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HomeMy WebLinkAbout14540-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Occupancy No. z 16577 Date ...J.a..n.u.a.r.y. 12, 1988 THIS CERTIFIES that the building . .O..n .e..f.a..m.i.l.y...d.w.e.! 1..i .n.g.: ...................... of P t 1850 Country Club Drive Cutchogue Location _ _roper.y ..................................... House No. Street ............... County Tax Map No. 1000 Section ...l.0. g. ...... Block ...0.3 ........... Lot 2.0 I 9 Subdivision M..ap. of Country Club Est..FiledMapNo. 6736 16 ................................... Lot No conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec. 13, ]985 ..................... pursuant to which Building Permit No...1.4.5.4. .0.Z .............. dated . ?.e.b.:..1. I. ,. ........ I 9 8 6 ....... . · . 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 ......... One family dwelling, attached 2 car garage and wood deck. The certificate is issued to FREDERICK A. & BETTE H. ROSS ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval f$ ~ 7 $ O- 2. 2 0 I/5/88 UNDERWRITERS CERTIFICATE NO. N792625 Feb.. 6, 1987 PLUMBERS CERTIFICATION DATED: Mattituck Plumbing & Heating Corp. 2/16/87 · ..o. ............ Building Inspector Rev. 1/81 : TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PEP, Jv~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 14540 Z Permission is hereby granted to: .... ~.,~..A..-....~.~.,..~.... ~../.~ ~.e. .... ~_o...:..../.~.~,....~--~..~ .............................. ' _ ...~.~.~.o..?o..~_;...~/.....~ ....... ~..,..~. · ......... ~ . . . ,~. ~. ~ . . ~ ~ ......... ~ ~ ~, c. ~ . . ~,cc.~. ~. ~. ff . . .~. ~ ~-~. . /.Z., . .~..~ at premises located at ..... .~..-~...~....~... ....... ~..C~.../~....Z~ .~/~.~.....~../(~.~.......~../~ ................................ .................................... County Tax Map No. i000 Section .... ~..~. ........ Block ....O...i..~.. ......... 'Lot No..~..~..~.,.../...~. pursuont to application dated ~: .......... /..Z.~ .................. , 19Z.~, and approved by the Building Inspector. Building Inspector Rev. 6/30/~0 FORM NO. 6 ~iI I i~,'~-~ll TOWN OF SOUT,OLO IlYJl ._ , III I Building Department JlJ \l * IIII ' Town Hall ~ ~....~ Jl[JJ Southold, N.Y. 11971 ' ~ 765- 1802 ! APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m"'------' to the Building Inspec- tor 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all propertv lines, streets, buildings and unusual natural or topo graph ic featu res. 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 $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $t0.00 4.Vacant Land C.O. $ 20.00 5. Update(t C.O. $ 50.00 Date .~.~ ~¢~../~J~. '~.4~ ~ .~.°1.~ , New C on s t r u c t i on. ,~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...~, .~.~ ..... House No. Street Ham/et Owner or Owners of Property . .~.--~-.~'R,\°~ .~..b~ .-~T.~-.~.C~.~.~ ....................... County Tax Map No. 1000 Section ..... [..~).~ ...... Block ....~.~ ........ Lot..~-.*..~.\..~ ..... Subdivision..~¢~.~Tt~-~...O-~..~.~.,~'~NT~%~ ...... Filed Map No ........... Lot No..~.(l~ ......... Permit No.l.~.z~,4~...'~-, Date of Permit '~l~.%.[..~...Applicant ~.