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Home My WebLink About3183-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22685 Date OCTOBER 29, 1993 THIS CERTIFIES that the building STRUCTURES Location of Property 3525 COUNTY ROAD #48 House No. Street County Tax Map No. 1000 Section 141 Block 2 Subdivision Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 21.4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/11/66 & 5/16/84 pursuant to which Building Permit No. 3183Z & 13144Z dated 8/11/66 & 5/19/84 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 RELIGIOUS CHURCH BUILDING & MODULAR BUILDING TO REPLACE EXISTING BURNED DWELLING AS APPLIED FOR * The certificate is issued to ROBERT HAMILTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NOV. 11~ 1966- R. Villa UNDERWRITERS CERTIFICATE NO. N-716544 - Nov. 11~ 1985 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATED CO Z-2711 dated 5/16/67 & CO Z-20307 dated 10/28/91 // Bfiilding Inspector Rev. 1/81 TOWN OF SOUTI-IOLD ~UILDII~G DEPAETMENT TOWN CLERK'S OFFICE SOUTHOLD, N. OERTI~"IOATE OF--13~OUi~AN~Y No..~. ~11... Date ................. l~lay.... 16 .... , 19.67. THIS CERTIFIES that the building located at ~/.~.~1~[~8. ~1..((~1~.~.) ..... Street Map No.. ~ ...... Block No. · -X~X ....... Lot No. ~ .... ~;t;.l.~;~O]~. · .~.~.~ ...... conforms substantially to the Applicati. on for Building Permit heretofore filed in this office dated ............ A~g~l~i...tl, 19.~. pursuant to which Building Permit No..~18.~ .~. dated .............. ~llg'~..~., 19~., ~vas issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .oecupancy ~or which this certificate is issued is Re~ig~tO:US. b~tl(tlng. Y~al~$t~t;-0h~'~h) .......... ........................ The certificate ~s issued to .l~t;~ .~c~l'k..I]~i~ti~. ~{l~h ............. ~r~le~ ...... ~1 (owner,~lessee or tenan~/ of the afore.said building. ,Suffolk County ',Department of Health App¢~val . .. ~.O~mll. 1966.. t~Vlll~ ....... Building Inspector TOWN OF SOUTHOLD BU~LDII~G DEPARTMENT TOWN CLERk'S SOUTHOLD~ H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES Uh~TIL FULL COMPLETION OF THE WORK AUTHORIZED) . , N°. 3183z Dote '' ' Permission is ' 'hereby granted'' to: pursuont to *pp~icotion doted ...................... ~g~....~ ................. 19...~, ond opproved by the Building Inspector Fee $.....~..0..[.4..~; ........... TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: i. 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. 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 P~e-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, Commercial $15.O0 Date .... OggP~gI. ~,. J9~3,~ .................... N C trion Old Or Pre i ti B ilding ' ew onstru .. · -ex s ng u ........ Location of Property....3.5~_~,~ .QQII~%~ .I~Q/~I~ .#.~ .......... ~%T.I~.C~,. ~I...Y... ...... House No. Street Hamlet 0nwer or Owners of Property ROBERT ~ILT0~I County Tax Map No 1000, Section. 14] .2 .4 ............. Block .... 2 ........ Lot ..... ' Subdivision .................................. Filed Map ..... Lot . 3183-Z ' ' 8/11/66 ............................. ~ 5116184 · 13144-Z .Date Of rermit ................ Permit No ............... Applicant ................. Health Dept. Approval ........ Underwriters Approval Planning Board Approval ...................... oo Request for: Temporary Certificate ........... Final Certicate ........... Submitted: $ ..... .50.: .00....U~.D.A..T~.D.. C.O. ...... .................... S'JFFOLK COU~YfY D~PAR_~C~NT OF HEALTH Riverhead~ New York Building Permit No. ~ ~ ~ Health Department Plan No.. .Applicgtion. for Approval of Co~mereia~ Sewage Di.sposal TO: The Suffolk County Department of Health Date Application for approval of commercial sewage disposal system is hereby requested. (Name'and ~ide of street, and name and distance ~o nearest intersecting '~tre~t) D'o~ule t Village Town,, ,~f.~.120, T'/-/0 ~. ~ ,,, I hereby certify that this commercial sewage disposal system has been con- structed in accordance with plans approved by the Suffolk County Department of Health on (date) .... and with all the requirements of the latest bulletins on sewage disposal 'of the-~uffolk County Department of Health. Applicant ~ s Signature LI...