The URL can be used to link to this page

Home My WebLink About7639-zI~B.M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy 19.~. 7 Date · ......... .... THIS CERTIFIES that the building located at .~,. ~.( .~.. Street MapNo ..... ~ ..... BlockNo...~ ...... ~.otNo ...... ~:.~..-- .~..'~: conforms substantially to the Application for Building Permit heretofore fried in this office dated ~'~.~..Ff/. ~7,~... ~ ?/?.~..7./'..., 19., was issued, and conforms to all of the reqmre- ments of the ap, plicable provisions of the law. The occupancy for which this certificate is issued is .F~..~......~...ff.c.~..~...~....O~.` [...CL/.~ .~....~..~.~.~.,~.~ ~ The certificate is issued to . .~ .... . .'~...~. ~.~:~..c..~. ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health A{~proval, fy/' /~ ~ UNDERWRITERS CERTIFICATE No. ~:..~'f~..! .................................. HOUSE NUMBER ~ ~ ~ ! 9"- Street '-'~ ~ ~ ~ ~ Building Inspector FOBM NO. ~ ~N OF SOUTHOLD BUIL~IN~ DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7639 Z Date ................... JJ o.~.e tnb e3,..... 2 ,~ ....... , 19~.~.... Permission ~s hereby granted to: L~on l~a~cus ....................... ~.x,$e~% .......................................... et premises located at ...~,.Qa~..~J.~.....~Sk~..~,O~.~ ...................................................................... ...................................................... ~u.t.......N.o~Z, ................................... .~ ....................................... pursuant to application dated ..................... Jlt4)~ ....... ~.~...Jl .......... , 19~.~...., and approved by the Building Inspector. ..'~-.,/ Fee $4.~.0(~ ........... ' BUILDING DEPARTMENT TOWN ~LERK'S OFFICE ~UTHOLD, N. Y. xom,neo .........~ .............. ......~...., 19 ...... ....................... APPLICATION FOR BUILDING PERMIT Da' Nov re ................................................ , 19.~?.. ...... 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 pla.ns, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bu Id ngs on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the 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 o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os 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. ........ Orieat N.Y. .............. ............................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.~.~ buil er agex Name of owner of premises ~.~..O..~..M..~rCUS If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate o~fi~';'~) ........ ~_~ Builder's License No ........ ,,~.~.J~. ...................... Plumber's License No. '~ ( * [ t ' Electrician's License No. ~~....~..h~l~,~ ..... Other Trade's license No ............................................... 1. Location of land on wh~h ~ro, p, osed,,wo~k ,w, ill.be d~one._Map N~o.:.....;~ ............................. Lot N~ .......... Street and Number ....~.....y..-.w..-.....~../.~...~?.a~t~. r~oaa urgent; ......... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~1,1~j~.],~!~[ .................... b. Intended use and occupancy ..... ,.~8.m~..~:[.~l'~..~%,~l.~ql.~..~.~.g,1~, ........... Nature of work (check which applicable): New Building'. ................. Addition ...... ~ ..... Alteration .............. '. r~ Repair .................. Removal .................. Demolition .................... Other Work ................................................ ~ (Description) 4. Estimated Cost ................ ~.....~.O.l-O.O.O.--..~-+ ................ Fee ~ ~'.eO0 ..................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ..0..~..~. .............. 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 .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front ................. ~,.~-6 ......... Rear ...~.~,.-.6 ...............Depth ....~.J~ ................ H.e. ight .................... Number of Stories ....t, le'~ .......................................................................................................... 9. Size of lot: Front ...... j~.~...e.?..~[~. ................................. Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ..A.....~.~. ................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~. ............................................... 13. Will lot be regraded' . ....... ~ ............ Will excess fill be removed from premises: ( ) Yes ( ::iD No 14. Name of Owner of premises ...... ~.~.~..l~...~..~,~t.g..~..~ .................... Address ......0.?...:j..~..~...~. ............. 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-back dimensions from property lines. ~ive street and block number or description according to deed, and show street names and indicate whether interior or corner Jot. see file~ plaA~ ~ STATE OF NEW ~O~,. IS S COUNTY OF ..... ~.[.~ .......... f ' ................................................................................................ being duly sworn, depese~ and says that he is the opplicam (Name of individual signing contrac~ above name. He is the ....................... ~g~..g~..~- ....................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke 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 fo~h in the application filed therewith. .................. ddv o, ................... ~oto~ ?ublic, . ................................................... Coun~ ................... l~Olt~ NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in D~JPLICATE 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 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 fram Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Cede 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 promises, 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 Bt, ...... .............. New Bqilding ................ Addition ...~t~ ......... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .O..~.~.9.~.~... ..................... Owner Or Owners Of Property ....L~D~....~...~..~..~ ............................................