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28933-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tow~Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30327 Date: 08/05/04 T~IS CERTIFIES that the building P~DITION & ALTERATION Location of Property: 71305 MAIN RD (HOUSE NO.) County Tax Map ~o. 473889 Section 45 GREENPORT Subdivision (STREET) (HAMLET) Block 2 Lot 7.1 Filed Map No. __ Lot ~o. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 2002 pursuant to which Building Permit No. 28933-Z dated NOVEMBER 20, 2002 was issued, and conforms to ~11 of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is NEW ADDITION & ALTERATIOM TO EXISTING CHURCH BUILDING AS APPLIED FOR & AS PER ZBA ~5018 & AS PER CERTIFICATION OF WARREN SAMBACH,SR. P.E_ ~"me certificate is issued to ST. PETERS LUTHEPJkN CHURCH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~ A~PROVAL C10-02-0004 04/07/04 EI~Et-f~IC2%L C~TIFICATE NO. 76939C 01/21/04 PLUMBERS CERTIFICATION DA'£~U3 01/27/04 II-ME PLUMBING & HEATING Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold. N.Y. TEMPORARY CERTIFICATE OF OCCUPANCY No Z-30050 Date MAY 19, 2004 THIS CERTIFIES that the building Location of Property 71305 MAIN ROAD House No, County Tax Map No, 1000 Section 45 Subdivision ADDITION & ALTERATION GREENPORT, N.Y. Street Hamle~ Block 2 Lot 7.1 Filed Map No, Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER Ii, 2002 pursuant to which Building Permit No. 28933-Z dated NOVEMBER 20, 2002 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 NEW ADDITION & ALTERATION TO EXISTING CHURCH BUILDING AS APPLIED FOR & AS PER ZBA#5018 & AS PER CERTIFICATION OF WARREN SAMBACH, SR. P.E. The certificate is issued to of Zhe aforesaid building. ST. PETERS LUTHERAN CHURCH (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C 10-02-0004- 4/7/04. UNDERWRITERS CERTIFICATE NO. 76939C - 1/21/04 PLUMBERS CERTIFICATION DATED 01/27/04-II-ME PLUMBING & HEATING THIS 60 DAY TEMPORARY CO EXPIRES ON 7/19/04. Bu~ di ng Inspector Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28933 Z Date NOVEMBER 20, 2002 Permission is hereby granted to: PETERS LUTHERAN CHURCH ST PO BOX 242 GREENPORT,NY 11944 for : NEW ADDITION AND ALTERATION TO THE EXISTING BUILDING AS APPLIED POR WITH TOWN PLANNING DEPT, TOWN ZBA% 5018 AND SCHD APPROVALS at premises located at County Tax Map No. 473889 Section 045 pursuant to application dated OCTOBER Building Inspector to expire on MAY 71305 MAIN RD GREENPORT Block 0002 Lot No. 007.001 11, 2002 and approved by the 20, 2004. Fee $ 2,016.50 AuEhorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTItOLD itUIL~ING DEPARTMENT TO~VN 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 sum,ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval fi:ora 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 plttmber certify-ing that the solder used in system contains less d/an 2/10 of 1 °,,~ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fi:om architect or engineer responsible for the building. 6. Submit Plmming Board Approval of completed site plan require~nants. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: Accurate sttrvey of property sho;~dng 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 $25.0~0/, Additions to dwelfing $25.00, Alterations to dwelling $25.00, Swilrainng pool $25.0,0, Accessory building $~5.00, Additions to accessory building $25.00, Businesses $5Q.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Cartificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate o f Occupancy - Residential $15.00, Commercial $15.00 Date. ,T~ nl~ a ry New Construction: X Ext: ens i on Old or Pre-existing Building: LocationofProperty: 68465 Main Road, Greenport, NY 11944 , House. lqo.. S~¢et · Owner or Owners of Property: ST ~ PETER' S LUTHERAN CHURCH Suffolk County Tax Map No 1000, Section 45 Block 2 (check one) NS 812'+East Lot Chapel Lane Hamlet Subdivision Filed Map. PermitNo. 2893~Z DatcafPermit. 