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Home My WebLink About27764-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29264 Date: 02/11/03 THIS CERTIFIES that the building ALTERATION Location of Property: 2050 DEPOT LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 2001 pursuant to which Building Permit No. 27764-Z dated OCTOBER 9, 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 ALTERATION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to MARION COLUMBUS CLUB INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED 01/27/03 WALTER H BERRY A hor' 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. 27764 Z Date OCTOBER 9, 2001 Permission is hereby granted to: COLUMBUS CLUB INC MARIAN DEPOT LANE CUTCHOGUE,NY 11935 for ALTERATION TO BAR AREA INCLUDING A HANDICAP BATHROOM AS APPLIED FOR. at premises located at 2050 DEPOT LA CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0002 Lot No. 005 pursuant to application dated AUGUST 10, 2001 and approved by the Building Inspector. Fee $ 200 . 00 Aut orized Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. 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. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate sun ey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 $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 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: L/ (check one) Location of Property: ,;�o ` b 060z) T 1A C U Tc'/7 0 House No. Street Ha et Owner or Owners of Property: /Y77,q/?fo/r/ C.G1 ; iY»/3 ea S C_ L-Le/_4 Suffolk County Tax Map No 1000, Section jO 2_ Block Z— Lot s Subdivision X,A Filed Map. Lot: Permit No. 27 7l0 " Z Date of Permit. Applicant:h�7�Ri�i� Col c rr+�i9�1 C Lu/� Health Dept. Approval: A,vd Underwriters Approval: Planning Board Approval: 11114 _ Request for: Temporary Certificate Final fi Certificate: / (check one) Fee Submitted: $ Z 5_ 0-V G (f 3 { O Applicant Signa ure x Town Hall,53095 Main Road p • .� Fax(631)765-9502 P.O.Box 1179 '�',�O ��t' Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Dater �7 0 � Building Permit No. 7 7 Z Owner: JMj1tE4o/L' CacLn 1j1t5 6,1(4/3 (please print))( Plumber: dl �',,T (Izcr (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead, V 7 (Plumbers Sign Sworn to before me this day of .�7 20 2:�, U Notary Public,240K-county ry PaMk.sub of Nm 1Mk N0.01L0607QOE1 Qualified in suN00r n Commission Evires -, � Lo j .. �orc v� vrumE6ul� MARIAN COUNCIL, No. 3852 2050 Depot Lane Cukhooue, New York 11935 AUG 2 e, August 26 2002 New York State Department of State Uniform Fire Prevention and Building Code Long Island Regional Office S60 Broad Hollow Road(Suite 110) Melville,NY 11747 Att:Mr. Ruiz DeZarate C.C.S. Re: petition Number 20024)449 Dear Mr. DeZarate, On 4/15/02 your department issued to the Marian Columbus Club,Inc. a variance on Petition Number 2002-0449. After much consideration,the Club decided to rescind the variance. At this time,the Club is moving forward with this project. We will meet the NYSBC requirements. We do wish to thank you for all your help. Very truly you Paul A. Peter, Grand Knight CC: Bruno Semon,Building Inspector,Town of Southold C* C Town Hall,53095 Main Road W • 'I Fax(631)765-1823 P.O.Box 1179OZ1. Telephone(631)765-1802 Southold,New York 11971-0959 August 16, 2002 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mr. Bob Bohn Box 55 Peconic, NY 1958 Ref.: C/O Marion Columbus , BP# 27764z 2050 Depot Lane, Cutchogue Dear Mr. Bohn, This letter is a follow up on our conversation the other day and my discussion with Mr. Ruiz DeZarate of NYS Codes Division about the above property. To reiterate if you do not want to utilize the NYS Petition No 2002-0449 issued on 4/15/02 the following needs to be completed. Please send a letter to NYS indicating that you want rescind the variance as written and meet the NYSBC as required. I will be looking forward to receiving the information so we can assist you in going forward with the project. If you have any questions, please feel free to contact this office at(631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Res fully Yo , B o S mon Building Inspector ccl=Mr. Ruiz DeZarate, Mike Verity 1 " axe. a-ky ax�4 �xlaDdubu NE�o� axµ fAGk51�J ax4aA�5�� I r I I J��PQ7__1�agNEY_L'�7�1�c�ua +�.Y 44 00 -- — _ Is L_ I f ► I► f"AIST��Cr ( of RooR 1 - i - .✓ PA.RKsj-4rr F7'TFA oa_ ixc�r.�_ STttu GTURG j ID + fiwJC, '0 bIRIVRr.WAj O i i f � �i zq � '- CJ�r ++� -- --—_ l �. f ( NQ KrJ IerNT� of Co ( �SnnP,uS it ""` pe�a7 tptaF + ci1'(rrNlo�uE, N�y.