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HomeMy WebLinkAbout34619-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33707 I~%te: 05/13/09 T~IS CERTIFIES that the building DECK ADDITION Location of Property: 26342 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Ta~ Map No. 473889 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 APRIL 17, 2009 pursuant to which Building Perr~it No. 34619-Z dated APRIL 17, 2009 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 DECK ADDITION TO AN EXISTING COUNTRY CLUB AS APPLIED FOR. The certificate is issued to NORTH FORK COUNTRY CLUB (OWNER) of the aforesaid building. S[/FFOLKCOUN~I~f DEPARTME~T OF H]~ALTHAP~RO~rAL N/A EL~C"~RIC3%L c~KTIFICAT~ NO. 2006658 06/15/04 PLUMBERS C~RTIFICATION DATED N/A Signature Rev. 1/81 Form L%. 6 TOWN OF SOUI'Ii'OLD BUIEDING.DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OFOCCUPAN( This application must be filled in by typewriter or ink and submitted to the Building De~ MAY 1 ?'99 BLDG. DEPT. 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 ~vater supply and sewerage-disposal (S-9 form). 3. Approval o f electrical installation from Board o f Fire Underwriters. Sworn statement from plumber certifying that the sotder used in system contains less than 2/10 of 1% lead. 5. Commercial building, indusfwial 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 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 I. 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $ [ 5.00 New Construction: Location of Property: Old or Pre-existing Building: (check one) House No. Owner or Owners of Property: t4/lOtq~'/'l Suffolk County T~x Map No ~, Section 5ulx~vi$ion Street Hamlet Block E> Filed Map. Lot Lot: Permit No. "~ q'g ! ~ Health Dept. Approval: Planning Board Approval: Request for: Tempom~ Ce~ificate Fee Submitted: $ ~ Date of Permit.///O,~rL 1~ 2-o~I Applicant: Underwriters Approval: Final Certificate: (check one) cant~ffSignature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STRE~-~ ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by G & S ELECTRICAL CONTR. NORT FORK COUNTRY CLUB P.O. BOX 215 MAIN RD-RT 25 SOUTHOLD, NY 11971, CUTCHOGUE, NY 11935 Located at MAIN RD-RT 25 CUTCHOGUE, NY 11935 Application Number: 2006658 Certificate Number: 2006658 Section: Block: Lot: Building NS11 Permit: BDC: Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, DECK LIGHTS, Outside, PorclgDeck, A visual inspection of the premises electrical system, limited to electrical devices wiring and to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard the State of New York, Department of State Cede Enforcement and Administration, or other promulgated by authority having jurisdiction, and found to be in compliance therewith on the 15th Day of June, 2004. Name QTY Rate Rating Circuit Type Wiring and Devices Fixture 8 0 Incandescent sea/ 1 of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FORM NO. 3 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) PERMIT NO. 34619 Z Date APRIL 17, 2009 Permission is hereby granted to: NORTH FORK COUNTRY CLUB PO BOX 725 CUTCHOGUE,NY 11935 for : DECK ADDITION TO Aiq EXISTING COUNTRY CLUB AS APPLIED FOR. THIS PERMIT REPLACES BP32015. at premises located at 26342 MAIN RD County Tax Map No. 473889 Section 109 Block pursuant to application dated APRIL 17, 2009 Building Inspector to expire on OCTOBER 17, CUTCHOGUE 0004 Lot No. 008.003 and approved by the 2010. Fee $ 200.00 ,? Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 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) PERMIT NO.~q~0~5~ Z Date MAY 18, 2006 Permission is hereby granted to: NORTH FORK COUNTRY CLUB PO BOX 725 CUTCHOGUE,NY 11935 for : DECK ADDITION TO D~N EXISTING COUNTRY CLUB AS APPLIED FOR. THIS PERMIT REPLACES BP 30083. at premises located at 26342 MAIN RD County Tax Map No. 473889 Section 109 Block 0004 pursuant to application dated MAY Building Inspector to ex/Dire on NOVEMBER 18, 2007. Fee $ 200.00 ~~f '~ ~_ s e CUTCHOGUE Lot No. 008.003 18, 2006 and approved by the ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~Q83~ Z ~/~ Date FEBRUARY 12, 2004 Permission is hereby granted to: FORK COUNTRY CLUB NORTH PO BOX 725 CUTCHOGUE,NY 11935 for : DECK ADDITION TO AN EXISTING COUNTRY CLUB AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 109 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST Fee $ 200.00 26342 MAIN RD CUTCHOGUE Block 0004 Lot No. 008.003 4, 2004 and approved by the 12, 2005. Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20___ Approved ,20__ Disapproved Wc Expiration ,20__ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Phone: APPLICATION FOR BUILDING PERMIT Date F~'/~ 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 or areas, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 necessaryinspections. (Signature of applicant or name, if a corporation) (Mailing ad'dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /[/0,/~ /""~t /~ ~'~OO'# 4~'..'/ ~'/~' (As on the tax roll or rarest deed)  pplic ~ant j~ a corpo¢tion, signature of duly authorized 9fficer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: . House Number Street Hamlet County Tax Map No. 1000 Section lO q Block 4' Subdivision Filed Map No. (Name) Lot P/~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy lOrt~',~l~ ~/ol~ b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ glo O 5. If dwelling, number of dwelling units If garage, number of cars Addition ,,~ Alteration Other Work (Description) Fee (To be paid on filing this application) iqtiinber of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories Rear _Depth 9. Size of lot: Front Rear Depth 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? YES NO X 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES NO )( 14. Names of Owner of premises Name of Architect ~lvd Pl~#*t#5 Name of Contractor Address Phone No. Address $~ ¢~' Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ,~' * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES ~ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) RO~ ~t' 7L ~"'~ 0 '~' ~ being duly sworn, deposes and says that (s)he is the applicant ~LName of individual signing contract) above named, (S)He is the ~',~ ~ (Contractor, Agent, Corporate 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 contained in this application are tree 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. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~ISU~ [ ] FRAMING/STRAPPING [~/] FINAl' [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION 'NSPECTO~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~J~_ ON [ ] FRAMING [~']~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: //~0 / DATE FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE Boulevard Planning East, PC. Architects · Engineers · Construction Management 32645 Main Road Cutchogue, N.Y. 11935 PHONE: 631.734.2011 lnternet: www.blvdplan.com