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Home My WebLink AboutRobinson, DelanceyFORM ~3 Building Department Building Permit (This Permit Must Be Kept on the Premises With One Set of Approved Plans and Specifications until Full Completion of the Work Authorized) at premises located at...~....O~..,~ .!~~_. &~..~ .~O~.._..~.. ......................................... pursuant to application dated ... 0.~ ~ .............. 19,'~ , and plans and specifications approved by the Superintendent of Buildings.. · l~.o~ p~,ll~ ~l~V~le Cost of Construction $...~.e. ........ Fee $ ........... ...~...e....(~.. ......... Permission is hereby granted to: _~,_..~...~........*~....~.~...~ .~ ...................................... _&_.~_.~ ..~!..~._ ~ ._~.o..~, ..................................... FORM $1 Buildlnq Department Approved'~("/ __19 Permit No._ Disapproved a/c (Superintendent of Buildings) Application for Building Permit ~9 ? INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Superintendent of Buildings. b. Plot plan showing location of lot and of buildings on premises, relationship to adioining 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 application. c. This application must be accompanied by two complete sets of plans showing proposed construction and two complete sets of specifications. Plans and specifications shall describe the-nature of the work to be performed, the materials and equipment to be used and installed and details of structural, mechanical, electrical and plumbing installations. d. The work covered by this application may not be commenced before the issuance of Building Permit. e. Upon approval of this application, the Building Department will issue a Building Permit to the applicant together with ap- proved, duplicate set of plans and specifications. Such permit and approved plans and specifications~shall be kept on the premises available for inspection throughout the progress of the work. f. No building shall be occupied or used in whole or in part for any purpgse whatever until a Certificate of Occupancy shall have been granted by the Buildin~l Department .......... (Signature of applicant, or name, if a corporation) Orients (Ac~dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Gene~a]_ Cc, ntr~ato~ Name of owner of premises: ]~.'IrSo Delmaae~y- Robinson If appllcanf is a corporation, signature of duly authorized officer· (Name end title of corporate officer) Location of land on which proposed work will be done· Map No. Block Street and Number S/¥/ cozener [~Ta~-~s~..~.t ~v~ Rcmt~ 2_~ (],Tot e?_ ~.]~p) State existing use and occupancy of premises and intended use and occupancy of proposed construc- tion: ~es idence a. Existing use and occupancy. b. Intended use end occupancy Residence and convalescen.t home -. Nature of work (check which applicable): New Building Addition ~ Alteration Repair Removal Demolition .. Other' Work (Describe) Estimated Cost ~8,000o00 Fee 2&.00 Costs far the work described in the Application for Bu]ldln. g Permit include file cost of afl of the construction end other work done in connection therewith, exclusive of the cost of the lend,. If fine[ cost shell exceed estimated cost, en addifiofial fee may be required before the ~ssuance of Certificate of Occupancy. (to be paid on filing this application) FE~S: (Based on estimated cost) Up to $1,000 SS.O0 *Each add'l $1,000 or part fo and including $1B,O00 3.00 Each add'l $[,000 or pert to and ;ncludlng $50,000 2.00 Each edd'l $1,000 or part over $50,000 1.00 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor , If garage, number of cars_ 6. ,f business, commercial or mixed. occupancy, specify nature and extent of each type of use prell1... Oooupancy w1ll be ""'-...... .-... .......... ~'.lll;. AlI\HJ.ng home and J'e.1u on 7 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories .0 out.". cluap 1ft cSt..-10ne -.. ~, Dimensions of same structure with alterations or additions;. Front 22 Rear 11 ~~pth SO Height 17 Number of Stories 2 .\ I. 8. Dimensions of entire new construction: Front \ Ref'r Pep\' Height Number of Stories 9. Size of lot: Front Rear Depth on acreage plot 10. Zone or use district in which premises are situated not zoned II. Does proposed construction violate any zoning low, ordinance or regulation? no 12. Name of Compensation Insurance Carrier ut1ca Mutual Number of Policy Date of Expiration 13. Name of Owner of Premises Mrs. D. Rob1nSA~ress Gre 6nPO rt Phone No. Name of Architect Address Phone No. Name of Contractor Edward F' Hommel Address Orient Phone No. 14. Will electrical work be inspected by, and a Certificate of Approval obtained from the New York Boord of Fire Underwriters or other agency or organization? If so, specify r.. IPlJ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property Hnes. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. Applicat10n is made tl) the Building ... Superintendant to waive tbll ..ttl~ forth ot plot diaaraae .tc. The .x1.ting premi,., do not ,,101at. a~ law with r.gud to ,.t-backs .tc. STATE OF NEW YORK, COUNTY OF Su:t'folJc Edwal'd P. Ho-l (Name of individual signing application) contractor } ss.: being duly sworn deposes and says that he is the applicant above named. He is the (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that 011 statements contained in this application ore true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application and in the plans and specifications filed therewith. Sworn to before me thiL__118ay of~ctober 19--.22 (Signature of applicant) Notary Public, County FORM ~3 Building Department Building Permit (This Permit Must Be Kept on the Premises With One Set of Approved Plans and Specifications until Full Completion of the Work Authorized) No.._.