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Home My WebLink About19225-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19701 Date JANUARY 31, 1991 THIS CERTIFIES that the building. Location of Property 50370 MAIN ROAD House No. County Tax Map No. 1000 Section 70 Subdivision ADDITION SOUTHQLD~ N.Y. Street Hamlet Block 2 Lot 14 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 18¢ 1990 pursuant to which Building Permit No. 19225-Z dated JULY 25, 1990 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 ROOF ADDITION OVER REAR ENTRANCE OF EXISTING BUILDING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 FIRST CHURCH OF CHRISTr SCIENTIST N/A N-169243 - JANUARY 15, 199t · /~ ' Building Inspector /- TOWN OF SOUTHOLD BUILDI~IG D~PARTMEH'i' TOWN HALL SOUTHOLD, N. Y. BUILDING PERJgIIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 'i ~22~-~ Z ~,,te ~,.~..... Permission is hereby grc~ted to: /~ /.~ ~ , ~ . ~ ..~...~ .,z~ ............................................ ;. ,o.~~.~ ....... ~...~.~~....~.~.~:..~~ ...~ ....... ~~ ...... ~~,~ ............. =..~~.~: ................ ., ,,..,., ,=,ed ~, ...... ~..~.~~.:.~ ......................... : ............................ ....................................................... ~~~ .................................................................... County Tax Map No. 1000 Section .......... ,',.?.?,, ..... "lock ............ ~ .... Lot No...,,<(..../.... ........... pursuant to application dated ..... ~?~-/.,~.~.... ................................ 19.,~.,.,~,, and approved by the Building Inspector. Fee $..../...4 ~ 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 plan requirements. 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. Fees 1. Occupancy - New dwelling $25.00, Additions to dwelling Certificate of Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildingS.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .Jag..28.,..1991 ......................... New Construction ........... Old Or Pre-existing Building ..... ~ .......... %oaation of Property. RiL~ .Box..Z45. J~¢ke~ .Cr..'koMaim. iRd'../~outkald ............. .. . .. . .. House No. Street Hamlet Onwer or Owners of Property. F~St. ~Jlurcb~ .of. Christ.,..$¢imntisg.,..$ou£Aold .............. county Tax Map No 1000, Section ..... ~0 ....... Block...~ ........... Lot.l~ ................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~.922~,.~ ...... Date Of Permit..~J25/9~ ..... Applicant. R...~an.~uyl ............... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate..x ........ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,A~;~ f ~()O'J ] 6~ BUREAU OF ELECTRICITY j~ 85 JOHN STREET, NEW yORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed below a~ introduc~ by t~ applicant ~med on the a~ve application number in the prem~es of in the foliowlng loeatlon; [] Basement [] Ist Fl. [] 2nd FI. OHT Section Block Lot DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS= E R V I C E NO %.%C0"~. [ AWG. OF CC COHO NO, OF HI-LEG AWG, OF OF NEUTRAL GENEItM. I~ANAGER 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 FOE BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 January 25, 1991 TEL. 765-1802 Hr. Roderick VanTuyl First Church of Christ Scientist P.O. Box 145 Southold, N.Y. 11971 To Whom This May Concern, 2nd NOTICE We are unable ~.o complete your Certificate of Occupancy because .of the following reasons. /--//An application for Certificate of Occupancy is llot on file. (ENCLOSED) /_--/ /~o Underwriters Cc. rtificate on file. /~ The check i:;(~.*c~/~,ot ou file.) $25.00 /~/ No }lealth Dept. Approval on file. /~/ No final inspection has been made. contact ()ur office on this matter. Thank you for yonr cooperation. lluilding Permi_t l! I 9 2 2 5 Building Dept. Z No Plumber :3older Certificate on file. all permits involving plumbing being .issued after April 1,1984 TOWN OF SOUTHOLD OF[:ICE OF BUILDING IN~'P£CTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 August 23, 1990 TEL. 765-1802 FIRST CHURC}t OF CHRIST BOX 145 SOUTHOLD, NEW YORK SCIENTIST 11971 To Whom This May Cogcern, We are unable to complete your Certificate of Occupancy because.of the following reasons. / /fAn application for Certificate of Occupancy _/~s not on file. (ENCLOSED) /~/No Underwriters Certificate on flle. /--_~/ The check i~P~i~J~not on file.) $50.00 /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ ] 9 2 2 5 Z Buildinq Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~JLATION FRAMING [/~ FINAL DATE ~~///~//~ INSPECTOR FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: .~UFFOLK COUN7~ IV. Y. FOR POUA~[~ CONCRETE E~ 3. INSU~TION 4. FINAL . CONSTRUCTION UUS BE COMPL~E FO~ C.C. ALL CON~T~TION SHA~ MEt ~E REOUIR~E~ OF THE , ~ OR ~$TRuc~oN ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OOCUPANCY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~% .~.~.,.~..~.. , $OUTHOLD. N.Y. 11971 TEL.: 765-1802 Examined ....... 19 .~.0. ...... Disapproved a/c ..................................... BOARD OF HEALTH ~ ......... 3 SETS OF,~-2PLANS ..... . st, .,..,_......,, ........ c, .cK ?.. '.. SEPTIC FORH ................ NOTIFY~ ~ %JZ%%r'TUN~. TO L.; · .~p.u.~. ¢~,, N':~. ~-~.~./. · /¢ui~,fl~nspe~t6r) [J~\j JUL I 8 1990 APPLICATION FOR BUILDING PERMIT U~L.