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Home My WebLink About22338-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23469 Date, JANUARY 25, 1995 THIS CERTIFIES that the building 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 pursuant 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 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N336988 DECEMBER 19, 1994 PLUMBERS CERTIFICATION DATED JANUARY 23, 1995 PERFECTION PLUMB. & HEAT. Building Inspector Rev. 1/81 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) Date............ ...... .............. ......................... 19.... ..... N2 22338 Z Permission is hereby granted to; �y(>L2- � to .....C..,Q1y ' L1Ci �'- ... i � /d ... 1 ........ .......��.... 2�- ..... ...wf�........, ....... . . � .. . . a�? .-................ .................................................................................................................................................................. .................................................................................................................................................................. at premises located at...... . .. ............... .. .. '.................................................... ............................................... '` ....- ...../1/ �..�.-...................................... County Tax Map No. 1000 Section -a.�'....... Block........ . ......... Lot No. ..... /........... pursuant to application dated .......... . 1 /Z..., 19.I��....., and approved by the ..................... Building Inspector, Fee$. ... ........... ....... Building In ector Rev. 6/30/80 _i Form No. 6 7� V " TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I g JAi� i 9 1995 I L- APPLICATION FOR.CERTIFICATE OF OCCUPANCY Si t'C i tPT. r_ TOwll 01 SO t l-I I A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . , 3. Approval of electrical insti;lation from Board of Fire Underwriters. 4. Sworn statement from plumter certifyln$,,�hat 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. T 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 .Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commerciiall} $15.00 Date . /2✓. . . . .:::1-. . . . ... . . . . . . . . . . . . . . New Construction. . . . . .. .. . . Old Or Pre-exist nn., Building. . Location of Property. . . . . . . . . . . . 1.?7.�-.'/!?. � `:l .•. . . . . . . . . . • . . . . . . . . . . .4:Y�C. . . . . . . . . . . � ' -1 House No. r� Street • • Hamlet Onwer or Owners of Property. :C:'�c'l:i. .`av-. . . zTq.V/ U , , , , , , , , , , , , , , , , , , County Tax Map No 1000, Section. . .[ .0. .�. . . . . .Block. . . . . .I. . . , . .Lot. . . : . .. . .. . . . . . . , , Subdivision. . . . . . . . . ..� . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . .. . .. . .. .. . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . llealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . ... . . . . Planning Board Approval, . . . . . .. o . .. . . . .. . . . . . . . Request for: Temp orary porary Certificate. . . . . . . . . . . Final Certicate. .V. . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . .. . . . . . . . . . . . AP .LICANT ' * INSPECTORS S FFo - SCOTT L. HARRIS, Supervisor o � t 1 Thomas Fisher J IV. z Southold Town Hall }."'3 P.O.Box 11 Building Inspector 79,53095 Main Road Gary Fish rf''j� `y Southold, New York 11971 Building Inspector =,Y +�,� Fax (516) 765-1823 Telephone (516) 765-1800 Robert Fisher =1$0 = f Assistant Fire Inspector p OFFICE OF BUILDING INSPECTOR Telephone 516 765-1802 TOWN OF SOUTHOLD IN,11 ? 1995 �L) C E R T I F I C A T I O N `- DEPTi rOuv�10F SOUMOLD �..� DATE: XX Building Permit No!J�;?,2 3� Owner: Oa (please print) Plumber'?, ,v=, cam,•, ��v►ry� o ' �h (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this �1 day of 19 to Notary Public, gil k `-\,-- County Notary Public ROBERT 1.SCOTT, NOTARY PUBLIC,Sta i of N.Y No.4725089,Suffolk Cou Term Expires May 31,19 ` THE NEW YORK HOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date DECENifBECt 19,1994 Application No.on file F.6400994/94 ICI 336938 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 NORTH FORK COUNTRY CLUB, ROUTE 25, CUTCHOGUE,, N.Y. in the follow location; ❑ Basement ❑ 1st Fl. El2nd Fl. OUT Section Block Lot ttvs examined on DWEI-IBER 15,1994 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. I AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. I H.P. 4 1 2 4 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. N.P. N SYSTEMS O.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S -E .- R� V 1 C E AMT. AMP. TYPE METER L-0 2W I�3W 3 0 3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 ��. OF NEUTRAL OTHER APPARATUS: FEEDERS NO.OF CONE). 3 A.W.G. 2-1 EI,EC. ROOM FEATI;RS:3-1.0 K.W. ,1-1.05 X..W. G & S CONTRACTOR LIC.##578•-E BOX 215 SOUTHOLD, NY, 1 i971 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. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I � `s VeM Ar ®I � W- , • I I� ill ' // A0 S A M U E L S & S T E E L M A N January 11, 1995 Gary Fish, Building Inspector f' Southold Town Hall �� Main Road ✓q�� / �� , Southold, New York 11971 Toy11919 vv<0 S Re: North Fork Country Club oFs�Ao l� 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 11935 (516)734-6405 FAX(516)734-6407 StaFFOL Coln Town Hall,53095 Main Road y x Fax(516)765-1823 P. 0. Box 1179 1� P" Telephone(516)765-1802 Southold, New York 11971 ?coli �! � �a 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 : 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. i 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. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. D 1V�U+ S �Ep i,1��6'�994 (3 DEPT. S A M U E L S & S T E E L M A N [ September 14, 1994 John Boufis, Building Inspector �c e<o 6/P94 s f Town of Southold Building Department ;D Town Hall 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 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 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 BOARD OF I4EALTH . . . . . . . . FORM NO. 1 3 SETS OF PL.\:1S 21994 TOWN OF SOUTHOLD SURVEY . . . . . . _ . . . . . . . . . . . . BUILDING DEPARTMENT CIIECK . ': . : . . . : - : : : : : : : U pT TOWN BALL SEPTIC FORM SLOG. TF1OLO SOUTHOLD, N.Y. 11971 TpWN OF TEL.: 765-1802 NDT I FY .. 99 CA'L L' Examined . . ., 19! MAIL TO Approved . . . . . �7 . ., 19 �ermit No.0/.!�� . . . . . . _ . . . . . . . . . . . Disapproved a/c . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . ... ... .. . _ . . . (Building Inspector AP L ATION'FOR'BUILDING°.PERMIT Date . . .. . . ... . . ..... . . . . . . 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 .. 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 In§pector'will issued a Build ing'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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. : . . . . . . . . . : . . :: . . . . . . . . . . . : . . : : :. . . . . . . . . . . . . Name of owner of premises . . . . . . . . . . . . . . . . �. . �' ,� . . . . . . . . . . . . . . . . . . . . . . . (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. . . . . . . . . . . . . . . . . . . . . . . . . . �lL C Se &/.*" 7 Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . /�,fyw Bid C VA/ Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . ... . . . 1. Location of land on which proposed work will be done. _. . . . . . . . . . . . . . . . . . . „ . . . . . . . . . . . ... . . . . . . . . :6 .� . �r . . �P� �l . . . . . . . . . . . . . . . . .... . . . . . . . . . . House Number. SSttreet.. 'Hamlet County Tax Map No. 1000 Section . . . cf / . . . . . . . . . Block . . . . . . . . . . . . . . Lot.. /.! . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . : . . . . . . . . (Name) 2. State existing use and occupancy of premises and inteendeed use and occupancy of proposed construction:; a. Existing use and occupancy . .,. . C �``. , .C � . . . . . . . . . . . . . . . �!/ •�� ....• ,.. awl-: b. Intended.use and. occupancy . . .C�. . . . . ?!/'7 . . — D fG . .. ..,. jJ :.l.••nL�•`r4�.J�l li y!4114.hiQjN. 3. Nature of work (check which applicable • Nei'! Bdildin . . . . , , , )• . .g, Addition . Y Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . ®�0. . . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . . l . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number.ofdwelling. units . . , .�. . . . . :. . . Number of dwelling units on each floor; Ifgarage, number of oars ... . . . . . .... . .. .. . . . . . . . . . . .... . . . . . . . . . . ... . . .. . 6. If business, commercial or mixed.occupancy, specify.nature and extent of each type of use ` 4?1i l.��®. 7. Dimensions of existing structures,if any: Front . ZZc� Fes'. , Rear . . l-575 , ,iFr,', .Depth ,�Z� F7 . Height Number of.Stories . . :. .4PA-4c. , , , Dimensions of same structure with alterations or additions: Front .`?. IfT Rear ,,�jj . . . . . Depth : : f2s • F7. . . . . . Height . . . . . .?.�� Gam. Number of Stories ./.6 . . . . . . . 8. Dimensions of entire riew construction: Front . . . . . ... . . Rear . . . . . . . . . . . Depth Height . . . . . . . . . . Number of'Stoijes. . . . . . 9. Size of lot: Front . .�� .`� . . . . . . Rear . ...' T .". . . . Depth .le'l � . . . . . . . 10. .Date of Purchase . , . Name of Former Owner . . . . ... . . . . . . . 11: -Zone or use district in which premises are situated : : . . : .. . s . . ; , • . , 12. Does proposed construction violate t any zoning law,,ordinance or,regulation: 14 Will lot be regraded . . . . . . . . . . Will excess fill be removed from premises: Yes 1 . Name of Owner of premises ;O,,A// Address lti Ps? r-41i , Phone No. Name of Architect Wag?-5- y .c. . . . . . . Address . Z S !�lj/.e� . Phone No. ' 14--©S . . Name of Contractor . Address Phone No. .. ... . . . . . 15. Is this property within 300 feet cf 'a tidal. wetland? *Yes. -.. . . . . . . . No: • ?�.. .: � � . � = *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. STATE OF NEW YORK, S.S COUNTY OF . . . . . . .. . .�7 ... .v. . 0 being duly sworn, deposes a d.says that he is..the applicant (Name of individual signing contract) above named. -•�— Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . .f.. ..... . .. � i . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . (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 true to the best of his knowledge and bdlief,''and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 1. '-t. ... :day of. ; 19 .c1 y... Notary Public, C . dRunty... -SUSAN INArDY � WM-Pub6c.SWO of Now Y . . No.489035 . . ... . . . *WSW in Suffolk 0=4. - (Signature of applicant) G�Expires Mar'26F iQ 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: