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HomeMy WebLinkAbout19228-z r ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24090 Date DECEMBER 21, 1995 THIS CERTIFIES that the building WINERY 150 BERGEN AVENUE & Location of Property 3395 SOUND AVENUE MATTITUCR NY House No. Street Hamlet County Tax Map No. 1000 Section 121 Block 1 Lot 1.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 18, 1990 pursuant to which Building Permit No. 19228-Z dated JULY 25, 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 A WINERY AS APPLIED FOR. The certificate is issued to JOSEPH T. MACARI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-90-009 NOVEMBER 16, 1995 UNDERWRITERS CERTIFICATE NO. N230015 MARCH 31, 1992 PLUMBERS CERTIFICATION DATED SEPTEMBER 12, 1995 HIM LABS, INC. uil 'ng Inspector Rev. 1/81 188[ NO. 9 TOWN ®F SOUTHOL® 6cURD>fNG IdEPART~AENIP' TOWN HALL. SOLITHOL®, N. Y. SILIIL®ING'i iPlERMIT (THIS PERMIT MUST f3E KEPT ON THE P~tEMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ Date f Permission is hereby granted to: , JJJ ~ V . y~ ~ 5 ra c.~:::...~~,......~ at prerr?ises located at ./.:ba...~,~'!:+.... .Wl..~..~..'~t~~...r~....~-::~:e~ ...........:....~f~[..< County Tax Mop No. 1400 Seetion ....~.~:f........... Block ......4~..~......... Lot No.....1 pursuant to application dated ............r;.~1~.4~.~......f..~ ]9..g~},, and approved by the Bvildfng inspector. J Fee ~Z~.:.. ~ ~u'.'i:... ~uildinR Inspector ite~, b/30/80 Form No. 6 TOWN OF SOL'THOLD BUILDING DEPARTMENT ~ Q ~g~J TOWN HALL i65-1802 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: L. 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 2J10 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. Submi*_ ?lapping Board Approval of completed site plan requirements. B. r-or 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 525.00, Alterztions to dwelling 525.00, Swimming pool 525.00, Accessory building 525.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 Updated•Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial 515.00 I~/-~T'~+~ Date ........J~ . New Construction........... Old Or Pre-existing Building............ Location or Property....... House No. Street Ham7.et Onwer or Owners of Property........ County Tax D1ap No 1000, Section ..............Block................Lot...................... Subdivision ....................................Filed dap............Lot...................... °e±-mit No ................Date Of Permit................Applicant............................. Seal"_h Dept. Approval ..........................Underwriters Approval......................... °'anning Board Approval Reouest for: Temporary Certificate........... F'_nal Certicate........... -ee Subm;tted: $ ~C~~~(~0 •PLICANT THE NEW YORK BOARD O',F~;- FIE2E UNDERWRITERS I#A~~ ~ 1g yij j,2 BUREAU OF ELECTRICITY II- 85 JOHN STREET, NEW YORK, NE1~J YORK 10038 Dote MARCN "31x1992 APPlicationNo.onfile °/~~Yy}7g(~f~Ql k~ 73@(97.x THIS CERTIFIES TMAT only the electrical equipment as deacrihed heloEa and introduced by the applicont named on the above application number in the premtsea of PfA7'1'ITUCiti YiJ:Srt,S GfZNECiY, 129.'