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Home My WebLink About20097-zFORM NO. 4 TO~N OF SOUTHOLD BUILDING DEPAR~4ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20256 Date OCTOBER 3, .1991 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1285 BREAKWATER ROAD House No. Street County Tax Map No. 1000 Section 106 Block 8 subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 48 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 1991 pursuant to which Building Permit No. 20097-Z dated AUGUST 21¢ 1991 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 GAZEBO IN FRONTED AREA AS BUILT, ZBA #4007. The certificate is issued to JOHN & JAC~UELYN GARRY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i]~di6g InSpector Rev. 1/81 IvOBM NO. ~ 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 ^UTHORIZED) N~- 20097 Z Date ...~Z~ ......... , 19.,.~.,Z'. ..&'.~/.. ................................ / Permission is hereby granted to: ......................... ...z.~..c. ........ .... ~ .......... - '· at prem,ses I~ated at C~n~ Tox Map No. 1000 Section ....Z~..~ ......... Bilk .... ~ ............Lot No ...... ~ ........... ,-,~ .~ .~ ...... ~ ..... ~ ....................... 19 ........ , and approv~ by the ~uildlng Inspector. ........................ Rev. 6130/80 FoFm No. 6 TOWN OF SOUTIIOLD .... BUILDING DEPARTMENT -[~ "" TOWN }LALL 765-1802 APPLICATION FOR CERTIFICATE OF,t~OCCUPANCY This application must be fille~ in by typewriter OR',2nk 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C,~pliance from archiuect or engineer responsible for the building. 6.Submi~ Planning Board Approval of completed'site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses or buildings and ~ pre-exlstzng 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. Fees 1. Certificate of Occupancy - Net-~ dwelling ~ 5.00, Additions to dwelling $25.00, ~2 Alterations to dwelling $25.00, Swimming pool $25.00, Accessorv building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre~existing Building - $I00.00 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.O0 : ........... .... ~ Construction ........... Old Or Pre-existing Building. ' ocation of Property.· .[.~..~.. ~"~.~.~(~ .k~. ~..'~...t~...~.~.;.....~..~...'1~-..,..'~.. ~ .~. .... .~. f...~.... Itouse No. Street Hamlet '' · unty Tax Map No 1000, Section. ~' · · Block.. Lot... .~..~ .Of'P ' ~.- ......... Lot ........... fait ,,o ............... D rm t ............. Applicant ............ .~lth Dept Approval ' Underwriters Approval :nning Board Approval :uest for: Temporary Certificate ..... Filt~]l Cnrticate ......... : Submit ted: $... YIELD FOUNDATION (1st) COM~£NTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordin~mce Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July 15 , Mr. John F. Garry 1285 Breakwater Road Mattituck, N.Y. 11952 RE: Gazebo Permit Dear Mr. Garry: SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 1991 Regarding your application for a permit for your accessory gazebo please be advised that a copy of the Board of Appeals decision is in your file. To activate your application a check for $25.00 is required for the permit. After the permit is written and received by you please call our office for an inspection. After the inspection it is required that you file for a Certificate of Occupancy. I have enclosed an application, the fee for the C.O. is $25.00. If you have any questions please call our office. Yours truly, Thomas J. FiSher Building Inspector INSPECTORS Victor Lessard P~incipa[ Bt~ilding Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire I.spector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supetv~so'r Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 July 15, 1991 Mr. John F. Garry 1285 Breakwater Road Mattituck, N.Y. 11952 RE: Gazebo Permit Dear Mr. Garry: Regarding your application for a permit for your accessory gazebo please be advised that a copy of the Board of Appeals decision is in your file. To activate your application a check for $25.00 is required for the permit. After the permit is written and received by you please call our office for an inspection. After the inspection it is required that you file for a Certificate of Occupancy. have enclosed