HomeMy WebLinkAbout10152-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-19601 Date DECEMBER 21, 1990
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 145 SCHOONER DR. 755 ANCHOR LA. SOUTHOLD~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 79 Block 3 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECE~IBER 29r 1978 pursuant to which
Building Permit No. 10152-Z dated APRIL 3~ 1979
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 ATTACKED GARAGE.
The certificate is issued to JOHN P. & BARBARA C. EBELING
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 8-SO-149 - AUG.
14, 1979
UNDERWRITERS CERTIFICATE NO. N-438397 - JUNE 19, 1979
PLUMBERS CERTIFICATION DATED N/A
THIS CERTIFICATE OF OCCUPANCY UPDATES Z-9640 DATE~ 8~/16/79.
~'1 ding Inspector
Rev. 1/81
FO~M NO. 1~
~ OF SOUTHOLD
~G DEP~VrMENT
TOWN CLERK'S OFRaE
SOUTHOLD, N, Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
10152 Z
Date ... P S
............................... A....i~. ......... , ,~...7..q.
Permission is hereby granted to:
.................... ~,-.~,,, ............. ~,~...; .......
to ..... .~t~.~ ........ ~. ......... ~z~.~....:...~.,.....~(~.~ ........ ~.~z~ ................
(~.~...~....~ ....... ~-..~.~...~.....~l~.~ .............................. ~ ......................
~ ~ a . ............. .......... a.....~t~ ............................
Vumuant ~ a~li~ion ~ ............................... ~ ...... ~..., 197~.., and app~ by ~e
Building ImpeCtor.
Form No. 6
TOW~OF SOUTHOLD
BUILDING DEPARTMENT
~0WN HALL
J765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF $OUTHOLO
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.
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.
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 Building - $100.00
3~ C~y of Certificate of O¢cupa__ncy - $5,00 over 5 years - $10.00
~4. "~pdated~ertificate Of Occupancy - $50.00___~
5. Temporar--------~ Certlflcat~ of O~ccup~ncy - Residential $15.00, Commercial $15.00
i0 -- o
Date .......
New Construction~7~: Or Pre-existing Building..o]i]i.il ....
House No./~- ............. ---$~[ Hamlet
County Tax Map No 1000, Section....k~.~-~-~-./__Block ..... ~ ........ Lot .... ~. ...............
· Filed H p .... Lot ..............
Permit No ............. .. . Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ....
Request for:
Fee Submitted: $...~(~.
Temporary Certificate ........... Final Certicate.. .
................. i
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
'eZ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
D.,. ~e zg. z~?~ .,,,.c.,,o. No.o.s,,. 0~42.~ N 438397
THIS CERTIFIES THAT
only the electrical equipment e~ described below and introduced by the applicant named on the abo~e application number in the p~mi~es os
,n the followlng location; ~ Basement ~ 1st FI. ~ 2nd Fl. Section Block Lot
was examined on J l~r~e ~ ~ R 19 7 ~ and found to be ~n compliance with the requirernents of this Board.
FIXTURE ! EPTA FIXTURES RANGES
OUTLETS~ EC ~CLES SWITCHES~ INCANDESCENT~ FLUORESCENT '~V~C~RY ~T, K.W.
DRYERS I FURNACE MOTORS I FUTURE APPLIANCE FEEDERS
~PECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS
AMT. K.W. OIL H.P. GAS H, P. A~T. NO, A.W.G. AMT, AMP. AMT. A.~p$. TRANS.
2 F 1 2 1li 1 30,>',~ ~
SERVICE DISCONNECT. qO. OF S R
1 200 OB mU~E. ,~w ,~wx ~v ~'~w "o. oL~%co"o-1 o~3/0^'w'°'cc, cc~o.
1-gmoke Deteetor
1-Post
ICOOKIHG DECKS I OVENS J DISH WASHERS
6.7 I~.3 2 1.2
MULTI-OUTLET
EXHAUST FANS
DIMMERS
SYSTEMS
Huland Elect. Co.
