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Home My WebLink About19133-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19298 Date AUGUST 16, 1990 THIS CERTIFIES that the building Location of Propert~ 62825 House No. Street County Tax Map No. 1000 Section 40 Block 01 Subdivision Filed Map No. ACCESSORY NORTH RD. GREENPORT Lot Lot No. Hamlet 11.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 23, 1990 pursuant to which Building Permit No. 19133Z dated JUNE 15~ 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 DECK--Z.B.A. APPEAL ~3935 The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JC~ I~ABING AND SUPPLY, INC. Building Inspector Rev. 1/81 · 0~.~ 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 AUTHORIZED) N~_ 19133 Z Permission is hereby grant_ed to: __ , __ r~ ,'~ /g /j .......... ,-. .......... ~ ..... ,~ ....... .~.. ~.. ~ ~/...~ ..... ~....~..~..~ .~.~_~. ~~ ..:~-~ ....... ........... ~:~_ ~ pr, mi~ ~te~ ~ ..... ~.~~ ..... ~ .......................... ............................................... ........................................................................ ...... ~~ . ~~.-/~.~. ............................................................................. co,,w To, ~ ~. ~000 s~t~o, ........ ~. ....... ~ ........... Z ....... ~o,,o ...... /~.~ ..... Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submit 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 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 buildi~go 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. G. 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 ................................... New Construction ........... Old Or Pre-existing Building ................. Location of Property..~-~ ~/L~+ ~o~b ,~=-~-7~p~L-T-,.~.~. ...... ~% ......... House No. Street Hamlet Onwer or Owners of Pro~ert~, ~C~ L~ ~ ~p~Ly~, County Tax Map No 1000, Section...~ ........ Block ..... ~ ........... Lot...~%~ ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No...I.~J~'~..~. .... Date Of Permit..~7~7~ .... Applicant ............ Health Dept Approval Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.....~.. .... Fee Submitted: $ ..................... FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .FLUMBING e INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION ZND []INSULATION FRAMING []FINAL DATE isLAND 0 09 60 #o. £6 ~pp~tcan~ plopoae& ~o ¢ona~aue~ dppggeen~: ~oee~Lon: S.¢.L~. #o.: Sound dvenue, 6aeenpo~ I000-0~0-/-/0 ~ II Sep~embe~t 19, 1987 SOUND AVENUE dMO. CON,$UL T INO "~WADiNO ~IVEI?~N.Y, APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD . SCOqTF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Appl. No. 3935 Matter of JCM SALES AND LEASING. Variance to the Zoning Ordinance, Article XXIII, Section 239.4, for permission to construct an accessory deck, proposed construction will be less than 100 ft. from the top of the bluff of Long Island Sound. Property Location: 62825 North Road, Greenport, County Tax Map No. 1000, Section 40, Block 01, Lot 11ol. WHEREAS, a public hearing was held and concluded on May 15, 1990 in the matter of the Application of JCM SALES AND LEASING, under Appeal No. 3935; and WHEREAS, at said hearing all those who desired to be heard were hoard 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 1. The premises in question is located along the northwest side of North Road, County Road 48, Hamlet of Greenport, and is identified on the Suffolk County Tax Maps as District 1000, Section 40, Block 01, Lot 11.1. 2. This is an application for Variances from the Zoning Code Article XXIII, Section 239.4, for permission to construct an accessory deck, proposed construction will be less than 100 ft. from the top of tho bluff of Long Island Sound. Page 2 - Appl. No. 3935 Matter of JCM SALES AND LEASING Decision rendered May 30, 1990 3. Article XXIII, Section 100-239.4 A (1), Ail buildings located on lots adjacent to Long Island Sound and upon which there exists a bluff or bank landward of the shore or beach shall be set back not less than one hundred (100) feet from the top of such bluff or bank. 4. The subject premises is improved with a one and a half story split level framed house in this R-80 Zone District. 