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HomeMy WebLinkAbout19407-zNo Z-19780 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY DATE: March 11, 1991 THIS CERTIFIES that the building. ACCESSORY Location of Property 7825 NASSAU POINT ROAD House No. Street County Tax Map No. 1000 Section 118 Block 4 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 20, 1990 pursuant to which Building Permit No. 19407-Z dated SEPTEMBER 21, 1990 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 GARAGE AS APPLIED FOR AND AS PER ZBA #3923 The certificate is issued to ROBERT GREDICK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 TOWN OF $OUTHOLO 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~ t940T Z Date ~ ~;~ Permission is hereby granted.~// /~ /7 / / ~.~.....~.. ~~ .... . , ,/ ~ , , ~ .... ..~.~~...~ ~.~.~~...~...~~..~.....~~) ........................ : .................. ~~ .............. ~...: .................................................. ........... Coun~ Tax ~p No 1000 Secton ' Z.~ B~k ' ..... ~ ................ ~ ....... ~, ~, ..... ~ .............. Rev. 6/30/80 FOUNDATION ( 1 st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Form No. 6 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 1% lead. 5. Commercial building, industrial building, m~itiple 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. 1. Certificate of Occupancy - New dwelling $25.00, Additiohs 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 C~ficate of Occupancy - Residential $1~.0~, Commercial $15.00 ,,ew Constructmon ........... ~ld Or Pre-g~i~i~ ~uilding ...... House No. p ~ Street Hamlet County Tax Map No 1000, Section .............. Block ..... ~ ......... Lot...~..~. .............. Health Dept. Approval ............... ~ ....... Underwriters Approval...~. ............. Planning Board A royal ./.' .................. lequest for: Temporary Certificate ........... Final C,~rticate. Fee Submitted: $ .... ~...~. ................ APPEALS BOARD i Gerard P. Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 SCOTY L. HARRIS Supervisor BOARD OF APPEALS TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1 ACTION OF THE BOARD OF APPEALS Appl. No. 3923 - Matter of ROBERT GREDICK. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3, Article III A, Section 100-30A.4 [100-30), for permission to construc% addition to dwelling and accessory garage in front yard area. Proposed construction will have insufficient front yard setback and accessory buildings may only be located in the required rear yard. Property Location: 7825 Nassau Point Road & Clearwater Lane, Cutchogue, County Tax Map No. 1000, Section 118, Block 04, Lot 06. WHEREAS, a public hearing was held and concluded on May 15, 1990 in the matter of the Application of ROBERT GREDICK under Appeal No. 3923; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the 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 located along the east side of Nassau Point Road, Hamlet of Cutchogue, and is identified on the Suffolk County Tax Maps as District 1000, Section 118, Block 04, Lot 06. 2. This is an application for Variances from the Zoning code Article III A, Section 100-30A.3, Article III A, Section 100-30A.4 (100-33) for permission to construct addition to dwelling and accessory garage in front yard area. Page 2 - Appl. No. 3923 Matter of ROBERT GREDICK Decision rendered May 30, 1990 3. Article III A, Section 100-30A.3, No building or premises shall be used and no building or part thereof shall be erected or altered in the Low-Density Residential R-40 District unless the same conforms to the requirements of the Bulk Schedule and of the Parking Schedule, with the same force and effect as if such regulations were set forth herein in full. Article III A, Section 100-30A.4 (100-33), In the Agricultural-Conservation District and Low-Density Residential R-80, R-120, R120, R-200 and R-400 Districts, accessory buildings and structures or other accessory uses may be located in the required rear yard, subject to the following requirements: A. Such buildings shall not exceed eighteen (18 feet in height. B. Such buildings shall be set back no less than three (3) feet from any lot line. C. All such buildings in the aggregate shall occupy not more than forty percent (40%) of the area of the required rear yard. 4. The subject Premises is improved with a existing two story residence approximately 736 sq. ft. and the area of the proposed addition to the residence (living space first floor) will be 1850+- sq. ft., area of the existing porch is 360+- sq. ft. and the area of the proposed porch will be 785+- sq. ft., the area of the proposed garage will contain 720+- sq. ft. (a) The site area will contain .9481 acres (41,300+- square feet) in this R-40 Zone District. 