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Home My WebLink About4068-z FOBM NO. ~g TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4068 Z Permission is hereby granted to: Building Inspector. Fee $..,~.. ................. ............... ~Building Inspe~L ,; ...... ,.....b. ............. WILLIAM W. wETMORE Cc~'pe~te~' c~c~ B~lde~ BAYgHORE ROAD GREENPORT, N.Y. 11944 q~ t SUMMARY OF TOTAL THERMAL RATING If the loLal Thermal Rating is zero (0) or g~eater, the proposed design For the building envelope complies wil~h the Energy Code. D 1 . D2. TIIERMAL TABLE AREA U-VALtlE RATING USED ROOF/CEILING (C-lq) -J_~7_~_ ,O~___i 0 ~ '.~ GLAZ 1NG Wi ndow W i nd ow Sky I I~hLs rbOORS j?d ~/) BASEMEN I'/CELLAR WALLS Wall Perimeter Exposure Above Grade Wall U-Value Depth of Wail U-Value Below Grade Feet Feet I nc he s 6-3 D3. SLAB INSULATION Slab Perimeter Insulation R-Value Feet INFILTRATION CONTROL k~/~ Conditioned Floor Area Sq. Ft. SOUIH FACING GLAZING South Glass/lotal Glass Gl. Area/Gross Wa)I Area Conditioned Floor Area Percent Percent Sq. Ft. Number 70-S-02417 Name of Insured: Dote of Issue September 2, 1970 Amount Of Insurance $33,000.00 ?OBA LA~A ORRO FEE .SIMPLE The estate or interest insured by this policy is DEED made by HERBERT J. EGERT AND LOUISE H. EGERT,I HIS AND LILLIAN A. PRICE, HIS WIFE to the Insured Dated v~tedintheinsuredby meansof WIFE AND IRVING L. PRICE, JR. September 2, 1970. SCHEDULE A The premises in which the insured has the estate or interest covered by thh policy is described on the description sheet annexed. SCHEDULE B The folloMng estates, interests, defects, objections to title, liens, and 5. Title to any property beyond the lines of the premises, or title to incumbrances and other matters are excepted from the coverage of this areas within or ]ghts or easements in any abutting streets, roads, avenues. policy, lanes. ~ays or ~ aterways, or the right to maintain therein vaults, tunnels, ramps or ar~y 0 her structure br improvement, unless this policy specifi- 1. Defects and incumbrances arising or becoming a lien after the date cally provides ti at such titles, rights, or easements are insured. Notwith- of this policy, except as herein provided. standing an;,' p~ovisions 'n h's paragraph to the contrary this policy, 2. Consequences of the exercise and enforcement or attempted enforce- unless otherwiselexcepted, insures the ordinary rights of access and egress ment of any governmental war or police powers over the premises, belonging to abt~tting owners. 6. Compliance bY the buildings or other erections upon the premises or 3. Zoning restrictions or ordinances imposed by any governmental body, their 'use 'whh Federal, Statb and Municipal laws, regula ions and 4. Iudgments against the insured or estates, interests, defects, objections, ordinances. ; liens or incumbrances created, suffered, assumed or agreed to by or with 7. Title to anyipersonal property, ~'hether the same be attached to or the prMty of the insured, used in connect ~n with said premises or otherwise. 8. Survey by Van Tuyl and Sons dated July 21, 1970 s~ows a on~ story house, no encroach- mants and no violations of Covenants and Restrict~ons. Policy excepts any changes in conditions which a survey subsequent to July 21, !970 may show. 9. Covenants and restrictions contained in instrument' recorded in Ltber 3541 of Con- veyances Page 561 as extended by ~nstrument recorded in Liber 5466 of Conveyances Page 146. 10. Water charges, if any. Authorized Signatory C ' NOTF: ATTACHED HERETO1 ADDED PAGES. FOEM NO. 1 TOWN OF SOUTHOLD BUILDING D1EPARTMEN? TOWN CLERK": OFFICE SOUTHOLD, N. Y. Examined .............. J ......................... , 19..~. Approved ~' '( 0 (*' ~ ........................................ , 19.....'... Permit No ............................. ............. (Building Inspector~'" ............................ INSTRUCTIONS o. This application must be completely filled in by typewriter or in ~nk and submitted in duplicate to the Building ~nspector. 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 descripHon of layout of property must be drawn!on the diagram which is p~rt of this application. 