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HomeMy WebLinkAbout11352-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20488 Date JANUARY 17, 1992 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property 345 GRETON COURT MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 2 Lot 3.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 1981 pursuant to which Building Permit No. 11352-Z dated AUGUST 27, 1981 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 FOR CONSTRUCTION OF INGROUND SWIMMING POOL AND DECK The certificate is issued to WILLIAM H. GREFE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. 130356-81 JULY 23 1981 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO:;3 TOW, N °OP OUT H4 BUILDING D PARTMN , TOWN`HaILL - S0,,, HOLD, '. Y BUILDING:'PERMIT (THIS PERMIT MUST BE KEPT OIC THE PREMISS UNTIL:F,,1LL COMPLETION OF THE WORK AUTHORIZED). k N© X1352 Z Date , . ��%.;� ��................. 19.f1:.1 Perrnissiorj is hereby granted to: a ,... ..................... ............. .. ...,. ........................................ dt premises located at �vW. ............�,,,`�Y..CAM/41 /41 i.,: ....... .+R� C.r 4r.,` v • 2 Co(an ,Tqz Ma No. 1000 Section .... .. ;. Block ..... .'LOt No. =. ,t p P l i ., •........... r rk pi4 ' � r.. urslagnt to application dated ..... . .... ... ....... �r ....,.. .., 19.,..,x ., and Approved by the Building Inspector. Fee $..{✓ ............. . R ;. Bui ilia Insp9ctoi Rev.>6/30/,_80 a r Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT { ir TOWN HALL i'; JAN T 765-1802 a APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This 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 of 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% 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. 3. 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 $25.00, 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 - $5,00 over 5 years - $10.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 2— ';ew Construction. . . . /, , , , Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . OAS . . . G0UP,T.. . . . . . . . . . . .MA f.7- IrUCIC . . . . . . House No. Street Hamlet Onwer or Owners of Property. . L C. .�. . . G KS.F : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map Nok�gl000 Section. iQ.2 D.Q. . , . .Block. .O oZ oU. . . . . . . .Lot. . . .�... . . . . . . . . . :;ubdivision. .G R e:T4d. . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. It 3 5, A. . . . . .Date Of PermitrP/;0/.,/. . . . . .Applicant. . wealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . :$. z. 8.6. „-2,, , , , , . . :'lanning Board Approval. . .... . . . . . . . . . . . . . . . . . . •�equest for: Temporary Certificate. . . . . . . . . . . Final Corticate. . :. . . . . . . . .ce Submitt d: $„ z,5,mj7) �� AP . PLICA� INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector SCOTT L. HARRIS,Supervisor �'� '" t Thomas Fisher n Southold Town Hall Building Inspector u I' �' P.O.Box 1179,53095 Main Road � � ':?�+. � i Gary Fish ./r �� �1 Southold, New York 11971 Building Inspector 1 • N Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JANUARY 17, 1992 WILLIAM H. CREPE 345 GRETON COURT MATTITUCR, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) %%x No Underwriters Certificate on file. XKK The check is W190KNOnot on file. ) $25. 00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 11352-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 100440 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ,July 13, 1981 85 JOHN STREET, NEW YORK, NEW YORK 10038' 13035fr 81 Date Application No.onfile THIS CERTIFIES THAT only the electrical ,„equipment �as described below y1�and .,Pintroduced 'r�b�y�ithe tapplicant TT��named on the above application number in the premises of art-,EEe, kicton 4t. , CYi�r�l d Ave.. , tt�.