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HomeMy WebLinkAboutBP22-036 1ue a ■ !� N N w 0 N N o� '° � ■ 14 vy � � V) goy O v �Is Ln Z O cn ■ 1� M v y IE 0 a p " _ 3 2 a Q F�1 2 y y p FBI ga , w oov � Q o o w � 00 -Sv 44 0 W Z ° Z z N N � � -0l 04 oo 0 o CA _, 1wI a c_ o w ° off4.1 aIS ._gIz o 1 O w H G1 4 �TT �I H M z N A q V A �y p j I--I ■ W Vr o o O d Uz � o. o _ ~ C Z JE a � A x w wQQw ►-�-� 00 G1 � A Z � W �" � � •� � as C � � a a, I✓ � � a' � �j � u ,a,� b a A o�j o 0 ''b x U A A d �ll " W 1� N�u: E U d© wo � t7 A z Z � �� o x � � _ BUIL ®RvV1 MENT VILOOK D /7 938 KING NY 10573 w MAR - 4 2022 VILLAGE OF RYE BROOK FOR OFFICE USE ONLY: `� - - _ � -I 7D Approval Date: �� rmit �� ��� Application# Approval Signature: ARCHITECTURAL REVIEW BOARD: Disapproved: Date: bA Z ,7 BOT Approval Date: Case# = Chairman: .N�L PB Approval Date: Case# Secretary: 1 o ZBA Approval Date: Case# Other: _ Application Fee.-A Pertniffees:14 EXTERIOR BUILDING PERMIT APPLICATION Application dated:� � /'ac is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. Job Address: II L rc i n G 2. U ro b , t-i� 10 s 7 3 2. Parcel ID#: S Z 1 .ta 1 `34 Zone: 3. Proposed Improvement(Describe in detail): P�eyl t5 U 0, (j so ( fir' A-r,Nen le" 4. Property Owner: �(n c,.1 d Lot-m 1 d L_O S--'v e.%M Address: cs'.W fZA 10 G E ©aA rP - 2- Q`Uo'k-i _0 95 ) Phone# Cell# 6 t 7l 76 3- 9 U —e-mail List All Other Properties Owned in Rye Brook: Applicant: C.ti Aa"-� Address: Phone# Cell# e-mail Architect: _ 4k1g4 G Cc!or'k G_"^ '_� Address: �j y' 11 F�2 1'►ZO�K� Ny i OSiD Phone# 0/A) Z73'?3 SU Cell# 7j 4— 0/S-?- e-mail SL SC A /4,4+ L* 66-*'e_ C"" Engineer: Address: Phone# Cell# e-mail General Contractor: • a ' 1-01A) �00r';'7 — Fo✓e S Address: ido— Q/TOl Wj 69 Sal Phone# — -tea 3 Cell# e-mail (I) 8/12/2021 5. Occupancy; (l-Fam.,2-Fam.,Commercial.,etc...)Pre-construction: rh wf Post-construction: 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: ISt fl: 2ndfl: 31 fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added: Basement: 15,fl: 2"d fl: 31 fl: 12. Total Square Footage of the proposed renovation to the existing structure: 3_ y 13. N.Y. State Construction Classification: 1�7_ N.Y. State Use Classification: 9-Z- 14. Number of stories: Overall Height: Median Height: 15. Basement to be full,or partial: , finished or unfinished: 16. What material is the exterior finish: IT Roof style;peaked,hip,mansard,shed,etc: Roofing material: 18. What system of heating: 19. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 20. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...) Yes: No; 1r (f yes, applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 21. Will the proposed project disturb 400 sq. ft. or more of land,or create 400 sq.ft. or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: '✓ Area: U 22. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 23. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application, &provide a detailed topographical survey) 24. Is the lot located within 100 ft. of a Wetland as per§245 of Village Code? Yes: No: ''1 (if yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 25. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: ✓ (ej'yes, the area and elevations of the.flood plane must be properly depicted on the survey&site plan) 26. Will the proposed project require a Tree Removal Permit as per§235 of Village Code? Yes: No: ✓ (if yes,applicant must submit a Tree Removal Permit Application) 27. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes: No: Indicate: TIER I: TIER II: TIER III: (if yes,a Horne Occupation Permit Application is required) 28. List all zoning variances granted or denied for the subject property: 29. What is the total estimated cost of construction: $ /. V 00' Note:The estimated cost shall include all site improvements, labor, material,scaffolding,fl Ad equipment,professional fees, including any material and labor which may be donated gratis.lj'the_final cost exceeds the estimated cost, an additional fee will be required prior to issuance of the C/O. 30. Estimated date of completion: (2) 8/12/2021 BUIL MEt NT (� VI-L 001( D L� 938 KING ','; ii` ,NY IOS73 MAR - 4 2022 "17 VILLAGE OF RYE BROOK �Pq Y nt=1`dT *#+t*re9r+r***&*+t**ar**st*#**A**�*tr�4�r****w,r,rIr,r,r�w�*,t***rr*�1•�4•w*i.•::a•�r�:*d:**.4*�:�*+�i;:4ykSkttr. t .:*,t# ✓R ii4** ._-- AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RE7URNED TO THE APPLICANT . STATE OF NEW YOR (, COUNTY OF WESTCHESTER ) as: l t, / A � ConLCo b +n , residing at, I La (Print nunic) (Address whet!you live) being duly swom, deposes and states that (s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; t7 cT2rVY�U-e, r[7btit v�, , Rye Brook, NY. (.lob Addrl•ss) Further that all statements contained herein are true, and that to the best of his/her knowledge and belief,that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited storrnwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer f-orn the subject property in accordance with all State, County and Village Codes. Lb Vu" 6A, (Signature of Property O%vncr(s)) (Print Name or Property Owncr(s)) Swom to before rue this �'" � r'' ' �,Ofi SPATE 1L-1 day of h G , 20 Z—'1 _ ;I Not Nay rock I i (Notary Public) =,�y�s�i���,o��ti���•= I7tpREB o`°,, I+I+III IIII IJ". (G) 81121302E This form must be properly completed & notarized by the Design professional of record and the Property Owner. Failure to provide this completed forms with your. - permit application will delay the permitting proce��� tit:It at:H:fit a::it:It at a::it:h:i::it 1l::1,:It a::it tit:p tit Fit tit III+G It all tit)U:Sr,y::It:Is lit at:ii:p MAR - 4 2022 Notice of Utilization of Truss Type, Pre-Engineered ; �R Fl GE OF RYE BROOK or Timber Frame Construction. (Title 19 Part 1264& 1265 NYtDiNG DEPARTMENT To: The Building Inspector of the Village of Rye Brook, From, �� ,�Clxr l Aar n i�j l� mac - pp Subject Property: b LQ,W tLm(y — ot�, SBL Y7,11 7- 1 --3-9 Zone: Please take notice that the subject; ❑ One or Two Family; o Commercial, o New Structure ❑ Addition to an Existing Structure pRehabilitation to an Existing Structure to be constructed or performed at the subject property will utilize; ❑Truss Type Construction(TT) 9�1`fre-Engineered Wood Construction(PW) ❑Timber Construction(TC) in the following location(s); XFloor Framing, including Girders &Beams (F) ❑Roof Framing(R) ❑Floor Framing and Roof Framing(FR) Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or building utilizing truss type, pre-engineered wood, oe timber construction must be posted with a Truss Identification Sign, installed in conformance with NYCRR §rz64 for Commercial Buildings, and NYCRR §11265 for One&Two Family Dwellings. Sworn tqQ�before me this �" Sworn to before me this day of✓" •• 20 day of"0-%L r>r .20 a2 Gin Signature of Pro erty Owner /,�kniftturc 6f Design Professional GO(o5,,, Jhr ��, Fla Print Name of Property OwnW STATE •'�t��s Print ame of Design Pro essional f "OF N`Eyy_yZ NOTARY PUBLIC 1 op Notary Public ;,,„ S&I i Notary Public L � 02C-1IB0292M �' 2 SHARI MELILLO �''o p�p1' `' .•'' Notary Public, State of New York ',hy4urfiP�aM~s► : IJo. 01t,iCClt00"53 Ourilified in WestchF:�ter County (7) Commission Exoires January 29,20-A]". This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are, non-refundable. t':act**14*�.•'�-*:4*t4 tY k,k*t47k`h�t'k•,}�:'.°::f*','fi'*•h is ok'!1"�'•,4**i�r r4,4,4h,4*it*t4:4�",4•�+'.'•k=��r**is**it*'h'r*'***'H*:4**:t�•'h.,:P:1':!"k*f:'k�::4 h�r****t.*,4*,k tY.:�;{•:4:4**' STATE Or NEW YORK, COUNTY OF WESTCR STER ) as: �R,crNleing duly sworn, deposes and states that lie/shojis the applicant above named, (priand�nfurther t onrac of individual signing e statcs that (s)heis�the�legal owner of the property to which this application pertains, or that (s)he is the LLB h for the legal owner and is duly authorized to make and file this application. (Indicate architect,contractor,ngent,nuorney,etc.) That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code, the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further• declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before nee this Sworn to before me this day of Gl �(i' � 2Q t day of�rC� , 20 -' r Signature ofProperty Owner �S(gnalure orAppiicant 1, • /i✓lf � �� � ' [ 1 °•ql,S. Goz'",,, f)!hn C err/e. 4t PrintNamc arProperly Owner Apr+," STATOF Nr-W E" S�� Print Name of Applicant C �NO7_ARy,'Z ptl9LIC �� [ , i w,0 ` Notary Public , 'ss��. _3-229 . oti��,•`' Notary Public qV ARE I " SHARI MELILLO NotaryiPublic, State of New York W.o?^dCril60063 Q_taliftcl in Westchester Counbjf,„ Commission Exoires January 29.2 8/12*021 1 General notes: LEGEND WORK SHALL CONFORM TO THE 2020 NEW YORK STATE BUILDING CODE,RESIDENTIAL CODE, CONTENT.EXCAVATION MUST BE FREE OF WATER WHILE FOUNDATION WORK IS IN-PROGRESS, i 1. ALL WO TRUCKS,BULLDOZERS OR OTHER HEAVY EQUIPMENT SHALL BE OPERATED WITH CAUTION AND FIRE CODE,ENERGY CONSERVATION CONSTRUCTION CODE,EXISTING BUILDING CODE, IN SUCH A MANNER AS TO CAUSE NO DAMAGE TO FOUNDATION SYSTEMS. NEwcavSnnoN MECHANICAL CODE,FUEL GAS CODE,AND PROPERTY MAINTENANCE CODE. j NEWPOWAWN 2. CONTRACTOR SHALL PROTECT&BRACE ALL WORK FROM DAMAGE DURING CONSTRUCTION. 9. ALL STRUCTURAL STEEL SHALL BE NEW,CLEAN AND STRAIGHT AND SHALL CONFORM TO THE ; LATESVEDITION FOR AS.T.M.DESIGNATION A-36 OR A-500 FOR ALL"iS'SECTIONS.ALL eybalucmt xinfo 5fAr 3. ALL WORK TO BE PLUMB&TRUE,ALL PLUMBING WORK TO BE IN COMPLIANCE WITH NYS STRUCTURAL STEEL WORK SHALL COMPLY WITH SPECIFICATIONS FOR THE DESIGN, PLUMBING CODE,ALL ELECTRICAL WORK TO BE IN COMPLIANCE WITH N.F.C.,ALL HVAC FABRICATION AND CONSTRUCTION OF STRUCTURAL STEEL FOR BUILDING OF THE AMERICAN na5va fore.remoop WORK TO BE IN COMPLIANCE WITH ASHRAE STANDARDS,LATEST EDITION.ALL CONTRACTORS AND INSTITUTE OF STEEL CONSTRUCTION LATEST EDITION.PROVIDE STIFFENER ANGLES OR PLATES SUB-CONTRACTORS SHALL BE LICENSED AND INSURED.ALL PLUMBERS AND ELECTRICIANS ARE UNDER ALL POSUNLESS WEB OF BEAMSTS,COLUMNS OR STRUTS THAT ARE CARRIED BY STEEL BEAMS AND INS SUPPORTING HANGERS.THE # LUMNS OR 8 VOOR KOM ( RESPONSIBLE FOR ANY ADDITIONAL PERMITS,APPROVALS AND TRADE MAY REQUIRE INSPECTIONS THEIR PARTICULAR OTHERWISE HOW I O R SPECIDFIEOD VER PROVIDE 6x8x Y2 BEAE RWG ON CONCRETE MASONRY IF ANY. O ' ® wlNvolwwurrx� 4. LUMBER MATERIALS USED IN THE BUILDING SHALL BE GOOD,SOUND,DRY FREE FROM ROT, 10.HEADERS TO BE(3)2"X I WIN 2x6 WALLS OR(2)2"X 10"IN 2X4 WALLS UNLESS OTHERWISE NOTED. i LARGE AND LOSE KNOTS,SHAKES AND OTHER IMPERFECTIONS WHEREBY THE STRENGTH x i MAY BE IMPAIRED.ALL NEW LUMBER SHALL CONFORM TO 2020 NEW YORK STATE BUILDING CODE 11•INSULATION IN FLOORS,WALLS AND CEILINGS UL U I COMBINATION OF FIBERGLASS BAT, ! ELEVAWN LOCA110N !I CHAPTER 23,FASTENING SHALL CONFORM TO 2020 NYSBC TABLE 2304.10.1 CONTINUOUS RIGID,OR SPRAY FOAM OR CELULOS NSULATION TYPES TO CONFORM TO ALL LUMBER SHALL CONFORM TO THE REQUIREMENTS OF THE AMERICAN WOOD COUNCILS 2020 NYS ENERGY CONSERVATION CONSTRUCTION CODE CHAPTER 4. NATIONAL DESIGN SPECIFICATIONS FOR BENDING STRESS AND DEFLECTION,AND 2020 NYSBC 2306. WESTCHESTER COUNTY IS CLIMATE ZONE 4A. ALL WORKMANSHIP INCLUDING BLOCKING,MILLING,BRIDGING,ECT.SHALL CONFORM TO THE 2020 n 1+ NYSBC AND OR 2020 NYSRBC.PROVIDE LEDGER,BLOCKING,NAILERS AND ROUGH FRAMING 12.ALL FOOTINGS TO BE A MINIMUM OF 3'-6"BELOW GRADE,OR LOCAL FROST DEPTHAS SPECIFIEDBY �Ik1�1?_c4F8 HARDWARE AS REQUIRED.ALL BEAMS,JOISTS AND RAFTERS TO BE SET WITH NATURAL CROWN UP. THE ARCHITECT.UNDERPIN WHEN NECESSARY. 11.1A -- — Vat* ' PROVIDE DOUBLE RAFTERS AND HEADERS AROUND ALL ROOF SKYLIGHTS UNLESS OTHERWISE NOTED. ALL LUMBER SHALL BEAR VISIBLE GRADE STAMP.ALL STRUCTURAL LUMBER INCLUDING BUT NOT 13. HOUSE TO CONFORM TO ANY LOCAL SUPPLEMENTAL CODE. 5�1�LiGN'� LIMITED TO TJI,TGI,&LVL BEAMS OR EQUIVALENT SHALL BE INSTALLED PER DRAWINGS AND 3 ELECTRICAL LEGEND I MANUFACTURERS SPECIFICATIONS.ALL HANDLING AND INSTALLATION PROCEDURES MUST BE 14.PROVIDE BLOCKING AS REQUIRED TO BEARING POSTS ONTO GIRDER OR BEAM CONDITIONS — Dou13► ! �p SUPPLIED BY THE MANUFACTURER AND SHALL BE FOLLOWED.TJI JOISTS AND LVL BEAMS SHALL AND VERIFY ALL BEARING TO FOOTING. I NEWGECOTA9WIR7i9bJAEPQE NOT BE ALLOWED TO GET WET AT ANY TIME. 15.TO THE BEST OF MY KNOWLEDGE,BELIEF AND PROFESSIONAL JUDGEMENT THESE PLANS AND NEWGELOP.AIWAY514O 5. WITH USE OF ANY TRUSS TYPE,PRE-ENGINEERED OR TIMBER CONSTRUCTION A SIGN WILL BE SPECIFICATIONS ARE IN COMPLIANCE WITH 2O20 N.Y.S.ENERGY CONSERVATION CONSTRUCTION CODE p PLACED AT OR ADJACENT TO THE ELECTRIC METER WITH SPECIFICATIONS PROVIDED BY THE 16. ALL DECK RAILS AND STAIR HANDRAILS SHALL CONFORM TO THE 2020 N.Y.S.BUILDING CODE I-jt"?Odrl 14 NEWRCO A4WAYWCH ARCHITECT. SECTIONS 1014 HANDRAILS AND 1014 GUARDS. _ AS poVIPO• NeWMORA ONO 50CH 6, ALL CONCRETE WORK,DETAILS AND CONSTRUCTION METHODS SHALL BE IN ACCORDANCE 17. ALL ROOF FRAMING SYSTEMS SHALL BE INSTALLED WITH HIGH WIND CONNECTORS(HURRICANE NEW GECO+?ARECEPIIUL WITH THE PROVISIONS OF ACI 318 AND AC1332 OR PCA 100,AND THE 2020 NEW YORK STATE TIES)IN COMPLIANCE WITH 2O20 N.Y.S.BUILDING CODE UAI, I�G RESIDENTIAL CODE CHAPTER 8.ALL CONCRETE SHALL BE TYPE-1,3000 PSI COMPRESSIVE t qp l NEW 1xco,'Aa1 WaPVa AND SECURELY TIED IN PLACE SO AS TO PREVENT DISPLACEMENT DURING CONCRETING. dQM STRENGTH AT 28 DAYS.REINFORCING BARS TO CONFORM TO 2020 NYS BUILDING 18. ALL POSTS TO FOUNDATION FOR THE PURPOSE OF SUPPORTING THE ROOF OR OTHER STRUCTURAL ELEMENTS SHALL BLOCKING AS SPECIFIED BY THE ARCHITECT OR A NOMINAL DIMENSION OF 4X4 DORNEWpecmQWV7I�CEPflLA. CODE SECTION 1905 MODIFICATIONS TO ACI 318. . REINFORCING SHALL BE ACCURATELY INSTALLED TO REQUIRED ELEVATION FROM STRUCTURAL ELEMENT TO BE SUPPORTED CONTINUOUSLY TO A SOLID MASONRY s STARTING WORK. FOUND CONSTRUCTION. EXTENDS BELOW REQUIRED FROST DEPTH AND RESTS ON A FOOTING OF NEwmm ouw 7. CONTRACTORS TO VERIFY ALL CONDITIONS AND DIMENSIONS PRIOR TO S TYPICAL ® NEWfvr,At+rE auiEf ANY DISCREPANCIES ARE TO BE REPORTED TO ARCHITECT.ALL WRITTEN DIMENSIONS ON THE DRAWINGS SHALL TAKE PRECEDENCE OVER ANY SCALED DIMENSIONS. 