HomeMy WebLinkAbout32580-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 11/27/07
No: Z-32758
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 920 CEDAR
(HOUSE NO.)
County Tax Map No. 473889 Section 15
BIRCH RD
(STREET)
Block 8
ORIENT
(HAMLET)
Lot 26.4
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 18, 2006 pursuant to which
Building Permit No. 32580-Z
dated
DECEMBER 18, 2006
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 & ALTERATIONS TO AN EXISTING NON-HABITABLE ACCESSORY BUILDING
AS APPLIED FOR.
The certificate is issued to MICHAEL S GREENLY
(OWNER)
of the aforesaid building.
11/20/07
SUFFOLK COUNTY DBPARTImRT OF HBALTH APPROVAL R10-98-0092
03/27/07
BLBCTRICAL CERTIFICATE Il1O.
3026461
05/04/07 PECONIC PLUMBING & HEAT.
PLUMBBRS CERTIFICATION DATED
ed Signature
Rev. 1/81
,
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08/03/2017 23:59 FAX
MR~-17-~~~e 1~>43
~~~
ap-ltt-f3~
'/).y.e, Y).~, 100:1..2-
APPLICATION FOR CERTIFICATE OF OCCllJ'AN 1:11 ,~\! 2, 2007
This appJicai,j<J11 lUU$t he (m.d in by typewriter or ink and BUbmined 10 the Building r>ep 11I~ the 101Io!"illg'
ltiL'U'-J..ih:l I.
'1 ,~
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ItJ 002/002
From:Theresa M. Russo
To'91~127585406
P"'~
'orIUoNo.6
TOWN OF SOUTHOT,D
BUILDING DEPARTrdENT
TOWN HALL
76S-1802
001
Pil
~.
A. For lIew buildill!: or new use:
1. I'llIal S\llVey "['property wilh ucclll1\le IQ~ali"n of all buildlng8, property Iinos, .!feels, and unllsuollllltural or
lupographic featllres.
2. Final Approval from Bealth Pept. uf water SUP!,Jy 'lIld 'eweragc-disllosal (S-9 form).
3. Approval of <:Juctrieal inslallutiol1 from Boan:! nf Fire Undel'Writen.
4. Sworn slalcment from plumber celtifying that tbe solller used in .)'Item contaJllJIlc.. than 2/10 of J % leaf!.
.s. Conunercial bijiJdjn~. industrinl building, mijlliple residences and slmllar builclinss and iIlstallallous, 8 certificnte
of Cude Compliance from architecl ur engill.... l'c.ponsiblc fOI' Iha blliJdiug.
6. SubDJit Planning Board AppruvDl of colnr)I~~cd .ite plan requirclllell18.
D. For existing buildings (prlo.' to April!>. 1957) DOll-COllfonni"lr 115", at' bulldl"g. oad "pre-cl(/rtIllg" Jalld IIse.:
I. Accurate swoyey of pWpertY showill~ alll'r-operty lin.... slrecl.. buillling and UIlIl.unl naturol ..r IOpOgl'lll,hio
feature..
?.. A properly oornpl~led applieot;,,,, and COllSent to inspect Big"',d by lhe aJ)pJic~nl. It. 0 C':c:rtitiente ur Oocupancy is
d""ied, lhe 13llildill~ Inspee,lor .h.11 stale tho ""'HUm therefor In wliling tl11ho applio8l11.
C. }f...
1. Cortln""tc urOom,pa.tlCY. New dwelling $25.00. AdditiOI.. 10 dwoll.Ulg $25.00. A11c:ratjollS III dwelling $2.~.OO.
!;will1n1iu(( pool $~S.OO, Aocesso.)' buiJdina $25.00, Additions 10 Dee_o,)' buildillll $25 ,00. Flusilles,es $.40.00.
2. Clll'tilionle "rOceupauoy 011 Pro_isllnll BuUdlng _ $100.00 .
3. Copy OfCerlifie.ale ofOocl,paney _ $.2.S
~. UpdlOlod Certifjcate of OCclIllllDCy _ $50.00
S. Temporary C:crli lie...,e of Decup"noy . Re.,identi~l $15.00, C:01nmcrolal $1 s.on
New!.:Oll.(mClion; "_ Old or !'re-e.i.i.iDg lluildl"ll: _
l.ocaIj011ofl'roperty:_Q20 ~~,=--k~'"
J.louse Nc. Street
DaL..._.
"'-.-
H'Dl~-
Lot
----
l'Of/ll.ltN<1._ __. __I).l..of!'"....!,..
