HomeMy WebLinkAbout1000-45.-2-7.1 FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT L)E C
SOUTHOLD,N.Y.
Ranriicq Bc)ard
NOTICE OF DISAPPROVAL
DATE: December 21, 2020
TO: Martin Finnegan (CAST)
PO Box 9398
Riverhead,NY 11901
Please take notice that your request dated November 25_,2020
For permit for a new bid1dingis-a philandiropic institution at
Location of property: 71305 Main load Greenport, NY
County Tax Map No. 1000—Section 45 Block 2, Lot 7..,-.1.
Is returned herewith and disapproved on the following grounds:
The proposed use requires site plan proval from the Southold Town Planning Board,
Furthermore, the pptoposeO use re. ecial E'xce tion aivroval from the Southold Town &nipg
Board of Appejals.
You niav ai)t)lv to these gM. ies directly.
--- --- -------
0
Authorized Signature
Cc: File, planning, ZBA
FOR INTERNAL USE ONLY
t
PIAN USE DETERMINATIO
SITE � .._� � -W...
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Planning Board
II�Iiftai Deterl�r�inabon 12 _._� _,
� _ Date Sent
Date:
Project-Name: -- -
Project Address:
Zoning Distr : L�
Tax Map
Suffotk County. T Ta
Request
di Pernrait Apptic�tion and supporting riooumenattan-as to
(Note. Cop" of Surl rt0
proposed use or uses should tie suiiitted.)
-Initial Determination as to whether use is permitted:
Enation as to whether site plan is required: Sl '.
Initial-Dete.rm
Signature of Building Ins pe
Planning Department(P.D.) Reerrai:_
Da#e of Comment: LZ
��
P.D. Date Received: _ f-
Comments:
Signature of I ianni g
e t. Staff Reviewer
Date:=-=
c;,innil P f Rr iii, kiina InsnPctor
TOVl T OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health_
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX:(631)765-9502 Sury
Southoldtownny.gov PERMIT NO. Check
SepticForm
N.Y.S.D.E.C._.._._
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate.................
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved'..... ......................r_....a........._.20.-._._ Mail to:
Disapproved a/c, __ urv_.._. .mm.___.,_.....m._..........
Phone:
F„rpiration_..� ._
........................�_(..�..w.._....... ............�.20
=' ��� D _.... Building Inspector
N O V 2 5 2020 'PLICATION FOR BUILDING PERMIT
BUILDING DEPT. INSTRUCTIONS Date....J.J...1-9:-L-----1
. 20.2-0
TOWN C�S011THOLD
a This application MUST be comple.Jely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 the 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.
f.Every building permit 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 the
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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant) t t 1
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
..................................MM...._. z:
:5 ,
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)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
71305 Main_ Mww µ
reRoad � � Greenport
use St
HoNumber et _Hamlet
County Tax Map No. 1000 Section as 45 w Block _ 2 _____aaaaam•� Lot__ 7-1 MMMMMMMM_M _.
Subdivision....... _ _..ww _.. ._. ._Filed Map No..,_..�.. __._._�t. t
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy.._...M mW..Pl f_M�MIJ_ 1 hltr hl_.._. . ..... . ., _.................. _..,_ ....._. _
b. Intended use and occupancy Place of worship(Church)and philanthropic institution(CAST)
3. Nature of work(check which applicable):New Building X Additionµ _—µ Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Not yet estimated Fee
..................... .................... .. _,.v_M.. _.._ (To be paid on filing this application)
5. If dwelling,number of dwelling units n/a Number of dwelling units on each floor�mm n/a
If garage, number of cars„ fin/a
place of worship
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. place tfwor
7. Dimensions of existing structures,if any:Front__30.2' ear w 69' Depth_ 163.5'
Height, 18.8' Number of Stories�i _..... ._
Dimensions of same structure with alterations or additions: Front n/a Rear n/a
Depth n/a Height n/a Number of Stories n/a
8. Dimensions of entire new construction:Front 60'(plus 4'Awning)Rem. 60' Depth 124'
Height 17.5' Number of Stories 1
9. Size of lot:Front_ 500.04' Rear 274.98' Depth __A 1.42'
10.Date of Purchase n1a lease _Name of Former Owner n/a
11.Zone or use district in which premises are situated LB
12.Does proposed construction violate any zoning law,ordinance or regulation?YES WW„NO X (Use permitted by
special exception by ZBA)
13.Will lot be re-graded?YES X NO Will excess fill be removed from premises?YES-,,--,,-NO X
St Peters Evangelical
14.Names of"Owner of premiseti Lutheran Church AddressPC Box 242„Greenport 'Phone No. 631 477 0662
Name of Architect stvdlo a/b architects Addlress PO Box 444,Orient Phone No 631 3231426
Name of Contractor Address Phonc 1tii'o.
