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Home My WebLink About25968-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27224 Date: 08/02/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 430 SALT MARSH LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 68 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 1999 pursuant to which Building Permit No. 25968-Z dated AUGUST 24, 1999 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 ACCESSORY TENNIS COURT WITH 10 FOOT FENCE ENCLOSURE AS APPLIED FOR & AS PER ZBA #4715. The certificate is issued to GREGORY MICHELIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A —'4 / Z�� uthor zed Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 25968 Z Date AUGUST 24 99 Permission is hereby granted to: GREGORY MICHELIS & WF. 4201 235TH ST DOUGLASTON,NY 11363 for CONSTRUCT ACCESSORY TENNIS COURT WITH 10 FOOT FENCE ENCLOSURE AS PER ZBA #4715 . at premises located at 430 SALT MARSH LA SOUTHOLD County Tax Map No. 473889 Section 068 Block 0003 Lot No. 013 pursuant to application dated APRIL 7 99 and approved by the Building Inspector. Fee $ 70. 00 Authorized S gn ture ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buil inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property li, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bui. and installations, a certificate of Code Compliance from architect or enginee responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or building "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 appli If a Certificate of Occupancy is denied, the Building Inspector shall state t 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. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25+x. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 'Tcs� N1S CcIryWiiN 10_P—r F_EJC-6_ Date . . . . . . . . . . . . . . ��I New Construction. . . . . . . . . . . Old Oa�r]] Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . .. . /. �4 Z__ 4 .L 11. . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . . L' R � . . . . � CNE �;!�, , , , , , , , , , , , , , , , , , , , , 47,39011 County Tax Map No 1000, Section_. ,4< jf.. . !. . .Block. . . . .. . . .Lot. . . . . . . . . . Subdivision. . ...p. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .FiledMap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . Permit No.�S.l.�I'. •Z .Date Of Permit. . .1. ?yl�ffyApplicant. .( cQ,F�tc y,�•� C.< Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . Fee Submitted: $. . . Z :. . . . . . . . . . . . . . . V_'c . . . . . . .APPLICANT. . . . . . . . . . . . . . . . Co� a �aay FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; June 8 1999 TO Gregory Michelis A/C Joseph Fischetti 430 Salt Marsh Lane Peconic N.Y. 11958 Please take notice that your application dated April 7 1999 For permit to construct an accessory tennis court and fence enclosure at Location of property 430 Salt Marsh Lane Peconic County Tax Map No. 1000 - Section 68 Block 3 Lot 13 Subdivision Filed Map # Lot # Is returned herewith and disapproved on the following grounds; pursuant to Article XXIII Section 100-231... Fences, walls or berms may be erected and maintained subject to the following height limitations: A When located in the front yard of residential zones, the same shall not exceed four(4) feet in height When located in the front yard of nonresidential zones, the same shall not exceed six (6) feet in heieht. Proposed fence enclosure for accessory tennis court is 10 (ten) feet in height. Authorized Signature APPEALS BOARD MEMBERS P OAK :. 0 CC Southold Town Hall Gerard P. Goehringer, Chairman =� Gym 53095 Main Road James7IFins' RR p�pM —22i —t y ? P.O. Box 1179 Lydia Southold, New York 11971 Lora d0 a� ,1ZBA Fax (516) 765-9064 eorg5 ^ 1 " ,`! 1 Telephone (516) 765-1809 ' k BLI cEPT. BOARD OF APPEALS TOWN Or SOU-,HOLD TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF IULY 28, 1999 Appl. No. 4715 - GREGORY MICHAELIS 1000-683-13 STREET& LOCALITY: 430 Salt Marsh Lane, Peconic DATE OF PUBLIC HEARING: July 22, 1999 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The applicant's property consists of 15,795 sq. ft. in area with 150 ft. frontage along the northerly side of Salt Marsh Lane(a/k/a Lake View Avenue), Peconic. The lot is improved with a single-family dwelling situated close to the Coastal Erosion Hazard Line and top of the bank of the Long Island Sound. BASIS OF APPLICATION: Building Department's two Notices of Disapproval dated June 8, 1999 citing Article III, Section 