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HomeMy WebLinkAbout21597-z N FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24137 Date JANUARY 26, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 52125 MAIN ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 5 Lot 10.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1993 pursuant to which Building Permit No. 21597-2 dated AUGUST 16, 1993 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 ALTERATIONS TO BASEMENT ENTRANCE AS APPLIED FOR. The certificate is issued to ST. PATRICKS R.C. CHURCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date 19 ?3 N2 21597 Z Permission is hereby gr me tt .........w"............................... to. ..or ................................................n.......... at premises located at...~.7....y'..... 54 Y... County Tax Map No. 1000 Section rp'-, Block Lot No. pursuant to applicatlon dated 1............................................. 19.97;x...... and approved by the Building Inspector. Fee /0...... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ^ J~r_) k i, 1 BUILDING DEPARTMENT , ~eLtu L/V TOWN HALL 765-1802 T D_ AICATION FOR CERTIFICATE OF OCCUPANCY A. 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 7 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 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. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ,,ppf./......//. ...~.y/.......... New Construction....' L(/ . . Old Or Pre-existing DBuildin~~. . . . Location of Property..../. C1:~ ct(s-.W~ ...............Sa.. .....4.......... House No. Street Hamlet JOnwer or owners of Property .....J....f.~c FOG•••f C County Tax Map No 1000, Section... 6. .......Block..... . ........Lot...? Subdivision Filed Map............ Lot...................... J Permit No.:; t.~q. ?.....Date Of Permit ...O)A 1 ? J ...Applicant.. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval JRequest for: Temporary Certificate........... Final Certicate.... V/ Fee Submitted: s P0C'-4~ Sv111a_ ~A c~ x I IV n,~yG~' i1 7 APPLICANT r o~~gpFFO(,~~o o~ Gym y 2 Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 27, 1995 St. Patrick's R.C. Church 52125 Main Road Southold, NY 11971 Re: Building Permit #21597-Z (enlarge basement entr.) Premises: 52125 Main Road, Southold Suff. Co. Tax Map #1000-63-5-10.2 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. o~'rgUFFOCk~O o~ Gm NJ = Town Hall, 53095 Main Road p • Fax (516) 765-1823 y~lpl Telephone (516) 765-1802 P. 0. Box ewYork 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 9, 1996 St. Patrick's Church 52125 Main Road Southold, NY 11971 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) No Underwriters Certificate on file. xx The check is not on file. $50.00 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 # 21597-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 70-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY, REMARKS: l c'ly~ ` DATE f INSPECTO 1"LD I::Sl 11D_11 "OMMENT° ~t 1. ~ 3 H " FOUNDATION (1st) c FOUNDATION (2nd) m 2. z o "1 ROUGH FRAME & PLUMBING N H 3. m Vj m INSULATION PER N. Y. STATE ENERGY CODE x a 4. _ -3 c- FINAL ADDITIONAL COMMENTS: H~ Hp Z I 9\ r~ H W m ^o H BOARD OF HEALTH t' FORMNO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY i ce' I' BUILDING DEPARTMENT CHECK ~1~ TOWN HALL SEPTIC FORK L7 SOUTHOLD, N.Y. 11971 TEL.: 765-1802 HOTiFY s?V/4: j3 IJO, CALL Ex min > t3U't' aC3 ,,rl * . . MAIL T0: Approved e 1 Permit No. _ . Disapproved a/c (Bull' din ectoo, µ APPLICATION FOR BUILDING PERMIT Date 19 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. .............................................r (Signature of applicant, or name, if aso corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) r Builder's License No. l/L i Z Z;A v 0, x e /K1 Plumber's License No. Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . .7~ ...............q.cti!?:......:.............5'~vfihz?(0 House Number Street Hamlet / County Tax Map No. 1000 Section Block !