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Home My WebLink About23552-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25027 Date MAY 6, 1997 THIS CERTIFIES that the building ADDITION Location of Property 1950 BREAKWATER ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 9 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1996 pursuant to which Building Permit No. 23552-Z dated JULY 1, 1996 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 AN ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to NORTH FORK GREEK COMMUNITY ASSOCIATION (owners) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -7zaz �0 - Buil ng Ins for Rev. 1/S1 WORM 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) N° 23552 Z Date .......... ............ .l.......................... 19.�5� Permission is hereby gra ted to: .,rte qp to ..........................�� at premises led at .............1....F.�� .� `�'S'.... !........................... ...................................................................1...:f c c.!!......................................................... ......................................................................J............................................................................................ County Tax Map No. 1000 Section ....l.. . .. ... Block ....... ..........Lot No. ..lQ.�. ........ pursuant to application dated .................... .. . ...........�A� 19.. 1 .?and approved by the Building Inspector. Fee 5. �!•..... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of c6mpleted 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 525.00, 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 - .25G. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia/ .l�$15.00, Commercial $15.00 il Date . . . J . .3/,q.7. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. C! rt g�Old Or Pre-existingBuilding. . . . . . . . . . . . . . . . . I- Location of Property. G/�.t9 �i / 6 L utT'L- 1. . . . . . .. P Y. .. . . . ..kS�.U�71:(.1/.N.Si� d.tlt.".�. . . . . T?. . . . .:�`.:�. .W,4. . . . . . . . House No. ,/. Street Hamlet Onwer or Owners of Property.. . . .CQ 1 ! 4i+! ` 1 L. . . . . . .rrAtu. i%L. � . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . ,(�G-. ... . . .Block. . . .9. . . . . . . . . . .Lot.. . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . .yj. . . . . . . . . . .. . . . . . . . . . .. .Filed Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . .. . . . . Permit No.l� .4 r� r 2- .Date Of Permit. . .. . . . . . . . . . . ..Applicant. . . .G A?!rr'A. . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . .. . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l'6144. . . .. . . . . . . . . . �Q C APPLICANT . h� '23$`YH NEW �ORK BUAV6F FIRE , UNDERWRITERS PAGE 1 8066224 BUREAU OF ELECTRICITY F— 65 JOHN STREET, NEW YORK, NY 10038 Bate JUNE 18,1997 Application No.on file 13980097/97 H 055726 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the promisee of TRANSFIGURATION OF CHRIST, 1950 BREAKWATER RD. , GREEK ORTHODOX CHURCH, HATTITUCK, N.Y. in the following location; ❑ Basement ❑ In Fl. ❑ Ynd Fl. GAR .Section Block Lot was examined on JUNE 11,1997 and found to be in compBance with the National Electrical Code. RKTUM RA COOKING DIM OVENS DEN UST FANS ounces AGK SSi"C11li rnCANONGlM MIIOIINCIMI OTNIA AMT, I LW. I AMT. I K.W. I NAT, I e.W. I AMT. K.W. AMT. N.P. 4 9 4 1 a Nuns IVRNACI MOTORS RINM.AFRIANG HIMM AIIICFT TWA CLOCKS I SKU UMIT MIATMSSMUT DIhIMERf AMT. K.W. OR w P. GAS I w P. AMT. NO. . A W.O. AMT. I AAV. I AMT. I AMPS TRAMI. AMT. M.P. NO.OF FHT AMT. WATO 11111110110 DISCONPNCT NO.q S E R V 1 C I AMT. AAV. Tag XW. 1.I3W 1 p 3W 3/3W r/aW MO,0 .cow- w A.W. m. I NO.OF wu* I 01 K- MO.OF NEUnA1S d OIMM AlMRATUk GARAGE-OUP BUII,DING-1 PANELBOARDStl-6 CIR. 100 G.F.C.It-1 GREEK ORTHODOX CHURCH L L 1950 BREAKWATER ROAD P 0 BOX 1162 OHIe1ft MANAGER HATTITUCK, NY, 11952 11 Pn• �1�1 This cerHRcoN must not be shared in any mamrrl;return to Ilea office of the Board if inconed... :.moy be idemified< tMir gadramials. all COPY FOR' BUILDI116.DEPARTMENT. THIS COPY OF CERTIFICATE MUST IIP; 'RE ALTERED IN ANY MANNER. f �o�gOFFOC,�-�oG s s� H x Town Hall, 53095 Main Road p _ ,� Fax (516)765-1823 New 9y'!/pl �.aa Telephone (516)765-1802 Southold, Nw York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 11, 1997 N. F. Greek Comm. Assoc . P.O. Box 1162 Mattituck, N.Y. 11952 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 # 23552-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. P f 1iCf)N I M lE<$P ION REPORT DATE_ _ COMMENTS ==int)- Ll i Ilk - ---- --------- it FOUNDATION OST) p II p FOUNDATION (2N17) __ — -_------- -___-__-----_ II II __-_--____-_ I II ROUGH FRAME S Ij PLUMBING l .yam � II INSULATION PER N. Y. II U t+7 STATE ENERGY Il'i It CODE ��-------ii------------- --- --- II ego tl II Q� ` II -11 t FINAi. ---- ii------ --- s ADDITIONAL COMMENTS: ' __v__---_rte— — �.N==-- ------____—==D------ nr H O x r� ro M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 1, FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �� y DATE `f' '7 �/�' INSPECTOR s ` 765-1802 BUILDING DEPT. 0 U , INSPECTION [ 040OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE K' �? INSPECTOR BOARD OF HEALTH FORM NO. 1 3 SETS OFNS . .I1 Li TOWN OF SOUTHOLD SURVEY . - . BUILDING DEPARTMENT CHECK '�. . . . . . JUN 12 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DTEL: 765-1802 NOTIFY: EPT. lD CALL Examined.... . .... .... 