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HomeMy WebLinkAbout19364-z FORM N0. 4 TOWN OF SOUTHOLD BUILDTNG DEPARTMENT Office of the Building Inspector Town Hall Southold, N. Y. CERTIFICATE OF OCCUPANCY No Z-22077 Date JANUARY 5, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 1375 COUNTRY CLUB DRIVE CUTCHOGUE NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 3 Lot 2.32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 1988 pursuant to which Building Permit No. 17287-Z dated AUGUST 4, 1988 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 QNE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR. The certificate is issued to KOUROSH JAVAHERI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-239 - DEC. 18, 1992 UNDERWRITERS CERTIFICATE NO. N-242572 - JULY 14 1992 PLUMBERS CERTIFICATION DATED DEC. 15, 1992 - HARDY PLUMB & HEATING } ~ ~-~~L, ilding Inspector Rev. 1/81 1'OB.M NO. b TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N _ ~ ~ Date Permission is hereby granted ffto~~: T) . a4e!~`.......................... `~..~......~.tc.?..~-~-L. 1 ~ ~ at premises located at ..1...3~.s~? 1.:~.g„_ County Tox Map No. 1000 Section .....~..V.~....rr..__ Block Lot No.....a.....~~,..~r:.. pursuont to application doted ....~~"::^~^-K~.....~..........., 19.9.4?., and approved by the Building Inspector. Fee $..~a.~g.~... Building Inspector Rev. 6/30/80 roaas xo. a 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 4 ~ 1.7 2 8~ Z Dote .......`~„1....~~ 19. Permission is hereby granted to; , to . ~ .i~..~. ' ...~z~.r.~~~~.::....~... at premises located of ' ...........................................(~~~icL County Tax Map No. 1000 Section .......r~1........ Block Lot No......rat..~~. ~ r pursuant to application doted ...............~..,1...~..'rJ..~...................., 19.1~~, and approved by the building Inspector. p ~ Fee $/:Q?.?~.lS.'. r B}rlJ9ing Inspector i Rev. 6/30/80 Form No. 6 ~,_a~S f~j~._,~- i' : . - TOWN OF SOUTftOlD 9p1~ BUILDING DEPARTMENT 1 ` ' 4t~~ 2. ~ TOWN HALL ? r ~ 765-1802 T° 4 ~,.R a~~..~.~..~x3r~~~ ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, ink and submitted to the building inspector with the following: for new building or new use: 1; Final survey of property with accuxate 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 Chan 2/10 of 17 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. li. 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 i5 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Comimercifal $15.00 Date A:~..1.~~ f New Construction.... Old Or Pre-existing Building Location of Property.~r3.~5...~.'tJn7.jP:;1 .~W~ ~1 ::................GU;~CI-~,C7C719~............. Ilouse No. 1' Street Hamlet )nwer or Owners of Property......, f<.ou2pSM...•.:,l,q~~('~E2i,•.,,•,.•,,,,,,,,,,,,,,,,,,,,,,, ;ounty Tax Map No 1000, Section....~.~1.~.......Block.......J'~........LoC......;2.;J~.2...,. subdivision ....gFiled Map............Lot...................... ermit No...~~.1. z'. ..Date Of Permit...~.~7.~. Ja .....Applicant... ~/?.Sµ..'°~~~'n•~~~~q~~.- ealth Dept. Approval~C.Ig~lg9?,,,q;ls~~~`1„Underwriters Approval.~.~~:~.4q~....~,~~~:x~dj.'.~ IV2`~2.'ST2 lanning Board Approval.......N.I•(~............ equest for: Temporary Certificate........... Final Certicate... ~ S oc ee Submitted: .P~ _ _ _ _ _ 765-1802 ~ - ' BUILDING DEPT. G~ ~ I NSPECTION ~ ~ ~ [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING FINAL ~ REMARKS: DATE ~ INSPECTOR/~ lELD~ 1:S:'EC.IOfJ ~~UAyTE ~ COMMENT° 1 . ~ 7d" - FOUNDATION ^ i 1st) - ,a3 ~J~ • FOUNDATIOiJ (2nd) ~ a Q• ~ ~ 2. o w ROUGH FRAME & PLUMBING r. { ` ~ ~ N ~ N T ~ 3, ~ I2JSULATION PER N. Y. ~ y STATE ENERGY - CODE ~ x r D ~ ~ e Q.