~;:~l.%f~c,~. Health Dept. Approval ........................ Labor Dept. Approval ....................... . .~. ~J.~'~5 Planning Board Approval Underwriters Approval ...................................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 BUREAU OF ELECTRICIVY /~J~ ~eb~ftl~ry 05, ~9~857 JOHN STREET. NEW YORK. NEW YORK 10o~e THiS CErTIfIES.THAT Fe~e~ick Rossi, Coun~ ~ Drive, g~le, Cutch~ue, ~s examined on and found to be in co. pi ante with the reqalre.tents qf this Board. FIXTURE I SWITCHES OUTLETS 75 70 FIXTURES RANGES OVENS DISH WASHERS FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEOERS TtMECLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECt S E R V I C E NO. OF CC, COND PER ~' Om~a~N~rds; 1-13cir.,125am~,s 2-4 Ton AC Units 1-100ea~ Transfer ~witch 1 Saloke Detector A%V,G OF CC COHO. ~v G qO, OF N~UTRALS A, W. O NO OF HI-LEG O~ HI-LEG OF NEUTRAL 2/0 275 ~ownaarhor'La. $ou~ld, N.Y. 11971 Lio#282~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COP~ FOR BUI~D(NG DEPARTMENT. THIS COPY OF CERTIFICATE M~UST NOT~ BE ALTERED N ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 7654 802 CERTIFICATION Building Permit No. \~SA~ Owner ~='~ %~L1~ ~5 (please 'print) (please.print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ day of F~!O,T u~v Notary Public, (plumber' s si~re) ~/ Notary Public County lO~g ~'. ~Iso~TI ' COMMENT,g FIELD1. ~'NSFECTI~N ~~/~,~DATE FOUNDATION 2. 3. ~NSUL~T~ON PER ~. Y. co~ ~. ~ /~r~'; ADDITIONAL COMMENTS: ~UILDING CONSTRUCT[ON COUNTY ROAD 48 P*O. BOX 1441 MATTITUCK, L.I., N.Y. [.)sz January 7, 1988 Building Inspector Town of Southold P.O. Box 728 Southold, NY 11971 Re: BP #14540 Z Frederick & Bette Ross Gentlemen: It is a great pleasure to start the new year right by submitting the items needed to fulfill the Certificate of Occupancy requirements for the above project. Enclosed is a check for $25.00 and the Health Depart- ment approval, dated January 5, 1988. Yours truly, JFR/ea HAROLD R. REEVE & SONS, INC. ......  s F. Reeve f ~ Enclosures TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 RE: Frederick & Bette Ross, 1850 Country Club Dr.~ Cutchogue TO Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /X_--~ An application for Certificate of Occupancy is not on file. (Enclosed) /X~--~ No Underwriters Certificate on file. The check isa/not on file.) $5.00 No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # / ~ ~ ~ ~ Z Building Dept. ***/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) RECEIVED- ,)AN 7 1967 DONALD A. DENIS, A,I.,~, HAROL. O R. REEVE & SONS, INC.~ BUILDING CONSTRUCTION COUNTY ROAD ,18 P.O, E~OX 1441 MATTITUCK, L.I., N.Y. l~gsz February 17, 1987 Building Inspector Town of Southold P. O. Box 728 Southold, NY 11971 Re: Permit No. 14540Z Ross - Cutchogue Gentlemen: We have finally received the electrical underwriters certificate and are forwarding it along with the C.O. application, fee check, and solder certificate. The well water shows traces of nitrites barely above the limit and we are retesting. Hopefully we will be able to supply the Health Department approval by the end of the month. Yours truly, HAROLD R. REEVE & SONS, INC. Jfr/ea I~ncs. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 RE: Frederick & Bette Ross, 1850 Country Club Dr., Cutchogue To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /X_--~ An application for Certificate of Occupancy is not on file. (Enclosed) /X~. No Underwriters Certificate on file. The check isa/not on file. $5.00 No Health Dept. Approval on file. /Z/ No final inspection has been made. Please ~on~act our office on this matter. Thank you for your cooperation. Building Permit # _~ ~ ~ 4 ~) Z Building Dept. ***/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) H~oco R. Rggv£ & SoNs, INc. BUILDING CONSTRUCTION COUNTY ROAD 48 P.O* BOX 144! MATTITUCK, L.I., N.Y..~s2 TELEPHONE 516 298-4713 May 23, 1986 Building Inspector Town of Southold Town Hall - Main Road Southold, NY 11971 Re: Ross Residence Cutchogue, NY Permit: 14540Z Gentlemen: Yesterday, much to our surprise, we received an inspection at the above project. We do not know who requested this inspection, but do have enough experience to know that we were not ready for the next logical inspection and would not waste your time until we were ready. To avoid this in the future, we would ask that you only honor requests for inspection from our office or from Sid Beebe, the Job superintendent. Thanks for your cooperation. Yours truly, JFR/ea cc: Sid Beebe HAROLD R. REEVE & SONS, INC. es FY Reeve ? 765-18~2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING R~'MARK$: ..._..., FINAL DATE INSPECTOR 765-~80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FINAL [ ] FRAMING DATE ~//~/~ INSPECTOR /~ ¢~ ~OUNTY ROAD 40 P O. ~O~' 44 ~A TELEPHONE 5)6 298-,4713 I .BLDG. [ TOWN OF SOUTHOLF~ Apr±l 1, 1986 Building Dept. Town of Southold Town }[all - Main Road Southold, L.I., N.Y. 11971 Re: Bldg. Permit No. Ross - Cutchogue 0entlemen: We have enclosed one copy of a survey locating the foundation on the property for the above project. This copy is for your review and for your file. Yours truly, JFR/ea HAROLD R. REEVE & SONS, INC. -- k~ ~ Reeve Enco 14540Z · ~''~ ~.~ t(' ~ ~.~,~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ~, TEL.: 765-1802 Examined .... /. ( ......... , 19 Approved ..~./../t ........... 192. Permit No.. (..~.~.T.~.? ¢ APPLICATION FOR BUILDING PERMIT DEC 1 3 1985 BLDG, DEPT. TOWN OF SOUTHOLD Received ........... ,19... Date Decamber 12th 85 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 t;r 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 ~l~e issuance of a Bul}dl~g Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~v ~ork, and other al~plic~ble Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, 6Y }~or removal or de.r*olitii)n, as herein described. The applicant agrees to comply with all applicable laws, ordinanceS, building code, Ipusi~pde/~nd regulations, and to admit authorized inspectors on premises and in building for necessar~ i~(~e~ns. ation) DONALD A. DENIS, A.I.A., .C. .P...O....Bp.x..5.6.5.,..A.q.u.e.b.o.g~..e.,..N.e.w..Yp.r.k...1.1.9.3.1 ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ARCHITECT Name of owner of premises Frec~erick Arthur Ross k Bette H. Ross (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) / ,%ilder's L c nse No .... Plumber's License No...P..E.Np.