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HomeMy WebLinkAbout20780-z I * FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20888 Date JULY 24, 1992 THIS CERTIFIES that the building ADDITION Location of Property 21120 SOUNDVIEW AVENUE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 3 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1, 1992 pursuant to which Building Permit No. 20780-Z dated JULY J1, 1992 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ANNA ANDRIOTI5 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-228898 - MARCH 19, 1992 PLUMBERS CERTIFICATION DATED JULY 23, 1992 - NICK ANDRIOTIS 4 B ilding Inspector Rev. 1/81 "amNO.s 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) WN° 20760Z Date ......1 X9.9.. - Permission is hereby granted to: 1-{ a....~.....t.%. 7I to ...c p.-!..Yt...q .,.....1~1 of premises located at aP..eeZ.Q..~7d !!^^P,I1.41.tXt~) ......95..`"w1~4...~?K.4!~!...... . County Tax Map No. 1000 Section .S..)...... Block (a.`FA...... Lot No. J.4 pursuant to application dated 1. 191).,, and approved by the Building Inspector. { •.•++R : J~•• Fee $ Bwlding' Inspector Rev. 6/30180 "Sm xa a 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) .,r 19 N2 18151 Z Date ?./3 Permission is hereby granted to, .../.......!N..... ..s.~~,~>~~•.-••~1.~ ...........1./..9...x/ I I T ...OrGC' .44 to .u 4J/ A4 ~n~r)........ i,...! j eQ # Z.4 . at premises located at ...P//~®~I~~ ~Lf~...~.....:1......./C y County Tax Map No. 1000 Section Block .....Q.. Lot No......./yet'/ pursuant to application dated .../.9../.-.7A,6 19........, and approved by the Building Inspector. Fee . ..tor..... Bulldi i for Rev. 6/30/80 FOBM 'NO. a 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° 15429 Z Date ...Q..Qa!`r.. .....a.2 19. Sp Permission is hereby granted to: 4r!~!!l10.LR.,.t.`~..... R c c.Q .....!~z..:y.,......1.1..4...~.......... to ..Cdr: %wrm ...P.~ q-^ ..B?~t. J ~.4ltnx.~..ir?... . of premises located at .o R*•......`~" . County Tax Map No. 1000 Section ........(.Z S .1...... Block Q.a...... Lot No.. pursuant to application dated a+Am-nn "e<...'z~~........ 191.4., and approved by the Building Inspector. v Fee $..5.•/•.`•... A:. . Building Inspector Rev. 6/30/80 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR" Town Hall, 53095 Main Road i ' P.O. Box 1 179 (516) 765-1802? Southold, New York 11971 FAX (516) 765-1823>~ - , OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD DATE: APRIL 4, 1989 NAME: NICK & ANNA ANDRIOTIS 21120 SOUNDVIEW AVE. ADDRESS: SOUTHOLD RE: BUILDING PERMIT 0 15429Z ADDITION SEC. 51 BLOCK 03 LOT 14 This Building Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. Yours truly, Victor G. Lessard Principal Inspector - 23 tG 30d S: v#A FL050('iA(`K Y, 3 5" ~ UEFc~) C,tc. t=otk_ ~G• t S o5~FF0(~~0 VICTOR LESSARD < Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR P.O. Box 1 179 (516) 765-1802 Southold, New York 11971 FAX (516) 765-1823 yoo ~aQt' 1 Alt • OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 2 May 16, 1989 N•o 6 Nick 6 Anna Andriotis 32-23 163rd St. G' Flushing, N.Y. 11358 Dear Mr. s Mrs. Andriotis: I am writing to tell you that the amount due for your new Building Permit is $356.15. Please send us your check and we will write a new permit and send you the receipt. It is not necessary to fill out a new application. Thank you. Yours truly,,/ 7/ e&, 0-- Ul Secretary B.P. N15429Z INSPECTORS Victor Lessard Principal Building Inspector p0 Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspects y x Southold Town Hall Thomas Fisher r++ P.O. Box 1179, 53095 Main Road Building Inspector i9 r~ Southold, New York 11971 Gary Fish Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD June 23, 1992 Mr. Nick Androitis 21120 Soundview Avenue Southold, N.Y. 11971 Re: Building Permit #18151-Z (Owner: N. Androitis) Premises: 