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Home My WebLink About17190-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218091 Date JUNE 7, 1989 THIS CERTIFIES that the building ADDITION Location of Property 425 SKUNK LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 04 Lot O1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1, 1988 pursuant to which Building Permit No. 171902 dated JULY 1, 1988_ REPLACES B.P.#152562 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 SHED ADDITION TO EXISTING BARN. The certificate is issued to OLIVER A. CAMPBELL III (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N(A UNDERWRITERS CERTIFICATE N0. H008235 MARCH 3, 1989 PLUMBERS CERTIFICATION DATED N/A ~i~.~~ l..•' uildinq I-nspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218092 Date JUNE 7, 1989 THIS CERTIFIES that the building ALTER & RENOVATE Location of Property 425 SKUNK LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 097 Block 04 Lot O1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1, 1988 pursuant to which Building Permit No. 171912 dated JULY 1, 1988 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 ALTER & RENOVATE AN EXISTIPIG ACCESSORY BARN. The certificate is issued to OLIVER A. CAMPBELL III (owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H008235 MARCH 3 1989 PLUMBERS CERTIFICATION DATED N/A Build~spector Rev. 1/81 goaas xo. s TOWN OP 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~ ~1719~ Z Dote a a 19..#.... Permission is hereby granted to: .....!?~.4.~..l,l..~ ~'.:4^.~,...N...:y.:....1.1.9...~, y.......... to ..~}.rM.. ~s.r~.... ar:a.....Gi.: C.. ..4i.n..... V 1 at premises located at ..,7°r....~.......~..t R'r!lGs.............. ~fstrx..~'~-,...... s~. C~a?...../..~...~7.. County Tax Map No. 1000 Section ...'...Q.Q..7..... Block .......Q..7........ Lot No.....~..~ pursuant to application dated ......e~y..0 19.~~., and approved by the Building Inspector. J Fee $.c~~....-~'...... . g Buildin I for Rev. 6/30/80 roast xo. a 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 0 ~ 171.91. Z Date 19..~. Permission is hereby granted to: (n~ I~ ,n,. ~ ~Q I~ c~..~..1..1...~ .........................VV........................ .a.-i?...~.~...~.-.~.?t- ~~tt y~ / ct premises located at ....1..~........~. ~`?..f'c:.w•-ft............~':~.............;~!59.--,.... County Tax Map No. 1000 Section .....0~...~..... Block .......Q...~..... Lot No.. pursuant to application doted 19..A.~, and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 roaas ao. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. 6UILDIIdts PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 152,5 G Z Date `~!:T•`•!-r:......'` 19.~.~ Permission is hereby granted to: ........r:~......... gip.. - ........I.L.:~..... c~,~:n ~-~.,n..~.ti..:y.,........~.y ~ ~ ~g., . to ...(~!!1-4r!?~:k~:~.'.......5?w... $.~1~{..QS,.....~.RX.~.....%.3.....a:':'.....r9~>'.~'.axd'•!^•~Gi........ of premises locoted at ~ `1", "`^v` County Tax Mop No. 1000 Section ......00.......... Block Lot No.....~...\............ r pursuant to application dated .4!!R4....~~..........., 19.~.~, and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 J D ~ ~~vcj~ • l~`i ~~~~7 TONN OF SOUTHOLU C e~ ~~y BUILDING DEPARTMENT ~~~,v~~9 F~) ` TOWN HALL BLDG DEPT ~ SOUTIIOLD, NEW YORK 11971 TOWN UFSOU7H04D 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE., NEW CONSTRUCTION L~~OLD OR PRE-E%ZSTING B/UILDING.._...VACANT LAND..._._.. Location of Property...-! ~ S ~ ~~,Q, 4......._....C....9~'u•._.. UOUSE NO. I STREET UAMLET Owner or Owners of Property.Q.! «!R,f~ C~....,~~.~/ County Taa Map No. 1000 Section .6.(.7 Block ~ .~L.... Lot t7. J...-- Subdivision Filed Map ........Lot.......... Permi[ Nn. .G.1~ [Q/..~rDate of Permit plicant QQQ Q ~~r~ra~s~ _ _ . Health Dept. Approval Underwriters Approval ~ 6 Q'>3 $ PlanninE Board Approval Request for Temporary Certificate ,Final Certificate Fee Submitted: ~ ~ APPLICANT. ~s~:C". r.. • i8b9~ ~ 3~y~fo rev. 10/14/88 L ' ~ ~ FORM N0. 