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Home My WebLink About25692-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP;~RT~iENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26560 Date: 07/14/99 THIS CERTIFIES that the building ALTERATION Location of Property: 290 SMITH DR N SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 76 Block 2 Lot 18 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 19, 1999 pursuant to which Building Permit No. 25692-Z dated APRIL 27, 1999 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 INTERIOR ALTERATIONS TO AN EXISTING GARAGE TO LIVING SPACE AS APPLIED FOR. The certificate is issued to COWAN HOLDING LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 28798 06/16/99 N/A Building Ins~ctor FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25692 Z Date APRIL 27, 1999 Permission is hereby granted to: DOROTHY B KLEID (COWAN) 290 SMITH DR. N. SOUTHOLD~NY 11971 for : INTERIOR ALTERATIONS TO AN EXISTING GARAGE TO LIVING SPACE AS APPLIED FOR & TO CONDITIONS OF CHAPTER 46 OF THE TOWN CODE. at premises located at 290 SMITH DR N SOUTHOLD County Tax Map No. 473889 Section 076 Block 0002 Lot No. 018 pursuant to application dated MARCH 19 1999 and approved by the Building Inspector. Fee $ 175.00 Fee includes $100.00 flood Permit Rev. 2/19/98 ORIGINAL ,({I !.; 1999 BLOG. Form No. 6 , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate ~f Code Compliance from architect or engineer responsible for the building. ~. Submit Planning Board Approval of completed site plan requirements. - For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '?pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applic~nt. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00· 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~. ~. ~.~r¢: .~ ............. Locatio of roperty.... . .................. ........ House No. Street Hamlet Onwer or Owners of Property..~.¢.~.~.~..., .~,~.~. f.a<.~.,, .f~..~.. ..................................... County Tax Map No 1000, Section...~7.~. ...... Block .... .~.~.¢..2~.. .... Lot...d/.~. ............. Subdivision .................................. . . Filed Map ............ Lot ...................... · . of ............ ¢-0 a",~ '~/ ........... · ~./~. Approva; Health Dept. Approval ................... ,/~ . .Underwriters ......................... Planning Board Approval.'.~¢.~...' ........... · Request for: Temporary Certificate ........... Final Certicate..~ ...... ~ O ~PLIC~T ./, EDWARD FORRESTER Director of Code Enforcement BUILDING DEPARTMENT TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 July 12, 1999 Cowan Holding, LLC 146 N. Park Avenue Rockville Centre, NY 11570 RE: 290 Smith Drive N., Southold, 1000-76-2-18. A Certificate of Elevation is required before a Certificate of Occupancy can be issued. 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. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25692 ~ Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 July 8, 1999 Cowan Holding, LL( 146 N. Park Avenue Rockville Centre, BUILDING DEPARTMENT TOWN OF SOUTHOLD iNY 11570 RE: Dorothy Kleid, 290 Smith Drive N., Southold. 1000-76-2-18. '\.:,Before a Certificate of Occupancy can be issued, ~.~Certiftcate i~ required~~ an ElevatioB 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. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25692-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ,,-I. IN'I~ODUCED BE' O.M.B. NO. 3067.0077 ELEVATION CERTIFICATE E pir,,M 3 , 996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION IFOR INSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER _ j' o OTHER DESC~II~TION (Lot and Block N~Jmbers, etc~ Al? //'/'7 / TM / a CITY STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1 COMMUNITY NUMBER 2, PANEL NUMBER 3. SUFFIX I 4. DATE OF FiRM INDEX 5 FiRM ZONE I 6. BASE FLOOD ELEVATION I I (~n AC Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Sase Flood Elevations (BFE): [] NGVD '29 [] Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I I.~ feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate, Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building s reference level_~ · ' 2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation cfi I I I ~'l.L~ feet NGVD (or other FIRM datum-see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation cfi I L_J I I.LJ feet NGVD (or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ~ .L~ feet above [] or below [] (check one) the highest grade adjacent to the building. (d). FIRM Zone AC. The floor used as the reference level from the selected diagram is I I I.~ feet above [] or below [] (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? [] Yes [] No [] Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ~ NGVD '29 [] Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Gomments on Page 2.) 4. Elevation reference mark used ap'~ears on FIRM: [~ Yes [] No (See Instructions on Page 4) 5. The reference level elevation is based on: J~ actual construction [] construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:l I ] I I~.~.feet NGVD (or other FiRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I_1 I J.~ feet NGVD (or other FIRM datum-see Section B, Item 7). 2. Date of the start of construction or substantial improvement SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized t y state or local law to certify elevation information when the elevation information for Zones Al-A30, AE, AH, A (with BFE),V1-V3C .VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AC and A (without a FEMA or community issued BFE), a I~uilding official, a property owner, or an owner's representative may also sign the certification, i Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Eeature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section ¢ must still be entered. I certify that the information in Sections I understand that any false statement may be punishable by fine available. Section 1001. C E R(Ti~IE R~S N A M E TITLE /// ADDRESS/ SIGNATURE COMMENTS: STATE ZIP PHONE for: 1) community official, 2) Insurance agen?company, and 3) building owner. ON SLAB A V ZONES ZONES ADJACENT GRADE WITH BASEMENT A ZONES BASE FLOOD ELEVATION ON PILES~ P(ERS~ OR COLUMNS A V ZONES ZONES ' BASE FLOOD ELEVATION AOJACENT:~ The diagrams above illustrate the points at which the elevations should be measured in :A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal strbctural member. [ELD INSPECTION REPORT OUNDATION ( IST) 0UNDATION (2ND) # OUGH FRAME & PLUMING .NSULATION PER N. Y. STATE ENERGY , COD~ 11 ~1- JUDITH T. TERRY TOWN CLERK FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 'ro,~,n Hall, 53095 Mom Road P.O. [lox 117o Southold, New York 11~)71 Fax (516~ 765-1823 Tclcph(mc (516~ 765- I~()l THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Sout~old hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93)], and "Certificate of Compliance for Oevelopment in Special Flood Hazard Area [C/C(93)]. TOW~ OF SOUT~O_LD.: [ Southold Town Clerk August 25, 1993 TOWN OF $OUTHOLD APPLICATION PAGE 1 o( 4 FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to 'be filled out in duplicate. SECTION I: GENERAL PROVI$1ON$ (APPLICANT tO read and si~n~: L No work may start until a permit is i~ued. 2. Thc permit may be revoked if any false statements are made herein. 3. If revoked, all work must tense until permit is re-issued. 4. Development shall not be wed or occupied until a Certificate et' Compliance is issued. 5. The permit will expire if no work is commenced witbin six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby glve~ consent to the Local Administrator or his/her representative to make ieasonable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHlvIENTS TO .THIS APPLICATION ARE, TO TIJt~ BEST OFJgiY KIll'EDGE, TRUE AND ACCURATE. SE(3WION 2. PROPOSED DEWEr.,tji:'ix, ii~I'qr (To be comolctcd bv APPLICANT) NAME A. DDRE$$ TELEPHONE APPLICANT/t ENGINEER To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide thc street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. ;r,.3, I r,',oq 74:h,47 FDP(93) APPLICATION PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ^CnvTrY 121 Ne~t Structure El Addition ~ Alteration [] Relocation Fi Demolition [] Replacement TYPE ~)~ Residential (1-4 Family) ID Residential (More than 4 Family) [] Non-residential (Floodproo£mg? [] Yes) ID Combined Use (Residential & Commerc/~d) [] Manufactured (Mobile) Home (In Manu- factured Home Park.