He.llh Dept AI'Proval; _
PJ.1llli11t; Board ApI''''''"I: .
Requcst for: Tcmpornry Cc:rtiflc.te ...
Fcc Submitted: $
T"I;
-._ _API'lieant:_...;..:...
.. Undel'writ\Vll Appmv"l: _
-.--
. - Final Certllie"f.: _ (check nile)
~~
... AppIlCIDt Sigaaturc
<:X.K-. 7 311 ~ ~
co.:c 3J 75Y
-,----------------------
- -1
FORM NO. 3
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)
PERMIT NO.
32580 Z
Date DECEMBER 18, 2006
permission is hereby granted to:
MICHAEL S GREENLY
60 SUTTON PLACE #14B
NEW YORK,NY 10022
for :
CONSTRUCT AN ALTERATION, ADDITION TO AN EXISTING ACCESSORY
BUILDING AS APPLIED FOR. THIS PERMIT REPLACES 24310.
at premises located at
920 CEDAR BIRCH RD
ORIENT
County Tax Map No. 473889 Section 015
Block 0008
Lot No. 026.004
pursuant to application dated DECEMBER 18, 2006 and approved by the
Building Inspector to expire on JUNE 18, 2008.
Fee $
83.00
-
ORIGINAL
Rev. 5/8/02
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I Located at
~ Application Number:
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
RAYMOND FEENEY
12 CHARTER CT
MANORVILLE, NY 11949
MIKE GREENLY
920 CEDARBIRCH DR
ORIENT, NY 11957
920 CEDARBIRCH DR ORIENT, NY 11957
3026461
Certificate Number:
3026461
15
8
26.004
Building Permit: 3 ,9,'5 ~D BDC:
n511
Block:
Lot:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, pool house, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 27th Day of March,2007.
Name OTY Rate Ratin. Circuit ~
Miscellaneous
pool house as built 2002
Appliances and Accessories
Furnace
Exhaust Fan
Wiring and Devices
Outlet
Fixture
Outlet
Receptacle
Switch
Dimmers
0 Gas
0 F.H.P.
19 0 Fixture
19 0 Incandescent
19 0 General Purpose
10 0 General Purpose
10 0 General Purpose
8 0
2 0 GFCI
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
be in comfonnance with the applicable reference standard for the estimated period of construction of the premises wiring system.
No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory
condition was found. I
sea
of I
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
I!] ii!rrEE!
SUFFOlK cO' '1m
, #^J - 'DEPARTMENT OF hEJ\L TH' $S::'_~"f/1 S
APPR~:;~,f~~~ ~?~r'!~?~,'-~~:~j'2D~_c'\)~;7':'8~" .
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SYSTEMITlON
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eEXlST1NG\Il'EU.
LOCATICH
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POOl.. HOUSE
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GNlAGE
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llRM'IAY
510.16'20-E:212.5'
PIRIVATE ROAD
SITE PLAN
SCALE: 1" = 50'-0'
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5."
l000GAU.OttSEl'1lC.TMK
w/(2)rOIA.X2'D([P
WCHlHG POOLS
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lI,OOOlAL..1
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AS BUILT SEPTIC SYSTEM DETAIL
N.T.5,
MIXED SAND AND LOAM
----------- 2'
PALE BROWN FINE TO COARSE SAND SW
----------- 4'
BROWN SANDY CLAY CL
- - -- ---- -- - b,1'
WATER IN BROWN SANDY CLAY
----------- 7'
i'..a'HJ)l.
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<LV
WATER IN BROWN FINE TO
COARSE SAND
TEST HOLE INFORMATION BY
McDONALD GEO SCIENCE
8'/13/'18'
TEST HOLE DATA
13'
GREENL Y / !-lYMAN RESIDENCE
POOL !-lOUSE SEPTIC AS BUILT
November II, 2001
5CALE 1/4" = 1'0"
JD
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Town Hall, 53095 Majn Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
C E R T I FI CAT ION
Date: S - oL)- Zoo;t....
Building Permit No.
cltJ3/o i?-
3 :t 58-0 r et\
Owner:r11,k/".. (fJP'f'bO 11-
(please print)
Plumber: y~",- ;~ Pel-- bf.
