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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z=23984 Date OCTOBER 24, 1995 THIS CERTIFIES that the building ADDITION Location of Property 30170 CABOTS WOOD ROAD PECONIC, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 73 Block 4 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 1995 pursuant to which Building Permit No. 22952-Z dated AUGUST 18, 1995 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE & DECK AROUND AS APPLIED FOR. The certificate is issued to JOSEPH V. GRECO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-364111 - SEPTEMBER 20, 1995 PLUMBERS CERTIFICATION DATED N/A ilding 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 .................... ......©. ............................., 19..(.;5... NP 22952 Z Permission Is hereby granted to: /, Q........�� �� r��, ....., ! ............ to ... . ...... ...... ........../ ....... ......................� 7 ' .r, :....r� ..Er i 7 .................... ....:................... � ....... i .......... � ...................................:.......................................... ........................................... .................. at premises located at....................... ©�. ..... %rS.......G7,. )....... .............. ....................... ............................................. . �-............................................. ........... County Tax Map No. 1000 Section ...... ............... Block.......... ... Lot No. ......;7).� ........... pursuant to application dated ........>LG.Z.1. .......S).l...................... 19.....�&..., and approved by the Building Inspector. Fee$ � .`: ro uilding Inspector Rev. 6/30/80 Form No. 6 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 si.milar .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.. �. 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. Fees 1. Certificate of Occupancy - New dwelling. $25.00, Additions to dwelling $25.00i 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial$15.00 Date . . °. . �.�✓. .��J.�. . . . . . . . . . . . . . . . . . . . 'ew Construction. . . . . . . . . . Old Or Pre-existing Building. . . ocation of Property. . . 3o. . 1. . . ca_Jd Qt�. . House No. 11-- Street Hamlet ewer or Owners of Property. . . . . ounty Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . ... . . . . . . . . . =ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . _ermit No. . . 22cl .jam, . Date Of Permit. �:�.�� . . , , ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . �. . . . . . . . . . . . . . Lanning Board Approval. . . equest for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . . . . . . . ce Submitted: $. . . . .�' . . . . . . . . . . . . . . . . 0301 . . . . . . . . G: : . . . . . . . . .. . .«J. . . . . . . . . . APPLICANT 4;2 T0.1Soz BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND 1 ATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO � THE NEW YORK BOARDTOfF;FIRE UNDERWRITERS1001071 BUREAU OFCITY F_ 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date SEPl'EMBER 20,1995 Application No.on file 10159795195 11 364111 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of J. GRECO, PRIVATE ROAD, PECONIC, N.Y. in thefollowing location; ElBasement Ellst Ft. ❑ 2nd Fl. GAR/OUT Section Block Lot was examined on SEPTE14BER 