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HomeMy WebLinkAboutZ-37940 412/4/2015 S11�Fpl�C.% Town of Southold /4t °ay 53095 Main Rd N - Southold,New York 11971 ?_pmol -a'' PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37940 Date: 12/2/2015 THIS CERTIFIES that the structure(s)located at: 53995 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 61.-1-20 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37940 dated 12/2/2015 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame commercial building with one 2nd floor apartment as shown on plan by Garrett Strang Architect dated 1/28/13. Remaining 2nd floor is unoccupied and will require a Certificate of Occupancy at a later date.* **The total number of rooms on the first floor is 12 and the total number of rooms on the 2nd floor is 13. Heat for first floor is National Grid space heaters. Heat for 2nd floor efficiency apartment is National Grid. Type Heater in 2nd floor apartment is National Grid Gas. There are 9 electric meters. Note:BP 37525 electric COZ-37931;BP 37827 electric COZ-37932 The certificate is issued to Two Men Realty Corp Quain Properties LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. / Auth►j-d Si atur BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 53995 Route 25, Southold SUFF.CO.TAX MAP NO.: 61.-1-20 SUBDIVISION: NAME OF OWNER(S): Two Men Realty Corp&Quain Properties LLC OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Two Men Realty Corp&Quain Properties LLC DATE: 12/2/2015 DWELLING: #STORIES: 2 #EXITS: 8 FOUNDATION: Stone CELLAR: 1/4 CRAWL SPACE: 3/4 BATHROOM(S): 2 TOILET ROOM(S): 5 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: ** AIR CONDITIONING: TYPE HEAT: ** WARM AIR: ' HOT WATER: X #BEDROOMS: #KITCHENS: 1 BASEMENT TYPE: Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: Gf'RYF DATE OF INSPECTION: 4/4/2013 G /.- \ TIME START: 9:30am END: 10:00am Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicationcmust be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. S. Commercial building,industrial building,multiple residences and similarbuildings 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. B. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. . Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 // Date. 1 /Z?'//3 New Construction: Old or Pre-existing Building: lVe (check one) Location of Property: ..3 3 S'S J �4/y 19e-4 e-4 p. House No. Street Hamlet Owner or Owners of Property: ---7;00 Suffolk County Tax Map No 1000, Section / Block ® / Lot' 0- Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (chec one) Fee Submitted: $ Applic. t Signature 44g-f 7 � !✓sr' �2G`//T�c7 A4-e,A,T o/t Otr�y rL r - CONSENT TO INSPECTION .. t l • (fib fti Le/F4r �it. r /4..io , the undersi esygeed, do(es)) hereby state: • Owner(s)Name(s) . That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at A 4-0,t,Z- /i- Qom,,v£ sL . which is shown and designated on the Suffolk County Tax Map as District 1000, • Section (� ,Block G)( , Lot Z ' That the undersign (has ' ave)filed,or cause to be filed, an application in the Southold Town Building sector's Office for-the following: Gs� �c „,,o, (---- Q 'v j1,v C- That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises • comply with'all of the laws, ordinances,rules and'regulations of the Town of Southo1d. The undersigned, in consenting to such inspections,-do(es)so with the knowledge - and understanding that any information obtained in the conduct of such inspections may - be used in subsequent prosecutions for violations of the laws,ordinances, rules or regulations of the Town of Southold. •- Dated: f/�3VZ -- (Signature) 2a ei - A. �(�qi 5-. (Print Name) (Signature) (Print Name) , . _ - - _ (.k) IVj ILZALTZ1 /b144Wigii: 1311/66P-1126- r." - ff‘.5.