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Home My WebLink About6533-zFORM NO. 4 TOWN OF SOUTHOI,I~ BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..ZT~.~.? .... Date .......... I~ .... ~ ~ ......, 19 ~.~.. THIS CERTIFIES that the building located at . .Tazker Lane ............ Street Map No.. East,. 8h. Block No ......... Lot No, 33 .... Gre~mport ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ Apr 30.., 19~3-. pursuant to which Building Permit No..6~3~. dated ........... l~y.. 3.. ,, 19, ?.~, was issued, and conforms to all of the req,,ire- ments of the applicable provisions of the law. The occups_ncy for which this certificate is issued is . Pr~,vate one..£a~ly .d~lling. ~th. ~. de~k .................... The certificate is issued to ][eluleth ~tt~.sl~ ... ~rne~ ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ]q,l~, ...................... UNDERWRITERS CERTIFICATE No. -N,t~, .................................... HOUSE NUMBER ~ Street . ~z, skez*..Lane ..... (~enpo~t ........... FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERM~I~T MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6533 Z Permission is hereby granted to: ~...e..~.....,~a~...a,t~.e. ............................... ~o ..]~.~-~d...~ ..~ccase~o~..~l~.~leck..~...to~....ehed ........................................................... at premises located at ......... L~...~3 .......~a.~e,]?'zt~.-.~];toY~,~t.-.~le~..[. ............................................. t- ............................................. ~ker...~& .............. ~r.~enp~.~ ....................................................... pursuant to application dated .......................~ ........... .1 ........... , 19..~..~., and approved by the Building Inspector. Fee $.-.]O*D0 .......... Building Inspec<~ ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L. 100.15 FORM NO. 256 WJLLIANtSOH LAW BOOK CO STA~..[~,.~_ .~'~'iOF NEW YORKcouRT : .~__~COUNTY OF.._~~OF ~'_~ia ................................ ~1!~ ~Irapl~ ~f tl~ ~tat~ ~f ~m ~rk Defendant written accusation as follows: inthe~~~ ~_~~ County of...~=z .................................................................... , New York, did corem it the offense of~.._~~....~ ..... ~~....~ ..... ........................................................................... ~ ~.~~[ the State o[ New York, in that ~he dld, at the a[oresaid time and place* e facts upon wmen this in[ormation is based are as [ollows: The foregoing factual allegations are based upon personal knowledge of the complainant (and upon information and behef, the sources of complainants mformahon and behef being, ACCUS.LTOF, Y INSTRgM, ENT INFOS.'~ /,'[iON - GENERAL C P L. 'JOg 15 FORM NO 2.56 W~L~.~Au~SO~. ~.^* BOOk STATE OF NEB' YORK : COUNT'~ OF ..... _S._L?~__O_L__K .................................... __ ~.U_~_.~_Z.g..~_ ....... C 0 U R T ...... ."/_O_~ ............ 0 F ..... .S_ 9. g_'l"_ _ ~_O.:kD_ ................................. Kenneth Rishe ( __ Howard Terrv.~B_u_!__l__d.~.n_9___I_n__sj2.e_c__t_o_.r .................. _'____~___, resi, __~.°_9._k__e_y__C__=.eek~_D_~_~_iv_e_,__._S_9__u.~.h__°_~___~e_~_~2~3_ ................. , by this information ~ritten accusation as follm~,s' That ..... _K.e__n._n_e_~_h____R_:i:P_h_e_ ......................................................... , of~ the_~l_~ da,~ of_~_a&_9._a._rX__ 19__7_7 ....... at outside the (LocaDon~ County of___S_g~.~.9..l._k_ ......................................................................... ,New Ye commit the offense ~f~-~--~--i-l--i-n~-~-L-~°-~-°-b-L--a-~i--n-~-a--C-e--r-.L--i-~-~-~--9-~-~D~EA~-~-~ .......................................................................... a (-mi~&~r~e~-~) (violation) in violation of Chapter 100 of the Code of the Town of $outhold ............. :_-_r_-._-__-_-L-aw-xff-the-~t-'at'e-o{-N~-~'oek, in that (-s-)he did, at the aforesaid time and CountOne: The defendant is occupying the accessory structure without th~ required Certificate of Occupancy. Thefactsupon~hichthisinformationisbased are asfollows: The defendant obtained Building Permit ~6533Z on May 1, 1973, and built the accessory structure. Although he has been notified by mail that he must apply for a Certificate of Occupancy, he has not done so. l¥herefore, Complainant prays that____K_.e__n_.n_~_kh._B.J.~ ...................................... '___ be dealt with pursuant to taw. **Subscribed and Sworn to before me on Howard Terry, Co topi am ant Building Inspect Name Town Justice Title or Off]ce *set forth statutory language constituting the offense **use only one The foregoing factual ellegat,ons ore based upon personal knowledge of the compla*nant (and upon and behcf, the sources of complo;nants ~nformc:hon and behef being, Approved ................ ,q;, ......... ( ............ , FOBM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application ................ Disapproved o/c ............................................................................................ (Budding InslS;ctor) APPLICATION FOR BUILDING PERMIT Date ......................... , ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building 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 of property must be drawn on diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffo[k County, New York, and other applicable Laws, Ordinances or Regulations, for 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 necessary inspections. (~Sig a o pp' t, O~';'~; 7 ;[ ;'~'~; ;~ ~;;i'~'~i' .... 33 Tasker Lane , Greenport (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. .................................................................................................................................................... Name of owner of premises ...... /~.e..-~13.(~..lila...~.~.$.h.~ ............................................................................................................ 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 ................................................... 1. Location of land on which proposed work will be done. Map No ............................................... Lot No. ~.~. ................... Street and Number ....~.~.....~..a...s..~..e...~.,.~.~..e. .................................. .S..o.~.h...o..]:.~.....