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Home My WebLink About17765-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218177 Date JULY 12, 1989 THIS CERTIFIES that the building ALTER ACCESSORY Location of Property 840 MART.FNE LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 143 Block OZ Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated NOV. 21, 1988 pursuant to which Building Permit No. 177652 dated JAN. 19, 1989 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 ENCLOSE EXISTING ACCESSORY CARPORT FOR STORAGE-NON HABITABLE The certificate is issued to RONALD H. WOOD (owner, Xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N~A UNDERWRITERS CERTIFICATE N0. H010270 JUNE 23, 1989 PLUMBERS CERTIFICATION DATED RONALD H. WOOD-JULY 10, 1989 REPLACES B.P.#14768 r Bui ding Inspector Rev. 1/81 v ~ Fosat xo. s TOWN OF SOUTHOLD 61iILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017 7 6 5 Z Date . ~t.' 19~P Permission is hereby granted to: tom..... at premises located at .......rrTG~.......r~~~~....1.Q~.-.~ n.~~~1~.?~..~F~`..I•..y,~.~~~........X19.~<~.....................,.............. Caunty Tax Map No. 1000 Section .......lf...~..... Block Lot No....~~............ pursuant to application dated 19........, and approved by the Building Inspector. Fee $..a~..i~ A'C~y ~B~~i ing Inspector Rev. 6/30/80 . Fosns xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N :t JL 4 / U 0 Z Date ....1~~/~~... 19..~.`o Permission is hereby granted~~to~~ /n~ n ~I ` D .tt~ ::e....~~ ,e.'~.................................... of premises locatedd a~ 0...~cn ~ 2.. l , 2 ~1,~4z.~.1!!'i-t/~ County Tax Map No. 1000 Section.... ~..~3........ Block riot No..I.....{ pursuant to application dated ....~Y.!~X.....~ 19~.`~?, and approved by the Building Inspector. 2~~^ ~ Fee Buildmg Inspector Rev. 6/30/80 ~n ~ TOWN OF SOUTHOLD ~d'u"" BUILDING DEPART?LENT TOWN HALL • SOUTHOLD, NEW YORK II97i 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE... May 16,. 1989 NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING.? ._pACANT LAND....._.. Location of Property. ~,a........._,Marlene Lane MdYtlt31~$.._..,__. HOUSE NO. . STREET HAHLET Owner or Owners of Property.... Rc?ncllci H..WOOd County Taa Map No. 1000 Section .143., Block Lot~...~4.._. Subdivision Filed Map ........Lot........._ Permit No. ..iZ76`~~r._.Date of Permit ..........Applicant ._~Pa~tl~........ Health Dept. Approval Underwriters Approval._........._.. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $.?5.00_______________ APPLICANT..... C~~~V/~ 't~~~ . Wald H. Wood _2_ ~ ~1 `1 "I rev. 10/14/88 ~~~0~ TEL. 765-1802 O 5 . - .y> ~d~ TOt9?N OF SO'UT~ObD ~ , ~ OFFICE OF BUILDi1QG INSPECTOR ~ ; ~ti rn P.O. BOX 728 ~ TUWN HALL ~ ~ SOUTHULD, N.Y. 11971 '~Ql ~ ~b ~ C E R T I F I C A T I O N f BLDG. DEPT. F S LD Date July 10, 1989 Building Permit No. 177652 Owner Ronald H. Wood (please print) Plumber Ronald H. Wood (please print) I certify that the solder used in the water supply system contains less than 2l10 of 1~ lead. ~ (plumber's signature) Ronald H. SVood Sworn to before me this i ~b day of ~ y I y ~ ~ 19~, NO ary PU1Jli iOHNSON ~n/'...'' y Rp6blftic. State of New York Notary Pub11C, Y.4+~ ~ COllnt tary No 43.7103240 Cert~'~Lcete dfiled lin IOew Yo knCountY COMMISSIQN EXPIRES NOVEMBER 30,, 1999 / - THE NEW YORK BOARD OF FIRE UNDERWRITERS . PAGE 1' ' 3011976 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK' 10038 ~ ~ ~ - - JUNE 23,1989 62345889/89 H 010270 Dote Application No. on file " THIS CERTIFIES THAT ~ ~ ~ ~ ' only the electrical equipment as deacrihed helow and introduced by the opp[icont named on the shove application number in the premises of RONALD H. WOOD, 940 MARLENE LANE, MATTITUCK, N.Y. in thefolfowing location; ? Bmement ® Ist FI. ? 