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Home My WebLink About15182-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTmeNT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF 0CCUPANC~ No Z-20214 Date SEPTEMBER 12~ 1991 THIS CERTIFIES that the buildlng. CR-GRCH Locatlon of Property 7~80 WTC~.AVE~&l1565 C.R...~48 MATTITUCKr N.Y. House No. Street Hamlet County Tax Map No. 1000 Sectlon 108 Block 1 Lot 3 Subdivision F~led Map No. Lot No. conforms substantially to the Appllcatlon for Building Permit heretofore filed ~n this office dated MAY 28~ 1985 pursuant to which Building Permit No. I5182-Z dated AUGUST i1~ 1986 ..... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whxch this certlfxcate ~s issued is CHURL/4 BUILDING AS APPROVED BY PLANNING BOARD. The certificate is issued Yo (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-828961 - AUG. PLUMBERS CERTIFICATION DATED COM)~]NITY C~RISTIAN F~J~DWBHIPr Inc. MA-34 OCT. 6r 1987 24~ 1987 . . JAN. 9r 1987 - MIKE JACOBI PLUMBING Rev. 1/81 ' u Insp ctgr TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIUv'[IT CT'HIS PERJVdT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 151~2 Z Permission ~s hereby granted to' ~ _~,?~_.~ ............................ ._ . County Tax Map No 1000 Sect,on . I ~' ~ Block ...... ./. ...........Lot No..~ .......... pursuant ,o appl,cat,on dated '~.~ ~;~. ~(/ ....... 19g:~..,~nd approved by the Budding inspector. ~ee ~..~ ~, ... Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN, This application must be filled zn by typewriter OR mnk and submitted to the building inspector with the following: for new building or new use: i. Final survey of property with accurate locatzon of all bulldzngs, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-dmsposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifymng that the solder used mn system contains less than 2/10 of i% lead. 5. Commercial building, industrial bulldmng, multiple residences and similar buildings and lnstallatmons, a certificate of Code Complmance from architect or engineer responsible for the building. 6. Submit Plannzng Board Approval of completed smte plan requirements. 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 applzcatlon and a consent to inspect signed by the applzcant. If a Certlfmcate of Occupancy ms denied, the Bumldlng Inspector shall state the reasons therefor in writing to the applmcant. 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. Busmnesses $50.00. 2. Certmflcate of Occupancy on Pre-exzstmng 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 $15.00 ./ ..... .............. ::: ::::::::::::::::::::::::::::::::::: House No. Street Hamlet Onwer or Owners of Property ....... County Tax Map No i000, Section .... ZO~. ..... Block ...... ~ ........ Lot ...... ~- ......... Subdmvision ................................. . . . Filed Map ............ Lot .................... . . PermitNo ...... .--...--....../~/~. .Date Of Permit .............. . . Applzcant ........................... . . Health Dept. Approval..........................Underwr~ters Approval ..................... .. .. Plannmng Board Approval . Request for: Temporary Certificate ......... Final C~~ Fee Submitted: $'~' .................... /~-~/-/~I~Y" ,'3~,,~ ~ ......................... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY C.O. CertifiCate Ot Occupancy No zl6317 Date October 20, 1987 THIS CERTIFIES that the buridmg . .C? u .r .c h ........................... Locatton of Property 7980 W~ckham Ave. & 11565 C.R. #48 Mattituck H3use tVo .............. '~'tr'e[~i .................. it~mle~ County Tax Map No. 1000 Section 1Q ~ .... Block . I ......... Lot .3 ............ Subdivmon ............... Filed Map No ...... Lot No .......... conforms substantially to the Application for Buridzng Penmt heretofore fried m tins office dated May 28, 1985 pursuant to winch Buridmg Permit No 15182Z dated . A.ul~.' ! I.,. 