21120 Soundview Avenue, Southold, N.Y. Suff. Co. Tax Map #1000- 51-3 14 Dear Mr. Androitis: During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish. Building Inspector GJF:gar VICTOR LESSARD Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR 6 P.O. Box 1179 (516) 765-1802 Southold, New York 11971 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 16, 1989 Nick & Anna Andriotis 32-23 163rd St. Flushing, N.Y. 11358 Dear Mr. s Mrs. Andriotis: I am writing to tell you that the amount due for your new Building Permit is $356.15. Please send us your check and we will write a new permit and send you the receipt. It is not necessary to fill out a new application. Thank you. Yours truly, ~gCQ,Qe~eJ Oe- l~De Secretary B.P. #15429Z ~~l lull m a le 'OUNDATION _ (1st) v / a ~s r c 1 'OUNDATIOIJ (2nd) /Z c ' 7 ai IOUGH FRAME14L C:v PLUMBING INSULATION PER N. Y. j STATE ENERGY CODE r6 x A + ~c .t FINAL .2t 0 z ADDIT OVAL COMMENTS: x V H 2 7w '49 14 o In (10 ro~ y a9 ow 0 Aga- 6~~)z e/ YZ W.y r 5 01 ro H P S~° P P® V"P°' ee~°®r 1:1r ~~i~ zj r r A® CO. P.O. Box 1184, Mattituck, N.Y. 11952 516-298-96W 516••298-9728 Bill Walters l~.Piofi/S / -All G' is ylealf~lf and JA %wAackw ' r r THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date MARCH 19,1992 Application No. on fit, 76515692/92 N 228898 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of NICK ANDRIOTIS, SOUNDVIEW AVE.-CLARK RD., S(W CORNER HOUSE, SOUTHOLD, N.Y. in the following location; ? Basement ? Ist Fl. ® 2nd F1. Section Block Lot was examined on MARCH 13 , 19 9 2 andfound to be in compliance with the regairernentx of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMC K W. AMT K W AMi KW AMT. K W AMT M P. 15, 10 14 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W. OIL H. P. GAS H. P. AMi NO A. W. G AMT. AMP AMT AMPS TRANS. AMT H P. NO . Of FEET AMT. WATTS 2 600 SERVICE DISCONNECT NO, OF S E R V 1 C E - AMT. AMP TIPE EQMETER UIP. I,Qr YW 1.9 3W 3 9 3W 3.0 AW NO OF CC. COND. A. W G NO OF HI LEG A W. G NO OF NEUTRALS A. W G PER a OF CC. COND OF HI LEG OF NEUTRAL OTHER APPARATUS: MOTORS:1-0.50 H.P. G.P.C. I:-1 SMOKE DETECTOR:-1 G & S CONTRACTOR LIC,#578-E BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Hoard if incorrect. Inspectors may be identified by their credentials. c~UF F ti1~'~, TEL. 765-1802 o~~! l~ ~ TOWN Or SOUTHOLD - 1; • ` OFFICE OF BUILDING INSPECTOR Ln P.O. BOX 728 _ e?s i TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date L Building Permit No. Owner AA//yq ~!)Pj' (please print) _ Plu:,ber /C/C_ AC)2(o-7' (please pr).nt) 2 certify that the solder used in the water supply system contains less than 2/10 of to lead. i (p1u er''s signature sworn to befor me this a:/ day of 19 v T otary PLblic Notary Public, gZilffeLK County BfARY ELLEW JQ1NT4Uf, WMAY PUBt:c, S#a:a cR W.- yurx No. 52.462300, ;Satoik Ceo I~rrA ~jph4t Match 30, 1eu 1$I-5~ `2s Form No. 6 fi 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 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 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 17, 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. B. 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .........£.73(~ /if ~ New Construction.......+.~... Old Or Pre-existing Building AN9 fj Q[v Location of Property ...~?t,~~: ....??4J[/4140 &4./.../We House No.' Street Hamlet 1 R Onwer or Owners of Property... County Tax Map No 1000, Section...Sl .:.....Block......®3.......Lot... ~ Subdivision .J.Ficlled Map............ Lot...................... Permit 7fO-iL ® , , ,Date Of Permit.. , , ,Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Cer~~tLLificate........... Final Certicate..... Pee Submitted: $,.