-- fir,zs-- -t kortft.:_ierA%c._ ftQc-oJi\A-tct. ,, C4/44‘‘A: TOWN OF Sod = P BU D N ! EPT. 765-1802 IN ` - EC [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY SPECT • N [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: PAA44.WriSkip )%e�FM_ tifvsk_cir.04-d tiiital 47 0443#74-1/7:4-Z-/e/7 �� DATE INSPECTOR ,A77:44 1 t ,moo bio 411 • ,, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ I FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) RKS: S , -F1 I -P - AIP e. el I DATE 11 2 INSPECTOR •F,,, /I Loan C-14' Jai/Ns0t,7 I L. 7.1 u ` , rlenca q1 /inc W • ✓ N.6/°07'00"E. 4-9.-. l • �i .7-328 z.� L kJ fi a 6eii.ed,•.,g a Q Q v , (I) 11 24 - (Jo••,la•.•' r 7I [. -, rvf shed / steam"(sinf t o. 6 c Q Ill Y 4, 0 ki 4 o N V 4:1)' 0 'NI N• 2-s4o-.,:y 6/0ch. Ii on,c4- 0) and frame 6ce,/"/,19eis 1 N ; tO -- -- r�— I. z s. /000'00' - 46 SIZ - �s ( 6 '_d„ / //%o "mss-cuf c MA / N STR EE T I In•n•Imornnl altaratmn sr eddnton It toes survey is a nolatlon of /Y/� O� lb.Ion 1201'Of th•+bl,wyotl Rae�ROF,L'FZ T Y L.,'C.10.-of±hr won naS Mecln� ' ' 'E)'-E9 �QQ. nmrm..".ad a shrf.not In wlnaldxai � � ooIt t•.o cam. EOkVA, D / V/DDS AND 14J?/E SC�,r/ FCNT Gn :z.r.tnlan fish m°.nn.r- AT tIn rnm'no dovnhrerfe to tha nd po qo lore o:notaauon Inteld horh:-oon end o.ha-..gmnsatthelandnjmrtl- Sov7-Ho�o, N, n C..nra,t�aro not translorablte 1,1.mnu'ma}lunona or aubaaquaM uar-riiwed 710 the. In7zcr-Couh-ly ` �/� �ZO' 77 =/" 37 &-c.&7 ran cind Al•or4-1a9� Q = fry oYrurrle ki-74 • Compaany as si. -v-eyci November /$, /,9 8. 7774/e A/O. 5 -.Z/98-, 1 Vary 72:ey/ arra ..3oref- cam . s , .i.. - . ,� �M.�, t - i LOCATION: _ (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: w DWELLING N N./ �/ TYPE OF CON TRUCTION: U"/�'.�� -# STORIES: #EXITS: r FOUNDATION: St73-1&- BASEMENT: /1 CRAWL SPACE: 17S . # OF BEDROOMS: 1ST FLR "e16,-/V6--- 2ND FLR: 3RD F BATHROOM(S) TOILET ROOMS : UTILITY ROOM: .lE PORCH TYPE: DECK, TYPE: - PATIO, TYPE: BREEZEWAY: ‘,---7–,...NFIREPLACL ' GARAGE: - im D°`-/ ` fit/ C 4 J `Y- r DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING: ‘Ni1-'4'74c 6//0/ TYPE HEA j '- • WA1M AIR: HOTWATE / 6�' # OF KITCHEN , / ',4".d-7C �� FINISHED BASEMENT: YES NO c7 ) /si 7 � /2-- , OTHER: ���-� - a ':`a ---e ie /3 ACCESSORY STRUCTURES N. Q 4) L___ GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: -'-'1 DATE"'-eCa-7 i.- OF INSPECTION: /_3 TIME START: 71END: -ti • T TOWN OF SOUTHOLD PROPERTY RECORD CARD - N7 fern >iQ 14,1soff,4Q STREET `5 3 •7 :.3 VILLAGE DIST. - -1--VB. LOT 17ocI -Lw ! - '' er4T4 ': ' ?. , S . - . L. r . FORMER OWNIFR !/spa`u e-E 4 Iv.P. f Nit f E _ ACR. .�GT� ( c� f +f ,1. rase f 0TS I C �'l4C2 L`eG �r' '1t Crve- Qv-1I3 ��,'o{/l/Y ,,,,A tJlf/'c1 s 44/0 4 JLa /�T�/� JfW ./yam �fJTYPE OF BUILDING / - j- -J f h_-1....if� „.....:-'i f� j , J Q ' V -.�'r ibie tie � c ES. SEAS. jVL FARM fCOWCB. MISC. Mkt. Value •_ LAND IMP. TOTAL DATE REMARKS z.,.. ..--e, ,o , l acs-, l?43 o 0 1 0 rl -!f63 4t 5.491 ZArao -i sur ,d-s-4id td-1!;1 if W 7,-;0 V94 j2--;4'- -2"7 I 7S/'r r- ✓ ..� ��'/�x✓r9rC2 azsUd. . . . L ._ L -c(_ ,� aES+�CI._ Al. SC/lied,-� 9 r17- - / O 2-L 1;33 2pf��� - a,nl 2 4'W � � eli;1� ef"t11r7f1 4 t10 �0e-3 - Sod L/223$"g)-fig' '— ' ° dm 400 ' AGE BUILDING CONDITION 02410-Liz a G 36-Ze gFr1v7o fib nlod 14 A y C.— NEW NORMAL BELOW ABOVE FARM Acre Value Per Value - Acre Tillable I I Tillable 2 Tillable 3 Noodlakid - Swamplarid I - FRONTAGE ON WATER ' 3rush land FRONTAGE ON ROAD ,� >"' ,7fG ` f- �k ?Le-_,. r ; /fir ' Mouse Plot DEPTH43 Rd BULKHEAD - rofal , - [DOCK - • 4 r 4 . I 4 e' .• - a -- -1— I 1 -. . -4 '. ... • • . • ...-- -=---. I; :re'.7.7 SW?Pi..•r•V X7L If. * • -i .r. '77' FT:;,` alb i . • , r COLOR 1 L - - , . j.- I I --- ----. .4-•,-... - - - - -----.011 - , . --_. t-4- IN/ --- - --- - "74: 1 , ' 1 ' - _ -._ - --- ---. i..--'a..i jii • ' Al,' In. :" . ' :: ?) .,--t cic- =_-- - ' = __=_-__:,-, -,-----e--,-- _,4 [ -wr.- PA•rir ' : . . t 2+2.•k/51 Aill . -- ''''.iji- ---.'-*---------• ' ' - ' --------.:-.17= . . ' TRIM ; • ----------, ..-,-. F.-.1, _it., - --,-i _.12 t • .-,---;(=l -: -- - 77 ' .,,,.-- -•..i J, ' - __I---- - - - - i.--- I. . ..' - ' '_.;•__ '• .4.- --- ::–-–-"'• -- -,-A.I 1 — / _.__F---– ' , , - -' -- i....L4 ....e.' I .., ..- ..cf, / 0 '"liiilSNMIII"L- -....1 .. - •:.-.:-:. '''.-4:-42- '':=_ . 3 (- , / .-2 , 7--2.- — -I-t -- _ .T--.m... –ter....,.., .r g. eto P' 5 ,-, _ , ...... i . . _ .. , _ [ -----.---,-. - _:-:- ..z.„--- -,,---31--- ...--_- . -- -, - --- •-•-..-: -- - . ,i rt -1) 4 • • r .., ... .- i • f - .". - ' , • r . i 1 . 1 _. II M. Bldg. " c.. y s.--1 .., .0. ., - - /472. if i 7 7_,Q--6, Foundation Bath Dinette Extension /8"..\:, a_a, --- 3 q-4. 1,A.--23 1 3 6.-‘5, !Basement Floors K. _ - i Extension 1 1 q y :Li -.:. 3 el a.— 1 -',..'y /3 7,,z, Ext. Walls Interior Finish 1 LR. 1 .. Extension Fire Place Heat DR. '3L'I qt.( _ ,. ilf 6 C Type Roof Rooms 1st Floor BR. Forth i 2--'.4-)--1- "-- 4( q 'Recreation Room Rooms 2nd Flood FIN. B. Forth f1 S 2- ., if / .10 ' i -lf. ,- e- Dormer ' /I- f Breezeway Driveway . I I Garage Patio O. B. . . • - - Total 177 9'01 / - It - . , ......,,, N 1 Nom! t•.41A r •.i.":r� •� 5 rc• •' �.rt•.L • +!�1.P.�l;-k�1 s R,14_. .l (l.l.A! -.MV4V44ItV'A•.�T _ q t r: eg-`hS ''et.._��.`eeW.C. "- 1Itc•I.•ME'jk..:14: i•W'l!�7Vi•44CIK/^ �.' » , t+'.��� PAGE 1 THE , E`;+' FORK B i AR t OF (SIRE I .. 8081505• BUREAU D ELECTRICITY t� 40 FuL:TO I STREET, NEW VORK, NY 1U0 ':! OCTOBERi4 I- 06,200@ 1103 800/00 H 069483 j Date SPP?kation 1a'o. on ale ,:- !;k� THIS CERT9F0ES THAT irk only tate electrical equip:agent as described below and introduced by the applicant named on the above application number is in the premises of .. :. ".:1 PER.R�I BERGER, MAIN ROAD & BECICWZT�!, SOUTHOLD, NY ,! �' 0 Basement 0 1st FL El 2nd FL Section lock Lot i• • in the.pol?aa+iceg location; , SEPTEMBER 29,2000 2000 andfound to bein cone liance with the National Electrical erode.• {Ni was examined on P ��' FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS � EXHAlIS4-FAPIS OUTLETS RECEPTACLES SI�I�CIIES • LW. AMT. i ; AWL H.P. its. �� . 'RLUOR[FSCENT' OTHER 1t.6Y. AMT. El.W. �•. „ INCANDESCENT 1 II g d - _- S BELL SYSTEMS DIMMERS id• - REC'PT. TIMI GLOCt1 s UbVIT HEATERS MULTI•L3UTLET Ai _ . TRANS. Auro. II.P. No,op FEET AMT. WATBR v � DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPEC i+' M.O. MAI BBC H.P. B1.P, AMY. rf0. A.W.Q.A6S10 [SMP. _ � ■■ �■a�. ■ mo, SERVICE,DISCONNECT No.of S E R V I C E a w.