HomeMy WebLinkAbout25773-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: z-27144
Date: 06/16/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1950 BREAKWATER RD MATTITUCK
(HOUSE NO.} (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 9 Lot 6.1
Subdivision Filed Map No. __Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 14f 1999 pursuant to which
Building Permit No. 25773-Z dated JUNE 4~ 1999
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 ACCESSORY OPEN PAVILLION 80' X 40' AS APPLIED FOR.
The certificate is issued to N.F. GREEK COMMUNITY CHURCH
(O~ER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
t ignature
Rev. 1/81
TOWN OF $OUTHOLD
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 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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.
C. Fees
I. 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 Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...........................
New Constr~ction ..... ~ ..... Old Or Pre-existing BuilRing .....
House No. Street Ham-let
Onwer or Owners of Property .......................... z..~ .......... ~ .
County No 000, ...... lock ................ .' ...............
Subdivision .............................. . .. . .. Filed Map .... . .......Lot .................... .
Pe it Of Permit .............. cant ....................
........... Appti ........
Health Dept. Approval .......................... Underwriters Approval ........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate..
Fee Submitted:
APPLICANT
May 24, 2000
ARCHITECT- PLANNER
TEN GRACE AVENUE
GREAT NECK, NEWYORK 11021
TELEPHONE (516) 482-3331
FAX (516) 482-3356
Town of Southold, Building Dept.
Town Hall
Main Road, P. O. Box 1179
Southold, N. Y. 11971
Att: Mr. Forester, Selfior Building Inspector.
Re: Transfiguration of Christ Greek Orthodox Church
1950 Breakwater Road, Mattituck, N. Y. 11952
Dear Mr. Forester:
Last year this office prepared architectural drawings for the above noted project for an
open permanently constructed open building for use by the church during the summer for
outdoor activities. Our plans call for a concrete slap floor for the structure.
Due to cost restraints the church was not able to install the concrete slab. In lieu of the
concrete slab, a blue stone gravel service was installed as a substitute since that is all the
church could afford. We respectfully request that you permit exiting blue stone gravel
surface to remain at this time so that we can obtain a certificate of occupancy. As soon as
the church has additional funds, they will install a concrete slab below the open roof
structure that was constructed.
Thank you very much for the attention in this matter.
Very truly your~ ~
Edward W. Dickm~
765-1802
BUILDING DEPT.
INSPECTION
FOUNrIATION 1ST [ ] ROUGH PLBG.
[ ]~r)ATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNIDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP,LACE & CHIMNEY .~
DATE~//~
INSPECTO~
765-1802
BUILDING DEPT.
NSPECTION
[ ~/] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMIING
[ ] FIREPLACE & CHIMNEY
REMARKS: ,~/
[ ] INSULATION
[ ] FINAL
DATE
INSPECTOR
ARCHITECT- PLANNER
May 24, 2000
Town of Southold, Building Dept.
Town Hall
Main Roadl P. O. Box 1179
Southold, N. Y. 11.971
Att: Mr. Forester, Senior Building Inspector.
TEN GRACE AVENUE
GREAT NECK, NEW YORK 11021
TELEPHONE (516) 482-3331
FAX (516) 482-3356
Re: Transfiguration of Christ Greek Orthodox Church
1950 Breakwater Road, Mattituck, N. Y. 11952
Dear Mr. Forester:
Last year this office prepared architectural drawings for the above noted project for an
open permanently constructed open building for use by the church during the summer for
outdoor activities. Our plans call for a concrete slap floor for the structure.
Due to cost restraints the church was not able to install the concrete slab. In lieu of the
concrete stab, a blue stone gravel service was installed as a substitute since that is all the
church could afford. We respectfully request that you permit exiting blue stone gravel
surface to remain at this time so that we can obtain a certificate of occupancy. As soon as
the church has additional funds, they will install a concrete slab below the open roof
stmctare that was constructed.
Thank you very much for the aCention in this matter.
Very truly Y°ur~ t ~
Edward W. Dickm~
May24,2000
ARCHITECT - PLANNER
FIVE BOND STREET
GREAT NECK, NEW YORK 11021
TELEPHONE (516) 482-3331
FAX (516) 482-3356
Town of Southold, Building Dept.
Town Hall
Main Road, P. O. Box 1179
Southold, N. Y. 11971
Att: Mr. Forester, Senior Building Inspector
- - 6./
t~e: Transfiguration of Christ Greek Orthodox Church
1950 Breakwater Road, Mattituck, N. Y. 11952
Dear--Mrr-F'orester: -' ~
Last year tlfis office prepared architectural drawings for the above noted project which
was a permanently constructed open building for use by the church during the summer for
outdoor activities. Our plans call for a concrete slab floor for the structure.
Due to cost restraints the church was not able to install the concrete slab. In lieu of the
concrete slab, a blue stone gravel surface was installed as a substitute since that is all the
church could afford. We respectfully request that you permit the existing blue stone
gravel surface to remain at this time so that we can obtain a certificate of occupancy. As
soon as the church has additional funds, they will install a concrete slab below the open
roof structure that was constructed.
Thank you very much for the attention in this matter.
Edward W. Dickman
101993 ED DICKMAN JOB G-1 GABLE) THIS DUG PREPARED FROM COMPUTER INPUT (LOADS & DIMENSIONS) SUBMITTED BY IRUSS MFR.
TOP CHORD 2x6 SPF #1/#2 80 MPH WIND, I5.00 FT MEAN HGT, ASCE 7-93, OPEN BLDG,
BOT CHORD 2x4 SPF 2100F-1.SE LOCATED ANYWHERE IN ROOF. 100 MI FROM COAST.
WEBS 2x4 SPF Stud CAT IV. EXP C, WIND TC DL=IO.O PSF, WIND BC DL=iO.O PSF.
SEE DWG GAB98117 FOR ADDITIONAL REQUIREMENTS.
DEFLECTION MEETS L/240.00 LIVE AND L/180.00 TOTAL LOAD.
07-02-01 = OVERALL DEIGIll OF TRUSS (EXCLUDING OVERltANG).
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Note: All Plates Are W1.5X3 Except As Shown.
PLT TYP. Wave TPI-95 Design Criteria: TPI(STD) 18.2e8 NY/-/1/-/-/-/F Scale =.1875"/Ft.
~*R,~,~ T ,,ssEs,co,,l,~ E~ ,E.~ c,~,~ ~, ~*,,~c,~.~,..,,.~. s~,~,~. ~,s~.,~ ~,0 ~'~ TC LL 40.0 PSF REF R219--71328
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PLANNING BOARD M]EI~BER~
BENNETT ORLOWSKI, JR.
Chairman
WILLIAM J. CREMERS
KENNETI~ L. EDWA!%D$
GEORGE RITCIJIE LATI-IA/~[, JR.
RICILARD G. WARD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-3136
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
TO:
FROM:
RE:
Edward Forester, Building Department
Robert G. Kassner, Site Plan Reviewer
Proposed Open Truss Shelter - Church of the Transfiguration
Mattituck
DATE: June 4, 1999
The Planning Board has reviewed the above project and has determined
that a site plan is not required. There will be no increase in intensity
and th~ project will. not require additional parking.
IIGH FRAME &
PLUHBING
#
IMULATION PER lt. Y. ~
STATK ENERGY
CODE Ii
FINAL
ADDITIONAL COMHENTS:
· FORM NO. I
TOh~ OF SOUTBOLD
BUILDING DgPARTt.~HT
TO~ HALL
SOU'FI]OLD. H.Y. 11971
TEL: 765-1802
Oise~proved a/c ............................ ~ ... .
BOARD OF HEALTB ...............
3 SETS OF PLANS ......... ' ......
SURVEY .........................
