HomeMy WebLinkAbout3215
Southold Town Board of Appeals
MAIN ROAD- BTATE: ROAD 25 SOUTHOLD, L.I., N.Y. 11~J'71
TELEPHONE (516) 765-1809
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH H, SAV/ICKI
June 4, 1984
Mrs. William Fo Coster III
Maple Lane
Laurel, NY 11948
Re: Appeal No. 3215 - Pending Special Exception Application
Request for Funeral Home Use: Main Road, Southold
Dear Mrs. Coster:
We are in receipt of your May 29, 1984 correspondenc~
in which you have indicated that you may be amending the
site plan and therefore the application pending with us
should be held temporarily in abeyance.
Please contact the Planning Board
wish to proceed with your proposal for
recommended changes.
Chairman if you
suggestions or
Please keep us advised accordingly.
Yours very truly,
CC:
Planning Board Office
Building Inspector's Office
GERARD P. GOEHRINGER
CHAIRMAN
By Linda Kowalski
Southold Town Board of
Appeals
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH H. SAWICKI
May 24, 1984
Mr. and Mrs. William
Maple Lane
Laurel, NY 11948
Coster, III
Re: Appeal No. 3215 Special Exception Application
Funeral Home Proposal dated February 2,. 1984
Dear Mr. and Mrs. Coster:
Today we were
the Planning Board
1984 site plan.
provided with a copy of correspondence from
indicating their denial of the January 20,
Would you like the application for a Special Exception to
be held temporarily in abeyance for possible amendments and
resubmission of a site plan?
Yours very truly,
GERARD P. GOEHRINGER
CHAIRMAN
By Linda Kowalski
S U Fe~.~O.~.~T Y
Southold, N.Y. 11971
(616) 765-1938
May 10, 1984
Mr. William Coster III
Maple Lane
Laurel, NY 119~8
Dear Mr. Coster:
The following action was taken by the Southold Town Planning Board
at the regular meeting of Monday, May 7, 1984.
RESOLVED that the Southold Town Planning Board, following a field
inspection of the property, deny the "Coster" site plan located at
Southold for a proposed funeral parlor in an existing building
with a proposed addition due to the historic background of that
building, the fact that the site plan can not be certified as there
is insufficient parking, and the heavy traffic congestion already
existing in the area.
Enclosed, as per your request, are copies of the correspondence
received pertaining to your proposal.
If you have any questions, please contact this office.
Very truly yours,
BENNETT ORLOWSKI, JR. , CHAIRMAN
UTHOLD TOWN PLANN.ING BOARD
~anL~e M.~Sc~u~%~, ~cecretary
enc.
SU~Y
8outhold, N.Y. 11971
(516) 765-1938
April 10, 1984
Mr. William F. Coster III
Maple Lane
Laurel, NY 11948
Re: Funeral Home
Site Plan at Southold
Dear Mr. Coster:
Please let this confirm the action of the Planning Board
at the regular meeting of April 9, 1984.
RESOLVED that the Southold Town Planning Board refer the
site plan of William Coster, a proposal for a funeral
home in an existing building with a proposed addition
to that building, to the Building Inspector for certification.
The Southold Town Planning Board will also make a field
inspection of this proposed site plan.
Please forward three (3) maps for our referral to the
Building Department.
If you have any questions, please contact this office.
Very truly yours,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN,~LANNING )~OARD
M. Schul~fze, SeCretary
.cc:Building Inspector
Southoid Town Board of Appeals
MAIN ROAD- BTATI[ ROAD 25 SOUTHOLD. L.I., N.Y. 11cj'71
TELEPHONE {516) 765-1809
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH R. SAWlCKI
February 24, 1984
Mr. and Mrs. William F. Coster,
Maple Lane, P.O. Box 533
Laurel, NY 11948
III
Re: Appeal No. 3215 Special Exception
Dear Mr. and Mrs. Coster:
The following action was taken at
the Board of Appeals held on Saturday,
concerning your recent application:
a Special Meeting of
February ll, 1984
RESOLVED, that Appeal No. 3215, application of MR. AND
MRS. WILLIAM F. COSTER, III for a SFecial Exception to the
Zoning Ordinance for the establishment of a funeral home at
the corner of Main Road and Youngs Avenue, Southold, New York
BE AND HEREBY IS TEMPORARILY HELD IN ABEYANCE pending review
and receipt of comments from the Southold Town Planning Board
on the proposed site plan in accordance with Article VII,
Section lO0-70(B).
This resolution was unanimously adopted.
Please keep us advised regarding developments with the
Planning Board.
