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Home My WebLink About17303-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217289 Date SEPTEMBER 13, 1988 THIS CERTIFIES that the building ADDITION Location of Property 550 CEDAR POINT DRIVE EAST SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 90 Block 2 Lot 16 Subdivision CEDAR BEACH PARK Filed Map No. 90 Lot No. 106 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1, 1983 pursuant to which Building Permit No. 123832 dated 6/15/83 REPLACED BY 173032 8/8/88 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is UNHEATED PORCH ADDITION WITH ROOF DECK TO EXISTING DWELLING. The certificate is issued to CHARLES & BETTINA DANILCZYK (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A , UNDERWRITERS CERTIFICATE NO. N774821 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FOBM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLO, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N O ~ 17 3 Z Date ....~~.Gl 19......~ Permission is hereby gy~nte to: ~ `r"s~ to :.~.....~1.~~...... G~'~~....... ,.........mac. : ct premises located of ....~~0...... ..G2,rt:......... County Tax Map No. 1000 Section Block Lot No...... ~ pursuant to application dated 19........, and approved by the Building Inspector, FeeS..~3r...fs~ ~~2.3~,3~ By,Kdi'ng Inspector Rev. 6/30/80 rosat xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) O Date ......Y.'..~/.~G?~.......~ ~ 19.4..«: N. 12383 Z Permission is hereby granted to: ta ...........~c.~~r.~.?..:....c~.~ :.~i~:v~~:.::::zoo.~zr...~i......-~.-~.~.~.~%~.v~...~ ~,~,/....~x.~~,rl~/. ~.....ire..~:~f..l~:~ at premises located at ....1~~.~........G:c~i~~.J.~......~~~iCGL......?~4.r....~~~r~.......... . f. ~~Y~?......... ~~..n.~....~.~~~..f~.r~~.......-~...9..~ Block `5.~..........p, Lot No....( . County Tax Map No. 1000 Section pursuant to application doted .1.~'.`~l:f~f~`~~•.•••••.••~•••.••••••••••••••, 15~.~ and approved by the Building_ Inspector. Fee S..4K:.:~.''~...... ~~e= . Building Inspector Rev. 6/30/80 1 D FORM NO. 6 • TOWN OF SOUTHOLD Building Department Town Hall TOWN OF SOU HOLD Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY P,Qp BmG do'o Instructions ~o. A. This application must be filled in typewriter OR ink, and submitted ~ s~.~..~ to the Building Inspec- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ ] 0.00 . 4.Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date....9~JL{,~~,,,,,,,,,,, NewConstruction,,,,,, OldorPre-existin Buildin Vacant Land ~ g g R Location of Property , , CED/d~, ~0!'n.!7 ~(-~7 Y~..~~ f''T~. ,~'®v 1'/~aL~. _ • . • . . Nouse No. `Street Lh/rJ:i ~ ~~t Hamlet Owner or Owners of Property , . .i. fr , , , , , `,Y//i1,4 ~j9~p'f ~CZ, , County Tax Map No. 1000 Section ~ Block , , , , , , , , , Lot , , , , ~.~o , , , , , . Subdivision . .Filed Ma (..bGEP1ArFS ~123b"3~ .............../~.7..p.~ P No. ..........LottNo. Permit No~?.I~l7~0~ Date of Permit8~~1.V.U..ApplicantC'}?AnI<s?.DHae,i l~vj~ . Health Dept. Approval ..........Labor Dept. Approval U Underwriters Approval /.1:7.~~0,~~~OIy~/~~ ,planning Board A , , , , , , , , , , , , , , , , pproval . Request for Temporary Certificate .Final Certificate?..... vr~l"a.~.`.