2nd F(. GAR Section Block Lot , JUTdE 19,1989 uws esarnined on and found to he in coneplianre with the requirements q(this Boord. FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMi K W. AMT K W PMt. KW AMT. K W, AMT. H P, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELL UNIT HEATERS MULTI.OUTIET DIMMERS AMi N. W. Oll H. P. GAS H P AMT. NO. A. W. G. AMi AMP. AMT. AMPS. TRANS. AMT H. P. SYSTEMS MIT WAiiS NO.OF FEET SERVICE DISCONNECT NOAF S E R ~ V 1~ C E METER NO.OF CC COND. A. W. G A. W G A. W G AMT. AMP. ttPE EODIP l~e']W I,a JW 393W 3,d'AW PER9 OF CC.COND NO. OF HIAEG OF NbIEG NO OF NEUTgAIJ OF NEULRAI ' OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey i:as been made of the exposed electrical equipment in the premises indicated." "PJo obvious unsatisfactory condition was found, -c'~ RONALD H. 3i00D C/~~~ 4 DART;IOIITH STREET APT-52 FOREST HILLS, PLY, 11375 GENERAL MANAGER Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by their credentials. FIy:LD INS1'ECTIUN llATE COMi4EIJTS ro to 7. FOUNDATION (1st) FOUNDATION (2nd) ~1 2. z o ~ . „C c ROUGH FRAME & PLUMBING _ ~ H 3. ~ INSULATION PER N. Y. y STATE ENERGY CODE ~ 3 r 4. FINAL ~ ~ ~ ~ z ADDITIONAL COMMENTS: x ~ ~ ~ . k ~u H }H H z 1 S C+J ~ 9 \ r ' m ~ v ro H j Ronald H. Wood 4 Dartmouth Street Apt. ~J52 Forest Hills, NY 11375 May 17, 1989 Town of Southold Office of Building Inspector P.0. Box 728 Town Hall Southold, NY 11971 Gentlemen: Re: Ronald H. Wood ' Building Permit ~~177652 In reply to your letter of May 10, 1989, copy of which is enclosed, I a:- enclosing the following: 1. An application for a Certificate of Occupancy. 2. Check to the order of the Town of Southold in the amount of $25.00. The Plumber Solder Certificate should have been filed with your office lass week. The Underwriters Certificate should be filed with your office by the enc of this week. With that filing the requirements should be completed and I assumE you will then issue to me the Certificate of Occupancy. Sincerely yo ~r~ , / Ronald H. Wood Enclosure RHW:dst _ , ~ ~ ~ ~ ~ JUI_ ? E B Q~.DEPT Ronald H. Wood 4 Dartmouth Street ' Apartment x}52 Forest Hills, NY 11375 July 10, 1989 Town of Southold Office of Building Inspector P.O. Box 728 Town Hall Southold, New York 11971 Gentlemen: Re: Ronald H. Wood Building Permit ~~17765Z I am enclosing a new Plumber Solder Certificate even though one was filed in your office in the early part of May. I am assuming this certification complete all the requirements and I would really appreciate you expediting the issuance of the Certificate of Occupancy. Sincerely, r ~ ~ G~~~ Enclosure RHW:dst Ronald H. Wood 4 Dartmouth Street Apt. x{52 Forest Hills, NY 11375 June 27, 1989 Town of Southold Office of Building Inspector P.O. Box 728 Town Hall Southold, NY 11971 Gentlemen: Re: Ronald H. Wood Building Permit ~/17765Z I am enclosing The New York Board of Fire Underwriters Inspection Certificate which should be your last requirement to issue me the Certificate of Occupancy. Z am also enclosing a copy of my letter of May 17, 1989 with enclosures for your information. Sincerely, ~i~l~~!Gl Encl: RHW:dst Ronald H. Wood ~ 4 Dartmouth Street n.-;~'.~~";'~ ~ Apt. ~f52 ~i`'%'~'i'f ~ Forest Hills, NY 11375 ~i i.' l j ~ ~ a May 17, 1989 Town of Southold Office of Building Inspector P.0. Box 728 Town Hall Southold, NY 11971 Gentlemen: Re: Ronald H. Wood Building Permit ~~17765Z In reply to your letter of May 10, 1989, copy of which is enclosed, I am enclosing the following: 1. An application £or a Certificate of Occupancy. 2. Check to the order of the Town of Southold in the amount o£ $25.00. ~p p The PlumbQ~, Solder Certificate should have been filed with your office last week. The Underwriters Certificate should be filed with your office by the end of this week. With that filing the requirements should be completed and I assume you will then issue to me the Certificate of Occupancy. Rori'a1d,H.~o~f~~~ Enclosure RHW:dst ~f%~~' ~ i'~Nch~' ~ j Q~~N i b4'B,Fy~,~p t C~ ~A~'~G~' tA~ i ~~/clof~~~ 6f1~'AF~. _ 7 OCCUPANCY OR E iS UNLAWFUL ~ U5 W{TROUT CERTiFiCATE OF OCCUPANCY EORnFFC~rE i " N 69" 20' S0"E. I S.0 ~ Q ~ •J p4f/~( vi 1 ~ (aG¢A(rF ~ - i i ( ~ I of o O~ 4 o `9 C?2~~ ~ ~ 1 M Y ~ - p ~ 3 5' m -7 Y) 5 69' 20' 50' W. ~ 145.0 ~ ~ f L fl fG,~l~?~f~' { ~ If copp®r tubing Fs used PLIU~11 for water distributing Att. . system; piping shall be •~t~ , of types KK or_.._~_ 7'fESTINO fill, 7 $1..1 S V -r J ~f Mpy'f 77 765-1802 BUILDING DEPT. INSRECTI.=®N [ ]FOUNDATION i5T f ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: /TI~~~ ,/P-~~~i ~ c ~.~1 DATE ~ INSPECTOR `~'0/ ._r I T65-1802 BUILDING DEPT. INSPECTIQN [ ]FOUNDATION 1ST [ ] IROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ INAL REMARKS: d~ C~~7~. ~ ~ _ ~ DATE •~-INSPECTO ~a BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM • TOWN HALL . SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL Examined l .~1...... . Approved ~/fir........., 1~~ Permit No. ~~7~d.~~ ~ / _ p j, Q~ Disapproved a/c ..........................,~.A/~/~j~~.> G,'('/~~Q vv`t / /.Yi~•i/i// ~~~J ('••dinglnspector)•••••••• APPLICATION FOR BUILDING PERMIT Date . November 21......, 19 $g_ 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- 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 Occupancy 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, an egulations, and to admit authorized inspectors on premises and in building for necessary inspec„eons. ,h. $,p t, (Signature of applica , or name, if a corporation) .4 D~x-tmouth Street Foregi=, Hi71c..Ng!..)~375.. • Yl9t~lT~tAq! {x,11;11# 't'', ' (Mailing address of applicant) ~ Fl~J~ 1 # LyT $ Sri=t& State whether applicant i~,ayl~y~e~SSP&~s+%2ge't,~atchitect, engineer, general contractor, electrician, plumber or builder. ....................~~~1K1?.O~~t......................................................... ~ . Nr~LK'3A1 .5 Name of owner ofpr~emisres ......~~.,16.~ 1 ~NCY,h - JAt~?E`1 (as on the tax roll or latest deed) If applicant is a corpofat' ~ O~ u~ Brized officer. (Nam ~~++yy,, t cer~~,,;a# Builder's Li.^°"~ ~ ~ 0 Plumber's License No. ~ . Electrician's License No. ~ • Other Trade's License No . . . . 1. Location of land on which proposed work will be done . . ....940.....,.•,,,,,•„ ,.,,,,.Marlene.Lane ....................Mattituck....................., House Number Street Hamlet County Tax Map No. 1000 Section ......