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Home My WebLink About543-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UP-DATED Cerfificate Of Occupancy No...Z. 1..4.2.1.3. ........ Date February 6 ., ]9..8.6 THIS CERTIFIES that the building New Dwelling Location of Property 425 Miriam Rd. Mattituck County Tax Map No. 1000 Section ....0.9.9. ..... Block 01 .Lot 031 Subdivision... ¢.ap.t..~..K.i.d.d...E.s.t.: .......... Filed Map No.. 1..6.7.2...Lot No...2.9. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated December 30 19 5.8. pursuant to which Building Permit No. 543Z dated ..... D.e..c .e..m~.e..r ...... .3.1 ......19.5. 8., 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 ......... ....... Private One Family Dwelling ......... The certificate is issued to TWOMEY, ELIZABETH C. & THOMAS A. ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ............... .N/.R. ....................... UNDERWRITERS CERTIFICATE NO... N960810 Building Inspector Rev. 1/81 FOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 543, z Date ................ ~flt3.~l~.~.~r..... 3. ~. .......... 1(]~ .... Permission is hereby granted to: Chateau l~omee... Z~t..... ~i/~....S~4~n3.e~...~ .......... R.~....2~A ............................................................... ..... Nt~.....B:tJ~l~ ....... L~',.,.....H~:Z~ ............... to ....~1,3,~,. ~,~...d~;l,3J~ ....................................... - at premises located at ...... ~.~..~...~.~.....~p.~..~i~..~t4~t~ .................................................. .......................................... ~L~.~,M.... ~.a~ ........................................................................................ ......................................................... ..N~ .~.t~.~ ~..... ~ o.Z, .................................................................. pursuant to application dated .................... ,]~&ClIII~i~.....~Q .............. 19.~'~.., and approved by the Building Inspector Fee $...~...0..~...(~.., ......... Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with 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, a certificate of Code compliance from the Architect or ~:ngineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 /. /?. Date / ~ ¢ (~ New Building ............. Old or Pre-existing Building .... ,.~.. .... Vacant Land ............. Location of Property . .~...~. ................. .~.l.~'~l ~.. ~'~...~..~..~. ~.-~.. ........... ~,~..T. ?. [.~.~)..~..~ House No. Street Hamlet Owner or Owners of Property .~.~[ .Di~..~...~...~ ¢..~.'. ?..' ~l .~ ~..~. ~.~??:..q.,..% .t~? (9....~...~'~. ..... County Tax Map No. 1000 Section . .~.. ?.~, ,~..(~.... Block ...~./: .~..~ ..... Lot. OJ.~./.."..~ ?..~.... Subdivision. ~ .~..~, .~.~.. ~/.'~.:/~...~..~.~.~..T.~:.~...Filed Map No.. L {q~.~..~...Lot No, .'.~; ?. ........ Per ,t No. ate of Permit ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ...................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .I. ~?..,, .(~.. .................... Construction on above described building anti,per,mit,meets all applicable codes and regulations. (L~"~~'~-%~' 0~'~3~'9'5 ~)"Applicant ...........././.~...L/~. ~fy . Rev, 10-10-78 I~OP~t~ NO. 4 TOWN OF' SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Ju~e 20 19 59 No. g 325 Date .......................................................... , TH~$ CERTIFIES that the building located at..~/~..~;L~,lfi,~....~ ........................................ Stree, t Map No. 0.~p.t....[.(.i..dL..d..~..a. tl31ock No ......... .1.. ............. Lot No..2.~.~ ........ ..]~/b,...t..C..i..t...u..c.~..~...~.:.Y..t ........................ conforms substQntJeJJy to the Application for Building Permit heretofore flied in this office dated ........................ .T)..~.g...~.g. ............. , 1 9.~..8...., pursuant to which Building Permit No ..... .Z...~/.:~. ............. d<~ted ............................. ]).ee, egtbe:e..3]..., 19.5B..., 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 .............. .............................. ............................................................................ This certificate is issued to ...b.'~..t.~.e,~....fi..g.c]..~ ......... (.o.~fi~.