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Home My WebLink About13853-zTOWN 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 13853 Z Date ....~......../..~.. .................. , 19.2..~./ Permission ls hereby granted to: . ,,~ , , .... ~..~..~......~i.~... ............ .~.~._~~....~..~..: ............... ..~~~....s...~.:...u...t.~J ....... et premt'~e$ located at ............................................................................................................................ pursuant to application dated ..... ........................ , 19..~..~.., and approved by the Building Inspector. Rev. 6/30/80 FOUNDATION (?st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ODE COMMENTS FINAL ADDITIONAL COMMENTS: UTILITY BUILDING Owner's Manual Assembly Instructions Care and Maintenance Suggestions the Yorktown YTiO9-4H ARROW Wodd's Leodlng M~l~er of Storage Buildings BUILDING DIMENSIONS (APPROXIMATE) (TYPICAL ILLUSTRATION) I NOMINAL STORAGE AREA EXTERIOR DIMENSIONS INTERIOR DIMENSIONS SIZE SO. FT. CU. FT. WIDTH DEPTH HEIGHT WIDTH DEPTH HEIGHT 10'X9' 83 543 119¼" 107½" 87¼-- 115¼" 103N' 86%" 56" 61" 120"x109' before you start: 1. Read the Instruction Manual and study the Illustrations Carefully. Note the location of the parts and how they are positioned and fastened. 2. Check that you have all parts. The Parts Catalog and Check List is located on the following page, plus a Pictorial Diagram. Important: Each part (except hardware) is identified with a factory part number. The Assembly Key Number is used as a reference in the Pictorial Diagram located next to the "Parts Catalog" and in all assembly steps. To inventory parts more easily, use only the first 4 or 5 digits of the factory part number and ignore the digits after the hyphen (The digits after the hyphen relate to color or material and are not needed except when ordering replacement parts). Remove the parts from the carton and lay them out in similar groups with the part numbers facing ap. Check the first digits of the Factory Part Numbers in the "Parts Catalog" with the ones on the parts and check the quantity of each part in the appropriate column. The fasteners in the hardware kit have been machine counted and extras are included. 3. Before beginning construction, prepare a site for your building. Choose an area that is firm and level, yet allows water to flow away from the building {See Anchoring Procedure PAGE 3). 4. To assemble the building, use a 6" phillips head screwdriver with a NO. 2 tip (a magnetic type is especially helpful). A pair of pliers, work gloves, step ladder and a drill for anchoring the building to the foundation wilt also be required. In some cases an awl (for aligning holes) may be necessary. cautions: 1, Some parts may contain sharp edges. Care must be taken when handling the various pieces to avoid a mishap. For safety sake, please use a pair of work gloves when assembling or performing any maintenance on the building. 2. DO NOT attempt to assemble the building on a windy day because the large panels.., acting as a "sail"... can be whipped about by wind and make the construction difficult. ~ 3, DO NOT attempt to assemble the building if parts are missing because any building left partially assembled may be seriously damaged by heavy winds, {~)Copyright 1983 Arrow Group Industries ~OTIFY Bu ! L, F .... ~', ,-~ 765-1802 9 AM TD 4 "W', FOLLOWINQ ~ FOUNDAq IOI",~ - TWO i:"~, FOR POLJ[(F ) CO~4Ci-4r, 2, ROUGH-- FRAMiNQ ', P" "~: 3. INSULATION 4, FINAL (,uh~ ,, ;1 I ' ,, ~E COMPLEIT~ ¢OR C.O ALl_ COMS-lkUCI,~.,N ?I,M I. THE REQUIREk)~ENr'S OF 'i IF' STATE CONSTEUCTION & F~~'~'v CODES. NO1" R~SPONS, ~I DESIGN OR CONSTRUCTION HOW TO USE MANUAL CAREFULLY REMOVE INSIDE PAGES FROM COVER PAGE TAPE COVER ~ PAGE TO BOOKLET PARTS ~ PICTORIAL I~TI~ ~ To determine if part is right or left hand on structure, face building from outside. parts on right are right hand parts, etc. Page 2 PARTS CATALOG AND CHEC~ LIST A~EMBLY FACTORY CHECK PART OF..SCRIPTtOH QTY. 1 0078-18 Door Jamb 2 ~ 2 0498-19 Corner Panel 4 3 ~093-t9 Walt Panel (23" wlde) 2 C~ 4 0097-19 Wall Panel (28" wlde) 8 Z{ 5 )166-01 Small