~4~......... Block ....2 Lot...19.............. Subdivision Filed Map No. Lot . (Name) 1'. r' ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ ~ _ a. Existing use and occupancy f b. Intended use and occupancy • • • • • • • • • • • • ° , . ; IP,., • ~ , , , , • i ` ( / 3. net air of wow rk whine applicable): New Building Addition Alteration J9..X, , , , , P irioval . . Demolition ..............Other Work . , , , , , , , , , , , , (Description) 4. Estimated Cost ..........S~,.Q0.4 . Fee , . ito be paid on filing this application) 5 If garaglennumber of ~dwellir~g units . . . . Number of dwelling units on each floor , , , , , , , , , , , , , • 6, If business, commercial or mi ed occupancy, specify nature and extent of each type of use . . Hei ht , , , , • g• • • • res, if any: Front Rear Depth . ~}mberofStories Dimensions of sameistructure',with alterations or additions: Front Rear . et Height N ' ' • Height . . . . . . . .Number of Stories , 8. Dimensions of entire new cons • • • . • . • . • • . • ~truction: Front Rear ...............Depth ember of Stories , • • • " • • " " " 9. Size of Iot: Front ...75.0 ~ , Rear ......75.0 Depth .....145.0............ . 10. Date of Purchase ...May. ,9.•I,],9,7,$,,,,,,,,,,, Name of Former Owner ?~,s.>ci., and, Anne, D. Love 11. Zone or use district inwhiclt remises are situated.,,,,,„p,,,,,,,,,,,,,,,,•,,,,•,•,•• R 12. Does proposed construction violate any zoning law, ordinance or regulation: ....1:14 . 1 13. Will lot be regraded NP' . . .Will excess fill be removed from premises: Yes No j 14. Name of Owner of premises . ~R4nalcl J~oocj , , , ,Address 4, Darttmuth St. ,phone No, f 7~$), 544-2910 Name of Architect : . . . ...Address ..Phone No. . I Name of Contractor . .Address . .Phone No.. . IS.Is this property located within 300 feet of a tidal wetland? *YES....NO..X. *If yes, Southold ToW'n Trustees Permit may be required. I PLOT DIAGRAM Locate clearly and distinctly ill buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocJc number or description according to deed, and show street names and indicate whether interior or corner lot. i I~ i~ \ i a~~~~r~~ P ~A3'Nditp aA r ~ 7 ~I ~ atmFlr~`''~ . 786-1802 9 AM 10 4 1My~ ~ FOLLOWINt3 INS!?$C71QN8; 1. fOUNDATItiN FOR FOtRNO i 2. ROUON • RIMMAINO • pAMA~Iw 9. INSULATRIN A. FINAL - OI9NJS'11111CRM~N IN1N? BE COMFt>!~ F0116.0. ALL CONI~TRIIE11N9N 11lly,a< Rlw ATE ~ ~ K~ . COaEB. Np/ . DESIdN QR I STATE OF NE}},V,~~ O COUNTY OF.XY.~~"1?,~~, i S.S RotialA ,H, Wood • ' ' ' ' ' ' ' ' ' ' ' ' ' g~'~• • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual si ping contract) above named. He is the .................OamP,t• (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dEily authorized to perform or have performed the said work and to make and file this aPPlication; that all statements conkained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this II %~~~yf. a oaf.. 9UP!~rlbL'r' 19 Notary Public, . !~lV.`:f!'.1..Y . . County I R08EfjT D. JOHNSON . Notary Pu01ic, State of Nrw York • N0. 43-7103240 Oualired,'n, Ficnmond county (Signature of applicant) ~ Certificate filed in New York County ' COMMISSION EXPIRES NOVEMBER 30, 1988 ~ ~ FORM NO. 1 ,r' TOWN OF SOUTHOLD ~ APR ~ ~ S~ BUILDING DEPARTMENT TOWN HALL L.`"""°°.°,.°.----•~.,e,~ 50UTHOLD, N. Y. 11971 701niNUFSOUTFIOLD TEL.: 765-1802 J-~ gyo Received........... 