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HomeMy WebLinkAbout10419-z l~Ol~ I~O. ~ TOWN O~: SOUTHO~.D 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) N? 10 19 Z Date ~,~/.C.,, ..~:...~.. ....... , ............................................... ................... ~'%"" ................ :'7 ............. ~ .................................. at premises ,ocoted at .....~..~ ....... ~.~.~-?,.-...~.~),..~-~.~Z:.~',-. pursuant to application dated .............. ~.....~'.. ......... , 19Z. , and approved b~ the Building Inspector. Fee $...~.....~.....~...0.. ..... Buil(Jing- Inspector TOWN OF SOUTHOLD , Building Depmtment Town Clerks Office Soutbold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the fallowing; 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 installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare o certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ...... .~.. ...................... New BHilding ..... ~.. Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...... /. ..................................................................................................... 7' .................. Owner Or Owners Of Property ...... ~....~..~.~..C..~-~..~ ......................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Underwriters ApproVal., .~..~..~...~../..AZ..~.. ................... Planning Board Approval ........................................ Reques~ For Temporary Certificate ........................................ Final Certificate ~ Construction on above described building and permit meets all applicable codes and regulations. Applicant ......~.....~...~.....~..~.....~.~. ........................................ awo ooe m this .... ~..~.... day of .....~ ~,:~;~.~. .............. ~ (stamp or seal) Memorandum from.... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN H^L~, SOUTNOLD, N. Y. 11971 765-1802 C o I~-A-ix~A ~ ~ t ~OL~ c~ 14 FI~AIV"~.F--~. z~? HENRY E RAYNOR, Jr. p CtTm. FREDERICK E GORDON JAMES WALL Bennett Orlowski, Jr. George Ritchie Latham, Jr. P D T¢~D~ Southold, N.Y. 11971 September 14, 1979 Mr. Leander B. Glover, Jr. Cox's Lane Cutchogue, New York 11935 Dear Mr. Glover: A request has been made o£ this Board to set off a piece of property belonging to you to be conveyed to your daughter and son-in-law, Mr. and Mrs. James Roache. It was the consensus of the Board thai this should be considered a casual sale within the family and the Board has no objection to it. Yours truly, TELEPHONE 765 - 1938 Moriel Tolman, Secretary Southold Town Planning Board Copy to George Fisher / Sr. Building Inspector FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building inspec- tor with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 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 Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requii'ements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling or land use 3. Copv of certificate of occupancV $I.00 $5.00 Date .................... New Building ............. Old or ,Pre-existing Building ............ Vacant Land . .~. ........ Location of Property ~O~,~ L¥:~ ..~.~. ~-~'~,..~)...~..~, ,~ ~... .............. Owner or Owners of Property...L.~.~.~..~..~J ~,~.~' ..................... County Tax Map No. 1000 Section ......... ~ .... Block ........... ~ .... Lot ................ Subdivision. ~..~~)~..Map~9, q... ~ .... ,. Lot Nb ............... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Crertificate .......... .~ ........... Fee Submitted $ ............................ Construction on above described building and permit meets all applicable codes and regulations. ..v. o- o-Te TAX },'lAP DESIGNATION D~st · COI~SULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED I THL~ INDF.-.NTURi~ made the day of , nineteen hundred and seven,ty-~e~ ' LEANDER B. GLOVER, JR., residing at: Coxts Lane, Cutehogue, New York 11935, (no number) party of the first part, and JAMES ROACHE and EILEEN ROACHE, his wife, both residing at: (no number) Marratooka Road, Mattituck, New Drk 11952, party of the second part, WITNE~ET}I, that the party o£ the first part, in ¢onsideratlon of Ten Dollars and other vatuabl~ eonsider~i~n' ', paid by the party of the second part, does hereby grant and release unto the party o£ the second part, the; ~rs,r or successors and assigns of the party of the second part forever, ". - AI~ that certain plot, piece or parcel of lan~ with th.e )uild.i.ngs..and~ml2??m~ents' t.hereo~, erector,d, sjtu.at~, lying and being:ima~X at Cutcnogue, Town oi ~toumma, ~ux~oK tzounty, i~ew more particularly bounded and described an follows:' Located on the westerly side ,of Cox~s Lane, wlXl~ pointis located 1, 9~7.30 North from the Main Road; from said point of BEGINNING RUNNING THENCE along other land of Glover South 45 degrees 56 roll, ute8 !0 seconds West 200.0 feet to a concrete monument and other land of,Glover; ~ RUNNING THENCE along other land of Glover North 44 degree8 OS miultte~ '~0 seconds West 200.0 feet to a concrete monument and other land of Gloverl, · RUNNING THENCE along other land of GloVer North 45 degrees 56 minut~ I0 second East 200.0 feet to a concrete monument and the wester side of Cox.t~ L~n RUNNING THENCE along the westerly side of Cox's Lane South 4'4 degre~ ~$ ~ ' minutes 50 seconds East"200.0 feet to the point or place of BEGINNING. ;,' TOGETHER witb all right, title and interest, tf any, of the party of the first part in and to any streets and(. roads abutting the above.described prenfises to the center lines thereof; TOGETHER wkh the appurtenances and all the estate and rights of the party of the first part in and to sa d premises; TO HAVE AND TO ]lOLl) the premises herein granted unto the party of the second part, tbe heirs or successors and ssiklas the party of the second part forever. AND the party of the first par.t covenants tlutt the party o£ ~he firat part has not done or suffered anything" wheroby 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 La/v, covenants that the parry'of the first part will receive the consideration [or this conveyance and will hold the right to receive such co,~sid- eration as a trnst fund to be applied first fOr the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the ,amc for any other purpose. The word "party" shall be conswned as i{ it read "parties" whenever the sense of this indenture so requires.'.' 1N WITHE~ WHF. REOF, the party of the first l~rt has duly executed this deed the day and year first aboye written. . IN pRESENCE OF: , ,~ Leander B.' Glo'vet jr~