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1990-772 '' -CERTIFICATE OF OCCUPANCY 1 : „" . G TOWN OF QUEENSBURY ; WARREN COUNTY, NEW YORK March 13 19 91 Date — St-1 iq -- 1 90-772 This is to certify that work requested to done as shown by Permit No. has been completed. , bedroom and bathroom This structure.may be occupied a �I.2. 1 , Dixon Road 1. Location t t - MICHAEL K. & MARY ELLEN BURNS Owner By Order Town Board w TOWN OF QUEENSBURY ` , d , 1 1, ' 0, ; Director of;,Bldg. & Code Enforcement BUILDING PERMIT -� TOWN OF QUEENSBURY No 90_772 WARREN COUNTY, NEW YORK i o to PERMISSION is hereby granted to MICHAEI & MARY FI I FN RURNS 167 Dixon Road OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is co c same 2. CONTRACTOR or BUILDER'S Name n self 3. CONTRACTOR or BUILDER'S Address Q0 a, rn J 4. ARCHITECT'S Name CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ay (x)Wood Frame ( ) Masonry ( )Steel ( ) X 0 7. PLANS and Specifications 400 sq ft Addition to dwelling as per plot plan, specifications and "°application. 8. Proposed Use Bedroom and Bathroom 0_ :z $ 32.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 9 19 91 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) c+ 0 Q Dated at the Town of Queensbury this 9th Day of November 19 90 SIGNED BY ` ./ ' for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY . REVIEWED BY. . 40111b6 FEE PAID $ !P.M',Fi #1 PERMIT NO. ^� BUILDING PERMIT APPLICATION NOV 6 1990 BLDG. & CODE DEPT, A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS 'WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST•appear on the reverse side of this application. * * * .* * • * * * * * * * * * * I* * t * ♦-- * * * * * ,• * * * * * * * * * * * * • * The owner of this property is: /► 1 -lla ie 1 1< '+ f n V 1q/ti P.O.. Address /6-7 00(01 / 4 c Q&ec,,JI7 A1• k' / `( Tel. 79.2-09D,5— Property Location 16 7 i 2 o,1 _Kd ee/0&,j 4/ Tax Map No. /_/ Has there been any split of this property since. October 1, 1988? / If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE AO LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: 1 � . • NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF • • Construction of a new building • CONSTRUCTION: $ a SOS• * COMPLETE INFORMATION REQUIRED BELOW: V Addition to a building27 * �� � Size of property 2 c max. 33? ft x ft. Alteration to a building * Existing Buildings(3) Size 911 ft. x ft. (no change to exterior dimensions) Proposed building - distance from property lip: Pc • ' Other work (Describe) Front yard 62, ft. Rear yard 4"j ft. * Side yards ,(„ ft. and (O ft. • GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft. 1st Floor 2100 sq. ft. OCCUPANCY INFORMATION• 2nd Floor sq. ft. * Primery Building - . • Other Floors sq. ft. * V One Family Dwelling (not cellar or basement • Two Family Dwelling TOTAL FLOOR AREA 410o sq. ft. • Multiple Dwelling/Number of units Size of new structure 2O ft x 20 ft. • • Business Foundation-pier/slab/crawl/partial • Industrial (circle one) • Other • No. of stories (habitable space) / • Height (grade to ridge); ft. * If addition, what will use be? 1p1)cfJt freD1A If residential, no. of families / • No. of rooms(excluding baths) / • Accessory Building No. of bedrooms l • • _Detached Garage ONE/TWO Car No. of bathrooms f • Primary heating system lA/cirm/q,,.• • Attached Garage ONE/TWO Car Q Type of fuel 0, / • rivate storage building No. of fireplaces to be installed C) • ----Tither Willa wood stove be installed (_ Central Air conditioning - 5 CD S OV' ER - BUILDING PERMIT APPLICATION CONTINUED -, BUILDING SPECIFICATIONS: • Type of construction, wood frame, fire safe, etc. Vooc, r;c?w� Will any second-:hand or upgraded lumber be used? If so, for what? MD Foundation wall material giOc-k___ Thickness /0 Depth of foundation below grade (to bottom of footing) $6)1r Will there be a cellar? 