."1IIn~SKF;t~EN AVK,«9bt4, P9A'P5`1:1'i1CKr N."C. in thefollaminq location, ? Basement WSJ IRt F(. ? 2nd Ft. A5"*1';[~~Q~1" -Seetion Bloek Lot wos exarntned ort MA.CCtI 2.~ , ~ ~ ~ and found to be in conrpl/anre u•i/h the requ/remenLR q(this Board. FI%TURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS CEPTACLES SWITCHES INCANDESCENT FLUORERCENi OTHER AMT. K W. AMT. K.W AMi KW AMi K.W AMi. H P. 3.15 5W f;9 fl& 6 2t ~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPEGAL REC'PT TIME CLOCKS REIL UNIT HEATERS MULTI-OUTLET DIMMERS ~ SYSTEMS AMT K. W Oll N. P. GAS H. P AMT. NO. A. W. G, AMi AMe. AMT. AMPS' TRANS. AMT H P. NO. OF FEET AMT. WAiiS r: 12 6 SERVICE DISCONNECT NO.OF S E R V 1 C E AMi AMP TYPE METER I ]W L ~ 0W R B 3W 3 q dW NO OF C[ LONG. A. W G. NO OF HI-LEG A W' G' NO OF NEUTRALS A W G EGUIP. PER 9 OF CC. COND OF HPLEG OF 'NEUTNAL 2 700 CR 1 `S 2 2J0 '1< 216 OTHER APPARATUS: c,r. cAfszNr.rl-s. ELEC, 6p0N NRATEItSc'P°t.5 K,C9. PANC;CIBOARDSt1-0 t',LR, 1'LSi,1-12 CLR. 125 ~3 G.Tr.C..It-7 @ i x ~2~.~%u-ve-i o'~ .>AGE tr IIA11t;NANN INC, li1'C. X3635 N G~~%~%~ P.O,AiSS 17fit3 SOU3'i4pLD, NI, 119'71 OENERAI MANAGER~T/ Pere 1 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. F COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST, NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ACZi 1 1195L12 BUREAU OF ELECTRIGITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date MARCii 31ft992 APPlicationNo.onfile 711f;40140,'90 N 230016 THIS CERTIFIES THAT only [he electrical equipment as described bebw and introduced by the applicant named on the above opplicotion number in the premises of i~ATITTtiC,K BILLS 6iLP31~iRYt BERGE~pt~lry AVENUEt DSAST HLDCv., MA`~TT'Pt1CK, it.Y. in the fallowing hrcation> ? Basement L"1 let FI. ? 2nd F-I. Section Bloek Lot • was examined mT KANCH 23 t 1992 and found to be in compliance with the reyuirementa q([his Roord. ~ JJJ{{{ FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESfENi FLUORESCENT OTHER AMT. K W AMT. K W. PMi KW AMi K.W. AMT H.P. 3 4 2 3 DRYERS FURNACE MOTORS FUTURE APPUANGE FEEDERS SPEUAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W Oll H P GAS H P AMT NO. A. W. G. AMi AMP. AMT, gMPS. TRANS. PMi H P SYSTEMS AMT WATTS NO.OF FEET 1 SERVICE DISCONNECT NO.OF S F R V I C E AMT. AMP TYPE METER 1~-TW I~JW T99W AN, NO. OF CC COND A W G NO. OF MI-lEG A. w. G. NO. OF NEVTRAlS A.W G. EQUIP. PER B' OF CC. OND Of HbtEG OF NEUTRAL 2 200 CB 1 % 2 3!0 2 3/0 ~ OTHER APPARATUS: C.4. CA6INE~Tt-1 ~ SAt"sB & LADEMANN INC. LIC.6363SE ~.o.DOx 176a S4U1'HOLD, NY, 17.971 oENERAt MANAGER t Per ra 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. IY1~M LA?[3S, '1 575 Broad tbttw Road, Nelv9ne. X.Y. 11747 ~ (516)694-3040 Fn1I:(516)420-8436 NYSOOH I01 10476 LAB NO: 9525271 HARRY-GOLDMAN WATER ANALYSIS TYPE POTABLE WATER MAIN 1W ROUTINE MATTITIICR~ NY 11952 ORIGIN.... DISTRIBUTION DATE COLLECTED. 