(please print)
I certifY that the solder used in the water supply system contains less than 2/10 of 1 %
lead.
j{~L~
/if,:.-
Sworn to before me this 2
daYOf~' 20~
l)~' ~db~ '
Notary Public, ~ ~\ LCounty
VICKI l. lOPER
Notal) Public. state of New York
No.01l0607oo81
Com !lu~1ified i~ Suffolk CO""1f;> I } 0
mlSSlGl1 ExpIres ~~ I
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3~ ':H6~
JAMES J. DEERKOSKl, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Date: November 18, 2007
Re: Insulation Inspection
Greenly
920 Cedar Birch La.
Orient, NY
Permit #24310
To Whom It May Concern:
110) ~ L~ ~ W rir'
luu 812[,!~
; b"" ';~~ ..c; J
~!lWL~Ol..3.:~~~;THn:"D
After an Insulation inspection was performed on the above structure, it is deemed that all
work was done as per plan, and meets all state and local building codes at the time of
construction. Any other questions please call.
\\:k"'ki
3 J-5~O <2:-
TOWN OF SOUT
7 .
_.._....~
~ '---~
SPECTIO
] FOUNDATION 1 ST [
] FOUNDATION 2ND [
] FRAMING I STRAPPING [
] FIREPLACE & CHIMNEY [
] FIRE RESISTANT CONSTRUCTION [
~
] ROUGH P .
] IN TION
FINAL
] FIRE SAFETY INSPEcnON
] FIRE RESISTANT PENETRATION
REMARKS:
''70
DATE
--
INSPECTOR
-"- ---...-....-.--
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_.._---,_._~
ol1P~~~o
-
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ~UGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMAR~ ~~cj ~
DATE /0 1/ /97
/ { .
INSPECTOR
I
/
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~~)~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDAnON 1ST
[ ] F)1liNDATION 2ND
[ 0RAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:!ZtfJtIJ .r~ /~ CJn4 -
!;),/~ to A'AY171~~",~-
Fo~dob;. -' 0/<
DATE f ~Z
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
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NEW YORK STATE ENERGY
CONSERVATION CONSTRUCTION CODE
Building Address: Gf"€~~ -J./<J~~ Per: f!%-J.. ~c! bvJ:.J...m9
-I:- SZS-
J ,
Dated: +//1-117
One or two amllv, welhne:
SUBSYSTEM AREA DESIGN THERMAL REMARKS
s.C. "U" RATING
Exterior Walls 1152 .08 79 R- 13 Insulation
Glazing 109 .33 16 Andersen HP or Equal
Doors 18 .40 -8 U 40 Rated Doors
Ceiling (flat) 636 .05 0 R-19 Insulation
Ceiling (Cathedral) R- Insulation
Skylights 16 .33 -7 Andersen HP or Equal
Floor 636 .05 0 R-19 Insulation
Foundation Walls R- Insulation
Slab Insulation R- Insulation
Non Electric Heat
6,000 Degree Days
O.A.I0 Degrees F
I.A. 70 Degrees F
fi "I d
Design Criteria:
Total: +80
NOTES:
Building Envelope System to meet requirements of 7815.2
HV AC Equipment to meet requirements of7815.11
HV AC Systems to meet requirements of7815.12
Duct Systems to meet requirements of7815.13
Ventilation Systems to meet requirements of7815.14
Insulation on piping systems to meet requirements of8715.15
Domestic water systems & Equipment to meet requirements of7815.
Electrical & Lighting Systems to meet requirements of 7815.31
To the best of my knowledge, and belief
& professional judgement, these plane are in
compliance with the code.
Signed
Date
I,
JUL. 16 . 97 (WED) 16,19
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~:UL ~ 1997 II I
BLDG. DEPT.
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
. STREET
N
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IMP.
TOTAL
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ACR. 0,73
TYPE OF BUILDING
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M . B 1-0.
COMM. CB. MISC. Mkt. Value
REMARKS
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I> extension tn, t, ..j~4/. Ext. Walls Interior Finish LR.
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',I. '. d Heat (~r..\ 130.'''' I..~... ~R.
' '<. Extension {}'/.JI!) -:,.. "it> ./ :).'3<:' 25o"K Fire Place I 'ii.",.+.~
i;.\ . . . ~~;.!'" A~. ~ J::""/~ I;Pype Roof C~ .'-1 S BR.
~ Rooms 1st Floor
r"'" ~ 'l1C/V _ f'?qf. ;) v 7-<l'" '19 ~l ~creatlan Room Rooms 2nd Floor ~ .. FIN. B.
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;' Porch 19armer .J ,J..
". ",::!~I 0\- ~ z.~ss-' , E/Ct:lr' ~ Driveway ()
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j
.o1Ul NO. .
