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HomeMy WebLinkAbout10885-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT. Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Z ! .1.5.4. 0. ........ Date Ma rch 9 19 83 THIS CERTIFIES that the building ...~l.~i.~;~_.o~ ................................... 260 Robinson Rd. Greenport Location of Property //&}s~ 'do ......................................................... Street Hamlet County Tax Map No. 1000 Section . . 03.4:. ...... Block ...... Q5 ....... Lot ....... ~. ~ ........ Subdivision .............................. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... -~p~'.i,l. ? ........ ,1960. pursuant to which Building Permit No ...... q 0.8.8.5$ ......... dated ......................... September 24- 198.0.. , 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 ......... ~or addition to existing dwelling B/A approval #2689 5/2q/80 The certificate is issued to Arnold ~, Gardner ..................... [o¥.'oi',dr't i a'n'tJ ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 TOWN OF ~$OUTH~i~D BUILDING D:EPAR~MEN N9 10885 Z Permission is hereby gro~ted to; Date UNTIL ;ULL tO at premises Coun~ Tax Map No. I0~'o ~ecfion ..~.-;.~......:.,.: ........ ~..-~j.. ......... .~ ................ ~rs~o~ to app,cato~ da~ed .&~-/.. ....... ~ ........ .~ .......... ?.:..., ~. ~4~ , and approved by thei , ~ } '~ Building Inspector. ~ Fee $ ....................... ~i ~UtlllOIng; Lnsp~ur FORM NO. 6 TOWN OF SOUTHOLD Building Depar~men~ Town Hall SouthoM, N.Y. 11@77 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted in duplicate 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 topograohic features. 2. Final approval of Health Dept. of water supp[y 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 building~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land 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 and 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. / C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date,. ~.-~./,~v"z~ , .. New Building ............. Old or Pre-e sting Building{X) /Vacant Land .ocat on of Property .... . . R.b .,. , . . II Owner or Owners of Property Z~W~ /J~ -~..~/~ ~ ~. ~ County Tax Map No ~000 Section e/% ~ Block ,~ Lot ......... Filed Map'No ........... Lot No .............. Health Dept Approval ............. p~ Appro al ............ Labor De . v ............. Unde~riters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate ........ - ....... Fee SubmittedS ~.'~.../ ................. Construction on above described budding a~er~irmeets app~abl~ores and regulations. R,,. ,0-,0.,, Applicant. ~--~~ .................. FIELD INSP~CTIgN COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL COMMENTS: TO VN OF SOUT 0LD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 - Applicant P This is to a~dvise you that the job under Bui]d~n~ er~lt~No. /~ issued to ~4,./.. ]~O] .... o on ~\~!%~ for' a~6~'~ ~f~L~r~'v0!s comDlesed and a flJal znspection nas / / nas no%~ been do~e. In order to complete this file, it is necessary that a Cer%zfzcase of Occupancy be issued. Please fztl out the enclosed form(s), return same to the above office wz~h a check for $5.00 payable to the Town of Southold. Flease inoicate to whom the Cert!ficate of Occupancy is to be mailed an~ arrange with this office for an insp~cEion date. Thank you for your prompt attention. Very truly yours, Victor Lessard Admznis~r~ tor VL:ec Enclosures TOWN OF SOUTHOLD, NEW YORK APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO, DATE ~..,~.,.~. TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y. 1, (We) Az~old D. Gardner.. .of 260 Robinson Road Nome of Appella.n~' Street and Number Greenport New York HEREBY APPEAL TO Municipality State THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON APPLICATION FOR PERMIT NO ..................................... DATED ..~...A.p~£1...19.