The URL can be used to link to this page

Home My WebLink About8090-z ~ ~0~F NO.4 ~I~ $OUIItOLD DEPARTME. NT Town Cl~k's ~ Sou~ol~ N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ...G:i.~lett~ .DF ............ Street Map No..I~. rl.o..~...14!~..q~lock No ........... Lot No.l.8. .... .~.~$~..~..~.l.o.~. ............. conforms substantially to the Application for Building Permit heretofore filed in ~is office dated ..............$~...6, 1~... pursuant to which B~ding Permit No. / dated ......... .~.l~.t ..... 6 .... , 19~..., was issued, and co~forms to all of the require- ments of the applicable provisions of the law. The occupancy for which thi.~ certificate is ~ued is..~r.i.?,.t.,..o..~...t..a~. ~:~. ~.v.,.~.~. g....$.~...~...a.d.d. $.t.~.o.a. .................. The certificate is issued to .ff..o~.~.D .h..&..E..].~[,~1~..~., ,~. ~,o. .... . .0~...~.l'.~. .............. (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval ~..,.R.,. ............................... U~DERWRITERS CERTIFICATE No. t..1.9.113~ ...... . .~.. 3~...!~.~. ............. HOUSE NUMBER..~..~.. ....... S~reet. ~ .~..X.,.t.~.,...D~ ........................... Building Inspector 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? 8090 Z Permission is hereby granted to: ............. · qm~ho:Ld.... ~.,:~ ........................ , ........ ~o ....~h~,~L~i.. ~le~ .. ~//a~/~lag...~o~ ~ ...pa.t;l~. · &...~.~ .~g ........................................................ at premises located at .~,~0~;...~....~'.~0~'~..~,~0,~'.:,,.: ..................................................................... ................................................... ~a~e~...~a.~,/.on-. ..~.~ .......... : ......................................................... pursuant to application dated ....................... ~1.~' ....... ~.....L...., 19..~.~., and approved by the [~uJldJng Inspector. Fee $~ ,~,,0,0 ............ FORM NO. $ TOWN OF SOUTHOLD , Building Deportment Town Clerks Office $ou~hold, 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: l. Final survey of property with accurate location of all buildings, property lines, streets, end 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 end 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 ]957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual naturot 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 o 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 $].00 ~.~..-.,~.,~,z~ ~,..~/-~ ~ ~: ~_. · .............................................. New Building ......f.x.. ...... Addition .............. :, Old or Pre-existing Building ................ Vacant Land .............. , · - Location Of Propert Owner Or Owners Of Property ................................................. Subdiv,sion ...................... Lot No. B,oc No ............. House No ............. Permit No. ~,~¢., ~-J-- Date Of Perm,t ~'<.~; .~....Z~.~.Appl,cont, .................. ,. .......... :¢~,~.~.~..~/~r ............... Health Dept. Approval ................... ;z'. ..................... Labor Dept. Approval .. .v.~ ........................... Underwriters Approval .............................................. Planning Board Approval .,...~.~.~..-~.~...~.. .................... Request For Temporary Certificate ........................................ Final Certificate ....... ..~...~'~i'. .......................... Fee Submitted $ ...6~.....~..~ .................... Construction on above described building and permit meets al applicable codes and regulations '~. , , ~ ~.. ~._...-"' . ' / ~,~ ~/~ Sworn to before me this Notary Public ......../~7~.~ ...... County (stamp or seol)~0z' ~ ~'/~ (~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ T~r 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES '~HAT ~ly ~ke electrical equlpmen~ as d~scrlbed below and introduced by the applicant name~d on the above application number in th~ premises of Joseph Busso, w/s Gillette Dr. 300'n/o Midland Pl., East Marion, L.I. in the yollowlng locatlon; [] Basement [] 1st FI. [] £nd Fl, O t side Section . mo¢~ ro~ ,~,.,e~a..i-~o. ~u~y 28, 1975 andfoundtobeincompliance~ci~htherequ~rernentsofthisBoard. RXTORE FIXTURES RANGES OVENS DISH WASHERS EXNAUST FANS OUTLETS SWITCHES FLUORESCENT SYSTEMS NO. OF FEET E OTHER APPARATUS: E R 'V I C (Swimming Pool) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. Ele ct rician GENERAL MANAGER Mattituck, L.I. /'j~' (~ This certificate must not be oJfered in any manner; return fo the office of the Board Jf incorrect. Inspectors may J~e Jdenf;fied by their credenfJaJs. ACCUSATORY tNSTRUMENT iNFORMATiON - GENERAL C P,L. 100.15 FORM NO. 256 %~LLiAMSON LAW BOOK CO., ROCH[-$1[~ ~ Y ]~C STA~'E OF NE~ YORK : COUNT~ OF~._S..u._f..f._°.l__k._ .................................................... .... auagi~e ..... COURT ...... _T__°.ED ............. OF ..... _S_9_ _u_ _t_ .h_o_ .1..d. ............................................ ' - -J' -°--s- 'e- ]~-h' ' ' 'B' 'u' 's' -s-9 .................................................... Defe,d~nt ' ..... .H_o__w__a~ _r_O._.T_~XXN.