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17847-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18408 Date SEPTEMBER 25 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 105 FISHERMANS BEACH ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 B1ock~ O1 Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 10~ 1989 pursuant to which Building Permit No.a17847-Z dated FEBRUARY 16 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_ONE FAMILY DWELLING WITH ATTACHED DECKS ATTACF~D GARAGE AS APPROVED BY ZBA #3024. The certificate is issued to PASQUALE & LODIA ROMANELLI (owners) of the aforesaid building. 5UFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-159-9/5/1989 UNDERWRITERS CERTIFICATE N0. N-083680 - JULY 28 1989 PLUMBERS CERTIFICATION DATED JUNE 16 1989-MATTITUCK PLUMBING & HEATING ~ uilding Inspector Rev. 1/81 aosai xo. s 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 ~ 017 8 4 7 Z Date ~:w~:i.~~......1..~ 19. ~..9 Permission is hereby granted to: . ~:y.. c~`~.a... ~:.c:....~... ~:Y.~~?<~r.4.u.~.2.4.e....N :~/.:......1.~.~.~f.9........... . .-..z r3 q ~..~Q.~~ 1.... .l..~... . Q ct premises located at .~.(1.~.....J...k~cil!IRd:W.1Q^:~4...!.~K4N....~:.......!.'.!~:?~.......... Caunty Tox Map No. 1000 Section Block .......A..L....... Lot No.....`.1:~'........... pursuant to application dated . ~:~?:~':`~-4~....,~.~? 19..9.., and approved by the Building Inspector. fee $..`.f.~!..~....... Building Inspector Rev. 6/30/80 U~Y~ TOWN OF SOUTDOLD ~m,XT_y C3~~~~ ~ ~ IIIIILDZNG DEPARTMENT ~ ~ ~ ~ - ~ ' 1 TOWN IIALL ~ ` soUTHDLD, xEW YDRx t 1971 Sip ~ 9 199 ~ l,J ~'1~Q fJ Y l i 7(A ~ 6 s- 1 s o z £~L~C'~~,~;~,;.s~~ . towN Qr . APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. ~~~(t~ 9....... . NEW CONSTRUCTION .~.,OLDf OR PR~0EU~,,-,,,,E%ZSTZNG BUILDING... VACANT LAND..... Location of Property....~0~„_!!~!~t;CWli~h/S.- ~~Gf .~o~ „_,C(IlZftp~u~ HOUSE NO. ~ JJ////~~ STREET HAMLET Owner or Owners of Property.`~~~~pp~,[f" f'~(?r~y}j~/L~C.I.. _ _ . 'County Taz Map No. 10//0,,,,0 Set~ctiMOn „L~~ , Block ..'~01 Lot L Subdivision.Pp«~u("~~~~,~l.l„_~1\dP;•\T1~$_ Filed/ Map .,r(1~„Lot._..!.'.,_., Permit No.©/?p"[72,,,Date of Permit .2~JG~~~_,AppLicant~v~:~~k:!V~["/;7L~ ~{'l^~ ~ C, q q ~ f r-~F'~'- .,aW Health Dept. Approval J(.SIU~,,,,,,,,,,,,, Underwriters Approval!".~~3W ~..7/y~lg9 Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: APPLICANT.. _ .1':/1 C U Z~. I $~(OS' reV- 10/14/88 i 4 y ~ FORM N0. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL , ~ dti ~ i 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be' filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage-disposal(S-9 form). ' 3. Approval of electrica!1 installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of 1Z lead.l, i S. Commercial buildings , industrial buildings, multiple residences and similar, buildings and installations, a certificate of code romnl;.ance from the Architect ar Engineer responsible for the building. 6_ Submit Planning BoardlApproval of completed site plan requirements. B, For existing buildings (prior to April 9, 1957] non-confonnin uses n , g , or buildin s and pre-existing' land uses: g 1. Accurate survey of property showing all property lines, streets, buildings and , unusual natural or topographic features, 2, A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. Zf a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3_ Date of any housing cede or safety inspection of buildings of premises, or other pertinent information',required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. M application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership oflthe entire lot prior to April 9, 1957 shall also accompany [he application. If a Certificate of Occupancy is denied, the Building Inspector shall state Che reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential I $50.00 Commercial i eo. 10/14/S8 TEL. 765-1802 ~S~EFOG(r~OG TOWN OF SOUTHOLD 1 OFFICE OF BUILDING INSPECTOR ~ Q z P.O. BOX 728 ~ g c°n yc TOWN HALL ~ ~ ~ 3 ~Q~~l SOUTHOLD,N.Y.I1971 ~ 9 X989 ~E_.J~ o..,~ ' , A€~i.tit,.:;~.; ~ C E R T I F I C A T I O N Date June 16, 1989 Building Permit No. 17847 Owner Roman.lli (please print) Plumber Mattituck Plumbing (please print) I certify that the solder used in the water supply system contains less than 2/10 of lg lead. ~1 (plumber's signa Sworn to before me this ~~/h~7~~iV"/ff day of ~~/~1J,~ ~ ~ ~-~ely~, 19 y~. Notary P, Notary Public,~~'r_j~.