HomeMy WebLinkAbout17687-z
~ ~ FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18174 Date JULY 10, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 25650 ROUTE 25 & 145 LINDEN AVE. COTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 109 Block 4 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Buildinq Permit heretofore
filed in this office dated NOVEMBER 29, 1988 pursuant to which
Building Permit No. 17687-Z dated DE~'F'MRFR 13, 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 ADDITION TO CART STORAGE BUILDING
The certificate is issued to NORTH FORK COUNTRY CLIIB, INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
A.C. d.~
i ding Inspector
Rev. 1/81
trose~ xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMI7 MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF 7HE WORK AUTHORIZED)
N Q 7 6 8 7 Z Dote ,ll..~rv...l..,~~ 19..~
Permission is hereby granted to•
~ /~~3s-
to
.
ct premises located at ......J....y..J~ ...,G/.f!11..~............................
Cnunty Tax Map No 1000 Section/}.~ ~ Block ...U Lrnt~No ......Ulm. .1 . .
pursuant to nppl~cation dated °L.l ~ 19.~~ and opproved by the
Buildingry Inspector.
Fee $.?`'~!~r ~D..
l ~/J//'/~/~
~~Building Inspector JJ
Rev 6/30/80
I ~ TOWN OF SOUTDOLD
BUILDING DEPART:ICNT
TOWN IIALL
• SOUTIIOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPAN(:Y
DATE..JulY.6c.1989_..
Addition
NEW CONSTRUCTION N?F?,.OLD OR PRE-E%ISTINC BUILDZNG___...VACANT LAND...._...
Locacion of Pro ert 25650 Route 25.-~-~oores Lane- Cutchogue
P Y
UOUSE NO. STREET UAMLET
Ovncr or Ovners of Propcrty..h7Q~~.1i.EoYk Country Club
County Taz Map No. 1000 Section .~Q9.. Block Lot ~.•1....__
Subdivision Filed Map ........LoC...._..._.
Pcrmi[ :io. 17687_ Z._Date o£ Pcrmi[ 1213/88_,Applicant
Qealth Dept. Approval Undcrvri[ers ApprovaL.No_EleCtricity
No't' Yie'c'essary- .
PlanninE Board Approval SL:at. rieces$ary.
Request for Temporary CertificaCC Final Certi£ic:ite ..KX............
Fec Submitted: $...~QiQQ............
APPLICdN l
rC°. 0/I4 /88
~at• 3~1. ~
i
FORM No_ 6
TOWN OF SOUTHOLD ~ i
BUILDING DEPARTMENT
TOWN HALL
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be filed in typewriter OR ink and submitted to the Building
Inspector with [he following; for new buildings or new use:
I_ 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).
3. Approval of electzical installation from Board of Fire Unden~riters.
4_ Sworn statement from plumber certifying that solder used in :>ystem contains less
than 2/10 of 1Z lead.
5. Commercial buildings, industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B_ For existing buildings ~PrlOr to April 9, 1957 non-conforming uses, or buildings
and "pre-existing" land uses:
t. Accurate survey of property shoving all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by [he applicant
and a certified abstract of title issued by a title company which shall
shov single and separate ownership of the entire Lot prior to April 9, 1457.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in vriting to the applicant.
3_ Bate of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a Citle company showing single and
separate ownership of the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Huilding Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
1. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to Duelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25_00 - Businesses $SD.00.
' 2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. IIpdated Certificate of Occupancy - $SO.DO
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 „Commercial
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M ~~•v standards for hde sur.
~ ~ °,y r/ fhe L.LA.LS. and a;
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rl[!.or REVISE Jan. 6, 1989
' TL'L 7G5-18~'_
~G~
~~~~c-~ : To~rrr or sou~o~,u
/.v L;;,,~i Y,~ Q!'f-TCL C?F' FiUILDIti`G TNST'FCTOR
U~ ~~;h"/'~ rn
,y SOIJZ ITOLD, N.Y. 1 1971
JIINE 12, 1989
To {•thom This May Concern,
Y
P7e are unable to complete your Certificate
of Occupancy because of the following reasons.
fg/ An application for Certificate of Occupancy
is trot nn £1.1c. ENCLOSED
/fit Jto (Jnderur~ters CcrL•ifxcate on file. $25.00
/ / 'i'hc chccF; L:, (nuf.cl,itcd/nut on file. )
1_/ i`:o }lcalth Ucpt. F~pproval on file.
