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Home My WebLink About3316-zTOWN OF SOUTHOLD I~UILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. P. ERTIFIP. ATE OF EIP. EIUPANP. Y No. Z.2678 .... Date .................. l~pl'f'l'' 't0' ', 19.6~ THIS CERTIFIES that the building located at -~'i'r~. ltd.& .~p!~ .La- ...... Street Lot No...~ ..... ~.q~9~.. ~.~ ..... Map N0... ~ ...... Block No .... ~... eo~orms substantially to the Applicati,on for Building Permit heretofore fil~ in this office dated ........... ~O~be~. ~ 19~. pursuant to whi~ Building Permit No.. ~.3[~. dated. ...... .... ............ " .~ 19.~., was issued, and eonfoms to all of the require- ments ,of the applicable provisions of the law. The o,ccupancy for which this ce~ificate is issued is .. ~[Oa[- '~e~' · aeees~ 'blffg ................................ The certificate is issued to ~o~o~d. ~l~o~&~;go~o~ ........... ~e~ ....... [owner, ~essee or tenant) of the Moresaid building. Suffolk County Department of Health Appeoval ...... 'N---R ......................... ............. ............ FOR3{ 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) N? 3316 Z Dote ...................... ]l~oyem]ae ~.....1.7....., 19.~6.. Permission is hereby granted to: ............ .L.,9..o._ .K_w...a..a..n.e,..s.k. ~...A./..C_ .....8...o..'9.~ .h. 9~.d._ .Hi s t o tic al $oe:t. et¥ ................... · %,,th~l~ ......................................... to I~i~i.. an.. ad~ ,t.ti~n.. eh...~L~ -. eX te t.t~g-, muee~...bu.i.~d.i.n~ ...................................... at premises located at ....S/.S.....l~aLt~..l~..&.g,/S.~:tapte..Lane .................................................. .................................................... S.c~tholcL ........................................................................................ pursuanf to application doted .............................. .~O.V.. ....... ,1,'~ ........ , 19..~,6., ond approved by the Building Inspector, Fee $..~014~. ........... FOEI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~.....~..~.. ...... 19..~...~. Approved ........................................ , 19 ........ Permit No ...... /.' .................. D~sapproved a/c .......................... ............................... ................................. Application No..~......~....(....~. .......... APPLICATION FOR BUILDING PERMIT Date ............................ .N...°..v..e...m..b,, .e..r........1.7...., 19....6...6... INSTRUCTIONS a. Th~s application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and g~wng a detailed description of layout of propertymust be drawn on the d~agram which is part of this apphcat~o~ c. The work covered by this application may not' be commenced before issuance of Building Permit. d Upon approval of this application, the Budding Inspector will issue a Budding Permit to the applicant. Suc permzt shall be kept on the premises available for inspection throughout the progress of the work. e. No budding shall be occupied or used in whole or ~n part i~or any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to tk Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein descnbec The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. Leo Kwasneski (Signature of applicant, or name, if a corporation) Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Contracto~ Name of owner of premises ..~P.~,.thC~]4:t...]/i~.tO~.i.¢.a, 1..~.OP.J,~.t~' ............................................................................... If applicant ~s a 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' .....~ ..... Street and Number ....~.~..~.~.....~..o...~.~...~..~!.~.]g..1.e....~..~..~...e. .......... ~g.~.o..1..~ ................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~J.~.~.iP.~.]....~g.S.(~.~r].m.. .......................................................................... b. Intended use and occupancy ........... $~l:lze,..~.~.t~..~D...al:]LCt. J.~p. Tk .............................................................. 3 Nature of work (check which applicable): New Building .................. Addmon ....... .~:,~... Alteration ...;~]¢'~ ..... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................... 4. Eshmated Cost .... .~.~..~00..~./[4 .................................. Fee ....... ~.q~e, ....................................................................... (to be prod on f~ling th~s application) 5. If dwelhng, number of dwelling units .... .rt..aD..9 ............... 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. D~mens~ons of ex~sting structures, if any: Front .......................... Rear .......................... Depth .......................... Hmght ............................ Number of Stories ............................................................................................................. D,mens,ons of same structure with alterations or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. D,mens~ons of entire new construction: Front ............................Rear ............................ Depth .......................... Hmght ............................ Number of Stories ............................ 9. S,ze of lot. Front ............................ Rear ........................... Depth ................................ 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... 11. Zone or use d~strict ~n which premises are s~tuated ................. !!$!t..~i,~% ........................................................... 12. Does proposed construction violate any zoning law, oral,nonce or regulation? ..... ~O .......................................... 13 Name of Owner of premises .~..o..q.t...12,.g .~..d.....-TFZ.~.f~.O.~,'kfA~l~ress ............................................ Phone No ................... Nome of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor .Le.o..[wa.m~$~i .................... Address ....... .~.°...~.~.-7..°..~...d. ................. Phone No .................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~sting or proposed, and indicate all set-back dimensions fro property hnes. Give street and block numbers or description according to deed, and show street' names and re&ca whether interior or corner lot. STATE OF NEW YORK. ~ S.S. COUNTY OF ..... ~uf. fo&k ......... ............................. Le.o..~w&stz~e~i ..................................... be,ng duly sworn, deposes and says that he is the applic (Name of individual signing apphcation) above named. He is the ....................C:oat.rae.tom ........................................................................................................ (Contractor, 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 th,s apphcation; that all statements contained ,n this application are true to the best of his knowledge and bel and that the work w,II be performed in the manner set forth ,n the apphcation filed therewith. Sworn to before me this /~.~.~~ ................... ~ day of ................... ~.~.~ ~.~.~ ~ ...... , li~:~ ~, ..... ....................... N ary Pubh ........ ' ' ' NOTARY PUDLI3, b~,e o~ R:~ York No 52 3233120 Suliol~ gaunt~ T~rm Expires March 30, ~9~~