P.O, Box 1~3
Mattltu~kR ~IoY. 1195~
Per ~ i , ~'",
This cedificote must not be oltered in ~ny monner; return to the office of the ~ord i( incorred, Ins~Oors may be identifi~ by their crede~s.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Occupancy
No...zg~.l*O ......... Date ............... .'.~.l.~ar,.t; .~16 ........ 19.79
THIS CERTIFIES that the building ................................................
Location of Property 'l/.~3..': ¢:-:Oa,uer..~'*~.. ~ .875. g,.rloho;r:.._T~a ............ Z~.ut~::o~.d...
House No. Street Hamlet
County Tax Map No. 1000 Section ... ~'~) ...... Block . .3 ............ Lot..(~ ..............
.... p N ',r X
Subdivision ....... ~" ...................... Filed Ma o .... , .... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
'-'" q!
r,e c c er 29 19 t .~. pursuant to which Building Permit No. .'i 5~-..~.
dated . A.p~'i]. ~ 19. T , was issued, and conforms to all of the requ=ements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
The certificate is issued to ... p~!.e.:.:a~d.e.r G. '~ ;aXe. i;. ~. Itok~.
of the aforesaid building.
Suffolk County Department of Health Approval .~ .-,.c-~.O.-. ~ .~,9.,..L~ .u~....1 .&-,..q.~TgJ..~o..b.e.::'l~..g.... Villa
UNDERWRITERS CERTIFICATE NO ...........................................
R~v 4~
' B~lding Inspector
Memorandum fron~.. ~.
BUILDING INSPECTOR'S OFFICE
TOWN OF SOUTHOLD
Tow~ I-IALL, SOUTHOLD, N. Y. 11971
Memorandum from....
BUILDING INSPECTOR'S OFFICE
~ow~ o~ ~o~
TOWN HALL, SOUTHOLD, N. Y. I
765-1802
Memorandum from....
BUILDING INSPECTOR'S OFFICE
TOV~N OF SOUTHOLD
Tow~ I-/riLL, SOUTHOLD, N. Y. 11971
765-1802
Memorandum from
BUILDING INSPECTOR'S OFFICE
TOV~,'N OF ~OU1'~OLD
Tov~q I'IALL, SOUTHOLD, N. Y. 11971
Memorandum from
BUILDING INSPECTOR'S Oi<P'lCE
TOWN OF $OUTHOLD
TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
Memorandum from......
BUILDING INSPECTOR'S OFFICE
TO~FN OF ~OUTHOLD
TOWN HALL, SOUTHOLD, l~]'. Y. 11971
TOWN OF SOUTBOL~)'
Buildln~ Inspector's Office
Town Clerk Building
Southold, N.Y. 765-2660
FORM NO. 6
TOWN OF SOUTHOLD
Building Depari,.ent
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 supply and sewerage disposel-(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 19§7), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic feetu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safeW inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Co
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
New Building ..... ~. Old or Pre-existing Building ............ Vacant?-Land .............
Location of Property ...................... .~ .~..C-,~.O.~ ~,t~lO.~_., , ¥ ,,
House No. ,~treet Ham/et
Owner or Owners of Property .... .~t ~-~,~,.{:~r.~. ~ .~..~...~.(~ ~.~..~. ...... ........... . .....
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant. L~.~ ~.~.~ .~.~...~....~...~t~..
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building andv~/~2;_et.s all appli,Gable~odes and regulation[
Rev. 10-10-78
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECI~OR
TOWN HALL
SOUTHOLD, N. Y. 11971
TEL. 765-1802
I0
CONSULT yOUR LAWYER BEFOI~ SIGNING THIS iNSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY ~LAWYERS oNLY.
B~
WILLIAM A. DEMM, residing at 784B North Trail,
06497,
~STRICT ~ E CT I ON
8
, nineteen hundred and seventy-eight
Stratford,
BLOCK LOT
[/7:l
I'! Zl 26
Connecticut
~rtyo{thcfirstpart, and
ALEXANDER G. KOKE
(no number) Youngs Avenue,
and RYCK A. KOKE, his wife, both residing at
Southold, l~ew York 11971,
28881
------ RECEIVED
$.&h..'fi !. ......
