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HomeMy WebLinkAbout23510-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25366 Date: 11/12/97 THIS CERTIFIES that the building ADDITION Location of Property: 1335 NEW SUFFOLK ROAD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 7 Lot 9.2 Subdivision Filed Map No. Lot .No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 1996 pursuant to which Building Permit No. 23510-Z dated JUNE 17, 1996 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM M. BEEBE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N420199 05/16/97 PLUMBERS CERTIFICATION DATED 11/01/97 J.S. ZULTOWSKI, JR. B lding Inspector 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) Date ja,41,4.... ................ 19. ...W.. Permission Is hereby granted t ......... ...... � \ ... f..................... .. .............. ................. ..... ........ r �� to. l �M J �..... a.'r.. o.. L .`. .................. t. ........ .. w......... .. ... ........ � oo ........h. .. .t... ...... .................................................................................................................................................................. at premises located at............1.... .. .. ..!'"... ...... .... ............................. ....................................................... . ..... ..: .�. �................ ......... County Tax Map No. ./ ......... Section... .% ....... Block .........7......... Lot No. ....ls... ....... pursuant to application dated ..................... ..... .sx�.l....... 19..... and approved by the Building Inspectorel(9 Fee$©� /.... . ........... . ...................... .. ...41nspector ............ 7 Building Rev. 6/30/80 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 Buildins - $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. . . . . .. . . . . . (( I Location of Property. . . A .. . � .�:w:�.��. �J:�:� W� .. . . . . .. . .s. . .� 1, , House No. �'`' Street Hamlet Onwer or Owners of Property.. . . !!�.�1.� .�. .�.��.f.h f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .. . . . . . .Block. . . . . .7. . . . . . . .Lot. . . . f.� . . . . . . . . . . . Subdivision. . . . . ... . . . . . . . ... . . . . ... .. . . ... . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. ��!�. (�. . Z. .Date Of Permit. .1,�.q q%l . .Applicant. . L. �.� •�- • • • • • - Health Dept. Approval. . . .. . . .. . . . . . . .. . . . . . . . . ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . Fee Submitted: $. . . . .� . . . . . . . . . . . . . . . . . . .YY. . .:-.11 .�. . . . . . . . . . . APPLICANT Town Hall, 53095 Main Road CW2 T Fax(516)765-1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 �Av OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE t� Building Permit No. Owner: (please print) Plumber: Q �t �, U -1 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. S lumbers Sid piature) Sworn to before me this Y day of 4-- , 19 9 7 Notary Public, Sao C-`� County JA`ME P. MARTIN \ NOT. :^ Pi:2LIC,St^'.a of Now Y039C No. 52-77 82,5 - Su: olk Co.=,— Cocnmzssicn 1::t�.'a' ;J�.3 as T'`^n,�A2y�t 765-1802 BUILDING DEFT. INSPECTION [ � FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1 FRAMING [tij FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �� DATE fc) [;� 197 INSPECTOR FIELD INSPEC'L•ION REPORT D 'rE COMMENTS ----------------- lx- ----_, _____ _=_____=_------------------------------------- - -- ----- afF u � "` FOUNDATION ( 1ST) rr-----�1 — ---- c FOUNDATION (2ND) -------- -------- - - - 77 II ROUGH FRAME & PLUMBING II JI 1f-- — 11 I I INSULATION PER N_ Y. STATE G-- STATE ENERGY II 41-------- 11 CODE II I II p II II II ri3 39 FINAL III II �� �f_•/ `�:: ADDITIONAL COMMENTS: 0 a — — r — ro H 765-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: y DATE 5/3Z9-7 INSPECTOR 76S-iS02 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ 7FRA NDATION 2ND [ ] INSULATION MING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE_ � INSPECTOR 76s-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �JGC���TCe�✓ DATE 6f/ � INSPECTOR/4 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . . . . . . . . . . . . .. . . . 1.��4� To .GIJ . .cQ. . . PLEASE TAKE NOTICE that your apAplicat*ojn dated . . . . . . . . �. . . 19 C %�J for permit to L ? , . . . . . .� . . . . . . . . at � 001 Location of Property .l��t�C(J.�!� �g/� � . . . . . ( . ... �� .� House No. Street ;y' Ham/et County Tax Map No. 1000 Section . . . . . . . . . Block . . . . . . , , . . . Lot . . . � , . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. Lot No. . . . . . . . . . . . . . . . . is ret ned herewith and disapproved on the following grounds .&hof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` . . . . 4 ° - - G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building- Inspector - - - - RV 1/80 f BOARD OF HEALTH . . 3 SETS OF` PLANS . . . . . . . FORM NO. 1 0 SURVEY . , . . . . . - M U OWN 'OF CHECK -It- • • - • - w ILDING DEPARTMENT SEPTI FORM . . ... . . . . . . . TOWN HALL UTHOLD, N.Y. 11971 NOT FY •� -�• -G• G�p TEL.: 765-1802 C LL B�DG DEPT. MA TO xaniined . F _ SOUTH LD f Approved /'/" 19 . . . Permit No. ' Disapproved a/ i (Building Inspector) . ICATION FOR BUILDING PERMIT. Date . . `� .`:. . ., 19 . 41 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 giving. a detailed;description of,layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit sliall 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 whatever-until a Certificate of Occupancy sliall have been granted 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. Tlie 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 i/ ins�i�' . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) �' t ./ re o G f. . . . . . (� aim d f applicant) State wliether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises b11. . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No -1y k+1 f-,b /*.mcJ`(' Plumber's License No. 4' Electrician's License No. ,X e Al-. A !vlt-, :13 ej- Other Trade's.License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done.. . . . . . . . . . : . . . . : . . . . . . . . . . . . . . . . , . , . . . . . . . . . J . . .�. . . :�w: �. : , .. . : : . . :. : . . .�. .?� .� . . :: . . :h. . . . .. l.Iouse Number , f::, Street ..;. Hamlet, County Tax Map No. 1000 Section . . . ..O . . . . . . . . . Block . . . . . . . . r. . . . . . . . . Lot . . .' . . . . Subdivision . . . . . . . . . . . .\ . . . . . Filed Map No. . . . . . . . ... . .. . . . Lot . . . . . . . . . (Name) . ?. State existing use and occupancy of premises and intended use and occupancy of proposed construction: t. a. Existing use and occupancy . . . . . . . .! �•-t-1�; �All . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . —. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . .•. . . . . Addition . . . . . Alteration . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . Demolition".:. ` .;,:;.p ;, Other Work. .'. . . . . . . . (Description) 4. Estimated Cost . . . . . . . .?r C ;,i• . .: �. , e` 1•(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 . . . ./V61v r . . . . . . . . . . . . . . . . • • .� G. If business, commercial or mixed occupancy; specify nature and=eaten t°,o'f each type of use . .