HomeMy WebLinkAbout7389-zNO. &
TO,tN OF $01JTHOLD
BUILI~ING I)EPART~I~NT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No..Z?~.~ ..... Date ............ I~1'.. 21 ....... , 19..~
THIS CERTIFIES that the building located at .... ~ar~e. ~atera .~n$. · · Street
Map No. 01'l®nt. ~r. ~ock No ........... Lot No...~0 .... 01'ient.. I~,Y, ...........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............ 1~... 6..., 19.7~. pursuant to which Building Permit No..~]$~.
dated ...........July.... 9.. -, 19.7~, was issued, and conforms to an of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . P~&t$. ~ae~o~J). ~tor&~e. b~,ld.~.n~ ............................
The certificate is issued to .~l~,~b®~. ~al~lel~...~rn®l· ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . .~oRo .............................
UNDERWRITERS CERTIFICATE No..I~S.o. ......................................
HOUSE NUMBER .... ~.~ ......Street .. ~®e. ~ate~l~s. La~s ..................
Building Inspector [
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFfiCE
SOUTHOLD, Nb Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7389 Z
Permission is hereby granted to:
.... $.~J,~e.t~..~.~ .~...e.~. .....................................
................ ~e~t .................................................
~o ....]~,~ ~e,.~a~...pr~ata..accaa~r~....(.atc~.a~e~...~.u~;Lu& ........................................
at pmmi~es located at ....I~t...t2....~k~te~t..l~y....tha..~ea...se~..~. .............................................
.......................................... ~t~r~a~ater. s..la ........ ~ez~t ............................................................
pursuant to application dated ................... l~.~.~' ........ 6 .................... , 19~...., and approved by the
Building Inspector.
Fee $...~,~.0.0 .........
STATE OF NEW YORK : COUNTY OF Suffolk
_..J_.u_ _s__t._i_c_.e. ........ COURT ..... J_o_.w..n. ............. 0 F.. _...S.9_u_ _t_ _h. 9_ .1..d. ............................................
/ 3nft rmalitm
Elizabeth Bardes ......
...................................................... .... I
~--J-~--c.-k~-ey---C-.r--e--e-k--~-D-.r--i~-v-.e-~--S--~.u--t--h-p-.~--d-.~---N--e--w-~X~X~ ................... , by this information make
written accusation as follows:
That ..... ..E._l._i_z..a_.b__e..t_.h_._.B_.a__r_.d_.e__s_ ........................................................ , on the~__l_fi_.t__h_
day of__J.~.n__u__a__r3_ 19___7_2 ....... at ~-.T~.h.r.~9.e.~.W..a..t..e.~-s.~-.L.-a-n~9~..L.~..~.~.~.-0.z~9~i~9~¢~g~D~-~$~
(Location)
in the Hamlet of Orient
County of ....._S_.u_.f._f_.o__l..k_ ............................................................................. ,New York,
committhe once of failin~ to obtain a Certificate of Occupancy
for accessory building.
a (misdemeanor) (violation) in violation of Section._.h_r..t._-___.X.~..V_:....S.-e..c_'-__~-O-O----1-4..4--.~---(-.1.! of-tk
Chapter 100 of the Code of the Town of Southold
__.-__-_.-..-__-_-__-_.-.y_-_-__'L'aw-o'['t?fe'gmre-o'i-N'ew'Yo~in that (s)he did, at the aforesaid time and place
Count0ne:
The defendant is occupying the accessory building without the
required Certificate of Occupancy.
Thefactsupon whichthisinformationisbasedareasfollows:
Building Permit ~7389Z, dated July 9, 1974, was obtained
to erect an accessory building. To date, Elizabeth Bardes
has failed to apply for the required Certificate of Occupancy,
even though she has been sent many notices concerning same.
Wherefore, Complainant prays that-___..E.-1--i-.z--a--b--e.-t-.h----B-a-r--d-.e--s- .........................................
be dealt with pursuant to law.
Complainant /
Howard Terry, Building(Inspect,
*'Subscribed and Sw?.[n to l~efore/.me on
.......... '" ...... /-~7-~ .......
............. T~u~_Ju.s~:ice .................................
Title or Office
*set forth statutory language constituting the offense
Th. foregoing factual allegations are based upon personal knowledge of the complainant (and upon info,mat
and belief, the sources of comp)oinants information and belief being,
$¥herefore, Complainant prays that_ ...........................................................................
be dealt with pursuant to law.
**Subscribed and Sworn to before me on
........................................................ , 19 .......
Complainant
Name
Title or Office
*set fo~h statutory language constituting the offense
**use only one
**Verification By Subscription and Notice
Pursuant to CPL Section 100.30, subd. 1, par. d
False statements made in the foregoing instrument are punishable as a Class A misdemeanor
pursuant to section 210.4S of the Penal Law. Accordingly and with notice of the foregoing, I
hereby affirm that the foregoing statements al facts are true, under penalty of perjury, this
day of 19
Complainant
An appearance ticket has been issued herein on ...................................................................
by ..................................................................................................... , directing the said
...................................................................................... to appear before this court on the
................ day of ........................................................... , 19 ......... and bail in the amount of
has been posted with
Complete above only if appearance ticket has been issued)
ACqUSA'I~O RY INSTRUMENT
INF~)RM~TION - GENERAL C.P.L. 100.15 FORM NO. 256 WILLIAMSON LAW BOOK CO.. ROCHESTER. N. Y. 14609
ST/[TE,OF NEW YORK : COUNTY OF ......... .....~.~..., ..................................
~l!r ~lraFLr pf t!!r ~tatr af ~rm ~prk
~~..~~ .............................