5. In considering this application, the Board finds and determines: (a) that the circumstances uniquely related to the premises nonconformities; of this application are and its established (b) that there is no other method for appellants to pursue; and placing the proposed deck in any other location on the premises will require other variance relief; (c) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (d) 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. Dinizio, seconded by Mr. Sawicki, it was RESOLVED, to GRANT a Variance in the matter of the application of JCM SALES AND LEASING as applied under Appeal No. 3935, SUBJECT TO THE FOLLOWING CONDITIONS: 1. that the 14 X 14 ft. deck not encroach over the lip area of the bluff and to remain even or landward of the top of the bank and the deck is to remain unroofed. Vote of the Board: Ayes: Messrs. Goehringer, Dinizio, Sawicki and Doyen, (Absent Charlie Grigonis). This resolution was duly adopted. df //~GERARD P. GOEHRINGER~HAIRMAN APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOFF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. Joseph Berardino 37 Avery Road Woodbury, NY 11979 ~une 8, 1990 'fOv~,, , ' '50UTHOLO Re: Appl. No. 3935 JCM Sales & Leasing (Variance) Dear Mr. Berardino: Transmitted for your records is a copy of the recent determination rendered by the Board of Appeals concerning your application. Please be sure to return to the Building Department and all other involved agencies for proper permits as may be necessary before commencing construction activities. A copy of this decision has simultaneously been transmitted to the Building Inspectors' office for their files and update. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN Enclosure Copy of Decision to: Building Inspectors' County Planning By Doreen Office Ferwerda APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph 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 ACTION OF THE BOARD OF APPEALS Appl. No. 3935 - Matter of JCM SALES AND LEASING. Variance to the Zoning Ordinance, Article XXIII, Section 239.4, for permission to construct an accessory deck, proposed construction will be less than 100 ft. from the top of the bluff of Long Island Sound. Property Location: 62825 North Road, Greenport, County Tax Map No. 1000, Section 40, Block 01, Lot 11.1. WHEREAS, a public hearing was held and concluded on May 15, 1990 in the matter of the Application of JCM SALES AND LEAEI~G, under Appeal No. 3935; 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 .~ ~; 1. The premises in question is located along the northwest side of North Road, County Road 48, Hamlet of Greenport, and is identified on the Suffolk County Tax Maps as District 1000, Section 40, Block 01, Lot 11.1. 2. This is an application for Variances from the Zoning Code Article XXIII, Section 239.4, for permission to construct an accessory deck, proposed construction will be less than 100 ft. from the top of the bluff of Long Island Sound. Page 2 - Appl. No. 3935 Matter of JCM SALES AND LEASING Decision rendered May 30, 1990 3. Article XXIII, Section 100-239.4 A (1), All buildings located on lots adjacent to Long Island Sound and upon which there exists a bluff or bank landward of the shore or beach shall be set back not less than one hundred {100) feet from the top of such bluff or bank. 4. The subject premises is improved with a one and a half story split level framed house in this R-80 Zone District. 5. In considering this application, the 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 deck in any other location on the premises will require other variance relief; (c) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (d) 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. Dinizio, seconded by Mr. Sawicki, it was RESOLVED, to GRANT a Variance in the matter of the application of JCM SALES AND LEASING as applied under Appeal No. 3935, SUBJECT TO THE FOLLOWING CONDITIONS: 1. that the 14 X 14 ft. deck not encr0a~h over the lip area of the bluff and to remain even or landward of the top of the bank and the deck is to remain unroofed. Vote of the Board: Ayes: Messrs. Goehringer, Dinizio, Sawicki and Doyen, ~Absent