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HomeMy WebLinkAbout17374-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUBANCY No Z-19048 Date MAY 16, 1 THI5 CERTIFIES that the building ADDITION Location of Property 30580 MAIN RD. & 25 STILLWATER AVE. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1988 pursuant to which Building Permit No. 17374-Z dated AUGUST 36, 1988 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 ADDITION TO EXISTING RECTORY AS APPLIED FOR. The certificate is issued to UNITED METHOIIIST CHURCH OF CUTCHOGUE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-124755 - APRIL 19, 1990 PLUMBERS CERTIFICATION DATED _ - N/A Building Inspector Rev. 1/81 xosas xo. s 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) 4 (~ ~ 01.7 3 7 ~5 Z Date ........ ~...3..° ................................. 19. ~. Permission is hereby granted to: _ ~~`/~/ ~ n~ to .~,~,~. ~~~,........ ~-~.f....~...~::::...~:~-............ ct premises located of .....~.p.:? O••~........~.l..a!~'.7.....~~ ............................................................ ................................................... a.:s"-......~~~.................-................. .................................................................................... County Tax Map No. 1000 Section .......6~Gi0.3....... pursuant to application dated ...g/~9 ................. Block ...........~......LyLot No...........~~........... ....................... 19.~'!, and approved by the Building Inspector. d Fee $...J~..rO ~. ...... Rev. 6/30/80 .. a ~~ ~' C> /' TOWN OP SOUTIIOLD BUILDING DEPART:IE2iT TOWN BALL SOUTIIOLD, NEN YOILK 765 - 1802 / i 11971 ~ ~~~~ ~' (la Dt,"'°~°` ,„~ ~~~~~°~y~d i roV/iV Pre :.~tF°~F'-,""g ¢9~/~ APPLICATION FOR CERTIFICATE OF OCCIIPAttGY DATE. ~?`~. 13:.19Q~...... NEW CONSTRUCTION Yes Addition to esisei.n structure .-:....OLD OR PRE-E%ISTI~tG BUILDING....._VACANT LAND........ Location of Property...~0,5~34.....:_._.._M~??n. Road......~...._.Cutchogue UOUSE NO. " " " " STREET IIAHLET Owner or Ovncrs o f Property...Unitecj Methgdisg Chuxgll ~~_C,t~tpt~q~~,.L.I, . , ... County Taz Map No. 1000 Section ...... Block Lot' Subdivision ....................... Filed Map .._._._.Lo[.. i'7 •3 7 ` Pernit No. .. ..... .!)ate of Permit .._._.....APPlicaat ................... Health Dept. Approval .................. Underwriters Approval..__......_... PlaaninE Board Approval _.._ Request for Temporary Certificate ....... Final CcrtificaCC _._..__. ...._... Pee Submitted: $__25:00...'.--'._.•- • APPLICANT. `~~~??-y1~ ~ ~~~e~x-p Refr. warren ~. Beaven ~~'~"" `' Parish Minister •t, rey• 10/I4/88 ~l,t. 3 Y~ 9 y eo~i9oyY ~... . .u _~~, 1 ~~ .. FORM NO. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 ' '~ APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS ;/ A. This application must be Filed in typewriter OA ink and submitted to the Building Inspector with [he follbwing; 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 features. 2. Final approval of Dealth Dept, of water supply and sewerage-disposal(S-9 form). ' 3. Approval of elecCric~1 installation from Board of Fire Underwriters. 4. Sworn statement from', plumber certifying that solder used in system contains less' than 2/10 of 1Z lead!. 5. Commercial buildings'', industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For eaiscing.buildings ,(Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" landluses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or typographic features. 