~). .................................................................... (owner, lessee or tenant) of the aforesaid building. TEL. PORT JEFFERSON 8~0826 Chateau Homes, Inc. RTE. 25-A MT. SINAI, N. Y. June 14, 1959 Building Inspector's Office Town of Southold Southold, New York EncloSed please find Building Permit for Mr. Stanley Buda, whose house is on Miriam Rd. Captian Kidd's Estates, Mattituck. Also enclosed is ~ key to Mr. Buda's house. Would you kindly inspect the house and send the key and the certificate of occupaucy back to Chateau Homes Inc. ~t. 25A Mt. Sinai N.T. % James E. Colanert. ottw s truly, James E. Colanert THOMAS A TWOMEY, JR. STEPHEN B. LATHAM JOHN F. SHEA.[II CHRISTOPHER D. EELLEY AMYB. TURNER LAWRENCE M STORM* MAUREEN T. LICCIONE *AL$OADMITTEDINCONNECTiCUT AND FLORIDA TWOMEY, LA'PI{AM & SHEA ATTORNEYS AT LAW 33 WEST SECOND STREET P O. BOX 398 I-{IVEi~I{EAD, NEW YORK 11901 {516} 727'2180 January 31, 1986 9 NORTH MAIN STREET EAST HAMPTON, N.Y. 11937 (E~6) 324"1200 Building Department Town of Southold Town Hall, Main Road Southold, N.Y. 11971 ATTN: Dorothy Re: Twomey Dear Dorothy: I received your phone message this afternoon, and I am enclosing a second check in the amount of $10 for the Certificate of Occupancy for 29 Miriam Road in Mattituck. jo enc. ~S~ nce re ly, J~nice Olsen THOMAS A, TWOMEY, JR STEPHEN B. LATHAM JOHN f. SHEA, IH CHRISTOPheR 0. kELLeY LAWRENCE M. STORM' MAUREEN T, LICCJONE · ALSO A{~MITTED IN CONNECTICUT AND FLORIDA Building Department Town of Southold Town Hall, Main Road Southold, N.Y. 11971 Dear Sir/Madam: TWOME¥, LA~I~AM & SHEA ATTORNEYS AT LAW WEST seCOND STREET P.O BOX 398 151617272180 January This office represents T! the owners of improved propert~ Road in Mattituck. NORTH MAIN STREET We would like to obtain an updated Certificate of Occupancy issued to Mr. and Mrs. Twomey, and I have enclosed the following items: a This firm's check in the amount of~;~ b An application for a new C.O. (in dup~-licate); c Survey of the premises dated 1/14/86; d Copy of existing C.O. dated 6/20/59 issued to Stanley Buda, the prior owner; e Copy of Fire Underwriter's Certificate issued on 4/21/59; f) Copy of our clients' Deed dated 5/8/74 from Stanley Buda and Marie Buda. Would you kindly issue an updated C.O. If you require additional information, please contact the undersigned. Thank you. jo encs. nice Olsen 38°00' E N 58°C0'W 3o INLET 1!0 ,~ 98 DRIVE 210 O' 210 0~ MAP OF CAPTAIN KIDD ESTATES BLOCK LOT 29 LOCAT)ON Nb'NTT~TUCK, SUFFOLK COUNTY, N Y CERTIFIED ONLY TO _TtTI~: USA ~NSUFtANCE C'Zr OF NEW YORK LAND SURYEYOR GARDEN CITY PARK, N. Y BUREAU OF ELECTRICITY 8~ .JOHN STREET NEW YORK 38. NEW YORK NgB0810 E ' by J.G. lectrzc HS Dar, Ap2~ffl 21: Equipment ond, e P_asement, ~rst & Second as per apph'catio~ on file in this office, and consisti~£ of; in premises 4£ ~La~ ] y jloor of as described b~/ow end/,~roduced )!00' ~,,,r./¢f Tnlet~r. N/Side M~r..am Rd. Mattituck,D,t '~ 'I 9 I 24 I 13 _[ c) ~-o. 10-60 i<att~^~,w i MOTORS 1-1/8 HP Motor ~.,~ Centre! ~or Oil ~ ..... ~an. 3 Vi re ~ ' ' 2.3, 1¢~ Se rvzce. April 15, 1959 zuasrxam~edon ~ ~ J. G. Electric ~ox 173 a~td f~nnd to be in compliance wiiJ the r~h'wnents of tJis Board as oft/ds date. THIS ItqDE~';'UR?, mmic lhe 8th d,*~ ,){ May , rlmca~en hundred aud seventy-four, BE~E~J~ ST~LEY BUDA and MARIE BUDA, residing at 49 Emory Road, Mineola, New York, party of Iht lust p,.l, ami THOMAS TWOMEY and ELIZABETH TWOMEY, residing at 72 Hewlett Avenue, Merrick, New York, ',% C? WIT,NESS¥'2T~2 thai Ibc pa~ Cr of ~hc (h :2 *~:~ H~ b' c(~:~::idm'afinn of Tea Dollars and other v~ble mmide~fi~ lying and b,xinB i~ Ii,- Town of Southold, at Mattituck, County of Suffolk and State of New York, known and designated as and hy Lot #29 on Block I on a certain map entitled, "Map of Captain Kidd Estates, at Mattituck Inlet, Tot~n of Southold, Suffolk, Suffolk County, New York, o~ed by and developed by Da~ Estates, Inc., Smithtown~ L.I., surveyed January 31, 1947 by Otto Van Tuyl, Greenpoint, New York" and filed in the Office of the Clerk of the County of Suffolk on January 19, 1949 as Map No. 1672. ~Sch said plot is more particularly bound and described as follows: BEGINNING at a point on the northerly line of Miriam Road distant westerly 243.25 feet from the corner formed by the intersection of the westerly