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Home My WebLink About6827-zFO!~M lqO. · TOWN OF SOUTHOLD BUH,rH1NG DEPARTME, NT Town Clexk's Office Southold, BI. Y. Certificate Of Occupancy I~lo. 7-~-.7-~.~-~. Date ........... ?£ ~ .... Z.~.., 19.7.7, THIS CERTIFIES that the building located at 25 M~...~.?~ . PAR Ma~..~ Street Map No ...... : ..... Block Bio. ---.... Lot No ...... .-. .......................... conforms substantially to the Application 1or Building Permit heretofore filed in this office dated ..../~.V~...2..'1~ , 19.~. p~rsuant to which Building Permit No. &~. 2.7.7 dated ........ /~.O.&r. ~.'/., 19.~.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is .~ U. [ L. ~.k ~4 ~- .................................. issued is ... -~./~ .¥]... The certificate is issued to of the aforesaid building. (owner, ~t) Suffolk County Department of Health Approval . hi · .~ ...................... UNDERWRITERS CERTIFICATE No ..... k,t. · .~. D. ~. '~. O. ..................... HOUSE NUMBER ~.~a~'.O . .. Street... :~D.U .T.~: ..... i~'.T~O2.'c~....-~ ~.~..~. ............................................ ~..o./,.3.."ST. H .¢,.t,...~ ............... Building Inspector TOWN O~ SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. SUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PT~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 6827 Z Permission is hereby granted to: ..... ~.e.~...~a~ ................................................... ......... ao~t~.J~e~l~mi..ltee4 .............................. ~ ..~.l~L~...~..a~Lt ~._m~_..cm.~ez~t ~ n ~. &lr~&ea3~q~&3-..b~(;L~a~ ............................... at premises located at ...~/./..~......~ ~II~]P.O~'.. ~,~,t~. .................................................................... Sou o N .................................................... ..ta...~ .......... ,~.~., ................................................................................ pursuant to application dated ..................... ~ ......... ~ ............. , 19..~.~., and approved by the Building Inspector. I~)RM NO. 6 TOWN OF SOUTHOLD ~ Buildi~g Department Town Clerks Office Southold. N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY I*,.tructions A. This applicahon must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate Jo(arian of al[ buildings, property lines, streets, and unusual natural or topographm features. 2Final approval of Health Dept. of water supply 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 installations, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed s,te plan requirements where applicable. B. For existing buildings (prior to April ]957), 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 D~te .....~.,~....-f~... ..... · .~,..~. -~.../..?. ,..~ Z .... New B~ilding ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Lo,cation Of Property ....... ?....,~....~...~......~.~....~...~..H. ........ .~..?...~....~...D...~'..,~. ..... ...'~......~. .................................................... Owner Or Owners Of Property ........ ./.~.~.~..'~.. ....... .¥....~....~...~...~.~.. ...................................................................... Subdivision ...................... ~ ..................................Lot No ............. ~loek No .... :,~ ..... House Iq '~' 15 Permit No ..................... uare UT Permit. '~-~.....,Applicant ........~...e.;.¥. ....... L.~ 7~> ~._......,..~........ ..................... Health Dept. Approval .................. ../~..,.?.....~ ............ Labor Dept. Approval ...../~..:.-;..~......: ............................. Underwriters Approval .~..I ......................................... ~'a n,ng Board Approval .................. ~, .................... Request For Temporary Certificate ........................................ FinaJ Certificate .......................................... Fe{. Submitted Ii ....... ~.. ......................... Sworn to before me this Apphcant ,,'~,,__~.,....,'3~r/~/// ~.~r~,~ ~ ................ day of ............................................ Notary Public .................................... County (stamp or seal) c'D -2-.7~ :~/ THE NEW YORK BOARD OF FIRE UNDERWRITERS a1£ BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK. NEW YORK 10038 o~t~a~uar~ 12, ~77 Applieation,¥o. onfile894Z58 N 320450 THIS CERTIFIES THAT only the electrical equipment as d~scrlbed b~low and introduced by the applicant named on the abov~ application number in the premises of Fred Lappe, South Harbor Rd., 1/2 mi.s/off Route 25, Southold,L.I. in the following location: [] Bm~ement g 1st Fl. [] 2nd Fl Section Block Lot was examined on 5 anuary 10, 1977 and found to be in compliance with the req.ireme.ts of this Board FIXTURES RANGES COOKING DECKS OVENS ' DISH WASHERS EXHAUST FANS FIXTURE OUTLETS ~ECEPTACLES SWITCHES NCANDESCENTFLUORESCENT ~Ci~Y A~T K W AMT K W A/aT K W AMT K W A.W? H P 4 4 2 4 DRYERS FURNACE MOTORS FUTURE'APPLIANCE FEEDERS SPECIAL REC'PT TIMECLOCKS BELL INITHEATERS MULTI-OUTLET DIMMERS SYSTEMS 3 20 SERVICE DISCONNECT ~ NO OF S E R V I C E Panelboard/~: 1-6e±ro J. 25arapso River~ad-Agway Inc., ?13 Pulaski St., Gm,RAt ~e Riverhead, L.I. 11901 ~,N~L~ ~ Per~ Thru cerhf,cate must not be altered ,n any manner, return to the off, ce of the Board ,f incorrect Inspectors may be ,dentifmd by their credentials ACCUSATORY INSTRUMENT I, NFORMA'I'ION - GENERAL C P L. 100 15 FORM NO, 256 STATE OF NE'~',' YORk : COUNTY OF ...... ..S_U__F__F..O_L_.K. ............................................. __.Jt]'g"r"r n'a., ...... COURT ......__T_O..WN_ ........... OF .... 8.QU_T.,tID. L.,g ........................................ ~l!r ~a:pl,e nf I17 ~Iat~ nf .%'tm ~rk a§amst t 3nfnrma! - - F-r- 'e-c!-- ~ a--P-P- -e- ................................................ l~efe,d~nt -~-J-9--c.-k.e-2.---c-~r--e-.e-.k-~-D-r--i-¥-.e-~--~.°-u--t--h--q.~--d`~--N-e-V--X~X~ ................. , by this information: written accusation as fallings: That .... ~_r__e__d____L__a_EE_e. ..................................................................... on the._.2 day of._.J___a__n_u_g_r_~f. 19_2_7_ ....... at____S_o__u__t___t!._H_s~_~l:!_~l:__RO.~.ci ...................................... (Locat~0n~ in the ..... _H_ _a. _m_ _1_ _e_t_ .................... of ........ $_gAlJ~ho_lgl. .............................................. Count) of Suffolk N ............................................................................................... ~ e?~ ~ or commit the offense of ......°~.c..?-u.~Ly..i-n~.-~9..d.~d~-i-.t.iP-n...P..n-~-.f.a--r.-m.-~b-u-i.~A~b~9.9.~-.9j a (&u~aruat) (violation) in violation of Section___&r_k,__XS.V_,__Sa~._.LO0.=3_4_4__a Chapter 100 of the Code of the Town of Southold ................ _r_.-_-:~w-o{-~-lt~-S~-t-e-o~-Ne-w-~t% in that C0unt0ne: occupy addition built onto farm building located on the above captioned premises without applying for or receivinc the necessary Certificate of Occupancy. Thefaetsupon ~hichthisinformatlonisbased are asfollows: Fred Lappe obtained Building Permit #6827Z on August 27, 1973, and built an addition onto a farm building. He has failed to apply for or obtain a Certificate of occupancy although he has been notified by mail that he must do so. .- - Fred Lappe Wherefore, Complainant prays that_ .................................................................. be dealt with pursuant to law. 'C'ompl mn ant/ Howard Terry, Buil'ding Inspe~ "SubserJj~e/~ aha S~'to ~fore me on ~ ~-;_: ....... ~:~ ................... ~9Z. .... To~ Justice .................................................................... T~tle or Off~ce *set forth statutory language constltut~ ~g the offense **use only one The foregoing factual allegations are based upon personat knowledge of the compla,nant (ond upon inf. and behef, th~ sources of complainants inforrnat*on and behef being, ~//JSa~. _c,,~.__~ ~..'~. , residing at _.7 ............. .~._~.~g: .............. ..~5..~_._~ .......................... ,by this information makes written accusation as follows: That ..... ~_.~..~.~_.~ ...................................................... , on the ..... [.C. day o[~___ 9..Z.: .... , at___~~.._:~.~ .... & .......... ,._: ............. , ~ /~[ - ~ ~ ~Location) County of ....~~ ............................................................... ,New York, did .... ............................................................................... a ~]d~gca,;o,) (Iiolation)in violation of Section~~.a.d~.2d.~SZ ..... ~.._k... of the ~~~f the State of Nev' York, in that ~he did, at the aforesaid time and place* The facts upon which this information is based are as follows: The foregoing factual allegat,ons are based Jpon personal knowledge of the compla,nant (and upon )nformahon and belief, the sources of complatnants mformahon and belief being, Disapproved a/c ................................................................... ~ ..................... ~ APPLICATION FOR IUILDING pERMIT ~'~ ....... .............. , ..... INSTRUCTIONS n~il a. This application must be completely filled in by typewriter oe in ink and submitted in triplicate to the Buildi 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 ofpraperty must be drawn on the diagram which is port of this application.