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HomeMy WebLinkAbout23213-Z s FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24470 Date JUNE 28, 1996 THIS CERTIFIES that the building ADDITIONS Location of Property 1000 OYSTERPONDS LA & 420 SKIPPERS LA. ORIENT, NY House No. Street Hamlet County Tax Map No. 1000 Section 24 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 21, 1993 pursuant to which Building Permit No. 23213-Z dated JANUARY 11, 1996 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 FOUR ADDITIONS TO EXISTING ONE FAMILY DWELLING TO INCLUDE SCREENED PORCH & ENTRY WAY AS APPLIED FOR & AS PER ZBA #4182 DATED 7727/93 The certificate is issued to KELLY NcDERMOTT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-050372 - JUNE 11, 1996 PLUMBERS CERTIFICATION DATED JUNE 26, 1996 - PAUL McDERNOTT Building Ina ector Rev. 1/81 Form No. 6 R TOWN OF SOUTHOLD BUILDING DEPARTMENT Ik TOWN HALL i g �; r E 765-1802 �� ti 2 6 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANC TOWN OFSOUTHOLD A. 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 of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Ba 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 applicant. 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . �.�?� .�c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . � . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. ���.1�. . . . . SI,L�, Z �h'd�S. . .L� . . . . . . .(%�2./C`7yT. . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. Ly. AC127.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .2cl . . . . . .Block. . . 1. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . .. !N. . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.�2 . . . . . . . . . .Date Of Permit. .0 . . . . .Applicant. .... . .�j'. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. �. . . . . Fee Submitted: $. . . . �57,076.`. . . . . . . . . . . . . . . . . . �..5l53 / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT C0-2-,2gY)0 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........JANUARY...1 I.I.A............................... 19...96.... NP 23213 Z Permission is hereby granted to: BELLY MCDERMOTT ................................................................................ 1000 OYSTER PONDS LANE ...................................................................I...................... ORIENT, NY .......................................................................................... tO CONSTRUCT 5 ADDITIONS. ONE ADDITION TO THE ACCESSORY BUILDING AND FOUR .......................................................................................................................................... ADDITIONS TO THE SINGLE FAMILY DWELLING TO INCLUDE A SCREEN PORCH AND ENTRY WAY .................................................................................................................................................................. AS APPLIED FOR. ZBA APPL #4182 7/27/93. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. at premises located at......1000„OYSTER PONDS„LAME,,, ORIENT.....................U.................................... ................................................................................................................................................................ County Tax Map No. 1000 Section ..........24............ Block.............I............. Lot No. .............$............. pursuant to application dated .......................6.21./.......................... 19...93......... and approved by the Building Inspector. Fee$...1 ]...:............ THIS BP REPLACES #21642-Z. ...... . . .. .. ............................ a Building Inspector Rev. 6/30/80 O��SUffO(,��oG A Town Hall, 53095 Main Road y x Fax (516) 765-1823 P. O. Box 1179 .Y Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. Owner: (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Sign ure) Sworn to before me this 2(r- day of V 19 Q sAt 4-, Notary Public, County r ROBERT 1. SC T.JR. NOTARY PUBLIC, tate of N.Y. No.4725089.Suffolk Couniv Term Expires May 31. 19-V o�oSUFFotI-�oG 0 ti Z Town Hall,53095 Main Road p • .F Fax (516)765-1823 P. O. Box 1179 �' 0� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 27 , 1995 Kelly McDermott 105 Duane Street Apt. 33F New York, NY 10007 Re: Building Permit#21642-Z Premises : 1000 Oyster Ponds Lane, Orient Suff. Co. Tax Map #1000-24-1-8 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. t Print Key Output Page 1 5738SS1 V2R3M0 931217 SOUTHOLD 12/27/95 10 : 06 :34 Display Device . . . . . . X5 User . . . . . . . . . . . CLAIRET NYSRPS ASSESSMENT INQUIRY DATE : 12/27/95 473889 SOUTHOLD SCHOOL OYSTER PONDS SCH ROLL SEC TAXABLE PRCLS 1 FAMILY RES TOTAL RES SITE 24 . -1-8 TOTAL COM SITE 1000 OYSTER PONDS LA ACCT NO O1 OWNER & MAILING INFO ===!=MISC !________ ______ ASSESSMENT DATA MCDERMOTT KELLY !RS-SS ! **CURRENT** RES PERCENT 105 DUANE ST - APT 33F ! 1 !LAND 500 **TAXABLE** NEW YORK NY 10007 ! BANK !TOTAL 4, 100 COUNTY 4, 100 TAO2318 **PRIOR** TOWN 4, 100 ! !LAND 500 SCHOOL 4, 100 ! !TOTAL 3,500 ==DIMENSIONS =__!______= SALES INFORMATION ACRES .20 !BOOK 11617 SALE DATE O1/29/93 SALE PRICE 135,000 !PAGE 714 PR OWNER SCHNURR A HARRY __=====TOTAL EXEMPTIONS 0 _____________!_= TOTAL SPECIAL DISTRICTS 5 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE !FD025 !PK065 !OM060 !WW020 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75. 10- 03-013 F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU 4e �L -_;,im" -10 MMOI Milli moo- /0- 7170 - 0001 .'_Jf 5 i � �i 11 �1 li ` I;Iat:rtr,Y cxnlr Itivtr;la 1� (1tot1-e.i Putt Iu.) 7014 (1'nr.L J) 610M1 dny�re cialyc� Per D1,49n r•, ; c., P, Dated Ctlyal° 'd � '1'o1ipf1l It-Value l;xlntlok Wa1.1 I1-111 hoof/Cell!Ity �]oor It-19 . 1'otntda1:1011 Mill It-Itl Slab M a 111bUlaLlon It--10 rlazfny rt-1.7 t;1tl-ranca L)ontg It-?.., ' All IIVAC EclUlr*jellt to ttKter re�lrtlt:en rlte►All IIVAC Cohtkol. Syalen�q to nte oel: kerlulrenrf 71114.11 70 of 7t114.12 A IR1ct SyAt6rre to meet rerltllrente111:8 Of 7131.4.13 All 1.1 Ve11t"aL•ing fly"leM to lineL requltemerltq of 7111.4.14 All "1011g 111bltirftibtl to nwet r.-aflttlr.ametttet �,f 7t114.15 All SerVlCg Wnler Ilont-lttg ^ynL•elnn ntid rApliptiortL to meet kl+yUlrptttettf:e of '11114.21 All E:lectrltr SYMLentg to n►eeL te(ulternettbl of. 71114.31 "lb titre bd13L cal my kttc.)w.leclyet WIWI 1110 prole.-Infottal. ' }Udya111eht1 the"e 111a1th ate ltl Cbfl�1111111Ctl Wll:ll Life CCkle !! ,tof NEw10 a�OGE TGT 9'f' 4 w }Y( i o3sstl"a-1 ,��� p�OFESSIVA 1 t & �. `� 1•t�_`•Za�o d0` 413fJ 3 ti stsvv�y .�► b� I !� f \ 'op xy ;t a,.c KEY ID tv> 1S/O -izky ,3,i�7t- 31 :j C I � - i� i. ' l II„ fi J42 w"4 �eg \ \ \ \ \ \\ 7 77 ,;!-7 n-- xib of r E; Yo 4L LU, V 1.21 I, I OF NEW y 5� �e i �OfiESS1a�P� �aaeS ; 2 X/D a2 2 X� .4s i.vcYc,,q- //j A y/A h.4,PD';fl000 ii ff jj 'I IY7 pY ►� 12?47� oF Afx tN Up OR la ol 23 L--41A- 73 , � i i CU/�4GS tj 2x6 /G HOC vxc&xvT A c �,� ,Tk G1J►�L Ij NEW),, �ec.NCE I ES to I F >eloY 7-IC- PIi,&- y ff �bl j yoet-o Y 1 .S7�//I s /Ug nr�a►u ove-W II � Dti y I R-2/ JI �I 2xG /6 ADC � /�✓�- c�c�. .2� ��,yiG� .i MOOR —, 3X/(S rMT .30 ADC ti OF NEW 5: AY' NEE T yo9 Az y cc LU 032264.1 �\ 0 i ;I ; RECEIVED �U Ql;{L� C 1 u 1993 L � JUDITH T. TERRY -`` k;r•+ : �. Town Hall, 53095 Main Road TOWN ctffWthold Town Clerk vP.O. Box 1179 REGISTRAR OF VITAL STATISTICS '.;`', " Southold, New York 11971 y � . MARRIAGE OFFICER �- Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer) . One copy will be returned to you in response to your request, or as an interim response. SECTION I. TO: 121,E-(2 (Depa tment or Officer, if known, that has the Information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information. ) E/ E-1 Ak go IV Signature of Applicant: Printed Name: F2,,�P PLC- Address: A-0 0"kfl-o 0,j- ( -�-�``� (/y 5- Mailing Address (if different from above) : tj)C 9 7 C*t2.,,t-r /Ic( Telephone Number: 1j Z- 5-2� ) Date: --------------------------------------------------------------------- [ APPROVED [ l APPROVED WITH DELAY* [ ] DENIED* h erry a e .Freedom of Information fficer * If delayed or denied see reverse side for explanation. U4 t W i ,'�,_.' 3,d 1.�/7,"•�- � v N 4,71 'R'+tea-�r... ..✓ w 6; 7W �utvc•yfas�'{��-�s+.P�wr�'�vTo-.��t1Y��I�F,���orr �,Up�r�Cu/)'LS/.L�/s/i9.v� .C"/;_: L�Tia,y-G.P/�u� Tow,ci o�•.�ouryc��0 .lJ }; ,C�c/V �aeve-ttt� . � ��• ,Cu c a G>o. ��: 5 � 1 Su , 22�oT Acaee7 Co /13Z V- /9 9 /Va rimy A-O-"ecH Jr4 f TG/ QF- �6�iTiC�,rys ,�56 i��Zoy'�3S� T �GU ; Alf WAM rik tts lilt i . 11111� FORM NO.3 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL Date . �o .. �. . . . . . . . . . . . . . . . . . 19 � . TO 5*4/wv::� . . . . .0�.10 4 2. . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . . , , , , , , , , , , , , , , , , ,, 19 .3 for permit to C�9 � �'� E� .�!r?, .4.+'. , .4� . ���t��u . . . . at Location of Property ./41,00. , �C �f Hoc,_ �Vo. . . . . . �-. 6�,./. . . . . . . . . . . z � St eet amlet «< County Tax Map No. 1000 Section . . Block e . ... . . . . . Lot . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . ... . . . . . . . . . is returned herewith and disapproved on the followin--rounds . . . , . �!ir;�Z �`r Y. . . lLj��lw �- , , . ..L•'� . . . . � . . . . . . . . .. .. . . . . ... . . . . . . . . .��� . . . . . . . . . . . . . . .. . . . . . . . .. .. . . .: . :. . . . . . . . . . . . ..- - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B ildi Inspector l/ RV 1/80 F 'o F _ a • F P —RI— W 0 S7q YE / a ri�""E•s F L•.1 11 • ... « Si' I a a t II �61 F 4.n to • O N �o 8 N J i a•a aza ao uF � 1 � n w 4� +• � s i �e a r• � b a g a ,3,srs �.a..d ,E,a•F © COUNTY OF SUFFOLK To-wSOUTHOLD %90—m _ Real Property Tax Service Agency ,IL-GE- 024 c..., ----- --- _ _. •_.`.........--0-- 1. r c W asaecrw.1000 Rir•rha.d,1.1..,,Nam York PROPERTY MAY FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22132 Date JANUARY 29, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property •420 SKIPPERS LA & 1000 OYSTER POND LA. ORIENT_, N.Y. House No. Street Hamlet County Tax. Map No. 1000 Section 24 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22132 dated JANUARY 29, 1993 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 ONE FAMILY DWELLING WITH ACCESSORY ONE CAR GARAGE WITH STORAGE SHED ATTACHED The certificate is issued to ESTATE OF A. HARRY SCHNURR . (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . ,�o�. �. . . . . . . . . . . . . . . .. 19 . . . .;,gyp �! . . 4. . . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . . . . . • • . . . . , . . . • 19 . .3 for permit to 41*?g � ��G ^�1 .4!'. . . . . . .r • ! .at. . . . . . . . . . e Location of Property 100. . . . . . . . , . � � How/ b_ 'Vo. Street amlei County Tax Map No. 1000 Section . . .'P-. /. . ... . . . Block . . . .Q/. . . . . . Lot . . © F. . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . .'. . . . . . . . . . is returned herewithand disapproved on the following grounds . ax� . . .