~ County EUI1}iF.3ACKSON NoGsr Pic, Stall of Now YoAc No. 4920759 AuaGfied In Suffolk tbuMy Term Expires Fab, 18, 1990 I Cn Z ~ ~ ~@~ - G~ a_' ~`"a c~ ~ ~ d b ~ ~ ~ ~~W a ~ ~ W~~~ s 6 \`\,\t ~l , 4! v O ~ ~ ~ \ ~'1 a~~ ~ ~ o ~ z oa ~ - a L _ o q 2- o ~o C ~ ~ a r ~ ~ ~ ~ ~ J r6' r ~ ~ FOItM. N0. 11 TOW PI Od'' ~OtTl`HOLD SUILDIN4 DEPARTMI;TIT TOWN BALL SOUTHOLD, !iY DEVI;LOPMI:217' PERMIT q tdo /~ta I' Dato ~C`~~c1K~.~..• 1`) ~,I ' Yer:niasion 1s hAraby ~;rnntyod1no: LR L, 1 ~1r,.,]~~A F'' 1~9 ~ T~pO~'~IQY _ a -p L..~ SvNJZ/SL 1`~hW~r .lo ri n~.t l~e~ ~ . v , Ili _ ((ti • ~1 1 f~g,4\~_._.,~ /1 / :.'o ~,oN•s~"L"yeSQ' Fl ~SrViz~V'}c?~,.~4 ~ 1W~1(1N(j at premisoa looatod at /OS'' d-~sfJE7zrr~R,ug ~E~ac,~J ~J~,^~Q'CNoqu~ _.L~..~N SQUR~E'lr /.O/.~/~Q ^,o ~?'fWN L~'~I County Tax Mnp tio. 1000 hootiorl i t I Block e 1 I,at 1. purtiurant to applloatlon datod ~~e.ua 19~„., and approved by the Building Inspector. i,uildin~ Psrgoit No. DuildinR Tn9pootor• 4/tso II ri. , 4.'+~ ~ 4 *X ~`U+~F~~^ > C J' N 43~\~ r~~~.+.Eryt.~ r~?i~"~'F `iyla~ D~j p. .kid ~ Southold Town Board of Ap~neal ~ ~ ~~ol ~ ~~Q~' MAIN RDAD • STATE RDAD 25 SOUTHOLD, ti 1~ N,Y. 11971 ~ TELEPHONE (5181186.18 ' f; r ~ APPEALS BOARD ~ ~ a ~I ~ fl ~ , ph,Y~R/~~D p, f10~WRINGER, CHAIRMAN ( 7, °CNAR4ES ORIGONIS. JR y„~,o~,,firirw r~`y `,SERGE DOYEN, JR. ROBERT J.DDUGLASS BI,DG,DEPT. October 22, 1982 ' ~,~''"~'t'Ji1SEPW H, SAWICKI ~ - OF30UTHOLD hi P<R 1 ~ ~ "fry t ~'G'v,d~czG. f.m~ , nary ~`Ianner Olsen, Esq. ~tx;~<j~(Ma~.k~-,Road, P,O, Box 38 ~kpu~„`;,5,^Ma,~ttituck, NY 11952 ~Pr y~(~ ~~~?,~"n'~~'~~[4~°#'~~~Appeal No. X024 -Pasquale Romanelli ,.a~ ~~~i~, ?spa ,~~~,I D'~as'~~~~~ir or Madam: ~~~;~.`r,;~,;.,,;;'r_"~~Attached herewith is a copy of the formal findings and deter-. . '~A~,+-ti'YAii't8~tion'recently rendered and filed this date with the Office of , rr,r~ ,tihe.'Town Clerk concerning your application, ~"a1+,r ~b~'v,l~,,~ In the event your application has been approved, please be sure p'x.GF~,~t to,.return to the Building Department for approval of any new construc- ,h N'I `tion in writing, or for other documents as may be applicable. y }dMp~gW'. ~~p~°~k,"-~C;~. , If you, have any questions, please do not hesitate to call either ;~~,,,:,,oui`,`office (765-1809) or that of the building inspector (765-1802). '~~,d.,:,~;~~~r~'~'~:-,,;.r'. Yours very truly, v~l ~~~.'s.~~,,,~r~~i w ""t"~y~';wp?'' GERARD P, GOEHRINGER ~`J"'~ ~ ~ CH IRMAN rs / dx i , f',. i - ~."p b"r?clasure ~ y Linda F. Kowalski § t,rl.3i";~~+~.~s,Cb1~Y of Decision to ~ Secretary h,~ ~ ~~I~rp, ~ Building Department Y f'. k ((j, j 4':e ` i.~l~i5~k ~ Y ;:.~14, f Y>: f • tit t t t5 r " ~ L~ ~,t ; v .t. e~}). . ~ ~ ~ Id~a~~~',~ ~ 1:;LD I::S' cC:'_U;: ~~llh:E ~I ~JaKMENT° .r J FOUidDATION (1st) r-, FOUNDATIOIJ (2nd) ~ 2. z o G • yy P,OUGH FRAME & .PLUMBING ti H ~ b CJ IIJSULATIOPI PER N. Y. • • STATE ENERGY CODE x a 4. W y FI;dAL ~ ~ ADDITION COMMENT`S : ~ 4 G y W ' x ro ~ H ~ .u„ H o '~O z p. . ~ ~ ~ J A • r I f~ d. 1 fT] ro Y~ `j ...D COUNTY OF SUFFOLK , v®~~ MICHAEL A. LoGRANDE COUNTY E%ECUTIVE DEPARTMENT OF HEALTH SERVICES DAVID HARRIS, M.D., M.P.H. October 5, 1987 COMMISSIONER Pasquale and Loda Romanelli c/o John E. Gillies 320 Conklin Street Farmingdale, New York 11735 Subject: Board of Review Hearing - September 21, 1987 8750-159 (formerly 1250-54). Property S/W/C Haywaters and Landing Roads, Nassau Point, Town of Southold (SCTM 1000-111-01-42) Dear Mr. and Ms. Romanelli: At the hearing held on September 21, 1987, your appeal of the department's ruling on the subject application was presented to the Board of Review. In accordance with the provisions of Article 2, Section 220, of the Suffolk County Sanitary Code, the determination of the Board of Review is as follows. Based on the information submitted, the Board will grant the request for a variance to allow the lot to be built upon provided that: 1. A whole house reverse osmosis treatment system is installed on the water supply. 2. Low water use toilets and shower heads-are installed in the house. 3. A covenant is filed that water supply treatment is required. The granting of this waiver does not imply that your application will be automatically approved. It is your responsibility to ensure that your application is complete; otherwise, your approval will be subject to unnecessary delay. Very truly yo/u~rs~,~ l~~C~~n n ~ C~C.I'Xs. 1Ro~be~r~t/A. Villa, P.E. Chairman, Board of Review 22~ RA6R0 DRIVE EAST RAV/pd HAVPPAUGE, N. V. 11]88 15181 348281 ] 1B-LH~S.. cc: Walter G. Lindley TEL. 7G5-180'_ `p . CGt% . TO~'!