HomeMy WebLinkAbout4754-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Ottice
Southold, N. Y.
Certificete Of Occupency
THIS CERTIFIES that the building located at ,~t~.;?&.v,~..&.. ~bl~i.~..I~... Street
Map No, .X~ ......... Block No. ~ ....... Lot No, ~. l~s~. l~l~.On ............
conforms substantially to the Application for Building permit heretofore filed in this office
dated ............ may..l ~..., 19.70. pursuant to which Building Permit No.l~.~.~.,.
dated ............. l~a~... ] ~., 19.70., was issued, and conforms to all of the require~
ments of the applicable provisions of the law. The occUPancy for which this certificate is
issued is .PI~.~O..O~le. £a~ll~.y .clwe~l,~.:L~g .wl~h. &~lttio~ ......................
The certificate is issued to ...I~ohax~g. ~,. ttO~ ........ 0~a~X' ....................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ~.~R..,. ..............................
UNDERWRITERS CERTIFICATE No, I~. 0~ .... ~oI~..1~5..~[.~l ...............
HOUSE NUMBER ..... 219~ .... Street .. ~..~.. :~..l~Zt. !~:viOl~ .............
Building Inspector
FOEN[ NO. ~
TOWN O~ $O~T~OL~
BUILDING DEPARTMENT
TOWN CLERK'S OFFIGE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 475~ z
Permission is hereby granted to:
to
pursuan,t to application dated ................................. ~' .......... ~.; ...... , 19...~J,O., and approved by the
Building Inspector.
...........
THE
June 16,
NEW YORK BOARD OF' FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~35 JOHN STREET, NEW YORK, NEW YORK 10038
~, L,.,~. Roemer w/s Bay Ave. on The Bay. East Marion, LoI.
itt the follo~eing Iocatio,t; ~ Base,ne,~t ~ Int I"1.
,,.,,~..,,,,,,~,,,,,~o,, June 1_4, 1_.971
DRYERS ~OTORS
outs ide Sectlo. Ilio,'h
RANGES [COOKING DECKS
Lot
OVENS DISH WASHERS EXHAUST FANS
[
SERVICE DISCONNECT S E R V I C E
NO O~pECRC~COND~ AW'~ I NO OF ~{,-LEG / AWE INa OF N,UTRAL$
OTHER APPARATUS'
DIMMERS
AWG
T. Rohloff
Orchard St.
Orient, N.Y.
GENEI
11957
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified
D
ACCUSATORY INSTRUMENT
STA~E OF NE~ YORK : COUNTY OF..~ ........... ~ .................................
COURT
asainst ; ~ ·
.Z~-' c~ & ~ .~_~ ~~ ~-~ , residing at
written accusation as follows:
[ at... on the
day of..~.~ 19..Z.~._.., at ._~_~....~..._g~.;..~_~ ........ ,
~,,,~ ....... ~~.~ .......... o~ .... ~.~ ..... ~.~ .................................... ,
Coum~ .... ~.~.~ ........................................... ............... . .................
commit the offenseV'of ...~~...~:_] ~~._.~...~~..~_~ --
......... ~_W.~.~-- ~ / ......................................... 4 .............. ~ .....................................
a ~m~(vlolation) in violation of Section~..~2.q~.:~.~....~..~ .......... of the
the State of New York, in that ~e did, at the aforesaid time and place*
The facts upon which this information is based are a~ follows:
/
The foregoing factual allegations ore based upon per~ona[ know ~dge
and belief, the sources of compJamants information and belief being,
of the complainant (and upon information
(panss! uaaq soq la~o,l aouoJoaddo ~! ~lUO a^oqo e4aldu~o:)
ql!~ polsod uooq suq ......................................................................................................
}o }unom~ oq; a! L~q pa~ ......... 6I ' ........................................................... }o ~p ................
oq; uo :~noa s!q} a~o]oq ~oddg o: ......................................................................................
p!us oq; ,%!;oas!p ' ..................................................................................................... ~q
................................................................... uo u!o~oq ponss! u~oq sgq ;a~Ja!; aa~e~add~ ~V
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ooDoN puc uo!ldposqnS ~fl u°!~eo!Jt. JOA~*
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............................................................................ qeq~ sAead lueu!eldmoD 'oJoIaaaq~,t
TOWN OF SOUTHOLD "~ ~
BUILDING DEPARTMENT ~ ~ ~ '
~T.~,..,. ~.n ~ ~
A~r~d ~: ....................................... 19 ........ P~rmit No. . . C.,. ~ ~-
Di~d o/c ..............................................................................................
..... ; ........................................ " ................ .....
~/*r- ~ ~....: ............... l~....~..~ ..................................... '
(Building Ins~ctor)
AFPLI~TION F~ BUILDING PI~IT
, '~,- ~t, ..... ~...~ .................................. , ~.~. .....
~ - INSTRUCTIONS
Thi~ ~p~lic~tion mu~t be com~l~l~ fil~ in b~ t~writ~r or in ink und *u~mitt~d ~n ~11~
b. ~lot p~n ~howln~ I~tlon o{ lot ~nd o{ buildinO~ on pr~ml~, ml~flon~hip to ~dlolnl~ ~ml~
Tbe ~ork cov*r~,b~ thi~ opplic~fion m~ not be ~omm~ne~d be{om i~u,~ o{ Sulldln~
~holl be kopt on ~h~ pr~mi~ ~v~il,bl~ {or ln~etion throughout th~ p~r~ o{ ~be work.
