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Home My WebLink About522-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. [ ~6.7. Date ~t3ne THIS CERTIFIES that the building located at ..W,/.s..,qtn~.~,cL....W~:~.~...~,c.U~z,l~.o.!_d ........ Street Cedar Be~h Park Map No ......................... Block No. ........................ **'~ Lot' No. . ................................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................... ..~..~..~t.~S..~.....2..~ ........ , 19.~....., pursua'nt to which Building Permit No ...... ..~....~...2.~ ......... ~ovembe~ S8 · dated ...................................................... iv ........ , was ,ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupa.ncy for which this certificate is issued is ................ Fl:.l~A"f~. OICE F.~2~.ILY This certificate is issued to ....,.A~...~l~...?..~..¥.....~..a..?..a.~.:....~e.~. ................................................................ (owner, lessee or tenant) of the aforesaid, building. FO~M N~. ~ 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.o 522 z Date ........... ...~...?.-~-.~..~........~. ~.. ................. '1 ~..~.. .... Permission is hereby granted to: ~..~....~.....~.~..~? ................. ............ .~.~.....~.T~ ................................ ~ ~ addition on ~ e~ot~ dwell to ...................................................................................................... ~4 ............................................. at premises J~oted at ....B~I.I~...W~.....~...~..~..~.~...~.0 ............................ .................................... ~l~.t.....].Z. ........................................................................................ pursuant to application dated ........................ ~.....~.~ ................ 1~...., and cpprov~ by the Building Inspector Building Inspector 127 W Mare ,Stleld Riverhead New York 11901 516 727 4140 TITLE INSURANCE Company of New York BU TLD~Nf~ D'P;PA RTMPJNT Town of Southo]d Oentlemen: Enclosed please find check in cover the cost of Certiflc~te of Occupancy. Title Loc~tfon: the amount of ~ ]o0o to a duplicate copy of a Fdward S, ~TCWTW:~ and Catherine ~.t ux see attsche~ ~etter for ~i~ion~l Please use the self-ad,]reseed, stamped envelope enc%osed for your reply. ~re have no other means to ~dentify the file to which the Certlf~cate of Occupancy ~s intended to ~e applied. Very truly yours, vk~landa C. Pedz iwiatr PF44B TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 April 20, 1979 TEL. 765-1802 U. S. Life Title Insurance Co. 127 West Main Street Riverhead, New York 11901 of New York Attn: Yolanda C. Pedziwiatr Re: Title # 79-25645 Dear Ms. Pedziwiatr, Ne have made a zearch of our records and from all indications the dwelling owned by Edward and Catherine Buckley was built prior to April 23, 1957 and we therefore would not have a Certificate of Occupancy on file. In November of 1958 an addition was made to this dwelling and a Certificate of Occupancy was issued acoordinglyo This Certificate of Occupancy however, does not cover the complete, or existing part of the building. I am enclosing applications for a Pre-Existing Certificate of Occupancy. Complete and return with an additional payment of four dollar~,this with your check ~34374 for one dollar will cover the five dollar fee. An inspection of building will be necessary, therefore, if not occupied advise as to availability of access / You~ t~y,// EDWAR HINDERMANN Building Inspector Eno. E /pjs 127 W Mare Street Riverhead New York 11901 516 727 4140 TITLE INSURANCE Company of New York 19, 1979 T/O SouthoId ~entle~: Enclosed plea,%e find check in cover the cost of n search for Certlflcate of Occupancy. the amount of ~ 1.00 a duplicate copy of a to Title In: Edwar~ So ~icktey and Catherine E,, ux Location. see attached survey Plea:lo use the se].f-addressed~ stamped envelope enclosed for your reply. We have no other means to ~dentify the file to which the Certificate of Occupancy :s intended to Be applied. Very truly ,yours, on¢!osuPes PF44B FOEM NO. 1 ~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved.....~...~.. ......... 19...~'.~'ermit No. '~ ~' %'~ ~ Disapproved a/c .~;~ ................. ~ ..................................................... ......... ................. APPLICATION FOR BUILDING PERMIT Date......~.....~]'..~..: ~....~......~..~ ................. 19..?...~.. .... INSTRUCTIONS o. 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 location. 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 available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any pu?pose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe 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 or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ..... ...... .............................. (Signature of applicant, or name, if a corporation) ............ .......................................... (Address of applicant) State whether applicant is owner, lessee, a~qent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ........................... ................. .......... Street and Number ..~/..~..~.. ....... i '~'~"~ 2. State existing use and occupancy of pr,e,r~es and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ ~..~ ....................... .....~ ................................................................................ b. Intended use and occupancy .........................~..~. .................................................................................................... ~A 3. Nature of work (check which applicable): New Building....: ............... Addition ................... Iteration .................... Repair .......... ~v ...... Removal .................... Demolition .................... Other Work (Describe) .................... · 4. Eshmated Cost...~.~ ........................................................ Fee .......................................................................................... (to be paid on filing this application) · ' ~ r 5. If dwelling, number of dwelling umts ................................ Numbe of dwelling units on each floor ............................ If garage, number af cars ...................... ~.Z;~ ............................. ......................................... : ......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ L.. Height ............................ Number of Stories o .1 o o 9. Size of lot: Front ........t..l~. ............... Rear .......................... Depth ............................ 10. Date of Purchase ........................................................ Name of Farmer Owner ................ , ....................................... 11· Zone or use district in which premises are situated ............. .~...1........~ ..................................................... 12. Does proposed construction vJolat,e ~any zol~ng law, ordinance or regulation.;> ........... ~ ................................ 13. Name of Owner of premlses...v~......'::~....~.,...-~.....'~,~.....'t........C~'Affdress~ ............................ :.~..~.~.:..~'none NO ..................... Name of Architect ....................................................... Address .......................................... Phone NO ..................... Name of Contractor~....:t'.% ~ .. .~..~T..,..~ ..................... Address ......~: .......... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctl all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and bl)ck numbers or description according to deed, and show street names and indicate whether interior or corner lot. f,:) O! STATE OF NE'WcY. CJI~K,], ) S S COUNTY OF ..~..'T;-......)~ ' -' , be n du sworn de oses and sas that he s the a cant .............. ;- .......... ..',l:tt~.....y..'. ......... .'?../".~ .................. g y , p , y pp (Name of individual signing applicaffon) , /"~ . ' ' above named· He .s the ............................................................................................................................................. (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 file this application; that all statements contained in this application are true to the best of .his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. S~.~ ~e me this. ...~m~.,,~....:.~r.:: day of ....k,~'...~....l~lm..~.....: ....... 19..~..~... (Signature of applicant) Notary Public, ............................................................ County