REAL ESTATE
JUL 1 0 197b
party of the second part, TF~,,. ,SFEF~ ,,~A
~tlll~, that the party of the first part, in consideration o{ SUFFOLK
COU~_' _dollars,
.................... TEN ($i0.00) ......................
lawful money of the United States,and other good and valuable consideration paid
does here y grant and release unto the party of the second part, the he{rs or
by the party of the second part, b
successors and assigns of the party of the second pa~ forever,
/vacant . . .
IALL that certain plot, piece or parcel of {and,xv~ff~x~::h~l~:g~m~lx~l~:~nzm~e~l~xth~a'~oaxex°vw~l, situate,
lyingandbdnghA~ at Bayview, Town of Southold, County of Suffolk and
State of New York, bounded and described as follows:
BEGINNING at a concrete monument set at the southwesterly corner
of the premises herein described, which said monument is located
South 62 degrees 10 minutes 30 seconds East, 670.18 feet from
the intersection of the easterly side of North Road to Bayview
(Dayton Road) with the southerly side of land now or formerly
of F.H. Sayre and from said point of beginning, as so located and
defined;
RUNNING THENCE along land now or formerly of F.H. Sayre the
following three courses and distances:
1. North 26 degrees 35 minutes 10 seconds East, 86.0 feet to a
ditch;
2. South 82 degrees 45 minuteS 20 seconds East, along said ditch
116.97 feet;
3. North 64 degrees 15 minutes 20 seconds East, still along said
ditch, 250.14 feet to land now or formerly of N. Mazzaferro &
Sons;
THENCE South 27 degrees 34 minutes 20 seconds West, along said
last mentioned land, 306.68 feet to land now or formerly of Coleman;
THENCE North 66 degrees 59 minutes 10 seconds West, along said land
now or formerly of Coleman, 258.46 feet to the point or place of
BEGINNING.
an easemeut fg_r~-~ngress and egress over the right of
TOGETHER WITH.cole n Road" to the North Road to Bayview (a public
way known as m~a
highway)- ~U'r ~ .~r- '~ /~o.~ u
BEING AND INTENDED TO BE the same premises conveyed to the Grantor
herein by deed dated June 9, 1947, recorded in the Office of the
Suffolk County Clerk on June 26, 1947 in Liber 2721 cp 539.
ARIHUR I. F£LmCE
R E C 0 R D E O JUL ]0 1978 o! guffolk C0un~
After investigation and inspection the Board finds that the
applicant requests recognition of access to Schooner Drive over
Anchor Lane in Southold, New York. The roads are in good, passable
condition and could accommodate all types of emergency vehicles.
The Board agrees with the reasoning of the applicant.
The Board finds that strict application of the Ordinance would
produce practical difficulties or unnecessary hardship; the hardship
created is unique and would not be shared by all properties alike in
the immediate vicinity of the property and in the same use district;
and the variance will not change the character of the neighborhood
and will observe the spirit of the Ordinance.
On motion by Mr. Grigonis, seconded by Mr. Douglass, it-was
RESOLVED, that Alexander and Ryck Koke, Youngs Avenue, Southold,
New York, be GRANTED recognition of access for Schooner Drive, Southold,
New York, as requested. Location of property: Schooner Drive, Southold,
New York, bounded on the north by Ognibene and Franko!a; east by. Schooner
Drive; south by Reese; west by Sayre.
Vote of the Board: Ayes: Messrs: Gillispie, Grigonis, Tuthill
and Do~glass .... 4.
TOWN O? c;CUTHOL5
BUILDING DF.P,ARTME~IT
TOWN CLERX'$ O~:FI:E
$OUTHOLD, H. Y.
xamined ......................... ~.:]/.C:....., 19 ......