11-20-02 Applicant: Lot: Health Dept. Approval: Underwriters Approval: Pla.un/ng Board Approval: Request for: Temporat7 Ce~tificaw Fee Submitted: $. Final Certificate: XX check one) Applicant Signature PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair RICHARD CAGGIANO WILLIA~ J. CREMERS KENNETH M M~ch 1~, 2004 ~:' -- ~. Wagan S~bach, Sr. 7675 Cox Cutcho~¢, ~ 119~ PLANNING BOARD OFFICE TO~VN OF SOUTHOLD P.O. Box 1179 Town Hail, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3136 Re: Saint Peters Lutheran Church NYS Road 25 Greenport, N~' SCTM# 1000-45-2-7.1 Building Pemfit # 28933Z Dear Mr. Sambach, On receipt of your letter dated March :, i, 2004 for a final site inspection, xve performed a site visit on March 11, 2004 and have the followh~g concerns The site work must be completed a~d match the approved site plan dated June 24, 2002, and include the changes as accepted by the Planning Board. 1) Install the final surface of the parking lot and install fines/striping. 2) Install all ADA signage and desi~aate the location. 3) Cover electric exposed in fi'ont stoop to code and contact the Building Department for inspection. 4) Complete the landscape if possible weather pemfitting or temporary control runoff. Please notify us when all items are complete for a final site inspection. If there are any questions, please contact Bruno Semon in the Planning Boards Office at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Respectfully yours, Plarming Board Chair CC:file,bd PLANNING BOARD iVIEMBERS JERILYN B. WOODI-IOUSE Chair RICtLkRD CAGGIANO WILLLMM J. CREMEflS KENNETH L. EDWAtlDS l~L~RTIN If. SIDOR · P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3136 May 3, 2004 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Mr. Warren Sambach, Sr. 7675 Cox Lane Cutehogue, NY 11935 Re: Saint Peters Lutheran Church NYS Road 25 Greenport, NY SCTM# 1000-45-2-7.1 Building Permit # 28933Z Dear Mr. Sambach, In reference to the above described site plari, t~,c Plamfing Board held a work session on April 26, 2004 and agreed to the tempor~ky certificate of occupancy being issued on all work completed to date. The site work must be completed and match the approved site plan dated June 24, 2002, and include the changes as accepted by the Planning Board before the permanent certificate of occupancy being issued. 1) Install the final surface of the parking lot and install lines/striping. 2) Install all ADA signage and designate the location. 3) Complete the landscape if possible weather pemfitting or temporary control runoff. Please notify us xvhen all items are complete for a final site inspection. If there are any questions, please contact Bruno Semon in the Plamfing Board Office at (631) 765-1938 bem~een the hours of 8:00 a.m. and 4:00 p.m. Respectfully yours, Jerilyn B. Woodhouse Planning Board Chair CC:file,bd P.O. Box 1179 Town Hail. 53095 State Route 25 Southold, New York 11971-0359 Telephone 11631) 765-L938 Fax (631) 765-3136 July 30, 2004 PLANNING BOARD OFFICE TOWN OF SOUTtIOLD Mr. Warren Sambach 7675 Cox Lane Cutchogue, N.Y. 11935 Re: Site Inspection of Saint Peters Lutheran Church NYS Route 25 Greenport, NY SCTM# 1000-45-2-7.1 Dear Mr. Sambach, This is to infmm you that our staff perfonued a site inspection on July 23, 2004 of the site plan approved on June 24, 2002. In reference to the above, this is to inform you that the site plan requirements have been satisfied. This letter does not condone any changes from the approved site plan and approvals from other agencies if required. If there are any questions you can contact Bruno Semon at (631) 765-1938 x5019 between the hours of 8:00 a.m. and 4:00 pm. · ' Respectfully yours, Southold Town Planning Chair CC:file Building Department WARREN A. SAME~ACH, SR. CONSULTING ENGINEERS - PLANNERS 7675 COX LANE - P.O. BOX 1933 CUTCHOGUE, NY 11935 63 l - ~) 734-7492 September 12 2003 Building Department Town of Southold Town Hall 53095 ~ain Road Southold NY 11971 St. Peter's Lutheran Church 71305 Main Road Greenport NY 11944 Permit ~BP29933-Z To Whom it May Concern: Be advised that a observation/inspection of ths insulation installation in the exterior walls, interior walls, ceilings and floors of the Church Fellowship building conforms to tbs plans as specified, B uildin~ Code of the New York State and Town of Southold. Respectfully submitted, Warren A. 8ambach Sr .... WARREN A. SAMBACH, SR, '1 7675 COX LANE · P.O. BOX 1033 CUTCHOGUE, NY 1t-q35 5 3 ! -- i~?~734-7492 M~.]' 