5. In considering this application to Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its established nonconformities; ' (b) that there is no other method for appellants to pursue; and placing the proposed additions to the existing dwelling and the accessory garage in any other location on the premises will require other variance relief; (c) that the area chosen for the proposed additions to the existing dwelling and the accessory garage is not unreasonably located; (d) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convnenience and/or order of the Town; Page 3 - Appl. No. 3923 Matter of ROBERT GREDICK Decision rendered May 30, 1990 (e) that in carefully considering the record and all the above factors, the interests of justice will be served by granting the variance, as applied conditionally noted below. Accordingly, on motion by Mr. Sawicki, seconded by Mr. Dinizio it was RESOLVED, application of SUBJECT TO THE to GRANT a Variance in the matter of the ROBERT GREDICK as applied under Appeal No. FOLLOWING CONDITIONS: 3923, 1. That from the north property line. the additions not be any closer than 14.6+- property line and 27.4+- ft. from the south ft. 2. That the 30 X 24 ft. accessory garage not be any closer than 15 ft. from the north property line and 175 ft. Nassau Point Road. from 3. That the additions and accessory garage be located as shown on the site plan dated February 2, 1990 by Philip Monastero Architect P.C. 4. That the accessory garage not have any other utilities except water and electricity and not contain any bathroom facilities. Vote of the Board: Ayes: Messrs. Goehringer, Sawicki, Doyen and Dinizio (Absent Charles Grigonis). This resolution was duly adopted. df GERARD P. GOEHRINGER, CHAIRMAN Town Halt, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 28, 1994 Mr. Robert Gredick 1 Crossway Park West Woodbury, N.Y. 11797 Re: Building Permit #19407Z (Additions & Alterations Premises: 7825 Nassau Point Rd. & Clearwater La. Suff. Co. Tax Map #1000-118-4-6 Dear Mr. Gredick: During a review of our files it was noted that the above building permit has expired, and construction was never started for the additions and alterations to your dwelling. A Certificate of Occupancy #Z-19780 was issued on March 11, 1991 for your accessory garage. According to the Code of the Town of Southold, A building permit expires in 18 months from date of issue, but work must begin within a 12 month period or the building permit becomes void. We have voided out the part of the permit that was for the additions to the dwelling. When you are ready to proceed with construction, a new permit will be required. If you have any questions regarding this matter, please do not hesitate to contact this office. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. TJF:gar Thomas J. Fisher, Sr. Building Inspector BUILDING DEPT. INSPECTION [~ U~~NDATION ~,ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ]FINAL , INSPEL'TOR ~,~~~ APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. loseph H. Sawicki James Dinizio, Jr. 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 Fax (516) 765-1823 Telephone (516) 765-1800 ~TION OF THE BOARD OF APPEALS Appl. No. 3923 '-- Matter of ROBERT GREDICK. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3, Article III A, Section 100-30A.4 (100-30), for permission to construct addition to dwelling and accessory garage in front yard area. Proposed construction will have insufficient front yard setback and accessory buildings may only be located in the required rear yard. Property Location: 7825 Nassau Point Road & Clearwater Lane, Cutchogue, County Tax Map No. 1000, Section 118, Block 04, Lot 06. WHEREAS, a public hearing was held and concluded on May 15, 1990 in the matter of the Application of ROBERT GREDICK under Appeal No. 3923; and WHEREAS, at said hearing all those who desired to be heard were heard' and their testimony recorded; and WHEREAS, the 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 located along the east side of Nassau Point Road, Hamlet of Cutchogu¢, and is identified on the Suffolk County Tax Maps as District 1000, Section 118, Block 04, Lot 06. 2. This is an application for Variances from the Zoning code Article III A, Section 100-30A.3, Article III A, Section 100-30A.4 (100-33) for permission to construct addition to dwelling and accessory garage in front yard area. Page 2 - Appl. No. 3923 Matter of ROBERT GREDICK Decision rendered May 30, 1990 3. Article III A, Section 100-30A.3, No building or premises shall be used and no building or part thereof shall be erected or altered in the Low-Density Residential R-40 District unless the same conforms to the requirements of the Bulk Schedule and of the Parking Schedule, with the same force and effect as if such regulations were set forth herein in full. Article III A, Section 100-30A.4 (100-33), In the Agricultural-Conservation District and Low-Density Residential R-BO, R-120, R120, R-200 and R-400 Districts, accessory buildings and structures or other accessory uses may be located in the required rear yard, subject to the following requirements: A. Such buildings shall not exceed eighteen {18) feet in height. B. Such buildings shall be set back no less than three (3) feet from any lot line. C. All such buildings in the aggregate shall occupy not more than forty percent (40%) of the area of the required rear yard. 4. The subject Premises is improved with a existing two story residence approximately 736 sq. ft. and the area of the proposed addition to the residence (living space first floor} will be 1850+- sq. ft., area of the existing porch is 360+- sq. ft. and the area of the proposed porch will be 785+- sq. ft., the area of the proposed garage will contain 720+- sq. ft. (a) The site area will contain .9481 acres (41,300+- square feet) in this R-40 Zone District. 5. In considering this application to Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its established nonconformities; ~ (b} that there is no other method for appellants to pursue; and placing the proposed additions to the existing dwelling and the accessory garage in any other location on the premises will require other variance relief; (c) existing located; that the area~chosen for the proposed additions to the dwelling and the accessory garage is not unreasonably {d) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convnenience and/or order of the Town; Page 3 - Appl. No. 3923 Matter of ROBERT GREDICK Decision rendered May 30, 1990 (e) that in carefully considering the record and all the above factors, the interests of justice will be served by granting the variance, as applied conditionally noted below. Accordingly, on motion by Mr. Sawicki, seconded by Mr. Dinizio it was RESOLVED, application of SUBJECT TO THE to GRANT a Variance in the matter of the ROBERT GREDICK as applied under Appeal No. FOLLOWING CONDITIONS: 3923, 1. That from the north property line. the additions not be any closer than 14.6+- ft. property line and 27.4+- ft. from the south 2. That the 30 X 24 ft. accessory garage not be any closer than 15 ft. from the north property line and 175 ft. from Nassau Point Road. 3. That the additions and accessory garage be located as shown on the site plan dated February 2, 1990 by Philip Monastero Architect P.C. 4. That the accessory garage not have any other utilities except water and electricity and not contain any bathroom facilities. Vote of the Board: Ayes: Messrs. Goehringer, Sawicki, Doyen and Dinizio (Absent Charles Grigonis). This resolution was duly adopted. df GERARD P. GOEHRINGER, CHAIRMAN 28 Glen Way Cold Spring 11724 February 21, Harbor NY 1992 Town of Southold Building Dept Town Hall Southold NY 11971 Attn: Permits Re: Building Permit ~19407 County Tax Map #1000, Section 118, Block 4, Gentlemen: Please extend the time limit on our building believe it's up on 3/21/92, and I would like for at least six months. Lot #6 permit. I to extend it Very truly/~ ~ours, Robert Gredick FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL To ROBBRT GREDICK 28 GLEN ~AY COLD SPRING HARBOR, N.Y. 11724 PLEASE TAKE NOTICEthatyourapplicationdated ..... ~.