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Home My WebLink About10477-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N.Y, Certificate Of Occupancy No.. Z 1.1.013. - - Date ...... May. 2~ ................. ,19 82. THIS CERTIFIES that the budding ................................................ Location of Property . .8.65 ................. O.o. tlr~ .tl'3: .~..u.b..D..~.iy.e. ....... Cu.t.chogu.e. House No. Street Ham/et County Tax Map No. 1000 Section ...1.09 ...... Block . 03 ............ Lot .. p.O.?:; .O~.0. ...... Subdiwsion...Coun.tx'.y. CJ..~tb. Ee.t. ltt, e~ ..... Filed Map No. 6.7.3,6...Lot No..9 ........... conforms substantially to the Application for Bmlding Permit heretofore filed in this office dated ·.. O~.tobor..~t~ ...... ,19 7.9. pursuant to which Building Permit No...1067.?..g ........... dated ... No.verabeJe.. 16 ............ 197/9., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...... a. pray.* .~.e..O~.x~g.~a..m.i.l.y.. ¢ .wg.l. 1' ,i .rig... ...................................... The certificate is issued to . 5:lowe. r.. Hi.L1. Build Slag .C 9ICP. .... .( .T.a.x...~9.1.1. ;.. ,C.o.u..n~.~.~.. (owner, l~a~r, te~o~t~ / C~b Estates). of the aforesazd building. Suffolk County Department of Health Approval . .9.-. g 0.-3.Q6 ,..1.Z/..4/.8.Q, . .R.o?. t.... 3.:..V.i.l.l.a., UNDERWRITERS CERTIFICATE NO ...... M. ~.9.36.63 ................................... Rev. 1/81 Building Inspector FOKM NO. 2 TOWN OF 50UTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMit MUST Bt KEPT ON THE P~,EM~$ES UNTIL FULL COMPLETION OF THE WORK AU"FHORIZED) N? 10477 Z Permission is hereby granted to: tO "7 ........ '~' ............ ,' , - ~.~.e.<~c~....C.~.~.~...~(z~.~...,= .............. ~.~..~.~ ..................................... pursuant to application dated ~r~ZJ~....~.~ .................. 19~.~.., and approved by the Building Inspector. Fee ,.I...5..Z....~ .... '"~g Inspecto'r' ....................... FORM NO. 6 TOWN OF $OUTI~OLD Building Del~z~tment Town Clerks Office $outhold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the fallowing; 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 dispcsol--(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: 1. Certrhcate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or ~and use 3. Copy of certificate of occupancy $1.00 $5.00 Date 2/17/82 New Building ..... Y~ ............. Old or Pre-existing Building ............................ Vacant Land ............................ /T- · Location Of Prope~rf~ .~.~.`./..S~`.C..~..u~.n..1:..r..y.~.C.]~.u..b.~.D..r.!~.v..e.~.E../..~.~.~..~.~.r.e.~.~.L~.~.~.~L~?.~!.~!!~.~!. Owner Or Owners Of Property .....F.].9..w..e.,r....H.!..l..J....B..u.]..!.d..j..n..g..,C.,,°..rP..°.?,.~..!~.g. .................................................. Subdivision ..C..o..u.n..t;..r.¥....C.]..u.~.....E..s..~.,a..~..e..s. ...................... Lot No. ,.~. ......... Block No ............. House No ............. Permit No. J.(~/,~.~...Z ...... Date Of Permit ..1J.J..t~/.~9..Applicant .... EL~.e~r...~L].]...~..~j..1..cJ.i.[lg...q.o..r.p.9.r,.a.~.i.2n Health Dept. Approval .,]..Z,(.~./..8.9.....(~,~.~,5.0.~..1..0.~ ...... Labor Dept. Approval ................................................ Underwriters Approval ..~./.].7./.~Q..~.~/.~ ............ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......... .X. .............................. Fee Submitted $ 5.fid ............................ Construction on above described building and~ all applicable codes and regulations. Applicant ..£.~.].~~fl~j;ill/~/-""'~ ............ Sworn to before me this T~~ ,~.... day of ...~. ....... /~.~ .............. (stamp or seal) Nota~ Publ~..~.~ ................ County ~o~R'~ ~rr~l ~ FIEL~ INSPECTION COMMENTS FOUNDATION FOUNDATION 2. (2nd) ROUGHFRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY cope 4. FINAL ADDITIONAL COMMENT,S,,: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 February 19, 1982 Mr. Thomas E. Uhl Flower Hill Building Corp. 8243 Jericho Turnpike Woodbury, N.Y. 11797 Dear Mr. Uhl: We are in receipt of your application (in triplicate) and fee for Certificate of Occupancy. The New York Board of Fire Underwriters Certificate and Suffolk County Health Department approval have also been entered in your file. However~ before a Certificate of Occupancy can be issued, a final inspection of the property must be made by a building inspector. Please contact us with information as to access to the dwelling. A key may be made available to us or an appointment to meet someone at the property may be arranged, whichever is convenient for you. Flease call or write when arrangements can be made. Thank you for your cooperation. Very truly yours~ Curtis W. Horton Building Inspector CWH:ec F]lower Bu ]d/ng Corporation 824::3 JERICHO TURNPIKE WOODBURY, L I , N. Y. 11797 February 18, 1982 Hr. :~urt Horton Town of Southold Building Department Town Clerk's Office Southold, ~1¥ 11971 Dear Enclosed please find application in triplicate for Certificate of Occupancy together with surYey sho~ing health dept. approval, unterwriters certificate and our check in amount $5.o0. If everythln3 is in order, I would appreciate it if you would forward the Certificate of Occupancy to us at the above address. Thanks again. Very truly yours, RPORATION TEU:cm Enclosures THE NEW YORK BOARD OF FIRE UNDERWRITERS ~- ~,~[ BUREAU OF ELECTRIGITY, 85 JOHN STREET, NEW YORK, NE~W YORK 10038 THIS CERTIFIES THAT - only the electrical equipment as described below and introduced by the a~pplicant nan~ed on the above ~pplication number itt the oremises o ~l~r ~ll ~,k~. ~rp,, ~/~ ~u~cry CZ~ Dr,, 1500' e/o ~r~ L~, ~ci~. ~,~'?~' in the following location; [] Base,nent ~[] 1st FI. FIXTURE FIXTURES OUTLETS SWITCHES NCANDESCE NT FLUORESCENT 26 ~6 DRYERS [] 2nd FI. Sectton Block and found to be in comphance wtth the require,nents of this Board, COOKING DECKS DISH WASHERS Lot OTHER APPARATUS. I-~14~ 4 ~4 SYSTEMS NO OF FEET S E R ,V I C E NO O~ERCC~.COND NO OF HI LEG A W O NO OF NEU?RA[S A W G OF HI-LEG OF NEUTRAL 4/0 ~ 2/0 P.~. }~x 143 G~NBEA[ ~ANAGER This certificate must not be altered In any ~anner; return to the office of the Board f nco~ecf Inspectoes ma be Menhfled TOWN OF SOUTHOLD OFFICE OF BUILD1NG INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 119'71 March 15, 1982 TEL. 765-I 802 Mr. Thomas E. Uhl Flower Hill Building Corp. 8243 Jericho Turnpike Woodbury, N.Y. 11797 Dear Mr. Uhl: Upon inspection of the dwelling located on Country Club Drive, I find I cannot xssue a Certificate of Occupancy until the following corrections have been made: 1. need three outside storm doors . ~__~. 2. insulate under stairs and platform up 3. weatherstrmp and saddle inside cellar door~L~~ cannot find fresh air vent for fireplace 5. weatherstrip and saddle door at top of stairs up [~--- 6. house is too close to grade approximateiy only three lnches, eight inches is needed between and dwelling some of the cellar vents are partially buried in ~ ~ ...... the ground 8. thimble holes in chimney in cellar need to be closed ~.~ Please advise us when the above has been completed. Any questions you may have--please call. Yours truly, CWH:ec Curtis W. Horton Building Inspector Ir'OH, MI NO. ! TOWN OF SOUT#OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, iq. Y. .............. ....... d: ........... , Disapproved a/c ~ . ...... '~ ~ {Buildin~ Inspector) D~t~ ,October 2~ 19J~ ........ INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector,, with 3 sets of plans, accurate plot plan to scale. Fee~ qccoFding tp~schedule,~ b . P at ~ an show ng o~at dn ~f[lat'clnd o~ buildings'od pr~ib~es', Ire'l'atto~{hi~ fo a~ljo n ng prem ses or pub c streets o areas, and g~ving a deta'lc~l ~l~crJptidn ~ ~y6ut ofproperty must be drawn on the d'ogram wh'ch is part of this app ication. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this apphcatiorL .the Building .Ir~spector wdt,~sue (~.Bulldlng iPermit to the applicant. Such permit shall be kept on the pr, e~n[si~s availdble ;~Oi~Fi~spection 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 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 Dthe~r applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, 6r for removal or demolition, os hi, rein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hou.~[~g code, and regulations, and to admit authorized inspectors on premisesr and in buildings ,for necessary inspectioi~s,--~(--/ "' · ~-' FL '~~0 RAT I ON ..........................,~,x-~,,,,/~~x~~.......p.l~F,,~.,., (Signature aT applicant, or name, if ~6 corporation) · J~2.~3..de:.icho...T~r~lJ~_,...~/oodbur..y.,..N.Y...1.1.7.~.7. ............. (Address of applicant) State whether applicant is owner, lessee, agent~ architect, engineer, general contractor, electrician, plbmber or builder· .............. W,rl,~.r...~.. ~.~.~.r..~.l ...~,m~J;r.a~,~r. .................................................................................................. ~ ............................. Name of owner~ ....... F..LI~WI~B..It.ILL..~I4i. U,IZIfiI.G...C0RR~gA.T.It~J..i ......................................................................... ~~~/~......... P.R.E S [DENT .................. ....... Builder's License No..1.~.6. .............................................. Plumber~ Licensie No.5~.7.P. .................................... ....... . .. ~ ,,-. Electrician's License No. ?~...~...'~.......~-.~ ..................... Other Tmde's License No ............................................... Location of land on which proposed work will be done. Map No.: .C~,:tt.c.y...C.I.ub..Es~t:esLot No ..... .~). ................. Street and Number ...... .C..o..~tl.t;.r.y....(;.l.~l~..~£.i.v.~,...¢.~tcbeg~_,..J~Y .............................................. i ............................ Municipality State existing use and occupancy of premises and intended use and occupan.c¥,o.f proP0~(~d, construction: a Exisiting use and occupancy ............ ~~ .......................................................................................... b Intended use and occupancy .R..e..s..[.d..~..t;.l.~.l...~.lAg.le..Ea~LLy..4~e,i.l.i~ ........................................................... ,) ,,[ ,. / 3. Nature of work (check whicF, applicable): New Building........,,......,..X Addition .......,.......,,. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................... I ~/,_~ .~,~ b-C] (Description) 4. Estimated Cost ....... ~ .6. .8. ~..0. .0. .0. :..0. .0. ................................. Fee ~. ..... : (to be paid on filing this application) 5. If dwelling, number of dwell,lng units ............................ Number of dwelling units on each floor ............................ If garage, number of cars .T.~Q .................................................................................................................................... 6. If business, commercial or Jmixed occupancy, specify nature and extent of each type of use ............................ 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 ................................ He,ight ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ..~2!...6![ ...................... ' " ' 6" Height .~.~[.~...~ ......... Numbe~ of Stories ....0..n..e. ............................................................................................................ 10. '~)ate of Purchase ..... '..].1~/'.1..[/7~ ................................. Name of Former Owner ...~.~ .................................................. 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ..... No ............................................... N ' 13. Will lot be regraded ........ .q.... .............. Will excess fill be removed from premises: ( ) Yes (X) No Nome of Architect ..............l ............................................... Address ................................ Phone No ....................... ~ PL.OT DIAGRAM ~oodbur¥, ~¥ !17~7 Lacate clearly and distinctly oll buildings~ whether existing or proposed, end indicate all set-lx~¢k dimensions from property Iihes. Give street and block number or description according to deed, end show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~'¢ COUNTY OF .N.B.~,LI ¢ '-' '-' (~e above named. He , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and file .this application; that all statement~ c~n~qipqd in ~his,.qppl~cg~on pre true, to the'best~is knowledge and belief; and that the work will be performed in the ~'anner set'fo~h in the' application filed~ Sworn to before me this ~ ~~/-x/~ ' -- Nota~ Public, .........~.~ ....... ~ ................. Coun~ .......................... ~~~-...~ ............. ~ ................... HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~ NEAREST WATER MAIN.'~.-MI -~ NSOURBE OF WATER~ PRIV&TE/~-.P~BUC__ I~ SUFF CO TAX MAP ~BT I000 SECTION JO$ BLOCK O) LOT 4.Dy J~THERE ARE NO DWELLINOS WITHIN lO0 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON I~ THE WATER SUPP~-Y AND SEWAGE D)SFO~AL SYSTEM FOR THIS RES10ENCE WILL CONFORM TO THE STANDARDS OF TRE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES APPLtCANT, ADDRESS TEL · = MONUMENT ~ TH~ LOEATK~I OF WELL(W), SEPTIC TANK(ST)a CESSPOOLS(CPI SHOWN HEREON ARE FROM FIELO OBSERVATIONS ~NO OR DATA O~TAINEO FROM OTHER S SURVEY FOR FLOWER HILL BUILDING CORN , ,, SEPT 1,9,/~80 LOT,9, MAP OF COUNTRY CLUB ESTATES" NOV 2 , 1979 AT CUTCHOGUE DATE OCT. 26, 1979 TOWN OF SOUTHOLD SCALE 1"=40' SUFFOLK COUNT,Y, NEW YORK NO. 79-624 I suRvE~ ~A ~IO~AT,O. bF SECT,OR ~OS O~ T.E I NEW YORK ~TAT[ EOucATION LAW ~COPI'ES~ THIS SURVEY NOT BEARING THE LAND NOT B~ C~N$1D[REO TO BE A VA~ID TRUE COPY AND ~ Ht~ BEHALF TO THE TITLE COMPANY~ GOV~N- t NST T~TI~ GUARANTIES ARE NOT TR~SFERABLE J / owners ~ m/ ]YOUNG a YOUNG ,i: mi HOWARD W YOUNG, LAND SURVEYOR '~ m) NY;S LICENSE NO 4589~ 400 OSTRANDE R AVENUE RIVERHEAD~ NEW YORK SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY APPROVED , ' .... HEALTH DEPARTMeNT~DATA FOUR APPROVAL TO CONSTRUCT N 1HE WATER SUPPt. Y AND SEWAGE DI$~ SYSTEM ~TM[S W~LL C~FO"N TO THE STANDARDS 0~ ADDR 4 JERICHO TURNPIKE _WOODBU___RY, L.I. N.Y. 117.§7 · = MONUMENT ~J = STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON ~ THE LO~ATK)N OF WELL(W),SEPTIC TANK(ST}B CESSPOOLS(CP) SHOWN HEREON ARE FROM FIELD OBSERVATIONS ANO OR DATA OBTAINED F~OM OTHERS suRVEY FOR FLOWER HILL BUILDING CORP. LOT 9, "MAP OP COUNTRY CLUB ESTATES" AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE 0C% 26, i979 SCALE 1"=40' NO. 79-624 R UHAUTMOR1ZEO ALTERATION OR AODITION TO ~HIS SUF~VEY~ ~S A VIOLATIQN OF SECTION 7209 OF THE NEW Y(~RK STATE EDUCATION LAW ~C~OPI~S OF THIS SURVEY NOT BEARING THE LAMO SURVEyON'S IRKED SEAL OR EMBOSSED SEAL SHALL NO~ BE CONSlDEREO~O BE A VALID TRUE COPY NGUAR~NTEES INDICATED HEREON SHALL RUN ONLY ~) THE PE~SON FOR WHOM THE SURVEy IS PREPARED AN{) ~HIS BEHALF ~0 THE TITLE COMPANY, GOVERN- owM E ~B YOUNG e, YOUNG ALDEN W YOUNG~PROFESSIONAL ENGINEER AND LAND SURVEYOR N ~S UCENSE NO ]284§ ~OWARD W YOUNG, LAND SURVEYOR N YS LICENSE NO 4§89~ 400 OSTRANOER AVENUE RIVERHEAD~ NEW YORK Model Home Country Club Ystates, LOc ~ 9 October 17, 1979 Design temperaoure InSide 700 F Outside 1oO? Design degree days 6,000 ~nsulatio~n. "U', Area Los~ Floor ----- SF BTU/~ ~all ~ R-11 · O 7 1,808 ~, 600 R-13 .08 1,212 5,8~0 Ceiling R-19 .O5 1,808 ~;ir~ows Dhl glass ~,~50 Doors (thermal~ .69 256 10,600 · per Code .40 Plreplace 20cf~ 80 1,920 ~filtretion (volume) .O18 1~,~6~ 1,320 Percent glass 16 48,330 Heating and Ser,,rice water lines to be insulated as per COde ~eather s[ripping all windows and doore Caulking asoper Code Furnace to be 75% Minimum efficiency Hot Water heater as Der COde EXterior duct and for fireolace non combustible d~ore ~o be provided OCCU?~HC¥ OR V~ii~-~lJ',J'[ C£R'B:iCA,TE 0[: APP.~VED tS NOTED STATE CONSTRUCTION & ENFRGY CODES NOT RESPONSIBLE FO~ DBSIGN OR CONSTRUCTLON ERRORS. t I I i