CHECK .........................
SEPTIC FORH ...................
NOTIFY: ~)
NAIL TO: ...................
BLDG. DEPT.
TO',,'VN C7 SOHTNOL3
APPLICATION FOR BUILDING PERI'tIT
INSTRUCTIONS
a. This application mst be c~npletely filled in by ~pe~rlter or in ink and selx~itted to the llfilding Inspector
3 sets of plans, mcctwate plot plan to scale. Fee according to schedule.
b. Plot plan d~owing location of lot and of buildings on premises, relatieeship to ~tjolning premises or public
streets or areas, and giving a detailed description of layout of propert7 must be drawn on tim dingrem d, lch is part o
· this appl icat ion.
c. 'the ~ork covered by tiffs applicatlan may not be tormented before issuance oE Building Penait.
d. gpm approval of this application, the Building Inspector ual11 issue a Building Pemit to the applicant. Sud
pemit shall be kept on fl~e p,,=,lsea available for inspection thranghout the ~ork.
e. NO building shall be occl~ied or used in ~,4aole or in part for any purpose ~hatever tmtil a Certificate of
Occupa~7 stroll Imve been gr~ted by the Building Inspector.
API~ICATICIt IS ~ t4~E r~ the Building rlepart~ant for the issuance of a Building Pemit pursuant to the
Building Zane Ordinance of the T~fl of Sontimld, Suffolk County, ~ York, and other applicable lzivs, Ordinates or
Regulations, for tim construction o£ buildings, aklitians or alteratiorm, or for rem~al or demolition, as berein
described, the applice~t agreee ao comply with all applicable la~s, ordinances, building code, Imusing code, and
regulations, and to ad, it authorized inspectors on pr~mises and in building for necessary inspections.
(Signature of applicJmt, or name, if a corporation)
5¢5 ........
(Mailing eddress
J
State-,zhetl~r applicant ia O~er, lessee, agent, archlto:t, engineer,' general co~tractor, elsetrieian, pludoer or bu[1
....... ................................................................
(a~ on the tax roll or lateet deed)
/
If d~lie~mt is a~orpuratlm, signature of dely anthor~ised officer.
KRa~ m~l title of corporate officer)
Builders Lieeese No.
Pltmbers Licemse No ......
Electricians Lice~e No...~
Other Trade's Liomme No.
House N~ber Street Hamlet
...... ..... ....... .....
~ivisi~ .. . FiI~ ~ ~ ..... l~t .........
State ~sti~ ~ ~ ~ of ~s ~ int~ ~st~tim:
~. ~ ~ ~ ~ ..~ ..................................................................
4. Est i,mt~ ~st .......... g~ ..............................................
[ I. ~ or ~ district m ~ud~ prm~s a~ si=t~ .................. g ......................................
PLOT DIAGRAH
l~cate clearly and distinctly al! L~ildi~xs, xd~e~lmr existing or pr~, ~ i~i~e a~l ~t-~ d~si~s
p~rty li~s. Gi~ st~t m~ bl~ ~r or ~scripti~ ~ing to ~, ~ ~ strut ms ~ i~i~te
interior or ~r
~FA'IE OF ~i~ la,ilK,
(Nan~ of individual signing contract)
(~tr~tor, ~nt, cor~rate officer, etc.)
of ~id ~r or ~rs, ~ is ~ly ~tl~ri~ to I~rfom or h~ ~rfo~ ~m mid ~rk m~ to m~ m~ file this
aM~l icati=u that all stat~nts cc~ta[~ in fl~i~ aM~licatlm m~ t~ to ~ Imst of his ~1~ aM ~liefl and
that d~ m~ will ~ ~rfo~ in tim mmmr ~t forth in d~e a~ti~ti=, fil~ Qm~.
...... ..... ..... ,,.ig..
NOTARY ...
COUNTY OF
REGISTRATION NO.