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Home My WebLink About24265-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25203 Date AUGUST 19, 1997 THIS CERTIFIES that th~ building ACCESSORY 2565 BRIGANTINE DR. & Location of Property 7925 NORTH BAYVIEW RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 4 Lot 65 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 1997 pursuant to which Building Permit NO. 24265-Z dated JI~LY 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 ACCESSORY BUILDING AS APPLIED FOR "AS BUILT" & AS PER ZBA #4443. The certificate is issued to ROBERT & ROSEANNE COLLINS (ownerS) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A PENDING - AUGUST 12, 1997 N/A lrOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORE ^UTHORIZED) N.o 2~t265 Z Permission is hereby grarg~to: /~..~..~..~/.~. ............................... :~.~...~..~:~.....~.:. ..~.~.~.....~.....//~/... ........ ,. : .. .......... ............. .~,~. ~ ..... ~ .......... ~~...x...~.~ ....... ~ ............. __~.~.~,~.. ......... ,z~.~ ............... .~......... ,,,~,.. .~../...~.... ................ Z/..~ ....... ~.~,d.. x~. ~,. . . . . . . . .~ ~,.r .......... ~. . . . . . ,~. . . . . ./. . . . .~.~ ~ . . . . ~. . ~. ~ ......... .~. . . ... ....................... ~ou.,., To× Map No. ,000 ~ct,o. ....... 7...~ ......... ~,o~ ....... ~....~....... Lot No ........ ~ ..... pursuant to application dated .............. ~/~ ........................ , 19.~../?., and approved by the Building Inspector. ..... //,~'g Inspector ........................ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEP.~RT~XfENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPA~YCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. Final survey of.property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect sig~led by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00,~ory Additions to accessory building $25.00. Businesses $HIY. 00. 2. Certificate of Occupancy on Pre-existing Buildins - $i00.00 3. Copy of Certificate of Occupancy - ~ .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........ ... Old Or Pre-existing Building .......... ..... .. House No. Street Hamlet Onwer or Owners of Property ....... ~ .................................. County No 000, Sectio .... ....... ........... ................. Permit No.. ~Z~ ~ .Date Of Permit.. .Applicant. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .............. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .................................. APPEALS BOARD MEMBERS Gerard P. Ooehringer, Chairman Serge Doyen James Dirdzio, )r. Robert A. Villa Lydia A. To,ora /J N 23' 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 Appl. #4443 ACTION OF THE BOARD OF APPEALS DATE OF ACTION: 1/16/97 APPLICANT: Robert Collins LOCATION OF PROPERTY: 7925 North Bayview Road, Southold COUNTY TAX MAP DISTRICT 1000, SECTION 79, BLOCK 4,LOT 65 Findings of Property Facts: Lot 63 at Harbor Lights, purchased 4/1/87, L10293, p.579. BASIS OF APPEAL: Notice of Disapproval issued by Building Inspector 7/25/96 under Article IliA, Section 100-30A.4, accessory structures shall be located in the rear yard. RELIEF REQUESTED: To locate an "as built" accessory building, (12'x12' storage building) five feet from easterly property line, a portion of which is located in the front yard. Sketch of shed submitted by applicant on survey map prepared by R. Van Tuyl P.C.