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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 ;uuu!~ldmOO p 'led 'I 'pqns '0g'001 u°!looS qd3 ol luensand ooDoN puc uo!ldposqnS ~fl u°!~eo!Jt. JOA~* ao!M0 .:o oD!,L :[uuu!uldmoD " ..... 6I ' ' i1o om oJojoq ol uJoMS pile paq?sqns,~ '~ae{ o} ~u~nsJnd q~!~ ~ieop oq ............................................................................ 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 ~t~u!~IdtUoo 6I 30 --s]q~ 'X.mi.~od ]o AHeu~,d .~:~pun 'on.q o.m sTaej jo s~uatuo~ms ~u!o2o.~oj oq~ 3eq~ tu.~Dje I '2mo~osoj oqi]o oox~ou, q~?a puc Xl2u!p.mooV '~e'] leUOcI oql jo C~'OIZ u°Do°s o~ mensmd p '.md 'I 'pqns '0~'00! u°?°S qd3 o~ mens~nd o~!~oN pue uoDd?sqn$ ~(fl u°!~e°!J!aaA** oo!3jO ao oi~q,i, '~treu~e ldmOo uo om oaojoq ol ulo~aS puc poq?sqns,, · ~aeI o3 mensmd q~!~ quop aq ............................................................................. ~aq; sired ~ueu!~ldmo3 'oJoJo'oqM I0