~. ~o buHdin~ ~11 be ~cu~i~ or u~d In whol~ or In po~ for ~n~ ~u¢~ whatever until ~
' ~holl h~ be~n ~mnt~ b~ th~ 8uildinfl
, .......... .. ........................
($lgneture of applicant, or name, If a ~o~mflon)
. , .... : .........~ ........................................... ~ .......... ~ .....
(Address of a~p~canfl
State whether applicant is owner, lessee, agent, architect, enginee~r, {leRerol' contractor, electrician, plumber or builder~
If applicant Is a corporate, s~gnature of duly authorized officer.
1. Location of land on which proposed work will be done, Map No,: ...... ,~',,, ............................. Lot No,:., .~.,, ................. ~
Street and Number ~>.~..,~, ~,~.,.~a~,,,./~,./,.,,~,.' .,.~.,,.,~,..~',,. ~[,,-~,. &~..~./,,~ ~.
~.9..~' ~ /~._...,~' Munlclpallty ' ............................
2. State existing use and ~cu~ncy of promises and intended use and occupancy of pmp~ comtmctlon:
a. ~isti~ u. and ~cupancy ~~ .~Z~<~
b. Intend~ use and ~cupanc, ~~ ~/~~
Nature of work (check which applicable): New Building .................. Addition................../ Alteration . .................
Repair .................. Removal .................. Demo t on Other Work (Describe)
Est mated Cost/~'~' .c~..(D~3
(to be paid on fi!lng this application)
If dwelling, number of dwelling units ........ ./.i ................ Number of dwelling units on each floor .......~... ..................
If garage, number of cars .............................................................................................................................................
If business, commercial or mixed occupancy, specif~ nature and extent of,each type of use ............................
Dimensions of ex st na structures if anv' Front ~- / R~n, 2 !
_ , ,. ..................................................... Depth ..~...~.. ...........
Height /~ /
........................ Number of Stories .......... L. ....................
D~mensions of same structure with alterations or additions: Front ...... ..Z.../...~ ..................... Rear /~ /
Depth ~"~Z / ~ /
................................ Height ......... ./,,~,. .............. Number of Stories ................................
Dimensions of entire new construction: Front /6 / Rear /~, · Depth ....~....~..
Height /44- / Number of Stories
Size of lot: Front ....~..~.....~..~...I. ........ Rear ...... ~.....~'.,..~.~ ............. Depth ...... /...~.~....~ ..............
Date of Purchase ..~..'~'._.~......../.,~..~... ...................... Nome of Former Owner .....~...:./~.....D..~'....~...O....~./.~ ..................
Zone or use district in which premises are situated ...~.....~..../...~...~-~..~/'/~-- ,4t
Does proposed construction ¥iolclte any zoning law, ordinance or regulation;) ......................................................
Name of Owner of prem ses ..~..~.. ' ?..~...~.....~...Address ~..c~.~..~.~.~. ~..~.~... hnn, Nn ~
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor ................................................... ~Address ............................................ Phone No .....................
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 Y,,~RK~,~. ~ I--
..................... ....... ~.....(~"~"~4Z.,.¢:...~......~ .................. being duly sworn, deposes and says t~t he is the applicant
(Name of individual.signing a~ic~ion) '
above named. He is the
(Contractor, ag~t, co~orate officer, etc.)
of said owner or owners, and is duly authorized to pe~orm or have perfo~ed the said work and to ~ke ~d file
this application; that all statements contained in this application are t~e to the best of his ~owledge and ~lief; and
thor the work will ~ performed in the manner ~t fo~h in the application fil~ ther~ith.
Swam to before me ~is
~ E AB~H A~ ....
Term ~pires Mmrch 30, lg~
ST^SE OF NEW YORK : COUNTY OF ...... ~..u__f..f.o_.l__k__ ..................................................
...... .a.~ .~_ _t_ .A9_9_ _ _. £ O U, R T ........ ~9_'o~ ........ OE ....... s.o_~.t..txol~ .........................................
F I? r plr of II, r Ialr of 5Nero t urk
Northportz New York . Defendant
....... ~.~_~. ~_~__~=kk~_..~:~ ......................... f .....
._~y Creek Drive, ~outhold, N~w York
....................................................................................... , by ~h~s
wriUen accusation as {oltows:
Th at _ ___~.9~_~_ ~. __ ~o ~ .............. ~ ............................................. on
day of__~.g~_. 19_._3J ..... at ~__~__~e~__~__~rLv. a[e~M___(8~h~_~_¢__3~3_e2
{Locahon)
in ~he___.~ ........................ of ..... ~__~E~_9_~ ..................................................
County of.._~_~_~.9_~_~_ ................................. Z ........ - ...................................... ,New York, d
commit the offense of.__~_y4 ~ff_.ad~Z~Z~..~__~&~_.~ebo~._~e
recurred Certzfzcate of OccD~a ~. . ....................................
........................................................... .......................
Chapter iOQ of the Code of the ~own of Southold
CountOne: , i
The defendant is occupying the addition without a Certificate
of Occupancy.
Thefactsupon whlchthlsiMormatlonisbasedareas{ollows:
The Building Permit for this addition, ~4754A, was issued
on May 15, 1970. Although he h~s been notified by mail,
the defendant has failed to obtain a Certificate of Occupancy
for the addition.
l¥herefore, Comp]alnant prays that Robert L. Roemer .........................
be dealt with pursuant to law.
/ / /
Complainant
~Howard ~erry, Building Inspector
**Subscribed au%-Sworn, r to be3ore me on
/I':' I / , ,7
............ TQ~n.~usf ~ ~ .............................. =--
Til]~ or Office
*gel fo~h ststu~ry I~sge constituting the offense
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6I 30
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