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HomeMy WebLinkAbout15329-z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z1 Date A r. . . . . .5658. . . . Pil. . . . . .20 , 1987 . . . . . . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . ?o o l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . ,500 Wavecrest Lane Mattituck House No. . . . . . . . . Sweet . . . . . . . . . . . . . . . . . . . . . Hamlet County Tax Map No. 1000 Section . . .1.00 . . . . . .Block . . 3. . . . . . . . . . . .Lot . . 5. . . . . . . . . . . . . . Saltaire Estates , , . .Filed Map No. 4682 4 I Subdivision . . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Sept : 23 , 1986 15329Z pursuant to which Building Permit No. . . . . . . . . . . . . . . . . . . . . . dated . . Sept . 2 5 19 8 6. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . „ . . In.ground pool and n. fec. . . . . e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .ALAN J . CROCE--PATRICIA L . ACAMPORA (owner,IEa6d�)C7e1¢iafilUXXX of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .VA A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .N 7A54 3 D. A e c.•. .2 3.. .l,9,8 6. . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rm. 1/81 FORK 1NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 15329 Z Date ... .0".. - ,.... ..4........ 19..8.E Permission is hereby granted to: ... k �1 .............. 1......�......�::o.......................... . `3�':..:y....(..�:�.�?. ..-............. to .(yJS`....4 !.......W... ....... ................................................................................................................................................................ of premises located at ...m4zor")... .. ! .4r�A'' ....Alm........... r+ .......... ................................................................................ ................................................................................ �is..4lSr!c G's7....4 'eT Cli.-r........................................................................................................... County Tax Map No. 1000 Section .... ......... Block ... 3......... Lot No. ...4 �............ ........ pursuant to application dated ...a�R� ^ .•..s� ............ 191.i4k, and approved by the Building Inspector. Fee $A�:.�..... ..........If-�=�`'v`r. ................. Building Inspector Rev. b/30/$0 FORM NO.6 D � TOWN OF SOUTHOLD Building Department 6a_ 0C -pEP7 Town Hall Southold, N.Y. 11971 T7b2N [� � 7fwl)I 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ® to the Building Inspec- tor with the following;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 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 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 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. C. Fees: 1. Certificate of occupancy $25 . 00 -- BUSINESS $50 . 00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 5.Updated C.O. $ 50 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . NeWConstruction. . . . . . Old orPre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property . . .AO . . W �!�Y~�'��t . . . . X. !. House No. n \ Street Ham/et Owner or Owners of PropertyG� County Tax Map No. 1000 Section . . . qP . r . . Block . .