HomeMy WebLinkAbout22948-zFORM
TOWN OF $OUTHOLO
BUILDING DEPARTMENt'
1OV~IN ~
SOUTHOLD, N.Y.
BUILDING PERMIT
ITHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ............ ~./..~.. .....................
22948 ,Z
pursuant to application dated ................. ~~.. '.~../. ......... ] 9..~.~and approved bythe
Building Inspector,
....
Rev, 6/30/80
/~ " Building Inspector
2
~- C , d~l ~SO~ID t-t~flO<. C~. O'OOf.
u',
7"
......... ' FORM NO. 1
' ' ~' ,, TOWN OF SOUTHOLD
BUILDING DEPARTMENT,.
JUL 3~lffill] TOWN HALL
SOUTHOLD, N.Y. 11971
'
Disapproved. a/c '
_ ' ~, lnst
' ' APP~IOATION FOR BUILDINGPERMIT
INSTRUCTIONS
a. This application must be completely Oiled .zn ,by typewriter or,~njnk and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee ~bcordir;g to sdhedule,,, .0~ ~ ,~
b. Plot plan showing location of lot arid ofbui,!dings offlSremises;:.r,~laQDnship to adjoining premises or public sti'eets
or areas, and giving a detailed description o'~, lay0u~t ~f 'prop~rty f/lust. ,be d~h'~vn on the diagram which is part of this appli-
c. The work covered by ttfis application n'~y'~.c~f be ~6~menb~d before issuance o f Building Permit.
, d. Upon approval of this application, the Building Ihspect0~: Will issued ,a. Building Permit to tho applicant. Such permit
shall be kept on the premises available for inspection thrgughout the work. .
e. No building shall be occupied or used in whole m: in, part for any pifftSose 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 South01d, .Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or f~removal,9.~emolition as Mrein described.
The applicant agrees to comply with all applicable laws, ordinances, b~ild)~g)code, h6usiDg code,~nd rcgg~ll/yt~ons, and to
admit authorized inspectors on premises and.in building for necessaly ~.~~
.... (~ur.~qf applic~4(t] or name, if a.corporation)
(Miffing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder.
Name of owner of premises...~..~1~...~ .~....~..~..4~..~..Ir.'~--. j.l.( ............................... ' ...........
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authori2ed officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plum ber's License No .........................
Electnc~an s License No.
Other Trade's License No ......................
1, Location of land on whi,c~roposed work will be done ........ ,-x ...................... ,. ·; ..... , .... ~,&. f
.. ..... i.. ¢.
House Number ~-~. Street Hamlet
County Tax Map No. lOOOSection .[10 . LDO
............. Block .'.~"..0.~....,i.,. Lot.'~....~.?'..~....~.....
Subdivision ........ . ................... ~ ......... '. Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended us.e. and occupancy of proposed construction:
II · ()
b. Intended use and occupancy ..................... ' ...........................................
.3. Nature of work (check which applicable): New Building . ~ ....... ~ Addition.. 4 ....... Alteralion .... ~. .
Repair .............. Removal .............. Demolition ,...: ...... ,. Other Work' . .....
4 Estimated Cost .
Fee '
\ · .( o b prod on fihng th~s apphcatmn)
5. If dwelling, number of dwelling..units .. >,_. .... .~ ...... Number 6f dwelhng unit} on each floor ........
If garage, number of cars .. ~S? 'o_.ox4 .......
6. If business, commercial or mixed occupancy, specify nature and extent of.each typ of use .....................
7. Dimensions of existing structtires, if any: Front ............... Rear .......... De
igl . . . · · · . ptl ...............
He ~t ............... Number of Stories ............. .........
Dimensions of shme structure with alterations or additions: Front ...........
Depth Height ' Number ol ~tories
8 Dimensions of entire new construction: Front Rear ...................
· ' Depth
Height ............... Number~of Stories . · . ·
9. Sizeoflot: Front ...... ~-]~.~.. ~ear [.O..~.I .... ' ' ';- '~ ..... ;:";:~"~ ..........
0. Date of Purchase . ...~..L~.. c~..~ ..... [ .'~.~.. 2'5~.,. Name of Former Owner .~'~.o,¢~-,)l?q~..~-...~c~q'.~...
1. Zone or use district m which premises are situated .......................... i ............... i i. :. .
Does proposed construction relate any zomng law, ordinance or regulation: .~ .....
3. Willl6t be regraded ...... ' . ~ '. ....................
..................... Will excess fill be removedifrom premises: Yes No
4. Nmne of Owner of premises ........... , ........ Address ......... . ...... i... Phone No ................
Name of Architect ...................... j .... Address ........... ..... ~... Phone No ............ : ....
Name of Contractor .......................... Address ............. ...,.. Pho~bk~ ................
5. I.s 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, wbeflmr existing or proposed, and, indicate all set-back dimensions from
,roperty lines. Give street and block number or description according to deed, and shov street names and indicate whether
nterior or corner lot.