09/12/95 POINT N0: TIME COLLECTED. 0917 HRS. LOCATION: CUTCHCO CORP. (MATT.HILLS WINERY) DATE RECEIVED.. 09f12f95 SOUND AVER MATTITUCK COLLECTED BY... D99 REMARKS: SOURCE (BR) FLOW-2.SGPM PROJECT NO..... 26 PARAMETER (S) RESULTS UNITS LIMIT LEAD 1.3 ug/1 [15.0] - Result(s) Reported meet(s) [USEPA action level] for potable water. COPIES TO: DATE ISSUED 09/13/95 ,j"", ' ` ECTOR ORIGINAL U// 575 8'oad Nollw Road, Melville, N.Y. 11747 ~ (516)694-3040 FA%:(516)IZO-8436 NYSOON 10! 10478 ~B NO: 9525271 HARRY GOLDMAN WATER ANALYSIS FTYPE...... POTABLE WATER MAIN RD ROUTINE MATTITUCR, NY 11952 ORIGIN.... DISTRIBUTION DATE COLLECTED. 09/12/95 POINT NO: TIME COLLECTED. 0917 HRS. LOCATION: CUTCHCO CORP. (MATT.HILLS WINERY) DATE RECEIVED.. 09/12/95 SOUND AVE, MATTITUCR COLLECTED BY... D99 REMARKS: SOURCE (BR) FLOW-2.SGPM PROJECT NO..... 26 PARAMETER (S) RESULTS UNITS LIMIT LEAD 1.3 ug/1 [15.01 I - Result(s) Reported meet(s) [USEPA action level] for potable water. COPIES TO: ~y~("DATE ISSUED 09/13/95 ' ` ECTOR ORIGINAL ~ ~ ~OMMENT~ V.i• ~ 0 ~ y ~ N y r6 FOUt7DAT20N (1st) y ~ ~ ~ ~ FOUNDATIDt1 (2nd) _ ,__~s9~..- ~ ~u N ~ 2 . z V1 P,OUGH FRAME & o PLUMBIN~ ~ . p y ~ 3. y W I1ISULATION PER N, Y. ~ .n STATE ENERGY ~ CODE w a 4 , ~ a ~ FIi1AL = i £ m ADDITIOPIAL COMMENTS: ~ ~ R f h~~( Ste„ ,.t ciLev • x •o H " ~NN ~ r H ~ 'rte. Y , 0 +Q ,.c-cns~.~J. J Z .2- ~ ~ ° / ~ m ~i x ~ G r H - ~ x ~ ..4 " ° o m ~ 0 ..~o l 76~-180Z BUILDING'DEPT. INSPECTION ( ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ FINAL [ ]FIREPLACE A//CHIMNEY REMARKS: (~7.2~iy_~ r A ~ /i G" ~ OTYViR/ / Ay'FC~ eA ..aL~ ?~/JYV[~ . DATE ~ ~S/ INSPECTORS h 705-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ FOUNDATION 2ND ~j INSULATION [ ]FRAMING ]`FINAL REMARKS: DATE O INSPECTOR 1+ lr ~~~z~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARK ~ o DATE ~ ~ ~ ~ ~ INSPECTOR ~ I~z~ c 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. ] FOU DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~ DATE INSPECTOR I 765-1$QZ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ROL'B~G'. [ }FOUNDATION 2ND [ ] INSULATIOW ~ [ ]FRAMING [ ]FINAL REMARKS: DATE / ~ INSPECTOR i j ~~,Z,~ ~sS-isoz l BUILDING DEPT. iNS~PECTIC~N [ ]FOUNDATION iST f ] ROUGH PLBG. [~UNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: G i ~ IATE ~ INSPECTOR I 9~-~ T65-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDAT{ON 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ' , La~~~~ DATE ~ ~ INSPECTOR HOLLYBROOKE CONTRACTING, INC. ' "MASONRY SPECIALISTS" ~ P.O. BOX 263 180 GRATHWOHL ROAD NEW SUFFOLK, NEW YORK 11956 ft (516) 734-7219 ~fi~ : ~+arc~ s~ t ~-~0 ~t1+~.,~ ,~J~. mod.. ~:~~~.v~ ~h..ys~~,! rrt~~e..~-f~{ate. Qf ~-d~e...~~ r~.j~l~c~ c~~.~~~~ra~2. ~,G,~?~ltb~ re~~~~ ! r~-~~v~( of -~~~-e,~ G.~~-ic~ f-[/t„er ~r , ~ a ~~e~r-v ed ~ r~1 urn ~a c~vt~ ~ t~.~ a s~ r ~ ~ ~ ~ ~ ~ ~ cam, f ~ ~rt..~ rl v~P~ ~r,~~ a 1~~c,~,v~ Bey ~f ccar~r-~a~ s~~l ~ l~~-,`~ j u ~p~1r~e.. el ~a~~?