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Home My WebLink About24371-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25451 Date: 12/22/97 THIS CERTIFIES that the building ADDITION Location of Property: 2775 MARRATOOKA RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 2 Lot 26 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28~ 1997 pursuant to which Building Permit No. 24371-Z dated SEPTEMBER 23, 1997 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AND TO CONDITONS OF ZBA ~4498 DATED AUG. 29~. 1997. The certificate is issued to ANNE M SHANNON of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/a N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 Building Inspe~r I~O~M' ~TO. ! 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) N.° 24371 Z Dote ...................................... , ,~......Y.. Permission is hereby grante/)d to: t/~Y...~..l~.:..~o.~ ................................ ~.zz~.'~_/~~..~: ....... ~/_~..~.~.zz~ ....... . .............. ~.,. .:.~/~z c~.~ T~x ~p No. ~ooo s~,~o....,/~..~ ..... m~ ........ ~ ..... ~ No....~ ............ Building inspector. ........... R~. 6/30/80 TO~N OF SOU~JOLD BUiZD iNG D EPAK-~i~r---NT 765-!802 .~PPLiCATiON FOR C~RTiF!CATE OF OC ...... u- This ap~iicaZion must be filled ~_~. by typ. ewri~er OR ip~k a~nd sub~izzad :o :he bui'ding inspector wiuh the following: for new building or new usa: !. Final survey of .property ~%uh accurate iocatiom of all 5ui!!i~gs, property iiaes, 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~--a) . 3. Approva!~of electrical i~sua!lation from Board of Fire 'Unde---.---izers. Sworn s:atemen~- from plumber certifying Ghat the solder used ia sysu~m con,alas less :ham 2/10 of~,~ lead. 5. Commercial building, industrial build~_ng, mul:ip!e residanc=_s a~d si-~iar buildings and installationa, a cer~ificaue of Code Compliance from ar~kitac-, or engineer responsible for the building. 6. Submit Plan~ing Board Approval of cdmplated site plan requir~em=s. B. For exisz~-ng buildings (prior =o April 9, 1957) non-confo~ng uses, or buildings and '¥re--e-xis=~_ng'' land uses: !. Accurate su---~ey of property showing all property li~es, sure-ets, building and 2. A properly comp!er, ed application and a consan~ to L~.spec'- si~_-ed by --'ne apptlzanz. if a Certificate of Occupancy is denied, :he Bui!di-~g ~_=spec~or shall s~aue :he reasons therefor Ln ~-ri~ing :o the applicant. C. Fees !. , Cercifica~a of Occupancy -New dweiiing S25.00, Addi%ior. s ~ara~ioms ~o dwa!!Lng S25.00, S~ng pool S25.0Q, Accessc~f Additions :o accesso~ b~!d~g $25.00. Bus~essas S50.00. 2. Carzifica:a of 0caup~cy on Pre-~is~% B~]d~ Copy of Cer%ificate of Occupamcy - ~ 4. Updated Carcificaca of 0caupa~cy - ~50.00 5. Tempora~ Certificate of Occupancy - Rasiden[!~ $t5.00, Co~ercla! $15.00 New Comst~c~o~ ~ 01d Or =we-~s~2g Bu~ing .................................. ~o=~ ~= ~, ~ ~ooo, ~.=~o~ .... /~ ...... ~o~ ....... ~ ....... :~: ...... ~ ............. Subdivision ....................................Filed ,.Map ............ Loo ...................... Fe=i .... ate Pe it.. ....... .... .... ~.ea~[n Dept. Approval ....... Unae_~ .... s ~Bor~ ..................... Planning Boarg Approval ........................ Request for: Tempora-'? Oer':i£±oate ........... ~-'nal C~r:Sc*r~ ........... ~2 ~C~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 10, 1997 Ann M. Shannon 2775 Marratooka Rd. Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. j XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24371-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. 2775 Marratooka Road Mattituck, New York 11952 September 15, 1997 Mr. John Boufis Building Inspector Town Hall 53095 Main Road P. O. Box 1179 Southhold, New York 11971 Dear Mr. Boufis: In response to your letter of September 11, it is my intention to remove the shed and finish the deck. I would appreciate your letting me know the necessary steps I have to take to do this. Thanks for all your help. Very truly yours, Anne M. Shannon 2775 Marratooka Road Mattituck, New York 11952 September 15, 1997 Mr. John Boufis Building Inspector Town Hall 53095 Main Road P. O. Box 1179 Southhold, New York 11971 Dear Mr. Boufis: In response to