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Home My WebLink About13169-z FOuM' NO. fJ TOWN OF SOUTHOLD BUILDING Ds:PAP. T/~ENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13169 Z County Tax Mop No. 1000 Section ...... [...~......~'... ..... Block ......... ..~q ......... Lot No.......-~..~ ......... . Building Inspector. Fee $......~.~....' ............ Built]lng Insl~ctor Rev. 6/30/80 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:~ Examined .... ~?~..~ .... , 199 }[ Approved .....~94~.~.1., 19~!l.eermitNo.).'.~J..~..~..~. ' Disapproved a/c ..................................... Received ........... ,19... ..~. ' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date · .¢.~./~. ...... , a. Tliis application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 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 appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (-~.~. ~ , ~L-~ ~ ltl^ [ r~ .......... '/ ............ .... Y" ' (Mailing address of applicant) is~w~ne~, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. State whether applicant Nameofownerofpremises C'~I~U/-.i. .~. ~ ... ~ .~. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .............. .......... ............... .6.0 ............. House Number Street Hamlet County Tax Map No. I000 Section ..... l~.~ ......... Block ........ {Q ......... Lot..~.~ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy..~r~...~. · .~r~. · · . · · ..................................... b. Intended use and occupancy ................................................................ ~Nature of work (check which aPl Repair .............. ReNo' Estimated Cost.. ~,O.(-9.... ,licable): New Building ..... ' ..... Addition .......... Alteration .../ ....... al ............. Demolition .............. Other Work....~...~.~. (Desc~t/ption) <to be paid on filing this application) 5. If dwelling, number of dwelling finits ............... Number of dwelling units on each floor ................ If garage, number of ears ..... : ................................................................... 6. If business, commerciai or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structurei, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth: .................. Height ...~ ........... ! ...... N~mber of Stories ..................... (~ Dimensions of entire new constrtlction: _-Frg_~z~t :' . .~fiZ'~..t~- .~.~O.. ,~...~.~ .... \ 'B~vth . ' Height ~/ ¢* :b,Tumbe,~ofStories~-~'~''~':~''-~ "''"F/9~" . .............. 9. Sizeofl'ot:'i:r;;t'i:l'.~.'~f,',,., .... ,~tearili~),x~...,. t'.~ .... 1<. Dep~)..o~ 10. Date of Purchase .. lO.l&t/..7. .............. Name o[k'o';/r'&L;' :i~16i4.~.ii:iii::. 11. Zone or use district in w/nich/pre~ises are situated., g.{ ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . ~ ......................... 13. ~ill lot be regrade~ ..... .~-. ~7..n ...... k~e e .... Will ext~s_s fill~e, ren~ov~ed, from premises: _ Yes 14. l~ame of Owner of premises . rOqu~.. ~ ..... . .c/v2:Wg... Address [[..~.. f..-~. ~ .(Jq,~..~.~Phone No. 7] .~ .~..~..~t~.. Name of Architect .......... i ................. Address ............... Phone No .I.. -- Name of Contractor .......................... Address ................... Phone No ................ Locate clearly and distinctly all property lines. Give street and block interior or corner lot. STATE OF NEW YORK, couIcrY OF ................. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from umber or description according to deed, and show street names and indicate whether NOTIFY B(III~DJNG DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: J. FOUNnATiON . TWO REQUIRED FOR PqURED CONCRETE 2. ROUGH - PRAMING & PLUMBING ALL CQbm-'~,lC'rlON SHALL MEET THE R~O' 'nr'MFNTS OF TH~ N.Y. ~Am~ CONCTR[JCT[ON & ENERGy ~OmES, N~T RESPONSIBLE ............................. . .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dui authorized to perform or have performed the said work and to make and file this' ' application; that all statements cont~ ined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne ~' set forth in the application filed therewith. Sworn to before me this ......... .~..Y. ~ ....... day ofi ........ ~. ~ ........ 19...