%LTf`k, N. Y. +.W in thefollowing location; ❑ Basement ❑ IstF1. ❑ 2nd Fl. out SWe Section Block Lot was examined on and found to be in compliance with the requirements of this Board. July 20,1981 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT '"POR vMR AMT. K.W. AMT K.W AMT. KW AMT. K W. AMT H.P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT K.W OIL H P. GAS H P AMT NO A W,G AMT. AMP PMi AMPS. TRANS. AMT H.P. NO.OF FEET AMT WATT$ I f SERVICE DISCONNECT NO.OF S E R V 1 C E METERNO OF CC COND A W G. A W G. A W.G AMT AMP TYPE EQUIP. I X 2W 1,e 3W 3 0 3W 3,e"4W PER H OF CC,COND NO.Of HIAEG OF H1 LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: (5valatljrjg Pool) mis certificate cover's coupliance at the date of impecrion only. Because of unusual enviroxm>�ait:s .i t is advis�l� t o k,ave frequent test �x11or repairs lak� by a gUaLlLS ied Parson. .JUS Slec. Corp. JJJJ S2 vE'SZ'im Ave. GEN RAL MIANAGER1 Plastic, N. Y. 11950 Lisa#338 Pe 11 ' This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be iden fid b their credentials. IVY COPY FOR RIIILDING DEPARTMENT. THIS COPY, OF CERTIFICATE MUST NOT.WALTERED IN ANY MANNER. INSPECTORS Victor Lessard Principal Building Inspector O�pSUFFO(�(-COG Curtis Horton =� y� SCOTT L. HARRIS, Supervisor Senior Building Inspector H Southold Town Hall Thomas FisherP.O.Box 1179,53095 Main Road Building Inspector • d p! Southold, New York 11971 Gary Fish '�Ol �`� Fax(516) 765-1823 Building Inspector Telephone(516) 765-1800 Vincent R.Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD December 12, 1991 Mr. William H. Grefe 345 Greton Court Mattituck, N.Y. 11952 Re: Building Permit # 9527-Z & 11352-Z Premises: 345 Greton Court, Mattituck, N.Y. Suff.Co. Tax Map #1000-107-2-3 .10 Dear Mr. Grefe: As you know the above building permits have expired and Certificates of Occupancy have not been issued. You had set up a final inspection on December 4, 1991 but there was no access to the premises. Please call this office immediately to set up another appointment for the final inspection. If this is not taken care of by December 23rd, 1991 , building permits must be renewed. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar Aii VA INSPECTORS Victor Lessard Principal Building Inspector O�pSUFFO(�CO Curtis Horton = G*A SCOTT L. HARRIS, Supervisor Senior Building Inspector y Z Southold Town Hall Thomas Fisher P.O.Box 1179,53095 Main Road Building Inspector Southold, New Gary Fish y'�O( * .�`��! Fax(5 6) 765-18971 23 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD November 22, 1991 William H. Gree 345 Greton Court Mattituck, N.Y. 11952 SUFFOLK COUNTY TAX MAP 01000-107-02-3 .10 RE: NOTICE OF VIOLATION Dear Mr. Grefe: You recently received a Notice of Violation. To date you have not responded/complied to that notice. If you do not remedy this situation immediately, you will have to appear in Court to answer criminal charges for violating the Southold Town Code. Please contact the Building Department of the Town of Southold at 765-1802 upon receipt of this letter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Vincent R. Wieczorek Ordinance Inspector VRW:gar INSPECTORS Victor Lessard Principal Building Inspector O�O$�FfO�kCOG Curtis Horton ='Z y� SCOTT L.HARRIS, Supervisor Senior Building Inspector y z Southold Town Hall Thomas Fisher u- ^+ P.O.Box 1179,53095 Main Road Building Inspector • g ?� 0! Southold, New York 11971 Gary Fish Oj �`a Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R.Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: October 17 , 1991 TO: William H. Grefe 345 Greton Court Mattituck, N.Y. 11952 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - CHAP. 100 Other Applicable Laws , Ordinances or Regulations at premises hereinafter described in that: BUILDING PERMITS #9517-Z (NEW DWELLING) and 11352-Z (SWIMMING POOL) HAVE EXPIRED AND CERTIFICATES OF OCCUPANCY HAVE NOT BEEN ISSUED. In violation of ARTICLE XXVIII CHAP. 100-181 & 100-284. YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 345 GRETON COURT, MATTITUCK, COUNTY OF SUFFOLK, NEW YORK, SUFFOLK COUNTY TAX MAP #1000-107-2-3 .10 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. VINCENT R. WIECZOREK ORDINANCE INSPECTOR FIELD INSPECTION a DATE COMMENTS ro _ J m � H A/` FOUNDATION ( 1st ) FOUNDATION ( 2nd ) 2 . z o ROUGH FRAME & PLUMBING H 3 . m �1 m H INSULATION PER N . Y . STATE ENERGY CODE m 4 . � H _ go FINAL o z ADDITIONAL COMMENTS : ro H 9 H ^ H y`0 O x m r H x 7 e m ro H FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . ., �. . . . (vl�.7 . . . . . . . . . . . . . . . . . . . . y. : . . . . PLEASE TAKE NOTICE that your application dated . . . . . . . . .GC./. . . . . ., 19 for permit to construct . . . . X./ . . c7 . . .: . . . . . . . . . . . . . . . . . . . . . .