Yours very truly,
GERARD P. GOEHRINGER
CHAIRMAN
cc: Planning Board By Linda Kowalski
Building Department
Southoid Town Board of Appeals
MAIN ROAD-STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11cJ71
TELEPHONE (516) 765-1809
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAfRMAN
CHARLES GRIGONIS. .IR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH H. SAWlCKI
February 2, 1984
Mr. and Mrs. William F. Coster,
Maple Lane, P.O. Box 533
Laurel, NY 11948
III
Re: Appeal No. 3215 - Special Exception
Dear Mr. and Mrs. Coster:
Your application which was filed today with the Town
Clerk's Office did not include the following documents which
,~are~ ~'"~nec~ssary in the processing of this application:
~ [ (1)~ Four copies of the proposed site plan depicting
/~'~'exist~g and proposed construction, proposed egress and ingress
and parking areas.
(2) Site plan approval from the Planning Board.
Upon receipt of the above, your application will be
processed and considered for a public hearing at the earliest
possible date.
Please keep us advised.
Yours very truly,
cc: Building Department
GERARD P. GOEHRINGER
CHAIRMAN
By Linda Kowalski
JUDITH T. TERRY
TOWN CLERK
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1801
February 2, 1984
Southold Town Zoning Board of Appeals
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is Zoning )ppeal No. 3215 application of William F.
Helen A. Coster for a special exception. Also included is notification to
adjacent property owners; Short Environmental Assessment Form; Letter relative
to N.Y.S. Tidal Wetlands Land-Use; Notice of Disapproval from the Building
Department.
0 2 984
OF SOUTHOD, NEW YORK
APPPLICATION FOR SPECIAL EXCEPTION
TO THE ZONING BOARD OF APPEALS, SOUTHOLD, N. Y.
APPLICATION NO. ~._fl~-x2/_j/~
DATE .3.ab......2,.. 1~4
William F. Coster III
I, (We) I:!el.en..A.....Coster ........ of l~,~aple. Lane. Box. 5.33 ....
NAME STREET AND NUMBER
Lammel, New York 11948
MUNICIPALITY STATE
hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the
ZONING ORDINANCE ARTICLE V 51 SECTION 100 - 70 - B ( 1 ) ( 2 )
SUBSECTION
THE SPECIAL EXCEPTION IS REQUESTED BECAUSE
The premise is located in a B-1 zoned district. In order for
the premise to be used as a funeral home (under the Southold
Law of Statues) a Special Exception from the Board of Appeals
must be applied for.
STATE OF ~Iq~.~ /Y/.O~R; )
) ss
COUNTY ~ )
Sworn~.TA~i.C ~.~tO this c~}q~ ~;;l, ay of.~ ~, 19~L
SIGNATURE
FORM ZB2
:BVED
EB 0 g 1984
Tm,m C~d~ ~
OF SOUTHOD, NEW YORK
APPPLICATION FOR SPECIAL EXCEPTION
APPLICATION NO. ~'~ Lt~'
DATE ..... ~eb.....2,...k984
TO THE ZONING BOARD OF APPEALS, SOUTHOLD, N. Y.
I, (We)
William F. Coster
.Hele.~..A...Costar
NAME
Of
.........~q~2~._a~_e._ane.._o.x..~.~.~ ..............
STREET AND NUMBER
MUNICIPALITY STATE
hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the
ZONING ORDINANCE ARTICLE VII SECTION100-70-B ( 1 ) ( 2 )
SUBSECTION
THE SPECIAL EXCEPTION IS REQUESTED BECAUSE
The premise is located in a B-1 zoned district. In order for
the premise to be used as a funeral home (under the Southold
Law of Statues) a Special Exception from the Board of Appeals
must be applied for.
STATE OF NE.~YORK ) /~Z-~_.~.. ~, ~
\ ~(//~ ss /
COUNTY OFFS. / ' ) SIGNATURE
Sworn to t~his ~::~//~.~ da,, of .~-~. ,~ 19 ~'/
FORM ZB2
TQ~ ~ ,~,~f
OF SOUTHOD, NEW YORK
APPPLICATION FOR SPECIAL EXCEPTION
APPLICATION NO. ~c~ d~
DATEP e h,...2.,... 19.8.~
TO THE ZONING BOARD OF APPEALS, SOUTHOLD, N. Y.
'/llllam. F. Coster III
I, (We) ~l.~!e~..A,...Cas.ter of r!~P,P~e Lane .Bo.x...5.3.3 ...............
NAME STREET AN~ NUM~Ea
............ ~g~r~%, ................. NgW..Y. ork 1!9.6{~ ..............
