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Home My WebLink About7534-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z7580 Date gar 2~ 19. THIS CERTIFIES that the building located at .F..~ed..8..t.l?e~. .............. Street Map No.. ~ ........ Block No. ~. ~ ..... Lot No, . .~ .... NgK .8~ ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... 8e~. ~..., 19~.. pursuant to which Building Pemit No..~. dated .......... 8~P~ .. }~ .... , 19~., was issued, ~d co~or~ to ~l of the requffe- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ~%~. ?~..f~'~. ~[. ~..a4d~..(.g*~.g~ ~ ........... The certificate is issued to .~..& .~.~ .P~ .~eY ..... ~ .................. (owner, lessee or ten,t) of the aforesaid building. Suffolk County Department of Health Approval N~R.~ ............................... U~UE~W~TE~S CE~ZFZCAZ~ No. ~. ~.~e$~ .e~. .~. 3~/7F. ............... HOUSE NUMBER .... 2.~ ...... Street .. ~e4. ~e~... N~V. ~9~ ......... · ' g nspector ( (THIS PERMIT MUST BE KEPT ON THE I~EMtSES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 7534 Z Permission ~s hereby granted to: at premises ;c.q~'ed at~4M~..,~:~4. ................. ; .................................................................................... ........................................................ · e~..~/'/'~Zlr ............................................................................ pursuant to application deted,. ................. ~e~.t~.....~.~ .................. , lgr~...., and eppmved by the Building Impe~mr. FOR~ NO. 6 TOWN OF $OUTH0kD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATIGN FOR CERTIFICATE OF OCCUPANCY Instructions A. This application 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 location of aH buildings, property lines, streets, and unusual natural or topographic features. 2. Final 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 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" rand uses: 1. Accurate survey of property showing oH property [ines, 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 ....~..../.......~....~.....~ 2. .... New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Owner Or Owners Of Property .~~........~.......~/'.__/ ,, ...... ..~...,~..~.....~.:~::.....~.. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No...~...~...~.~..~... Date Of Permit ~,../~..,~./.~.~pplicant ..' ..~....~...~ Health Dept. Approval ..... X.~.. ............................ -- Labor Dept. Approval ..... ~...~...'~×~ // .............................. Underwriters Approval ...... /[.~.....~... .......................... Planning Board Approval ..~...~... .......................... Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ Construction on above described building and permit mee.~s, c~ applicable codes and regulations. Applicant ..~~ ~ Sworn to before me this ~ ~..~~- ~...~~..~.. ................ dayo, ............................................ .................................... County 21 ~arch 1977 ~v~. Terry is pe~ our phone conversation bo,ray I am enclosing 2 cooies of Form No. 6 and a check fo~ ~.00. I would ~eally like to have lights and an e~ct?ical outlet in oo.r garage. Hm,~'ever it is obvious that it takes less time and expense to rip them out than it does to go through all the red tape and cou~ appearance that are a'ppa~ently necessa~f~ to get an inspection. Consequently the wi~ing has been ~emoved and vre will make do ~,ith extension cords from the house. There has got to be somet ~ing wrong v~th a $!tsbem that ~equires such stuoid sction. ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L. 100.15 FORM NO. 256 WtI~LIAMSON LAW BOOK CO.. ROCHESTER, N. Y. 14609 STArTlE OF NEW YORK : COUNTY OF ...... v ~l~e ~eopie af tl~e ~tate of .s~.- ~ ~nf~rmatian ...... ~-.~.~._..~~ .......... ~~_..~ ............... , residing at written accusation as follows: ~a~._%.~_~__.g~..~.~ ...... ~y oc~...~ a..Z.2 .... .~._&~.~..~_$:..~.~_~ .............................. , in the ~ of ......... ~.~ .......................... ~ ...... :~ ...................................... , County of....~ ................................................................... ,New York, did commit the offense/~ ~ of _~~_..~.._~_.~...~.~q. SA~_.~ ..... a &kdem:a:~O (v,olation)in violation of Section~l U ~/.~.:L~L~....~..3..... of the State of New York, in that (s)he did, at the aforesaid time and place* Cou.t ,:_~_~ ~ e~-,~ :~,-~ o4~-c~ ~ ~- The foregoing factual allegations are based upon personal knowledge of the complainant (and upon information and belief, the sources of complainants information and belief being, STATE OF NEW YORk COUNTY OF ..... .S__U..F..F.O..L.?.. ................................................... .~IIi~T.T c'.~L ...... COURT ....... T.O.~ ...........OF ...... S-ClE['~ OLD ........................................... against gnfnrmatiun Mr. and Mrs. Paul ChanleZ . .. Defendant Howard TerrZ, Buildi.n.~ Insp~ector , ' , residing a Jockey Creek Drive, Southold, New York _ by this information make: written accusation as follows: That Mr. and Mrs. Paul Chanley ,onthe 19th (Location) in the Hamlet of New Suffolk .......................................... County of..__S._u__f._f_°_l_,k_ ................................................. : ............................. ,New York, eommitthe offense of occupying addition on existing dwelling without securing the n.e.M_e.E_s._a_.r_y.___C.e._r.__t_i_.f._i.p_a__t._e....o_.f__O-c..c.-u-Dan~ ................................. a (~isderaean¢*) (violation) in violation of Section .,A..r..t__.__.~I_V.~..~.e;:.~..Z~_~Z.-_L&4--~..I-D--of 4Is Chapter 100 of the Code of the Town of Southold ._..-_-_.-__-_r.r__-._-.r_-__a_ka~v-o{-tt~-St~-t~-c~c-g~w-Y~k, in that (~)he did, at the aforesaid time and place~ CountOne: occupy addition built onto existing dwelling located on the above mentioned premises Without applying for or receiving the necessary Certificate of Occupancy. Thefactsupon whlchthisinformationisbasedareasfollows: Mr. and Mrs. Paul Chanley obtained Building Permit #7534Z through' a contractor on September 13, 1.974, and built an addition onto an existing dwelling. After due notice by mail, they have failed to apply ~or or obtain a Certificate of Occupancy. Complainant prays that Mr. and Firs. Paul Chanley. . Wherefore, be dealt with pursuant to law. -- Complainant Howard Terry, 'Building Inspector *~'Subs~crlbed and Sworn to before me on ........ /_.,_:._...__?-:_:----%-- ............... ToWn Justice ......... Title or Office *set forth statutory language constituting the offense The foregoing Joctuol alJegotlon~ ore based upon p.r~onal knowl.dge of the complainant (ond upon inlorrnat~ and belief, th~ sou,ecs of compJoinonts info,motion and belief being, BUILDIN~ DEPAI~rMENT ~ /~'~ ~n,~. '"~'"~ ................... ~.. ~ ~llCml~ ~0 .................. PP / ........~ .................... ~......~ ............ ~... - J ................... ...... ............... ......... ............... b. ~lot plan ~howing I~otio~ of lot ~nd o{ bullding~ ~ pr~mi~, r~ ot on~h p to ~oinin~ prami~ or ~r~, ~ ~ivi~ ~ d~toil~ d~rlpfi~ o{ I~out o{p~*~ must be dm~n on th~ dMOmm which i~ ~ o{ thi~ ~plic~fion.~ d. H~ ~1 o{ ~i* ~li~etlon, ~ 8uildino In,~tor will i~ ~ Buildin~ ~it to th~ ~lieonI. Such parmi~ e. ~o ~ildi~ ~1 ~ ~cupi~ or u~ in ~hol* or in pa~ for on~ pu~o~ wh~r until ~ ~h~ll h~ ~n ~m~ed b~ th~ Buildi~ InCr. i~ APPLICATION IS HEREB, Y MADE to the Build ng Department for the issuance of a Building Permit pursuant to the uild!n.g. Zon,e Or.dJnance at the Town of Southold, Suffolk County, New York, and ether applicable Laws, O. rdinances 6r egu~atmns, tar the construction of buildings, additions or alterations, or for removal or demolition, as hereto 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 Jn buildings for necessary inspections. ,,,Lg~x~- OA~Y~<--'-'~ (S~gnature of applicant, or name, if a corporation) ~oI~:~/7~ '~ ~ · .... ........ ............. (Addm~ of ~plicont) State whe~er applicant is ~er, I~see, agent, ~hitect, engineer, general c~tractor, electrician, plum~r or bUil~r. Nameof~erofpmm~s ~,~ C"~ ........ '~ ........................................................................... 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 ............................................... /'~ A 1. Location of land on which proposed work will be done. Map No.: .......... /. ............ .~ .... Lot No / Street and Number ..... .-'~-..~ .[~ · .' .......... ,J~l ...... ..~....~....~....~..~..~...i ............. Municll:~lity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... L...'~t/~l'..I.~. ................................................................................................... b. Intended use and occupancy ........................................... ~l~.e ........................................... 3. Nature of work (check which applicable): New Building.. ................. Addition .....~. .......Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... / i (Description) ' ...................... ~ ................... ~. .............. Fee .......................................................................................... / 4. Estimated Cost _~-o0. /~ ~ (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 ....~..~. ....................... Depth . 7.. ~'. Height ......).5.. ............... Number of Stories ~ .......( ........................................................................................................ Dimensions of same structure with alterations or additions: Front ...... .~....~.. ....................... Rear ....~..?. ............... Depth ....... ..~..~.....~ ............. Height ....... /..~,. ................ ....~.....~Number of StorieSRear '''(' ........................... 8. Dimensions of entire new construction: Front ..... ................... ....... 2,.~... ............ Depth .................. Height .....~..~.~ ....... Number of Stories ...... ./ ............................................................................................................... 9. Size of lot: Front ............ J..~,..:. ............................... Rear ........... ..~..O..~..~..~. ........... Depth ...../..~.,~, ............ 10. Date of Purchase .....................~ .................................. Nor~ejof Former ~_~.ner .~-j~-.~..~ ...... ~ ............... 11. Zone or use district in which premises ore situated ........... ~JJ~.~hJ. ......... ~ ........................... i ............ 12. Does proposed construC~OT/_violate any zoning law, ordinance or regulation: .... ~...'_..., ..................... ~ ................. 13. Will lot be regraded .../..Y....~ ............... V~j, II exce,~s fill be removed froth, premises: (,,) Yjes (/~'~ No 14. Name of Owner of premises .~.....~ ......... Add ress. J~ k~...~.hone No. '~. ~.~ ..'...~.. ?.?..° Name of Architect ." ........................................................... Address ................................ Phone No ....................... Nome of Contractor ....................................... &JO~-~-.~ ...... Address ................................ Phone No ............ ; .......... y all buildings, whether existing or propo! ed, and indicate all set-back dimensions from block number or description according to deed, and show street names and indicate Locate clearly and die'nc' Pw~°ePt~ er t '~r i ~itl~eriS~ rV~ot .a n . x' 0 STA~E OF NEW YORK, jo ~. ,~ COU~LT~Y~ OF .............. ./. _~' ~ .,.-- f3 ~---~(, , .... .//.....~......L~... ......... .~ ........ ~ ......... .~...~being duly sworn, deposes and soys that he., the apPlicam j~ j (Name of individual signing contract0 ~ove no, med. thL .................................. (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 applicotion~ 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. (Signature of opplicont)