Right Gable 2 6 0167-01 Small Left Gable 2 Z~ 7 0635-01 Left Door 0 8 0634-01 Right Door 1 ~" 9 Olgl-Ol Large Left Gable 2 t~' ID 0192-01 Large Right Gable 2 _ 11 0193-01 Left Roof Panel 2 12 0194-01 Right Roof Panel 2 l) )196-01 Roof Panel 6 14 )155 Vertical Door Brace 4 15 3719-01 Door Handle Brace 2 ...... $5103 #8-32 Hex Nut 128 65900 #10DX1/2" Screw 4 ImI 65923 #8-32X3/8" Bott 128 I"W 65835 #6AX5/16" Screw 230 66045-06 Handle 2 66444-1~ Roof Trim Cap 4 ~ 66421 Boor Slide 4 ~ 66445-1~ Peak Cap 5 iq.i2 66446-1~ Peak Cap (Arrow Logo) 67242 Foam Tape 2 67243 Foam Tape 4 67293 Weather Stripping 2 66025 Door Washer 4 66026 iPlastic Washer (Black) 120 66060 Plastic Washer (White) 192 19 0020 Front Floor Frame 20 0029 Side Floor Frame 2 2l 3035 Rear Floor Frame 22 3040-18 Door Track I ~ 23 {0045 Rear Wa]l Angle l C~ 24 060 Side Wall Angle 2 25 D072 Front WalI,Channe] 2 Z 26 3608 Roof Beam 1 Z 27 3129-01 Ridge Cap 3 0 28 D138-18 Roof Trim 2 ~.. 29 0477-01 Rear Wall Channel 1 f~' 30 0482-01 Side Wall Channel 2 ~ 31 0589 Side Roof Beam 2 (,~ 32 0246 Roof Beam Bracket (19") 4 33 0247 Gable Brace (23 3/4") 2 34 2898 Roof Beam Brace 2 35 0055 Side Wall Angle 1 36 0285-i~ Left Roof Trim 2 37 0286-18 Right Roof Trim 2 TYPES OF BASES FOUNDATION KIT BS109-H SOLID PATIO BLOCKS, CONCRETE OR WOOD FRAMING The best base for your building is this simple floor frame system that works as a ioundation. Self squaring, made of heavy duty, hot dipped galvanized steel. Use this foundation to lay plywood, pour concrete, sand or stone. prepare and level your building site. Construct a level base to dimensions shown. This will provide an apron about 2" wide all around your building. Use enough patio blocks to cover the building area. Set the blocks as level as possible in a footing of sand. SAND, GRAVEL, OR LAWN If your building is to be constructed on sand, gravel or lawn, the area must be firm, level and permit water drainage away from the building site. If you do not use one of the above bases and there is to be heavy traffic from garden vehicles over the ramp at the door opening, it is recommended that a small concrete apron be poured under the ramp. or patio blocks be used to support the ramp. ANCHORING YOUR BUILDING: It is important that the entire floor frame,b,e, anchored after tbe building is erected. Below are recom~,~n~'ed wa;~"~'aq~horing, using the base of your choice. There are ¼ dia. holes provided in the frames for th.is p~rpose./~ If location of building is subjected to high ¼"x 2" ¼' x 2' / ¼"x6" winds it is recommended (in addition to the Sheet Metal Screw Wood Screw/ Lag Screw~ anchoring procedures) that additional screws '~ ~ / be used t.o,,fasten wall panels to floor frame. T~ "~'//'/~f' Drill 3/32 dia, holes between the screws ~ /~'~"'~ / already installed along the bottom frame and ~//..~v-~.~,.:. .~ ~ use #6x3/8" sheet metal screws purchased ¢~/~.~.,,.~L'e~'~"~ eld Anchor '~ '~ from local store, :'~;'~;i' n : "::-.':':?~,: 19t.o. concr et.e.. ~!~1 v. ~-_.~..~ POURED CONCRETE SLAB or WOOD FRAME~ ANCHOR POST of CONCREzTE '~' ~"~"~ FOOTING or PATIO BLOCKS ~r-F;OST -" ~. poured after building is efect~e'd Your storage building must be aocbored to prevent w~nd damage. We recommend the combined us~f floor frame anchoring ~d~ a~ AK4 Anchoring Kit as an effective method of securing the building to the ground. An Anchor Kit is ~.~lable at your retai~ stgD~ or it may be ordered directly from the factory. The address can be found on the ba?k c~over. '~ PRIC;~24 99 MODEL NO. AK4-H ANCHOR KIT (RECOMMENDED FOR USE WITH BASES SHOWN ABOVE) ~ .... Contains: 4 Anchors with Cable, Hardware and Installation Instructions (~Screw Anchors into ground Q Thread Cable over Roof Beams Q Fasten Cable to Anchors ANCHOR LOCATIONS REQUIRED Page 3 FLOOR FRAME ASSEMBLY 1. Prepare building site. (See Page 3). 2, Position Floor Frames end fasten at each corner with 2 screws. 3, Square, level and properly position the foundation frame on your building site. #6Ax5/16" SCREW , ; LEVEL FRAME W TH _,~ [ | CARPENTER'S LEVEL 10 chock for "SO~[SS" of the frame, measure diagonally ffom~ corner to corner. Adjust until the -- oop TYPICAL CORNER ASSEMBLY Page 4 1, Install 4 Corner Pane[s, using 2 screws with plastic washers at the bottom of each panel. Note that widest side faces side of I~ bui Iding, 2, Fasten 2 Side and 1 Rear Wall Channel ~u~sir,n~gr2 bolts, washers and nuts in each 3. Fasten channel overlap at rear corners with bolt and nut. ~ T R'G HTR6A~!:ONO 0498,~ HEX NUT #8-32x3/8" fiat sheet with a hole in the panel, insert DOOR TRACK & WALL ANGLE ASSEMBLY 1. Fasten Door Track to front corner panels w~th 1 screw and washer thru 2nd hole from end of track · . . small hoses in track must be on top surface and open channelled side facing toward rear of building· 2. Fasten Rear Wall Angle to top of corner panels usmg holes 23~'' from each end. Fasten 2 Side Wall Angles across top of side corner panels. Note angle legs must be facing toward inside of building. 2nd HOLE ' SPACE TYPICAL TRACK & CORNER ASSEMBLY 0045 0060 Page 5 WALL PANEL, DOOR JAMB & FRONT WALL CHANNEL ASSEMBLY 1. Position Wall Paoel with long leg facing toward corner of building. Fasten panel at center holes to track and floor frame, using 2 screws and washers. Caution: Tem~'erily support sides of building until wall and comer panels are fastened at over- lap. Remove screws holding corner panel to track and floor frame. Place wall panel leg behind corner panel and reinsert screws with washers. 2. Position Front Wall Channel behind panel, overlap side wall channel in corner and fasten with 2 screws and washers. See detailed drawing. 3. Overlap leg of wall pane~ with Door Jamb leg and fasten to track, wall channel and front frame with 6 screws and washers. ~ 1st HOLE PLJSH FRONT WALL CHANNEL INTO CORNER OVERLAPPING SIDE WALL CHANNEL WALL ASSEMBLY 1. Install Wall Panels overlapping edge of adjacent panel, following typical overlap pattern, sho~t leg over long leg. Fasten top center and overlap of panel using screws and washers to hold it in place, ' then center using bolts, washers and nuts and bottom using screws with washers. Note: It would be helpful to have someone inside building to assist in fastening nuts to bolts pro- truding from rear and side wall channels. Do not tighten screws and bolts until all panels are in place.., this will assure easier alignment of holes. 2. Fasten remaining panels in the same n~anner. When all panels are in place, securely tighten all. screws and bolts. -~A:L-L PANEL SHORT LEG CORNER pAI'~F.L ~--~,~, ~ TYPICAL OVERLAP Page 6 Note: Follow typical overlap pattern, short leg over long leg, however there will be 3 overlaps where this procedure does not apply. 0097 -- * ... GABLE ASSEMBLY 1, Apply Foam Tape (approx, 19") along outer edge of Small Left and Small Right Gable legs (where large and small gables are joined) and press firmly, 2, Apply Foam Tape (approx. 24"1 along outer edge of center gable leg as previously done, Repeat procedure for rear gables, 3, Join Large and Small Right Gables together with a Roof Beam Bracket (19") using bolts and nuts, Note: Leg of bracket (leg without holes) must face toward center of gable. 4. Join Large and Small Left Gables together in the same manner. FOAM TAPE 0192 o24~ / ' FOAMTAP (19") Pa~e 7 1. Position a Left Gable Assembly on top of door track, under angle at corner, and fasten using screws. 2. position a Right Gable Assembly and fasten in the 3. Join left and right gable assemblies together with a Gable Brace (23~") using a belt and nut in the second hole from bottom only. ~ 4. Install remaining gable assemblies to rear wall angle in the same manner, 0247 NOTE: TEMPORARILY SUPPORT GABLE ASSEMBLIES UNTIL ROOF BEAMS ARE ATTACHED~ GABLE FITS UNDER ANGLE ~ FASTEN ROOF BEAM TO ROOF BEAM AS,~cMBLY (~ ANGLE USING SCREWS 1, There is a Roof Beam and Side Roof Beams, 0608 See detail drawing to identify each type of beam. 2. Fasten a Roof Beam where left and right gables are joined with bolts and nuts. Note: Leg with small holes along the length must be on top surface. 3. Position a Side Wall Angle, back to back, with roof beam and fasten using screws. 