�LUe.f:f;L ;��. , , . • , 7. Dimensions of existing structures,if any: Front . .30 1. . . • , Rear , 9xF . .. . . . . . .. Depth . . . Height . . . . . . . . . Number of Stories . . . /. . . . . . . . . . . . . . . . . . . . . . . . Dimensions*of same structure with alterations or additions: Front . . . .:3 Q. . . . . . . . Rear . • . Tdc • . Depth . . . . . . . 1./. . . Height . . . . . . . . . . . . . . . Number of Stories . . . ./. . . . . . . . 3. Dimensions of entire new construction: Front . . • . �:�. �, • . • . Rear .;L. . . . . . . . . Depth . Heiglit . . . , Number of Stories . . . . /, . , • , , , , , 9. Size of lot: Front . . . . . . . . . . . . . . . . Rear . . . . � ?. �. . . . . . . . . . •Depth . %. . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . gyp., , . • . . Name of Former Owner 1 l. Zone or use district in which premises are•situated . . . . . . . . . . . . . . . . . . . . . . . . R�{SAV— . . . . . . . . . . . . . . . . : . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . A/1A) 13. Will lot be regraded . /Vo. . . . . . Will excess fill be remo ed from premises: • . • • •Yes • • • • N 14. Name of Owner of premises . =' ,��J,,,, P .;�, Address,&&—F,,71, d a? .A ,Phone No. .7� Name of Architect • . Address . Phone NoNameNae of Contractor l{'k4= 11 ,Ifa,Gy�es, jIYq-,, , , Address . /�'. -/7�i C�. • , ,Phone No. /�Ac.:, � . 1.5. Is this property located within 300 feet of a tidal wetland? *Yes . No . . *If yes, Southold Town Trustees Permit ma be reqgu�ired. PLO DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fror, property lines. Give street and block number or description accord' g to deed, and show street names and indicate whethe interior or corner lot. �- • N 1„ 6VeK' Ova R i STATE OF NEW YORK, S.S COUNTY F . . . . ` " •V �E �T. . . . . . • • . . . . . . . • • • . . . . . . . being duly sworn idepos.es and says that he is the applicant (Name of individual signing contract) •1bove named. IIe is the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . (Contractor, agent,corporate officer, etc.) ` ()f 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 t i . . . . . . . > . . . . . . . . . . . .day of. .4 . . . ., 19 ?Votary Public, • • . �({� . . . :. . . . . Coun y l-1ELE'E11=D. HCie3fVE (A/ : . Notary Public,State of New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No.495T3SA (Signature of applicant) Qualified in Surjuljt County commission Expiro" P�f9c,y,�2. 'i ENERGY CODE CALCULATIONS (For Non-Electric Iieat) Design Criteria 6 , 000 Degree'.aays O.A. 100F I .A. 70OF FOR: i�1:l l r� ��e PER: As DATED: 0,31 1 / b �J DESIGN THERMEL REMARKS SUBSYSTEM AREA bf U,l RATING Exterior Walls (opaque) Glazing % I b3 , 3 -� - 3I 0 Doors ._ Ceiling/Roof (Opaque) o j 1 Skylights _ $ Floor c� 73 , _0 (� Fou►idaL•ion Walls Slab Insulation TOTAL Notes.- Building Envelope Systems to -meet requirements of 7815 . 2 11VAC Equipement to meet requirements of 7815. 11 11VAC Systems to meet requirements of 7815 . 12 Duct Systems to meet requirements of 7815. 13 VenLilaL-ioi�s Systems to meet requirements of 7815. 14 1:11sulaL•ion of Piping Systems to meet- requirements of 7815 . 1,5 Service Water Heating Systems & Equipment• to meet requirements of 7815 . 21 Electrical & Lighting Systems & EquipmenL. to meet requirements of 7815 . 31 To the best of my knowledge, pE. Cy1, belief, & professional judgement, these plans are in compliazice with the code. � P a`r�!nswdfene�"YAl+lto.mvaaaaiaa++ei�+tw: e:9wr<.Mne .:. ��,... is� - + �7alat9s:�ac±irs�l.�fe .,.. .. -...wr.�lnNcx�aa+.�9�`kWNtdaR�.*glpYgiw£N '"++ `oL tl D' 4�0 o > q o o = p ecu �3 ','S r� a 9 = /�' OR ry o .. 5 eo l� ��31a7 ^ , zP vo7 F-Al 7 oz A A I-f- e--t 3 too i i 200 2� 527,9q (�(e,70 . hfE f1 F if s 4oT 8 I Ar(o. y P of .� - Pn� C o 7 3 7 3 '/y�� I �l 5 hem✓ . �� I '�,0� ` t -377 ! ✓ Pf f X G�"t 4;,,;. a oD i p) all J � 0 I L OP w O O Teresko Walter q Esther Z 2p4.44" 1 I, H ;a ;w � C w SNED tD � CONO.B K.BARABE N � � 50.0 O Rl _ ut - tp o � y Cf) N /3, cu pROp. ADDITION o 0 O �- 1'_ w l srr• a o iR..NSE• O 26.3 Uk a � 20 " O # 0,0O S.8l°ll'oo1v William N! Beebe O SURVEY FOR ppINT Of c uRvE WILLIAM M. BEEBE AT CUTCHOGUE DATE JAN. 4, 1983 TOWN OF SOUTHOLD SCALE' 1 30' SUFFOLK COUNTY, NEW YORK NO. 82-765-A A it UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE SV NEW YORK STATE EDUCATION LAW. Cn �F COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED.SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. �FE{�. *GUARANTEES INDICATED HEREON SHALL RUN ONLY TOtQ THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO.THE TITLE COMPANY,GOVERN- /-� MENTAL AGENCY AND LENDING INSTITUTION LISTED ® G HEREON,AND TO THE ASSIGNEES OF THE LENDING , Z INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE' (,f NOTE: TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ,• �� OWNERS. 1. M=MONUMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES 2. AREA= 19,996 S.F. TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT,TO BE USED TO ESTABLISH • `"� 3. SUFF rn TAX MAP: ' DIST. SECT. BLK. LOT PROPERTY LINES OR FOR THE ERECTION OF FENCES. ' 5i��3 1000 109 07 "•o••0m9-f YO U I V G a YOUNG u : ..a00 RENDER AVENUE -�,.`s§ -�ERHEAD NEW YORK ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 ll f HOWARD W.YOUNG,LAND SURVEYOR 1%!141 N.Y.S.LICENSE NO.45893 rFIFOYNF POST r•101179 ._..___.-_. U ly , D v� f v' r M Ta WEPT � --�- T001) o� R } M' , } , s.;N jk i- •P:- LA'r�.bL fSYt.4) , }. w•— '• i i; +'�'"�� �t ,{ ..�' k _._ - � _ .,�':,. �.1. ..._..�_v G ' ! K 1; 7j t fi; t( �� , y _.y Ik { 4?f 14 4 {i" � µ �, , i� ( (p _.`��... FF y Sv j 4 p , } rr �2.lY 4 , tt it , ' ,. 13 b) i f oE c�Rt�aG►t> REQU1 REO All ,. " ,�. _M . .� _ - � (/ �� ' PL UMBER CERTIFICATION A' ! ON LEAD CONTENT BEFORE CERTIFICATE s ' ED AS MUD If copper tubing Is used S -CUPANCY aAtP �.p# 5,16 OLDER for,water.-distributing. _ _.U _/ ,. ,� .�� PEE, BY �+ �+ A1' eJ YaJ T�M CANNOT �. NOTIFY BUILDING DE system; prizing shall be ®f types K Or L only E C v,�� �6 -1 BC2 B AM TO 4 M Fp�t THE EED 2110 of LLOWING INSPECTIONS: ATIC�N - TWO REQUIRED ��OURED CONCRETE 2. BOI,1GFr;- 'FRAMING & PLUMBING T PLUMBING t OR 3. INSULATION ALL PLUMBING WASTE r- 4. FINAL - cONSTRUCTION MUST ,. &WATER LINES NEED r UNLAVIFULSE COMPLETE FO C.O. TESTING BEFORE COVERING ALL CONSTRUCTION 1 MEET USEA0 THE REQUIREMENTS , F THE N.Y..Y. _- -r _� _ , T 'ATE STAVE CONSTRUCTIOk & ENERGY I y; ITH00 CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTIO, RO S , ' r t , WCUPAN 0 f r k IAI \Ac E . r _ t w, v , a 1, , , ljt { ( r ' , r ' , , 3 3 ' - w M. ff yr { , fir,, ,. _. ,,:' .e' :^i, ... w, ,;; ,.y1- _. ., ..-._.._. _. .,... ......, _ ..__ ... _. _ .. .. .. ,.- _, _ _ ... ._ ,._ :q'+�. ,'s ��• - __. .. _ _ X 1. • � ;; _ i , 4 j } l' M „ 3 a Y �ni nir Lo -791 � t fit 44 7-1 i r" a W k fA e N �K"J f i f t f ( UZ H- 1 ,t, �4 f a, (�, t a f x 8 k it J imp °' fA sq ' w ,�`' q� -Ttl."tt Y$ ( ,.:.. k _._.. ' 'a+. 1 .' ,.."'tea .-..,...,-.....- ,#y....-, pr,wyw.. _•=-• tt 3: ' f.. -"a i ..,.w....,,.»...+�.. :.",.i. ,:,1 F r. $ , P _. � 'IT___ _:,_�_. _ . _w _�___...._.. PROV DEO INGS FOR `� � F/-� i ECY CAPE AS I 5 EB�ERG ,� � '�' �: , �REQUIRE�WBYi?ART. 714 OF 1z U ��r �! � � N.Y.f STAT"W DING CODE. _ , - ! If Cc. � �r �`y ' E E3!LT , f ..: ;„>,.. 4 �(;+ �i'�^n; it.f~s}.:7�ia.` L �g , , _ y i t,. P , , k r i < t t a' a > CPA WAG NMI 17 Iona Tt EE " F , 9Z 14 i } �-? 1 _ � x LL Fil w�iGr , Y:.p.. t v t7VF 1 .. WAVY . , N S