D:o final ~nsl~c~t ion hug hcen macic.
Plc:as~ contact our office on this matter.
Thank you for your cooperation.
P.utlc}LC.cJ PcrmLt Q I 7 6 8 7 y
IIuilclinq >7upt.
tIo Plumber Solder Certificate on Lilo.
( al 1 I>nirtils involve ng plush}~incl being
issued aitcr ,1prs-1 1,19 F}4 )
- _ .....:...:~.u
-1cLD I;.S:cO:iU;~~ ~ ~~llniE ~ OOMME,NTS ~ ,
7. ac
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FOUtJDATION {1st)
c
cOUNDATI0IJ (2nd) m
2.
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0
°,OUGH FRAME &
PLUMBING
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H
3. x
ra
n
ItJSULATIOCJ PER TJ. Y. 'j ~
STATE ENERGY
CODE
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s ~ '
FI;IAL
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ADDITIOP]AL COMMENTS: ~
if`~. `~.va/(
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71
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/7~ C~7 ~~-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ } ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ FINAL
REMARKS:
l
DATE ~ INSPECTOR
~ r
i~~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F UNDATION 2ND [ ]INSULATION
FRAMING [ ]FINAL
REMARKS:
- -
L
-3 °Z X!1' °~-t 1°''-~6 E
~ ~ -
AT -3 INSPECTOR Gu
BOARD OF HEALTH y
3 SETS OF PLANS
FORM NO.i SURVEY
TOWN OF SOUTHOLD CHECK `tf'. SC?•-5:2........... .
BUILDING DEPARTMENT SEPTIC FORM
' TOWN HALL
SOUTHOLD, N Y. 11971 NOTIFY '
TEL.. 7G5-1802 CALL .J~P~ ~Q.t.~`..,~?~-F~nc--? .
G~ 19.~ O MAIL TO: ~4~1^63.3$
Examined ~~n
D~/. .j ~~11
Approved ./..~.1.~.. , 19T/~PermrtNo..~ ~~~~Z ~_rl
Disapproved a/c ~ ~ u
. . .
_ ERD~. DEP1:
(Building Inspector) 1 I OF SOUTFRt19
APPLICATION FOR BUILDING PERMIT
Date ,November ,29~.. ]y
~ INSTRUCTIONS
a Tlus apphcahon must be completely filled m by typewriter or m ink and submitted to the Building Inspector, w
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 st
or areas, and gluing a detatled descnptton of layout of property must be drawn on the dtagram whtch is part of this a
capon.
c The work covered by this apphcatton may not be commenced before tssuance of Building Permtt.
d. Upon approval of this apphcatton, the Butldtng Inspector will tssued a Building Permtt to the applicant. Such pe
shall be kept on the premtses available for inspectton throughout the work.
e. No buAding shall be occupied of used m whole or m part for any purpose whatever until a Certificate of Occup
shall have been granted by the Butldmo Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Butldmg Penrtrt pursuant tc
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc.
Regulations, for the construction of buildings, additions or alterations, or for removal or demohtron, as herein descn
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, an~
admit authorized inspectors on premtses and in Butldmg for necessary inspections.
NORTH_FORK COUNTRY CLUB, INC:
~Signatur of applicant, or name, tf a corporatton)
Main Roa~
Cutchoque, New York 11935
.
(Mailing address of appltcant)
State whether appltcant is owner, lessee, agent, architect, en~tneer, general contractor, electnctan, plumber or butt
......4u?ner
Name of owner of premtses .NORTH FORK- COUNTRY CLUB , INC. , , -
. .
(as on the tax roll or latest deed)
If applicant is a corporatton, signature of duly authorized officer
John J, Talbot, President
. . .
(Name and title of corporate of leer)
Builder's License No - %zE~%
Plutnber's License No - .
Electrician's Lac.cnse No.
Other Trade's Ltcense No .
