HomeMy WebLinkAbout6912-zFO~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPART~NT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No..Z?~t!t ..... Date ............... .14~t...6...-, 19.
THIS CERTIFIES that the building located at P.~c ltoad..(~Hya~t .B~. 1~). Street
Map No..xgX ........ Block No.....X~... Lot No, . .~;~....H. Ort.o.~...P.t...8..o~. ~.g~.d...
confoms substantially to the Application for Building Permit heretofore filed in this office
dated ..... 0ct~. 9 , 19.73. pursuant to which Building Pemit No.(~IP.Z...
dated ..... 0.e.t;..9 .... , 19~3.., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is P.~.iya.t;e .s.¥..i~..i~.g. Dq.o.1..~.i..~h. S.e.rsq~ & .a..e.e.e.s.~..o.1~.~. ................
The certificate is issued to 0~;to..I, ii~tel'~.el' ...... D~er ......................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N.,R.: ........... : ...........
UNDERWRITERS CERTIFICATE No, N33~.~7. .... ~ar,. ,2~,, .t977 ................
HOUSE NUMBER .... 202~. Street .. ~l;t I~ .~... (l~t; .t~ .$~) ..........
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
N?
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
6912 Z Dote ......................... ;31;;]1111~.. ~...9.., 19.~.~,..
Permission is hereby granted to:
............. ...~...~..~.,..~... ...........................................
at premises located at .~[/,J~.:..~.~..~Oa~.,~...(3Z~.~.~.~;~..J~¢~..~ .................................
...................... .~.~;.~..~ ..... ~.~tb.~.l~ ...... ~.,.~. ...... ; ............................ ~ .............................
pursuant to opplicotion doted ........................OP~t ....... .~t ............... , 19~.~..., ond approved by the
Building Inspector. ]~O~gl ~i],~ need ~m~e~iters ee~tificate on eleee
Fee $.~.~.~...,01~. ...........
4/29/77.tiTHE NEW YORk BOARD Of FIRE UNDERWRITEE~
BUREAU OF ELECTRICITY DUPLICATE OF 1q'3'30268
~ ~ ~ ' I ' , 85 JOHN STREET, NEW YORK. NEW YOrK 10038
m.. '_ March 23,1977 ,. .~pp,icat,on,¥o. on/,,e 688698 N 3 3 5 41 7
THIS CERTIFIES THAT
only the electrical equipment ~ described ~Jow and intr~uce~ b~ the applicant named o~ the~bove qppl~c~tlon~u~ber in t~ prem~ses of
~. Ltndameye~ Soundvie~ Rd.1000 w/Lighthouse Rd. ~ouCno~o, ~.~.
inthefollowlnglocation; ~ B~,ment ~ lstFl. ~ ~,d ~. outside S.~tio. Bilk Lot
was examined on und found to be ~n co,~pliunce with the reqttlrements of thts Board.
~ch 2~ 1977
DRYERS ~ FURNAcE MO'ORS FUTURE APPLIANCE FEEDERS ISPECIALREC'PTJ~; ,IMECLOCK5 I BELL [UNI'H~'EE$ ~LF:']~U2~ET, DIMMERS,
SERVICE DISCONNE~ ~ NO. OF ~ S E~ ~M/R V ' I C E
~1 ~ ~P ~ TYPE ~ E~ )l~2W~I~3W~3~3WJ3~4W[ NO O~E~COND~ OF~C~D ~ OF HtL~ )O~H~ ~~ O~NEUTRAL5~ O~NE~T~A[
"S~ING P~L" This certificate covers c~pliance aC the da~e of
inspection only. Because of unusual envtro~ents tt
have ~frequent tests and/or~ repairs made by a qualified pesson.
· Glenn Bradley ~ . ~ .
Mattituck,LoI. 11952 '
Thru certificate must not be altered in any manner, 'return to the ofhce of the Board if ~ncorrect Inspectors may be identifiec~y..~e~_~or~dent~als
ACCUSATORY IHSTRU~ENT
INFORMATION - GENERAL C P.L ]DO 1_% FORM NO. 256 WiLLtAI~SON LA~ SDOA CU ~O~.H557£~ I%
STATE OF NE?~ YORk COUNTY OF .... ~q_~E,.v'_0.7.~ ..........................................
_ _.J...u__ ~ _Z_c_~_ ...... C 0 U R T ...... ~ _C)__I'Z~. ............ 0 F ..... _s_ _o. _u_~_ _~_Q_L_D ................................
[l!r ~rDlaLr nf ti? .~Iatr nf ~rm ~rk
aga ms t
Defendant
gnfr]rmation
--.J-~--c--k--~--y--.C~-r~-e.~e--k---D-r--i--v--e-~---S--~--u~-t~h--~--~`d--~---~N-EE-~2~- ................. , by this inforrnatiov
written accusation as follows:
That .......... 9__t__t._o_.L_i._n_.d_.e.._r~__a.y._e._r_ .................................................. , on the___
day o f_._J._a_.n__u_a__r_y_ 19___7__7_ ..... , at~-N~--s----P~Y--t-.--R--d-~----~H~-a-t--t----R~d--.-~-~N-~-r-~k--~-~
(Location)
in the ....... .~__a_m_ ~Ji_ ................... o[ ...... .S. 9..u_ X_h_ 9__1_~ ..........................................
County of ............. _S._u_.~_~_o_.~.k._ ................................................................... ,New Yc
a O~_'sd-e.meer, or) (violation) in violation of Section _.__-/~'.__t__..___.X..l__V_,__S_.e__c__e___l_.O__O._-_k_4_~J_.A_Ll.'
