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Home My WebLink About7309-zFO~M NO. ~ TOWN OF SOUTHOLD BUH~DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. ~-?~82 ...... Date ........... Mai,.. ~1~ ........ , 19 .~. THIS CERTIFIES that the building located at ...][oi,th. Roa~l ............. Street Map No.. ~ ........ Block No... ~ ..... Lot No...~.. ~9o~t...~,~-~ ........ conforms substantially to the Application for Building Permit heretofore ffl~ ~ ~is office dated .............. ~'...7 19.7~. p~su~t to which B~lding Pemit N~ .... dated ............ j~.. ~ .., 19. ~, was issued, and confoms to ~ of ~e r~ ments of the applicable provisions of the law. The occup~cy for which th~ ce~ificate is issued is . P~$va~ .~..~u~.~y. d~ll~[- ~th. addUCtoR- & .~-.Ga~a~ ...... The ce~ificate is issued to .. ~ .~$ ..... ~ ............................ (owner, lessee or ten,t) of the aforesaid building. Suffolk County Department of Health Approval .],R. .............................. UNDERWRITERS CERTIFICATE No. ~29~. · · ~...21...~.9~ ................. HOUSE NUMBER ...~1.~ ..... Street ... C.R.-.~.. ~.~er~ .R~5 .............. · ~0~ - 8tepa- to .be- ~i~ed. ~-o~ ..................................... FOBM 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) No. 7309 Z Date ..................... ; .......... ~tma..~. ......... , 19.~... Permission is hereby granted to: to. ]~a/2ul..~ew...~t~be4...p ~'lvate.. ge, r&~ ........................................................................... at premises located at ..... ~.~..~I~JL~...(~.~ .................................................................... pursuant to application dated .........................~ ....... ~. .......... , 19..~1~l,., and apprOVed by the Building Inspector. Fee $~,0.~,~ ............ FORM NO. $ TOWN OF SOUTHOI. D , B.ilding Depe,tment 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 DUPLICATE 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 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" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual naturol 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 pete ........... ......... New Building ................ Addition ......./........ Old or Pre-existing Building ................ Vacant l-and .............. Location Of Property ....... ~.~.~.~...../~..O...~...~./~T.:......~..O.../?....~.. ................................................................ Owner Or Owners Of Property ..... ~..~.../~.~;~.w~.~ ....... ..~...(. ...... ~..~3...~....~.../.. .............................................. Subdivision ............................................................... Lot No ............. Block No ............. House No ............. · · // · Pe rm,t No. ~......~.....~Z.-~at~e Of Perm,t ..~....../..-~ZIApphcant .................................................................. / / Health Dept. Approval ...... .;~....(...~.. .............. -....(.....Labor Dept. Approval ............ /..~.....!..LZ.. ....................... Underwriters Approvol .~.....~.~...~.<~.~...~.. ...... .~..~..~...7. Planning Board Approval ...... .~.......~.. ....................... Request For Temporary Certificate ........................................ Fin~ Certificate ..... ~ ................................ Fee Submitted $ .~....r.u....~...~. .................. Construction on above described building and permit meets oil applicable codes and regulations. Applicant ............. '~~'~'"~:' ~ ' ~';'7~-, .................. Sworn ,o before met_his ~/Y/~'/~;~.~-- ;7~'- .......... .?..fday,,~I ~//~°f ...~...~....~...~..~ ~.~. ........ (stamp or ;/ea~/ /~.,5"~- // THE NEW YORK BOARD OF FIRE UNDERWRITERS '~I1 r BUREAU OF ELECTRICITY ' ' il , i '~; ~i ' 85~JOHN STREET,,NEW YORK, NEW YORK 10038 = ,, :':, !~. ' : ~ ~o,~.,? MarCh 21. 1977: : ~pptlc;t~aNoonfle ;" 884113 , ', ,~ ,~l ,, ~ ~, 'M,, Ct9 Q ~/1 TH S CERT F ES THAT , " , only the electrical equipment as described below and tntroduced :by the applicant named on the above apphc~ttor~ number tn tl~ premleea of ~ ~ Charles 3'. Bond:l., N/S North Rd., Oreenport, L,I.~ ~ ~ ~ " ~ Fi g e ' .~*c£~onr in:thefollowlng location; ! Basement Ist FI. ,ii nd . ~, Garage, Ou slcl ~, , Lot 1977 i ..... was examined on March 17, t ar~dfoutldtobe,lncon[phanceu, lt h the ~equiremenrs of £hiz Board. ,,,! i: FIXTURE FIXTURES RANGES OVENS EXHAUST FANS DRYERS OTHER APPARATUS: Paul Burns Town Harbor Lane Southold, N.Y, 11971 LIc#282E Per GENBEALD~ ~~MANAG This cert~flca~e must not be a~tered in any manner; return to the office of the Board i~ incorrect, tnspector$ racy be identified by the' credentials. INFORMATION - C.P.L. 100.15 FORM NO. 256 WILLIAMSON LAW BOOK CO., ROCHESTI~R, N. Y. 14609 ST, ATE OF NEW YORK : COUNTY OF .............................. ( nf rmatiau Defendant ...... ......... .......... . I xf_ ([, , ........... ~.