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HomeMy WebLinkAbout18939-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19729 DATE: February 13~ 1991 THIS CERTIFIES that the buildin~ ADDITION Location of Property 2260 GREAT PECONIC BAY BLVD. House No. Street County Tax Map No. 1000 Section 145 Block ~ Subdivision Filed Map No. LAUREL t N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 13, 1989 pursuant to which Building Permit No. 18939-Z dated APRIL 6, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPROVED BY TOWN TRUSTEES & ZBA #3905. The certificate is issued to ANTHONY J. & MARIA MERCORELLA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 I~O~M' NO. S TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18939 Z Date * ~ ...... ~ ............................... , ~9..?....° Permission is hereby granted to: ~. · .... ;:; ........ ~. ........ . ..... ...~..~., ........... .~., ............ i~i~ ................. ,o ~..~......~.....~~.....~ ................ ~~..~.....~.,...,......~...~. ..... at premises;ocated at....~.....~.....~..u ..0........~.?~.......?~ , ..~....~ .....~....~....: ...... ~...~ County Tax Map No. i000 Section .... ./....~...~... ........ Block ......C~...~. ....... Lot No.....~....~. ........... pursuant to application dated ~.c:~cc~.~. ...... /...~ ............. , 19.~..~.., and approved by the Building Inspector. Fee $..~..~....'....../~.. ...... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ..... New Construction ........... Old O~ Pre-existin~ Buildi~ ................. Location of Property...~....~......~.~..~..~.~. ff.~. ~.~....~.~..~.'.....~--~.. ~.~ .~... ~ .~. 7.. House No. Street Hamlet Onwer or Owners of Property ............................... .. ... .. . . ~...... County Tax Map No 1000, Section ...... ~.~.~...Block .... ~ ........ Lot...~.. ................ Subdivision ................................... . Filed Map ........ ... . Lot ...................... Permit No. ~.~...~..~...~....Date Of Permit..~/~.~. ...... Applicant ............................. Health Dept. Approval ....................... ... Underwriters Approval ....................... . . Planning Board Approval ........................ Request for: Temporary Certificate. Final Certicate. ~ Fee Submitted: $ .......................... -E. I 7 ......... NO. suRw Y ,JOSEP~ Ii 'LAUREL TOWN OF SOUTHOLO' SUFFOLK COUN~Y~ N.Y. 'r HOMJ AF~RIL 22, 1968 FOUXDATIOX FOU?/DATIO~'! ROUGH FRAME & (1st) (2nd) .?LUMBING II~SULAT!ON PER N. STATE E~IERGY CODE Fi;IAL ~DDITIONA'L COXME1,;TS: TOWN OF SOUTtIOLD OFFICI£ OF BUILDING INSPECTOR ILO. BOX I I 79 TOWN IIALL SOUTIIOLD, N.Y. 11971 October '2, 1990 TEL. 765-1802 ANTHONY & MARIA MERCORELLA 2260 PECONIC BAY BLVD. LAUREL, NEW YORK I1948 TO Whonl ' ' 5hms May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. / n application for Certificate of Occupancy is not on file. (ENCLOSED) / /~///No Underwriters Certificate on file. /._vff The check .i:;(o~'Tk~l{~YtXp~l/not oll file.) /~/ No tlealth Dept. Approval on file. /~/ No final inspection has been made. Pl ea:;.e contact our office on this matter. Thank you for your cooperation. Building Permit l! I 8 8 3 5 Z Building Dept. ***/~/_ rte Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) NOTE: CERTIFICATION REQUIRED FOR PILINGS BEFORE CO CAN BE ISSUED. TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 October'2, 1990 TEL. 765-1802 ANTHONY & MARIA MERCORELLA 2260 PECONIC BAY BLVD. LAUREL, NEW YORK 11948 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_ application for C.rtzflcatee ' ' of Occupancy is not on file. (ENCLOSED) /_--//Jo Underwriters Cortificate on file. /Kq--/ ""-Thc check i:;(pJ~1{~Yt~I/not ou file.) /.]/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact ()ur office on this matter. Thank you for your cooperation. lhL[ldir',g Permit t} I 8 9 3 9 Z Build in9 Dept. ***/~/ Ho Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FRANK A. KUJAWSKI, JR., President ALBER.T J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TELEPHONE (516) 765q892 TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 December 7, 1989 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: .~:~smitted herewith is a waiver request submitted b~~ ~~to add a deck to existing house on property loc~ a-~ .... 