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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