13,1995 and found'to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 F 1 20 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP - TYPE METER I X 4W 1�3W 3 0 3W 3,04W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: SWIMING POOL-1 TITS CLOCKS-AMF.40-1 G.F.C.I-1 G.F.C.I:--1 *(SWI1*11.NG POOL) This certificate covers compliance at the date of :inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs <<< Continued on P,"19e 2 >>> GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Boa ncorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MILS NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1001071 BUREAU OF ELECTRICITY F— 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 20,1995 Application No.on file 10159795/95 N 364111. THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of J. GRPCO, PRIVATE ROAD, PECONIC, N.Y. in the following location: ❑ Basement GAF./OUT f g ❑ lst Ft. ❑ 2nd F'l. Section Block _ Lot uws examined on SEPTEMBER 13,19,5 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS SYSTEMS FEET SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER �.•7W 1�.3W 3 0 3W 3,0•�W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W.G. NO.OF NEUTRALS A•W G. EQUIP• PER b• OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: made by a qualified person. G & 8 CONTRACTOR LTC,#578-E BOX 215 SOUTHO1D, NY, 11971 GENERAL MANAGER 1t Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i.[ �... _ r;T,f)�Z��T 3�CTION Rr•,PORT DATE _ COMMENTS JI _ 17O0NDATION ( IS•t) jj II 1 FOUNDATION (2ND)__ ------------------------------------------------- �I ROUGH FRAMR PLUMBING I _II II H `i --II INSULATION PER N. Y. - STATE ENERGY CODE ----11 I i II II I �u H n -----ii — FINAT, - II ° s -. --- ADDITIONAL COMMENTS, vl o � a � BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . _ _ _ . . . . . . . . . . . BUILDING DEPARTMENT CiIECF: �91L. ':a7i'r ; TOWN HALL SEPTIC FORrt I—--- ---- _ _J ii SOUTHOLD, N.Y. 11971I TT - - - - - - - . - - - - . . �� �'^._.__ __ TEL.: 765-1802 t:OT I FY Examined .�. . .� X /. . . . . ., 19 � CALL . . �� `:�. . . . . . . . . lined / MAIL T 0 : Approved j . . . . .. 191 Permit No. .VW _ . . . . . . . _ . . . . . . . . . . . . . . . . . - - . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dinb Inspector) APPLICATION FOR BUILDING PERMIT Date (,(,. . 31 r. . . . . .. 19 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 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 whatever until a Certificate of Occupancy shall 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. The applicant agrees to comply with all a lcalle 1awsr'ordinances, building code, housing code, and regulations, and to PP. b P Y P- admit authorized inspectors on premises and in building for necessary,inspections. ....._ . _. ,. .::(Signature of applicant, or name, if a corporation) (Mailing address of applicant) I IG-7I State whether applicant is owner; lessee', agent; architect,'engineer;; general contractor, electrician,.plumber or builder. . . . . . . . . . . . . . . . . . . . . . . kepi a �. T. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . ..�ase�.► . .U. �rc c�? . . . . . . . . . . . . . . . . . . . . (as on_the tax roll or latest deed) If applicant is a corporation, signature.of duly authorized'officer.. c .NLC,.2L. (Name and title of corporate officer) Builder's License No.. . . .