line of Inlet Drive and the northerly line of Miriam Road and: R~NING THENCE South 52 degrees 00 minutes West, along the northerly line of Miriam Road a distance of 50 feet: THENCE North 38 degrees 00 minutes West along the division line between Lot 30 and Lot 29 a distance of 210 feet: THENCE North 52 degree~ O0 minutes East, along the division line between Lot 18 and Lot 29 a distance of 50 feet: TIlENCE South 58 degrees O0 minutes East, along the divisSon line between Lot 28 and Lot 29 a distance of 210 feet to the northerly line of Miriam Road, the point or place of BEGINNING. Subject to covenants, restrictions and easements of record. Said premises being known as 29 Miriam Drive, Mattituck, New York. b' Sf AL ESTATE "'" .t/t../ · t' RANSF R IAx' .., and ali tim' e~a~,: ~,m! ril:l,:, ~,t th,~ :,,~,~,5 o,: ~;~..~ ~,,.~'i,~ ~a,~l ~o ~ai(1 pr~nis~; TO HAVe'AND ~0 AND thc party of d~c iir:;t !*;.t cow:.;,ma Cud ~{n. p;uty )~ thtt first part has not done or suffe~ an~i.g AND thc pa~t7 of thc first p~rl, iii ,::.mpfinm'c wleh ?¢~.cdon i..~ of tim Lien Mw. ~v~n~ ~t the ~y ~ e it'st ~nl w ~ cc vc ific considelatit n i,,r t = c mw/~nce m d wi I lmld the right ~ r~ive luch consid- cratiou as a trusi fired to l)c applk:d fi[at fo, Hm propose of payi~, th, e cost of ~e impmv~m/~d will a~ly the same first to thc payme./~d the co,.t of th~: impiovcmcn/before using ~y ~rt of the to~l of the ~e for any other purpose. Thc word "party" sl'lall be consh'qcd as ii it read "parties" whenever/be sense of this inden~re ~ r~ui~. ~ WIINESS W~E~I~.,OF~ the party oi thc first pa~ has duly ex~uted this d~ the ~y ~d year first a~ve written. ~LEY BUDA /' / MARIE BUDA STATE OF NEW YORK. COUNTY OF On the 8th day of May, 19 74 , before me personally came to me known to be th/e/~.mdividua~d described in and who exeeuted the forego!;~g instrugefit, a~ aeknowledged that they ~ut~.,~e ~;/'~, NEW YORK, COUNTY OP ~Sl On the day of 19 , before me personally came to me known, who, being by me duly sworn, did depose and say that he resides at No. ; that he is the of , the corporation described in and which executed the ioregoing instrument; that he knows the seal of said corporation; t}mt the seal a~xed to said instrument is such corporate seal; that it was so affixed by order of the board of directors of said corpora- tion, and that he signed h name thereto by like order. 7837 ,a 555 STATE OF NEW YO~, COUNTY OF On the day of 19 , before me personally came to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the same. STATE OF NEW YORK. COUNTY OF 8S: On the day of 1t) , before me personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose andsay that he resides at No. ; that he knows to be the individual described in and who executed the foregoing instrument; that he, said subscribing witness, was present and saw execute the same; and that he, said witness, at the same time subscribed h name as witness thereto. Bargain att~ ~al~ D~ei~ WITH COYENANT AGAINST GRANTOE'$ AC'I'$ TITLE BUDA ; t TO T~/O~EY Distributed by SECT1ON 8t.OCK i LOT 29 COUNTY OR TOWN Sll~fO~L RETURN BY MAIL TO: EOBERT C. CAi'ILSFh), E,~. 73-35 MYRI'LE AVENUE GLENDALE, NEW YORK 11.227 Zig, No. ) TOWN OF $OUTHOLD BUILD[NG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... :: ..('..-z.~:....~:~ ........ 1 c).. . Approved ........................................ 19 ........ Perm t .No. Disapproved a/c .............................................................................................. ........................ !.~.~.~Z~~.Z~.~j- .... ~ ~,~,.,,, ,~ '?~.::~ ................ ............ ' "I ....... APPLICATION FOR BUILDING PERMIT Date.......~.~. ~:g..: ......... ~ ............................. 19..~..~.. INSTRUcTIONs a. This application must be completely filled in by typewriter or in ink and submitted Jn duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adioining 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 k. ept 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 issuonoe 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 nam~f(?corporation) (Address of opplid~nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . .~F .~....~¢:.,~. ~;...~.u.,../. ~.~.~. ......................................................................................................................................... Name of owner of premises...'