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Home My WebLink About1000-142.-2-17 .,..._,.-..-.-~."'- I r -I I ; ) I i I- I ! i , '. ''is... -., ~ \ , G. \~ .' ~ :2 "-' ".\ U "l '\_.~ ~) ill '", -..,.,;j... 'f) tn s' PLANn NO'> sc<iEe"j i I III tv, 6 ~, .. .. .. ."--' ..' ..",.. " ff i l.l \ 'n' i , \JI \ 1 l [1.'\ :;{ t i I., C>',~ ~ I I . .iif-- --'-r'- I rr15 I I i VAN kYSWYK , ! i , I:l ' I' N54 '810 E, \ , ., tv '1 .J '~ I" , I 91 I 4. I' I W I ,I ..7. -.,. .. () .J ~ U ,.1 , , '" i,\ i-.. , ! ' :ec';~o~o;JL J: t '\P- ,;:\"~ 1 ~ A /\ _. ----4<0 \ II} e ___- ~""~o \' ~ 't01\f3.. /-;::i----. \-,/ \ / -iA~\l...,-:)~~,;e._ /-7 r(~:' ~. / / \\, ! i, / l-OCATIO~,J M. ..AP, /j j,; ''6oo';;? / Ib._. '. / /' ;/ ,/ ., >,'-;,/ / l // / CNEll_ IOCOC Y~; ~. ,:/ 4/" '" i"{ ,/ ~\j (1) (\\ / / ~ t~ PA!21(.\NO 5PACe-s i'O -ee: fA'. let:) f"~Ur21==I\.CE, 0rGAU(2C T".JWAl<.u t. L.O't~ ~ lii '1\ I I .--. "1 I ecY.":" ~;~ii '21 i (NO SALES) ;-}. BLAClC.rop (li!l<llS,) I I I 501.\ I I I I 15\'tl12V' -J!lUlI;l.- ~ r I I I ~ t l" '\ I . / I I / " / <X / / / / - r ^, t. . ) \.. "-...L. L~ . ~(~~:) , ',j ...,'.- ,. ,,,,,,,,,.,, ~-' LJ; f~tt~.it....l.J;~'fL ~ !" AREA.23...4,6iO SQ. FT --,....... ----- --- -- , > CA'LH BA'-?IN ....- IO'C.)(, 4' x lJJ ~ ! u ~ 'i '<l 'y If) ill '.. i :l . ~~ f'l;!OKh'€O " ..c.. ~ ,. tR 'i,Q III n; h 0.. ~. w I~ ~ I ' ,I 1-- I sro<.:.Y BU1LOINt?> ~.-- If) J... '.1 ~.....i I.D , J f. LI~ .. ..iJ , J \! (r. tfi " Ia, o ~ I~ o 1.1y ft1 Vi ~ I~ g ~']J- r Ll u 'j r.J 1~ _.~ /8 u . \ ) <f :ccr,C12, APPROVED CY ._..PlANNtNG'1l6A:).l) IC"iTOWN OF SOu~~~1J) t!l-.--- ,.,;1' ~^Ck::. r'OF /' -,_. , . ~! \ , A r:':.:?' \OllvJ. .S,~.;) 1- i 1---'--' I , I MaN 0,4 5,::U"~ " . E...~T C,:: f~O,NI:: ~ I I I i I 1-.-- I , ! HAJ~.,j AMENDEDJ':1A@, $,19E3!5_ A" ,',' 'Ci\ r::'-."':;f) ......:.-.:-__::::'-~__:-:~...- '-1.,,:,..::.. ..--.-.- ..------ 0,.:; QC.A.D .. ~ -' ~-.--A-....M-.:--" 'C',r-r' c: '-re' .___--- , L: t'ot Ie: L/ ::;> t C= ------ --~ ._~. .--- -- ,CdU Pi-AN. 1\/; /', r.... ".. U i.,./ i 1/ \: ..-..,. ,.----- r "I" I .~" ,... . l.... f '^. -r.~ \ . ," ,.) '/ v' .., 'i..' ... I I, I ! ~ ---".._",: 1'- i ''--" 1 ( . ~ \_/' I UMuthorized alteration or addition to this survey is a violation of Section 7209 of the New York State Education Law. Copi" of this survey map not beerina the land surveyor's inted seal or embossed seal shall not be conaIdered to be 8 valid true copy. Guarantees indicated hereon IhIII Rln onlV to the person for whom 1M IUIVIIV is prepared, and on his behalf to the title company, goY8I'nmentel 1OIfIC'I1. lending institution listed hereon and to the assignees of the lending InId- tution. Guarantees are not ~ to additional institutionl or 8Ublequtn1: owners. (~) ~j f2 \.,' F~ '-~/ t:'~ ~ ~: ,";1 ~ , - ~~ ~'.". \/.,..--\; i L_,/ \... ""'-'\ ' --'~". I ,: ; // r'~ ! .......~ i. r--~ '~. ~'-r'~ -r '.', r--... I~-""" '- I I /' . I, \,- , ,." '." , . I' ">I> 'T '.-,.- f t "'- \. __r J "of '--A ~., r.,~ II, "T , II,. ' -", 1,- ~ \_t\.. ;,<~ T::i""''l~ OF SOun-K;L D ____._.____.___.___~_.____.... I (<..1. 'y'; r>"r)r-':;'lr"i 1<.,)1.-, t:k, "- K... . -. ' - .. .-.-.. "-~, JAN 21 /?~5 VA"'J TUVL r:c .....----- ..-',... ,._____.. : ,', A';' C;! I[')'/C\,''''''c .....' l_..:...~~~..-=::_~_ co., ~. .I,.., . __' ,,? . l 2853-2 m __~~__~.~__- ~.::. ~ , ".F'----: TA'''' "'1"'0 r--.AT.A,!I"Y'Y'.Il?-:;;,1"7 ...._Jt ,~-.J,f.,..f-'-:r"'r/-..'T'\. ..,~."",__ I. GQn~NPOI2T NY --,~-- . , , I , I I -1 . Southold. N.Y. 11971 (516) 765-1938 April 16, 1985 Mr. Jeffrey strong P.O. Box 1033 Mattituck, NY 11952 Re: Site plan for Strong's Marineland Dear Mr. Strong: The following action was taken by the Southold Town Planning Board, Monday, April 15, 1985. RESOLVED that the Southold Town Planning Board approve the site plan of Strong's Marineland(Survey for Dolores Strong) for the construction of an addition for boat storage located at Mattituck, plans dated as amended March 8, 1985; subject to a one-year review. If you have any questions, please don't hesitate to contact our office. ~~u~~)~ BENNETT ORLOWSKI, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Building Department T LD Southold, N.Y. 11971 (516) 765-1938 September 17, 1986 Mr. Victor