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HomeMy WebLinkAbout17779-z Y • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE•OF OCCUPANCY No Z-20215 Date SEPTEMBER 12, 1991 . THIS CERTIFIES that the building ADDITIONS Location of Property 62215 NORTH ROAD (C.R.#48) GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 1 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 1989 pursuant to which Building Permit No. 17779-Z dated JANUARY 25 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPROVED BY ZBA #3809. The certificate is issued to STEPHEN & DONNA GRZESZK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-197582 - JULY 29 1991 PLUMBERS CERTIFICATION DATED N/A LG~.°j' ' Bu' ding Inspector Rev. 1/81 roans xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~ 17 7 7 9 Z Dote .....~k~rY.k!~....!s~1..tis 19.9. Permission is hereby granted to: ta ...C.!i~-~sls.~s,c.~.:...a:n.....~r~.r~-~-:~-?~i~..~:...~7..-.lt..cl4z.....s;~.~:4~fr.~s?~n.....~ii....r.,...c1~.A.. ct premises located at .~:~:~.J County Tox Map No. 1000 Section,,......Q.`f'Q....... Block ......Q.~......... Lot No....6..~m1............ pursuant to application doted ...../U.l~'!~°.'!:!:iI•S~N........~........, 19.~ 9., and approved by the Building Inspector. Fee ..,r.4. Bu ing Inspector Rev. 6/30/80 ~~,~,x, to % 6 ~2/S 'DIo~~Qc~ ; ~r~'~.l~~yy Form No. 6 D l! V L~s~~ TOWN OF SOUTHOLD ~ ' g 1991 BUILDING DEPARTMENT VO' L TOWN HALL 765-1802 g4pG. pEl'T. 'GOWN OF SOUTHOt.D 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 Deft. 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 19 lead. 5. Commercial building, industrial building, multiple residences and similar buildings t and installations, s 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 - Residential $15.00, Commercial $15.00 Date New Construction........... Old O/r~~Prey-existing Building Location of Property...(D.~.~)a5...~.Y9:~.1.~1..~.c~.0..~' ....................1~~.~'-f'.~~.4~~.~...... House No. Street j ~ Hamlet Onwer or Owners of Property..~'~,R~,~~..~...1?.o'~..nS~S~....lyt~`?-,Q.,~..+.\ti County Tax Map No 1000, Section.....~.~......Block..... ~..........Lot......:J Subdivisionii .\Fi~lced Map............Lot...................... Permit No../.7~7.y,.z:....Date Of Permit...~6~€~.\.v .y ...Applicant. ~~\1a.~~:n.~~.n~..~`?~~.. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... L ay i Fee Submitted: $ , ~ a 9 ~ t R~~'1 s r• i. ,V l;Q,.: ~a l S~ , t .,s h e ?•.A{'PL t1NC x`s" t.; x atu. rdru::.;.+i„w~~:v~.cfi'+w.,w«..~,:a~u.,~..~xsa~c..,s~~'< r' ~ , ~ ~ „o' 1 C3 1 f >3 fEY~GY U '1 Bf 1' A~.j. ~ T ~ ~r ~ ]I s Y i T BAR '.l ~~.q3'4.~-w. iza.r~ ~ ~ ~ ~ ~ ~ A ~ ~ cn • a 1,J 11~ 7 1~~J' ~.:Il. 1._. ~ 33' ~ CUB c., a - 8 i C' :1 ~ o a.: ~ ' ~ T f.~ ~ FI ~ ~ 1^-. a ' 7A~ ~ S ,II ' Fes- ad. ~ RpQ~c'~j~ f~~ .r...__ ~ ~ ~ i e" ~ . a% h n n P ~ (~~lA r 1~ 1~ o a a~ m ~ ' 12~.;.U GF WAY _ r . N~ ~e v~ ~ , . ~al.~r::;~a FyoR i yb ~ r ~ U ' ~'i t;' ~ 1~ rat.°r:!~.;:, R z n 1 ~,i m l p ~ r y _ y,~ ~ i' ~ n ~{1 ~ f~. 141. ~j y ~ ~ r, !JI ~'U1 I ' ( T; l.'