19..8.6.. wasissued, and conforms to all of the requ~rements of the applicable provisions of the law The occupancy for winch flus certificate is issued is ....... The certificate is issued to COMMUNITY CHRIST I~N FELLOWSttlP, INC. .......... (owner,~,idz't{~'tl'fXRk ....... of the aforesaid building. Suffolk County Department of Health Approval .. M.A-.3.4. O.c.~....6 ,. I .9 .8 ? ............... UNDERWRITERS CERTIFICATE NO, N.82896 I Au.g. 24, 1987 PLUMBERS CERTIFICATION DATED: Mike Jacobi l/9/87 Temporary C.0. is good for the lzfe of the permzt, Building Inspector Rev 1/81 FOUNDATION {1st) FOUNDATION 2. ROUGH FRAME & ?LUMBING (2nd) t!DATE 11 INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date //~ /I~7 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ day of 19 . Notary Public, County (plump s szgnature) Notary Public FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buddings or new use: 1. F~nal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographm features. 2.Final approval of Health Dept. of water supply and sewerage dlsposal-(S-g form or equal}. 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrml buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the build~ng. 5.Submit Planning Board approval of comp{eted site plan requirements where applicable. B. For ex,sting buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZ~operty show~ng ali property hnes, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or prewous 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 certffmate C. Fees: Add[tlons $25.00 l. Certlficate of occupancy New Dwelling $25 00, Accessory ,$10.00 Bus[ness $50.00 2. Certificate of occupancy on pre-exmtmg dwelhng $ 50.00 3. Copy of cert~ficate of occupancy $ 5.00, over 5 years $~0.00 5.Uoctated C.O. $ 50.00 Date .,/ .................... NewConstrucf,~on ..... Old or Pre-exmtmg Budding ......... Vacant Land ............ Location of Property Hou.~ No, Street Ham/et Owner or Owners of Property County Tax Uap No 000 Sect,on /.C.? ......... ./ ............ Lot.'3. ............. Subd~wslon ...................... Fded Map No .......... Lot No .............. Permit No. ~ .... ~ Date of Permit ....... Health Dept. Approval ~/[:/~7..~(~¢:~.~...Labor Dept. Approval .... ~. .................. Unde~r,ters Approval~~ .... 7. ~.~.&~qt ...... *lann,n, Board *ppro,al ~¢(P~ .. Bequest for Tem~oraW Cert~fmato.. ~ ............... Final ~ert~flcate ....................... Fee Submitted $ ~ ~' , Construction on above described budding and permit meets all apphcable codes and regulations. Applicant .................. ~ ............................. Rev 10-1078 FORM NO 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your apphcabon dated ..~.% .~..~.. ,19 $C for pe~t to const~et ~ ~ ~ at ~t6e~ c~" ,.. '"'~ ............ '~" ~". ..... ; ..... :" . Lo~atlonofProperty '?~0.. ~ ~.~.~ .... _ .... ~T~fl ...~~~ House ~vo b't~et Hamlet County Tax MapNo lO00Sectzon J 0 ~ . ..Block ..... ] ...... ~t ...~ .... Subd~v~sxon . .. Filed Map No ........... Lot No ............ is returned herewith and disapproved on the following grounds ~. ~ ~..s~ Building Inspector RV 1/80 Southold, N,¥ 11971 (516) 765-1938 October 23, 1985 Mr. Daniel Reiter Community Christian Fellowship P.O. Box 780 Mattituck, NY 11952 Re: Site Plan Community Christian Fellowship Church Dear Mr. Reiter: The following action was taken by the Southold Town Planning Board, Monday, October 21, 1985. RESOLVED that the Southold Town Planning Board approve the site plan for the Community Christian Fellowshlp for construction of a church located at County Route 48, Mattituck, sub3ect to: 1. Revised site plans indicating the following information: -Grading in the parking area -Surfacing in the parking area -Approval from Suffolk County for use of the recharge' basin -All other site plan elements not already included on the survey. Please note, there will be no issuance of a certlficate of occupancy until the above requirements have been me%. Enclosed, for your review, is a list of all site plan elements required. If you have any questions, please don't hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: Building ~ept. ~ n~o u e~,,~.^ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL $OUTHOLD, N.Y 11971 TEL. 765-I 802 June 6, 1985 To Whom It May Concern: The property in questaon as satuated at the antersectaon of County Road 48 and Wickham Avenue {Old Middle Road). The Tax Map Number as Dast. 1000, Seet~on ~08, Bloek 01, Lot 003, which ~s s~tuated an the 'A' Res!dent~al-Agr~sultural Zone. Th~s zone permxts oonstruetaon of a church provaded that sate plan approval and a Specaal Exception are obtained. Yours truly, Victor Lessard Executive Adm~nxstrator VL:ec TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y, 11971 August 21, 1985 TEL. 765-1802 Planning Board Town of Southold Main Road Southold, N.Y Sub0ect: Community Christian Fellowship M~ddle Rd. C.R. #68 Matt!tuck, N.Y. Site plan dated 7-15-85 Gentlemen: The suboect property is zoned for "A" residential and agricultural use. The pr6posed use is permitted by Specxal Exception by the Zoning Board of Appeals which was granted under Appeal #3372 dated July 18, 1985. The 2500 square foot of building for use as class- rooms and assembly would require 13 parking spaces. ?ark- lng stalls as shown scale to less than requxred 10'-O" ~n w~dth. However with the correct~on ~n width the parklng area w~ll accomodate the requirements for proposed use. This w~ll certify th~s site plan in meeting zoning requirements. EH:hdv P.O. Box 1090 l,~attituck, N.Y. April 20, 1986 11952 Secretary Town of Southold~J~oard ~ Town Ha 11 / ..... ~ So__N.Y. 11971 .... ~ ~g: O/mmunity Christian Fellowship Site Drainage ~ The site drainage design for reject was based upon the following criteria: 1) Six inches of rain in 24 hours 2) All runoff to be contained on site. 3) Average slope of finished ~rade to be 2 to 3 % from ~4 to NE. 4) C~nservative runoff coefficient of 0.5 used for lawn areas. 5) Drainage catch basin(s) for the parking area to be piped to an On-site recharge basin 750Q s~uare feet in area with a 2 foot minimum depth. This was based upon a per~olation rate sandy soil of 1 inch per hour. Runoff from lawn areas will be directed to the recharge basin by contoured final grade. 6) Area and Volume of the recharge basin was calculated to provide adequate leaching and holding capacity for the anticipated 28,3300 cubic feet of runoff for the 6 inch in 24 hour storm with 2.14 acre of pervious surface and 0.36 acres of impervious surface. 7) The lower terrace area ( to be brick on sand ) on the south side of the buildin~ will be provided with a 4 foot diameter dry well, 4 foot depth. 8) The small drainage area at the southwest of the property which which might be impeded by the slope on the west side of the building will be diverted by appropriate contourin~ or conducted by pipe through the slope and discharge to the catch basin in the parking area. If any additional information is necessary to facilitate approval of the drainage design, please contact me at the above indicated address or by telephone during business hours at 422-1211, Ext. 273 or 274. Richard E.' ~tpz~ek, P.E. ~ for Communi~ ~hristian Fel~owshiD cc: J. Fred Druck ~ 765-1802 INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS: INSPECTOR 76S-1802 - / INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION FRAMING FINAL DATE INSPECTOR~~ 7GS-'"802 BUILDING DEPT. ,~m~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. DATE BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~]~NSULATION [ ] FRAMING [ ] FINAL REMARKS: .~ /~ . 1//~ ~ /~ ~ 76~-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTION 765-1802 BUILDING DEPT. FOUNDATION '"ST [ ] ROUGH PLBG. FOUNDATION 2ND [ z'J~SU~TION [ ] FRAMING [ ] FINAL INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [~--l..,j~K}~j. 85 JOHN STREET. NEW YORK. NEW YORK 10038 828961 ~I D. te AUTO,.1. ~4, 19~7 ~ppl,tat~on~oonfde 497~2/87 N THIS CERTIFIES THAT Co~unity Christian Fellowship., bound Avenue, cio ~tickh~, Mattituck, ~.Y tn the followlng l,~atton, ~ S~sement ~ 1st *~ ~ 2nd *~ Section Bilk Lot ~sexammedon~g~ ~7~ ~7 andfoundtobemcomphanceutththereq.trentent~ofth~sBoard R V I C E AWG Three C il ect. Inc. R~ 1 box 4~JM ~ound Ave. ~£v~rhead, N.Y. 11~01 L~.c#3327E Grd~E~U, ~NAGEII Th~s cerhf~cate must not be altered ~n any manner, return to the office of the Board if ~ncorrect [nspectors may be ~dent~fmd by their credenhals COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. t 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 ~ 23 24 25 26 27 28 7 8 9 ll 12 13 14 15 16 17 18 19 20 22 23 24 25 ~6 27 28 5 6 7 8 9 10 11 12 13 14 15 17 23, 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 j ! i'2223 ~ 24 25 26 27 "28 F 29 I6 17 18 19 20 21 22 23, 24 25. 