Lessard Executive Administrator Building Department Southold, NY 11971 RE: Strong's Marineland Dear Mr. Lessard: Please let this confirm the following action taken by the Southold Town Planning Board, Monday, September 15, 1986. RESOVLED that the Southold Town Planning Board recommend to the Building Department that a certificate of occupancy be issued for the site improvements to Strong's Marineland located at Mattituck, following a field inspection. This is in reference to the construction of an addition, to the North of the existing building to be used for boat storage only. If you have any questions, please don't hesitate to contact our office. Very truly yours, ~~~-tt 8Y ~~il<qv 0[")'<./0 BENNETT ORLOWSKI, JR., CHAIRMAN SOUTH OLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary . ';.' . -' STRONGS MARINA - THe board had no objections following the field inspection. Only comment - perhaps there could be more landscaping around the front of the building. PLANNING BOARD MEMBERS Bennell Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards . '1 . .....~ "...,"" .~ " SCOTI L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Fax (516) 765-1823 April 22, 1991 Marine1and 11455 Main Road Mattituck, NY 11952 RE: Sign prohibitions and General Restrictions SCTM# 1000-142-2-17 Dear Sir: On behalf of the planning Board, I would like to thank you for your cooperation in removing your wind sign in response to my letter of March 21, 1991. Very truly yours, ~t(~du-' (,:L/~ Bennett Orlowski, Jr. / ~': Chairman cc: victor Lessard, Principal Building Inspector Vincent Wieczorek, Ordinance Inspector Matthew Kiernan, Assistant Town Attorney PLANNING BOARD MEMBERS Bennett Orlowski, Jr.. Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards ~-. SCOTI L. HARRIS Supervisor Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 CERTIFIED MAIL RETURN RECEIPT REQUESTED March 20, 1991 11455 Main Road Corporation 11455 Main Road Mattituck NY 11952 RE: Sign Prohibitions and General Restrictions SCTM~ 1000-142-2-17 Dear Sir: An inspection of the above referenced property on February 12, 1991, showed a revolving sign in front of the building. Revolving signs are prohibited by Town Code (Section 100-20)-G), "Signs with visible moving, revolving or rotating parts are prohibited." This sign must be removed in order to comply with the Town Code. If the sign is not removed within two weeks from the date of this letter, the matter will be turned over to the Code Enforcement Officer for further action. If you have any questions, or require further information, please contact this office. Very truly yours, ~ ~v..:;;2-- Bennett Orlowski, Jr. I~ Chairman cc: Victor Lessard, Principal Building Inspector Vincent Wieczorek, Code Enforcement Officer Matthew Kiernan, Assistant Town Attorney . .........v,~.' ,.' -'~. , . ".....,. .. " . '.,....~."'Y-. D LD Y Southold. N.Y. 11971 (516) 765-1938 May 14, 1985 Henry E. Raynor, Jr. c/o Raynor-Suter Hardware Store Love Lane MattituJk, NY 11952 Re: ~rongls Marineland Agnes McGunnigle Mohring Enterprises, Inc. Dear Henry: Enclosed are surveys for the above mentioned approved applications which have been endorsed by the Chairman. Very truly yours, BENNETT ORLOWSKI, JR. ,CHAIRMAN ~UTHOLD TOWN PLANNING BOARD d7l'C-!....t 0 lU. ~lu...Li:u- By Diane M. Schultze, Secretary enc. . . TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 HAR 25 1985 March 25,1985 Planning Board Town of Southold Main Rd. Southold, N.Y. 11971 Subject: Strongs Marineland Store site plan dated 1/25/85 Gentlemen: This will certify the above site plan in meeting zoning regulations. Edward Hindermann Building Inspector EH:dsm ,~0 nr!'- 1..