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HomeMy WebLinkAbout16766-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18232 Date AUGUST Ir 1989 THIS CERTIFIES that the building Location of Property 56120 MAIN ROAD House No. County Tax Map No. 1000 Section 62 Subdivision ADDITION SOUTHOLDr NEW YORK Street Hamlet Block 3 Lot 20 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5r 1988 pursuant to which Building Permit No. 16766-Z dated MARCE 11~ 1988 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 TO EXISTING BUSINESS BUII~ING AS APPI,IF~ FOR SUBJECT TO ZONING BOARD OF APPEALS #3674 & #3675. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MI~J.~N MOTORS~ INC. N-030677 - AUGUST 30~ 1988 N/A Rev. 1/81 /uilding Inspector 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) NO- 1676~ Z Permission is hereby granted to: '.).'.~i~iiiii~~iiii~i;..i .......... . .~~...~....~.-..~ ........ ./.<~.~./... ~-.~,.~.~ ~.~..~.~a-..~..,, --~.....-~...~..-..-~-, =, ,~,,, ,~,,~ ,, ~=.~_....~....~......~ ....................................................... ........................................... ~~.....=~ ........................................................... co~,~ ~ox ~,, No. ~000 s,=,io, ......... ~..g. ...... ~k ........... ~ ..... ~ No ........... ~e ..... pu~uon~ to ~pplig~tion d~t~ ~/~/~ ................................... , 19 ......... ~nd o.pr~ by the Buildin~ Insp~tor. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOHTHOLD, NE~ YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Propertl ...................... ~ ...... r''7 ......... ~OUfig NO. STREET HAMLET Owner or O,ncrs of Fropert,... ~..~.41~.~.. L~.~/~C~..~T~C: ................. County Tax Map No. [000 Section .O~.~. Block .~3... Lo~ ..c~.9 ..... Subdivision -~ Filed Map ~ Lot ~ Permit No. J~t~.~.~..Date of Permit .~.//.~.~.....Applicaut~..~.OCC~.t~i Health Dept. Approval ................ Under~riter~ Approval Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate c0 ~ FOUNDATIO~J ( 1 s t) FOUNDATIO~I (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI:IAL ADDITIO[~L COMMENTS: Southold Town Board of Appeals MAIN ROAD- GTATE ROAD 25 SOUTHOLD, L.I., N,Y. 11g'71 TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. ROBERT J. DOUGLASS JOSEPH H. SAWICKI Apri 1 10, 1987 J. Kevin McLaughlin, Esq. 828 Front Street, Box 803 Greenport, NY 11944 Re: Appeal No. 3608 - Richard F. Mullen, Jr. Dear Mr. McLaughlin: Transmitted herewith for your file and perusal is a copy of the official findings and determination recently rendered by the Board of Appeals, the orig.inal of which has this date been filed with the Office of the Town Clerk. If this project involves an application with the Planning Board, please be sure to return to their office for further processing. A copy of this determination is simultaneously being furnished to their office. In any event, please be sure to return to the Building Department for issuance of any permits or other approvals in writing as may be applicable. Please do or that of the questions. not hesitate to call either our office (765-1809) Building Inspector (765-1802) if you'have any Yours very truly, Enclosure Copy of Decision to: Building Department Planning Board GERARD P. GOEHRINGER CHAIRMAN By.Linda Kowalski P Southold, N.Y. 11971 (516) 765-1938 January 25, 1988 Mr. John Bertani 1380 Oakwood Drive Southold, NY 11971 Re: Mullen Motors Site Plan Dear Mr. Bertani: The following action was taken by the Southold Town Planning Board at the regular meeting of Monday, January 11, 1988. RESOLVED that the Southold Town Planning Board approve the site plan of Mullen Motors to construct an addition on the existing building to be used for a showroom located at Main Road, Southold, subject to sidewalk and curbing and reviewed by the Town and the State. If you have any questions, please don't hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. CHAIRMAN SOUTHOLD TOWN PLANNING BOARD FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To..~. ;~,&..'?m~ . . ~,.~rP,.,~&. . .tg. ..B. , . l l g. v. .I ...... PLEASE TAKE NOTICE that your application dated ......, .~.~. for permit to construct.. 0¥..~va~.....~...ou:.~......o;:~ .......................... at ~o~a,~on o~ro~r,, ~a'~O m.~. ~ *.. g~ .... ~ ~s~ ~o~ ......... Stroot I Hamlet County Tax Map No. 1000 Section ...~.~.~ ..... Block ....~.~. ...... Lot ...~0. ....... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds. ~~.~. ~.,. e~, ~. ~ ~,.. M..~ ~. ~a..5. ..... ...... Building Inspector RV 1/80 too~,o~t THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [ AU(;I,I~? 30,~9~B- JOHN STREET. NEW YORK, N.~l~'1r~/~38 ~te ~ppl~a~t~ No. on~l~ ~1~ CE~IFI~ THaT ~ t~ ~M ~u~nt ~ ~ ~ a~ int~ ~ t~ ~t ~ ~ t~ a~ ~t~ nu~r ~ t~ ~ o~ ~Ul,h~ NOTORS. ROUT~ 25, SOIJTHO[,D~ ~ examtn~ on andf~nd to ~ in ~m~ian~ with the ~ui~ments of th~ ~. HXTUIm RXTU~I~S IIANGBS OVENS EXHAUST FANS OUTLITS SWITCHES ~ FLUOf/ESC~NT DRYERS FURNAC~ MOTORS TIME CLOCKS UNiT HEATERS MULTI-O~JTIRT SYSTAMS SIIIVIC! ~4SCOh'NECT S E R V I C E 20 TR AC[[ L1G[~TING: --56 G & S CON'rR~CTOR ROX 2] 5 $OUTHOLD, NY, 11971 [,[CgNSg NO. 578-g in return to the office of the Board be 1¸1 by their Southold Town Board of Appeals ACTION OF THE ZONING BOARD OF APPEALS Appeal No~ Application ~D~ed September ]8, ]987 TO: Mr. John Bertani, as Agent for RICHARD MULLEN, JR. 1380 Oakwood Drive Southold, NY 11971 i}i/DEC - 3 1981 BLDG. DEPT. TOWN OF SOUTHOLD %ppellant (s) ] At a Meeting of the Zoning Board of Appeals held on November 18, ]987, the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [X] Request for Special Exception under the Zoning Ordinance Article VII-, Sections]00-70 and ]00-7] [ ] Request for Variance to the Zoning Ordinance Article , Section [ ] Request for Application of RICHARD MULLEN, JR. for a Special Exception to the Zoning Ordinance, ArtTcle VII, Section 100-70 (and 100-71) for permis- sion to construct addition for showroom use incidental to the existing car-sales business use in this "B-I" General Business Zoning District. Location of Property: Corner of Main Road and the East Side of Cottage Place, Southold, NY, 1000-62-3-19 and 20. WHEREAS, a public hearing was held and concluded on Novem- ber 10, 1987 in the Matter of the Application of RICHARD MULLEN JR. under Application No..3674, 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 vi. ewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Bo.ard made the following Findings of Fact: 1. The premises in question is located in the B-1 General Business. Zoning District and is a 100' by 197' parcel of improved land identi- fied on the Suffolk County Tax Maps as District 1000, Section 62, Block 3, Lot 20. Abutting this property along the south side is other land of the applicant herein which has-been the subject of prior Appeals No. 3608 rendered April 2, 1987 and No. 3634 rendered June 30, 1987. 2. The subject premises is improved with the principal one-story building used for car sales and repairs, and two existing accessory buildings, all as shown by site plan prepared (CONTINUED ON PAGE TWO) DATED: December 3, 1987. Form ZB4 (rev. 12/81) CHAIRMAN, SOUTHOLD TOWN OF APPEALS ZONING BOARD Page-2 Appl. No. 3674-SE Matter of RICHARD MULLEN JR. Decision Rendered November 18, 1 987 June 15, 1987 by Antonucci & Lawless, Yonkers, New York. 3. By this application, applicant requests a Special Exception under the Provisions of Article VII, Section 100-70 and 100-71 for permission to establish a car-showroom use in a proposed 19± feet by 29-ft. wide addition, which is to be used in conjunction with the existing car-sales business. 4. The proposed building is to set back not less than 15 feet from the northeast corner of the addition to the northerly front property line and approximately 20 feet at the northwesterly section. A 10-foot grass buffer area exists between the applicant's property line and the street l~ne. The setback from the westerly front property line (along Cottage Place) will not be reduced by this proposed project. 5. In considering this application, the Board has deter- mined: (a) the uses proposed will not prevent the orderly and reasonable use of adjacent properties or of properties in adjacent use districts; (b) the uses will not prevent the orderly and reasonable use of permitted or legally established uses in adjacent use districts; (c) the safety, health, welfare, comfort, convenience, and order of the Town will not be adversely affected by the proposed use and its location; (d) the use will be in harmony with and promote the general purposes and intent of the zoning ordinance. The Board has also considered items [a] through [1] of Article XII, Section 100-121(C)[2] of the Zoning Code. Accordingly on motion by Mr. Douglass, seconded by Mr. Grigonis, it was RESOLVED, to GRANT the permit requested under Application No. 3674 in the Matter of the Application of RICHARD MULLEN JR. for the construction and use of a one-story, 19-foot addition as shown on the June 15, 1987 Site Plan prepared by Antonucci & Lawless, Architects and Engineers, and SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the set. back at the closest points be not less than 14 feet from the front (north) property line [as applied]; 2. No vehicles between the proposed addition and forward (to the north front property line). Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Douglass and Sawicki. (Member Doyen of Fishers I~land was absent.) This resolution was duly adopted. GERARD P. GOEHRINGER, ~HAIRMAN December 3, 1987 Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 8OUTHOLD, L.I., N.Y. TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3675 Application Dated September 18, 1987 TO: Mr. John Bertani, as Agent for RICHARD MULLEN 1380 Oakweod Drive Southold, NY 11971 JR. [Appellant (s) ] At a Meeting of the Zoning Board of Appeals held on November ]8~ ]987~ the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to ~roperty New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section IX] Request for Variance to the Zoning Ordinance Article VII , Section ]00-7]~ Sulk Schedule [ ] Request for Application of RICHARD MuLLE~:JR. for a Variance to the Zonin$ Ordinance, Article VII, Section 100-71, Bulk Schedule, for permiss]o'n to construct showroom addition with an insufficient frontyard setback from the north property line. Location of Property: Corner of Main Road and the East Side of Cottage Place, Southold, NY; County Tax Map Parcel No. 1000-62-3-20 and 19. -~ WHEREAS, a public hearing was held and concluded on Novem- ber 10, 1987 in the Matter of the Application of RICHARD MULLEN JR. under Application No. 3575; 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 applqcation; 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 in t'he B~l~Geheral B%siness Zoning District and is 100' by 197' parcel of improved land identified on the Suffolk County Ta~ Map-s as District 1000, Section 62, Block 3, Lot 20. Abutting this property along the south side is other land of the appli, cant herein-which has been the subject of prior Appeals No. 3608 rendered April 2, 1987 and No. 3634 rendered Sune 30, 1987. 2. The su~j·ect premises is improved 'w~th the principal one-story building used for car sales and repairs, and two existing accessory buildings, all as shown by site plan prepared June 15, 1987 by Antonucci & Lawless, Yonkers, New York. (CONTINUED ON PAGE T.WO) DATED: December 2, 1.987. Form ZB4 (rev. 12/81) CHAIRMAN, SOUTHOLD TOWN ZONING BOARD.~ ,· OF APPEALS Page 2 Appeal No. 3675 'Decision Rendered November 18, Southold Town Board o.f Appeals 1987 3. By this application, appellant requests a variance from the provisions of Article VII, Section 100-71, Bulk Schedule of the Zoning Code which requires a minimum front- yard setback at 35 feet. 4. The relief requested by this application is a reduction from the present 33.5 feet for a 19' by 29' wide addition, to a setback at not less than 15 feet at the northea.st corner and with a setback of approximately 20 feet at the northwest corner from the northerly front property line (along the Main Road). A 10-foot grass buffer area exists between the applicant's property line and the street line. The setback from the westerly front property line (along Cottage Place) will not be reduced by this proposed project. 5. In viewing the immediate area, it is noted that principal buildings in the area are set back off the Main Road at a similar or lesser setback than that proposed herein. 6. It is noted for the record that although provision has been made for the residential zoning district under Article III, Section 100-33 of the Zoning Code for similar circumstances, no provision has been added under the B-1 General Business District which would permit the average setback of existing structures ~thin 300 feet on the same side of the street, same block, and same use district. 7. It is the opinion of this Board that the grant of this variance: (a) will not cause a change in the character of this district; (b) will not cause a substantial effect or detriment to adjoining properties; (c) is the minimal necessary and is not substantial in relation to those established in the immediate area; (d) will be. within the spirit of the zoning ordinance. 8. It was further determined that: (a) the circum- stances of the property are unique and are not personal in nature; (b) there is no other method feasible for appellant to pursue other than a,variance; (c) in view of all the above factors, the interests of justice will be served by granting the variance, as conditionally noted below. Acco'rdin§ly, on motion by Mr. Douglass, seconded by Mr. Grigonis, it was RESOLVED, to GRANT the relief requested un~er Appeal No. 3675 in the Matter of the Application of RICHARD MULLEN, JR. for the construction of a one-story, 19-foot addition as shown on the June 15, 1987 Site Plan prepared by Antonucci & Lawless, Architects and Engineers, and SUBJECT TO THE FOLLOWING CONDITIONS: 1.