�� � . . .6 o.:�Q�r. . . . . . . . . . . .Ga r G / 4 j• . . . . . . . . . . . . . . . . . . . . . CvLnle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B 1di� Inspector RV 1/80 r n+ 1 'Amity s. .40 l r.r . JIM x. auj �l �OUtJDATION ( i s t ) I , c > UNDATION (2nd ) d 2 • lie o �0UGH FRAME & C3 •PLUMBING • s� l/ o LO H C3�1 IISULRTI0;1 PER N. Y. � . • STATE ENERGY � CODE I , FINAL ADDTTIONAL COMMENTS , • � �L in •�� n;7 7 x' • Lam..—. p I T ,y f�bl vita ` UI%' L.0 O r' H AP71VMED AS NOTED VIATE' '24&P.# FEE' //o), By. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING zr 3. INSULATION UNDERWRITERS CERTIFICATE 4 i 4. FINAL - CONSTRUCTION MUST REQUIRED BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS z� T-j:!� CA , v ..� fl „ ! r ,�. ,• r rkY' �':ti,•- t't N jj Cf Y i tti C t�4 1 '���'i ��� �� i/�y" i� `�`� ( ate[ /`• �� 9�ws�,. . �{�/ ! � �nl.. •'j�ir��y`!��ri�4.. `.' c. Y G b oWsW OM V f-- °S-A17n y OWN 4907 AMAAA it s Z04 s . + d, • Nji ScRE'�►/ 1baaCl� i + ,. r a , • � P�Ytc,.�csc,�o v�'k , , G "jc�wT f�Eu/ tA VE'w pt ra - I i { 6X8 fix f fZ,+T� h I � I i I 6:,?A g i ! ! i i i . I _ c i J i i , s 7r -FY �� ���SS i 1 14 c SEc Ov Cx J?CZ 1\0 7,4) i i I i op TRy � � lCCCSc 2 x$ -�e A + r 2 x 4� - /� �'a 2 x`o �`��, �/12 ,OEC/< � � i SC G' i ( i ��/�"`%:-- �'"<:''�: v'✓'�"'� f ., -'U'' /`tea)� _ g a . - • a+j \ I i t I i � I i I � i I � j i 2f% � � I 1.(! Z _ i �^ GX/ST//Y�i-- ��yc�:o�c r=NC a t f 71., t L i 7 f— 7 r_-! �- c�,3c�l-eA T65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 7SULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: l� ecv � v 61,oee y Q DATE 6/o,257A4INSPECTOR i 4 Z12 ,a 2171- t DEC 2 119W 7over�i (1Y X 2. 22 _S9 /Z; . 70 .��i��/C�:�7`it�' �ScZ�vc az c� /iy �y�✓s:T>�vl� Apt �, a- suILuiNo DEPT. INSPECTION (/FOUNDATION 18T [ ] ROUGH PI.BG. [Vj FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 7 DATE A) -INSPECTOR �/�1� BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ INSULATION [ l FRAMING [ ] FINAL REMARKS: DATE IN8PECT0 7i6-1t02 BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ---ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ �NQ [ ] FINAL REMARKS: DA INSP � �� 1 , 1 i Tr i i ! I 02 II /� Y /p of NEW ` I P� e 0,9 7yP Cv a y e cc Lu 03226d 10 9OFJoAl ESSt4 P� 292g - I ! j 307030 /G �G i ; i /sr J e-bkr ,Bum IV Ii w I v i i t OF NEW Y rcNG E TG O9� Z LU 032264-1 r CC n ESS10% t t ZW 209 0 21E17 � II ' 1 I 1 r� of NEW i ysQ � jetip, 032254.1 .�.V 0 SStONP��i. pgG 2V4 P .. f Ap I�Fsi l I ' - 23 CeiIllyv aus V/f -.-IP/,949 ALLOR.� : %ivsuc. La�-E - R/-9la 2X/O Rf7x %G oc Tvr�t� �P-3.2 12 A _ 20 YSrPa i' 1�� Lam Herr �� I- L P91- �� I 206 6� 2S/36 Z 3G *4b i1 W. M. Dd 0 VI _ � ( v 0, Fie Toes T 2X6 AWA All Gr S2 CJC .Gv,p �HruL D� ;PANE Tom' �� Ay Ae-rk 23, �X8 C�gci�G �tBadE. /G i ; flveazo�r� � Al�l:of NEW yo g1P�cNGE r�T 9.�. * Q W Al Alh I ow; GRACE � F 032254.1 � I - OFESSWA IT, 46 / l s i � 2YV S40reAW I ' ' I ! 2x1a b I _ 2X6 tau . �: r�1cr - �� W k �,,,/O ,f,�� ,3p ii dC �'l a�NGE • TGT 9.(� 3 R•ai '��fess�o� 41 X/a x 9 .roc fit i i 2 d ,yp BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 420 Skippers Lane S 1000 Oyster Pond Lane Orient, N.Y. number street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) ESTATE OF A HARRY SCHNURR OCCUPANCY A-1 r type (owner-tenant) ADMITTED BY: . SUSAN MADIGAN ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-24-01-8 SOURCE OF REQUEST: WILLIAM PRICE, ATTY DATE: JAN. 21, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME STORIES 1 & 2 # EXITS 4 FOUNDATION CONCRETE CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 4 2ND FLR. 3 3RD FLR. BATHROOM (s) ONE FULL TOILET ROOM (s) UTILITY ROOM PORCH TYPE ENCLOSED DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE NO GARAGE DOMESTIC HOTWATER -YES. TYPE HEATER LILCO GAS AIRCONDITIONING . TYPE HEAT OIL WARM AIR XX HOTWATER OTHER: PANTRY OFF KITCHEN ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 1 CAR WOOD FRAME . STORAGE, TYPE CONST. WOOD ATTACHED TO GARAGE SWIMMING POOL GUEST, TYPE CONST. BAD SHAPE) OTHER: ------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: o DATE ON INSPECTION JAN. 25, 1993 FISH TIME START 9:45 END 10: 10 J.