Charlie ~rigonis). This resolution was duly adopted. df GERARD P · GOEHRINGER~HAIRMAN Joseph Berardino 37 Avery Road Woodbury, N.Y. 11797 February 21, 1990 Mr. Vincent R. Wieczorek Office of the Building Inspector Town of Southo]d 53095 Main Road Southold, N.Y. 11971 Dear Mr. Wieczorek BLDG. DEPT. TOWN OF SOUTHOLD As discussed in yesterdays telephone conversation, I've enclosed the following items to request a building permit for a 14 by 14 foot deck to be built in my back yard in Greenport. Notarized application for a building permit. Application fee of $25.00. Three sets of plans. Copy of N.Y.S.D.E.C. approved survey. Copy of Town of Southold wetlands permit. Copy of Feb. t, 1990 letter to Board of Trustees requeeting exteneion of my wetlands permit. I had planned to start building last year until I received your May 17th letter requiring another permit. I appreciate your help in this matter and hope you have everything you need to expedite the permit. If you need to contact me, I can reached at my office, phone No. 516-753-1000. Thank'you Very Truly Yours osep Berardlno sthld-2 FOR,M NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL - · , , ,~ Date .~./~'...~. ................ 19.~.~... ..~t..~...~.'. PLEASE TAKE NOT C th for pe~it to ~~.~ .... ~..~~ ..................... at ~ou~o ~. County Tax Map No. I000 S~ction ..... ~.' .... ~loc~ ........~Z.. Lot ../d.Z ...... Subdivision ................. Filed Map No ................. Lot No. ' ..... is returned herewith and disapproved on thc following grounds ...~ ...... ~ .~ .... ..~.~...: ....... ..... ~..i. ................... RV 1/80 Memorandum from.., BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, BOX 728, SOUTHOLD, N.Y, 11971 765-1802 February 28, 1990 ! am sending you a disapproval on your appllcatlou to construct an accessory deck- I am also returning your check. Please contact the ZONe BOARD OF APPEALS, 765-1809. J~ IIASlN~ INC. P^Y I $ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1 ! 79 Southotd, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 17, 1989 JCM Leasing & Supply 37 Avery Road Woodbury, N.Y. 11797 ATTN: Mr. Joseph Berardino RE: Suffolk County Tax %lO00-040-fil-ll.1 62825 North Road, Greenport, N.Y. Dear Mr. Berardino: During our phone conversation on 5/10/89 regarding deck construction in your rear yard you had indicated that you have permit to build the deck. Please be advised that the permit you referred to is a trustees permit and not a building permit. You must apply to the Building Department for a building permit before you can start construction. VRW:hkd Very truly yours, Southold Town Bld. Dept. Vincent R. Wieczore~ Ordinance Inspector a Joseph Berardine 37 Avery Road Woodbury, N.Y. 1t797 ~eb. I, 1990 Board of Town Trustees Town of Southhoid 53095 Rain Road Southhold, N,Y. 11971 Dear $irsl This letter is to request an extension of my Wetlands Permit No. 443 (oopy Attaohed), which expired November 24, 1989. A number of reasons kept us from constructing the deck at my home in ~reenport last year. I do plan on the construction going ahead this year and would appreciate the renewal. Please mail it to the above address. If there are any questions, I can be reached at my office, any time during the day at 516-753-1000. Thanking you in advance. Very Truly Yours Joseph Berardfno TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 TEL. 765-! 802 To Whom This'May Concern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. An application for Ccrtificate of Occupancy is not on file. No Underwriters Certificate on file. /~/ The check is(~/not on file.) /Z/ No lIealth Dept. Approval on file. /5/ N~ final ins.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]dJ. ng Permit tt / ~ [ 3 ~ Z ~ Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) BOARD OF SOUTHuLD TOWN TRUSTE~J! ~ W YORK li FEB Z 3 990 SOUTHOLD, NE ~i 't\ ~ BLDG. DEPL ~ WETLAND~ ~ERMIT L ,TOW~ OF SOUTH~L~ This Wetlands Permit No.....4..4..3. ........... ha~ been granted by the Town Trustees according to · ~ n~ ' ~ J.M. 0 ~ Con.s..g~lr~ .fox information furnished Jn Application No..,.5..8.,3. ............ filed b. A..hcan ....................... Joseph Berardi~o on Sept. 19, . . {~ 87 A map 0t~ the proposed work will be kept on file in the Trustee Office under the application number given· , To constrt~ct a 14' x '16~ timber doc.k..~ ......... Permit granted to'do the following work ................., ...................... ; ...................... .. .................. .......... Sound Avenue~ Green~.o.~.t.:;.' ......... Location of property on wmcn work To De cone ..................................................... Creek. Bay or Harbor frontidg property Long Island Soun~...~ .................... ; ...... : ..... . .~ 14~ ...................................................... Size of Work: -engm ................................. .. ........................... , , · .... 16' Width ............................... : ........... :" · Height Above High Water' ~.~.~.~.~.-7.7.7.7.7.7. ..... 7, ..... ·" ...... Depth Below Low Water ................................................................................................. Yards to be Excavated ................... ~-- Yards to be Filled . 7.---7.?.7.%7~.%7 .... .~7.7.7.-7. ............... ' ..... Manner in which material is to be removed or deposited .................................................... ; .................... Intended use or' property ....... ....... .~.e..s. ~.d..e..~. ~ ~ ......................................................................... . Conditions if any ......... F.F.F.F.F.F.F.Y. ZZZT.7.7.7..7.7. ................. ~ ..................................................... ,, ................. ...:. .............................................. .,. .................................. ~ ................................... ~ ..................................... I,spectidn F~es....$..1..0.:..0..0....P..a..i..d....r..e..c..e.i.p..t...~...o.:...3.~.~.~ ........................................................................... · Liability Policies in the Amount of ..... 7.%%~%%7,%7.%7.7,~%7.T.T.T.7.T,%;*.*;..~..':.~*:::;.~===~====~=====~= ....... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such'o.ther approval when required shall subject this permit to immediate revocation by the Trustees upon rece.ipt by the Trustees· of written notice from such other governmental or municipal authorities of its refusal or disapproval, *** The applicant does ib¥ the ?cceptance oJ~ till§ pe~.~it; ~sttriri~ all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the i~reventlon of injuries to persons and property resulting from such operations. By such acceptance the applicant also agrees t.o inde.m, ni- fy and save harmles~ the Town, and its officers, agents and employees from any and alt claims arising from operations Udder this permit and any and all acts or omissions of applicant, his agent and employees. The applicant .and. t,he owner and occupants of the premises upon which the operaflon~ authorized by, this permit are bem.g Cohducted, do, bV th~-acceptance of thl~ pl~rtfllt, gi~/i~ coH§J~rlt tb the ToWn, end make such inspections as the TowH may deem nebessary to tn~ur§ ~hat such ibparatlon~ are being con- ducted in conforml!y with this permit. This operation will ~tot substantlalty: A. Adversely affect the wetlands of the town. B. Cause damage from erosion turbidity or siltation. C. Cause ~aitwater intrusion into th~ fresh Water resources of the town. D. Adversely affect fish, shellfish or othei' beneficial marine organlsms, aqLla~Ic wildlife and vega-. tation or th~ natural habitat thereof. E.. increase the!danger of flood and Storm-tide damage. F. Adversely a'ffect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the ~ourse of any channel or the natura movement or flow Of any Waters. H, Weaken. or t~nd~rmlne the latel~al support of other lands in the vicinity. I. Otherwise adversely affect the health, safetV and general welfare of the people of the town. Board bf'§outhold TbWr~ Trustees FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11071 TEL.: 765-1802 ^PPL!CATION INSTRUCTIONS BOARD OF HEALTH survey <'... ~.c,,...~.~ C~EC~ /-~.-5505...~ .......... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: BLDG. DEPT, .,~,~TOWN OF SOUTHOLD a. Tiffs application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ving location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of l~yout of property must be drawn on the diagram which is part of tiffs appli- q, tion. c. The work covered by tiffs 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. S~ch permit s:~all be kept on the premises available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for a.ny 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 Bu/Iding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appIicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr/bed. The applicant agrees t9 comply with all applicable laws, ordinances, building code, housin~ code, and regulations, and to admit authorized inspectors ,on premises and in building for necessary inspections. ~ .. .,:'. :' (S:gn~C~ure ~£ apphcant, or name, ~f a corporanon) r~'~; ~,r~ W:. ' ,, (Mailing address of applicaxit) State wl~ e t h %~ ./7~,, 5~l~t ~' '~ les~,e~e,, ¢gent, architect, engineer, general contractor, electrician, plumber or builder. Na .... .O,O i'~",4 t~.iiJ,~¢~r4,:~~'/~c'~'~A-~ //..~c' ~ .,~ o, o,vn~.~r~l~q~ ¢,o~.,~flw~'i~¢. 5.%* ....................... .V g tl4~' ~ ~T~71~;'t~ttlO~t,q :~t (as on the tax roll or latest deed) If applicant is~D~ra~iol~t~Lltl'~iOdu~$~,,~a~&horized officer ........ ' ':r'> ........ ' · Bu Ider s L~c~nse No .......... ~. -: ............. Plumber's License No ......................... Electric'an s License No. Other Tradc's License No ...................... I Location of land on which proposed work will be done ' ' House Number ' Street, ' Hamlet "' .t/ ' /&./ County Tax Map No. I000 Section . .~..~. ........... Block ....~./(. ........... Lot ............. Subdivision ..................................... Eilcd Map No ............... Lot .......... (Name) ..... 2. Slate existing nsc and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ........... ' ..... ~- .......... ~ ......... ~0~-.~<.~. :~77 .......... 3. Nature of work (check whic cable): New Building Addition . ~r' . .... /alter on ..... ... Repair .............. Removal .............. Demolition .......... Other Work ~.~ 4. Estimate'd Cost .... ./. ~.co..< ~ (Descr/ption) .... ................... Fee .... $ If d b ¢ ,:to be paid on filing this application) N · · welling, hum er of dwellin units ............... umber of dwelling units on each floor ..... lfgarage, numberofcars ...; .............. . ........ · business. Commercial or m xled occupancy, specily nature and extent of each e of os~ .............. 7. Dimensions of existing structuies, if any: Front .............. Re . Hmght : .............. Number of Stories ' ar .............. Depth ............. D~mensmn of ~ · "'. ............................ ...... ,-,. .. .s s]rp~stmcture w,th al(era(runs or addl. t;nns. Fr""* ,~z' A ' ' ',' ' 'd .......... I0. Date of Purchase ~ i' .......... i ................... Name of Former Owne: 11. Zonc or use dishict in wh ch premises are siiuated . . ~t~to~--~j. t.- ................... " · 13 Wi l:;°~P~°s,e~ c,on. structmn v,~.l~at.~ any zoning law, ordinance or regu at on: . . ' ............... · -... · .N.. · . · ...Wdlexcessfillberem vedfro pre es' Yes _ Name of Contractor ,4T.£ffOt{'~e"lLCl~bl~o ......... ,,~,~ress ..... ..: ............ Phone No.. .t.r ...... · If yes, Sou(hold Town, Trustees Permit may be required: STATE OF NEW YOR[: , COUNTY OF.. ~<"'~ ..... ('N;a'l~e of~n 'dividual signi~Ig above named. ] ) API~ROVED AS NOTED DALE: ._ ..... FEE: ~BY: ~ NOTIFY $UI'I~DING OEPART~AT 76~-1802 9 AM ~ 4 PM FOR FOLLOWING iNSPECTIONS: 1. FOUNDATION ~0 REOUIRED FOR POURED 2. ROUGH - FRAMING & 3. INSU~TI~ 4. FINAL CONSTR~N BE COMP~ FOR C.O. ALL ~NS~N ~ THE REOffiR~E~ ~ 8TA~ ~N~ & ~ffiY ~OES. N~ ~ OE$1ON OR ~ ........ being duly sworn, deposes and says that he is the applicant lie is the (~.....~... ' ' ' (Contractor agent corporate officer crc ) ......... of said owner or owners, and s du v [aut lor',,,.a ,- .... c , , . ~ ..,-,., ,u pu,.orm or rove performed the said work and to makc and file this -Ppi,cation; that all state nents contained n t ds applic~ltion are true to the best of his kno~vledge and belief;and that the ?rk will be performed in the manner iet forth in the application filed therewith. )worn to before mc this I~t~~.~ (Signature of applicant)