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HomeMy WebLinkAbout27435-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28729 Date: 08/22/02 CERTIFIES that the building ACCESSORY Location of Property: 30635 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 102 CUTCHOGUE (STREET) (HAMLET) Block 2 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 2001 pursuant to which Building Permit No. 27435-Z dated JUNE 27, 2001 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 ACCESSORY BUILDING WITH NEW FOUNDATION AND HANDICAP RAMP AS APPLIED FOR. The certificate is issued to CUTCHOGUE METHODIST CHD-RCH ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOFItEALTHAPPROV~%L ELEC~rRICAL CERTIFICATE NO. PLDMBERS CERTIFICATION DA'rFa3 03/08/02 N/A 1049944 05/02/02 BURT'S RELIABLE INC o~'i z ed Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27435 Z Date JUNE 27, 2001 Permission is hereby granted to: METHODIST CUTCHOGUE PO BOX 1286 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A FOUNDATION FOR AN ACCESSORY BUILDING. at premises located at 30635 County Tax Map No. 473889 Section 102 pursuant to application dated MAY Building Inspector. MAIN RD CUTCHOGUE Block 0002 Lot No. 022 10, 2001 and approved by the Fee $ 75.00 '~ Authorized Signature COPY Rev. 2/19/98 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 Depart A. 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. Co~m~ercial 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 Plmming Board Approval of completed site plan requirements. Bo 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. Co 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, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: ~ Location of Property: ~~ ~ fl~_ c~ C~ (check/one) House No. Street Owner or Owners of Property: Subdivision Permit No. ~__tr~L] 3 5 ' I Health Dept. Approval: Plamfing Board Approval: Request fi~r: Temporary Certificate Date of Permit. Filed Map. Lot: Final Certilicate: '~'"'"'~' (check one) Fee Submitted: $ k,._ Applicant Sign*ture Town Halt, 53095 Mare F~oad P O. Box 1179 S0utho~d,~NewYork ~1971 Fay (516) 765-1823 Telephone (516/ 765-~802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE Building Permit No. Owner: (pleas~print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) , 19JooJ. County BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREEt ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GOODALE ELECTRIC 7255 MAIN RD. MATTITUCK, NY 11952, Located at MAIN ROAD CUTCHOGUE, NY 11935 Application Number: 1049944 * CUTCHOGUE METODIST CHURCH MAIN ROAD CUTCHOGUE, NY 11935 Certificate Number: 1049944 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 2nd Day of May, 2002. Name QTY Pcate Ratinq Circuit Type Additional Charges LIC NUMBER # 783-E No visual defects: an elctrical survey has been made of the exposed elecmcal equpment in the premtses indicated. No obvious unsatisfactory condition was found. seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fire Inspection Report 2001 October 15, 2001 Mr. Carl Bosche~J Cutchogue Methodist Church PO Box 174 Laurel, NY 11948 Dear Mr. BoschetlJ: Thank you for the cooperation dudng the tim inspection of the new classroom on October 11, 2001. The maximum occupancy of your establishment is 50. This figure is shown on the occupancy certificate, which i~ to be posted conspicuously in the ~)ublic area of your estabtishmeat. The following is a list of items that will be required before a certificate of occupancy will be issued. 1. An up to date fire ex§nguisher properly mounted. 2. The tim alarm functional and inspected. 3. Two illuminated exit signs. 4. Emergency exiling hardware on the doors. 5. One emergency light to illuminate exit paths. This light shall be on a separate circuit. In addition the basement may be used for storage only. If you have any questions or the required modificaJons are completed, please contact me at the above office. Yours l~uly, Robert Fisher Fire Inspector Cc: Chief, Cutchogue Fire Department CutMetChSchRmOl.doc 102-2-22 Page 1 PROPERTY TOWN OF SOUTHOLD OWNER ~_L~ WLLAGE RECORD CARD SUB. RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND: IMP. TOTAL._~ REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE - FARM Acre Value Per Volue Acre -- FRONTAGE ON WATER Tillable FRONTAGE ON ROAD Woodland __ Meodowland DEPTH BULKHEAD House Plat ~ ~' t '~ ~'~ DOCK Total W TYPE OF BUILDING LOT Fax (516) 765-1823 Telephone (516) 765-1800 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: F ROM: DATE: RE: Southold Town Building Department Southold Town Landmark Preservation Commission June 27, 2001 1710 Skunk Lane- Cutchogue Tax Map #1000-97-3-14 SPLIA #CU-79 Hooper Residence Update Tom Samuels has filed updated plans for the above mentioned property with the Landmark Preservation Commission. The updates are consistent with the originals reviewed and approved on January 30, 2001. The Commission endorses the updated plans. Thank you. cc- Samuels & Steelman PLANNING BOARD MEMBERS BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD CAGGIANO Town Hall, 53095 State Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 23, 2001 Rev. Christopher Doyle Cutchogue United Methodist Church 29685 Main Road Cutchogue, NY 11935 RE: Purchase of building and relocation to church property Dear Reverend Doyle, Thank you for your letter of February 21, 2001 regarding the above project. The Board has no objection to you moving the building to the temporary location at your parking lot. When the building is placed on a permanent foundation the Board would request a survey of the property showing the location of the building. If you have any questions, or require assistance, please contact this office. Site Plan Reviewer Cc: Edward Forrester, Director of code Enforcemem Fax (516) 765-1823 Telephone (516) 765-1800 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: FROM: DATE: RE: Southold Town Building Department $outhold Town Landmark Preservation Commission June 27, 2001 1710 Skunk Lane - Cutchogue Tax Map #1000-97-3-14 SPLIA #CU-79 Hooper Residence Update Tom Samuels has filed updated plans for the above mentioned property with the Landmark Preservation Commission. The updates are consistent with the originals reviewed and approved on January 30, 2001. The Commission endorses the updated plans. Thank you. cc - Samuels & Stee|man JUN ! 8 % 01 SUFFO£iK CO1F~TY DEPARTMENT OF HEALTH SERVICES ; ~'ASTEWATER MANAGEMENT - COUNTY CENTER ..... -- -~RI'~RHEAD, N.Y. 11901-3397 (631) 852-2100 CUTCHOGUE UNTTED M'.~?MODIST CHURCH 30635 MAIN RD CUTCHOGUE NY 11935 CASH RECEIPT Date Processed: 05/31/01 Hdref No: CI0-01-0007 Fee: Received From: CUTCHOGUE UNI'I'~:D METHODIST CHURCH Amount Pa:.d: Check Num])er: Project Name: CUTCHOGUE UNI~]~]D METHODIST CHURCH Location: N/S/O/ MAIN RQ E/O/ STILLWATER AVE Receipt # 81668-P-49859-12205 COMMERCIAL < 1,000 GPD $575.OO $575.00 1012 GE0155 DONALD G, FELLER °ARCHITECT 11725 Main Rd · Box 1692 · Mattituck, NY 11952 · 631 298.5453 · Fax 298 1380 May 8, 2001 Mr. Edward Forrester Town of Southold Building Department Town Hall, Main Road, Southold, NY Re: Proposed Relocatable Classroom for the Cutchogue United Methodist Church 30635 Main Road, Cutchogue, New York Dear Mr. Forrester: The above mentioned project includes the purchase and relocation of a self- contained classroom building from the Cutchogue West Elementary School. The new location is to be behind the Cutchogue United Methodist Church building, and construction includes a new basement foundation and ramped entry. I have reviewed the original building plans, signed and sealed by John A. Grillo, Architect, of Lake Grove, N.Y., dated February 17, 1988, and can verify that these plans are in conformance with the Codes, Rules and Regulations of the State of New York. ery truly Yours 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~INAL [ ] FIREPLACE & CHIMNEY jDATE INSPECTOR 765-1802 BUILDING DEPT. o PECTION [ N 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE DATE INSPECTOR 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ l IN. ION [ ~' FINAL [ ] FIREPLAn& CHIMNEY REMARKS: ~-~--¢ /'/~~/'~ .~--A-~ "~7 DATE ~/~/~/~N~OR~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ } INS~N [ ] FRAMING [ J~FINAL [ ] FIREPLACE& CH~iMNEY .~ DATE INSPECTOR//~~~,/~ 765-1802 BUILDING DEPT. INSPECTION ] F~TION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY INSPECTOR FIELD NSPECTTON REPORT DA FO~A~ION II II FOUNDATION (~ND) II II II II PLUMBING II II I! II II II II Il INSULATION PER N. Y. STA~ E~R~ {{ CODE II l{ {I II {i II II I! ,, p Il ~) ~ ..-., {{ / /Il ~ ~ / -~ '..-~ m FINAL II Il ~ ~ '/~ ~ ~ - ~ ' ~- ] /~ ~ - ~ - ,, ~' ~/~ / ~ -x . ~ c .... . ..................... ~DITIO~L - , ,,. "TOWN OF SOUTHOLE BUILDING DEI~ARTM TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved ;o ]~ Disapproved a/c ., 20 BUILDING PERMIT APPLICATION,CHECKLIST Do you have or need the following, beforb r~pplying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees ' ' Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT ~: · , Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Btfilding Inspector with 3 sets of plans, accurate plot plan to seale. Fee according to sehadule. ' .... 