®. �' . _ R Ho oFcccato. A t�.o. A.eI.G. • NO.IN HI=LEG Nc.aF NEUTRALS a3 NEUTRAL N �/ AVAT. AMP. TYPE EQUIP. 1®sit i 6 3YJ S©SW S��',i PER® of CC.coNa. of NI•BEG r�•: • , OTHER APPARATUS: - p\ii I SECOND FLOOR EXTENSION-1 - I "=NO VISUAL DEFECTS! "An electrical ✓ survey has been made of the exposed r, • electrical equipment in 'the h premises indicated." "No obvious ,›- jj unsatisfactory condition was founds r,,,..- 4 = 1 s .6 ,,moi • ,L* ,r •• �i 1' le _ VN �5 �2" ' tis Yg rl u PERRY BERGER 7's�� �` µ I'; 'i Tr�. 42-08 BELL BLVD, -J z '''1i GENERAL MANAGER er 4 • BAYSIDE, NY,. 113.61. r*T ` "' q q ,{f/, /� ,.: nNa.y .t.�..++•Y Y1,uFM v Per ,p,2. �h✓ } a This cortIflcatextus4 not be alibied In tidy n ann®r,,Mum ip the l mice el 4he Board I4 Incorrect Inspectors may bo!dentine by'Mete eredenOlaI3 0 ..x•1.r _..:ii ilia:; ?, . if.mci5 • '"1• rrA -,v i S 1 +1.Y..1 ..•.i:[•`�C: :,._t•_r.•-T iYf'r•.x" . �.• f -e- e ori s `S�r'"ti •...f Fi}t�iti<5*'n,�'"Y '�'s�'Tr' Ira Y "';Y• f"i'ifY ••t?r�i �1' �ri frit?�riYg`r•r..'rir�'r•v3i�t•�r'2r�i.:r '�� .� �--My , r t 5rii;,r'fY'°",'�: '1: ._ - -- -- - — - , • • ., 1 P,ANDERSON • 3MESHOE DRIVE k 4 2 7.8 $ CONIKNEWYORE 4 11465,308@ / ev'' a. CUSTOMER'S ORDER NO. 7DgreT. DATOA-s NAME: • ADDRESS: 4ILO COTV.STATE,Z1 IP (SOLDER C H C.O.D. CHARGE ON ACCT. HESERTD. PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT '-- al A) sPe/Awiet Apr 2 / . -gg,t2kae-__/eew.z . 4 / 4 • , 7 ••• e2 ha *Pr if /Fah r"- -%3CMid:WO 1 b-t' 12 * 13MI 14 IS , 113 17 ID RECEIVED BY: KEEP THIS COPY FOR YOUR RECORDS 01998 PEDIFoRtlo 61.320 Page 1 of 1 Bunch, Connie From: Bunch, Connie Sent: Monday, February 25, 2013 9 22 AM To: 'strangdesigns@quixnet.net' Subject: Pre-C/O inspection Hi Garrett: I have the Pre C/O application for Two Men Realty property. The attorney said I should contact you to schedule the inspection. Please give me call when you get a chance. Thanks Connie 2/25/2013 Date -7--.).1,--1")- File 7' —L")-File # TOWN OF SOUTHOLD COMPLAINT ,R�EgFERRAL FORM Location of Complaint: 55 f D5; ���5" ICLI SCTM # Property Owner: -TWO /Y 1, Phone Address: I�i-e&L'Q- '�``"V C/ d-e. N1 li'(L9/ NATURE OF COMPLAINT: Lc-t:6\-j, ( Io /'6P ACTION TAKEN: �p- 3//Z/ Spa/cL re, e�al 0>ir�j / '� � / 4pJ 1 � Aiii' L` �.e�r,� • / t Optional: Complainant: ae By Phone Mail In Person Address Phone: Report Taken By: Date Date Referred to Code Enforcement: CODE ENFORCEMENT REPORT SITE INSPECTION REPORT/DATE: ACTION/DATE: , %pF SO(/ry® Town Hall Annex �� l® \� Telephone(631)765-1802 54375 Main Road 41 4 Fax(631)765-9502 P.O.Box 1179 a�g Southold,NY 11971-0959 `. � ic®UN1OV-1 01‘ BUILDING DEPARTMENT TOWN OF SOUTHOLD July 26, 2912 Two Men Realty Corp Quain Porperties LLC 42-08 Bell Blvd Bayside, New York 11361 RE: 53995 Route 25, Southold S.C.T.M. 1000-61-1-20 To Whom It May Concern: Due to a recent complaint regarding possible renovation of the above mentioned property, I am advising you in advance that a Building Permit is required for all renovations involving electric, plumbing, insulation, framing, etc. You may pick up a Building Permit application at our office between 8:00 am and 4:00 pm, or print out an application off of our website southoldtown.no rthfork.net. If you have any questions, you may contact me at 631-765-1802. Thank you for you anticipated compliance. Respectfully, Southold Town Building Dept. 41- f /-44 Gary J.ish Building Inspector G F/cb Cert. Mail JOEL PAUL BERGER ATTORNEY&COUNSELOR AT LAW 42-08 BELL