`t Or SOUT~TOI,~3 Y;y OI~I'1CJ: OC: GUILDINC iNST'ECTOR u'+ ~ ~ TOWN ISALL 6.:.~J SOUT'IIOLD, N.Y. 1 1971 r~~.. AUGUST 3 1 , ] 989 QUALITY CRAFTED HOMES, OF L.I.INC. 365 SUNRISE kkIGHWAY SERVICE RD. N. MANORVILLE, N.Y. 11949 RE:'PASQUALE ROMANELLI To LVhcm This May Concern, 47e arc unable ro complete your Certificate of~Occunanc;~ because .of the folloc•ring reasons, An application for Certificate of Occupancy is not nn fil.c. (ENCLOSED) *Io tlnder~•rriters Certificate on file. 9~L0.~V1 'Phe chec}: .i:;(ntXlzf~$Xt$~d/dt'~ut on file.) $25.00 ~,~OG~ 1`:0 1lcal.th Dept. Approval on files. t:o final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ILUilclir:q Permit-. I! 1 7 8 4 7 Z BuilQinl Dept. ~I )~~`6~tk"!•_/ t!o Plt:mber ;;older Certificate on L-ile. ( al.l permits involving plumbing briny i~succl after 1pri.1 1,1964 ) . R rourl Nn, 11 xOWI~1 OF ; OU'I'HOLD SUZLDINO DEPAfiTM1;7VT TOWN IiAI.L SOUTIIOLD, NY DF:VL:LOP,'~Ii:T~IT PERMIjT~ p 1 ,7 I'e::niaoioa to horobq I;rnntod to:~/~1r _I Ri.~~ IeAFV9 ~l N~fiJYY)PS a'P tL •I ..cLS-S U.v ~2/sE ~~W~I \2ri~ ~J~ct Qy. nt promiooa locatod nt OS' d-~s1J~rrlRUS ~E7ic}J Q.cJ (~~Q'cN~gqv~ r-~ / ~ "'"-1"'-'- /pS UA1~'~" /.,Q /„)~,q~OVy1AN III Ceur~ty Tnz M~zp tdo, 1000 Sootiou I Bloclt a ~ Lot purauunt to n~nlioation datod ~~¢.u~ ,o,z~~yr/ (o~, 19,~•., and npprovod by the Building snap®rtor, ":uildint; poxxnit Nn, DuildinR Inspoctor 4/8~ r _ ~-s 7 765-1802 BUILDING DEPT. i NSPECTION [ ]FOUNDATION 15T f ] ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [)FRAMING [ FINAL REMARKS: DATE INSPECTOR I~0<~ 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST ( ) ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ FRAMING , [ ]FINAL REIYIARKS: r ~ ~ DATE 3 INSPECTOR Application Received Disapproval Issued Permit # !7 ~ ~ L~. 1 0 19~ ~ 19 ~ 1 19~_ FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD .Qu~.t. 19~_ 1. 'Type o= uevelopment Proposed: New Structure (including stor ge tanxs Addition and/or Alteration Flood Proof Belaw Base Flood Elevation Other (specify) 2. Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement g feet ~ inches (b) In a V Zone, bottom of lowest structural member feet inches 3. FIRM--Flood Insurance Rate Map, Zone designations y ,~L. CYO 4. Owner of Premises ~ /gsQuq~.~ ~O1'y7ioN~l.~.l 5. Location of Property: /vs SN~~gN's `r~~~t red C u~~/a ~ U~- House # Street Hamlet County Tax Map No., Dist. 1000, Section 1// Block CSI Lot(s) ~ L { QAp,NG.~ Subdivision /1~ A SSrq U Q~".~r~coN,~ ~qy _ _ Filed Map# Lot (s) 6. Permission to be granted: Owner as above New Owner Under Contract Lessee Contractor ~ Phone # - - r - Q U Ff I, i ~N CGR ~ D~C~ 'N o vr7 e~ ~ ~ . ~ . I N C Name if of given above Mailing address ~6S ~9a~vox:o,1/~' G. 1. ~ Sunre/'s~ N,~w~Szzvr~~ Gd 7. Approval from other(s) before Permit is issued: DEC Wetlands (Town Board) Health Services $7-so-/S~ ZBA Building Permit 1 7 $~{7 ~ Planning Board 8. I, the applicant, am the Owner , Co-Owner _ , New Owner Under Contract Lessee Agent Contractor and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contained in this application are true to the best of my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. ,S STATE OF NEW YOR f l COUNTY OF SS r Signature,~~ /r SWORNN" TO THIS DAY OF ~ QtiC..~._v 19 0 / 2~e.~ ~ ~R HELEN K. QE YOE Notary Public NOTARYPUOt10,StatoofNewYark No. 470757&, Suffolk County Term Expires March 30,15. / Applicant's mailing address and phone # if not given above 11/85 Ii ~i FORM NO. 10 TOWN OF SOUTHOLD II BUILDING DEPARTMENT (516) 765-1802 P.O. Box 728 Town Hall Southold, N.Y. 11971 Main Road Southold,N.Y. Al?P T,T ('ATThTT F(1R IIF.TJF T,(1PMF,1\)T RFgMTT Instructions: The application to the Building Inspector includes (each in duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of premises with 'elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of ~outhold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as required in Section 46-17 of the law to minimize flood damage: 1 A. Anchoring ofstructures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and base flood el~'evations ;Specific Standards as required in Section 46-18:y