HomeMy WebLinkAbout12200-zFORM NO. 4
TOWN OF SOUTHOLDr
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,
Certi ticate Of Occupancy
No...Z.I.6. 2..2.0 ......... Date ... 9.c.t.°.b..e.r. .2.8..,..1.9.8..7 ..........
TillS CERTIFIES that the building ... A! t..eF.a.~.i. 9.n..a.n..d..Ke.n. 9y.a.t' 3'9.n ...............
6725 New Suffolk Lane New Suffolk
Location of Property ...............................................................
House No. Street Ham/et
County Tax Map No. 1000 Section 117 .Block 05 .Lot 29. I
Subdivision ............................... Filed Map No ......... Lot No ..............
confomns substantially to the Application for Building Permit heretofore filed in this office dated
.... 3vl.~ ~79 I?.. I. ! ?..1.9.8..3 pursuant to which Building Permit No... [ .2 .2 p.0. z. ............
dated . . . g.a.r, qt~..2.2. ,.. ! .9 ~.~ ........ 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 .........
.... M. ake..a. 1. t; e r.a.t, i o.n..a, r3 d..r.~n. 9y.a.t.e.. ¢.x.~. s..t .i.n.g . 9p.e.. f..a.m.i.l.y...d.w.e. 1..1 .~.n.g: ......
The certificate is issued to ALBERT ROKE
..................... ?o;;,n'o;, '~&~'X'~li~i*'X' ....................
of the aforesaid building.
Suffolk County Department of ltealth Approval .......... ~/..A .............................
UNDERWRITEI{S CERTIFICATE NO. N837691 Oct. 1~, 1987
PI, UMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
BUILDING DEPARTM
TOWN. HALL
SOUTHOLD, N, ~.
BUILDING PERMI~
(TH S PERM T MUSt-BE KE~T ON ~HE PI~E/~t
~COMPLET ON OF 'THE WORK AUTHOI~ ZE~) I~:
permissioh is hereby granted to:
"~gN"~IL FULL
~.~C~.....~: ............. . ,~.~
a~ ~remises located at .....
No..~..~-...~..'.,/.. .....
and approved by the
Februa~ 22, 1983
Whom it May Concern:
As the former o~ner of the New ~uffolk Shipyard
f~om 1972 to 2982, I attest to the fact that there has
been continuity of occupancy as a residence sinc~ 1975
in the house on said property wihhout m break of more
than ten (10) months.
LEO D. RUSSELL MASON CONTRACTOR
BERGEN AVENUE · MATTITUCK, NEW YORK 11952 · PHONE 298-4982
PROPOSAL SUBMITTED TO:
Job
Address
Phone
Page ~o / or ~/ Pages
DESCRIPTION OF JOB:
State
Date
llle ~ereb§ ~bmtt specifications and est,mates for__~-~...(~-~-~'-,;J-Z'.Z=~-~-~-.-',)~---~.-----+-'~'--O-.---, tz~-~Tz-~ -~,~
~g ~ ~j~rl]pl]~e to furnish labor and. materials complete in accordance, with the above specifications, for the
With pa~lnent to be made as follows:_ OOw[O ~W~ ~F ~ . .
J~:pta~t~ Of:,~apl:lSal--The above prices, ,spe?i-
fications an{d conditions are satisfactory and are nereoy
accepted. You are authorized to do the work as specified.
Payment will be made as outlin~ci above.
Date Accep[ed
S~gn~:ure
N(~te:',This prope~al may be with-
dr~w,,~ by us if n~t aocepted within ~ days.
Signa~ui~e ~
Signature_
W lho,. B.
220 MECHANIC STREET
P.O. BOX 146,SOUTHOLD, N.Y. 11971
(516) 765-3042
MAiN ROAD & SKUNK LANE
CUTCHOGUE, N.Y. 1193§
(516) 734-56§7
REAL ESTATE
LICENSED BROKER
WATERFRONT PROPERTIES - HOMES
LOTS & ACREAGE
ESTATE AND COMMERCIAL PROPERTIES
APPRAISING
March 10, 1983
Mr. Albert Roke
New Suffolk Shipyard
~ew Suffolk Road
New Suffolk, New York
11956
Dear Mr. Roke:
In appraising the value of your two story house at
your request, before renovation was started I have arrived
at the following,
House in original condition before renovation was
begun ~ $56,000. Estimated cost of renovation $20,000
plus or minus.
It is my opinion that this house will be worth in
excess of $78,000 when renovated to 1983 status.
Very truly yours0
/~'?" ,.
..... , ......
Februa~
22, 1~83
Whom it May Ooncern~
As the former owner of the NewlSdffolk S~ipyard
f~om 1972 to I982, I attest to the faet~that there has
been continuity of eccupancy as a residence since 1975
in the house on said property wi~hout!e ~break of more
%hen ~en (10) months.
Wil!iam H~f ield
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- t802
APPLICATION FOR CERTIFICATE OF OCCU
Instructions
A. This application must be filled in typewriter OR ink, and submitted .- ~=====~a to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water suppty and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters,
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building,
5. Submit Planning Board approval of completed site plan requirements where applicable.-
B. For existing buildings (prior to April 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.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ... /0 l
NewC°nstructi°n ...... Old or Pre-existing Building .... ........ Vacant Land .............