� ebb�tj3' S!ATP J u v fi,) 0 o":)'l- STATE OF NEW YORK ) ) ss: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponent is age of 18 years and resides at That on the </,' day of T , 2001 deponent architectlengineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- ! d Z street address Archi ct/Engineer c re p SPorn to befo a me this day of , 2001. CAROL A.BORN 01a060Q4100 ✓t- O�`�-' EXP.A6,2002 Notary Public cc: Applicant r C `1 M KoF� ;Kntooto of g0tumb"o MARIAN COUNCIL, No. 3852 2050 Depot Lane Cutchogue, New York 11935 August 26,2002 New York State Department of State Uniform Fire Prevention and Building Code Long Island Regional Office 560 Broad Hollow Road(Suite 110) Melville,NY 11747 Att: Mr. Ruiz DeZarate C.C.S. Re: Petition Number 2002-0449 Dear Mr. DeZarate, On 4/15/02 your department issued to the Marian Columbus Club,Inc. a variance on Petition Number 2002-0449. After much consideration,the Club decided to rescind the variance. At this time,the Club is moving forward with this project. We will meet the NYSBC requirements. We do wish to thank you for all your help. Very tndy your Paul A. Peter,Grand Knight CC: Bruno Semon,Building Inspector,Town of Southold O��gUFFO(,�coG o� y'Z Town Hall,53095 Main Road • Fax(631)765-1823 P.O. Box 1179 41% aft` Telephone(631)765-1802 Southold,New York 11971-0959 1 '� August 16, 2002 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mr. Bob Bohn Box 55 Peconic, NY 1958 Ref.: C/O Marion Columbus , BP#27764z 2050 Depot Lane, Cutchogue Dear Mr. Bohn, This letter is a follow up on our conversation the other day and my discussion with Mr. Ruiz DeZarate of NYS Codes Division about the above property. To reiterate if you do not want to utilize the NYS Petition No 2002-0449 issued on 4/15/02 the following needs to be completed. Please send a letter to NYS indicating that you want rescind the variance as written and meet the NYSBC as required. I will be looking forward to receiving the information so we can assist you in going forward with the project. If you have any questions,please feel free to contact this office at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Res fully Yo 1 c B o S mon Building Inspector cc1W Mr. Ruiz DeZarate, Mike Verity f 7 � 17 STATE OF NEW YORK DEPARTMENT OF STATE 41 STATE STREET ALBANY, NY 1 223 1-000 I GEORGE E. PATAKI RANDY A. DANIELS -----------GeYERMOR•----------------------------- SECRETARY OF STATE In the Matter of the Petition of: DECISION Marian Columbus Club Inc. For a Variance to the New York State PETITION NO.2002-0449 Uniform Fire Prevention & Building Code ------------------- Upon the application of Marian Columbus Club Inc., filed pursuant to 19 NYCRR 450 on April 15, 2002, and upon all other papers in this matter, the Department makes the following determination: NATURE OF GRIEVANCE AND RELIEF SOUGHT The petition pertains to alterations to an existing building of C5 (assembly) occupancy, one story in height, of type 5 (ordinary) construction, approximately 2,500 square feet in area, located at 2050 Depot Lane, Cutchogue, Town of Southold, County of Suffolk, State of New York. The petitioner is seeking relief from: 9 NYCRR 1101.4(a)(2), which requires one toilet stall to be wheelchair accessible conforming to Reference Standard RS 72. [The petitioner requests relief to allow a separate unisex toilet room, located on the first floor of an existing public assembly building, and not to have the required 48 inch clear floor space in front of the water closet as required for accessibility in conformity with Fig. 84.17.2, of Reference Standard RS 72, CABO/ANSI A117.1 - 1992.) FINDINGS OF FACT 1. In addition to maintaining the existing toilet rooms in the building, the petitioner has opted to construct a new nine foot one inch by six foot four inch, accessible single, unisex toilet room. 2. The placement of the water closet provides 47 inches of clear floor space in front of the water closet and has more than five foot clearance between the water closet and lavatory. 3. The unisex toilet room provides ample room to maneuver a wheelchair within the room. 4. Required accessories including grab bars have been provided. 5. The petitioner proposes that the addition and the alterations will comply with all other aspects of the Uniform Code. WWW.DOS.STATE.NY.US E-MAIL: NFO`DOS.STATE.NY.US RECVCLEO PAPER Petyon No.2002-0449 Page 2 6. The local Code Enforcement Official has been consulted in this matter and does not object to the granting of a routine variance under the provisions of 19 NYCRR 450.6. CONCLUSIONS OF LAW Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce a negligible additional health, safety and security benefit to the occupants of the building. DETERMINATION WHEREFORE IT IS DETERMINED that the application for a variance from 9 NYCRR 1101.4(a)(2), to permit the installation of a water closet with one inch less clearance than required by Reference Standard 72; be and hereby PROPOSED TO BE GRANTED with the following conditions: 1. That a fire-and smoke-detecting system in conformity to 9 NYCRR 1060 be provided for the entire building and connected to a central station. 