©-J.t. P-P. . . . Lot . QP".a, .0..crp. . Subdivision . . .Ca�? Y6t . . . . . . .Filed Map No. ��4 , . .Lot No. . . . . . . . orcP��.dr W\.q% 1.o�w�+er� Yivvr.q% G. '011" Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . .�� , ,(�. �-(�de . . . . . . . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval aK+lr�r.� otvvla %ow.ww.h Underwriters Approval . . .. . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate �. . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . .�ti4.•.t?R. . . . . . . . . . . . . . . . Construction on above described building and permit meets all anolicabblle,codes and regulations. / Applicant . .( �v.W�+� . . . . . . . . . . . . . '\ :.0 Rev.10-10.78 317 i�3 C . O , Z 102o3 THE NEW YORK BOARD OF FIRE UNDERWRITERS = ' BUREAU OF ELECTRICITY . . 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date D(-' oniyor 33, 1986 4344W/8B Application No.on file 785430 7 4 td 3 0 THIS CERTIFIES THAT LEI N / LI only the electrical equipment as described below and introduced by the applicant nomedon the above application number in the premises of C b(,e, S/S 500 Wavecrest iane, is/0 Hee- e Avenue, mattituci.R N.Y. in thefollowing lncati n; n FlasG+gent,,�,}ny 1st Ft. ❑ 2nd Fl. Outside was examined on decal "Ter .l Ay 1gbL Section Block Lot o and found to be in compliance with the requirements o/this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS _ OUTLETS INCANDESCENT FLUORESCENT M a _� YY R5 R AMT K W. AMT. K.W AMT. K W. AMT K W AMT H P. 1 I G 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS AMT K W. OIL H MULTI-OUTLET DIMMERS .P GAS H.P AMT. NO A.W.G. AMT. AMP. AMT AMPS TRANS. AMT H,p_ SYSTEMS NO.OF FEET AMT. WATTS 1 ?0 1 40 SERVICE DISCONNECT NO.OF S E R V 1 AMT. AMP. TypE METER C E c EQUIP. 102W I-W 3W 3,e 3W 304W NO.OFFERcCOND. AW.G. NO.OF HI LEG A.W.G OF CC.COND. OF HI LEG NO.OF NEUTRALS OF NFU0. - OTHER PP RI)TUS: (8WilnIl�.n�P,'4 PO)1) 7'hi:� certificate Covers coinpuance at the date of inspection oniy Because cf uriu,ual. eynvironnentS it is advisable to have frequent to and/or repairs made by a qual i fic-d Person. on. 12t,'jml0p Pasture Road Setaulet „ N.Y. 11733 Itic. 2676E GENERAL MANAGER 11 -_ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ma�ba identified by their cre entials. r.l COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i FIELD IriSPE6TION DATE COMMENTS 1 . 3 � FOUNDATION ( 1st) �r ti� FOUNDATION ( 2nd ) __ m A- 2 . o ROUGH FRAME & G PLUMBING H 3 . cn INSULATION PER N . Y. H LL STATE ENERGY CODE x a y a r 4 . FINAL ✓t 7 ADDITIONAL COMMENTS : x v H � a � H O � z 13 r _ • x ra a r x, e ea ro H 76S-1so2 BUILDING DEPT, INSOPOECTION [ ) FOUNDATION 1ST [ I ROUGH PLBG. [ ) FOUNDATION 2ND [ ) INSULATION [ ) FRAMING [il-ir, REMARKS: , r""X - -�- fl DATE S INSPECTOR 14 11 . ALAN J. CROCE UNDER SHERIFF cl d V SUFFOLK COUNTY SHERIFF'S OFFICE RIVERHEAD, N.Y. 548-3207 29-395:5/99 o�5vFF0Uf TEL. 765-1802c�G TOWN OF SOMO�" OFFICE OF BUILDING INSPE( ;7 o rn P.O. BOX 728 Crc�vc o v' TOWN HALL — yO,y�o! SOUTFIOLD, N.Y. 11971 T, / April 13 Mr . Alan Croce / 500 Wave Crest Lane / � Y�67 Mattituck , N . Y . 11952 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /_// An application for Certificate of Occupancy �is not on file. /✓/ The check is not on file $25 . 00 No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Dept. 3)1 U.l�ll 5yg _ 3d07. _ �Y. 4, A ' STATE OF NEW YORK, COUNTY OF SUI.FOr r. SS: STATE OF NEW YORK, COUNTY OF Slii°YOLK: On the 2 ! day of ! 