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Home My WebLink About11203-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin$ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 2.1.09.42_ ......... Date ......... .~.v. ~.l...1.3. ............. ,19 .B..2 THIS CERTIFIES that thq. building ................................................ Location of Property .560..F. J, ~ h.e.v.~t p.'A. ~.eAqh., ~p.a.d. ........ Cu ~.c h.o.~u9 ..... House No, Street ............ Hamlet County Tax Map No. i 000 Section .1. 1 ] ........ Block ....0 .1 .......... Lot .. 016 Subdivision ~.~9tn.:kq. I~ .l~.vPRfi .v .~.:l-.e.~. .... Filed Mtip No..7.8..6 .... Lot No.26..& .pl;~..qtf. 27 conforms substantially to the Application for Building Permit heretofore Fried in this office dated · ..~y..1.4. ........... 19.8.!pursuanttowhichBuildingPermitNo......................11203 Z - dated ... ~l. un e. 2~t~ ................ 19.8. l, 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 .. art .... ~i.g.~q~ .~q OD e.x~-.~.b~.r~g p.n.e..-.f.a.m.i..l¥,.dwellin~. The certificate is issued to Frank .~.. & Sandea f owner ,,fi~se~ er. ten~O. of the aforesaid building. Suffolk County Department of Health Approval .... p/.r: .................................. UNDERWRITERS CERTIFICATE NO ..... N. 5.~ 1532 .................................. . Rev. 1/81 Building Ir~pector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 1121/3 Z Permission is hereby granted to~t,~ ........ Z'~z....,~C.:. County Tax Mop No.[ -~ ~'1000 Section ..... /~./. ........... Block ......~..~.. ......... Lot No ......~:;~41~' ......... pursuant to application dated ....~..~J~ ...... ../...~-.. ..................... , 19....~.../., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted 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 topographic featu res. 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, Industria~ buildings, lVlultiple 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. B. For existing buildings (prior to Apri(1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing alt property lines, streets, buildings and unusual natural or topographic featu res. 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 ........ (~,~ ~/· ~. .~,': .... New Building . .~:-.~m,. Old or Pre-existing Building ............ Vacant Lane ............. Location of Property ~"~_~¢'O ./,~. C ~-~ '~(~ cO ~ . Owner or Owners of Property ..~,.-. ~ :~'~ ['.. ~..~...'~ ~ ~... County Tax Map No. 1000 Section .... //./. ..... Block .... ~, / ...... Lot ..... ~L~ ..... Subdivision .D;e / .... ~.. D.t .~.' .......... Filed Map No ..... ~ .(.Lot No ....... Permit No. ,//~.~.~ ~ ~Date of Permit ,~J..Applicant. ~Y~.~.~.,¢..~. ~. Health Dept, Approval ..... J'~.-.~ .............. Labor Dept. Approval Unde~riters Approval... ~.~/~.:~. ~ ...... Planning Board Approval .... ~.,. ~.~ ............ Request for Temporary Certificate ..................... Final Certificate .~... ,~. Fee Submitted $ ...... ~,. ~. ~... ~.. ~,~-::-77; - -~~~~ ~ Construction on above described building and permit meef~i~?~nd regulations, )oolj75 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~"; BUREAU OF ELECTRICITY' ' (~1 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 THIS CERTIFIES THAT in the following locatlon; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot ~.s examined on OC~r ~, 1981 and /ou.,d to be in complla~ce with the rfquirements o/this Board. FIXTURE OUTLETS 27 FIXTURES RANGES OVENS EXHAUST FANS IECEPTACLES SWITCHES 32 27 27 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R (V I C E OTHER APPARATUS: 1GFI Trade light~8'-0", 0lites NO. OF CC COND. A, W G A W G, A W, G PER ~' OF CC, CQND OF HI-LEG OF NEUTRAI. 1 INC), OF HI.LEO NO, OF NEUTRALS 1 350MCM Deride D. Claire Box 284 Lat~el, N. Y. 11948 This cert;flcate re?st not be altered in any manner; return to the L~c: 42342 Board if Om:N~nAt MANAGE~R? r~ct, Inspectors may be identified by their credentials. ALTERED IN ANY MANNaR. FIELD ± N ~ J.'~,U'i' 1 UN ~L FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY ~OPE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................... . .............. Date ........................ 