13 2004 Buildin~ Departmant ?own cf Southol~ Tovn Ha'll P.O. Box 1!70 So~thold NY 11971 St. Peter's Lutheran Church 68465 ~{ain Ro~d Creenport N~ 11944 Permit ~289372Z Attention Mike Verity; Handicap Signaga signs have be~n installed at four handicap parking spaces by the High',,;-~y DeE-artment of the To~n of Sinceraly~ Warren A. Sambach Sr. P.E. cc: St. Peter's Issue Date 1121104 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application 375 Dunton Avenue 76939C East Pai'chogue, New York '[1772 (631) 286-6642 Issued To: St. Peter*s Lutheran Church Street: 71305 Route 25 Village: Greenport Zip: Section: Block: Lot: 11944 Town: Greenport Contractor: Pro-Line Electric Lic.# 32279 Was examined and found to be in compliance ~vith the National Electrical Code. Commercial ~ NV Defects [] Pool ~ 1st Floor [] Indoor ~ Basement I~ Hot Tub Residential [] Det. Garage b~ Attic [] 2nd Floor ~J Outdoor ~XX Addition [~ Survey Switches 56 Dishwasher 1-20A Furnace Receptacles Fixtures GFI Heaters A/C Fans 51 198 14 Washer/Amps Dryer/Amps Oven Range/Amps Microwaves 1 2O Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi 1 400 1 [] Television CO Detector Bldg. Permit: Other Equipment 5-Walk Lights 20A ~4-Parking Lights 2Pole 20A 2-200A Panel 11-40A Stove 2-20A Sump Pump 11-50A Sub Panel 11-200A Disconnect ;4-Air Handler 20A 11-20A Time Clock Hugo S. Surdi President Rough Inspec~on: 07/29/2003 Inspector: Ed Scavelli Final Inspection: 0'U20/2004 Inspector: Sean P. HJghtower This certificate must not be altered in any manner. Inspectors may be identified by their credentials. FEB I ......... .__~;---., ~ SOLDER AND ANTI-SCALD CERTIFICATION .... - Date: January Building Permit No. ~Zq5 ~'cfi ~ ,2004 Owner: St. Peters Evangelical Lutheran Church (Please Print) Plumber: II-Me Plumbing & Heating (Please Print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead as per 905.5 of the NYSFPABC. I also certify that I installed an anti-scald and/or thermal shock preventing device at all bathing and/or shower fixtures in conformance w.ijth part 902.6(K) of the N.Y_S.F.P.A.B.C. to mitigate the potential hazm'ds due ,taft, bower valvj~ that allowed surges of high temperature water to flow [ ~lumbers or Homeownt~s Signature >>>>>>>>>>>>>>>>>>>~>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Please Check One. (~certify I am the licensed plumber (License # 990 ~Z-- ~-D ) that installed all plumbing on the above referenced premises. ( ) I certify I am the home_owner and I p~ersonally installed all the plumbing on my above referenced premises- (~x~ ~~- Sworn to me this x~)~ Plumbers or Homeow [~,] ignaturen~S 2-lC .d yof Januo Notary Public, _, 2004. Cotmty COUNTY OF SUFFOLK ROBERT J. GAFFNEY S UI-'FOLK COUNTY E_~CUTIVE DEPARTMENT OF HEALTH SERVICES OFFICE OF WASTEW^TER MANAGEMENT (631) 852-2100 'CLARE B, BRADLEY, M.D., MPH COMMISSIONER PERMIT Health Services Reference # ~ / 0 - 0 ~ --' 0 0 The attached plan, when duly signed by a representative of the department, constitutes a permit to construct a water supply and/or a sewage disposal or collection system for the property as depicted. The applicant should take note of any conditions of approval, which may be indicated on the plan or enclosed' herein. Construction must conform with applicable standards including "S 'tandards for Approval of Plans and Construction for Sewage Disposal Systems for Other than Single Family. Residences." Omissions or lack of detail on the plan do not release the applicant from the responsibility of having the construction done in conformance with applicable standards. The permit (plan) expires three (3) years after the approval date. Any modification ~vhich may affect the proposed sewage disposal or water supply systems requires submission of a revised plan and additional fees (if applicable) for reapproval prior to construction. No inspections will be performed by the department on expired permits. Permits ma5, be renewed, extended, transferred, or revised in accordance, with.the procedures -.. :.descnbed tn Instructions to Renew, Extend,. or .T.'t;ansfer~an E~sungPernut for. 0[hec.tban:~..?¥?