1?/� 19 St , before me On the Zq day of /��r CC/1 1986 , before me personally came MARY R. CROCE, SUSAN CROCF and personally came PATRICIA L. ACA.MPORA ALAN a. CROCE to nu known to be the individual s described in and who to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the foregoing instrument, and acknowledged that they executed the same she executed the same. \ liin� v` b �tM�„'"✓t-- `�twi.� �. I�'�,n•t�,�'1't--- Notary{ _Public y Notary Public ,1 J044 F.JMKItG NpTARY PUBLIC,State of New F.S0p.9sm No.4789541 -Suffolk Counhl t, NOTARY PUBLIC,State of New York y Commission Expiry Mweb$Da Y No. 17°�541 -Suffo!k County r( Commsaon ucp;res Morch 33, 19 .. STATE OF NEW YORK, COUNTY OF SS: STATE OF NEW YORK, COUNTY OF SS: On the day of 19 before me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that he resides at No. whom I am personally acquainted, who, being by me duly that he is the sworn, did depose and say that he resides at No. of that he'knows the corporation described in and which executed the foregoing instrument; that he to be the individual knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument; to said instrument is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of director; of said corpora- execute the same; and that he, said witness, tion, and that he signed h name thereto by like order. at the same time subscribed h name as witness thereto. Bargain anb J§ttlr Drrb WITH COVENANT AGAINST GRANTORS AcTs SECTION rITLF. NO. BLOCK MARY R. CROCE,, SUSAN CROCE and LOT ALAN J. CROCE TO COUNTY OR TOWN PATRICIA L. ACAMPORA and ALAN J. Remrdcd at Requot of CROCE CHICAGO TITLE INSURANCE COMPANY STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Retum by Mail to Distributed by SMITH, FINKELSTEIN, LUNDBERG, CRIMMINS and YAKABOSKI, ESQS. CHICAGO TITLE 456 Griffina Avenue INSURANCE COMPANY P. 0. Box 389 Riverhead, New York 11901 n n zip No. r I� w u- 0 r 0165 e r. y _pM Pa,gam and Salo Dl,I ,,h 1,1,shop CONSULT YOUR LAWYER BEFORE SIGNING THIS INS':RUMENT -THIS I NSTRUM ENT SHOULD EE USED IT LAWYERS ONLY 1 THIS INDENTURE, made the id) of �']'� ,��, , nineteen hundred and eighty-siiz, BETWEEN MARY R. CROCE, residing at 9201 Montillia, Laurel, Maryland 20708, SUSAN CROCE, residing at (no #) Wavecrest Lane, Mattituck, New York 11952, and ALAN J. CROCE, residing at (no #) Wavecrest Lane, Mattituck, New York 11952, party of the first part, and PATRICIA L. ACAMPORA and ALAN J. CROCE, as tenants by the entirety, both residing at (no #) Wavecrest Lane, Mattituck, New York 11952, 3� l� art of the second art, party P 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, . s'a ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and beingie at Mattituck, Town of Southold, County of Suffolk and State of DIST. New York, known and designated as Lot #41 on a certain map entitled, "Map of Subdivision Saltaire Estates" , and filed in the Suffolk County Clerk' s office lO 00 on August 3, 1966, as Map Number 4682, which said lot according to said map is bounded and described as follows: BEGINNING at a point on the southerly side of Wavecrest Lane, distant 445.69 SEC feet easterly from a point at the intersection of the southerly side of Wavecrest Lane and the easterly side of Reeve Road, said beginning point being the inter- lO O, 00 section of the southerly side of Wavecrest Lane and the division line between Lots 41 and 42 on the abovementioned map; running thence along the southerly side of Wavecrest Lane the following 2 courses and distances: (1) northeasterly along the arc of a curve bearing to the left having a radius of 1342.69 feet, a distance BLK of 43 feet; (2) North 73' 00' 30" East, 63 feet; thence South 169 59' 30" East, 249. 