4. Install Side Roof Beams to brackets with bolts and nutS. Fasten roof beams with 1" legs facing toward center of building. Adjust roof beam upwa~ls, before tightening, until top edge is even with fold in gable. Pane 8 SIDE ROOF ROOF SIDE WALL REAN~ BEAE~ ANGLE 0589 Before roof panels are fastened, once (~ again "SQUARE" tile building by ROOF BEAM BRACE ASSEMBLY 1. Attach a Roof 8earn Brace to the bottom hole on the gable leg and fasten opposite end to the roof beam using a bolt and nut. Add a brace to rear of building in the same manner. ~ ROOF ASSEMBLY 1. There are Left and Right Roof Panels. See detail drawing below to identify each type of panel. 2. Install Right Hand Roof Panel, fastemng pace[ to roof beams, gable and side wall angle using screws with washers. 3. Fasten Left Hand Roof Panel in the same manner. 4, Apply Weather Strippiwg tape str~ps cut from roil and press firmly over notch in each panel rib and notch Jn overlapping channel. Be sure panels are clean and dry before using tape. USE WEATHER STRIPPING TAPE TO COVER NOTCHES IN PANEl_ R~BS ANDNOTCH IN CHANNEL Use [~lastic washers or) ali screws and bolts that fasten panels, Ahgn a wa~er on the screw and t~ghten firmly and ~uarely against RIGHT WRONG 0194 BEND DOWN LEFT ROOF PANEL RIGHT ROOF PANEL 0193 Page 9 nstal 3Roof Panels to complete one side o! the ~of. Position end of pane with argo hole is r~b at he top. Follow typical overlap pattern, short leg ve~ 1~9 leg. Fasten panel to mol beams and side ,all angle with screws and washers. , Use weather stripping to cover notches in panel ,bs and overlapping channels. USE WEATHER STRIPPING TAPE TO COVER NOTCHES IN PANEL RIBS AND NOTCH IN CHANNEL FASTEN OVERLAP AT CENTER OF PANEL WITH A BOLT, WASHER & NUT ROOF PANEL AT 0196 1. To assemble the other half of roof, install a Left Roof Panel. Apply Weather Stripping Tape across the joint where roof panels meet at the upper roof beam by removing protective paper as tape is applied ;yen y, equa y spaced on each side of joint, 2. Install 3 Reef Panels and a R ght Roof Pane to complete installation and continue weather stripping as the roof assembly progresses. 3. Use weather stripping to cover notches in pane~ ribs and overlapping channels. - WEATHER STRIPPING TAPE Page 10 Paoe 8 7101 RIDGE CAP ASSEMBLY 1. install Ridge Caps to the completed roof using bolts, washers and nuts. Do not fasten ends of ridge caps at this time. Cove4r'8 holes on roof panel ribs, not being used with weather stripping tape. DO NOT FASTEN ENDS AT THtS TIME 0129 SIDE ROOF TRIM ASSEMBLY 1. Install Side Roof Trim to the ends of roof panels and fasten at the ribs using screws with washers, Do not fasten ends of side roof trim at this time. DO NOT FASTEN ENDS AT THIS TIME 0138 Page 11 ROOF TRIM ASSEMBLY 1. position Left and Right Roof Trim to the ends of roof, noting that trim slips under ridge cups, but f tS on top of side roof trim. 2. Fasten roof pane rib, trim, Peak Cap and ridge cap together using bolts and nuts. 3. Fasten trim to side trim using screws and washers into roof pane~s, at both ~ront an~ rear of building, PEAK CAP 0285 0286 PEAK CAP (Arrow Logol 1. Fasten a Right Roof Trim Cap to the right hand side where trims meet using a screw. Fasten Left Roof Trim CaP to the left side of building, in the same manner. ROOF TRIM CAP ROOF T Page 12 Peoe 8 I DOOR ASSEMBLY 1. Assemble ooeRight Handand one Left Hand Door as shown, Attach Door Handle Braces and Handles ko doors using bolts and nuts. Fasten braces at top hole of handles, 2, Fasten a Vertical Brace to the center of each door using screw~, Note that door handle brace (s connected under vertical brace at the center hole. 3. Attach a 2nd vortical brace along the outer edge )f the doors with screws, but leave top hole open for ,Jse in next step and fasten bottomof brace with a ~ut and bolt. 'I, Fasten Door Washer to bottom lip of door in the ;orners using bolts and nuts. Center washer before r~ghtening. DOOR WASHER HANDLE HANDLE 1. Separate Door Slides from cluster. From inside building, position 2 sets of door slides onto the small legs of the door track, flat surface on top, pins facieg toward each other. DOOR SLIDE DOOR SLIDE PINS MUST FACE EACH OTHER Page 13 , Place bottom of Right Doo~ Panel (on your left when ~side building) into the front frame track, about one )ot away from corner. · Position top of door so that holes in door line up with ]e hole and pin in the door slide. Fasten door to slide ~ith self-tapping screw. L Install Left Door Panel in the same manner. T #lOBxl/2" SCREW SELF--TAPPING SCREW /~ DOOR PAN EL ,I/~ FRONT FRAME IF DOOR 'I'RACK REMOVE THESE 2 scREws TO ADJUST DOORS I. Close doors to see that they meet properly. f not, remove the self-tapping screws where toors meet. Adjust doors by raising or lowering fin in door as required, so that they meet evenly do~g their length . ., then re-insert screws md tighten, Page 14 Paoe 8 7101~ REFER TO PARTS CATALOG, PICTORIAL DRAWING AND ASS~BL¥ tLLUSTRATiONS AS YOU CONSTRUCT THE BUILDING, ® ® RETAIN THIS MANUAL FOR FUTURE REFERENCE p~e15 ..... a.y ouHding left partially assembled may be seriously Hardware FASTENERS (Actual Size) #6Ax5/16"SCREW #8-32x3/8" BOLT ~B-32 HEX NUT ~10Bxl/2" SCREW LIMITED 3 YEAR WARRANTY,,~ A.o., Group Industries, Inc. warrants that its outdoor storage buildings will not fail due to perforation caused by rusting through of material for a period of 3 years. We will replace any part found to be perforated by rust under normal use and service within that period.,,~ ~,~ Claims under this warranty should be made by sending the part with proof of purchase, transportation charges prepaid to: Customer Service Department Arrow Group Industries, Inc. Haskell, N.J. 07420 THIS WARRANTY IS LIMITED TO REPLACEMENT OF DEFECTIVE PARTS, LABOR CHARGES AND ALL OTHER INCIDENTAL OR CONSEQUENTIAL DAMAGES FOR BREACH OF THiS WARRANTY OR THE iMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE EXCLUDED. SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OR INCIDENTAL DAMAGES SO THE A~VE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU. This warranty gives you specific legal rights and you may also have other rights which may vary from state to state. maintenance suggestions: Your utility building has been engineered to give you long, carefree service. All panels have been weather protected with an undercoating of zinc plating and sealed with a tough, durable PERMA-PLATE XL2®finish. While the baked on finish of your modern metal building is formulated to give years of lasting beauty, in time even this finish will require repainting. 1. The two key factors in repainting your metal building is the same as for any painting project-careful and complete preparation of the surface and proper applicatioe of the right materials, Wash and scrub the surface with water and detergent (4 to 8 tablespoons of a laundry detergent added to a gallon of warm water). Wipe all areas and rinse thoroughly. Note: Excessively dirty and/or corroded areas can normally be found at roof trim. Remove trim and clean as above. Thoroughly clean off rust and prime with the appropriate first quality metal primer. Top coat with a first quality exterior latex. Apply exterior latex as recbmmended on the label. Two coats are preferred. Do not paint hot surfaces. Metal siding conducts heat substantially more than wood. 2. Periodic door adjustments may be necessary after prolonged use. Two simple adjustments accomplish this, as described in the last door assembly step. The door slides and truck should be kept free of obstructions and lubricated occasionally for smooth use. 3. It is recommended that the doors be kept securely closed when not in use to prevent damage from gusty winds. 4. The roof gutter areas should be kept clear of accumulating leaves and twigs to permit the roof to drain properly. S. To preveot damage to the roof section, do not allow more than 10" of snow to accumulate, Under such conditions, occupancy is hazardous and must be avoided, If building is to be used in a very heavy snow area, we recommend the temporary use of one or more 2x4 wood braces from the floor of building to the main roof beams, For replacement parts, or any questions concerning your utility building, refer directly to the factory. Do not contact your dealer, he is not equipped to service your requests. CONTACT: ARROW GROUP INDUSTRIES, CUSTOMER SERVICE DEPARTMENT, 3RD AVENUE, HASKELL, NEW JERSEY 07420 (800-526-9011) or (800-452-5796 NEW JERSEY ONLY). ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined )~ ./..O...., 19 ~.~.~' Approved .~../.O .... 19~.,~. Permit No./. .~..~. ~....~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 Pernfit. d. Upon approval of this application, the Building Inspector will issued 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, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, a.nd regulations, and to admit authorized inspectors on premises and in building for necessary~3~ectio~s./~ ~ /9 ' / ~4~,~..v~..~,_z~,,&..,, ................. (Signature of applicant, or name, if a corporation) ,ooO. H../... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~. C..~ B).~....~,. ~..e..[.~.[.¢ .~7~ .............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Otlier Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ....................... t.~. 0.o...~. e.~. do. ~. ~ .<. ~... ~ o~..~.~ .~. <t~ ............................. House Number Street Hamlet County Tax Map No. I000 Section ....... .O.g.Q ...... Block ........ ~. ......... Lot ..... ./.c{ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... £ b. Intended use and occupancy . .¥~. ~.c~. th.. ~, .Ox¢.t.~. ..... .w..,.-~.,~:. .8. I0. 11. 12. 13. 14. Will lot be Name of Owl Name of Arc] Name of Con Locate cle ari~. property lines. Gi interior or comer Nature of work (check which a~plicable): New Building .' .....Addition .......... Alteration .......... Repair .... l .......... Removal .............. Demolition .............. Other Work ............... ~"' ~ (Descripti n Estimated C st °. ....................... Fee .................................... '' ~ *" (to be paid on filing this application) If dwelling, number~ of d~vellin~ units ............... Number of dwelling units on each floor ................ If garage, number of cars ' . If business, c~mmercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions qf existing structures, if any: Front ........... '* pth ..,... Rear .............. De ............... Height i Number of Stories Dimensions ~f same structure with alterations or additionf Front ................. Rear .................. Depth ..... i .............. I. · · Height ..... :' '-' I · ~" ........ Number qf Stories .............. ~ ....... D~mensmns of e.nt~ new constmctmn: Front .. I .l.c~/.q. ,,.~ Rear . I I t~. :~ .... Depth . ./~.~ .v~ .... Height ...~'.'~ .?.~ ....... Number of Stories .......... '~ ............................................. Size of lot: Front ...... ,2' ' .i ............ Rear ...................... Depth ...................... Date of Purchase .... ~-...~' ~. .................. Name of Former Owner ~.~.~..~.o~ Zone:or use district in which p~emises are situated .................................................. Does proposgd construction violate any zoning law, ordinance or regulation: ....... F~ ...................... ,,raded ....... .~..O. ................. Will excess fill be removed from premises: Yes ter of premises .~./t..~M.~-...R-..../-:.~./.~.i.e .~ Address ~.o0...~.¥0. o..~...~ .R... Phone No. titect ........ 'l .................. Address ................... Phone No ................ Iractor ........ I .................. Address ................... Phone No ................ i PLOT DIAGRAM ' and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from te street and block number or description according to deed, and show street names and indicate whether lot. STATE OF NE~ yt3RK COUNTY OF...c~.~.~'O.~..~ ..... , S.S .... '~'..c..~:~..~..~..; .~..~ .~ J ¢.~.i ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the , .................... i" ¢..142. fi/~-,.~. ........................................................ (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 statements cor~tained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Sworn to before me.t_~is ! // d?-. ..... !. ,, ........ :...~. ....... ~, .... da*/o~'., f..~.A(.~/.q_ .......... ,19 .~J2. Notaryeublic, ..~f..~..~...,~.c(..~..~. County HO. 47952~7, Suffolk CounlY_ (Signaturet of applicant) Term Expire~ March 30,