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Home My WebLink About29081-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29605 Date: 07/29/03 THIS CERTIFIES that the building ALTERATION Location of Property: CRESCENT AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) Cou-~ty Taxx Map No. 473889 Section 9 Block 2 I~ot 12.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 2002 pursuant to which Building Permit No. 29081-Z dated JANUARY 7, 2003 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 BATHROOM ALTERATION IN AN EXISTING BUILDING AS APPLIED FOR PER NEW YORK STATE VARIANCE PETITION #2002-1282. Tgle certificate is issued to FISHERS ISLAiW-D UNION CHAPEL INC (OWNER) of the aforesaid building. SUFFOLK COU~TY DEPARTI~ENT OF HEALTH ~-PPRO%rAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A PENDING 07/16/03 06/09/03 ROBERT WALL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~]ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP~MIT NO. 29081 Z Date JA/~UARY 7, 2003 Permission is hereby granted to: ISL~ND UNION FISHERS PO BOX 192 FISHERS ISLAND,NY 06390 for : ALTEP-ATIONS TO A BATHROOM (HANDICAP) AS APPLIED PER NYS VARIENCE (PETITION #2002-1282) at premises located at County Tax Map No. 473889 Section 009 pursuant to application dated OCTOBER Building Inspector to expire on JULY Fee $ 200.00 CRESCENT AVE FISHERS ISLAND Block 0002 Lot No. 012.001 31, 2002 and approved by the 7, 2004. Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 gopographic features. 2. Final Approval from Health Dept. of wager supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Bworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, indusgrial building, multiple residences and similar buildings and imstallattons, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existi~g" land uses: 1. Accurate survey of property showing all propergy 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. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiping pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Fre-existinR Butldin~ ~ $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certlficage of Occupancy ~ $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..~4;J~£..~. .... .................. ... onstrucgion Old Or Pre-existing Building lon of Propergy ..................... ~.~A/.~-....~..~.~.... ..... ./~/.~..~.~. House No. Street Hamlet C/x3/~ ............. or Owners o~ Property ..... .~.ZE/~<3../$~.Z3. ........ , T= ~p ~o lOOO, Section .... 4~.~. ..... Bloe~...~.~.a. ...... Lot...~.(.Z..,P.~.( ....... 'ision .................................. ~.Ftled Map ............ Lot ...................... ~o.. ~.~ ~..~ .... Date Of Pe~it..~.~n/..~ ...Applicant .......................... Dep: Approval.' .... Underwriters Approval ............... ag Board Approval ........................ for: Temporary Certificate ...........Final Certtcate ........... (D~q ~a l ............................ BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: DATE REVIEWED: / /02 DATE SUBMITTED: / /02 SCTM# DISTRICT: 1,000, SECTION: c~ , BLOCK: ol , LOT: lc~, ~ STREET ADDRESS: pl~)~_~ .__~dqd0~.~ CITY: ~%~..~ We~k_~ SUBDIVISION: PROJECT DESCRIPTION: ~.T~igjk~-'~(bkk ~ ~'c~'X[K.X'o ESTIMATED PROJECT COST:~ A~IZ~IZI~T/ENGINEER: C403k~ FAST TR~CK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ~ NOTES: LOTS 40,000SF -1/)0-24. I.ot recognition (CREATED before June 30, 1983), UNDERSIZED [ O~\% FROM JAN.1997 100 25 Merger (A nonconlBmfing at any time after 7,1/83 ZONING DISTRICT: REQ. LOT SIZE: ~,O~a REQ. FRONT ~x'~ REQ. REAR ") ~" WATER FRONT? PANEL#: /7 CONFORMING? ACT. LOT SIZE: fi{.0, g REQ. LOT COV. PROP. FRONT ,.//REQ SIDE .--~9/05 PR~OP. REAR . ~ RE~7. H'ES[~'HT ///O DESCRIPTION: -'"'"-~- /, FLOOD ZONE: ACT. LOT COV. ACT. SIDE _~-""~ PROP. HEIGHT APPROVALS REQUIRED SUFFOLK COUNTY HEALTH I~T: YES or(~BED #): TOWN SEPTIC RECEIPT: Y or/NJ NEW YORK STATE DEC: PRE-D~C9/1/75 YES o~ SOUTHOLD TOWN TRUSTEES.-'~-E--~-- YES or~ } TOWN ZONING BOARD APPROVAL: YES ort~ TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES o~ NYS ENERGY: YES O1~. EGRESS 118 H min.? 4 sq total) ~ VENT (SQ. FT. x 4%) BLIILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z-' HAVE PRE CO'S :YORN . , BP rZI.C/~- NOTES: ~/,/W ~5ZS/'~7~"x ~ DTE: / / PERMIT #:R10- LIGHT (SQ. FT. x 8%) -v/'~ FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: SF SF SF SF INIT SF FEE 1. ( SF)- ( SF)= SF X $ =$ +$ OTHER TOTAL FEE FEE +$ =$ [ 5-b 2. ( SF)- ( _SF)= SF X $__=$ +$ +$ = $ 10 02 02:44p Susan Youn~ [21~] 7~4-S77S p. 1 SUSAN E. YOUNG, ARCHITECT 215 WEST 88TH ST., NEW YORK, NY 10024 - (212) 724-7204 / (212) December 10, 2002 Mr. Bruno Semone and Richard Smith, R.A. Southold Building Department and State Codes Division Faxed to: (631) 765-1823 Re: Union Chapel Accessible Bathroom Dear Mr. Semone, As per your request here is a summary of the non-compliance issues along with citations to aid in understanding our vadance request to the state to construct an accessible bathroom in our existing church: The problem is that our bathroom has to be 58" wide rather than 60". It lies between an egress hallway that can't be narrowed by and a furnace that cannot be moved. 1. Wheelchair Turning Space: is reduced to 58" rather than the 60" required under (4.2.3) by the walls. 2. Wheelchair Turning Space: is reduced 55' rather than the 60" required under (4.2,3) by the grab bar adjacent to the water closet. It is not clear to me whether a grab bar is an obstruction. 3. Location of the Water Closet: The distance from the side wall to the canterline of the water closet should be 18" {4.17.1) but 16 "is shown. We did this because we thought it was more important to obtain the maximum Wheelchair Turning Radius Fig. B4.2.3. Wheelchair Accessible Toilet Stalls - Door Swin,q In: As per Fig. B4.18.3.2 a 60" minimum clear floor space is required. Our space is only 58' Clear Space at Lavatory: is reduced to 26" x 48" rather than the 30" x 48" required under (4.20.3.2). This is because the door swings into the clear lavatory space. Size of Entry Door: The 2'10" door specified will yield a 2'-71/2" opening when opened to 90 degrees and does not meet the 2'-8" required clear opening under 4.13.6.1 {Fig. B4.13.5 (a)) We thought that a larger door would bump into the lavatory. Also we thought the door itself would create an obstruction in the space as the wheel chair bound person would have to wheel further away to escape its swing. Let me know of any further problems you notice so that our variance is a thorough as it can be. Thank you. Sincerely, Susan. E/~,~Cg~ R.A. TOWN OF SOU'I~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date~ Building Permit .ease prln' Owner Plumber~ 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 ~/L~ , Notary Public, ~/~ County (plumber' s signature) - Not~y~Public VERONICA HAMILTO~ NOTARY PUBEO STATE OF NEW YORK NO. 01 HA6067786 QUALIFIED IN TERM EXPI.Ea... 7GS-~,802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGHPLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY TOWN O~eSOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined l/ ?/ ,20 Approved Disapproved a/c ~xpiratiod PER .T NO. Clt' 81 ¢ BUILDING PERMIT APPLICATION CHECKLIS~ Do you have or need the following, before applying Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ~~ ~-~ Mail to: / "-" Building0mspector ~PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Oc~t;obor 20 ,2002_ a. Y-h/s'~plication 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 waterways. 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 issue a Building Permit to the applicant. Such a permit shall be kept on thc premises available for inspection throughout the work· e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. fl Every building perrmt shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting th~ property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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· 215 W. 88th St., Ap~. 6Ht N.Y.,NY 10024 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder A~chSgect Name of owner of premises _ llnlcm (~ha.r~l Congregation (John C. Be~cls, Trustee ao project manager (As on the tax roll or latest deed) (631) 788-7604 If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 06158294 Harold's ~ Plumbers License No. To bo determined Electricians License No. To be determined Other Trade's License No. Architect~026617 Location of land on which proposed work will be done: C~:~ C'r~o~n~. Av~nn~, F~mhers I_sland, NY 06390 House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block 2 Filed Map No. Lot 12. ! Lot 2. 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 _c~._urch No exterior work. Interior partitions,plumbing, electrical. Area of work 90 s.f. Nature of work (check which applicable): New Building Addition Alteration X Repair Removal Demolition Other Work (Description) 4. Estimated Cost :,~nax,~ $5000 5. If dwelling, number of dwelling units none If garage, number of cars none Fee (To be paid on filing this application) Number of dwelling units on each floor none 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. not applicable 7. Dimensions of existing structures, if any: Front 68' Rear 68' .Depth 76 ' Height 15'~plus steeple Number of Stories 1 Dimensions of same structure with alterations or additions: Front same Rear same Depth ~am~ Height sam Number of Stories same 8. Dimensions of entire new construction: Front none Rear none .Depth none Height none Number of Stories none In~erior Work o~ly 90 s.f. 9. Size oflot: Front 415' Rear 415' Depth 445' 10. Date of Purchase 1967 Name ofFormer Owner Fishers Island Utility Co. 11. Zone or use district in which premises are situated R 80 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES__ NO x Will excess fill be removed from premises? YES NO × 14. Names of Owner of premises Union Chapel Conq~d0~ess Crescent Ave. Phone No. 635 788 7604 NameofArchitect susan Youno Address 215 w. 88St. NYC PhoneNo 212 724 7204 NameofContractor Harold Cookj Address Box 661 FINY PhoneNo. 631 788 5550 Project Manager John Cal Beggs, Church Trustee P.O. Box 646,FINY )~)~$90 ~3]~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ofa tidal wetland? * YES x NO About 290' but there is no * IF YES, D.E.C. PERMITS MAY BE REQUIRED. exterior work and there are ohner properites between the 16. Provide survey, to scale, with accurate foundation plan and distances to pro. peC~y~hes,and bhe water. See site plan on architectural drawings herewith submitted (g 1 ) 17. If elevation at any point on property is at 10 feet or be]ow, must provide topographical data on survey. Elevation 22' at finished slab STATE OF NEW YORK) SS: COLrNTY OF NY ) Susan E. Young, R.A. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Agent (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 applicati( 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 Not MICHAEL ROBERTS Notary Public, 8tale of New York No, 31-4752348 Guallfie~ In New York Coun~ Commtsslon Explre8 June 3o, 200 ~ 20 02