~~, ~f ± l~ t~ - r! ~ ~.c.~~ ~r~~, / c~~df - PETER T, POQLAS, A.LA. . Arrhller•1 • ~ ~ 1ML??LeN@ naeox2es RHMSENSURQ, NY 11eSC (518132bd1p2p ' November Ly, 1995 .,__-v .F.-, - . . ' 4",'~~" _ + _ ~ Town of Southold Building Department Main Road Southold, NY 1197]. • Re: Mattituok Vineyard 'Dear SixBi ~ - -i_have inapaoted the lower deck at the Mattituck Vineyard and•th® necessary corrections have been made to the beat of my knowledge in compliance with .7ew York state building standards, Yf you have any Further questions o>; concerns please feel free', to contact me- He re • Pete T, POdlase A.I.A. _ Arohitect 'r.~P',it:nj~`' • T(.'r PTP:grp 1 ~ ~ ~ s y M OQYP. ,.~~iy~ y~ ....,...1 e1 l TOd 888888 'Ol ~ZETSZ~9T5 J3i~d SN1QDd OS~hT S6, 6Z nori T . l y Z R(f OT tl S y ~ j,F~y~E$ a >AS~ i : 9 i~ o : ~ ~ n ~9 ~ AS=~~~ ~ N i~ z_D $ $ 911,\~M Z :i ~ I O -1 n I~' Y 2 7 4_ ~ 0~ O ~ ~ ='p~ g¦ i 1 ; n D .rte"', Y M j ti° w tT, p n o~^" g pro 4, z ,of ~ a O ~ ~ a ° ~ "d ~ w i ~ 9 o .F o o - F , i ' o - ~ iw.. cos ~ - - lA ~ ox„. ~ z WO b b D - y`\ Sqe _ _ W .P ' ' e'er ~yr(~ Sal lh„QZ+,11O\~ m x ~s > ' } ~ ~ ~o _ <f m ~ a °o $ ~ ~ ~ ~ ee~~ ~ t .Y, ~ ~ Y~ O ~ \Y pOOV S , ,y"~ t.^u„v.. _ . YJ .nmsi+.?'ierv^..TH..,, t1..,.,.._u.*.rp a..c ~ - . ~ Y Y a ~ ~ - _ p.,. . 0. vs N 'M„02,IIoIS .3 V K,OV ~.p~.~ ~ U~~ y>O~ 10 s.~}R .fi~i4 s;.E ~ o ~ ~~Aa ' ~~~gA,2 ~ ~ n. o _ - - * $ ~ ifyj ~ ~ T ~ ? -c ' VI 1 - o _ ~ S ~ visa `FF, ~'-v r N 4 ~ ~ n~ o•^m , ~ 'a p C~ fro ..1 X ~ :°-ai o O = ti I' ~ ~ D r O N xo 0 0 ° ~ c A C C ~ Z tail c A ~ ~ ~ _ n ~ - V < < a ~ C # a ~ ~ . 9Q ~ ~~i m 9M aof ~ O O < T nnO z f s + . I ? n.i ? Y"I ~ ~ i b ~ ~ ~ ~ M ~ M ~ 5 y ~ ..o T~ ,~~y ~y" ~~±~f ~ ° A ~ ~ ~ pat,, ~ ~ ~ ~ y.1 f3 `-S ~ h p 1t^ CQ ~ r` ~ ^ ~ , L.i p ~ r ~ ~ V 1 ~ o ~ b. h w ~ c s C `~-i ~ b -.1 lry V ~ D ~s P w P -a w ~ -o u ~ ~ ~ ~ ~w b ~ N o a o v r ~ o ~ rr U R c ~ ~ ~ ~ ~ ~g r ~ a.. C , ~ a r „y r/^~ ~ t ~ M~ h ~ ~ ~ o N ~A ° ~ ~y o ~ ~ ~ ~ ~ ~ ~ b W p~ ~ ~ ~ ~ G GS G ~ F [j' U r+ ~ m g~, b . . ~ o c. a o i, ~ V ~ 6 N h ~ h N r'1 R{ q It .i1„~ 'T~ 1 c C ty» N `~i`~~~ ~ r E ~ ~ ~ 1 9~~ y , ,mac ~ c ~~fN~E.;'t ,.~r~' a 1 ~ a ~ , . ~ ~ ~..:,Y.~ . ~ ~t Nature'of work (check which aPPlicable): New [3uiWing Additicri rC`i''3 n . Repair Rpmaval Demolition , ,Swi, n n '~,1..)~ 9........ . Tennis Court•......... Accessory Building........ ~ Fenre~.~•Y.„....~~IJork. Estimated Cost. a~. ~.1 . Fec .2tic?r~.: ~ , , (to be paid~op ~CAing This apPyjp~j~n) IC dwelling, number of dwelling units Number of dwelling units an each floor • . ICgarace.numbcrofcars 1f business, commercial or mixed occupancy, specify nature and extent of each type of use . Dimensions of existing structures, if any: Fron[ . Rear Dep[h , . . Hci~lit Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . . Depth Ilcigltt ......................Number of Stories . Dimensions of entire new constntction: Front Rear Depth . Hci;ltt Number of Stories . . Size of lot: Front Rear...................... Depth . Date of Purchase .............................Name of Farmer Owner , Zone or use district in which premises arc situated . . Does proposed construction violate any zoning taw, ordinance or regulation : \Vill lot be re;raded , , , , 1Vi11 excess fill be removed from premises: .Yes , No . . , Name of Owner of premises A, , , ....Address ...................Phone No. ?