�. . . . . at C� Location of Property {,. . . 7 . . . . . . . . . .��tV Nouse No. / Street Hamlet County Tax Map No. 1000 Section . . . /C).7. . . . . . Block . . . . . . . � . . . . . . . Lot a.J.✓../C� . . . . . Subdivision `j� c�-70-.'d,/ ,� 1. . . Filed Map No. . .t 7. . . . . . . Lot No. . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds .— . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector RV 1/80 M-1802 ✓' BUILDING DEPT. / INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 7 FRAMING [ FINAL REMARKS: k i f - 4 r f I f DATE INSPECTOR .. sacho`n 72UVO- tie New York Slole Education Law. `IC Copies of this survey mep not bearing the land surveyor's inked AND AV G ` seat or embossed seat shell not bo considered to be a valid copy. GRpsuorontaes or certifications ind{cetcd hereon shall rue only to the person for whom the survey is prepared,end on his bsholf to the tflla company, governmentcl cg3ncy and lording institution listed hereon,and to iha ossignses of the isnd{ng institution. Guarantees or cerhficotions are not transferable to additional institutions or subsequent owners. N lss a LOT g N v VACANT 199•62• o„ o 47 m w In µ 76041'00"5' mon N 2 50.9 N � 3 � N � w fi_ lJ N ae vs .. — � Z o >R� o5 � LOT -` { cv p ti O Z v , i L 7- 0C. 203,30 m Cp 50.5O+W. S- �6-41r 0 50. LOT ? VACANT The water supply & sewage disposal sy9s % t tems for this residence will conform to the _ /J (�� 9 standards of the Suffolk County Oepatt• SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ment of Health Services. FOR APPROVAL OF CONSTRUCTION ONLY ri.C1 J may . C- DATE l� IT- r. . r;o. 7 SO-/5 S 047 APPROVED < �� SURVEY FOR REFERENCE , PECONI C HOMES, INC. talo GRETON ESTATE 97 AT MATTITUCK MAP NO. s447 OF NEw r TOWN OF SOUTHOLD GUARANTEED 70 �.`�. .t.-f A SUFFOLK COUNTY, N.Y. SCALE : 1 _ 40 Ste; 1i AUG.16, 1977 ifiP�'L � { _ cop MG'. f I r VIM MUM IT E } } { r i I } I s { i i l 1 r ....._ T �!. 4 -t- � <- 4 ...- ,.- _ _. _• _-- _ .�I G�VSI I i - _ L _� 1� -�. t — Y - NY L - - x H I. FIAI/SN iTNc' POOL BcMDes W rM 'A I AAL 9dz 1 - , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 �1 / TEL.: 765.1802 " Examined . ./ . . ., 19p/ Application No. .1�e� Approved ./1� � 2-7. . ., 156 Permit No. . / :. . . .� Disapproved a/c . . . . . . . . . ... . . . . . .�..n. . . .4(Bulding . . . . . . . . � '...� .nsvector) , APPLICATION FOR BUILDING PERMIT Date2 . . . . ., 19 � INSTRUCTIONS a. This application must be completely Filled-in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plaus, accurate plot pian to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre( or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 issue a Building Permit to the applicant. Such pern 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, buildi g code, housing code, and-regulati,ns, and admit authorized inspectors on premises and in buildings for necessaar tion Signature of applic or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build: . . . . . I . . . . . . . . . . . . . . . . .DD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If appl' a s a corpo t' , sig tune of duly authorized offic C . . . . . . . . . . . . . . . . . . . . . . (Name and title o corporate officer) Builder's License No. . . ? © .�. . . �. . . . J.4 . "" "sr� I ' / i✓ Plumber's License No. . . . . . . . . . . . . . . . . . . Waw Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. .�-s:�z FQ n. . .�.5. t 9 �S. . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .G.«hPr\ . .C. , . . . . . . . . . . . . . . . M014Au.ck. . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . l d.7 . . . . . . . Block . . . . .C> G a . . . . . . Lot . Subdivision .lar.�t4v�. . .s h� S. p No. r 0:7 4. . . . . . • . . . . . . . . . . . . . . . . . . . . . Filed Iota . . . . . . . . . . . . Lot . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -!r11 a, , , , , , , , , , , , , , . , �C,r C 2 b. Intended use and occupancy .1„ Cam ,�y _ ,cu? e��i Yl CJ , , ,�V o,h,Q n� T 3. Nature of work (check which applicable) New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . Repair, . . . . . . . . . . . . . . Removal . . . . . . . . . . Demolition . . ./. . . . . . . . . . Other Work . .f's?4. !.- . . _ (Description) t. Estimated Cost / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) i. lf'dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor. . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S. If business, commercial or mixed occupaj cy,specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7• Dimensions of existing structures, if any: Front . . . . . . ..... . . . . . . Rear . . . . . . . . . . . . . . Depth . . . .. . . . . . . . . . . . Height . . . . . . . . . . . . . . .. Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with altera ions or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Heig t . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . i. Dimensions of.entire new construction: ront . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . Number of S1 ones . . . . . . . . . ). Size of lot: Front . .1.9 K•5i... . . . . . . . . . . . Rear . ./. .7. 7 r .6.6. .) . . . . . . . Depth .3:.3.:. . . . . . . . . . . ). Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . , Name of Former Owner . . . . . . . . . . . . . . . . . . ., . . . . . . . . . 1. Zone or use district in which premises ar situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Does proposed construction violate any oning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1, Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No L. Name of Owner of premises . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . ... . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Nameof Contractor . . . . . . . . . . . . . . . . ., . . Address . . . . . . . . • , . . . . . . Phone No. . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildin s, whether existing or proposed, and.indicate all set-back dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether �terior or corner lot. TATE OF N W RK, S.S OUNTY OF . r . .►'.V.i.II I QkYa. . . : .G re`Y . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant . . . . . . . . . . . . . (Name of individual signing conti act) bove named. .e is the . . . . . . . . . . . . 2_ . . . '. . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly autho 'zed to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the •ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . .day of. . . . . . ., 19 .9 rotary Public, . . . County \ . . . . . . . . . . . . . . . . . . . . . . . . . . ELIZABETH AN N tLLE • • •• NOTARY PUBLIC, s too New York 2• (Signature of applicant) ' Ne. Expires M rch 31 C9.p- � ,�Z��• , . /ab_ term Expires March 3 , 19..,,,� ll.... IZ AppKOVE Q/f NOTED _ DATE: d Z�l I 14 D _ FEE E holt' G^.1IP- - ��P 1EM1`ST E,T ED 1 Low; 117rF fJR I°F1xVT GMK. GETAtLh 2 -' r - OF ANY KIND' <�FIF.Ej jxj 3 u'vJt' L-,ED dSf.sV,. IGC. G IIW�EY -_— ERUS1 .`i_SJ MUST MEET I2 5. RE CONS" �, F p,7.{, STATE CODE I � I �~ REQ .,REN,',- - _ I AND TOWN �c�lysiNG CODE & ZONING I q. 12.. F'Eh, --- x0;Z: <tNM Ll 7 � i i i I l l f i t_cj L L Clt L. Arz- — -7 FP,--)N -i L- L"t:__VATiO �-� OWNERSHIP OF DOCUMENTS as-s�a s��ti=ate-sem as THESE DRAWINGS ARE INSTRUMENTS OF SERVICE FOR THE CONSTRUCTION OF-f GC NC. F',K _:IWMNE`( - (? 517Y L6 R S O f_J(,E T �cAT F P QG.KC) �4 AMD SHALL REMAIN THE PROPERTY OF THE ,ry IL ARCHITECT. THEY ARE NOT TO BE USED �y 4"�`. r I`�" E• 'hU!(y FOP,ANY OTHER CONSTRUCTION EXCEPT BY FTA'1tlfVc� - - ix8 1'b, SAKE EV WRITTENAUTHORIZATION OF THE ARCHITECT. w N4 - -�tr s -_ C'ALY. I=Ec-K GETNI,`� — tK1cL U4MNE1 61x, -- ,�, � --awutlrl4 ALL /-AC ALL �IDE`J j u;lJVEE" 6C-E•p Sb GP <Y. 20/aC 6L. — <�fRVlfl� <.�IEI-F 1 I I L `rk fes'` i i �G`SZEREO ARC / 1 c! C' Q F - -- - - - - -- -- - - - -- - - 4 — - - - - - I—+ - - -- - - - - - - - - — - - - - - - - - - - - - -I — � pr 8735 1314 Rr $Y ,l E�oLD L �;�ELPOD :���I C F N G FbR M� . 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