`~............ Fee Submitted $ Construction on above described building and permit meets all applicable codes and regulations. ~k,C. Iw, ~J~~ ~ APPlicant . ~ . Rev. 10.10.76 ~ _ - °_i,ooa.o7~. THE NEW YORK BOARD OF FIRE UNDERWRITERS W ,-ail- BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YOR 10038 - October 1~i,14t3E) Q31987~$b Date Application No. on file Ex' 7 JI ~ /)'f ~ = THIS CERTIFIES THAT i~1 K. .L s only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of - Chart-es Dh.nilery}~, Cec}ax Pt,, Dr., Southall, N.Ya in the following location; ? Basement ~ lst Fl. ? 2nd Fl• ~ Section Block Lot - was examined on dCt ObCr 11,7.9Pi ~7 ~ andfoand to be in conlplianre with the requirements q(tius Board. - FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCFNi FIUORESCENi M u r vAPOa AMT K W AMT K. W AMT. K W. AMi. K W AML H. P 3 6 1. 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. OIL H. P GAS H. P qMT. NO. A W. G. AMT AMP AMi AMPS. TRANS, qMi M. P. NOyOF EET AMi. WAITS 75 = SERVICE DISCONNECT NO.OF S E' R V I C E - METER No. of cc conD A W G _ AMT. AMP. TYPE EOUIO. I-e YW ~ ~3W 3,03W 3,94Y/ pER ,e' OF CC.COND NO OF HbLEG OF H LEG NO Of NEUTRALS OF ~ EU RAL OTHER APPARATUS: ~ - i i a !i ~ _ G FT 5 L'lectric g_ Box 21.5 ; - .niOUt}lO~l, l~.Y., 1191. GENERAL MA A~ ~ 11 ;f I Per This certificate must not be altered in any manner; return to the 'office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TfiIS COPY OF CERTIFICATE, MUST NOT BE ALTERED IN ANY MANNER. _ . _ a . _ ~ ~ ~ 1 ~?ss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ]FRAMING FINAL REMARKS: ~ ~ i I k ~ I i DATE ~ INSPECTOR f ~ z _ ~ .u . ~'~3~3 765-1802 BUILDING DEPT. II~ISPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS CATION [ ]FRAMING [ FINAL REMARKS: ~,,c..l p-~ • d,-r __%l~ r DATE ~"Z O o INSPECTOR ~ .2 , v 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [°j-F'fNAL REMARKS: ' ~ C2 C l ?~a~ ~..~~~~~c"~~ DATE INSPECTO FIELD IPSSPSCTION DATE COMMENTS ro V rn 1. _ FOUNDATION (1st) ' C C7 FOUNDATION (2nd) _ 2. z~y o CSI Q ROUGH FRAME & PLUMBING Q s H 3. ~ mil INSULATION PER N. Y. STATE ENERGY `L*~ CSODE a ~,a - r G C% m p ~ 4. y FINAL y~~~ ~O C ADDITIONAL COMMENTS: ' ~ ~ ~ x 1 Hr H H ~ ~ ~ ~ . x~ EcJ e~in~ e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPRO~V,A~L c~ p File No. Date . Y,Q?. ~ / 19 a. /j1' PLEASE TAKE NOTICE that your application dated ?.~R~l:'S~k°l.... 19 t7...~ for permit to constntct ,~1. fJ.s~~?..c,,~'.G~~! ~+"7~...-J.d... ~'lfi~GlL'l~Y. at Location of Property +~`~.^.(/a ..1...6'G>!~'~'.~~%r~~ ~ House No. Street Hamlet County Tax Map No. 1~00~0 Sect~io dC~.~--~..... BlQoc~ky QGZ7...... Lot ..~1/:~ . Subdivisio~~~!'"~':"'../..°:: Filed Map No. ! S?......... Lot No. ...1~~+........ . is returned herewith and disapproved on the following grounds . ~:f.:~.C~/.1~~. ~ fJ~.Cf~'E... . Building Inspector RV 1/80 NEbJ YORK STATE 'DEPA°7~(E.'~!T OF EUVIROldMEh~'AL CO'lSERVATION ReguCatony Aggaihe Uwi.?' $kdg, 40, SLIPdY--Room 219 Sxony P,noarz, 1JV 11744 (Sifil 751-7400 1'11z~'ca, ~ 5', t`t~r3 c. ~~,tG yK i~os n~~ ~~z North mec-r~ct~l , N. y, s~c~ RE: 'Dean 111x. ~c~:,\c~yl~ A review has been made og yocu pnopoea2 .to: C.or`Str~ct a. ~5'x34~ ~Orcl. ~n ~ront c~ 2Xibit~n~ {~orv~e.. Location: 1~0$ n12c.1< ~ y",s0 ced~r7i o~rt fir. 8as•c , Cedar ~eacl., owv~ a ~ So utl~o f d ,Uecu Vanh Sate Vepw~tment og Envvconmenta2 Coneenva#,ion hae gourd tke pwcce2 XX1L prto j eat .to 6e 1~dwcY'~- o~ a s~bsta..