~.~.{!.'r~.~'..)(. ...... .~ ................................................................................................... ,If?pplicant is a corporate, signature of dfi'Jy,~uthorized officer. ./~;'~J'~ '~/: ......................... ~(Name~ and~:~title~'~F¢'~of corporate officer)~ ~t) c/ ~¢~ (, ~ ~' o~ .....~.Z ..... 1. Location of land on which proposed work will be done. Map No:~ ......... [. ......................... Lot No: Street and Number ......................... ~:~Z~.~.~....~...t~~2.:~. ............................................................................... ~unicipality 2.State existing use and occupancy of p~emises a~d intended use and occupancy of proposed construction: a. Existing use and occupancy ............. 4~?~.~ ....................................... ~ ................................................................ .. ........... ....... / 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.....'~...J...o..).....C~.....c?... ................................ Fee .... ~ ........... .~ 9. ............................................................. (to be paid on filing this application) ! Ioor ............................ 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each f ,¢/~/~ t, ..................... 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...~.~.C.$~.. ............ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth Height .............................. Number of Stories ................ c '" .............................. -,~ ' ;"~' '" '" ....... /I 8. D~r. ens~ons of e~t~re new construction: ~rant ...... ~..~ ................ Rear -.*~Z.~..~5~Depth ...... ~.i.~ Height ...../..~..~ ................ Number of Stories ...... t.~..~.......L?cJp/.- eo/~ ~'/ '~;',,~lt,~ u') ~),tr,~ 9. Size of lot: Front .......... ~.~,? .......... Rear ........ ~..~-~ ............. Depth .....~...O..¢~......~Z.. ....... 10. Date of Purchase ...~...,~-:~i.~.~..........[..--.~,/"~ ,,-~ .C,,~ ................ Name of Former Ow~ner .:..__~.~,._~.......fi7 0/. /0 . ,.,...,...,. 11. .Zone or use district in which premises are situated .................. ~.. .......... ~ ...................................................... 12. Does proposed construction violate any zoning law, ordinonce or regulation? .................................................... 13. Name of Owner of prom.ses.~.~.~/.l,q..~.o&,~, ......... Address 44.~.~..~,:o/~.tt..~.~. ......... .~or~e NO.~../...'.~.:..~.ff:g~ Name of Archltect.~.z~.L~)~zoe[ ......................... AddressCtZ.~.~.¥/~l.~.~,~,. ......~ ........ Phone NO. Name of ContractorC:/l~f~.*O..h~.cz~.',-,4.t.'~,..'.t.t¢, .......... Address .~...~.'~.~.~../M.I-..~x~.~ ........ Phone No.~,.¥..~.:..~ll~e PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr6m property lines. Give street and block numbers or description according to deed, and show street names and indicate whether 1~terior or corner lot. , SmAT OF ) S S COUN'r* ' .~:)/¢6,}~,~K,L¢..~::.....~(,f~f.~p~..: ........... ;:....,.:....,. ............... being duly sworn, deposes .and says that he is the applicant ' t ~J~om8 aT I~QiVlOUOI signing application/ / . ~ove named. He is the ...... ~,x~.,l~..~.f ~,~} .................................................. . ....................................................... // (uontractor, 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 oil statements contained in ~.~DJ cation are true to the best of his knowledge and belief; and that the work will be performed in the monner~ ~8xJhe appian filed therewi~.~ Sworn to before me this ~c~ ~,, f .~z ~ 19 ~"~.Z -0~,~,, ,,o~z .~ ~S nature of a cant) .......................... ~ o ................................. ~ ......... ~.~,~ ',-o ~ ~/ (Sigt pp d ~c~ .3/ 19~¢* Examine ................................................ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. ~"' c/3 Approved .................... .................... 19 ........ Perm t No ............................... Disapproved a/c .......... : ................................................................................... .............. '"'"i"'~i'Z;'~ i;;;};;;;:'fb',T ...... ~ ....................... APPLICATION FOR BUILDING PERMIT Dote.....:~..