2. That all conditions, enhancements and equipment offered by the petitioner be installed as described, and in accordance with the applicable generally accepted reference standards. 3. That the addition will comply with all other aspects of the Uniform Code. This PROPOSED DECISION is issued under 19 NYCRR 450.6. Unless objected to by the petitioner in a writing received by the Department, the decision shall become FINAL after fifteen days of receipt of the decision by the parties. This decision is limited to the specific building and application before it, as contained within the petition, and should not be interpreted to give implied approval of any general plans or specifications presented in support of this application. r 4E,. ark, rit or, odes(Division DATE: & //3/05' GRZ:sg Petition No: 2002-0449 The persons below are advised to TAKE NOTICE of the attached document. The attached document pertains to a petition for relief related to code requirements. If there are any questions, call (518)474-4073 and ask for the Variance Unit. Please refer to the petition number in all related conversations or correspondence with us. ROBERT BOHN MARIAN COLUMBUS CLUB INC 2050 DEPOT LANE CUTCHOGUE NY 11935 BRUNO SEMONE TOWN OF SOUTHOLD BLDG DEPT PO BOX 1179 SOUTHOLD NY 11971 KNIGHTS OF COLUMBUS MARIAN COUNCIL NO 3852 2050 DEPOT LANE CUTCHOGUE NY 11935 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE KS: &ppal L � ��. r' DATE / INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: -- L zL. DATE INSPECTOR FIELD INSPECTION REPORT DATE r:,�.j. r COMMENTS Y r; ( FOUNDATION ( 1ST) i FOUNDATION (2ND) _ _ � L ROUGH FRAME & �( U Q PLUMBING _ INSULATION PER N. Y. i STATE ENERGY CODE FINAz.. _ ADDITIONAL COMMENTS: w < 40, 4u s u .moo L J c ji TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUIi,DING'DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. �776f z-z "Check 1 Septic Form N.Y.S.D.E.C. Trustees Examined 1611 _,20 0/ Contact: Approved /b 9 _,20d/ Mail to: Disapproved aic Phone: Building Inspector Jf PPLICATION FORBUILDING PERMIT AG Date , 20 INSTRUCTIONS a. This applicationl;Wpletely 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 waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a 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 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, Suffolk County,New York, and other applicable Laws, 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 inspection (Signature o icant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I Name of owner of premises /t//9 fjTs' Co ty (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. -76—V J y J Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ,5620 15?c�T 4^ C u' yei House Number Street Hamlet County Tax Map No. 1000 Section i 00V -/02-2-s Block Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: `Y a. Existing use and occupancy ti b. Intended use and occupancy rr� 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (pgscription) 4. Estimated Cost Fee H (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature 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 with alterations or additions: Front Rear Depth &AHeight Number of Stories 8. Dimensions of entire new construction: Front /vim Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded NU y Will excess fill be removed from premises: YES NO 14. Names of Owner of premises_/1 r/G Address Phone No. Name of Architect f�,UL,1� 1Aaddress 'z9 W 4)hone No 9-7 7 2cF(230 Name of Contractor Al ei;TAIA&a kAddress Phone No. 71,G- ///!2 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY4: 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) SS: COUNTY OF ) 1/o6E�-r— L�h ti being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the A;T .AC,10I2- (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn tore me this 1® qday of 20 ,0 / Notary Public Signature of Applicant HELENE D.HORNE Notary Public,State of New York No.4951364 Qualified in Suffolk Counlys� Commission Expires May 22, O� O� i ;t" �- Y, 'AM, ��,i✓F�3� t '�-- �,� e+. 4 3 .f. "'11.bza 4 :�� x ?F:� ,�r .} k 4 .,.. � �: f ,'yyr,. �.,9�k"...... .�_ .i..: J::. .. `�'-F^7' g��'� '.'�4, ,r�'n.', ap'- fir•.. -. 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