HomeMy WebLinkAbout22948-zI
FORM NO.3
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)
Date............. 12.................... 14 ...
NP 229482
Permission Is hereby granted to:
.... ...... (�..%;..
to .....I.Fef e.7.... s:-!-,� ... ..ea- 'V4""�.......
...... .... ....... .. .. ... .......
..................................................................................................................................................................
..................................................................................................................................................................
........ .. .
,..Q...,.�...
at premises located aT........... `®...... ..^ . ... ............ . ..`!..f�-
.............................. /... ....... ..
County Tax Map No. 1000 Section .......,/../42... Block...........�..c..,�...�Lot
'No. . n................
to application dated ...................................... .. /......... 19,>r9,J.. . and approved by the
Building Inspect�
Fee S... .�7....
Building Inspect
Rev, 6/30/60
4 -
lr r
rC to thishorM is a.A.ion on dditlaW
S� to this survey is a violationat
rc. J £z taon ZDe of go New YokSto
;.P:�/' Eduoadon taw.
'----- - �O - - -<•'�P`�Sof tMs survey map rot
t-qe fznd gunreyof k*od reel
erbmw goy sho nab@aor
� w0eavaGdtaxcayt
C�z.rd9eS t101a0a ehet nut
sntytothe PersonbrMdtan aresurvey
=xnn- agar?]'
i--W heregi shd
me leriftPirms-
U' FENCEUn -1 -' r._a�<2c ere nottrnstereSlp
--. / /? L�
!il 3 �_
z
LL
CP
rj
��' v � ro — - -^' ♦IJt EA(nH D2'VE
' S.57-4.L � w =ENCc
v; n -
1 Jam. �L
C
---- o
G is
Lj
0.
vJ?C H.:�U E ���r-.
Y}
lk
- -t .!fir
�r
�. .lNN.4�'deE-26f .Aa
SJFF CO TAx MA P aATA tCrDC-i 10-
L
BOARD OF HEALTH . . . . . . . . .
FORM NO. 1 3 SETS SURVEY O�PLy 1S
TOWN OF SOUTHOLD • •
BUILDING DEPARTMENT CIICCK #. jI . . . . . . . . . . . .
JUL $1fr TOWN HALL SEPTIC FORM • • . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 1:OT I FY ; p q
.r.i.: CALL ??. 61: J� . . . . . . .
Examined . �: 'T; % . ., 19 . . . MAIL T0 :
Approved ��., 1 / . Permit Not2v.?�VQ.� . . . . . . . . . . . . . . . . . . ..
_ . . . . . . . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . '
(Building Inspector)
A ICATION FOR BUILDING PERMIT
Date .
INSTRUCTIONS
a. This application must be completely'filied in"by typewriter pr,.in ink.and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee'accordirig to schedule..- sf, ��,;.I
b. Plot plan showing location of lot and of buildings ofi'premises;-rplafionship to adjoining premises or public streets
or areas, and giving a detailed description of,lay.oiat'of'property Must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application maytnot be cofninen'c'ed before is of Building Permit.
d. Upon approval of this application, the Building Inspector Will
issued ,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 impart 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 f removal emolition, as rein described.
The applicant agrees to comply with all applicable laws, ordinances, build' code, hbusigg code, nd r g I t;ons, and to
admit authorized inspectors on premises and in building for necessary ins oils
(c'g. atur, f appHe t or name, if a corporation)
(Ming address of applicant) D
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
pc .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name . . . . . .of owner of premises . ` VAS-�4! '. . . � I
'
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authoriied 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 whi roposed work will be done
1 . . . . . . . .
. . . . . . . . . .�n. .� .� .. . . . . . . . . . . �p
House Number Street Hamlet
County Tax Map No. 1000 Section . . . ��. . . . . . . . Block `. .� . . . .. . , . Lot
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name)
Z: State existing use and occupancy of premises and intended use and occupancy o. f proposed construction:
a. Existing use and occupancy . . ��1^ �( ^-x !� `I, ,.. ,_ . .
. .
, ,d, ,e.,�� -�. . . . , . . . . . . .
b. Intended use and occupancy . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Buildin g . ; , •• • • • • • . • . . Addition . . ,, ' ' • • ' ' • Alteqion•-Je
. . . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . , . Demolition Other Work
jt 'S (`�Q • (Description)
4. Estimated Cost . . . . t,�. . . . . . . . . . . . . . `. . , . . . . . . . . . . Fee . . . . . . . . .
(to paid on filing this application)
5. If dwelling, number of dwelling units Number`. . . . , Number of dwelling
nitsl on each floor . . . . . . . . . . . . . . . .
If garage, number of cars . . . ,a?, . �fi,
Y. . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify nature and extent of-each t e of use . . . . . . . . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . ... Depth . . , . . , , , • , , , • •
Height . . . . . . . . . . . . . • . Number of Stories . . . . . ,
Dimensions of same structure with alterations or additions: Front . . , . Rear . . . . . . . . . . • . , , •
Depth . . . . . ... . . . . . . . . . . . . . . . Height . . . . . . . . . , :. . . . . . . Number of Stories . . . . . . . . . . .
8. . . . . . . . . . .
Dimensions of entire new construction: Front . . . . . . . . . . . . . . Rear , . Depth
Height . . . . . . . . . . . . . . . N mbertof Stories . , .
9. Size of lot: Front . R eat . . . �44?L . . : . . . . . . . . Depth . . . i ... . . . . . . . . . .
. .
0. Date of Purchase . . , u�. , , ,� �, , , , ' ' ' ' '
• ` \ �. . .S, . Name of Fortner Owner .�.cLCS,I�..•�': . . evtc—kSFr1
1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Does proposed construction violate an zoninglaw, ordinance
regulation': !!. • . . . • • . . • . .
3. Will lot be regraded . . . . . . . •. . . . . . , • . . . . . . . . . , excess fill removed from premises: Yes No
4. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . • Address . . . . . . . . . . . . . . . . . Phone No. .
Name of Contractor . . . . . . . Address . , , , . . . . . . . Phone
5. Is this property 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
rroperty lines. Give street and block number or description according to deed, and show'street names and indicate whether
nterior or corner lot,
YAI0 D,AS NOTED `. j S.P.H 7 �0 �'�
FEE: S ' NT f1
NOTIFY BUILDING O R FOR THE 7
765.1802 9 AM TO 4 P
QJ FOLLOWING INSPECTIONS:
1. FOUNDATION • TWO
REQUIRED
FOR POURED CONCRETE
2. ROUGH • FRAMING & PLUMBING
e 3. INSULATION
4• FINAL '- CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE
CODES C ONST NOT RUCTION IN EN
RESPONSISLE ERGY FOR �
DESIGN OR CONSTRUCTION ERRORS
, r
FATE OF NEW RK�
AUNTY OF . �. K S S ( ,
• • • • • • • • • �i a.-ate �� g j . . being duly sworn, depose!'s and says that lie is the applicant
(Name of individual si contract
ove named.
�,'sthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... nhl.. . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to, the best of his knowledge and belief; and that the
irk will be performed in the manner set forth in the application filed therewith.
corn to before me this
. . . . . . . . . . . . � day of. . . . �. .r . . . ... . . . .. 1v�25
>tary P�ub�lic, 4state
. . . . . County
ELIZ A ork
Note Publle, of RcC ntY
rryy-Si26950,Su",I (Signature of applicant)
No.62 October.31,1
Te rm Expires
Il ti=T
I� StandardNYB.TU Form8002' -Bargain and Sale Deed.with Covenant against Grantor'sAcls—IndividuaIor Corporation(Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 25th day of July 1995
BETWEEN MARGARET REARDON LIVING TRUST dated 05/06/91 , by Margaret a.
Reardon, residing at 145 Southgate Drive, Massapequa Park, New
York, as Trustee of the Margaret Reardon Living Trust,
party of the first part, and LAUREN ZAMBRELLI , whose address is P .O. Box 204 ,
Jamesport, New York, (
party of the second part,
WITNESSETH, that the party of the first part, inconsideration of Ninety Five Thousand-------
--------------------------------------------------------------dollars
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,
DISTRICT: ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying andbeingftkat at Fleets Neck, near Cutchogue , Town of Southold,
1000 County of Suffolk and State of New York, bounded and described as
follows :
SECTION: BEGINNING at a point on the westerly line of Fleet' s Neck Road,
300 . 0 feet northerly along said westerly line from South Cross
110 . 00 Road, being the northeasterly corner of land now or formerly of
Jessup;
BLOCK: RUNNING THENCE along said land now or formerly of Jessup, south
57 degrees 42 minutes west, 175 . 0 feet;
03 . 00 THENCE along land now or formerly of George Fleet Estate , parallel
with the said westerly line of Fleet ' s Neck Road, north 32 degrees
LOT: 18 minutes west, 50 . 0 feet to a monument and land now or formerly
of Davis;
027 . 000 THENCE along land now or formerly of Davis, north 57 degrees 42
minutes east, 175 . 0 feet to a monument on said westerly line of
Fleet' s Neck Road;
THENCE along said westerly line of Fleet' s Neck Road, south 32
degrees 18 minutes east, 50 . 0 feet to the point or place of
BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the Margaret
Reardon Living Trust by deed dated May 7 , 1991 and recorded in the
Suffolk County Clerk ' s Office on June 11 , 1991 in Liiber 11276 at
page 2
e_+,,d85 . PG c 1\Se-5 SJ�1C� 0,1— S q Cl1'J N90cSv
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 consideration 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 ward"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: a�—�l�/
MXR'GARV REARDON— ,IVIN,G TRUST
BY MARGARET REARDON, AS TRUSTEE
o
LL
r
r
STATE OF NEW YORK, COUNTY OF �Q����AN-ss: STATE OF NEW YORK, COUNTY OF SS:
On the 25th day of July 19 95 , before me On the day of 19 before me
personally came personally came
MARGARET REARDON
s
to me known to be the individual described in and who to me known to be the individual described in and who
executed the foregoing instrument, and acknowledged executed the foregoing instrument, and acknowledged
that she executed the same. that executed the same.
Notary Public, New York
KATHY DeFREITAS
Notary Public, Stale of Now York
No. d83757A
Qualified in Nassau County '
Term Expires April 30, 19„T
STATE OF NEW YORK, COUNTY OF as: 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 whom I am personally acquainted, who, being by me duly
sworn,did depose and say that he resides at
that he is the
of that he knows
the corporation described to be'the individual
in and which executed the foregoing instrument; that he described in and who executed the foregoing instrument;
knows the seal of said corporation; that the seal affixed to said that he, said subscribing witness, was present and saw
instrument is such corporate seal; that it was so affixed by
order of the board of directors of said corporation, and execute the same; and that he, said witness,
that he signed IT name thereto by like order. at the same time subscribed IT name as witness thereto.
BARGAIN AND SALE DEED SECTION 110
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 3
LOT 27
tin r
Title No. COUNTY OR TOWN Suffolk
` `�� _ 5
STREET ADDRESS 4910 Pequash Avenue,
Cutchogue, NY
MARGARET REARDON LIVING TRUST
BY MARGARET REARDON, AS TRUSTEE Recorded at Request of
COMMONWEALTH LAND
TO TITLE INSURANCE COMPANY
LAUREN M. ZAMBRELLI RETURN BY MAIL TO
Jakubowski, Robertson &
Standard Form at New York eoardot Title Underwrilers Goldsmith, Esq' s
Distributed by 20 Gilbert Avenue , Suite 202
® Commonwealth. Smithtown, New York 11787
La nd Title Insurance Company Att' n: Mark Goldsmith, Esq.
w —
U
LL
LL
O
U
Z
O
O
U
W
¢
LL
O
W
a
O
LL
W
U
n
N
N_
2
W
W
p 7
Nad
0
W
m ¢