Chapter 100 of the Code of the Town of Southold
........................ Jt_~w-o.[41~-g~a6e-e.~t'~-e4~--~or-k.r in that (.s-)he did, at the aforesaid time and
Count One:
The defendant is occupying the accessory structure (swimming
on the above captioned premises without the required Certific~
of ¢l~c~}C~dn which this information is based are as ~llows:
Through a contractor, Otto Lindermayer obtained Building
Permit #6912Z on October 9, 1973, and built the swimming
pool. After repeated notice of violation and visits to
the premises by the Building Inspector, he has not com-
pleted work on the pool or applied for a Certificate of
Occupancy.
Wherefore, Complainant prays that ..... .O_t_.t._o__.L_i_n__d_e_.r_.m_a_~.e__r_ ...................................
be dealt with pursuant to law.
Complammat
**Subscribed and Sworn to before me on Howard Terry, Building Inspecl
........................................................ , 19 .......
Town Justice
Title or Off me
*set forth ~tatuLory language constxtutlng the offense
**use only one
The {oregoing {~octuol allegations ore hosed upon person=l knowledge ut the complo,nont (and upon ,nf,
~nd bel~e~, the sources o~ complainants m{orrnat~on ond ~el~e{ being,
ACCUSATORY INSTRUMENT
INFORMATION - GENERAL C.P.L. 100.15
FORM NO. 256
WILLIAMBON LAW BOOK CO , ROCH[$T£R. N Y. J4609
STAKE OF NEW YORK : COUNTY OF .... :%.~~.~ ..... ~ ..................................
.... ~___c:~...C OC RT ...... .'_...~_.~_.'~._n,O F__~~Z ...................................
~ile Jteopte af tl!e ~tate af ~ew ~ark
............................
DefendanL
wrltte, aeonsatioa as follows:
~-¢--~ .... 7--: ........ ~' ............ ~---;--~--~o~7 ........................
County of.~~ ................................................................. , Sew 5 ork, did
e omm
a violation of Section ./.~-2k..~.._~....qZ'.~_~._'./...q/.~___.A_..bof the
f the State of Ne~ York, in that Oct)he did, at the aforesaid time and place*
The facts upon which this informati s follows:
The foregoing factual allegahons are based upon personal knowledge of the complainant (and upon information
and behetc, the sources of complainants reformation and belief becng,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
· OFF,C
roved ~ ~ ' ~Y/~ ~
Disapproved o/c ........................... , .................................................................
............................ ....... ........
APPLICATION FOR BUILDING PERMIT ~
Dote ..Q..~.~ ...... ~ .................. , 19.~.~...?
INSTRUCTIONS
a This o licotion must be cam letel filled ~n b ' enter .....'
· PP P y ' ' y ~yp w ' or~ in ink ono submitted in triplicate to the Bu Jding
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 adjoin ng prem ses or pub ic streets o
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram wh ch s 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 Occupan
shall have been granted by the Building Inspector.
B .A.P. PLIC~ATIO~N,IS HEREB, Y MADE to the Building Department for the issuance of a Bud ng Permit pursuant to the
uiming Lone urainance at the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordnances 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~l
admit authorized inspectors on premises and in buildings for necessary inspections.
PP ' , e, it o corporation)
(Address of applicant) "'
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of prem ses - ~ '
If applicant is a corpora, te, u~signoture of duly authorized officer.
·
(Name and title of corporate officer)
Builder's License No .....................................................
Plumber's License No .................................................
Electrician's License No .............................................
Other Trode's License No ...............................................
Location of and on wh ch proposed work w be done Man No · ,,, ~,,~ k~^
Street and Number ....... ~...~..~..........~.........,~... ...... ~......~...~.~...~,~,...~
· U M~nicipality
State existing use and occupancy of premises and in,envied use and occupancy of proposed construction:
use and occupancy ....... ~~~. .......... ~ ......... ~....._,~....~ ...................................
Exisiting
b. ~ntended use and occupancy ................................. .. ........................
3. Nature of work (check which applicable): New Building .................. Addition ................ ~" -- ~~- Alteration ..~. .........
Repair .................. Removal .................. Demolition....~ ............... Other Work ~'~,~'...~.
(Des~ption)
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 ...J~..~.. ..................... 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 ..... ........................ Rear ..f-e.- ................... Depth
Height .................... Number of Stories .....................................................................................................................
Size of lot: Front ........./.~....~. ..................................... Rear ..... L~......'~.. ........................ Dept~ ....~.~.../.. ...........
Date of Purchase ........................................................ Name of Former Owner ..........................................................
Zone or use district in which premises are situated .....................................................................................................
D;es proposed construction violate any zoning law, ordinance or regulation: . ..~!t~.....~... ...........................................
Will lot be regraded ...... ~....'~;;2.,,.~,..-.~ · fx .Wil~excess fill ~ removed from premises: (V~ Yes (') No
Name of Owner of premises .....'./.../~/~....,.~~ress ,,~4~.~..~:/~Phone No ........ i ..............
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor~4~)~,',7,..~..~.~.,~ ................ 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.
10.
11.
13.
14.
STATE OF NEW' YOI~K, ~/ ~/-~ e e
COUNTY OF ....~.~' '"
· , ..................................... ~..." ............ ' .being duly sworn, deposes
I' (Name of individual s~ng~ duly sworn, depose! and says that he is the applicom
ab°ve named'
He is the .................................................................................................................................
, (Contractor, agent, corporate officer, etc.)
,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
his application; that all statements contained in this application are true to the best of his knowledge and belief; and
' .1'har the work will be performed in the manner set forth in the application filed therewith.
t. ,Sworn to before me this
................... ............................................ ........ .
' Jotary Public, . ................................................... County ......... .,~<~.;..~...~_,~¢.;~...'m.T...~ ....... .-L~...~.......:.~....,,~.......~nm~,~
i\ ~" ~-~Signature of applicant)