~ .. ~..:, Single Family Residences (Form W$~qM-018). It is the applicant's responsibility to call the department in advance to arrange inspections of the sewage disposal and/or water supply facilities prior to backfilling. These include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the soil excavation may be required to deterrmne the acceptability of the soils for sewage disposal systems. The department must be notified at least 48 hour§ in advance to schedule an inspection: by calling 852-2097'; and excavation inspections must also be confirmed by calling 852-2100 prior to 9:30~m, the morning of the inspection. Final approval issued by the Department is necessary prior to the occupancy of new buildings, additions to existing buildings, or for the use of sewage disposal or water supply systems. WWM-016 (Rev_ 4/03/0l) Page 1 of 2 HDRcf. No. CONDITIONS FOR OBTAINING FINAL APPROVAL OF CONSTRUCTED PROJECT As a condition of this permit to construct, the following items must be completed as a minimum, prior to building occupancy and use of the sewage disposal system or water supply facilities. For further information concerning this, refer to Instructions For Obtaining Final Health Department Approval Of Constructed Projects For Other Than Single Family Residences (Form WWlVl- 19). [] Excavation Inspection by the Office of Wastewater Management prior to installation of any leaching pools to determine acceptability of soils. ( Call 852-2097 to schedule an inspection and confirm by calling 852-2100 prior to 9:30am, the morning of the inspection.) [] Satisfactory inspection by Office of Wastewater Management of the sewage disposal system (Call 852-2097 to schedule an inspection.) [] Satisfactory inspection of the water supply system by: [] Office of Wastewater Management (Call 852-2097 to schedule an inspection.) [] Office of Water Resources, Water Qaality Unit ( Call 853~2250 for inspection.) [] Satisfactory inspection by the Office of Pollution Control ( Call 854-2502 for inspection.) [] Sewage treatment plant [] Storage tanks [] Other: [] Application for a Food Permit to the Food Control Unit ( Call 852-2067 for instructions.) [] Four (4) prints of an As-Built plan [] "Tap letter" from water district [] Certification from the licensed sewage disposal ~ystem installer [] "S~9 form" from Suffolk County Department of Public Works (SCDPW) [] Sewer district approval of sewer line installation (for other than SCDPW districts) [] Well drillers certificate [] Water analysis [] Certification of Carbon Monoxide Alarm Installation (form WWM-075 MD) [~f Design Professionals Certification of Constructed Works (form WWM-073, enclosed) for: [~ Sewer lines and sewage collection system [] Retaining walls (approved as part of the sewage disposal system) [] Sewage pump station/valve chamber [] Sub-surface sewage disposal system [] Sewage treatment plant [] Water supply system [] Abandonment of Preexisting sewage disposal system and/o~.water.supply [] Other: [] Other: WWM-016 (Rev. 4/03/01) Page 2 of 2 · May 21= 2002 Diane Herold, Architect PO Box 884 Westhampton Beach, NY 11978 Re: Sewage connection for St. Peter's Lutheran Church SCTM 1000-45-02-7.1 Dear Ms. Herold: This letter may be used as confirmation that the above named property is connected to the Greenport sewer collection system by means of the San Simeon Retirement Community (urig/nal name) sewer collection network and lift station. Please note that this is a privately owned and maintained facility. Please contact me ifI can be of any further assistance in tkis matter. Yollrs truly, GREENPORT UTILITIES Thomas Cybulski Administrative Aid Utilities Operations Over 100 Years of Community Sen/tEe February 21, 2002 SUFFOLK COUNTY WATER AUTHORITY 624 Old Riverhead Road, Westhampton Beach, New York 11978-7407 (631) 288-1034- Fax (631) 288-7937 Diane Herold, Architect P.O. Box 884 Westhampton Beach, NY 1 I978 Ce: St. Peter's Lutheran Church Acct: 25-1-060-102000-1 Dear Ms. Herold: The above referenced church is curremly and will continue to be served by the Suffolk Co~Lnty Water Authority. If you should require any additional information, please feel free to contact me. Sincerely, Suffolk Count3: grater Authority Jetta Dunn Assistant Mmmger Eastern Regional Office JD: ah PE~ b,lI~G i~OAILD MEMBERS BENNETT ORLOWSKI, JR. Chairman WTLLIAI~I J. CREMEI~S KENNETH