~0 ....................... WHEREBY THE BUILDING INSPECTOR DENIED TO~ Arnold D. Gardner Name of Applicant for permit of 260 ~.o..b.[.z).~.o...~.....~.~.~...d: ................... .G..~...~.9.~.~'.'~ .... ..~..~.W....~.g~.~¢. ................. Street and Number Municipality ,State ( ) PERMIT TO USE ( ) PERMIT FOR OCCUPANCY i (X) Permit to construct addition to exzsting dwelling. 1. LOCATION OF THE PROPERTY ....9..~.O,,'~..~.Q~,.q, ............................ 4~ ..................................... Street Use District on Zoning Mop County Tax Nap - Section 034 - Block 05 - 012 Mop No Lot No. 2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub- section and Paragraph of the Zoning Ordinance-by number~ Do not quote the Ordinance.) Art~ III Sec. 100-3~ Bulk Schedule' 3 TYPE OF APPEAL Appeal is made herewith for ~ (X) A VARIANCE to the Zoning Ordinance or Zoning Map ( ) A vARIANCE due to lack of access (State of New York Town Law Chap. 62 Cons. Laws Art. 16 Sec. 280A Subsection 3 4 PREVIOUS APPEAL A previous appeal ~ (has not) been made with respect to this decision of the Building Inspector or w~th respect to this property. Such ~ppeol was ( ) request for a special permit ( ) request for a variance and was made in Appeal No ................................. Dated ...................................................................... ( ) C~) ( ) REASON FOR APPEAL A Variance to Section 280A Subsection 3 A Var,once to the Zoning Ordinance ,srequested forthereasonthat my application for:.& Building Permit to con- struct a 36' X 6" addition to the westerly section of our single family dwelling has been denied on the grounds of insufficient rear yard set-back° Fo~u~n ZB1 (Continue on other side) REASON FOR APPEAL Cant,hued 1 STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces- sory HARDSHIP because the proposed m~.ll addition requested l~cat~on for ~u~ld~g Pe~ ~e needed ~ order ~o ~l~ge a ve~ small (8' X ~2') second bedroom, to provide for d~lng area ~ a s~ll Eltchen ~d to add a second bathroom facility for the care co~o~ of ~ elderly f~i~ member wh~ perX~ical~ resides with us. The exist~g dwelling ~s o~ ~e ~1 ~lle bedro~ ~d d~lng ~ea exoep~ ~t which ~s be~ ~ded ~to ~he l~v~g room, The proposed addition wou~d e~d the wester~ ~11 of the dwell~ six feet ~d p~vXde s~fXoL~t additional space to alleviate the above described 2 The hardship created is UNIQUE and is not shared by all properties alike in the immediate v~c~mty of this property and in this use district because Of the tl~ttst~a~, oonfi~l~'atiol~ of our lot and the design of the dwellS. It would be dif~ioult to provide for additional space requirements without securing relief from the rear yard set-back provision of the Ordinanoe~ 3 The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE [tHARACTF. R OF THE ~C~T. RICT,be¢~useth[l~OPOl~.~ditien Wottld not alt, ar ne s~y~e or qUaAX~y OX ~e exxs~xng awex~xn~ nor would Xt change the existing separation line between neighboring propel'ties. SFATE OF NEW YORK ) ) ss COUNTY OF ) Signgture Sworn to this ..............................................day of ........................... ' .................... 19 Notary Public BOARD OF APPEALS, TOWN OF SOUTHOLD In the Matter of the Petition of Arnold D. Gardner to the Board of Appeals of the Town of Southold TO: Frank S. Rosenberg & Another 24 Links Lane Hicksville, N.Y. 11801 NOTICE YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of Southold to request a (Variance) (~.~[~'c~t~ (K~]~ (t~:~.a~: . ). 2. That the property which is the subject of the Petition is located adjacent to your property and is des- cribed as follows: lot #012 05' Sus'5'olk Co. Tax map, District 1000 - Seotion 054 - Block 05, and is situated contiguous to the southerly boundary 05' your lot #07 in the same District, Section and Block. 