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HomeMy WebLinkAbout22948-z FORM NO.3 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) Date............ 17..................... 19.f..--�... N2 229481 Permission is hereby granted to: ........ . 'r�............ «... � 4............................... 00, .......... .......... ..... ........ 5 � r.Y;.. , to ..... . ... .. . . c ,.... �-. . ll` ... Z.....�... ...�... ......... .................................................................................................................................................................. .................................................................................................................................................................. `o ....... .................................. at premises located at........... . ..... ............ -. ...................... .......................... ........ ..... ......... ........I........................................................... County Tax Map No. 1000 Section .......4.0.... Block............;�.......... Lot No. r< ................ pursuant to application dated ................. ......., 19.G„�. and approved by the Building Inspector. Fee$..... ...... ��.... ( : Building Inspect Rev. 6/30/80 CC' Unauthorized alterction oraddW= i? to this survey is a violation of Secion 7=8 of the New Yodl:SM" j r• i i/•'�/! Educdon Law. c-r -t IVM of Me surrey map not or the fetid surveyors inked seal or embossed seal zW notbsaonoideW to be a valid trot CCM j A GuaranteeshfdlCmdImem shagnm Iw ;:A i t=c NC E G.� -SJ. o;aiy to the person brwhorn the survey cf is prapa;ed,and on hb behalf b thd� �-. ; ma"" C��� 1- '�C n I f"�' i;l� ti N.� � � �. �.� •- ���Y,gaysrnmentaJ er�y am Li r le;.d:rg mstiwI6 i-Atad hereon and ---- - ----- - - :- ----- ' 0IendinglnsiF- �I FENCE !u +• „= = mre not tr�'nsferable I -� / L.� ;I L^ rc�- t ._ . ,ruorsubsequep3 ,✓ LL LL L_ , - c ` _ u• - i 1 5TORY LJ UI � FIE L > .R. v L- y CJ ( IZl-- n; 7 \r�v��.__..� ,*N -�i9�-i EARTH DR1VE E y _;. C„NCR 'WALL U F-ENCE v l^ Y i [' i� U •GEC; I L li ^ r 2 I r l � •. j INV LA BLDG.DEP7 ©_! TOWN OF SOLMHO`i� LU_T 1H000E-7 �x,; f�> h 1 ff « ---'--'----- - h��ti�Ll•eo� y�� ,��\` I n r.t-'r 1 i i-. .� -1 1• /. - 'y. �spa 3k F :ti• 5iJ C ` ^ F, 0.T-AX M�P DATA:1 {�v ! 10-_-2 % �,'�:�:.�--/��:<:,'�' _i•...L. ;4' � �.:1. V L:l � <_'^ ,1 . _.'•�-. _,.. .1\; BOARD ' OF HEALTH . . . . . . . . . -_— 'FORMNO. 1 3 SETS OFiPL,\►1S (� f1 ✓ TOWN OF SOUTHOLD SURVEY _ _ . . . . . . . . . . u BUILDING DEPARTMENT CHECK _ . . TOWN HALL SEPTIC FORK ��Lr - SOUTHOLD, N.Y. 11971 TEL.: 765.1802 t:OT I FYfD p q r CALL Exanlirred ya=- 19C�. . . t•1AIL TO : Approved ., 1 f . Permit No �..`..% . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . GAY' ( iBu'I ding Inspector) A ICATION FOR BUILDING PERMIT r Date . . . . 3./. ."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 schedulei,:,,�;4 . b. Plot plan showing location of lot acid of`build'ings 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 may2not 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 f removal emolition, as rein described. The applicant agrees to comply.with all applicable laws, ordinances, build` code, housi code, nd r g 1 tions, and to admit authorized inspectors on premises and in building for necessary ins oils ( 'g atur f applic t or name, if a corporation) - . . . . e' v.. . . . . . C (M ' ing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . .k. . . . . . . . . . . Name of owner of premisesIfl.' -I I' . . . . ... . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . , . . . . . . . • , • , , • ° 1. Location of land on whi roposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . .h ., . .: . . . . . . . . . . . . . . . . : . House Number Street Ha County Tax Map No. 1000 Section . . . . . . . . . . Block & , • • • : , , . Lot 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 . .S, , . , , - !a-� b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •3. Nature of work (check which applicable): New Building . . . . . . . . . .. Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . Other Work �© (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . .. . 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 . . . . . . . .. . . . . . . . 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 . . . . . . . . . . . . . . . Rear . . . . . . . . Depth .Height Number of Stories .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . eat . . . t'o LEI. . . ... . . . . . . . Depth .j : , " i. . . . . . . . . . . . 10. Date of Purchase . �?�. .-... Name of Former Owner C 11. Zone or use district in which premises are situated . . . . . . 12.. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . . . •. . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . Address . . ... . . . ... . . . . . . . . . . . Phone No. . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. Name of Contractor . Address . . . . . . . . . . . . .. . . . . . .No . . . . . : . . . . . .Phone • • :. . 15. Is this property within 300 feet of a tidal wetland? *yes.. . *If yes, Southold Town Trustees Permit may. .be required. � � �'� � 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 number or description according to deed, and show street names and indicate whether interior or corner lot. &::z e IMApe V-4- APP 0 S NOTED DATE: B. .5 . � FEE: NOTIFY BUILDING D NT R 4 P FOR THE J (� 765-1802 J AM TO 7 FOLLOWING INSPECTITOVNVO REQUIRED 1• FOUNDATION FOR POURED CONCRETE 2. *ROUGH - FRAMING & PLUMBING e 3. INSULATION 4. FINAL CONSTRICTION MUST BE COMPLETE FOR C.O. � f ALL CONSTRUCTION SHALL MEET THE RFOUIREMENTS OF THE N.Y. f I STATE CONSTRUCTIONNSIBLE"FOR > CODES. .NOT RESPO f �{ RORS DESIGN OR CONSTRUCTION ER 1_ iTATE OF NEW RK 'r :OUNT.Y OF . . . . . . . . . . S.S • • • • • • • � �• : • • • being duly sworn, deposes and says that he is the applicant (Name of individual si g contract) .bove named. isthe . ... . ... . . . . . . . . . . . . . . . . . . . . . . - -��" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all,statements contained in this- application are true to the best of his,knowledge and belief;and that the cork will be performed inthe manner set forth in the application filed therewith. worn to before me this ) ,�— . . . . . . . . . . . . . . . . . !�` day of. . . . . . . . . ., 19�,� ,otary Public, . . . . . . . Count y f w York No4aLUb�Hlic s8te ® Cb my . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No 557'sI 850,Su (Signature of applicant) Term ExPires October.31.1�' ` r' Standard N.YB.IU:Form 8002• -Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 25th dayof July , 19 95 BETWEEN MARGARET REARDON LIVING TRUST dated 05/06/91 , by Margaret o. Reardon, residing at 145 Southgate Drive, Massapequa Park, New York, as Trustee of the Margaret Reardon,Living Trust, party of the first part, and LAUREN ZAMBRELLI , whose address is P .O. Box 204 , Jamesport, New York, party of the second part, WITNESSETH, that the party of the first part, inconsideration of Ninety Five Thousand------- ------------------------------------------------------------- dollars paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, DISTRICT: ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and beingu at Fleets Neck, near Cutchogue, Town of Southold, 1000 County of Suffolk and State of New York, bounded and described as follows : SECTION: BEGINNING at a point on the westerly line of Fleet' s Neck Road, 300 . 0 feet northerly along said westerly line from South Cross 110 . 00 Road, being the northeasterly corner of land now or formerly of Jessup; BLOCK: RUNNING THENCE along said land now or formerly of Jessup, south 57 degrees 42 minutes west, 175 . 0 feet; 03 . 00 THENCE along land now or formerly of George Fleet Estate, parallel with the said westerly line of Fleet ' s Neck Road, north 32 degrees LOT: 18 minutes west, 50 . 0 feet to a monument and land now or formerly of Davis; 027 . 000 THENCE along land how or formerly of Davis , north 57 degrees 42 minutes east, 175 . 0 feet to a monument on said westerly line of Fleet's Neck Road; THENCE along said westerly line of Fleet' s Neck Road, south 32 degrees 18 minutes east, 50 . 0 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the Margaret Reardon Living Trust by deed dated May 7 , 1991 and recorded in the Suffolk County Clerk' s Office on June 11 , 1991 in Liber 11276 at page 285 . C v-4- TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the party-of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read "parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: 7&A,�� SN, RGAR REARDON IVING TRUST r> BY MARGARET REARDON, AS TRUSTEE E `o lL i r STATE OF NEW YORK, COUNTY OF {�o„�S�Ass: STATE OF NEW YORK,COUNTY OF ss: On the 25th day of July 19 95 , before me On the day of 19 before me personally came personally came MARGARET REARDON p. to me known to be the individual described in and who to me known to be the individual described in and who executed the foregoing instrument, and acknowledged executed the foregoing instrument, and acknowledged that she executed the same. that executed the same. Y'a Notary Public, New York KATI-IY DeFREITAS Notary Public, S101e of Now York No. 483757.1 Qualified In Nassau County Term Expires April 30, 19_ 01 STATE OF NEW YORK,COUNTY OF ss: STATE OF NEW YORK,COUNTY OF ss: On the day of 19 before me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that he resides at whom I am personally acquainted; who, being by me duly sworn,did depose and say that he resides at that he is the of ; that he knows the corporation described to be'the individual in and which executed the foregoing instrument; that he described in and who executed the foregoing instrument; knows the seal of said corporation;that the seal affixed to said that he, said subscribing witness, was present and saw instrument is such corporate seal; that it was so affixed by order of the board of directors of said corporation, and execute the same; and that he, said witness, that he signed h name thereto by like order. at the same time subscribed h name as witness thereto. BARGAIN AND SALE DEED SECTION 110 WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 3 �] LOT 27 Title No. � '� 5 r �� ( COUNTY OR TOWN Suffolk STREET ADDRESS 4910 Pequash Avenue, .Cutchogue, NY MARGARET REARDON LIVING TRUST BY MARGARET REARDON, AS TRUSTEE Recorded at Request of COMMONWEALTH LAND TO TITLE INSURANCE COMPANY LAUREN M. ZAMBRELLI RETURN BY MAIL TO Jakubowski, Robertson & Standard Form of New York Board of Title Underwriters Goldsmith, E sq r s Distributed by 20 Gilbert Avenue, Suite 202 Commonwealth. Smithtown, New York 11787 ® Land Title Insurance Company t Att n. Mark Goldsmith, Esq. W U LL U. 0 a Z O cc O U W tt U. 0 W N R O LL ' W U ' Q a rn y 2 - F W o > o Q N W M 0 W m 2