~...~~ ........ ~O 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, end giving a detailed description of layout of property must be drown on the diagram which is port 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 Permff 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 pukpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanc,e of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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 ali apptic.able laws, ordinances and regulations. ......... i~i~;;;;;~;~;';~"~F~;ii;;~'~'~; ;;F;;;;;~ ~7;;;[;;;';~i;;;i''''''~' ' ...... A .': (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................................................................................................................................... Name of owner of prem,ses....~..~./../......~..,/~.. .............. .~.. .................................................................................................. I,~lapplicant is a corporate, signature of d~uthorized officer. .......... .............. (Name and title of corporate officer) . e/ 1. 'Location ~ of land on which proposed work will be done. Map No: ~.~ ......................... Lot No: ...... ~.~ ..... Street and Number .......................... ~4~-~,.7....~.:~ ............................................................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. ~..~ ....... ; ............................ ~ ....................... ......................................... use and occupancy .................................. ....... ._ ................ ~....~.. ........................................... b. Intended 3. Nature of work (check which applicable): New Building.......~.._....-AdditJon .................... Alteration .................... Repair .................. ..Removal .................... Demolition ................. z_Other Work (Describe) .................... 4. Est,mated 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....~....~r.....f~.. ........... Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. .~ctNumber of Stories., I:) 1~/ ................................ (705¢..~y. sil ~f, ,~,~'~ ~ 8. Dimensions of entire new construction: Front ...... ~..~. ................ Rear .../.~...~..~...O....L.~ep,Lh ...... ..~.....~. .............. Height ...../...~. ................. Number of Stones ........ ~...~.... ......... .~ / ~-~ "" ........ .~...C~.. ............ Depth ............................ 9, Size of lot: Front .......... .~....~.. ......... Rear 10. Date of Purchase ...,.....O...V.~..~..ft~ ~ .......... ................ Name of For~er~ ti rl,OwRer ..a.--~,....f~.....e . ,:........ 11. Zone or use district in which premises are situated ......................./~i.~......~ .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................ , .................... 13. Name of Owner of Name of Architect.(,~.~...~.~. ...... .~ ............... Addres,~.'~'..~..l~ ...... : ........ Phone NO..t~..~...'..~...~ll~l~' Name of ........ Address~i~.,~t~...Z~.1~.~fD, ........ Phone NC~. ff..~..'7..~...~...~../.. 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. ]'H' ' STATE OF NEV~ Y.QRJ~. ~ ) S S C(;~UNTY OF .~..'~.. ......... ) ' ......................................... be,n ~// (Name of individual~_~ --~signing application), ~bove named. He is the ....... ~~..~1..[.~ .......................................................................: ................................ (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 end 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 mao~er s~0f~th in the application filed therewith. Sworn to before me this ~ ~6~S~OWO~ t. / ~ .. ~ .~ ~ /~ .... , J~ ~ ottfloIk · r0 / , . ~ davof.Z~/ ' . . ~ C~],~,~, ~ ~o t'°un~'°~/ ~ (Dgnature of apphcont) t ................... .................................. """ f R O M T H E O f r ~ C ~ O f ~ PLAN NO. * ,, '*~I~ SCALE Z = I:O" SHEET NO. WADING RIVER, NEW YORK ~ ' THIS P~N IS THE PROPERTY OF THE ARCHITECT AND P H O N E W A 9 -}4 3 1 0 '' SHALL NOT BE DUPLICATED WITHOUT HIS PERMIB~ION !- rrgr I L 0 0 'L._ . .[~ L ALi_.. G 'RI'V, E R~,:N E.~ff y Io~R,K SHEET j , ,,~l .......... l~ O' F R O M T H E O V F I C E O F :-~- ..... /~ PLAN NO. )~r SCALE CHARLES A. WOOD, R,A; WADING RIVER, NEW YORK