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Home My WebLink About13031-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13778 Date . A.u. gust 16 .8.5 ............................................... , 19. THIS CERTIFIES that the building .......... .N .e .w. . D. .w .e .l.l. i. .n .g ........................ Location of Property 800 Country C, lub Dr. Cutchogue House No. Street Ham/et County Tax Map No. 1000 Section ...1.0.9 ....... Block 03 .Lot 002.11 Subdivision..C..o.u.n.t.r..y..C.l.u..b..E.s.t.: ......... Filed Map No. 6736 .Lot No. 24 conforms substantially to the Application for Building Permit heretofore filed in this office dated Al?ril 3 19 8.4. pursuant to which Building Permit No. 13031Z dated ...... A. p.r.i.1...1.3 ............. 19.8.4., 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 ......... ..... New Private One Family Dwelling ..... The certificate is issued to ................... GIORGIANNI, ANTHONY fowner, le,z~ee, oc-tenen'O of the aforesaid building. Suffolk County Department of Health Approval .. 14-SO-44 UNDERWRITERS CERTIFICATE NO .... N 688409 Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 5OUTHOLD, N. Y. BUILDING PERMIT CT'HIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13031 Z Date .. ~ 19. Permission is hereby granted to: ~L,....~....~~..~....~:~ ............ ~.~...~~..~.,..~.:....I..:.:~..~.~, .......... ~ ~ ,o at premise~ located at ...~.,.~...~,.~,..~ ,~,... ~-~,..-~--.--,~-,-,~-,'-,,.,,~(~.~- J 0 ..... ,(~..~ ....... Lot No....,~.:..l..t ....... County Tax Map No. 1000 Section ........... ..~ .......... Block pursuant to application doted ..................................... Ic) . .., and approved by the Building Inspector. Building Insl~ector Rev. 6/30/80 FO~M NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ia IIII1~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of properW 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 installa- lions, 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 pm3perty 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 informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~..~, . .~.~..~..~.~'~..(~¢-~.~....~Z... ......2~..~?/¢.~..~..~.,/~, ~ .............. House No. Street Nam/et Owner or Owners of Property ~..~..~..~?~..~./.~.~.~1~ .~.~//i .................................. County Tax Map No. 1000 Section .. ~'..~..~ ........ Block .... ~.. ........ Lot... ~..,..~'.~ ....... . ............ Subdivision .~(~ .~ .......... Filed Map No. ~..~..'~..~....Lot No. ~'~ Permit No. ~ ~..1~.~,~/.~.. Date of Permit .......... Applicant ~'.~.~'..~l~..~.~..~..~...i~. ........... Health Dept. Approval .../~.~.~.~...~/. .......... Labor Dept. Approval ........................ Underwriters Approval )~..~.~. ~..~..~.~. ......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... ~ ................ Fee Submitted $ ~- Construction on above described building ~/~ .a II~p~ le~od ~/s~ nd re gu lat ion s. ~ ~0 % ~o eets O~(b-,~ ,~o¢)~ ~ Applicant. ~.~,, ,~-"~/~~ .................. Rev, 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. (please print) /(please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. / (p~umber' s signature) Sworn to before me this //~ day o f ~ 19~. Notary Pub ic,J / / ~ /' Notary Public R~.GII4A B. MATTI'I~V;~ County NOTARY PUBLIC, State of New Commission ~x~h~ M~r~h 30, I THE NEW YORK BOARD OF FIRE UNDERWRITERS C~ BUREAU OF ELECTRICITY ~Z~L~. 23~ .].~85 8S JOHN STREET, NEW YORK, NEW YORK 1OO3~8 '~a,e ~,,p.c.t,o. No. o,,S"e ~90a,~/8,~ N 6 8 8 4 0 9 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application nu tuber in the premises of Anthony G~orgianni, Country Club Drive~ Cu~hogue, NY inthefollowlngloeation; ~ Basement ~ lstFI. [] 2nd FI. SectionlOgBiock03 Lot24 April 18 t 1985 arrd found to be i. compliance with the requirements of this Board. FIXTURE OUTLETS 36 RECEPTACLEE EWITCHES 55 49 FIXTURES RANGES FtUORESCENT 36 DRYERS FURNACE MOTORS FUTURE APPLIANCE OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATER MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT 2-Smoke ~etectors S E R V I C AWG, AW.G A. WG OF CC CONO, OF HI-LEG OF NEUTRAL 4/0 NO, OF~UTRAL$/ Jody ~o~illo ~at Lun~ 11952 Lio#2300 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector~ COPY DEP,~ ~IS ¢ may be identified ;D IN ANY MANNER. Fi~D~ ~ COMMENTS i~NSF EC riO ~ FOUIIDATION {1st) FOU NDAT I 0~.! ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C.ODE FINAL ADDITIONAL COMMENTS: · ' NEW YOI~K STATE DEPARTMENT OF ENVtRONMEMTAL CONSERVATION PERMIT BA~TiCLE tS, (Protection of Water) ~ ARTICLE 25, (Tidal Wetlands) PERMIT NO. 10-84-0012 PERJ~IT ISSUED TO Anthony Oiorgianni ADDRESS OF PE~ITTEE 94 Fort Salongna Road, Nor~hpo~, IqY 11768 LOCATION OF PROJECT (Section ol slream, JldaJ welland, dam, building) Downs Creek, Country Club Drive, Lot #24, Country Club Estates DESCRIPTION OFPROJECT Construct a one family dwelling and sanitary system a minimum of 150± 1.fo landward of the tidal wetland boundary as per supplied plan of Young and Young, November 17, 1983. ]T° uthold COMMUNITY NAME (CRy, Town, Village) Cutchogue Suffolk GENERAL CONDITIONS 1. The psrmittee shall file in the office of /he appropriate Regional Permit Administrator, a notice of intention to commence work at least 48 hours in advance of the hmo of commencement and shall also notify him prompHy in writing of the completion of the work. 2. The perJmtted work shall be subiec~ to inspection by an authorized representative of the Department of Endironmental Conservation who may order the work suspended it the public Interest so requires. 3. As a condition of the issuance of this permit, the applicant has ac* ·cepted expressly, by the execution of the application, the full legal respon- ~g-'-20,-4 PERMIT EXPIRATION DATE March 31, 1985 8. That the State of New York shall in no case be liable for any damag or injury to the structure or work herein authorized which may be caused by · result from future operations undertaken by the State for the conservation o improverr~nt of navigation, or for other purposes, and no claim or right t~ 9. That if the display of lights and signals on any work hereby authorize scribed by the United States Coast Guard shah be instaHed and maintaine~ be just and equitable, if upon the expiration or (evocation of this permit, modification of the wetland hereby authorized has not been completed, site to ils former condition. No claim sball be made against the State of right to trespas~ upon the lands or inter(ere with the riparian rights ol others party to the permit. 13. Tbi~ permlttse is responsible for obtaining any other permits~ ap- project. 14. If granted under Article 36, this permit is granted solely on the b~s~, of the requirements o{ Article 36 of the Environmental Conservation Law and Hazards - Building Permits) and in no way signifies that the projecl wall free from flooding. is contingent upon strict compliance with the special conditions on ~.~HOITION5 16..There shall be no disturbance to vegetation or topography a minimum of 75' landward of the tidal wetland boundary, j 17. 1~ere shall be no fill brou~h~ to project site without furthe~ permission of this offlce~ SEE ATTACHED CONDITIONS A - J PEJ~IIT ISSUE DATE February 29, 1984 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Approved ...- · .~.'.. ....... , 19~..}[. Permit No.[ ~..~.1. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building 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 adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or f~:mff)emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws ordinances buit~i~/~ode/housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~p~c flon~,~/~ ~/ .... C-~ . !~ . ~-? .~..wdh~-~....¥.~ ..................... (Signature of applicant, or name, if a corporation) ~,~.~/,~,,,,,~,~,/?~,~ ~T,/,/, y., //?.,¢.~ ............... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ~..~,, z' ~,~,'~ ....................................................... Name of owner of premises . .~ .~../~. ~. ~./., .~..~..~./. ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and ~itle of corporate officer) Builder's License No....P//~. ................... Plumber s License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be donee...J~/~. .............. ~.~/~.~/.~.ff,..~..~?..~..~. ~. :. Y/2ff, ~ ~'/~/_~v/~g# ..... ........ ....... 7. ......... & .................... House Number Street Hamlet County Tax Map No. 1000 Section .... ./?..~ .......... Block ..... ~?..~. ......... Lot .... .~.: ..~./ ......... Subdivision.~.~'.~?.~ff. .................................... ff~ ~'J~fi Filed Map No. ~i .7..~..~ ....... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occuparlcy...~..A(.~. ~..~. ~...~.~.~.~./~.. b. Intended use and occupancy . 3. Nature of work (check which ~pplicable): New,Building ...../T~.. '... Addition .......... Alteration .......... Repair .......... .~;/ Removal .............. Demolition .............. Other Work ............... /,'t~ ~ ~ ' -4~ (Description) 4. Estimated Cost ....... .~.~.)./. ~ ... Fee cQo.q, ? O. . ! ,~ (to be paid on filing this ap, plication) 5. If dwelling, number of dwelling un~s .... ?.. ........ Number of dwelling units on each floor ./.J./*.'~f~?.~7...~.... If garage, number of cars .... !. ~. .......................... 6. If business commercial or mixed occupancy, specify nature and extent of'ea'ch't~;e ;f'~ie' ' ' .t~/2~i ...... i ....... 7. Dimensions of existing structures, if any Front '.ff//.,~ ....... Rear .............. 'l~;~t'~ iiiiiii. Height ............... Nmnber of Stories ............... Dimensions of same structure With alterations or additions: Front ~/~.~.' ............ Rear .................. Depth ' Hei t ........ ·.. .... gh ............. Number of Stories .............. ~ ....... 8. ' ' ' ' ' ' '., ..... Rear ...~..~. 7 ........ Depth ....~fg.. i ....... Dlmensmns of entire new construction: Front ....~i .~-.~ ,W" ' Hmght .... ..~ ....... ,. Number of Stories ..... ~ ............................................. 9. Size of lot Fron(t/.~ff.~.'J... ~.,*~' .. Rear ~) t De~th ,~z..g- / ' ' ' 10. Date of Purchase ./Y.~.f...~.. 2.~.' .~.'-~ i i j. .' ~q'a~; ;~'o'r~ir'6~v~'e;~',~-'~' ~2~,~ '~'x~'.ffv~'~.' ........ I1. Zone or use district in which p~emises are situated ....... ~'~.' )~;~-~ ............ 12. Does proposed constru~c}!on vi¢lge any zoning law, ordinance or regulation: . ~..o .............. i ..... 2 ....... 13. Will lot be regraded .o.. f'~'~'5 '''''~' ................ Will excess fill be removed from premises: Yes 14. Name of Owner ofpremises,~.,5~...//?.at~..~t~t,~tl~./ Addressf¢~rx~r~"g~?~/'*~Y,?t~ph,,,~ lq',, $ Name of Architectd!~.~.~c.g.. ~.~ .................. Address '~.,O ~ ~ ~/,o~[¢0~/~/~1/,/~.~Phone No ................ Name of Contractor . .~..~ ..~..,.~'.~.¢ ....... Address~ ~r~?/* t/~l~..~.~r,N,'~ Phone No 5~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from 1 ' property lines. Give street and bock number or description according to deed, and show street names and ini cate whether interior or corner lot. ~ .... · ~'" ....f~' ' '~/fl...~-. ~"' ........................ being duly sworn, deposes and says that he is the applicant (Name of ~ndtvidual slgr~ng contract) above named. He is the .................... i ................................................................... . (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 conthined 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. Sworn to before me this (Signature of applicant) Lot ~ Lo/24 Area Lot 25 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY APPROV~J~[~i ...... r.E FA~gJL¥' DWELUNG ONLy HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT NOTE, ~ --STAKE SUBDIVISION MAP FILED IN ~H~ OFFICE OF THE SUh-b'O~K OOUNYY ON OCY IF I~YO AS FIlE 8RANDIS & SONS, INC. 1618 294. £~=1~ 878.98 ' SURVEY FOR ANTHONY GIORGIANNI LOT NO, 24 ' COUNTRY CLUE ESTATES" AT CUTCHOGUE TOWN OF SOUTHOI D SUFFOLK COUNTY~ NEW YORK DATE: NOW I~ 1985 SCALE: I# = 50' NO. ES- I010 YOUNG e, YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SUR~/EYOR N.Y~S. UCENSE NO. 12845 HOWARD ',//.YOUNG, LAND SURVEYOR N.*t S. LICENSE N0.4§89~ 400 OSTRANOER AVENUE RIVERHEAO, NEW YORK faoilities fo~ ~hi3 looatio~ have been inspected by ~his de~art~en~ ~d ~ouud ~ef of General ~g~neer~ Lot 24 _~ SURLY FOR DATE~ .., H~ ~E~. HO** SUFFOLK COUNT~, NEW ~RK NO, 83-/~/0 ~ ~R~ FOR WHOM THE $U~EY I$ PREPARED HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT ~ ~ ms ~EH~C~ ~ ~HE ~CE C~P~% ~OV~- WILL C~FORN ~ THE STANDS OF THE SU~K CO~TY DEPABTMENT TO EXISTING STRUC~R~S ARe FOR A SPECIFIC mc. ~ RIVER~AD, NEW YORK NOTE= ~ =~TAff~ ALDEN W, YOUNG, PROFESSIOHAL ENGINEER HOW~RO W. YOUNG, LAND SURVEYOR *~ L~T~ ~ ~L(W},~PTIC TANK(ST)B CE~OL$(~) ~N ~RE~ N,Y.S. LICENSE N0.4589~