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Home My WebLink About16670-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southoid, N .Y. Certificate Of Occupancy No. z-16567 Date January 7, 1988 THIS CERTIFIES that the building ....c??..t .r.u.c.t...A.~.q ~..s .s.o.~.y.. ??.o.~. ?.d..A.n..t.?.~. a. .... Location of Property 1800 Country Club Drive Cutchogue, New York County Tax Map No. 1000 Section 109 .... Block 3 .Lot 2. 18 Subdivision..M./.o..qo.u.n.t.r.y..qlu. b. ?.s.t.a.t.?. ..... Filed Map No. 6736 .Lot No. I7 conforms substantially to the Application for Building Permit heretofore filed in this office dated December 8, 1987 16670 Z ·..; .................. pursuant to which Building Permit No ............. dated......December.....! I, .... 1987........ wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ACCESSORY GROUND ANTENNA The certificate is issued to ROBERT & NANCY BERTORELLO ..................... ?o¥,,'o;, ¥~¢~Z~f,,~ox ..................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FO]R~ NO. ~8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N'2_16670 z Permission is hereby granted to: .....~.....?..~.....~.~... 3 .............................................. ..... at premises located at ../..~..i~:~.....~....~--.I.~.,...l~.., ........ .~-~.~~.. County Tax Mop No. 1000 Section ...... L..°...~. ........ Block ...... .(~...~t, ..... Lot No.......~..!-J...~.. ....... pursuant to application doted ~....~.. .................. , 19..~...~*, and approved by the Building Inspector. Fee $....~. ~.~..~ .... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted aa ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of propertv with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2.Final approval of Health Dept, of water supply and sewerage disposal-(S-9 form or equal). 3.Approval o[ electrical instaJJation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instalJa- [ions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit PI,anning 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 informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre.existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .J.~.~¢,l~.~ ............... NewCons tvuc t ion ...... Old or Pre-existing Building Location of Property I,~c,L? ~c~,_,~4, ~ ~.Lc~[.~ 0¢ i .~.~.. House No. ............ Vacant Land ............. Street Ham/et Owner or Owners of Property . , County Tax Map No. 1000 Section. ! ,° ~ ..9 o. Block Permit Ne ~6&7o '~.. Date of Permit I~[~{~%. ,Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificam ..................... Final Certificate .................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant...~ .~ .C~,~(,. ,~4~. ~ .~. ........................ Rev. 10.10-78 CROSS DEVICES SATELLITE SYSTEMS TYPICAL SYSTEM INSTALLATION · CROSS DEVICES DAWO B. CROSS P.O. BOX 567 CUTCHOGUE NEW YORK 11935 PHONE: 734-7628 FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: CROSS DEVICES SATELLITE SYSTEMS TYPICAL SYSTEM INSTALLATION ?osZ' · CROSS i)EVICES DAVID B. CROSS P,O, BOX 567 CUTCHOGUE NEW YORK 11935 PHONE.: 734-7628 Pr~pcr~d in accordance with the ~ on,3~rds for title surveys as estabh-~h-a by the LI.A. LS. and app~ved and adopted for ~u~ u~ by The Hew ~ork State La~d '%. S. 89°39'40"E. . .s./_~/ mS.O0 ' , ' /.~, ~0,. DETAi~'A' ~ ~e/~e~ i, he wI ~ ' ~. -/-~,~. . -: . c~ . I,I a I I' /e~4 . ~ ~ 487.2~' c~,ei ---~ '4o"w. SURVEY OF '~i LOT 17 N/O/F NORTH FoRK ~OU~? ~CLUB = "MAP OF C~NTRY CLU~ ESTATES" . FILED ~CT. ~7~97~ 'FILE N0.6736 '~ AT C UTCHO~UE , /7 CERTtFIED IO: ~~ cmc~eo T~[~[ ~CE cO~P~ .TOWN OF 80UTHOLD ~~~ ~ ,,~ ~ ~, ~oe[~r ~. e[eT~ELt. O SUFFOLK. COUNTY, N.Y. ~~ ............ ~ ...... NANCY d. ~[RTO~ELLO tOO0 - ~O~ - O] - ~ ~8 ~%;~T;~ ;~/I - ' ~ AREA = 145, 161 SO FT " ' ", ::~YI~, t987 15. Is this property located within 300 feet of a tidal wetland? *yes *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM 3. Nature of work (check which aplAicable): New Building ' Addition....~...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ,~.'~ (Description) 4. Estimated Cost ... .--2.) d~e~ Fee ................................... ,. ..... , ........ ....... ..... . ....: i:~.qi,> k' '.' ' tto be paid on filing th~s 5, 1I owenlng, n moer ox awenlng units ............... Number of dwelling units on each floor ....... "¢':~?.' .. . If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... ::,. ,, .,,. ...... D~mens~ons of existing structures, if any Front ..... Rear Denth Height .... ~/~ ....... Number of Stories ........................................................ Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ...................... Rear ...................... Depth ............... T.., .... Date of Purchase ............................. Name of Former Owner ............................. Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...,~?~. ......................... Will lot be regraded ........................... Will excess filL be remo.~ed from premises' Yes No Name of Owner of premises .X;~,,~...r~..~..r~...~./.,?.. Address ~..~.~..~.,,M. ('..X~.~..._t~..... Phone No..P.,~ff.':. ~7~.~.~... Name of Architect ........................... Address Name of Contractor...c7~.~.~.-~.. ~ .~?.~' ....... Address "~] ~.' '~' ................ '~;';~'' PhonePh°ne No.N°' ~.~.~. bio Locate clearly and distinctly ail 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 whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, S.S C~TY OF ............. .7~'. ;. '.~...~. · . E~-~. ~.~). ................... being duly sworn, deposes and says, tha~ i)e / (Name of individual signing contract) ~ ,: above named .... ..;. ...... . ................................ ... He is the~Z ~,.~. ,;4 ................. (Contractor, agent corporate office~ of said owner or owners, and is duly authorized to perform or have performe~ :the said work and to make and file this application; that all statements contained in this application are true to the b~st 6fhis 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 ................ g ....... day or ..... .]~.. h/.~ .., 19 [ 7 Notary Public, ...~..74-/...~:/~/-(//~'C '''~:unty ''' I~T/IRY POSLIC, State of Ne~ ¥Of~ .............. No. 4707878, 8u~01k {;OU,tYr/~ (Signature of applicant) Term ~pires I~rch 30, l~ ~r ~'/ the applicant BOARD OF HEALTH .... 3 SET~ OF PLANS --~ .... SURVEy .......... FORM ............. FORM NO. 1 TOWN OF SOUTHOLD CHECK! BUILDING DEPARTMENT SEPTI~ TOWN HALL NOTIF~ $OUTHOLD, N.Y. 11971 CALl, TEL,: 765-1802 ' MAIL Examine~ · I[., 19~, .'1, Approved~.c,~.. !1.., 19~.7. Permit No. ). k..~.? .O..~.. Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING'PERMIT Date ................... 1 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and subr dtted to the Building Inspector, with 3 s.ets 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 ithe diagram which is part of this appli- cation. ~' c. The work covered by this application may not be commenced before issuanceI of, Building P~rmit. d.: Upon approval of this application, the Building Inspector will issued a BUfl. d~g Pernlit to the~applicant, Such permit shah 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 p~rpbso ,w_hat~ver until a Certificate ~fQccupancy shall'have been granted by the Building Inspector. ': ' APPLICATION IS HEREBY MADE to the Building Department fqr :{~e}iss~nc, ~}:~'u}l~i'n~ P~i~ pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, NeW Y0~k, ait t othe,r 0pplicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, 'o£f6r~g~(~ ~i ~lr~g~m61ific;n, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building.r, ofd4, ,h%Usi~ %oa~, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectidn~.~_ ~//~ ,_/_~//// -- ~ . __ (Signature of applicant, or name, if a corporation) .(Mailing address of applicant) State whetj~r applicant is owner, lessee, agan~k architect, engineer, general con'kactor, electrician plumber or builder. (as on the tax roll or late~ t deed) If thorized of ricer. (Name and title of corporate officer) . ALL CONTRACTORtS MUST BE SUFFOLK COUI~ITY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No .......... ............ House Number Street I Hamlet County Tax Map No. 1000 Section .... ./.O. ......... Block .... ...... ......... 2. State existing use and occupancy of premises and il]tended use and occupancy o~ proposed construction: a. Existing use and occupancy .......... ' .'fi. ........................... b. Intended use and occupancy // · · · ! ........... '' :i lll[IJi'~,L ~AIIL£ i)ISLIL/ITJgN AJi£A U-VALUL i(AI IliG LIS'~R TO 1~~' LI r'J~D O~, BASEI¢[RTJCELLAR ~ALLS E~posure Abov~ Grada '~ feuL Wa1) ~-Valua ~ptR of ~11 U-Valu. C~ndl~ion~d fleur AC~a _ ' Sq. f~, _~,- - ]OIAL ]R[RI'~L RAT{JiG . ~ ~ .... ,. .~ ~'~. . . , . ~__~,~C · ct i~ ~, ,.,,, _ ...... '~.:' OCCUPANCY OR _ ~-o~ :~ USE i8 UN~WFUL, - "" DOff ~URED CONI.R~E CO~E~ BEFORE CERT~F~CATE OFOCCUPANCY -,, 4 ~NAL. CONSTRIJC~ON 8; 00~PL~ ~ C~O. ff~ tubing is used 1'~ REQUIREMENTS ~ f~ ~ter distrib~tlng, ~ CONSTRUC~ & EN~ '5[" ./4, = 1¢- 7 :t