\0 L t\'D )~ \,t . Southold, N.Y. 11971 (516) 765-1938 March 6, 1985 Jeffrey Strong P.O. Box 1033 Mattituck, NY 11952 Re: Site Plan for Strong's Marineland Store Dear Mr. Strong: The fOllowing action was taken by the Southold Town Planning Board, Monday, March 4, 1985. RESOLVED that the Southold Town Planning Board, fOllowing a field inspection, refer the site plan of Strong's Marineland Store for the construction of an adddtion on the e~sting building for boat display to the Building Department for certification. The Boar~ also, requests that the blacktop be extended to the rear of the property, and on-site drainage be provided. Would you please forward three (3) surveys with the above information for our referral to the Building Department. If you have any questions, please don't hesitate to contact our office. Very truly yours, ~ ~ t*: OlLoWSM) ct BENN~RLOWSKI, JR., CHAI N ~ SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Building Department - - ---. . -. . FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TE L.: 765.1802 JAN 311g8~ Examined. . . . . . . . . . . . . . .., 19. . . Rece i ved. . . . . . . . . . . ,19. . . Approved. . . . . . . . . . . . . . . ., 19. . . Permit No. . . . . . . . . . . . Disapproved alc ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date :T.~To'';l~.r? ??. .. .., 19~~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, .or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building co~e, ho in~COd' regulations, and to admit authorized inspectors on premises and in building for necessary inspections. - ............. .. . ....., ... .. .... .... .... (Signature of . c t, or name,' a corporation) P. O. Box 1'133, ~attituck, NY .., ....... ... .... ... ........... ... ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i?:V?.E:~/P.<3:~~J?-~.:r: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises ... !J.e:~'?:r~.~ . ~~.:r:c:To'':'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. ..................... 1. Location ofland on which proposed work will be done. . ;R,C?~~~. ?~! .;:~1;:~~.t,~C?1;.'. .l'!~':'. .~<?~~. . . . . . . . . . ... . 1145 Hain Road nattituck ...................... ,_.................................................. ,................" House Number Street Hamlet County Tax Map No. 1000 Section ... ~ ~.2. . . . . . . . . . .. Block .......2.......... Lot...... .1? . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. . . . .~<?~):. .~1;:<?!.a.q~. ~.~~. ?i.~'?~!l;'. . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . b. Intended use and occupancy ... .~':'~~. . ~ ~?~.~':~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- 3. Nature of work (check Which!Plicable): New Building. .. .:X;'.. ... ~ition .. X... ... Alteration ......,... Repair ,............. Removal . . . . . 0 . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . (Description) 4. Estimated Cost... ;>;3.0...999........................... Fee...................................... <., (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . .-:-:-:- . . . .. Number of dwelling units on each floor. . . . -:.-.-' . . . . . . . . If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .Bop:!:. .!ltp;r-.qg~. . . . . . 7. Dimensions of existing structures, ifany: Front. . . . .SO. . . . . . . . Rear. . . .SQ. . . . . . .. Depth. . ~f1. . . . . . . . . . . Height .... ~.4. '. . ?-PP.J;: . Number of Stories. . . . . ), . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ... ~ fl. . . . . . . . . . .. Rear . ;~.~ . . . . . . . . . . . . . . Depth . /I~9.' . . '" . . . . . . . . . . . . Height . . . . ~ ~ .' . . . . . . . . . . . . . .. Num ~~ of Stories . . . ~. . . . . . . $'0 . . . . . . . . 8. Dimensions of entire new construction: Front. . ?? . . . . . . . . .. Rear............... Depth. . . . . . . . . . . . . . . Height '... f4, '. . ' . . . . . t'umher of Stories, . , . . . . . . ~. . ( . . . . . . . . . . . . . . . . . . . . . 0 . . 2' . . " . . . . . . . . . . . . . . 9. Size of lot: Front .....~?.............. Rear...~?n................ Depth ...:}?............... 10. Date of Purchase ... .415/.8.4 . . . . . . . . . . . . . . . . .. Name of Former Owner ~q!:?~r:t..J?~. .r:~:r!l!". .~~C;:~.r:qt0 II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................ ~ 13. Will lot be regraded .. .1}9. . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes ~ 14. Name of Owner of premises . . . . . , . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . .. . . . Phone No. .. . . . . . . . . . . . . . Name of Architect . .I.r:~. ~.a.~,?~f.. . . . . . . . . . . . . . Address . ?!l'd~' . . . . . . . . . . . . Phone No. ....... . . . . . . . . Name of Contractor ?:t:'?I?-Y. .~J???~ .<;?!l.s.t:~1;l~.":~ress . ~~~. .:'?~~.'. . J:l?'