~ ........... ~:.~ ....................................... , by this information makes written accusation as follows: That ..... ~~___.~___~.~_ ........................................... on t he._J.~... day of.~2.._, 9..~.~., at ..~.~_~?~.~.~._(~.~5.fl)_ ............................... in the..~ ....... ~..~.._. of ___~] ....................................... , County of....~~ ............................................................... ,New York, did commit the offense o~..~~....~ ..... ~~.....~.....~~. .... ~ a (r2;~aa~a~i-) (violation) in violation of Seetion~:~..~.%..~.~..Z.~.~_~_.~._]..oi the ~ ~.~.~ of the State of New York, in that ~he did, at the aforesaid time and place' JJ~ ~ount O~e: ~ ~ ~-~ ~~ ~~ ~ f~ ~/s upon which this inform~a~ion is based are as follows: The foeegoing factual allegations are based upon personal knowledge of the complainant (and upon ~nformation 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 ....... Compl~nant Name Title or Office *set forth statutory language constituting the offense **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, l hereby affirm that the foregoing statements of facts are true, under penalty of perjury, this day pl. 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) STATE OF NEB' YORK : COUNTY OF.....S..U_~X.O.I,.,5. ..................................................... ........ .J._U_.S_ _T._I. _C_E_ _. C 0 U R T ..... ~O_k/l/ ............ OF ....... S_(~Ttq'~OLD ......................................... ~J.u' ~apD jif II!r' ~lalr' -f ~t%u ~ark 1 Charles J. Bondi ~ ..................................................... ..... ..... .! .... 2{o~ta ra /~rx~z_,.__Bnild ~ ng Tn sper~oaz ....................... -' ..... ~ ..... residing __~_q~_k_~._.gx_~..~k_i~:i~ta.,_.._S_9_g_t_bp_~_d_.,___~_e__w___Y__o_r_~ ................... , by this information mak written accusation as follows: T h at __ ___Qb_a_ _r. 3-_ _e. _~._ J.~__ l~ncti .......................................................... on t he__~_8_t_.i aa:' of._q_a_.n__a._a._r~L. 19___7_3 ....... at ..... .6._8__X..7.5__C_a._2_7____t.E_°._r__%.h..A°-.a--d-)- ................................ outside the (Location) in-d~ e _ _ _i__n_ _c_ _o_ E E R E _a_ _t_9. _d_ _ _ _a_r_9._/k .. _ of ..... _G_ _r _ _e..e..n. E _o_ .r_ _t_ .................................................. County' of ..... _S_u__f._f_9._l..k_ .............................................................................. ,New York, d commit the offense ~f~-~-.a--i-~--i.-n~--~-~-~-.~--b-~.a-~.n.~.-a--~-.e-~-k--~-~-g--~¢~2~a~a~ ........... for an accessor~f building_ and addition to existin~ h~k].~t~kg .......... a (~s&~oano¢) (violation) in violation of Section __AIZK.,__.X.LV_,_..Sec-.-ZIM1---L4.~--.~.-L]..)-of t Chapter 100..of e.h~ode ,o./~~ t%e ,Tow~ og ,~oq~hold. __..:..-_-.l_-__-.:-__-__-_-__-..-L-a'p,'-ot-it~e-~t'it'l-e-oiq~4e~v m that [sjne mo, at the aforesaid time and plae. C0unt0ne: The defendant has failed to secure the required Certificate of Occupancy. Thefactsupon whichthislnformationisbasedareas ~llows: Through a contractor, the defendant obtained Building Permits $7309g and $7310Z and built an accessory building and an addition to an existing building. Although he was notified by mail to do so, he has failed to.obtain a Certificate of Occupancy for either building. Where[ore, Complainant prays that__..C__h.a_.r._.l.e._$__J_,__Bandi ......................................... be dealt with pursuant to law. *'Subscribed and Sworn to before me on Complainant Howard Terry, Building Inspector Name Town Justice ...................... Title or Office *set forth statutory language constituting the offense The foregoing factual allegations o,e based upon personal knowledge of the complainant (and upon informo and belief, the sources of complainants information and belief being, $¥herefore, Complainant prays that_ ............................................................................ be dealt with pursuant to law. **Subscribed and Sworn to before me on ........................................................ , 19 ....... Complainant 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 o[. 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) T .) GOTT W CL~,K~ OFFI~ Examined ............. ;i'..~. ............ , 19..?...~ '~ ,,cation No. w~...~.~...~.. ................ pra ed ............ .7.. ........ , Disappraved a/c ..... .