an application, the fee for the C.O. is $25.00. If you have any questions please call our office. TJF:hkd Enc. Yours truly, Building Inspector INSPECTORS Victor Lessard Principal B~ilding Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July 15, 1991 Mr. John F. Garry 1285 Breakwater Road Mattituck, N.Y. 11952 RE: Gazebo Permit Dear Mr. Garry: Regarding your application for a permit for your accessory gazebo please be advised that a copy of the Board of Appeals decision is in your file. To activate your application a check for $25.00 is required for the permit. After the permit is written and received by you please call our office for an inspection. After the inspection it is required that you file for a Certificate of Occupancy. I have enclosed an application, the fee for the C.Oo is $25.00. If you have any questions please call our office. Yours truly, Thomas J. Fisher TJF:hkd Building Inspector Enc. APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles GrigonJs, Jr. Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Telephone (516) 765-1809 BOARD OF APPEALS TOWN (iF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-i 800 March 27, 1991 Mr. John F. Garry 1285 Breakwater Road Mattituck; NY 11952 Re: Appl. No. 4013 - Zoning Determination Dear Mr. Garry: Transmitted for your records is a copy of the determination rendered by the Board of Appeals at our Regular Meeting held on Friday, March 22, 1991. Please be sure to return to the Building Department for other steps or permit(s) which are necessary for the placement of this gazebo structure. A copy of this decision has simultaneously been transmitted to the Building Department for their files and update. Yours very truly, Copy of Decision to: Building Department Linda Kowalski INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS~ Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 July 15, 1991 Mr. John P. Garry 1285 Breakwater Road Mattituck, N.Y. 11952 RE: Gazebo Permit Dear Mr. Garry: Regarding your application for a permit for your accessory gazebo please be advised that a copy of the Board of Appeals decision is in your file. To activate your application a check for $25.00 is required for the permit. After the permit is written and received by you please call our office for an inspection. After the inspection it is required that you file for a Certificate of Occupancy. I have enclosed an application, the fee for the C.O. is $25.00. If you have any questions please call our office. TJF:hkd Enc. Yours truly, , Thomas J. F~'sher Building Inspector INSPECTORS (516) 765-180Z VI~'TOR LESSARD Principal CIJRTI$ IrlORTON, Senior VINCENT R. WlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Buildin~ Inspectors THOMAS FISHER GARY FISH OFV'tCE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Sourhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 November 20, 1990 Mr. & Mrs. John Garry 1285 Breakwater Road Mattituck,New York 11971 RE: 1285 Breakwater Road, Mattituck, N.Y. Suff. Co. Tax Map %1000-106-8-48 Dear Mr. & Mrs. Garry: It has been brought to the Building Department's attention that you have constructed a gazebo in your front yard area. A building permit is required for this structure. Please make application for a building permit at once to avoid further action by this department. A building permit application is enclosed. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Building Inspector TJF:gar encl. APPEAl Gerard P ~ Charles Grigonis, Jr. Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Pax (516) 765-1823 Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Appeal No. 4007: Application of JOHN AND JACQUELYN GARRY. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.4 for permission to locate accessory gazebo structure in an area other than the required rear yard. Location of Property: 1285 Breakwater Road, Mattituck, NY; County Tax Map Designation 1000-106-08-48. WHEREAS, a public hearing was held on March 22, 1991, at which time all those who desired to be heard were heard, and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is a triangular-shaped parcel of land located along the westerly side of Luthers (Breakwater) Road, Mattituck, Town of Southold, containing approximately 40,000 sq. ft. in area. 2. The subject premises is improved with a single-family dwelling structure situated 65 feet from the front property line along Breakwater Road. Page 2 - Appt. No. 4007 Matter of JOHN F. GARRY Decision Rendered March 22, 1991 3. It is the requested is not u Accordingly, Doyen, it was RESOLVED, to Application of JO~ as applied and SUB. 1. That the be relocated (excs yard); Iposition of the board that the location ~reasonable. motion by Mr. Grigonis, seconded byMr. ~RANT a Variance in the Matter of the ~ F. GARRY for an accessory gazebo structure, TECT TO THE FOLLOWING CONDITIONS: ~ccessory structure remain as a gazebo and not )t as may be permitted in the required rear 2. That the ~azebo not be converted or increased in size and therefore not be converted at any time for habitable, sleeping or busins'ss purposes; 3. That ther~ be no plumbing and no electrical facilities; 4. That the igazebo not be placed on a permanent foundation. Vote of the iBoard: Ayes: Messrs. Goehringer, Doyen, Grigonis, Dinizio iand Villa, consisting of the entire board. This resolution w~s duly adopted Ik FORM NO. 3 TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date /? .~..~./. ....... ~..~..~.~(..,..~..f,..~. PLEASE TAKE NOTICE that your application dated .../. ~..~.~../. .............. 19 ~oo,~ No. x ' S~/~i .................. ~ ~'7 ~i~ County Tax Map No. I000 Section ...... ~..~.. Block .. ~ Lot Subdivision ................. Filed Map No ................. Lot No .................. .~~:.?.:~ .... ~~..~~ .... ~~. ~~..~:..~ .... ~.~ ....~ ...... ¢ ......... ~~ .......... .~.~..~.~ ....... . ......... RV 1/80 Mr. & Mrs. John F. Garry 1285 Breakwater Road Mattituck, N.Y. 11952 Mr. Thomas J. Fisher Building Inspector Town of Southold Main Road Southold, New York 11971 Dear Mr. Fisher: December 26, 1990 .~LDG. DEPT. , TO .W,N OF SOUTHOLD Thank you for your letter dated November 20, 1990 in which you mention that someone brought to your attention that we have constructed a gazebo on our property. For your information, we did not construct a gazebo. We purchased the gazebo about 3 months' ago from Doroski's Nursery Inc. on the North Road. They delivered it to our home and placed it on the property. It is not permanently affixed and can be moved quite readily. It was our understanding that this movable gazebo did not fall within the definition of structures for which a building permit is required. As regards to the gazebo itself, since we purchased it from a reputable business in Southold we assumed that all building oodes, where applicable, were complied with scrupulously. Although we are unable to complete the "Application for Building Permit" because we are not aware of the builders license permit, we would be pleased to cooperate in every way to resolve this issue. If you wish, we could contact Doroski's and attempt to obtain the information you require. Enclosed is a photograph of the gazebo which you will note is free-standing and movable. If there is another form that relates to the "purchase" of an item like this, we would be happy to complete such a form. However, in the event this situation is more legal oriented than we realize, we would appreciate knowing if we should retain the services of an attorney. We apologize for the delay in responding and again pledge our total cooperation. Under no circumstances do we intend to be in violation of the law. Enclosure Sincerely, FURS! NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIC£ $OUTHOLD, N. ORDER TO REMEDY VIOLATION Date 12/17 ......................................................... TO t.~. & tqRS. JOUN GARRY (owner or authorized a~ent of owner) 1285 RKgAIGqATER ROAD, I~ATTIlq/C/, N.Y. 11952 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - CBAPTER I00 Other Applicable Laws, Ordinances-'or Regulations ................... at premises hereinafter described in that CONSTRUCTION OF ACCESSORY STRUC'L~3P~ - (state character of violation) IN FRONT YAED AEEA NITHOUT A BUILDING PERt4IT. in violation of ARTIdLE XXVIII SECTION 100-28 I (State section or paragraph of applicable Jaw, ordinance or regulation) YOU A~E'I"t-I~1~:C)RE DIRE~.II-_L~ AND ORD~ to comply with the Iow and to remedy the conditions above mentioned IHHEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 1285 Breakwater Rd. ~latt~tuck ................................................................................ County of Suffolk, New York. SUFFOLK COUNTY TAX bl/LP ~ 1000-106-8-43 Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of law may constitute an offense punishable by fine ar'imprisonment or both. TItO14AS J. FISHER (Cert. Hail) " FOI~M NO, 5 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Other Applicable Laws, Ordinances'or Regulations ........ ~ ................................... at premises hereinafter described in that ...~~., ,~/,,-'~.....,~.. ...... ~ . , _ -- (state cha~cter of violation) ~-~//~ ~~" ...... '.""'~':-~'~'? .......... :::",: ...... ~'-'"zz'"": ......... i~;'~"~'7':'"i ................... YOU ARE THEREFORE~ DIRECT, ED AND ORDERED to comply with the law and to remedy the conditions above mentioned ~ ...... ~..,.,~/~......~.~ ..................... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ../...~..,.~.~.."~.~..~.. ~..~.~.,.r. ..................... County of Suffolk, New York. f'a'ilure to remedy the6'~onditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date 12/17 ........................................................ , TO .I~__,..,..~..__I~.S. JOB~] GAERY (owner or authorized a~ent af owner) 1285 BREAKWATER ROAD, ~TTI~K, N.Y. 119S2 (address of owner ar ~utharized agent of owner) P~SE TAK[ NOT1C~ there exists a violoHon Zoning Ordinance CHAPTER I00 Other Applicable Laws, Ordinances'or Regulations ....................... .... .o. .. at premises hereinofter described in that CONSTRUCTION OF ACCESSORY STRUCTUR~ * (state character o{ violation) IN FRONT YARD AREA WITHOUT A BUILDING PE~IT. in violation of ARTICLE XXVIlI SECTION 100-281 (State section or paragraph ot: applicable law, ardinance or regulation) 'YOu .A.RE'T'HE~kkL)RE D1RECTED AND ORD~..to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 1285 Breakwater Rd. Hattituck ................................................................................ County o{ Su{IColk, New York. SUFFOLK COUNTY TAX HAP ~ 1000-106-8-43 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or 'imprisonment or both. (Cert. Mail) TROMAS J. FISDER TOWN OF $OUTHOLD BUILDING D~PARTMEN-r' TOWN CLERK'S OFFICF SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date 12/17 ........................................................ , TO MR. & MRS. JOHN GARRY (owner or authorized o~ent of owner) 1285 BREA~ATER ROAD, HATTITUCK, N.Y. 11952 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance CHAPTER 100 Other Applicable Laws, Ordinances'or Regulations at premises hereinafter described in that CONSTRUCTION OF ACCESSORY STRUCTUP. I~ - (state character of violation) IN FRONT YARD ARMA WITIIO~T A BUILDING PERMIT. in violation of ~.R..T. IdLE XXVIII SECTION 100-281 (State section or paragraph of applicable Jaw, ordinance or regulation) YOU ARE~RE D]REC1 kO AND ORDEP. ED?o comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to Which this ORDER TO REMEDY VIOLATION refers are situated at 1285 Breakwater Rd. Mattltuck ............................................................................... County of Suffolk, New York. SUFFOLK COUNTY TAX MAP ~ Failure to remedy the conditions aforesaid and to comply wilh the applicable provisions of Jaw may constitute an offense punishable by fine or 'imprisonment or both. (Cert. Hail) THOMAS J. FISIiER now or formerly C. harle$ - · , ,, · Areo: o~i~ ,? YOUNG & YOUNG '-FOR; ~ -- ~. MA 7'TI TU C~ SOUTHOi L) SU[FOLK CO., N.y. . FORM t~Oo 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · -~OUTHQI.D.. ~L¥_ ttq7 t TEL.: 765-1802 ............ BOARD OF HEALTH 3 sETs o~ s~v~ CIIECK ~EP~';~;~ ............... CALL MAIL : INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or In ink and submitted to the Building I~.pcctor, with sets of plans, accurate plot plan to scale. Fee according to scheduIe. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stree or areas, and giving a detailed description of l~yout of property must be drawn on the diagram which is part of this app cation. c. The work COvered by tl~s apglication may not be commenced before's -d. Upon approval of this application ho m,., _ . . ~ suance of Building Permit. , t ......