• 411 T 1 ~ ~r7I ~ II>1 i~ 1 Iii ('1 t 4 h i I (j\ f/^ 1 (Y ~ .el 1 . f'11 , ~,)~F~`~. TEL. 7C,5-18f;? o,,,~~' c; To~rrr or sov~or,n ~ rte`- '~cd,:~~ Y+ +`c~ Ol~f']CI:OL' GUILDlNC INSI'f•,CTOR u ~~1ij4, ~ I'.O. BO?( 1 1 79 ~ ~ T01Wi lfALL ~'~~~;y~ ~~~t" SOl)7'I101.D, N.Y. 1 1971 1 ~i ...6~" April 9, 1991 Environment East, Inc. Indian Neck Lane Peconic, N.Y. 11958 RE: GRZESIR 'Po L9hcm •I'hia May Concern, 4.e arc unable r.o complete your Certificate of~Occuaancy because _of the folloc•ring reason. An appl.ic.ation for Certificate of Occupancy not nn fil.c. (ENCLOSED) /~lo Under~•rriters CerL•ificnte on file. / / I'hc clxecF: i:; (I6Xt%~11XtX~81»~ut on file.) $25.00 No )lenl.th Ucpt. Approval on file. _ ~ No final insl••ect:ion has 'been made. P]ea:;e contact: our office on this, matter. Thank you for your cooperation. I]u.ildincJ Perm,i.l~. II _1 7 7 7 9 Z Buildtnq Dupt.. • tlo Plumber Solder Ccrl•.tficate on file. ( al.l permits involv.i.ng plumbing being i~sucd after npr~..l 1,19F34 ) :'lEIFD I1:SPEC:iU,J ~~UA2E ~ i;OMMENT° _ 1. Z ~v V~ ~ ~-Cd m~ a J ~ ~ H „Q H FOUtDATION 1 st ) FOUNDATION ( nd) _ m - a 2. ~ ROUGH FRAME & N PLUMBING Z H 3 . b~ ~ ~ h7 C~] IIJSULATION PER N. Y. . • STATE ENERGY CODE x a 4 . s2- /3 ~ a- GJ-rt ~ H FIiJAL ,w~ - ~ ~ ~ z ADDITIONAL COMMENTS-:--" x `i"' 7~ l x 'ti J ~ H ~ M ? H `.~1 H O ..p z 6 i 9 r x ZS o. ra H FORM N0.3 T0~1TI OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ~ Date ...~a? ~ 19~(~. . To r6tr~ ,~~'i•`~ aC ,~-G~y~P~y~ ~ ~/Bwrta C.~'i~~k s?.~. 7~J ~~4t1i.I!/...~ . PLEASE TAKE NOTICE that your application dated 19 . for permit to ~~vir~r/~~`~!/.. ~rY/ Qte.~,~.,~6?1.,/~~~~, ~~~y~. at Location of Property . ~ ~.a ~S (7~Q.l~ House No. Street Hamlet County Tax Map No. ]000 Section ~v Block ~ .....Lot Subdivision Filed Map No. Lot No. / is returned Herewith and disapproved on the following grounds ...44Z~i,....~ . ~G B 'ldi"' In pector RV 1/$0 S~FFD(/r~~G ~'a ~ Southold Town Board of Appeals oi~bo~ ~~o~ MAIN RDAD • STATE RDAD 25 5DUTHOI.D LEPHO NrE (576)1765809 .~A/PPEA LS BOARD MEMBERS GERARD P. GOEH RINGER, CHAIRMAN CHARLES GRIGONIS, JR. ,.,.a_ SERGE DOYEN, 1R. ' c~ Cam: ~ j ~ ~;~I JosEPH H. snwlct<I January 23, 1989 ~ ~ JAMES DINIZIO, JR. ~ ' JAN 2 ~ 1989 Mr. Peter Stoutenburgh - w Environment East, Inc. ~I'~'~'' 3075 Indian Neck Lane Peconic, NY 11958 Re: Appl. No. 3809 - Stephen Grzesik Dear Pete: Transmitted herewith for your perusal and file is a copy of the determination recently rendered by the Board of Appeals in the above matter. A copy of this decision has also been furnished to the Building Department Office to update their files. Please be sure to return for other permits which may be necessary before starting the construction process. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski Enclosure Copy of Decision to: Office of the Building Inspectors Suffolk County Department of Planning ~r © 5~FF0(,Y~~~ Southold Town $oard of appeals ~ MAIN ROAD - STATE ROAD 25 SOUTHOLD~LEPHON6 (5 7 6117 65 8 09 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER. CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWICKI JgMES DINIZIO, JR. ACTION OF THE BOARD OF APPEALS Appeal No. 3809: Application of STEPHEN AND DONNA GRZESIK for a Variance to the Zoning Ordinance, Article III, Section 100-31 for permission to construct addition to dwelling with an insufficient rearyard setback. Location of Property: 62215 North Road, Greenport, NY; County Tax Map District 1000, Section 40, Block 1, Lot 3. WHEREAS, a public hearing was held and concluded on December 8, 1988 in the Matter of the Application of STEPHEN AND DONNA GRZESIK under Appeal No. 3809; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; 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 northerly side of the North Road (C.R. 48), in the Hamlet of Greenport, Town of Southold, and is identified on the Suffolk County Tax Maps as District 1000, Section 40, Block 1, Lot 3. 2. The subject premises is a described parcel of land containing a total area of 8,375 sq. ft., average lot width of 67.63 feet, and lot depth of 125 feet, and is improved with a single-family, one-story frame house and accessory garage structure, as more particularly shown on the copy of survey prepared by Roderick VanTuyl, P.C. dated February 6, 1987. Page 2 - Appl. No. 3809 Matter of STEPHEN AND DONNA GRZESIK Decision Rendered January 12, 1989 3. By this application, appellants request a variance from Article III, Section 100-31 for permission to construct six-foot open deck extension, 30 feet wide, with an insufficient rearyard setback at 30 - 31 feet (at its closest point}. 5. Article III, Section 100-31, Bulk Schedule, of the Zoning Code requires a minimum rearyard setback at 35 feet. The dwelling as exists appears to be set back at 35-36 feet from the rear property line. 6. The amount of relief requested by this application is six feet (or slightly less), or 17% of the requirement. 7. In considering this application, the Board also finds and determines: (a) there is no other alternative available for appellants to pursue other than a variance; (b} the variance requested is uniquely related to the property and will not alter the essential character of the neighborhood; (c) the variance requested is the minimal necessary to afford relief and is not substantial in relation to the requirement; (d) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (e) in view of all of the above factors, the - ~ .:iyl Facje 3 - Appl. No. 3809 Matter of STEPHEN AND DONNA GRZESIK Decision Rendered January 12, 1989 interests of justice will be served by granting the relief, as requested and conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Dinizio, it was RESOLVED, to GRANT the relief for a six-foot open deck extension at the rear of existing dwelling structure, as applied undbr Appeal No. 3809 in the Matter of the Application of STEPHEN AND DONNA GRZESIK, provided there be no further rearyard setback reductions. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, and Dinizio. (Absent was: Member Serge Doyen, due to poor weather conditions, and Member Joseph H. Sawicki {out-of-state}j. This resolution was duly adopted. * * ~ lk i~~'~~r f~ GERARD P. GOEHRINGER, CHAIRMAN FORM N0.3 T05VN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ...~p~ !fg Q .................19..... To r6tr~.Cl:I!l~'rl~.~i.~, :!~G. ~ ~ ~d~+n2a, (~f"2e7!~?~G~2 `~~-~-..u.~. ~ ..~.~~..,..~19s8 PLEASE TAKE NOTICE that your application dated 19 ~,r~, for permit to ~~~It..Q~~7~f~~ • • ~ ~ G~liy, at Location of Property . ~ .°L..a ~.S ( Q House No. Street~•~••"""""""""'•••• Hamlet County Tax Map No. 1000 Section rj~v Block /.....Lot .....v°... . Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds ...Gr r~/1/,~~ ~--Zip. B ' ldi/J7/~I~n e~ ~~,~l p for RV 1/80 v 7~7~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ~ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL REMARKS: `f'ig-~•sc.2 Cam.. ~ - DATE / v~© INSPECTOR ~ ~ T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~T~~ ~ ~ DATE i INSPECTOR ~ i i r 765-1802 BUILDING DEPT. INSPECTION [/~FOU~ND~N 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~'9~,(.ti-,~,~Z~j.~;~ Q t DATE ~ 2 ~ $ 1 NSPECTOR +Nv~cq,, ' 765.1802 BUILDING DEPT. II~ISPECTION [ ]FOUNDATION 18T [)ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU TION [ ] FRAMINQ [ FINAL k _ REMARKS: ~ l,c~ DATE L y~ cl ~ IN8PECTOR i 77~ ~ 765-i80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. C 1 FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~INAL R ARKSz ~ ~ ~ 4 a~~~" DATE o~ l INSPECTO _ ~~T~ _ r _ __r, _ _ _ _ _ _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS ' 1007.(19,1 EIUREAU OF BLECTRICITY .;1~ n^a ~ - ~ - "QS JOHN STREET, NEW YORKr NEW YORK 10038 JUT~Y 95,'199). 0774R39j51 N 159582 - Date Application No. on file THIS CERTIFIES THAT only the ekxtrkwl equipment as deuribsd 6elom and introduced 6y the opp?icant nomad on the abode sTpp/ication number in the premises of _ STF;VK GRZF,SIK, 305 NORTH RD.koU'fp; t,g; 494/2, t.kKbtNP<Ik'i', tv.Y. OU'f - in the follouinl[kscottgn.. 1,~ Basement ? IKt Fl. ? Ynd FI. .Section Block Lot u~os eremined on JUIaY h, 1.4`+~t ondfoand to be in cumplianre uitk the reyoirements of Chu Beard. RKTUR! ACUiS SWITCHES RXTURES RANOlS COOKING DECKS OVENS DISN WASNERS EXHAUST FANS OUTLET{ INCANDESCFNT.FLUOIIESCENi OTNEn AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMi. M. P. i DRYERS RJRNACE MOTORS R1TUR! ArKIANCI RRDBtT SMCIAL REC7T TIME CLOCKS RU UNIT MEAiIK IAIIITI-0UTLET DNAMERS AMC K. W. ql N. r. GA] N. P. AMT. NO. A. W. G. AMT. AMI. AMT. AMPS. TRANS. AMT. N. P. N ~ ~T AMT. WAITS II z SERVICE DISCONNECT NO.OF S E R V I C E - AMl. AMP. TYPE WUN. I N YTY L / 3W ] 1 TV 3 / AW ~RCaCOND. ~ C WCOND. Np, p NI-LFG ~ ~ N4~I G NO. OF NEUTRALS O ~P EUIGPAL 1 i0p CH ? I 4 I OTNER AMARATUS: SF,RYT('F: rHANGR ON1~Y-1 E s' GARY DOR0.5'KI LtC.~?.941.-E 4).5 NONSEI,L LAN F, Cl1TCHOGUI':, NY, 1 "t9)5 OYIBAI MAIEAfiHt LI ~ V r ff Per This cerfificate must not ba altered in any manner; return to the office of eM Beard if incorrect. Inspectors may bs idennTrod by their credsnHols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST NOT BE ALTERED IN ANY MANNER. I I m I I .,r--..,,.