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Home My WebLink About5409-zTOWM O~ $O~THOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL N? 5409 Z Permission is hereby gronted to: ........... ,~&.~e~ ........................ ............... k~......~4 ,~.~ .................. : ................. to .. ...... a~ ~ola" ~.-.~ ~t~t~.. a~t~o~..Jra.,I.~.~ .. ~ ~~® ~ ................ at premises located at ............ L~;...~'O......T,~.~c~,..?.,~]~, .................................................................. ................................... .~.~..O.~lm~..;~.~.~ ....... .~.e.:~ ....... ~,~.~. .................................................... pursuant' to application dated .......................... ~t~t,.3~ ....... .~-,~. ...... ....., 19..,*~.$, and approved by the Building Inspector. Fee $.~.a .................. Building Inspector b. Pi.at .plan sh?.lng I.ac.ot!on of. lot 9.nd of bu!ldlngs an premiNs, relationship to odJolnlr~ premiere or Imbllc etmet~ or areClle O_?] ~ a QOralI~Q aelerl~lan of layout of propart~ must be drawn on th~ diagram whl~h I! part of Jfdl aPi)lleotian.:~i c. The work covered by this. applleatlan may not be commenced before I.uan~e of Building Permit. d..Upon, apa..r~l of .this al~.!l~.ot. I~, .the eu. lJdlnR. IrmlxJctor .will I#u~ a Bu, l.kl. lnO ~,rm. lt to the applicant. Such parmit~ ~hall De UpT an me pmmme8 ava,lame mr ,nepac~on mfougnout the progrell or me wor~. ' ~.. e. No bulldi_ng shall be occupied of uNcl.ln whole or In part for any pumoee whatever until a Certlf~.,'ote of Occupancy . ~hoII ~h~Je be~-g~ bY the Bulldl_ng In,l~:t6r. State whether applicant Is owner, INlee, agent, amhlte~t, en ~om. o~ o,,.er o~ p~.m:., ......... ~.?.~.~,....~.'.....,~.~: If applicant Is a corporate, signature of duly authorized of~lcor.. (Name and title 'of corporate offleor) u.., ~u,. ~aureX ~P~k 212 ,.,. ~ 9 & 50 !. Locution of I,,nd on which proposed work will be done, ..,.~. .................. st,.e a~ Num~or ..~.~..~.o.~.~....o.~..~.~,~ ...................................... ~.~ ..................................... 2. State 9xlsflng u# and o~upon~/of premlN~ and Intended use and a~¢upancy of prap~ed ~netrt&'tlan: a. ~xl,t~ne m, end mcupan~ ...... ~.e..f!~.~.q~9.ff......(.~,.)......e~..~.e.e~n~.~e~..,(~} ................................ b. Intonded uN and occupon~,',..,ll~R# ............... : ............................................... 3. Nature of work (check which applicable): New Building ~ ................. Addition ........ [ ....... Alteration .....'.~"......:.. Repair ........ [ ....... Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost .........~L.~-~00C}~O(~ .......................... Fee ..... ~..~QO..-.-~ ................................................................ (to be paid on fi~ing this application) 5. If dwelling, number of dwelling units ...... ~l~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..t. ....... ~,(~ .....I~ear .~..~.!. ...... t~.t. ......... Depth .~.t......12.! Height ...~)..~. ....... .~.~.. Number of Stories ...~Ji....~..~. ....... Dimensions of same structure with alterations or additions: Front ..~;! .......... l~.~. .......... Rear .~/~.~. .......... 1~!.... Depth ...~1~ .......... l~.~. .... Height ...20.! ........ (~?.......Number of Stories .......... ~ ....... ~ ....... .Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ....~,.~.! ............... Rear ...Z..~,~I.?. ................... Depth ~]~...~e.l~h~,.~*~ Nortl~ 10. Date of Purchase ...... ;..~lO.9:.....1.~30 .............. ; .......... Nome of Former Owner ..~.~:Ir4~L~4gi[t,~.....; ........... 11. Zone or use district in which premises are situated ....-~l~a:J~ent~:J.~...~JL~ ............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ~. ......... ; .................................... 13. Name of Owner of premises ~.,~,c~l~t4..~e~,.....Address ~J,..OJ~w~o&'..~.4..~l~l~.et~one No. ~.~...~.0~. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether axis. ting or proposed, and indicate all set-back dimensions from property lines. Give street and block number or descriphon according to deed, and show street names and Indicat'e .whether interior or comer lot. ------; '.'- ..... -T now open stoop new enczosea ~Orch ~reeent front line of house ", / II ~ Greenhouse I extended 'L Greenhouse cOncrete block (32" high) wall for l~se as buttress and c°ldfrmae STATE OF NEW' YORK. ! $,,~. / COUN'rY OF ' - Rtch&z~l L~' Hl~me~~ " ko~,~ d,,~,, deposesand[says ~t he Is the applicant (Name of ind~Kidual s on ng a~lic~l~) .... ' '~ ~ ~ - above named. He is the ...... .g~.....L ............................................ ; .......................... '~L, ...................................................... (~ntmctor, ag~t, co,rate officer, ~.) ~f said ~ner or ~wne~, and ~s duly aHthorlzed to. ps,arm .or hqye;p~fo~ed' the ~id work and to ~e ~d f · this application; that all statements ~f~n~ In~ls appfl~atl~ am toe fo the ~ of his ~l~e and ~lie~ and that the work will ~ pe~o~ in the manner ~t fo~h in the ap~l~ fll~ ~e~J~. _ x // Swam to ~f~e ~ls '~/~.'/': // // / / // ........ ~.~. day of ............ ~.u~, ......... .. ........... . 19~..; / ~1~ ~://~, // ,,. ,,, ............... ~o~a~ rUu. C, ~.~.~.~.~~ ........... ~oun~ ~ ', t~lgna~m of a~llcont) / ~R E. ZALESKI H~A~ ~IG, ~ATE OF N~ YORK c0mm~~h3n0-19, ~R~~°u ~ .