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Home My WebLink About6643-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy N°'2~ 8923, ' .... Date .. F~braa~¥ · .3 ........ , lg.. 7[; THIS CERTIFIES that the building located at .. ~ .700- 0a~ D~'$,ve ......... Street Map No... 63~ ..... Block No. ~, .... Lot No ..... .2~-&. 26 .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated - · · 6/6/73 , 19 ... pursuant to which Building Permit No.. 661+3Z. dated . 6/6/?'3'- ., 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 issued is ...... A~cesaory S~;rue.ture ............................... The certificate is issued to F. ada~.Fll . Ao.. Croscla].a ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval E/E ............ UNDERWRITERS CERTIFICATE No .................... N/ti .................... HOUSE NUMBER . 1.700 . Street ...... Oak. Drive .......................... ........................................... ~o~,thold,,..N. ,~.. .................... Building Inspector l~'OE,-~{ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6643 z Permission is hereby granted to: · ~a~,eZbFr~.... A ...... ~r.~sdale ......................... ......... 2a....tt~&z~tor~..l~ ..................................... ............. .Gam. d~..C.~.ty. ......... N....v ...................... to .~-~rL.r~¥,~...su~..d~m~k...(.a¢c~s~r..~..u~.) ........................................................................ at premises located at ........ .L..9.~.~...25.~.2~. ....... 5.e.c...A..5~o~..Shor. as. ...................................... .......................................... .0. ~..k.....~....t'Le..s..~ ....S..h...o..r..e...~!~ .......... ~.o.~.thold ............................................ pursuant to application dated .................... ~. .......... .~Q ............. , 197..~...., and apl~roved by the Building Inspector. Fee $..1Q,, f~Cl ......... Building Inspector / ~O~M NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerlc~ Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property fines, streets, and unusual natural or topographic features. 2 Final approval of Health Dept of water supply and sewerage disposol--(S-9 form or equal). 3. Approval of electrical installatmn from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), 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 Date ...~..e.l~;~.l~l~r...3.t...J.~..~. ...... New Building .....~. ............ Old or Pre-existing Budding ............................ Vacant Land ............................ Location Of Property .l.?.OD...O~k..D~.i~e ..... S.~tko. ld .......................................................................... Owner Or Owners Of Property ............. ~i~l.~.~,.r~.,.....C]..~...O.~..C.~..]...e. ............................................................ Subdiv,sion .... ~..e.~.~.o..n,,,,.~..~..o..~.e,,.s. ............................ Lot No. 2~. ....... Block No .....A. ..... House Perm,t No ...~.~..br~ ...... Date Of Permit ..6~.6 ./.~.~...Applicant .... ~d.el~'zz..C~..o,~l.~e ....................... Health Dept. Approval ......... .~...*..~...*. ......................... Labor Dept. Approval ...... .~...*.~..*. ................................ Underwriters Approval ........... ~..:.~.~.A ......................... Planning Board Approval ....~...*..~...*. ........................... Request For Temporary Certificate ........................................ Final Certificate .....~ .................................. Fee Submitted $ ...~.....0..0. ........................ Construction on above described building and, p~r~rr~,%~le codes and regulations. Applicant ...... ~./..~...'~..~..~,z.~/J.~....x.zr~'/7~' ~/~//~Y-// ....... .~.....~ .......................... ................ d~y o{ ............................................ {~t~mp or Not~ Public .................................... County ~/~ ~7~ Co~ Croasdale . _. Defe.~dant ........................... S_okLthoXcl.__.K,-~-. ........................................... , by th:s :n[o::.:t:on ~thten ~ccusa~on ~s fotl6ws: Southold I:: .Y, <la)-ot._D..e_.e. ..... :_.: I9.._7_Z'_ ..... , at_J_7..9_9__p__a.k_D.?_.i.y__e..,__L_o_t_~.2_7.._a_2.6__S~_e_A_.~_e.,yaon S~ ~ own (Locot:on) in the ............ _~._~.__~__N._~_ ......... oE ....S~.~t]~olC ............................................ County o[ Suffolk ' - ,New Yo commit the offense of Fail~.re to secure a certificate of occupancy fo~ Sout~old . of Town of ~ ~L~w of the State of New York, in that (s)he ~d, at the at'oresalcl t;me and I Count0ne: Secure a building permit for add~tion & fencing-(~/661+3Z & 66~Z) ~nd .after notice by mail~ failed to secure a certificate of occupancy ThE[acts uponw~chtMs~n[ormat~on~shase~ are as~o]Iows: see above g'herefore, Complainant prays thaL bade_ _kTl_. Croasaale ' be dea]t with pursuant to ]aw. and Sworn to belore me on - ' Complaiu~t [ ' Building Inspector ~ '£itle or Office ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L ]DO 15 FORM NO. 256 W,L.L~^~,SOt~,^,. U~,C'~ CC, ~OCHLS~£~ ~, STATE OF NEI'~ YORK __~._g..S_~_~__c?_ .... C 0 U R T COUNTY OF ...... fi_.u. _O_L_.K_ ....................................... TOWN OF SOUTHOLD nfarmalian ___J.9_g__k_~.y_._g_~.~gk__D_l%'kV_~_,._.$_~_u_~;hg_l_d_~__._N__e__w.__Y~xk ................. by this information ~ written accusation as follows: That .... .M__a__d_.e_l_v.n____A_.___Q_r__o._a_.s.d..a__%_e_ ................................................ on the_._15 (Locatlon~ Reydon Shores in the ....... Ham'L e.i ................ of .... .S_.o_u_t_ h _q _I_ .d_ .............................................. County of ...... _S__q_f_f__9.1__k__ ....................................................................... , New Yor commit the offense of occupying addition on existing dwelling withoui a (m/-s4, mea-n~r0 (violation) in violation of Section ___.A_r_t_,___Z,I.¥_,__.$_e_C .... Chapter 100 of the Code of the Town of Sou,hold .................... .~~~ Ne~-Y~, in that (s)he did, at the aforesaid time and Count One: occupying addition built onto existing dwelling locat~ on the above captioned premises without the necessary Certifi~ of Occupancy. Thefaetsuponwhichthisinformatlonisbasedareasfotlows: Madelyn A. CrOasdale obtained Building Permits ~6643Z and 6644Z on June 6, 1973, erected a fence, and built an addition onto an existing dwelling. Although she has been notified by mail, she has failed to obtain a Certi- ficate of Occupancy for either structure. Wherefore, Complainant prays that_ .... ._M._a._d_e__l_y__n__A__:__C_.r__o__a__s_d_a__l__e_ ....... = ................... be dealt with pursuant to law. Complainant Howard Terry, Building Inspect *~Subscribed and Sworn to before me on , '19,~ · Name Title or Off me *set forth atatutory lanKaage const:tut:ng the offense **use only one The forego,ng factual allegat,ons are hosed upon personal knowledge of the compla,nont (and upon ,nf. and beJlef, She sources o{ complainants mt~ormatJon and behef being, ACCUSATORY( INSTRUMENT iNFORMATION - GENERAL C.P.L. 100.15 FORM NO. 256 WILLIAIdSON LAW BOOI(CO , ROCHESTER. N. V 14609 s~ or ~w ~oR~ : cou~ or ..... ~~~ .......................................... ..... ~~__~0~.~ ..... ~.._0~ .... ~~ .................................... ~l~e ~eop[e ef ~l~e ~lale af ~ew ~ark ..... ~*-~-~--____~~ ............ ~~....~.m~ ........... , residing at ~ ~ - ~ ' h' i ' ............ _~:._.:~,: .....;n ........................................... by t ts nformatton makes written accusation as follows: ~h~_._.~~~.._.3.=~~ ....................... ,o~ ~, / ~ ~ ~Locat~on) i, ~ ....... ~~:& ............. of .... ~.~.:s ............................................... , County o[ ~~...~ ................................................................. ,New York, did .... ....... ......... ~.~._~ ...................................................................................... a ~) ([iolation)in violation o[ Section ~~ .~.~2.~.2.~.~..~__Z ...... of the ~~~ o[ the State o[New York, in that.(s)he did, atthe aforesaid tlme and place* The facts upon which this information is based are as follows: The foregoing factual ailegat~ons are based upon personal knowledge of the complainant (and upon mformahon and belief, the sources of complainants information and behef being, TOWN OF SOUTHOLD / /~"/~/; ~ : BUIWING DEPARTMENT ( ~ /~.' / ExamJn~ G 192} Application No. ~.~ ................. ........................................ , 19. . Permit No ............. ~ .... Disapprov~ a/c ................... ~ ................................................. ........................... ':'" ,2;:; ........................ ..... .................... , ..... a. lhi~ ~lic~tion mu~t b~ compl*t~l~ fill~ in b~ ~rit~r o~ in ink ~nd ~mi~ in tripli~ to ~ 8uil In--tot, ~ith ~ ~t~ o{ pl~n~, ~ocumt~ ~ot plan to ~al~. ~ ~cco~i~ to ~h~ul~. b. Plot plan ~o~in~ I~ion of lot ond of buildi~ ~ pr~mi*e~, relationship to ~dloinino premix, or pub c ~tr~ or~s, ~nd ~ivi~ a d~t~iled d~ripti~ o~ la~ ofpr~ mu~t b~ dm~n on the die,mm ~hich i~ ~ o{ thi~ c; ~ work coy*red by thi~ o~lica~i~ m~y n~ b~ Comme~ b~{or~ i~u~nc~ o{ 8uildi~ ~it. d. ~n oppmv~l of thi~ ~lic~ti~, ~ Buildi~ Ink, tot ~il~ i~*ue a Buildin~ ~rmit to th~ o~licant Such ~h~ll ~ ~t ~ th~ pr~mi*~ ~wil~bl~ ~r in~t~ th~h~ th~ work. e. ~o buildin~ ~h~ll be ~cupi~ or u~ in ~ol~ or in pa ~ for ony pu~s~ whatever until ~ C~ific~t~ of ~ll h~v~ ~n ~mnted by th~ 8uildi~ APPklCATIO~ IS Hfi~fiBY ~Dfi to th. Buildin~ D~mont for ~ i~u~nc~ of o 8u d n~ ~ t pu~u~nt to ~h~ ~uild~n~ Z~ Or~inonc~ o* th* T~n ~ ~t~ld, Su~olk Count, ~ York, ~nd other ~ppl c~b · ~, O~ nonc~ ~u ~don~, tot th~ con*true,ion or ~ui~in~, ~i~i~ or ~l~mtion,, or {or mm~ol or d~lifi~, ~ h~min ~ ~pplicont ~ore*~ to comply with ~11 ~lic~bl* I~,, ordi~,~ buildin~ c~, h~ c~, ~ ~ul~ti~, ~ ~dmit outhori~ ink,tom ~ pmmi~ ond in buildi~ ~r n~e~ inaction. ...... ..................... (Add~ of ~licant) State whether applicant is owner, lessee, agent, a~hit~t, engineer, general c~tractor, el~trician, plumber or builder. Name of owner of premises ..