~~ -~.~.~r+..~,. t. ILA ~ ~ ~ 1 1 ~ -sj I t. 1!~_SS.A3 x5- is"O~C._~. ~ i 1 - 7 I ~ I 3/. : ~ ~~.i G I ~ ~ ~~I ~ ~ ~ I. 1 I d. ° Ir ~'r`~ ,tip:. r ~ ~ . I I' ~ ~ ~ ~ ~ ~ ~ r abr. ~ 1~ t~~l ~ ~ ~ ~ ~ 1 I ~e: ~I f, ~ ~ i0 V If, ! f ~ ~ ~ ~ ~ ~ ~ r 3 Q II ~ I ~ ~ ~ 4. u ~ ~ ~ i. 'p, ~r<r., f~ r~- s, rr.. o ~ ~ r~ ~ ~ ~ ~ , - ~ ~ ~ ~ ~~I I K t 1... , ~I 1~ 1 ti~~,~` ~ ~~1: ,~~i I, ~ ~ r, D° r.. ~ ~ ~ ~ ' ~ ~ O I , ~ I 1' ~ III', ~ "iKK~!! r'r ~r I . I t r f ~ I ,M r'„ i' \o Y ~ 'Jr e r I a r t r1 ~ 4' 'I n, 1 1 W N r~ i r;~, I I C I-', ~ ~ , , w v ,-r I I ~ . ~ 1 { i ~ +-t7 6y`~.i~, N ~ ~R ~ ~ ' ~ t I { ~i! 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' 1 1 px` `f ~ { ,_..L.,~_ ~ - 1_ - _ r _ ~ ~ { F c' ~t.i4 troS` { ~ ~ _ - ate. ~ ~ 11 ~ ~ er?( 4 - ~ t ~ TC-7A'__J ~ ~ ~ - i ~ ~ _ ~ +S. - ~ i ~ ~ - ~ 'x X~f'tR SOt9T ~ r~~L ~ ~ ~ r W Q' i t ~ ~ ~i ~ I -r Fi ~urs~" ~ ~ _ ~ ~ ...Pi~~_i~USCt i w ~%z'co'x r. ~ I I R=f~"-It~ssc.~~lx.Ttot~ '~i a, . ~ ~ 2XCa' PLPrT~' J~STVf~S ~ ~~--~~3~H~~ G.dK~ ~ 2X Llc~X..~-..YfS~ST` a 2 r ~ ~ QX~ C~.A'PLA'"f"C~ 5[L~t~ S~AL~R """'~T~(~NI l7~ ~SNIELp , ~ ~~~~/-~N~HbR t3dCT a ~ a~n FORM N0. 1 TOWN OF SOUTHOLD z BUILDING DEPARTMENT ksl.Ut3 i:,zv~;-' ! TOWN HALL rawia Ui=~'Jt1~u_.;..:Gtt7 SOUTHOLD, N.Y. 11971 ~ e.. ~~s e'~8 9 TEL.: 765.1802 . Katnined .~°%1/.........., 19~~ Received......... , 19... Pproved ..~...l! ~ ~ 9..., 1n9 Permit No. ~ 7 q..Z~.- ~ ~ %S~ / ~ isapproved a/c : ~~/~/t[ .~f~~ ; . 1..5 Grit: ?t:. ~s~~....... ~ (Building Inspector) \ APPLICATION FOR BUILDING PERMIT Date . NovQmbe,~, 3P,,, , 19 , ,g8 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 cs of plans, accurate plot plan to scale. Pee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ? areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- d4n• ,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 all be kept on the premises available fot 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 .tll'ltave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the utding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ,q applicant agrees to comply with aB applicable laws, ordinances, building code, housing cede, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. ....Ir?nv3.roarr~.nt.Fa.ast,. Snc»........ (Signa ere of applicant, or name, if a corporation) 307 Ind ian Neck Lane ....ks,conicy..NY'• 1198 . (Mailing address of applicant) aie whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~re•ne ra•1• •~ontraci;~r . G'~ezesrK une of owner of premises ..Stephc n. cec..)rtonna plc . (as on the tax roll or latest deed) ap ican is • co t' t , s•'n ur my authorized officer. President (Name and title of corpora oft`icer) Builder's Lic~nse No.....