. . . . . Phone No. ....... . . . . . . .. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block num ber or description according to deed, and show street names and indicate whether interior or corner lot. SEE ATTACHED SITE PLAN S'IATEUF NEW YORK, Su.l'7tJt.--K- S.S COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . ~.e-.~~ry. . . L. . .S.~ t ~\(\~. . . . . " being duly sworn, deposes and says that he is the applicant (Name of indivj(Jual signing contract) above named. He is the. . . .C.~.t-~.~. ~~:-'.<:;$.l.. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..$Z~.. .. gs .......,19.. . VERONICA F. CIDONE NOTARY PUBLIC. STA TE OF NEW VORl< NO, 52-466140(1 QUALIFIED IN SUFFOLK COUNTY ___ COMl"ISSION ~XPIR~S MARCH 30. lGG":, Notary Public, . $~'":';' ;' "f\'<i"f"~'/::.~';'~"",l" ~-'<:~~'<' - > r'''''T~Y7,~)P:~,~-~\~':!<;;i~'?~~'1ii1W'!!,~ .,,~;Jj-"::'i,~',:::'.\~,~?'fb.~jF;;S-'::~~:";~';~::~'W";--r~r~:::"r~',"'Sl:'.~,-.~,"_ . . SwoWGj6 ~;e;tJ6 4- ~PT":'84 ~\l-L.- Nt.;;i=:D a.. ""'l~ ~lSlr 1?o'R:>~ At,<::> '--no '-, ~~ ~I .=:::, a=a. v..:>\,-,-- =CilU I ""'='- ,?O u*)<.-e..", P~NG, "=*,,.AO=S. WI'-<.- ~".... 00 ~ ~/A.. ~lL.'- N~ A ~rT'Se P<-a-'-l Z i) 912.1\ll$W~-4 .- w+\sr IS IT? IA.lH~e/E: IS Ii?' ~ ~\NG ? 6) L\(,,~T\ ~G, ? .Q Ca.rrc'--'e~ ~ f7eOINaGllS 1>6 Ai7t2IL.- 8S- J\1:81"(;:: \S lJIGf !.:rro.e-r -pe4J-ie- -ffous~ BWtJC, NOv",-o "? oN '-aT? SfldUI.-D 13.t" I2eJ-I QVttJ 1-001,2. 0,\<:., !! Ii I: -- ~-, . FORM NO.3 . I /JAN 31 t;dS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N.Y. I'!OTICE OF DISAPPROY AL FilL No. ............................... Date . ~ 1 ~~. / .7. . ~ L/ ...19..... To ..~T....Yt).~;.~........ .i N .r;..'.. .01.4--:';' . ~, .~ . ., ............ . ~.o..M.{.{,ck... . .i,.;. '~""I.I. 9~' .:l,-,... " / \ PLEASE TAKE NOTICE that your application dat:d ., liN,f'. ~.'t.. .J.l....., 19 .~. Y. forpennittoconstruct. ,Q.J~. :iR'~'1'" ....,..:. .. ... .... .at Location of Property . .(('.I.$'.....m~ ..~....... ..m~.~. ............. House No. SfTHf Hsmitr County Tax Map No. 1000 Section .. J.1:~. . . . . . Block .... d. . . . . . . Lot ..!. .7. . . . . . . . Subdivision. . . . . . . . . . . . . . . .. Filed Map No. ................ Lot No. ................. is returned herewith and disapproved on the following grounds . .~ . y. C. .~.~... (fro. .-.~~.( (\)...~..~. eR~. ..N~~,. .o~........ 0.~ A J1.. ~j .. (<~-:~; l'~~~"" ....... ' .............. .... ",........ .,.. ..'... .......,... .... ............... ................. '.... /'l~ \/.. a... L ...t./).~...............,.....,.... Building Inspector RV 1/80 ,;",'- ~ T . Southold. N.Y. 11971 (516) 765-1938 September 11 , 1984 Jeffrey L. Strong P.O. Box 1033 Mattituck, NY 11952 Re: Site plan for Strong's Marineland Store Dear Mr. Strong: Please let this confirm the request of the Planning Board, at the Monday, September 10, 1984 meeting. Prior to any further action, it was the consensus of the Board to conduct a field inspection of the property. The Board also requests a more defined site plan indicating the sales area versus storage area, parking, lighting, contours, and drainage. Would you please submit six (6) copies of this plan. If you have any questions, please don't hesitate to contact our office. Enclosed is your receipt for the filing fee. Very truly yours, BENNETT ORLOWSKI, JR., CHAIRMAN ~UTHOLD TOWN PLANNING BOARD ~ O^~~I en rI K'IJ.) By Diane M. Schultze, SJtrBitary enc. ,..,.:,- . " . "::!~:;:;;.':':' ::.'i,i~:;: 0::,;. ~'i ~ .J', ~ J~ , " O~ ~\"T',t O~~: ,'" ~ ~. , :~::!;;~~i}r~:L: ' .' ", ",,' .".,'," / " ,;, ',\' ~ . '.'~,',,~," : "".: ~, '-,- ;';:~-.' .- ; ~,!~~ .:':;:;~ '-. .It:? :;,?,. 'Z< " ,o~ ",; ,..' ';--- ''"c'" ,:",-,'- W\,;.". :",/': '::'.-.. ,'. "',:.' "J<. . '~,,, ,l....-~' ~..., :':: ,,;};tf~.1i':: . " ,,~- . . ",";"'-', :J~.t}t;~~~~~'i:,;~:.', .. 'V.' :A -" .,1,', ,,,, '. ~~j:::('/ ,.. \" .-"r '.'~ A.',4(, ~~\<: . 'f.,',,'.' .\f:r~ '. '::',;}' ';~~ . "--':., p---",,', ~;"'~.;,:~~.'.~,~.~r,~~~ ".~ ..;,~',,-:.:, _'tl " ~ _',':' .' "> o. I ",Ir~ \ ;1'. ~~;"'~"; " "~f: "~.}:"'".' :~. · · X.'.',,~;.,'.~,f',.,,~.\f,--"!p.,;,,~. ~;;' ",~:,::..ii.i.!",:.~f>:,~,;.." ,;.7:., t ~~?i1::r {~~/~;..:,: .~.;9:,\~' . ;.::~{iHi}'){::;,:[j~.' . Una~thori%ed alt8ratiQn"'~or" addition: JO this $~rVey 15 a. vlolatlo_h of section 7209 of the":New' York State Edu:cation;'law_:.' '_, ,;, . Co:pi~~.'of,lhis"$urv~ r"nop'.'riQt beqri~: Ih~"I:o~q"-.$urV~Yo"" Inked ~ear..?r ~1)1~o'~_!;ftd'_,~1 $hoJl. _Cl?'_ ~~"c~~sj~~te~;fo'-b",:ci "v_alid-copy.y':~ ";,;'~'rp~:)~~$,-1~-,~~~rtlfi~~ti~~,~,-;:jndi,!=oied,'h~.feo~~>,:~hal(:~MoOly ,to Ih.& ~'_:.\' 'f-; . _ 501-1 for-whom ,the- litirve'y:!s'prEiporcd; 9nd'_on:--his behc:df to the ;'i, " :.' ~.~ -<f< - ,,# -- '., _.".,..,:, ,-- ,,'. ", ,. --,. '-, :-, .,', - '- "~., \.~ ;Il~ c:"Tl1P.t'1nY"t_g~verh,mGt,l_Q~:,aG_')n~y' ,~~d ":' ~en~.ihg' InsUlution, listed' ;c"';":';"':';' ~":!~';~,;~':Q'hd ~o'. H18, ~~,$_ignil_o,~- -;;f,;tl,. :r~iJd(ng:-h~stitUt160';,:.GUClrQnf"'--:~';~::f/':, qr: ".~:~~"jticG~i~iH. ~:' iire'. :ftot, '. tn??~fer~ble, ,'t~ ~'_od~f~rori~i,: Jij$~tt\llions' ,Or\~~0':~ -\,:: SvbJi~~'erlf h~ntl~~ i~~/<;~r ,~~~~: rX1,~~t,,*,,',~~~tf.~~~r~~~,:~t~~~t~~'~:,:,_:..~ \~;, ~\~..' : if.! .. , \1"1'- ': -V ~~':,:-";" ~',~, :';J,",,' ~' ~,' ;,.....~" ,;<\,'. :JCo~' . ,,", (, ',,-. .1,,'<' ;:: '-.. ,'., :,_ :'~,. ':.,.:,',......,;:.,., d .',.,;~.~~~,'::.~'. ,~,..,...\::.<' , ~ ~:')~~~~/' ,~" '.;" ::..:,~:.:y:..;~i~r:;(.;i:~~.::i~j{.~~~;';: "':-":}!"'>::\:$.,. t,:' ." .1t"~>>.M ~ ~;. ~"1\;; if ".' : ;",::~~: ."~, "~:~\or{1r~~:C;~'::1~~' i ',:; .::;:~; ",' -:, -, ~-,,""'~,' '<.-'~JT;,"t';'\)~ \ J ,'.;. ',~,'.:. ',-r.,~r<' ,"'" '-.t ~~:~'1j ~ ,I - .\ . .'1", " . ,'~... .~- :It,, t, . '<'.': .~~'::~.:~, ~.' .,}-i,~",.::;,qi ,'" ' :,:~ '/>5b'?~';'~':~;(v' {: ).::;,~:!,:c>:,~"i:-!;; ,.., :,. \ , P". \,..-\ ,<-'?- ~"} \} ",0' ",\> , 't-' ': O~~\c. O-.ll ~" ,~p ~, .' ,., ,,.".. 'j..-' I~~:""," ",',j'" /' u-' '" ;.:--- ~, / -- ~--- " _/ ,..-- \ '0,;;.\ Cl'o~ "', 0".,\, '. "'O~.:.J" o)C , ". ...' \ '---:'-. \'< __--A "', 1''')'-_\ '\ r~--- /--- \-, \':" . "'..." , \ _/ \ -/ .\ '\ .,. \ ~.:.. \t~ , ..\ "",,\ /:0'\ ~, ~~ ;.--- . , ------ e---- . . ..' \ ,-" - " " " ( ~',:"," '. ":-:. .~'.." ." -;.. 07.- -:> 0 1=> <{\ o "B; " (<'-p (' ,;... ".:.., / \ -<'0 ~, o <5Ic,. 1=>C' o~ p,~opU t Y f4c 8/,cI~ F.,fl.ESJ ^' -- r -. (t, .~, S. !<11/J1'f j t<.:/,,! //1 Jr" Pv..I'--P,)SfcJ..,..E.!:f. ':.,/~~,~., T P.1/! j!!~'-IJ pril! >URVEY FOR ?OBERT E. 8 FERNE MCGRATH 'I'lATTITUCK TOWN OF SOUTtlOLD SUFFOLK, COUNTY, NY " , SCALE' I ~ 40 JeT. 7, 1968 -------_._-_.~ ---------- -- --- . AU6 23 ria ~ -10 ~ O-p "" O-p -:;.~ ~ ,;... ---<) \\.5' Xc;.. \ --)) ~ \~0 \A \ \ \ , ,-~ .--;1.... (- (<', U'f- -v \ ) ~- / , " 0' / '(. - i'" I.J " 10"'\"--' -" " :., .. ";.. ..;. "".-, ~ --'/1 '0 '. ,~o ,"''). ''"'' -- "I' \.. " "," . ~1 \JV , .' :>' /'>. ',. _" '3' ,. #,' -,\ "" ..y- , t, \ t . \ c..~'<#' "...- .,.,/ -\,,~. 0\': - " ;.... . . ,. .-, ..... / _I',~-<. p.p~ (""''Jd <",'''' ...:..>n.p)Q'<~ O'Y- ~ , " ....1\ ~"'O(: . ')-. . N .' \ ~ .;;::-~._-.- ~, () I' , er~"/~' 51("^'(' ..... ;')p Iii', ~ i/ .r , ~",/ 0'} (>S" _'it} 1\ v :-;1 i' I, / GUARANTEED TO.- SECURITY TITLE a GUARANTY co. . .( . . ,',0,,, 'l...J:~ ..r'o '. ~~" ~~'1.. -.'. .~-"~ .-.-.---.------- -~--..._---- LAND SURVEYOe N.Y,S,L1C,NO, 2872~ _.___..flIVE'FiH,EJl.o..L N, Y__ .~- .~ , , ..~' . ~ .. ',. ..~j) U ~I J: 19&4 ENVIRONMENTAL em OF S OUTHOLD . ~ .'," ., (.' ASSESSMENT - PART I . ~-. PROJECT I~~Ofu~TION ~T:CE:: This .10curr.ent i'5 desiqned to assist in dete~l";~g '4i'1et:":el"" :.-:e lc'tion propose~ -nay "ave ! 1'fqnificant sff'!c: In Ole !nv;rcnment. Ple:!si! corr.cle!.! t~e ~nt.ir! Ja!.J 5r.e~t. "'nsioIlI!l""'S ~o these! ,~ue5tjQnS ",i11 ~e c:::lnsiae~d as :Iart of ':.'1e aoplic3.t'tcn ror aporoyal !nd may be suoj~: to flJrti'1er- '/ertf1c3.tion Ind ,ubTic ~view. Provide 1ny !da;tiortal informacion 10u believe will ~e needed :0 ::molete ?ART3 Z and 3. . I: is !xcece: :~at :omofetion of t."e EAF '..,ill 1:Ie depenC!e~ ~n information curr1.!!1tt;/ avaf1able !nd .~ill not .nvolY7 ~e~ s~u~,eSt.~!S2ar:~.or investiqat.ion. [f infa~!:'on reauiring such ladl~ional ~ork is~unaYa:~blet a~ fnalCJta and SQeCtTY iS~' In~~ance. . ~;Ar.IE '1F ~q(JJEC1': ~A~E~~O ~CCR~SS OF n~NE~ ({f Oiff~r~ntl 9.-~{\f~S fli)o...t-~"l\e\<\~S~~~ O~\~-.--~;, S~l"\~ . (.'Ir\ -. Iffi" ~ ~..., ..~m ~ ,."" "".,"", ~!~ ~w ~.. ffl')>? :i~: e..