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Home My WebLink About22338-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23469 Date JANUARY 25, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 26342 MAIN ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 4 Lot 8.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 1994 ~ursuant to which Building Permit No. 22338-Z dated SEPTEMBER 19, 1994 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 AN OFFICE ADDITION TO AN EXISTING COUNTRY CLUB AS APPLIED FOR. The certificate is issued to NORTH FORK COUNTRY CLUB of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N336988 PLUMBERS CERTIFICATION DATED JANUARY 23, 1995 (owner) N/A DECEMBER 19, 1994 PERFECTION PLUMB. & HEAT. Rev. 1/81 FOgM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOI.D, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Z Date .......... .~./...?. ....................... Ooun~Ta×~ap~o. ,000 ~ec,lon.....':..~.~ ....... B,oc~ .......... ~ ......... Lo,~o ..... .%,.../.. ........... pursuant to application dated .......... ~...¢~....?..'...~.......f,~..., 19..?....~.. ...... and approved by the Building Inspector. Fee $../,.,..~..~ ............ Rev. 6~30/80 Form No. BLDG. · ~PLICATION FOR CERTIFICATE OF OCCUPANCY ~OWN OF R~T~-:OLO TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unueual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).~ 3. Approval of electrieal inst~lation from Board of Fire Underwriters. ' 4. Sworn statement from plumber certify~n~,,that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building,' industrial building, multiple residences and .similar buildings and installations, a* certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre~existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.o0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.OO, Commercial $15.O0 Date . New Construction ........... Old Or Pre-existing, Building.. .~.. · Location of Property ............ /~.~.~.'./.~..~..~.~ .......... iiiiiiiiiii.C~J~.~.-...~...C. ~ ..... ,~ House No. Street ' Hamlet ~ Onwer or Owners of Froperty..~.~X ~...~.~...~.~/~...~..~... ,o o0o, ..... .... ..... ' Subdivision ' Filed Map Lot Permit No .............. Date Of Permit ................ Applicant ............................. Ilealth Dept. Approval .......................... Underwriters Approval ......................... . Planning Board Approval ........................ / Request for: Temporary Certificate ...... ..... Final Certicate........... Fee Submitted: INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Building Permit No. (please print) (please print) SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Swo~n to before me this ~ gq- day of .... Notary Public, ~O~ County THE NEW YORK BOARD OF FIRE UNDERWRITERS 100107~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y ~he electrical ~uipment ~ ~scribed below a~ int~uc~ by t~ applicant ~med on the able application number in the prem~es of NORTH FORK COUNTRY C',LI~, ROUTE 25, CUTCHOGU~ in the followlng locatlon~ ~ Bosement ~ Ist FI. ~ 2.d FI. OUT Sectlo. Bl~k Lot . , D~,CE~R 15 ~ 199d ~s examtnea on and found to be in compliance with the Na~onal Elect~cal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 4 2 4 DRYERS SYSTEMS NO. OF FEET V I C NO, OF HI.LEG A W O, NO OF NEUTRALS OF HI-LEG OTHER APPARATUS: FEEDERS NO,OF CO~)~ 3 A.W,G. 2-1 EI~EC. ROOM HEATERS:3-1.O K.W. ,1-1.O5 K.W. O & S CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 LIC. #578-E GENERAL MANAGER I1 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. STATE E};ERGY CODE FI;~AL ADDITIONA'L CO,'-I~EI.;TS: S A M U E L S & S T E E L M A N Januaw 11,1995 Gary Fish, Building Inspector Southold Town Hall Main Road Southold, New York 11971 Re: North Fork Country Club Dear Gary, The addition to the North Fork Country Club meets the requirements of the New York State Building Code, with regards to smoke