~55biil . J, Plumber's License No . . . Electrician's License No . . Other Trade's License No . . Loca~ d Q ~l~d on which proposed work will be done . . ~c}d... North • Road . . Greg p.RQX'~.......... , ;-louse Number Street Hamlet County Tax Map No. 1000 Suction Block .....1............. Lot . Subdivision Filed Map No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..5~.!1€aA , f&r2~ 13':.dwe 113 n~ . b. Intended use and occupancy .S?-n~le family dwelling with addition r. 3, Nature of work (check which applicable): New Building Additio ,K...... _ y~ ~ti , . Repair . . Removal , . , , , , , . Demolition , . n Oth~oYkr ; . • , , . (Description) ' 1. EstimatedGost..........~d~~ Fee (to be paid on filing this application) r. If dwelling, number of dwelling ynits , .1..... , , Number of dwelling units on each flgor . . . . . . If garage, number of cars i, if business, commercial or mixed occupancy, specify nature and extant of each type of use , , , , , , , , , , , , , , , 1, pimensions of existing strueture~, !f any: Front , , . 30.. , , , , , . , ,Rear 3.Q . , , . pepth ....3 . , , , , , . ~ Height Number of Stories . , , . , , . ' Dimensions of same structure wi~h alterations or additions: Front . 30, , , , , , , , , , , , , , Rear ..~Q, , , , , , . ' Depth 31# . .........:.Height , , , Number of Stories . . i, Dimensions of entire new construction: Front ...3P . , Rear , , .30.. , pe th ....b......... . P Height Number of Stories Size of lot: Front .121~~ ~ ~ ~ . , ......Rear ...fib i Depth ...1~5ti , , . _ 'Date of Purchase .Name of Former Owner SteiB.aa. C+xxe s7.k , , , , , , , . , I, Zone or use district in which premises are situated Re.slda.nti n~ . . . . . . . . . . . . . . . . . . Does proposed construction violate any zoning law, ordinance or regulation : . . t, ,Will lot be regraded . , NQ. , , , , . , , , , . ,Will excess Gil b removed frgm premises: Yes No t. Name of Owner of premises , S'&D, C}rse sik , , , , , Address3o9Nrt h~td , phgne No . . . . . ' Name of Architect ' .Address Free riport; ' 1;TY' ' pone No.. , Na,neofContractotEnvironm®rib.~asb;:Inc' 3'075"rndi'ati'Necltn q 73J-4-71.7.4."" • . ,Address one N , . 1'econic," nfl'1i~',~' . ~ ,PLOT DIAGRAM ~ t I Locate clearly and distinctly all ,buildings, whether existing of proposed, and, indicate all set-back dimensions from operty tines. Give street and blgck number or description according tq deed, and show street natnea and lndlcato whether { tRlior qr corner lot. I 9TE OF NEW YORK, $ S (JNTYOF (Name of individual sibni' ~ ~ ~ ' ' ' ' ' ' ' ' ~ • being duly swgrn, deposes and says that he is the applicant pg contract) we named. i$the ~ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly', authorized to perform or have performed the said work and to make and file this dication; that all statements contained in this application are true to the best of his knowledge qnd belief; and that the 'k will be performed in the manner;set forth in the application filed therewith. am to before me this i , 3U.~~ dayo~f/j .'^~~6:/~/ -;~?.;ft?-~ 19 ary Public, f~';"; . f . KJk, .U~:-:.. Co y HELEN K. DE VOE ark \ t ' ' ' ' ~ ' ' ' ' ' ' (Signature of applicant) NONAeR 47678/A, 3uNolk Caunilr t Term Expirex Msich 80, A9