June 5, 2006 Southold Building Department Town Hall 53095 Main Road Southold, N.Y. 11971 - 0959 Re: North Fork Country Club Deck, Permit # 320152 To Whom It May Concern, I hereby certify to the Department of Buildings of the Town of Southold that I have inspected the above locations; I have supervised the preparation of the building plans as per State Education Laws; and I have determined to the best of my professional knowledge and belief that the structural elements, footings, framing, and high wind strapping, was installed in conformity, with the filed building plans, the New York Residential Building Code, and generally approved construction practices. If you have any further questions, please feel free to call me at any time. Boulevard Planning East, PC. Arcllitecls · Engineers · Construction Management 32645 Main Road Cutchoguc, N.Y. 11935 PIIONE: 631.734.2011 lnternet: www.blvdplan.com Febmary 12, 2004 Southold Building Department Town 1 lall 53095 Main Road Southold, N.Y. 11971 - 0959 Re: North Fork Country Club, Cutchogue, N.Y. To Whom It May Concern, As per phone conversation of Feb 12, 2004, Boulevard Planning East P.C. hereby certifies that the proposed deck complies with all of the High Wind Zone requirements of the New York State Building r'ode, as adopted on January 2003. I1' you have any further questions, please feel free to call me at any time. TOWN OF SOUTHOLD PROPERTY 'RECORD CARD "' ' -~ DIST. SUB. LOT I )WNER STREET ~_ ~>,~; ,~z!_ S W TYPE OF BUILDING .... ~ ~ S~S. VL. ~ FAR~ ~ CO~. CB. ~ICS. ~kt. V~lue ~ND IMP. TOTAL DATE RE~RKS ~ / ~ ~ , ' / illable FRONTAGE ON WATER ~land FRONTAGE ON ROAD ~eado~land DEPTH ouse Plot BULKH~ COLOR TRIM ¸1- M;- Bldg.' Extension Extension Extension Garagec~.., .. Patio~/~9~[ L°-""-t / Foundation Bath Porch Basement Floors Porch Ext. Walls Interior Finish Breezeway Fire Place Heat ,_~ ~ ?' ~ 0 :- ~. ~(~ ~ Type Roof Rooms 1st Floor ~ ,~/t ~ -- / ,Is~ ~ ~ Recreation Roam Rooms 2nd Floor Dormer Driveway inette LR. DR. BR. FIN. B OWNER FORMER OWNER STREET VILLAGE DISTRICT SUB. TYPE OF BUILDING LOT RES. LAND AGE NEW Farm Tillable 1 SEAS. IMP. NORN~L Ac re VL / FARM TOTAL DATE BUILDING CONDITION BELOW Value Per Acre COMM. I IND. CB. / MISC. I Est. Mkt. Value ABOVE Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD Total House Plot Swampland Brushland Tillable 2 DOCK Tillable 3 Woodland v~. Bldg. :-xtension :xtension ]xtension Breezeway Garage Foundation Basement IExt. Walls tFire Place Porch Porch Both Floors Interior Finish Roof Type 'Rooms 1st Floor Rooms 2nd Floor Dormer OWNER FORMER OWNER STREET VILLAGE DISTRICT SUB. LOT ¢..rC,~t~ ACREAGE S/,j/ .' ~ ~W ~ , , ~ . .-~ TYPE OF BUILDING TOTAL DATE REMARKS ',ES. ,?.% / s EAS. LAND AGE IMP. BUILDING CONDITION Est. Mkt. Value NEW NOR,MAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Fillable 1 BULKHEAD -illable 2 -illable 3 ~/oodland ;wampland ~rushland qouse Plot Fatal DOCK A. Bldg. Foundation Bark xtensJon xtension xtension Basement Floors tExt. Walls Interior Finisk Roof Type Rooms 1st Floor Rooms 2nd Floor Fire Place Heat Porch Porch reezeway ~ ~ Patio ,arage Driveway Dormer OWNER FORMER OWNER ' ~'~, STREET VILLAGE DISTRICT ACREAGE- SUB. ILDING LOT FARM LAND IMP. TOTAL AGE NEW F~rm Tilla,ble 1 Tilloble 2 Tillable 3 Woodland Swampland Brushland House Plot Total NORMAL COMM. DATE BUILDING CONDITION BELOW ABOVE Acre Value Per Acre Value A. Bldg, ixtension ixtension !xtension 3arage Foundation j Basement Ext. Walls Fire Place Heat Porch Attic Porch Patio~ Driveway Bath Floors Interior Finish Rooms 1st Floor Rooms 2nd Floor OWNER FORMER OWNER ,_7',~ ¢ STREE-r RES. SEAS. VL. LAND IMP. TOTAL NEW NORMAL Farm Acre Tillable 1 Tillable 2 Tillable 3 Woodland /~' ~,' SwampJand ~rushlc~d House Plot FARM VILLAGE DISTRICT SUB. ACREAGE ~ ~e TYPE OF BUILDING COMM. lIND. JCB. LOT BELOW ABOVE Value Per Acre Value Foundation I Basement ~-~- FIo rs ....... ¥ ~c.~ ,/ ~t. Wails /V~ ~ntarior . Porch ,,~ ~'--... Attic Porch Patio ~/~: L~,,,- Driveway F~nish Rooms 1st Floor Rooms 2nd Floor OWNER 'FORMER oWNER '_Z,~, STREET LAND IMP. AGE NEW NORMAL FARM Acre 3 TOTAL FARM DATE BUILDING CONDITION BELOW ABOVE Tillable Tillable Tillable Woodland Value Per Value Ac re I VILLAGE Swampland FRONTAGE ON WATER Brushlond FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK D~T. SUB. LOT TYPE OF BUILDINI~ COMM. CB. MISC. Mkt. Value Foundation i Bath Dinette ~Basement Walls Interior Finish LR. Fire Place Heat DR. I Type Roof Rooms 1st Floor BR. Recreation Room Rooms 2nd Floor FIN. B. 'Dormer Driveway OPERTY RECORD ~ CARD OWNER FORMER OWNER STREET VILLAGE LOT DISTRICT SUB. ^CRE^GE TYPE OF BUILDING VL. FARM COMM. I IND. I CB. I MISC. TOTAL DATE RES.~¥~>3 S~,S. LAND IMP. AGE NEW Form Tillable 1 Tillable 2 Tillable 3 Woodland Swc.npland Brushland House Plot Tota I BUILDING CONDITION NORMAL Ac re BELOW Value Per Acre REMARKS ABOVE Value A. Bldg. xtension xtension ~ xtension , ~arage Foundation Basement Ext. V~alls Fire Place Porch Porch Bath Floors Interior Finish Heart Attic Rooms 1st Floor Patio Rooms 2nd Floor Driveway /~C)C) -//O~- ~- 8, TOWN OF SOUTHGLD PROPERTY RECORD CARD OWNER STREET SUB ACR. TYPE OF BLD. LANE) IMP. PROP. CLASS TOTAL DATE FRONTAGE ON WATER LOT TILLABLE FRONTAGE ONROAD DEPTH BULKHEAD WOODLAND MEADOWLAND HOUSE/LOT TOTAL ' I I COLOR TRIM M. Bldg. Foundation Pc c B Bath Dinette FULL Extension Basement C.^WL Floors Kit. Extension Ext. Walls Interior Finish L.R. Extension Fire Place Heat D.R Patio Woodstove BR. Porch Dormer Fin B. Deck Attic Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor OB Pool I E~iSTIN~ CLD~M©U~C TG- TOP' OF 0EATE ELEV. .(cArroll BASIN) CL -CEN.T~ CNE OE STREET TC - TOp ~ CUR~' ELEV. 7Z 5 J ~D~":S~T 'ELEV EX~ST~N~" ' APpRQVED AS NOTED FEE:~ By: ~'~''''''~ NOTIFY BUILDING DEPARTMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - coNSTRUCTION MUST BE COMPLETE~;=OR C.O, ALL CONSTRUCTION SHALL MEEr THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SOUll~0LD TOWN ZBA SOUTHOLD TOWN PLANNING 80ARO S0UTHOLO TOWN TRU,,qTEE$ N.Y.S, ~C OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FL O[ DAMAGE PREVENTION ~OU I, ~LD TOWN CODE. ROAD cuaX::uoGUr, REVISIONS ,DATE; OCCUPANCYOR usEiSUNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ,. ALL CONSTRUCTION SHALL MEET THE REQUrREMENTS OF THE CODES OF NEW YORK STATE. PLA:NN,}NG CUTO~OOU~;,;~¥.'itO35 Telephone ,In~ernet: Vi~w;blvdplan.e om : 4X '1 PA.TJO' 2x I 0 CCA CCA MECH, FASTSNED T© FOOTING r "X2" MAH O~AN'Y CUP G UAI(D -- I"xl 2" MAHOGANY ~OF --PORCH P-,AI:L TOP ME~AL --5/4" x 5/4" BALI'STER - 4" O.C. CORNER GUARD PAl L BOTTOM CK MOULDING PODT W~ POST ANCHOR ON BLOCKING -LEAD I=LASHtNG LET INTO ,.~ GAl_VAN IZEO TH,ROUGH E,OLT~ 50LID POST ~EVISIONS SURYEY ,SHOW CLUBHOUSE LocATI:QN FOR NORTH COUNTRy C AT CU~H~ U E TOwN OF SOU~HOLD SUF~L~ COUNTRY , N. Y S 87 o~:¢'lO"E The NeW Y~r~ ~tmi'L=nd 909 ' SOIJTH~OLD,' N Y. 88 -' 2,59 D 49668 P.O..