Loading...
HomeMy WebLinkAbout21799-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23338 Date NOVEMBER 10, 1994 THIS CERTIFIES that the building ADDITION Location of Property 2050 DEPOT LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 1993 pursuant to which Building Permit No. 21799-Z dated NOVEMBER 27, 1993 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 STORAGE ADDITION TO EXISTING CLUB HOUSE AS APPLIED FOR The certificate is issued to MARIAN COLUMBUS CLUB, INC, (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-330223 - OCTOBER 17, 1994 PLUMBERS CERTIFICATION DATED N/A 1 Building Inspect Rev. 1/81 FORM NOA TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N Date ~~.7 19, 21799 Z ! Permission Is hereby granted to: f ~/1~...... ! to. . ~........[........."G' .i !z 7,,.............. o..~~'.. . at premises located at .Oc1S.......!~ ~GG I County Tax Map No. 1000 Section Block .......A Lot No. pursuant to application dated 19.x........, and approved by the Building Inspector. Fee i ` y ! r.. / Building Inspector Rev. 6/30/80 Form No. 6 VINe / TOWN OF SOUTHOLD /y 3 BUILDING'DEPARTMENT TOWN HALL • ~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying 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. B. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $/15.`00, Co ercial $15.00 Date ......`./c.//.y ~ New Construction........... Old or~(p~ree-exis ing Building Location of Property. .Q.s.~ dc~ l...........?.~ 2 ~1g36 House No. VV Street Hamle. Onwer or Owners of Property.! *a.1,440'1,;C....A~i County Tax Map No 1000, Section.. / .c;k Block . Lot . Subdivision.../ .................................Filed Map............ Lot...................... Permit No.21.7 17ADate Of Permit Applicant .................~~.,,.c~~c......... Health Dept. Approval ..........................Underwriters Approval. ® Planning Board Approval 1equest for: Temporary Certificate........... Final C rticate..:........ 00 ?ee Submitted: $....f-~,......... APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ~1185077 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 17,1994 Application No. on file 83490994/94 N 330223 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant nomedon the above application number in thepremises of KNIGHTS OF COLUMBUS, DEPOT LANE, CUTCHOGUF, N.Y. in thefollominglocation; ® Basement ® I•ct Fl. ? 2nd FL OUT Section Block Lot was examined on OCTOBER 13 , 1994 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT. RUORESCENT OTHER AMT. K.W. AMT. K. W AMT K.W AMT K W AMi. H. P. 16 13 10 5 9 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. OIL H. P. GAS H. P AMT. NO A W. G. AMT. AMP. AMT. AMPS. TRANS. AMT H. P SYSTEMS pMT WATiS NO. ST FEET 1 2 - 1. 30 SERVICE DISCONNECT NO. OF S E R V 1 C E C^ NO OF NEUTRALS A. W G' AMt. AMP. TOPE METER .0 ]W .0 3W 30 3W 3.0 4W NO Of CC COND A. W. G NO. OF HI-LEG 4W EQUIP. PERd OF CC. CORD OF HtlEO OF NEVTRAI OTHER APPARATUS: POWER PACK-1 EXIT SIGN-1. PANELBOARDSt1-12 CIR. 200 SMOKE DETECTOR[-1 l ROSLAK ELECTRIC LIC.#3677°E P.O.BOX 164 CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 Per 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. f COPY FOR BUILDING NT. THIS COPY OF CERTIFICATE MUST, NOT BE ALTERER.'IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 1185077 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10036 Bate OCTOBER 17,1994 Application No. on file 83490994/94 N 330223 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of KNIGHTS OF COLUMBUS, DEPOT LANE, CUTCHOGUE, N.Y. in iltefoltowing location; ® Basement ® fat Fl. ? 2nd Fl. OUT Section Blork Lots' was examined ml OCTOBER 13,1994 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K.W AMi K.W. qMi K. W. AMT. H. P. 15 13 10 5 9 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W. Olt H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. qMT. AMPS TRANS. AMT. H. P. NO. OF FEET 'AMT. WATTS 1 2 - 1 30 SERVICE DISCONNECT NO-OF S E R V I C E AMT. AMP. TYPE METER 1 0 2W 1.0 3W 3,D 3W J$ KW NO OF CC. COND. A. W.O. NO OF HIAEG A W G. NO. OF NEUTRALS " A. W G.' EQUIP. PER d OF CC. COND. OF HHEG OF NEUTRAL OTHER APPARATUS: POWER PACK-1 EXIT SIGN-1 PANELBOARDS:1-12 CIR. 200 G.F.C.I:-1 SMOKE DETECTOR:-1 ' ROSLAK ELECTRIC LIC.#3677-E,' P.O.BOX 164 • CUTCHOGUE, NY, 11935 GENERAL MANAG._ER 11 Per 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. f r+= r gL.i i h~o~OgpFFO('t~OGy o Town Hall, 53095 Main Road °y x Fax (516) 765-1823 P. O. Box 1179 WTelephone (516) 765-1802 Southold, New York 11971 ~.j.~~ ~~O! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 27, 1994 Marian Columbus Club Inc. P.O. Box 933 Depot Lane Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21799-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. =1ELD IGSP -I ION ~IU in I~ OP4MLNTS _ w i H C FOUNDATION (1st) c FOUNDATION (2nd) _ _ rn t 2. ' \1v - ,s- d'r+ti- z l1 0 ROUGH FRAME 7&' PLUMBING 3. x INSULATION PER N. Y. _ .C, N 3N STATE ENERGY ,v S'Ctl p 027 t~~ CODE r 4. ~ r m FINAL ADDITIONAL COM NTS: rn JJJ x x b \ H 31 9 N' H V H O z x rn • r x • o rn ro H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ) FOUNDATION 2ND [ ) IN TION FRAMING FINAL REMARKS: off- i f DATE INSPECTO I / qq 70.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING FINAL REMARKS: h,40 &i:z ~ z X--of I I r DATE INSPECTOR t ,f a M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] RO PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING FINAL REMARKS: DATE 4/4- INSPECTOR BOARD OF HEALTH FORM NO. 1 • -3 SETS OF PLANS . TOWN OFSOUTHOLD -SURVEY BUILDING DEPARTMENT CItECI TOWN HALL SEPTIC FORM • • • Nov 4 1<<;~? SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NDTIPY,~~ /J CAL •V/Atei/.'i xaniiiied':.A 19rr~? MAIL TO:. 