3. That the property which is the subject of such Petition is located in the following zoning district: 4. ThatbysuchPetition, theundersigned willrequestthefollowingrelief: Permission to con- struct a 36' X 6' addition on the westerly section o5' my existing dwellin~ and t~ereby be relieved 05' provisions relating to rear yard set-back line. 5. T~t the p~rovisions of the Southold Town Zoning Code applicable to the relief sought by the under- signed are: rt. III Sec. 100-31 Bulk Schedule 6. That within five days from the date hereof, a written Petition requesting the relief specified above will be filed in the Southold Town Clerk's Office at Main Road, Southold, New York and you may then and there examine the same during regular office hours. 7. That before the relief sought may be granted, a public hearing must be held on the matter by the Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the Town of Southold and designated for the publication of such notices; that you or your representative have the right to appear and be heard at such hearing. Dated: April 9th, 1980 ~ Petitioner ~rdnerA Post Office Address 260 Robinson Road Greenport, N.Y. 11944 NAME PROOF OF MAILING OF NOTICE ADDRESS STATE OF NEW YORK ) COUNTY OF SUFFOLK ) SS.: , residing at , being duly sworn, deposes and says that on the __ day of ,19 . , deponent mailed a true copy of the Notice set forth on the re- verse side hereof, directed to each of the above-named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on the current assessment roll of the Town of 5outhold; that said Notices were mailed at the United States Post Of- rice at .; that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this day of ., 19 Notary Public TOWN OF SOUTHOLD, NEW YORK ACTION OF THE ZONING BOAI~D OF APPEALS AppealNo. 2689 Dated AP~il 8, 1980 ACTION OF THE ZONING BOARD OF APPEALS OFT HE TOWN OF SOUTHOLD To Mr. Arnold D. Gardner 260 Robinson Road Greenport, NY 11944 Appellant at a meeting of the Zoning Board of Appeals on May 1, 19 was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special excephon under the Zoning Ordinance [~X) Requ~s~for a vm'ianee to the Zoning Ordinance Art. III Sec. 100-31 the appeal granted ( ) be demedpu~zswa~ntto Article ................... Section ................... Subsection ............... paragraph ................... of the Zofiing Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be co~irmed because PUBLIC BEARING: 8:00 P.M. Application of ARNOLD D. GARDNER, 260 Robinson Road, Greenport, New York for a Variance to the Zoning Ordinance, Article III, Section 100-31 for permission to construct addition in rearyard area. Location of property: 260 Robinson Road, Greenport; bounded north by Robinson Road, west by Rosenberg, south by Sterling Creek, east by Bruckheimer. County Tax Map Item No. 1000-34-5-12. (SEE REVERSE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical h(ardship because SEE REVERSE) 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) (e) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the distrlet because (SEE REVERSE) (would not) 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. FORM ZB4 ZONING BOARD OF APPEALS O]AOSdd¥ · uoXoG '~ssoN :guosq~ '~oBuT~gooD pue 'ss~iBndG 'sTuo6T~D 'sxsso~ :soX~ :p~o8 oq~ ~o 'EI-~-~g-O00I 'ON ma~I den xwA XSuuoD '~aD BuTIa~S Xq q~uos '6~qu~so~ Xq ~s~a 'p~o~ uosu~qo~ Xq q~ou pspuuoq ~odu88AD 'pwo~ uosuTqoH 09E ~o uoT~wooq '~o~ paTIddP SDR/$SUOD O~ UoTssTm~ad aO~ 'I~-OOI UOT~D~S 'III '8IOT~ '~OU~U -Tp~o BuTuoZ ~q~ o~ 8ou~T~A e O~AN~D 'p~oE uosuTqoE 09E '~NGH~D 'G G~ONE~ ~T 'sswIBnoG '~N Xq popuooos 'STUOBT~D '~N Xq UOT~O~ uo pue poo~oqqBTou aq% ~o As~ow~wqo oq~ aBu~qo ~ou TiT~ 8Du~uTplo sq~ ~o uo~wo~Idd~ ~oT~s ~q~ pu~ 'enb~un o~w · qU~oTiddP'oq~ go BuTuos~o~ oq~ qqTa oa~BP soop pAeos 8q~ 'X~sdo~d aq~ ~o adeqs I~pTozsde~ aq~ o~ anG 'aUTI ~PTS ~aa~ OI XI8~mTx°~dde ST '~uTI ~uo~ 8q~ mo~ ~aa~ ~ ~ia~ -Txo~dd~ ~oeq ~os sT 6UTIIO~p oqq ~eq~ spuT~ p~o~ aqA '~ox ~oN '~oduoe~D 'p~o~ uosu~qoH 09E s~ u~ou~ sssT~d ~ '~ 6uTA~I i~uoT~Tpp~ ao~ 6uTII~ap ~D~[qns 8q~ ~0 8pTs ~S~A Oq~,O~ UO~Tpp~ LEGAL.NOTICE OF HEARINGS Pursuant to Section 267 of the