A. Residential construction B. Non-residentiial construction C. Mobile homes!, The applicant must submit plans and specifications as well as any other information requestedi by the Building Inspector to substantiate the facts that the structure hats or will have the lowest f~„ppr, includingt basement/ cellar, elevated above the base flood elevation_ if permitted by the Federal Regulation, t at: 1. such structure is f ood proofed in such manner that below the'~base flood level the structure is water tight with walls substantially aid impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. (/`Coastal High Hazard. area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion 'y of the structural members of the lowest floor cannot be lower than the base flood elevation With all space below open except breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- 1poses to alter same, plans and specification must be shown in detailed nature of any alterat}on submitted. Building Permit. A B~Tilding Permit is also required for any structure. Both a Development an__d a,_Bui-lding._Permit must be issue efore any work can,star~in a s~ecia_~flood hazard zone. A written isapprova or a permit must be issued', within ten (10) working days. During construction, the inspector shall be notified in time so he may make the required inspections. Upon completion, the .required certification of the final elevations and work must be submitted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 11/85 it I I ~~isy7 ? rrn~L~. ~ THE °~`W""1~RK Bf'~ ;1. OF FtRE UhIbfRWRITERS PAC>~ i 1001085 SU#EANJ- OF ELECTRi1Cf'1'YCRK too v.Tild1Y 28,1989 ~ '~IiN ST~EEr, I~w rOwK, ~vJ~38S9/893~ N 083680 y':~,, . ilz(!' ApplMotion No. on file THIS CSRTFFIES THAT J Only the trl/Ct11611 ~Nnt Y deeei6od 611om and Introdttted tiv R~dICMt MnNd tM~ oppliwtion Ewmher in the promiNl .y PASQUAL6 RONANELLI, HAYNATSRS ROAD, CUTCHOGUS, N.Y. in tksfdlominR locatlpp,Y sent ? Iat Fl. ? Ynd F1. GAR onN BloeR Lot mas examined un vu~lltt +~o~ and found to 6e in complianre mirk the?~yuiremenu of thb Board. nzlvn RANOa Co0llno oli:zt OVM6 W AfK _ OUrIlTS RGlf e+tANtttCFNr Etuowtunr orNta AMT. c w. ANr. t. w. AsAr. x.w. ANr. t. w N. E.-~ 5 4 4 5 oRrxls ItllliAClRama ttnlRieRfruRwnR~lRf fwauRlrrr wafaoan f~? wlrllutr!!f eEMiNK ANr. t. w. at n. r. oAS a, E. Ayer. NO. A. w. a AMr. AAV. AMT. Ann. ffANt. AsAr. M. r. Ip, ~ Mi.wArn 3 F 1 fl~VIIZ DIlGOlMIlCT Rp.OF f ! R V 1 C - ! ANAT. At V. Trn 1 X tW 1 / ]W ] / ]W 7X eW NO. d ~ .COND. A. W. Na Of n•IEG A. /tO.OE MlNEAIt « 1 aoo cB 1 X i\~~° a/o 1 afo onllR Rrr~lunlf: NODULAR HOUSE BLUE SEAT-i G.F.C.I:-1 fa f ~'J THOMAS J. NELLEY LT=C.,Sa5a3-E P.O.BOX 3096 EAST HAMPTON, NY, 11937 - wwnd!! .r Pt ~ 11 That arlifitwlt mltp not M ohond in am nanmrs rNwa to Iln office of Iln 9eord if incorracl. NNir aod~miok. COPY FOR EUILDIN6 DEPARTMENT. THIS COPY OF CERTIPNr?TE MUST... ~ ALTERED IN ANY MANNER. ...a~,e_ , w ~ ~k ' ~ ~~~SUFFD(K , ~ '~Y~'F~~~µ~,.,+~~~,n ' ~ ~ Southold Town Board of Appea ~ f~"~, WO,io ~0~ MAIN ROAD • STATE ROAD 25 SOUTHOLD, L.L, N.Y. 119 ns;,~.,~„ "~l j k~,f TELEPHONE (516) 765 ~ ~ ? A'~~f~~_ ACTION OF THE ZONING BOARD OF APPEALS ~ ~ . ~,~~~~;~,,;,~p~a1 No, 3029 . '~d~,lw't,;J~pp'1.iCation, Dated August 17, 1982 tY~~Xp, o r [Appellant l Gary Flanner-Olsen, Esq. Attorney for ar'~F," ;,Main Road, P.O. Box 38 Pasquale Romanelli i.u f w ~,.i, ~ ~`~~`~w,;~r~~~,r;.,'.r'Mattituck, NY 11952 ~ «fi~r (a i q, ~ ti J ~ 0.P ,x Y:~h F . r. ~~~°~~;;,~~3~t~~a~ Meeting of tha Zoning Board of Appeals held on September 30, 1982, ` ~''~~i!~'r(;°r'~he -above appeal was considered, and the action indicated below was tak ;2''x''`ori .youi [X] Request for Variance Due to Lack of Access to Proper . I~~,+'~ New York Town Law, Section 280-a ,~;.at,,.'- [ ] Request for Special Exception under the Zoning Ordin ~ Article Section 'n',~"~~;,~~, ~ ~ [X ] Request for Variance to the Zoning Ordinance ~9 ~ 1 Article III, Section 100-31 m*JS' r ti ' ~+~"'~"i~11 7ts~~ ~ [ ) Reauest £or , , , ~~"`)~~h~ pablia hearing on this application was originally held cn September "~"~`'*~~,9$~~,;i~nd ~thenee recessed until September 30, 1982, at which time the rs {yA~;h~$'~i:ng .Was declared closed. _ '`~',~<~~'$~,~'~~~~Upon,application of PASQUALE ROMANELLI, by Gary 'Flanner Olsen, Esc .~~~9 ~it1, load,,, Mattituck, NY for Variances: 1) to New York Town Law, , Sec- ' u„~q~~~',hk~-~;B~d; A••;;~for approval of access, and (2) to the Zoninq Ordinance, ! Y?a~;C',1.e III, Section 100-31 for permission to construct new dwelling wit ,~1~fi~pln'!°i.ri>gttffieient frontyard setback from Landing Road. Location of , ~~#u,~iRSpr~rtyr Haywaters Road, Nassau Point, Cutchogue~ NY; Subdivision {""y~~";~~,+eT~~ No. 1 as shown on Map of Peconic Bay Properties No. 786; Suffolk.., ^~~~Courit~ max Map. Parcel No, 1000-111-1-42. Sri ege,ti' ~ The board made the following findings and determination: Li L~14 y; 4 ~~,;,t By this appeal, appellant seeks: (1) approval of access over a ~4w, ""'~tfY',':~~ri'vate road knoWJl as "Haywaters Road Extension" as shown on the Map of "`~~''~~'?PeCdn3C Bay Properties, Map No. 786, which road has a width of 33, feet; ' c~f~~nd,?- (2),.permission to construct a new one-family dwelling with an- ~R'°:~,ni~u1•ficient frontyard setback off Landing Road at 15 feet. The, premise `~'~•~J'~~~~.n': question has a width of 65 feet as measured at a tie line (roadline ~~')~~~~'?~YEiiS an,. irregular curve) and an average depth of 275.50 feet, giving a ~~(~~{,~><`opnsedewill complylwithlother6setbackseaserequired bywthee~oning Code. `~~?!~'li'id, premises' is located in the "A" Residential and Agricultural Zone. ~9~'v,,,~"s ,~;~~~~td~"is vacant. It should. also be noted that this peel is located in 't~h~°tf'lood -Zone "A-A [El . minimum] , ,and the elevation above mean sea "y'.'~`F~,evel 3.n ..the location of this proposed dwelling varies from three feet ` ~,;~r.'ae~~l~,~~feet. %°':;It is the opinion of this board that the access road in question ~~,f~r~,4~n~gtlod satisfactory condit,~on. ~~ti~ < f'"~'~ ~~"~17j~..',hs;, Iri~ considering this appeal, the board determines that the variance '~.~'e uei;tted is not substantial; that the circumstances herein are unique I~ii~;~,practical difficulties have been shown; that by allowing the variant w~~`:•~©~'.'substantial~detriment to adjoining properties would be created; that ~~++~~~~he'difficulty cannot be obviated by a method feasible to appellant othe ~A'~';~ki"s'Yi a"'variance; that no adverse effects will be, produced on available n^~;~tvefrinicntal facilities of any increased popula£ion; that the relief r: '~~~~~equested will be in harmony with and promote the general purposes of~.,~~' "rs~'=;~tsn;irxgJ and that the interests o,f justice will be served by allowing tYie $1 yy. . ~4~~''-?~.~~1'nCes.requested, as indicated,below. ~~~~1,~~"GW(:5~1'1tINUED ON PAGE TWO) ~4~A`1'ED:. October 18, 1982. CHAIRMAN, 30UTHOLD TOWN ZONING BOARD ~.'~~„~f~~p~~~::i, a ~ ~ ~ OF APPEALS ~ , ;F"oritt Z89 (rev. 12/81) a . Yn. UeaM1,H.a '~'1y1 ~~vl y1 ..'trR 1, ~ } "`~f?d~`ge., 2`. Appeal No. 3024 + ~"''itt~~r :bi` Pas vale Romanelli 9 ~r,~~~.~~'~i~'inn Rendered September 30, 1982 ? ~Fy„ fll ~ 4 f. V ~~8'^ ; k '~Yxi ~ i ~~s , z~;h+~`` On motion by Mr, Douglass, seconded by Mr. Grigonis, it was q erax<~~`l...a. ~"a~.sL'~J4~`^~~~'_.`, R'ESOLVEDi that Appeal No. 3024, application for PASQUALE ~'+~";~~C)~T,LT . be and hereby IS APFROVEA AS APPLIED EOR. ~~~°~~~Y;N"~~+~ ^V'~it'e bf the Board: Ayes: Messrs. Grigonis, Doyen, Douglass -,.a'.,i91'tk~l,,: ~~Zvicki. (Mr. Goehringer abstained.) This resolution was ~,~,~dp~ted,by majority vote, H( s WrKfQ'A3a~ ~'ii ~ ~ ~ t , - - ~ y ~f Ni r~4 ! B< .ss „ ~~',~'r ° ~ ~ ~ ~ APi'ROVED ~r , r s f ~ r(~~`4 ~ Y, ~ ,;,,Chairman rd of Appeals L q 4 9I _ '~~,6a S, ~TV~~~~°,~ND FYL~D BY s ; ~'~r'a,~~~,~~ ~ot~t;3 : d 7~~ ,~~~5 t„ . y~~~itip~p'~~~fk,•,1`oi~m of S tho)d I' r~'n e ~ ~~~~P~ d rk 1~4 ~ ' A'r ~~~'3,°SUa ;SEE'^. , , ~~Yt~ )~A 1 ~~C 1 ~ C 7 Odra iv - i / ~ l ~ f S~~`reh jl),1 µjY~r~~ .i~,.: ''C `lI i ~ ~4 «a" nyr<Jy Y ' ~s9 nr~ti"N r." - - - - - - - - - - ~~~C~ ~ th{ J {d n.Y ~4" ~e ~r~1 {r ~ , ~'~Y Zr~ P I~Rd ` S t1$ ~Y.{y.y~b~ Ilh f ~ i~ ~ I, ' ~f ~t pit x F:; 1 ~ ' u 0 ~ ry'~l~ni2~4~ ~ ~ xyf e ~ ~K ~ z "~y, ~~q X11 ~i ~ ~ ~ 1 Y ~ ~ _ ' y~~{ C ~~~~5~.1~ M "4 a'4i,F` . y"~yy,gs~~ r,~s~a~^~~ ~ 'r, r ^~rP~r(;~,,;,~a ~ ~ ~ trf3~.i*~,.~a-,~, s ~r' l > > _ -4 DIL - ~ oIL UTILITY R OM , BLR. ° 4' PC F OR REVERSE in ~ FF EL . 0 ~~6+9 0~ SMOS I S UN I T ~ ~ m ~ a ~ v U ~ y II ~ ~P ~'~t _ D. cry ~ "mil ~ U p ~ ~ x~~Y GARAGE o ' ~ _ ¢ I 4' PC FLOOR ~ ° iv ~ N ~ _ ~ ~ o N ' PITCH TO DOORS ~ I X x m ' I N ~ fA N W I m N N to ~ X O i I ~ H J¢ ~ Z Q7 ~ 19'-8" CW25 CW25 4'-0' 12'-0• 4'•-0' f 20' -0' \Vf ec. /0 8 m II 20'-0' ' _ - _II m UNEXCAVATED ~ I ~I II ~ ~ -I I m ~I m ~ -4 ~ 7d I ~ 19'-4' B II I i ° I~ I m UNEXCAVATED = II _ 7 ° I _ I I , m II ~ 8' PC FON, WALL ON 9 X 18' PC FTO. , f TYP. ) -I • I I m _ ~ i ~ I ~ S~FFO~~o~~ ~~ut®~d T®w~ ~®ard ®f ,Appea~~ O ® ~ MAIN ROAD- STATE ROAD 25 SDUTHOLD. L.I., N.Y. 11971 "~0,~ ~ ~~O ~ TELEPHONE (516) 7651809 s ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3024 ~ Application Dated August 17, 1982 TO: [Appellant(s)] Gary Flanner Olsen, Esq. Attorney for Main Road, P.O. Box 38 Pasquale Romanelli Mattituck, NY' 11952 i At a Meeting of the'Zoning Board of Appeals held on September 30, 1982, the above appeal was considered, and the action indicated below was taken j on your [X] Request for Variance Due to Lack of Access to Property ~ ' New York Town Law, Section 280-a 1 { ] Request for Special Exception under the Zoning Ordinance Article , Section [X] Request for Variance to the Zoning Ordinance Article III, Seotion 100-31 [ ] Re uest for j The public hearing on this application was originally held on September 9, I 1982 and thence reoessed until September 30, 1982, at which time the hearing was declared closed. 4 Upon application of PASQUALE ROMANELLI, by Gary Flanner Olsen; Esq., II Main Road, Mattituck, NY for Variances: (1) to New York Town Law, Sec- tion 280-A for approval of access, and (2) to the Zoning Ordinance, Article III, Sectio:} 100-31 for permission to construct new dwelling with j an insufficient froi~tyard setback from Landing Road. Location of Property: Haywaters Road, Nassau Point, Cutchogue, NY; Subdivision Lot No 1 as shown on Map of Peconic Bay Properties No. 786; Suffolk County Tax Map Parcel No. 1000-111-1-42. The board made the following findings and determination: By this appeal, appellant seeks: (1) approval of access over a private road known as Haywaters Road Extension" as shown on the Map of Peconic Bay Properties', Map No. 786, which road'has a width of 33 feet; and (2) permission to construct a new one-family dwelling with an insufficient frontyard setback off Landing Road at 15 feet. The premises in question has a width of 65 feet as measured at a tie line (roadline has an irregular curve) and an average depth of 275.50 feet, giving a total area of approximately 16,608 square feet. The new dwelling I proposed will comply' with other setbacks as required by the zoning code. This premises is located in the "A" Residential and Agricultural Zone and is vacant. It should also be noted that this parcel is located in the Flood Zone "A-4~,[E1. 8' minimum], and the elevation above mean sea level in the locatiCn of this proposed dwelling varies from three feet to eight feet. It is the opinion of this board that the access r ad in question ~ is in good satisfactory condition. In considering this appeal, the board determines hat the variance requested is not substantial; that the circumstances h~rein are unique and practical difficulties have been shown; that by all wing the variance ' no substantial detr}ment to adjoining properties would ~e created; that the difficulty cannpt be obviated by a method feasible o appellant other than a variance; th'~t no adverse effects will be produc d on available governmental facilities of any increased population; th t the relief requested will be in harmony with and promote the gener 1 purposes of ~I zoning; and that the interests of justice will be serve by allowing the variances requested!, as indicated below. (CONTINUED ON PAGE TWO) CHAIRMAN, SOUTHOLD TOWN ZONING BO}1RD DATED: October 18, 1982. OF APPEALS Form ZB4 (rev. 12/81) r FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. Box 728 Town Hall Southold, N.Y. 11971 Main Road Southold,N.Y. APPT.T ('AT T(1TT Ff1R iIFVF,T,(1PMF,TTT PFPMT2+ Instructions: The application to the Building Inspector includes (each in duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as required in Section 46-17 of the law to minimize flood damage: A. Anchoring of structures, including tanks and mobile homes B. Use of lconstruction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations Specific Standards as required in Section 46-18: A. Residential construction B. Non-residential construction C. Mobile homes The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (31 of the Southold Code are satisfied. Coastal High Hazard. area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot be lower than the base flood elevation