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 applicatioa, the Buildinglnspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throdghout the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued 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, S~£olk, ,C. ouaty; New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additionsl or alteratiorls.or/for reraoYal 6~,defiaolition as herein described. The applicant agrees to Comply with a~l appl. i~able laws, 'orxli~ances, building code, housing Code, and:regulations, and to admit authoifzed inspectors on premises and in building for necessary inspections ~. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Xameofownerofpremises ~C~an"~C~{_~ t')10t"i'l~ ~" (~?r (a~ on ff[e'tax r~)ll 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. Location of land on which proposed work wi, Il be done: House Number-- Street County Tax Map No. 1000 Section Subdivision I C)'~ Block 0'"~" Lot Filed Map No. ~ Lot ~ · (Name) State existing use and occupancy of premises and intended use and occupancy of proposed cons.tmctioll: · a. Existing use and occupancy C.,~ ~ b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~['0 ~ · Fee If dwelling, number of dwelling units '"' If garage, number of cars Addition Alteration Other Work (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stodes 8. Dimensions of entire new construction: Front ~-~_' Rear Height ~ ~_..~1 Number of Stories 9. Size oflot: Front [~'~' Rear ~ [~l~epth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~-Z~,~) I~ I~ ~ CD 12. Does proposed construction violate any zoning law, ordinance or regulation: N[~ 13. Will lot be re-graded IMI~ Will excess fill be removed firom premises:(~,_~_.:~ NO 14. Names of Owner ofpremisesO,fl'~,~,~T Otiq~. Jkddress V'~Jz~ t~ ~ Phone No. Name of Architect I~}.11:~O .l~l~?_~- Address (~,~,I ~ 1~1. ~neNo ~.ql~,-~_~ Name of Contractor ~I~1~O, ~,.~t"_~ Address Phone No. 15. Is this property within 100 feet ora tidal wetland? *YES NO ~ · IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) s: ~/__' ff~r,.~7"7~' being tidy swom, d~oses ~d says ~at (s)he is ~e applic~t ~me of ~dihdual sing contract) above nme& (S)Heisthe ~~~ ~~ ate (Comractor, Ag~t, Co~or Offic~ ~c.) of said owner or o~, and is duly au~ofized to peffom or have p~o~ed ~e said ~0rk ~d to ~e ~d file ~s application; t~t all statments contahed in t~s application ~e tree to the best offs ~owledge ~dbelief; ~d ~at the work will be p~o~ ~ the ~er set fo~h in the application filed th~ewith. Sworn to before me this - } (.D day of ~ Iq k./ 20__0_0 /' - -~Xlotary Pt~biic - ' KIqI~'I1NA A. PI.IIt. L~ 1~31ary Public. Sta~? of Ne,.,t Yolk N3. 01PH$04 c053 Qualified in Suffoll: Catlmission F-.xpires July Signature of Applicant 4'-0" 18'-0" FLOOR JOISTS 2xl 0 joists 16' OC ROOF TRUSSES 24" OC 4/12 PITCH fl PROJECT: METHODIST CHURCH CUTCHOQUE FLOOR PLAN SCALE: 1/4"= 1' SUNCATCHER ENGINEERING PO BOX 1064 SHELTER ISLAND HEIGHTS NY 11965 PH (631)749 1864 ~¢, (631) 749 3510 ;mail menantic@hotmail.com ~ ! I J I ~ ! I L ~ J I / -L I ~ _ I J-- J _ I I L I I_J _bi'~,' · ~ ' ' ' , ',~ , ~ ' ,',' ~' ~~~ ~ ' ~' ~T~ ~ ' WEST ELEVATION SCALE 1/4"= 1, EAST ELEVATIOM w SCALE 1/4"= 1' o o o ~'::;" A3 - FIBERGLASS INSULATION 2 X 4 TRUSSES 518: DRYWALL VENTA~TED SOFFITS <' 2 X 6 DFIR STUDS 16" OC FIBERG~SS INSU~TION SECTION SCALE 1/4" = 1' SURVEY OF PROPERTY SITUA TED A T CUTCH©GUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-102-02-22 SCALE 1 "=$0' MARCH 15, 2001 APRIL 6, 2001 ADDED PROPOSED BUILDINO AREA = 56,16x.17 sq. ft. 1.289 ac. CERTZFIED TO: CUTCHOGUE METHODIST CHURCH TEST HOLE DATA (TEST HOLE DUG BY ~ ON APRIL 2. 2001.) 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXI$TING ELEVATIONS ARE SHOWN THUS: ~ S. PROPOSED SEPTIC SYSTEM STRUCTURES ~PROPOSEO EXPANSION POOL PROPOSED SEWAGE DISPOSAL SYSTEM 1,200 GALLON SEPTIC TANK (1) LEACHING POOL THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. N,Y,S. Uc No. ~9668 Joseph A. Ingegno Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 21-170A D Q.. _ Ct" , ' "'1' t~ It .1 "+ t r 2) 22 J[ · ,.,45?¢. :i -- ~;.~ ,, ~, ~, / 1 m. / ..,, ~' . . ' ~ 765-1802 9 AM ~ 4 PM ~ ~E FOLLOWING ,NS~ONI: R ~. ~R~NCR~ . · FINAL - CON~U~ON MUST A~ ~NS~U~ON ~HALL MEET THE ~EQU REMEN~ OF ~E N Y. CODES. N~ RESPONSIBLE FOR D~N OR ~N~U~ON ERRORS ~"