765.1802 9 AM TO 4 p~FOR
FOLLOWING iNSPECTIONS:
1, FOUNDATION ' ~0 REOblREO
FOR POURED cONCR~E
2. ROUGN ' FRAMING &
3. INSU~ON
4. FINAL '- CONSTRUCTION
aE coMPL~E FOR C.O.
AL~ cONSTRUCTION 8HALL ME~
THE REQUIREMENTS OF ~E
STATE CONSTRUCTION ~ ENERGY
COOES. NOT RESPOH8IB~ FOR
DESIGN ~ ~N~U~ON ERR~
FATE OF NEWr-YT3RK, - - - Lc,O<--- ~ ~ Q
......... ~. ~~. · ./~..... being duly sworn, depose~ ~d says that he is the applicant
(Name of individual si~m~tract) .
ore named, i
~s the .~
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to m~e and file this
plication; that all statements contained ~ this'application are t'rue t~ the best of his ~owledge and belief; and that the
>rk will be perfo~ed in the m~ner set forth in the application filed therewith.
/om to before me this
.............
DISTRICT:
1000
SECTION:
110.00
BLOCK:
03.00
LOT:
027.000
Slandard N YB.TU Form 8002* -Bargain and Sale Deed. with Covenant against Grantor's Acl$--Individual or Corporalion (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
Reardon, residing at 145 Southgate Drive, Massapequa Park, New
York, as Trustee of the Margaret Reardon. Living Trust,
partyofthefirstpart, and LAUREN
Jamesport, New York,
ZAMBRELLI, whose address is P.O. Box 204,
party of the second part,
WITNESSETH, that the party of the first part, in consideration 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,
ALLthatcertainp~~t~piece~rparce~~fland~~iththebui~dingsandimpr~vementsthere~nerected~situate~
lyingandbeing~ at Fleets Neck, near Cutchogue, Town of Southold,
County of Suffolk and State of New York, bounded and described as
follows:
BEGINNING at a point on the westerly line of Fleet's Neck Road,
300.0 feet northerly along said westerly line from South Cross
Road, being the northeasterly corner of land now or formerly of
Jessup;
RUNNING THENCE along said land now or formerly of Jessup, south
57 degrees 42 minutes west, 175.0 feet;
THENCE along land now or formerly of George Fleet Estate, parallel
with the said westerly line of Fleet's Neck Road, north 32 degrees
18 minutes west, 50.0 feet to a monument and land now or formerly
of Davis;
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 Fteet'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 Liber 11276 at
page 285.
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 complia, nce with Section 13 of the Lien Law, covenants that the party of the first
part will receive the consideration for this conveyaoce and will hold the right to receive such consideration as a
trust fund to be applied f~rst 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 purposo.
The word "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:
M~R'GAR~ REARDO~N"LIVIN.G TRUST
BY MARGARET REARDON, AS TRUSTEE
STAT. E OF NEW YORK, COUNTY OF
On the25th day of July 1995 ,beforeme
personally came
MARGARET REARDON
STATE OF NEW YORK, COUNTY OF
to me known fo be the individual described in and who
executed the foregoing instrument, and acknowledged
that she executed the same.
Notary Public, New York
Term E×pi,es April 30, 19~ ~/ '~
On the day of 19 , before me
personally came
to me known, who, being by me duly sworn, did depose and
say that he resides at
that he is the
of
, the corporation described
in and which executed the foregoing instrument; that he
knows the seal 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 corporation, and
that he signed h name thereto by like order,
STATE OF NEW YORK, COUNTY OF
SS:
On the day of 19 , before me
personally came
to me known to be the individual described in and who
executed the foregoing instrument, and acknowledged
that executed the same.
STATE OF NEW YORK, COUNTY OF
SS,
On the day of 19 , before me
personally came
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
; that he knows
to be'the individual
described in and who executed the foregoing instrument;
that he, said subscribing witness, was present and saw
execute the same; and that he, said witness,
at the same time subscribed h name as witness thereto.
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR*S ACTS
Title NO.. ~'~x~''~kb~k -- ~ ~ ~-O~'~ '-~
MARGARET REARDON LIVING TRUST
BY MARGARET REARDON, AS TRUSTEE
TO
LAUREN M. ZA24BRELLI
Standard Form ol New York Board of Title Underwrilms
Distributed by
B Commonwealth,
Land Title Insurance Company
SECTION 11'0
BLOCK 3
L0T 27
COUNTY OR TOWN Suffolk
STflEETAOOflESS 4910 Pequash Avenue,
Cutchogue, NY
Recorded at Request of
COMMONWEALTH LAND
TITLE INSURANCE COMPANY
RETURN BY MAlL TO
Jakubowski, Robertson &
Goldsmith, Esq's
20 Gilbert Avenue, Suite 202
Smithtown, New York 11787
Att'n: Mark Goldsmith, Esq.