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 of a tidal wetland?*YES_NO_ x
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
, ,��s11/��
Jvl being duly sworn,deposes and says that(s)he is the applicant
(Name of irtdivialual sign contract)above named;
(S)He is the
(Contractor,Agent,Corporate Officer,etc.)
of said i y'ner 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
perfonuedlI in the manner set forth in the application filed therewith.
Sworn to h)cforc:me t .s
rt1"NiA F.ttEldlt'tl�l�"r
MM_:............day of�1 , da t ,STATE OF NEWYORX
Registration No.02REQ407;74
Qualified in Suffolk County
Notary I'u is CMR ri xPres July 1s,2tt 4 _... .t ure of Applicant
. _.,
TOWI'OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
Southoldtownuy.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 120 Single&Scparate _____
Truss Identification Form
Stone-Water Assessment Form
Contact:
Approved 20 Mail to:,
Disapproved a/c
Phone:
Expiration-----.,20
`�% `�� Building Inspector
iJ U
NOV 2 5 2020 UI-PLICATION FOR BUILDING PERMIT
BUILI3I''dC DEPT. Date l L 2 ,20
TO -0
4 4 C,�'Sol..FHOLD INSTRUCTIONS
a.This application MUST be complejely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 the 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.
f.Every building permit 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 the
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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant) t( 1
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises �rF
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
71305 Main Road Greenport
House Number Street Hamlet
County Tax Map No. 1000 Section 45 Block 2 Lot 7.1
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Place of worship(.Church)
b. Intended use and occupancy Place of worship(Church)and philanthropic Institution(CAST)
3. Nature of work(check which applicable):New Building x Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Not yet estimated Fee
(To be paid on filing this application)
5, If dwelling,number of dwelling units n/a Number of dwelling units on each floor n/a
If garage, number of cars n/a
place of worship
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front 30.2' Rear 69' Depth 163.5'
Height 18.8' Number of Stories I
Dimensions of same structure with alterations or additions: Front n/a Rear n/a
Depth n/a —Height n/a Number of Stories n/a
8. Dimensions of entire new construction:Front 60'(plus 4'Awning)Rear 60, Dcpth 124'
Height 17.5' Number of Stories— 1
9. Size of lot:Front Rear 274,98' Depth 491,421
10.Date of Purchase n/a(lease) Name of Former Owner n/a
11.Zone or use district in which premises are situated LB
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO X (Use permitted by
special exception by ZBA)
13.Will lot be re-graded?YES X NOWillexcess fill be removed from premises?YES—NO X
St Peter's Evangelical
14.Names of Owner of premises Lutheran Church Ad&es.„PO Box 242,Greenport Phone No. 631477 0662
Name of Architect studio a/b architects Address PO Box 444,Orient Phone No 631 323 1426
Name of Contractor _r's C? Address Phone No.
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 of a tidal wetland?*YES—NO X
IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17,If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES—NO ✓
IF YES,PROVIDE A COPY,
STATE OF NEW YORK)
SS:
COUNTY OF
K”, I-)�EN being duly sworn,deposes and says that(s)he is the applicant
(Name of individual sign(4 contract)above named,
(S)He is the 7AY C
(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 ARTHA F.REICHERT
day A NOTA44P�,STATE OF NEW YORK
Registration No.02RES407874
Qualified in Suffolk county
Notary Public -Cwma-Un-fWres July 13,2024 SigAure of Applicant