-,-g Inspector will :ssued a Building Permit to the applicant Such perra 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 a.ny purpose whatever shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pm'suant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descvibec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and · dmit authorized inspectors on premises and in building for necessaw-i, nspections. ,,, State whether applicant is ownerfl~ee, ageflt, architect, engineer, general contract~ o~t..- , t . ~-, ,-,~utmc~an, pmmber or builder. · , ' tax roll or la ' · ,, app,,cant ~l~[~?[~9%%~g~¢tgr, ;o$ a,aJy authorized officer. . Plumber's License No ....... Electrician's Liters, No. ~ Olher Trade's License No .......... I. Location of land on which proposed work will be done; .. t.7-...¢, ff . llouse Number Street, '; .... · Hmnlet ..... ' ........... Co..,y ra.~ M.p ~o. ,000 S~c,io, ....... /.t~. ~ .... : mo~k .... g' .~ ·' · ........... Lot ..... , Subdivision ................. · ......... .................... Eiled Map No. (Name) .............. Lot... 2. StZte e" ' . ............ xlstmg Itsc and occupancy of premises and intended use and occtmancy of p ed constrnction: ......... ~. ~ ~ .,~ ..... ~.. . .... ntended use and occupancy.'. .... 3. Nature of work (check which apphcable): New Bu lding .......... Add tiaa ...... ;, · Alteration .......... epmr, .:. ............ move[I .............. Dcmohtion ............. Swz,'Tu~in~, 4. Estimated Cost ......... ~ ...................... Fee ..................................... · I~dwe[lin~, number o~dwcllin~ units ............... ~umbcr o~dwc[[ing uni(s 0n each ~oor lfg~m~e number of cars ~ ~. If business, commercial or mixed oq~upancy, specify n3tnrc and extent or Czch type o~ use ................... ?. Dimensions of existing st~cturcs, ffany: Front.., ............ Kear ................ Depth ............. Height ............... Numbc~ of Stories ................................ Depth ..................... ~Hci~t .............. Numbc~ o~ Stoics ....... . Zone or u~e district in which prcmi cs ~rc situated .... ; ....................... ~ ......... D~es proposed construction viel~t~ any zonin~ law, ordinance or regulation: ...................... W~I lot be ~egmded ...... ~ ....... Will excess ~11 5e removed f~om p~: Ye; .... ' N~ of Owner o~ prcm~es ..... ~ ............... Add~e~ ................... Phone No ............... N~e o~ Architcc~ ............ ~ ............... Address ................... Phon~ No ............... N~e o~ Contractor ........... [ ......; .. ....... Address ................... Pho~No .... ~ ~es~ Sou'~ho~d ~owa ~us~ees ~e~m~ may ~e ~oc~te cle~ly ~d dist~ctly ~1 beadles, whether existing or proposed, ~d, indlc~te ~1 se~-b3c~ d~e,.~.o.,, prop~y ~nes. Give street ~d b~oc~ number or description accord~g to deed, ~d show stree~ n~es and ~dicalc [nteHor or come~ ]oL 10. 11. 12. 13. IJNDERWRIT~ CamFIC~E OCCUPANCY OR USE. IS UNLAWFUL Wfi'HOUT cERTiFICATE oF occuPANCY Al)PROVED AS NO~*ED OArE: ?~'/~'///ff/ a,~ ~ ~ ~ ~r ~: ~ .' ~'.v: NOTI~ BuILDInG D~PA~N~ 765.1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNpATION . ~ REQUIRED FOR POURED CONCR~E 2. ROUGH - FRAMING & P~MBING 3. INSULATION 4. FINAL ~N8TRU~,N MUST BE ~M~ FOR ~O, ALL ~NS~U~N TNE~RE~UlR~E~ ~ ~ N.~ CODE~, N~ ~NSI~ DESIGN OR ~~ ~OR8 STATE, O F.NF~W YORK, .j ,., COUNTY oF ..... ...........-q:.'.-' ' . ' (1%~; ~f'infiivid,;il'si;,(i;~; c'o~'t;:~c'tiO' ....... being duly sworn, deposes and says that he is the applied:. above named, i lave is the ,. .... ' . , , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyI authorized to pc.florin or have performed the said work and to ma~e and file th. application; that all statements contaihcd in this application are true to thc best of his knowledge and belief;and that work will be perrom~ed in the manner'set forth in the application filed therewith. Sworn to before me this i .............. ~ ! ....... day or .1....h..~... ............. ~ ?,~. ' .... . . Note-, Pu'" ~, r> o.c ................................ County HELEN lC DEt/BE i NOTARY PUBLIC, St~te of NeW York , * ............ , N0. 4707878, Suff01k C0u{flY~ / (${gnatt3~de of applic:m. Term Expires M&~ch 30, 19~ · I