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 issu4 a Building Permit to the applicant. Such permit shell 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 Jn part for any p~rpose whatever until a Certificate of Occupancy sholl have been granted by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the !$suance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Work and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a~terations, or ~or removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signat0re ~f applicant, or name, if a corporation) (Address of bpplicant) State whether applicant is owner, lessee, agent, architect, engineer, generql contractor, electrician, plumber or builder, Nome of owner of premises .../.]..~.,L/O.~.~..~.......'l../....~.~.~.x..~......~.~..~.......~. 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.: ....?..~ ....... ,¢.:J ................. Lot No.: Street and Number ....~h..7..,.~.:/~,/.-..~.~./~...l)'ll,.~,~. ................... :, .......... ~'.~.-).~."[.......A~...~.~/.~.~?.,(..:..'.'~...~. ........... Municipality State existing use and occupancy of premises end intended use end oecupancy of proposed construction: a. Existing use and occupancy .~. ~..~.,d~¢.~?.f./.:~.(, .............. ir .......................................................................... b. Intended use and occupancy ~9_ ~, , ~4~w/'t,3/ 3. Nature of work (check which applicable): New Building .................. Addition ........~.. ........ Alteration Repair ................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...... ~.~.~...r,,f ....................................... 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 existin~ structures, if any: Front ............ ..~'.O. .......... Rear ........ .'~.~.:'. ............... Depth ....~..~. ........... Height .......~..~.. ............ Number of Stories ...... ~.f~....'~<.. ............................................................................................. Dimensions of some structure with alterations or additions: Front ........... ~...~. ................... Rear ....... ..~(..~. ............... Depth ...... .~..ft(. .................... Height ....... ~ ............... Number of Stories ......... ~ .................. 8. Dimensions of entire new construction: Front ............ '.~..~ .................. Rear ......... .~..~ ............. Depth ...... ~...'~.. .......... O Height ....~..'~.. ........ Number of Stories .......... .T..(-~. ............................................. ? ..................................................... 9. Size of lot: Front ....... /.O..~. ............. Rear .......... Z~....O. ................. Depth ..... ,x/~....O. ................... ' 10. Date of Purchase~./.~..). .~ ........................... N<:me of Former Owner ...~...N...~...../~/.:..~..~.£.~..~.. ............... 1 1. Zone or use district in which premises are situated .......... ~ ....................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ~.~.. ........................................... 13. Name of Owner of premises ..,!:~r..~?..~.~.~:~..~.~.~.~....Address ~.~.~.T:..,..../':..~...~..a,.~.~...N. ............. Phone No. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of ContractorOX.~..L.~./.~.L~.. ...... ~...~T....~...q.~.~....Address ...... ~,./].~.~..~..~.~...~...../~.. ....... Phone No. ~/..7..~.,-...j..7..~.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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, t ¢ COUNTY OF ................................ ,f ""~' ..... ~. ........................ being duly sworn, deposes end says th,et he is the applicant (Name of individual signing application) above named. He is the ........................................... (,~:~...,./~...~.~....~-s../....~,..~...~.~., ................................................................ (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 opplicatlon; that all statements contained in this application ore 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 // , · ..... .......... .... , /,') ~--~ ~ ,~'//._ .~) ~',~ ~ ...~/.~'~. ......... ~ ....... ..~ .~,,.-~-~,~....,~..~... ................. Notor Pubhc /~ Y ' ' .......... ~r~Ki:~"~ Cou~ ~ (Signature of applicant) ~OTARY PUBLIC, St~tff'/ol No, 52-0618100 ~uffolk County