Form 11.
TENEMENT HOUSE DEPARTMENT
OF
THE CITY OF NEW YORK
MANHATTAN OFFICE
THIRD AVENUE
No. 44 Con
EET
Nos. 280
No.
EET
W.Car 4 Auu
or. Janalemon Street
Near 148th Seet
FILED
191
PLAN No. SLIP ALT.
191
APPLICATION FOR SLIGHT ALTERATIONS AND REPAIRS.
APPLICATION is hereby made to the Tenement House Commissioner of The City of New York for the
Tenement House herein deseribed. THE APPLICANT AGREES TO COMPLY WITH ALL
PROVISIONS OF LAW AND ORDINANCES IN THE ALTERATION OF SAID BUILDING
WHETHER SPECIFIED HEREIN OR NOT.
(Sign here).
Address.
NOTE.-The above signature
be that of the owner or of the person authorized
him to make applicati
WARNING.
in annlieatione or thronh imoroner action by any officer o
mis.statemen
this Department, does not legalize an illegal construction, arrangement or condition.
employee.
INSTRUCTIONS.
VERY IMPORTANT THAT SAME BE CAREFULLY READ.
Three sets of Applications and two sets of Drawings must be filed.
All plans aNt be drawn to a uniform seale, not less than one-quarter Ineh t
cloth prints, and the proposed new york mast be clearly distingulshed from the old work by dotted lines or I
the foot, and be on linen tracing cloth or be
other conventional
e,eement House Department, one set of plans and a certiicate of approval will be at once forwarded
o the
The dimeasions and boundaries of eae
t ei
k
psas
tios t
t
e r e
teerso au
re
rat e g
wt
di
When necessary the epartment
giving c
se te
slous, Ineluding dinensions of allr
deon senarate hlank urovlded for that parpose, and where changes
s
a
making the
or
d
ailectiig the
of ots, bl
lnton e or fle tnof w tonement ose nst e fled the Driet ad ust
completely
he fo
Blled out.
Date
Borough of
191
1. No.
tenement honses to be altered.
2. Location
Address.
3. Owner
Address,
Arehiteet
4
5. Estimated cost of alterations
repairs.
deep.
front:
6. Size of each lot!.
.deep.
front;
7. Size of eaclh building ?
Material of building
8
Is the building that is t
be altered on the front or rear of the lot
9.
For what purpose will it be used t.
10. Is there any other building on the lot f