- 7/23/84, revised 12/26/84, revised' 4/18/85 indicates shed is set back 63' from North Bayview Road in the front yard. MOTION MADE BY: S. Doyen ACTION/RESOLUTION ADOPTED: utilities. SECONDED BY: G. Goehringer Granted "as built", with electric CONDITIONS: Granted, with the condition that applicant plant 3' to 5' evergreens approximately 3' apart the entire 12' length of the easterly side of the storage building. Should the accessory storage shed be proposed to be enlarged or reconstructed, it must be relocated· to conform with current code or the code in effect at the time. Reasons: 1. The amount of relief requested is not substantial. 2.. There will not be an undesirable change in the character of the neighborhood if property is properly buffered from surrounding properties. 3. Building exists. 4. The difficulty was self-created. 5. Property contains two front yards with a Limited available rear yard area. MOTE OF THE BOARD: Ayes: Serge J. Doyen, Robert A. Villa, Lydia A. Tortora, Gerard P. Goehringer. AbsIs{ned: J. Dinizio (not present for thl.q portion of hearing)~s ~~. ZBA:pc GERARD P. GOEMRINGER, C'KAIRMAN Approved for ZONING BOARD OF RPP_E'RL-~ TOWN HALL ~4AIN ROAD . S.R. 25 ~OUTHOLD~ N.Y..&~gZ~ FOR INTERNAL TOWN OFFICE USE ONLY 7'°: ****************** Re: Robert Collins Po~/ditions of ZBA I/t6/97. Condition said that evergreens were to be planted Y to 5' high, at 3 ft. apart tile entire I2' length along easterly side of storage building. Harbor Lights, North Bayview Road, Southotd. Mr. Collins and Building Department want to know if 'forsitlfia" bushes 4' high meet this requirement for evergreens? Building Department awaits ZBA response also. )iJ(¢ 1 8 199T "· C, :T, I, ', Answer (by tel): Chairman will go and inspect to see qualit?,and condition. //~.~ To rail Building Dept. Wed. or Thurs., 8/14, and Mr. Collins.TM Telephone reply received 8/18/97 from ZBA Chairman (G.G.)WHO confirmed he visited the site and the bushes are 4 to 4.5 ft. in height and 30" min. width. The Chairmen confirmed they are planted and acceptable provided they be cnotinuously maintained its fullest growth at all times (and not be trimmed excessively). This acceptance does not waive future inspections if needed, and replacement if not ma.~il!~ained, w~th evergreen-type trees as an alternative. ~.,~/~L2~ ZBA:lk 8/18/97 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF 0CCUPA~NCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Nealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic'features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming~p~61- ~]~-0, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildinm - $i00.00 3. Copy of Certificate of Occupancy - ~ .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... .~. 1~O..I.~ ........................... New Construction ...... 01d Or Pre-existing Building .......... Location of Property ........................................ . . ~ House No. Street Hamlet or Owners of Property ....... .~.......~..~...W~.. .................................... Cou=ty T~ Map ~o 1000, Section ..... .V..~ ...... ~loc~ .... ~ ...... .... Lot .... ~ ............... Subdivision.. ~C~.~ .~.~ .~ .~..~.~ Filed Lot .... ....... Map Permit No .... ~..~..~. ....... Date Of Perm.it ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .................... Request for: Temporary Certificate ........... Final Certicate. ~ Fee Submitted: $ .............................. ~: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (5~6) 765-1823 Telephone (516) 765-I 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD ROBERT COLLINS 7925 N. BAYVIEW RD SOUTHOLD, NY TO Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ×y An application for Certificate of Occupancy is not on file. (Enclosed) xx / 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 ~ ~&?65z *NnT~* Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. BEFORE C.O. CAN BE ISSUED, MUST CONFORM TO EVERGREEN PLANTINGS AS PER Z.B.A. APPEAL. CALL FOR REINSPECT. TO~VN OF $OUTIIOLD BUILDING DEPARTMENT 'IO~VN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAI'I:'ROVAL ~ / Az/ / ~ To .1.