%] c. The wOrk covered by this application may not be commenced before issuance of Building Permit. ~T~ d. Upon approval of this application, the Building Inspector will issue 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 pa rt for any purpose whatever until a Certificate of Occupancy,~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the~ ~Build!n.g. Zon.e Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or.~J r~egumhons, tar the construction of buildings, additions or alterations, or for removal or demolition, as herein described.,~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for nec i tions. ~- /' .... (Signature of applicant, c~'~ll~m, ifa corporation) .:.. ................ -- ....... CAddrd~s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .....~..,,~-.~.....,~..~./~..~...'~. ................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. ~: Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ........................................Lot No ......................... Street and Number ...c~....~..~....~.....~..~..,.~.~..~'..~.Z~...-~......'-~...~...~.. r..,~.~ .c...(~....../,/...~:. .................... ......... / '"J~nici~li~ ...... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. use · ..,4~. J~. e,,~, ~ . Exisiting and 'occuponcy ..x~./~. ............. ~./.,A(.~......~...~.2T.2~......~,~L ............................................... b. Intended use and occupancy. ................................................................................................................................ Nature of work (check which applicable): Ne~ Building Addition ....4~.... ........ Alteration ........... Repair .................. Removal .................. Demolition .......... : ....... Other Work ................................................. .~, .. ~.~~ ,- Z..~.,~,~ (Description) 4. Estimated Cost ......................................................... F~ ...................................................... ,Jt~o be paid on filing this application) 5. If dwelling, number of dwelling units ............................ NumberJ-of dwelling units on each floor .......... i ................. If garage, number of cars 6. If business, commercial or mixed occupancy, sl~eci'fy nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .........~.. ............ Rear ............. ~.. ............ Depth ....~....~. ....... Height ........................ Number of Stories .............................................................................................................. Dimensions of same structure with alterations or additions: Front ............. '~'....~. ................ Rear .....4~....~. ................. Depth .......~ ................ Height ........... ~ .............. Number of Stories .............................. 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ................................................................................. 9. Size of lot: Front .... .Z'....~..~. ......................................... Rear ....~..-.~....~...../~... .................... Depth ................................ 10. Date of Purchatse ........................................................ Nome of Former Owner ........................................................ 1 I. Zone or use district in which premises are situated .......... .Z~'..~..~'....~r:/~.. ........ · 12. Does proposed construction violate any zoning law, ordinance or regulation: .... t~. .......................... 13. Wi.il lot be reg~'aded ..; ......................... Will excess fill be removed from premises: ( ) Yes ( ) No i4. Name of Owner of premises...~.Z~..~".~........~...,~...~.~...,.~... ........ i.. AddreSs .~.~.~.~.t~Z~ .~...~.. Phone No.~....~....~..,-~....~..~. 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-beck dimensions from property lines. Give street ond block number or ~lescription according fo deed, and show street names and indicate whether interior or corner lot. STATE OFNEW'~,eIJU(~,,,,~' I,=~ I~ J ................. ................ eing du,y swar,, depases and says he ,s the opp,,ca., above named. :' (Contractor, agent, corporate ~fficer, etc.) of said owner or owners, and is duly 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 set forth in the application~ ' Swam to before me this..~/ 197.~....~~~c~ ~ . ...............of ........................ . .. Notary Public,. ................................................... County ...... ' (Signa~';~" "'""~'