~~~ rn~•r~~t Structure- (,bulKlee~) rcats-r- t~+~c.. boo Qeet ~n \¢.n~t~. cvnstrvate.Z '~rcur- ~ Scpta,..be.~-- ~o, ~4'~-i. Thenegohe, no p~un.i.t undelc Antic~e 25 ITi,da,~ We1„Cartda l og zhe Env.i~conm¢nt'a.E Conaehvation Law .i,a aequ,ined e.ince zhe pnopoea.Q .ce beyoiul State mandated jwu:edi.ati.on pwcauant .to .flue act. Very x~uuy yowce, IIani.eC J ~Lantun Reg.ionae Pelonit Adlni.rvi.a.t/ca-ton UJL:RNT:cz TEL. 765-1802 Q~5~FF0(/~~®Gy T®WN Q~F SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 v' TOWN HALL O~~ SOUTHOLD, N.Y. 11971 This is to advise you that the job under building perrna't no. 123832 issued to Charles Danilczyk on 6/15/83 _ for Addition is completed and a final inspection has ( X ) has not ( ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 Payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date . Occupancy or use is unlawful witfiout a Certificate of Occupancy. f>lease help us to clear up this matter so that legal action does not have to be taken. , Thank you for your prompt attention. Very truly your , ~ ~-f~ Victor Lessard Executive Administrator VL:gar encl. ,p, ~ Memorandum from . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 p G~~ ~ ~ ~ z ~ p/ , y~ ,rte CLv--~~~ ~ 6c,- E~ ~ i i t :_.a ~ ~ _ ~ _ . ~ i'.. ~ ~ 1 ~ iF ' ll c ~ FORM NO. 1 ~ ~ I o~~ TOWN OF SOUTHOLD S~t~,~ ~ ~ c~, 'Y'S BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined 19 Application No................. . Approved 19 Permit No........... . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Ma.~? 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 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 appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available For inspection throughout 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. 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 or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp ctions. , (Signature of applicant, or name,orporation) 1905 old mill road,',M._Merrick,n.y. 11566 iri. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........OWNER CHARLES V. and BETTINA DANILCZYK Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Q.,, 4 Plumber's License No . . Electrician's License No . . Other Trade's License No . . I. Location of land on which proposed work will be done . . 550 CEDAR POINT DRIVE,EAST SOUTHHOLD House Number Street Hamlet County Tax Map No. 1000 Section 9 ~ Block Lot , 16 CEDAR BEACH PARK 90 106 Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: PRIVATE ONE FAMILY DWELLING a. Existing use and occupancy . SAME b. Intended use and occupancy 3. Nature of work check which a ' » ~ ( p,plicable): New Building Addition Alteration . Repair Removal , Demolition ..............Other Work . (Description) $7,000.00 4. Estimated Cost Fee...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units IDo , Number of dwelling units on each floor ...1........... . If garage, number of cars N.4 . , . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , ,mo; 7. Dimensions of existing structure's, if any: Front . 3 4. Rear 3 4.~........ Depth ? 9•'• 6 . Height Nurtlber of Stories oNE.. • . 4 4 10 nth alterations or additions: Front , , • 3 4 ' 3 4''' ' ' ' ' ' ' ' ' ' ' Rear ~.NE Dt p eDtnstons o same structure w Height ......................Number of Stories . 8. Dimensions of entire new consti<tfction: Front 34 Rear 34.'........ Depth . , 15,',4 , , , , , , Height Number of Stories oNE....... , . 9. Size of lot: Front .,,,101,.,45' Rear 100: 22' Depth 346: 35: / 318:74' 10. Date of Purchase ...679 DIANA HALLOCK .......Name of Former Owner . 11. Zone or use district in which premises are situated . , RESIDENTIAL 12. Does proposed construct~~ violate any zoning law, ordinance or regulation: . , , NO 13. Will lot be regraded ...................Will excess fill be removed from premises: Yes 14. Name of Owner of premis~,,.v.. P... DANILrrZXK Addressly,0,5„O,Lp, ~11TZ: RP.•. , .Phone No. 516, 3?92334 • , • Name of Contractor ~ROBEP~T • • ' ' ' ' ' ' ' • • AddressME/zRrex,N ;x., 21566 ,phone No. , ..........~J...GEIGER......Address 13..AeP1.~.S o ~~G.4~~.J.~.~.~. ~RENTWOOD, ~,V, 11/1/ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. SEE ATTACFIED i I COUNTY OFEW ~(1 f1.-~S'~fJ-..~.. S.S • • • • • • • • • • • • • • • - "'I•L•CZXk: • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant cflAr,~E~ • u,~ •DAra: (Name of individual sigt}ing contract) above named. He is the .......O~~.ifJER....... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du>.y 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. Sworn to before me this Notary Public, : G~ ~ County ~SEPHIN'E A. ~SVENSSCN ~I~~ NOTARY PUELI:~ ~SSate of New ' " • •`~`?'~'4'~^~-:`~ f,,, • • • • • ~ ~ • • • • • . No.:. z¢34~ (Sig'ha ure of applicant) Qualified in F'~sc :u County Crnn^~ssion Expiras~,.:arch 30, 19f3~4 ~t ~~"?a-PL=C ~ ' FORM NO. 7 0 ~ ~ ~ TOWN OF SOUTHOLD S~ ~ ~ 3 e-~~e~ ~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 r Examined ..r~~ ~ ~ 19G.-? Application No..~~>.R.~:'....... . Approved.~~~Ir~~...~~...~1`~-~PermitNo..r~~. ~ ~zf~ Disapproved a/c . //.'/.~~.v~G l.~«u!f,~.<~..<,:~'~~a~:~ ' /7~0.~ Z ........................................e ~P.1~,~~; (Building Inspector) APPLICATION FOR BUILDING PERMIT Date MA.'~~?..~...., 19$.3, INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 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 appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout 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. APPLICATION I5 HEREBY MADE to the Building Depaztment 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 or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspgctions. t g,~~~1~ (Signature of applicant, or name, i a corporation) 1905 old mill road,: ,7d,~~'lerrick,n. y. 11566 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . OWNER CHARLES V. and BETTINA DANILCZYK Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ^:`~1~..4-:~.t~ . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . 550 CEDAR POINT DRIVE, EAST SOUTHHOLD House Number Street Hamlet County Tax Map No. 1000 Section 9 ~ Block Lot , 16 CEDAR BEACH PARK 90 106 Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy PRIVATE ONE FAMILY DWELLING . b. Intended use and occupancy SAME * , 3:~ Nature of work (check which applicable): New Building , Addition Alteration . Repair Removal , , . Demolition ..............Other Work . V ! (Description) 4. Estimated Cost 7 ; 0 0 0 : 0 0........... Fee . g g ' (to be paid on filing this application) 5. if dwellin number of dwellin µnits , . Number of dwelling units on each floor ...1........... . If garage, number of cars ?~.4 . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , ,No 7. D gensions of existing structure, if any: Front . 34 Rear ...34.x........ Depth 29.x.6 . Hei ht Number of Stories oN E • • • , , , • 3'4'; 3 4''" " " " " . Dimensions ~ 4 amo structure with alterations or additions: Front Rear o'NE' ' ' ' ' ' ' • ' ' ' ' ' ' „ Depth ..Height Number of Stories . 8. Dimensions of entire new construction: Front 3 4'.......... Rear 3 4.'........ Depth . , 15 ! 4 , , • , . • , Height ...............Number of Stories O1yE................................................ . 9. Size ofiot:Front...,~01.45i'•.••,,,,,. Rear 100. 22' Depth 346; 35' / 318.74' 10. Date of Purchase ...6~? 9....',. Name of Former Owner DIxiNxi HAliLOCK • • • • RESIDENTIAL 11. Zone or use district in which premises are situated . •IVO 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded No ...i, , , , , , , , , , , ,,Will excess fill be removed from premises: Yes 14. Name of Owner of premise>~„v...'&. 8... DA.NILC2Y.K , . Addresslg,0.5, .orp, ,yI,1{z, JZp., , ,phone No. 516 3792334, , , , Name of Architect ROBEf'T ~ ~ ' ' ' ' ' ' • • AddressMERRICK,N ;Y., 11,566 ,phone No. { . , Name of Contractor ~ ..,~...~lE1GE.~i , .Address ~.3..APP1..,E .S,T,.~ p1~c~~.Io.S-4V. ~RENTWOOD, 14,~, 11/1/ PLOT DIAGRAM Locate clearly and distinctly all ,''buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block pumber or description according to deed, and show street names and indicate whether interior or corner lot. ~I I, SEE ATTACHED II STATE OF NEW YORK, S.S COUNTY OF ~(1f>'-~SS~1:.~.. }i CfdA{'~L•ES • V•r •DA~J•~•L•GZVk: • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .......OWfVER I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dull 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 manneir set forth in the application filed therewith. Sworn to before me this F.J.K.-~'.f day o~~~ ..M~~ ~.'7........., 19 Notary Public, !-!!i..~~~-- _ . County C 7O5EPHIN!E'A.. . . to of New ' 1, . NOTARY PUBLIC, St2VENS50N N~o. 3045 '8349 {Sig ure of applicant) I, Qualified in Nzs~a:~u County ' Oammission Expires March 50, 19$4 L t- w O C4 h- f" Z ~ Q S ~ Z "j u`i } ~ ~ O w ~ '1 0? . ~ <; t!t Z ¢ ~ WI U lJ I ~ - ® a~ ~ ~~~COtiiid7 V Uj~i:7~Cj,~r7 Q N ~ J r F' fJ: f"_ 7 Z~~ ~ LLiW ~ ~ Ll: ~ V) L LlJ V ~ W ~~-Ur ' r-_IOOUZ~ ~ j F- J W IL LL'-LLmJ W \ Q W O O J x Q D LLZhu.^. CVMSt Q~"'~ ~ \ \ ~ ~ t~ K i 1~ _ e ~W b ~ Z~ ~o-° . _ _ r T u~ W~1M 1~" N ~ w mm>o~ ? zo 3:8 ~m ,-M z dam: ~ w,,:~ ' x ~iq L, 0 r--~~ y ) 0 ~ U ` ~ ~ ~ ~ ~ ~ u N \ 'T \ ~ ~ ~ M ~ I ~Y V ~ ` ti I t h° 1 ~`y3 t) 1 a( a ~ ~ N~N ~~dj I~iQ' i I "'J ~ ~ Q ~ ~U ~ :~z~ ;`,tl ~ is ~ ; ; ~ ~ ~ G is , cn ~'eJ C~1~.: ~ia'~ 1 I ~ ~ la~aa .l ~d~i i ~ ~ I ~ : r ~ T.9 aa~ W~ I~ 1. 