~.N..G .............. Electrician's License No. P..E.N.D.I.N..G ...... i ....... Other Trade's License No. PENDING 1. Location of land on which proposed work will be done .................................................. /.~.~.(] Country Club Drive Cutchogue House Number Street Hamlet County Tax Map No. I000 Section .... 1..0.9 ........... Block .... 0..3 ............ Lot...2...0.1.9. ........... Subdivision..~.a.p..o.~...Co...un.t..x~..C.l.u.b..E.s.t.a.t.e.s. ........ Filed Map No. 6736 Lot 16 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Vacant b. Intended use and occupancy ...... S. ~.n.g.l.e...F.a.m.i..1¥..R.e..s.i.d.e.n..c.e ................................... 3. Nature of work (check which applicable): New Building .... .X... Addition .......... Alteration ..; ....... Repair Removal Demolition Other Work (Desc ption) 4. Estimated Cost ...~1.80,09,0 Fee . . . .... '~ (to be p, aid on filing this application) ONE 5 If dwelling number of dwellifig units Number of dwelling uniti on each floor . ' ' TWb .............. ' ............... If garage, number of cars ............................................. i ........................... 6. If business, commercial Or mixed occupancy, specify nature and extent of each typ~ 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 .......... i ... Rear .................. Depth ...................... Height ...................... Number of Stories .............. 8. Dimensions of entire new construction: Front 9.4: .--3" ~ 94 ' 3" ~.' ' ' ...... ........... l/ear ..... 7... Depth . 0' ......... Height . .2. .3 ~ .......... Number of Stories ONE 9. Size of lot: Front... 93.1.9' . . .'I~;;~'"~'.'3'~i ............ ~);;it~"5"6'[iJ5'~"i"i'ii''"'" 10. Date of Purchase ,/~I~{l~'~y.' 'ib'~ ............................. B~ckf'~l' ~'~t~s~; .... .............. ~. .............. Name of Former Owner ........ 11. Zone or use district in which premises are situated ...... '.'~J'..l~¢~'.i.d. ezL~.i.a. 1/.~g.~.i¢tll rural . 12. Does proposed construction violate any zoning law, ordinance or regulation: .............................. 13. Will lot be regraded ....Y.E.S._ ..................... Will excess, fill he re~lloveltI from premises: XKi~X No 14. Name of Owner of nrem~ses .~'.r.e.d.er.i.e.k&Bg~,t9 ,.~.ss Address ~;~(-.~}~am~P~9t!~.il°~q Phone No 747-18.90 Name of Architect .Dgrl~J-li ~, p.erl~_~ ~[...~ g~ddress A.q.ueboggg~ ~ Phnnalqn722-3511. PENDING o. ...... Name of Contractor .................... ...... Address ........ .... .. ..:...PhoneN ......... 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 whether interior or corner lot. Site Plan included with Construction Drawings Submitted herewith STATE OF NEW YORK, employed by .............. iD.Q.~.A.L.D., k.'.~.I.hE, g ................... being duly sworn, deposes and says that he is/the'applicant (Name of individual signing contract) - above named. for (Contractor, agent, corporate officer, etc.) ~ said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and ~e this application; that all statements contained in this application are true to the best of his iknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ~worn to before me this .................. day of .................. , ature of apphc.~t) LOT 17 LO T 16 C~ U~9 DRIVE LOT 15 NORTH FORK coUNTRY cLUB, iNC. SURVEY FOR FREDERICK ARTHUR ROSSBETTE A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. k~ ~ = ~ J , ' · cord*nee with th. m'' ~ ~ r~,~re~ m a~ established by · ' ~nda~ds ~ot t~tte ~u~eys a~ ~ d adopted /~~ the ~ ..... - ~- ~ew York State ~ana ~''~'~" ~or SUC~ ~Se ~ '"~" L~Nq SUrVeyOR ~it)e.A¢ociation. (516) '72Z- 7118 ROSS CERT/FtEO TO: LoT NOS..REFER. TO'id~ OF COUNTRY CLUB ESTATES' RLED OCT. /7, 1978 A~ ~P ~. ~736 ~4 -113 /1 BLDG, DEPT. TOWN OF SOUTHOLD DRIVE LOT 17 i / / LOT 15 ~'ORK coUNTRY NORTH v~ ~n/ cLUB. /NC. Prepared in accordance with the minimum sfandards for title surveys as established by the LI.A.L$. and approved and ade~e~ ~or such use by The Hew York State Lar~l hfle Association. SURVEY 'FOR FREDERICK ARTHUR ROSS ~ 8ETTE H, ROSS A T CUTCHOGUE -TO~N- OF SOUTHOLD SUFFOLK COUNTY, N.Y,  MAP NO. I000-/0~-0S - 2.019 CERTIFIED TO~ ~1~ NO~ E6, 1~8~ CHICAGO TITLE INSURancE ~ ' COMPANY [~ ~ ~/] ARCH 25, /986 FREDERICK ~-~ ~ N.Y.S. LIC.NO.49618 (~1~) 765- 50~0 ~ AN A~SUMED ~TUM. ' . ' R O, ~X 90 9 GROUND 'S~U~OLD, N ~' 971 I? DRIVE LOT 17, LOT 15 Th sew e · ,. £ d~sposa and wafer s~ ' / r~e d fo Y _ :~epartme~t and/or No~TH r, f~f Prepared ~n accordance with the minimum ~andard~ for tJfle ~u~eye a~ established by the L.I.A. LS. and approved and adopted for such use by T~e New York State Land SUrVeY 'FO~ Title Asso6atJon. FREDERICK ARTHUR ~OSS ~ BETTE H. ROSS ~ T CUT~HOGUE TOWN, oF SOUTHOLD SUFFOLK COUN Tg N. ~ TAX M~P NO. I~- I0~-0~ - ~.01~ CERTIFIED SCALE ~ 1%50 ' ~ ~ ';~',t~A~ FREDERICK ARTHUR ROSS ' ~. :~ ~9 7~ ~0 r NOS. ~F~R,, tO"MAP OF ~UN TRY CLUB E~A res" /? DtTI V~ LOT oTIS :~ FAMiLy DWELI,.t~d., systems for this residence will con- form to lhe standards of the Suffolk Colmt-y Department of ~. ADDRESS T~ ,EPHONE # ~0 ~' C oUN TRY --FORK NORTH v~ ~.n / SURVE,Y 'FOR FREDERICK ARTHUR R, OSS 8 BETTE H. ROSS 4 T CUTCHOGUE' OF SOU THOL D COUNTY, N. Y I000- 109-03 - 2.019 SCALE: 1%$0' NOV. 26,, 1904 ~UG. ~ 1985 cLUB, INC. Prepared in aC~ordanc -, · tandards fo- .:., · w~tn~e mlnimo the L I ~ ~' ..e su~eys as e~abJish · · ~. L.S. and a~nro..a Title A~iat~; '"" CERTIFIED TO; CHICAGO TITLE /NSUR4NCE T/TL£ NO, 8408-0905,E,6 FREDERICK ARTHUR ROES BETTE N. f~ss CONTOURS ~ ELEV4T/ON$ ARE REFERENCED TO AN ASSUMED DATUM. GROUND 'I4/ATER AT EL. 3,7 LOT NOS. ~FER. TO"MAP OF COUNTRY CLUB EETATEEd FILED OCT. 17, 1978 AS MZIP NO. G756 PL/,.k3 // * ~ NOT~ BUILDIN~ DEPARTMENI x ~ , ~ ~ X$~ ?~,' , . , ~', FOLLOWING INSPECTIONS: ~ FOR POURED CONCRETE . / ~ ~, 2. ROUGH - FRAMING & t1-~ .-~ ~ M/,/ ", ~ / ~. iNSULATION . CONSTRUCTION MUST ' '~+~~ ,/,/ ,, ~',, BE COMPLETE FOR C.O. -- Jot water ~istributing ALL CONSTRUCTION SHALL ME~ "~ / j sys ~A~ CONSTRUCTION & ENERGY . , ~LO~ / ] ~ DJ types K or L o~ CODES. NOT RESPONSIBLE FOR /" ~ ~/'~c . '~ ) ,~ ~o.~ '~ ON LEAD coNT~N~ BEFO~ x ~.~,//// EXCEED ~/10 oj' 1% LEAD. , /~' " Ir! ooNAI.c! A., DENIS A.I.A-~'~.C. ARcHI'FEc"r ..o, eox see A~IUWBClOUe,~.¥.'~mm'~ 258.8 + 50. + I1' f I i it I --I __-;- i ,\L ,I ,[ ©OL;T~I I Ir ol=_C.T i o~4 ~,~:~o ~.T, pt. r.,, ri L QQNALID A. DENI-~ A.I,A.~ ~'.o..ox ~e~ARCHI TECT