\11 flu 11..X Standard N.Y.B.T.U.Form 8005A•7-73-1OM—Executor's Deed—Individual or Corporation(Single Sheet) —7 /c/) S- ' CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 4 9 "1 day of d_e_Ltt u--,I , nineteen hundred and ninety three C I BETWEEN l� Eleanore Altman 1 J 0 v� c/o John C. Fisher, Esq. ` 845 3rd Ave. , New York, NY 10022 as executor of the last will and testament of , late of NY,NY A. Harry Schnurr who died on the 25th day of July , nineteen hundred and ninety two party of the first part, and Kelly McDermott 341 W. llth Street New York, NY 10014 party of the second part, WITNESSETH, that the party of the first part, to whom letters testamentary were issued by the Surrogate's Court, New York County, New York on October 5, 1992 and by virtue of the power and authority given in and by said last will and testament, and/or by Article 11 of the Estates, Powers and Trusts Law, and in consideration of One hundred and thirty five thousand ($135 ,000) dollars, paid by the party of the second part, does hereby grant and release unto the party of the second part, the distributees or successors and assigns of the party of the second part forever, JALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the r ., Village of Orient, Town of Southold, County of Suffolk an$ State of New York, bounded and described as follows: BEGINNING at the corner formed by the intersection of the'northerly side of State Street (Skippers Lane) with the westerly side of woo Oyster Ponds Lane; RUNNING THENCE along the northerly side of State Street North 63 SeC• 8��`Ua degrees 59 ' 50" West, 66.27 feet to land now or formerly of George H. Cibell; RUNNING THENCE North 27 degrees 18 ' 10" East, 130 .05 feet; PUNNING THENCE South 63 degrees 36 ' 00" East, 68 . 33 feet to the westerly side of Oyster Ponds Lane; RUNNING THENCE along the westerly side of Oyster Ponds Lane South `• 28 degrees 13 ' 00" West, 129.64 feet to the corner of aforesaid at N. the point or place of BEGINNING. BEING the same property conveyed to A. Harry Schnurr by deed from Richard A. Delos, dated October 7, 1966 and recorded October 27 , -1966 in Liber 6058 Page 307 . ?t3° 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 also all the estate which the said decedent had at the time of decedent's death 'in said premises, and also et the estate therein, which the party of the first part has or has power to conveyor dispose of, whether individ- ually, orb virtue of said will or otherwise• TO HAVE i ,., •i�1 tY V AND TO HOLD the premises herein granted unto the party of the second part, the distributees 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 incumbered in any way whatever, except as aforesaid. Subject to the trust fund provisions of section thirteen of the Lien Law. 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: Fjti1�w-`'i_iJ aJ V V t� FEES 9 1993 Eleanore Altman .j LtliJi�l Y STATE OF NEW YORK, COUNTY OF //�65-uJ Y6/�N SS: STATE OF NEW YORK, COUNTY OF SSs On the ��y day of J A N U a ii y 19 9 3, before me On the day of 19 , before me � personally came personally cache Eleanore Altman 1"' 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 that executed the foregoing instrument, and acknowledged that she executed the same. executed the same. (20HN C.FISHER Notary Public,State of New York No.24-6310501 Qualified in Kings County Commission Expires November 30,19etl 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 sworn, did depose and say that he resides at No. that he is the 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 directors 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. Exeeutor'g ;8eeb SECTION 024 . 