19 .,:... To .... .~f)~. .... ~ >./~.- .~. ¥ .~ .... , PLEASE TAKE NOTICE that your application dated ...,... ~c:' .~19~ ~ ~ ~ ~,~ .... :.., :2: ...... ,,. :...'. :,...-~...~. Ho~se No. Street Ham/et co..tv T~ ~. ~o. ieee s~tio. ...... [. [. (... ~lo~k .... d. ~ ...... ~t . .~Z~ ....... Sub&v~smn., ..~ ....... ~...~.. Ffl~d Map No .......... (: ..... is returned herewith and 'disapproved on the following grounds ~.. .... ~ .......... ~. ~ ....... ~ ;:_: ~ ....... : ........... : .: . . : .......... . :, ......... .... :..:...,.: ........ :.~ ....... ~....~, ....................... . ........ ~.. RVI/80 ' Building Inspector Bldg~ 40, SL~/ - Room 219 Stony Brook, New York 11794 (516) 751-7900 PDBERT F o FLACKE Com~isJioner June 9, 1981 Peter Stoutenburgh 310 Akerly Pond Road Southold, N.Y. 11971 For: Frank and Sandra Curran Re:Lot with Tax #Dist. 1000 Section lll~'Block One Lot 16 on north- x east side Havwaters Road, Nassau Point, Town of Southold, Suffolk County, New York Dear Sir-. As a result of your inquiry concerning the above referenced Darcel~ this De~n_~Tment has conducted an on-site /nspectiono F~ have found the parcel or (project) to be behind a substantial man-made structure greater than 100' in length (functioning bulkhead) constructed prior to 9/77. Therefore~ pursuant to Part 661~ Official Cor~..ilation of Codes~ Rules and P~t. ions of the State of N~ York~ Section 661o4(b) ~ no permit under · Article 25 (Tidal v~tlands) of the Envlronm~.ntal Conservation Law is required. This letter does not authorize t~e'placement of any material or structure seaward of the bulkhead. Regional Permit Admin/s~r 3. }?x? ,~'--!~,: - ~ PLUMBING ALL C0~-4'~','- '~ u.O STATE C~<='~ ..... -"- THS N, v, CODEs ~T- ~ESPONSIBLE FO In the matter of : property owned by Mr. Curran at Fishermans Beach "Cutchogue, New York County of Suffolk SS: State of New York Walter F. Luce, being ~uly sworn, deposes and says: I am over 21 years of age and reside at Cutchogue, Town of Southold, Suffolk County, New York. I have resided and made my place of bus~ne~s there for over.30 years last past., During all ,iof said period of time, I have been and now am a duly licensed ilreal estate salesman of the State of New York and have been, and ?now am, employed in the real estate business by Russell P. Silleck !iAgency,~ of Cutchogue, a duly licensed real estate broker. I have ,~had charge of sales and appraisals of real estate made by said iifirm for over 30 years last past. it!i As such real estate salesman I have acted in many sales and ipurchases of property in the Town of Southold. Many of these ,Itransactions have Snvolved real property at Cutchogue. I have al~o bought and sdld real property on my own account at Cutchogue and elsewhere in the Town of Southold. I have made many appraisals of real property in the Town of Southold for law firms, banks and individuals. I am well ac- quainted with real estate values in the Town of Southold, includ- ing values.of property~,si.tu~tg~,.~ Cutqhog~e. On or about April 27, 1981, Peter Stoutenburgh, owner of En- vironment East, Peconic, New York 11958, requested the Russell P. Silleck Agency to make an appraisal of the real property owned by IMr. Curran at Fishermans Beach, Nassau Point, Cutchogue, New York. ?k~ile I was then generally familiar with this property, I have .since carefully inspected all of this property for the purpose of ~appraising its replacement value on the house. il The house consists of 3 bedrooms, 2½ baths, living room, din- ,lng room, kitchen and utility room. There is a 2-car attached !garage with large loft over said garage. ~ "There are approximately 1,776 square feet. In my opinion, the replacement cost of the house if $59,040 and replacement cost of i~the garage is $7,500, total ~Subscribed and sworn to before me this 28th day of April 1981 ii otary Pub $86,540. RUTH M* MYERS NOTARY PUgLIC, State of New No, 52-2841400, Suffolk C0u.~ TO~VN OF SOUTHOLD, ~E~V yoILK ACTION OF THE ZO~G BOAI~D OF APPEALS Appeal No. FL-9 by application Dated October 13, 1981 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. Peter R. Stoutenburgh 3075 Indian Neck Lane Peconic, NY 11958 Appellant at a meeting of the Zoning Board of Appeals on November 5, 1981 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 exception under the Zoning Ordinance ( ) Request for a variance to the Zoning Ordinance (X) Request for variance to the Flood Damage Prevention Law Sections 46-17, 46-18, 46-19 the appeal 1. S]~:x~,xgl2a~x~ql~x~~:~x~r~*Fa~h~g~x~~ption ( ) be granted ( ) be denied pursuant to Article .................... Section .................... Subsect~n .................... paragaph .................... of t~ Zoning Ordinance an~ the dec.on of the Building I~pector ( ) be reversed ( ) be Upon application of Frank Curran, by Peter R. Stoutenburgh, 3075 Indian Neck Lane, Peconic, NY for a Uariance to the Flood Damage Prevention Law, Chapter 46-8, Sections 46-17, 46-18, 46-19, for permission to construct improvements exceeding 50% of the market value of existing structure, with base floor below the 8-foot minimum elevation above mean sea level in a Zone A, at 780 Fishermen's Beach Road, Cutchogue, NY; Peconic Bay Properties, Inc.; Filed Subdivision Map No. 286, Lots 26 and part of Lot 27; County Tax Map Parcel No. 1000-111-1-16. (SEE PAGE TWO) 2. VA!~IANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical hardship because difficulties or unnecessary (SEE PAGE TWO) (b) The hardship created (is) (is not) ur_ique and (would) (would not) be shared by aH properties alike in the immediate vicinity of this property and in the same use district because (SEE PAGE TWO) (c) The variance (does) (does not) observe the epirit of the Ordinance and (would) change the character of the district because (would not) (SEE PAGE TWO) ,~n.~d_~h~re~r~?, ~t. v~as f~..t.her ~*~,~ t~ :he requested v~i~ce ( th~p~ci~ t~g ~ec '~'~iE SOUI'I:OLD TOWN ~ Town Clezk, lfwn O~ Southold ) be granted ~r ( ) be confirmed ( ) be reversed. ZONING BOARD OF APPEALS ) be denied and GG: tk ~Page 2 ~ppeal FL-9 By this appeal, applicants' see~ approval of the construction of an addition containing square footage of approximately 270 to be located at the southerly end of the existing one-family dwelling with a setback of approximately 63 feet from Hal/Waters Road and approximately 20 feet from the side property line (abutting Lot 25), and permission to construct new accessory storage shed containing an area of 312 square feet, both structures of which the building inspector concludes to exceed 50% of the market value and which should therefore comply with all constructions methods and res- trictions in this A-4 Flood Zone. The premises in question contains area of 15,470 square feet with road frontage along Haywaters Road of 120 feet. The premises is improved with a substantial one- family dwelling and newly constructed addition, Containing a total area of approximately 3,130 square feet. The ground eleva- tion above mean sea level is 5~8 feet at the westerly side of the existing dwelling and 8.5 feet at the easterly side of the existing dwelling. The proposed shed will have a slab foundation without crawl space area at 5.~ feet abov~ mean sea level. The Flood Insurance Rate Map (FIRM) indicates that the property is located in a A-4 Flood Zone with a minimum elevation at 8 feet above mean sea level. The Board finds that there are homes in the neighborhood of the lot in question of similar size, and the dwell- ings' lowest floors are constructed below the minimum base flood level. The Board also finds that the lot in question meets the standards set forth in Section 46-16A of the Code since it contains an area of less than one-half acre and iscontiguous to and sur- rounded by lots with existing structures constructed below the base flood level. In passing upon this application, the Board has considered all technical evaluations; all relevant factors; all standards specified in the Code; and all of the app!icable factors contained in Section 46-15B, subdivisions (1) to (11), inclusive, of the Code. The Board further finds and determines that: (1) There is a good and sufficient cause for the grant of this variance; (2) A failure to grant the variance would result in exceptional hardship to the applicant; (3) The grant of a variance will not result in increased flood heights, or additional threats to public safety, or extraordinary public expense, or create nuisances, or cause fraud, or victimize the public, or conflict with existing local laws or rules or regulations. On motion by Mr. Sawicki, seconded by Mr. Douglass, it was RESOLVED, that the application of Frank Curran and wife, Appeal No. FL-9 BE AND HEREBY IS GRANTED a Variance from the Pro- visions of the Flood Damage Prevention Law of the Town of Southold to construct addition and accessory storage building with minimum base flood elevations as applied for, on premises known as 780 Fishermen's Beach Road, Cutchogue, NY; Peconic Bay Properties, Inc. Filed Subdivision Map No. 286, Lots 26 and part of Lot 27; County Tax Map Parcel No. 1000-111-1-16, SUBJECT TO THE FOLLOWING CONDI- TIONS: (t) That prior to the commencement of construction, the applicant apply for and obtain a Development Permit from the Town Building Inspector, pursuant to the provisions of the Flood Damage Prevention Law; (2) That there shall be no habitable (living) area at any time below the requested minimum base flood level; (3) That there shall be no habitable living area below the first floor of the new addition, such as Cellar, basement, utility or storage areas; AND IT IS FURTHER RESOLVED, that pursuant to the Provisions (continued on Page Three) %~age 3 ~peal FL-9 of~Section 46-16F of the Code, the applicant is hereby given notice that the structure for which this variance is granted will be per- mitted to be built with the lowest floor elevation below the base flood elevation, and that the cost of flood insurance will be commensurate with the increased risk resulting from the reduced lowest floor elevation; AND IT IS FURTHER RESOLVED, that the Secretary to this Board transmit copies of this determination to the applicants and to the Town Building Inspector. Vote of the Board: Ayes: Messrs. Grigonis, Doyen, Douglass, Goehringer and Sawicki. This resolution was unanimously adopted. TOWN OF SOUTHOLD, NEW YORK ACTION OF THE ZONinG BOARD OF APPEALS Appeal No. 2912 by application Dated October 13, 1981 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. Peter R. Stoutenburgh 3075 Indian Neck Lane Peconic, NY 11958 Appellant at a meeting of the Zoning Board of Appeals on was considered and the action indicated below was taken on your ( ) Request for variance due to lack o£ access to preper%y ( ) Request for a special exception under the Zoning Ordinance ~( ) Request for a variance to the Zoning Ordinance Art o T TI, See. ( ) November 5, 1981 100-32 the appeal 1. ~E~RAKXK,~~I~I4~0~Uw-~I~K~X~M~I~XXaX~KIX~ion ( ) be ~anied ( ) be denied pursuant to Art~le .................... Section .................... Subsect~n .................... para.apb .................... of the ~ning ~dinance and ,be dec.on of the Building I~peetor ( ) be reversed ( ) be Upon application of Frank Curran, by Peter R. Stoutenburgh, 3075 Indian Neck Lane, Peconic, NY for a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct accessory structure in the sideyard area at 780 Fishermen's Beach Road, Cutchogue; Peconic Bay Properties, Inc. Filed Subdivision Map No. 286, Lots 26 and part of 27; County Tax Map Parcel Item No. 1000-111-1-16. (SEE PAGE TWO) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical hardship because (SEE PAGE TWO) difficulties or unnecessary (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vielnity of this property and in the same use district because (SEE PAGE TWO) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (would not) (SEE PAGE TWO) and therefore it was further determined that th. that the pre ,ious dec!.~Qe~rQ~ ~t~e YtiE SOUTiiOLD TOWN C~RK GG: lk FORM Z~ ~T~erk, T~n of So'hold variance ( ) be granted nfirmed ( ) be reversed. BOARD OF APPEALS ) be denied and By this appeal, applicants seek permission tol construct an accessory building (proposed shed) containing a square foot- age of 312 square feet, in the sideyard area with ai setback from the easterly sideyard line of not less than three feet and a setback from the northwesterly end of the rear yardl property line of six feet. The premises in question contains an area of 15,470 square feet with road frontage along Haywate~s Road of 120 feet. The premises is improved with a substantial one- family dwelling and newly constructed addition, conltaining a total area of approximately 3,130 square feet. Thei applicant's agent has submitted for the record the percentage olf lot cover- age which has been provided by Roderick VanTuyl, P.~., licensed surveyor, of which the existing dwelling with new addition covers 20% of the lot, and together with the proposed shedI covers 22%. The board does find that the premises contains no p:racticable buildable rearyard area, and the location of the e~isting dwell- ing lends itself to the practical difficulties in Locating the proposed shed in the sideyard area. The board agreles that the proposed location of the shed is the most feasible land practical under the circumstances; however, Section 100-31, Bulk Schedule, of the code requires a maximum percentage of lot c~verage to be 20%. Therefore, it is the determination of this b~ard that the size of the new accessory building be reduced to 200 square feet, or, that 112 square feet of building area be eliminated from either structure (the shed or the dwelling), which iwill be within the spirit of the zoning ordinance. In considering this appeal, the board determines that the variance request is not substantial; that the circumstances herein are unique; that by allowing the variance no substantial detriment to adjoining properties would be created;: that the difficulty cannot be obviated by a method, feasible to appellant, other than a variance; that no adverse effects wil~l be produced on available governmental facilities of any increased population; that the relief requested will be in harmony with ~nd promote the general purposes of zoning; and that the interests of justice will be served by allowing the variance. On motion by Mr. Goehringer, seconded by Mr. iGrigonis, it was RESOLVED, that the application of Frank Curran and wife, Appeal No. 2912 be GRANTEDr SUBJECT TO T~i~ FOLLOWING ~.ONDITIONS: (1) That the shed shall not exceed 200 squar~e feet in area when using Roderick VanTuyl, P.C.'s calculations as to lot coverage; (2) That the setback of the shed will be a minimum of 10 feet from the existing bulkhead and a minimum of five feet from the side yard property line; (3) That the shed shall not be for habitable use (strictly storage); (4) That the shed be not more than one-story; (5) That this matter be referred to the Suffolk County Planning Commission pursuant to Sections 1323, et ~eq. of %he Suffolk County Charter. Location of Property: 780 Fishermen's Beach:Road, Cutchogue, NY; County Tax Map Parcel No. 1000-111-1-16. Vote of the Board: Goehringer and Sawicki. This resolution was unanimously adopted. Ayes: Messrs. Grigonis, ~Doyen, Douglass, APPROVED C~rna~,'~oard of Appeals FORM NO. 1 ? TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................ , 19... Approved ~/~;.'.~. l.~.,~ ..... ,19.. ~/¢ W ~77 ' (Budding Inspector) APPLIGATION FOB B~ILDING ?EB~II ~/~/~ - Application No. d'~".~.'~. ~ ........ Date .... 5/~... '. , INSTRUCTIONS a. 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 of property must be drawn on the diagram which is part of this appli- 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 i~sue~ 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 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~l~or removal or demolition, as herein described. The applicant agrees to comply with all applic(ble laws, ordinance, cq~l)uildin~, code, ,~)~._.~co~de~and regulations, and to admit attthorized inspectors on premises and in buildings for nec~a~ inspefit~on~~- ~w~o~ ~s~'.--' ~'--"~~.. - ./~..~ f/.U25A .~.ZL.. .................. cio Peter 1L Stoutenbu~~ -~li~ant, or nat~n'~ if a corporation) ]ndlan Neck Lane '~ ' Pcconic, New' ,York/ 11958 .............................................. $~ r, ~34~Z4~4 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engin~ntractor,~ect;ician, plumber or builder. Name of owner of premises.. '~.dt.