21 feet; thence South 75' O1' So" West, 106. 04 feet; thence North 160 59' 30" 03, O O West, 246.41 feet to the southerly side of Wavecrest Lane, the point or place of BEGINNING. I TOGETHER with the use of the "Right-of-Way" as shown on said map for access to LOT Long Island Sound and Lot No. 32 for recreation purposes. I � O O cc) SUBJECT to covenants and restrictions of record effecting said premises. SUBJECT to a mortgage held by the Southold Savings Bank dated 2/9/73 in the amount of $31,900.00 and recorded in the Suffolk County Clerk' s Office on 2/26/73 in Liber 6643 of mortgages at page 567, which said mortgage the purchasers agree to assume and pay. BEING AND INTENDED to be the same premises conveyed to the seller by deed dated 5/21/84 and recorded in the Office of the Clerk of Suffolk County on 5/24/84 in Liber 9568 at page 201 . 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 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 any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture So requires. f IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: I .. �Y R. CROCE OREAL eSTAT'j Q PATRICIA L. ACAMPORA APR 9 �86 I SUSAN CRO E SUFFQL ALAN J. R E COUNTY r g 1, i. ia'CowC - i BLOCK COPING+ ,� T I /j7q 12) n[ea . 3 STEPS L tti F'. It• ..� O ^-i ...�-.. ��' i; GRADE CONC BOCK rr1ERS.ERGLASS L--T-ULDED I 12 •-e--- 1 4-0� 12 m Y - . a. IECE N I MV mO I '' OPTIONAL STEP ' CID '� -� THICK 'OWENS CORNING' f� N ' FIBERGLAS'BIDC BOND' 13 TYPE Z. wW f TROWELED ON EACH FA' ITS �--- 6 D, — t' ' oU _tl; OF CONCRETE BLOCK WAL; _a! o V p r.• �. NOTES-... U OPTIONAL STEP AWAYKS TO FROM POOL SMOOTH - NON SKID TYPE, SLOPED fn nu a. �. I 0 TYPE I. WATER DISPOSAL SHALL BE LIMITED TO OWNER0.4 PROPERTY T0. SUIT LOCAL REGULATIONS ROLLED FOAM BETWEEN INERR SEE TYPICAL and�SLOC ND' •e' WALL SECTION �. O i VINYL LINER , ;• ' 1 S>r � O o H N. O. , "!. A aj W 6 9 i0 T c.. .r' I. u• v. . 1 g H 20- 4 SAND BOTTOM, �• ,.P v s I : ..... Is', Is'.a' CONIC BLOCK 2- 4' SAND • �_ u PIER INTERLOCKED WITH S E CT_i_0 N 6- B no12• FPRED OOTING CONCRETE GRADE PRE CAST COPING TY PICA L WALL S E C T I O K T 10 � L O o SKIMMERS RETURNS SLOPE SUOPE o -�-- B SECTION A- , il I p O m 0 F TO FILTER SIZE A 8 C D E F G AREA CAP WON i FROM SKIMMERS FEET rT. Fr rT. Fr. rr. R ri swE a AL \ O� FiITERond PUMP 70 RETURNS FROM FILTER IB*a 32 16 32 ; )L 6 8 12 4. 4 SI2 18,500 -- y1NYl� LINER _ _ 49 TO WASTE 16, 1 36, 16 36 12 B 12 4 _4 576 20POD o n T op END /Y•'F�" }'i l , 1 °YM1. �, :r a'�"�",j4{;'1.,i •:ti 11'�"4,J:ki' ' '� � ,'r. �;' 1� ~!r �'.+•1""',�\',• ,. «, ('•r !, t _•", •I! \1 (•1 `�41.' 7 __yy��7M��?* ? 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Ir, ''r'F- . iX.'I' A ,1 . a• \ (, �.. .�{,rr.�-.lk, �(r�': ♦ •.' ` r . Nil I j ,:?, ' ♦ y i Q '� •�, :...: ,: ' ..,tt�:•r. .. '!ri � ., ' sir. , ,yraSt w}!;e . .r'�,'•:`,�Y}I:fz Yh, ,�tW .�1„ '•�Y�+''•'�,vi'r,'aNi'' !Y'�" rt'1 „l"�'} "' �.Arib A. 4 .w.'T.t• ' N '�' < n, t-' � 'r. ,�'. 'C�,�•. °.[-,.li ,4 ,t\• • '�, .r�','m�'..,'N •"� . . ,C:' •'�1'�Fh+ •, ,p!ys C.,':'"'}'�r .TM�tM";'Ll' �. rA�.T;�,�f:Ta° ul .t F, ..•'�"�:''•�^ .;t tl;,'rY•'f✓rv' .(.u3 U+jry `' " �. ,Ir 1y ROVE® AS NOTED F' jr D41- .• .FEE: G' I]EP.ARTMEHT AT ri r ..' :•.': r ', , t.•t„'V t' NoTPF`G BUILD N THE eR s:'ryr'•r.,^ 4 Fp ,• ;�• ... t L�INIPJG 'Fp ,�1C1ArItYr1�( 1 Jf7 tiEtIIIIREI� R,PU'11fiEG L;(3S+SA E 'r ..;' ;:. .,, • . . �a �- FO FRAtIPI1NC3 d P`LIIMRlNCw a >vY JY 4`? °' : .� 6,Qn,;•"a " �•,, Z ROUGH . •3. INSULATION 4 FINAL. CONSTRUCTION MUS'i 'd. K77t BE COMPLETE FOR : ALL CONSTIII)t TION SmALL MEET r'�y..� S�p�e• � / +*v ' ; . THE RECDUI6'+EIw1Eh+-rS OF• THE N.Y •� �,..,�, �" ��',;13, ��� ; .r �'}:f irl• ; oMrorbn o AT& °r"Ll 9ION 8+ EN 11 `r7 w w th• Nl (/,,,�,II�C��Yn ,n •pA�Rt`I'�q'4 , •I this wr••y m.:ny ('3R]Pj' F�n[w V UCTION, EI$RO «+°r, ,; ,.. y�" . . •4,�: "+4 'r. N M Cn br<9 d i i." c"' ..-.. r � •.. W run only to In • +_• ' •+ nn rh• iA,•u, „ ;m: v i, cn4 •a. 1•I( L••I of !„ 1 .•wt. : +' •' ,� y n•mRmr r r, nm n � d b Ih• OM. (Y r�•a 1. � J 'n �n.bn.'�.,n � ..,d ', i ynw t or lieu 4md•nd �r...L•.nn, c.,wr nl ' �• ions an nowtragyl r to add b n �14Mr1 a al mf1:111an. y • •. �'., lot t i RvEr foR \ ; RCffClHCE . ray fNF.RED M, TURNER MAP OF sALTAIRE ESTATE'S k 'R yy4mr&cK flLen' JOLY 3, 1966 FILE NO. 4681 - 1K`01t ,S0(/THOL0 6VAPAKTf}iO TO' ", Ar',VoUNTY, N. Y.' AMLA'ic.,N TITLE IN�LP4NCE OGMPANY k' %1 • �" +•y" WiNFKLU M TURNER Aim 4 f• letl . r. .; I ..ti!:�� i S' r- . 1, iy',, .I.� r.'•y: :,,/ .. , ',..�I;•.•,•I-., .•' w+l.'irN•.y�.�:.;�_....�.�.��„\ ' ... . � ' ,�,1, y/'A 'e•� •♦ °4a �1 O'4!;:,ji4it il' ;1.{ •� !' ;�1 .. . I• X. , t!,;t'' f � i' '74' l r �.lr � .,r. Fr �' �uA�''• �'t',yE,ti� C'NM'1.',LM1�' •' 'i IJ . ` _ �Q� 'ti:ifN7�r.. k"f,�. +9 ' ' y Cy�1 �` 1 �1 i�;r�'' r '(' ., .r�•). ...�.��IF. .X I°kdet°��, '� 'rf 41, l( 4.4 ORESW. , WAV 63.0 lk r;!0..., ,µ,�.��,�.'�; '�] „Y�n.:•,%I'I�i'ir`";��v ::' ..• 6 .,II'i','�,:Wt,.• 'S�.. - .. ,' : 'pi.-f.�.,R��;"�:.�.,'�l,C.K`'4 • , 1. +°�. '• ;�•�,�: � � .pe4 ..� 4 _ „'.'�!+'..•. I ;,` ':� ' „� •;{' ,• ^ yr r, •' r- } .R,a.'••fr�r t ,. l e Y•,I L': r• r ,. 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'; ,h� •Y%,Y ,C: '"tA �', 1•�.'{�t�,t. r' 1•'�att'`" Y•�`��°{..,.2.. _ .. N. � 'iyF���:�� esf�.';r. '''j� '�'{",�Cr// SY'�j`.• 4"•­,'i - �x'•{,r.•1,„,ii''',r+�.r 'VI d(33 Wr, �L (1YVM, ,. •,Y,'t�'. nc'�'r;C,•l ,"L:!�:'s`:: jltr'36 YY � ' ,1 Yr ,y.3 .'1' •..��i, ;� .r :. :.Ilry;,i.,• �t` � "'s ;4 s•"I]/{y( ' �'• to ?lip., '•x`4' 6.Q'ti:� ' \ , ... ., ,fp' .,, ' .l.J�, i }t l� f:� 4,r','•C'�j, SJk S rf„� I �;�:. \n•'' f1' kr�'7;+'+��t""It��'fik" p �o1WoMon a odd�!twf In 'his .onr I• � GI � p' � r '�'� .1:1'.•,1. lrt.i+QKh . a ' 1 fir. Y d a YiOh•:,,Rr \{ �".yr• .1 .,, T `,! C ,, y,{�), +:r •!� the New Yorh Slu n re Edc,aon Larr, MPp• ^d ffiIf •orvey mcn nnl I,eOr.n� Inr L, 1 W"y"t I,l. .1 embo^MI fe:I .•. .,a :.�. <o��:�.,,�. : r. bu o raLd coo, M ..��.F. � ",. .+� � �, .•ii.c � ';`.�'�r'"IQr�. i ♦i the :nr.•.. 1 ror•vrd, end yn'LIsu Only fl so the . ru ti+•rTmrrr ri np.ntY r.. 9 "•`f.'V•• .d la rife O.F 4 1. .,t m•bn.•.on �•,d ,rY, , yn.• f oI Ir:u bnd n• r :on* are OW r ' J r-Ong' i l.voronlW. 1 ogylrrulilu lu add honol inflrul!4r1, 7r k;' '• , ;Z /tVEY FOR REFfr,EHCE ' ,1NFRED M. TURNER Mav of SALTAlRE ESTATES f A'TlIfUCK f/Lt.D' JUL'Y 3, 1966 FILE.' N0. 