HomeMy WebLinkAbout22283-z L
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23987 Date OCTOBER 24, 1995
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 1935 WESTVIEW DRIVE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 107 Block 7 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 9, 1994 pursuant to which
Building Permit No. 22283-Z dated AUGUST 26, 1994
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 ALTERATION & ADDITION TO EXISTING ONE FAMILY DWELLING TO
INCLUDE 2 CAR GARAGE & COVERED PORCH AS PER ZBA #4213 AS APPLIED FOR.
The certificate is issued to IRWIN FRICK
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-352765 - MAY 23, 1995
PLUMBERS CERTIFICATION DATED SEPT. 19, 1995 - JOHN RYDER
ldi g 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)
qV
Date ........................ ..................................... 19...
® 222�3 Z ..
6�_
Permission Is hereby granted to:
, ... .....................................
..... .���� ...... .............................
........................ ................. ....../ ..4W. ..
to ..................-r ............. ....................�1 ,. .
....c �/,�........... .. ......�� /� -........:i.. ......../ .......... .........
� 000,
. ......................... ................................... !:� �1�..................... �J......./V# ...............
..?.-�....�.......%l! G ......` 1 .......�9 i . ,�/ a...... .... ..:. r,��.... �J....
.............. ........................
at premises located at.............................1... J?J�.....4�f/ .�i G�/......./ ...............................
........................................................................../ ;�?i? ............;........... �...r......
County Tax Map No. 1000 Section ��� Block Lot No. k.>l
... ...... ........I............
pursuant to application dated ............... .....� , 19....� ., and approved by the
Building Inspector.
Fee$....fv ...
Building Inspector
Rev. 6/30/80
rarm No. h
TO11•114 OF SOUTIIO LD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. T1iis 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 or 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 1.7. 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 525.00 ,
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 - $20.00
4 . Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial A15.00
Date . �U/a3 5l5 . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Buildiri . . . . . . . . . . . . . . . .
Location of Property. ./�.��: . �fl ie/ ,QG ?/� . . . k-? j'%�uGll . . . . .l ��.�. �. . . . . .
House No. Street Hamlet
l/�Onwer or Owners of Property . . . . . . . . . . . . . . . . .G�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:ounty Tax Map No 1000 , Section. �. . . . . . . I,,.t.cic. . . .7 . , . . . . . . . .Lot. . . J. . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FJI.cd Mnp . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
?ermit No. . . . . . . . . . . . . . . .Date OE Permit. . . . .l. .�'", l .App.licniic . . . �7�!V./.�. . . .f.-�•� .
ilenlLh Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . . .Uii//derwriters Approval . .!. . • . . . . . . . . . . . . . . . . . .
'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
?equest for: Temporary Certificate. . . . . . . . . . . Finns Certicace. • .
-ee Submitted : . . . . . . . . . . . . . . . . . . . .
3 / Z— . . . . . . . . . . . . . . . . . . . . .
C 0��3g9� . ___ . - .._
Town Hall, 53095 Main Road Fax (516) 765-1823
P. O. Box 1179 :� Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R _T I F I C A T I O N
DATE• �J
Building Permit No .
Owner:
-' (please -print)
Plumber:
(please rint)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plu bers ignature)
Sworn to before me this
day of. 0C06t'A- 19 �
No7<_, /6oC_A__
Notary Public, County JOANS,LE}TONEN
NOUry Public;State of New York
No.01LE491$823
Qualified in Suffolk County
G_ ,� 4.'0Mlission Expires Feb 1, 1{Ae 6
ID_1- -5 2zZ
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1015052 BUREAU OF ELECTRICITY
F_ 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date MAY 23,1995 Application No.on file 87114795/95 N 352765
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
FRICK, 1935 WESTVIEW ROAD, MATTTITUCK, N.Y.
in thefollowing location; L"J Basement E 1st Fl. KI 2nd FL GA/OUT Section Block Lot
was examined on MAY 19,1995 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. I K.W. AMT. H.P.
69 74 59 69
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
2 F 6 — _ 5 _
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER �,4W 3W 3,0'3W 3,R'4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G.
EQUIP. i PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL
1 100 CB 2 x 2 4/0 2 4/0
OTHER APPARATUS:
SERVICE DISCORN.AMP.3.0 TYPE-CB-1
MOTORS:2- H.P.
G.F.C.I:--6
SMOKE DETECTOR:-2
ALL STAR ELEC. LIC.#3681-E
1570 ROCKY POINT RD.
MIDDLE ISLIA14D, NY, 11953 GENERAL MANAGER
11.
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.
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2NDNSULATION
[ ] FRAMI [ ] FINAL
REMARKS:
lie
A6
DATE � � V/57S—INSPECTO
c;2�r?
ors-sso2
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
DATE �� �f/ INSPECT
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLB6S.
