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I
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT '
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24265 Date APRIL 8, 1996
THIS CERTIFIES that the building ALTERATION
Location of Property 475 BECRWITB AVE. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block 1 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 26, 1990 pursuant to which
Building Permit No. 19542-Z dated NOYEMB$R 26, 1990
was ieeued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
ieeued is RSPLACEMBNT OF TWO WINDOWS ON 2ND FLOOR ON VACANT BUILDING
AS APPLIED FOR.
The certificate is ieeued to ALCAP ASSOCIATES, LTD.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspe or
Rev. 1/$1
f'OBl[ NO. f
TOWN OP SOUTHOLD
lUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 1 9 5 4 2 Z Date ..11,1~ 19.E
Permission is hereby Aran to: ,
o...
. . .
- .
of premises located at '
~Z.r .p'~~/.1....~......11~r .
.....~fG.....~. ...~~r~~~.~D..'~
County Tax Map No. 1000 Section ......llJ...~....... Block Lot No.......~r~...
pursuant to application dated 19........, and approved by the
Building Inspector.
Fee 5...,1
QQ
- uildi nspactor
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
210506 May 28. 81
No . Date ................................,19...
THIS CERTIFIES that the building .
475 Beckwith Avenue, Southold, N.Y.
Location of Property
House No. Street Hamlet
County Tax Map No. 1000 Section ...6 ~ .......Block ...1............Lot 25 .
Subdivision ...............................Filed Ma No. ........Lot No. .
Change of ~se
conforms substantially to the Application Poi"13'uil3Trig-Ferm$~iei~ol'oie Tiled in this office dated
Ma 28 81 Certificate of Occupancy210506
Y --r -
. 19 pursuant to which~wfdmg~'enmtNo. .
May 28 81
dated 19 ,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 .
Place of Worship - Special Exception April 23, 1981 - Appeal No. 2804
.
Church Of The Open Door
The certificate is issued to .
(owner, /essee or tenant/
of the aforesaid building.
N/R
Suffolk County Department of Health Approval .
N/R
UNDERWRITERS CERTIFICATE NO .
Building Inspector
R.~ ans
FORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
torwith the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic feawres.
2. Final approval of Health Dept. of water supply and sewerage disposal-~S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
i. Certificate of occupancy $5.00
2. Certificate of occupancy on preexisting dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
7 ~ -
Date '~'r)~':.:.. ~ . .
New Building .............Old or Preexisting Building . ~ Vacant Land .
Location of Property . ~"JEcC .kV:a~~'.1 . ~ 1'. Gl v~'-~F'_l.! ~S, t~ c-; ~
House No. Street Hem/et
~I`~ ~ ~ ",I- G~ ~ r
Owner or Owners of Property ..~rX.l. ti 1 G Ul.-: , . ' ~-1 ~ ~ 1
'~1.~............
1 ~
County Tax Map No. 1000 Section ......~0..~..... Block ........G...... Lot....~x.
Subdivision .................................Filed Map No. ..........Lot No. .
ZIL>SG~. ,fin
Permit No........... Date of Permit !Y la`~::.a..Applicant .
Health Dept. Approval ........................Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval
/a ,
Request for Temporary Certificate .....................Final Certificate
~
Fee Submitted $ 1 ~.ry
~,i
Construction on above describedppuilding and permi~ is al~applicab~ ~~~~and regulati ~
A licant ~
An. 10-10J8 -
Porm No. 6 ~ a._
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TowN DF souTaoLD ~ (!`.l
6UILDING DEPARTMENT
TOWN HALL ~ APR 2 ~C?;,,t
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be Filled in by typewriter R in and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property wil-h accurate location o£ all. buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval £rom Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation Erom Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/l0 of 1% ].e ad.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
- reapons-ihle for the building-.--- - - - - - - -
6. Submit Planning ftoard Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" ].and uses:
1. AccuraCe 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 T.nspector 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,
A`73i ons to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
-3. Copy of Cer'tifi.cate of Occupancy - $20.00
4. Updated Certificate of Occupancy - .$50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction......../~.~y. Old Or Pre-existing buildinng...... ./....nom. n /I;/~
Location of Property...'y`~'/,~'. .~V.C~/'~.Fa~~al~ J !~V~L~`~~ r~~XXTTj`.>.~?