- That the setback at the closest points be not less than 14 feet from the front (north) property line [as applied]; 2. No vehicles between the proposed addition and forward (to the north front property line). Vote of the 'Board: Ayes: Messrs. Gqehringer, Grigonis, Douglass and Sawicki. (Member Doyen of Fishers Island was absent.) This resolution was duly adopted. lk December 2, 1987 ~ Southold Town Board o£Appeals HAIN RI-lAD- STATE RnAD 25 9r'tUTHr"ILD, L.I., N,Y, 11971 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3608 Application Dated January 20, ]987 TO: J. Kevin McLaughlin, Esq. as Attorney for MR. RICHARD F. MULLEN, 828 Front Street, P.O. Box 803 Greenport, NY 11944 JR. [Appellant(s)] At a Meeting of the Zoning Board of Appeals held on April 2, ]987, the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Propert~ New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section IX] Request for Variance to the Zoning Ordinance Article XI, Section ]00-]]2(I) [ ] Request for Application of RICHARD F. MULLEN, JR. for a Variance to the Zoning Ordinance, Article X~S--6-~tqon lO0'-ll2(I) for permission to utilize subject premises for a paved parking area for the employees of Mullen Motors, an established business abutting this parcel along the north side. Zone Districts: Partly "A" Residential and Agricultural and "B-I' General Business. Location of Property: East Side of Cottage Place, Southold, NY; County Tax Map District 1000, Section 62, Block 3, Lot 19. WHEREAS, a public hearing was held and concluded on March 1987 in the Matter of the Application of RICHARD F. MULLEN, JR. under Appeal No. 3608; 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, i'ts present zoning, and the surrounding areas; and WHEREAS, the board made the following findings of fact: 1. By this application, appellant requests a Variance from the Provisions of Article XI, Section lO0-112(I) for permission to use premises located partly in the "B-l" General Busine'ss and partly in the "A" Residential and Agricultural Zoning Districts as a paved parking area for the employees of Mullen Motors, an established business located on the adjacent property immediately to the north. 2. The premises in question is located along the east side of Cottage Place, Southold, with frontage of 104.60 feet, and is identified on the Suffolk County Tax Maps as District 1000, Section 62, Block 3, Lot 19. 3. The subject premises is presently vacant. .(CONTINUED ON PAGE TWO) DATED: April 2, 1987. Form ZB4 {rev. 12/81) CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Page 2 Decision Matter Appeal No. 3608 Rendered A)ril 2, 1987 of RICHARD F!. MULLEN, JR. 4. Article XI!, Section 100-112, Subsection (I) of the Zoning Code prohibits suchlparking spaces on a lot in any residence dis- trict, unless the use to which they are accessory is permitted in such district or upon approval of the Board of Appeals. 5. The S~te P!an prepared December ll, 1986 by Peconic Surveyors and Engineers, P.C. depicts a proposed parking area of 12,930 sq. ft., gralss area of 3,800 sq. ft., and a total of 26 parking spaces, two of which are located in the "B-I" Zone District. The totail square footage of the lot in question is 17,409 sq. ft. Alsb proposed is a six-foot high chainlink fence encompassing the bolrders of the north, east and south property lines. A variance .as to the restricted four-foot height requ~ire- ments along the front yard areas has not been appropriately applied for and accordingly is not a part of this application. 6. Article XIi, Section 100-112 Subsection (K) of the Zoning Code and the rel' ' lefI granted hereunder requires continued mainte- nance and appropriaite screening from adjoining residential lots and from the view olf lands across the street from other residen- tial properties, byi a substantial wall, fence or thick hedge approved by the Plainning Board, generally at a height of not less than three feelt. 7. It is the !understanding of this Board that this property will not at any timle be used for vehicles sales, vehicle repairs, storage of equipmenlt or vehicles or related items, and will be used solely as an aiccessory use to permit parking by employees of Mullen Motors, Iinc., the established business on the lot immediately adjacen~t to the north. ~n consideringi this appeal, the board finds and determines: (a) that the use piroposed is not inconsistent with the general purposes~of the intlent of zoning; (b) the circumstances are unique; (c) the a!ccessory use applied for will not alter the essential character: of the neighborhood; (d) the use will not prevent the orderly! and reasonable use of this district or adjacent use distri~cts; (e) the safety, health, welfare comfort, conveniencle and order of the town will not be ad- versely affected byl this use; (f) the interests of justice will be served by alllowing the variance, as conditionally noted below. Accordingly, oln motion by Mr. Sawicki, seconded by Mr. Doyen, it was RESOLVED, to ~R~.