L. EDWARDS GEORGE RITCItIE LATI-L~I, JR. RICHARD C_~GGIAN O P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3156 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 25,2002 Diane Herold, Architect P.O. Box 884 Westhampton Beach, N.Y. 11978 Re: Final Site l~lml Approval for St. Peters Lutheran Church Located at 3105 Main Road, 750 feet east of Chapel Large in Greenport SCTM: 1000-45-2-7.1 Zone: LB Dear Ms. Herold: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, June 24, 2002: BE IT RESOLVED that the Southold Town Planning Board authorize the Chain-nan to endorse the final surveys dated January 15, 2002, and last revised May 31, 2002. Conditional final approval was granted on May 13, 2002. All conditions have been fulfilled. Enclosed please find two copies of the approved site plan; one for your records and one to be submitted to the Building Department when you apply for a building permit. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowsld, Jr. Chairman Encls. Cc: . Tax Assessors Building Dept. PIk&NNING BOARD MEMBERS - ...BENNETT ORLOn% SKI, JR. Chairman ~%~LLL~I J. CREMERS ~NNETH L. EDWARDS GEORGE RITCHIE ~kT~l, JR. RIC~¢RD CAGGL~O P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631) 765-1938 Fsx (631) 765-3136 PLANNING BOAIID OFFICE TOXVN OF SOUTHOLD May14,2002 Ms. Diane Herold, Architect P.O. Box 884 Westhampton B6ach, NY 11978 Re; Proposed Site Plan for St. Peter's Lutheran Church Located at 71305, Main Road, Greenport SCTM#1000-45-2-7.1 Zone: L-B Dear Ms. Herold: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, May 13, 2002: The final public hearing was closed. The following resolution was adopted: WHEREAS, this proposed site plan, to be known as site plan for St. Peter's Lutheran Church, is to construct a 3,945 sq. ft. addition to an existing church on a 4.3 acre pa('cel on SR 25 in Greenport; and WHEREAS, St. Peter's Lutheran Church is the owner of the property known and designated as St. Peter's Lutheran Church, SR 25, Greenport, SCTM#1000-45-2-7.1; and WHEREAS, a formal application for the approval of this site plan was submitted on February 14, 2002; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, declared itself lead. agency and issued a · Negative Declaration on April 8, 2002; and ' : · .... WHEREAS, the Zoning Board of Aj)peals granted a Special Exception for an expansion to an existing place of worship in a_Limited~__Business~ene on November 15, 2001; and 'St. Peter's Lutheran Church - Pa.qe Two - May 14, 2002 WHEREAS, this site plan, dated. January 13 ~u0z was cerbfled by the Budding Inspector on March 30, 2002; and WHEREAS, the Town Engineer has reviewed the drainage calculations and the Planning Board has accepted his recommendation for approval; and WHEREAS, on March 28, 2002, the Architectural Review Committee reviewed and approved the proposed site plan application; and WHEREAS, the applicant hereby agrees and understands that if the site plan which receives stamped Health Department approval differs in any way from the proposed conditional site plan on which the Planning Board held a public hearing and voted on, then the Planning Board has the right and option, if the change is material to any of the issues properly before the Planning Board, to hold a public hearing on this "revised" site plan application and review its conditional approval; and WHEREAS, on January 28, 2002, the applicant signed a statement agreeing not to object to a new public hearing and Planning Board review of the revised application; and WHEREAS, the Southold Town Planning Board, pursuant to Chapter 58, Notice of Public Hearing, has received affidavits that the applicant has Complied with the notification provisions; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; be it therefore RESOLVED that the Southold Town Planning Board grant conditional final approval on the surveys, dated J~ry 1 .