100-33 and Article XXIII, Section 100-231 of the Zoning Code with respect to the proposed side yard location of an in-ground pool (16' by 30D with upper and lower decks, and the proposed 10 ft. high fence around a new tennis court structure. AREA VARIANCE RELIEF REOUESTED: Applicant requests Variances for a proposed in-ground pool with deck 10 ft. extension with an easterly sideyard setback at 15 feet from the top of wall and deck area. The pool and deck areas are proposed at the same nonconforming setback of the dwelling from the L.I. Sound (not closer). The accessory tennis court structure is proposed in the required front yard of this waterfront parcel, however, the height of the fencing for the tennis court is proposed at 10 feet. (No other areas are noted in the June 8, 1999 Notices of Disapproval.) REASONS FOR BOARD ACTION. DESCRIBED BELOW: Based on the testimony and record before the Board and personal inspection, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties because the minimum 15 ft. side yard setback of the pool would meet the requirement for a dwelling addition. 2. The benefit sought by applicant cannot be achieved by some method, feasible for appellant to pursue, other than an area variance due to the variable elevations of the land. 3. The requested area variance is not substantial. 4. No evidence has been submitted to show that either the proposed pool with deck or the tennis court fencing would have an adverse effect or impact on the physical or environmental conditions In the neighborhood or district. 5. The difficulty has not been self-created and is related to the topography of the land and the Page 2 -July 28, 1999 ZBA Appl, No. 4715 - G. Michelis Parcel 1000-68-3-13 at Southold IayouL of the building areas. In considering this application, the Board deems this action to be the minimum necessary and adequate to enable the applicants to enjoy the benefit of a new in-ground pool with deck and 10 ft. high fencing for a tennis court structure, while preserving and protecting the character of the neighborhood and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Member Tortora, it was RESOLVED, to GRANT the variances, as applied for, SUBJECT TO THE FOLLOWING CONDITION: Six to 8 ft. high screening, arborvitae or similar evergreen, shall be planted 3 ft. to 5 ft. apart, and continuously maintained for the entire length of the tennis court on the west side. VOTE OF THE BOARD: AYES: Members Goehringer, Dinizio, Tortora, Collins. This Resolution was duly ADOPTED (4-0). (Member Homing of Fishers Island was absent.) JA DINIZIO, JR. C AIRMAN PRO TEM For filing about 8/6/99 FIFL INSPECTION REPORT DATE COMMENTS r ---------- ------------- ----_ ---- ---- -------------------- 11 ii rytrotl II IIII .T 1I----lf- H FOUNDATION ( 1ST) FOUNDATION (2ND) i II it ROUGH FRAME fi PLUMBING n u INSULATION PER N. Y. A--- II STATE ENERGY ii p CODE u I u ° — �� I Ci II II H r --- It ii FINALit a n I ADDITIONAL COMMENTS: N H H O x a r re b H o�OSOFFO(,��0 wn Hall,53095 Main Road p Fax(516)765-1823 P.O. Box 1179 c Telephone(516)765-1802 juthold, New York 11971-0959 Oy fir. X01 � dao BUILDING DEPARTMENT TOWN OF SOUTHOLD July 18, 2000 Mr. & Mrs . Gregory Michelis 39-30 240th St. Douglaston, NY 11363 RE: 430 Salt Marsh Lane, Southold. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file. ) ;25.00 No Health Department Approval on file. XX Nofinalinspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25968-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; June 8. 1999 TO Gregory Michelis A/C Joseph Fischetti 430 Salt Marsh Lane Peconic N.Y. 11958 Please take notice that your application dated Apri17, 1999 For permit to construct an accessory tennis court and fence enclosure at Location of property 430 Salt Marsh Lane Peconic County Tax Map No. 1000 - Section 68 Block 3 Lot 13 Subdivision Filed Map # Lot # Is returned herewith and disapproved on the following grounds; pursuant to Article XXIII Section 100-231. . Fences. walls or berms may be erected and maintained, subject to the following height limitations: A. When located in the front yard of residential zones, the same shall not exceed four(4) feet in height When located in the front yard of nonresidential zones, the same shall not exceed six(66) feet in height. Proposed fence enclosure for accessory tennis court is 10 (ten) feet in height. Authorized Signature APPEALS BOARD MEMBERS ptz gUFFO(�Z_ Southold Town Hall fop Gerard P. Goehringer, Chairman ti� y� 53095 Main Road James70ins rI�� } y ` P.O. Box 1179 LydiaL� 9 W 1 0 ' Southold, New York 11971 Lora i y 0��;� ZBA Fax (516) 765-9064 GeorgJ "`i9 t �Ol �� }� Telephone (516) 765-1809 TAN c Pz. BOARD OF APPEALS TOWN OF SOU rtoi.o _ TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JULY 28, 1999 Appl. No. 4715 - GREGORY MICHAELIS 1000-68-3-13 STREET& LOCALITY: 430 Salt Marsh Lane, Peconic DATE OF PUBLIC HEARING: July 22, 1999 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The applicant's property consists of 15,795 sq. ft. in area with 150 ft. frontage along the northerly side of Salt Marsh Lane (a/k/a Lake View Avenue), Peconic. The lot is improved with a single-family dwelling situated close to the Coastal Erosion Hazard Line and top of the bank of the Long Island Sound. BASIS OF APPLICATION: Building Department's two Notices of Disapproval dated June 8, 1999 citing Article III, Section 100-33 and Article XXIII, Section 100-231 of the Zoning Code with respect to the proposed side yard location of an in-ground pool (16' by 30� with upper and lower decks, and the proposed 10 ft. high fence around a new tennis court structure. AREA VARIANCE RELIEF REQUESTED: Applicant requests Variances for a proposed in-ground pool with deck 10 ft. extension with an easterly sideyard setback at 15 feet from the top of wall and deck area. The pool and deck areas are proposed at the same nonconforming setback of the dwelling from the L.I. Sound (not closer). The accessory tennis court structure is proposed in the required front yard of this waterfront parcel, however, the height of the fencing for the tennis court is proposed at 10 feet. (No other areas are noted in the June 8, 1999 Notices of Disapproval.) REASONS FOR BOARD ACTION, DESCRIBED BELOW: Based on the testimony and record before the Board and personal inspection, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties because the minimum 15 ft. side yard setback of the pool would meet the requirement for a dwelling addition. 2. The benefit sought by applicant cannot be achieved by some method, feasible for appellant to pursue, other than an area variance due to the variable elevations of the land. 3. The requested area variance is not substantial. 4. No evidence has been submitted to show that either the proposed pool with deck or the tennis court fencing would have an adverse effect or impact on the physical or environmental conditions In the neighborhood or district. 5. The difficulty has not been self-created and Is related to the topography of the land and the Page 2 - July 28, 1999 ZBA Appl. No. 4715 - G. Michelis Parcel 1000-68-3-13 at Southold layoui of the building areas. In considering this application, the Board deems this action to be the minimum necessary and adequate to enable the applicants to enjoy the benefit of a new in-ground pool with deck and 10 ft. high fencing for a tennis court structure, while preserving and protecting the character of the neighborhood and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Member Tortora, it was RESOLVED, to GRANT the variances, as applied for, SUBJECT TO THE FOLLOWING CONDITION: Six to 8 ft. high screening, arborvitae or similar evergreen, shall be planted 3 ft. to 5 ft, apart, and continuously maintained for the entire length of the tennis court on the west side. VOTE OF THE BOARD: AYES: Members Goehringer, Dinizio, Tortora, Collins. This Resolution was duly ADOPTED (4-0). (Member Homing of Fishers Island was absent.) JA S DINIZIO, JR. C AIRMAN PRO TEM For filing about 8/6/99 BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY TOWN OFSOUTHOLD CHECK . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765.1802 MAIL T0 : Examined . . . . . . . . . . . . . . . .. 19 . . . 15 c o1�' Approved . . . . . . 1. . . . . ., 19 . . !Permit No. �� l� . . . .� Disapproved arc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D 6 (Buiiding Ins ct r) APPLICATION FOR BUILDING PERMIT APS— T 1999 Date . . . . . . . . . . . . . . . . . .. 19 BLDG. DE'I. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wi *sets of plans,accurate plot plan to scale. Fee according to schedule. t b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public str or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this al 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 issued a Building Permit to the applicant. Such pei 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 Occupa 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alteratio)inejctions. oval or demolition, as herein descril The applicant agrees to comply with all applicable laws, ordinances , using code, and regulations, an, admit authorized inspectors on premises and in building for necessary 4 . . . . . . . . . . . . . . . . . �. . . . . . . . . p ica r name, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee agent, architect, engineer, general contractor, electrician, lumber or buih_ � g P . . . . . . . . . . . . . . . . . . .