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD. N. Y.
BUILDING PERMIT
;
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
_.......I)~-l..t.i......_. "g.?
Permission is hereby granted to: - ,/f) A A _ I
4t.~~Id!t/~~
"f4?:.~;S::Lc.....................................
~~~..&Y....II.f.7../.................
tO~d&t::(.<.:~~..~~~fi~n.7i;.t:h:l..#;~"?
~~.:.&.1.l(~':"~"'r~"~~"=='"''''''''''''''''
.................................................................................................................................................................
~3.dr;80
24310 Z
N~
~~..::;:~..;~~~:.~~.::::::9}ii..::d!..~;;ki.;;;:i.::~:::::::04~~d:::::::::::
County Tox Mop No. 1000 Section ..........t!.r.. Block ...........~....... Lot No. ..2:.~..~.Y....
pursuont to opplicotion doted ........................ .../..2.... 19.1:.20nd opproved by the
Building Inspector.
Fee $....?l?..~
Rev. 6/30/80
II
"""
i
FORM NO. I
TOWN OF SOUTUOLD
BUILDING DEPARTMENT
'," I 7 1997 i j i TOWN JJALL
, '- ,"...) I SOUTHOLD, N.Y. 11971
. i " TEL: 765-1802
..........I()W~LO. t~IO~'D Oz ~S-fu r%
Exanined. I. ..., 19h /"r-nC.D j", ,j
AwLuved y,ln.7 PenDit lb. (){..r:~
Di~ alc .......................
. ~ V-I}
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEy........................
CHECK .........................
SEPTIC FORM ...................
NOTIFY: t1G'S ....~
CALL ..JL....J,CJ.7.I.~
MAIL TO:..... .......... .....
........................................
...........................................
...,
.....................................
PLICATION FOR BUILDING PERMIT
'Date. .~..6...., 19.';t ~
INSTRUCTIONS
a. This applicstion DlJSt be ~letely filled in by typewriter or in irk and subnitted to the D.Jilding Inspector wi
. 3 sets of p18l1S, accurate plot' plilo to scsle. Fee according to schedule.
b. Plot plan shoIring locstion of lot and of buildings on premises, relationship to adjoining premises or p.blic
streets or ~and giving a detailed description of layout: of l'u'V",ty DlJSt be cham on the disgra 1Ihich is pBrt of
, this applicstion. " , " "' "
c. 'The wm:k ~ by~is applicstion}mIY rot be u.o."",..."d before issuance of D.Jilding Pemt.
d. Upon _uv..i. of this applicstion, the BUilding Inspector will issue a D.Jilding 1'etmit to the applicant. Such
permit shall be kept on the premises available for inspection throughoot the wm:k.
e. lb building shall be occupied or used in llhole or in pBrt for tJl't!I purpose .....tever mtil a Certificste of
Occupancy shall have been granted bY the D.Jilding Inspector.
Al'l'LICATIlli IS lIlREBY HIllE to tbe D.Jilding Jkvou.t..""ut for the issuance of a fuilding PenDit pmallIIIt to the
fuilding Zone Ordinance of the Tam of Southold, &Jffolk Coonty, New York, and other applicable Laws, Ordinances'.or
Regulations, for the constroction of buildings, additions or alterations, or for rmIMI1 or denDlition, as berein
described. 'The applicant agrees to ~ly with all applicable laws, ordinances, building code, housing code, and
regulations, and to Slbit lUthorized inspectors on premises and in buildi~ necessary i!lllJll!Ctions.
.. ....~/-Y1J.~~..............
(Signatufe of applicant, or name, if a L."ULjlOIation)
.... b. .d./f?..S~.I!JY..""-~!...
(Mailing address of applicsnt)
State ..bether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pludler or builder
....~r..~........................................................................................
Name of owner of premises .~~~.~~~.......................................................................
(as on the tax roll or latest deed)
If applicant is a U>'jlOIation, signature of WIy lUthorized officer.
.................................................................................
(Name and title of LULI"'L"te officer)
fuilders License lb.
Pludlers License No.
..............................
..........................
ElectricillDll License lb. .....................
Other Trade's License No. ....................
,
0'
J. Location of land on ~ich I'L~ wm:k will be done..................................;...........................
..... .~...................t:driC. .i?J<~. ./A'!........................... O.r.(~I:.............................
IbJse \!bJiJer Street Hmdet
Comty Tax MIp lb. IlXXl Section .....(:~....... Block .....i:........ Lot ...2':.1.....