House No.~~JJ ,Q Street Hamlet Q
Onwer or Owners of Property..,/.Y.~C!~1.. /J,~?!QG/,o~Li~> ~R[~~'A'j }~jA,j',,,~k,^7~~,.)~/~?~~~~~
/ j.. • ~197~
County Tae P4ap No 1000, Section.'r? ~.........Block .........Lot..............
Subdivision ...,/.................................Filed Map............Lot......................
/~J~72 - b'
Permit~No.:'~c`.......Date Of Permie ................Applicant.............................
Health Dept. Approval ..........................Underwriters Appr..oval.........................
Planning Board Appr.oval
Request Eor: Temporary Certificate........... Final Cer,ticate...........
/~7 ~/>00
Fee Submitted: $.~CL7•
O~OgOFFO(,~co
Gyp
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Town Hall. 53095 Main Foad p • ~ Fax (516) 765-1823
Southold New York 911971 y'Jlpl ~ ~.a0! Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 29, 1996
Alcap Associates Ltd.
C/O Alfred T. Young
P.O. Box 745
4055 N. Bayview 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. ;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 # 19542-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
a
o~~gUFFO(,~cG
Gym
N S
Town Hall, 53095 Main Road p ~ ~ Fax (516) 765-1823
Southold, New York 911971 y~ol ~ ~~0~ Telephone (516) 765-1602
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 26, 1996
Alcap Associates Ltd.
C/O Alfred T. Young
P.O. Box 745
4055 N. Bayview Road
Southold, NY 11971
Re: Building Permit #20925-Z (alt) & 19542-Z (repl wind)
Premises: 475 Beckwith Avenue & 890 Traveller St.
Suff. Co. Tax Map #1000-61-1-25
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.
'S' - ICJ. ,I .;~:`Si~t~NT~
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UADATIO'V (1st) ~
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11SULATIOH PER N. Y.
STATE EPIERGY
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' ~~~'~~I BUILDING DEPT.
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-~;S~~~INSPECTION
[ ]FOUNDATION iST [ ]ROUGH PLBG.
]FOUNDATION 2ND [ ]INSULATION
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[y'~1tA/MIND [ ]FINAL
REMARKS: __-~7irr~ ~ ~7 '
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f DATE ' INSPECTO , . ~„Q.t ~
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S®ut®~d T®~n hoard of Appeacls
• N ~ r~`/7
`~p~~' MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.1., N.Y. 11971
.,O/ ~ TELEPHONE (516) 765-1809
d FAX No. (516) 765-1823
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
JOSEPH H. SAWIC KI
JAMES DINIZIO, JR.
ACTT,ON OF THE BOARD OF APPEALS
Appl. No. 3890
Matter of WALTER GLASSER. Special Exception to the zoning
Ordinance, Article IX, Section 100-91, for permission to change
of use from Place of worship to office/Apartment. Property ~ `
Location: 475 Beckwith Avenue, Southold, County Tax Map No.
1000, Section 061, Block 1, Lot 25.
WHEREAS, a public hearing was held and concluded on
• December 19, 1989 in the matter of WALTER GLASSER under Appeal
No. 3890; and
WHEREAS, at said hearing all those who desired to be heard
were heard and their testimony recorded; and
WHEREAS, the Board Members have personally viewed and are
familiar with the premises in question, its present zoning, and
the surrounding area; and
WHEREAS the Board made the following findings of fact:
1. The premises in question is located along the west
side of Beckwith Avenue, Hamlet of Southold, and is identified
on the Suffolk County Tax Maps as District 1000, Section 061,
Block 1, Lot 25.
2. This is an application for a Special Exception from
the Zoning Code, Article IX, Section 100-91, for permission for
change of use from Place of Worship to Office/Apartment.
•
Page 2 - Appl. No. 3890
Matter of WALTER GLASSER
Decision rendered January 9, 1990
3. Article IX, Section 100-91, in the HB District, no
building or premises shall be used and no building or part of a
building shall be erected or altered which is arranged, intended
or designed to be used, in whole or part, for any uses.