6 I~ TOWN OF SOUTHOLD "F I BIIILDING DEPARTMENT ~ TOWN AALL ' 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. "Phis application must be~'~filed in typewriter OR ink and submitted to the Building ;Cnspector with the fallo~ing; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. .Z. Final approval of Health Dept. of water supply and sewerage-disposal{S-9 form). :3. Approval of electrica} installation from Board of Fire Underwriters. ~i. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. Commercial buildings,lindustrial buildings, multiple residences and similar _ buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. fi. Submit Planning BoardiApproval of completed site plan requirements. B. For existing buildings (>'rior to April 9, 1957] non-conforming uses, or buildin s and "pre-existing" land yses: g 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire LoC prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in w#iting to the applicant. .1. Date of any housing code or safety inspection of buildings or premises, or other pertinent information ',required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: N. An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstr~et of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. E'EES: I I. CERTIFICATE OF OCCUPANCY -New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25,00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Ocdupancy on pre-existing dwelling - $100.00, 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential I $50.00 Commercial . rev• 10/14/88 p ~ ~avc~~ L/ TOWN OF SOUTIIOLD 3~~_ 7 77~D BUILDING DEPART2IENT TOWNLOFSOUrwa~o TOWN HALL _ SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE . Y. ~~~~9 _ . . NEW CONSTRUCTION OLD OR PRE-E%ISTING BUILDING......VACANT/LAND.....__. Location of Property..~°,~...,.~I~_C.t_y,~.C,,,_~y._.___.__ _ ~.C.,.J:~~n~... . j HOUSE NO. STREET •.IIAMLET Owner or Owners of Property. ~.1~I.V¢ _ ~ .C~~~,jj~, .~-.F„l-- County Tas Map No. 1000 Section Q~7 Block ~1.. Lot Q J. Subdivision Filed Map ........Lot..(.~....... Permit No. U, Date of Permit 7./~ Applicant Health Dept. Approval Underwriters Approval..........._.. Planning Board Approval Request for Temporanry Certificate Final Certificate Fee Submitted: e[. S, ._lao..__..._ ~ 6~ I APPLICANT . "~~~i~y~~~~'~ a .L~:Z.~ . ~..Z . 3 ~ H~0 /~I ~y rev. !0114188 li FORM N0..6 al TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN MLL ~ , ii 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the follgwing; for new buildings or new use: i 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusuali,natural or topographic features. 2. Final approval of 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 solder used in system contains less than 2/10 of 1Z lead: 5. Commercial buildings,! industrial buildings, multiple residences and similar buildings and install~,ations, a certificate of code compliance from the Architect' or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For eaisting 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, buildings and unusual natural or topographic features. 2. A properly completed';application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire Lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state Che reasons therefor in writing Co the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information', required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of~,the entire lot prior to April 9, 1957 shall also accompanq the application. I~ a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: II 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwe~liag $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2, Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5, IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $SO.OfI