2260 Gr~at 'Peconic Bay Blvd., Laurel, NY on Brush's Creek. Please prepare a written report of findings and recommendations with respect to this application. FAK:jb 'CC: Bldg. File Dept. Very truly yours, Frank A. Kujawsk~i, Jr~ President Board of Town Trustees DEC 7 1989 TOWN Ch' ~©o~, ,~D TELEPHONE (515) 765'1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. APPLICANT'S NAME: MAILING ADDRESS: AGENT: ~_~T ~ADDRESS: --'IZIg~%M~I~Ia-REQUESTED TO: ~LD D ~- ~)~C~ LOCATION OF PROPERTY FOR REQUESTED PERMIT: HAMLET: - k IFU /9_ ~ ~ CREEK, BAY OR HA~OR FRONTING PROPERS: SIZE OF PROPOSED WORK: LENGTH: ~ ~ WIDTH: / ~ App. Page 2. YDS. TO BE EXCAVATED: · /~ YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: DEPTH AT LOW TIDE: AVER. RISE IN TIDE: DISTANCE TO NEAREST CHANNEL: DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: AREA ZONING: IS PROJECT FOR PRIVATE OR BUS. USE: INTENDED USE OF PROPERTY: DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: HAS ANY PRIOR LICENSE OR PERMIT BEEN'ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: DESCRIBE FULLY THE REHABILITATION OF PROPERTY: DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARy: ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: WRITTEN CONSENT OF OWNER IF NOT ~HE SAME AS APPLICANT: 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only DART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: SEQR 4. PRECISE LOCATION (Street address and road Intersections, promment landmarks, etc., or provide map) 5. IS PROPOSED ACTION: [] New [] Expansion [] ModificatlonlalteraEon 6, DESCRIBE PROJECT BRIEFLY: 7, AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] NO If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] !ndustrial [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe: - 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] NO If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQU RE MODIFICATION? [] Yes [] NO I CERTIFY THAT THE ~NFORMAT~ON PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER COUNTY OF SUFFOLK ) STATE OF NEW YORK ) BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT OR REPRESENTATIVE, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Applicant SWORN TO BEFORE ME THIS NOTARY PUBLIC ~)rLEH K. O£ VOE L~OTARY PURl. lC, State? New York No. 4707878, Suffoak County,~ / Term Expires M&fch 30, 19?~', EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 LOT NUMBERS REFER TO MAP OF EDGEMERE PARK, IrlLEO IN $UFK CO. CLERK'S OFFICE AS MA P NO. ~74~ ON JULY ~) 1931. SURVEY FOR JOSEPH L. O'ROURKE L. AUREL TOWN OR $OUTHOLD SUFFOLK COUNTY, N, Y. SCALE: I"= c30' APRIL 2P-, 1968 GUARA~',fTEED TO~ HOME TITLE DIVISION, CHICA60 TITLE INSURANCE JOSEPH L. O'ROU.ffK E. .:" '. ,,..',; ~AND ~URVEYOR ' ' N.Y.S. FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 January 3, 1990 Maria Mercorella 131 Duxbury Road Purchase, NY 10577 Dear Mrs. Mercorella: The following action was taken by the Bog during their regular meeting held on December 21, d"-of Town Trustees 1989. RESOLVED that the Town Trustees~;~.~ the request for a waiver to add a ~;~?~'~~;~;~,~ ~th the stipulations that s~ngle row staked hay bales be used during construction; also a suggestion to remove grass and plant native vegetation. The property is located at 2260 Great Peconic Bay Blvd, Laurel, NY, adjacent to Brushs Creek. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. FAK:jb cc: Bldg. Dept. Board of Appeals file CAC Very truly yours, Frank A. Kujaws~i, ~' President Board of Town Trustees APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWICKI JAMES DINIZIO, JR. Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 SOUTHOLD. L.I., N,Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE BOARD OF APPEALS Appl. NO. 3905 Matter of ANTHONY J. MERCORELLA. Variance to the Zoning Ordinance, Article XXIII, Section 100-239.4 B, as disapproved, for permission to construct deck addition to dwelling, proposed construction will be less than 75 ft. from the bulkhead. Property Location: 2260 Great Peconic Bay Boulevard, Laurel, County Tax Map No. 1000, Section 145, Block 4, lot 4. WHEREAS, a public hearing was held and concluded on February 1, 1990 in the matter of the Application of ANTHONY J. MERCORELLA under appeal 3905; and WHEREAS, at said hearing all those who desired to be herd 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 Great Peconic Bay Bouelvard, Town of Laurel, and is identified on the Suffolk County Tax Maps as District 1000, Section 145, Block 4, Lot 4. 2. This is an application for Variances from the Zoning code Article XXIII, Section 100-239.4 B, for permission to construct deck addition to dwelling, proposed construction will be less than 75 ft. from the bulkhead. Page 2 - Appl. No. 3905 Matter of ANTHONY J. MERCORELLA Decision rendered February 15, 1990 3. Article XXIII, Section 100-239.4 B, Ail building located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-five (75) feet from the bulkhead. 4. 