with all space below open except breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteration submitted. Building Permit. A Building Permit is also required for any structure. Both a Development and a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued within ten (l0) working days. During construction, the inspector shall be notified in time so he may make the required inspections. Upon completion, the required certification of the final elevations and work must be submitted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 11/85 1 Application Received~l' Disapproval Issued Permit # /7 8 ~ ~'L~. I o 19~ 19_ / 19~_ I FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD .Q~...r. ~_19~_ t. 'hype o= uevelopment Proposed: New Structure (incluain`ge tanxs Addition and/or Alteration Flood Proof Below Base Flood Elevation Other (specify) 2. Elevation Data inlrelation to above mean sea level of: (a) Lowest floor elevation, including basement ~ feet ~ inches (b) In a V Zone, bottom of lowest structural member feet inches 3. FIRM--Flood Insurance Rate Matp, Zone designations 4 ~L. 4. Owner of Premises I!, '"7~ sQ Uq A. ~ `E- /a o LION Gc 1„L, I 5. Location of Propexty: /OS sN ~~,~+oAn~'s )`~Egela ~ C uV"~a G UE House # Street Hamlet County Tax Map No,., Dist. 1000, Section f/~ Block d ! Lot(s) ~ 3_ Subdivision P4.op _/1~ A ~SrG u P4".~I'~coNi ,.SAT Filed Map# Lot (s) 6. Permission to be granted: _ Owner as above _ New Owner _ Under Contract', _ Lessee _ Contractor ~ Phone # 9 u A R ~ f'a Cep ~ D ~A ~v 4~ 6 ~ 1,. ~ . 1 tic . Name if of givenjabove Mailing address ~6s n')aNou~,fl~ G.1 Q~fn121cL` ,1~(4~w1 S~ua~~ ~d ~I 7. Approval from other(s) before Permit is issued: DEC ~ Wetlands (Town Board) Health Services - s o - I S"-`1 ZBA Building Permit '7 $ ~f7 Z~' Planning Board 8. I, , the applicant, am the Owner Co-Owner 1 _ , New Owner -,'Under Contract , Lessee , Agent , Contractor and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contained in this application are t$ue to the best of my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. i STATE OF NEW Y~RK~ ~ COUNTY OF SS Signatu SWORN TO TeH~IS ~,U DAY OF ~'Ll~e~ 19 HELEN N. DE YOE Notary public ~ NOTIIRYPUOUC,StetoofNew.York No.4707S70,SuNolkCounty ~i Term kppires March 30,19/ Applicant's mailing address and phone,# if not given above ~ 11/85 I BOARD OF HEALTH 3 SETS OF PLANS FORM N0. 1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM . ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY - 4 TEL.: 765-1802 GALL Examined 1949. MAIL T0: Approved _ 'V..!.`~., 19~ .Permit No~.~ 8~ ~ . ~ d~UAL1TY CRAFTED @~31~RAxS of L.1. Inca Disapproved a/c 365 Sunrise Highway Service Rd. N. rytanorville, New York 11949 .a..~-~.. gay-33~~ (Building Inspector) APPLICATION FOR BUILDING PERMIT - Date 15 . ' 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- s 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 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 authorized inspectors on premises and in building far necessary ins ections. (/~~,q~~ -J/~ (Signature ot" applicant, or name, if a corporanon) ~ f • (Mailing address of applicangt) ~"1 PINca~V%CtLr J`~~ `J ~ t~ l State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ v.~~i?~r . Name of owner of premises ...~~Js .Q.v,/,~Z,G' , ~~?l7 t1, , , ,~(`,QM, .~?'1 ~.ZLJ, (as on the tax roll or latest deed) `y If app c n s a corp r 'on, sig/; ture of duly authorized ~o-7ff-icer. V`~Q, (Name a, title of corporate officer) Builder's License No . Plwnber's License No . d Electrician's License No . . Other Trade's License No . . 1. Location of land on which p o osed w rk will be done. F~,1 y~`!~~~~.. ,~1,~~F tV/~';(.~Y},U - - ~l ~j , , , , , , , , , , , , , , io~F~~ficein~n~s ~~l3e~ ?.pP• _ ........n+~`~-Vr.~b`~?TZ~n~--~°t~ .....1~(~'S1tU..~Orc~.~...~.~J}GGvtr ..~b`l. House Number Street Hamlet L~ County Tax Map No. 10p00 Section Block ....j Lot ~ , , , , , , Subdivision .~~A. `'1 D PCUrv(c , 61.7. - ,~~uEL'~,fl L~ , , , Filed Map No. b, , , , , , , Lot . (Name) . 2. Slate existing use and occupancy oaf/premgises and intended use and occupancy of proposed construction: a. Existing use and occupancy Y.~~'J W l . wo , (~C~!i?c>v~~';-- S/a~~b(r ~~wr<c b. Intended use and occupancy ........,.~......7 s 3. Nature of work check which a~ ( applicable): Now Building Addition . , , , . Alteration . Repair Re 'oval Demolition Other Work . ~J/ (Description) 4. Estimated Cost y~6, .I? ~i Oc70 . Fee . 5. If dwellin number of dwellin ~ (to be paid on filing this application) g units , , , , Number of dwellin units on each floor . If garage, number of cars ! ~ ' ' 6. If business, commercial or mixed occupancy, specify nat}tlte and extent of each type of use . 7• Heiahtsions of existing stru Nunes, if any: Front , , y'....... Rear De th . P mberofStorics..."',~~^!4..,...., Dimensions of same structure tyith alterations or additions: Front . . Rear , . De ~tlt ........i Nu Ileight ' Number of Stories . " Dimensrons of entire new construction: Front , , , , , , , Rear ,yy......... Depth 27'~~' Hei ht . 2q, tuber of Stories . 2 • • • " " " " • 9. Size of lof: Front ....6~, . , , Rear 70 .:..............Depth ~7$, ~ . 10. Date of Purchase , ' . Name of Former Owner • • 11. Zone por pse district in which ~!emises are situated . , . ~ , , ~~?~?e?J TI r!2, ti-.13c'v2/< y~7-yrr92. ~ .vcr UFJ to~,~T P 12. Does ro osed construction violate any zoning law, ordinance or regulation: . [3. Will tot be regraded ..`l~'$...I, , , , ..Will excess fill be removed from premises: Y No ' 14. Name of Owner of premises ~'/fa: , r,~httW~;L/, , , , , ,Address 1.1~?f~! 44'>9, , Pltone No. ~~f9 ; , (QSb~~ Name of Architect f~f~P•v f~vr,•tq' o`;G,• z, z//ri I • • i• • .:.....Address P°.aOX t~$ «~',p/~ phone No,7f7. P Name of Contractor Gt. `:~?4?~.'.C~~t'Yl'N f}apyrs /c?G Address 3~S;5y~?~i,5~', f-IwY..... Phone No..~7~35 0;~; ~ 15.Is this property located within 300 feet of a tidal wetland? *YES.~,NO.... i *If yes, Southold Towp Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly al~ buildings, whether existing or proposed, and, indicate all set-back dimensions from - property lines. Give street and bloc)( number or description according to deed, and show street names and indicate whether interior or corner lot. `~O~Y DF S~~UL'"( Wl~f S~T(~9Glt'S' LrTC h7 ~09C HY~ II ail • I - $T~~'E OF NEtV YORK, S.S 'OUNTY O Name of individual sign • • ' ' ~ ' ' ' ' r'l • • being duly sworn, deposes and says that he is the applicant n mg contract) above named. I i ' He is the ~Vl ~~L'!~, C'0~~:~~.. , , . ~ (Contractor, agent, corporate officer, etc.) • ~ • • • • of said owner or owners, and is du~y authorized to perform or have per~onned the said work and to make and file this application; [hat all statements contpcned in this application are true tot c best of his knowtedge and belief; and that the k'ork will be performed in the manner set forth in the application tiled the ewrth, Sworn to before me this I y .....,...day of........~~°-:,....,,19 Notary Public, ./iW;c,-~i, !T; !t.l,Q. ~a~:..... , . County HELEN K.DBVOE NOTARY PUBLIC, Ste a of New York • ' ' • • • • • • No. 4707878,Su9~olkCoun (Signature of applicant) Term Exgires Marah,30,1 I '~a~ t,15. Ht<Ai.TH DEPT. YAK, ''W,q,,,~ r----""' ptis , ~'„r ~ /1'1~ Gam' ~~"TY ~AL~IACl13 ki~'/tfl~' " \ (/briyp~ G~ (-f+~ Irrsa)~~a~.. `".a(.112V~Y~ ~ tN6 1M~1'iER yU'P1.1t Al1C/ABB DFlMC!l6t111 SY'.bZ'3lIM$ F~O11 TMM 1~ MNL4 .5•~~~~= `mo'd/i~t _ ~ _ I~"f~-y1 ~~~a.l~F-hlG~._. ~ ~ ~ Lt..r!~F->?_ _YC:~.J Y (F-~t_3 "J~~L-..~1 COlM1 YO ~M1! BtIM1~ Qlr 7`HE _ , 1! , ~ AT E~''~E1LK GO. DItPY. f7i I+M[A4'k'tt i~R4~1~S. tE ~ } it Gu ' a ~ -Fowry c3f~ SOUTHCX.D, N.Y. , m ~ ~ i _ . ` _ S~'Fi?L#c f~b'~i'1'Y Q~[MI'. QiK 1~14tTW v ~1 rv ~ ~ ~ ~ {i6MtgICES - ?t>R A!~?lNID1iA~. C4R / ~ i CON~tTRtiC'?101~I.ONLY gar: J,,, i i ~ <„nr~ 8'.'] St.% [Si ; SQM(JfsY_L; •,a (T~' ~ I ~ J f. ifRt'. A('O.: 87- ~ - C~ , y~ ~ ! t ~ APAlli3~fED: ~ a u ~ _ _ ~ ~ I . _ ~ _ L. y 1 I ~ ~"irt y~ / u r ~ I F r r ks ~1.M( Cb. TAJP MM ;NA~'1WIi: ~ ~ 1 ` 'N PCl. . { , _ '.ti/ ; , h!p#a: Lo-1- numbers shown rx~er- ix~ tOGls7 !11 ~ ~ f,. f.. ~ .w .wd ' y ~ ~ "IVMAFfij O~ f~CortiG ['ap't! ~~~s..T fHC.E~ r ~ ~ { ~ fi(cd in lire Su~ofk Cot~*tkf clot-ks n r ' s , s 1 of~'ice as ~ r~k,.'7s4~. - ,~f?J~u.,4,G,~ _,~onrl~r>Fr;~1.z.1 N ! +°1,7 Ara Fr`A 4, Q R7.~T'~_ f-~-L. - r9 . ~ \ ` a.~,errdBa~ .t'u/y 3, x987 F'A,t2i?letslt'k1.~ ~ - ~ z ~ .J4n. 3dt i9Bg ''s~t*~i C'El. Y. ,p~ft^tl','t~' s: g+ ~ Feb. 2E3, IBFr~ ?I i - - DiRO: L. t. . J _ ~ ~ ~ ~ 1 1 • .rye Oi ! Serval 7?~B o<t ie Yaw~'orkStats .Ci'C tY !e t "f0 ~ 'd~cetian lew. .uJ F ~ ~ CoD~ci 04 tMS s~yvsv ma!+ not bean 1~ ~tr@Cts t`7,22~ s ,.1Gf; the tenssur.syorsmxetiseata v ~ b~'!_ ~ 111 ~!@Y. 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