~..~ .... ~,~q~ .... ~ . II .... ~~.~; .... . PLEASE TAKE NO~ICE ti,at your ~ppllcat o, tated 4Z ._ · · .~~~-.T.~i.,. ~ ~~.. ~t co,,,ty ~ ~p ~o. t00o s,~tio,, ...... Ar .... mo~k ..... ~. ......rot .~.~ ........ Subdivision ................. FHed Map No. : ............... Lot No .................. .... ~ ...... ,~.. ~~.~~~ ~~... .......... ~.~...~...~~~~~.~~ ......... ~::..~.~ ' ..... ~ . ~~. . ~.~~. ~ RV 1/80 ' DEC 2'7 Lumber TOWN OF $OUTHO.- ,, POS #50241 ..... - ........ *Revised Edition 12' Deluxe Barns MINIBARN ASSEMBLY AND INSTALLATION INSTRUCTIONS 1. Cut and square pressure treated 4x4 skids to 11'9". 10. Cut and install roof sheathing, using 8d nails. See See illustration A-A. 2. Cut and square pressure treated 2x4 ribbon boards to 12'-0" or 16'-0". See illustration A-A. 3. Nail ribbon boards & skids together. See illustration A-A. 4. Cut and nail in place 5/8" floor sheathing, using 8d nails, as shown on illustration B. 5. Cut and square single top and bottom plates to 12'-0" or 16'-0" and nail to wall trusses, using 16d sinkers. See illustration A and illustration F, Section 'B'. 6. Stand wall trusses on end and attach flush with out- side edge of 5£8" flooring, using 16d sinkers. See illustration A. 7. Attach roof trusses to single top plates, using 16d sinkers. See illustration A and illustration F, Section 'B'. 8. Cut side wall sheathing and nail in place, using 8d siding nails. See illustration C for cutting details. 9. Cut, square and notch front and rear wall framing. See illustrations D and E for details. illustration G for cutting details. 11. Cut and nail 7/16" soffit in place, using 8d nails. See illustrations A and F for location. 12. Cut front and rear wall sheathing and nail in place, using 8d siding nails. See illustrations H, I and J for cutting instructions. 13. Assemblethedoorpane~s. Screwthroughtheback side of the door panel into the lx4 door trim, using the screws provided. See illustration K for instructions. 14. Apply lx4 trim to corners and rake, using 8d siding nails. 15. Apply lx4 trim around door opening, using 8d siding nails. 16. Install roofing as per manufacturers instructions, using I 1/4" roof nails. 17. Install door panels using the hinges, hasp, barrel bolts & screws provided. 18. Paint and/or stain barn as desired. QUANTITY 71 4X4-1 2 2X4-1 5 7 PR. 7 12' 4 2X4-12' 9 2X4-81 12 4'X8' ' 9 7/16"X4'X8' 3 SQ. 2 1x4-sr 2 lX4-10' 4 lX4-12' 6; lX4-10' I lX4-8 2 NAILS lX4-°r 3 7 LBS. 6 LBS. I LB. HARDWARE PACKAG~ 3 PR. / 2 PCS. I 3 1/4'~ OPTIONAL & EXTRA MATERIAL LIST 12X12 DELUXE SHED SIZE I~' 3. 10' ] I ROLL 3 GALS. I GAL. ! I PC. I 6 2X4-8! I 10' O~. POS# 837-11-99 DESCRIPTION TREATED SKIDS TREATED RIBBON BOARDS FLOOR SHEATHING WALL TRUSSES SPACED 24" ON CENTER TRUSSES; 4/12 PITCH, 24" ON CENTER - NO OVERHANG SINGLE BOTTOM AND TOP PLATE DOOR AND END FRAME ASSEMBLY GROOVED SIDING ROOF & SOFFIT SHEATHING SHINGLES FOR ROOF ,,. OUTSIDE CORNER TRIM (SLOES) OUTSIDE CORNER TRIM.(FRONT/REAR) RAKE TRIM DOOR TRIM (UPRIGHTS/HORIZONTAL MEMBERS) DOOR TRIM DOOR TRIM (X-BUCKS) 16D SINKERS - FRAMING 8D SINKERS - FLOOR & ROOF SHEATHING 8D GALVANIZED SIDING, TRIM AND SOFFIT NAILS ROOFING NAILS DRYWALL SCREWS 5" T-HINGES BARREL BOLTS HASP DRIP EDGE FELT PAPER PAINT OR STAIN - SIDING PAINT OR STAIN - TRIM PAINT BRUSH INTERIOR DOOR SURROUND TUBE CAULKING/SIDING SEAM QUANTITY 9 4X4-1~2' 2 2X4-116' 6 5/8"X,4'X8' 9 PR. 4 2X4-116' 9 2X4-E 13 4'X8' 4 SQ. 2 lX4-1 0' 6 1X4-1 0' 2 lX4-~ NAILS 4 LBS. 4 LBS. 9 LBS. 8 LBS. I LB. HARDWARE PACKAGI 3 PR. 2 PCS. OPTIONAL & EXTRA 1, ROLL 4 GALE I GAL. 6 2X4-~ MATERIAL LIST 12X16 DELUXE SHED POS# 837-12-99 ,SIZE j DESCRIPTION TREATED SKIDS ~ TREATED RIBBON BOARDS FLOOR SHEATHING WALL TRUSSES TRUSSES; 4/12 