4#/ D Heated or unheated? ( /VD Floor sq. footage 4{po sq ft. Will there be a basement? Ve_5 Will any portion be used as living space? ! i (If so, what portion? sq ft. Type of use? Type of roof slope•,flat/shed/other Material of roof Sh-D-a,/-L, d W ie Size, wood studs 9., "x G " spacing/6 " o.c. length ft. Joists (floor beams) 1st floor ' "x " spacing /6 "o.c. span /0 ft. Joist (floor beams) 2nd floor — "x _ " spacing ____ "o.c. span ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) /spacing 2 " o.c. span 20 ft. Exterior wall finish V nd, c.e,1 of what material? Interior wall finish - cG/Rte, If a garage is to be attached, describe materials to be used for FIRE SEPARATION: /1.0 Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? -Will a flue-lined chimney be installed? Height above roof - ft. Depth of chimney foundation below grade — ft. Depth of fireplace hearth ft.-- in. Water supply- Municipal or private well • fir c V4 fj✓cl l SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) JAME OF BUILDER anws Q4c j c ADDRESS 7 g/ o,1 ,4,, Dr- TEL. NO. 792-/1-/l Z DAME OF PLUMBER �ci .k l c�/ ADDRESSAV Ark" TEL. NO. �9CY--4/37g NAME OF MASON D ADDRESS TEL. NO. NAME OF ELECTRICIAN ADDRESS9//7)444,,-j Ze"„ TEL. NO. 793-19, > ObG'r��t� DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the Bans and specifications submitted, are a true and complete statement of all proposed work to be done on le described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and r1l other laws pertaining to the proposed work shall be complied with, whether specified or not, and that ach work is authorized by the owner. Signature � • Owner, owner's agent, architect, contractor PECIAL CONDITIONS OF THE PERMIT: BY ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Coepl i ance Methods: `-JWN.OF QUEkNS! uRY RECEIVED PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) NOV 61990 PART 6 - Thermal . Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellinas (3 Stories or Less) BLEX3. 4k CU©E D 'r PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets 14 guict_5 7° lac°. PJ ec� ✓� APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - ' /I2(7 Sq. Ft. 2. Type of Heat - Elec. Base Board Other Of/ Al/nr-Jml, ®�- 3. Is Building Mechanically Cooled? YES NO 4. Percentage of Area of Windows and Doors Over 17% f' Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE-R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 3 v kg© B. Exterior Walls R -1 1 25 19 C. Glazed Area R �`- 2, 5 I.Q D. Exterior Doors RgSr 2.5 2.5 E. Floors over unheated spaces R n 25 19 F. Edge of Slab on Grade (Heated Building) R 4(7 ( I _I G. Basement/Cellar Walls (Above Grade) R 2 19' H. Basement/Cellar Walls (Below Grade) • R I. Heating/Cooling - Ducts - Piping in Unheated Space R �%,� �, (o _ 4-, (a 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED • 74-a-,11 a?) 0-S4,1_, ifiyes.) 9-0 75%7 —(9),P,c).4r- APPLICANT'S SIGNATURE 1 `DATE TELEPHONE NUMBER: INSPECTOR'S REMARKS: REVIEWED BY '�"- `6 MIDDLE DEPARTMENT"INSPECTION AGENCY,-INC. �. ), National Headquarters 9 O —77c3, •�-•• 1337 West Chester Pike,West-Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: t4 City, Town or Township r'-t I County ' ' r : e State /h,/ Location/Address I‘ 7 \ i, '. . ,. 1', , (If Located in Rural Area - Please Attach Directions) Pole # Owner , \A ,- . r - Permit # Occupied As • Building: New❑• Old El ;: Occupant ' Work Area in Building (Floor #,etc.): App. for: Wiring I\.l- Service n or: Ready for Inspection: Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 - Number of Rough Wiring Outlets Elect. Heat Switches ti Lighting Amp. Service Surface Unit - Dishwasher Range Receptacles /r. Water Heater Air Conditioner Dryer • Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner - ' • r ' ' Amp'.'Receptacles ' ✓ - - `Fractibnal-H.P.'Vent Fans Other Equipment: • MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size • Applicant's , Ni, c: Signature ) ' - (v • '-4."'