-. · . .2-~ .... ~ ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .......... ~ ........... ............................. ,~o ~. ,~ :--~----K:~, .C...~.~...~. % ..CP. ........................ AS., .~. .............................. ~ .~-~ House Number ~'~/Z~-/,-/~t/,,~ ~C~ ~treet Hamlet County Tax Ma, p, No. ,000~Section_:}..~.~a.~../// ....... Block... ..... /. ........ Lot..;.... ?...~. ....... ~" "/ FiledMap No...7..~. i~¢d- +~- Z.~.~/ Subdivision ~(cA( ./.~)/~7.(~a~.~)././FAC. .................................. 2. State existing use and occupancy of premises.and intended use and occupancy of proposed construction: x,stmguseandoocupancy ...... ....... .... ............... 3. Nature of work (check which applicable): New Building .......... Addition. Repair .............. Removal .............. Demolition.. ........ 4. Estimated Cost ........... ;~. ............ Fee . (.~. ..... . . . ./.. ~lteration ·.. Other Work ............... (Description) (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 .... I .................................................................... · 6. If business, commercial or mix6d occupancy, specify nature and extent of each type of use ........... .,. ......... 7. l)~mens,onsofexistjt!g.structures,~fany: Front., ......... Rear ...... . .... De ......... ight~t/..~ N mb He ... u er of Stories .................. _. ............................. Dimensions of same structure ~vith alterations or additions: Front ..... .~..~-~ ...... Rear . .1~.~ ........... Depth ....... ~,~..$. ~..-t..~...... Height ..... ~ ~'~-. ........... Number of Stories ..... ~ ............... 8. Dimensions of entire new construction: Front ..... 2...~... ..... Rear ..... . ¢..-~..-.... Depth .. ~'-.$. ~. ...... t!eight,. .....~' ~'~" ' .... [ ~,)--C)lqumber of Stories ..... e r~ .................. / .'.'.'.'~ O .... i i' ~);~I~ ' i 2t~ ' .~,. i i i .......... 9. a~ze of lot: Front ....................... R a ....... : ................ 10. ,D. ate of Purchase .......... ~ ................... Nayqe ofFo[m~r Owno~r .! ........................... 11, Zone or use district in which piemises are situated ..... .4..<~...~.~. . .d-..'~...'r'~2...°~. ........................... 12. I)oes propOsed construction violate any zoning law, ordinance or regulation: ...... /.Ot~ ...................... 13. Will lot be regraded ...... ~,4.~o~--.~ ................ Will excess fill. be removed from premises: Yes . 14. Name of Owner of premises ?.. '.~..c..o-.~-..hr....~.c~. f.~.c'A'ddress . .~.. ~.4 .k.~.~. ~-~. Phone No... 2,?,.ff-.6.~.0.5~ Name of Architect ........ : .................. Address ......... :~. ....... Phone No ........ ~. ....... Name of Contractor ]/.4..~°tO.,~,~..~ ~. ,(4 ~ r(~,. Address . .c~,mr.~. 0~q' ec ....... Phone No.. ~q.eg.. PLOT DIAGRAM Locate clearly and distinctly al! 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. ......... / .... ,.~-.,-~-~. =.-~..~..~ ~, . eing duly sworn, deposes and says that he is the applicant ~(N~dual ~g.~l~g c~)ntract) ~/ above named. : He ~s the ..................... ~. · · ~ .................................................... ~ ~.~.~ (Contra~m~, gent, corporate officer, etc.) of saki owner or owneri, and is duly au~rized o~erform or have performed the said work and to make mad file this application;/hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed m the manner set forth ~n the apphcat~on filed therewith. Sworn to before me this ~ .., . (~ .~:.f~. ,o~~ ~ ·~..,~J , .o~-~-~~' -5 I~' ~ ~ F~A~-,-.A ~ r)~. '~' ~ '-~ ,?l"' ~ , ~ ~ ~ I '~', ~')-l~q)~ ?Jt'~'' TAX I,,tAP DESIGNA'~'ION: 4~.o ,1 14AY~/AT~!5 CO'~. ~; 4,- .... r. d J~E- M,~N-5 a " C [ flFICAT£ OF OCCIJFANC¥ qZ '/ 24t, ¥ Fo~k OP API~IiCV;~D AS NOT;I) . FEE:7~0/~~ BY:_ ~ NOTING DEPARTMENT AT 765 1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. EOLIGH - FRAMING & PLUMBING 3 IB[SULAT~ON 4. FINAL - CONSTRUCTION MUST BE C~MPLETE ~OR C. O. ALL CONSTRUCTION SHALE MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCT[ON & ENERGY CODES. NOT RESPONSIBLE FOR DESI6N OR CONSTRUCTION ERRORS. X C C5 \ 4 II ti 5~-co~4D