~. ~_002J~3d last rev seal on~ subject to fulfillment of the following condition. This condition must be met within six (6) months'of the resolution: 1. Review by the Suffolk County Department of Health Services. Please contact this office if you have any questions regarding the above. Very truly yours, ski, J~'z~-- ~' Chairman " Encl. SOUTHOLD TOWN ARCHITECTURAL REVIEW COMrvllTTEE L;_ :._';£' . ....... . May 14, 2002 - The ARC met at Town Hall at 4:30 p.m.. Members present were: Ga~rett A. Strang, Co-Chairman Herbert 4.dler. Jr., Landmarks PresenJation Committee Yan Reiger, Orient Howard G. Meinke, Cutchogue Sanford Hanauer, Mattkuck Robert Keith, Mattituck, SecretaW Aisc present were Victor L'Eplattenier of the Planning Board Staff, Diane Herold. David Saland, Jeffrey T. Butler and Joseph Pfaff. Moved by Herbert Adler and seconded by Howard Meinke, it was RESOLVED to APPROVE the MINUTES of the meeting of March 28, 2002. Vote of the Committee: Ayes All. ST. PETER'S LUTHERAN CHURCH (Main Road - Greenport) Ms. Herold presented catalogue cuts of the three types of exterior lighting fixtures, i.e. shielded downlight in the parking area, translucent cylinders at the entrance and an emergency light by the rear kitchen door. The present and future air conditioning units will be screened by arbor vitae. The suggestion to alter the roof line was not agreed Moved by Howard Meinke and seconded by Robert Keith, it was RESOLVED to APPROVE the application. Vote of the Committee: Ayes All. FIRST BAPTIST CHURCH ( North Road - Cutchogue) Ms. Herold presented catalogue cuts of the exterior lighting fixtures, i.e. entrance fixtures, emergency lights in the rear, ground lighting of the front elevation and sign, and shielded downlight for parking. The sign will be 4'x6', para~llel to the road and 3 feet above grade; railings will be wrought iron, front roof penetrations a terratone color and the front gable clapboard hardy plank. Moved by Sanford Hanauer and seconded by Yan Reiger, it was RESOLVED to APPROVE the application with the CONDITIONS that the emergency light be a metal haloid fixture, that the colors of the sign be submitted later for approval and that the ground; fixtures be screened to the sides with landscaping. Vote of,the Committee Ayes A ' ~-BENNIgTT ORLOWSKI, JR. Chairman WILLIAM J. CI:IEMERS KENNETH L. EDWARDS GEORGE RITCHIE I~ATFLMM, ,JR. RI CFL-kRD CAGGLM'q'o P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631) 765~1938 Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 10, 2002 Ms. Diane Herold P.O. Box 884 Westhampton Beach, New York 11978 Re: St. Peter's Church, SCTM # 1000-45-2-7.1 First Baptist Church, SCTM # 1000-101-l-14.5 Dear Ms. Herold, The Planning Board has received and approved the enclosed report from the Architectural Review Committee. It is being sent to you for your attention. If you have any questions, or require assistance, please contact tlfis office. Sincerely, Senior Planner Encl. SOUTHOLD TOWN ARCHITECTURAL REVIEW COMMITTEE March 28, 2002 The ARC met at Town Hall at 4:30 p.m.. Members present were: Garrett A. Strang, Co-Chairman Robert I. Brown, Co-Chairman Howard G. Meil~ke, Cutchogue Robert Keith, Mattituck, Secretary Aisc present were Vic[or L'Eplattenier and Scott Hughes of the Planning Southold. Town Planning Board Board. Staff, Diane Herold, Randall Goya ofG& L Architects, and Ms. Pauline Satur. Moved by Garrett Strang and seconded by Robert Brown, it was RESOLVED to APPROVE the MINUTES of the meeting of February 14, 2002. Vote of the Committee: Ayes All. ST. PETER'S LUTHERAN CHURCH (Main Road - Greenport) Ms. Herold described a 4000 square foot addition to the rear of the present structure for a fellowship hall and offices, the exterior to match the present of brick and stucco with white clad Anderson windows. Moved by Howard Meinke and seconded by Robert Brown, it was RESOLVED to APPROVE the application with the CONDITIONS that catalogue cuts be submitted for any exterior lighting, that any air conditioning units be located out of view from the road and screened with landscapi.ng, and consideration be given to raising the porch and foyer roof on the east elevation so that it would no[ be sitting on the roof of the offices and fellowship hall. Vote of the Committee: Ayes All. FIRST. BAPTIST CHURCH ( North Road - Cutchogue) Ms. Herold presented a new sanctuary of gray brick and vinyl trim on all elevations, using Anderson double-hung windows. Moved by Robert Keith and seconded by Garrett Strang, it was RESOLVED to TABLE the application awaiting catalogue cuts of the