~..o....w~... .................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................ .0...~..e....,~..~.?...J:~..~...~.w..e...]...~..J;.~..,~. ....................................................................... b. Intended use and occupancy ..... ~.o.....~..e....~.s.~.g~...{i,j~...j~.l~!,...~.g~ ......................................................................... i 3. Nature of Work (check which applicable): New Building ....................... Addition ............... ~u.,-1Al~t,J~n ............... Repair ......................... Removal Demolition ........................ Other Work~..~.~.~..[.~E....~...~.~.~. ....... ......................... (Description) 4. Estimated Cost .............. ;~{~.,..0.0 ................. Fee ..( .............................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ ~, ....... Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ 6. if business, commercial or mixed oCCuDancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .~..0.! .............. Rear .~..0..~. ................... Depth ....2.~.'. .......................... 2 Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......... 8[~.~ ....... Rear ..... ~.~1.~. .......................... same 2 Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ......................... Rear ............................ Depth ................................. Height ................................................. Number of Stories ......................................................................................... 9. Sizeoflot; Front 100s Rear 100' Depth 1.50' 10. Date of Purchase ...[.9.~.~ ......................... Name of no~e Former Owner ............................................................................ 11. Zone or use district in which premises are situated ....... .~.a...~..~..e...~..~.....S..~.o...~..e...s. ............................................................ no 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................................................ 13. Will lot be reoraded ...~..o.. ...................... .Will excess fill be rer~ove~ frQm premises: [ ' ---'- Ke]3neth Rzshe ~3 'l'as~:er ~3xze ],77z43Y] No 14. Name of Owner of premises ............................................................................................................. (Address) (Phone No.) Name of Architect ...................................................................... i~;J;~'~i ................................... i~'~'~"~'.i ............... Name of Contractor ............................................................................................................ (Address (Phone No.) PLOT DIAGRAM Locate clearly and distinctly ali 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 wheth- er interior or corner lot. STATE OF NEW YORK, ) COUNTY OF ....,.~.'.~.,~...~....~.h~.~ ................... ) (Name of individual sign#~g contract) He is the ....................... (~.~,,*.f2k.~,~.~.~ ................................................................................................................................................................ (Contractor, a~ent, corporate officer, of said owner or owners, and is duly authorized to ~rform 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 filed therewith. ~ TERR ~E ~ ~ ~ ~y PUBLIC, State 0f Ne~ ................. .~ ................... day of .,...;......~%.~.~..~q,.~:¢.[¢.8~.~519 ..(~ ....... ~' Notary Pubhc .................................................................. ~ou y .... '..~ .................................................... . ....................... I (Si~mre of apphcant) ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L. 100.15 FORM NO. 256 W~LL~^MSON LAW BOOK CO., ROCHESTER, N, Y, 14609 sTA'T'd~-~-.~J?iOF NEW YORK : ...~.._..oFCOUNTY OF...~~~ ~l!e ~e~ple of tl~e ~tate ~f New ~rk ~ against .~....~ .................................... 3uf~rmatim~ Defendant .......... ~__~ ........ ~ .................................... ,by this information makes written accusation as follows: That..~~.....~ ............................................. , on the...Z~. a~o~..,~ ~_~...z.z...,~ ~ ~..~..~.._.~.~..~.~.~., ~ ~ e ............................ ~.~ . ~ ....................................... , County of..~:__z ..................................................................... ,New York, did .... ._..%...~.~.~ ............................................................................... a ~) (vio~tion) in violation of Seetion~~..~.22.tL~.._&.g__..of the ~ ~_~~ o, the State of Sew York, in that ~he did, at the aforesaid ti~e and place . facts upon which this information is based are as follows: The foregoing factual allegations are based upon personal knowledge of the complainant (and upon information and belief, the sources of complainanSs information and belief being, Wherefore, Complainant prays that. ............................................................................ be dealt with pursuant to law. **Subscribed and Sworn to before me on ........................................................ , 19 ....... Compl~nmlt Name Title or Office *set forth statutory language constituting the offense **use only one **Verification By Subscription and Notice Pursuant to CPL Section 100.30, subd. 1, par. d False statements made in the foregoing instrument are punishable as a Class A misdemeanor pursuant to section 210.45 of the Penal Law. Accordingly and with notice of the foregoing, l hereby affirm that the foregoing statements of facts are true, under penalty of perjury, this day of. 19 Compl~nant An appearance ticket has been issued herein on ................................................................... by ................................................................................................... , directing the said ...................................................................................... to appear before this court on the ................ day of ........................................................... , 19 ......... and ball in the amount of ...................................................................................................... has been posted with Complete above only if appearance ticket has been issued)