~r_.!G a LICANT f THE NEW YORK BOARD OF FIRE UNDERWRITERS 19@tk3"/2 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date NANCY :19,1992 Application No. on file 7651!)592192 N 2`LE3'J'1S THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant no ned on the above application number in the premises of _ NICK hal)RIOTIS, '"IyArwidW Am "etARK RD., 5151 L'aR.215R HOUSE, )OUTfIOLD, N.1'. in lhefollowina location; ? Basement ? 1st Fl. 2nd FL Section Black Lot was examined on I1A.[~~11 1 +~)R2 andfound to be in compliance with the requirements a this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMi K W AMT. KW. AMT K.W AMT N P 1h 4 10 19 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT K. W OIL H P. GAS HP AMT. NO. A W. G AMT AMP. AMT AMPS TRANS. AMT H. P NO. OF FEET AMT WATTS _ SERVICE DISCONNECT NO.OF S E R V 1 C E PMT. AMP TYPE METER 4W )T 3W 31 3W 3)a' 4W NO OF CC COND. A W G, NO a hi LEO A W G NO. OF NFUTRALS A. W G EQUIP. PER % OF CC. COND OF HIAEG OF NEUTRAL OTHER APPARATUS: naraRStl.-~.ar~ x.l~. uMORG 4NTl~CY'aRt-A ' t; 5 CONTRACTOR LfC,WS-N BOX 215 2011TNOLl), NYL, 11971. GENERAL MANAGER Perl1 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE•ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST (e'] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 4 DATE S Y~ INSPECTOR 4A,'-q a IDYL q M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARK : ~ G DATE ~P tl INSPECTOR ILI M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [l/f/ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL REMARKS: DATE ~If INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ I INSULATION FRAMING [ ) FINAL REMARKS: DATE INSPECTOR " 765-1002 BUILDING DEPT, l7e`~INSPECTION NDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE G INSPECTOR 1 G'~ ~m 765-1802 BUILDINGS DEPT. INSPECTION [ 7 FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ZFRAMING [ ] FINAL REMARKS: 49, k ~z ~t,04x~ e DATE ~I F INSPECTOR r?,-+ 1 :rgS-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 7 FUMING [ ] FINAL REMARKS: I 4 - f i DATE INSPECTOR i165-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: O ~?07" Iz y a DATE INSPECTOR I i l s~z ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [f/1 ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING t ] FINAL REMARKS: a A/b f f i f- DATE 1~- 7 INSPECTOR E I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: _ DATE INSPECTOR r cd ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: ho /Vo M DATE I INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ] 1N'SULATION [ ] FRAMING [ ] FINAL REMARKS:/4 i.F 4~ £ k`i Y ` 5:{' Af- 4461 n.~... sC '9.$ j < t~ ~/l ,4k d 1 ilZ ' s ` Ap T F y @ f . ° M DATE INSPECTOR a ~ F m ~K ou~° • . to v RI G v y~:S •:1.~rii r J~ yi ` 1 r . pe4410 prao~r~ fo ~bpa , .pglgOiZ., . - ....M,.OSISi6.1Z'N.... ' 1 Ih+II~~ :sob [91 I it• •1 ~ 1 IVI . 1 • • ~••~u w~~ ~ ,f ION A C r Fv7uRc :Z Foi?c M M• ~ y ti ~ t - ~•.o, ~s,oz s D - 0•091 Its, ro K•c r 'm ~ ~ •n 'tr ~ ~ t . , q FORM NO. 1 1V TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL °OUTHOLD, N.Y. 11971 Q,~~c(L `C~~,Q~ TEL.: 765-1802 ExamiO~ned45-~•~~ ~~V~ ~ d .QS,M!-'!^.~'? 193~? a,001 ga Z, Received F , 19.. . ~ ' CA'~QF~,/ lE~ra 0, . . . Approved .0. . 044. ?rl. • 19 h Permit No . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 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 Permit. 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si ture q pplic nt, r na e,if a polation) ....(EJ (mailing address of •p~ plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. W!q FA . Name of owner of premises . !V i CK... A t~I~ R...... tJ.~~-^ . ? (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. 10 W!~ • • • • • • Electrician's License No. ..V ~ A) 2A • • • • • • • • Other Trade's License No. 1. Location of land on which proposed work will be done. ~,1.(...~? .....~E.~•oy,"..... 