exterior lighting, details of the. signage and railings and treatment of the roof penetrations that can be seep from the front. It was recommended that wood rather than vinyl be used on'the front gables. Vote of the Committee: Ayes All. SATUR FARMS (Alvah's Lane - Cutchogue) : Ms. Sa[ur and Mr. Goya described a produce barn of contemporary design with a pine board and batten exterior on the four elevations. The Committee gPLAI~NING BOARDoRLOWSKi,i~ZEi~IBERS ? BENNETT JR. Chairman V~TLLIAM J. CREMBRS KENNETH L. EDWARDS GEORGE RITCHIE L_i.T~M'vI, RICtLtRD CAGGIANO P.O. Box 1179 Town Hail, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631~ 766-1938 Fmx (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant April-8, 2002 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined tha;[ the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: St. Peter's Lutheran Church SCTM#: 1000-45-2-7.1 Location: 71305 Main Road, Rt. 25, Greenport SEQR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: St. Peter's Lutheran Church proposed a 3,945 square foot addition to an existing church to construct a fellowship hall, a church office, and an unenclosed porch. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed, and it was determined that no significant adverse effects to the environment were likely lo occur should the project be implemented as planned. SEQR Ne.qative Declaration - Page Two For Further Information: Contact Person: Victor L'Eplattenier Address: Planning Board Telephone Number: (631) 765-1938 cc: Roger Evans, DEC Stony Brook Suffolk County Dept. of Health Suffolk County Planning Commission Elizabeth Neville, Town Clerk Applicant Diane Herold, Architect PrO. Box gg4 Weslhampton B~ach, New York 11978 (631) 288-5049 phone/fax Date: November t2, 2002 To: Bruno. Town of Southold Building Department Number of_pages including cover sheet: Re: St. Peter's Lutheran (Yrmrch 713[}5 Mah~ Road, Greer~_ ot~ Attached are the information and revisions ~ve discussed at our meeting. Revised minimum fire resistance requirements of strucP, tml elements Re,4sions to construction documents Letter to the General Contractor regarding the information supplied by_ the Tox~m of Southold Fire M~.shal November I2, 2002 St. Peter's Lutheran Church 71305 Main Road, Greenport The folIowing information is to be marie a part of the construct/on dmw/ngs: Sheet I Occupatmy C5.4 assembly and C i business Conslroction ~Te 4b ordinao- construction Sheet2 Fellowship hall/exit hall wall - 2-hour wall - 2) layers 5/8" G~e X sheetrock on both ~.des of steel smd walt Bom floor to bottom of mot/Door 7 revised to 1-1f2 hour fire- rated with self- closer., firestop penetrations, damper in duct penetrations Fellowship halI/quilters/chair storage/Idtchen w~II - 2-hour wail - concrete block wall, 2) }ayers 5/8" .type X sheetrock on both sides of steel or wood stud w~lI to bottom of roof. Doom 6 and I3 revised to I-i/2 hour fire-rated with self-closer, firestop penetrations, damper in duet penetrations Existing mechanical equipment room New layer 5/8~ type X sheetrock over existing ce'fflng. Fkestop penetrations. New door and ~mne - 1-IF2 hour frog rated with self-closer Sheet 9 Sections W and X, fellowship hall 2-hour walls Sheet 12 Door schedule - all fire-rated doors to have label stating fire tat'rog Add door 9 to replace door on existing mechauieal equipment room Change door 6, 7 and 13 to t-1/2 hour fire rated with sel~close~ Electrical notes Exit signs to be hard a4red Exit signs - no directional arrow Add combination emergency lighffexit sign Sheet 13 - Electrical pl~m Vestibule - no dkeefion~l re'row on exit signs Add exit sign over east doors to roofed porch Office ha!