1. Location of lend on which proposed work will be done ~ . - .
~X-~ Main Road & Linden Ave: Cutchoque
House Number Street Hamlet
County Tee 6lep No 1000 Sccuon ,109,.,00 . , , - Block 04.-,QQ Lot . ..~4
Subdtvtsion . Filed ~fap No Lot . .
(Name)
2 State e~istnig use and occupancy of prenuses and intended use and occupancy of proposed constnutwn
Cart Storage.Building,
a Eusttng use and occupancy - . , S4+rt.CA. it ~t Yom. , -
tihitS' wwi~ b• sM~2
b. Intended use and occupancy Addita.glt, ,tiq-Cant S:k4rage. Building Nn.,,,yy~y~gAap
' EC is ~.+s.~.'eiyidti hM^'rvmnY
X Alteration -
3. Nature of work (check which applicable) New Building Addition , ,
Repair .Removal Demolition - Other SVork . .
(Descnpti~
4. Estimated Cost . ..$25, 000:00 . , , . Fee ~.~1.
(to be paid on filing this apphcauon)
5. If dwelhn„ number of dwelling amts Number of dwelling ands on each floor , , , ,
If garage, numberoCcars
6. If business, commercial or mixed occupancy, specify nature and extent of each typpe of use .
7. Dunensions of existing structures, if any Front ..84. ~,t~..... , . Rear , .8 ft Depth . , 30 £t:
Height ,16, ft. , . , , ,Number of Stones . . ,one ,
. .
Dunensions of same structure with alterations or additions Front . ~ 3Q it Rear .7.34. ~t ; , , , ,
Depth. t• Height l6,.ft;._ ,,,,,,NumberofStones..,one,,,.,... ,
' 8. Dimens v construction. Front , ,50 ft ; , , , Rear ...50. ft... Depth 30 ,ft.
Height ft:... .Number of Stones one, . ,
9. SizeoClot Front. .177 ft.,,,,,_„.„ Rear....,,173__ft:_.._,,,, DcPth ..430.,ft:,,.,..•
10. Date of Purchase . 4./.fi/.5I., , , , Name of Fonner Owner . NOxth.k'ork.Cottu?~iy, • , , ,
11. Zone or use district m which premises are situated "A" ,Residential/AgricSt~.t,Uxdl .
12. Does proposed construction violate any zoning law, ordinance or regulation: , , No . . . . . . . .
13. Will lot be regraded ...NO ...Will excess fill be removed from premises: ~Ses
14 Name of Owner of premisesD7ort1? Fork Coun~~,'~ AddressM~?-L1. r Wit.. i .Phone No X34-6338
Peru? Lumber `'y`"'~ ~ iri Rt1.,Gree~ 477-0400,
Name of Architect . Address............ t Phonr. No.... ,
Name of Contractor ..°~.elf ........Address .....Phone No..--..... '
15.Zs this property located within 300 feet of a tidal wetland? *YES....NO.x..
*Zf 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 dunensions t
property Lines. Give street and block number or description according to deed, and Shaw street names and indicate whe
interior or corner lot.
See attached plans and specifications.
STATE OF NE1V YORK, S.S
COUNTY OF . SU~>; q);K , .
JOHN J. TALBOT , . being duly sworn, deposes and says that he is the appA
. . .
(Name oC individual signing contract)
above named
He is the .President
(Contractor, agent, corporate officer, etc.)
of said owner ts;xzstcxaas, and is duly authoraed to perform or have performed the said work and to make and file
apphcauan, that all statements contained m this application are true to the best oChis knowledge and belief; and that
work will be performed m the manner set forth in the apphcahon filed therewith.
Sworn to before me this
29th.. day of. ..November 19 88
,~-i
Notary Pub/l~ic~.... , , Suff/fo~l~k. , , County ~ j~~ ~
II~r~ York ~
~""`n~ ~S~~rn ~J ~ i!"[~`. ~ Sib .
~,~gyyd Johrf J. Ta~bo , Presidei~+Signature o app is
BRACING WOOD TRUSSES: o~.tnb~~ad by:
COMMENTARY AND RECOMMENDATIONS W000 TRUSS COUNCIL
OF AMERICA
O TRUSS PLATE INSTITUTE, INC, 1978 ,z ~ , o
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