26, ,1t 13 14 16 t18 i~9 21 3 4 ~xamined Approved ~'~...// .... 1F~/ Permit No./~./~.~.._~ Disapproved ar/c ................................. FORM NO, 1 TOWN OF SOUTHOLD '" BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N,Y, 11971 TEL,: 765-1802 Received ........... ,19. APPLICATION FOR BUILDING PERMIT " Date.. INSTRUCTIONS a. Ttfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit :ets of plans, accurate plot plan to scale Fee according to sehedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sir- or areas, and glving a detailed descriphon of layout of property must be drawn on the diagram which ts part of this ap zatmn. c. The work covered by fins application may not be commenced before issuance of Building Permit d. Upon approval of this application, the Building Inspector will issued a Bmldmg Permit to the apphcant. Such per shall be kept on th, e'premlses available for mspechon throughout the work. e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupm shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bmld~ng Department for the ~ssuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulahons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descrik The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, ant admit authorized inspectors on premises and in building for necet~s, ary~, inspections. , ~ ' (Signature of applicant, or name, If a corporation) Cc., t ,+. ~.? (Mailin~ address of ap~hcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or built Nameofownerofprezmses .ox~T. %~.~- ,xf.-,~. ? ,~ / . ;. .~.~L .... ~ (as on the tax roll or latest deed) If apphcant is a coxporatlon, signature of duly authorized officer · · ~-'~"~'.1 ....... ~. (N~me and title of cdrporate officer)' Builder's License No ... Plumber's License No .......... Electrician's License No ................ Other Trade's License No ......... Location of land, on wtu~h proposed work wdl be done. ~'J.'~&. ~ Q !~- ,x,~-~ . .. ..... ....................... . ltouse Number Street Hamlet County Tax Map No 1000 Sectzon ..... I.~. ~ ..... Block .. I ...... Lot. Subdivision ................ Fded Map No ......... Lot ......... t me) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. F-~sting use and occupancy .../~JC>A~,-, .Q.. nd d ' ~" ,* ' b, lnte e use and occupancy ............................... ,:.., ...... ~ ..~ R04p SUFFOLK COUNTY DEPARTMENT OF HEACTH Si~iVIGE~ kppfomd d ~d~ ~ ~iN[ERIHG S~VIC~ ~ · SURVEY FOR COMMUNI T Y CHRIS TIA N AT MATT/TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY. N.Y. TAX MAP NO 1000-108 -01-05 SCALE' 1"--60' APRIL 24, 1985 JAN. 9, 1986 SEPT 25,1986 FELLOWSHIP CERTIFIED TO' CHICAGO TITLE INSURANCE COMPANY $OUTHOLO SAVINGS BANK [ N.Y.S. u¢. NO. .J .RIVE~NEA~ N. ~. ~ IIJO I AREA = I15, 6~4 SO. FT. OR 2. G084l ACRES Prepared ~n accordance with the m~nimum standards for htle surveys as estabhshed by lhe L, J A. g S,. and approved and adopted for such use by The New York State Land T~tle Association. This ~ppro,/c:l is granted for the construction of the sam~it~W dmposal and water supply facdifies pursuant t~/. Ar,~_l~ vg o,ld 7 of th~ ~,%lk Couoty SoniTv ' b/'~,c rm ,' , Code for '- ' ~ / ./ hd ts not an expressed nor ira,plied ~charae from or 6ccupy thru pudding(s). VAL~EXPIRES T'¢/O YEARS \ , DATE 4--}- LI~4r..HIN~ ]cOOL PLA ~, 5~L P~ ~T/ too ~r~ = 50o 4ih.' 0~'~-~ pl~oJ, N* )~85- IL ~c B '~z" '~ '~ I '°~ Iz'l .? ,& DRAWN BY NO ~Y /.?.~ DATE ~' ~, ~ SCALE DRAWI~IG NO. /L-o'' TITtE ii 'il ~I~. ~-