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Home My WebLink About3148-zFOEi~I 1~O. 4 TOWN OF EOUTHOLD BUILDING DEPARTMENT 'I'OWI/ CLERK'S OFFICE SOUTHOLD, N. Y. OI:'I~TIF'IOATE OF' OOOUPANOY THIS CERTIFIES that the building located at .0,l~.. ~.U.~..~..~.~g.e..~...F.~..~.11.~...~.O~eet Map No...X~X ...... Block No..~ ....... Lot No ..... conforms substantially go the Applicati.on for Building Permit heretofo.re filed in this office dated ............. ~tl~It. ~ .... 19~6.. pu.rsu'ant to which Building Permit No. dated ............... ~'~t~l.~'. 1.:l.., 19..6~ was issued, and conforms to all of the require- ments .of the .applicable provisions of the law. The .occupancy ~or which this certificate is issued is .... ~dd~tioll..t;o. 01~..£amll, ll~ .d~l~L~,lac~ ................................. The certificate is issued ~o ...A~,~IC.~ .Zano,AskJ, ..................................... (owner. lessee or tenant) of the aforesaid building. Suffolk County Department of Health Appr,oval ......................................... Building In,ih ect'or~' FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N. Y. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .............. .O.~....z.~.z..~..~.~ .............. i ................... ................... ~i~.t.t ~.tt~...~...~.......: ................... to .~d~~i~.and...buiLd.~x~ad~i~n~r*~a~i~i~§~w~`~g~:. pursuant to application dated .............................. .~;~ ....... .~ .............. 19..06., and approved by the Building Inspector ' Building InspectOr ~' FOEH NO. 1 TOwH OF SOUTHOLD BUIL~DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c .............................................................................................. .................................. i ........ ............... APPLICATIOH FOR BUILDING PERMIT Date ............................... '*T..~..?rZ ....... .6. .......... , 19..6.~. ...... 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 drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises avairable for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICA'IZlON 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, Suffotk County, New York, and other applicable Laws, Ordinances or Regulations for the construction of buildings, additions or alterations, or for removal or demolition as herein described. The applicant agrees to comp y w th all appl cable laws, ordinances, building code and regular ans. Albert Zanowski (Signature of applicant, or nome, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder. Name of owner of premises ..... All~.e.~*.l;...7.~.:Dg.~cski ........................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work wdl be done. Mop No.: ;~3Cy-JCX %xXX ........................................ Lot No.: ........................ Street and Number ~/~...~..~,~fL~0,~fL..~.a.tte...~..~/..f~..~:~&~l~O~¢, ....... ..~.f~.~C,;:L+~!Z¢.]~ ................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ...... ~1~e,~3,t~/¢ ......................................................................................................... b. Intended use and occupancy ............ sa,~te.....~.~.t~l...~z~..a~clC,t:toD. ................................................................ 10. 11. 12. 13. Na~ Nar L.ocat property I whether in Nat.,i. re of work (check which applicable): New Building .................. Addition .... ,~?.,~... Alteration ............... Repc~r ............... ~ Removal .................. Demolition .................. Other Work (Describe) ..................................... Estimated~ Cost ~(.'..~..~....~.. ........................................ Fee ...~,.QQ ........................................................................... (to be paid on filing this application) tf d vellingf number of dwelling units ........... I:~'J.G .......... Number of dwelling units on each floor ........................ If gr rage, number of oars ......................................................................................................................................... If I:gsiness, commercial or mixed occupancy, specify nature and extent of each type of use ........................ Dim ;nsions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Hei ht ........................ Number of Stories ............................................................................................................. Dim rnsions of same structure with a,lterations or additions: Front .................................... Rear ........................ Dep' h ................................ Height ............................ Number of Stories ................................ Dim ;nsions of entire new construction: Front .......... ~.....l~.. ............... Rear ....... .~....C).. ............. Depth .....l..~ ..... Hei,( ht .................... Number of Stories ................................................................................................................. Size of lot: Front ..8.~,/.9CL.~ Rear ..~.~...~..j~.....~l~g...~./Depth ..... Datr of Purchase ........................................................ Name of Former Owner ................................................... Zon ~ or use district in which premises are situated ................ !!.~?...~l,:L~f, ............................................................. Doe proposed construction violate any zoning tow, ordinance or regulation? ........ nO .......................................... te of Owner of premises ~.*lb. eZ'.~..7.&~C~l~.,S~J....Address ..... ~¢.~.::L.~¢~, ................. Phone No ................ he of Architect ...................................................... Address ............................................ Phone No ................ ~e of Contractor ...~,~rte...}~.t~.. ................. Address .......... ~.~.,~g~ ............ Phone No ................ PLOT DIAGRAM ,~ clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fr nes. Give street and block number or description according to deed, and show street names and indic, 'erior or corner lot. lame o!/~.d~idual signing application) ' obow~ nar ,d. He i~'e .......................................................................................................................................... t ......... (Contractor, agent, corporate officer, etc.) of said ortner or owners, and is duly authorized to perform or have performed the said work and to make and this applkation; that all statements contained in this application are true to lhe best of his knowledge and belief; that the w Swam to [ Notary Pu ~rk will be per efore me this ...... : day of. in the manner set forth in the application filed therewith. ~lic, of applicant)