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HomeMy WebLinkAbout18924-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19400 Date SEPTEMBER 28, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1450 JOCKEY CREEK DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 5 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Mareh 29, 1990 pursuant to which Building Permit No. 18924-Z dated APRIL 2, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far which this certificate is issued is TWO CAR GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPROVED BY ZBA #3899. The certificate is issued to AGMES & CHERYL PAGNOZZI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ft/A UNDERWRITERS CERTIFICATE NO. N-150134-SEPTEMBER 18, 1990 PLUMBERS CERTIFICATION DATED SEPT. 10, 1990-MATTITUCK PLUMBING ~ HEATING Building Inspector Rev. 1/81 Fosas xo. s TOWN OP 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) 0 N- 18 9 2 4 2 Date )9.9..~ Permission is hereby granted r-~ ,~t~. ~ :.............:p.... to ...................c-d"_:.ar... ~-~9.4.....~4c~.4.5s~s%M...~~ cal.)...~'~.....a!?...~Q.. • ~ ~ 1y,1 ill at premises located at ..~.~45.~....... .4{:~.{S.Wl7.....1~:4lCdfG.....1...~.fw........4w~¢`:tA~+Q~........ County Tox Map No. 1000 Section .......®7.0...... Block .......f~.ti~....... Lot No... pursuant to application dated .,~/~/~9.......~,~a9/~.D........., 19..~Q., and approved by the Building Inspector. Fee $..w`a~.f...:~. W(. Building Inspector Rev. 6/30/80 Form No. 6 TOWN SOL'THOLD BUILD'.:G LEFARTMENT iALL ~5-18i_' 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, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia~l}J$15'`70 Commercial $15.00 Date ....d.{.~~~.//1~.! ~ New Construction........... Old Or Pre-existing Building. S~ Location of Property..'~5~,....~~.~~."~...~''Y`~~..~.,,~r.l~/i~,,,,,,,~~i.!`d;~r~~:?.,,,,, House No. Street Hamlet Onwer or Owners of Property..:)~.~~..~. ~!~.~;F~~"......~.T7.cF~®.~'~7 1............ County Tax Map No 1000, Section....~.~......B1ock......:~........Lot.... 1.. / Subdivision Filed Map............Lot................. Permit No. J.4~ ~ .Date Of Permit.. ~.~...Applicant!-i1.~.~!~.~/.lr:.. 1:r~.Z~--"~ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee Submitted: $ ~~,G ~I Or? ~ ~ • • . ~ q ~~0 •LICAr V . . TEL. 7G5-1802 S~FF~~-Cps TOWN OF SO~JTIIO]LD .~Ol~ 1, 1.::'^' 6~tixMP.~{r ~ OFFICE OF BUILDIPIG INSPECTOR 0 1~ . P.O. BOX 728 ~i~' TOWN HALL O/~~~ SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N Date ! ~ U Building Permit No. Owner Pa please11 pri©nt! f ~ Plu^.ber ~Q'~'~~ucK 1 ~ r»b~..odh4cot~.,yq Q (please print) sJ ~rP 2 certify that the solder used in the water supply system contains less than 2J10 of 1~ lead. t.~ iplumber' iyna Sworn to before me this ~y~ day of S~i°1H/BE/z ~ ~~J 19 ~ Notes ublic tlotary Public, ~'C~F~aG,~ County NaRrY~+~~~ 4920768 in Suliolk CowdY term Expires f~~ 18.1992 ' ' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 70038 Date SEPTEMBER 18,199D Application No. on file 69458890/90 N 150134 THIS CERTIFIES THAT only the electrical equipment as described Below and introduced 6y the applicant homed on the above application number in the premises of C, PAGNOZZI, 1450 JOCKEY CREEK DRIVE, SOUTHOLD, N. Y. in thefoNowinp location; ? Basement ® lst FL ? 