~ INSTKgCT[ONS a. Tiffs application must be completely filled in by Wpewfiter or in ink and submitted to the Building Ifispector, with 3 sets of plans, accurate plot plan t~-scale. Fee according to schedule. b. Plot pl~ showing location of lot and of buildMgs on premises, relationship to adjoining premises or public streets or areas, and giv~g a dethled description of layout of property must be drawn on the diagram which is pa~ of tMs appli- cation. c.~ The work covered by tMs application may not be commenced before issuance of Bu~ding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Pe~it to the appHc~t. Such pe~it shall be kept on the premises available for inspection throu~out the work. e. ~ No build~g shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of Occup=cy shall have been granted by the BuildMg Inspector. ' APPLICATION IS HEREBY MADE to the BuildMg Dep~ment for the issuance of a BMlding Pe~it pursuant to the Building Zone Ordinance of the Town of Sbuthold, Suffolk County, New York, ~d other appIicable ~ws. Ord.=ecs or Regulations, for the construction of bufld~gs, additions or alterations, or for femoral or demolition, as here~ desc~bed. The applicant agrees to comply with all pphcable laws, ordinances, bufldMg code, housing code, and regulations, and to admit authorized ~spccto~ on premises and ~ build~g for necessa~ in~tions~ ' - [ ~nature ot appucanr, or name, if a corporanon) ' (~ailing address of applic~t) grate whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electric/an, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, s~gnature of duly authorized officer. Plumber's License No ......................... EJcctrJcJan's ~Jcensc No ....................... Off,er Tradc's ~icense No ...................... ]. [oc~tJon o[[and o~ Mffch proposed work will b= done: llouse Number Street ~ ........... · · -- Hamlet '" COunty Tax MapNo. 1000Saction ...~2P ......... Block '~ · Lot ." Subdivision .... ~¢ ............................. Eiled Map No ............... Lot ............... (Name) L State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy .... ~.1~,.,~ ..... , B. Intended use and occupancy .................. Repair .............. R~mova Tennis Court ......... Ac 4. Eitimated Cost..~.'J,14~.O. 0..7'.... of work (check which applieable): New Building .......... Addition ........ Alteration ........... .............. Demolition .............. Swimming poet ............ :essory Building Fence Other Work (to be paid on filing this nPPliCati°n) '5 If, dwelling number of dwdlling ual Number of dwelling units on each floor I~ garage, hum her of cars ....... , .............................................................. 16. It business, commercial or mixed o ,cupancy, specify nature and extent of each type of use ................ 7. Dimensions of existing structures, i [' any: Front ...... ~'..' ..... Rear .... ~. ¥.: ...... Depth .. ~ ~.: ...... , I-{ei,,ht . fi, sO:' .... ; ..... Numbc' of Stories ... ~ ./ ................................................ Dimensions of same structure with alterations or additions: Front ... ~.' ~ ......... Rear ...,o.~ ......... Dcpth ....... ,1, ..... ,2,.k .......Height ..... 7-:..q .............. Number of Stories...~{ ................ 8. Dimensions'oft~Ilti-r~--~iF.~_-T:¢{~It~lcfion: Front ........ Rear ....... Depth ......... ,., ' ~ i --' ~ ~,;, ~,! ' ' ' ' ' : Hc,=ht ......... ;..-.:.4~ulnber of Stories .... /. ......... : ...................................... :9. Sizeof et Front .... /...~.V.'.~ ~ ]. .... Rea-...3 .>'.".: ..... neath ~.~2' I. ~one or use district in which premises arc situated...~,o... (...?~. $.kl~ ,~,al $.4 ~,..n .~. ~', .e, qr) .............. 2. Does proposed Construction violat~ any zoning law, ordinance or regulation: . 'NO ........................... .3. %~iI1 lot be regraded ...}~.,a.....i ................. Will. excess fill be removed from premises: Yes .... No. 4. Name of Owner of premises 1.s? ~.~.~ 9g..c,1'%i9~,'~. .('!~ ~rdss I~f.Wl~'.. St:} U~ ,.+~6. },,1. P lone No;7/a.~ ,~..~ ;"~6 ...... i l~ame of Architect ............ ] ............. Address .................. Phone No ................. ' Nfime of Contractor IA.kkt~t,l.,~. I."~.C,i).~,.g .... Address C,o.'r. ¢ 8..~. I,'.~.~. pl,.g... Phone No.').,~ ~'.-~ .4~.~./.;.,~. .... 15'.I's} this property loc~teld, within 300 feet of a t~dal w~tlaud? ~YES .... NO.~q.. 'rustees Permit may be required. PLOT DIAGRAM *~f yes, Southold Town Ldcate clearly and distinctly.all bl )rope~y lines. Give street and block nu nteridr[ or comer lot. ildings, whether existing or proposed, and. indicate all set-back dimensions from nber or description according to deed, and show street names and indicate wheth'er STATE OF NEW YORK, ,. O U ~"J-TY OF .................. · ............... ~. · '. ....... ........ being duly sworn, deposes and says that im is the applicant , [ (Name of individual signin~ contract) lbove[na~ed. m (ContrncEor agent, corporntc officcr, crc.) ~f snid owncr or owncrs, ~d is duly Quthor{zcd to pc~form or 'rove ~crfor~cd thc sn{d work nnd to ]~phc~tmn; that all state~ncnts contained tn thru apphcat~on are true to tim best ofhm kno~vlcdge and belief; and that thc '.york will be perforated in the m~ner m t forth in the application qled therewith. Sworn[ to before m~his ' _ :~...~ ...... J.~ .......... dayof..; ...~ ......... 19~ 7ota~ Public/..; ......... ' ... County ~