4 Sc,Y 0~4.... L House Number Street Hamlet . County Tax Map No. 1000 Section f Block r3 Lot l 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 r AMI t y l(j b. Intended use and occupancy r + M I . y ~C 1 u~~ 3. Nature of work (check which applicable): New Building Additio Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 4p Fee . `to be aid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling uni sion each floor If garage, 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 ofStories t.................... Dimensions of same structure with alterations or additions: Front .............'I.... Rear Depth Height Number, of Stories Z................ . 8. Dimensions of entire new construction: Front Rear Depth Height ...............Number of Stories...... Z 9. Size of lot: Front Rear th Q 10. Date of Purchase Na e of~Former Owner . K.0 A g,B_1:k !4............. 11. Zone or use district in which remises are situated , p AA" 'P9"3.*1 PP° 12. Does proposed construction violate any zoning law, ordinance or regulation: .....L ../~.P......... . 13. Will lot be regraded N. 0 . . . . . . . . . Will excess fill be removed' rom premises: Ye No fl . I 1 20 Sc~ouoiul 14. Name of Owner of premises .AN..RlQ.Y . SS........ Address ~ . ~lPhone No. 5l¢; s ; 3,1 l;y Name of Architect . R2AOJ l YyM A S41, Address Phone No Name of Contractor . Ha:0W.tAMt2........... . Phone No 15. Is this property located within 1.00 feet of ar tidal wetland. * Yes No .?C.. * 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 from property lines. Give street and block number or description according to deed, and show: street names and indicate whether interior or corner lot. li I i i STATE OF NEW YOS.S COUNTY OF ..av.. C9IAAK..... . (.~.~C K m.U.R 1 c7,A. a' being duly sworn, deposes and says that he is the applicant r1. (Name of individual signing contract) above named. . He is the ..........pWH?~4 re-/' ' ' R (Contractor, agent, corporate officer, etc J, of said owner or owners, and is duly authorized to perform or have performed the sid 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 r. 0"" . . da of . . ..~,5.1,. c0 19 Gkcount Notary Public, Su y !I ~ ~ I JANET . KEHL > Notary PO"o, S to of New York (Signature of applicant) No. 4846920 6uallfied in Suffolk County Commission Expires March 80, ige7 T1rN 50. _ _ 'la'7 L! - 1 0 0 ex ~Sn nr C- Pcc E ; _X r 5' hl 13 U ' - C--- Gf;~r ~xNSyAt,_ 'CE~~n2 Tf Ilk ~Irl EXC AVhTL I ~OPv~G:uA~ Na~rzi~ y ~I F.OR Mehl - ~ ~"?s - ~ '{fit r,$ t Cf~N.4~~ ,f.'F]? -c-ne. hpl F,. r V Av Il: ! f. 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Imm obi - Ti~ Phone 477-0400 ° ISO 1 Mein Road' GREEN'PORT, N.Y. 1.1944 A-' A ' WG. FCV'N4aq,~roFb13, l;4'tt'$b5t~ AD'rJ'I'"~;~aw} PLAN NO- y r 4E:. ~~y = 1~6 1 a ! ea n F t ly ~t it !t - - IT, T 177- -T - . i fj 77 I r. Ti, REAR El EVATI0N ` r,.,. . } fi J _ i~~llffi 1 TIT - LM - E Lip Y ~ \ n _ t -"r~. ~ XLS I a'fiOU.J~ VCdiL3YlUlSr•crJP HO NEJI f - h L UOd dl£4l$04049 f!_1'UN SROP " . A9U3N3" 9 NO L3nwAN0Z`-1i*19 : A'N 3NJ 40 S-U4jwjwjnD3b 3Hl - . 19dbtl T'd~,5'NOIl"~nd.LSNPJ T'd'". - . -,0 J !!pd 9i3 1dn0'? 38 ' - isnuN ~'n1~nalsNd~ WNld s pt1{ ~ ~ ~ ' ~?I~Q~TION ELEVHTIO~1_ NollvinsNl at'~ oNlaw7a~,yv oNlwvaa' eDnod t IS Ui,~ - F.tUMe6R CE, ~ L;E Y~i f I a S,- Zr v Q D CONTENT BEfORE LEA qJ1u3NO~03UnPd s Paaln,Qq + oNU NoiiV.dNno~ w ATE: C! RFIFICATE Of OCCUPANCY . - SOME N h' ~nxpvFd Rr P~ Y ;+a :SNPI1.Q3dS1~Y ~NIMO'nM.'.-'1',1~~.V ~r V~1?f - MO,OOpM lYblll/I~3~W 3111: MW OW' V 01 wv 6~;ZOB I'2ec ~Q4OER tASEO'/N WATER kr vwt~r dt.vle„ eu 1VIi'1,N3w1UVd30 ~JNI011 Adu4N ~~++n111'PANCY,.; - *van pfplns shall l1w dievbuttInny~. 1 ' w F " eFVis6o t. a,4, h , C" : a L Nv]nr sholl'im SUPPLY SYfTEM CANNOT . of typN K or L oil /J.KK t.'AtpNA ANpR'FO~'~5 j we w04 1 2i~ 2Q, 50'uµvvtEw, 'AVE 6 a:p wo I ~,R35~O u C, 2~aa:af.',1%LEAD. ~'i~( '!stl" ~47AO8ddtl O31OjN S f7r~YM E R ?~E's ~ 9 ~~n~ C g. 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