* [] Yes) ESTIMATED COST OF PROJECT $. B. OTHER DEVELOPMENT ACTIVITIES: [] Fill ID Mining [] Drilling [] Grading [] Excavation (Except for Structural Development Checked Above) [] Watercourse Alteration (Including Dredging and Channel Modifications) [] Drainage Improvements (Including Calvert Work) ID Road, Street or Bridge Construction 151 Subdivision (New or Expansion) ID Individual Water or S,wet System [] Other (Please Specify) Alter completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION :3: FLOODPLAIN DETERMINATION (To be comoleted bv IX)CAL ADMINISTRATOR~ is located on FIRM Panel No~ Dated The proposed development The Proposed Development: Fl Is I~IQT located in a Spedal Flood H~:'srd Area (Notify the applicant that thc application review i~ complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ~Is located in a Spedal Flood Hazard Area. FIRM zone designation i~ '~ ~.~.~2~ ~ 100-Year flood elevation at the site i~:/~et. NGVD (MSL) ID Unavailable [] The proposed development is located in a floodway. FBFM Panel No. Dated FI Sec Section 4 for additional instructions. SIGNED DATE. APPLICATION PAGE 3 OF 4 SE(TrION 4: ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the appLicatinn can be proc~sed: [] A site plan showing the location of all ex~tlng structures, water bodies, adjacent roads, lot dlmeasinns ~oad proposed development. [] Development plans, drawn to scale, and specifications, including where applicable: details for anchoring structures, proposed elevation of lowest floor (including basement), types of water r~istant materials used below the first floor, details of floodproofmg of utilities located betow the first floor and details of enclosures below the first floor. AI~o, El Subdivision or other developmant plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). El Pla~s showing the extent of watercourse relocation and/or l_aadform alterations. ID Top of new fflfi elevation lat. NG~rD (MSL). El Floodproofing protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. [] Certification from a registered engineer that the proposed activity ia a regulatory floodway will not result in any increase in the height of the 100-year flood· A copy of all data and calculations supporting this finding must also be submitted· ID Other:. ~ECTION 5: PERMIT DETERMINATION fro b~ comnleted bv LOCAL ADMINISTRATOR) I have determined thai the proposed activity:. A. El Is B. El Is not in conformance with provisions of Local Law # .... 19 attached to and made part of this permit. · The permit is issued subject to the conditions SIGNED , DATE If~BOX A is checked, the Local Administrator may issue a Development Permit upon payment of desiguated fee. Lf BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPEALS: Appealed to Board of Appeals? [] Yes [] No Hearing date: Appeals Board Decision --- Approved? [] Yes Conditions [] No APPLICATION # PAGE 4 OF 4 ~ECTION 6: AS-BUILT ELEVATIONS (To be submitted bY APPLICANT before Certificate of Comnliance i% issued3 The foilowlag information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. L Actual (As-Built) Elevation of the top of ihe lowest floor, indudlng basement (in a al Hi h Hazard Areas. bottom of lowest structural member of the lowest floor, excluding-piling and columns) is: .FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproo£mg protection is. FT. NGVD (MSL). NOTE: Any work performed prior to submittal of thc above information ia at the risk of thc Applicant. SECTION 7: COMPLIANCE ACTION (To be comvleted bv LQCAL ADMINISTRATOR'~ The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of thc project to ensure compliance with the community's local law for flood damage prevention. INSP~ClqONS: DATE BY DEFICIENCIES? E] YES [] NO DATE BY DEFICIENCIES? [] 'YES [2] NO DAT~ BY DEFICIENCIES? [] YES D NO ~ECrlON 8: CERTIFICATE OF COMPLIANCEfTo be comoleted by LOCAL ADMINISTRATOR~ 0 Certificate of Compliance issued: DATE: BY: Attachment B ~AMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT.: PERMIT NO. PERMIT DATE CHECK ONE: [] NEW BUILDING ~ EXISTING BUILDING [] VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS LOCAL LAW # ,19 SIGNED:. DATED: OF COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #,__, 19__, AS MODIFIED BY VARIANCE # , DATED SIGNED:. DATED: C/C(93) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ~I)UG. PLBG. [ ] FOUNDATION 2ND [/~J INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAn& CHI~M~_~ REM~ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]iNSULATION [ ~]~RAMING [ '] FINAL [ ] FIREPLACE & CHIMNEY DATE ~~/~9 INSPECTOR // 765-1802 BUILDING DEPT. INSPECTION [ IFOUNDATION 1ST [] ROUGH PLBG. [[]] ~ORAUNMiD~ION 2ND [[ ~]~U/~ FINALLATION [ ]FIREPLACE & CHIMNEY _.~ DATE ~'~/~ INSPEC~~ 51' O0' E LOT 89 150.0' 1/2 LOT 89 49. 1' hOT 88 CONC. CONC. \ BLOCK WALK II .,~ cP~.4g T N 51' 00' W 24. 7' I STORY WOOD FRAME RES. 4.0' GARAGE ~' J..£LeVA~D wooD, ~.~,~, I D£CK W/RAILING LOT 87 1~2 LOT NOR TH BA YVIEW RD. ' 't 'C2) .'or 129 LOT 130 LOt FMff 1663 FILED NOV. 22, 1948 TM// 1000-076-02-18 SURVEYED J/~1/99 SCALE 1 "~$0' AREA~ 15,000 'SF OR 0.344 ACRES arantees indlcaled here on shall run SURVEY OF the person for whom the survey 172 LOT 87, LOT 88 & I/2 LOT '89 i prepered, and on his behalf to the ill~ cornpcn/~" Oov~rmenfal Agency, ~ IN , ~,mdlng inst~tuti~, if listed hereon, and , m *,~s..~, o~ ,h~ :..d,.o ,.,,mo,.~, ~-- O~ GOOSE.-CREEK ,uarontees are not transferable to ' SI~ATE ~tzo,~ in~i~utlo,~ or ,u~q~N~W A T SOUTHOLD, TOWN O~ SOUTHOLD SUFFOLK COUNT~ N. SURVEYED FOR COWAN HOLDING L.L.C. GUARANTEED TO SURVEYED BY COWAN HOLDING L,L.C. COMMON~'~ALTH tAN~) TITL~ INS. CO, ALLIED IRISH BANK TOWN OF SOUTHOLD 77TLE// 70990302 Un~uthorlzed clteratlon or addition to thb survey is a violation of Section 7209 of the New York State Education Law, Copies of thls survey map not bearing the Land Surveyors embossed seal shall not be considered to be a valid true copy. Tax Map Dcslgnation Dist. 1000 Sec. 076.00 02.00 018.000 NSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -. THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the /q'/~day of March ,ninctcen hundred and ninety nine BETWEEN ' DOROTHY B. KLEID,'RE~SIDING AT 833 B Salem Lane, Lake Worth, Florida 33467 party of the first part, and COWAN HOLDING LLC., ',xs, k-[--, o{-~ce~ ~ party of the second part, WlTNESSETH, 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, thc heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being ia:~x at Bay View, near Southold, in the Town of Southold, County of Suffolk and State of New York, being known and designated at Lot #88, the southwesterly one-half of Lot #89 and northeasterly one-half of Lot #87 on a certain map entitled, "Map of Goose Neck", situate at Bay View, Town of Southold, Suffolk County, N.Y., and filed in the Suffolk County Clerk's Off ce on November 22, 1948, as and by File No. 1663 said lot and part of lots when taken together are more ly bounded and described as follows; BEGINNING at a point on the southeasterly side of Smith Drive North distant 275.00 eastedy as measured along same from the intersection of the southeasterly side of Smith Drive North with the eastedy side of Main Bayview r~oad; RUNNING THENCE along the southeasterly side of Smith Ddve North 39 degrees 00 seconds East of Smith Ddve North; North 39 degrees 00 seconds East 100.00 feet; RUNNING THENCE South 51 degrees 00 seconds East 150.00 feet; RUNNING THENCE South 39 degrees, 00 seconds West 100.00 feet; RUNNING THENCE North-51 degrees;00 seconds West 150.00 feet to the southeasterly side of Smith Drive North at the point or place of BEGINNING. BEING and intended to be the same premises conveyed to the grantor by deed recorded in Document No. 358084, Certificate No. 138,826. TOGETHER with all right, title and interest, if any, of the party of thc first part of, 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 secund pm, the he/rs or successors and assigns of the party of the second part forever. AND the party of the first pan covenants that tile party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the fa-st pan. 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 consideration as a trust fund to be applied first for the purpose of paying'thc 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. IN WITNESS WHEREOF, the party oft]~e th'st part has duly executed this deed the day and year first above written. IN PRESENCE OF: DOROTHY B./KLEID' ' FOP&I NO. I TONN OF SOUTHOLD BUILDING DEPARTI~IENT TOb~l HALL SOUTItOLD, N.Y. 11971 TEL: 765-1802 Disapproved a/c ......................... 3 SETS OF PLANS ......... SURVEY ........................ CHECK SEPTIC FORIt ................... NOTIFY: ~A~L .0.~5 :..q ~.~.7.. l/AIL TO: .................... APPLICATION FOR BUILDING PERHIT INSTRUCTIONS Date ................ ,19 .... a. ~'lhis applicatit~ must be ccmpletely filled in by typewriter or in ink aha au~itt~ ~o ~e Building Ins~tor ~: b. Plot pl~ ~ lati~ of lot ~ of ~ildi~s ~ ~s, relatio~ip ~o ~joini~ p~s or ~lic str~s or' ~e~, ~ givi~ a ~cail~ ~ripti~ of l~mt of pm~ ~t ~ dr~ ~ ~e di~ ~i~ is ~rt of ~is a~li~ti~. d. U~ ~al of ~is a~llca~i~, t~ ~ildi~ I~ctor ~11 is~ a ~ildi~ Pe~t to ~he ~li~t. al~ IS ~ ~ to t~ ~ildi~ ~m~ for ~ ia~e of a ~ilding Pe~t ~t to the &~ri~. ~ a~limt ~s to ~ly ~a all ~li~le 1~, ordimes, ~ildi~ c~, ~i~ c~, ~ (Si~e of ~li~, or m~ if a m~ratian) (~ili~ ~rese of eli~t) State ximther ap¢icant is amer, lessee, agent, architect, engineer, general contractor, electrician, plmtmr or bei]de~ ~ of o~aer of premises ~&//9~ /'/0~5/.4/~. LZ.-C . . . (as on gae tax roll or latest deed) '(;,;~:"%~'ii/,%_;'2~;;;:;',;;,/,i;;{i'""" ............ ~' ' Builders License 1~o ................... .. . .... Ph~bers Licease No ....... Electricians License lto ...... Otber Trmte's License lto ..................... ~,. l~catian of laed ou ~hich proposed ~ork will be done .............................................................. , ......................... '.~....D.~. ......... ..z¢.¢. ........ ..: ............................ ~ ...................... ltouas limber Street Ranlet ,a~Tax~. ,~ ~ti~ .... .7~. ...... ~................~ ~ ../.?. ......... ~bdiviaioa .................... ~iled ~ lto ........ l~t ............. (~) ire existing use and occupancy of premises and intended use and occupancy of proposed canstmctian: ~sti~,~ ~a ~ ...Z..~C~.z..Z .... /:(.~. ................................................. ~ an,, oc~,,,~ ... Z.../..-4,.,. ~ :,:.....A/...~..¢.~..¢. ............................................ frc~ proparty lines. Oive street and Block ~ether interior or corner lot. 3. l~ture of ~ork (check ~Jid~ applicable): ~ &~i]ding .......... Ntdition .......... Alteration ...... Repair R~nov~l I Demolition Otl I~rk ; (l~escrlpt ion) 6. Estltmtc, d Gost . . . ;/~. .......... ...... fe~ .............................................. (to lm paid on filing this application) 5. I1~ ~lllng, n~ber of d~elhng obits ......... Number o~. d~lllng traits on ~ fl~r .............. If ~ra~, ~r of ~rs .... ~r of Stories ................... , PLOT ~r or ~seripti~ aceo~ing to ~, a~ ~ strut ~a ~ i~icate · gFA'IE OIr ~',~/ ~gltX OF ....................... SS (Na~ of b~Jivldual si~ni~ contract) i lie L~ the ...~.R..~. ,/,a.~..~.r ..... .0../~ ..... ~...~eh ~ ]e~'.... k~ 9, .................................... (~tractor, a~nt, ~r~rate oilier, etc.) of ~id ~mr or ~rs, a~ is ~ty ~tbori~ to ~rfo~ or h~ l~rEo~ tim ~id ~ m~ to ~ke a~ file tibia a~l. lcati~q that atl stat~ots c~t~[~ in 6~is a~licati~ are tn~ to 6~e ~at o~ his k~l~ a~ that t~ ~rk will I~ ~rfo~ in tl~ ~r ~t forth in O~e a~l. lc~ti~ ftl~ tl~O~. ................... ........... N~a~ Public, State of N~Y~ '" ' No. 49513M Qualifl~ In Surfak CounW ~mi~on E~ims May 2~ le ~