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Home My WebLink About4541-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z .386(:~ .... Date .......... Jl~l~r... IQ ....... , 1970. THIS CERTIFIES that the building located at I~l. ttle..l~econlc. I~ ....... Street Map No. l~as~au. P~. Block No ........... Lot No.~t 8 ..... .~lltchogue ..... ]g.,.Y, .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ NoV' · · i~ ....., 19.69. pursuant to which Building Permit No..~5~+1Z. dated ........ l~ov ..... ~ ..... , 19. (~, was issued, and conforms to ail of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Private-.olde..f. amit.y .el¥®tl:i.ug ....................................... The certificate is issued to . .Idarxel~. Hall .......... Owner. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approvai # TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~? 4541 Z ~uilding inspector I ' Building Inspector. J:~e $..:~0.C10 .......... Permission is hereby granted to: ...~m.'..~ ....... ~...W.~a..~i ..... ............. g~.e~,~q~e. ............................................. to ...... ~..~.e.~...~.e....~..~....~.z.!~ ........................................................ '. ..................... at premises located at ................. ~dlI~....~.~.B.....W~IBI~II,~I..~..~L,~I~...~;~I~ .................. ;...~ ...... i ......... ............................................. ~..l~,tt, t,:Le~.. ~e ~.~ ..~ ......... .~te,b,e~..~ ............ : ................... pursucm~ to application dated ........................... ~.~.~..e ....... ..~. ............. , 19....~.~, and approved by the TOWN OF SOUTHOLD BUILDING DEPARTMENT ~//g'/ TOWN CLERK'S ~FI~ S~THOLD, H. Y. Applicotl~ ~o ............... Approved ........................................ , 19 ........ Permit No ................................. DisopF roved a/c ............................................ ~ .... ~), '/~'/~. · . ............................... ............ · APPLICATION FOR BUILDING PEFe~4IT Date .......................... 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 propertymust be drawn on the diagram which is part 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 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, building code and re. gulations. ~ ......... ......... State whether applicant is owner, lessee, agent, architect, engine~,rq general contractor, electrician, plumber or builder. Name of owner of premises ..................................................................................................................................................... if applicant is q, corporote, sign~atMre of duly authorized officer. ...... ( Name ~nd '~itl;';~' ;;~r;~;';~'~ic;~)" Locat on of and on 'ch r osed war w be done Mo No' ~ ~...~......~...~.r... Lee Fan. ~//8' 1. .,. .v~ p ap ,r.~ __ . p ......................................... Street and Number ..................... ~ ...... ..~.?.~ . ~ ................................................ ~ ....................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................. ~'i'~'~.. :~ ................................................................... b. ntended use and occu onc p y ............................................... .;. ~.T. ~..~[ ............................................................ '~"" 3. Nature of work (check which applicable): New Building..................- / Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost .~./ .................. ,~ ....................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ ..~.. ........... Number of c:welllng units on each floor ............................ If garage, number of cars ........................................................................................................................................... 6. If business, commercial or mixed occupancy, specify noture 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 ....... L...~.'/. ............ Depth ~...~-~. .................... Height .............. /...~... ....... Number of Stories ........ ./. .................. 9. Size of at- Front /.~.:~ .... Rear .... .~..?.. ... D t Date of Purchase ....... ..~....c~.. ~ 10 ............... i~.. ............................... Name of Former Owner .....