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Home My WebLink About1958-zNO. 4 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY No....Z,_21.03 .......... Date ...................... F~'U~..2 .......... , 19~... THIS CERTIFIES that the building located at ~.~.e~..HO,~,~..D~.;J,~.~,...~Jl~.~,~,t,t;~l~ ....... Street Map No, ----,,'.--' Block No. - ..... Lot No. -- ....... conforms substantially to the Application for Building Permit heretofore flied in this office dated ............. ~.~l~f~..~,], .......................... , 19J52.. pursuant to which Building Permit No....~..~9,~ dated ...D~:..~,~,...:l,.~6~ ........... , 19 ......... was issued, and conforms to oil of the requirements of the app!'icable provisions of the law. The occupancy for which this certificate is issued is ........ The ce~Ftificate is issued to ......... ~.~'~ll~...Z~,~t(~k~ ............................................................................ / ,, i (owner, lessee or tenant) / of~he a~b(esaid building. (no ,deva=tment av zovaZ) / Building Inspectc{r FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gronted to: ........ ~a~t ~,t, uck .................................................. to .Neve ..a~ · .eI.~.s t.i. ng...d~e.Z.$.~-~g...te .. ~hi.s...]~oea.ti~m ...................................................... at premises Iocoted ot ...E/S...Eaet..-Bz~neh..e£..Dee.p..~.le...~.:i..ve ............................... ~ ....... pursuant to application dated ...................... ~l~eil~eF....'l_l. ............... 19..6;?., and approved by the Building Inspector Fee $.'10..00 ........... l~aM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ......................... ^ppra ed ..................... No ...... .... Disapprov~ a/c ......... .~./ ...................... ~Z .............. ~ .................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 drewn on the diagram which is part of this applica- tion. c. The work covered by this opp]ication may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in pa rt 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Frank Zaleski (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner Name of owner of premises Frank Z~leski If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ....... ~ ........................ Lot No.: :xxx Street and Number ..E/S..Eas.t..B~.anch..mf..De.ep...Hmle...Dr.i.v.e~...Nat.ti~.uek ... Municipality ................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy .... .v.a.g, aD.~...la;Gd ............................................................................. b. Intended use and occupancy ....... OD. fl...f.~i~y...d~.aili~.g ................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration .................. Repair ............... ~ Remova! .................. Demolition .................. Other Work (Describe) .~ID.~.~...~ e×±sttng 4. Estimated Cost ,..Ig.~..~.,~ ....................................... Fee ........................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... .Gz',.e. .............. 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 ....,.~0 ................... Rear ....... ~R..O. ................ Depth ............. .2...0. ............ Height ............................ Number of Stories ....O.b.e. ..................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ................................ Height ............ ... .................. Number of Stories ................................ 8. Dimensions of entire new construction: Front .............................. Rear .............................. Depth .............................. Height .............................. Number of Stories .............................. 9. Size of lot: Front ........... ~..0..~. ........... Rear .......... .1. . .0. .0. . . . ?. /. ......... Depth ..]:..2...0../.,..~..~...0. .......... 10. Date of Purchase .......................................................... Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... !!A!!...dls.~. ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ................ ~Q ......................................... ]3. Name of Owner of premises ~,...Znl~.s~J. ............. Address ........ ]~a.t.tl.~.g, ck .................. Phone No ................... Name of Architect .................................................... Address ................................................ Phone No ................... Name of Contractor ...~.,...~.~,~..e.~...~ ....................... Address ........... ..]~...~.i..~.g..~.. ............... Phone No .................. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block numbers or ,~cription according to deed, and show street names and indicate whether interior or corner lot. r\ STATE OF NEW YORK, ) COUNTY OF ..~.~.f£o~ ......... ) S.S. ................................................................................................ being duly sworn, deposes and Soys that he is the applicant (Name of individual signing application) above named. He is the ....g.'~J~.~.~. .......................................................................................................................................... (Cor~tractor, 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 wJJl be performed in the manner set forth in the application filed therewith. Sworn to be, fo, re me this .............. ..... o, ........ .~ . - ~ ~ .-~ w ..~~.C(..~!:~--Z..~C... ............. Notary Public ..~~.~Cou~t~..// (Sig~"~e ~ applicant')' .............................