your letter of September 11, it is my intention to remove the shed and finish the deck. I would appreciate your letting me know the necessary steps I have to take to do this. Thanks for all your help. Very truly yours, Anne M. Shaunon 2775 Marratooka Road Mattituck, New York 11952 - September 15, 1997 Mr. John Boufis Building Inspector Town Hall 53095 Main Road P. O. Box 1179 Southhold, New York 11971 Dear ~@. Boufis: In response to your letter of September 11, it is my intention to remove the shed and finish the deck. I would appreciate your letting me know the necessary steps I have to take to do this. Thanks for all your help. Very truly yours, Anne M. Shannon FORUM NO. 3 TOWN OF SOUT~OLD BUILDING DEPARTMENT SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL DATE 'J un e. 2~., 195.7. ............. To A~ne. ~...S hmaznon ...................... 2.%Z5. M~nr a~aka. ~d .................. M~t t i£~¢k, bM. 1 i$.52 .................. PLEASE TAK~ NOTICE that your application dated .~ay.2£, .......... 19~.~... for permit ~o ~eus~uct.~.de~k.~d~i~io~.~.~¢o~or~.~b~ ............ at Location of Proper~y . 4'... 27.~5 ......... ~arf~oo~a.Rd ......... Ma~i~B~ll ...... House No. Street Hamlet County'Tax Map No~ 1000 - Section .L23 ....... BLOCK ..2 ........ LOT .26 .......... Subdivision ............................... Filed Map No .......... Lot No ........ is returned herewith and disapproved on the following grounds ~ndmz..Ar~cle.~IIA ....... Sectio~ 100-30A.3 of the Bulk and Parking Schedule in the R40 Zone- Deck addition and accessory shed exceed maximum lot coverage of 20%, Unde~'Z~A appeal #4267 of 9/15/94 a previous addition was allowed to exceed the maximum lot coverage of 1373(20%) to 1903 Sq. Ft., or 530 ft. above maximum allowed; relating to 27.7% New addition and accessory shed will add an additional 504 Sq. Ft. relating to 35.1% coverage ~nd 7.4% above ZBA Appeal #4267. Under Article XXIV Section 100-244 for non conforming lots the deck addition will be 30 ft + or from rear lot line, encroaching on the required minimum of 35 ft. Action required by the ZBA. RV 1/80 Gerard P. Goehringer, Chairman Serge Doyen Jam.es..D.i .ni.zi.o, Jr. Lydia A. Torlora Maua'een C. Ostermann BOARD OF APPEALS TOWN OF SOUTHOLD Sou]hold Town Hall 53095 Main Road RO. Box 1179 Sou]hold. New York 11971 Fax (516) 765-1823 Telephone (516) 765- 1809 FINDINGS, DELIBERATIONS AND DETERMINATION ADOPTED AT REGULAR MEETING OF AUGUST 28, 1997 Appl. No. 4498 - Anne M. Shannon PARCEL i000-123-2-26 STREET & LOCALITY: 2775 Marratooka Road, Mattituck, NY DATE OF PUBLIC HEARING: August 28, 1997 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: This property is located in an R-10 Low-Densi[y Residential Zone District, being situate along tile easterly side of Maeratouka Road, Mat]truck. This lot contains a total area of approximately 6775 sq. fl. as depicted on the copy of survey slap under this application. Tile copy of the survey shows the followin~ impcovcmeuts: om;-story framc house set back 28 feet frem the frout property line and accessory building located in the rear yard. BASIS OF APPEAL: Building Inspector's Action of Disapproval dared June 24, 1997 which ],ads as follows: under Article IliA, Seclion 100-30A.3, Bulk $chednle, fo~ permission to eoustruct deck addition and accessory shed which exceeds maximum 20% lot coverage by adding au additional 50,1 sct. f~. re;er titat allowed by Al)peat No. -t26'7 dated 9/15/94. Also under Article XXIV, Section 100-244 fop nonconforming lots, the deck additioa will be less than 35 feet from tile pear lot tine. AREA VARIANCE RELIEF REQUESTED BY APPLICANT: 1) To locate deck addition with an insufficient rear yard setback at not less than 30 feet (which deck will extend 15'3" past the rear of the existing dwelling additiou), and 2) to locato accessory shed of 8 ft. by I0 f~. ill size ill tile required real- yard al. a miuimum af three feet from tile rear property lille and ~realer than three feet fro'm tile side pPoperl.v lilies, and 3) to exceed lot coverage by 504 square feet over that granted under Appeal #4267 September 15, 199,1. REASONS FOR BOARD ACTION~ DESCRIBED BELOW: (l) The gpautillg of tim altepuative Pelie[' apes will not