/? ' /~ r '- ....../...!.../...!Z~..Z--
r,L'...L.....~.. 19 ........ ~e mz~
~pproved ........................ 7 ·
Disapproved a/c ............................. '; .......................................................
~// '" (Building Ins;~ctar)
APPLiCATiON FOR BUILDING PERM1T
INSTRUCT'IONS
No...&/.J..'.j.-~.- ............
Date ............................ ; .................. , 19 ...........
a. This applic¢:tlan must be completely fil ed in by ~pewr[ter o~ in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, occurm'e plat plan ta ~ale. Fee ¢cca~ing to ~hedule. - ":' ' -' . '- -
b. Plot plan shying I~ation of lot and of buildings an premises, mlctionshlp to adjoining pr~mlses or public streets o~
~re~, cn~ giving ¢ det~il~ de~ription of I~yaut afprape~ must be d~n an the diagram which Is pa~ of this application.
~ ~e wor~ c~ered by ~is appllc~ian m~ nat be c~mmenc~ be~ore issuance of Duildlng P~rmlt..
d. Upan~pr~l of ~is ~p~l~ian, ~e ~uilding Inspec~r wil~ i~ue ~ Building Permit to the cpphcant. Such permit
~h~ll be kep, on the premzs~ ~d~ble far insp~tion ~raughout ~e work. .
e. No building shall be ~cupi~ ar'used in whale ar in p:~ far any pu~ose whatever until a Certificate of Occupancy
:h~H h~e been gmnt~ by the Building
APPLICATION S HERE~Y ~DE ~ the ~uilding Oepa~e~t far ~e i~ucnce ~f ~ ~ui~g ,~er~it p~u~nt to the
guJ1~ng Zone Ordln~ce of the Town of Southald, Suffol~ Count, New York, aha other opp~iccme uaws, ~ralnances or
Regul¢tions, far the ca~ion af buildings, ¢~ditians ~r ~:ter~ians, ar far removal or demolition, as herein described.
The ~ppliccnt agrees to comply with all appllcabie I~s, or~ces, building c~e, housing c~e, and regulations, an~ to
adm~[ ¢urho~zed inspe~om an premises ~nd in buildings ~ar n~essa~ inspections.
"'~-na~ure of appllcg¢i't, or n~me, if a corporation)
~ .... ~.'--~- (Address of appl,cont) . '.
St<=te whether cppllcant is owner· lessee, agent, archlt~t, engineer, general contractor, electrician, plumber or buiider
........... ......................... L...: .............................................. .L .................. ;. .............. ................. -..; ............
If ~pplic:nt is a tarpon:to,' signature cf duty czuthorized officer.
(Name ond title of corporate officer)
I~uilder's License No ...................................
p,u .ber's 'iaense ....
Other Trade's License No ............................................... ~ \ ,/ . _
L¢cotion a~ land on which proposed work will be dan~...Mop N=.: .-~. ........... )/- ....... /- ........ Lot No .......................
-- - ............................. AAunlcipalih/
2. _crate existin..q use and accuponcy of premises and i~er~ded use o~d occupc~cy a~ proposed constr. Jction:
b. Intended use ond occupancy ......
(cn~,~ ,~hlcH applicable): b~ Building --- A~4d~tion A!~er°'~an
N_tu.e of work ' ~" " .......
R~?~ir ..................Remov~ .................. D_m0,~ha~ .................... Other Work (Descr;ptlon) ....
4. Est[meted Cost ~ ~ ~.~.~ ....... : .......... Fee ........................................... ' ............... Z..~ .........................
........................ (to be pai~ on ~Uing this
~,- . ........................... Number oF'dwelHng un[ts on each flor .......................
5. I~ d',v~l:~ng, number of dw~dmg units
l~ ga;~g~, number a~ ~s ........................................ : .............................................................................
6. If bus~n~ss, commercial or mlx~ occup:ncy, spcci~t n:~urc end ~xJ~nJ o~ ea:h l~e oF use ........................
7. Dimensions oF ~xist]ng stru:~ures, i~ any: Front ............................ Rear ................................ DepJh ....................
-~u Number a~ 5~arWs ............................................................... ~ ........................... : .................
~, .~ ........................
Dimensions of same structure with al~e~a~ions or ~d~].t::,,.~ Fron~ .................................... ~ear .........................
., ~i~h~ N,umb~r of S~orie~ ..................................
~e~,~ ................................~ , ~ ~-- 7
. . - ...... ~e~r ....~ .................... D~h .....................
~. Dim~nsigns o~ enhr~ new Cons,ructlo,,. Front ........ ~..~. , ~
H~l~n~ .... /~ ........... Number of Stories ................ .~ .................. ; ............
9. Size af la,: Front ~&z.~Z.~..Z~.~ ......... Rear ~ ....... Depth ..~.-..: .............
10. Dote of Purchase ............................................. F~me o~ Former O~ner .................. ~ .................................
11. Zone ar use district in which premises are sffuated ...... ~.-: ........................................................................
12. Does proposed construction violate any zoning law, ordinc:~ce or re~ulo,on ..................
13. Will W~ b~ regraded ............................Will excess fiH be removed ~r~ premises: { } Ye~ '
I4. N~=, ~ ~,,~ ~,~,~ ....6k.,.,K~.k~. ......................... A~a~,= ............. ; ............... LJ Pho,~ NoT~W~2...
Ncme ~ Architec~ .............................................................. Address ............... ';.. Phone N°.
~-3~
N~ o~ c..t~ ....... ~g~.~.~--~-~.~ ........ Ada~ ................................ ~hod~ N~: .......
DLO~ DIAGraM -'
~ccte d,~rly ~nd disti~ly all buildings, wh,th~r exlstin~ ar proposed, and indicate o~i set~ck
:eaD~ lin~s. ~iv~ street and black number or d~scriot/on ~c:ocdlng to de~, ond show ~reet
(Nam" o[' inai¥i~uaJ s'g g
::ave n~:med~~.
o~ s~ld cwr. er cr owners, O~ is dui'/ author;zeJ to perform Or have performed the said work and to r~ke
t~is appliccric~; th,:t oil src:emenrs contained in this applicz~i~m ore true to the best oF his ~nowle~ge and
]~am t~gre me this // ~ ~ ~ ~ '
....... ............
, · ' ' o,,,,,,',:,~¢t,1'~t% ..... - . '
'78 DEC 19 ~1 I0 31
[l~l,~Fl Di[P~ ' SUF'IrOLK CO. HEALTH DEPT. APPROVAL
,. ~. ~,. ~~~ ..~. ,o. ~-~.,~
General ~sxneeT~ , ........... : ................ ' ........... ~AT~NT ~ INT~
Se.~ooa ..~ · ~T THE WAT~ ~y AND ~A~ DI~
'. ~ ~ . ~/~' ~ F~ THIS R~ID~
~$~.~) ' ~ ~~~,~.~ ~NF~ TO.THE ~ANDAR~ ~ T~
. SUFF~K CO. ~. ~ HEALTH SERVIa.
~ ~ CoNsTRucTION ONLY ' . .
~ H.S. ~.. ~. ~- ~O ~ ,,.
. ~;ov~o:," ' ',
~F~OLK ~. T~X ~
~L.
/~ '.. ~ ' ~. ~' __ -
_
, < ~ ~ ~.+ ~-
. ,2:,:,:::
~[ ' ~ IS PREPARED, A'D ~ HIS ~HALF TO
, ~ ~ ~ '" ~ll~ CO~PAN~, GOV~AL AGE~Y AHO
. . j . ~ ~ d~ ~
R~R~ VAN TUYL,
~ ~/a~/, LICENS~ LAND SU~S
~ ~ ._ ~RT N~W YO~K
SUFFOLK CO. HEALTH DEPT· APPROVAL
SYSTEMS FOR THIS RESIOENCE WILL
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