�ZF�.�, . : .,-- . , . . , • r Plumber's License No. . . .J )'Y?� ' . . , . • , , . Electrician's License No. .. . .r S, ,�C tLe ��•w , Other Trade's License No. R,?- .U.,4 . , }) 1 (\Kn.s L rv--) N V-.-4 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�.C�4�� . . �.�?.S K�?C4�.�. . . . . . .Y ��c c!Y� + v. . . . . . . . . . ... . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . .9. . ? . . . . . . . . . Block . . . . . . . . . . . ... . . . Lot . . . , • • , , , , , , Subdivision . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . Lot (Name) . . . . . . . . . . . . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . ,� ��.G�n.�r. .� t<j. A. . . . . . . .. ... . . . . . . . ... . ... . . . ... . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . .e��-�� . l�.l� . 1�?O.Q O.Q. . . . . . . . `' . . : . ... . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . .Other Work 4., 4. Estimated Cost . . . . . . . . . (Description) f . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . `.'."" : :'. . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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 . . . • . • . . . 7. Dimensions of existing structures,if any: Front . . . . . . . Rear Depth . . . . . Height . . . . . . . . . . . . . . ..Number of Stories . . .'. . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . : . . . . . . . Height . Number of Stories . . . . 8. Dimensions of entire new construction: Front . . . ..2.�! • Rear {�(. . Depth. . . . Height . . . . . . . . Number of Stories . • • ' ' ' ' ' ' ' 9. Size of lot: Front . . . . . . .a.q .�. . . . . . . . . Rear . . .J.Y2. ... . . . . . . . . . . . . .Depth . . . . . . . . . 10. Date of Purchase Depth .�$U.1.'. : . �o•g 0 ' • • • • • , Name of Former Owner 11. Zone or use district in which premises are situated . . . Re ide,•1c� I• . • • ' ' ' ' ' ' ' ' Reg. 12. Does proposed construction violate any zoning law, ordinance or regulation: . rl v• . • . . • . • • • . _• 13. Will lot be regraded . .n o Will excess fill be removed rom remises: Yes . . .� K . Name of Owner of remises (kl h. , °p �:•�Cr-.�. . . . Address ���s .��0� .�P��� Name of Architect`�C�d. �.�C�1.�+,. r 0 • . . . Address .c�o,L(•`F ;o tv . Phone No. . • • • . . Name of Contractoi:TQIO '.( rA`• �!r ' ' ' • . . Address .«9.�-kd-c12rU,-.07Phone No. .15. Is this property within 300 feet of a tidal wetland? Yes. . . . . . . . No. .x . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM r Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whethei interior or corner lot. F;Z//, T D.AS NOTED DATt;� B.P.#oc� FEE: NOTIFY BUILDING DEPAR MENT AT 765-1802 9 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:Q..:" ALL CONSTRUCTION -SHALL- MEET THE REQUIREMENTS,:OF,THE N.Y. STATE CONSTRUCTION,..&,-ENERGY CODES. NOT RESPONSIBLE, 'FdR DESIGN OR CONSTRUCTION..ERRORS' STATE OF NEWYORK, COUNTY OF . u. at , , , S.S . . . . . . tom.ln�.(,�. .1. : . �.I . . . . . . . . . . . . . . . . . . . . .. . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . ... . . . . . . . . . . � �.Y.1: ". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . (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 ofh;, . . . . . . . . . .. 19Notary Public, '�j�. . . County JOYCE M.WILKINS Notary Public,State of New York ' ' ' • • - No.4952246,Suffolk Coun (Signature of applicant) Term Expires June 12,19. Nal s-49 r o:0 LOT, 4 LOT LOT' .3 f N/F 'STAti 'f a JOSE—P V. G2' Ero H AT PECUN.I C rL-A rREGeY Tb T UF4p-f F urt-Z {� 1 CCF'TI't0 AVTaw,TATIC IY2FtLTCRL`-D GEmiE:-RAL NH S SUAMCL SICIMMtQ- RfbTV LIVE: pR CZCA1.PIPIT IC. 16 C ) t copsT, e Pcx e rr u �+nr.TICALLy �.Uo uNLtSS C:,,r i2�Yla.^.: pIAC. wit �t�,JAL 1►.11�T N7tT-A. RITTU dA'TL� 2-RCWFOi2C1UG SiLL� SH I--IUC-� .' �4S OF IUTCRt.A�►.TC 0C 1 DCFp(2MCp TH4 gcSlGu ►.,It� of Iso Cti4- = -..i-.".. .... �+-MY��U DBh1Al Ff.c1UG h>SI® h/tp wD . _ b2'.1UIUG So1L WIT?1 LL /� GRAUVt_AR PG t>IUIU . ,f3p/��D y, GRoVuD WATLQ SHr.LL ,� THnu Ipla SILT. l (C+QTIOUAL) cow,c¢�T LIMITS OP T txll'T WtTN1U T}i aT�PS uT 4��nla� H�` ><CT AhIDp ----: U -. C g�,o 4.MCI SUt2CHhRGo6 tr—'F�1 MT FILAS -- ALt;-ARp�p Sµ�LI :�,tIST"WI ITIo�` _Lo/�D T' I ¢'dl DusT Fw15N� Ttr3 Iz^ o.C. 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L1LNT G^To 24^ OU 4} 44C� d ��1 IStRIGA (olfna&) MAIu SHALT-Ow 0.Ct{I y�A'C 7 .TCR -"u p�PEIITY rA"� 2S^ zo s'-c• o►I otiZ 1 ICaH Y pP_Y 13Y 0%VLt•RS n$..Cr Evo .THt Col-'i aHALL ��� Fios�; AD7``CCUT LT 3tiOSZC 1SR�6 oR wnaRAl.RiJCTu{Ztb /,.� �C U © Op_ Jo ScA,Lt_ 11.2.ATtpNpu 1�rG1MRcCPt x/tg, GAC EtD1 =o�" P ub AT AE 1 ILL1,1 WALL oucetrc suA LL �t USa1D I Y TYPICAL S ,.� F-o� �>'xt of t�Scr1�.RGIu� TMc — T101.1 ��clzY wlT+iw z1- K�S. SIRE N D C D E F- G �2M CI�DJ�ITY �� AT'A - TUp-1�>c�Nt'2 RATE � I-TOURS • e----1'-ILT6Q, PUMP '�Cfrc`Cu�`Tb1..t t2/�Tt= IU. RIMP FILTrtATI01.1 RATE � G^I. MIU �� _-- • /c• �G�i�T HILL. �II.TL-ti` / �SQ.f-T.'-------• �� - . . '- I ARCr Eer• Hans-Joachim Dottke" (516)288 4267 `"'K� ulyc� President.,t IYs - - - Mhr,1 'DRAtu °�'4i F-.-•w' RtS?IUG �R�•�•MT ' - POOLS BY HANS, INC. I MEMBER- POOLS AND SPAS r(-0 ---'_,_'"�,."' ------_•• • "aTlc"aL 36 North Quarter Rood -- wa a�ooa • I"•f1TYTe Westhampton.N.Y.11977 7 -v op ,71` 40-0 iom�p io ilo,�l oo'��Joo 000 00 11.7 #00 1 Om 4 lit` �,40 CHAIN LINK FENit CE k , ALUM, -P N rg,e� �m Z ,FETA 1,NiNq WA Ll�—� 2 3, cnAR 7111P -RAIL rt, F E N I L N h I K X11 ALUM , q x 14 CEDAR, PoST N -VY x (o C-F DAR DEC K -F TP A �x3 CE�I)AR 30 �40 AI (CCA ) 4r C'C A, d ii -3/3 1 L ET)C,F (CCA)� j", L AL\� AMA OCCUPANCY OR -J FUL NLAW Nil USE IS U 7z IMMEDIATELY WITHOUT CERTIFICATE m ENCLOSE POOL TO CODE UPON COMPLETION vu OF OCPl IPAKy BEFORE "WATER" `* NC 'F T-6 MIN, 3 3� , CC �"W UND A ERWRITERS CERTIFICATE REQUIRED 7 A6 Allr6 . ............, t�,. F ION 'A A01 0 c' 21,445,IZ jr�oc -ftxpo,�, I It G C, EDAR c(cr (1�-s (�c P\) oc es gwi;i g, VERTiCAL -RAfL�N r-. To MA CH Hj)�� P� Vy, -N S 2-2-<8 C C-A CA) y - co (t- ATI� $TIN I A W, 2v L F t:X�7 fC To R ,Q K P Ci4AI t,4 N�✓ LIN i< F di At v 1W �71 -T( W-7 CoNc r M i 36 BE . . AL OCCUPANCY OR USE IS UNLAWFUL It— I LA solmMEDIATELY E(." I CLOSE goo TO CODE CATE D WITHOUT CERTIFI EN UPON COMPLETION BEFORE "WATER" #10 OF OCCUPANCY NOTE I CONIC, P ARE Ft;�JAL0 C-F7 t� NOTS Z I OT" OF -�Ali,s -ro -f!.E is,, Atto�e, N07E 3 NLL- 4-AX"WIN, NOT. rooL t'o -5E Com 14 4 7,iAt M661s UNDERWRITERS CERTIFICATE ly, C00 REQUIRED R F-CO POD L- AN r-') DECK SCALE ORAWNSY EA uS?r Pl� N'Orrl,) 'REVISED ERB < i,j it APPROVED $130 113R AWING 111-1 WIN eAYV"F*Al PO 90)(i6n SOVrHW NY 11971 OAT F, By M B E R �5!cvm-sw 17 IF111TAIENE 1..16 MAVE IN U $,A a g g;,,,,, a,ARCHITECTS' STANOARD FORM