4. In considering this application, the Board finds and
determines:
(a) that there is no other method for appellants to
pursue; and changes or alterations on the premises will require
a Special exception.
(b) that the Special Exception will not in turn cause a
substantial effect on the safety, health, welfare, comfort,
convenience, and/or order of the Town;
(c) that in carefully considering the record and all the
abovee factors, the interests of justice will be served by
granting the Special Exception, as applied conditionally noted
below.
Accordingly on motion by Mr. Grigonis, Seconded by Mr.
. Doyen, it was:
RESOLVED, to GRANT a Special Exception in the matter of
WALTER GLASSER as applied under Appeal No. 3890, SUBJECT TO THE
FOLLOWING CONDITIONS:
1. That there be one on site parking space entrancing and
exiting Beckwith Avenue (if possible).
Vote of the Board: Ayes: Messrs. Goehringer, Grigonis,
Doyen and Dinizio, (Absent Joseph Sawicki). This resolution was
duly adopted.
df
~~?LZ C+~
GERARD P. GO INGE CHAIRMAN
•
E
'7K' n 7 BOARD OF HEALTH
/~~~I~GZ~gi ,ip~,G~~%~~_I 3 SETS OF PLANS'::::::::::
Gy._ _ ,./~~~,f' ~ FORM NO. 1 SURVEY ~q,_ • , . • • .
~`/_G~//" TOWNt~ SUU7NOLD C11CCR
QUILDING DEPARTMENT SEPTIC r•oart
TOWN HALL
• SOUTHO.L•D,N_Y.1t271 P:tTrIFY'a
l/nJ TEL.: 7~5.1B02 CALL •
Examined f? .r!O • • • • • • • • . 19~ MAIL TO
Approved .,!/.f~.°........., 1~~Pcrmit No.~~~. ~ ,s~ry • , , , •~(~,7( .
Disapproved a~~/c ' e
` r••~~ c~ ~ •
ADO ~Y: ~(2 O~IA(1
n;~'t4fv §?UII1 !NG t7EP M NT AT ~ • ~ (Boil ;Inspector) ~~~p'~R#-A
FOR THE '
t;~~.ISSt72 AM TO ~ ApPL(CATIO FOR BUILDING PERMIT
l~u;t l,e1L^~liYUt'7 INSF'ECTfONS: 6. DEPT.
I Ft}i,NC~ArIC?N - 'rvv0 REQUIRED ~ ow ~rti,,,
Ffllt I~tlUREO CONCRETE _ • I . .
2. RCIOJGS•S -FRAMING 'I~ PLUMBING INSTRUCTIONS •
;i. iS~SSULATif.)N r1y
F1N~ltis ap R usT tie~coSmpletely filled in by typewriter or in ink and submitted to the Building Inspector, with
sets ~~~P ~~t~.n ~~}le. Fee according to schedule.
AI-}~. ChB tnii~~ o ot~c,)f ]ot and of buildings on premises, relationship to adjoining premises or public stree
oiT~~e ~
CO ~Ta~eEtion of layout of property must be drawn on the diagram which is part of this app.
c~ RESPON IBLE, FOR
p`{?:IE„r~'•,h~jr,~,~gy2g;ty11~ ~pRp~ication may not be commenced before issuance of Building Permit.
X17 y~•p"rova7oj t tis.applicatton, the Building Inspector will issued a Building Permit to the applicant. Such perm
shall be kept on the p~ernisps ava~lratllatfor inspection throughout the work.
e. No bufld~i~sl}a(1, dip occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant
sha91 hwe''(ieensr~;nfed l;X #1}~~~i}~B Inspector.
AI~PIuIG'+r1tPT0~ItF,S~TI•~f2~BY MA E to the Building Department for the issuance of a Building Permit pursuant to th
BuiLZIftY$``c~Pohe-Of1fll~+e ~fR~~$~~ of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
Re~$ltabiOtlsF~dfdnihe construction of buildings, additions or alterations, or for removal or demolition, as herein describes
Thaga)~p~Ni~hnt-agt~ddAl~c~FL~~~~~ll applicable laws, ordinances, building code, housing code, and regulations, and tc
admit Rr;tBpfel~&~4"a~~Ic4'r~n ppremises and in building for necessary inspections.
