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Home My WebLink About21941-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuuPAN~Y No Z-24457 Date JUNE 25, 1996 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 71305 OLD MAIN ROAD G~ENPORT NY House No. Street Hamlet County Tax Map No. 1000 Section 45 Block 2 Lot 7.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Building Permit ~No. 21941-Z ~CH 10, 1994 dated pursuant to which MARCE 14, 1994 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 AN ACCESSORY BUILDING IN '£~ REAR OF '£~ ~o~CE AS APPLIED FOR. The certificate is issued to ST. PETER'S EVANG. LUTHEP~%N uauaCH of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H049648 PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner) APRIL 19, 1996 N/A Buliding knspect~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. No_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) z Date ................ ~./.~ ......................... Permission Is hereby granted to: ...£.~.,....~z....../~.~ ................................................. ...... .......... , ,o.... ~,~. ~.~.-... ....... ~....~: ........ ....~...~'~.~ ~..... ~(..../..~.-~:..' ....... ./..~ ............ .... ~. ......... ~ ............. ~ .............. ~ ....... ../...~,~:~ ...... ~.~ ..................... at premises located at....?.?..?...0..~;....~!!...(~..,,~,~,~...... ~..~../..'..~...... ~ ................................................... ............................................................... ~,~.-.. ........ ~ ........................................ CounlyTclx Map No. 1000 Section .......~.~4-.;~"..~... ....... Block .,:,.,....~....,.~.'..........'. Lot No ...... .~f.../,, ............... , Building Inspector. Fee $...'~. ........ :.~. ..... and approved by the Rev, 6/30/80 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 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 glan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '7pre-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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, 3. 4. 5. Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildinz - $I00.00 Copy of Certificate of Occupancy - ~ .25~. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. ocation of ...................... ............ House No. Street Hamlet Onwer or Owners of Property .................................................................. County Tax Map No I000, Section .............. Block ................ Lot ...................... Subdivision ~, Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. Nealth Dept Approval ......... Underwriters Approval Planning Board Approval Request for: Temporary Certificate ........... Final Certicate.~ Fee Submitted: THE NEW YORK BOARD OF FIRE UNDERWRITERS,. 805966§ BUREAU OF ELECTRICITY , B5 JOHN STREET. NEW YORK, NEW YORK 10038 Date APRIL 19,1996 Application No. on file 11497396/96 H ~4964B THIS CERTIFIES THAT PERMIT NO. 219412 o~y ~he el~trical ~uipment ~ ~scribed below a~ int~uced by t~ applicant ~m~ on the a~ve application number in t~ prem~es of ST. PETERS LUT~ CH~H~CH, ~IN ROAD, GREENPORT, N~ Y. i. ~hefollo~i.~ loc.~io.~ ~ B.~e~n~ ~ I~ FI. ~ 2~d ~. GAR/OUT ,%~t~o. Bilk Zo~ ~s examined on APRIL 16,1996 and found to be in compliance with the N~onal Electdcal Code. FIXTURE OUTLETS SWITCHES 8 3 6 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 8 DRYERS ~ORNACE MOTO~ FEEl)ERS lIME CLOCKS ,UNIT HEATERS MUI.TI-OUTLET DtMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E NO. OF CC COND A W O. NO OF HI.LEG pER ~ OF CC COND A.W.G, NO. OF NEUTRALS A. W G. OF HI-LEG OF NEUTRAL ST.PETERS LUTHERAN CHURCH MAIN ROAD GREENPORT, NY, 11944 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 10, 1996 Mr. Warren Sanbach P.O. Box 1033 7675 Cox Lane Cutchogue, NY 11935 Re: St. Peter's Lutheran Church SCTM%1000-45-2-7.1 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file./ xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21941-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION ( 2nd ) 2. ROUGH FRAME & .PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COM~ENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ .] ~N~ION [//] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECT~ BUILDING DEPT. INSPECTION .FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING *[ ]FINAL DAT"r l ~ I'~ ....._***~ 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 15T [ ] ROUGH PLBG. FOUNDATION 2ND Il INSULATION ~ / ~':., i' TOWN HALL TEL.: 765-1802 Examined .......... 19 Approved ..... ~¢. .... 197/~ me rmit No...?./. ?fi~5~. -~ Disapproved a/c ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK NOTIFY$ 734-7492 CALL .Na~e~ ~...S2~Lb.a.c~.~y~ MAIL TO:p.o. BUx 1033 '''Cnt¢h~me''NY'tt935 ''' (Build/g ~,~p'e~t o r) ..... APPLICATION FOIl BUILDING PEnlVIIT Date Februar2< .16 19.9.4. INSTRUCTIONS a. Tkis 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. ¢. The %york 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 apptica~'e laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (S~gnature et applicant, or name, ff a corporanon) P.p.:.Box i033 7675 Cox Lane Cutchoque'NY (Mailing address of applicant) 11935 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Consulting Engineer Name of owner of premises ST.. PETER'S LUTHkRAN CHURCH (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of c~>~(~rate offi~;r) ...... Budd r s L~cense No ........................... Plumber's License No ......................... Electrician's License No ....................... Otlier Trade's License No ...................... 1. Location of land on wliich proposed work will be done: 68465 Main Read Northside 812.0'+ East of Chapel Lane Greenport NY '11944 House Number ' Street · Hamlet County Tax Map No. 1000Section 045 BIb 2 7.1 .................. ck . . Lot ...... Subdivision ..................................... Ailed Map No ............... Lot ............... (Name) 2. State existing nsc and occupancy of premises and intended use asd occopancy of proposed constrnction: A. Existing use and o~:cupancy~ ........................ .H.a.l.1. . . Chu.r~h & Fellowship .............................. B. Intended use and occupaucy.P.r, gpp.s,e.d. buildinq for storaqe 3. Nature of work (check which applicable): New Building .X.X. ....... Addition .......... Alteration .. .... Repa/r ........ ~ ..... R~moval .............. Demolition .............. Swimming pool/ .... Tennis Court ......... Accessory Building....X.X. .... Fence ....... Other W0rk;'...i ........ $10,500..00. Fee ' '' 4. Estimated Cost.. ................................................................... . ... Church Non-profit (to be paid on filing this applicatl)on) each floor 5. If dwelling, number of dwelling units ............... Number o f dwellisg units on ........ : ........ If garage number of cars ........... 6. If business, commercial or mixed opcupancy, specify nature and extent of each type of use ............. 1 ....... 7. Dimensions of existing structures,,fany Front..,............Rear ............... Depth ....... ....... Height ............... Number of Stories ....................................... : ....... Dimensions of same structure withI alterations or additions: Front .............. e r .......... , ....... Depth ...................... Height ...................... Number of Stories .............. , ....... 8. Dimensions of entire new constrnction: Front...~24' ............ Rear .24. O' De~th 24.: .0.'. Z.0.' ....... f st 'ZT. ' ' Height . . mber o eries ..... 0" ............................ ' ....... · ' ' ' 306 ' . D 49~:22.'..~..4.91'42' 9 'S Rear ..................... e . · · . ....... · lze of lot: Front ............ ~ ......... 10 Date of Purchase 3_9.60 ' Name of Fon'ner Owner .' ....... 11. Zone or use district in which premises are situated I~J3. l~;[~n.i.t.e..d Business ..... , 12 D pr p d ti i i 'e i I di eg 1 ti . · .... · ocs o ese construe onvoat anyzonng aw, or nanceorr ua on: .... no ........... ~,.-. ...... 13. Will lot be regraded P.q ....... ~ ........... Wiilexcessfillber~movedfrompremises: Yds... NoX. 14, Name of Owner of premises ~t: 's. Ltlth a,~,~ .... 68465 Main Rd P,,~neNo 477-0662 Name of 2,%~31}12ct W...A .Sarahach. B.z: ....... Address .7.~79..C.qx..L. ~,. .... Phone No .7.$,3:-.7.4~2 .... NameofContractor .......... : ...... ' .Address Cu'c, cho9ue NY' 119~5,,.,~,,~,, · 15.Is this property located within 300 feet of a tidal wetland-* ~¥ES .... NO.~.. ~If yes, $outhold Town ;Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether e: property lines. Give street and block number or descri interior or corner lot. STATE OF NE\V YORK, t~l} ', . COUNTY OF .~IJ~'.E0lv}( ..... ... S.S 'V Warren.....,..,Ao..,,Sarabach, .. ..s,r,.;....,.. ..... .... being dulysxvorn, deposes and says that he is the (Name of individual signing contract) above named. He is the. ~cmsu.l.~i~o~..E. ng J,r~D.e.r.'7 .A.r.c.h.i.t..e.c.t. ....... : .................................. (Co~tractor,,agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make application; that all statements contained in this application are true to the best of his knowledge and belief work will be performed in the manne!r set forth in the application filed therewith. Sworn to before me this ...... .......... ..... , Not" '' · · , U LINDA J. COOPER N,o, tary Pub}lo, State of New York ~o. 4822563 Suffo k, CountyF~ ~/ Term Expire~ December 31, 19,,,.,71)~ ~ensions from whether applicant and file this and that the (Signaturei of applicant) OG/~JPAN~ OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT TBS-lEO2 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION ' TWQ ,REQUIRED FOR POURED CONCRETE 2. ROUGH ' FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST SE COMPLETE FOR C.O. ' ALL CONSTRUCTION SRALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ~NEBGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 47%0400 M.~fi!? i'~ o;t,~ G~EENPORT. ,',~ Y. *l -s44' r I I I Phone