~.~.~..q .......(~.~..~..~...~.. ..................... 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed constructic~,violate any zoning law, ordinance or regulation? ............ ~ .................................... 13. Name of Owner of premises ....b~.....~.?......,/~...,,//.; ............. Address ................. ~'l ~e~ ~.~....../~.~...:g..~.~..i~ ~m phone No. ~..r.~.....~.~.~A.. Name of Architect ...................................................... Address ............................ ................ Phone No ..................... Name of Contractor ~...~.~.. I~.'~ ................... Address ~.~.. ~,l'/-~ ~'~.,~ 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. ~/,.~/.~ o e¥ STATE OF NEW YORK, ), ¢ ¢ ' ............ · '~.~ ..................................................... ~ ............... being duly ~worn, deposes and ~ that he is the appficont (Nar~ of individual signing application) ~ ,onla~octor, agent, ¢#rporate 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 applica.tion are true to the best of his knowledge and belief; and that the work will be performed in the n~anner set forth ~n the application filed therewith. Sworn to before me this .......................... dayof ............................................ ,19 ......... .. /~,~,~,e. /'~,/~., x Notary Public,. ........................................................... County .............. ~ gnat're of a~Jic~t) ........... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Per oF TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located have been inspected by this department and found to be satisfactory. 1970 District Engineer District Engineer S[andazcl N ¥ B T U. Fo, m 8041 · -Cont[act o! _S~a]c CONSULT YOUR LAWYER BEFORE' SlGt4~dG KS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. NOT~: FIRE LOS.~F.~. ThE forff: .f contract contams ho e3pr~ss prov,smn a~ ~o risk ~{ ~s~ by fire or other casualty ~{ore dehvery o{ the deed. Unless express provision ts made. me prows~ons or ~ectlon -I ~ of the General Obhga~ons Law will apply. This secbon also places risk of loss upon purchaser if tflle or pos~ssion ~s transferred prior to closing. Y7 h~X d~y of ~ ~" ~ ' ', n,neteen hundred ~nd Ti'tiS AGRE~NT, made the BETWEEN Ga~ G. ~T~L, refsAd~ng at 24 I~lr~ Avenue, RAvezlJ~e, ConmectAcut 06878, ifs l~tcutoz o~ tim Ilmt.~t~ o£ ~r~ J. ~aXl, late o~ $u££olk Co~tM ~eremafter described as the seller, and hereinafter described as the purchaser. ~q'l"i~, that the seller agrees to sell and conv. ey, and the p, urchaser agrees to purchase, all that certain plot, piece or parcel of land. w:th the braidings and improvements thereon erected, s:tuate, lying and being m,4~. ell; ILlefs&tl PoLar, hi tim Torn ot~ ~outhold, County of Sul~olk al~l State of~ Mmv Ifork, lt~irtg ki:tc)v~ ~ dee£qriated am Lot 416 o~, · certain map ~gLtled, B~91IBIXMO at I point on tho Mortherl2 line o~ Ltt~Xe Pmcomie Bey f~ a ~~t set mt ~ ~heasterly end of a m ~o~d ~l~, 41 f~g~ a~ (2) ~h 85 ~g~ea 27 m~U~S ~l~, 84.40 ~ly l~ of Little P~ic ~y ~ad me It c~s, ~0 ~o~ )~ ~ ~arl ~ 89 de~IM8 09 m~utem west, 103.28 ~eet ~ liv~t~ X~ ~tw~ ~t, 418 and 419 ~ maid Mp~ th~ ~ 13 ~g~e~ 38 I~utem 30 se~ ~ast ml~q laid last ~tt~ Ls~ X~m 235 ~ to a ~~t~ ~ence South 83 ~o 2X A~em 30 sm~ Eas~, 68 ~t to the ~es~erl~ Z~ne o~ ~ 417 ~ ma~d mmpi a~ ~e ~u~ IS ~gr~$ 38 m~uto$ 30 e~da ~8t, EMPIRE ABSTRACT CORP. 1~00 HEMPSTEAD TPKF. E. MEADOW, N,Y 11554 1212}479-7070 (516) 794-074~ I. Th:s sale includes all r,ght, title and ,nterest, :f any. of the seller m and to any land lying :n the bed of any street, road or avenue opened or proposed, in [ronl of or adjoining sa~d t:rem~es, to the center line thereof, and all right, t~tle and interest of the seller ,n and to any award made or to be ma(lc ,,s hcu thcrcol' and ii, and to any unpaid award for damage to said premises hy reason of change of 'grade (,{ any ,.tree(. a,,d Ihe %*lief w,II ext,t ult' dll(t dehver to the purchaser, on closing of title, or thercafler. ,m demand, .dl i)r(,iwr In'~lrum~ Ills h,r Ihe ,.,,v, y,m,t ,,I (ut h tit[t' ,In{{ thc assignment and collection of any such award .NOTE. LOT NU/ABE~S Sll~,~,'~ KEFE~, TO, "IA~',P ,]F S~CTiON D. N~J PDINT ELY6 COUNTY CL~gK'S OFFIC~ ~ IA~P N? ~06 5C, t~LE.