prod]Icc /ti undesirable change in character of neighborlmod op a dc~pimenl to nearby properties bi)cause parcel is exlpemety small in siz¢ at 6775*- sq. fl. (2) Tile benefit sought by the apptican~ camm~ be achit~vpd by some method, feasible l]op apl)lican[ h~ pupsae, other than all ,ire0 VaPiallcp Page o~ - Appl. No. 4267 Application of ANNE SIIANNON Southold Town Board of Appeals because improved parcels of this unique size ordinarily exceed lot coverage requirements by the nature of their size and/or shape when improved by a single-family and detacl!ed garages. (3) The requested area variance is not substantial based upoa tile requested 504 square feet. (4} The proposed variance will not have an adverse effect or impact on the physical or environmelital conditions iii the ueighborhood or district because rear yard is significantly reduced by the size of the existing attached cleck and shed. (5) The situation has been self-created. (6) This aclion is lite minimum that the Board deems necessary and adequate and at the same time preserves and protects the character of tim neighborhood, and the health, safety, welfare of the community. RESOLUTION/ACTION: On motiou by Chairmaa Goehringer, seconded by Member Dinizio, it was RESOLVED, to DENY the relief as requested, and BE IT FURTHER RESOLVED, to Gl{ANT ALTERNATIVE RELIEF AS FOLLOWS: t. The lot coverage is permitted to be increased only by 424 square fee~ ['or the existing deck aud/or shed for a total lot coverage, all buildings, at not greater than 2,088 square feet. (Options available to applicant allows either removal of the 80 sq. ft. shed, or removal of 80 square feet from the "as built" deck area. 2. "As built" deck area shall not be enclosed or elongated. VOTE OF THE BOARD: AYES: MEMBERS GOEHRiNGER, DINIZIO, TORTORA, and OSTERMANN. (Member Doyeu was absent during deliberations and vote. ) This r.esotutiou ~ dui5' adopte~-0)~.'? ~ (;ERARD P. GOEHRINGER,. Ctt.\IRM~N ********************* Actions. all/123-2- 26 ~M~PE~LLS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen James Dinizio, Jr. BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road ~ P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 September 4, 1997 Mrs. Anne Shannon 2775 Marratooka Road Mattituck, NY 11952 Re: Appl. #4498 - Variance for "as Built" Construction Dear Ms. Shannon: Enclosed p~easc find a copy of the Appeals Board's two-page determination rendered at our Aug,mst 28, 1997 meeting. Please be sure to follow-up with the Building Department in the next sever,Il days to obtain their written approvals. We have today furlzished a copy to the Building Inspector's Office for further processing and for their permanent file update. Very t~uly yours, Linda Kowatski Enclosure 9/4 Copy of Decision to: Building Department (Attn: J. Boufis, Issuing lnsp.) Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 11, 1997 Mrs. Anne Shannon 2775 Marratooka Road Mattituck, N.Y. 11952 Re: Premises & 2775 Marratooka Rd., Mattituck,NY Suff. Co. Tax Map #1000-123-2-26 Dear Mrs. Shannon: Enclosed is the decision by Zoning Board of Appeals. A building permit is required for any of the "As built" work. Please notify the building department as soon as possible in writin§ your decision on which option you are going to pursue JMB:gar encl. Very truly yours, OWN BUILDING DEPT. nspector (Cert. Mail) APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Richard C. Wilton BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P,O. Box 1179 Southoid, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 September 15, 1994 Mrs. Anne M. Shannon 83-04 259th Street Floral Park, NY 11004 Re: Appl. No. 4267 - Variance for Deck Addition Dear Mrs. Shannon: Please find enclosed a copy of the findings and determination rendered by the ]Board of Appeals concerning your variance application. It will be necessary for you or your representative to return to the Building Department to obtain your building permit (and other agency approvals which which may apply) before commencing construction activities. For your convenience, we have provided the Building Department with a copy of the variance determination for their permanent recordkeeping and update since the issuance of its Notice of Disapproval. Very truly yours, GERARD P. GOEHRINGER CHAIRMAN Enclosure Copies of Decision to: Building Department Suffolk County Planning Commission Mr. Raymond Nine APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen, Jr. James Dinizio, Jr. RobeA A. Villa Richard C. Wilton BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 ACTION OF THE BOARD OF APPEALS Appeal No. 4267. Application of ANNE M. SHANNON. Variance to the Zoning Ordi- nance, Artiele IIIA, Section 100-30A.3 for permission to construct addition which will exceed 20% lot coverage. Location of Property: 2775 Marratooka Road, Mattituck, NY; County Tax Map Parcel No. 1000-123-2-26. WHEREAS, after due notice, a public hearing was held on Septem- ber 7, 1994, at which time ali comments were received and testimony recorded; WHEREAS, Boe~rd Members have viewed the area and are familiar with the premises fLU question, its present zoning and the surroundiug areas; and WHEREAS, the Board made the following Findings of Fact: 1. This application is for a variance from requirements of the zoning code limitation at twenty the total lot area. the lot coverage (20%) percent of 2. Proposed in this project is a raised deck of a size 14 ft. by 38 feet at the rear (easterly side) of the existing dwelling. The square footage of the existing buildings is given at 1370.80+-. The lot size is 6863 (60.2 x 114 ft. average), which allows a lot coverage of 1373 (or 20% of the lot). The existing square footage together with the proposed deck area is given at 1903 square feet, whieh is 530+- ft. over the m-ximum permitted by code. This results in a percentage of 27.7% (6863/1903). 3. The Board finds: (a) the circumstances are unique to the property which is due to several factors: its substandard size of 6,863+- square feet as preexists the zoning requirements; the new construction is a minor project, that being a deck rather than a fully enclosed addition; (b) the relief requested is substantial in relation to the other properties in the area; however this Jot is the smallest lot in the neighborhood; APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Richard C. Wilton BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 ?~'i~l ~,-~{ "~ September 16, 1994 Mrs. Anne M. Shu~nno~ 83-04 259th Street Floral Park, NY 110~ Re: Appl. No. 4267 - Variance for Deck Addition BLDG. DEPT. TOWN OF SOUTHOLD Dear Mrs. Shannon: Please find enclosed a corrected copy of the findings and determination rendered by the Board of Appeals and filed thi~ day with the Town Clerk's Off/ce concermiug your variance application. The correction shows that the project approved a fury enclosed addition rather than a deck addition. Copies have been forwarded to the County Planning Commission a~nd Southold Town Bui]dlng Department a~ well. Very truly yours, GERARD P. GOEHRINGER CHAIRMAN lk Enclosure Copies of Corrected Decision to: -~Buil~tSng Department ~ Suffolk CouIlty plnnnlng Commission M~. Raymond Nine APPEALS BOARD MEMBERS Gerard P- Goehringer, Chairman Serge Doyen, Jr. James Dinizio, Jr. Rober~ A. Villa Richard C. Wilton Appeal No. 4267. BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS Southold Town Hall 53095 Main Road P.O. Box 2_179 Southold, New York 11971 Fax (516) 765-1823 T~el .e, p hgqe 15~._Z,65~ 18g-.~ t.~ LDG. DEPT. L~.,~ TOWN OF SO~T~O~ 9 Application of ANNE M. SHANNON. Variance to the Zoning Ordi- nance, Artiele IIiA, Section 100-30A.3 for permission to construct addition which will exceed 20% lot coverage. Location of Property: 2??5 Marratooka Road, Mattituck, NY; County Tax Map Parcel No. 1000-123-2-26. WHEREAS, after due notice, a public hearing was held on Septem- ber 7, 1994, at which time all comments were received and testimony recorded; WHEREAS, Board Members have viewed the area amd are f~miliar with the premises in question, its present zoning and the surrounding areas; and WHEREAS, the Board made the following Findin~c~s of Fact: l. This application is for a variance from the lot coverage requirements of the zon{ng code l~m~tation at twenty (20%) percent of the total lot area. 2. Proposed in thi~ project is an '- additionof a size 14 ft. by 38 feet at the rear (easterly side) of the existin~ dwelling. The square footage of the existing buildings is g~ven at 1370.80+-. The lot size is 6863 (60.2 x 114 ft. average), which allows a lot covers~e of 1373 (or 20% of the lot). The existing square footage together with the preposed addition is given at 1903 square feet, which is 530+- ft. over the ma~mum permitted by code. This results in a percentage of 27.7% (6863/1903). 