~ ................. 19 9.Q.. for permit to ,~ 9~.~95~..~.~99..~. ~ ~. ~ .~~ .~t 7825 Nassau Point Road & Clearwater Lane, Cutchogue Location of Property ~ ~ ....................... k~/a~{ ....................... ~ County Tax Map No. 1000 Section , . . ~ ~ ........ Block .. 9) .......... Lot . 9~ ........... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the ~llowMg grounds . 9~4~ ~. ~K g $ 9.1.~. ~ ~.~. ~ 9.K~ ~ 9n 100 30A ~ ti ill h i ffi i t y - .3.... pro osed construe on w ave nsu c cut fron ard ~9~.~..~q~. (Clearwater Lane) Tuthill Lane and under Article Ilia ~Y.~e~..1.qqT~9~:~..(.~q97~.~.~.~.~!~.~.~%.~?~.~... rgquired rear ~; Action required by the Zoning Board of Appeals. /Buz~ng Inspector Thomas J. Fisher RV 1/80 7G5-18~2 BUILDING~ DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION DATE ,INSPECTOR ~ *'"~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ....~./.'~.. ................ 19 .~..~.. PLEASE TAKE NOTICE that y?r.application dated ..... ~../..~? ............. , ~9 ~..~.. Location of Property .,~t~So .a~o~...~.~.~.?~S~r~o/. ~...~..~. ~ '~-/-/~r~,'~ County Tax Map No. 1000 Section .... ./1~..~. ..... Block ...~.. ........ Lot ...~. ......... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds..O/~.~....~..~.~_.. .... t, .~,~.,~. ./~.~. . . . :.~ .~.. ~. . ~ ~~,/~. . 5~.~~ ~ ~ ~~. . ~ ~ ~ ~. . ~,. ~ ~~ ~. .... .......... ~&'...~~..~..~..~~..~~ .................................................. RV 1/80 FOUNDATION (1st) FOUNDATIO:4 (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N STATE ENERI CODE ADDITIONAL COMMENTS: OF SOUTHOLD 01'71CI~ OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 February 22, 1991 TEL. 765-18~2 Hr. Robert Greditk 28 glen Way gold Spring Harbor, N.Y. 11724 To [,;hem Tills May Concern, ¢;e are unable to conlpleto your Certificate of Occupancy because .of the follo~,;ing reasons. / /~// An application for Certificate of Occupancy is llot on file. (ENCLOSED) /~/.Xlo undervriters Certificate on file. /~./--/~ '"'['he check .it; (~X~q%q~not ou file. } /~/ No }leal. th Dept. Approval on file. /-'/ No final inspectioll has beell made. $25.00 (GARAGE ONLY) this reactor. .(~GARAGE ONLY~ Please contact our office on Thank you for your cooperation. lh~.[ldir',g Permit t~ I 9 4 0 7 Z Buildi~lg DopE. ***/--_/ ~Io Phlmber Solder Certificate on file. ( all perm'its involvJ, ng plumbing being issued after April 1,1984 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 111171 % OARD OF HEALTH ...~... 3 SETS OF/F~ANS ~'. ..... ~' S U R V,E, Y .~' ........ SEPTIC FORH ................ NOTIFY ~ -- ]'EL.: ?G5-180~ CALL ....................... _an m. · ........... __ -- Approved..~./,,~/ ........ , 19~ Pemit No.. d~ ~Z~ ~ 1'72~ APPLICATION ~OR BUILDING PERMIT ' ~ Date ................... 19 ... INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building t~spector, 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 tkis 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 throu~mut 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 Pe 't ursuant to the ~uild!n~ Zone. Ordinance of the Town of Southold, Suffolk County, New York. and other aonlicable'~l~n~tvf~r,q~,,..o.~ t~egmanons, tor the construction of buildings, additions or alterations or for ~2 ..... , ~,- a~,'^ ~dhe .appliean? agrees to comply with all applicab'~e laws, ordinances, building code, housing code, and regulations, and to mzt authorized inspectors on premises and in bu tding for necessary ivrqpect4nn~. . " ..... (Signature oI ~lpphcant, or nan~e, ifd&'rpdr'.,rld£)' ' (Mailing address of applicant) State wh~her applicant is~lessee,, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .................(Name and 't/ti/ o' }'' 1~' 'CO ora~'e ;}~t' ' ')cer ......... Builder's License No ..................... .. .... Plmnber's License No ' Electrician's License No... Other Trade's License No ' Location of land on which proposed work will be done; ~ . ........................ }louse Number Street, ' ' ' ....... ~amlet .... tyTa pN 1000 ' ' BIo Coun x Ma o. Section ....... i ...... ck ......... Lot .... ~ / Subdivision ., Eilcd Map No ' State exJsling nsc and occupancy of premises and intended use and Occupancy of proposed constrnction: a. Existing use and occupancy. ~ b. Intended ~se and occupancy .~~.- 3. Nature of work (check which applidabte): New Building .......... Addition .. ?5.. ..... Alteration ..~. ........ Repair . ;,...: ........ R~movaii ......... :.. :' Dcml~ji.,tion .............. Swimraing pool .............. · Tennis uourc . i,R ...... Accessory Bux].d~.ng....-g% ..... Fence ....... Other Worle; ........... 4. Estimated Cost ..................... Fee .................................... (to be paid on filing this application} $. If dwelling, number of dwclling un[ts,~ 'l~ ............ Nnmber of dxveiling units on each floor ......... If garage, hum her o f cars ........ ... ~i ............................................. (5. If business, commercial or mixed o~cupancy specify nature and extent of each type of use ..................... 7. Di.mensions of existing structures, iF any: Front .., 2~ ........ Rear . ..~ ........ Depth ..,,~7-~. ........ Hmght .....~l-~. 7.~.~.... Numbe~ of Stories ......... ~-~ ............................................. Dimensions of same structure with /_alterations or additions: Front .... -~. .......... Rear . ._.?~? ......... ; ; Depth ........ ~ ........ ~.~, ]Height ...... .-,%.-~.. .......... '. Numb?s( Stories ..... ~....~:~ ......... 8. Dimensions o~l~tllkl~l~l~nstmCtion: Front ...... . .? ..... Rear .... ~ ....... Depth .. ~,.,; ........ Height .... ~. ........ Numbe[' of Stones ...... .*~ ..... ; ....................... ~- :-' ............... 9. s, e oflqt: Fron .,, ........ .t. ........... Depth ,.O, ......... ~0, Da,:: of~iklfOha~4 ~;.:.*,.U/'C J;: [~.-;~ ............... iqai~ ~ ofF~ -nc~ Owner ............................. 11. :;:,one or t~sa distria't in'wh{~h'Prem{ses are situated ....... 1~.~ ~ .................................. : . . Does proposed cot~structi0n violat~ any zoning law ordinance or regulation: ~'..'..'~,~, ' :~ ......... 13. Will lot be regraded ........... ! ................. Will excess fill be removed from premises: . .Yes .... No. · t4. Name of Owner of promises ..... ! ....... .... :'.... Address ............ ; ...... Phone No .......... ~ ...... Name of Architect . .~.~.I.Lt'~.. lqlOlgl~..'T'C~. .... Address -I~pi).~...1'~,~. ~.. Phone No....z~.~. Name of Contractor ........ i ..... ~i ... i... Address .............. '. ....Phone N~e,.~,- .. ,t ............ 15.Is this property located within [00 feet of a txdal wetland? ~..~NO .... · If 'yes, $outhold Town Xrustees Permit ma), be required. I PLOT DIAGRAM Locate clearly and distinctly all bluildings, whether existing or proposed, and, indicate all set-back, .dm).en.smns. f.r,om property lines. Give street and block nomber or description according to deed, and show street names ann mmcate wnerne~ interior or comer lot . STATE OF NEW,~v~o RK, - - .......... ~r:..~q ~('~ ................ being drily sworn, deposes =d says that he is the applicant (Name of iudividual sign: ng contract) above named. (Contractor, agent , corporate officer, etc. ) "' of said owner or owners, =d is dui authorized to oegform or have performed the said work and to m~e and fil~ 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 m=ne¢ set forth in {l~e application ~led therewith. Sworn to before me this [ "' ............ ~..day of ....... 19 Nota~ Public .... ~ .... County No. 30,-2438130 (Signature of applicant) ' ON LEAD CONTENT BEFO~ IOF O0O P NOY : AP?ROVED AS NOTED . , NOTI~ BUILOI~ DEPA~M~AT 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCRETE BEEN APPROVED 2. ROUGH - FRAMING & PLUMalNG & FINAL - CONSTRUCTION MUST ALL CONSTRUCTION SHALL ME~ STATE CONSTRUC~ON & ENERGY CODES. NOT RESPONSlB~ FOR OESIGN OR CONSTRUCTION ERRORS / II ¸-i ~2 12- 0 t'q tj , I o ~ D x, tqo~'flo~l 14-Z>L L OaOT/Oifi :'. :' ~/4" '- I '-o" k 'To uo~S.,T.s ,ff L IC- T II t,-4o E.,T- ~ Cs 5L~V%¥ O~ ARCHITECTURE Philip Monastero ARCHITECT, P.C. INTERIOR DESIGN 1