�} f �� , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MM. . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . �. , , . . . G e l f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . .. f . . . . . . . . . . Electrician's License No. . . . . . . . . ./. . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430 . . . . .5104� m" .ti. . . .��r . . . . . . . . . . . . PQM, . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . House Number /Sttrreet Hamlet County Tax Map No. 1000 Section . . . . .6 0. . . . . . . . . Block . . . .03 . . . . . . . . . Lot . . . . �Q . . . . . . . . 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 . . . . . !! !'w%/ /��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . �.�(lC�{l,�nJt�`� �e `vv�5 C� 4 �—� �� 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . 1/ . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . Zd t90U r- (Description) 4. Estimated Cost . . . . . . . .i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . .,. . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . Ifgarage,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 . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . / 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth i . . . . . ... . . . . Height . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . .� J�Q . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . Depth -�70. .?�,543. , , . . , . , . 10. Date of Purchase . . i'.`��S . . . . . . . . . . . . . . . . . . . . Name oC F,prmer Owner . . . . . . . . . . . . . . . . . . . . . .. . . . . . 11. Zone or use district in which premises are situated . . . . . . . . - . . . . . . . . . . . . . . 12. Does proposed construction p violate any zoning law, ordinance or regulation: . . . N.. . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . dr". . . . Will excess fill p� ved from premises: Yes (�Pc 14. Name of remises6f*,- . . !� �/�. . . . . . . Address `FZ �!.LL Phone � � — . . . . . . . Address . Aw9)as . . Phone No. 76.f.7 .fes . . . Name of ct . ZiH./3.Ckp f Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions froln property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. APPf: r nr DATE: /� py d o � OCCLUrVAI Jt, i i- . NOTIFY BUILDING765-1802 9 AM TO ^" ' USE IS UNI-At:'( i' ,"L FOLLOWINGINSPEC'V., WITHOUT [�Ctt.T';FICATE FORPOURIDNCOr' OF OCCUPA l i, 2 ROUGH . FRAI";O i �. P�_U°vl6EtSG INISULATION 'NL - CONS_. .';CTION MUST �''i.El E f OR C.O. .': 'ON SHALL MEET ' rs OF THE N.Y. IQN & ENERGY rr.'_` MC1 =�PONRIRLE FOR C.'Fi k_:ut .:: RUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . .SC . . .E. . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Narrle of individual signing contract) above named. J� f Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said 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 to before me this (� . . . . . . . . c�2ry . . . . .day off. . . . . . . . . . . .1 19 /. Notary Public, . . . . �. ' !-.'S!�!l! '. . . . . . County OYCE M.WILKINS Public,State of New York No.4952246,Suffolk Coun (Si n ture of applicant; Term Expires June 12,19 l w � I a � N�F ANL Y.9N � 3 Q �J QO a �' •pP�' b P,ccvo�v a N LE ��orJ Q 9 i o�Ncw Cp �Ptf, OF NewEGGLQY M/CWEL/S a FISCyF �� LOtA7�'Cn/•PECGW/G, TpwNdf'�.L'/�y.GtO, �/ �/. �/orE; COiYl7� EeOD/GLVL/OIACOLiVETFCCVF z� �o ._ .V1.yo,vY K/[EKiswGVW. ��'re • .r+.�cs9eyi6,�yQ� Gyo�oNo,57639-8J�✓�•✓�>>�/v9,B/ry/r9ey o 052 'J LA•siO�derFvo2 pz�ruursl�v�ry�,,,ciriyy9 R Fessio�� P•O.,BaX�'Sr6 bouryaco,�v�! /iy7i rcytE:��, �Jl ' � 1-\-OUSE ?�Iz S4•FT, pooL. : `r90 S4.FT- T�ct,.a�a\S cr�uRT 690o ScZ. C°T, sc�.Fr- Q 2--4-O LOT c(7V E� 710'y- \Si19S -FT- 44 G e,X99 ti 0 'to -16 34 34 (640' \S' ToP of waw.."<4' 44 3z \ \ Tw 37' ¢ETrYN1t1G 40 - \o' H\c,HcwWu - - L\ti\� F'EFacE /` - - 60' + 1\5" 1Z' \ 36_ DI DII —� I– . - \T63a.POF — wt7tk 10 " lo• H ZS � L4N M! "MK SLA.!✓ SUPWQ-T FGDACC- nBa.�n 30 28 3 rw3z' 24 tl 'i-' NIGH 4;X4-CUM RF�A�wNG W6-" 26 � 2 4 y� zz Q 20 M COV - -\'�` OF crew FISO/yFr 09¢ W gOx�16 �O 0525\O ��f SaRF�[7.� �NFCy2.-N�P3�01a �CP`�ETI F�C�th P. SVR-VES Oc�CSIONP�'� N�1i �((JWL, TDAITEd PEgPAA -TLI( 2.01 \OkOA G&x