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HomeMy WebLinkAbout12074-z S14fMAC 41 Town of Southold 12/27/2022 o�y P.O.Box 1179 C= 53095 Main Rd ��rgj� rapt Southold,New York 11971 ''�Zrrrrrri?'C� CERTIFICATE OF OCCUPANCY No: 12800 Date: 9/20/1984 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 230 Carole Road, Southold SCTM#: 473889 Sec/Block/Lot: 52.-2-7.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/21/1982 pursuant to which Building Permit No. 12074 dated 12/15/1982 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: addition to one family dwelling(add to livingroom). oom). 12/27/2022 Corrected for house number only. The certificate is issued to Ippolito,Joseph&Ippolito,William of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N654233 PLUMBERS CERTIFICATION DATED Auori d i ature FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...g.1.2.8.0..0 ......... Date .......... Sept..._.................20 ,.19.8.4. THIS CERTIFIES that the building .. b.cl.d. 5: .'9.J-P.n...'99..O.n..e..F.a.m..J..].y..D..w.e.l.l:J:..n.g ......... Location of Property 2.35 ..... C~r.o.],...R.d... ................... Sour:hold House No. Street Hamlet County Tax Map No. 1000 Section . .0.5.~ ....... Block . .0.2. ........... Lot .... 0.0..7 .......... Subdivision... X .Filed Map No. .Lot No. conforms substantially to the Application for Bnilding Permit heretofore filed in this office dated · .d'..u.iy....2.1 .......... , 19 .8.2, pursuant to which Building Permit No. 120747. dated .... p.e.q:, .1,5, ............... 19...82 , 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 ......... ...A.d.d.~ .t:.J_p.n..Tg..qn. 9..F.a.m. ~.~y..D..w.e.l.1. J: .n~r .... .( .a.d.d., .'99..1.~ .v.J..n.g...r.o.o.m. ! ............. The certificate is issued to ..... .I.P.P.Q .L.I.T.Q ~ IqlCHOLAS (owner, I~ee of the aforesaid building. Suffolk County Department of Health Approval ........................................ UNDERWRITERS CERTIFICATE NO ............ 1x.1.6.5.4.2..3.3 .............................. Rev. 1/81 Building Inspector TOWN OF SOU*~OI~ TOWN HALL SOUTHOLD, N. Y. BUILDING FERMII~ :' (THIS PEP. MIT MUST BE KEPT ON THE PRE~Is~s UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°, 12074 Z D~e ........................... ,. .......................... , ,9 ..... Permission is hereby granted to.'. pu~oant to oppllc~hon dot~ ............... ~ ....... ; ...................... ..,.., i¢ ..... ond ~ppmv~ by the Building Ifispector. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12800 Date .S.e~.t.:... 20 ......................................... 19.$4.. THIS CERTIFIES that the building ...A.cl.d.i..t.ip.n...t9..O.n..e..F.a.m..i.ly..D..w.e.l.l.i..n.g ......... Location of Property 2.35 ..... C~r.o.~...R.d.... Southo id House No. ' ....... 'S't/e~ [ ....................... County Tax Map No. 1000 Section . .0.5 ~ ....... Block . 9.2. ........... Lot 007 Subdivision... X .Filed Map No ..... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Ju~y. 21 .2. pursuant 12074g .................... , 19 .8 to which Building Permit No ...................... dated .... pac.:..1.5. ............... 19 .8.2., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Addition To One Family Dwelling (add to .living room) The certificate is issued to IPPOLITO. NICHOLAS W. (owner, leeeee of the aforesaid building. Suffolk County Department of Health Approval .... N.{.A ................................... UNDERWRITERS CERTIFICATE NO ............ N. .6 .5.4~ 2. .3 .3 .............................. Building Inspector Rev. 1/81 FIELD INSPECT-iON COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY C~,OD E ADDITIONAL COMMENTS: FINAL FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted--i~=e~l;l[cctc to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" [and uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy arid condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .......................... New ~ilding ............. Old or Pre-existing Building ............ Vacant Land ............. Location~f Property .......................................................... House No. Street Ham/et ~er or Owners of Property .....~. ~..c,~..o .~....~.....~, .~...[-. ,~ .~..%~.O. ......................... County Tax Map No, 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ......... ~ .Lot No .............. Perm,, No.' Date of,etm,t . ..^pp,,cant .q. .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. :[oooo9 . THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 1OO3~ THIS CERTIFIES THAT in the following location; [] Basement ~[] 1st Fl. .,,~e~a,,,i,,edo,, July 30, 1984 FIXTURE FIXTURES OUTLETS SWITCHES INCANDESCENT FLUORESCENT 4 4 4 DRYERS [] 2nd Fl. Section Block Lot and found to be in compliance with the r~quirements of this Board. RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E E R V I C NO OF CC, COND A. W, G, NO, OF HI-LEG A.W. G* PER ,~ OF CC, COND, OF HI4EO OTHER APPARATUS= 2-Smoke Der ~¢tors 3/O NO, OF N~TRAL! OF NEUTRAL ~0 Peter Bog~)vic Main Southold, N.Y. 11971 [&c. I37 E Pdt This certificate must not be altered in any manner; return to the office of the Board f incorrect. Inspectors may be identified by their credent als. ,,, -- ~NG DEPARTMENT. THIS COPY OF CER~'IFICATE ~U~T NOT IBE/~LTERED IN ANY MANNER I FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ .. ~ .... v~ .......................... ...~.?./~ ~. ~. . ~. : ~ ........ PLEASE TAKE NOTICE that your application dated ....... for pem~t to construct .... c~/ ~/7( /.~ : .~ ~. ~ . .~.~:V~(/ ~ ~ . ~. ~/~ i~ .... at Location of Property ~ Ho.se County Tax Map No. I000 Section .. ~.~ ..... Block .... ~d ...... Lot .~.~ ....... Subdivision ................. Filed Map No ................. Lot No ............. ~... is returnea herewith and disapproved on the following . Building Inspector RV1/80 II, Southold Town Board of Appeals MAIN ROAD- STATE RI]AD 25 SI:]UTHE3LD, L.I., N.Y. 11971 TELEPHONE (§16) 765-1809 ACTION OF THE ZONING BOARD O7 AP Appeal No. 3044 Application Dated September 30, 1982 TO: Gary Flanner Olsen, Esq. Attorney for Mr. Nicholas Ippolito Main Road Mattituck, NY 11952 P EIVED AND FILED BY THE SOUTHOLD TOWN CLF. RK Town Clerk, Town of g%uthold At a Meeting of the Zoning Board of Appeals held on October 30, 1982 the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section IX] Request for Variance to the Zoning Ordinance Article III , Section 100-31 [ ] Request for The .public hearing on this application was held on October 21, 1982, at which time the hearing was declared closed pending deliberations. Upon application for NICHOLAS W. IPPOLITO, by Gary Flanner Olsen, Esq., Main Road, Mattituck, NY for a Variance to the Zoning Ordinance. Article III, Section 100-31 for permission to construct addition with reduced rearyard setback at 235 Carol Road, Southold, NY; bounded north by Stachtiaris; west by VIP Inns; south by Haas; east by Arshamomaque Pond; County Tax Map Parcel No. 1000-52-2-7. The board made the following findings and determination: By this appeal, appellant seeks a 12' by 28' addition to the exist- ing one-family dwelling for additional living area, leaving an insuffi- cient rearyard setback at 28 feet at its nearest point from the rear property line. The parcel in question appears to contain an area of approximately 5,200 square feet, with 50' frontage along Carole Road. The subject parcel is bulkheaded the entire length of its waterlying edge, and the N.Y.S. Department of Environmental Conservation has issued their "Notice" indicating no jurisdiction pursuant to Article 25 of the Environmental Conservation Law. There has been furnished for the record that there will be a total square footage of 1,008 and that the 20% minimum lot coverage requirements of the code will be complied with. In considering this appeal, the board determines the variance request will not cause detriment to adjoining properties; that the circumstances herein are unique; that the difficulty cannot be obviated by a method, feasible to appellants, other than a variance; that no adverse effects will be produced on available governmental facilities of any increased population; that the relief requested will be in harmony with and promote the general purposes of zoning; and that the interests of justice will be served by allowing the variance as indicated below. On motion by Mr. Sawicki, seconded by Mr. Grigonis, it was RESOLVED, that Appeal No. 3044, application for NICHOLAS IPPOLITO for permission to construct an addition to the existing dwelling, be and hereby IS APPROVED, PROVIDED THAT ALL STRUCTURES ON THIS PARCEL DO NOT EXCEED THE MAXIMUM-PERMITTED LOT COVERAGE REQUIREMENT OF TWENTY PERCENT. DATED: November 10, 1982. Form ZB4 (rev. 12/81) CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Page 2 ~ Appeal No. 3044 Matter of Nicholas Ippplito Decision Rendered October 3'0, 1982 Location of Property:. 2.35 Carol Road, $outhold~..NY;. County Tax Map Parcel No. 1000-52-2-7. ~ Vote of the Board: Ayes: Messrs. Goehringe~, Doyen, Grigonis, Douglass and Sawicki. This resolution was unanimously adopted. A?PRO'V 9 "'., --Chairman' Board of App~s J TOWN OF SOUTHOLD, NEW YORK ACTION OF THE ZONING BOARD OF APPEALS Appeal~o. 2836 by application Dated May 18, 1981 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Nicholas W. Ippolito 36 Gehrig Street CommackL NY 11725 Appellant at a meeting of the Zoning Board of Appeals on June 11, 1981 was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) l%equest for a special exception under the Zoning Ordinance (X) Request for a variance to the Zoning Ordinance Art. TII, Sec o ( ) 100-31. the appeal 1, ]~lZJ~DI XK YZ~YJ~i~I~I X]YoK YeYg~D{~ [/~K i~ ~ XK XJ/~i Y~g&K~fav~[ X~ K ~~~XKX~ granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because Public Hearing: 6/11/81:, 8:45 P.M. Application of Nicholas W. Ippolit~, 36 Gehrig Street, Commack,NY 11725 for a Variance to the Zoning Ordinance, Art. III, Sec. 100-31 for per- mission to construct addition to dwelling with insufficient front, side and rear yard setbacks at 230 Carol Road, Southotd, NY; bound- ed north by Stachtiaris; west by Carole Road; south by Hass; east by Arshamomaque Pond; County Tax Map Item No. 1000-52-2-7. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because (SEE REVERSE SIDE) practical difficulties or unnecessary (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE SIDE) (e) The variance' (does) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (would not) (SEE REVERSE SIDE) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. CG:lk FORM ZB4 ZONING BOARD OF APPEAL~ WHEREAS, on June 11, 1981 a public he~ring was held by the Southold Town Board of Appeals eoncernin( the variance application dated May 18, 1981 for permission tO construct an addition to existing dwelling with insufficientlfront, side and rear yard setbacks at 230 Carol Road, Southold, NY; and WHEREAS, on June 11, 1981, the applicant requested that his application be withdrawn without prejudice, NOW, THEREFORE, on motion by Mr. Grig~nis, seconded by Mr. Goehringer, it was RESOLVED, that the application of Nicholas W. Ippolito is hereby withdrawn without prejudice, i vote of the Board: Ayes: Goehringer, Sawicki and Grigonis. Do ~en, Douglass, APPROVED' ~Chairman Boa~'d of /~peals (/ RECEIVED AND FILED BY 1 .Application Received ; Disapproval Issued ~ Permit # !. ~oo~ ~oo~ ~o~ ~ ~oo~ ~o~ Typ~ Addition and/or Alteration~ Other (specify) ........ Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement feet (b) In a V Zone, bottom of lowest structural me~ber FIRM--Flood Insurance Rate Map, Zone designations Owner of Premises ..~. ,C~40c.~e~ Ut L~_~-.9~..