2nd FT, GAR Section Blork Lot uws examined on SEPTEMBER 04,1990 and found to 6e in cmnplianre with the reryuirerrtents q(tl,is Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT RUOPESCENT OTHEn AMT. K.W. AMT. K w AMT. Kw. AMT. K W AMT. H P SO 7 9 1 12.1 1 1.2 2 F I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ~ AMi K. W. Oll H. P. GAS H. P. AMT. NO A. W. G. AMi AMP AMi AMPS TRANS. AMT. N P. SYSTEMS PMi WATTS NO.Of FEET i 2 60D SERVICE DISCONNECT NO.OF 5 E R V I C E - I AMT. AMP. TYPE METER 1%1W I%3W ]%3W 0%4W NO OF CC.COND A W G. NO OF H4LEG A.W G. NO. OF NFUTPAlS A W G EQUIP. PER % Of CC.COND Of H4LEG Of NEUTRAL i j OTHER APPARATUS: KITCHEN 6 GARAGE ALTERATION WIRING-1 ELEC. ROOM HEATERS:1-1.5 K.W. G. F. C. I:-1 - ~4~ -t~~ G & S CONTRACTOR LIC.#578-E C/j~~ BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 LM y~/~ Per "1 I , 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. ~iYtr~. r1ELD It:SPr~.CilUN ~~UATE ~ COMMENTS . ~ S~ ~ ~ w _ - _ _ H QJ FOUI7DATION (1st) c ? FOUNDATIOtJ (2nd) _ _ mg, z 0 P,OUGH FRAME & C ~ d PLUMBING ~ ~Q L - ~ ~ W y 3. ~ / ~ m IIJSULATIOPI PER N. Y. • • STATE ENERGY n CODE 4 . y FIiJAL t~..- ) ADDITIONAL COMMENTS: 4 ~~hsr fJ ' x ~ • p H ~ a ~r H o .p z • m ra _ r H . cy m -o H TEL. 7G5-1802 \p~~~FOLk OG~` TOWN OF SOUTIIOLD Lf:~a~' OI~[~1CL' OP BUILDING INSPECTOR o ~`w" a P.O. BOY 728 ~ .rr,i ~ ~ T01VN FIALL y1/~l ~ ~,~o~- SOUTIIOLD, N.Y. 11971 ~/y Jyo - To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy i ; not on tile. ~iu,c~e-a-~~ No Underwriters Certificate on file. The check is (/not on file.) r~~S. No llcalth rcpt. Approval on file. / / Nu final inspection has been made. Please contact our office on this matter. Tl~atik you for your cooperation./ ~+y~ f3ui]di.nq Permit If / ~ ~ e7 ~j Z ~ac~" 0O Building Dept. ***/tom/ No Plumhcr Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,19II9 ) ~z G~z. K~''v r ~~~5~FF0(kco~ ~ Southold Town Board of Appeals ~ O~~Ol .~`a~e- MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARD P. GOEHRING Eft, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWIC KI JAMES DINIZIO, 1R. March 22, 1990 Ms. Cheryl Pagnozzi 1450 Jockey Creek Drive Southold, NY 11971 Re: Appl. No. 3899 - CHERYL AND AGNES PAGNOZZI (Variance) Dear Ms. Pagnozzi: 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 By Doreen Ferwerda Enclosure Copy of Decision to: Building Inspectors' Office County Planning . y. ~~J •i `v . ~ ~ / APPEALS BOARD MEMBERS ~ may', ',7 ~ • SCOTT L. HARRIS . ~ Supeevisor Gerard P. Gcehringer, Chairman ,A - Charles Grigonis, Jr. Serge Doyen, Jr. ~ _ Town Hall, 53095 Main Road Joseph H. Sawicki P.O. Box 1179 Southold, New York 11971 lames Dinizio, Ir. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 '~CmTON OF THE BOARD OF APPRALS Appl. No. 3899 Matter of AGNES AND CHERYL PAGNOZZI. Variance to the Zoning Ordinance, Article XXIV, Section 100-244 B, for permission to construct an addition to existing dwelling, proposed construction will have insufficient side yard. Property Location: 1450 Jockey Creek Drive, Southold, County Tax Map No. 1000, Section 70, Block 5, Lot 17. WHEREAS, a public hearing was held and concluded on February 1, 1990 in the matter of the Application of AGNES AND CHERYL PAGNOZZI under Appeal No. 3899; 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 south =side of Jockey Creek Drive, Town of Southold and is identified on the Suffolk County Tax Maps as District 1000, Section 70, Block 5, Lot 17. 2. This is an application for Variances from the Zoning Code Article XXIV, Section 100-244 B, for permission to construct an addition to existing dwelling, proposed construction will have insufficient side yard setbacks. r ; Page 2 - App1. No. 3899 Matter of AGNES AND CHERYL PAGNOZZI Decision rendered February 15, 1990 3. Article XXIV, Section 100-244 B, A nonconforming lot separately owned and not adjoining any lot or land in the same ownership at the effective date of this Article and not adjoining any lot or land in the same ownership at any time subsequent to such date may be used, or a building or structure may be erected on such lot for use in accordance with all the other applicable provisions of this chapter, provided that proof of such separate ownership is submitted in the form of an abstract of title showing the changes of title to said lot, which abstract shall be in the usual form, shall be certified by an attorney or a company regularly doing such work in Suffolk County or by a corporation duly licensed to examine and ensure title to real property in Suffolk County and shall contain a certification that no contiguous property was owned by an owner of the property involved since the date of any previously applicable Zoning Law. Such lot shall be granted relief for , front side and rear yard dimensions as follows. 4. The subject premises for the proposed addition is known and referred to as being 35 ft. on the east side of the property line, 11 ft. south side, 12 west side of existing one family dwelling and 22 ft. on the north side of the property line. 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 addition in any other location on the premises will require other variance relief; (c) that the area chosen £or the proposed addition is not unreasonably located; (d) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (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. Grigonis, seconded by Mr. Dinizio, it was y ~r ?age 3 - Appl. No. 3899 Matter of AGNES AND CHERYL PAGNOZZI Decision rendered February 15, 1990 RESOLVED, to GRANT a Variance in the matter of the application of CHERYL AND AGNES PAGNOZZI as applied under Appeal No. 3899, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the addition to existing one story frame house be 21+- ft. northwest and 21+- northeast of the property line. 2. That the sideyard be ft. from the east side of the property line, thereby proposed addition be reduced by 1 ft, so that it's 10 ft. for the addition on the second propose rage. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, and Dinizio (Absent Joseph Sawicki and Serge Doyen. This resolution was duly adopted. * ~ GERARD P. GOEHRINGER, CHAIRMAN fi £ Yet ~ ~ ; ' S ~ k t h o ~ ~ ~ t M1 P ~ ~ ~ 4 "f, C 1 1F ' p yr t;7~ ro.a d ~ ro & c ~Mt~ '.1 t' ~ a z, ' - 1. f ~ v ~ ~ ~ i _ ' ~ ~{at V y < s R M {q f ~ ~.v w `t : o ~ .i ~ ~ ~ ~ aq ~ q ~ ~ 3: t ~ j ~ ~ ~ ~ - ~ 'a, I'~~ Tay t tvlt i ~ ~ P t~~ a i { y ~j.