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Home My WebLink About7343-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22658 Date OCTOBER !.5,. 1~9~ THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 855 GAGEN LANDING ROAD House No. Street County Tax Map No. 1000 Section 70 Block Subdivision Filed Map No. SOUTHOLD ~ N.Y. Hamlet Lot 31 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12~ 1974 pursuant to which Building Permit No. 7343-Z dated JUNE 19~ .1974 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ABOVE GROUND SWIMMING POOL WITH ATTACHED ACCESSORY DECK * The certificate is issued to GEORGE U. & ELIZABETH DICKERSON (owners) of the aforesaid building° SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-239253 - AUG. 6~ 1975 . PLUMBERS CERTIFICATION DATED N/A *THIS CO UPDATED CO Z-7572 DATED 3/21/77 ~ /uild~ Inspector Rev. 1/81 FORH NO. 2 TOWN OF SOUTHOLD 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? 7343 Z Permission is hereby granted to: ~,~c.~ ~¥e ..,~ i.c,::.e.x s.~, ..~.,.',~,~e ......................... ............. w~.*~.~.~zc~.c~. ...................................... : .......... to b~J.l.~...~.~eYz...p:c.-t~z.~.~c.~a..~¢:h~m,i.n~,..p.e~l. ,w.i~l~?,,...a,~so. as.o.r~s ........................................... at premises located at .S~/&}..~.~e~.,.Le..p~.~.r~.~,}..~.ee~......{..~}.~6..~) ............................................. ' ..... ............................................. ~:~ eu-~.h {~.et .......... N: ~::{*, ............................................................................. pursuant to application dated ..........................~II~'le......1.~ .......... , 19~.~...., and approved by the Building Inspector. Fee $.1.~...~} ............ ) ....... /. :~¢..~,~, ,,,~.~ ....... #..~,,..~. ........ ~ ................ - . Buirding 'inspector NO. ¢ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No..g7-~.~2 ..... Date ............. 14areh..2.] .... , 19.-77 THIS CERTIFIES that the building located at . ~/8~agen..I, and.l, ng. ~oa~ Street Map No.. ~ ........ Block No .... ~ .... Lo~ No.. ~.. flo~gho3.d' ' 'N;Y'. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... ;~e~ 42 .... , 19.7¥ pursuant to which Building Pemit No.. '7~%~ dated ............. g~ne. ]~ ', 19. ~, was issued, ~d confoms to all of the requffe- ments of the applicable provisions of the law. The occupancy.for which tMs certificate is issued is .. P~V~t~ 'Zglt~g~i~g' 'p~Ol' '~ith' a~$~S'O~y~ .......................... The certificate is issued to .(;eo{.ge. ~:. -Eltzebeth..Dicker.son ..... ~ner~ .......... (owner, lessee or ten,t) of the aforesaid building. Suffolk County Department of Health Approval ... N..~ ............................. UNDERWRITERS CERTIFICATE No. -~2~9~ .... A~g.. ~.. ~7~ ................. HOUSE NUMBER ...... 85~' ' Oa~t ~n~'ing' ~aff ' · · 8~gholff ............. Building Inspector Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. ~6. Submit Planning Board Approval of completed site plan requirements. tFor existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~"pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a~Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 yea~s - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .ew Construction ........... Old Or Pre-existing Boilding .... ocation of Property ........ %~. ..?.~ ,~? ~ House No. t e Hamlet ~wer or Owners of Property ................................... iunty Tax Map No i000, Section .... ?.0. ...... Block ..... /.0 ......... Lot..~.~.~ ........... lbdivision .............. ...................... Filed Map ............ Lot irmit No ................ Date Of Permit ........... Applicant .. ialth Dept. Approval .......................... Underwriters Approval ............ fanning Board Approval .... ~Uest for: Temporary Certificate ........... Final Carticate..'...~....~'.~'~'~ STATE OF NEB' YORK : COUNTY OF ..... _S.g.F__F._O._L_~ .................................................... ___.~__q_S_ _T._~ ....... C 0 U R T ...... .T_.O. __W~.. ............ 0 F ....... .8.O~.TtJ.O ~,12 ......................................... Defendant nfurmatiun --~J--~.c-k--e-y--~.c~-e-e--k----D-~r--i-v--e-~t~-S-.~-t~h9--~-.d-~-~-N-.9-¥--X~g .................. , by this information mai, written accusation as follows: That George V. and Elizabeth M. Dick.c32~.OB , on the_l~ da.v o[_ ............................ Januaryl9 77 , at ___fl_.5_5.._.G__azLe._n.:_.s__.L~.a~D.d_.i. D9.__~g--a-O- ................................ (Locatmn) in the Hamlet of Southold ...................... County of ....._8__u__f._f__o__l._k. ............................................................................... ,New York, di commit the offense ~f-~9?-c--u-Ry~-`n~9.-~--a--c.c-~-s--s.-~-~k~-~-r-~u-c--~-u-.~-e---~i~h9-B-k--g~-~- ................ required Certificate of Occup~_~.: ........................................................... Chapter 100 of the Cone of the Town of Southold --~I~Z~2iL~W-~.f~lre-S.mre-~-New-¥~rk~inthat(s)hedid~attheaf~resaidtimeandp~a~ Count0ne! occupy accessory structure (swimming pool) located on the above captioned premises without applying for or receiving a Certificate of Occupancy. Thefactsupon whichthisin~ormationisbasedareasfollows: George V. and Elizabeth M. Dickerson obtained Building Permit #7343Z on June 19, 1974, and built a swimming pool. Although they have been notified by mail, they have failed to apply for or obtain a Certificate of Occupancy. - ~-~or~e V. and Elizabeth M. Di.c__k__e__r__s__o__n_ .... Wherefore, Complainant prays that___.:__~. .................................................. be dealt with pursuant to law. Complainant / Building Inspector *~Subscr_{~b.e~and Sworn t~before me on Howard Terry, 7¢. ............... ~-~a~Z~ ............................... *set forth statutory language constituting the offense **use only one The foregoing factual allegations ore based upon personal knowledge of the complainant (and upon informatl and betief, the sources of complainants informot}on and b~lief being, FOI~ NO. 1 TOWN OF $OUTHOLD BUiLDiNG DEPARTMENT TOWN GLERK'S OFFIGE xamined Bisopproved a/~ ..~.,~ ........ ~ ................................ ~ ' (BuiI~ Inspector) ~ Application No....,?.,...,,~,,.,~, ,~,, .......... APPLIGATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 o~ areas, and giving a detailed description of layout ofproperty must be drown 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 wilt issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. · No bLlilding 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 Sauthold, Suffolk County, New York, and of-her 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 oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ....................... ............... G..2 .................................... (Signatu~ of applicant, or name, if o corporation) .... ........ ........ (,~ddress o~ applicant) / ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ,..(,,~...~.~.::'.[4,....~.~.....~...\~..~..Z5:..s.?.':.~ ........... ..~ ...... ~...!.L.z.....~./~.~...~...l~.....~..~..:....(~..:..c../.c...~..~:..%.R.:~ ..... If applicant is a corporate, signature of duty 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 [and on which proposed work will be done. Mop No.: ........................................ Lot No ......................... Street and Number ......... ......... .c~..-'..~i.m~, ...... .L...~....~..~..~..o.~ ........ .................................. / ! Municipality 2. State existing use and occupancy of premises and in:ended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ ~ .~ ~ ~- o~ ~ X .~ ..~~'°'~" .~ .... b. Intended use and occupancy .~. ~, .......... ~...~.~ .t .......... J~ ~ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. (Description) (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 .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 11. Zone or use district in which premises ore 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 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-b~ck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. No, 52'?/'~9"sG). Suflot~ 0o. STATE ~)F NEW~/~ ..... ~~~~: .................. being duly sworn, deposes and says that he is the applicant ~~ ~gning contracf) He is the ............................ ~..~.~.~....~....... ....... ~ ........................................................................................................ (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 thor the work will be perf~ ~d in the manner set fo~h in the a~plication filed therewith. Swoc~ b~ me this ( Nota~ Publi . Coun~ NOTAR~ PUULIC, SI ~Tt OF ND~ YO~ INSTRUCTIONS This application must be completely filled in by typewriter or' in ink and ~ubmitted 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 al areas, and giving o detailed description of layout ofproperty must be drown on the diagram which is port 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 o Building Permit 1o 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 port for any purpose whatever until a Certificate of Occupancy1 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, Suffolk 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. ........ ....... ............................... (Signature(~f applicant, or name, if a corporation) (Address of ap~icant) State whether applicant is owner, lessee, agent, orchlfect, engineer, genera! contractor, electrician, plumber or builder. ........................... .............................................................................................................................................. Name of owner of ,.. ........................... 1 .............................................................................................................................. 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 propose~d work will be done. Map No.: ........................................Lot No ......................... Street and Number ...~..~ ......... '.1.~.~.¢. .................... .~.....,..~.,~ ...... ~ ....... ~ .............................. ~.~......~. ........ L ~ zz ._? Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ................................................................................................................................ Intended use and 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..... .J'~_?... ~..~.../. ,/....... :'...~...q. :*..,~. ..... ; (D/escription) 4. Estimated Cost ....... ..'~.....~.....~....~....%.~...o. ...................... Fee ..(....6.....~ ..................................................................... (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 .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Ft~rt~ .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: ~ ....~...~.....¢:..~.:...~.~..?.,.t.?.~. Rs-,;. ........................... [~ ........................ Height ......... .'~.'.~ ...... Nu ............... - ...................................................................................................................... 9. Size of lot: Front ............ LI.....°....;.J..~..~.: ...................... Rear ........... J...t.~ ........ .'~.....~.: ..... Depth ........ /...~...O..._..~..?~,.. 10. Date of Purchase ...... ----.~].~..~.~.?....,~....!...q,..~....~/ .............. Name of Former Owner ....(,~..[~.~.¢..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 ]4. Nome of Owner of pram ses ..~,~.¢..~....f~; ............ ..~<. ........... .4....-'Address ............................... Phone No .................... Nome of Architect .............................................................. Address ................................ Phone No ....................... Nome 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. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE/OF NEW/ff~/ ~ S S ~ o .., , ~. ~, ...... ~~.~~ ............................... being duly sworn, deposes and says that he is the applicant ~~a~i~ing contract) a d. rT?iT: ................. ................................................................................................................... ~ - (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 perfor~ in the manner set forth in the application filed therewith. Swor~ b~e me this / / .~,,' ..... {.~': d~y of ..~ ,....~( ........... ,19~ ..... ~ ~ ~/ ~ ~ ~Rr J,~cCARTHY NOTARY PUBLI¢, STAT[ OF N~W YOR~ INFORMA~iTION;- GENERAL C.P.L. 100.15 FORM NO. 256 WILLIAMSON LAW 8OOK CO., I~OCHESTEI~, N. Y. 146Og sT,~E ~,~,~.~w ~o~ : ~ o~...~~_....~ ................................. ...~~.co~ ....... ~ ...... o~..[L~~ ................................... ~l~e ~euple of ll~e ~l~le of ~ew ~rlt Defendan[ ................. ~~.~ ....... ~.~... ................................... ,by this information makes written aeeusatlon as follows: ~a~_..~~..~._~_~X.&~ ............................ ,on ~he_.~_.. dayot~ 19 ''..,,,...',.,.....',--.'.,..'.,....'.,,..'. ........... , Uounty oL..~2 .................................................................. ,New York, did ........... ............................................ : .............. .¢. ....... ......... a ~ (vi~lation)m violation of Section .~.~ ..... 2~:2.~...~ ............. o[ the ~~Co[~ the State of New York, in that ~he did, at the aforesaid time and place' The [acts upon which[his information is based are as [ollows: The foregoing factua~ allegations are based upon personal knowledge of the comp~alnant (and upon Information and belief, the sources of complainants information and belief being,