' ALL CONSTRUCTION SHRLL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY ~ (Signature of applicadt, or name, if a corporation)
COE9ES. NOT RESPONSIBLE FC+R
DESiGNORCC+NSTRUCTIONERRORS
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Y
Name of owner oC premises J•~ •
as on the tax roll or latest deed)
1C applicant is a corporation, signature of duly authorized officer.
• • • • • • (Name and 'title of corporra1te officer)
Buiider'sLicenseNo.
Plumber's Liccnsc No . n~yaq" II
Electrician's License No . ` ~ CCA Y
~~5a
Oilier Trade's License No . .
1. Location of land on which propose work will be done;
.!~7.~ ~~..........~~4.~-:...............
house Number JJ Street I Hamlet • • • • •
County Tax \tap No. 1000 Section ~Q. l . • Block 4, • , , , , , , , , , Lot .°.G~ , ~ .
Subdivision . 1'llcd ~fap No. Lot
' 'Ijy:une) ~ .
State existing use and occupancy of premises and int~elnd~ed u~s~e andc~o•-c-cupancy of proposed construction:
A. i;xisting use and occupancy......~i,,~~~-tCyixe'r./." ' I~ii.#A~•,~
uq
B. Intended use and occupancy.'...
? ~ 2/ti,h/JRir
` . ,qx~
3. Nature oC~vork (check which applicable): New pudding Addition Alt a on .
Repair Removal Demolition ..............Swimnin;; Pool...........
Tennis Cour•C Accessory 6uilding..........Fence .......Other Work...........
~~1 ,
4. Estimated Cost ~ Fee . ~ .
(in be paid on lilinl; this aDplication~
5. IC dwcllin„ number o(dwclling units Number oC dwelling units on each floor .
ifgara:c.nuntbcrofcars
6. IC business. commercial or mixed occupancy, specify nature and extent oC each type oC use • • • • • • • .
7. Dimensions oC existing structures, iC any: Front Rear Depth . - , , , , , , , , , - , . ,
Hci^ftt ...............NumbcroCStorics..................................... .
Dimensions of same structure wittt alterations or additions: Front Rear .
Depth Elcight ......................Number oC Stories .
8. Dimensions of entire new constnuction: Front Rear Depth ,
Height ...............NumberoCStories..............:........................................
9. Size oC let: Fignt . P.cas Depth ,
10. Dale of s~ ~ ..........................NameoCFormer Owner
! 1. Zone or use district in wlticl[ premises arc situated .
12. Does proposed construction violate any zoning law, ordinance or rc~ulation : .
l3. 1Vill lot be regraded Nill excess fill be removed Crom premises: Yc= •
14. Name of Owner of premises . . . . Address _ _ . _ ........Phone No.............. .
Name of Art:hitect ...........................Address ...................Phone No.............. .
Name of Contractor .................:........Address Phone No....: . - - • •
1S.Ls this propertp located within ;00 feet o£ a tidal wetland? =YES....tt0....
*Tf yes, Southold Tovn Trustees Permit may be required.
PLOT DIAGRA\1
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimer::io~.•.::
property lines. Give street and block numb_e_r or escnption accordin^ to dee_ d_,~d hn~strettnames and indicate a:u:.
c--- : (L J~-
interior or comer lot. - - -
~ I -
i
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STATL OF i\E~V YORE, S.S
COUNTY OF .
bcingdttlyswarn,dcposcsandsaysthatheistheapplie:
(Name oCindiv~dua( signing contract)
about named.
Hz istltc
(Contractor, agent, corporate officer, etc.)
oC said owner or owners, and is duly au[Itorized to perform or Itavc performed flit said work and to make and file
application; [ttat all statnnents eonta~ncd in this application arc true to the best oC his knowledge and belief; and that
work will be perlorntcd in [hc manner set forth in the application filed therewith.
Swom [o bciorc me this
,
Z-U ....day of t ~ • , 19 ~ U
Notary Public, i ; ~ ~ : l/.~!!:~;-~; .founty y~J J ~ ~ ~
dNIMNI! .
' CM~illl~ • • . • - • • • (Signature oC applic: