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Home My WebLink About51-zFOR~[ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWH CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THiS CERTIFIES that the building located at ........................... :<.:': .................... ~ .....Street Map No. ' conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... .k~.).,4,~,:!/:.:]. ....... ./...~... ............ 19.~.~.., pursuant to which Building Permit No~ .,~...~TL.../.. .......... , dated ~..:~l.......t..~....:[ ................. 19,~...~, 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 ............ .................................. ,P..L~......V.../~...~..~. ...... i).~L C...~.-...C.....~.~Z.b ...................................................... This certificate is issued to ...(/..~..i'~. ...... /.,~ .................................................. (ow , ~/or ) of the aforesaid building. Building Inspector FOI~ NO. ~ TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN CLI!iRK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: pursuant to application dated ........................... :EII]--~L....I~.i ............... 19.i~?..., and approved by the Building Inspector. Fee $~...O..,,~g ............. .. Representing ].a_,u yers qitle Insurance ( rporation 41 EAST 42nd STREET NEW YORK, NEW YORK 10017 599-2170 Date: 11/6/81 Town of Southold Southold Town Hall Building Dept. PO Box ~728 Southotd,NY 11971 Dear Sirs or Madam: RE: Title No.:' S=17441 Owner:Willis~ W, & Anne D. Worth Premises: Wells Ave. Ux. Southold,NY Dist: lQ00 Sec: 70 Bi: 4 Lot: 16 House Date: 12/5~: Would you be good enough %o furnish this office with copies of any Certificate of Occupancy information you might have. Please send to us by 11/13/81. Thank You. If you need any further information, please call. Very truly yours, NAC: sdc I Enc. , ,f~/-~ ~ Neil A. Clark Vice-President SCtIEDULE A ('Description of Premises) All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lyingandbeing~q~I33x at Southold, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows:. - BEGINNING at a point on the easterly line of %~ells Avenue, which point is 1250.84 feet easterly and northerly along said easterly line of Wells Avenue from its intersection'with the easterly line of Oaklawn Avenue; running thence along the easterly line of Wells Avenue North 36 degrees 30 minutes West a distance of 15 feet; con- tinuing thence still along the easterly line of Wells Avenue North 49 degrees 40 minutes 40 seconds West a distance of 76.82 feet to a point marked by an iron pipe and land of John Ulp; running thence along said land of Ulp, North 69 degrees 00 minutes East a distance of 202.0 feet to ordinary high water mark of Jockey Creek; running thence in a southerly direction along ordinary high water mark of Jockey Creek a distance of 170 feet, more or less, to a point which is South 58 degrees 00 minutes 00' seconds East 170 feet from the last described point; running thence along other land of Wells, South 80 degrees 34 minutes West a distance of 268.90 feet to the point or place of BEGINNING. TOGETHER with all the right, title and interest, if any, of the sellers herein in and to Wells Avenue adjacent~ said premises, to the center line thereof. TOGETHER with all the right, title and interest, if any, of the sellers herein in and to the beach and lands under water of Jockey Creek in front of and adjacent to. said premises. SUBJECT TO Covenants and Restrictions in tiber 4264 page'80o / . [t-' 4dAP OF /_07- O I4//~/ E O WILL~AM' W. WORTH ~OUT~O~ ~.~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. [xomined ........... ..~.:...,..~ ................ 19 ........ ,4/ ,, ., Approved .......... ~...['. ..................... ] 9.~.Permit ................................. ......... ....... ..................... (Buildin9 Inspector) Application No ~ /~''/ APPLICATION FOR BUILDING PERMIT Date ...... .~...~.~. ........................................ 19..,~....~.... 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 location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Up,on approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises availoble 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. 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 and regulations.~ (Signature of applicant, or name, if a corporation) (Address of app[icont) State whether applicant~,~is owner., lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Name of owner of premises.. ; .... f....¢'.....~... .............. ?. .................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number ..~....4 ......... ...~...~ .............. ~ ................................................................................. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................................................................................................... b. Intended use and occupancy ~) ~ 'z'b~,.,~r. ,/ , . 3. Nature of work (check which applicable): New Building ..... ~.,...Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .../,.?z.~ .......................................... Fee ....... ./......~....~.~..: ......................................................... (to be paid on filing this application) FEES: If dwellingf number of dwelling units ............ ./. .............. Number of dwelling units on each floor ....... /, ................. If garage, number of cars ............................................................................. 6. If business, commerical 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 ................................ L./7 r ..... 8, Dimensions of enrtire new construction: Front .......... :....:.. .......... Rear ............................ Depth Height ........ /..'.~...?.....-..... Number of Stories ........ ~. .................. 9. Size of lot: Front ........ .~..~ ............. Reor ....... (..~....~. ........... Depth ...... ...~...~....~.. ....... ]0. Zone or use district in which premises ore situated ................................................................................................ 1 1. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 12. Name of Owner of prem~ses...~.'kf.:....b~...~ ............. Address ....~~.~..--.. .......... Phone NO Name of Architect ....... .~...~..~ ........................ Address ...../.?.....~.,~.5.g~ .......... Phone NO ..................... Name of Contractor...~..~m-~....~..~..~..Address ...(..~...~.../.~.?....(~ ........... Phone NO.~...~.Z.~..~..2...c/. 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. b' STATE OF NEW YORK, ~ )S COUNTY OF~..) S..' . . ..~....~....~ .'.~.... ~.......~'...z..(..~.. ;~ ....~. ............ being (Name of individual signing applicatiort)'-~ duly sworn, deposes and says that he is the applicant above named. He is 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 flied therewith. Sworn to before me this .... /..~.~. ............ day of ...~ .................... 19.."~....~..../~... (Singature of applicant) FORM NO, 1 TOWN OF SOUTHOLD BU,LD'NG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ned .... ~q..... t~- 19 ~'t Approved ....... :( ............. '.ii!,..,i..i...i 19.~:i.'.;ermit No....i...~.......~..'../. ............. ...................................... : ................................................................. ............ ...... ................. Application No ............................ APPLICATION FOR BUILDING PERMIT Date .......... '.....Z..~.....4..~ ........................ 19...~.'.:..~... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Pbt p~an showing location of lot and of buildings on premises, relationship to adioining premises or public streets or areas, and giving o 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, Up,on 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 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 and regulations. ~_, l¢,~,,-~,~/',, ,,,, ....... .............. (Signature of applicant, or name, if a corporation) ..... ................................................ (Address of applicant) State whether applicant is owner, lessee agent, architect, engineer, general contractor, electrican, plumber or builder. Name of owner of p .............................................................................................. J~. ........ ~,<L~.. ............................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number..,~.,~'.....'>~,,, ........ ~~ ...... ~ ............................................................ State existing use and occupancy of premieses and intended use and occupancy of prOposed construction: a. Existing use and occupancy .................................................................................................................................. b. Intended use and occupancy ..................... "~'".~-~...¢4 ........................................................................... ~J 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work ~Describe) .................... 4. Estimated Cost ..../...~....~... .......................................... Fee .............. ........ 'c~.':"'" ........................................................ (to be paid on filing this application) FEES: 5. If dwe(ling, number of dwelling units ............ ! ............... Number of dwelling units on each floor....~. ...................... if garage, number of cars ........................................................................................................................................ 6. If business, commerlcal or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions af 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 elf entire new canstruction: Front ....... '.,.,'.., .............. Rear ............................ Depth ............................ Height .../...~....t....-. ........ Number of Stories ...... .,/ ................... 9. Size of lot: Front ...Z~ '~ ( /' ~ ~ C-~ / ........................ Rear ....~..~...O. .............. Depth ............................ 10. Zone or use district in which premises are situated ................................................................................................ 1 1. Does proposed constructio~ violate any zoning law, ordinance or regulation? .................................................... premises..~.~..~'...~. .................... Address ..~¢~..~.. ........ Phone NO ..................... 12. Name of Owner of Name of Architect ............~ ...................................... Address '(~/~.-~,~C, ........... Phone NO. Name of Contractorf~..z.~....~....~...~....'~.. Address ../~.i..~.~~ ........... Phone NO. 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. f ) SS.' Ul' OF .) being duly sworn, deposes and says that he is the applicant (Name of individual signing apF above named. He is 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. Sworn to before me this ...... [...~ ............ day of ..,~ ................. 19..~.~..Z..~, Notary Public,~~....County (Singature of applicant)