Commercial APPLICATION ON BACK rev, 10/]4/S8 E'lELD .TNS,l~ECTTON llATE COMiENTS ° ta' 1. ~ H H FOUNDATION (1st) FOUNDATION (2nd) _ - 2. zl`P c~ o~ r P,OUGH FRAME & PLUMBING ~ y 3. ~ ~ H INSULATION PER N. Y. STATE ENERGY CODE y _ - r 4 . ~Z y FINAL - ~ z ADDITIONAL COMMENTS: x+~ Q b ~ N xl ' O H H ~ O ~ 6' x ra yZ d~ ro H i ' _ . . THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~1'~, .I fil`~1f1 ~ 3 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date t'tAbf:}D {t f,1Tt>519 ApplirotionNo.anfile hf)6~~8&4/$;~ F1 tiat7g;.;f3; THIS CERTIFIES THAT orzly the electrical equipment os described belou+ond introduced 6y the applicant named on the above application number in the premises of ~1,1T1k,s~ 1a. ca~Jr~~alr.,. 'Its SSrlltd~i L,`~lOY,, .'€5'TC~SC1i>l7tti, Af.Y. in thefollouing Ineationg ~~t~1 Basement ? 1st F'!. ? 2nd F'1. ~ Section B(cek Lot uros examined on kl 6;li!2 f19nvy t,'i, I'-!li':; arzdfound to be in cornplionre with the requirenaenLS q(this Board. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DEGK$ OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT RVORESCENi OTHER AMi K W MAi. K.W. AMi K.W. AMi K W. AMi. H.P. DRYERS FURNACE MOTORS FUTURE APPIIANGE FEEDERS SPECIAL RFC'PT TIME CLOCKS gEll UNIT HEATERS MVLTI.OUTLET DIMMERS i AMT. K. W. Oll H. P. GAS N, p AMT. NO A. W. G AMf. AMP, AMT PMPa TRANS, qMT H. P SYSTEMS AMT WAIIa NO. OF FEET li SERVICE DISCONNECT NO.OF $ E R V I C E AMi. AMP. TYPE METER 1,e' tW i A 3W J.a' 3W J,a dW NO.OF CC. CONO A. W. G A W. G. EQUIP. PER .9' Of CC. COND NO OF HI-LEG OF HLIEG NO. OF NEVTRAW Of NEUiRAI OTHER APPARATUS: F.C."I. oL'1'YM~R ! . t';~2.t~11'f~t+li,L :1.17 / !.1 Y, "KC.rNK d,r"ai<IF. i; f,11't')f:3ri(tF;, Cd 1', J19 $(i GENERAL,I~~'~-'y}6ER Per r { {`,~f`tr--- This certificate must not 6e altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their creifentials. COPY FOR BUILDING DEPARTMENT. THIS CDPY OF CERTIFICATE.MUST NOT BE ALTERED IN ANY MANNER. , , FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date ........A.p r.l.l.. 6 19...8 8. TO .....Oliver Campbell III , (owner or authorized agent of owner) 425 Skunk Lane .Cutcho.&ke.x..N.:Y.:...,1, 1935 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Chap. 100 Other Applicable Laws, Ordinances•or Regulations at premises hereinafter described in that ,Y.ou„ar,e„running,,,bu,sinesses in a..res- (state character of violation) idential dist,rict,,,,,a.lte,red..l,ar.ge,,,b,arn,,,(,added door) without Building Permit, expired Building Permit without C.O., unsafe structure & no .C.Qx.>; z.7~ ~..c,ax.en...o.>;...Rr:.c.u.P.an.Gx...RA.r....at;n.as.sn.r.x...hu.i.1.di.n.g in violation of ..~,00-30, 100-141, 100-144, ]00-30c2a, 90-3 (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the Immediate 1 y day of April 19....8.$ The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 425 Skunk Lane (Bay Ave.) .N.C.C)}.Rg.ua ...........................................................County of Suffolk, New York. Suffolk Co. Tax 111000-97-4-I Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute on offense punishable by fine or imprisonment or both. Building I pector Vincent R. Wieczorek ~J BOARD OF HEALTH C ~ 3 SETS OF PLANS ~ y i it "FORM NO. 7 SURVEY , • - - • - I h ` C1,Fj{ - 7 TOWN OF SOUTHOLD CHECK . • • • . BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL 7UVU~N ? NOTIFY OF 5~OU7~HOLU SOUTHOLD, N.Y. 11971 CALL ,p ."."""""~`"~w.,....°"~°' TEL.: 765-1802 8 ' . ' . MAIL T0: ~ ~ • ~Le~,~t9~ 4.. Examined ! . ~ 19 C~ Approved • • 198 Permit No. Q 0;~ eLte.v ~ $+.?Sb (Z/Q( fit. Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . rf . ~ 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 Depaztment 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, housin code, and regulations, and to ' admit authorized inspectors on premises and in building for necessary insp//e i/. !