-~r::.C:t;;::( L, <;~"<J ,~.J., ( tm) , l~:P) , .~:0 ~)O {05S ~ . 3IJS'!NESS ?HO.'lE: 5/(-, ~~?f?~1o-;}"0 (S.re_ti_f_ . N\~~~~-j~!T:C;7r9 :.y,;z ~ l tat4j- l~tt) " action) '5 ClL..:J (~L!~S~ CCMPLET~ EACH CUE3i~Q~ - !ndie~t~ ~.~. if not IDallc301~) , A. SI;!:EsCal?T!O:l . ,'t:,."!'?": -~-'--.~-~ -~_.__.._. .: ~..:. ~ .: .~. '-i.;;;:"c, ' .~s~' c (PhY5tCll iat~ir.; of overll1 ~roj~C~t ~oth develoc~ I. Gener!l ~'arac~!r of t~e land: Gene~ai1y unif~~ .nd :mdeYelco~as) . .. .. . sloae ~GanerailY uneven and '-:"',"i':~i~:'1-:':;'~.-.' rollIng ~r.Jrre91/Iar , -. ?r"!sant ~and '.Jse: Urban , tnc::!us-:riat _, COrmte~~a.1 ~ SUDuroan I A9ricultul""~ .~r - - iotal ac:-~~qe 07 ~roject area: 1i..acre.$~ -' :lu:-at'_" '::or!s'C .:~!..';., L......'.... 3. . Apcroximaca lC~!qe: ~e1dcw or ~rushland l'resant1y After Comptat~o" ..Q...cres ~!c~s ~resent1y Aftar ~Qmalet1cn ~ac!r Surf3C! ~~a ..c...cm G .c~s ~or~s :ad: ~'C~!S .Q..!cr~s '" '''.''s ~~..- UnY!~!tat~d ~~c~. e!r'::'I ~r fill: .~qr": C:.I i '::':I""~ 1 f"""'\ ,~_., ~~...- ~ca~:i. "Jt.:i1d~~'1s ar.~ ,,::::~r Jav!~ iUI""-:'''!C~S ~ (Js~~c~es 5LtIV-:j , l'~~SlC~.S - -- :!e': Ilnc (~~~snwat!!" or r{\1!j !S :.er ;!,r":1::!S ~tl ~S ~I"" r.:.:".} .a,)cres -C-!c:'"!~ ......0.. (""at,.,..." .'/oe'J CS\~~;~ _~!S "0 !C~!S iC:-.S '+~~~ - ~. ~h~: Is 1~!~cm~nJnt soi1 ty~~(s) ~n ~rojec~ i~~!: i. -I. .~r~ :::-:!!"~ ~ed~C:< :ut~~=~;r19s :n :roje,: s~ ':!? " ~. '..hat is ~!~t:: :~ :ed:"":CX? ~ n~ .I!~~~ ULl1a .-.~'! ,,-::. "~?~fo';:r~f':J'''~: .~ '/-~~~',:,'." .~ . /~i,?l~ '. ~~:.~:.:~~: . . ..,' 6. Approxi~ate percenta;e of proposed project site with slopes: greater -'~~ . 0-10: ~IO-15: ~':; oC. ._t.o ..., . 15: or ~ """,.. Is project contiguous ~. or contain a building or site listed on the National Register of Historic Places? Yes L/' No - - . . 8. What is the depth to the water table? 2.0 feet 7. 10. 9. ~ hunting or fishing opportunities presently exist in the project area? Ooes project site c~ntain a~species of plant or animal life that is identified as threatened or endancered - ______yes ~:Ol according to - Identify each species _Ye.-6. 11. Are ~~ere any unique or unus~and forms on the project site? (i.e. cliffs, dunes. other geological formations - _Yes ..1Z::~';. (Describe ) 12. Is the project site ~ently used by the comounity or neighporhood as an open space or"recreation area - _Yes ~No. 13. Ooes the pre~He offer or include scenic views or vistas known to be important to .the colll!lllnity? _Yes /10 . Streams within or contiguous to project area: a. Name of stream and name of river to which It is tributary l 14. , 15. Lakes, Ponds, ~etland areas within or centiguous to project area: - ; b. Size (in acres) . r a. Nall'.e 16. What is the dominant land use and zoning classification within a 1/4 mile radius of the project (e.g; single family residential, R-2) and the scale of developmen: (e.g. ~ story). B. PROJECT DESCRIPTION 1. Physical dimensions and scale of project (fill In dimensi~nJ as appropriate) a. Total contiguous acreage owned by project sponsor / (r~ . acres. b. Project acreage developed: I tj acres initially; ~cres ultimately. c. Project acreage to remain undeveloped C ~ . d. Length of project. in miles: .----- (if appropriate) e. If.p~ject is an expansion of existing. indicate percent of expansion proposed: building square foot- age :2 aCC ~; developed acreage . , f. Number of off-stnet parking spaces exi~ting /6 ; proposed / (J 'r~. )t) , (upon completion of project) g. Maximum vehicular trips generated per hour h. If rasidential: Number and type of housing units: One 'Family Two Family Mul tiple Family Condominium Initial ~ ~ ..--- '----. Ultiml.te 1. If: Orientation Neighborhood-City-Regional Estimated Employment '- d.. Co!!l!larcial Indus tri al --- j. Total height of tallest proposed structure ;;(~ feet. <>t~ ~ ". "". ., " . . ~. . . . . '-0 How much natural m~ter;al (f.e. rock, earth, etc.) will be re~oved from the site - o o tons . Z. , cubic yards. How many acres of vegetation (trees, shrubs, ground covers) will be removed frern site - ~acres. Will any mature forest (~100 years old) or other locally-Important vegetation be removed by this project? ______yes ~~O 3. 4. 5. Are thoro any plans for re-vegetation to replace that removed during construction? ______yes ~ 6. If single phase projact: Anticipated period of construction ~months, (including demolition). " . 7. If multi-phased project: a. Total number of phas.s anticipated --L--Ho. b. Anticipated date of commencement phase 1 month ---year (including demolition) , A:-5r4,~ ' , c. Approximate completion date final phase ~wQ . "",nth ---year. d. Is phase 1 financially dependent on subsequent phases? ~ ______No 8. Will blasting occur during construction? ______yes ~ 9. Number of jobs generated: during construction 0 ; after project is complete .0. 10. NUIl'.ber of jobS eliminated by this project .J:1.. " /' , 11. Wil roject require relocation any projects or facilities? ~Yes ______No. If yes, explain: oiL <:>~:\ ' lZ. a. Is surface or subsurface liquid waste disposal _Yes b. If yes, indicate type of waste (s.~age, industrial. etc.) ..-- . c. If surface disposal name of stream into which effluent will be diSCharged 13. Will surface area or existing lakes, p~~ stre~s, bays or other surface watar~ays be increased or decreased by proposal? Yes ~No. Is project or any portion of project located ;n the 100 year f100~ plain? ______yes 00 a. Ooes project invo1'le disposal of sol id waste? ______yes ~ b. If yes, will an existing solid waste disposal facility be used? ______Yes~ 14. 15. - c. If yes, give name: ~ ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? -L----Yes ~ 16. Will project use herbicides or pesticides? _Yes ~ ' ' ,~ 17. Wfll project routinely produce odors (IOOre than one bour per day)? ______yes Y No 18. Will project produce operating noise exce~ding the local ~ience noise levels? ______yes ~ 19. )Will project resul~ In an increase in energy use? ~es _No. If yes, Indicate type(s) _.'P-<'>&- *" \ 1(1tr ' ZOo If water supply is fro~ wells indicate pumping capacity~ gals/minute. Zl. Total anticipated water usage .er day ~()(l qals/d.y. 22.. Zoning: i. What is dCr.1inant .zoning classificaticn of sit!? Be-I b. Curr~nt s~ec1fic zoning classification of site c.. [s prcposC!d use COr'lsis:ent with presant zoning? '0 d. If no. indicate desired zoning -3- . 26. Approvals: . a. Is any Federal permit req~ired? ______yes . ~ ." .' ..... Does project involve State or Feder.l funding or financing? ______yes ~ b. c. LoCal and Regional approvals: . Approval Required (Yes, 110) (Type) City, Town, Village Board City, Town, Village Planning Soard City, Town, Zoning Board City, County Health Department Other local agencies Other regional .gencies State Agencies Federal Agencies C. INFO~~TIONAL DETAILS Submittal (Date) Approval (Date) Attach any additional infonration,as ~..y be needed to adverse impacts associated with the' p taken to mitigate or avoid them. clarify your project. If there are or may be any such impacts and the measures which can be TITLE: PREPARER'S SI~lATURE: REPF.ESEIITlIIG: . DATE: I ..It " ......, " ~. , " . . , 'FORM NO.1 AUG 23 1984 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 3xamined . . . . . . . . . .. . . . . ., 19 . . . Rece i ved. . . . . . . . . . . ,19. . . ,^,pproved . . . .. . ..... . .. . ., 19 . . . Permit No. . . . . . . .. . . . Jisapprovcd ale ..................................... ) ~ . ... "0 ........ ........ ....... ..... ...... '" ...... '. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . .~ 7. . . . . . . . ., lcf)j- INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accurate {',ot 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 .r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 wilI issued a Building Permit to the applicant. Such permit Ilall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, USi~~~d re.",,"'m. Md to dmit authorized inspectors on premises and in building for necessary inspections. , ,.. ..... ,.. ....... ........ (Signature 'cant, or na , if a corporation) . fr). .go.>? ./033.. ./iJ.QiJ.,':I:~~Y (Mailing address of applicant) ,tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, -plumber or builder. .0 l-hl.Y:\.es".;). .l(Q..<;'-\.~'fL,O;-. ... .. . ........... ...... .. .. . . .. . . ... . .. '" '.. . ...... .. .... ......... ~ame of owner of premises ~... D e\ c r:e.S. ~ .5{..~Cl.n.'\. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the taJMbll or latest deed) .f.a.p~~)f~~~~g.n.a~~~e. V :~~P':~::z.e~. ~fficer. ~~e and tit! f corporate officer) Builder's License No. ......................... Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ...................._ Location ofland on which proposed work wilI be done. ... ~+-e.,. . P.l5. . / . vY:lA.1hkb, Al..Y.. . . . . ... /.(.'-I~....... h1. ~~. tf:d............. m. .~~.................... House Number Street . Hamlet County Tax Map No. 1000 Section. ./.'f.'J............. Block...a............. Lot. .J.'l............. Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. ......,....... Lot............... (Name) State existing use and occupancy o)fremises and intended use and occupancy of proposed construction: a. Existing use and occupancy.. .t?!=;>.~\... .~.'i. $. f\g,..Y'4'" .................................... b. Intended use and occ.j,!pancy ., .E..v'\~\~s.ed.. . . . iS~. . ~.~ ....pt ~y. ... .: ... . . . . . . . . . . . . . . . . . . .. 10. II. 12. 13. 14. . . 3. ~ature of work (check which applicable): New Building . .~Addition..~ Alteration.......... Repair .............. Removal .. . . . , . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . (Description) 4. Estimated Cost. . 3a, ~ <#. . . . . . . . . . . . . . . . . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... (to be paid on fIling this application) 5. If dwelling, number of dwelling units. . '. . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . 6. ~~.~~~:~:~;'~~~~;(c~~r'~ix'ed'~.~c'~~a.~~~: ~~~~ii~ ~~~~r~'~;d ~~te~~ '~f'e'a~h't~~~'~i~~' :g,;,;~ :~~~fl ~ :.: : : 7. DimensIOns of yXlstmg structures, If any. Front. . .50 . . . . . . . Rear ..50........ Depth . .~. . . . . . . . . Height . a..ff. ~p~', Number of Stories. .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DimenSions}01.sal1}e structure with alterations or adpitions: Front ... ...::rO. . . . . . . .. Rear...:?0............ D~pth .,'. .rl0. : . . . . . . . . . . . . ~eight . . .;J..lf. . . . .. . . . . . . . . . . Num ber of Stories .. ./.. . . . ..o.!:::...:. . . . . . i . .. . 8. DImenSIOns ~ entIre new constructIOn: Front. . . . ...:7. C>. . . . .. Rear . . . ...:?a . . . . . . Depth ~. 6Q . . . . . Height ......~...... 1 Number of Stories. . ./. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ., . . . . . . . . . . . . . S. Size of lot: Front.. 1.'%.7..t.............. Rear ../OQ!.............. ~e1th . ;;!.3.:?<....... .r...... Date of Purchase ... '5. S':?:-.. . . . . . . . . . . . . . . . Name of Former Owner .. ~ . <; t'\- .1;t. f'~~ \?. .#1'h:r.l;<\.+l-,. Zone or use district in hic premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does proposed constructio!! '(iolate any zoning law, ordinance or regulation: ................................. WiIllot be regraded ... ./W.o.. ............. .... Will excess fill be removed from premIses: Yes @ Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address .. . . . . . . . . . . . . . . . . . Phone No. ... . . . . . . . . . . . . Name of Architect .. . :r:.1;? . t\P.. "';f-~\ . . . i . . i: . Address . ~ ~. '. . \. . . . i.J' Phone No. .... . . . . . . . . . . . Name of Contractor .5.~t"f' .Bo'~'('.;')'t'1"'~D...Address me.Q.~QtQll.\'ll{.. Phone No. ..... .......... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. D.-st5~t-cLr- ~s~ '~~t:. ~e..w-o~oaA . - - - , ,20_ - - - - < ' ~(J , I 50' I ,II<, , IliO I , , 'Ie' t;l<l (5~( "/ '/0 ' 50' TA TE OF NEW YORK, OUNTY OF . . . . . . . . . . . . . . . " S.S .................0.... .... .....0 ..... ....... .0.. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. !e is the. . . . . . . . . . . .. . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . .. . . . . .. . . .. . .. . . . .. . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork wiIl be performed in the manner set forth in the application filed therewith. worn to before me this . '" . . .. . . .11 D... : .day of.. ~.. ... . . . . .. . ., 191:1 O'''Y''bl;,.~.;~a~H' c.,M~......1If. . A..".~.. . ...................... NOTARY PUBLIC. Stale of N..... ., <<D. H1ll878. Sutfolk C''''''''e- ~ . (Signature of applicant) 101m hllll.. MlITCh 30. 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