MUNICIPALITY STATE
hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the
ZONING ORDINANCE ARTICLE VXI SECTION '100 - 70 - B( 1 ) (2)
SUBSECTION
THE SPECIAL EXCEPTION IS REQUESTED BECAUSE
The premise is located in a B-1 zoned district. In order for
the premise to be used as a funeral home (uner the Southold
Law of Statues) a Special Exception from the Board of Appeals
must be applied for.
STATE OF NEW/mYORK )
~. ( / ~,~f/ ss
COUNTY Ola':~;~',~60~ )
Sworn ,o t.h,/' ~' 'J~ day of ~C~-~.' 19~
NOTARY PUB~ [
SIGNATURE
FORM ZB2
BOARD OF APPEALS, TOWN OF SOUTHOLD
:
In the Matter or the Petition of :
v;~q~m ~. & Melen ~L. Coster :
to the Board of Appeals of the Town of Southold :
TO:
NOTICE
TO
ADJACENT
PROPERTY OWNER
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of Southold
to request a (Variance) (S.p. ecial Exception) (Special Permit) (Other) [circle choice]
).
2. That the property which is the subject of the Petition is located adjacent to your property and is des-
cribed as follows: Hartrm~ft T~nnne,.. R~545 r,~in ]~nn~ ~ ~90 Yo"ngs Ave.
~outhold, New York
3. That the property which is the subject of such Petition is located in the following zoning district:
4. That by such Petition, the undersigned will request the following relief: Under Sp~c:-i
Exception to use premises as a funeral home.
5. That the provisions of the Southold Town Zoning Code applicable to the relief sought by the under-
signedare Article VII SectionlO0-70 B(1)(2)
6. That within five days from the date hereof, a written Petition requesting the relief specified above will
be filed in the Southold Town Clerk's Office at Main Road Southold, New York and you ma), then and there
examine the same during regular off ce hours. (516) 7~5-1809.
7. That before the relief sought may be granted, a public hearing must be held on the matter by the
Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such
hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the
Town of Southold and designated for the publication of such notices; that you or your representative have the
right to appear and be heard at such hearing.
Dated:
'~7illiam F, & }~e]en A. Mn~ter
Petitioner
Post Office Address
Box 533
T,~.z?,re'] .. 1,7 7'. q I 9,~8
NAME
PROOF OF MAILING OF NOTICF
ATTACH CERTIFIED MAIL RECEIPTS
ADDR£SS
First Southold Co.
Kain Road Southold, N.Y.
~ichael and Anne Hall Youmgs Ave., Southold, N.Y.
O
P 565 482 573
RECEIPT FOR CERTIFIED MAIL
NO iNSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Street and No.
~.0., State and ZIP Code
Postage /
Ce,ified Fee
Special Delive~ Fee
Restricted Delive~ Fee
Return Receipt Showing
to whom and Date Delivered
TOTAL "of~and
P 565 482 574
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAiL
(See Reverse)
Special Delive~ Fee
Restricted Delive~ Fee
Return Receipt Showing
to whom and Date Delivered
Return r~eipt showing to whom,
Date, and Address of Delivew
STATE OF NEW YORK )
COUNTY OF SUFFOLK)
b'~u ,¢~/ '~ ~. ~'~ ~ , being duly sworn, ~e~oses and says that on the ~ day
of ~ 6~'~L(' 719 ~, deponent mailed a true copy of the Notice set forth o~ th~ re-
verse side hereof, directed to each of the a~ove-named persons at the addresses set opposite thor respective
names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on
the current~smeqt roll of the Town of 5ou~hold; that said Notices were mailed at the United States Post Of-
rice at ~ ~/~ ~ /~ ~J .~. that said Nolices were mailed to each of sa d persons by
(certified) (registered) ma~. ' '
Sworn to before me this ~ ~c~ ,
day of ~=~) ~u~ r/..~ ,19 ~_~:~
Notary Public I
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
.....
...~ .~**~ .... ~ .................
...~.~.~.~.~ .~..~.~ ~ .....
for pe~it to construct ~/Z/.~..~ .~_~4.. eS~. ~. ~fl./5~...~ .'.at
County Tax Map No. 1~ S%°~tion...~C '~ ..... Block a'.7.~ ......
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on the following ground~*~. F
/. ~7(.. ~. ~<~cc~ .~..~m~... o~/. ~~...
.. ~ ............... ~ ...................
............
RV 1/80
0
SHORT ENVIROhU~ENTkL ASSESSMENT
INSYRUCT!ONS:
(a) In order to answer the questions in this short EAF is is assumed that the
preparer will use currently available information concerning the project and the
likely impacts of the action. It is not ex?coted that additional studies, research
or o:her investigations will be undertaken.
(b) If any question has been answered Yes the project may be significant and a
completed Environmental Assessment Form is necessary.
(c) If all questions have been answered No it is likely that this project is
no~ significant.
(d) Enviror~ental Assessment
Will project result in a large physical change
to the project site or physically alter more
than 10 acres of land? ,
2. Will there be a major change to any unique or
unusual land form found on the site? . .
3. Will project alter or have a large effect on
an existing body of water? . ,
Will project have a potentially large impact on
~roundwater quality? , . . . . , . , .
5. W~ll project significantly effect drainage flow
on adjacent sites? . . , . . . . . .
6. Will project affect any threatened or endangered
plant or animal species? . . , · · , · ,
7. Will project result in a major adverse effect on
air quality? . , , . . , . o ,
Will project have a major effect on visual char-
acter of the co~munit7 or scenic views or vistas
known ~o be important to the community? . . .
Will project adversely impact any site or struct-
ure of historic, pre-historic, or paleontological
importance or any site designated as a critical
environmental area by a local agency? . · ·
10. Will project have a major effect on existing or
future recreational opportunities2 . . .
11.
Will project result in major traffic problems or
cause a major effect to existing transportation
12.
Will project regularly cause objectionable odors,
noise, glare, vibration, or electrical disturb-
ance as a result of the project's operation? ·
'Jill project have any impact on public health or
sar
Will project Affect the e~isting community by
directly causing a ~rowth in permanent popula-
tion of ~ore than ~ percent over a one-year
period o__r have a major negative effec~ on the
character of ohs community cr neighborhood?. .
15. Is there publi~ c~trcversZ concerning
the project?
TITLE:
DATE:
Yes ~/ No
Yes / No
Yes ~/ No
Yes /No
Yes ~/ No
Yes ~'/ No
Y~s t/No
Yes v/No
/
Yes ~ No
Yes
Yes No
Yes k/No
Yes No
Yes
Yes ~'/ No
QUESTIONNAIRE TO BE COMPLETED AND FILED WITH APPLICATION TO THE Z.B.A.
The New York State Tidal Wetlands and Use Regulations, 6 NYCRR, Part 661, requires
an application to the N.Y.S. Department of Environmental Conservation, Environmental
Analysis Unit, Building 40, S.U.N.Y., Stony Brook, NY 11794, (tel. 516-751-7900), if
you have checked Box #1 and/or Box #6 below. Please either call their office or
personally visit them at their Stony Brook office for instructions and application
forms. Once you have received written notification of approva please provide our
office with a copy (with the conditions) as early as possible in order that we may
continue processing your Z.B.A. application.
[ ] I.
[ ] 2.
3.
[ ]
[ ] 5.
[ ] 6.
[ ] 7.
Waterfront without bulkheading
Waterfront with bulkheading in good condition
[ ] the full lepgth of the property
[ ] at least 100' in length
Not located within 300' of waterfront or wetlands area
May be located within 300' of waterfront or wetlands area; however,
the following structure separates my property from this environmental
area:
[ ] 50' existing road
[ ] existing structures
[ ] bluff area more than 10' in elevation above mean
sea level
This proposed addition/expansion of an existing building will be more
than 75' from the landward edge of tidal wetlands/waterfront areas.
This proposed addition/expansion of an existing building will NOT be
more than 75' from the !andward edge of tidal wetlands/waterfront
area.
Please be aware that any and all subdivisions and new dwellings will also require an
application to the N.Y.S. Department of Environmental Conservation for their review
and approval. If you are able to provide them with recent photographs of the
project and wetland areas, it would help expedite the processing of your applica-
tion.
This questionnaire is made to explain the requirements of this State Law and to
prevent any unnecessary delays in processing your application(s).
10/831k
Examined ................. 19...
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved .................. 19... Permit No ..............
Disapproved a]c .....................................
Application No .................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS~
a. This application must be ~omple'tely filled in by typewriter or in ink and submitted to the Building Inspector, with.
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 street
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 perm/
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 Occupanc~
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu/lding Permit pursuant to th.
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
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 t~
admit authorized inspectors on premises and in building for necessal'y_ in~nections ~-~ ~ -~ - f
..... ....
(Signature of applicant, or name, if a corporation)
· ~..o?. ~$..~ .... .~.~...e.~%..i...~.~:. !.~.r...