BOULEVARD BAYSIDE, NEW YORK 11361 (718) 229-8887 FAX(718)225-2020 VIA FEDERAL EXPRESS January 29th, 2013 Town of Southold Building Department 54375 Route 25 Southold,NY 11971 To whom it may concern: Pursuant to the instructions of our architect, Garrett Strang, who is on vacation now for several weeks, we submit a check in the sum of$100.00 together with the survey of the property. This is in regard to the apartment Mr. Strang refers to as the West apartment on Main Road above the store occupied by"A Taste of the North Fork, Inc." If yo, e any questions or comments, don't hesitate to contact us. Resp- I y sub .tt-/ 40 ' i ( ' 161 Joel Pau Berge / JPB:iy Encl. SENDER: COMPLETE THIS SECTION . COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete I A Sigri. item 4 If Restricted Delivery Is desired. R Print your name and address on the reverse ` X 0 Agent so that we can return the card to you. J ❑Addressee • Attach this card to the back of the mailpiece, ' B Received by Printed Name) b. Date of Delivery or on the front if space permits. f 1• Article Addressed to: D. Is delivery address different from item 1? 0 Yes 1C�& �r f) If YES,enter delivery`a'ddress below: , 0 No o� / SS 4,A -o Li iv a / I�CX� \i i I I�(/ 3. � Certified CertifiedMa4,3 0 Registered$ Retu�€1ss Rr iMeca.ell,t foMerchandise0 Insured ❑_C.O:D. 4. Restricted Delive 2. Artcle.Number,; ; ,< • (tetra Fee) ❑Yes (transferfrothseivIce'lit4 `_ 7008 0150__0002 7318 2453 Ps Form 3811,February 2004 •� Domestic Return Receipt - ----�_ .^ , ----�--�-.�_--- -----�•------- _"102595-02-M-1540 STATE OF NEW YORK) AFFIDAVIT ) SS.: COUNTY OF SUFFOLK ) THOMAS SCHLECHT, being duly sworn deposes and says: 1. That he makes this Affidavit knowing that The Town of Southold,Building Department and all other departments and agencies of the Town of Southold having jurisdiction of the property located at the corner of Main Road and Beckwith Avenue, Southold,NY, 11971,also known as Section 61, Block 1, Lot 20 of the tax map will rely on the contents herein contained with respect to a certain apartment located on the-second floor at the address known as 53975 Main Road, Southold,NY, 11971. 2. That the premises known as 53975 Main Road, Southold, NY and the property adjacent and on the corner of Main Road and Beckwith Avenue were owned by your deponent's parents, John and Marie Schlecht, and that 7oe1 Paul Berger and his associates purchased these premises from my parents approximately twenty years ago: 3. In fact, your deponent, Thomas Schlecht, along with his wife, Jennifer Schlecht, actually resided in the apartment as their primary residence from 1975 until 1983. 4. That thereafter the apartment was occupied from 1983 until 1987 by Mr. and Mrs. Hallock as their residence. 5. That thereafter from 1987 until approximately1992 the apartment was rented by Mark Corwin. 6 That thereafter from 1992 until approximately 1996 the apartment was rented to Scott Moiser. 7. That form 1996 to 1999 the apartment was rented to Erin Springer. 8. That your deponent respectfully requests that the Building Department of the Town of Southold,NY and all other agencies if necessary commit the premises on the second floor at 53975 be occupied as a one family residential apartment and that same may be leased by the legal owners of said apartment known as Two Men Realty and Quain Properties. Sworn to before me this --- - / of January 2013 Thomas Schlecht 1 . ( ti-—-1\-— /•,.2-C3 ‘,.;, -'? I Notary Pu'ohc i Not s PENNY BEDELL j ry-Public,State of Naw York No.01BE6099317 Qualified in Suffolk County --- mmission Expires Sept.29, k. _d . 