-3e~ s' 2Z - O ~ l~P. FIiJAL ~ 0`1 k.c~ z3 - ©,r~. r ADDITIONAL COMMENT ~ ~ U ~ tt ~ ~ X 0. .y H Y C~ .-3\` AJ H 7 2 ° s7 d x c~ A • r I x O c7 I ra ~ ro H THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 ~ ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10036 nave JULY 14,1992 gpplicationNo.onfile 71112890/90 N 242572 THIS CERTIFIES THAT only the electrical equipment as described 6eloto and introduced 6y the applicant named on the o6ove opplicotion number in the premises of JOHN JAVAHARI, COUNTRY CLUB DRIVE, CUTCHOGUE, N,Y. in thefollotving location; ®.Baaement ®l.¢t F/. ®2nd F'l. GAR/ATTIC/OUT .Section Block Lat teos examined ort JULY 06,1992 andfound to be in cmnplionre with the requirerneata q(this Board. FI%TURE FIXTURES RANGES COOKING DECI<s OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT fLVORESCENT OTHER AMT. K.W. AMi N.W. AMi. KW AMi. K W AMT. H.P 45 52 37 45 1 13.4 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE fEEDERS SPECIAL REC'PT TIME CLOCKS SELL UNIT HEATERS MUL71-OUTLET DIMMERS AMT. K. W. OIL H. P. GA5 H. P. AMi. NO. A. W. G AMT. AMP. AMi AMPS. TRANS. AmT H p_ SYSTEMS qmT WATTS NO.OF FEET 6 F 1 2 14 2 - 1 SERVICE DISCONNECT NO.OF $ E R V I C E AMT. AMP ttPE METER I 1W I q aW 3 $ SW 3,6' 4W NO OF CC. COND A W. G. NO. Of MbLEG A. W G NO.OF NEUFRAIS A. W Q EQUIP. PER % OF CC. COND OF HI-LEG OF NEUFRAI 1 200 CB 1 X 1 4/0 1 2/0 OTNER APPARATUS: JACCUZZI-1 MOTORS:2-2 H,P.,1-3 H.P. G.F.C.I:-7 SHOKE DETECTOR:-3 ' ~j~,~~ G & S CONTRACTOR LIC.p57B-E G~j~%//~ BOX 215 SOUTHOLD, NY, 11971 GE RAL MANAGER 1 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be i entified by their credentials. VICTOR LESSARD r~ ~ " Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1179 ~ " ~'R'+ Southold, New York 11971 (516) 765-? 802 N~ ~::,iiy+"S~(.:. "~'a t, FAX (516) 765-1823 esf' ~'~£t~ L OFFICE OF BUILDING INSPECTOR TOWN OP SOUTHOLD August 22, 1990 TO: TOWN BOARD FROM: VINCENT R. WIECZOREK, ORDINANCE INSPECTOR RE: BISTOON REALTY KOURASH (JOHN) JAVAHERI It is my understanding that Mr. Javaheri is on the August 28, 1990 Town Board meeting agenda. This memo is to provide information to the Board regarding the (2) two Building Permits, (#'s 16882-Z and 17287-Z). Mr. Javaheri has received numerous letters and Order To Remedy Violations regarding his buildings and sites. He has not complied with all of the Building Department regulations or Town Ordinances regarding inspections and permit renewals. He has been informed that he must renew the permits before any inspections or Certificates of Occupancy will be done or issued. It is the Building Departments contention that the permits must be renewed and the necessary fees be paid. VRW:gar N 3° _ 3 l0 t0 N lOw~~~1~01 ~ y i \ n~ (DWELL/N ~ . n. tT sex 9~ ~ ; ~ ~ 9. OA AREA = 66l163rg1/. 7~ O ~ ~YP~ P 5 g ze In ~ , Y ~ 4p q o rp3t Z r(F \ mp m tso °oy~°c '•,od `'Pm u et m m a O. {9 4 ~ V. p0 O\ b M 2\ j ~ D J N U ~ 3N~ D~ N ~ r - LANTI H ° 1 \ / S T4. p3, 50, W f IyA Z ~ I a 0 ~ a ~ J U ~ N i~ 247.19' l2 Z K, sr. 111 O ~.er \s[\ tyACpNT1 ~l ~ i Q N a N m ~ 3 m N Q C Z Y O J ~ 9~ R_ )SqY d ~3i T 00.0 - 285 20 SURVEY OF nor ii MAP OF COUNTRY CLUB ESTATES FILED OCT. (7a 1976 F2E N0. 6736 AT CUTCH06UE TOWN OF SOUTHOLD vr.paretf in eecordonce with tlw minimum SUFFOLK COUNTY, N. Y. rfandardr for title rorvejr es egobliahod h', the L,LA. L. S. and approved and adopts 1000 - 109 - 03 - 2.32 for ouch ore by The New York Stare In SCOIB l~ ~ 40~ Title Aaocialion. Nov. 2, 1987 /j Apr 17,1989( uc) w0'ANOSG ~C' oy~eN n. tyc~'S`M co ~ .Y.S. LIC.NO. 99f ~~.