~ O Location of Property: inches feet inches .ss Section ,~G, 7 Block ~'~_ Lot(s) 00'7 County Tax Map No., District, 1000, Subdivision ,, , Filed Map # Lot(s) I--IUnder Contraet]--~ Lessee I IC°ntract°r 7. Approval from other(s) before Pemnit is issued: e DEC / HEALTH SERVICE BUILDING PERMIT WETLANDS (Town Board) PLANNING BOARD 0wn%~_',' Ne~ OWner[ , Undg~ntract--~, Lesseel~, Agent-- ~. p_~ r LTl, Und, I 1 __ _ . ,, Co_ tractor~-~, and agree to comply with all applicabie section~--of the Code of the Town of Southold; County, and State and to admit authorized in- spectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contain- ed in this application are true to the best of my knowledge' and belief and that the work will be perfoEned in the mannerset forth in the application filed therewith. STATE OF NEW YORK COUNTY OF · Notary Public Applicant,s mailing address and phone # if not given above: 4/80 LINDA F. KOWAI.SK[ NOTARY PUBLIC, Stgte of I~,)lv York No. 52-4524771 Qualified in Suffolk Co[mty _Commission Expires Marc~ SO, 198~ FORM NO. EO TOWN 0F sOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. BOX ?28 TOWN HALL SOUTHOLD, NY · MAIN ROAD 11971 i SOUTHOLD, NY A~PL~CA~.ION FOR DEVELOPMENT ~ERMIT Instructions: The application to the Building Inspector includes (each ~ duplicate) 1. FoEn No. l0 filled out in ink or typewritten, 2. Sur- vey of premises with, elevations above mean sea level, 3. Drawings of pro- iposed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of $outhold known as "Flood Dsmage Prevention Law" of the Town of Southold. The applicant must submit approvals that any.other agency requires, i ~eneral Standards as!required tn Section 46-17 of the law to minimize flood damage: A. Anchoring oflstructures, including tanks and mobile homes B. Use of construction material and methods C. Design and lbcation of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations ~pecific Standards as required in Section 46-18: A. Residential Construction B. Non-residential construction C. Mobile homesI The 'applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such mann.er that below the base flood level the structure is water tight with walls substantially ~nd impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loa~s and effects ofibuoyancy, 3. applicant must sub~it certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coas~a~ High Ha~zard ~r~_~a (V Zone) 46-19. A~plicant shall submit plans, ~specmfmcat~onS mncludmn~ the required certifmcations and such other in- formation as the Building Inspector may require in that ~he provisions of 46-1~ are complied with. Mobile homes a~e prohibited. The lowest portion of the structural members of the lowest floo~ cannot be lower than the base flood elevationlwith all space below open except breakaway walls. ~.and~ dunes. If sand!dunes exist on the premises and the applicant pro- poses to alter same, iplans and specification must be shown in detailed nature of any alteration submitted. ~$uildin8 Permit. A Buildin~ Permit is also required for any structure. ~oth a Development and a Bumlding Permit must be issued before any work can Start in a special flood hazzard zone. A written disapproval or a permit must be issued within ten (10) working days. During constr~ction,.!the inspector Shall be notified in time so he may make. the required inspections. Upon completion, theirequired certification fo the final elevations and work must be submitted before the approval to use or occupy can be approved. 4./80~ (Fill Out the foEn on the back of ~his sheet) FORM ~10, ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×am,ned ................. ,~pproved ~e~.,...r.~. ................ 19.~ Permit Mo, ..Z~.~.7.~ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT .Application No ............ Z ................ INSTRUCTIONS o. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate 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 ofproperty must be drown on the diagram which is part of this application. 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 issue 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. .... ~ ~ [~~_ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~CLt'~ X~ ~, , ?, ;t~L '~ /, If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ................................................ Location of land on which proposed work will be done, Mop No.: ........................................ Lot No ......................... Street and Number .~OL~ Municipali~ State existing use and occupancy of premises~ and imended use and occup~cy of proposed construction: a. Exisiting use and occupancy ....... ~}.~.'.~.,..~.~ ~:~).~.~< ...... ~.....~..¢ ..(~.,~ ...................................... b. Intended useandoccupancy ....... County Tax Hap No. Dist. 1000 Section Block Lot 3. Nature of work (check which applicable): New Building.. ................. Addition..................~/' Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... ~Z~ , -- /Z~ Or__~ (Description) 4, Estimated Cost .......... ........................... Fee .................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial on mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing struciures, if any: Front .......?..~'. ............... Rear ......... ..~...9., ................ Depth .......~.;~. ........ Height ....[....%.?..o..~.~,. .... 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~ .............. ..gr..L? ................. Rear ........ :~..67 .............. Depth ....~.~: Height ...~..:'~.C~j.z.,.,:[.. Number of Storie:; ...................................................................................................................... 9. Size of lot: Front ........ ~.1~...~...~.....~..~..~.~..~. ................... Rear ....... ; .................................. Depth .............................. 10, Date of Purchase ............................ .~ ...................... Name of Former Owner ..... ..'~..C'L..~'.~..c...~.i~.~..~.. ............... 1 1. Zone or use district in which premises are situated '~,~.tO~'~A 12. Does proposed construction Violate any zoning law, ordinance or regulation: ..... ~. ............................................. 13. Will, lot be regraded ..... ,.~.P..L ............... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises. .t..c.~.0?6. .....................................' ,~?~eL ~"re Address ................................. Phone No ....................... Name of Architect ~p~.~F; Address Phone No. Name of Contractor ........ ..?R....~ .... ~ [~. ·. · .~t. ~..tcJ.~. ~ ). ~;:..~) ............ Address ................................ Phon~ No ....................... PLOT DIAGRAM Locate clearly and distinctly ~11 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 wh~ther nterior or corner lot. STATE OF NErVe'RI(, , /. /, ~ (l'~ome of individual above named. ~S.S -- duly ................. being sworn, deposes and soys that ha'is the applicam that the wor~/will be performed in Sw~o~.~/~re me this ....~;~,. ............. do¥ of ........... He is the .................... ~ ................................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all stetemen}s contained in this application are true to the best of his knowledge and belief; and 'he manner set forth in the application filed therewith. Caunty ......... .............. ~ ' b (Signature of dlSplicant) ~ ~I~, ~ of New ~ ID' ) E Y-J S TIk]G WALL NEW WALL 'd' -- ~tEl,~ ADDffIO~ ~E~DVED ' WALL ~EMDYEb %;. 3' 2"X 3' i¸ / SOLAE E~/ALU A~I O N~ OCCU ^NCY OR ' T{: eopp~r tuL bg is used for Water c!iu[ributing *Ymem~ U. lpL, g shall be of'll~e* l( or l only. (~ s F/ ~+~F~+"LB+?.~. 1kB-= lOT-Ur 51%FT lO'Lq-TbT~L Sll'r~ WALt_ · 2.urn" ,ALLD~AI~L'E- GLASS 5?~C~- 2. u,'z. TOTAL GLASS JOISTS ' -- O.C. ~X. LI· Ir.," O.C, EELT -.. FtNIS~E]3 FLODF~ R. IDGE E X ur SOLE S/q- PLYWOOD .5UP` FLOOR 2 X C.,' SILL WITH- TEF. MITE 4 VENTS 0I~Ekl 8 CLOSE ,/ AA PH AL-F _5'H IN. GLE5 I~%ULATION~ G'~ l WIMDOW DE E~iUN r..~LLAG -- /gl- FASCIiA I Z EX'F 'PLYWODO INSULATID kl q- I 3 TIER. -- ENT~IJCE. TO LKAWL 7APPP. D~. GK~,DE OCCUPANCY OR '"~ USE IS UNLAWFUl. WffNO~T CERtiFICATE eF OCCUPANCY E×IS TH'd G WALL NEW WALL )7_/ _ ~E~ AD b ITID k~. WALL P-.EV~DV Eb W~LL R. EM ~)~/ED /~DD IT~DN L NE~ 280 0 '1 _! dXJ. S_LN ~ A ~A~U 311%4~.L HJ.I~ ~00'1~ ~1~ ~]00~A Agd ~n/~ .L'3d 390% 'h X 2 ..Lq'3-q