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Home My WebLink About13048-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15407 Date Mar. ch 24~ 1987 THIS CERTIFIES that the building ..... lg.e.m, q .d.e.1 ................................... Location of Pro-ert' 51975 MAIN ROAD SOUTHOLD House No. Street 'l~l~r~/e~ County Tax Map No. 1000 Section 0. 6. .3 ......... Block ...5 ............ Lot 10. l Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. Y. eb ,..1.~ $ .4 ......... pursuant to which Building Permit No ..... ! 3..0.4.8. Z. .......... dated . .A?.r. ~, ,1. ,1,7, ,,., . . . . . . . . . . . . ..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 ......... .... gein.o. 4¢.l..k.i.~g.h.e.q..~p. St. Pat~icks Church. The certificate is issued to ST. PATRICKS CHURCH. of the aforesaid building. Suffolk County Department of Health Approval ....N./.4 ................................... UNDERWRITERS CERTIFICATE NO. N 654230 PLUMBERS CERTIFICATION DATED: N/A ARMSTRONG CEILING PANELS 915 FIRE GUARD--TEXTURED · " ')r · · ~4~t~iitii~'i~l;;C't;; ............. Rev. 1/81 lrO~d( NO. I~ TO~'N 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? I3048 Z Permission is hereby granted to: . ....~~....~.:....~~ ......... ..~.~~.....~.~.~.,.....~.L~.~..~ ............ ,o ..... ~...~.....~...~,....~ ....... ~,.....~~ .................... .~, ................ at premises I~ated at 5...L~,~ ...... ! ........................... County Tax Map No. 1000 Section .....~.....~.....~'.. .......Block "~ Lot No. ) D, / . Building Inspector. Fee $ ........................ and approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLiCATiON FOR CERTiFiCATE OF tffi{ i 2198'/ instructions Xe This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal)· 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" {~nd uses'- 1. Accurate survey of p:coperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: J. CertJfJcate of occupancy ~ew g~ellin,s.$25.00. Acce.~.~ory ,.Si0.00 Bua[ne,~;I 2. Certificate ~f occupancy on pre-existing dwelling ~ 50.00 3. Copy of certifJcate of occupancy $ 5.'00, ove~ 5 years 810.00 6. A eerae on $25.00 NewCons ~uc~ion ...... Old or Pr~-existin~ Building ............ Vacant Land ............. House No. 8treat Hamlet Owner or Owners of Property ~.~ [~l~{q ~~ .. . County Tax Map No. 1000 Section ............... Block ............... Lot ............... · ' ' Flied Map No Lot No Subdivision ....................................................... Permit No. . , o e leant .............................. Health Dept. Approvel ........................ Labor Dept. Approval .................... Underwriturs Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all a~and regulations. Applicant . .~.., .<:~..' ................................... THE NEW YORK BOARD OF FIRE UNDERWRITERS [~[ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1003~ THIS CERTIFIES THAT only the electrical equ~ment as described below and intr~duc~e~ by the appJ~c~ nailer,,on the above application number in tim premises of St. Patrick 2oC, (~urch, ~aln ~.., ~o~it~'l~, ~.~, in the followlng location; ~ Basement ~ 1st Fl. .~as e~..,,in~do,~ d'tlly 30~ 1984 ~ 2nd FI. Section Block and~ound to be in compliance with the requirements of this Board. Lot FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES INCANDESCENT FLUORESCENT 10 1~ lO 3 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: pa~l.boa~'d/s: 1-7cir, l~5amp o 1-Ff~e ~11 Soutlx)ld, N,Y. 11971 I~c.137 E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspecto(s GENERAL MANAGER may be ,identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY.OF CERTIFICATE ~U~T NOT[ BE A~LTERED II~i ANY MANNER. COMMENTS FIELD INSPECTION 1. FOUNDATION (~st) FOUNDATIOn! 