00 TIiLE No. BLOCK 01 . 00 LOT 008 .000 Orient,Southold,Suffolk COUNTY OR TOWN A. Harry Schnurr STREETADDRESS Skippers Lane TO Kelly McDermott Recorded At Request of The Title Guarantee Company RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS WILLIAM H. PRICE, ESQ. Dirtribused by P.O. Box 2065. TITLE GUARANTEE- 828 Front Street NEW YORK Greenport, NY 11944 ATICOR COMPANY Zip No. W U LL LL 0 c Oj 0 V W LL 0 W y, "1 0LU LL �, CL N BOARD OF HEALTH . . . . . . . . FORM NO. 1 3 SETS OF PLA,';S TOWN OF SOUTHOLD SURVEY . . . . _ . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . _ , , , . . , . . TOWN HALL SEPTIC FORK . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 / TEL: 765-1802 t:oT I Fy Examined . r/Q. <. . 199.3 CALL t1AIL T0 . Approved . . . . . : . . . 19��Permit No. C)�� 1 . . . . . . . . . . . . . . . . . . Disapproved a/c 12-wl��.. . . . . . . . . . _ . . . . . . . . . . . ( ng Inspector) APPLICATION FOR BUILDING PERMIT /Z Date . .". . . . . . I9 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. T 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 ins ns. _ . . . . � . � . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee,*agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises �� . . ! ' �TZ�!L>T-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorised officer. (Name and title of corporate officer) Builder's License No. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . , Electrician's License No. . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . House Number . . . . . . . . . . . . .r C /f' . Street Hamlet County Tax Map No. I000 Section . . . :. . , , . . . . . Block . . . . . . . . : . . . ;,ot . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . .j . . . . . . . . . . . . . . . Filed Map No. Lot (Name) . . . : . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancyyfyc . ` , . . . . • . b. Intended use and occupancy . . •3. Nature of work (check which applicable): New Building .�• Repair. . . . . . . . . . Removal `m ' - -• • Addition . . Alteration . . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other W . . . .'. . . . , . . . • • Work 4. Estimated Cost . . . .� - ; . . • (Description) . . . . . Fee . . . c ��(.�•oc? . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling b units . . .�. . . . . . . . . . Number of dwelling units on each floor . . . . . . If garage,number of cars . . .', ? . . . . 6. If business, commercial or mixed occupancy, . . . . . . . . . . ' • ' • • • • • • • • • • • • . . 7. Dimensions of existingstructures, specify nature and extent of•each type of use . . ... . . . . . . . . . es,if any: Front �7"• . . Rear . . /,?. . Depth . . .�Q.$, Height . .�-,,5. , , x Number of Stories . Z, h �jr ;cE • ' ' ' ' ' ' Dimensions of same structure with alterations or additions: Front ,26�!'� . . • . . . . . . . Depth . . .6,5�, . . . . . . . . . . Rear . . . . . Height . .2S �!�da3�X. . Number of Stories 8. Dimensions of entire new constructs . . . • 'on: Front . Rear . . Depth n. Size.Height . . . . . . . . . . . . umber of Stories . . . . . . .., . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . .. of lut: Front . . .�P. ' • • . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . .1-?5". '=3, . . . . . . ... . Rear . . . .� ... . . . . . . . . . . . . Depth . . . .� i. . . . . . . . • . . . . 