[ ] FOUNDATION 2ND INSLATION
[ ] FRAMING P, FINAL
REMARKS: 9
aJ I.Z
A-tlLl n.
Gr
DATE � INSPECTOR ��
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 15T [ ROUGH PLBG.
J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
-v
DATE ci INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ /FOUNDATION 15T [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ( J FINAL
REMARKS:
G
DATE L ( INSPECTOR 1�.�
BUILDING DEPT.
INSPECTION
[FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
�ic�ct
DATE L I INSPECTOR
Iop NMIR
01011
_.
Wo
1
=./2a AF
Mill
MIR
E
Lj• Z.0 i�Y
�-G""f1ellirf pa► All fp, G•S L*o WJ
ouv(G1.-l'/•
Mow n�F4APTSO
W AJ eWr- �+SuLXt•tON L�C'I0�
��,,lb R ,
j
Q1 NEW Y
DEC 2 ,4 ".'�. 0101,BLDG.DEPT.
TOWN OF SOUTHOLD
LA
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
Date ,'.���°. . . . . . . . . . . . . . . . . . .. 199t'-P".
To
. B. . .�, . . . . . . . . . .
. . . . . . .` . . .. . . 117ay
PLEASE TAKE NOTICE that your application dated . . . . . .����. . . . . . . . . . . . . . .. 19
for permit to ... . . . . �i!� . . at
Location of Property . . . . . . . ���/�.��.`G `. . � . . . . . . . . . . . .
House No. Street am/et
County Tax Map No. 1000 Section . . . . . . . Block . . . . . . . . . . . . Lot . . .. . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . Lot No. . . . .�. . . . . . . . . . .. ... .'
is returned herewith and disapproved on the following grounds . .� ,1 !. . .46% �._. -•�
X- 44;'*. . .
. .-�� . . . �. . . . . . . . . . . . . . .
. . . . . . . . . . . .fi r. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B ild' g. Inspector
1l
RV 1/80
0
APPEALS BOARD MEMBERS ,SYYa'��"� �-,•u ��
Gerard P. Goehringer, Chairman
Serge Doyen,Jr. - f t Town Hall, 53095 Main Road
�. :
James Dinizio,Jr. P.O. Box 1179
Robert A.Villa NY Southold, New York 11971
Richard C.Wilton Fax (516)765-1823
Telephone (516)765-1809 Telephone (516)765-1800
BOARD OF APPEALS
TOWN OF SOUTHOLD.
March 10, 1994
MAR
Mr. and Mrs. Irwin Frick '-' --
2 -Arlington Ct. vN F
Miller Place, NY 11764
Re: Appl. No. 4213 - Alternative Relief for Sideyard Addition
Dear Mr. and Mrs. Frick:
Please find attached a copy of� the Board's findings and determination
rendered at our March 2, 1994 Regular Meeting concerning the above applica-
tion.
Please be sure to return to the Building Inspector and any other agency
having jurisdiction in this project for issuance of. other permits and
approvals. A.copy of this determination has been forwarded to the Building
Department for their update and permanent records.
Also, we expect to..receive comments or recommendations shortly from
the Suffolk County Planning Commission .as a result of, the referrals required
under the Suffolk County Charter pertaining to variance projects within 500
feet of a waterway. When received, we will forward a copy.to, you for. your
update and records.
Very truly yours,
Linda Kowalski
Enclosures
Copies of. Decision to:
Building Inspector (Attn: Tom Fisher)
Suffolk County Department of. Planning
i
APPEALS B OARD MEMBERS
t
Gerard P.Goehringer, Chairman F%
Serge Doyen,Jr. Town Hall, 53095 Main Road
James Dinizio,JrPO. Box 1179
.
Robert A.Villa � ���'' Southold, New York 11971
Richard C.Wilton Fax (516)765-1823
Telephone (516) 765-1809 Telephone (516) 765-1800
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS AND DETERMINATION
Appeal No. 4213:
Application of IRWINN-and -AGNES FRICK. Application for a .Variance to
the Zoning Ordinance, Article IIIA, Section 100-30A.3 (and Section 100-244B)
pertaining to substandard lot sizes) for permission to construct addition
with a reduction in the minimum setback at the southerly side yard. The
existing setback. is shown-to be approximately 11-1/2 feet, and the addition
is proposed to extend 6-1/2 feet from the existing dwelling structure.
Section 100-244B requires a minimum 10 ft. setback; applicant proposes a
five-foot setback. This parcel of: land has a total lot area of: 13,940+-
square feet and is. located in the 11-40 Low-Density Residential Zone
District. Property ID: 1935 Westview Drive, Mattituck, NY;. County Tax
Map District 1000, Section 107, Block 7, Lot 5.