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
.... ..C~....~7~.. e~e-.'37~....~. ~,-, .o. ~ .... ~ ..................................
Name of owner of premises ~' ~ ~C~. r (TM-q"~ + ~I'~ ~r
(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. -1~.~'~> '
Other Trade's License No. ..-~....~' ~ .
1. ocation of land on which p posed work will lie done .... s g. .....
House Number ............................................................... Street ..........
Hamlet
County Tax Map No. 1000 Section . (o [ Block {~ ~ O I '~
Subdivision
................... ~ ................. Filed Map No. -------
(Name) .............. Lot .............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......... .~..~...J')..~. ~ ~ .~...~.~_.. ~ ~/~ c.. I~ ~
b. Intended use and occupancy .... . .'~..~. ~.~...f~..~q .~_.. ~. ~ ~ .~.
3. Nature of work (check which~plicable): New Building .......... ~u~ition .... ...¥'~-... Alteration . ~
Repair .............. Removal .............. Demolition .............. Other Work .... · ..........
(Description)
4. Estimated Cost ...... .~...?~ ~::~ ~ Fee
(to be paid on fding this application)
$. If dwelling, number of dwelling units ..... ~/..~. .... Number of dwelling units on each floor ................
If garage, number of cars .......................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .~$.~..~'...~..~.~?. · .. .....
7. Dimensions of existing structures, if any: Front .... '~' ~'" t, ....Rear ...~..~. ........ Depth. · · ~ .........
Height .. ~..C~ ~..~.... Number of Stories ......... ~.. './.~. ..........~. ..................... , .........
Dimensions of same structure with alterations or additions Front .... ~.$,. ......... Rear . .. ~..~. ..........
Depth ... ~$.~ Height . ~,.~...~C..~.. .. Number of Stoties ~- ?.~r..
8. Dimensions of enti~ new construction: Front... ~. {. ~ ..... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9. Sizeoflot: Front ...... J.~.~. .......... Rear ....... ]./~.~ .......... Depth ~.~..~...~.~..~., .........
10. Date of Purchase ~.?.?~a., c~-~a.~. ~ ........................
.............. ~ ...... Name of Former Owner ........
I I. Zone or use district in which premises are situated .....................................................
12. Does proposed constrt~tion violate any zoning law, ordinance or regulation: ............................ {;~ .f
1~ 'Will lot be r~graded .... .'7'1~,~ ......... , ......... Will excess fall be removed from premises: ~ No
/.ve.~'.o..~.g'Address .~...ff..tr~..t,..,~.~,..~. Phone No. '~.?~. ;.~'..~..~.. ·
14. Name of Owner of premises V~.; .c,.o.~...-~... .
Name of Architect .. ~ ..'~.o...~'~...~..~. ......... Address ~. ~.,~..~Y. ~'. Phone No.~'~ ~. ?.~.. '. [ .....
Name of Contractor ...... ~a. ~*~.~T, ........... Address .~.~a, .~...~1~.....~..~'~ ..... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give ~treet and block number or description according to deed, and show street names and indicate whethe~
interior or coruer lot.
gr&Tl~ OF NEW YO.P.K., / , ~ o o ~
COUNTY OF ~. ~-,z~X'~f<~f-~ ~'°
~e of in~vidu~ si~g con~act) "
above n~ed.
He~ ~e .........................................................................................
(Contractor, agent, ~o~orate officer, ~c.)
of ~d owner or owne~, ~d ~ duly auto,ed to peffo~ or have peffo~ed ~e ~d work ~d to m~e ~d ~de ~is
application; ~at ~ s~tements cont~ed ~ ~is application ~ t~e to the best of his ~owledge ~d ~Hef; ~d that the
work wHl be ~rfO~ed in ~e m~ner set fo~ ~ the application ~ded the~with.
Sworn to befo~ me ~ ~
................... ..... .......
/
/
/
1~ PLfff llff-O~Tl~l FR8~ A ~IBB/EY BY YQURG & YOUNG
2. ~BLIC NATER IH SUPPLI~ BY ~ K:~REE~N)RT
5', ))RAINAGE LEACHING POOLS HRALL BE PRECAST UNITS WI'fi( TRAWIC COVERS
C, I. GRATES.
6,' PAVING $f(/~LL BE q" .CRUS~EI) STOIIE ~ B" OF PERVIOI]S LO/~t J
COI')~AC1EB 10' TONS,
Unauthorized alteration or
addition to this dacum.nt is a
violation of section 720g of
the New York State Education
law,
Copies of fhls document not
bearing the engineer's inked
seal or embossed seal shall no~
be considered valid copres.