19••• Examined , 19 Approve 196. Permit No. l ~~~v ~C1'~'~~`1 d Disapproved a/c ...w Y (Building Inspector) APPLICATION FOR BUILDING PERMIT 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- 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 Occupancy 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, h ing code, and r gull ons, and to admit authorized inspectors on premises and in building for necessary inspections. 1... (Signature of app icant, or name, if a corporation) 940 Marlene Lane, Mattituck, N.Y. 11952 t (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general' contractor, electrician, plumber or builder. er Name of owner of premises Ronald H. Wood,,,,,,,• (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . . i "Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. , . .....940.... ...............Marlene Lane.................Mattituck.... ?douse"Number Street Hamlet Gcunty Tax "Map No. 1000 Section , 143..... • , , , , Block 2 Lot 19 . Subdivision .".,:'.5 Filed Map No. Lot . _ (Name) 2. "State exist;eig'use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......~?erl .c.~xport . . . . ......:.;x,M;.,, . . ''•314'.7........... ~1UY 'trMc...4.~. ,,r4i,~,~ Storage zoom and•~ b. Intended use and occupancy r+ k ~ , 3. Nature of work (check which applicable): New Building Addition Alteration X . Repay,-~•.~:.:. t :~;:t..... Removal . Demolition Other Work . ' ~`~''i (Description) 4;' Estimated Cost.......$5~000 Fee...................................... i Ito be paid on filing this application) L - ~ 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear Depth . j Height ...............Number of Stories......................................................:. Dimensions of same structure wjth alterations or additions: Front Rear . Depth ' .Height Number of Stories . 8. Dimensions of entire new construction:'Front Rear ...............Depth . -Height Nurtiber of Stories . . 9. Size of lot: Front . , 75.0, , , , , , , Rear ~Sr ~ ~ epth 145.0 ~ . . Ma 9 1978 ames W.~ and Aerie D,~ Love 10. Date of Purchase Y...~. . ..................NameofFormerOwner 11. Zone or use district in which premises are situated A • • • No' . 12. Does proposed construction violate any zoning Iaw, ordinance or regulation : . . 13. Will lot be regraded NO Will excess t 1 b rem ved from premises: Ye No 14. Name of Owner of premises Ro~aJ.d, H. Wood , , , ,Address 940 ~ar~ene sane 298-582 ....Phone No . Name of Architect ................Address ...................Phone No............... . Name of Contractor .................Address ...................Phone No............... . PLOT DIAGRAM Locate cleazly 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 whether interior or corner lot. ' SEE ATTACHED SKETCH jl STATE OF NEW YQ,RIC,, ~ S.S COUNTY OF . New York , , , , , , , . , . , . Ronald H:. Wood . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual sig}>ing contract) above named. He is the .............Owner...'...... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dtjly authorized to perform or have performed the said work and to mike and file 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 manner set forth in the application filed therewith. Sworn to before me this. f i, ' .day of Apr~~1 19 .86 Notary Public, County / J f j J/ FNlDE CI? J. 0~.~-• Y~ik 6 ~S .I/ l~~~V µptaty Pubitc~ State w w...~, . 1. . m (Signature of applicant)