WHEREAS; after due notice, public hearings were held on February 2,
1994 and March 2, 1994, at which time all those who desired to be heard were
heard; and
WHEREAS, Board Members have carefully considered all testimony and
documentation submitted concerning this application; and
WHEREAS, Board Members have personally viewed and are familiar with
the premises in question, the present uses and existing buildings in the
surrounding area; and
WHEREAS, the Board made the following findings of, fact:
1. The premises in question:
(a) is a parcel of, land containing a nonconforming lot area of
13,940+- square feet, situate along the westerly side of West View Drive,
Mattituck, Town of Southold;
(b) is presently improved with a 1-1/2 story framed dwelling
structure situated 100 feet from the front (easterly) property line, 11-1/2
feet from the westerly side property line, 15 feet from the northerly (side)
property line along N. Riley Avenue, and 22 feet from the closest retaining
wall towards the existing bulkhead along Mattituck Creek (ref. copy of,
survey map prepared August 4, 1980 by Roderick VanTuyl, P.C. )
(c) is located in the R-40 Zone District as adopted in the
Master Plan revisions dated January 10, 1989.
' )age 2 - Appl. No. 4213
Matter of, IRWIN and AGNES FRICK
Decision Rendered March 2, 1994
2. By this 'application, appellants have requested permission to
construct a conversion of. a portion of. the existing garage area and new
addition at the southerly-side of.- the existing dwelling which would leave a
proposed setback at 5.6" from the southerly property Fine.
3. Today's setback requirements pertaining to: lots of this size (less
than 20,000 sq. ft. ) at Article XXIV, Section 100-244B requires minimum side
yard setbacks at 10 .and 15 feet, for. a .total of 25. feet. It is beneficial
that there•will be a greater distance to the outer bulkhead along. Mattituck
Creek at a setback of 72+- feet (greater than the established nonconformity
seaward of the proposed construction).
4. The amount of reduction requested by this application is for. a
setback at 5.5 feet instead of- the required 10 feet along the southerly side
yard. The total sideyards are also being requested at, 20.5 feet instead of:
the required 25. feet.
5. It is the position of. the Board Members that the amount of., relief
requested is substantial in relation to. the requirements, and that an
alternative setback granting relief by three feet specifically, to allow a
setback at seven (7) foot, is also feasible and will under the circumstances
be the minimal necessary, while preserving and protecting the character of
the neighborhood and the safety, health and welfare of the community.
6. For the record it is noted that similar setbacks have been
established at approximately eight feet for one sideyard, and for a total of
-21 to 22 feet for both sideyards, in the immediate area of- "Mattituck
Heights" Subdivision (which preexists the enactment of zoning (having been
filed July 24; 1935 with the Suffolk County Clerk's-Office))..
7. In considering this application, the Board also finds:
(a) that the relief, as alternatively granted, will not produce
a substantial change in the character of the neighborhood - in fact there are
other principal buildings with setbacks similar to. that proposed herein {for
further information, please see record on lots identified on the County Tax
Map District No. 1000, Section 107, Block 7, as Lot Nos. 8, 9, etc.};
(b) that the difficulties of the applicants' land is outweighed
by any possible public need;
(c) that the difficulties claimed can be obviated only by the
alternative grant for similar, but lesser relief, as described in. this
determination;
(d) that the difficulties claimed are not self-created;
(e) that the difficulties claimed are uniquely related to the
layout and general character, shape and size of this parcel and are not
personal to the landowners;
° 'Page 3 - Appl. No. 4213
Matter of IRWIN and AGNES FRICK
Decision Rendered March 2, 1994
(f) that in view of the manner in which the difficulties arose
and the fact that the size and open land area is. limited, the interests of
justice will be served by allowing a three-foot variation for minimum side
yard setback at seven (7) feet, instead of the required 10 feet, and at total
sideyards at 22 feet, instead of the required 25 feet.
ACCORDINGLY, on motion by Member Dinizio, seconded by Chairman
Goehringer, it was
RESOLVED, that the relief as requested for a setback of 5.5 feet, and
total sideyards of, 20.5 feet, be and hereby is DENIED; and be it further
RESOLVED,. that ALTERNATIVE RELIEF BE AND HEREBY IS GRANTED
for a minimum setback of=.seven (7) feet, and total sideyards of 22 feet.
Vote of, the Board: AYES: Messrs. Goehringer, Dinizio, and Wilton.
NAY: Member Villa (no alternative was offered but felt a variance of three
feet is substantial). <Member Doyen of Fishers Island was absent due to
poor weather conditions.> This resolution was duly adopted (3-1 ).
k �� I
GERARD P. GOEHRINGER, C"MAN
BOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . _ _ _ . ... . . . . . . . .
TOWN HALL SEPTIC r• ORrl _ . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL.. 765-1802.„..«__. ..� . L19TT F—Y—;— �. . . . . . . . . . . . . . . .
if ; �s.,ur?ss. ::� Ei''Csl1tL.L
Examined . J . . . . .. . . ., 19 is J
9
Approved . . . . . . . . . 19 Permit No. . .����j �.y, . . . . . . . . . . . . . . . . . .