~u_,. f MCO ~E d ENGINEERS, F i } y VICTOR LESSARD I ~ ' Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1179 (s16) ~6s-!soz ~ ~j~, Southold, Ncw York 11971 CAX (516)765-1823 N '~~~011, s ~ w OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 22, 1990 TO: TOWN BOARD FROM: VINCENT R. WIECZOREK, ORDINANCE INSPECTOR RE: BISTOON REALTY KOURASH (JOHN) JAVAHERI It is my understanding that Mr. Javaheri is on the August 28, 1990 Town Board meeting agenda. This memo is to provide information to the Board regarding the (2) two Building Permits, (#'s 16882-Z and 17287-Z). Mr. 3avaheri has received numerous letters and Order To Remedy Violations regarding his buildings and sites. He has not complied with all of the Building Department regulations or Town Ordinances regarding inspections and permit renewals. He has been informed that he must renew the permits before any inspections or Certificates of Occupancy will be done or issued. It is the Building Departments contention that the permits must be renewed and the necessary fees be paid. VRW:gar FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N, Y. ORDER TO REMEDY VIOLATION Date ..............p~i..C.;t;,~?;4;~':.....'~..p..............., 19. `~C?. (owner or authorized agent of owner) .....~f~ p3 ~lrKt~acrr~: a, . ~.r S: f~. ~?.7:...t~.t~: GaS..,. til:..Y..~.....1:1. o.~.l....... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violotion of: Zoning Ordinance C-;L~,~ i ~ l `~`Q Other Applicable Laws, Ordinan~es•or Regulations at premises hereinafter described in that ..~:u.~.!:~:?~:!:~.~? ~r t ~;,,~,7 ~-~~`a/ f-f.Y15 (state character of violation) Fx i ~.~?.`':.'~.....1~.!:1..'~......t.'..U.S:~:....lg.~..:...~:r,:at..t..u~.~.....~~....~.!~..:~:'~:.i~.~t~.,7;;.P..?~...:Mu> i RG ST~aa~r"'~r~ ~4u?~.....~.~!1.~~-.~.~~.e~....~?:~?t~:~~....44.C°....:~~.....i~e2~;~,~;,~c 1:...mar:r:r?:Qf.....t~:~.~....!.~a~.~:~:}€~k~lact,, in violotion of .~~.rIC. ~ XX.!~.tc~,,,, ,~P~~?,-~,~%~ (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at !3"~5'..l'v~~rr~'~;~~„CL(1~ ~`~2,:iGU(,~.FIgl3,u,~,;.;..County of Suffolk, New York. SUFFOLK COUNTY TAR MAP li fQC~f,? ~GJ °Q3 - Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both, ORDINANCE INSPECTOR VINCENT R. WIECZOREK CCert. Mail) H f` ~ N w~ n ~ w J 3 N o x o m'~ m ye n 7 1 f QI V m ~ ~ r f o m ~ ,csl nG~~'p 6xr, fQ gT 1?CC'c~ N K£ti v' ~ a Qm w N ~ fr C+1 r w •O s ~ 0+, G ~ ~ a 6 tD y 9 ~ ~ aY7~ iA r. OS~ G~wi D3~ ~i0£ W o.~ W N ~ T O n1 O ~ d p G ~ r 'S N r A ~o r ~ m ~ '11 (U y o w .r 9 7~ O~ y fl, N ,p N ~ w ~ O 6~~ G~ -r~ G K ~ O G ~y S ~ y~ a ry T v, JA r n w x G 9 V, G ro O~ O~ .r G r i r, ~ J O N ~ 9 O~ O O ~ N O N ~ ~ O ~ ~ N 'F a h J ' ~~x K~ w ' ~ ~ N o J m y a c~ w ~ a 3 0 2 r. ~ J w m ~ fi~ p w ro N ~I ~ 11~~' C w O n w ~ ~ ~ ~ yx y ro~aa ~ ;~rfi ~ ~ ~w c I K (f O iZ- ~ C..i n.o f~D IY7" ~ G' ~ m a ~ ' ~ ~~I~ I w N m .p ~ cn w p Z ~ ~w~{a x '7 J `,1 "S ~ ~ w l• 2 m ~ V 'O m w m w w c „c~s,;+ ~ O by ~ m r. ~ u, ~ , r- ^t ~1 ;~>":^t~ t~ w ~ w ~ w O , ~ ,J.'/~~ O w s ~r 9 a o ~ w ~ r.'b~ ~ =yei~ JN 'Y rt ~S? ~ 4 7 w ~ ~ J • . o' w a w o. w Fein ~ a' ~ ~ eN+ ~ 4 o M - 4 w tw ~ ~ ?6 a p -M K Z ~ P w iFl 3 ~ O N ~ ~ ~n N ~ N ~w1/ ~ ~ ~ ~GG ~,n ~ n °pp0. G cOi p B Na N ~AZ W ~ 1 ~ w ~ ~ ~ ~ n ~ N r• ~ ~ . o~ c ~~'n o v a > o A N N $p ~ N ~ N .n ~f. =pf1 p "S D g -5 N Oa a A G e+ f 1• ~ R ~ d '3 ~ o- M N N Y Y' I - - - - - ~~'z95~ ~!~G.os~E ~-~~2_,q- CQ~~%~~=__~~?c«l~As1_o_'~ - ~ - ---~°U~~~y ~_rr_~ Bv~wi~~ T ~ -z - _ p' - - - - FMK -~Mzl2. _(~JES ~ io,~ r a~ in~f~~ri_.4~i4~-1 __~~c-,~.~-mac.- &?E ,dav - _ . ~ .lo~r~J ?fh!~A-~fCRI ~3_ GJ~~~_Sfa.