3L. Approved / ~ , 19i5!1`ermit No°~~~7r% 'f`$.4P1fS.7. ltiti 1Z ,y, y Disapproved a/c (Bull ng In ctor) APPLICATION FOR BUILDING PERMIT Date . ~G/d 19 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 pr 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. / (Signature of applicant, or name, if a corporation) 49y- Y33 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Gvy- Name of owner of premises (as on the tax roll or latest deed) If appl' ant 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. / . .....................!iG t7r~i~ House Number Street Hamlet County Tax Map No. 1000 Section / d. J\ Block A Lot. . .,47 Subdivision Filed Map No. . . . . . . . . . . . . . . Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy V...~19,.... ?gar yli)R b. Intended use and occupancy J19 ^d . 7`6,4 3. Nature of work (check which applicable): New Building Addition . Alteration Repair oval . Demolition Other Work Rem co (Description) 4. Estimated Cost ........~Q 6 0 © Fee..... (to be paid on filing this application) S. If dwelling, num of of dwelling units Number of dwelling units on each floor /y'. If garage, cars ....../V../7i 6. If business, commercial or mixed occupancy, specify nature and extent of.eac~h type of use. . . . . . . . 7. Dimensions of existing structuries, if any: Front J`. P . , , , , , ,Rear , . , Depth ...7,-, , , , , , , , Height Number of Stories .....~1%h~. , Dimensions of same structure with alterations or additions: Front Rear. . Depth AeYil~ ............Height S!~." .14 : . Number of S~ories 6./Yk . . Dimensions of entire new construction: Front ....../6.. , ; Rear /.'e Depth a 0. , , , , , , , , .Height NuTber of Stories . C9 rye 9. Size of lot: Front a a.U Z. Rear eO . Depth . zf . 10. Date of Purchase , , , , , , , , , , , • • , , . Name of Former owner 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . /yQ...... . 13. Will lot be regraded / . . Will excess fill be removed from premises: es No 14. Name of Owner of premi ~~e (7 a?iqy 4',;ti,;n 3p s, ~F .r3Address A.4jN/, . , 4A ; , , , , , , . Phone No. 73y: 73,3 , , . Name of Architect J Address Phone No................ . Name of Contractor Address Phone No. 15. Is this property within ~00 feet of a tidal wetland? *yes........ *If yes, Southold Town Trustees Permit may be required. 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.. I I STATE OF NEW 4t 0 f` COUNTY OF, . S' ' ' • • • • • • (Y' being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Con c r; e t fporate 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 contairjed 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 meek is pp,, Cl 1 . d f. .43 Notary Pub . , . County Notary Public, State of New yo v . CLAIREE L. Qualified in Suffolk noun rk Y ryI ^ (Signature of applicant) Commission Expires December 8;!,18 C A4bT; i 1 YI. Tsar W*Lf ,0 Hc. ? Af .x.1 P. DAILEY A55tiMHD BL4 , NOV _.a - n t n -L OwM , WELL ••p~ ' proe PATtlM I N 45.4750-E. - 453.52 ) TRAMP of- `7tlLL ,~-L f M f W ..r...~____..__.___ <c-. 95 Q o r~ d p c .J N P'iFAbt$ t3l.t9G. O." s r*~ L. L. Z5 fd MAP 4P LANO* g' na r Pwavosaa rQ InaH z 3 ° teawc.,,. -7-` 2A• x ?x. a ~rB-:t1~R s Q'-- - 4 - s• ma a v a Q A7~ • ? h m O a C v'7C#+0LGU& b .1•e~,~a ,af 8 1_ U 1- 6 T' O K e ?g. i!i v *WW ya" 7fD4a Cxs a•r Yaa stl• Y Y roe'' ra `h' ~ ,....dr ~ ak YtflaPn?t zs,,, ae near or0°~ y, •a ,3S 3U~PO K C~v>kr t t?iif Y, isa~t ra a EAre a . 4i% b ' rFa.t¢ tePt~~PivAV ear GGr;=•.T~IC~`6~aFi+t dM?~N.'t' fo atrasrlavacg,H ~$'TcT H. .t`. ?i4t, i ~^`=?~ica.edtiar•~n ha~l•• - _ tY'P nlor 6ho :1 1au111' ' 6 RPPRoYD _ . am• -Ytl• nG~ryalgiiy b Ltsuc: yteon altl - ' Ltff1A.L pifaYi~?J.YAI.: ~ b aWyn~c .._t•nelingiaifi- e Guerin sc nJiYaai~attl• M G ~ - b ta5wumeorabwplwl , of WM. LAPPff 5 G + U.S. LAM TfT(.e @ M .M Qa- of NE 'I fi~~ 741$' WAT:-K buf':~L'' Rt•:r:- 68V!{~~4? QtWt~C.CFi:Y AS ~~F ~~,.-"mss F 6YATASTd.'. FOIL f"I.c Vtl ;-VW6 NALL C"Falie. 5CAL E 50'a t srar Ft+ rc ~G• TA:X ?F7tcs"2. tG00 t0$ ° ~ ^:S. LL _ TA. FNk STAMQAlG'S ClPv Y'HSz 6UFP0L.l.: .._.,..w._._ . . - • . y'. _ ; EPdOtH latPlo AfdlfAtDB1D`Af}3.3.A.1/¢~ ~ o - C.P. JAM ZS) L c+ ~smr? DA"tr? OP HLAt." ScAlVr • Q pay wet-0. J - - - qu o A2RA 2.'92:5 ACRES - A~Pz.sCAtS1" { ~ t 1'~3Y+i~'s+.Ll .-.-.-.*-xt~_ • _ • r .14: Y . .,ijnT ~w. ~ y _ ~x.ls Aa. a' a FXL QSTOIZAGECtQM, ,pCAY f4`It f~+16 - 5/0 K~% GYAwe, SOE ves i 'M:IP.pE SINK- / PM NFN It 43 t r6,- 7ANlRY TirWpE 51wK- .e ALL WAh.t'.5 - SIS TXEG ter- t, Am e . V"3zY?t'S ? 'TTd•'F (,t~/ZITp!/~N'S SNAIti LNe.4,bs6,U fu{Tlt T. w. qs t 4Y _ _ Wn4L 4_ar Llws T14 - T 11 REQUIRED BEFORE i 2 MCE 9¢kF ru avti'* •ovtM~N4! ~ OPENING - - --T OCCUPANCY OR USE IS UNLIMFUI. WITHOUT CERTIFICATE ;~a' OF OCCUPANCY pwt FbPTM1ry F,_.r"L. may; Rkr'a59~ ~ ~IE!w~" Yt' I ~ I P AEVR~jED As (NOTED uw•FT,r~ •.•u- 4, cl-Uk. P, / SURF R A U.n Lf_ - N(Jrl'FY Rf It . v F3EF"AR7 F FeT t *Ntuw -YR nei:,E YCnt I - - - 76o501 I M'TO G FPM FOR THE / i gKISI Si Pfs cnun ~ oN ' hfi0vi I I - - I ~ H FOI r (qtr ryes INS ECTlONS: 'I F011''y "TIJPI - T6Vt) RE7.lUIREO / FCf p f) )RED CONCRETE 1 i I t !'F}'1G Ev MAMMG & PLUMPINC" 1 ;r. E rf it I:r7Y,".S 'Fi13CTiON IUtU5T - - 4 _ 5h1.-f'Ld„ION 6. COS, PLETE FOR C.O. - . v 'ALL CON; TRLICTIOF,i SF3(eLl_ MEET _ - - - ' _ a'E+F RE~CVIE[ENICNTS OF THE N.Y'. u7,1\`E CC QSTRLJCTION & ENERGY ' - - [:CDES. HOT RESPONSIBLE FOR . Frf5143N F1'' ~ CONSTRUCTION ERROR$ UNDERWRITERS CERTIFICATE 14 - - ' REQUIRED t ~I r ,1u2 %4ot / . , L ~~QF/` ! IQrv~ Mn~~N lyY +y1 'T+sUF yj~{~,"'.~ _ ~~iu_?t•~°~, Ut r+N re.w 2kisr •u•~q - rne na s1«ph7u,a, 5=- q -.7'-• - _ UT sNoA'4 epL, b•N E';,eT ~ ' or, &Tdm, - dC, TlMG PR A4QR prw 45' - - -fP%'rwy, Vtri,KY gdw1G1'elnr,iS - J~'P1 k{ ~J Ll A`T tQ.t>1 ~~r~~l e P.i5- qv fsetrNb"~' F'MfNIIS Nov ` 9 d9g~~ Y F ~E it ~ WAtI. i SrQ 54If Exic1 FImR ."il AH1 k~k(N^I~~ELSut SCJ2-~.._--__ : ~ Su1~.~w .evrre v t`e~%,cv anrvp-hsru.~s Gbl+att,n'ws' ' fl MM! B "1 nWCfW FG }]acr5 ~ r1 .3'Q{I J Pqt OF NEW - Phone 477-040O ~ W 1ain Read mo a36 r G12.EF.!POf2T. N p9~EE3310NP~' Y. Ytr Yk ESC C04 a tgxr mel 41. )I~ / p .AAS ~kN.CkkeB I GTe IfeN „ y m UK,% out I r{ p y rap Sf~SA ~ ~AVLE I~y sf t~ ~ ~ t' Ev