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No..~.~..~..~..~,.. Date Of Permit ../.~./....Z~'../~'~!Applicant .... L.GIg~....~,,a.~.~I~.~ ...................... Health Dept. Approval ............................................ .Labor,at. Approval ................................................ Underwriters Approval .]~...~......'~..?Z.~...~..Z.3. ........ .~'./.~a°n/~ing Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ....~.,L~.~. ..................... on above described building and i~r j4~ee, ts all applicable codes and regulations. Construction .........../~' ~/,,. t:.),,:..,,;~.~ ........................................................... Applicant Sworn to before me this ....... ..... ..,, , or~ Public ..../.'.~.....~.,,,.~ ......... Catty ~..- /I.~'~//t..//~ uommssslon ~xplme ~ ~0~ 1978 IPOB, M NO. 6 TOWN OF SOUTHOLD , Building Depo~tment Town Cledr. s Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY In.ructions A. This application must be filled in typewriter OR ink, and submitted in D~PLICATE 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 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 fram 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 "pm-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Swam 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: i. 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 ....................... New B~ilding ................ Addition ......~ ........ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ........ ...~..~..~....~...~.. .......................................................................................................... ! Owner Or Owners Of Property ...~.~Q~J ....... .t:.t~'.~. ..................................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. ,,-Z,,,~,.,,~,,~..~,,., Dote Of Permit (!l,~,,,~..[,,,~....Applicant .... L~,~.,,...,,,~,.,.~(~,,~,~,., ........................... Health Dept. Approval ........................................ r,,,~abor Dept. Approval ................................................ nderwrlters A royal .~. 7,,Z,~' ~ -~'/~/ U ' pp ~ ............ ~.~...,,-....~./.;.:-f....Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate .......................................... Fee Submitted $ ...... ~,.~ ................. Construction on above described building and pe~ m~e~ all applicable cedes and regulations. P~licont ................... ;: ................................................................. Sworn to before me this ..........o?? ...... day of & BBIIIIII mP or seal) Oemml,,-lee Expees ~ ,lO, 1978 ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L. 100.15 FORM NO. 256 WILLIAMSON LAW BOOK CO.. F~OCHESTER. N. Y. 14609 STA~TE OF NEW YORK : COUNTY OF ..... ~ .................................... ~l~e ~leapl~ of lilt'//btah, af ~m ~ork a~ai.st Jnfarmatimt Defendant ~ ~.~ ......... ~__~+_.~.~ ..... , residing at ............. ~ ........ ~:.<.: .................................... , by ~ ~.~o~m~on m~s written accusation as follows: ~at ~ ~~ ,on~h~ ~ ,ay o,_~.. ,o.._~Z.., ~,.~.~..V.~...~.~.~...~_~ZFSZ& ,nt~.~~ ......... o, ..... ~...'.;~:~:~; ................................... , County of ..... ~ ............................. ~ ................................ ,New York, did omm,t o,e e o,._. ~) (violatio.)i. vio~atio, of Se~tio. ~ ~..Z~.~.~./.2~__J_~_ .... of t~e of the State of New York, in that ~e did, at the aforesaid time and place* The 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 ,ourcel of complainants information and belief being, )o ACCUSATORY INSTRUMENT INFORMATION - GENERAL C.P.L. 100,15 FORM NO. 256 WILLIAMSON LAW BOOK STATE OF NEWYORK : COUNTY OF....~2~ .................................................. . _ .J_ .u..~.~,'_.kg_e_ ...... C 0 U R T ..... ~_~ wn ...........0 F ....$_o_u.t.h.o.l..ct ......................................... against Marc_u..s ................................................... Leon ..................... Defendant nfarmatinn .... ~_o. _w_a__r~_~.e. _r _r y_ ,.k__B_u_i 1 .d i_ _n..q_.I..n. ~.P..e.£[o_ ~ ....................... .'___]__. residing ~-~-~-c---k--~2~-~-r--~--e--k~-~-D--r--i-y--~-~-~-~9-u-~-~-h-~d-.~-~9-E~¥p~ ................... , by this information mak written accusation as follows: That ..... .L__e_.o_.n_..~.a..r.?._q~ ................................................................... , on the_...l_.8._t.i dav of January 19 77 at----R--i~9.--h~-t---p--f-----w--a-~-~--f--f-~-np.-r--t--h--~-~--~-~D-~9~--~B-[ (Location) in the ...... .H_a..m..l_ _e_ [ ..................... of ..... .O..r..5:.?._n.[ ........................................................ County of ........S..u..f.f_.9.1._k.. ........................................................................... ,New York, d commit the offense ~--~--q-c--up2-j:.n-g~-d--w-e--~-~--i--n-~-w-.j:-t--h-~-a--d-d--i-.t--ip-.~-~g~h~i¢-~A a {m;:.gcn;.can.~r) (violation) in violation of Section ...~_.t__..__X._I.y...,___S__e_.c_.._..1.p_O._-_l__4._4_..A._il__l of--fi Chapter 100 of the Code of the Town of Southold _.-__-..-.."..-'_7.7.7._-.r.-.~'L'-a'w'-o'f-tt~e'Srare-o'FN'ew'¥~rk, in that {-s-)he did, at the aforesaid time' and plac, CountOne: The defendant failed to obtain a Certificate of Occupancy for this addition. Thefaetsupon whiehthisinformationisbased areas ~llows: Building Permit %7639 was issued on November 25, 1974, giving Leon Marcus permission to construct an addition. After being notified several times by mail, he has failed to apply for or obtain a Certificate of Occupancy. Wherefore, Complainant ..... t... Leon Marcus be dealt with pursuant to law. **Subscribed and Sworn to before me on Howard Terry, Compl~n~t [ Building Inspector NRme Title or Office *set forth statutory l~nggage constituting the offense The foregoing factual allegations are based upon personal knowledge of the complainant (and upon informatl and belief, the sources ef complainants information and belief being, O~,,~-I,.,aT ~0~, NT ',0