~_K~! ~',E'~~ ~~cc_ - - - - - - - - - -~Q~~ ,~~GSrf~nir~ j - - - - I- - - - _ - I - - - - - - - r---- - - - i - - ; - - - _ - - - - _ - - ~ ~ - FOILII MO. v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date June 20, 90 19........ KOUROSH JAVAHERI TO . (owner or authorized agent of owner) GREATNNECK,RNAY. 11021 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violotion of: Zoning Ordinance CHAP. 100 Other Applicable Laws, Ordinances•or Regulations nt premises hereinofter described in that ~ ~..-..Building Permit ff 172872 has gapired (state character of violation) and must be renewed. (2) -Construction must be stopped and building closed up to prevent entry and weathering. in violotion of ARTICLE %%VIII CHAP. 100-281 (State section or paragraph of opplicoble law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 1375 COUNTRY CLUB DR. CUTCHOGiTE ................................................................................County of Suffolk, New York. SUFFOLK COUNTY TAR MAP It 1000-109-03-2.32 Failure to remedy the conditions aforesaid and to comply with the opplicoble provisions of low may constitute an offense/punishable by fine or imprisonment or both. V ~ zj f~~~'( ( ~ ORDINANCE INSPE TOR VINCENT R. WIECZOREK (Cert. Mail) c-..Y. / . ! f.,~~ ~\J'r3 ~ fad ~ ~ _ i. _ M.; - 1' t S 5 ~ ~byrM le ~ ~MW( ~ 1,~~~e F I / % M ~ _Cd ~ C ~ n-1 i - /37; Cn~~7~~ Gztl~.D~, l'-o~Te,Efz,C~v~ C. or- c~ ~~-e~z-~~-~F~ ~oCizc~--~ ~ ,~r..~-~. c~ .~a-~.~~--~- . G./dn/~JS o i~'~. C~ ~ /~~~c°~ N /r o~ i ~C~ ~ ~ - ~ _ f~~~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG, [ ] FO NDATION 2ND [ ] INSULATION FRAMING [ ]FINAL REMARKS: ~i~..Q--- wl-~„~s~ `'r`"" ,'t~~ DATE ~ O INSPECTOR r 1~3~ rss-isaz BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ l~INSULATION ,~G~ [ ]FRAMING [ ]FINAL REMARKS: ~r ' DATE QG~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [)FRAMING [ ]FINAL ~ ~ REMARKS: ~ DATE ?ice INSPECTO~~ ~ ~~t36~~ ~~L~ rss-isoz l ~S ~ o BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ] ,FOUNDATION 2ND [INSULATION (~.3 0 [ ]FRAMING [ ]FINAL ~-tg REMARKS: ~ ~ ~ ~ ~ S ! l'za~-1~' , ~ c.~~ rr~ c~1~--~~ c~ c.~- ~ ~ 2- ~ ~ ! mil/ S U, t_.. ~4-=i 10 ~l ~ 0 14~,~~s TD ~ ~=c~oo ~ ~ C~ u DATE ~,S~INSPECTOR U ~ i~~ - ,;-~65-1802 ~ ~zt~~~ v. BUILDING DEPT. _ ~ ~ INSPECTION ~ [ ]FOUNDATION 1ST [ d] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ ]FINAL / 1~„ y rv~-Ct~~ REMARKS: a ! ~~~.,.o~'/ ~ l~/ -tea ~ ; W ~ /C./ C~ W ~VL-_ DATE ~ INSPECTOR ~ ~ U F~____---''" T65-1802 BUILDING DEPT. tNSPECTtAN [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FIN L ~ REMARKS: c DATE ~ d ~ Z~ INSPECTO ~ G ~ <c1T-iN ~t.F~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [~OUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL c~~ REMARKS: P'~~C~~-S`f /l.~p l f~.o C_/L _ F DATE ~ ~ INSPECTOR l~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T [ ]ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: G DATE 3 INSPECTOR _ 1 ~ T65-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST ( } ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING (]FINAL REMARKS: ~ti~~ N DATE ~'J l`~ ~ INSPECTOR % Y ~"i'U t / % G%~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ( ] ROUGH PLBG. i [ ] FOUNDATION 2ND [ ]INSULATION N FIN L FRAMI G [J mid REMARKS - ~ DATE ` ~-~S'7/ INSPECTO ~ +r~r.w.~r.w.w.s.w.w.w.w..wrwrw.s.wrwrw.w.~srw.a.arwrwesrw.wrw.w.w.wewew.w.wrwti TOWN CLERT; t 'TOWN OF SOU'PIIOLD ~ ~ 1 9uttolk County. New' York 516 - 765-1801 }V;~ (3' ~ 7 ~ 9 Southold, N. Y. 1197G~~~5 19.1 ' i lRECEIVGD OF~~_s.V1'gA.[C, ~ ~ 1 --i ~[t7fl Dollars S~ 1 I 1 For - ; j Judith 1'. 'ferry, 'tow lark ~ 1 i q ~Ca~h Check ~ ` ~ By 1 lll...w.w.«w.w.«w.w.w.~.• •...w....w+w.w+.....«w.e~. w.,n.w..w? 7~_-. - - - - - - _ - - - - - O s",~" e~~s ~ ~ 1' N . 3 /O i0 N ~0'~E~~'~G, o O W IDWELLlNGJ a. ,i 30' ~ ~ 9. Ok AREA = 66,163sg11. ~ ~ 5 ~e 7~ ~ ~ ~ '`Yea` ryo ~ 1 ~Sr p 4~rrg dom. ~o ~ ' - • y O lC L ~,A iq In ~ m i ~b S~•t Z J, 9 O ,6e ~~G '-~.d c~~ et a • n O. ~ 40 3 i ~ s Kl Z\ b ~ ~ - ~o0 3 ~ , ad Zo. N N a \ 0.`7~ lOp' (VACANT) U ~ , , a~ a Yom. T~iB~ ~ ~n f~ S~ ~ iyP Z ~ \ I ~ d O ~ N~ ~ U ~ N ~ ~ i~ 247.19' l2 Z ~ 4. ``s~ T) 111 O jesr ~ (VACAN ~ Q v N Z c N N ~ C Z Y ~ O R ` 25.00' ~ ~3i T00'p91 ` 37 qy~ O ~ 285.29, . . SURVEY OF LOT 11 MAP OF COUNTRY CL UB ES TA TES FILED OCT. l7, 1978 FILE NO. 6736 A T CUTCHOGUE TOWN OF SOUTHOLD Ptv~,a i~ a«eraeM. wid, ,ke n«~~,~m SUFFOLK COUNTY, N. Y. sfarKlardi for title wrve~s w e+wb{i+1wa n; l 000 - 109 - 03 - 2.32 the f~ 1. A. ~ s. and approved aea adopts for rxh use by Tks Wsw York State l~ SCO/@ 1 ~ ~ 40~ Title AuociaNon. Nov. 2, 1987 Apr 17 , 1989( uc) O ANDS o,. l Mc~~9`~< Zo O . Y.S. L1C.N0. 49668 C ~ d F.NGMMEERSr P.C. OQ y S .11971 87--862. 1~ o 0 a , i N 3 /0 t0 N 1 ~'V'~ O ~e ~o'~ i~ ~ ~ a g5 ~'t ~ rowEtc,ws~ 11~~ tea.-_ 1/ 1 n% ` iJ t t~ 3p. ~ ~ ; \ ~3'e g9. OQ AREA ~ 66r163sgH. ~n ,~,_,T ~ ~ 4- = t/ a ~ ~ ~ t~ Z \ ~~f AS'r SS.,~cK" n I Q 9 ~ \ ~ ~ ~ 1VACANTJ U ~ / _ a C'L ' ~ p3' Sp. GA~~(1 ~ $ _ 5 t4~ I TWA ~ \ Q a at \ ~ J Ov ~ ~ cn ~ 247.19. 18 Z O ~ (VA~Nt~ ~ g Q a N C z ~ ~ ~o~ N Z Y ,1a~ J ° GO~F~ v sea ` SUFFOLK COUNTY E3#PARTMENT CfF HEALTH SERVICES FCR Af-RC~~ti`A.L OF CGNSTP,!tCT'.6N C~SLY SURVEY OF v phi ~ The water supply & sewage disposal sys- DATE i 1 a 0 I;c p.. ~ p2 L 0 T / / bms for this residence will conforn ro ~ - srondards of the Suffolk Co~~,~~., APPROVED MAf' OF ment o4 H It Serv <e COUNTRY/"t I CL UB ESTA TES ~~s`~`'`~ ~~a P~ - FlLEO ocT. n, 1978 PILE NO. s7as SINGLE FAMILY DWELLING ONLY A T CUTCHOGUE W ~ rzsC z ~ /-t- K H A SPIRES TWO YEARS FROM DATE OF APPROVA TOWN OF SOUTHOLD 2~}3 14 ~ g~ . 'I D"~~~~~~ SUFFOLK COUNTY, N. Y. ~ u" l000 - I09 - 03 - 2.32 ~ `I"~`c fv. r (000 3 QEC 3 1987 Sco/e l' = 4p' Nor. 2, 1987 a NHSG9 S.C DEPT. OF cFG L~< ktTH SERVICES ~a o z Prepared in aceordance with the minimum r LINO. 49669 tlandards for Tifle surveys as established by the L. I. A. L. S. and approved and ad:,pted ~ Y d EN6Ytr~ERS, P C. for such use by The New York $tote lard '~,s,regTy~ Title Association. p~ ~Qi'r• IKY. l/97/ D7_DL^O O s¢~~ F `~s ~ ~ 9~ 36~ ~ N ~ 3 /O h N t0 ~ ~ (DWELLpJG! . a, 11 tt d~' gOr ~ . 0~ ~ AREA = 66,163sgfl. z of ~ ,r o yyt Z gt+' ~ wp o ~rFe "r,~~ ''mod °t° V, A 0. \ ~0 i ~ $ 'j' m ,n z `003~~~~ ~ ao`" N • ~ ° o b. O (VACANT) ~ a\ at N U ' ~ 5~ s~ ~ J C`L o ~ • 03, 50. W . I~PCA~t, Z ~ ~ \ S 74 I 7 ~ ~ ~ °L N j c11 U 24~.i9, 12 Z OwC W ~ y.~ `S~ 1VACANr1 J ~ Q 0 N Z c N 1'' N ~ C Z Y N R ` 25.00' ~ i ~ = 37 q~' O . iii '(00 9B ~ 285.29, . SURVEY OF LOT 11 MAP OF COUNTRY CLUB ESTATES FILED OCT. l7, 1978 FILE NO. 6736 A T CUTCHOGUE Propared in accordance with the minimum TOWN OF SOUTHOLD Nandords for title rurve~° ai wablwl~ed by SUFFOLK COUNTY, N. Y. the L 1. A. L 5. and approved and adopted l 000 - l 09 - 03 - 2.32 for .uch rns by Tire Wsw nark Smote bane Tile AnorAaean. Scale l" = 40' Nor. 2, 1987 Apr. 17 , 1989c uc) ~AArN0,~G94 f .S. LlC.NO. 4966@ Y ENGM/EERS, P.C. i p 6 o pew ~ E~ r SOOT . l/97/ F? 7 A~'J H. S. Ref. No. 87-SO-239 \ 0 syE,.~~ ~~s 9~. ~ ~ 36~~ N 3 /O h N 1 h ® ~ ~ ~ ~ (DWELLING) ~ ? Y. ll --G t yox 3p' E e~~ k~ ~ ; \ S9. 0 ~ AREA = 66,163sg1/. ~ r1 ~ t X ; yM~ s.s2 M~ ~ ~N 3'96k~ n F~ ~ ~ ~ ~ ~y~ ~ \ L~~.I C ~ ~1J ~J -~N~~ IUD ~ ~ ' : " s~ tD ° > _ LLl Z ~ 'a Z0~0 58 ~ • ~ < \ Apo ~ ~ Wa'` N ~q9 ~ (VACANT! U ~ ~ I N f ~U ; O ~ s" t~• I i m\ t S Z ;l~ Q O q N U ~ ~ ? ~ 247.19. 