~7 Lot ~s Subdivision l , Filed Map No. Lot (Name) , 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 ...RJ.l........... .;zr 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal • . Demolition Other Work............... 4. Estimated Cost ...fp (Description) ~............I Fee.................................... (to be paid on filing this application) 5. If dwelling, number of g units c-- Number of dwelling units on each floor . If garage, number of cars w... i V , 6. If business, commercial or mixo'd occupancy, specify nature and extent of•eac ~t pe of use A A'p 7. Dimensions of existing structures, if any: Front I,.g. , , , , , ,Rear J/~. Depth , , , , , , , Height Number of Stories , . . Dimensions of same structure with alterations or additions: Front . , , , , , Rear Depth ......I,... Height Numbed Stories ...aik+l? Pr.pp:~ . tr..... . J• • • • t mhtenstons o " ruction: Front t Rear r .....Depth ...7C% Heim 10. entt3re new /cot, ~ ° A umber of Stories . of lot: bront y. Siza Rear Depth ....30.......... Zone or use district in which pr r ' ' • • ' ' • • Name of Former Owner ....:"'~~a . T'ra',i 11. Date of Purchase emises are situated . . . . . . . . . . . . . ~;,JJ 12. Does proposed construction violate~ ny zoning law, ordinance or regulation: .........4 13. Will lot be regraded ' ' 74 j Will excess fill be remoQved from premises: e No 14. Name of Owner of remises ' .Iomkl'fe5: Address ...:ANN. r , Phone No. 7' st Name of me of Architect tractor , • ' • • ' . • • Address Phone No.......... . Na . Address . Pllope No.. . • 15. Is this property within 300 feet of a tidal wetland?yeS „ No " ' *If yes, Southold flown Trustees Permit may. be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. Xt~1 flit ? o'7- L4 . ~ l P a Ci .w 3 5 ) qa, z!; v`"ail- c-, t'. ~.'S • .11, 5 ~ y4't'f t~"s c A l ~iIT - l~z6. Crr$K,f<;" t,i 1t0 AAej I ~C h~R.~l YTf~QN Ft 154 /°l41 tV l?A 41/ STATE OF NEW S.S NTY (Name of individual ' ' • • . being duly sworn, deposes and says that he is the applicant contract) above named. He is the . • f<! (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 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 Votary Public; c%,j,nty HELENE D. Notary Public, NoState 6 N wYork •....i......... 111 Guaiffied in Suffolk County pp5 (Signature of applicant) Commission Expires May 22,19 G Ntw ~nnr- ~ Ca _ Z-7- 'L_ _.rs=r_c 4- kr- L EVA TIOrvS M f< _NcN kea- IC. 0 1_ - Crn. uFnleti Q ccF I of I li I j , as . 3 s4; _ CM+NA _ _ kviY Weu+ _ -d snail. I r - _ - 7L O'~ r rIC3 .L ~ nwc r ~r y _ C[} Ccp hcrv, rl . A r t" `I ~ M:ra ~ Hiw CYST VER iF; L-ng, eeun fLO S,S iF C. -iION~ ern ~n„ Vtttlw cou9rtoN c '('1' - I n' 3 `7 T}e ' 6- -'1 1 OQ~ ~ 110 ~ 106 ~ Ise I!e lo'Z I 1 m f%IS' Frv.9P~r.1 I \ I 11 I_ I s r q! i 1 onua-~ n~ ~I I b1 w~ 2 i I I _ _ I NEU Nryq 59uc - ~IJ ' •T--• L-1115T 4tPNL L'R fS rll Q51V ~YYAL'IM1 al 1107 'Z-FILL IN w OA}T. ~SY' 0 G OE MOgic" r~ Ft J:I PAR AT CP M 7gr p,,M TO h PM FOR THE _ al wn_u 204s F 11,7>,nrN{;INSPECTIONS: It ~0~6?N 4w wni i, cNrr~~ y~ 9 8" REQUIRED cnrr'E~ y Nt wig ntlcx, __,y § ~u'r N''AURED 'CRET wa, nan.n2 aovs NRC)UG M MINGRETE Z R(SiJGN - FRAMING 61 PLUMBING i"I wr1 L~~ 3 ENSULATION FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.U. 1 LOo FLOOR "PL.A iJ ALL CONSTRUCTION SHALL MEET \ Vv I,nM o~,`.uPA~y~'i~{ oR THE REQUIREMENTS OF THE N.Y. USE lS UN`'~WfU4 STATE CONSTRUCTION & ENERGY CODES, CER~~F~CATE DESIGN OR CONSTRUCTION ERRORS ~y1TNQU~ OF QCCUPAN CV ' 112 fuN ! ~4y Mnx, 1 ILIMIN+1 f ~ iHAk, gAbibS r-- E %grpU1~5 _ J.. t Y r..--J ~'L OSN RsU; AN6lCD N16INa- ROVNDkD Nnu~N( -1'A ,PLL GF ACCEF7A8lt NOSIN cs C lv,nr FD FROM T A 77,qsr" Ar _ ' ExTElO S!ON,Ij1, U~~-qOM of RUN _ FIM 51nN AT 'r4r ni K'J4 N?5. S`TFIK OhND, 11R NM+~~ rr . . ' ~Rnte 'rNSA A I11. 'e ,rNSI A 111.1 - 1)8C ~ N + S. N T INFO FOR. HANDICAP STAIRS " IN PYCUC A55EM%LY 'EV,LqMNGs NrrL~V¢RffY DIMfNA0N5 Y(ONt11lI0nl 2- ST PA7 FLICK ~H L6R£H' REfja~AT~R IND nb'N nt 'M'-1o IaF1