Subdivision ...................................... Filed MIp No. ............... Lot ...............
(Nml!)
2. State existing use and ooo~ of premises and intended use and occupancy of I'L~ constroction:
a. Existing use and occupancy ..~E:o/"-. .,,~..,~l:fN~............................................
b. Intended use and occupancy ..61J'Y'.. i; .9F.'F.i~d:......................... ",:'" :,"e....:................
\fl-,;
yn~, .
..
.... "';',
- ,
r
1
1
3.
I''-'hlre of work (dll!Ck ..bid, applicable): New Ik.ilding .......... Additioo .....-::... Alteratioo ..C....
Uepair . ...~..... Rsooval .... ..... ..... IlenDlitioo ... .c..... OUter Work ............ ......................
. (Description)
It.
EstillBted Cost .....~~a9.Q..........
fee
...............................................
5.
(to be paid on filing this application)
If Well ing, .....mer of dwelling ,mits .... c:.... IlDber of Wel1 ing units on' earll floor .... ~........
\
If '-- f \..
garage, r&D~r 0 cars.. .................. _0" e....... :".~..' ..... .,............ ,
If business, ccnnercial or mi1Cl!d occupancy, specitY'nature ~ extent of each type of use..,~...'~.-....~.;-~.......
~. -3()/' ,.
Dimensions of existing structures, if any: Froot...~t!t....... Rear ....: ....... Depth ...?P...........
lleight .....1.1.~.............. llDber of Stories .....!................ . 2/" _ ." -=-'-
Dimensions of same structure with alterati'J'S or additioos: Froot ....?7."....~Rear '. ~............~
Depth....;1 t:?...... ~... lIeilll.t ... .~.,;...........~ .~ler of Stories .1.....;....... ,-
Dimensi76~ entye new constructioo: l'ront ....3~....... Rear .....3.t;..... Depth ....?P......
lie ight .... .1.7. .. . . . . . . .. . .... Illliler of Stories ...... /. .. .. . . . . . . . .
. Size of lot: Front .................... Rear .................... Depth ....................
6.
7.
8.
9.',
10.
II.
12.
13.
14.
15.
Hate of Purd,ase ..................... II....'" of Former ().Iner ........................................
Zone or use district in wid. prBllises are situated ...... .lf~.~.............................................
Does proposed construction violate any zoning 1..., ordinance or regulstioo: .... ILIa...............
Will lot be regraded .......Jv.~......... will excess fill be reIIDIIed fron premises: YES <lit)
Ilm1es of ()./ner of preoises . /JJ/t(6:..G/.~N.'r...... Address ..7?iitJ. t!~.w. /i?. ~lb. ............!.
Ilm1e of Ardlitect .~t.(....!..z:r.-!Ef741Y-....... Address ..BiI(~~~~ lb. ~S:/.i'j:;;~..
1I."IlIl! of r.ontractor ..4..r.;;-~................ lvldress .I.$/.O:..S~.......Phore lb. ~.e'?:S:'I...
Is Ulis property within 300 feet of a tidal ""nand? '" YES .......... m.. .~.
"'IF YES, &:I1I1D.D 'RHl nmS'ffiES Hl\tfiT MI\Y 00 IGl<pIRED.
PLOT DIAGRAM
locate clearly and distinctly all buildings, wtether existing or proposed, and indicate all set-back dimensioos
fron property Ures. Give street and block rurber or descriptioo according to deed, and show street NIlleS and indicste
\\1tlether interior or corner lot.
SIl\'m (]I' MCW YlJlK,
SS
COlNlY (F .......................
......~.G~rIl~...................................heil~1 {hJly swum, delKlses and says that he is the appliClUll
(I/;Ire of individual signing contract)
above nmEd,
lie is the ........4.t~......:..........................................................
(Contractor, agent, 'l6"rporate offtcer, etc.) .
of said owner or owners, and is duly authodzed to perfom or have I",rfonred tile said work md to ...ke and file this
al~)'.ication; tlmt all statements contained in tllis application sre tn", to .tlte llest of his knowledge and belief; Blxl
that the work wi 11 I", pertonred in the ....nner set forth in Ute applic.ation filed therewitJI.
!lwom to befure me Ulis ~
..... .j.Ct...... ... of iJ-:'i .0...... .19.1..7...
lbtary Pllhlic.... .... .g-:.lv.~,.
..~.~..
(Signal"Te of ApplicBllt>