PITCH, 24" ON CENTER - NO OVERHANG SINGLE BOTTOM AND TOP PLATES - SIDES DOOR AND END FRAME ASSEMBLY GROOVED SIDING ROOF & SOFFIT SHEATHING SHINGLES FOR ROOF OUTSIDE CORNER TRIM (SIDES) OUTSIDE CORNER TRIM (FRONT/REAR) RAKE TRIM DOOR TRIM (UPRIGHTS/HORIZONTAL MEMBERS) DOOR TRIM DOOR TRIM (X-BUCKS) 16D SINKERS - FRAMING 8D SINKERS - ROOF & FLOOR SHEATHING 8D GALV,~NIZED SIDING, TRIM AND SOFFIT NAILS ROOFING NAILS DRYWALL SCREWS 5" T-HINGES BARREL BOLTS HASP DRIP EDGE FELT PAPER PAINT OR STAIN - SIDING PAINT OR STAIN - TRIM PAINT BRUSH INTERIOR DOOR SURROUND TUBE CAULKING/SIDING SEAM 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING ~/~NAL [ ] FIREPLACE &,,~HIMNEY DATE ~'~/~/~'?,INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 ~ ' 85 JOHN STREET, NEW YORK, NY 10038 ~ ~ Oa~e ~UGUST 18,1997 ~ppllcatlon No. onfiie 14~81597/97 ~ ~ THIS GE~IFIES THAT o~y t~ e~tric~ ~uipment ~ ~sed~ be~w a~ int~uc~ by t~ apricot ~m~ on the a~ application numar in the prem~es of ROB~R~ COLLINS~ 25~5 BRIG~T~ DR~, SOU~HOLD, ~.Y, in the followlng Iocation~ ~ B~,ement ~ Ist FI. ~ 2nd ~7. OUT/~T(fP~GE ~HE~ · Section Bilk ~t ~s examined on ~UG[I~T ~2 ~ $99'7 and found to be in complete w~h thc NaEonal Electdc~ C~e. HXTURE LEEP CLS I HE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS G.F.C.I:-I 70 RIM STREET COPIAQUE, NY, 11726 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if i~correct, inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTHENTo THIS ,COPY OF 'CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' ' ~': ' ~ BUFF. CO. HEALTH DEPT. APPROVAL H. $. '-, ~ .... ~0~~" ~. ~ //~'7/. ,The ~ew~ di~l ~d water s~ply ~/. 'Z~.~-~ faotlttt~ for this looattou ~ve ~en tnspec%~ by thZ9 de~rtme~t ~d fo~d D~EDI ~/~ . Chief of G~era.~ ~glnee~tnB . . .~ q' ~," '... ,~$¢~ ¢ .... .~ 4. , - .,¥ ......... ~ ' ~C~t~ ~ t ............ STAMP, -- :~ " ,.. rt~l~ 4 '.' (~t~ co.m~h ~, ~/47) . ao' a~rv~y~d....du/y ~, x ~ ~D[~I~K VAN ~Y~ P. C. ~ ~UFF. CO. DE~. OF H~LTH 8ERVICB STATEM[NT OF \,, FORM NO. 1 TOW 5!,.O F SOUTHOLD BUILDINg'DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TELJ 765-18011 Exa,nined .... XW~.,~...:,., I9 ~..~ APPLICATION FOR BUILDING PERMIT ' 3 SETS 0P PLAiqS ........ I,SURVE¥. ,., ...... , .**, .... oil[CE ? .............. SEPTIC FoI[H .- CALL ...... * ........ [tAIL *TO; Date ..... I~-Z.q, q. 4.~ ............ , 19 INSTP, UCTIONS a. This application must be completely filled In by typewriter or lu iuk 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 o£ buildings on pren]ises, relationship to adJoh~lng premises or public streets or areas, and givb)g 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 thl~ application may not be commenced before Issuance of ,Building Pem~it. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicaut. Such permit shall be kept on the premises available for iuspection throughout tile work. . e.. No building ~halt be occupied or used in whole or In part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Buildiug Inspector. ~ APPLICATION IS IIEREBY MADE to the Butldiug Deparhoent for the issuance of a Buildiug Permit pursuaut to the Building Zone Ordluance of tire Town of Southold, Suffolk County, Hew York, and other applicable Laws, Ordiuances or Regulations, for the construction of buildiogs, additions or alteratious, or for removal or demolitiou, as herein described. The appllcaut agrees to comply with all applicable laws, ordinances, buildJug code, housing code, and regulations, and to admit authorized luspectors o,, pre,uises and iu building for necessary * . (Signature of applicant, or name, if a corporation) .... ? cs .... :yr... (Mailing address of applicaut) State whether applicant is owuer, lessee, age,t, architect, engtueer, gene,'al coutractor, electrician, plumber