~ 4ni ' _ ~~C) ~'1 ~'p. ' ~ 15~~ i nJ/' Gy I A 55„ I Q ~ux 1 U , t t ~ ~ s ~ fi~ `P ~ ~ ~ m ` ~ ~ { ~ 3 .1k> r-~", i r ~ y f t 1!! ~ y. yl' ~ iT"~rx~~, ~ A p 5 ~ S ,~I 1 ~ ~ ~ er ~ ,i~~i a - ~ - `I ~ ~ - t. cct. a a £"a'~n~° n. '~~4Wm, s~..f 'z.~ M- ,il~.a ~'~.,.~z~ . ~ , x.~ , FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ~ Q Date . ~.~/f~ 19 PLEASE TAKE NO~T~ICE that your application dateLd ~.'./1~~.........'..Q.®.o. _ 19~. . for permit to ~=6"~!-'d/1~. G?~GC~~ . ;G~ , ,~L~u,7 , , , , G~4r!'~~. Location of Property . ~'~+V.~: G~~C......... g~' 91X~~' House No. ~~~~yY~~ Street ...Hamlet County Tax Map No. 1000 Section Block Lot ~ ~ . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds . (~iy=GLi'~r ..~u^G. .n~~.~ ...1.40 - o°l. ..1~3.,.. ydyl~~-~.~. ~'~n~~uc.~~i..... . . ~i~ ing Inspector RV 1/80 - ~1 ~ - -1- i - - - - - - - _ -j - - _ ~ -I ~ - - - - - _ - _ - - j- } , - - 1.: - - - - - - - - - a - , - - - --I - - - - - - - - - -N = - ~ - -I-- - 1-A r _ _ ~l7 - _ _ ~ - - - _ _ _ _ _ _ ~ _ _ i i ~ _ - - _ _ y_~.._ _ _ _ _ _ _ ~r.- - - - - - - r--'-.i_. _ - I - -I- - - - - - -4-;-- - ~ ~ - - - - - - i - f- - - - i - - - - -r-f i a - - - - -+-i~'-I p; ' ~ - - _I..-1_~_ i ~ - - - - - - - - _ i-~f 1 - n ~ ~ - - - - - . - - - - ~ ~ ~ I - ~ - - z - I-'i_~ 'YI _ _ ---~T-~_ ~~h) C - _I - - - i ~ - i r - ~ ~ - ~ B0~\KD OF HEaLTA • a~~~ ~ ~ _ _ 3 SETS OF- PLA\S Q_~ 'FORM NO.1 SURVEY QyK ~+Jt { i TOW V OF SOUTHOLD CHECK • • • • - - P• i BUIL"D.INGDEPARTMENT SEPTIC FOR:1 fi 1 ~ ~~~~s TOWN HALL NOTIFY Qfp~i~f'F?•fpf ~ SOUTHOLD. N. Y. 11971 . ~~1w~'*°~ TEL.: 7G5.1802 n,,.,' p MAIL T0: /YS-0 ~ao~ ~N Examined 19 ~ , o Approved ".t~IkS-Y.. 194 Pcrmic No. t.~.9 a.~ D Disapproved a/c • ' ~'~d-' _ -ran BLDG. DEPT. 'ryyt ~ .t. TOWN OF SOUTNOLO 9 ~~~lU! 6' (Building Inspector) ~"°""`~t,~o;:, ~ ~ APPLICATION FOR BUILDING PERMIT Yt:4v~y . , , - ,~m_..,.. Date 19.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- bation. 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 wilt issued a Building Permit to the applicant. Such permit shat! be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. _ k APPLICATION IS HEREBY b1ADE to the Building Department for the issuance of a Building Pet~rtit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanees or Regulations, for the construction of buildings, additions or alterations, or for removal, or demolition, as herein described. The applicant a^_rees to comply with all applicable laws, ordinances, b 'ding co e, usmg code, and regulations, and to admit authorized inspectors on premises and in building for necessary in a lions. (B'gnattrre f plica t, or n m ,'f a corporation) ..l`~S~?..~0~~..~`} ..??-.IC.. Qr~ye..C. lob (bfailing hddress of applicant) M~ f'~~ ~ t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......Q~?i~~.~ \ameofotvnerofprcmises ..~~'•I~IES...~.C:.~.LF(~ 'C".