~ NOTARY PUBLIC, Stbte ot New Yot, k //' /J (Signature of flppheant) ]NSIDERATION 'I~S THAN [00. O0 ) ST~MPS ( ( THIS INDENTURF~ made the ~_ ~' t'o. day of 0c i;ob-,¢r , nineteen hundred and :se ~, -'?Ity- Fi ye BE~ ",L.~I-: A. , residing at 23B Stillwater Avenue, Cutchogue, New York 11935 part3' o£ the first part, and FAUY. I"'~ L'*~r'iC', residing at (no ~) Main Road, New York 11935 Cutchogue, par~ of t~ second pa~, WlTN~-~qlgl'}l, t~t the party of the fimt pa~, in consideration of Ten Dollars and ~r v~uable consideration p~d ~ the party ~ ~e s~ond pa~, does hereby grant and release unto the pa~y ot the second ~, the heirs or succ~rs ~d ~slgns of the p~ of the second part forever, AI[.L tMt ce~n ~o~ pi~e or p~c~ of land, ~ the b~lalngs and improvemen~ thereon erectS, situate, lying and b~tthe at Cutchogue, Town of Southold, Suffolk County, ~ York, bounded and described as follows: BEGINNING at a monument in southeasterly side of Main Road (Rt. 25) where the northeasterly corner of land conveyed to Anthouy Blados and Jane, his wife, by deed recorded in Liber 5825 of Deeds, page 176,. intersects the same; thence North 2~44' East along Main Road, 100.00 feet to a monument and land now or formerly of Henry L. Fleet; thence South 5~ 09' 20" East along said land, 200~00 feet to a monument; thence South 2~ $4' West still along said land, 100.00 feet to a monument and land of said Blados; thence ~orth 50~ 09' 20" West alon~ said l~ud of Blados, 200.00 feet to the southeasterly side of Main Road ~t the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the parties herein by Cora W. Wolf and Alice W. Case by deed dated July 24th, 1965 and recorded in Suffolk County Clerk's Office on August 9th, 1967 in Liber 6200 Page 169, this deed being given to convey all the interest of the party of the first part in said premises to the party of the second part. TOGETHER with ~11 right, title and interest, if any, of the party of the fir~ part in and to any streets and roads abutting the above described premises to the center lines {hereo~; TOGETHER wkh the appurtenances and all the estate and rights of the party of the first part in ~.nd to .said premises; TO HAVE AND TO .~iOL the premises herein granted unto the party of tim second part, ~he heirs or successors and assigns o[ the party o[ the second part forever. AND the party of the first part covenants that the party o[ the first part has not done or suffered anything whereby the said premises have been encumbered in any way wh.atever, except as a[oresaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of .the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust 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 an)' part of the total of the same/or any other purpose. The word "party" shall be construed as if it read "parties" whenelter the sense of thls'indenture so requires. IN WrFNF2iS WHEREOF~ the party of the first part has duly executed this deed the day and year first above written. I~ ~SE~C~ of: STA. TE O~ NEW YORK, COUNTY O~ SUFFOLK On the 13thday of Octobe 19 75 , before me personMly came ELSIE A. BLAIRON to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that she executed the same. Notary Public WtI, LtAS! ~A 11'[;11 xNOTARY PL ltl,lC. 8't'A 1'1.: II1' 5 ~B' YORK No. 52- t'~59~/00 Term Expires ~ch 30, STATE OF N~EW YORK, COUNTY OF ss: On the day of 19 , be[ore me personally came to me known, who, being by me duly sworn, did depose and sa3' that he resides at No. that he h the of , the corporation described in and which executed the foregoing instrument; that he knows the ~eal of said corporation; that the seal affixed 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. On the da .. personally came 19 , before me to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed tl~e same. STATI~ OF NEW YORK, COUNTY OF On the day of I9 , before me personally came i the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say 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, wa~ present and saw execute the same; and that he, said witness, at the same time subscribed h name as Mtness thereto. \X,'I iH COVENANT AGAINST GRAN'iOR'$ ACjlS .TITLE NO. I ELSIE A. BLAIRON TO PAULINE D'EMO SECTION BLOCK LOT OF SOUTHOLD Recorded At Request of The Title Guarantee Company RBTURN BY ~AIL TO: 1 ;'t'L~ GUARANTCC~ N~WYORK ATICOR COMRAN~f Wickham & Lark, P.C. P.O. Box 1424 Matt~i%uck, NY 11952 Zip Nm