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Home My WebLink About6595-zFOIZM NO. 4 TOWN OF $OUTHOLD BUHJr)ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy Maz, 21 No ............ Date ........................ , 19....77 THIS CERTIFIES that the building located at .C..o.r.e.y...~.r.ee.k..L..a~.~e. ....... Street Map No.g.o.re.Y..C.k.... Block No .......... Lot No, .1.8. .... 8 .oB.t.h.o. ~..d...]~;)f.,. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated May '-~ , 19.75. pursuant to which Building Permit No..6~9~Z dated ...... .E.ay....2.2..., 1973.., 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 . .P.~.iv.a~.e. 0~.e .~'.atn~ly. d.~.eil~ng..with .addi.tion..(.P. at~) ........... The certificate is issued to Daniel. $~,ms .... 0~ner .............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N :R: ......................... UNDERWRITERS CERTIFICATE No..N.; .R; ..................................... HOUSE NUMBER ... 205 .... Street .. Comey C~eek. Lame ..... Scn,tthot. d ...... Building FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) t Ir Permission is hereby granted to: pursuant to application dated ............................. ~*~L~r .......... ~ ....., 19~..., and approved by the Building Inspector. Fee $...[ ~.e.{;~. ......... ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L. 100 15 FORM NO. 256 STATE OF NEB' YORK : COUNT'~ OF ....... _S_.U.~.:L]'_O_L__~_ ...................................... _ _ _ O:r~.~ ZC, F.,. ...... COURT ..... ~_O.%~. ........ OF ........ fi QU_"~:;TLO. Z~D .................................. ~.l!r ~r~plr ~f ll,~r ~l~lr ~f ~rtu ~t~rk / ' 3nf rmalitm ........................................ [ Defendant __Howard Ter~j~_~._!~.lJ.i~__~napac_9_o_r_ ......................... _'___.:_., resi, ___g2.~2Y__~EE~_E[!Y_9_z__~gh~k~._~_q_~._X~xk_ ................. , b5 this information ~ritten accusation as follows: That._~g.&~__q~ ................................................................. , on the_2, da) o[___q~3;~. 19_2~ ...... at__~g_.~Z_~Eg_E[__~.~&__~g__~P_) .............. (Locatmn) in the ..... g~!~ ..................... of ......... ~gE~o~ ........................................ Count) of ......_~_.u_~_f.9._l_k_ ......................................................................... , New commit the o[[ense ~--°-c.-~--u-~f.i-.n.~--a-n--~-a--d.-d--i--t--i--°-.n-~-n--a--n--~-y-~-~.~.~-~-~}~-~-9--~ a (mi~dsmt~-nor0 (violation) in violation of Section _.A__r._t___._.X__I_V_.,___S_9._c.-_.__i_0.O.-_i__4_.4___A__(_.i_)__ Chapter 100 of the Code of the Town of ~outhold .................. ~a~o~-S~a~-~o~k~ in that,s)he did, at the aforesaid time and ! Count0ne: occupy addition built onto existing dwelling on the above captioned premises without obtaining the necessary Certificate et Occupancy. Thefactsupon whichthisin[ormationis~asedareasfoltows: Daniel Sims obtained Building Permit ~6595Z on May 22, 1973, and built an addition onto an existing dwelling. After being notified by mail to do so, he has failed to obtain a Certi- ficate of Occupancy. - - Daniel Sims Wherelore, Complainantpraysmat .................................................................. be dealt with pursuant to law. Complainant *~Subscri}efl and Swor. n to be, tore me on _ .'--H°ward~ Terry, Building Inspect Name Town Justice Title or Offlce *set forth statutory language constttutmg the offense The foregoing factual allegat,ons are bosed upon personal knowledge of the cornpla,n~nt (ond upon ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L. 100.15 FORM NO. 256 WILLI^MSON LAW J~OOl( CO , ROCHESTER, N Y 146Og nfarmalian Defendant __.~2.~.~_.~ ......... ~.a_~+__ ~.~? .............. ,residing at w,nttea accusation as follows: That ...... ~.~ ..... ~ ................................................... on ~ he...~___ day of~._ 19..>_~..., at _.~..~..~ ..... ~..(_~ ...... , County of .... ~~~ ............................................................. ,New York, did commit the offense~dd...~~...~._.~~...~...~~,~~ a (~violation)in violation of Section =:.~~of the State of New York, in that (~he din, at the aforesala timeand place* The facts upon ~hich this information is based are as follows: The foregoing factual allegations are based upan personal knowledge of the complainant (and upon reformat)on and behef, the sources of complainants mformahon and behef being, />//~/7~-,-I / / BUILDING DEPARTMENT TOWN ....................... ....... .%.., Disapproved a/¢ ............................................................................................ / APPLICATION FOR BUILDING PERMIT 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wJ 3 sets of plato, 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, end~' giving a detailed description of layout of property must be drawn on diagram which is pert of this application. ¢. 