2. A properly completed~',application, a consent to inspect signed by Che applicant and a certified abstYacC of title issued by a title company which shall show single and separrate ownership of the entire lot prior Co April 9, 1957, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abst4•act of title issued by a title company showing single and separate ownership o~f•the entire lot prior to April 9, 1957 shalt also accompany the application. If, a Certificate of Occupancy is denied, the Building Inspector shall state Che reasons therefor in writing to the applicant. D. FEES: ]. CERTIFICATE OF O'~CCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Duelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Dpdated Certificate of Occupancy - $50.00 6. Temporary Certilicate of Occupancy -$15.0,0 Residential ' Commercial .P ev. 10/14/S8 ,, cs..~,~~•ti., are. ~-a..~ THE NEW Y~itt!C ®4ARD 0~ Fi1~ W lAY)1174:5 fi4REAU Of EL.EC:TRiCITY 8E JOHN lTIREET, NEW YORK, NEW YORK 1N038 h`A6t t paw AF'tt11.. 39, 194(] Application No. onfJfe 5ft9(T1h$H/H.8 b 1'!h~!',s!r TN13 CERTIFIER THAT owly the alsctrlwl M w deaart6ed below and Jntrsdaced 6Y tke appNeant wrrnEr an the o6ooe appNoatlato anntker 4s thapromiew 4/ AFtfT1,iN NCAVt:R, 29H9f) MA[N N2gAD, ;'qLF: Sb.9, r,111'CHI3GUE, PI. Y. in the,feffowfnR location; ^ Baeen%ent ® let Fl. ^ Ynd Fl. Sertlon Meek Lot wos a%amined on f1ARt: ti 22 , 1991) andfound to 6e in carnpfianre nith the rryuircmente q/tka Board. IIIf141M AC{E{ tYYTfgNS NCANOtECENT tMgE15ClM OTHER .AMT. R, W. AMT. [. W;. O. . AMT. %.W. 'hAR.. IL w. II AMT. fT fMlf N. f. v 11 11 4 1~ 12.:5 Y 1:2 ORYMS RIMJAC! MOTORS IUTYf!! AMII;INq. RRMS NfG'R ~ tt1Mi MMIRRi T- ~QN1 EYRf -_ g AMT. t. W. Oll nr. OAS N. r. AMT. Ib. AW. O. AMT. AAV. /MAT. Aealr" .TRANF• AMT. M.I. AMT. WATI6 1 f>Illi !M'IRfa OEt9gErR L'T N0.0! __ .... _ _ -__ _. _ _ - __S __ - - E. R V -.-:... I _..... C tl' AMT. AMr. Trtt R~Ot M A x tw ~ x tw t x tw o x.w WO. d cc taNa. w. Naor xFlta . w. ito: ar wnmuu A. w, o. a ..,...R e....e,.....: kLkit;. ROQ11 MF:AI"t:Ntasl-:2 K.W. 4~.F.C..1:-.7 GAfiY DpK0~K1 b25 Mbtl5P:1.1. LANI CUlfl{glgl}f', NY', 174::i TMt artif , Roo ~i ~_ " ~ P i.1!;. M2941 F: '~ OfffffiAl EAMIAEEI 1 1 ~•~ J Ptr 4r.(~ _ m tha offiea of Nw Road. if dienrreEt. ~ lMntl,.Jr' idnNtlYN !a 111Et1r wdnafe4. -- r~ TEL. 7G5-i 802 pS~FF~~~~Op TOWN OF SOUTIIOd.ID ~ , ~~ ,'~ ~-, ~~':`,;G yam. Oi'FICE OF BUILDING INSPECTOR 'Y. ;; y ~'*.b ,xT, P.O. BOJC 728 ~ y ~ TONN HALL mac' SOUT110Lp, N.Y. 11971 ~~o( ~, ~a0 tlarch 5, 1990 Cutchogue United PYethodist Church 30580 R9ain Road Cutcho;ue, N.Y. 11935 2ND NOTIFICATION r To P7hom This May Cohcern, ;, \~• We are unable to complete your Certificate of Occupancy because of the following reasons. /// An application for Certificate of Occupancy is not on file. (ENCLOSED) /-/! No Underwriter:, Certificate on file. /_~/ 'lhe check is ~ti~&kPS~I~not on file. ) $25.00 /_/ No [Iealth Dept. l:pproval on file. /_/ No final ins.pecCion has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]di.nq Permit (( 1 7 3 7 4 Z Ouildi.nq Dcpt.. ***/ / No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after npril 1,1984 ) OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY~• Cf.F:AR UI' TUTS MATTER AS SOON AS PO>SIBLE SO .THAT i.EGAL ACTION DO_E__S NOT HAVP. 'f0 RI_ TAKEN. ~ ,~ Thank you. ~~.~F F DI_,~{~C~~ ~; ,• ~~ s ~ h'r o1 X44 ~~ a ~~~~ ~ ~~~5Ql -yea ~~~~ To~~rr or sovT~or.o OPi'ICI: OP IIUILDINO INST'hCCOR I'.O. BO?c 1 1 7 9 TOWN !TALL SO[J'I'IiOLD, N.Y. 1 1971 December 12, 1484 Cutchogue United t5ethodist Church 30580 Main Road ~' Cutchogue, New York 11435 To {9hom This May Concern, ,; TEL. 7G5-180' i 47e are unable r.o complete your Certificate of O~ccunancy because of the folloc~iiny.reasons. /_~/ An application for Certificate of Occupancy ~iS 17Ot On £il.c. (ENCLOSED) /_c~/ Dlo Underwriters Certificate on file. /~ 'Phe chec{: .i:; (r3t~7t1,'~XXtf~Xc~/not on file.) $25.00 /_/ f:o ILIa].t-h Dept. Approval on file. /_/ No final insl~cct:ion has heel! made. Plcasc contact our office on this matter. Thank yon for your cooperation. IRiil~lir,g Pcnn.it. II 1 7 3 7 4 Z Duildiny Dupt-. dirk h/-/ tlo Plumber ;;older Ccrt.ificatc on file. ( al.l pcrl:lils involving plumbing being issuccl after April 1,19U4 ) r'15LD I;:~i' _~ ~ lU;i - ~Dn i ~ ~ C`vsYMLNTS J -ti i. ~ ~,U ~~ H FOUtJDATIO;J (1st) C '1' FOUNDATION (2nd) _ m 2. ~ .~/ .~~w~C_ ~~ z G o / ROUGH FRAME t24 ~ N U PLUMBI G [ h "1~ N ~ ~ S rw r~ // ti yin s . I1ISULATIOCt PER N. Y. ~ ~ '~7p STATE ENERGY a CODE _. ~ C 4 lI 1 - ~~ 1 ~' . H FIiJAL ~~ ~w C .., ~~ ADDITIOPIAL COMMENTS: ~~ "T -~i ~ d ' x H \ r ,,,, 9 W '~ O o oQ ~- m cn r 0 m v H ~~3'y 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST C ] ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~,,~„~ DATE O ~/ ~ INSPECTOR .!~ ~73~~ '~_~$oZ ILDING DEPT. INSPECTIC'N [ ]FOUNDATION iST ( ] ROUGH PLBG. [ }FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ ~~ INSPECTOR ~~ ~- Jf.IIJ I, '~(~ i. ~ ,'l. ~ Sr~( .,~rt,.,+.~,~,P FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11rJ71 TEL.: 7G5.1802 Examined . ~/~./3~,°........., 19 ~pl~fj ~/ Approved .. ~ D , , , , , , „ 19 (JQ Permit No~~'3a5"' ~ ' Disapproved a~/c ..... ~ . .....t.r~. .... ....... . BOARD OF HEALTH 3 SETS OF PLANS SBRVEY ......., CHECK ..., SEPTIC FORM ....~l:...... .~ NOTIFY 1 MAIL T0:" +~• . ... / Buil g Inspector) APPLICATION FOR BUILDING PERMIT Date .l,1uG Ito IG~$ 1 • ., INSTRUCTIONS a.. Ttds 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, ttre Building Inspector will issued a Building Permit to t}te applicant. Such permit shall be kept on the premises available for inspection throughout the work, e. No buildutg 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, fot the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable Paws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . , Cv-rL.l'tZSGw~~.. vut~'E[3 N1r<'rMo6e41" C.t~Fuc~rf (Signature of applicant, or name, if a corporation] ~ . ' (Mailing address of applicant) ~ • State wlretlter applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... d t.~, "'t~1e ... ................ . Name of owner of premises ..~.,-tz rtt;f.;vr~:. ~r'.' ~,'t;~;~,.., ,~"`~,t,~r.;.S:t~fi;a^ fit ~ rr`"". , ,G°-1 F,r~.t,~~!, .. , , .. , , . (as on the tax roll or latest deed) If applicant s a corporation, sign u of duly authorized officer. (Name and title of corporate officer) Az~Esrn>~s`/~jat.;~~jO~`T,2/SPaat~'"s '. Builder's License No . ......... . .............. . Plumber's License No . ....................... . Electrician's License No . ...................... ' ~+ . i ..+;~~r .. ~ ,; Other Trade's License No. ~ ~ ' ~ ~ ~ ~" ' ~ ~ =' ~~ ..... ~F~rZSOrvRli„E MC~kA~I+IC.~..,~~ `",, Location of land on whi~ prgposud work will be done. ..,p .. , , , , , ,00~ ~ M/9•/N • fQp~y ,~_ }'~1~.,.~i,~.t.LC'1.":'S~'Q';yRq"~i~.,...!~V/E'..... `.FTC=~htU4w/~ N ~ .... House Number Street ~ `Hamlet ~~ ~ • County Tax Map No. 1000 Section .... ... Block .:..~~'~, ,', , ~, , , . , , ~ ~ ~ ~ ~~ Lot. ,7, ,~ ..... Subdivision .............. .............. Filed Mali No. ~ Lot . ..(Name) .... .... , State existing use and occupancy of premises and intended use end occupancy of proposed construction: .,:.':;,"+- s ,:.. . a. Existing use and occupancy ...... F9 t t.~lt~,~+/Tt b. Intended use and occupancy ... ~'vLrt ~ C.t<~~"....~....';°?=',Ndti9s~'P', . ~~~. i ~::°.( .............. N II 3. Nature of work (check which,applicable): New Building .... ,', .... Addition ...'~..... Alteration Repair .............. Removal ..... , ........ Demolition .............. Other work ............ . (Description) 4. Estimated Cost ~I Sf Do t~ . '', ...................... ~j~ , •',. ... Fce ..... .. ., .....,.. .... ... ..... . ... 5. If dwellin number of dwcliiri (to be paid on;liling t~iis application) g, g units ... ~........ Number of dwelling units on each floor . If garage, number of cars .. .... /... • ' ` ' ' 6. If business, commercial or mined occupancy, specify natgre and extent of each type of use . ~ • ~ ~ • 7, Dimensions of existing structures, if any: Front ... .. , "Rear .. Depth . ~ • Height ............... Number of Stories . . ~... ................. ... ............. Dimensions of same structure lviith altcratiops or additions: Front ~ ~ • ~ •' ' • ' • ' 'Depth..: .... ................. Rear.................. .~'...~Hcigltt, ,,,,,,,,,,,,,,,, ,NumbcrofStorics. . 8. Dimensions of entire new consitnwtion: Front , • • • • • • • • ~ • ' • ' • ' ' ~ ' ' Hciltt .. .. .............. Rear............... Depth ..,...,.... g • • • • • ... Number of Stories . 9. Size of lot: Front .... ............................. .............:...... . 10. Date ofPurc .................. Rear...................... Depth ............ ... ., hase I • • • 11. Zone or use district in which premises are situated , • 'Name of Former Owner ..... , , , , , , 12. Does proposed construction viblate any zoning law, ordinance or regulation: . k0.. ~•~ ~ • 13. Will lot be regraded .. i . . ............. ,will exgess fill be removed from premises: • ry• • • ~ . No l4. Name of Owner of pr ises . ~' ~ ~ • es ' Name of Architect ,~QE,@T' • (^!FFE!-r4n1 • ~ ' • Address ....... . ...........Phone No............... . • ........Address ............... . Name of Contractor . ' ...Phone No ............... . .Address .. , , .Phone No. '. '~• • IS.Is this property .looted within 300 feet of atidal •wetland3' *YES...:NO.r..~• *If yes, Southold Town 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. Cive street and blocl~ number or description according to deed, and show street games and indicate whether MV~or or corner lot. ,PERMIT IIVCI"UC)€$ gpp#~YA. „ i 7"~"- MFd fnl l2a .~.. ~.~!~ ~'~fi~MI~~S O~Y , :, ~ , ,., ; ;i t ne~rp4DIfYG LOT ~'DpiVEWAY GblO Tp~tJCTIQN ,.,;,,~;,;,~,;,,~,~, ~.,. CESSPf1pL C4lMS`fPUCT10h1- ; "' t:AL4AR CONS UCTI ~,-- y?T ~~ I <.. I • ' f~rNSaM.. ~~f~ . ;~ --- I' ',%, r ..''i. . ~YV 1 ,: ~ •r•` ~Q~°b ~ U~'~~ I - ~ Y , ~~ 1'' ~. a' v3`it ; , {iii, 5''}r ~~,a{,i{,1 4 a (( >~~: '~ ~~ ] ~i~, }rvi! l`i `: tfr fly+' xi~i l.?~121~'4~),~.' ~l I~~ ~( .fix f i i !p STATE OF NE~YORK. ~ _~ ~ ~~~~ ~ . ~'r,~;,•.>i'it~,y,'t•`,`~,si~P ,•; r-~.. . COUN OF . , , IJ , , , ~ S•S EyiST/NG ,,, .....~©t3i~T 1r}- t~„2, I~r~ ~nRA~ ~ ~z~.S;T ,t,,~,r.n..~ ' ' g • • • • • • • • • • • • • • • • • ..., being du1. sworn, deposes and says that he is the applicant (Name of individual si niSlg contract) , ,Y 7 ~KC''F ,r~ e ~,~,, f, above named. cc'~~ ~~ ~ ~ ~ .~ ,~~r, Ife is the'[!~FSII~EN 1 {~DH-k.' }OtC ,~i, •~S•~r<~ ~,v'~~1i0~..u~ VNi ° ~ c:" , " .., "~,, _ ,., (Contractor, agent, corporate officer, etc) ' ' of said owner or owners, and is duty authorized to perform or have, performed the sail work and to make`nnd~file•tltis application; that ail statements contained in this application are true to the best of his knowledge and belief; and"that the work will be performed in fire manner~sct forth in the application filed therewith: ~~'~~~~~' l'"~",'~• ° ms.' Sworn to before me this Notary Public ~~•'""'-' •~ .. ... •. I9 ~ ~ :~ s lti; ,~r ,i n} s~.i' „ , ~ , q • ~ounty nRnv r. ~~rinva ~g~ ~~~ ' ~i ~ ~ ~'~~_J ~ , ~, ; , ,; ; ~ i r' r , ~ . ~RH UftLIC. Stn'a of NgW y~~ ///C~~' ~ - ~, No. 52~4GC75E7, S~(folk County ~ ~.: .•, •.•~•'• ~• •~ Conunies,on Expires iMarch 30. 7,@~~ ~ "(~~°i5fi'~ i (Signature of applicant) !, :.