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Home My WebLink About3540-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. OERTIFIOATE OF OOOUPANIOY No. Z .2922 ..... Date ............. l~.e.e.....~9 ...... , 19.67. THIS CERTIFIES that the building located at 15/8...Plk~ .15.~; .............. Street Map No... xX ..... Block No .... X~ ...... Lot No..XX .... llat;~;ituek., lt.,]r, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ ~.uly ....10.. , 19.67. pursuant to which Building Permit No... dated ........ ,II11~... 12 ..... ,19.67-, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. l~l~ival;e, one. family, r~rel;1,.tr}§ ..................................... The certificate is issued to . .. B. et];y, l~ome~ ............ ~a~lel,. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . l~rlV~..9-~-t-c).6~., blt .Itl,. ~uildmg nspector ~. FOR~I 1~0~ ~ 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) ' 3540 Z Permission is hereby gronted to: ...... ~e~..m~c~e.....~..~....JB3J~..~l~ ........... ~l ... ~t~II~.~..~ ~.~. ........... ..~.....i:... ~..~. o~e. ~z ..~!~.. ~ ' . ':-."~:.' . ,... . ... ' .. .~ ........................... .................... ...................... .~ ...... . .......... ~ ........ . ..... ., ' ~l~. ~ ~ '~ ' ' ot premise~ Iocotod ot ............................... ; ..................... ;. ............ ...~..........~ ......... ~ ....... ............................... ~,~...~.~.~ ................ pursuo~ to opplicotion doted ...~..~,..~i,..~,.~,., , ~..,,..,:; ,~d ~p~ov~ by th~'.: .. "uilding Inspector. ~t ~' Fee $ ........... ...... · ...... ~uilding I mp~m. POItM ~0. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL File No .................................................................. Date ................................... J~ ........ ~... 19.6~.. To .krg'l.'~a~o~"".*/$"~}t~ab~h" acco ........... X.19..rkmsaX.X...Ro~. .............................. ............... E,...~;el~gao~...N,~-, ...................... PLEASE TAICE NOTICE that your application dated .................................................. 19 ........ for permit to construct .............. ~%~e:k",~,qdq~'"" at thc premises located at _~]~,.]~,.~..,. ......................................................................... Street Mattituak! N,~, Map ......... ~ .......................... Block ............. .~ ................. Lot ..~ ....................................... is ~disapproved on the followinff grouuds '""~'~'~.~"'~T~'~a'g~ ('l(~":~t"raqgired)"'""A~t'"~T~'"~e~"']O~"gc~!~C'"o:e~]::~ ......................................... t:lUl cling inspector ~ S-9 SCHD SUFFOLK COUNTY DEPARTMENT Da~e Bldg. OF HEALTH ~0¥ ~ 1967 Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities ~Give deed location) for a structure located have been inspected by this department and found to be satisfactory. District Engineer /v TIi-L& L~°- ~00~,~3 COPY Standard N.Y.B.T U. Form 8002 20M-12-6~ Baxga~n ami Sale Dee~ w~ h Covenants against Grantor'$ 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 I ~ day of ~iy , nineteen hundred and sixty-seven BETWEEN JOHN M. ROSE and KATH~ H. ROSE, his wife, both residing at Pike Street (no number)~ Mattituck, New York, party of the first part, and ~LXZABETH ~, ROMEOs NeW York, residing at 27 Midway Street, Patchogue, party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration 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, va an~ . ALL that certain plot, piece or parcel ~oaf~nd, ~~~~~ ~s~tuate, lying and being llgll~ on the southerly side of Pike Street in Mattitua~, Town of South01d,~ Suffolk CoUnty, New York~ being more ,partioular~ bo~%nded and described as follows~ ~I~ at a point on the secretly line of Pike Street which po~t bears 8ou~ 740 2~" 00" West along the said secretly line of Pike Street a dist~ce of 300,0 feet from a ~on~rete ~nument set on the $ou~eNly line of ~ike Street at the northwesterly =orne~ of lands of Maneri; ruling ,thence in an easterly dir~tion along the southerly line of Pike 8t~eet~ North 74° 22' 00" East a distance of ~.00 fe~ to the westerly line of land conveyed by John H. Rose and Mary LoUise Do~ to Elizabeth J. Romeo, ~e grantee here~, by dee~ da~ed January 1967; ruling thence along said last mentioned 1amd South 15~ 03~ 40" East a dist~e of 1.00 (one) foot~ running thenceSou~ 74~ 22' 00" ~ W~St along land of John H~ ~se and Kathr~ H. Rose, h~s wife~ a distan~ ~ of 5.00 feet; r~ning thence North 15° 03' 40" West stilt along l~d of ~ Jo~ H. Rose and ~thryn H~ Ro~e, his wife, a die~an=e of 1.00 (one} foot to the ~outherly line of mike 8~reet and the ~int or place 0f ~ ~ ~ XN~ED to be a par~el of l~d 5.00 fee~ in W~dth' on Pike ~8treet and 1;00 (one) foot iB,dep~, being part of the mremises conveyed to~ ~e gran~rs herein by ~ilia T. Pike by aced dated 6/29/57 and r~orded in ~e Suffolk ~o~nty Clerk'~ Offic~ on 1/27/59 in Liber 4579 at 9age 15, ~EBV~ h~ever to ~e grantors h~rein~ thei= heirs and assigns .