~ ..J~ lli 1/[~-~g_ _ J2a~ u %o.~ ........................... _'_ .......... residing ~-J-9--q~k-.e~---C.-r-e--e-.~-.D--r--i-.v~-e-.~--S--~--u--t.h--~--~-~d~`.N.-e.-w-~--Y~-~.k-~ .............. =__, by this information mak written accusation as follows: T h a t. _ _ _ _J_9_ _s_gR..13_ _ .B_ .u_ _s_ .s_ .q .................................................................... on t he .Lg.'ck. (Location) in the Hamlet el East Marion County of ......S__u__f._f. 9..l_.k_ ............................................................................... ,New York, d commit the offense of___o_g.g__ulpAL~.n_g~.g_o.~[~_oX.y...~.gXll~_titu2a..izkf2aoJ&~-.nb~ai~ ..... the res~uired Certificate of Occul2an_cfE. ............................... a O~i~6t~'m,m) (violation) in violation of Section .__A__r__t__._..$_I_V_,__,S~..__3.1/ll_=L~_~L2k__~3_~ of t~ Cha~ter 100.of th~ Code Dg t~e,Towl~ of ,Sou~hold ___'C_-__-____-__-__-.7._-._-._-.-b-aw-o'l-tn'e'tst-ate-~-l~'~a~m, in that 4>cone am, attne aforesaid time and plac~ C0unt0ne: The defendant is occupying the swimming pool located on his property without a Certificate of Occupancy. The factsuponwhlchthisin[ormatlonishasedareas [011mvs: Building Permit #8090Z, dated July 22, 1975, was issued to Joseph Busso, through a contractor, giving him per- mission to construct a swimming pool. Although he has been notified by mail, he has failed to obtain a Certi- ficiate of Occupancy for the pool. Wherefore, Complainant prays that.._-J.°---s.a--p--h-:--B--u--s--s-°- ................................................... be dealt with 'pursuant to law. **Subscribed and Sworn to before me on Compl ainant Howard Terry, Building Inspector Title or Office *set forth statutory language constituting the offense The foregoing factual ollegat;ons care bnsed upon personal knowledge of the complainant (and upon informal' and belief, the sources of complainants information and belief being, ACCUSATORY INSTRUMENT iNFORMATION ]- GENERAL C.P.L. 100.15 FORM NO. 256 WJLLIAMBON LAW BOOK CO,, ROCHESTER, N. Y. 14609 wIyo. : counTY ~1~ ~r~FI~ ~f tl~r ~late nf ~em ~rk ~ ~a~.~ ~ ~nf~rmatim~ ..... ~.~.ff...'.~~ ............... ~.~,..~....., residing at ~~ ~. ............. , by th~s reformat,on makes written accu~ion as follows: day of~ ........ ~ .... a t _...~_~~.ff~:: ,.,.~ ....... h~~~= .......... o, ..... :~ ..................... ~ ................................. , County of ..... ~~ ................................................................. ~Ncw York, did commit the offenseS--of _...'--.__'._--..''...--,.' ............ ....... ~...~.~..~.~. .................................................................................. a ~ (violation)in violation of Section ~.~ the State of New York, in that ~e did, at the aforesaid time and place* The facts upon which this information is based are as follows: The foregoing factual allegations ore based upon personal knowledge of the complainant (and upon information and belief, the sources of complainants information and belief being, ql.[~ polsod uooq snq ...................................................................................................... ]o mnomn oql u! I!nq pun ......... 6I ' ........................................................... ]o ~q} ua lJnoo s!ql moJ~q ~uodde o~ ...................................................................................... p!es oql ~u!;aa~!p ' ..................................................................................................... ................................................................... ua u!o~oq panss! uooq seq lo>Ia!] oaumeadde uv 1~mu!u IclmoD p 'Jmd '[ 'pqns 'O~'OOI u°!l'~°S ~Id;3 al munsmd aa!loN pue uo!ld!JosqnS X[I uo!lna!l?oA,. oo!JJ0 ~o ;u~u!~Idmoo " ..... 6I ' ........................................................ ua om oJo}oq al uJo~aS pun poq!Josqns,~ · ta~I al luv, nsJnd ql!A~ qeop oq ............................................................................. luql s~md lueu?ldmo3 'mojoaoq~t. TOWN OF SOUTHOLD BUILDING DEf'ARTMENT ~~~~' ~amin~19...~ Applicati~ No. ~.~. ............. ....................................... , ........ ::::::::::::::::::::::::::::::::::: ................... o. ~i~ ~lic~tion mu~t ~ compl~t~l~ fill~ in b~ ~ewritor o~ in ink ~nd ~mi~ Insp~tor, with 3 ~ts of plans, accurate pl~ plan ~ ~le. Fee acco~ing to sch~ule. b. Plot plan shying I~afion of lot and of buildings ~ premises, relationship to odjoini~ premises or public streets areas, and givi~ a detail~ description of layo~ ofpr~e~ must be drawn on the diagram which is c. ~e work c~ered by this application may n~ be commenc~ ~fore issuance of Building Permit. d. Upon approval of this application, the Building Insp~tor will issue a Building Permit to the applicant. Such pe~it shall be kept ~ the premises available for insp~tion thr~ghout the work. e. No building shall be ~cupied or used Jn whole or in pa~ for any pu~ose whoever until a Ce~ificate of ~cupanw~ shall hove been granted ~ the Building Insp~tor. APPLI~TION IS HEREBY ~DE to the Building Depa~ment for the issuance of a Building Pe~it pu~uant to the Building Z~e Ordinance of the Town of ~uthold, Suffolk County, New York, and other applicable Laws, Ordinanc~ or Regulations, for the constru~ion of buildings, additi~s or alterati~s, or for removal or demoliti~, as herein described. ~e applicant agrees to comply with all applicable I~s, ordinances, building c~, h~sJ~ c~e, and regulati~s, a~ to admit authorized inspecto~ on premises and in buildi~ for n~es~ i~tions. (Signature of applicant, or name, if a'corP°ratlon) //O "~ - ~"~ ................. (^~l~ress of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician~ plumber or builder. ......................................................... : ........................................................ Name of owner 0f Premlses-~ ....... ~. ~.......~. ~..~,~'/~ ...................................................................................................... If applicant is a corporate, sig~a~'e~ '/// ' -~of duly authorized officer. y ......... (Name and tire of c~'~'l]~'~'~i;:';'~ ........ ~ Builder's, License No ..................................................... ~ Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which propgs,,ed work will be-done. Map No.: ...... ~.....¢?~...~.....; .......... Lot No. ,../..~.. ............ Street and Number .......... ~.~.'..~_.~.~...Z~'....' .~.~,<'.~..~.~ ........ ~,.,~.~./' ~-~ .. ........................ .................. .... Municipality State existing use and occupancy of premises and intended use and occupancy c~f~oosed construction: a. Exisiting use and occupancy ...i ........... ~....... ~'~ · .~. ·....xZ .~..~/~_~.....i ,~'~...~.,r ................................. b. Intended'u;, and oc'cupanC~t ..:..,..:'......;i.;,.~Z...~.~'/~,~/~/~......'.~,.~Z.: -.~--~.~i...~.... ........... Repair .................. I~emoval .................. Demolitior. .............. '...'~ Other Work ..,~¢~..~~...,:..~'~' '~J' ~"~ ' .... 4. Estimated Cost ....... ...c~..t.... ~)~..........~. Fee ~. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .....~..~.4~..~_, ....... Number of dwelling units on each floor ............................ /~/~,./~_~ .... If garage, number of c. ors ........................................................................... ; .................... : ............................................ 6. If bbsiness, commercial or mixed occupancy, specify nature and extent Of each type of use ZI~..~...~...~ 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 ................................ I-Je, Lght ............................ Number of Stories ................................ 8. D~mens~ons of ent,re new co,~t.r-uetAe~: Front .................. ~..1~ ......... Rear ...-~..~. ................ Depth ...~...~... ............. Height .................... Number of Stories .................................................... .: .......................................................... 9. Size of lot: Front .................. .~...~....O.. ........................... Rear .......... .~.....O~. ...................... Depth ...... .~...~....0. ................ Dote of Purchase' ...::...~...~...~....~.. ................................ Name of Forrr~r ,O~,?,elr ....... ~ .................................. 10. 11'. Zone or use district in which premises are situated .....~J/,~.....~.../.~.../...~..~.. ......................................................... 12. Does proposed construction v. iolate any zoning law, ordinance or regulation: ...... 13. Will lot be regrod~d . ...... .~..~..~. ........ ~/il] excess fill be removed from premises: (~es ( ) No premises ....~....O~..~...../~....~.,~.~ ...... Address ...~'/~.~.~'/~4~...~.~hone No ...................... .. 14. Name Owner Name of Architect .............................. . ............................... Address ............................... i Phone No ....................... Name of Contracto;~.~...~...~..~..~....~..'~.....~... ....... Address ... ".~.~Z.~..'. 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 whet'her interior or corner lot. STATE OF NE'W YORK, ~/ / ' COUNTY OF_,.--,. ............... ~,~.~...A~'~/,..~' , : ........... ~"~'~./~-~/./~~ ................... being duly sworn, deposes and soys that- he ;s the applicant ~"~F',lame of individual/~igni~g c~/'ntroc~ ' - . : - He the ....................... .................................... : ..................... t ......................... . _: (Contractor, agent, corporate officer, etc:) of ~aid owner or owners, and is' duly authorized to perform or- have performed the' said wo~k and,'~' make and file this application; that all statements contained in this application are true to the best of his know/16dge~and belief; and thor the work will be performed iry~e manner set forth in the application filed therewith. Sworn to before me this / I ~ ' ~ ~ / / · .............. of ........... .,-. ,._ ............ . . . ........, .. . .C./, '