/Q~/% g ature of applicant, r name, if a corporation) ~~1. g...~~!~.~: r-~.. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......~?..4~!.?~l-4~5,.......{.~ Name of owner of premises J.. C4~,.,..t2~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. T o a (Name and title of corporate officer) J S ~ ALL CONTRACTOR'S MUS BE S FFOLK COUNTY LICENSED 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 . . L ' U~, ct-?-......... . House Number Street Hamlet ~fj ~ / County Tax Map No. 1000 Section ` Block 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 _s ° b. Intended use and occupancy . ~~!!-s^-c.tX 13.~!L~.... ~~(1~, "gig......... . " - 3. Nature of work (chec .whiRemoplieable): New Building Addition , , Alteration Repair al . Demolition ..............Other Work . 1' (Description) 4. Estimated Cost G'?! . Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units . Number of dwelling units on each floor , If garage, number of cars 6. If business, commercial or mixed 'occupancy, specify nature and extent of each type of use ; . 7 Hemh~sions of existin stru Numb if any: Front . . .............Rear , Depth . g ..........g.... ` ~erofStories Dimensions of same structure with alterations or additions; Front Rear , , . Depth Height , ...............Number of Stories . 8. Dimensions of entire new construction; Front Rear , , .Depth . Haight Number of Stories . 9. Size of lot: Front Rear ; Depth , . ]0. 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 ,I . . . ............Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address ...................Phone No............ , . , . Name of Architect , .j Address ...................Phone No............... . Name of Contractor . . ..............Address ....:..............Phone No............... . 15. Is this property located wjithin 300 feet of a tidal wetlandY *Yes No *If yes, Southold Town Trustees Permit ma be re uired. PLO 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 ` I G' i i STATE OF NEW O S.S COliN7'Yy~OF . • • • • • ~e•~ • • • • . • • being duly sworn, deposes and says that he is the applicant (Name of individual si ning contract) above named. Heisthe Y~.L.~.............,..................,....... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly, authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner~set forth in the application filed therewith. Swom to before me this ~ da of ~y .,.....,19.. Notary Public, ~!4e County ~ CtA1RE L ~i1.EV11 , ~ . ~ ..mss . . Notary Publb, State of NsNYOtk (Signature of applicant) No. 4878606 Qualified In Suffolk Gounty Commission kxpiees December 9, 1fi_.... • ~ ~~~i.~~~~~~HI~-~ FORM NO. 1 s ~~,.,u,--;w.~r~, • TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ I O~gg~ i~ TOWN HALL ~ SOUTHOLD, N.Y. 11971 ~~~~p; TEL.: 765-1802 TO~~ ~O~,iTt~6t,~,~ Examined . ~~.u!""'l?!^, 4 19 ~ ~O Received , 1 9 . Approved 19~~! Permit No..~ S?'.~~0. Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERINIIT 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 p p g essary inspections. admit authorized ins ectors on remises and in ui m or nec , . ~ (Signature of applicant, or me, if a corporation) (mailing address of apg~icant)~~~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......Q G. v~,.11n .........C . Name of owner of premises J~.-2 . (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 . . House Number Street HamleC Block Lot County Tax Map No. 1000 Section ~ 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 . b. Intended use and occupancy .ir~~~-°: :"'-::i• ..~.`?'