~9.8, , ,~(e,~, , , Name of Architect ........Address ...................Phone No................ . Name of Contractor ~ ......Address . .Phone No..... . ..Is this property looted within 300 feet of a tidal •wetland? ^YPS....NO.. • *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all se~back dimensions from ~perty lines. Give street and block number or description according to deed, and show street names and indicate whether crior or comer lot. ~ ' c~~ ATE OF NEN YORE, S.S UNTY OF . being duly sworn, deposes and says that tre is the applicant (Name of individual signing contract) tvc named. istltc ~ (Contractor, agent, corporate officer, cta)• ;aid owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle this licalion; that all statements contained in Phis application arc tntc to the best of his knowledge and belief; and that the, k will be pcrforntcd in cite manner set forth in the application filed therewith. t >m to before me ,tfh'is ~ ~ ~ .............`.t. .day of .YY.. 19 ary Public G::.: ~,~QJ/.~ County ~ ' , , q,. Y.L HELENRDEYt~ ' hOTARYPI18lIC,~teotNewYork (Si;nature of applicant) term ~ 4Exp ~ Mucht. ~ ' , • ~ , I BO,1RD OF HEALTH ,I{ ~1 `YJ ~ 3 SETS OP PLhNS Y FORM NO, t SURVEY ~y~~•~•~• ~'iD TOWN OF SOUTHOLD .-.•GHECK • BUILDING DF.pARTM[NT S1:'PMIC PORPI • . TOWN HAtL BLDG.OI3PT. ~ $OUTHOLD.N.Y.11071 NOTIfl'YE ''•`•'~`'Q`~~'~OPSOUYHQLD TEL.: 705•tII02 CALL • . - • • • • • • • • • • • • . ~ J.~`.3.., 1991 MAII. TO: l:xzmincd . . Aparoved ~ l99A. Permit No. .~.~da,~•'t2.•. ~ ~ . . . i i DisaPProveda/c ...............•L................ I . .......................•I',II ( ail mg Inspector) ` ~ I APPLICATION FOR BUILDING PERMIT Date 15 II ~ j INSTRUCTIONS l a. Titis application must be comp#etely filled in by typewriter or 1n ink and submitfed to the $uilding Inspector, with 3 sets of plans, accurate plot plan ib'sca1Q. Fee according to schedule, ti. Piot plan showing location of ~ot and of buildings on premises, relationship to adjoining premises or public streets or aieas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. I~ 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 Abe },'ept on the premises available >)'or inspection throughout the work, ej No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall ~tave been granted by the Building' Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uild#ng Zone Ordinance of the Townlof Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tc;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Clte ~ppiicant agrees to comply with ~Il applicable laws, ordinances, building code, housinti code, and regulations, and