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 shell be occupied or used in whole or in pert for any purpose whatever until a Certificate of Occupeocy shall have bee~ 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~ Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for t~e con~ructiml of buildings, additions or alterations, or for removal or demolition, as tierein described. The applicant agrees to comply with all al~licable law~ ordinances, building code, housing code, and regulations, and to ad~tt authorized inspectors on premises and in buildings for neoessa~ impectionL (Signature of applicant, or name, if a corporation) ........ ......... ~ ~ /(Address 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 ................................................... 1. 'l~ocation of land on which proposed work will be done. Map No .............................................. Lot No ....... /..~... .......... . \ Street and Number .......... ;, .......... .1' ....................... ........ .................................. ~-~2..~&..,...,,~..A~...4- .......... Mumcipalit~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................... ~ ........................................................................................... b. Intended use and occupancy ...................... ...~...~....../..../..¢~. ............................................................................... ' .... - 4. Nature of work (check which applicable)' New Building ....~.~ ................ Addition ..................... ~"' '~Alte~ratipn,..~....~..: .... Repair ......................... Removal ......................... Demoht.on ........................ Other Work .......~.~.~)~.. ....... Estimated Cost Fee ........................................................................................... ............................................... (to be paid on filing this appliCation) If dwelling, number of dwelling units .................Number of dwelling units on each floor ............ ,, .......................... If garage, number of cars ...................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent 6f each type of use ..................................... 7. Dimensions of existing structures, if an¥*.*Front ..................... Rear ........................... Depth .................................. Height ....................................................... ,.., Number of,Stories ...................................................... Dimensions of same structure with alterations or additions: Front ............ ~ ............. Rear ........................... ; ............. Depth...... .. .. .. ... .... Height.. ......................... .... ..... ..... Number of Stories ........................................ . ../'...'~...... Rear ......... ~...~... ......... Depth ......~..~. ................... 8. Oimension$ of entire new construction: Front .............. Height ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front ......... ~.~..~-. ................ Rear ............ .~...~... .................... Depth ............... ~..~'.. ~/- ................... 10. Dateof Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situat~KI .......................................................... 12. Does proposed construct on'v orate any zoning law, ordinance or regu au on: ............ :.~. .......................... 13. Will lot be regraded .... - ............. .~ ......... '. Will excess fill be removed from pr.e,.,mises: [ } Yes 14. Name of Owner of premises ........ ..~r-,~././~¢_ ....... ~.,.....~.(.ff/~.~ ......... ~....~.' ........ ; ........ .~..~.~...~.;..~.~c~*.~,. (Address) (Phone No,) Name of Architect ..................................................................................................................... : .............................. ~ (Address) (Phone No.) Name of Contractor .................................................................................. (Address) (Phone No.) PLOT DiAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and indic~ate all se~-beck, dimeosioos from prol~erty lines. GiV~rst~et and block number or desori~.~_..... : -:.."c°rding to deed, an~ show street names and indicate whath- erinteriororcorne Io.t -,' CC)l~(~. yi'~!~'(~.~ .~7~1(,/1~._ ~'-F -- /¢ STATE OF NEW.,y. OP~K~ ~ ) SS ...................... , being duly sworn, deposes and says that he is the applicant above named. He is the .................... ~..,,~L~,,.,.,~.,,.~L .................................................................................................................................................................. [Contractor, agent, corporate officer,.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 apnlication filed therew;th, i ~ ............ .......... __ Notary Pubhc, ~..~~.E..x.p.,.~.e..s. ~Cuhn~ '" ....... ~~..~~ ................................... ,, (Signature of applicant~