~ .................................................. APPLICATION FOR BUILDING PERMIT '~. Oote ............. INSTRUCTIONS ng~ a. This epplicotion must be completely filled in by typewriter ac, in ink and submitted in triplicate to the Buildi Inspector, with 3. ~ of pla~, accurate plot plan to ~¢ale. Fee according to ~chedule. b. Plot p. la.n sho~. ing location Of lot and of buildings on premises, relationship to adjoining premises or pub c streets or ~_~ areas, aha gwmg a detailed description of layout otpraperty 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 c~f Occupancy shall have been granted by the Building Inspector. B .A.P. PLI ,CATION IS HEREBY MADE to the Building Department for the issuance of a Building Perm t pursuant to the ui[aing :one 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 building~ for inspections. //~gnature of applicant, or nam~if a co~.,oration) "' St, (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................ ........... ..................................................................................... ....... Name of owner of premises If applicant is a corporate, signature of duly authorizjKI officer. (Name and title of corporate officer) ~'~'/ /I Builder's License No ..................................................... ~'~/0 ~ Plumber's License No ................................................. [l~trician~s License No ............................................. Other T rade's License No ............................................... ~.../~...~..E~...~...~) ...~.....~..~L.~ot .....~.., Locat'on of and on wh ch k w be done _Map No No . . ': ................................ ............ Street and Number ... ~....~:..~. ....... ~~..~~ .................... Municlpallty State existing use and occupancy of premises and intended use add occupancy of proposed construction: o. Exisiting use and occupancy ..... ~.....'...~.2/..,~..~,~:./...(.~.. ........ ......................... ~ .................................. b. ntended use and occupancy ................... .~.~.--.~...~..,,,~, ...../~..~ .......... l.....,~..,,~,,, ./~..... ~...~.' "~llature of work (check which applicable): New'Building .................. Addition ...~... ........Alteration ............ ~ Repair .................. Removal .................. Demolition .................... Other Work ...................................................... (Description) ............. ~ ............ :....::.: .......... ~ee' ...!..~....'.~ ..................................................................... 4. Estimated Cost 'l~c (to be paid on filing this application), 5. If dwelling, number of dwelling units .J. ...................... Number of dwelling units on each floor ........................... If garage, number of cars ............. /i....~.~ ....... J~...,.~...~..../~.//~..~.......; .................................. i ............. ~....~..~ .... 6. If business, commercial or mix~ Occupancy, specify nature aha ~xtent of e~ch ~Pe of use ................ ....... ~.~ ri .............................................. : .......... ~ ......... Dimensions of same structure with olteratioos or additions: Front: ........... ~. ....................... Rear ............................ Depth ........ Z..~.~ ............. Height ....~...~. ............. Number of Stories ........ ~. .................... 8. Dimensions of ~ntire new construction: Front ........ J.~.~ .................... Rear ........ Z.~.~ .........D~th ........................ Height .....~. ........... Number of Stories ......... ~ .......................................................................................................... '~. S~ze o~ ~ot: F~t ........... /..~.e.................................. Rear ............. l..t.~.................. Depth ................................ 10. Date of Purchase ........................................................ Name of Fo~er ~ner ........................................................ 11. Zone or use district in which premises are situated ....................................................... ~.~ .................................... 12. D~s.?~osed construction violate any zoning law, ordinance or regulation: ......... ~ ......................................... ..._..~ 13. Will 10t be regrad~ ............................ Will ~xcess fill.be remov~f~ pr~i~: ( ) Y~ _~ (~No 14. Name of ~ner of remises ~[~ ~[ A~' ~ '~~ ~ ~~ Name Of Architect ............ ~ ............................................... A~re~ ............................... ~h~ No ....................... Name 0f Contractor¢...~ ~. ~ A~re, . ~ ~.~ ............................................... ~ ......... ~ho~ No. PLOT DIAG~M ~ate clearly and di~inctly all buildings, whether existing or proposed, a~ indicate all ~t~k dimensions from prope~ lines. Give strut and block number or description ~ccording to de~, and show street nam~ and indicate ~ther interior or corner lot. I'z/o STATE OF NE~/j~'~'~, / COUNTY O~ ....... ~'~ ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contracf) above named., 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 that the work wi~l..be performed in the manner set forth in the application filed therewith. ~' ........ ....... . No 52 034~.963 Suffolk Coun~.~l[~' C~mmission Expires M~rch