JUNE 19,1997 Application No.on file 14037697/97 N 423379
THIS CERTIFIES THAT
only the electrical equipment as described below and Introduced by the applicant named on the ober*appHcYtlelii number in the ptrlaLJeb tri
RICHMOND REALTY, 1085 WIGGINS LANE, GREENPORT, N.Y.
id tho jolloming location; ® Basement ® Int F►. ❑ 2nd F►. OUT Section $►dck Lot
uw examined un JUNE 16,1997 and found to be in compliance with the National Voce feat i76dr: !
FIXFUR! ACUS SWITCHES FIXTURES RANGES COOKING DECKS OV N
OUTLETS NCANDESCENT N.UORESCENT I OTHER I AMT. I K.W. AMC I K.W. AMI. I K.W. AMT. K.W. AMY. R,A..
4 11 7 4 1 F
DRYERS FURNACE MOTORS FUTURE APFUANC! FElOIRS SPECIAL R!C'PT TIMI COCKS JgtL UNIT NIATIRS M LtI4MSUlT DIMMERB
al H.P. OAS H.P. AMT. NO. A.W,0. AMT. AMP. AMT. AM►S. TRANS. Amt. H.A. No.OF FEET AMr. WAtts
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AW. TSE phi. IX 2W 1.9 3W 3/7W S,e 4W NO'O;jRC*COND. OF CC,&D. NO. ..OY RI'ltD O' :IKi NO.Or NtlrttAts •w.
1 200 CB 1 X 1 2/0 1 1/0
OTNiE AP►ARATUS:
PADDLE FANS-2
MOTORS:2-F H.P.
G.F.C.I:-2
S14OKE DETECTOR:-3
1.
JIM SAGE ELEC. INC. LIC.#3635-E
PO BOX 38
GREENPORT, NY, 11944-0038
ibis certificate most not be altered in a manner return to the office of the Board if incorrect. 'Ins ` 6H; jiidy be IdkAfltiliel;fjy their tredentio�s.'.
any r � ..
o TOWN OF SOUTHOLD PROPERTY .RECORD CARD
OWNER STREET f
)t� Lj VILLAGE
DIST.1 SUB. LOT
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RES. I b SEAS. VL. Vl�o 6 p'
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LAND IMP. TOTAL DATE I/ ✓�
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FARM Acre Value Per -
Value ---_-_-_"-__------
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FRONTAGE ON WATER
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- FRONTAGE ON ROAD Q -
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---_ DEPTH r
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M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] UGH PLBG.
( ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: � i ok-
, k ��-
DATE ,3 L��' INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ V 1 FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMAR S:
DATE INSPECTOR
or
�%
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO GH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE &,CJHIIMNEY
REMARKS:
DATE 2 INSPECTOR
3 �S-4t�
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]�PWLATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
c9'Yt
4
DATElNSPE
MELD INSPECTION REPORT DATE COMMENTS
=======a---== ____________------------------------
FOUNDATION
________—______________FOUNDATION ( IST)
II �I
—JI
II ll � N
COUNDATION (2ND)
____________________ n ________ _ ---------
____ ___
oQ
ROUGH FRAME h _
PLUMBINGif
INSULATION PER N. Y.
H
STATE ENERGY
-u
CODE ri ii
II II
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310or
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---
I
r
FINAT.
---ADDITIONAL COMMENTS:
_ , '
�--..�. � 3�, rrn - �Q,r�a Q ►��,�y� q� C .P.L.�}- .� �str , �.
CA (� cam -- ----
r C
x �\
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b
-- H
` BOARD OF HEALTH . 61 .;
SETS' df pLANd' 1 + Z
fOItMNO. 1 .iSURVE1f 1 ► : / ► ► ► ► ► 1i1 / .
TOWN OF SOUTIiOLO . CiIECK
13UILDING DrPAf1TMENT SEPTIC FORti ► + + ► { . , . , ► ► , , i
TOWN BALL
SOUTI101-13, N.Y. 11971 NOTIFY = , I ,- ��
C/� TEL:: 765.1802 CALL ' ► it't ► r 4V_► /1{ . t ► ► . ,
Exan►ined . . . . .
��Q . . ., 19 7 BAIL TO19?
Approved . . . . . Q. . . ., 19/07PCnnit No.iW.76.7.
Disapproved all: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
t
7(B ;din nspector)
t '
APPLICATION I-On BUILDING PEiiMIi ►
Date
INSTRUCTIONS
a. This application must be completely filled in by typewriter or In ink and submitted to the Building lhspecta,Willi
sets of plans,accurate plot plait to scale. 'Fee according to schedule.
b. I'lot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public Street!
or areas, and giving a detailed description of layout of property must be drawn on the dingtdtn,Whlch is part of lids Apptt-
u:)tion, . . v. i
C. The work covered by this application may not be commenced before issuahce of building iietmlt.
d. Upon approval of this application, tl►e building Inspector will Issued a Building Permit to the ahpiieant. Such permit
sl►all be kept on the premises available for inspection throughout tine work.
e. No building shall be occupied or used In whole or in part for any purpose whatever until it Certificate of Occupancy
shalt have been granted by the Building Inspector.
APPLICATION iS HEREBY MADE to the Building I)epartmen►t for the issuance of d Building Petmlt pursuant to the
Building Zone Ordinance of the 'town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Rcculations, 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 coder acid regulations, And to
adinit authorized inspectors on premises and In building for necessary inspections. -�
(Signature of applicant, or name, if a corporation)
.. . . . .�. .Q too'. . ,
(Mailing address of dpdiit:atit)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrictdtin plumber or builder. '
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . • . . . . . . . • • • , . . . . . . . . . ! 1.�1... 1 . • • , . 1 1 / . / /
Name of owner of premises. . .GAT-:10n?-fi;, , GJ, H,NtA-ro jew . . . . . . . . . . . . . . . . . . . 1 '
(as on the tax roil or latest deed) ;
If applicant is ac�o�rp�o�(r(jatlon,signature of y au horized officer.
. . . . . . . . . . . . . . . .
(Name and line of corporate officer
Builders License No.
FEB
2 6
Plw1997nbcr's License No. . . . . . . . . . . . . . . . . . . . . . . . . �
.'i
Elecirictan's License No. T� 9lDt; p�pt
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . '
Location of land on which proposed work will be done;
tj
Jo VI . 1 1 . A , . .� 1 1 { : ► 1 l 1 1 . { r . i►
Ilouse Non,be .
5 reel. Nantlet
County Tax Aiati No. 1000 Section . . . . . . . . . . . . • . Dtuek . . . . . . r , 1 . / . . . / Lot,.: .4 l L► 1 i. ► t i'/ ( t t
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. , 1 / 1 . .t7l
. . . , 1 . . 11 , { 11 / , . . . . i . 1 . .
(Nan►e)
Slate UNIsting use and occupancy of pren►iscs and '►tended use and Occt►pagey of proposed consitticilon:
A.
Existing use and occupancy. . . . r, . . + . i . i . i� . ► ► , ;/ ► : . , , . . • • • • • i.
9. Intended Use and occupancy. . . . . . . . . . . . . .
l 1
•attire of work (check whiccit applicable): New building , . . , . . . . , • Addition . 1 1 , • + + + t 1 Alittalion
�'*Benoit 1 . , , . . 1 / ! • . ! 1 1 1\�lttbV�l 4 : .,. • 1 , . , . , . . . bcmolition , . . . . , . 1 / 1 / 1 1 ,stArnMinil pbot
'Dennis Court . 1 . . , . . , . Accessory ttdilding. . .. / . . . . 1 'Fence ! . 1 1 1 1 Ibther Wok•kt 1
Eslintated Cott 1/J� Pee
(to 6e paid on filing this application)
If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on tach floor . : 111 , , , , 1 1 { 1 1 1 1 +
If garage. ttutttbet of cars . . 1 t 1 I . . • • . . • . • . • . • . . . • . . • • • . . • • . . • • . . , . . t i . • + + 1 / + i 1 l 1 1 1 1 1 1 1 , . 1 1 1 1 1 1 ! 1 1
i. if business. cotnntetcial of mixed occupancy, specify nnime and extent of each tape of use I . + + + • 1 , , 1 1 1 1 J 1 J
I. Dimensions of existing strlctures. Rally: ('rout . . . . . . . . v . . . . Rear I .0 y . . , I / 1 + / 1 berth + 1
Ifel^hl . , , . , 1 ! . . . . Number of Stories . . .Y.N . . . . , . . , 1 • 1 , . . . 1 . 1 1 { 1 I 1 I I 1 1 I 1 1 1 1 1 1 / I 1 1 1 1 ► 1 1 1
. . . . . . . . .
Dimensions of same structure with aitch dons or additions: rront . . . . . . .Y,?, 1 , . , . 1 Rcat 1 ► 1 IVtyr'.,
Depth . . . . . . .�?S.R►YI�4. 1 teigilt . . . . . S A:'^'r-. . . . . . . . . . Number of stotles ,
8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . I 1 1 , . 1 , 1 1 . / + I Depth J t 1 1 1 / 1 , 1 , 1 1 ► , t +
lieicht . : . . . . 1 . . . Number or 5totics . . , , . I . . 1 . .