detection. Thank you. Very truly yours, SAMUELS & STEELMAN ARCHITECTS Thomas C. Samuels Principal Architect ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 71935 (516) 734-6405 FAX (516) 734 6407 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 12, 1995 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 Re: North Fork Country Club - BP%22338-Z To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22338-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. S A M U E L S T E E L M September 14, 1994 John Boufis, Building Inspector Town of Southold Building Department Town Hall Southold, NY 11971 Re: Permit for Addition to North Fork Country Club S & A h Dear Mr Boufis, We have calculated the first floor area of the existing clubhouse to be 11,190 square feet, excluding the Pro Shop, which is a substantially separate building, and the Kitchen, which is enclosed on all sides by rated partitions and fire doors as per Code. Our proposed addition totals 375 square feet, which when added to the above figure creates a tota~ fire area of 11,565 square feet. As we discussed yesterday, the provision of sprinklers allows the permitted fire area of 6000 square feet on Table VII-705 to be increased by 100 percent, to 12,000 square feet. Therefore, our proposed total square footage is less than the maximum allowable fire area for a one stoW building of Type 5b construction. We look forward to receiving a Building Permit for the proposed work at your earliest convenience. Thank you for your help and cooperation. Sincerely, Thomas C. Samuels ARCHITECTS 252 55 MAIN ROAD CUTCHOGUE, NEW YORK 1/935 (5]6) 734 6405 FAX 1516) 7~4 6407 S A M U E L S & S T E E L M A N September 14, 1994 John Boufis, Building Inspector Town of Southold Building Department Town Halt Southold, NY 11971 Re: Permit for Addition to North Fork Country Club Dear Mr Boufis, We have calculated the first floor area of the existing clubhouse to be 11,190 square feet, excluding the Pro Shop, which is a substantially separate building, and the Kitchen, which is enclosed on all sides by rated partitions and fire doors as per Code. Our proposed addition totals 375 square feet, which when added to the above figure creates a total fire area of 11,565 square feet. As we discussed yesterday, the provision of sprinklers allows the permitted fire area of 6000 square feet on Table V11-705 to be increased by 100 percent, to 12,000 square feet. Therefore, our proposed total square footage is less than the maximum allowable fire area for a one story building of Type 5b construction. We look forward to receiving a Building Permit for the proposed work at your earliest convenience. Thank you for your help and cooperation. Sincerely, Thomas C. Samuels ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516) 734 6405 FAX (516) 734 6407 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 BOARD OF HEALTH SURVEY ................... CIiECK ...... ?..~ .......... SEPTIC ~DRM .............. CALL ...... HAIL TO: "' INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted tO the Building Inspector, with Bets 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 cov~re'd by this ~application may no( be commenced before issuance of Building Permit. d: Upon appr~va~fthisapplicati~n~theBui~dingIn{pect~r~wi~issuedaBui~d~n~Permi~tt~`theappli~nt~.~Su~hpermit shall be kept on the prefii]~§ 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, Ordinanee~ or Regulations, for the construction of buildings, additions or alterations~ or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary - (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.~ . . (as on the tax.roll or latest deed) ' ' If applicant is a corporation, signature of duly authorized officer. (Name and title' of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ltouse Number Street 'Hamlet Con,,ty Tax Map No. 1000 Section .... /.(~../. · ........ Block .... t/ ............. Lot .... Subdivision ..................................... Filed Map No ............... Lot ~' (Name) State existing use and..?.C[upancy of premises and in tefided use and occupancy qf propose~ constructi0h:~ , . a. Existing use and occupancy ..... ~.. .~ .............................. ~... ;~,~c'.; ..... 9. 10. Il. 12. 13.' 14. 15. property lines. Give street and .... block~number or description aec0rdmg to deed, and show interior or comer lot. Nature of work (check which ,apphcabl~): New Btlilding .......... Addition ~ ......... Alteratio ........ ~. Repair .... : ......... Rem,o~,al ............ Demolition ............. Other Work...' ........ Estimated Cost ........................... Fee ...................................... (to be paid on filing this application) If dwelling, number of dwellingi units .... ~ . ..... umber of dwelling units on each floor : .'..- ' If garage numberofcars . -- ~ , . f business, commermal or mlxe, d o. ccupancy, spemfg,nature and extent of each type of use .~5>F~.~(~...... ...... Dimensions,.,.of~_same s~tmct'ure with alterations or additions: Front .?-.?~....~..~... ..... Rear . Z~;'~. .J~..~*.* ....... Depth../.~.?... ~(.,...' ...... Heigh~ ...... '~.Z..~?....~...-~...... 'Number of Stories ..... ~..~..d~.'. ...... ' Dimensions of entire n~W construction. Front ~ Rear Depth lteight ............... Nuraber of'Sto~es ........... : ~_. ~ ~ ....... ~. ..... Date of Pure rose · ~ ' Na~e of Fo~- ,~ ..... ' ....... ' .Zone or use district in which prbmises are situated .., .~.. ~ ~ .................... 2 .' ~'. ...... Does proposed constrtiction violate any zoning law, ordinance or regulation: . :..,~'~.~. ........... i. i ii Will lot b~ regraded' '.: .... ~.~....... ........ ' ....Will exc'ess~ffil be removed from premises: ' Yes .... _(~ Name of Owner of p[emises ~~?.<-~.., Address .fi/..~.~ .~. ~...~....~x4...~.e.. Phone No..~.~...~..~..~.~..~... Name of Contractor ' '-" Address Phone No Is this prop~r~y within BO0 feet of a tidal wetland? *Yes ........ No..~...~: *If yes, Southold ~own Trustees Permi~ may be required. ~ PLOT DIAGRA~ Locate clearly and distinctly alii buildings, whether existing or pi'oposed, and. indicate all set-back dimensions from street names and indieat~ ~,heth~r STATE OF NEW YORK, COUNTY OF ................. · .~.S ~ (Nmne of individual signing contract) above named. ~ ~... being duly sworu, deposes and says that he isthe applicant He is the .......... i ..... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~) authorized to perform or have performed the said work. and to make and file this application; that all statements contained in this hppli~ation are true to the best of his knowledge and belief;and that the work will be performed in the manneriset forth in the applieatioE filed therewith. Sworn to before me this ~ ,. ...... /~.. :: ......... '.d~y ofi .~ ....... i 19 .~ .z-/ ~ .. ~. ~g~*~' ' . i ..................... (Signature of applicant) UNDERWRITERS CERTIFICATE BEQUIRED I I APPROVED AS NOTED / NOTIFY BUILDING DEP~'~V~ENT AT 765-1B02 9 AM TO 4 RM FOR THE FOLLOWING INSPECTIONS: 7. FOUNDATION * 'I~VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAil/lING & PLUMBING 3. INSULATION 4. FINAl. - CONSTRUCTION MUST SE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBI..S FOR DESIGN OR CONSTRUCTION ERRORS UNDERWRITERS CERTIFICATE RE(~UIRED USE ~S UNLAWFUL V~t~IOUT CERTIFICATE OF OCCUPANCY Project No: Drawn By: Checked By: Date: ~, Scale: Sheet Title: Sheet No: 1 1- LAN wmj m ~1~ , ,-, o/.~ o OI"B Date: ~. I'~ · ,~I ,~. Sheet Title: Sheet No: ,( ~L ~-,~'~'F2 F~,ct~c-cHi~i~I /~,'f' II' , i ?~OVI~'E HEAvy' '~V~I~NT le-O~F ,~HI~4CrL~E~ "TO ~9,~TC~H ~-.XIC::,TI~,4~ ~T~-~~' ~F r~k I ~-~. ii 3: Zl>- m :31~ =, oF o o1~ ~'o o 01~ Project No: Dra~n By: Checked Dale: Sheet T~le: Sheet No: 3 A . Avv N F L~, OWN OF SOUTJ~OI_D ,:' Project No: Drawn By: Checked By: Date: Scale: Sheet Title: Sheet No: