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Home My WebLink About7310-zFOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z7~82 ...... Date ........... THIS CERTIFIES that the building located at ...No~'th. Road ............. Street Map No.. Xx ........ Block No... x~- ..... Lot No..-xx.. Gi'®®nport...N,¥., ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ,Tune...7 19. ?~,. pursuant to which Building Permit N~O~... dated ............ ~TVm. m.m.m.m.m.m.m.m_~.. 9~ ·., 19. ~1~, 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.~$vate .mm..f. ma.t.l.y, dwellZng, wSth. &dd~.~-oa. & .l~t. ~ai'age ...... The certificate is issued to .. Char].®, .kD_d~ ..... 0w~eF ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .lloRo .............................. UNDERWRITERS CERTIFICATE No. N.~2.~8~2... Mai'.. ~l.. $977 ................. HOUSE NUMBER ...~8.~.~.~ ..... Street ... C,R,..L~.. (.North .Road .............. -N0~I~- Stops. to .be. ~n~.~hed. by -ownei' ..................................... I~'OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7310 Z Permission is hereby granted to: .................................................. ............... ~me~ ....... I..t.........'l :l.'/a& ........... at premises located at ...~.A~J..~.JJI~J~..JJ#I~ ....... IJl~J~.,J .................................................................. pursuant to application dated ......................el"J.....Jl ................ , 19~...., and approved by the Building Inspector. Fee ~.~..e....(~... ............ Building Inspector FORM NO. ~ TOWN OF SOUTHOLD ~ Building Deportment Towe 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 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 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 Building ................ Addition ......./........ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ....... ~.~.~./~...../~..O....~...[/5(7. ....... ~,,.0..Z~-.......~.. ................................................................ Owner Or Owners Of Property ..... 0...~.../~,~[~:/~'~i-.~' ....... ...... ,~.O..~..~.../.. .............................................. Subdivision ...................................................... r..v....Lot No ............. Block No ............. House No ............. Permit No. ~"~"O~"'~'"'~l'~atZ'~e------.rDOf Permit ..~....~.././.z~'.~'~/'7/"/..~//.~./~..~..Applicant ................................................................../([/~ Health Dept. Approval ...... '/~"'"1'"'~:~"~" D Labor Dept Approval /v '~- Underwriters Approval .~.....~.~...~.~ ............D..~..~...7. P alnnign Board Approval .......ff... ............................. Request For Temporary Certificate ........................................ FinQl Certificate ..... ~ ................................ Fee Submitted $ .~.. ......... :.. .................. Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me t~his .............. .{day~~ of ..... // THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY , ~ , SE JOHN STREET. NEW YORK, NEW YORK 10038 : i; ,4p Il( No. on file ' ~, ' ' :: ~': "~, N "= 329842 Charles J. Bondi, N/S North Rd., Greenport, L,I., : ' wo~examl.edon March 17, 1977 ' '~ndfo~.d~obei. comptioncewlth~her~qulrementsofthi~Board, OTHER APPARATU$~ PER ~ E R I E Paul Burns Town Harbor Lane Southold, N.Y. 11~71 Lic#282E This certificate must not be a,tered in any monner; return t~y _he' cr~ ACCUSATORY INSTRUMI~NT INFORMATION - GENERAL C.P.L. 100.15 FORM NO. 256 WILLIAM$ON LAW BOOK CO.. ROCHESTER. N. y. 14609 $.~ATE OF NEW YORK : COUNTY OF.....~..(-::'~... ....... ~ ............................... ~ ~l~e ~aple af ll~ ~tat~ of ~em ~ark Defendant a.~_.~. ~~ ~~.-~ , residing at ...... ......... .......................... ......................... ........... ~_.~ ........... .~__:~.~./..'. ....................................... , by this information makes written accusation as follows: That ..... ~.~.....~___~.~. .......................................... , on t he._.~.~_.. a~y o,.~.._ ~t,~z~ ~ -- ~7i:,,~~'- 9_.2.7__, =, ~Z.~.2' g ~.7 (~ ~2.~J ................................ , commit the offense~ro[_..~~....~ ..... ~~.....~.....~~- ..... ......... ~.~_~. .................................................................................... ~ ~tviolation inviolationofSection~ ~c.~O~ /~ ~ ~ ofthe a (~iiC~ii~l ~ ) ........... ~ ................................. ~.~.~~ o~ ~e ~e o, ~e~ ~or~, 'n ~ ~e ~, a~ ~e ~,o~e~a~ t'me ~n~ ,la~e' - The facts upon which this information is based are as [ollows: 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 **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 Compl~nant 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 ...................................................................................................... bas been posted with Complete above only if appearance ticket has been issued) ST^TE OF NEB' YORK : COUNTY OF_._.S_g'XXDX4~. ..................................................... ........ ~_g__S.T. _~_ _c~._ C 0 U R T ..... ~_O.~xI. ............ 0 F ....... &OJ.? T-m .T..& ......................................... ~br ~rnplr nf tl!r ~talr af t~rm ~nrk ~ t/ 3nf rmatim Charles J. Bondi J ..................................................... F;?;;-d' ;;i ......... ~ ..... 2imam rd ff~r~.__BnilM ing Tn spmato~ ...................... --'-----~- .... reslding ._.g_g_q_k_~..v___gX.~_~]c__l~lriua~____S__o_g_~.h__o__l__d_.~___N_~__¥9~ ................... , by this information mak written accusation as follows: T h a t _ _ ___C_ _h__ax_l_ .e. _$__~,L,__ 13clncli .......................................................... on da.*' oL_.J__a_.n__u__a._rX.. 19___7_.7_ ....... at ..... _6__8..1.?.5__C_.R__2_.7___.(_.N_°..r_-t.-h..-Z39-.a--d-)- ................................ outside the (Location) i-n-'t.h e _ _ _i__n_ ~_o_ ~ ~ ~ _ir_ .a_~_?_ _d. _ _ _a_ _~_o, ..... o[ ..... _G_ ~ .e..e_ _n_R _q _K_t ................................................... CounD of Suffolk ,New York, d commit the offense of -~--a-;.-~-i~.n9~~.L--~-~-~.b-~L-a~-i-~.~---a-~-C--e-X~L-~i--.~--q~.~-~Q~D~Ra~. .......... for an accessor~f building_ and addition to existing J~k~(LizLg .......... a (-misgk~r~e, an~r) (violation) in violation of Section __Alak.__jK.I.V_,_.~-__iliI~--A-I-i-..~.-Li-I of t Chapter 100. of the Code of the Towq o~ ,~oq~hold. __.-__-__-.~_-__~_-__-__-_-__~.-L-a~.~f-th~.gt-tif~-ehc-~-Y~T m mat ts)ne ale, at the aforesaid time and plae. Count One: The defendant has failed to secure the required Certificate of Occupancy. Thefactsupon whichthisinformatlonisbasedareas ~llows: Through a contractor, the defendant obtained Building Permits #7309Z 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. B'here[ore, Complainant prays thaL__-C_-h-a-X--1-e--$;-J----Bflndi .......................................... be dealt with pursuant to law. '"Subscribed and Sworn to before me on Howard Terry, Complainant Building Inspector Town Justice .................... Title or Office *set forth statutory language constituting the offense The foeegoing factual allegations ore based upon personal knowledge of the complainant (and upon informa and beJlef, 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 Title or Office *set fo~h 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 loregoing instrument are punishable as a Class A misdemeanor pursuant to section 210.45 of the Penal Law. Accordingly and with notice of the foregoing, ! 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 only if appearance ticket has been issued) I TOWN CLERK'S OFFICE Examined 19..?... "~~plication No. ~ ~ t' 0 Approved 19..Z.~Permit No....~.......~....._~..../..e ~ ~S~a~t~.~----, APPLICATION FOR BUILDIHG PERMIT INSTRUCTIONS Buildt~ a. This ppPlicotion must be completely filled in by typewriter ac. in ink and submitted in triplicate to the Inspector, with 3. ~ of plans, accurate plot plan to scale. Fee aocordt~g to schedule. b. Plot plan showing location Of lot and of buildings on premises, relationship to adjoining premises or public streets at areas, and giving a detailed description of layout ofpraperty 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 o'f 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 Southold, Suffolk County, New York, and other ppplicable Laws; .Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as here,n 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 necess~ Inspections. .... ~';f applicant, or nam,~if a ca.,r~'l~'i~i ........ ....... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................................... ........... ..................................................................................... : ....... Name of owner of premises ..,~,~,,,~..,,/~,,L,,~,,. ,~.. ...... ,'~,,,:....~,.~.,,~..47,,i ................................................................... If applicant is a corporate, signature of duly authoriz~l officer. · .) (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. ~,~ Other Trade's License No ................................................ i,~-- / ~"/~ -l~J' ~' Location of land on which proposed wai'k will be done./~M~p No.:~...~...~...~..~...~/....~.....~..~..e...~..,,,~.ot No ...... ~ ........... Street and Number .~..~..~. ...... ~.~..~...~.~.....~/~a...~..~. ........~'.~...~...~..~.....~..~ .................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... /..."~...%~'-~.~.Zy...~.....,~..~.....~..~.~... ............................................................ b. Intended use and occupancy ................... B.~.'~...~ ............ /~..~ .......... l .......................... ~,,~ O. , J3; "'l~lature of work (check which applicable): New 'Building ..: ............... Addition Repair .................. Removal .................. Demolition .................... Other Work ...................................................... '~'c~O-~'~::~ ~....; .......... Fee' /*o ~ (Description) 4. Estimated Cost ! $ ......................................... :: (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 c~rs ....i ........ /'.'..~..~..... ....... ~P...~..~...../~../..~..~.......,...i ........................................... 6. If business, commercial or mixed occupancy, specify nature an~l ~xtentof each type of use ................ ............ ri ............................................. ~ .......... r ........ Dimensions of sarape structure with olterotio~s or additions: Front ............ C.., .................. Rear ............................ Depth ........ /....'~... ............... Height ....~... .................. Nu~mber of Stories ........~.. .................... 8. Dimensions of ,entire new construction: Front ........ .L.~...~ .................... Rear ........ /...~....~.. ......... Depth ........................ Height .....~... ........... Number of Stories ......... / .......................................................................................................... 9. Size of lot: Front ........... /..,~,.,~, .................................. Rear ............. ~,.],.,~,, .................. Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 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 e~xcess fill.be removecLf, rom pr _e~ises: ( ) Ye~ 14. Name of Owner of remises ..~,_~...~...~.../..L'~...~..~..~/J,).~..[ Add~re~t...,~...:....~,..~/....~...~...,~..~/"~Nn Name bf Architect ............ ~ ................................................ Ac~_re~s .............................. Phone No. ...................... n r t ~ L~'r- Name of Cot ac or~...L~.. ........................................... ~ .....Address~'/~%,~,~ ......... Phone No...~....~ PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from propen'y lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. 3,wi STATE OF NEJ/J~"y~, ~' Icc: COUNTY O~ ....... fo'o ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 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 contoined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to~fc~e me this ~) /~ ~ ,.77' ............... (Signature ............. Notary Public, Stale of New yor{~ No, 52 0344963 Suffolk Cou3n~'-- Commission Expires March 30,