0 ~ ° 3 a ~ ,II'' ~ ~ ~ h„ ~ ® N "'G V"" .J' e. N e9A rM ~ F. 3" ` v Ni,r '~5/ ~ x ^ iii ~ u' ' Z Y:., aFl f " ~ ~ ~ aj u a' ~ 4 ; ~ v ~ ~ ~ q ~ ~ Y x ~ ~ } "n`~b U ~ t/J ~.3 ~ ~u S c ~ ~ ~ zs• b `d a ~ ca"t ~ ~ a ~r ~ ~ ~ ~ ~ _ ~ tt O d r.c j 1~ ~ ~ ~ d ~ a ~ ~ ~ ~ rJ~~dua- V ~ __94.7 t y ~.~-ccN h ~ a ~ e ~ ~ ~ ~ ti x f ~ ~ N ~ ~ ~ ~ r~ ~ ~ ~ ~ r L 1 ~ ~»w i ~d ~ ~ ems' r ~y F'° 1 a `Y` v ~k 8 VV ~V l; ~ 11 a i7 h ~ ~i~ ~j ~ ~ ~v`~1"~ ~ 1 si r'n L7 0 y: ~ ~ ~ 4; 5 W i- ~ w tJ V ~~p7 ~ ~ ~ . A~~ ~ ~ Ci AK J s-. q u. ~ Gg C3 t ~ , . ~ y ~ g L as 79-52-26 4 01 • CFA •4,Q \ pO /tiT AST ~o ! w,. .emu r r M / ~ irk ~ / sr/ B``CL Ver C°4 tc 4 / e O 3 ~ 6 o ~ O a ry ~Or /os G ~T d /OS ~frf. w~ h tt.a. y +.P ~ u ~a . 4 4 Pe ~pMaA ~ r S EJ Y Y u n W~ e n.fa,-.,%,~ F b ra.ir.7 ~ e.i. ~ i• ~--t~! P N C~ J € f0 d ~ d°° unauthorized altensMon or additbn to this survey Is a vlolari of section 7209 of fhe New York Sfete Education Law. M fa. ~i%s~ • c Copies of this survey map not bearing the land surveyors in ed ~k'M. ' 1 ~ seal or embossed seal shall not be considered to be a valid c y N• 7B °gf•3 ~ ~ Guerentees ar cerlificalions indicated hereon shall run only to he r- ~ person for whom the survey is prepared, and on his behalf to he - IOO.~g• Htle <omnany govemmento! -ganef a;,d landing insP(tution lis~d L ~ rTC E ~ ~ ~ '•ereon, and to the assigrrees of the lending instituflon. Guarani es yy or certifkalfene are not ffanafemble to additional indituNons or p~,^oN,C + Wbsegsrerq avrtrrs. g•4 Y SURVEY FOR REFERENCE r CHARLES V. a SETT/NA DAN! CZYK "CEDAR BEACH PARK" FILED /2/20/27 AS MAP N0. 90 AT BAYVIEW ~P,~~OF NEtir f,Oq TOWN OF SOUTNOLO 5 ERT A, 'f GUARANTEED TOr SUFFOLK COUNTY, N. Y. Q°0 ~'~p SL1FE T/TLE INSURANCE COMPANY OF NEW YORK ,~l',l!~ ARLES V. B BETTING OAN/LCZYK SCALE t 1"+ 40f ?l/NE /B, /B79 0 !~~'F fs 28725 Fi°~ ~~4~~s . NSfD LANG ~Ra 4AND ?URVEYOR s RIV[RN[A02M~a 79-52-2640! _ CFD 4,p ,oO /'vT ssae O ~'o ~ F4 .SJ. ~p~ r 9s. e 4~ U t~ ~ / 4 0 ~ ~ a r1~, M 1 <oT~a~ ia`' ^a P . SOT ~ ti s ~~E 1 s ~ w. .~i~ ~ r mZ d, ~s~ ~ ~or~ la.a. e.t ~-ti ~+n, l .ti 9 . u ' yRJ, h y 5 J~ s ~ I a do e , W P r t - ~ _ _ _ .w.-.__ O N ~ ems' J (0 ' d ~ ~e~ to Onauthorized oltertllon a addifbn }o fhls survey Is a vlolaflo of section 7209 of the New York Slate Education Law. ,y f•.-~;~~ ~ c Copies of this survey mop not bnpring the land surveyors in ed Nw'N :ea) or embossed seal shall not be considered to be a valid c 35 Guarantees or certifications indicated hereon shall run only fo he 'sn • W, y0---- ~ ~ persun for whom'the survey is prepared, and on his behalf to he 0.22' title company, govemmenta! agency and lbnding institution lis d / ~-T-C r ~ ~ hereon, and to the assignees of the landing institution. Guorant es s- g or cenifkations are not transferable to additional institurione or pEC~N/~' I .~b:.ywnt orn.n. BA Y SURVEY FOR REFERENCEr CHARLES V. S 6ETT/NA DAN! CZYK "CEDAR BEACH PARK" FILED 12/20/27 AS MAP NO. 90 AT BAYVI EW OF NEW YO TOWN OF SOUTHOLD y1P EFT A, A4- BUARANTEEO TOt SUFFOLK COUNTY, N. Y. Q09 k~9T SL1FE T/TLE INSURANCE COMPANY OFNEIY YORK ARLES V. B 6ETTlNA 0ANlLQYK JUNE l9, 1979 <~Cs CS 28725 ~iG~ /y 4.A. l~ LAND ~URVEYON tisFO LAND SV~, RIVERHEADYNTYl6 •