9. Size of lot: rront . . . . . . ./P. R. . . . . . . . . . Rear . /,Q L?. . . , . . . . . , . . Depth J . ✓, I , / . , . : . 1 , / 1 / / .
0. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . Nante of rornter owner 1 I . 1 . I 1 1 I + 1 I 1 11 . : 1 . • , . . . • . + .
IL Zone or use district in which premises are situated . , , .Q.-1$(A . 1 1 1 I . 1 1 1 I 1 1 ! , + 1 1 I 1 • + 1 / / I 1 I , • ' • . 1 • / ` , 1 .
12. Does proposed construction violate any zoning law, ordinance or regulation! . .OP. , • , / + + • • � + + t +.+ + , , ' . ! " / • . . '
13. Will lot be regraded . . . . , . I . M9. . . . . . . . . . . . . . will excess fill be hernoved frons premises! ' Yes
I•l. Name of owner of ptennises . . . . . 5,0. A.. . . . . . , Address
Nante of Architect , . . . . . . . . . . . . . . Address , , . / 1 1 , . i 1 1 1 , Phone Mo. 1 1 I J 1 ♦ . 1 1 J 1 • 1 { 1 /
Nanta of Contractor . , (a •.4�. .A.4-.•aAors,. . . . Address . ..41? f. ? ft I PA , 1 I 1 1 (tone Nd.:r 1 1 '17i
ice-.
15 .19 this property tottitbd Oitfiltt Joo feet: of n kidail wetldndt Atpka,. a4004 ♦ .
Alf yes + Southold Town Trustees [Pa l"It wU1 lit tequited/
Lbcatt cldarly athd distinctly all buildings, whether existing or proposed, andAndleate all 01-6ack dintenslotit frim
property lines. Give siteet and block ttumbet or description according to deed; and show ItHei htuneg Arta ltidiea1b whelheP
Interior or cornet lot.
,
s '^�
WILINTY or,
kz,. ` . . . . . . . . . . . . . . . . . being duly sworn; deposes mid says flint lits Is the applican
(Nance of individual signing contract)
above named.
Ifc Is slit 2�gcTOR
• . . . . 1 . . . . , . . . . . I1i 111 / 111111111 { { { 1 ! 1111 / / 1111 / t
(Contractor, agent, corporate officer, etc.),
of said owner or bwncts, and is duly adlhorized to perfotht or Inavd petforTted the sold wotk aid to hinitt~ and 1116 tit
application: (lint all slalcnnents contained in tills application are Itild to lite best of lilt knowledge and belief,and that 11
work will be petl•ormcd lit the Inarmet set forth in the application filed therewith. '
Swonl to before We this
ay of . . . ,
Nolan• Public, . . . . . . . . . . . . . .S �.�F. �4 . . . . County
U . , . . 111 . 1 , t11 1 . t , a : ♦ , ♦ 1 / ► , ,
SUSANNE J. PERRICONE (sldpatM tl plical
NOTARY F1113LIC, Stote of New York '
No. 48e2799
[lunlifi.d In Suffolk C.wnty
Cnn1n131/lotl Exr.lrn5 Jar,
/ SURVEY OF PROPERTY
RfNEAR GREENPORT
19 T O ASN OF SO UTHOLD
N SUFFOLK COUNTY, NEW YORK
3 E 1000-35-05-09
N ,• SCALE: 1'0=26"
SEPT. 23, 2002
N�
sl
Ar � \�
a� 312.93
1
u
i
� t
NLOT,FN6AMBERS REFER TO 'MAP OF CLLWE'S POINT,
SECTMN THREE' FILED M THE S' "f1t.IK COUNTY
: CLERK'S OFFICE ON JUNE 14, 1966 AS FILE NO.
4650, DF NEW YO
��
C NO. 49618
ECONIC
(631) 765 - 1'X1(631) 765-1797
I on xaREa=l2,soo SrP. O. BOX 909 O
r r SOUTWOLD,1230 MYLER STREET
10,?-, 9� G
• =PIPE
II
J
PROVIDE O?E%11lGS
MERGENCY ESCAPE AS n �'"
REJAERr O BV PAR1.114 DF OCCUPA
EI�4Y 0
TE BUILDINGCDDE. USE IJ UP3LAW1L.
K - -
N-r.s1A WITHOUT CERTIFICAT
aa-o Rpa( SHJ�t�L es ,susea
Hcopper OF OCCUPANCYc"'
ertubin0
for distributing I/eu C,DIC Pl system"PIp-Ing shall be
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