� 1. . . .
Disapproved a/c ll�x � : �<
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P-1 l(; = 9 1994
. . . . . .
Inspector) BLDG.DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR BUILDING PERMIT ' q
Date . . . �� �� . . . . . . . .. 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 applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ins tions.
. . . � G,?y�. i��2% . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)-
(Mailing address of applicant)
State whether applicant is owner,,lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . . . . . . . . . . .co.il... . .v/c�L= . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . .�QilJ�o��ly. . 4. .CX_� .� . . . . . . . . . . . . . . ... . . . . . ... . . . . . . . . . . . . . . . . . . .
(as o the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . !��.... . . . . . . . . 0 . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . "
WcJ r vel cd b (_1 v6
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . .
House Number Street Hamlet X
County Tax Map No. 1000 Section . . . . . . . . Block . . . .r�. . . . . . . . . . Lot . . . . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . .' . .. . . . . . . .
(Na;,ze)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . C-s >`�? 00.c e.. . . . ... . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . . . . . . . &'�1 . � = . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . Alteration . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
(Description)
4. Estimated Cost . . . . . . . . MOO. . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
/ 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 . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . .
Height . . . : . : . . . . . . . . . Number of Stories
x 9. Size of lot: .Front . . . . . . .. . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . .
/10. Date of Purchase Yremises
. . . . . • . . • • . . • • • . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation: AV . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . . . ./U Q. . . . . . . . . . . . . . . Will excess fill be removed from premises: Ye No
\14. Name of Owner of premi ses . . . . . . Address . . . . . .Phone No.
Name of Architect . . �G!� ��� G L Address / ego T �3. ,—
. . . .Phone No. /
Name of Contractor . icy ea�'T � . Address M))/k .�� e , ne No. 3
. . . . . . . . . . . . .. . .
15. Is this property within 300 feet of a tidal wetland? -e-4. . . . .
*If yes, Southold Town Trustees Permit may be r�' ed.
PLOT DIAGRAM
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 whether
interior or corner lot.
4TATE
OF NEW YORK,
CO F''kY OF PTV'6.�k/.< . ... . . S.S
• • • • . . : • •-• . . . . • . • • • • • • . . . . . . . . . . . . .(Name of individual signing contract) being duly sworn, deposes and says that he is the applicant
abb named.
He is the . . . . . . �-?JA
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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. . . .�° !`Je / . . . . . . .. 19
J"� `;�
Notary Public, . . . . . . . . . . . . . . . . . . . . �. County
J®AN S.LEHTONEN . . . . . . . . . . . . .
Notary E'ublla,State of New York
iVo.011.E4918828 • • • • • • . . . . . . . . . . . . . . . . . .
Qualified in Suffolk County (Signature of applicant)
Commission Expires Fete 1,WW
., fir•'?�'' •'��� •"•.?�',:,,✓`•.� 1,' .., 1, � -.'..';..��:=''�•�� .
` •ir .li p f .i'. .. !' -/! y. .•r: :.�1.•",'��14
J ,
.+...� t tea' .. �, `' .. • _ ..�•�;....:.�• ..✓ ,,;:;'f,l•`. .: ;.�:�;.- .
•, Y I ;.- i ..• tom`:• '':.. .! •} in
N.78741: �
:'.,:'._;�, `!' ,. - ��•?' -Visa.:._. ',•• :•,. •..:;�-- - •
44
Zr. N1C ^� '•�a' ��� yr' •:f
00
':,`oaf: ►:
�-.��,���•„i.'r,l�''.-"��� a��' -' \�♦ � •� 1 ''fit-�r:�.•,v_ ,,. 1.' r
<<-'d.Y��l�:. " ; B�E�� � ':�• -sCAe:�t ••9C.Z.at�l,��''1�"_�:
77 _. 71.
