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2001-163 Building • Permit Application TOMI Of Oteensbury - Dept. of Community Development, 742 Bay Road, Queens/mot, NY 12804 1761-8256J BUILDING & CODE ENFORCEMENT JQTCERequirements prior to issuance Lrmit must be obtained before , of this permit: PERMIT FILE NO.o i "))�( ning construction. No inspections PERMIT FEE PAID �D be made until applicant has received Zoning Board Action LID BUILDING PERMIT. All Area /Use applicants' RECREATION FEE PAID$spaces.on this application ST be completed and.the signature Ei Planning Board Action REVIEWED BY:e applicant must appear an the SPR / Subdivision /Other J eation form. n,�t ` Building Inspector Recreation Fee Payment n Applicant: BQ0... FLt 61e.` Owner: e©k c, e Y.�,n Address. }�-�e; L H�I L, 12e Ls�r e o2�35 kLk� co- . —,-- _.�� Address: Q 0�e_,ct5b 1 N Y i z, cpei N tzf1Y.. Phone # (5.�T ) 2is - .f u.6a. :Phone # (.fit ) _0 - _sil aL Z Property Location: Subdivision Name: Tax Map Number 3 / 1 / 3 7 Z Section Block lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE w Fril=clarg- CONSTRUCTION: $ 34 3l,67, op residence /4:e Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelltn%:( IVED no change to exterior size . Family Dwellrte�-- Office APR 13 2��� Other Work (describe below) ____ Mercantile Manufacturing 'OWN OFQUFEN sBURY - Other _ __�_._ ., �;; SING AND CODE GROSS AREA OF PROPOSED STRUCTURE: ,_� )1 l G A If ADDITION; what will uikU,N40 1st Floor. . . . , . 3:5 6 sq. ft . of new addition be? : 2nd .Floor. . ... . • • . M1 P sq. t�G( SkoC�.52 Other Flouts sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 33 SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: X Commercial Storage Building )2 l FEET X ae r FEET Other Foundation Type: &ock CT£wtp, srt2ocro-A6 Will any second-hand or ungraded ' Number of Stories: . i lumber be used? If so, for what? (habitable space on/1y) / /JO Height (grade to ridge) : /a feet TYPE OF HEATING SYSTEM: Number of fireplace and/or woodstove (circle all which applies) MIA to be installed: C/A- Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : ?e-er 5c,100 l3ct 6t•e.e1-1 Pcsn 124 5i9- 74/6- Iz35 Name Addresss t4v2isort rat& NY Phone Builder: roA-icie+n �4l,sELrQc1s-Jor7 Irg35 . Plumber: yuv,,. . Mason: /vlr�- Electrician: /U/(4- DECLARATION: Please sign below afle you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans... and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; raven to scale, showing actual location of project on premises. Signature: • (owner, er s agent, architect,6ntractor) .r r fe or1V -� jo� _ irEX Pipt in qmv eict o�i ronpi pe ftxx-id . iron pipe Pound ©NL4 on' i nal prl nf5 w i i h i he suti vec.f cxs cx-i g i-nal Seal and signature are deemed valid prinf5. LJnc ufficx-i*zed alferofic5n oP ihi:5 jolat 1s a viofation off' the Fi--WYorK die CGducaijdn Law - �idn 720� 5ubdlviston 2. Cer � {leaf ah` e> and oil o t her re p re sen to i j ons made or in �Plied hcre•on 6hal I run �o fhe par fit{ G- whom t l c su r vcQ performcd and on hie beha(f o04 to those r)ar f i&5 spec i �ic'd Iq I i s fed hereon ar-d are not trcln� C'croble io addi fior-ul par f tvs or �ub,-:�Wuen owncr5 iron rad xt �,�c�\� cab \ \ \ \ \ \ \ 0\ ,�rar+ rocs set � Pole.� V,1 aaphsai t parKinc) Londs now of -hormerW d ca/ppcd Ir6n pipe fund wane G. 4 M i Idred �S Tax %tap (Reference Town of Qu eens burl Sect on 3G 81 oc-K I Porcel 37.2 Deed Reference 5cot5 kx4 George fo George P pence( L, ber- G4-5 /Pbqe 5m C)nte: 3o March 1062 ,3 ~ ) ranP,pt-Faxjd O renee corner i .t' T%a COCK (30XI Z54 +�• i.oi 1i i �rrx, Pi doe 7roL)nd 6 fence corner 0 `\ �Go 2 • e4 M. ,�`\ ems-_ - � 2• `<,`01 000 • e� �• of Q 5urvet of (1 � QGt IJ afH64 MarKer Found ,���.( e Bf) I:ibgj �0 �bc� � Q I her loy cerfiPy fo they lanK n . /\. sand H is eocK and E5or-clay fhcvf 1,hi*5 plcxi was prepored Prom c rn actual on fhe iamund curve aecordin� fo record deserri ions. 0--mms L . 13cf<n5on 1-E. / L Z . Uafe pa A Town o Queen sbu ml Coun7t4 of Via r ren 5+afe d r)&wk-r1orK w feef Lbiet I A jgL)6i (0 5 100 ,d.550GtATEb 4% 5xveL/bm T Engineers L"F- G EORG E. , new Yogv\ I:z�� 1-1 RECEIVED APR13 OFry 6,E 2001 EFFOWBg yy • t vt5ed 2 notes & oddecl stera