--L-->` License # Permit # T/A _.�-,,. ''( II , h r Utility: /i I''' Applicant's Address: c: + i 1 n . .._ rF c (NAME) ' (OFFICE LOCATION) (City) ( ._ . ,- • t. (State) IQ p (Zip) 1 7 h C_ " Service Request # Phone # 77`J " - 1 ri't ry Electrician: , • I / 1 r/n MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: ! Correct Location: Same as Above or: • Red Notice Label n - Rough Wiring Outlets Surface Unit Oven Switches Range - Garbage Disposal Receptacles Water Heater Dishwasher - Fixtures Air Conditioner Dryer Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle - Amp. Service Conductors Pump I Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 - 5 7'/2 10 15 20 25 30 40 50 "75 100 Mark Number - of Each Size* • • • --- :, __ 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat ' CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID 1 I RW •Progress: Inc.n - LKD❑ Contractor CFT Violation: Work Comp.❑ Inc. ❑ 1 l L/A Owner CASH n n L/A Fee CHK # Due MO # n IPA Municipal __ - INV # Applicant E Date: - Other Side El Utility ❑ Owner Cut in Card n Temp # Date n Final # Date "1 INSPECTORS SIGNATURE c APPLICATION FORM NO.250 EL 11/89 . 1' . TOWN OF QUEENSBURY Pi/M BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIONCT RECEI ED 5/1-0/ NAME ?)LW\1.5 1 1 ► Ala �_,I'C�` LOCATION v (� �J DATE �j I 't ( PERMIT # `-�/ 0' -77 c\, r, q tt APPROVED � • YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ; . . . . • ELECTRICAL ROUGH-IN . y` INSULATION: ;f FOUNDATION • • ' FLOORS i WALLS c' r' CEILING 8: FINAL INSPECTION: :i( / CHIMNEY HEIGHT ?' .3y • ROOFING `. I SIDING - I EXTERNAL PORCHES/STEEPS / STAIRS-CLEARANCE & RAILS / f PLUMBING FIXTURES/RE v INTERIOR TRIM/PRIVACY DOORS vii/ FINISHED FLOORS 1vi GARAGE FIREPROOFING ! s DOOR CLOSER(S) n: SMOKE DETECTORS s4 . II FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION . . . ✓/ OK TO ISSUE C/O OR •C/C N !// A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE ,BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 5:04j e 1g . Wadi- . ARRIVE DEPART/I9fir*-i''IN PECTOR ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner .. Occupant --- -Location ../ f L. !.Q__l�:_../.� No. S[ et Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by Date Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER OUTLETS WIRING &CONTROLS FOR BURNER RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER K.W. RANGE AMP. RECEPTACLE K.W. WATER HEATER FRAC. H.P.VENT FANS rMOTORS H.P. 1/20 1/12 1/10 IA % % Y3 % '% 1 11/2 2 3 5 71 10 15 20 25 30 40 50 L 75 100 .MARK NUMBER OF EACH SIZE _ APPARATUS 11 TOWN OF QUEENSBURY 531 BAY ROAD '�''"' QUEENSBURY, NEW YORK 128oil?',/ TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 0/7.�i NAME W,z/,u J /�lh_.G1 e9a, ,,t l."il�7t a� LOCATION /67 410-7/ ) ,t DATE g/9/ PERMIT# 0-7Z2 TYPE OF STRUCTURE 4j/ry L Q�i, mil, ^ RECHECK,J/{L L ,6/p /1 //2/,/,vfA . FIRE MARSHAL APPROVAL (COMMERICIAL STR CTURE) BOOTING ' FOUNDATION BACKFILL frFRAMING � ��1111GH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION W ODSTOVE/FIREPLACE REMARKS APPROVAL \ /A • YES NO CHIMNEY HEIGHT/LOCATION i✓ B VENT/LOCATION \s, PLUMBING VENT \; ✓ ROOFING '1; SIDING \\ • ✓ DECK/PORCH/STEPS/RAILINGS �-,,� RELIEF VALVES '' / ✓ FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOOR �. FINISH FLOORS: 'c BATH/KITCHEN WATERTIGHT,///JJJ OTHER FLOORS SWEEPABLE j ', OTHER FLOORS CARPETED / \ t/ STAIR CLEARANCE/RAILINGS/ / SMOKE DETECTORS lgSL4,4/ DOOR CLOSERS / ✓/ BATHROOM FANS / '\ ✓ ALL PLUMBING FIXTURES /OPERATING 1,/ry GARAGE FIRE PROOFING DOOR CLOSERS / • OTHER FIRE SEPARATION FIRE/DEMISE WALLS / FINAL ELECTRICAL I OK TO ISSUE C/O OR/C/C COMMENTS: e�eLC_Gt.