Location of Property .~, ~Tg~-...........~...../tJ~ ~ ,,~'o Il% J~.~. /[,~ -.-~o
House No. Street /'/am/et
Owner or Ownersof Property Z~ I ~..~..-~..~. oJ~' ~
County Tax Map No. 1000 Section ,- . ........
.......... ock ...... Lot
Subdivision .... . ....Filed Map No ........... Lot No ..............
Perm it No. ~. ~. ~ .c~...>~. Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ....................... .
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate
..................... Final Certificate .......................
Fee Submitted $ .~..~,
Construction on above described building and~l applicable codes and regulations.
Applicant ................
Rev. 10-10-78~_. 33 ~"0 ~
C.O.
FIELD I N S P, EC ~]N
FOUNDATION
(1st/
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N.
STATE ENERGY
C~ODE
FINAL
COMMENTS i'
ADDITIONAL COMMENTS:
765-].802
BUILDING DI~PT.
INSPECTION
FOUNDATION ZST [ ] ROUGH PLBG~
FOUNDATION 2ND ~ ] INSUlaTION
FRAMING [v~/FINAL
REMARKS:
DATE
/ /
THE NEW YORK BOARD OF EIRE UNDERWRITERS
mUREAU
OF
E/ECTR~.CITiY
STREET. NEW YORK, NEWNORK 10038
THIS CERTIFIES THAT
o~ly the electrical ~uipment ~ ~scrlbed be~w and intmduc~ by t~ appllcan~ ~med on the a~e appllcotlon number ~n the premises of
B~t ~e, N~ ~ffolk Ave~ ~ N~ ~.ffo~ ~ip~rd, ~w ~ffo~ N.Y. (hou~ at r~d)
in the following location: [] Basement
u.~asexaminedon 0~011~' 1~ ~7
~lstFl.
[~ 2nd FI. Secti(m Block Lot
and/ouad to be in compliance with thereq.irements of this Board.
RXTURE RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS EWIICHES
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIM~CLOCKS UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT I C
OTHER APPARATUS:
s E R , V
.o o~ cc, co.o ,~.~. o. t
PER ,~ OF CC.~¢OND
J. 110 '
A, W, G NO OF NEUTRALS A, W G
NO OF HI-LEG OF HI-LEG OF NEUTRAI.
I 1/0
B. 8. ;gtectric
~,~gi~ 1'~ te~ Ave.
Cutchogue, N.Y.
11935 lic. #~70E
This cert f cate.must not be altered in any manner; return to the office of the Board
BUILDING DEL
)4'//
may be identified by their credentials.
3 IN ANY
Approved ~ . .-~.. ?....~'~.., 19 .~.~. Permit No.../.~...~5....(~.~
Disapproved a/c .......... '.~.. .............. ff~.....,;x-:../
t ming inspector)
APPLICATION FOR BUILDING PERMIT
Date..~4.
TOWN OF sOUTHOLD ~ ~ ~
BUILDING DEPARTMEN~
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Application No..ff~ ~. 9.~ ......
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, orfor removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, aud..regulations, and to
admit authorized inspectors on premises and in building for necessary inspedtion~ ~ _ /~
(Signature of applicant, or name, if a corporation)
'(Mail/xi~address of applicantF
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.....
Name of owner of premises ,: .............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
...... I¢. ..........
(Name ahd 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 ..................................................
Itouse Number Street Hamlet ~
County Iax Map No. 1000 Section ..... [.\.ri .......... Block .... ~..'~.. ......... Lot.. ~ ....~' [. .........
Subdivision ..................................... Filed Map NO ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and ocsupancy of proposed construction:
a. Existing use and occupancy ...~ ...... .~... ~..c~.. ~.. ~~ . .
b. Intended use and occupancy .... ~ ~ ................... :-~,~(.......~..~~ .......
4.
Estimated
Cost
(to be paid on filing this application)
5. /fdwellin numberofdwellin Units. c>c~'~ x~..--~ ....~
g, g .............. t~umo~t Ol owelung units on each noor ................
If garage, number of cars ..... ~..~ ................................................................
6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use ...
7. Dimensions of existing structure,,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 ............... Number of Stories ........................................................
9. Size of lot: Front. . ! ........... Rear ...................... Depth ....................
i~ I ~.' [ ~i .~i' . Name of Former Owner .............
I0. Date of Purchase . , ...............................
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction viol~te any zoning law, ordihance or regulation: ................................
13. Will lot be regraded .. ¥~.?~... i .................. Will excess fill be removed from premises: Yes
14. Name of Owner of premises ~[~-v J~g lc~ ......... Address ~e~..~a. ~2,t PhoneNo .....
Name of Architect .......... [ ................ Address ................... Phone No ................
Name
of
Contractor
PLOT DIAGRAM
Locate clearly and distinctly all ibufldings, 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.
OF
COUNTY F ...... ,..S
(Name of individual signi: tg contract)
above named.
He is the ................. ~..~.. ~~ ................................................
~/ (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dul~ 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,lset forth in the application filed therewith.
Sworn to before me this
............. .......
N°tary Public'~z'~ '~''; '~''''',I my,^ ........ ,. ~,~ County~w~;~, /
~,m~,,,~o, ~,~,,,, ~.,~h a0, l~:f (Signature of apph~cant)
'g