2. RONGH FRAME & PLUMBING 3. %NSULATION PER STATE ENERGY QODE (2nd) No FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13048Z issued to St. Patrick's Church on 4/17/84 for' Alteration is completed amd a final ~nspection has ( ) has not ( x ) been done. in order to complete this file~ it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please {ndicace to Whom tile Certificate of Occupancy is to he mai[ed, and arrange with this office for an inspection date Occupancy or use is unlawfu! without a Certificate of Occupancy. Please help ns tO clear up this matter so that legal action does aot have to be taken. Thank ynu for your prompt attention. Very truly you~, Victor Lessard Executive Administrator VI.: ga r cncl . 765-*1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~/~ ~~ / , DATE INSPECTOR COUNTY OF SUFFOLK PETER F. COHALAN SUFFOLK COUNTY EXECUTIVE DEPARTMENTOFHEALTH SERVICES Mr. Garrett A. Strang P. O. Box 1412 Southold, New York 11971 Dear Mr. Strang: February 1, 1984 DAVID HARRIS, M.D.. M.P.H. This Department has reviewed the plans, submitted by you for the following food facility: St. Patrick R.C. Church, Main Road, Southold The Department has approved the plans as submitted wit~ the following modifications: However, before construction is begun it may be necessary for you to obtain a building permit from your local building department. The enclosed permit application is to be completed and returned within ten days with your permit fee check for $ ...... , in the enclosed envelope. Approval to operate your establishment will be given upon satisfactory completion of the installation. Such construction shall be in complete conformity with the plans and specifications approved this day or approved modifications thereto. F~nal~approval is contingent upon receiving certification of the sewage disposal system a~d its installation by the Environmental Engineering Section. Please contact Mr. Robert Jewell at (516) 548-3313. It is necessary that you make an appointment for final approval inspec- tion at least one week before the anticipated opening date. Your failure to do so could result in delay of said opening. Very truly yours, ~,Fred Liska Senior Sanitarian FL:jhb Enclosures 548-3427 COUNTYCENTER FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~..['/ .... ,19~.¢. Approved...(~A.~. [.~ ..... 19~.q. Permit No. ~ . .ik~3.'..~..~... Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 tins 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 Regulations, for the construction of buildings, additions or alterations, or for remoYal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulation~, and to admit authorized inspectors on premises and in building for necessary ......... insp~,J~.t'~,~ ..... ('0 ~.~.,~,~. ] .-~[O-~'::~- ........... (Signature of applicant,~r 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 ...... ~' .'~'..~...~..Cl..~..~[ t,..~.' ? .... C~.O. i .~ .~.' .;; ............................ iii (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. . j-,~. '.~. ............... Plumber's License No..~.~,t'°.(M'{. ~ 1,~ ' .~. ...... Electrician's License No ............ .~ .~.; .g. .... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ..... ........ ................... ...................... House Number Street Hamlet County Tax Map No. 1000 Section (2) (o ~ Block '~ Lot .... O..,./. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .. ~.ko~.~...4~.? ................................................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ~ ..... Repair .............. Rem~oval .............. Demolition .............. Other Work ............... 4. Estimated Cost ...... ......................... Fee ...................................... : (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ............... Number of dwelling units on each floor ................ If garage number of cars ! 6. If business, corn nercml or m~xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front .......... ' ..... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ....................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new cons~ructmn: Front ............... Rear .. ............. Depth ............... Height ............... Number of Stories ................................................. 9 Size of lot: Front ~ Rear.. ', . ............ Depth ......... 10. Date o f Purchase .......... : .................. ., Nan~.~ t~f F?Anner Owner ............................. 1 1. Zone or use district in which p}emises are situated..~ O.~.~J~,,~ .vA ...................................... 1 2. Does proposed constr ~ctlon vzolate any zomng law, or&nance or regulation: ................................ 13. Will lot be regraded ........ i ....................... Will excess f~i~b~e,,rewoved from premises: Yes No 14. Name of Owner of pr.e~nises ~.., ~/~Z~4, :d?...C~.o~ Address .?.~.~,~..· -,-~'.~.'&r ....... Phone No ................ Name of Architect ~..,"fl~...~.~...o..~..,~ ........ Address ~2.~ .o.~.~ .......... Phone No."/~:,~.~.,~ ...... Ntane of Contractor .~...t~...~. ................ Address . ,~~ ........ Phone No.~.~':~....c21~'t~.. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate ail set-back dimensions from property fines. Give street and blocl: number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK. z. ' . COUNTY OF.,.~.'t~t~?.~ .~. S.S ~-/./.~..A(. .............. ~ .................. being duly sworn, deposes and says that he is the applicant (Nmne of individual sighing contract) above named. -,q~te is the .............. ~/¢~"1.~.~ ............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dqly 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 belief; and that the work will be performed in the mann?r set forth in the application filed therewith. Sworn to before ~ne this ..... q~.~. ~d...'..:i'. ....... d ay ~ f..~.~Y..~.F..t3-.~.'?/ Notary Public, . LIND/~ F. KOWALSKI, I~0TARY pUBLIC, State of New Y'o ................ ~1o, 52-45247~1 Qualified in Suffolk County t[~ (Signature of applicant) Commission Expires March 30, 198,~'~ - I r 765-1802 9 AM TO 4 PM FOR THE. FOLLOW NG INSPECTIONS: ~ ~'J. FOUNDATION - TWO REQU ~:~' FOR poURED cONCRETE 2. ROUGH - FP~MING & pLUMBiNG , 4. FINAL - CO',~'STRUCTION' MUST',/ BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS oF THE STATE CONSTRUCTION & ENERGY · ! '! CODES. NOT RESPONSIBEE EOR DESIGN OR CONSTRUCt' ON ~RROR~, I L / J II I o O AP .,~.'~ AS NOTED NO~:IFY BLJlLD~NG DEPARTMENI' A ~'65-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: h FOUNr~ATION ' TWO REQtlIRED FOR pqUR~D CONCRETE 2, ROUGN - FRAMING & PLU&~B~NG 3. iN~ULAZ~qN 4. FINAL - CONSTRUCTION MUST BE C°Met ETE FOR C 0 ALL coNST?UCTION SNALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & EHERGY CODES. NOT RESPONSIBLE FOR DESIGN OR coNSTRUCTION EhROR5 *'Alteration of this Document except by an Architect or Licensed Profes- sional Engineer, is illegal". Section 7209, Subdivision 2, N.Y. State Education [aw. Architect and Engineer's Seal and Signature only Eood for !nitiel use of drawing. Changes, alterations or re- visions to or re-usc ef dra',.!; ICa with- out Architect or Encnear's Approval voids Seal and Signature on same. GARRETT A. STRANG architect Main Road P.O. Box 1412 $outhold N.Y. 11971 516- 765 - 5455 II --- ~-- ~-~" ~ I ~ I N , ~ .,~ , ' '. ~ ~ / x ~,~ .~ ~ . . - __ - _ . .... ~ Architect and Engineer's Seal and ~A~ETT A, ~T~AN~ Alteratmon of this Document except Signature only good for initial use of a ~ c h i ~ e c by an Architect or Licensed Profe~- ~rawin~. Chan~es, alterations or re- ~onal En~ neet, ~s Ile~al . ~isions to or re-,se of ~ra',v~n~s with- Section 7209, Subdivision 2, o~t Architect ~r En~in~,r's A~ro~al Main ~oad P.O. Box 1412 Southold N.Y. State Education Law. voids Seal a~d Signature on same, 516 ' 765 ' 5455 I I [ F II /"11 "Alteration of this Document except by an Architect or Licensed Profes- sional Ensineer, is illegal". Section 7209, Subdivision 2,, N. Y, State Education LAW., Architect and Engineer's Seal and Signature only good for initial use of drawing' Changes, alterations or visions to or re-use of drawings with- Out Architect or Engineer's Approval voids Seal and Signature on same. GARRETT A. S~RANG architect Main Road P.O. Box 1412 Southold ~.Y. 11971 516- 765 - 5455