1 I l i 1 ! 4.----14'7"7: Page 1 Aims SAMOSA asa ,EROS c ,i,., STANDARD FORPJI OF APARTMENT LEASE THE REAL ESTATE BOARD OF NEW YORK,INC. 0. ©Copyright 1989 AS Rights Reserved Reproduction in whole or in part prohibited. il PREAMBLE:This lease contains the agreements between You and Owner concerning Your rights and obligations and the rights and obligations of Owner.You and Owner have other rights and obligations which are set forth in government laws and regulations. You should read this Lease and all of its attached parts carefully.If You have any questions, or if You do not understand any words or statements,get clarification.Once You and Owner sign this .1 Lease You and Owner will be presumed to have read it and understood it. You and Owner admit r that all agreements between You and Owner have been written into this Lease.You understand that any agreements made before or after this Lease was signed and not written into it will not be enforceable. THIS LEASE is made on April 22, 1996 between 1.1 month day year Owner, JOEL PAUL BERGER, PERRY E. BERGER, GLEN- GRAYE - whose address is 42-08 Bell Boulevard, Bayside, New York 11361 and You,the Tenant, ERIN SPRINGER N whose address is 500 Sunnyside Road, Southold, New york 1. APARTMENT AND USE cv"Owner agrees to lease to You Apartment all rooms on the 2nd floor in the Building at Main Road above Candle 'N Windmougmm Southold ,aiiy2axdcState of New York. You shall use the Apartment for living purposes only.The Apartment may be occupied by the tenant or tenants named above and by the immediate family of the tenant or tenants and by occupants as defined in and only in accordance with Real Property Law§2354. . 2. LENGTH OF LEASE 6:5' The term(that means the length)of this Lease is One (1) yew, —0— months days,beginning on May 1, 1996 and ending on April 30, 1997 If you do not do everything You agree to do in this Lease,Owner may \ have the right to end it before the above data It Owner does not do everything that owner agrees to do in this Lease,You may have the right to end the Lease before ending date. 3, RENT . 0. f3' Your monthly rent for the Apartment is$ 450.0014 it until adjusted pursuant to Article 4 below.You must pay Owner the rent,in advance,on the first day of each month either at Owner's office or at another place that Owner may inform You of by written notice.You must pay the first month's rent . to Owner when You sign this Lease if the lease begins on the first day of the month.If the Lease begins after the first day of the month,You must pay when you sign this lease(I)the part of the rent from the beginning date of this Lease until the • last day of the month and(2)the full rent for the next full calendar month.If this Lease is a Renewal Lease,the rent for the first month of this Lease need not be paid until the first day of the month when the renewal term begins. 4. RENT ADJUSTMENTS If this Lease is for a Rent Stabilized apartment,the rent herein shall he adjusted up or down during the Lease term,including retroactively,to conform to the Rent Guidelines.Where Owner,-upon application to the Slate Division of Housing and Community Renewal("authorized agency")is found to be entitled to an increase in rent or other relief,You and Owner , agree:a.to be bound by such determination;b.where the authorized agency'has granted an increase in rent,You shallLsi pay such increase in the manner set forth by the authorized agency;c.except,that in the event that an order is issued inEi - creasing the stabilization rent because of Owner hardship,You may,within thirty(30)days of your receipt of a copy of the order,cancel your lease on sixty(60)days written notice to Owner.During said period You may continue in occupancy atflt no increase in rent. 5. SECURITY DEPOSIT f3' You are required to give Owner the sum of S 450.00 when You sign this Lease as a security deposit,which is called in law a trust.Owner will deposit this security in ;14' hank at .If the Building ' contains six or more apartments,the bank account will earn interest.If You carry out all of your agreements in this Lease, at the end of each calendar year Owner or the bank will pay to Owner 1%interest on the deposit for administrative costs and to You all other interest eamed on the security deposit. If You carry out all of your agreements in this Lease and it You move out of the Apartment and return it to Owner in the same condition it was in when You first occupied it.except for ordinary wear and tear or damage caused by fire or other casualty,Owner will return to You the full amount of your security deposit and interest to which You are entitled within 60 days after this Lease ends.However,if You do not carry out all your agreements in this Lease,Owner may keep all or part of your security deposit and any intermit which has not yet been paid to You necessary to pay Owner for any losses incurred,including missed payments. If Owner sells or teases the building,Owner will turn over your security,with interest,either to You or to the person buying or leasing(lessee)the building within 5 days after the sale or lease.Owner will then notify You,by registered or cer- ti tified mail,of the name and address of the person or company to whom the deposit has been turned over.In such case, Owner wilt have no further responsibility to You for the security deposit.The new owner or lessee will become responsible to You for the security deposit. 6. IF YOU ARE UNABLE TO MOVE IN A situation could arise which might prevent Owner from letting You move into the Apartment on the beginning date set in this Lease.if this happons for reasons beyond Owner's reasonable control,Owner will not be responsible for Your damages M". Spare to be filled in. 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S: ,; ' ��ee���Lh''e�t's�',rte.>�3�t.y'e'w„�' .s��t 3r-,"�wis'�,-u;ti��.� �''=�`'�F°-�rfF;�”e't�:ny-.M--S��r.,'"-;tii�{��.a,?�i��'�'��i,�s.��-r'n1a�+.'.;n"Y=�,�..;'w�-�€�`�'�hsr t- s";�a,'�w - i NOTICE TERMINATING MONTHLY TENANCY TO: Ms. Erin Springer Beckwith & Main Streets May 10 , 200. 0 Southold, N.Yo11971 Tenant of premises known as and located at Beckwith and Main Streets, Southold, New York 11971. You are hereby notified that the Landlord elects to terminate your tenancy of the premises above described now held by you under monthly hiring; and that unless you remove from the said premises on the 1st day of June, 2000, the day on which your term expires, the Landlord will commence sum- . mary proceedings under the Statute to remove you from said premises for the holding over after the expiration of your . I tern}. • 1;7 ./a Perr! E. 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