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HomeMy WebLinkAbout16526-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16727 Date March 21, 1988 THIS CERTIFIES that the building CONSTRUCT HANDICAP RAMP · 29685 Main Road Cutchogue, New York Locatxon of Property ............. - House No. 'S'tie3i ................. County Tax Map No. 1000 Section . . 1.0. ~ ....... Block 0 2 .Lot 2 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...O.c.t.o.b..e.r..Y.,...1.9.8. Y.. pursuant to which Building Permit No. 16526 Z dated .. O..c .t.qb. e..r..I.3. ,...I .9.8. 7. ....... 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 ......... HANDICAP RAMP AS APPLIED FOR The certificate is issued to UNITED METHODIST CHURCH OF CUTCHOGDE, L.I. ..................... [o~n'~'r, '~;~'e'o'r 't3,;abD ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N / A PLUMBERS CERTIFICATION DATED: N/A R~. 1/61 ~m NO. ~ TOWN OF $OUTHOLD 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~6526 z Permission is hereby granted to: ~.~..~.9...! ......................................................... ..~~,,a~...~.:~.,.J./..~..&.~~. .............. ;.. ~ ,o ....................... at premises located at .,.c~...~..(,~..~....~.. ...... )~.~...~.,. ........ ~~-~.~.,.~ ...................... County Tax Map No. 1000 Section .... ~/..l~..~ ....... Block .......~...-~. ...... Lot No....~...-~.. .......... pursuant to application dated ...... (~....~...~.....~ .................... , 19.~...~..., and approved by the Building inspector. tee $.~.~..: .............. Building Inspector Rev. 6/30/80 (~o FOUNDATION FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / / INSPECTOR~ · FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y, 11971 TEL.: 765-1803 CALL MAIL Disapproved a/c .............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS ]~;~[. SURVEY CNECK ....... TO: Date ...~..drY.....9., ........ 1977. 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 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 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. Robert Farktn, (Signature of applicant, or name, if a corporation) President, Board of Trustees P. O, Box 701 Cutchogue NY 11935 (Mailing address of applicant) State whether~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~.Th.?~6pp~9~g~$~gb9~¥~9¥~gb~$~9¢$~f~6~$d~$~¢orp~r~t¢d.¢hur~h,.assisted.by.the.bui~der. Name of owner of premises . . .U? .I.T~.D..METHODIST CHURqH...OF.. C..~.C. U99.~.,' .~, I, .......... ;rXx (as on the tax roll or latest deed) If apviS~,ant is~a cor~sig_nature of duly authorized officer. · /.~. (~. ;.[..~ '1' .~.~..6~..t.~....~-J,~.. ...... Rober~ Parkin, President; of Board of Trustees. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No... Thomas. ~lacLeod.. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ·.. 29685.. Main. Road ............................................ C.u.t. qh.o. gu.e. ..................... House Number Street Hamlet County Tax Map No. 1000 Section . . ./?..c3.. ........... Block .... ~ ........... Lot ..... ~..fi~. .......... 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 ....C.hurch ............................................................ b. Inte.nded use and occupancy .. Church../~..d~.~e.~.~.e.o~...~e..e-.&y .... .~.~?~.. .................... 3. Nature of'work (check which applicable): New Building .......... Addition ramp ...... Alteration .......... P, epair ...,... ..... ... Rem6val .............. Demolition .............. Other Work ............... i (Descrip~tion) Estimated'Cbst ' $1100 00 ~ Fee 4 · : ' (to be paid On filing this application) 5. If dwelling, number of dwelling :units ............... Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front.. 37: .......... Rear .... 5g: ....... Depth ...19.0:, ......... Ileight . Y .......... .: . Number of Stories .. PPg. o.bpy,e. ~9~j.nfl{i.t.ipp...: ....................... Dimensions'of same structure With alterations or additions: Front . 37. p.lp~..1~.! ..... Rear ... 5.6! ............ Depth...1.09.'. ~ Height same ... Number of Stories. o~e ..... Dimensions of entire new constrUction: Front .......... ' ..... Rear ............... Depth ............... tleight ............... Number of Stories.. Vp. e~¢lo~ed, ad{til::[oo~ ................................. 9. Size of lot: Front .... ~20.'..+/r.. filet . Rear.. 12.0 +/; feet Depth ~,Sp. f.e.~.t ..... 10. Date of Purchase . 7.9¢.~9.b~ri .1.85.6 .............. Name of Former Owner . .H~rr;t~o*.~e. ood. ~if, ...... 1 I. Zone or use district in which prcmmes are situated ..................................................... 12. Does proposed construction vic!ate any zoning law, ordinance or regulation: ...n.o ............................ 13. Will lot be regraded . P9 ..... ~ ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ¢lll:¢h~gue. IJr~liced .... Address 29650. Maim gO ...... Phone No. ?~.~.-~93~ ....... Name of Architect ........ N~e.t.hpO;t 1~ .t . .C b p .r .e .h' .. Address ................... Phone No ................ Name of Contractor ...Tl~.orao~i .~¢I~9p~t .......... Address 2.195: .C.an3p..M.t.n99.1iL. Phone No. 29111.'5.~.8 ....... 15. Is this property locatediwithin 300 feet of a tidal wetland? *Yes ..... No ..X... · If yes, Southold Town Trustees Permit maybe required. I PLO~r DIAGRAM Locate clearly a~d distinctly al! 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. The constructed ramp will fit in one cut out on the east side of the building. Therefore it will be an extension of the porch to the northeast but it will not exceed the northeast wall of ~he:existing kitchen entry way by more than:a foot. Area of construction marked in red. "that certain piece and lot of land situated at Cutchogue in the Town of Southold in the County of Suffolk aforesaid and bounded Easterly by land of Josiah Albertlso~ Junior, Southerly by the highway, Westerly by a strip of land three rods wide belonging to Cutchogue Cemetery, and Northerly by a strip of land two rods wide belonging to the said William Harrison Case the boundary line being designated stakes, containing nearly an acre be the STATE OF NEgLYORK same more or less." NOTE: The church subsequently COUNTY OF ~P~/~' i S'S purchased part of the land referred to as owned by /j ..:..~._...../ ..... i Josiah Albertson Junior, and ts its own neighbor on the .... . ./?..~fi~....~.: ~t.r,f. ...... ! .................... being duly sworn, deposes and says that he is the applicant (Name ofmdlwdual .... mgmng" contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy 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 manner set forth in the application filed therewith. Sworn to before me this ............... ~':...,, .... day of~... ~ ................ 19... Notal~ Public,....~.~...~...~.. County Nowy0~ ............,....... .......................... e0,,,ty (Signature of applicant)