12 Z ~ .`5~ N W O ~ NpCA Ti ~ ~ Q u, 0 N ~ Z C N W ~fi'..- N ~ c v~~ Z Y o _ ~ R = 25.00' J N l: ~v3i T00'p9 37 qT' ~ N ~ ~ zfls.ze. - `~'9.... LOT ll MAP OF COUNTRY CLUB ES TA TES FILED OCT. l7, 1978 PILE NO. 6736 A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. suFFOrx co'JNTI' DEFa,itTrAENT of HuttTtl s~rru~c~s p~ 2 1000 - l09 - 03 - 2.32 S!rfjc!~c rariar ~w~tuiiX; o~{:7r 5 /~2 SCOIB ~ r - 40~ DAT~~~ s~..~ S < { ~ ~ ~.C. Nov. 2, 1987 Trx sewarE i ~ , ter iirs ` HEALTH SERVIC b. aticn r~r~ ~ ;n,.ci snJ. or fS (~Flf ~7 , i 989( U-C) }f»li 'M.IB d lU~f~! d] w mt i K:fi01~ July 1992 /Final) ~ s~.- - 3:"_ CAtief ~ ~ueau m` WastewatcY Management ~ ~r~' % ~ aT ~ y~ N.Y.S. LIC. NO. 496/8 u' 0 ORS, P.C. . ~ 0 Op 9 ~o~zs/~a d~.vcwo-y SOUTHOLD, N. Y, 11971 TEL. 7G5-1802 S~EF~C~~c ~o o. Town or ~o~rT~oaa ~a ~ } ~ ~ OFFICE OF BIJILDIi~IG INSPECTOR ~~`r;'a 4~,-, ~ p o z"~~ P.(~.BOX728 ~d ~f1 s~~ ~9~-r cr ~ ~ TOWN BALL ~ 1 ~ t' ~P,', , r .Y c'~? ~'~~l ~ ~,~~~C' SOUTHOLD, N.Y. 11971 ,wi4~"w as ~ 4 / _ :tit}'f.~°~113.Y C E R T I F I C A T I O N Ddte DECEMBER 15, 1992 Building Permit No. 1~ 3 6 ~ Z Owner JOHN JAVAHARI (please print) Plumber HARDY PLUMBING & HEATING NORTH, INC. (please print) I certify that the solder used :.n the water supply system contains less than 2!10 of to lead. (plumber's signature) Sworn to before me this S day o f Cp lM ~-P/~ ; ~~h~J~ Not ry Public Notary Public, S~~~D(~~~-- County $IELNI~k V. Na1~ry pubic, ~Wo at Now Yak No.1908712~,q~y dwpikd ie pd,19, t9y3 CommM~lon ExpkM B0.\RD OF HEALTH .?y~......... 3 SETS OF FL.1NS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK 1/y.. . BUILDING DEPARTMENT SEPTIC Foal . . . TOWN HALL EOUTHOLD, N.Y. 11D71 NOTIFY TEL.:7G5~1302 CALL f~' L•xantincd I90.~ MAIL T0: , ,\pproved , . 19~1P/. Pcnnit No. ~ l.°? ~ 2 j 2 ..J `~11~~ z"~ ((p 'Q Disapprovedaic 11 ~~ee i(Build' o Inspector) MOWN pF SOErt' THOLD APPLICATION FOR BUILDING PERMIT v_j Date ..:....D. 15 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. h. Plot plan showing location of lot and of buildings on premises, relationship to ad}oining 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 Re;ulations, 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 applican~r na/me„tf a carporauon) ' (Mailing address of applicant) `~o~!' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~`ame of owner of premises ~.:`.Clf.:'.~~~-~!a ..:-~A YfFf Ff~i2.l . (as on the tax roll or latest deed) If applic is a corpo• at on, sig®nature of dufhy authorized officer. ?.G:!1'.`1 is " ~ ~ ~ ice"' L~~ (Name a title of corporate officer) Builder's License No. ...~~~//ffC.~~. , ~t~~ . , , , Plumber's License No. l.C(~J,L/•!~i,~A.. , ~Lllt~jNC~ Electrician's License No. . ~ .~:7i ,~i.~CGi, Other Trade's License No . . i. Location of land on which proposed work will be done. ~3.7 , . , , ,~pu,~'.~? y, . ~ U~ ~ 2 Gt?i-..!!...... ~~oc/n!~t~~.. CI, vA.:.~.~.~"dl~~s..... e'u:cfa0c;u~....til.~_.......... HouseNumbcr Strect~ ~ ~3 Hamlet County Tax Afap No. 1000 Suction ...14.,[.:`. , , Block . , , , , , , Lot .~.~.~r~, Subdivision Filed t.(ap No. Lot . . • State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy w~:~IN, .1 . . . . . . ~~`ta\tended use and occupancy .....N.~ w.... , W l,l~~ . . . 3. Nature os work (check which applicable): New building . , . Addition , , .Utcration Repair R~~emoval Demolition , Other R'otk . (Dcscnption; 4, Estimated Cost ~5,~~? " . . Fee , , . I (to be paid on fling this application) 5. 1f dwciling, number of dwelling units , Ntrmbcr of dwelling units on each floor , . If gara,e, number of cars . . . . 6. If business, comrnercial or mixed occupancy, specify nattire and extent oC each type fuse . 7. Dimensions of existimo structures, if any: Front , !Y~!'!E.... Rear • • • • Depth .N/f~....... • Hcialtt . l~,umbcr of Stories , , t . pr1S`~~ st~,structurt~ with alterations or additions: Front N. f • . • • • • • Rcar r"`~,,,;~{t....~....IIcight ......,NuntbcrofStories. n`sions of cntitcrnew coti~stntction: Front , ; ~0, ~ , : , Rcar ::::.l!? ; Depth ; S.'l; `:,e Hejj~`~j~,,~r"YQ,'z~. . N~mbcr of Stories . 5 ,'Si~ORfP1'dt:iront::~r'~.q:.7i~;q:.. Rear,....-~0•.,?:~....... Depth t ~h~ - ~ Date of Purchase.. 6 , l ~ , , ,~-:1~.N ~n~0`~.I CZ; L~ R?.. . Na e of Former Owner 1 'done ortise distric't` in which remises are situated . . . . . . . l~..~es proposed construction vtolate any zoning law, ordinance or regulation: •!~°`J•~• • • • • • • • • • • • • • • 13. Will lot be regraded . , , i. NR . , , . ,Will excess Gll be r moycd from remises: Yc N~ 14, Name of Owner of prime,', ises ~Q~°~4SN. '~~!?'y~jAddress ~[~GI(yDS,a¢ ,C~.,Cj~"r~one No.~ ~~i_~~r~~ . • . Name of Architect !.f'"S?~? ..7.~~:~~• , ,Address . . • Phone No, . Name of Contractor . . ..Address . .Phone No..... , IS.Is this property located within 300 feeC of a tidal•weCland? *YCS....~•- *If yes, Southold Toc~n Trustees Permit may be requited. PLOT DIAGRAhS Locate clearly and distinctly ap buildings, whether existing or proposed, and, indicate all set-back dimensions fror, property lines. Give street and blocl: number or description according to deed, and show street names and indicate whethc. Interior or corner lot. • . , ~I . , • I I .i ~I I ~TATBOC tiE1V YORK, _OUNTY OF ~I S being duly sworn,dcposesandsaysthatheistheapplicant (Name of individual signing contract) `:hove named. i IC IS QIC ......I~p... (Contractor,agcnt,corporate officcr,ctc.) f said owner or owners, and is duly ~:[udrorized to perform or h:rvc performed the said work and to make and Cle titi: ~piication; that all statements contai[~cd in this application arc true to the best of his knowledge and belief; and that tht ork will be performed in the manner s' t forth in the application teed therewith. ,vorn to before me this ...day of. I. , , i~~~ ~~~~j~ ~ ~f j~ . . Mary Public, 1:'^.~`;e?~..7. L : II . ~ Vim'::..... County 1tELENK.DE a~w f (S(gnaturc of applicant NO';RNY 4U9LtC, State No. 4701979, Settolk Caur~ Term Expires March 30,19 ,J t~ tl 1(j~ ~ n BOe1FD OF HEALTH • ' • . • . • e . 15 U u 4IUy' 3 SETS OF PL.1NS FORM NO.1 SURVEY ateM,~ TOWN OFSOUTHOLD CHECK Deg BUILDING DEPARTMENT SEPTIC FORM l3W t)Epf TOWN HALL - TOWNO~SOtIfNflLO SOUTHOLD,N.Y.11D71 NOTIFY; C TEL.:7G5.1II02 CALL Exarttincd ..°lR.~',~.. l9g9.~ MAIL T0 . Approved ~ 19 [ ~ Pcnnit No. z'S7 ~ . Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERNIIT Date 15 - INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ 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. e. 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 tfte 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 alteration's, 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. /j/SroOti! , , ~Eq t-Y~ Co.CP (Signature of applicant, or n ~ e, if a corporation) (Mailing address of applicant) State whether applicant is owner,]essee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of Premises .../\.4 v/2os/.1... J~'~~'!/.~'~'~.~ . (as on the tax roll or latest deed) If applicant " a corporati ignature of duly authorized officer. (I~iame an a of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . ' Otlrcr Trade's License No . . 