~.~ ~ ~ ~ ' (Builder - ~r) FOR USE OF H?~LTH DEPA,EI'~ ONLY I~t~ation satisfacto~ Yes ~ 3,.. No Based on the infection stated hereon ~ t~ applicant and other i~o~tion ~de available, it is the opinion oZ ~is Depart~nt that this system with proper mainten~ce can be expected to f~ction satisfacto~ly ~d is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structur~ feat~es are not included. Date SCHD - S-13 6/5 TOWN OF SDUTHIDLD DFFIBE OF BUILDING INSPEDTDR TBWN CLERK'S IDFFICE BOUTHDLD, N. Y, Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Loews of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ....~,~}~,~..i~.~]J~..~.~ .... :~,.,~ ~p~,~..~el~ .............. ~¢. ......... ..,.ff~.t.,..t; ,~.tt'.~.~..~.~... Z~. :~., .................. has applied to the Town of Southotd for a permit to construct a building on ...L4;i,.d fLtL¢,.. :;?,¢::~d...¢~.~,..~Z&~...., .~,~,~.~.~¢.~... ~'~ ,. Z, ......................... as shown on the attached plot plan, submitted in triplicate, dated ...~..~.~.~..~ ............................................ and titled .~¢k~..~.*...~ft~(l.. Ji:~D~..~.t~}~...~;¢~ We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Very truly yours, Building Inspector Town of Southold, N. Y. TOWN 13F SDUTHOLD BFFIBE BF 8UILDINI3 INSPEOTE]R ~aUTH[~L[D, N. Y. Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 2391( of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that · ..~.a.p..t...i..s..t...g~lzr.~h .............. .o..~ ......... . .~ .t..t.~.t,.u.~/~ ).. N.,.L, ................... has applied to the Town of Southold for a permit to construct a building on ..M...t.f.~.%e.....Rg.~d ..g~,.. ~,2A ,,.......~l;.t.:Lt.U~k ~.. N,, .~, .......................... as shown on the attached plot plan, submitted in triplicate, dated ..A.l~.g~lS.~ ~th~ i~6~ ............................................ and titled ~a~...af...land..i'~....~or. th..F~k Baptist church We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. 8/28/6]$ Approved to the Town of Soutlrz~f]er~ trul- · ._ y yours, as per revised plot plan; before building access to tho Co~.?ty Road~ a permit ~nder S~'FO~f CO~ DEPT P~LIC WORKS I '~ ' Building Inspector Town of Southold, N. Y. I~OEM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disopproved~~~ ....... ,.,.. ~ -'/ Application No ..... ..~...d...°~....~... ....... APPLICATIO~ FOP, BUILDING PERMIT Date ....... .................. I NSTRUCTI ONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 drown on the diagram which is part of this applica- tion. c. The work covered by this oppticotion 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 permit shall be kept on the premises avaibble for inspection throughout the progress of the work. e. No buitding 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ............ (Signature of applicant, or name, if a corporation) ............... .................. (Address of applicant) State whether applicant is owner, lessee, agent,~rchitect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises .............................................................................................................. If applicant is a corporate, signature of,duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ..... ~ .............. . .................... Lot No~: .....~ ................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. o. Existing use and occupancy b, Intended use and occupancy ..................................................... 3. Natt re of work (check which applicable): New Building .................... Add,ition .................. Alteration Repc Jr .................. ,~moval .................. Demolition .................. Other Work (Describe) .................. 4. Estin~ated Cost ....r..,~77.,~.,~...~..~2~,......~z. ..................... Fee i (to be paid on filing this application) 5. If dwlelling, number of dwelling units ................................ Number of dwelling units on each floor If gc~rage, number of cars ............................................ 6. If bdsiness, commercial or mixed occupa.ncy, specify nature .and extent of each type of use 7. Dim~ ns[ohs of existing structures, if any: Front ............................ Rear ............................ Depth Heig ~t ............................ Number of Stories Dim~.nsions of same structure with alterations or additions: Front ................................ Rear Dept ~ ................................ Height ........................... ~..,. Number of Stories ............................... 8. Dim~ ns[ohs of entire new canstructian: Front ..... Rear ....~'...~..~...~....:~.. ...... Depth ..~..~...~..~.....:.. Height ......... ~?,¢~..'~...~.... Nqmber of Staries .......~.,/~'......~,.. ......... ' Z- '~ 9. Size ~f lot: Front ...... ~,d:~,'~,~. ..... Rear ~.~;~,..'~,~....~.~...Z:_.. Depth 10. Dote of Purchase ........... Na'm of Former Owner 1 1. Zon~ or use district in which premises are situated .......................................... .~./ ............................................... I .... 12. Doe~ proposed.construct on v o~ate any zon ng law, ordinance or reoulation~ .~....~...~.. I1 13. Nan'j,e of Owner of prt~mise,~ .~.~.Z~.4'~.~.M/,f,Z.~.~'~ddress ..... ~,~...Z..Z'..4'..Z .~...~...~...~.. ..... Phane No .................. Na~e of Arch tect ....... ~.~.Z).~z~.....'~..~....6'_.~...ff...d'... Address ...~,~....'~.-.?....JT...~.rJ'~7' Phone No Na4e of Contractor ..~..~./~...~...'~..~.k:x. 4~...~....~..~..zaZ..41.. Address ...Z~.z~.,Z'..ZZ'.~.~.'~',~.'.'iiii:iTiiiiii7 Phone l PLOT DIAGRAM Loco e clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions f~m property ll'ines. Give street and block numbers or description according to deed, and shaw street names and indidbte whether itlterior or corner lot. STATE OF[ NEW YORK, ) S S COUNTY iOF ............................ ) · ' . ......... ................ being duiy sworn, deposes and says that he is the applio -- ~Name of individual signing application) ~ abov~ na ed He s the , ~ ~~- ~ . ~ ......................................................... ~, ~,......~,.. ~,.,.~, ~.~ ~., ~ .................................. ~ (Contractor, agent, corporate officer, etc.) of said o~ner Or awners, and is duly authorized to perfarm or have performed the said work and to make and file applicatio~ that all statement.s contained, in this application are true to the best of his knowledge and belief; that the ~ork will be performed in the manner set forth in the application filed therewith. Sworn.~/to ~efore me ~his ~ _1 ',,EH ....... ~l~.j. ....... d f ...... ............... ,19 c. tz. ~ 7 ,4. PERMIT No, /~"~/TUMtNO0$ CONCISe7'& 7-0.° 8U/D~ CONC..~4MP(6 ;qlcK) I 7'0 ~ROPEt~TY £INF -I correctly shown and Off dimenMond ~d ~eodeflc details' ore~orrecl~ ¢ '-' - ~, ,r:"~,' ; [ .' ~ ~'~." John'[..Melzg~ N.Y.S. LIC. NO. ,49618 ,"., ,'-: r { I, H.S. ReL ~,92-077 ' ets /n this development will comply w/th ~e standards ~ .... one requirements o( the SuEo/~ County Oep~r/ment'o/ ,~' , ' ,; , ~ ~ A DEELARA T/ON OF COVENANTS AND RESTRICTIONS NAS BEEN F/LED IN THE SUFFOLK COUNTY CLERK'S OFFICE WHICH AFFECTS LOTS IN THIS SUBDIVISION LIBER 1157B, PAGE 38/ TEST HOLE 8ro~e KEY MAP' TOTAL AREA ='3 4958 ACRES AREA LOT I= 55,663 sq ft AREA LOT2 = 61,225 sq, ft. AREA LOT3 = 35,389 sq. ft. ELE'VA TION$ & WOODED.AREA FROM FIVE EASTERN TOWNS TOPOGRAPHIC MAP GROUND WA TER MANAGEMENT ZONE LoT ~ I.,Cl Ocres x 3009~d, = ,CEE ~.pd. ' CHU_RC~ ",50 seats x l.5 g,p.~/seet ' 75 MOBILE HOME 300 9.p.d. ExIsTING SEPTIC SYSTEMS - CHURCH - 2- 8'¢ x $' deep L.P.s ~ ,CO2 sa, fL ddewdl or.,ea x I.Sg.p. sq. fl. = 603 g.p.d. MOBIL~ HOME - I -~'# ~ 6 deep L.P. - 151 sa, fi, ddewe# area ~ 1.5 ~.p.sq. fL = 22T Brown ,,, MINOR S~DIVISION FOR ROBERT D HAMIL TON A T MA TTITUCK TOWN OF SOUTHOLD PARKING 15,C0 sa, ff. se~llng ~reo/§O .$0.8 PROVIDED $~ spoce~ 2 H.C. STALLS /0'~0' ROAD TYPICAL PLOT PLAN O WNER/APPUCANT RO~ERT D. HAMILTON P.O. BOX 201 PECONIC, N K ~ BUILDING ZONE DISTRICT SCHOOL DISTRICT FIRE DIS TRIC T R'-40 9 ,30 SUFFOLK COUNTY, N Y Scale: i"= 100' Feb. 5, 1992 9343 #FILE No. 1221 5 #ABS. PIQ. PR 2 21993 1 Prepared in accordance with /he minimum standards for lille surveys os established by the L.I.A.L.S. end approved and odopled for such u'se by The New York Stole Lend Tille Associdion. . TYPICAL SEWAGE DISPdSAL SYSTEM FILEO P. O, 80X 909 MAIN ROAD SOUTHOLD~ N.Y. 11971 91-265A