~'?...1.1`e~ ~CR%?vt,aL~rQdC--.r (;uEO??ddE3o asn;EUB[S) ' G yp~°g 8 014' MiNlo•IWS 011AMAtlWOl1 ~ ~ i~ ~ a .i;uno0 • • %Y `aclgnd ticE;o y s?q; aw azo}aq o; utov~ •u;?matau; paIF3 uo?;EOt?ddE au; u? u;to3;as zauuEw au; u? pawzo3tad aq fpm xzo, ay;;Eu; pue `.3a??aq puE aepa?mouK sru;o;saq au; o; ant; axE uo?;EO?IddE s?u; uc paulE;uoa s;wawa;e;s ??E ;Eu; 'uo?;EJTIdc sn?; a?r; pue axEw o; puE atom p?ES au; pauzco3tad anew to uuo;tad o; pazuou;nE ,(Inp s? pue `staumo to zaumo p~ES 3 .........................,I (•o;a `zao?3}o a;etodtoo `;ua2e `to;oEZ;uoO) •paweu anoq (;OEt;uoo eucue?s ?Enp?n?pu? 3o awEN) ;uEOr?ddE au; sr au;Eu; s,fes pue slasodap `atoms ,finp eu?aq • • • • • • • • • • • • • • • • . " " " ' 30 A.LNIIO; ~ S S `3I2IOA MdN 30 ff.Ld.L1 ~I I~ i I •;oI zautoo to toua;u? tau;aum a;EO?pu? puE saweu;aaz;s I~mous puE `paap o; eutpzoaoE uo?;duosap zo tagwnu xoolq puE;aat;s an?O •sauu ,i;tadozd wo.c3 suo?suaunp xoEq-;as Ip: a;EOipu? puE `pasodozd to 8u?;s?xa tact;aum `secnplmq IlE ,4?;ou?;srp puE ,tlzea?o a;eoo-I NId2IOdIQ .LO'Id •pazFnbaz aq tSEw ~Fmzaa saa~snzy vmoy pToc?nog 'sa6 3I ~ • oN saj~ ~ ~pueT~am E ~ E o ~aa 00'T u ~ m T PF 3 3 Fq F Pa~EOOT lgxadozd sFq~ sI •Si ................o auo ...L............. ua••• ssatPPd zo;JEt;uo03o awEN ................oN auoud...I~'................ 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S N~(Iq I u u x u)~f 3 IN 'E ~ja:, LIAEi9~`12P1GE225 SbnAarA N Y.89'.U. Form R1uY-40M -Bargain mA Sale Uenl, wqh (bvmanb aRam, (%nmmY Mu-InArvldual er (:o,puuunn pmgle ,hn~) CONSULT YOUR LAWYER BEFORE SIt:NIN6 THIS INSTRUMlNT • THIS INSTRUMENT SHOULD !E USED !Y LAWYERS ONLY THIS INDENTURE, made the ~,n~' day of ~_-fO1~e~ ,nineteen hundred and eighty-one 5~ BETWEEN 0 t.~.~ OLIVER A. CAMPBELL, III, residing at , 118 Skunk Lane, Cutchogue, New York, and DIANE CAMPBELL, his wife, residing at (No No.) Main Road, Southold, New York, party of the first part, and OLIVER A. CAMPBELL, III, residing at ;Nq 118. Skunk Lane, Cutchogue, New York, ~'1:~"i'FilC3' SECTION BLOCK LOT party of the second part, a 12 I7 ZI 2G 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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being~f9fll~t at Peconic, Town of Southold, County of Suffolk IS RICT and State of New York, bounded and described as follows: 0 BEGINNING at a point on the Easterly side of Bay Avenue where the same is intersected by the Southerly side of land now or E TION formerly of Doroski; RUNNING THENCE along said land (1) North 75° 33' 30" East 0 7 1$6.82 feet; and (2) North 75° 41' 50" East 343.16 feet; THENCE South 6° 38' 10" East along land now or formerly of CK Krupsky, 169.42 feet; THENCE South 82° 51' 20" West, for part of the distance along 0 4 ~ land now or formerly of Luce, 525.27 feet to the Easterly side of Bay Avenue; and ``T THENCE North 7° 08' 40" West, along the Easterly side of C~O1 Bay Avenue 103 feet to the point or place of BEGINNING. JJ ~~~JJJ BEING and intended to be the same premises conveyed to the Q parties of the first part by deed dated July 26, 1978, and recorded in the Suffolk County Clerk's Office on August 16, 1978, q in Libor 8480, page 476. ~ I ~ R CE VED ~.1.5~i: REAL ESTATE' NQY 1~ ].~2i TRARlSFER I FJC SUFFQLK '4 COU(JTY U, %t TOGfiTNER 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; T'O HAVE AND TO y ~ HOLD the premises herein granted unto the party of the second part, the hrlrs or successors and assigns of o i the party of the second part Eorever. r , t Lt -Q 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 aforesai(I. AND the party of the first part, in compliance. with Section 13 of the Lien Iaw, cotenants that [he party of ~CJ the first part well receive the consideration for this conveyance and will hold the right to receive such consid- oration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply ' O 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. c '._Q The word "party" shall be construed as if it read "parties" whenever the sense of this indentpre so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. l ~ Y^ v.,~t IN PRESENCE OF: ~ ~~4. , v ~ ~ t~ I A. CAMPBELL, III _.~~~.tama~ DIANE CAMPB LL 1B 1981 ARTHUR 1. FELICE ~ C ~ ~ tJOV Clerk of Sultolk County