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 area chosen for the deck 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 RESOLVED, to GRANT a Variance in the matter of the application of ANTHONY J. MERCORELLA under Appeal No. 3905, SUBJECT TO THE FOLLOWING CONDITIONS: That the 12 by 44 ft. deck be built on the west side of house irregularly shaped and be approximately 25 ft from existing bulkhead. 2. That the deck remain open and unroofed Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, And Dinizio, (Absent Joseph Sawicki and Serge Doyen). This resolution was duly adopted. df GERARD P. GOEHRINGER, CHAIRMAN Exanffncd ........ , Approved ., FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ..~.,.,.~,. .... 3 SETS OF PLANS ............ SURVEY ..................... CHECK NOTIFY~ MAIL TO: , .. a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ 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 lhyout of property must be drawn on the diagram which is part of this 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 throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Ocsupancy shall have been granted by the Building Inspector. ' ~ APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or Regulations, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit author/zed inspectors on premises and in building for necessary inspections. '' '(~,gn;tu;e o'f ~pplic.~t or na'n~e', ifaco}po'rarlon') .......... (M ailing ~dd ress o~'a;plic~;) ............ State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises . ~. . . .Y7 (/.'..'~.~./.).ar; (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No ...... O.O.-3.. lQ..~...~. ....... Plumber's License No ' Electrician s License No ....................... Other Trade's License No. '0~ Location &land on which proposed work ,viii be done: (4~ O ~o-ze~ ~-'~cfl ' tlouse Number ' Street, ' I "" '' ' ........... Hamlet '" CountyTax Map No'. I000 S~ction ,/./'] ~. '' ' BlDck ¢ 4 Lot Subdivision Eilcd Map No '" State e" - x sting use and occupancy of premises and intended use and occupancy of proposed construction: a. u,e occ,p ncy ..... ./. b"n'end iluse,n oee, p=cy.. /..¢ ...... ¢. ..?.?/,?. ..................... Alteration ......... Nature of work (check which appHicable): New BuildXng Addition ...... Repair .............. R~movnl .............. DcmoUtion .............. Swimming pool.,~.~i~j ~> Tennis Court<~. ....... Adcessory Building .......... Fence ....... Other Work;.~v~-. .... st mated Cost 3.Qc . .... ; ....................... ................................ (to be paid on filing this applkation) If garaee, number of cars ...... !7~7/3'' '/ ................................. : ...... ~Z/~ ......... 6. If business, commercial or mixed pcchpancy, specify nat~,re and extent of eac~ t,,ype ct use . · ./.~/,'. ·..,;,,;,~ · 7. Dimensions of existing structures, if any: Front .... ~. Z ....... Rear . ..~. ~. ........ Depth .... ~ ......... /~._~ Number of Stories f. ' ' Height ' ' ' ' of same structure witl{ alterations or additions: Front Rear Dimensions ............................... D ~ , w,,:,),, '. Number of Stories ............ ., .... 8. Dlmenmons oI entire new consrmcuon: Pront...., ................... · 10. Date of Purchase ."ff~ .................. i. ..... Name of Former Owner ............................ Il. Zone or use district in wbicl, premises are situated ............................... ;~,: ~ ' '." % .... iii ! :~ 12. Does proposed construction viotaie any zoning law, ordinance or regulation: .............. . ......'"'.'/' 13. Will lot be regraded ...,L~....i ........ ~ ......... Will excess fill be removed,from premises: . :es Name of Architect .... ~ .~...~.~; .............. Address ....... '... Phone No ........ -.-,. :-- Name of Contractor ...-~..~..~.. ~.E-r .... '~ ........ Address .......... Phone No.)~. z~'..',,' ....... : . · wetland? *YES-... ;mu .... 15.Is this property located wxth~n ! 00 feet of · If yes, Southold TowniTrustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property Lines. Give street and block number or description according to deed, and show street names and indicate whetl3er interior or comer lot. STATE OF NEW YORK, COUNTY OF ................. ' deposes and says that he is the applicant ................................................. being duly sworn, (Name of individual sig0ing contract) above naa'ed. I% is the ' ' ' (Contractor, agent, corporate officer, etc.) " of said wner or owners, and s duly authorized to pe,rform or have performed the said work and to make and file this o ' ' · ' ' '' ' he best of lris kn°w edge and belief; and that the application; that all statements contanmd ,n th,s apphcanon are troe to t Work will be performed in the manner set forth in thc applicatiou filed therewith. ,/ Sworn to before me this , HOTRRY PUBLIC, State Term Expires