19.0/� MAIL TO: . . . . . . . . . . . . . . . . . . . Approved.. r., 19!�� Permit No. P!o2.dd ................................. Di /c / ................................. riding Inspector) APP I ATION 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 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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 application. c. The work covered by this application may not be comenced before issuance of Building Permit. d". Upon approval of this application, the Building inspector will issue 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 KVE to the Building, Department for the issuance of a Building Permit pursuant to the Building Zane ordinance of the Town of Southold, Suffolk County, New York, and other applicable Iaws, 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) ,FOR T,yE >�eAWS �u�9 iu+J a� GHKlsT ......_... (Mani address of applicant) %AR,FAk ERZ RA- M AiTjTic[k State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, ...toclER.......................................................................................................... NaR7lt ;s* Rk Gle�eK Npy�„a,u�umTy hss'nl, iu. Name of owner of premises JIof .. (as on the tax roll or latest deed) I£ 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 lana on whit} proposed work will he aa<me..... ........................................................ ....................................gT .e....,Po, �. ..... .`....... .................................. House Number Street // Hamlet Ma County Tax p No. 1000 Section ......1�`2.� ... Block .... `!......... Lot .... f Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing nae and occupancy ... 1?R Y. 5Toa2.g 6E ... ...... ..................................................... b. Intended use and occupancy ...20??X... qzle................................................ ...... Alteration .......... Ilelrair ............ rvsrYT, lkmnlitior er ,�. (Description) 4. Estiuratecl Cost ...f �. fee ........................................ ...... (it) Ire paid on filing this application) --,S. if Ah Iling, rxmirer of dwelling units ..... M.rdrer of (Mel Iing units on eachIf garage, (xmimer of cars .... .......... 6. If ixrsinress, c mnercial or mixed occupancy, specify nature and extent of eadm type of use....... ............... 7, Dinensiors of existing structures, if arty: Front........ ........ Rear .,............. P> pth ............. Ileigint Maher of Stories —01-/4 ............ Dinrensious of saw- structure with alteretTni we additions: Front ............... Rear ...... Depth height ..... Mmix:r of Stories „Q[Jlg....— B. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Ileig>rt ......................... aminer of Stories ..................... 9. Size of lot: Front .................... Rear ......_... ......... Depth .................... 10. Dole of lkrrclnase ................—... Maw of Former Qa)er ........................................ H. Zone or use district in wiridi premises are situated ........,_..—................ 12, foes proposed construction violate any z ring law, ordinance or regulation: .,./YQ............... 13. Will lot be regraded .................... Will excess fill be rrnnved from premises: YES ( NJl M. Norms of (leaner of premises ........................... A(klress ...——....................... 11xxie Mo. ......... Naw- of Ardliteet .................................... Achlress ......._....... .............. Hare No. ......... blame of Contractor Acklress ........._ ...._Plwnie No. ......'. 15. Is this pmperl.y within 300 Peet of a tidal c,etland? * YES ..........f tt� 7........, *1F YI:S, scoul1D [C' m ildlslt'Ls P[•'.Rvr MAY is R1.heal, �� PLOT DIAGRAM Incate clearly and distinctly all builoings, whether existing or propose(), and indicate all set-track dimensions from property lines. Give street and block mA)er or description according to deed, and show street names and irxlicate iiretlrer interior or comer lot. SI'A'll: cle Nu Y(&K, M IN17 M .15.L.0FV.�.44........ 5 .. ....Ireing duly swmckse u , {us six] says that be is the atq>licant (N:ne of individual, signing contract) nlxrve n atred,,p Mc i- the .(.�+�--5../ 0 ."• C 7 X /c'_.L'/-(' _ Ce7A Al e- L. ...... ..................................................... (Contractor, agent, corporate officer, etc,) of said ci,tuer or owners, aoxl is duly authorizeol to perfona or have performetl the said rnrk and to make and file this spplication; that. all statements contained in this application are one to the best of his krxraledge and Ile)ief; arxi Ihat tire work will be performed in tine rntonier set: forth in the application tiled therewith. Sworn to before Ire this . ....... ".Y, of 19.y .. Mrtary tkrblic \. .......................... HELENE D.HORNE (Signature of Applicant) Notary public,State of New Yark 4957364 Qualifiedoin Suffolk County y Commissi n tixpires May 22, 19 ,. ., r . ,,.., -I -11 n � . ..,. : r r r.." r :.'_eJ v. , „� v ,..:� T�n>'w '.rrrI ,.Tn`CI'6YyF+^NM 4npwyaW� .. - .. ,i . , ^Fr1. L� ,_ _ . ._ ", �, - . ., : ,, _' . i .. ' , - r : :CS' ,, , ,-,r{r:z'p _ S';.,...„Fq nm'.T...-.T*'-r•�'. t s'-�^x�.�;3 _ � ,�a , . �_ - 1. :-..: ,a. 's . . Yr , Fn � . . . ,. , .:, � ... ,_. .. ,11. 1 . � , �: .� e % ', - u:fi`' T. % 'A1 .., w . 1 ,. u'.. "" I. .1-.f ., . ,,, 1 , . , .a d _ 4 . . .. _ 5 , . - ., 1 .,_ , . i . ,. �, , ,r.. . , .. ,. tr I, a, 1 . '� .. 1 . a �. .. r f a , ., . .. _ v„ r ..r ._ - n. � . "' u .-. ..,. s ,, .,.,ry 1, 1, i ' ..1:-' .J at Ym� Y1q�✓I 4 ,JS4 �'