11. Zone or use • • • • • • • • • Name of Former Owner 4:. � . district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or.regulation: • . . . . . .13. Will lot be regraded . . . .//0 . Will excess fill be removed from- remises: • • • • • • • • • 14. Name of Owner of premises,/Ey/ /?rTT • 2�y� p Yes • No Name of Architect • • • Address . . !.�. , , ,?";Phone No. �:- ?�3,-/?1,0'!7• Name of Contractor .JQi4!! ' ' ' ' ' • • • • Address . . . . . Phone No. . . . � � • • . Address ? • ,C -. Phone No. ;�uo'�• . . 15. Is this property within 300 feet of a tidal wetland? *If yes, Southold Town Trustees Permit may be required. NoX. . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing b 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. SEA` 77TI 'i��`E STATE OF NEW YORK, COUNTY OF . . . . . . . . . . . . . . . . . S.S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ie is the . . . . . . . (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 pork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . .1`f . . . . .day of. . . . . . . . . . . . . ., 19 otary Public, . .: !• . . . , . . , County CIE M.WILXINS Notary.Public,State of New York . . . . . . . . . . . . . . . . No.4952246,Suffolk County (Signature fapplicant)• • • • • . Term Expires June 12,19.25 o FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. VST UILDING PERMIT (THIS PER KEPT ON THE PREMISES UNTIL FULL F THE WORK AUTHORIZED) PERMIT NO. 4759 Z Date MARCH 11 1998 Permission is ereby granted to: KELLY MCDERMOTT 105 DUANE ST - APT 33F NEW YORK,NY 10007 for ADDIT ON TO EXISTING ACCESSORY STRUCTURE AS APPLIED FOR. at premises located at 1000 OYSTER PONDS LA ORIENT County Tax Map No. 473889 Section 024 Block 0001 Lot No. 008 pursuant to application dated MARCH 11 98 and approved by the Building Inspector. Fee $ 35 . 00 Building I spe9yor Rev. 2/19/98 COPY F W A 4 7.)AC. I y�Ts ,o 22 �Q MA t'A17P2 TAG J'y�aap �DOR TCIRA64 /8 io Ta GAtg- i ol/ __ ---_--.- 22 p _ _______-- ACT O -- ' `/f.� �T����: �-- .o �o ... ,� - �. .__: �. ��__...�_:1 . --'/ice -3 - i ii VV I�O)DF.' 2,YC X/2 i . s - /� or 1 " / 1arck i cifAc r La,r-r �/ T.3 /6 OC' . 2 6 ��s 2y oc / Yl'le-A LIt ol/e-f y /'j y V ON� v �«s 2X6 -� •� k/a us ✓� /,4c4 i i1 /,yy i�cs ZxG /6 roc /��' eawl- I i `I ! 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SOUTHOLD, N.Y. 11971 aa 77 TEL : 765 1802 t:oCALL Examined al... , 19� 31 r1A I L TO : Approved . . .,./ �. . . . 197�Permit No. . . . .�. . . . . . . . . . . . . . Disapproved . . Jj . . . . . . _ . . . . . . . . . . . a/c .; .?,r/. j ' ( no 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 sets of plans,accurate plot plan to scale. Fee according to schedule. ti b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl: cation. r 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 permi 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 Occupanc: 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 th( Building Zone Ordinance of the Town of Southold; Suffolk County, New York, and other applicable Laws, Ordinances o.- 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 tc admit authorized inspectors on premises and in building for necessary in�s�� ns� (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee,'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . 004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - . . . . . . :. . . . . . . Name of owner of premises � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. . . . . . . . . . . . . . . . h. Location of land on which proposed work will be done. .,l�.x . , , .Q. . . . . . . . . . . �- House Number Street Hamlet County Tax Map No. 1000 Section . :.2. . . . . . . . . Block . . . . . . . . . . . . Lot . . QE. . . . . . . . . . . . Subdivision . . . . ... . ... . . . . . . .