3. The Board finds: (a) the circumstances are unique to the property which is due to several factore: its substandard size of 6,863+- square feet as preexists the zonimg requirements; the new construction is a nRnor project, for 8 residential addition; (b) the r~lief requested is substantial in relation to the other properties in the area; however this lot is the smallest lot in the neighborhood; Page 2 - Appl. No. 4267 Application of ANNE SHANNON Southold Town Board of Appeals (c) the relief, as requested, will not alter the essential character and is found to be in h~rmony with the intent of zoning, and shah comply with aH other regulations; (d) there is no other method feasible for appellant to pursue other than a variance; (e) the relief requested will not create an undesirable change in the character of the neighborhood or a detriment to nearby properties; (f) the grant of this variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district since there are no sensitive wetland areas in close proximity; .(g) in view of all the above factors, the interests of justice will be served by granting the relief for an additional 532 square feet ms a m~{mum lot coverage of 27.7 percent, mad as requested. Accordingly, on motion by Chairman Goehringer, seconded by Member Dinizio, it was RESOLVED, to GRANT the variance requested, as described above, with the understanding that future proposal to expand any build{ag will require a variance as to the lot coverage requirements, and provided further th,at the existing garage shall be relocated pursuant to a building permit to a conforu~ing location (as agreed by applicant at hearing). Vote of the Board: Ayes: Messrs. Goehringer, Dinizio, Doyen, and Villa. This resolution was duly adopted. (Member Wilton was absent. ) Town Clerk, Towm o~ Southotd 2775 Marratooka Road Matfituck, New York 11952 May27, 1997 Mr. Gary Fish Town of Southold Building Department Southold, New York 11971 Dear Mr. Fish: I guess I was a little perplexed when your associates stopped work on my deck Thursday, as I did not realize that I needed a permit to construct a deck. I thought being I was replacing the prior one, and it was just an open air structure and not an enclosed attached structure to the house, a permit was not required. As for the shed, this is something that can be purchased just about anywhere. I thought a permit was necessary only for something that was going to enhance the enclosed house structure as was the case three years ago when I applied for the permit. I tried calling you Friday but you were out of the office and not expected back until today. The women who answered the phone answered my questions and sent me the necessary papers. Being a newly transplanted City resident and no longer just a summer transient, I am ignorant to the town regulations. I sincerely apologize for my ignorance as it was not nor is it my imention to go against the town rules. Please find enclosed the form and other documentation for approval, If there is any questions or you need to contact me, my work number is 595-5226. Thank you for your courtesy and again I am sorry for the misunderstanding. Sincerely, Anne Shannon enc. FORN NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ] {97 { BOARD OF t~ALTH ............... { SET~ OF PLANS ............... ,./SURVEY ........................ ./CIIECK ......................... SEPTIC FORH ................... . - .................... '~z'"": ....... :~.~ .......... ~ ......... ~ ......................... . . . . ............................ A~LICATION FOR BUiLDiNG PE~IT ~ INSTRUCTIONS a. ~his application mm~t be c¢~npletely filled in by Cype~rlter or in ink and suhnltted to the Building Inspector w 3 sets of p]ana, accurate plot plan to scale. Fee according to schechde. b. Plot plan sl}c~ing 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 mint be drawn on the diagram which is part of this application. c. The ~rk covered by this al~)lication my not be cor~eecad be[ore issuance of Building Permit. d. Upon approval of this application, the Building Inspector wit1 issue a Building Permit to the appl icant. Such permit shall be kept on the promises available for inspection thraughout the ~rk. e. No building shall he occupied or treed in ~le or in part for any purpose ~,tmtever until a Certificate of ~ shall have been granted by the Building Inspector. APPLICATIflq IS llsmmt ~ to ~he Building Beparment for tile issuance of a Building Permit larrauant to tile Building 7~oee Ordinance of the Toga of Southold, Suffolk Caunty, 1~ York, and other applicable La~s, Ordinates or P~gulatioas, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~be applicant agrees to oJnply ~rith all applicable ]a~s, ordinances, building code, hcusing code, and l-~.lations, and to admit authorized inspectors on pr~aises and in b~ldlng f~.~ neces~-y inspections. . .~. . ~ ~ . . /. .</. : . , .~. . .~.¢. . .~.~. ,,..,,, ................... / (Signature of applicant, or natae, if a corporation) ~Z~.~.~...~...~...~..f..~ ................. /'~/jt (MaiIing address of applicant) 7w/2z2~ dx/ Sta~e ~hether applicant is c~er, lessee, agent, architect, engineer, general contractor, electrician, phmbor or builde ...~..~..xz...~.. ............................................................................................................ ~ of ~r o~ ~se~ ..~.~.~:.~.'~...~ ............................................................. (as m the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Na~eandtltle of corporate officer) ~lz Builders License No ...... ./~..~?. .............. Pltlrbers License Ro ...... -~'4'- ............... El~tricims Li~ ~...~t~ ............... O~r W~'s Liee~ ~...~ .............. ,. ~ o~ ~ ~ ~,~ ~ ~ ~, ~ ~...xzze. m~/5~.~e .................... ................................................................................... ~~ ................... l~e ~r ~t~ [~let ~ ~ ~ ~. ~ ~i~ ..... Z4~ .... ~,~ ....... ~ ....... ~ ........ ~... ~lvisim ...................................... Fil~ ~ ~ ................ l~t ............... (~) 2. State ~isti~ m ~ m~q of ~i~s a~ int~ ~ ~ m~ of ~ cmstmctim: a. ~isci~ ~ ~ ~ .... ~ ..................................................................... l~l~,ir ............ l~al ............. 1~1 it.i~ ............ Other ta,~k .~.~..~. ........... (to ~ imid ~m fillng this a~licatine) 5. 1[ ~mllin8. ~a~d~r o[ ~lli~l~ /"nits ..~/ ..... r~d~r of tkmlling traits ~ n~r ...~.~. .... e~l~ ... I[ garage, ~a~l~r of ~ra .... ~ ............................. 6. I~ lami~ss, ~ercial or mi~ ~m~y. slmci~ tmture md extent of ead~ ty~ of u~ ...................... I~i~t ......................... ~,t~r of Stories ......... ~ .......... ~/~ .~ I~pth ............... ~ ..... I~i~t .................... ~tter of Stories ............... ...... ..... ...... .... .... w ..... ~ ......................... ~d~ ~ ~ -:'7';~ II. n~ er u~ di~cric[ i. ~i~¢~ pren~ms a~ ~iL~L~l ............................................................. 12. ~s ~ref~l C~[~:Li~ viola[e a.y ~*dn~ 1~. ordh~e or re~ulaCiau ..... .~ .............. b~e of ArdL~[~[ ............. ~ ................... ~res9 .............................. fl~e ~ .......... 15. la this pm~rLy within ~ f~C of a till x~tlm~? * ~ .......... ~ ..~ ....... PI.OT DIAGRAM frran propezty lines. Gi~ae street and block m,~imr or {lescripti{n according t'o d~l, and ~hc~ street ha,es and indicate OCCUPANCY OR USEIS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY uhetl}er interior or corotar lot. , ~P~PROYED AS NOTED ' COI~ES. ~OT RFSPONSIBL/ FC --Y.~ 3.:r~..::Il .~ ..... ss 8~s!6N OR CO~STR~CTION ERROR (~.~ of i~ividtm/ signing C(~ltract) i, .,~ ............... ~ ~ __._.__ _.~... ........................................................... said ~r or ~mrs, m~l is duly t~thorlz~ to ImrfoHn or h~e [~rFom~ Ihe ~id ~,~1 to n~ke m~l file thb~ ai~Hication; thru. all sCaCo~nts cont:ai,~ i, Ibis aI~licati~m are ~H~ to the l~st ~r~ to I~[ote ,n t.hls k _ .... ~.~...~,~ o~ ZB~ ...... ~[~~ ~ ~ ~ ~ .' : ......... ; .... ..,. ·