~ a Right of Way and easem~t for all pu~oses under, on and over ~e said parcel of land hereinabove 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 part), of the first part will receive the consideration for this conveyance and will bold the right to receive such consid- eration as a trust fund to be applied first ~or the purpose of paying tee cost of the improvement and will apply the same first to the pay~nent of the cost of the improvement before using any part of the total of the same for any other purposfi. 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 pToq~.nos ~o ~oz. ~ O& 'ON :SS ;eq~. pi oq~ p~ aO A,J, NglO~ ')IIIOA MaN dO ]IyJ. s IpalaXOU.9~e pue ;uamnalsu[ ~u!ol~a.m~ aq; palnaaxa ~ u! paq!aasap lenp!A!pu! aql aq al u~ou>1 att! al ,! 6I ,. atue~ XlleUOsZad )o Xep aql uO :ss dO &,LNflO0 'XIlOA MIN dO llY&S '.tapao a:~!I iq o3aJaql ameu q pau2V aq J, eql pue mop -elodJo3 p!es to sJol*aa!p to pauoq aql to lapao Aq pax~u leas *ql letll ~uoDezodaoo pies 1o leas paqvosap uo}leaodaoo oql ' NOS</.:/ ~/,s ,o;~d~,"c~ ,oN 'awes *ql p~ln~axa ~q: lut{1 pa~pal~ou~ae puc luatunzlsu[ ~u~o~o.to~ oql palnaax o~m puc u~ paqv~sap ~unp~A[pu[ aql aq al R~ou~ otu ~m ~:o~q ' L961 A~t't~ jo X~p ~ / ~q~ u( :ss ~0~ dO ~NflO~ 'xaoi MaN dO alvi' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ...... ,, Approved .....k~......~..~,~_. ,. /// ~ [~.., .~n~"~'~'"'"' ,19.~.;~. Permit No.....'~......?~.~...~....~..~...~" ~ ~ (Building I-~spector) Application No. ,~,,¢'r_¢ O 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 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 regulations. ........ ........ ....... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... .'~..~'.Z../..~....'~..//~f/.....~.....~../7(l.~.~..~,. ..................................................................................... If applicant is a corporate, signature of duly authorized o~flcer. (Name and title of corporate officer) ~. Location of I~nd on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number ....... ~.~'.~; ...... ~.~ ........................................................................................................ Munici~lity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... (~.~:~.Z,~ ...... ~.~....~'~.~./..~.....~..~ b. intended use and occupancy ......... ~.~.~.~.~...~.~...~.~./~.~ ........................................ 10. 11. 12. 13. Na~ Na~ Local property I whether in NatJ~re of work (check which applicable): New Building .... .~¢C.......... Addition .................. Alteration Reppir .................. Removal .................. Demolition .................. Olher Work (Describe) (to be paid on filing this application) If c{welling, number of dwelling units ...... ~ ....... Number oF dwelling units on each floor If ~rage, number of cars .............. ~.....~ ......................................... If usiness, commercial or mixed occupancy, specify nature and extent of each type of use Di~ ensions of existing structures, if any: Front ....~l~l~Jm,¢~ ..... Rear ................................ Depth Hei!lht ........................ Number of Stories Dim ens[ons of same structure with alterations or additions: Front ....~'~l.~tw~ .............. Rear Dep:h ................................ Height ............................ Number of Stories ................................ Dir0ensions of entire new construction: Front ....... .~...,~. ..................... Rear ....~...~.? ................. Depth ....~,.~ He~bht ...~..~...: ........ Number of Stories ......... Zorje or use district in which premises are situated ........ ~.....~.~.,~ ....................... Doe~ proposed construction violate any zoning law, ordinance or regulation? ..... ~ ne of Architect ...................................................... Address ............................................ Phone No. PLOT DIAGRAM ~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ ack dimensions nes. Give street and block number or description according to deed, and show stree~ names and ~rior or corner Jot. S-FA-r'£ O~ NEW YORK, 1.~ ~ COUNTY jOF ................................ ~ ~'°' I(N~ne of individ~l signing application) sworn, deposes and says that he is the appli¢ above nanhed. He is the / (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to perform or have' performed the said work and to make and this applic~ation; that all statements contained in this application are true to the best of his knowledge and bel,ief; that the w?k will be performed in the manner set forth Jn the oppJication filed therewith. Sworn to ~efore me this Notary PuJ~'ic, ~..)~Z~b.~,/~....../...~..~..~-5~T.~...~¢~. County ] NOTARY PUBLIC S~a~e of N~W J No. 52 3233]20 Suffolk Cou~mtv j Term Fxpires ~arch 30, ignature of