~ the relief requested under Appeal No. 3608 in the Mat!ter of the Application of RICHARD F. MULLEN~ JR. for employee p~rking of Mullen Motors only, SUBJECT TO~- THE FOLLOWING CONDIiTIONS: 1. Fence mus~ meet current code restrictions for a maximum height of four feet along the front yard property lines, unless appliication is made separately for additional relief. 2. The approved parking area is r~stricted only to the residentially ~oned portion. 3. Planning Board site plan approval (including surfacing, screening drainagq~, egress, ingress, etc. as per Section lO0-112(Ki, et seq.I of~the Zoning Code). Vote of the B6ard: Ayes: Messrs. Goehringer, Douglass, Doyen and Sawicki. ! (Member Grigonis abstained.) This resolutionlk was dul~ adopted. , , , GERARD P. GOEHR~NGER~MAN TOWN OF 5r, JuIMv~ ~ .-~ /, Examined' .-L?.///. .......... , 19 .~.' .~ ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... ................................ ..:, .::x. . . ..... APPLICATION'FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely tilled 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 tmtil 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, and regulations, and to admit authorized inspectors on premises and in building for necessa~nspections~ . .~ ~ . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ....................... ............................................................. Name of owner of premises ....... .~.~-/!~ .'.~... ,~.~..~..r~.t. · .~.n..L'.: ................................... (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 - Electrician's License No... ~.~ .~. ............... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ... ~. ~: .......... Block ....... .~ ......... Lot... ~.~.. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E×isting use and occupancy ........ .'.'~..~. ~f..,'-/',~.~,C. ..................... ..., ~ .~:., .................. b. Intended use and occupancy ,_%4a~'d' ~ .... ':?' ' 3. Nature of Work (check W~lCh- -' pphcable): New Building .......... Add ~bn ...... Alteration .. Repmr ...... ~. ~a,a' · · Removal .............. Demoht~on ..... 4. Est ated Cost... .... , .......................... Fee .... .............. ~' [ (~o ~,~n filing thi~ application) 5. If dwelling, number of dwelling units .............. Number of dwel~%a~h-fl6or .'~ ........ If garage number of cars 6. If business, commercia~ or mixed occupancy, specify nature and estent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Sto~es ........................................................ D~ensions of same structure w~th alterahons or additions: Front ................. Rear .................. Depth ................... ~... HeiSt ...................... Number of Stories ...................... 8. D~ensions of entire new consimction: Front .............. Rear ......... Depth ............... Height ............... Number of Stories ..... ................................................... Size of lot: Front Rear Depth Date of Purchase . Name of Fo~er Owner Zone or use district in ' ~ ' ' which p;em~ses are mtuated .................................................. Does proposed construction viblate any zoning law, ordinance or regulation: .. Will lot be regraded ...... ~ D ................. Will excess fill be removed from premises: Yes N3 N~e of Owner of premises . .~ .................. Address ................... Phone No ................ Nme of Architect .~ $~ ff .~ ~.c~... Address .~..(~ .~o~i~. Phone Nme of Contractor ~.ff~. ~m~t.. ~ ...... Address (~.. 0~ . ~K Phone No. ~7./~. .... .~ PLOT DIAG~ Locate cle~ly ~d distinctly ~1 bufld~gs, whether existing or proposed, and, indicate fll set-back d~ensions from number or desc~ption accord~g to deed, ~d show street names and indicate whether 10. 11. 12. 13. 14. property lines. Give street and block interior or corner lot. STATE OF NEW YORK. L,_ _ ............... ~ftta~/. ./~ ~.J. ............ being duly sworn, deposes and says that he is the applic~t (Name of individual sig~ dng contract) above named. He is the ............................. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly authorized to perform or have perfomied the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfo~ed in the m~n~r set forth in the application filed therewith. Sworn to before me this ~/ .day o'f... / L ., 19 . ~,4707878,8~olkC~ ~ (Szgnature of applicant ic' ¢ / ; - 4, ':',,, , ~ .... "r---- APPROVED AS NOTED '~' FEE: BY: ,,. NOTIFY BUILDING DEPAR~ENT AT ~65-1802 9 AM TO 4 PM ~R THE FOLLOWING INSPECTIONS: FOUNDATION ~0 REOUI~ FOR POURED CON~ETE ROUGH FRAMING, ~ o. ~UMBING ~, INSULATION ~, FINAL CONSTRUCTiON'MUST. BE COMPLETE FOR C.O~ ALL CONSTRUCTION SHA~L MEET THE REQUIREMENTS OF THE STAT~ CONSTRIJCTIQN ~ ENER~ CODES NOT RESPONSIBLE FOR ~F~IGN OR CGI~STRUCTIG~ ERRORS ' ¸i'