(Name) Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . 1/Ylr ,!�,tf. .�CQ. Z��!�.�. . . . . . . . . ... . . . . . . . . . . . . . . b. Intended use.and occupancy !k . . . .� /�7� C��L:z4��3!�t.-. . . . . . . . . . . . . . . . . . . or •3.04atufe of work check which applicable): • • . . . . . . . . ( Pp icable): New Building Addition .�• • Alteration Repair. . . . . . . . •. . . Removal . , • • . . . . . . . . . . Demolition . . , . . . . . . . . . Other Work . . . . . . . . �` (Description) 4. Estimated Cost . . . .� : . . . . . . . . . . . . . . . . . . . . . . . . Fee . . .`c.��Q' d . . . . . . . . . . . . . . . . . . . . . . / (to be paid on filing this application) S. If dwelling,number of dwelling units . . . . I . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . ... . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy,specify nature rand extent of,each type of use . . .... . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . 7. . . . . . Rear . . ?. . . . . . . Depth . . .�35 .. . . . . . Height . .. , . . °x. Number of Stories . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front .z6 �;". . . . . . . . . . Rear . . 7 t - .". Depth . . .1W.'. . . . . . . . . . . . . . . Height . .Z:5 '!ta'�°�X. . . . . . . . . Number of Stories . .2 . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . .Height . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size of iut: Front . . .$6 Rear . . . .l�..`. . .. . . . . . . Depth . . . . 10. Date of Purchase . .l ?p: '3 . . . . . . . . . . . . . . . . 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 . . . . .1C . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address AX Phone No. �v- ?-3: Name of Architect . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . , • . Name of Contractor Address Phone No. . -3 ?. .`. . . . . 15.' 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 property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S ::OUNTY OF . . . . . . . . . . . . . . . . . • • • ri9 UL N1 /� (� (j�/t�TT. . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) :bole named. leisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 aplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the -ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . `.f . . . . .day of. . C . . . . . . . . . ., 19 �-3 otary Public, . . . . . :�!�:! . . . ` . . . . County \• YCE M:WIIKINS . . . . �. . .�. . . . . . . . . . . . . . . . . . . . . . . . . Notary Public.State of New York No.4952246,Suffolk Coun S (Signature of applicant) Term Expires June 12,1 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) N0 Date.....................91d - 21642 Z ..........................., 19...l . Permission is hereby granted to: . .� ......... . ... � y ....��................. l©m......QY T ......T�? b. ... ✓ „ 064wr.........., ................................ to ...�--Q sT,ec�, .�........ 5.'....... �.�1.%T��?a ...•..... 1,�G .....,/�dh.L7ZPo�..... cc rsc,.. ,B/DG.............64 4........ ..........e4a!1 �rrco.Js......o... .T"�•� .......... o......� cr- ......... . .......................p.................... .............. a?... -z. ................. ................................ at premises located at......... ,,,,,,,,,, .................................. . °, ' T".................... / .. ?�.T.T... ....................... County Tax Map No. 1000 Section .....C.1z ....... Block Lot No. .... . .......... ............. pursuant to application dated .....................�P/„ ,r and approved by the Building Inspector. Fee$....1� .... .................................... Building Inspector Rev. 6/30/80 Ty , 13 � i ,�, ^�.a E ENT.Qy� j z �•,.. 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