Town Law and the Provisions of the Amended Code of the Town of Southold, the following matters will be held for public hearings by the Board of Appeals, Town of Southold, at the Town Hall, Main Road, Southold, New York on Thursday. May 1, 1980 at the following times: 7:35 P.M. Application of LORNE GREENE by Richter Home Improvement Co., 515 Seventh Street, Greenport, New York, for a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct accessory building in frontyard area. Location of property: 1455 Aquaview Avenue, East Marion; bounded north by L.I. Sound, east by Moeck, south by Aquaview Avenue, west by.Miller. County Tax Map Item No. 1000-22-2-2. 7:50 P.M. Application of SAMUEL B. PRELLWITZ, Indian Neck Lane, Peconic, New York, for a Variance to the Zoning Ordinance, Article III, Section 100-30, for permission to construct second dwelling on single lot. Location of property: South side of Indian Neck Lane, Peconic, New York~ bounded north by'dian Neck Road , west by Cukor and Fischer, south by Peoonic Bay, east by Indian Neck Lane and Adams. County Tax Map Item No. 1000-86-7-7. 8:00 P.M. ApplicatiQn of ARNOLD D. GARDNER, 260 Robinson Road, Greenport, New York, for a Variance to the Zoning Ordinance, Article III, Section 100-31 for permission to construct addition in rearyard area. Loca- tion of property: 260 Robinson Road, Greenport; bounded north by Robinson Road, west by Rosenberg, south by Sterling Creek, east by Bruckheimer. County Tax Map Item No. 1000-34-5-12. Legal Notice of Hearings Page 2 Board of Appeals/May 1, 1980 Meeting 8:10 PoM. Application of GEORGE R. and HARRIET J. TIEBEL, 8 Arbor Street, Great Neck, New York (by Richard F. Lark, Esq.) for a Variance to the Zoning Ordinance, Article III, Section 100-31 for approval of insufficient area and width of two proposed parcels, and for approval of access, New York Town Law Section 280A. Location of property: 6540 Great Peconic Bay Boulevard, Laurel; bounded north by Peconic Bay Boulevard, west by McGowan, south by Great Peconic Bay, east by Holfelder. County Tax Map Item No. 1000-128-2-1. 8:25 P.M. Application of STEPHEN EGGERS, Nassau Point Road, Cutchogue, New York for a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct swimming pool in sideyard area. Location of property: 6625 Vanston Road, Nassau Point, Cutchogue; bounded north by East Club Road, west by Nassau Point Road, south by Brac, east by Peconic Bay; County Tax Map Item No. 1000-111, 15, 7; also known as Nassau Point Club Properties Lot #48. Dated: April 21, 1980. BY ORDER OF THE SOUTHOLD TOWN BOARD OF APPEALS Instructions to Newspapers: Please publish once, commencing April 24, 1980 and forward five (5) affidavits of publication on or before April 28, 1980 to: Board of Appeals, Main Road, Southold, New York 11971. Tel. (516) 765-1809. FOR~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT, TOWN CLERK'S OFFICE SOUT.O, , ,. Examined ....... r~..'.~:. .............. , 19...?~.).. Application No ................................ Approved ~.Y....~.....C~...~.~ ........... , 19~.. Permit No..~Z~.~. ....... ~sapproved a/c ........... Z'""'"'-'"'"~ ....... ~ ..................... "~ ........................ ~' ~' ~/~ "'"'"'"'"'"'"'"~. ~ ~ ~_//~ (Building inspector) ~~~~-- --~ Date ...~..~.~ ............................. , 19..~P ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or~ in ink and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate plot plan to scale. Fee according to schedule. b. Plot-plan showing location of lot and of buildings on premises, relahonsh~p to adjoining premises or public streets o, areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by th~s application may not be commenced before issuance of Building Permit. d. UpOn approval of this application, the Building inspector wdl issue a Budding Permit to the opplmont 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 pa rt 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 opphcant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signatu~,~c(Signatu e of applicant, or name, 'i~ ~"~orp~';~';i;~) ....... 2 ........ (Address of apphcant) State whether apphcant is owner, lessee, agent, architect, engi~eer, general contractor, electrician, plumber or builder OW~ler Name of owner of premises Arnold D. Gardner & Diana G. Gardner ,~ If opplicont is o corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..~.~. .................... ~.:..~..:.~..~...~.~/,L Plumber's License No. ..2~r(..~....AC...z.V'...o..z.?..~,(..~.....z~.../.~..~.....Z~L=~ Electrician's License No. ~..'~.~....~...~..f.~2..~/...:T....~..f..'.~Z.~.....~-~ Other Trade's License No ............................................... District # 1000 'n f h h ' Mo Sec. 034~05-12 1. Locaho o land on w c proposed work w.tl be done. p No.' ................................ Lot No ............. Street and Number ......................................................................... .G..r...e.e...n~..°r.¢.'''' Municipality 2. State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction' a. Exisiting use and occupancy ....... .e..8...z.~.e..~..z..~...~.~.g~.e....~.a..rq..z...~.~....d..w..9..]:..~..z.~ ..... ' '""['"'~ ..................... b. Intended use and occupancy same as {a) above --'- ~ ~o r~ ~~ o~0 I ~ / 3. Nature of work (check which, applicable): New Building .................. Addition ....~ ........... Alteration '. ............... Repair .................. Removal .................. Demolition .................... Other Worl~ .................................................... (10% of value (Description) An nnn 00 of building) =oo ~15.00 . , 4. Estimated Cost ..,v. w4.v..v.v.~ ..................................................................................................................................... (to be paid on filing this application) ,5. If dwelling, number of dwellihg units ...o..~...e..,.~...~..~..~.l.~...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 ..~....2.~ .................... Rear ....~..2,: ....................... Depth 32 ' Height Number of Stories one and one half Dimensions of same structure with alterations or additions: Front ...~.~.t. ........................... Rear ....~..2, .................... 9. Size of lot: Front 75 feet ..................................... , .... 10.' Date of Purchase .1. ....... .r..,i. 3r.,..~.~.8' ........................ Name of Former Owner Harry ~ooker ' 11.Zone or use district in which premises are situated ..~..~tr~:odr. J, OD0...~eg, tJ, ozz..0.~ ....................................... 12. Does proposed construction violate any zoning Iow, ordinance or regu arian: Y.~.8~..T..9..~.?....8.e.~..a..o...~,...~.L.~.e. ..... 13. Will lot be regradedl ,~..©. ....................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises A.r..~.old & Diana GardnerAddressG. reen~ort ~ .N.: .~. 9hone N~© Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor C.W, Powell --- Greenport, N.Y .... 477-0995 PLOT DIAGEAM 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. see attached plot plan with setback dimensions, Interior lot as indicated on County tax map - District 1000 - Section 034 - 05 - i2. Robinson~ Road' STATE OF NEW/y~QR~K,/,~ ,m,~' ~ I, ~ S '- ~' '" COUNTY OF~~.,~)'~ ' ' , b' ........ ',.....), .................................................................................. being duly~sworn~, de~oses and ~ays that he is the applicon! (Name of individual signing contracf) a'bove named, He' is;the ................................................................................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du[~ authorized to perform or have performed the sa~d 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 tobef~re me this ' ~' .......... ........ ,1, ........ , , -- /~S]gn~ture of applicant) JUDITH T, TERRY Notary Public, State of Now York No 52.G3449G3J suffolk Coun~/ go'mission Expires March 30~ 19B, / /.//