4662 ' r 1� Ole ,•1SoUrHOLO �yy 6UARAA'TF.;;n� TO' . rO(INTY• N. Y. AMLfel"N TITLE Mr L.f4NCE CohfPANY,,;><;;•%I ,t �'r:" '•' WINFREU M TURNER r�•t. .+ 40' ': f ' 04 1973 r . ':� : a• ' 1 FORM NO. 1 li CCh Inpc i TOWN OF SOUTHOLD JGI �UUI BUILDING DEPARTMENT >=-a- TOWN HALL BLDG, DEFT, SOUTHOLD, N.Y. 11971 " `TO��V�� OF SOUTHOLD TEL.: 765.1802 ExamineARiPI:A.- t.. C ., l91�. Received . . . . . . . . . . . , 19 . . . Approved *-� . A.I., 19QLi. Permit NoA.6'.AQ.9.RZ— Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d�TO . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . G . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter 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 i pechonS. (Signature of a lic r name if a cor or PP , P tion) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Du� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. . . . . . . . . . . . . . . . . . . . . . . . . T Electrician's License No. : r..., . ./�. . s . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . .I A . 4v�CR�ST. . L .RJE.-, yu;�y. �✓.p. . � � _5 00 . . .!?/9 EC 2/ T. . .!-R . . . . . . . . . . . . �.A777 i JCK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . Block . . . . . .:3. . . . . . . . . . Lot . . . . ... . . . . . . . . . . . Subdivision . . . :S�/L Sic c C 7--q7-1775 , • • . , • 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 . . • • , • _ , , , _ , • . a b. Intended use and occupancy a4' OP, AtE ao k uo / 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . Remova, l . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work-791fC . . . . . . . . (Description) 4. Estimated Cost . . . . . vjd,aD .. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . riot io . . . ` (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,;if any: Front . . . . . . . . '. . . .-. : , Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Numberof Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . S. Dimensions of entire new construction: ) tt . . . '��.x`�4. . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height r of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . Numb . Rear . . . .iP.�e. . . . . . . . . . . . . . Depth �5��. , /5L. . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded as . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: es No g . . . - 14. Name of Owner of premises .�}!�U. . ��'OCE, • • • , . Address r50CJ.4te#V4. '. _gPhone No. a7f Name of Contractor . ,4J/. . .' Address . . . . . . . . . . . . . . . . oI' a o. . . . . . . . . . . . . . . . Name of Architect9 pS m ��� dLS. . . . , . Address . .y>/. dS . '?1 � 15. Is this property located within 300 feet of a tidal wetland? *Yes . . No . . *If yes, Southold Town Trustees Permit may be required. 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. I ;TATE OF NEW YORK, 'OUNTY OF . . . SU.f�d.l.C� . . S.S • • � QoG ,SRUT�huCo • . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) .bove named. Ieis the . . . tQ/T. . .�4'e . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the cork will be performed in the manner set forth in the application filed therewith. wom to before me this / . . . . . . . . . . . . . . 4o dayof.SNV2 . . ., 19 .�.� otary Public. . . . . . . . . . . a�d/�-. . . . . . . . . . . County J -d _ � No Notary 4- 4 QuaUI," nty Ignature of a licant) li