19.ALL SIMPSON STRONG TIE CONNECTORS AND AN ARE DESIGNED WITH SPECIFIC LOADS AND ! NEw S�v+urE vowNuair CAPACITIES.SUBSTITUTIONS OF THESE HANGERS FOR DIFFERENT MODEL NUMBERS THAN G THE REPLACEMENT ' „ 8. ALL FOOTINGS SHALL BEAR ON UNDISTURBED VIRGIN SOIL HAVING A MINIMUM SAFE BEARING SPECIFIED BY THE ARCHITECT OR ENGINEER IS FORBIDDEN WITHOUT VERIFYIN 5 PAFFE1 j CAPACITY OF 2 TONS PER SQ,FT.BRACE RETAINING WALLS OR FOUNDATION WALLS AS PART-WITH THE DESIGN PROFESSION _.,..�..� O WW Wcg5%j?*ov pmwair REQUIRED.BACKFILL WITH APPROVED MATERIAL,BACKFILLING UNDER SLABS,AROUND 5"VRML WItNLENS PIERS AND ON EACH SIDE OF FOUNDATION WALLS SHALL BE DONE IN LAYERS NOT TO EXCEEDIE w E 10 INCHES.COMPACTION SHALL BE 95%OF MAXIMUM DENSITY AT OPTIMUM MOISTURE E © vev arxoN MON=M%rce o wMV 5MOM/CARDM Comm Own, MAR - 4 2022 Sc/ �• I,�f�rl O O'• 1l+Af DE1EG101? \ W a-scOnl iw_fm(�a�c ,--�=- VILLAGE OF RYE B ROO wuwwr.11rx,-M� -� BUILDING DE�1nRTMEN h COUNTY LICENSED Q a __ . --.._ - C U LA ) . PAN oAtr'Jt00M E1QrAll5f PNJ �-�•,,.c-^.'.....•-•�.�. LECTRI ,�.. z k z REQUIRED TO FILE w(P4g�- �n r G 1�iSS11�4 by c p >o zeltozq- rZ iil. �No vva��� 6167t1 144 1ih I L' G ' ML P "'w @ TOR1-17- H __ S � 1'05 I sm KE DETEC RE RED AS PE f �--— (��Is't'1>dc�rl-I�� t �t k N�t�(�q,�wI-r Faa>�. I C- �,,,D C7 C O " rinu J1;eel\S'� r, a�� I 1� Ncw Nn — - 51�1Qr1 Nvv +� 1 � y�,��' BU' ��S,��N�� '� ti.� L-Ut�.L 1 G •gyp l�! - �uvt► kQfi-IA L�f tin O b' - - bcc5'�S r—— —I � 1 - �X15T1 FI�i 5•�Vjr_ �1-9- E Q/ -- -- -- — e �.'r•;'I _�.; 33 r� �� 1 'i_-I R. (3)0061-I O1 A6 L44 K'13 C� prl � � � _ I X i I A- ENS 1 1 SOH � � +�_I 5 �rw+ov� ,,,�._.� � .._-. �G ,UN'T'Y LfC 11s'c1> :;` ��� Q 1 1w3- 1 �I BE PIUMR ' � WII rIi6- Lr1u611T C l ._ r -QUIRED TO Fll. � W 1 1 /�1"�f1�. •a.`_� � , (�� I `j _ I%4 l'.i.j. ~ tivu'4N�b- t� _ (bor-Tr�P>�• ,I `'yc � ' ;+ I PIN. WOA 12 OOP •; S I �.ttfi N ����oo�- H f d `—,DTI i OYvN S f— I I V[;V-1 ry ALL OU L Ts p(ju"up 15 LA 6NfAf I-IARc'F_CON�ajioas c- t"PL����UX-At,�'�cS Z f1�,}I , �►ro slay LA uI.1� �rtv wu�-�� (,No woak-� �C�vt G�J, I tt Pdr SIDE-C,fS 1:7-1511do LI&AT106I1 TO 4f2t'� &1`I511e�L1'OIJ �14 • �Lrrvthl�l. W i'C'N N ate �c1s1�1.1a Dt�. Ve i lc'= � , �y,r�.�too � ArChilp ,ai ev•env Boar - Liz- t✓1 `N r CNo Hof';) Approval Date,.,'., Chairman: ' pCA . -X .,�� , � I/1 U �t-1� ���1 eIL )'1�i� C������ G�1 t.f�G) rI- � --- --- - �,, o K.i f�kl P w� I r� rl q �S9a� SL�t,E• 1 jcti'-,lt_�11 �.6'�I/�: 1/4"=l 170 I/4.1���