1. Location of land on which proposed work tvill be done; / $ i' S ~~~7"~=y C~-?6 ,(315 ~av~l7~.y..~-~-.Y6.!?~............C~~.u7'eft?g~E.......................... , House Number Stgqrcet Hamlet County Tax \tap No. 1000 Section ~ •°•1• ~ • • • • • • . Block Lot ...3 3 i..... . , Subdivision Filed t,1ap No. Lot . ..(Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. lixisting use and occupancy B. Intended use and occupancy..........~~~..~W~t't'("t(~'.... . I ! • r,i , r. 3. Nature of work (check which applicable): New Building • • • • • • • Addition q, ~~s; Al anon • Repair R~mova! , , , , , , , , Demolition ...Sw~ n ; <<,:, , Tennis Court•......... Accessory Building..........~ence ~Ot er -"I.E _ ork:. 4. Estimated Cost . z3 ~'?r•r7°??.... I~ . Fee 1.~ s ~ rl•~ . ' ...,.r...,..._..,,:::^". S. Ifdtvctlin~ nurnbcrofdwclLn uni (to be paid bn•fF1~{~"t'1R~f~`5~5'~~y~.(~ µ g 'ts , , , , , , , , Number oC dwelling units on each floor , • , , , , , , If gara~c, number of cars ......2» . yp . 6. If business, commercial or mixed occupancy, specify nature and extent of each t e oC use • • , ,^~/A , , , , , , 7. Dimensions of existing structures, if any: Front , , Rear Depth . . Height Numberr of Stories • , . . . . Dimensions of same structure with; alterations or additions: Front Rcar , Depth ......................Height , ..........Number of Stories . • Dimensions of entire new constntction: Front Rear Depth , , Height , Numbe',r of Stories . , , . 9. Size of lot; Front . P~car ...........c......... Depth • . 10. Date of Purchase • • ~ . .............Name of Former Owner ~~K...e!e,Nk~o;N1CZ.(Q. • • • • 11. Zone or use district inwhicltprcmiscsaresituated..,,,,R~$;,,,,,,,,•„•,,,,,,,•,,,,••,,,,,,,••„ 12. Does proposed construction violate any zoning law, ordinance or regulation: , ,,N.Cl~E? . 13. \Vill lot be regraded . . : .................1Vill excess fill Uc removed rom premises: Ycs , No . . ! 4. Name of Owner of premises ,Ko~R~}t+, 7gryaMSg1, , , pddress`F3 !dt~??eF..'kS C~f..~`.°CPhone No. yt y :31r:.Vtr;4• , , Name of Architect . . .Address ...................Phone No................ . Name of Contractor . ,Address ..Phone No.. . IS.Is this property located•within•300 feet of a tidal weCland? *Y);5... NO *If yes, Southold TownTrustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block rt}tmber or description according to deed, and show street names and indicate whether interior or comer lot. i S.~ • STAT): OF NE~V YORK COUNTY OF !S.S ' •••••••••••••••••••••••••••=p'•••••••••••••......, bcingdulysworn,deposesandsaysthatheistheapplieant (Name of individual sip 'ing contract) about named. i Hcisthc . (Contractor, agent, cot•porate officer,.etc.) • ~ • • • • • ~ • • • • oC said owner or owners, and is du'y authorized to perform or have performed the said work and to make and file this application; that all statements contained in iltis application arc tare 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 mole this ' l .c~. ...day o(.. ~ t~hila~.........., 19~~,d. Notary Public, , , , , • • ..~~k-..UU. (1;Q., : , , County HELEN K. DE AIOTifRYPUB[IdSteteof ~ 1M>t • • • (Sean • • pp • • . . No.4701898,Suttolk a[urc of a licani) Term Expires Merch 30,1 If copper tubing II used for water distributing , ly~orfq piping shell be d ~/Pel _K_.or II on Y v ^ a × a P U ar AP, ROVED AS NOTED )'~ ~ FOLLOWING [NSPE~ONS: 2. R~H - ~ING I ~MBING I; :'1 OCCUPANCY OR USE IS UN~WFUL WITHOUT CERTIFICATE OF OCCUPANCY bl~l ~alh "arll ';'k"l '} z e 1- ~,; '! _ - .,.4 Ih "l 1' A q H LI: ~' '\ ¸'1 ,",Z~q sac ,p,-,% q~l TJb-J~V , II k 'il $1 . i t'l % L q- A V d ~ IF ', ~ ~bbL ?1 H ,/ 7 q p a q I -I'a kl %1 T .3 ~ ~ $! P H i q l',-~ b d fl