............ ~ .......... Defendant
..................... , restdmg at
written accusation as {ollows:
........................................
day of..~. ' 9...Z..~..., at ..Z~.~...~.~...~..~..~ ~c
County of ~~ .,New YorL did
.........~ 7~'-"~ ............................................................~ ~ ~ , : ..............
a ~) (violation) in violation of Section ............. .5.Z~.~Z.~.-~-~ .... of the
of the State of New York, in that ~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 sources of complainants information and belief being,
Wherefore, Complainant prays that_ ............................................................................
be dealt with pursuant to law.
**Subscribed and Sworn to before me on
........................................................ , 19 .......
Complainant
Name
Title or Office
*set forth statutory language constituting the offense
**use only one
**Verification By Subscription and Notice
Pursuant to CPL Section 100.30, subd. 1, par. d
False statements made in the foregoing instrument are punishable as a Class A misdemeanor
pursuant to section 210.45 of the Penal Law. Accordingly and with notice of the foregoing, I
hereby affirm that the foregoing statements of facts are true, under penalty of perjury, this
day of. .19
Complainant
An appearance ticket has been issued herein on ..................................................................
by .................................................................................................... , directing the said
...................................................................................... to appear before this court on the
................ day of ........................................................... , 19 ......... and bail in the amount of
...................................................................................................... has been posted with
Complete above onJy if appearance ticket has been issued)
TOWN Of ~OUTHOI.D
IUII.DIN~ I~i~AItTMIINT
TOWN a. BK'$ OFFIC!
SOUTHOLD, N. Y.
INSTRUCTIONS~'-" -~'~
a. Thi~ application mUSt be completely filled in by typewriter o~ in ink and submitted in(tripli~.ate]to the Buildi
Inspector, with 3 s~.ts 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 ofpraperty must be drawn on the diagram which is part of this applicatJon.~,
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of ~is 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 hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for. the ,issu. ance .of .o Buildi.ng .Per.mit pu_rsu.a, nt to tbe~.~
Building Zone Ordinance of the Town of Southold, Suffolk County, New TOrK, ana other apphcoule Laws, vrainances or
Regulations, for the construction o.f buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinance~ building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings~ ~ inspections.~~ '
.......~ature o,fqpplJc;ont, or pqme, if a corpo~mtion)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
N~'~ of owner of premises ...... ~;;~ ......... ~....~ ............................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's LJconse No .....................................................
Plumber's License No .................................................
Electrician's License No ............................................. ., /;2
Other Trade's License No ............................................... /J..,J.,x,.,
1. Location of land on which proposed work will be done. Mop~.:~-..c~..:(. Lot No .........................
Street and Number ...................................................................................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy .......................................................... x ............................. ~ .......................................
b. Intended u.~ ond occupancy ......................................................................................................
~. Nature of work (check which applicable): New ,Building ................. .A_erTion ..................
. : Repair .................. Removal ................... Demolition ......... ....... Oth..e r Work ....................... l .......................
~ ' ,~ ~'~-'~ / ~(~ri~tion) "
4. Estimated Cost ............................................................ Fee ...... g..~...:..~. .............. ~ ........................................................
? (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 ....................... s ....................................................................................................................
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 ....................
i Height ........................ Number of Stories .................................................................................................................
Dimensions of same structure with alterations or additions: Front ....................................'Rear ............................
Depth ................................ Height ....... '..,. ....... ~'. ......... Number of Stories ................. ,~;: ........... ~,~'
8. Dimensions,~ntire new construction: Front .; .................................. Rear ............................ Depth. '..~.... ................
Height .....~E: .......... Number of Stories. ....................................................................................................................
::9.10. SizeDateOfoflOt:PurchaseFront ~ ............... .~' '..' .~.~..~. :~'""'~'......~..'../.:.. ~.~....~....~.....~'~'"'"~"'"~ ...... NameRear ............................... of Former 0wn~...~...~..... ~.~7..~.- .~.~.~~.~''' D~oth/..4: .......... ~. ....... ~ /.~ ....
11. Zone or use district in v~ich premises are s~tua~ed ." ' ' . .......................................... ~..~.. ................................................ ' .
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................
Will lathe regraded ..... .~; .......... , ....... Will, excess, fill be removed-f~caln prem~se~( ) Yes ( ) No
~ 14.,,Name of Owner 0f pre No .......................
Name of Architect ............ ~. ......... . ....... ;. ........................... Address .................... , ...... ,.... Phone No .......................
Name of Contractor ............................................................ Address ................................. Phone No .......................
; PLOT DIAGRAM
Locate clearly ond distinctly all buildings, Whether existing or proposed, and indicate all sat-back dimensions from
~ property lines. Give street'atid brock r~umbe?' or dessripti.0n according to deed, and Show street names and Indicate
~ whether iflteri°r °r c°rner I°t' ~~ ~ ~=,~,/: ~/~/.~), . ,~ ,~___, ~, '~ ~- ~L~.~, : ~~ '~' ' ~~
STATE OF NEW yOR~/./ ~¢ c
COUNTY OF .~.~'~-
......................... ~~.~.,.~.,~f~r~.. ...... being duly sworn, deposes and says t~t he is the applicant
(Name of~ivid~l signing contrac~
able name.
He is the .............................................. '. ..................................................................................................................................
(Contractor, agent, co~orate officer, etc.)
of said owner or owners, and ~s duly authorized to perform or h~e perfo~ed the said work and to ~ke end file
this application; that all statements contained in this application are tree to the best of his knowledge and belief;
that the Wo~k will be perfor~d in the manner set fo~h in the application filed ther~ith.
S~mt~mmethis ~ ~ ~ ~
......... of ..................... .
.ote. .......... ......... ........................
~ / (Sig~mre of a~licant)
JULIA D. ~NESTAD
~o. 5~.~ ~ffol~ ~