�� b Weed— r L42t1 a • 3.. ott 7 yss�� lerr C'e) ARRIVE DEPART TNcarrrnD TOWN OF QUEENSBURY • BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS J-fljti0V QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 / BUILDING INSPECTOR'S REPORT REQUEST FOR INSPJ ON RECEIVED NAME A__ v/g L% U!S LOCATION 4�,0-71 )1L 1 DATE WO PERMIT # 70-% 7 g • APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS . FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL XROUGH PLUMBING ' " 1°//,/;" FRAMING V ELECTRICAL ROUGH-IN INSULATION: FOUNDATION ,r FLOORS WALLS -a.4. _3. . id// CEILING '! ' • P- o FINAL INSPECTION: i CHIMNEY HEIGHT !, ROOFING / • SIDING EXTERNAL PORCHES/STEPS' ' ' STAIRS-CLEARANCE & RAILS . PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS II., k. GARAGE FIREPROOFING ,; DOOR CLOSER(S) SMOKE DETECTORS' • FINAL ELECTRICAL INSPECTION ' FINAL APPROVAL .OF CONSTRUCTION ' ' OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE ' THESE PREMISES ARE OCCUPIED!' REMARKS: \ . • \ ( , i '\ ) / INSPECTOR C.',1'/N\ TOWN OF QUEENSBURY I BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS I QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT// 7' REQUEST FOR INSPECTION RECEIVED / 2 NAME 930\(dl S yV I sir RCA, . LOCATION p 7C--\\, (- Y) DATE ) A-) ) PERMIT # R0 -7 7 2 G . APPROVED r' YES NO FOOTING/PIERS ,� ' / MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING I . ACKFILL APPROVAL '1 "% el ROUGH PLUMBING FRAMING ?� �} ✓ ELECTRICAL ROUGH-IN 1 .f .. . . • INSULATION: FOUNDATION . FLOORS f WALLS I . . . . . . . . . CEILING g . . f FINAL INSPECTION: ' I CHIMNEY HEIGHT 4 ROOFING I SIDING 4 1 EXTERNAL PORCHES/S�fEPS` STAIRS-CLEARANCE & @@MILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVA1Y DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) • SMOKE DETECTORS 1 . FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR ../C .---- ..-.- r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE ,BUILD G DEPARTMENT BEFORE THESE PREMISES ART OCCUP ED! REMARKS: • ARRIVE DEPART /a 04/ `. INSPEC OR qD)TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED I// f r NAME V\INe O Il LOCATION j bc4r) DATE ///a 7/C 0 PERMIT # -7 707 1 ! APPROVED Yl/ �O *FOOTING/PIERS MONOLITHIC POUR FORMS t j FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL i ROUGH PLUMBING } FRAMING j / ELECTRICAL ROUGH-IN ' y Oj INSULATION: FOUNDATION FLOORS y . . 'I WALLS . 11 CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ; 1. SIDING EXTERNAL PORCHES/STEPS'; STAIRS-CLEARANCE & RAILS/ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING / DOOR CLOSER(S) p` SMOKE DETECTORS l FINAL ELECTRICAL INSPECTION; FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE/OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' j •REMARKS: THE CONTRACTOR IS (RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE YES NO ARRIVE DEPART • INSPECTOR 0 f�� '_ T �f• 0 i1c) 01 S�A,rq\_� eA ttiA 'A`,. \t- LA Ve vTN-T - ts.- V�o�A'F -h" f. - l(aly� �; kAkL1. _ ------=------ -- __- _ i 0*11 OFCQ VED NURY L1:__1 _ _ ____ _ _._ ____. w__ NOY 61990 A- 20000� B�nc3. - - - - --- CODE DEr f, TOWN Of QIffMR Mt M ��M •t#/�i�M . �R , 'A 1 ..✓ mom By ( TOWN OF QUEENSBURY sc4L9 o 1 .. BUILDING CODES DEPT. p REVIEWED BY v FILIDATE. NNY 1 �� t Q� w p� . flF,f�� .�� 6•�7A�E1 ���Ali ylt • �..r, r • Adu GPO' 9EEVEf�L��E d� ' 6 'jE N =�1�•t S E9�Til OEwE1 �'9. S/,� y �` 0" of QUEENSBURY 1� IL N RECEIVED OIL X o f *it* L_ SA%IL9p%b o o NOV 61990 • TOWN ��y �����`�����' >, . BLDG. $CODE DEPT. n � �,• dr. .,,... =-=- • _ :. � ram, Tr- SQ Vl. _ - - 0 � •MPS -sf . �► SuRrE`(; MAvE F�� _ _ - #1 O fit. A L . $ At�� ITS. of = a` Scr►vE : 1"mo o• - - �a►TE ; Av4. ' 2- s = gn u ♦ • -,�i �.49 a _ -