to dmtt authorized inspectors on premises and in building far necess inspections ~ • R• . ' (Signature of pp[tcant, or name, if a orporatt ) • (Maili address of applicant~~ ~/~f Mate (whether applicant is owner, less) e, agent, azchitect, engineer, general contractor, electrician, plum r or builder ~~i. ~ame(oCowner of premises~G~i't~4Y. f~G • "t' • • ~ • • •~~~~~i'L l 'I (as on the tax ro or latest dee • appl' an is a c oration, signature o my authorized officer. • (Name and title of corporate ~,ofGcer) Bbiidcr's Liccnsc No. • , . ~ . PI`umbci s Liccnsc No. , ly • E~~ectrician's License No. ! . O `ter Trade's License No . . • Location of la don which proposed work will be done; ~ ' Ise NunY~'tl ~~d`~.~.. 5' cet • • Hamlet ~~FZs~~~r~~:~!`.. • t t~ County Tax 11ap No. 1000 Section .~.p~~.~ III'ock Lot „1,a Subl~livision ~I. Filed Atap No. Lot . • •(7Jam¢) • r esishng use and occupancy of pt5 P y oC ro osed constr action: i A~. Bxistin use and occu a mtges and nd~d use anJ occu anc • • • • • • • • • • • . • • • • • B. Intended use and occupancy..... • • • • • • " • • • • • • • • !I i I cP. ~coV FQ4M6 R EP Irn "i ~'\fl o~ ~P I~ \ / . / \~a5 7 I i ~.~:s SInIt~ It 3z~ E% \°;~~n ~oit0 ,.a 5g ~ y~~\~ PN4w Ne¢v olu~ ~o( m O o 1 \YV\l OT aoP0. Tp W. Y 7 O^ 1 / ~yb~~`wz ~I/ ///lll w \ ~ I "r EPQ ~ m ~ IS / \m_ N 1' / ° S ~ I i N6s° 66 1 .b,g~.a, ~ 11 i PTeO \ ;°m' 1 ; ~Wyra° o e~ ~ wger WW I / - - - o~,e, R ~ II ~ II„ u T/L *'a e~~~di W, I i ' ~ m,;p 4 CC - 41995 ~J ¢a SEEO~ NK' @ 349'3 JP94TU WELL I ~I~'I'i I ~ \ ° `B W5E S ¢ u ew4v u `I I. G Py A 4 ME w~ °e IN5ET (n ~ °y~ae+' p e~ smLS =mo _~.ELbr~~Dl I ym" ~ aA° e bT°NE miD Eev¢¢ © "Tn',gll! `f 4~n - _I ,11.® J°pOy Py wumu 1°BU OOO 5EE m _ ~ 'M°YY P / ~ Iu SET x N / 1 d~ ~ O I ii E ~ ~~3 ~ ° FEw`¢A°E SNa°EE° . ° s9 J1 cP6N N,/ LO' .85 °48 qO°W 208.p6~ ~ Tho w Of former) ~ ..I u, mas F Zaweski a I s, i i ~ ° ski>' j = now or formerly Christine Zaweski ; / ro David R a Jana ~~U c( i F Starwood / ~ ~ a a cn , N` o ti v 's N - E I _ UE "E""'°"~_ YOUNG & YOUNG lug, I<4 ala¢ ,%.I ,v l;: I,~vr I, FBI nu, New YuRn HEALTH DEPA RT MENi-DATA FOR APPRDVAL i0 CIXJSiRUCT HowA INVF N XEIRESi WRTER WAIN-NI _ XSOVRCE Di WLiER PRI`1TC _PUbLIC_ ~ 1 I v 1) "vui~~°v~rv ~ U W YOUNG X SUFF CO LR NIP dtt 100 SEC-ION J2L lU'CR~LOT 13 ~ ¢ °y~ N MEIIE nPE M VYELLIIp3 WIiNIN 100 FEET OF LHIS 'ROPERTY OTNEP TN RH TXOSf SHOWN MEfl EOH F~1C'^I M LAE WXTER SLPRY 11q 3EW16E DI5lUSNL SYSTEM FCR iHI3 RESIDENCE IOCCfI II XI 11 /~vT pl ~ 1~IYY WILLCCNFORN fO THE SiRNWRD50F THE 5VFFMl(CDUNTY OEPIRNENi V OLrr11YINliMFY ('S OF XES! iH SEM ICEf ' ~ ~ ~ S~ W, r~~ XFPLICNIP ~ ~ Q°_ PDDRESS d - - ~ ~ ~ ~ ~ MATTSOUTHOLD _ 4589 J~~' If,WN NOTE • =MONUMENT Q= STq KE ~ _ 'C~ `S TEL A ----F RE ~ LOT I , MINOR SUBDIVISION °JOHN SIM ICICH ~ JR i ~ ~ ~ ~ ~~Fp- >~Q` `]UFf OLk Cq, N aT M TIE LOGTCN GF WELLlW1~5FPilf i4NKI5TIE CfsSPODL51[PI SHWNNEREM ~~-A E I~= UO (GATE DOT 'Lv1995 NO 95-0948 GE fTtON fIEL00B5ERl4ilOH51N00R OPT40BTAIVED IRON OTHERS ~ I