~~a~~ZZ~ (as on the tax roll or latest deed) [f applicant is a corporation, signature of duly authorized officer. . ~ ~ • • • . (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSEU i Buildei s License No. . Pluntbcr's Liccnsc No . . Electrician's License No . . Otl[cr Trade's License No . . 1. Location of land on which proposed work will be done. . , , , House Number Strcct Hanilet / County TaxAtapNo.l000Scc[ion Block Lot.....{„!,,,,,,,;,, Subdivision .Filed ~1ap No. , . Lot . (Namcj. ............t. State existing rrsc and occupancy of premises and intend11__ed use artd occupancy of proposed construction: a. Existinguscandoccupancy .(~1~IG.I:gmt~:Y...`;1~DWt~....Wf~ ,ENE. C~,~_,C~{`i"~~JC ` Tltl p r 1 • ~ . b. Intended use and occupancy ..l.i..., • , \ ' ' Al~teration,_ ' t 3. Nature of work check whtch applicable): Aew Building Addition . • • , r , • ( .Remo Rcpatr Lal Demolition , Ot scri ~ •'on) 4. Estimated Cost ~ ; ,A;J~, ~ Fee he... or ,Pct • . . (to be paid on filing this application) 5. If dwcllins, number of dw,cllin~~u~nits Number of dwelling units on each floor , , It Farace, number of cars v::' 6. IC business, commercial or mixed,occupancy, specify nature and extent of each type of use 7. Dimensions oC existin; structures,, if any: Front ~ ~ • • Rcar . ? Via.. Depth w~r~i+.`::: Height , ~..~Pa,Ij~?; : Number of Stories . . •b::L::' Dimcnsions'bf sdth`e structurc'wi h alterations or additions: Front ,~a.7.......... Rear . , Depth 0~l..7 . , S'~ .Height (I, ~-.L? ; Number of Stories . 8. Dimcnsif~et,>~iw.construction: Front Rear ........Depth , Height ":-Numfjer of Stories 9. Size of lot: Front / ~ v Rear / 4? : D 3,/_ . 0. D?ate of,l?,y;r,'cha§e.,..~..1.R ...Name of Former Owner .131:. . 1. Zlortc°or use disfiict in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: , U.R1,S11RG, , , , , , , , , , , , , , • 3. \Vill lot be regraded .....(I~ Q ~ Nill excess fill be remm,,o~ve~fr m ~~nrises: Yes ~ ~No" 4. Name of Owner of.premises f{(~ES ~:C~¢f~G ,~~t'b~{'ddress , .1,'-!s~ ,~0.°:~e:S~.: ~ Phone No. ~~2:~; ~-Q~: Name of Architect Address ...................Phone No.. . Name of Contractor .......:..................Address . Pone No.... , 5. Is this property located within 300 feet of a tidal•wetlandY.*Yes..~.l. No *If yes, Southold Town Trusitees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alt buildings, whether existing or proposed, and. indicate al] set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether acrior or corner lot. t~(NI C~ ~ _ h . ~ ~ ~ `d_ ~ ~ ~ p~t~-- c ~c~-~S ,r~~ i / `'•~r - -ATE or• Ell' YoRI:, ss _ ~li\7Y OF . , , , , , , , , , . . . . . being duly sworn, deposes and says that he is the applicant • ' ' ~ ~(\amc of indi~•idual si~nin; contract) ove named. ~isthc (Contractor, agent, corporate officer, etc.) said owner or owners, and is dulyauthorized to Perform or have performed the said work and to make and file this olication: that all statements contair1ed in this application are true to the best of his knowledge and belief; and that the irk will be pcriormcd in the manner set forth in the application filed therewith. orn to before tncyt/his tart' Public, ........1; :./.t:..~~• v~ • County I~ NELEN K. DEiVDE • . tgnature of applicant) IIDTAItY PUDIIC, Stat¢ of New York . • Term~Erpoes March~0 19un~