~.~...~..t.....~.~.~ ........................................ ~ .................................. If applicant is a co,orate, signature of duly authoriz~ officer. (Name and title of co,orate officer) Builder's Lic~se No ..................................................... Plumber's License No ................................................. Electrician's Licen~ No ............................................. Other Trade's License No ............................................... Location of land on which proposed work w be done Map No ~..~.. ~1~... Lot No ~. ~...?.~'~' Street and Number ...~..~.'~.C~..O. ........ ..~...~..~.....~[~).~...I..~..~.......~..~.~.~ ............... iiiiiii ............ '....i..iiiiiiiiiiiiiiiiii Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... ..~...O....1~...~...~:1~........~1~. ................................... b. Intended use and occupancy t~ .~..'~'...~.. ,~1'~ ~}.~.! ~ ...~...~ ............ property lines. Give street and block number whether Interior or corner at. 3. Nature of work (¢llleC~l~,e~j~el~)~flqll~Buil~ling .................. )kdd,t,on ........... c_.~'lt~rat'on ...........~: Repair .................. Removal .................. Demolttio~ .................... OtherWork ..... .~. r,~,~... ............................. t, .... 4. Estimated Cost ....... .............................. 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 occupancy, specify nature and extent of each type of use ........................... 7. Dimensions of existing structures, if any: Front ....~..~'.! ............... Rear ...... ~...~..t ............... Deptl~'...~..~. ....... Height .....~..~...~. ............ Number of Stories ...... O.~....~.. .............................................................................................. Dimensions of same structure with alterations or additions: Front ...... ~.~..t. .................... Rear .....~.....~..~. .............. Depth ....... .~..~..~. ................ Height .......... .~.. ............. Number of 'Stories ......~....~..~... ............... Rear ...~. ................. Depth ....[~...~. ............ 8. Dimensions of entire new construction: Front ....e~.~..~....i....~ ........... ~ Height ....~.~J~.~.... Number of Stories ...... .~...~..~-r.. ............................................................................................... 9. Size of lot: Front ........ .~.....~. ....................................... Rear ....... .~....~....~. ........................ Depth ....~.....~..~ ................. 10. Date of Purchase ..?~.-~..~.~/. ..................................... Name of Former Owner ..... ~l.[J).~.~..~.. ................................ 11. Zone or use district in which premises are situated ................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Na me of Owner of premises..~..~..~).!~-..~.1~....~. :......1'~ ~.,..$.1~. ~./~.~- Address ~.={~..~.~',Nr.~. Phone No. ~1...~.~ ..... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ............................... Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exi,~ting or proposed, and Indicate a I set-back dimensions from or description according to deed, and show street names and indicate STATE OF NEVV~f.C),IJI~ .,, ~ I ¢ c COUNW _ , _, , ,,--OF ............ ~.~1.~.~.~.~.~...~...~.~~.~ ............ being duly sworn, d~oses and says t~e~ is the applicant (Name of i~ividual signing controc~ above name. ~e is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized t0 perform or have performed the said work ~d ~.~ke and file this app~ that all statements contained in this application are true to the best of his knowledge and belief; and thru the wo~ will ~ performed in the manner set fO~h in the applicati°n filed therewith. Swom.~..~ to b~re--~.. me this-- ~ ~19~.~.. ~ ~ -- ...... ...... ......... , . .. ,, __ . ......... ................. ~ (Signature of applicant) NORBERT M. DROESCH ~Otary p~lickState of New York ~No. ~0~104375 Qu~li,i ,d in Nassau Coun~ Certificates filed wi~ ' ~ueens ~. Clerk leto ExVzr~ March 30, 19 ~ ~