or builder. .............. ........................................................................... a,ne of owner or pr ,,.ses ....... .............................................. (as ou the tax roll or latest deed) If applicant is a corporatiou, signature of duly authorized officer. (Name aud title of corporate officer) Builder's Liceuse No .......................... Plumber's License No ......................... Electnc~a ~ s License No ....................... Oilier Trade's License No ...................... Locatlou of land ou which proposed work will be doue ...................................... House Number Street Hamlet Cou,ty Tax Map No. 1000 Sectiou . .~'~,9 ............ Block ,,~ ...... . J,,',,',. not~,.~ ............. ~6~ ~ql~F~ Flied Map No ' Lot Subdivision (Name) : Slate exJsiJug use a~d occupancy of premises and iutended use aud occupancy of proposed coostrudtiou: a. Existing use and occnpancy ......... ~ .................... ~ ....................... , ......... b. h, tended use and occupancy ..... S ~1~ 3~.,~?~?~ ' property lines. Give street and block nnmber inlcrior or corner lot. 3. Natnr0 of work (check which app!lcabla): NeW Building ..... 7~ ' , Addition .......... Alteration .......... Repair ............. ReinovM ............ Delnolltlon ........ Other Work, .-~/,d ,&.~., ...... .... (Doscrlpfion) 4. Estl ;atedC st lod~, o~ ' . (tO be paid on filing ti,la application) 5. If dwelling, number of dwelling n~lts ........... Nulnber o f dwelling units on each floor ............. · Ifgarage, number of cars ,, .... i ...................... ", ...... , .... , ......... , ........ ,,. 6, If business, commercial or mixed (~ccupancy, specify natnre and extent of each type of uso ................ 7. Dhnenslons of existing stn, ctures,~ any: Front ......... I ..... Rear .............. Depth ......... tlelght ...... 10 ....... Numb6r of Stories .................................................... Dimensions of same structure with alterations or additions: Fq'ont Rear Depth ..................... i llelgbt ..................... Nulnber of Stories .............. lens' of ;dfi 7._. R ..... 8..Dimens entire newconstrt on: Front .. .... . . I. ... ear ............... Depth 1..7._ ..... lleigbt ... ?....t.Q, ..... Nnmb6r of Stol' es .................... ' ' ' ' I I, &one or use district in which premlses are situated ........ ' ....... 1 2. o, ,,-,vt, a~u ,;u.atrtlcuon ¥1ola[~ ally zomng law, ordinance o ' regnlation: .~/O ......................... 13. Will lot be regraded ......... ~..i ......~.Q ......... WiI excess fill be remove( from premises: Yea I'I, NameofOwnerofprenses . ~.o~,.t~.r Cal,~ ' nn,~.o~ ' ' i .................... ~ ................ Phone No .............. Name of Arcl,lteet .......... , ,! ........... ' ....Address t.. ............ ,,. Phone No..,, ~ ........... Name of Contractor,..,,.,. i · · ·., .... Ac ~ ross ., ..... , IPltana ts this property within o o ~:eec o~: a ti. aaa, wetland? *Yes .., .... at~ yeg~ Sou,hold t'o~n Trustees Permit may be t~equired. ' ~'''' ' .., PLOT DIAG RAM Locate clearly and distinctly all bl'~lldinga, whether existing or proposed, and, Indicate all set-back dimensions from or descrlptlop according to deed, and allow street names and Indicate whether ;TATE OF NEW YOR~, .......... ~":~ ':L': ~ ~'~ .... being duly sworn, d~poses and says that he is the al, pit'ant (Name of Indlvldnal sign ng ~ontr~t~ saki owner or owners, aha la duty at?sorized to perform or I~avo pedormed tho saki work an~ to mak'o and file this pplicafion; that all statemont~c~ntalne0 In this application are trna to the best of his knowled e and belle , o' ' / . . g f, and that the ik will be performed In tho manher ae~ forth In tho apphcatlon fle{ t lerewith,