~-. .................... Date ~-~:. :~.~- ................. 19 ~_.3 Permission is hereby granted to: _~,~ ~. ,..~.D.._e. ]..~.~ ~;f ...~q ~.~ ..n~ ~p.~,.....a_.~_.. o. ~(~_e.. ?. .............................. .~..~?.~.~..~.~.. ~o..~m~.~:~...~_~.._~.~ ~.~_~.?_ .................................... to ..................... ~.~.e~ ............................................................................................................................. at premises located at ...... ~/~.. c.~..~:~.~.~ A~...~:...)~D~.~._.~ ........................................ pursuant to application dated ...... q c~.. Z ................ 19 ~.~.., and plans and specifications approved by the Superintendent of Buildings.. ?Zo~ pZ~ ~ved. Cost of Construction $....~O00.. ....... Fee $ ............ .2_.~ .t ..0..0. ........ 0 n~ o W Z n ~- 'q O b- [.] [] Lc D [] W W r~ BuikGaa n .aartmeqt Examined ___lg~L~_ Approved_ ~lJ~-~ 19___ Permit No.~ Disapproved a/c - ~ (Superintendent of Buildings) Application for Building Permit INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Superintendent of Buildings. b. Plot plan showing location of lot and of buildings on premises, re~atlonship to adjoining premises or public streets or areas, and g~ving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. This application must be accompanied by two complete sets of plans showing proposed construction and two complete sets of specifications. Plans and specifications shall describe the nature of the work to be performed, the materials and equipment to be used and installed and details of structural, mechanical, electrical and plumbing installations. d. The work covered by this application may not be commenced before the issuance of Building Permit. e. Upon approval of this application, the Building Department will issue a Building Permit to the applicant together with ap- proved, duplicate set of plans and specifications. Such permit and approved plans and specifications, shall be kept on the premises available for inspection throughout the progress of the work. f. No building shall be occupied or used in whole or in part for any purpqse whatever until a Certificate of Occupancy shall have been. grante~l by t~he Buildln__.~g_D_epartment. (Sicjnafure of appllcanf, or name, if · corporation) (,~ddFess of appllccnt) Stele whether applicant is owner, lessee, agent, erchlfecf, engineer, general contractor, electrician, plumber or builder. ~ne~ Name of owner of premises: If applicant is a corporation, signature of duly authorized officer. (Name and rifle of corporate officer) Location of land on which proposed work will be done. Map No. Block Street and Number ~ 0o~Jt~l' Nanh~mme~ AY. t~ic~u~m ~ ~ ~ ~ Slate existing use and occupnncy of premises and intended use and occupancy of proposed construc- tion: a. Exlsfing use end occupancy. b. Intended use end occupancy ~i~ee ~e mnv~e~ ~ Nature of work (check which applicable): New Building Addition m AlferafionX Repair Removal Estimated Cost. $~,~o~ Costs far the wor~ described in the Application for 8u]ldin. g Permit include the cost of all of the construction and other work done in connection therewith, exclusive of the cost of the lend. If final cost shall exceed estimated cost, an add~tlonal fee may be requked before the ~ssuence of Certificate of Occupancy. Demolition Other Work (Describe) Fee (fo be pald on filing this application) FEES: {Eased on estimated costI up to *Each add'l $l,000 or part to and ~nclud;ncj $15,000 Each edd'l $1.00~ or part_fo and including SS0,000 Each add'l $1,000 or part over $50,000 5. If dwelling, number of dwelling units Number of dwelling units on each floor $5.00 3.00 2,00 If garage, number of cars_ 6. ,f business, commerciaJ or mixed occupancy, specify nature and extent of each type of use ..... -~m~lt~ 13. 14. 7. Dimensions of existing structures, if any: Front. Rear . Depth ...... Height Number of Stories ~ ~ O~ J~ Dimensions of same structure with alterations or addlfioneA Front ~' Rear 17 _ Depth-~O Height Z? Number of Stories P' 8. Dimensions of entire new construction: Front '~ Rear - D, ep~_ Height Number of Stories Size of loft Front Rear Depth Zone or use district in which premises are situated on &o~e&Go p~ot Does proposed construction violate any zoning law, ordinance or regulation?_ ~o Name of Compensaflon Insurance Carrier uric& ~41a&~ Number of Policy. Date of Expiration Name of Owner of Premises M~. D. RobXn&~lldress Name of Architect Address Name of Contractorl~lllz~ ]~ HIm~o~ Address Phone No. Phone No. Phone No. Will electrical work be inspected by, and a Certificate of Approval obtained from the New York Board of Fire Underwriters or other agency or organization? If so, specify PLOT DIAGRAM Locate clearly and distinctly all buildings, when:her existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. fJO~ fo~h of plo~ ~l~l~ma e~o. ~he ex~a~n~ p~o~Lme8 ~o ~o~ v~o~ate a~y le~ ~th Pes;l~d to mOt-baek~ STATE OF NEW YORK, I SS.: COUNTY Of ~'£e3jl~ , Z~.i~I~ F, E - L being duly sworn deposes and says that he is (Name of individual signing application) the applicant above named. He is the_ ool~llz~ote~ _ (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 applicationl 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 and in the plans and spec~ficatlons filed therewith. Sworn to before me this_ ii'ay of O0~e'011~ 19 ~J (Signature of applicant) Notary Public,_ __County