•... lam` s. •�. �. � �t'�•a:,,' ;r.:'i� !l•'._. ;:}�'R'�; � t%t•',". •.;
'''�' �.::�{. �. >.•`..,�BullebQad: P.e.�+ur : . . ` _ - •-•.,.. _ I.:j,
,.,r, ..• .. .r. e �35 � �. '. I��%•'��'� .Y Ur1CORIZ[D'•ALTS�ATICN:!':ft'A001
ilOf+
�,• ,h -i• _ '� ...w..o,e�♦. G ... :' ;'•. ,., TNIS�Sl1RVtr•115/A:ViOIAT
�� y - ;� ''••.. : ^na. �' . —.. �• • ��� ♦`1 SFCTION j?09'OI:T Or
NjW `
uyW-r
iA
�' It k: ♦. \ '+1d�Q'.' ::• t �_ "'O- : 'r:y• i �DUGITIOH"' r '4f. Y IR S
_�'� . �•,r;1. ,5: t „•. . .!•9T.O. O•I - f.df;i �:,crt :I'�'r,•�• 1i:•Z•�-y�.�yf =i�:•i�••,i•
t - _ { /.TIi1S S fyVjjtp• '.'.f
�. -.,:: ..I •{ :�,.•, '�, •,'Q�
fry,
.R1 ts.rTert. • .. '.:::,..�•t!s;- 'j •'�;MWbSID'SIAIJ`HAIs` FD�C':tI:OR
U• :yam. '►••►+ t•,- L\ .. 9 N/wr^►IJ H:••. �,�- .:10 }iANh�tD iKRrCOP1'.i• `tSIOU(O•
1-)�`?t ,,'' .S ► . 'sY J AI Qi7At1J{►EfS If�p1CAT[D'j.!f±OH SHAI
t ,.: '�•r�. �� .. :`^ _ ►.�FY�TC.•TMF IV(f.SOjl�%
'��'� 1: 'IS'/Rr►ARiDt AKD:ON��ry3�I i1AFj:M[fY1VIT
►' :i<� 1?�: evvir;aoVti�u�a�tu: cutcr
Aiqo
:: -r•• �" ,ING'MSTITUlIp�'USiFD;.►{(�►r.AHD
;�• •. '.t` ' >CeRTt F. Ti4rte'`i zag9 c,74: To:isnr iiisicrire ro �Me�uircrna.lxsTs
:: :. _;:>, :,' :=►:`r,::: ,..y, :gu!uA.Rers '►wT JtA16/F:rw►u
''y:. V:,'�:%( �-• �: ,�1; - ,` ': :, ` �. . :,•,: ,.�. ...•r � .'�'-��, '✓- ^.O:AO'DAIOtLt1`bdtftlltlt�r'
��- Gva d wed': o. :;t,, ; ,.
,,r_, •'•. :. •.: .' 1 r rf � .��f•�.i:.p���1''S1'!t:...... ' �.:�.::�u: .:*TAM —
:;11%!1 Flo. The 7rf(e 'G76R '10
acid fo Civci-,6egc( .5e66n Ldisk' : ._.
u
�:'•..• ;�' ,. .(.►'!A7^•�"I?-'i��CY .�.;:..,.�Q:�: ,'`!�:' -;•:•:is/i •... r:�.
~ r'
�• •�,• .. �'•-..,j.,•., RODERICK VAN TLIYL 'P.:.;G,.
a'"�=-''L . _.:.AT': :' `•�: •r,.. _':�; .; �. .,;. •.+ LIC.tC1►'Nt7 SU.RVEYOR9=G E !, �..
R �PfORT; Ni:Y:;:.; ::t.::!�•
:C.Qu'I�ti: ,! -
`:; Dt:PT.OF fiFJ1 7N:$jRVICE)477
`: 'TA1'EM�
NT RP.:IT1I'>ENT
yVO4! '�.t-. ':(,:.i'1:•-•I:•' -1!� •fit:. ..>.-. '.►..�
POR P.P. OVAL-O e� �'"'=• < '3" A R F'CON87'RCICTj' :INLY� 1:';i"'.'' >:•:�Y. kt ;^•' ;
• 'Y - M JJ
t 1.•
'IelQe+d - f•
•;� �•�'�- TH,�.:'1N/17'FiRt;9UPP,4Y;"AP1P -'9EW.
VIZ -'DATE: �� K.' ....' .-,r R;TH.IS:R �•
'OI PO L''SXGT�MS,..PO Eg
I ' 'i '� •'" �DEf'f'GE'. :WILL: ;COdifAM �TO THE
:i• . H.S. nEF. NO.: STANDARD_$ 'OF SUFFOLK GO. DEFT.
3)ERVICES."
sand, APPROVED: - r �
__J mow, APPLICANT: ...
-------------------------------=-----------------------------------=----------------------------------
---
-.__'r_/� _ ,.. ---' � - �' _ .. i _ � ... _ .� - _%'-.•..t•y� •.��Y.•t c •fie t •-�-�� .
a,.
APPITloH qH
1I11 G 0
io
TO e2r
I ��TING
���' fY{'iI /�\� �� II 2• 1. ALL WORK SHALL COMPLY W/ CURRENT NEW YORK STATE BUILDING
1�✓w CODES, UNIFORM FIRE PREVENTION, AND LOCAL REGULATIONS.
�) �-�1 ; 2. EVERY CONTRACTOR / TRADESMAN SHALL VERIFY ALL DIMENSIONS
I�
II, I� ,,,1���• PRIOR TO STARTING WORK.
I�''DI 3. DO NOT SCALE DRAWINGS. WRITTEN DIMENSIONS ARE TO BE
l/2r!.2. 10 0� FOLLOWED.
,,, I 4. ALL EXTERIOR WALLS SHALL BE 2"X4- CONSTRUCTION ,-ALL
�, Z• I��aU-All'
�� IL/�l,o.M. �. O INTERIOR PARTITIONS TO BE 2"X4" CONSTRUCTION UNLESS
NOTED OTHERWISE.
N
S. ALL HEADERS AT EXTERIOR WALLS SHALL BE (yI 1"X10" UNLESS
f tt M NOTED OTHERWISE.
1 -
6. ALL FLOOR JOISTS TO BE DOUBLED BELOW PARALLEL PARTITIONS,
N NO
AND FLOOR OPENINGS.
Ml ���
f 7. PROVIDE BRIDGING AT MID POINT OF FLOOR JOIST SPAN OR
4 0rr!� l�li' 81-0" O.C. MAX. IN ALL FLOOR SYSTEMS.
= II 8. ALL WINDOWS TO BE ANDERSEN MANUFACTURER UNLESS NOTED
OTHERWISE.
9. ALL DOOR HEIGHTS TO BE AT 6'-8" UNLESS NOTED OTHERWISE.
�QM I LM.
of
VIA
IZ°x�bG 1� &TH4
I I'�a'� M W-w
.
h of Nd�. III f \q\ flOE e0e �.
f �
p �
FLA ADPIT10H
FLA�.-
1411 1142111
�J
&-
AXA
6gz i r�TUK,6L goorING I;I t4Tki- l�
�HIWjLeo.
u
-
. IIVILP A-67 Hal
-
vII-�
Iff
L
DOH
I
z� 4,1171;,M16aW- i�n�i�.
\&HT.
TKM out" �V/ I'IX MATmbj--
1'0'' it l •v/ �/If-IY� ��II�It-�� PaaM e VIHY �I�JNGI, l�
v�NT�n ��1=11" 1z�I� ►t�I�UI.�s�T�of-I. �T o�.'' �1�k' No�l��lE�#'�
c, ,��� T
II �, 1,
Z ' f I� off.
FAM I Kti.
-MKM1T�- I�H1F1.2 1.. I1 III iijLATioH.
MAX, l0 i ,101�'� G I II G Zx
10
�oNG.il�l.o�ki�
��1�L i0H Igo xjj XS f ; 'IH� To T `-
��.
I II II
II I II
I . MNHT.4,iH H�,��1 1% m# ►2M, fLool .
vep�rY IH I'I e.,2. -PH mpell
ei�-,64s A�7 Nate.
To
Fad MA4H Hot
tlrir_,v,UiaG_._
i
j
/J~D"; li• '~tu, Url'? o '+~'dt ' c,l ~ ~ . NtW~P.a" rc5 uu,•T F15V' 12''x' ~6I 21 Few 7J+~R'i 1r-IrT _
I =f- 7- 1
_ ~ a l 31 : I ~ ~ ^,I
vlU r?IW(4 f41_- 7
!?4NIG i*n• ,
w J I
v II 6"I
~ir~~~~`yu'w~ I I Fl rb%Zft
~iuN~b'fo ht3U't'fihVG >iXi4+'fING
I I
M J
_y! rib ~
~ V44,
1-7
I'xgj~jjw Is y , 4 KE • yl f 12u ___,_t- t~ I I I F I
_g~~ ~ ~ U•~ I I , YJp-f~; t~{ ~ `p 2to - Il"rreC'1YP~
I LntEAI~~~~ _ U'V~ClJe! 41.-~~. ~'f 1UNh -t0~2~ .qlJ ~4-II
j ' 4~ y. NGWRG WNp MJiffN \1, V W~tl°rtlr".lo/o _ _G~~ 10" 60
$buNG _ E ~,IJ~(WM•b=~.I~U~~ .05~G +12q "G-1 , ,aIFpG1C. G~li.yk'T.ING -51."T' 'yL
1~, I I1 , 6 o ,
7 ab
b ig GQLf lot o ^8
4r',~.~~ '~.k xvJ~n~G~°..la/io w.w _ , ~
{/{i{~Y~/Y~{~~ ~ ~OF"~r~a~[v^l.I,r'f.: ,J"UI~L'•r~~~.ttF~i•r"T',G+1.JCN (~I.~W4;;wN~9
J l <oGA 5+ fO d. h cM¢Mata *atc} v r I~ ~lJAht•ss
00W*/
Ii I
P a83'6
OA1E: 6R4-y
X12 1 0
' I ~ s ~ ~ ~rV•IWq~y WI U. he.11'I~~C 'n•I PI rNOTIFY !UI ING!YDEPARTMENT AT c ' DLO a !i
I. yo J Ili' C?1Zb~i" 7e6"TSM 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 95~ 4~1 /
ra- -1. FFOUNDATION - OR POUR 60 CONCRETEflEOUIRED
2. ROUGH - FRAMING & PLUMBING
PL V /PLUM R CERi1~J~C CFMVATIgN 3. INSULATION it,
O e NLIM4VWWWFM 4 FINAL CONSTRUCTION MUST Of NC
CEO CERYW CAFE OF OCCUPANCY BE COMPLETE v OR C O hRp a *5 J011 C f /7~~~\?~ ALI. CONSTRUCTION SHALL MEET
' IILllUi~l~yA S SOLDENUSED IINVIAIVI THE REC I ANTS OF THE N.Y. a e, .
f l "n Jr?MCiljyOp~$'0g Moli'ln~'4ai ~rrp"uOOr~MM S SUPPLY ^YSTEIN CANNOT STATE Uk) `"JC:f'C"N & ENERGY
of p/ CODE':, NOT FEyPOIVSIBLE FOR EXCEEDZ/f0W f%LEAD. DESIGN OR CONSTRUCTION ERRORS d~ C099'40" IS
IT L 41H
p5 pptIJvH .
~?IW~~~4 k S/5/4
wow ava"
um *we o" be
+rr+li~ilt i ~a view + ' f3a
~e I'ti'I u N vti 709K 4 chi rr 3c4 lift, 1. RAN= -
'yam
' 1.
' !~"(AEI F*{~f • ~ , - - ~irct+Yf"Ir`tG. _~iWBL.LI1aL _
71
~,~4
!,O ukrr , G . j, I~G"I :7I!rAN dNNYi ;,UbB'T NCWR T4 - f-m, FF n zlf Lea . R= -44eeo r~ew 15,
-14anwEt 4rrwriows, GF-e,~s~ C,TG~artl.~
yypyy, ~CA~ ' ~ ~ ._.3!T~ ~'?t V ~J.~ y~r P WhLL f~Fj ' Yb is `Tb C.,,+, f~??. MIM1 WgiloP4
GaH Pa-rl Jwg Pr%roW. G*lkzrN ,,hN-r Warms.,
d ~t,rw. ~ 2 aD ? t . Wad h -Tz) :esnnf ;.a,, TV N Y
~U1IXtNG G4r~ ~ !-brill.- '~'f`'>7"'
-~~A~ D({'PI>^!/`~-I~G ~AVII~4LR'.rU~•l~f?ITIAI•-i .
lFIG - o ft~ppt~k 101,4 W//4Uh~.},~
fly e~ F°?/ ft k71RdGTLf '
I I I ~ r~luM1lt^k
t.rbNT .f:l'
GDI~Gk~C~''Tt~ ~ ~e ` `'~dv0 j? 5. T, hntN .
IWO," T, 1425 G~ft1~.
I c I *~d 1 V "0
' i . I _ ' Paz ~ 67f 1 .1~1-,I i i F4 UM7 ~F. c FA-po•'
5 P7. luollm-6-T. MI", i[[
4b_°__ ua tU°r r i ~4, ( II_
wain`
I 1
i GlhviU~-J,
I op s t ( / t
kw wpu: w o,*
lug K~ ~ _ ~
I
iN!n
Y IAO
(VMld ( PAW
1 o'c-
a
i
t1lc~ --t ~~eF
SPSy OF rqr l
r \ p,Ps 10HN
, OG
1 C7 f
009910 Yc
- - F Alk
/ __'114 M 2rzvi wc. ! Iht" f:
fu N~u?Ya1~l~ Wilco icy{
_ ~ 4.,'.,
Ao .jqrs9*7
/bl~T ~ISTG
Gf+7MWDY }IA's
VrA
~Y~(a' ltY1MN
I
rynd I~lsmpt
i i
i
Wla
i
- "Lo
~lrGl ` UN1 fuaw I w
5 9--
ip`'E'tJF ME9yY
A ~`AS 70ggp
_ -
+
b4F? WSJ
---~,:-per-- ~ - --.,~-~--_-~----~-,-r,.~=--=--~r--z~ _ _
R ,w
`---rr'' IY4, Hi31W
let,
---atwa4 . r,~MT, io '`t1rw'`~
(4*V)
,r71 ~Y 1
1
I 1611k ~
Y, X-11 y%llPtNd -ouT T~ ~.~r~ ~akG Wf b++x. ISTN 6~
1*4 Nil , r f IK'
AAW;
WOW)
eti'r~
"rte w/ "t 41Mi,
a FZ
,
t; oR 6~r~ + y 6 e ,~"~°ecy`'en °nwwp _ i rr. ~wNV Q.
Ir
G 1.
r--, 2NMIi~~n y
~~?kla^IG:.
Yt,Y1:M
' 4 1
r 'i
, - Lf5i6t~t43nJ~t Wltifara S ~INn. ylarua , r
_ l -rR1
I 4 f v&IPr}
-(w-r sa4 ,
lie pb,"G7P.?ov, .bxztsaa,NO6Mla 4~„ 1
I. - bt
I T , .~~~11 I
op,
_ - (fa 6 vpd exri
I F-H
k1YY 'r .r;~
..I'fYr.Jw 4rfW.~or1"Ic;~ ^r s ~ f : P
I~~'O+G bDGITIOFI. g'I"IloNLPIW~iT~ ~G~il~ rz1P.NFdgoz,joH 1Vb~I.L opt HorF5 -
kd xb'+0LI',.PryI~N/=,1 TO M
VI,O a M14v m MIH. II~ 1. ALL WORE SMALL COMPLY W/ NRAENT NEW YORE STATE BUILDING CODES, UNIFORM FIRE PREVENTION, AND LOCAL REGULATIONS.
2. EVERY CONTRACTOR / TRADESMAN SMALL VERIFY ALL DIMENSIONS
141 PRIOR TO STARTING WORE.
or Gdl 14'-all 3. DO NOT SCALE DRAWINGS. WRITTEN DIMENSIONS ARE TO BE
POLI/NRD. ""~l^
ALL RETERIOR NAILS SMALL BE ='x1 CUMSTROCTION , ALL INTERIOR PARTITIONS TO BE S.M. CONSTRUCTION UNLESS
RDT>D ammrsER.
Z-13/a°x ll'~b Ir~12a~M. y ~ -N S. ALL HEADERS AT METEOIOR SAILS SMALL BE (74 SNNION UNLESS
NDIND atimNSER.
S. ALL PI00E JOISTS TO BE DOUBLMD BELOW PARALLEL PARTITIONS, AND FLOOR OPENINGS.
7. PROVIDE BRIDGING AT KID POINT OF FLOOR JOIST SPAN OR
S~-OM O.C. MAE. IN ALL FLOOR SYSTEMS.
S. ALL WINDOWS TO BE ANDERSEN MANUFACTURER UNLESS NOTED
OTHE MISS.
S. ALL DOOR RIGHTS TO BE AT S'-S• UNLESS NOTED OTHERWISE.
p~,k TAMILM. I - -
EKIhTIH, • LA7 F{
"N WH~
~ KItgE. ~ S LizI~tll~Go :I~11~G o
r N MIPtvk
I hPboE.
ZII,IoII~ LEG~I~K ~}IWJ
T MI $
oil mv
H EK. VMFT r)rN
e of j m IN PIP,Ip How
r
fLOOK FLAN Acv TIOH ffOJHbATfoH F
~ C
IVA
- ~~I~"(L1KbL I~~ING ~ ~a-ITI~1
oPrlo>ael, ~AfIDEK~~~
I IF i PAZ: Ab n~
~ no.- icruu~l•
virlYL d-~h
hlbl G~. 12~ll~lat-~ ~ I2~~4°I~
z~a6.N~ll,6~lz.
•
~IG~T ~I~ ~~~~~TI oN ~ ~L~vAmoH
~rno,~ V~NT•
2 It',Ilia" NaIGIA bi~j IZIDgt;.
TM/M our I°x Ma1E>zlaL
U7 t ail
,w ar~r-+ I TT11r1- I
CHI Le~2, iE~E7, i/ZoGllx -
F4\\/v, ~I~FATNI I oh121%g~l
Iz4fTr,F,42I~"o.0. I~ IN~LIId71o~}.
I°%e° Fo~ta p~D \vl2a.~p~n ~
I'o" ~Y ~ lady wl VINYL `G~ ~ 1~~11P~ E VINE I- hInINC~, 15# C~, 15#
VENTED &OFF IT rz. r2 ih L,6,,noN. T off" I~d~k~ ~U~E~VRb~' Gh
REa'o., 1/2 GDx }'~,Y\VD ~HEkTf~l1
FAMILY CHT
2°"GGd ~IU pl aTE, sIU 3~~1 amp iIY. ~I~~L~+'iz. IZ 19 IN~IJI a71aN•
7UM, T; KMITE -ijjtL2,
VII
Id' MIN. d~t~~ Gr p
1(", 42F-V, t~~ roLwl7bloH
\VaJ,I, o~ I~o11 xb°~'S° FooTlt-I~ to Z RaT ~,c~.
es MIN. P~EI~~ grzau>%.
F2 L1. ~~ZTIoN II 1
u
1. MaIHT~JH HE;~ t:~,M# KH, FLooI2-
1NF,L \,V/ Exl~ll FLooi-.
2. FWF PITg,k of ~DMIl.Y To L'~r- 7,5;:"
~I>iI~tNT 1a v lrT IH FIB MbT~I f w1 r-,
b L~= Ae:, NaTP.
3 ~INI~H ~ ~ar1i~Y I~1, ro ~
- -fo Ifs I-~ I 1~I~IoN~. I2~14~~~
~~~~1'IN~ ~H~~N ~{.a
~NErr-