~l - reloca~ emergency light ar, el Change to combination e~t light tm_it , / \ St. Peter's Lutheran Church 71305 Main Road, Greeaport Minimum Fire Resistance Requirements of StrumumI Elements General Building Construction- Table 111-704 Conslruction classilication Type 4b (ordinau) Exterior Bearing ~vaIls - 2 honr required, U905 Nonbearing waits - not applicable Partel trod ctu-min walls - not applicable Party walls --not agplicabIe Interior Ftre separation- 2 hour required - masonry ~alls, U905 metal stud walI~, U4I I Bearing walls or paxtitio~ - combustible, masonry wails, U905 Partitions enclosing stairways etc. - not applicable Separation of tenant space~ - not applieab}e Colunms not appticable Floor construction - combustible Roof construction - combustible Section 705.4 Height and Fire Area- GenemI Building Construction Table VIt-705 Height and Fire Area for Buildings of Group C5 Occupancy One story - type 4b construction - 6000 sq t~ basic fire area Section 705.5(bX1) Special Conditions If a braiding faces or abut~ mmlt s~'eets or ~ on ~ si~, ~e ~e ~ ~y ~ 50 ~ I~ ~e ~c ~ ~o~ ~ ~ rabies. 6~ sq ff (fium ~) x 50% = ~0 sq ~ a~mmble ~e a~ Existing Building and Proposed Additions One story - type 4b construction Fire area between exterior walls Existing building Proposed additions Tolal ~ ama for building 4819 sq ft 3712. 8530sq~ Diane Heroid, Architect P.O. Box 884 Westhampton Beach, New York 1 I978 (631) 288-5049 phone/fax November 12, 2002 Glenn F. Heidlmann & Son, Inc. P.O. Box 932 Cutcho~_mae, New York I i 935 Re: St. Peter's Lutheran Church 71305 Main Road, Green!~ orr Gentlemen: Attached is a written descritXion of the revisions that were requested by the Town of Southotd Building Department and Fire Marshal and were added to the construction drawings. In addition, the Fire Marshal made the following requests: The installer of the smoke and fire dete~tion system should do a-walk-through ~Sth the Fke Marshal, Bob Fisher, or submit a plart to him A request for an inspection by the Fire Marshal should be made after the ins~allatlon of the smoke and fire system and before the installation of the insulation. Sincerely, Divine Herald Diane Herotd, Architect P.O. Box 884 Westharnpton Beach, New York 11978 (631) 288-5049 phone/thx Date: October 15, 2002 To: Bruno Semon, Town of Southold Buitd'mg Departmem Number of pages including cover sheet: Re: St. Peter's Lutheran Church 71305 Main Road/Route 25, Greenpor~ Attached are the egress calculations and the coniormance to the minimum fire-resistance requirements of structural elements. Thank you for },our assistance at our meetings. St. Peter's Lmheran Cht~rch 71305 Main Road/Route 25, Greenport Egress calculations - code section 765.8 Meeting Room ' 286 sq ft / 15 sq ft per person = 20 persons occupancy - Table VII-765 capacity of door for C5 occupancy - 100 persons per 22-inch unit of exit width - Table VII-765 2) 3' wide doors provided, one to exterior Multipurpose rooms 396 sq ft / t 5 sq ft per person = 27 persons - Table VII- 765 capacit? of door for C5 occupancy- 100 persons per 22-inch unit of exit ~'[dth - Table Vt[-705 1) 3' wide door and e~ess window px~ovided Pastor's office 195 sq ft / 15 sq 15 per person = 13 persons - Table VII-765 capacity of door for C5 occupancy - 100 persons per 22-inch mit of exit x~Sdth- Table VII-765 1) 3' wide door and egress windoxv provided Secrelar¥'s office t95 sq ft / t5 sq ft per person - 13 persons - Table VII-765 capacity of door for C5 occupancy - 100 persons per 22-inch mit of exit width - Table Vti-765 1) 3' wide door and egress window provided Fellowship hall 1920 sq ft / 15 sq ft per person = 128 persons - Table VII-765 2 exits required - Table IX-765 capacity of door for C5 occupancy - 100 persons per 22-inch mit of exit width - Table Vli-765 2) 3' wide doors to exterior provided 2) 3' wide doors to an exit corridor provided North or south section of Fellowship hall 960 sq ft / I5 sq ft per person = 64 l:~rsoxts - Table VII-765 2 exits required - Table IX-765 capacity of door for C5 oecupaney- 100 persons per 22-inch unit of exit width - Table VII-765 1) 3' wide door to exterior provided 1) 3" wide door to an exit corridor provided Kitchen 390 sq fi / 15 sq ftper person = 26 persons - Table VII-765 capacity of door for C5 occupancy - 100 persons per 22-'tach unit of exit width -~ Table VII-765 3) ? wide doors to corridor and to fellowship hall provided 1) 3' wide door to exterior provided St~ Peter's Lutheran Church 71305 Main Road/Route 25, Crreenport Minimam Fire Resistance Requirements of Structural Elements General Building Construction- Table III-704 Construction classification Type 4b (ordinary) Exterior Beating walls - 2 hour required, U905 Nonbearing walls - not applicable Panel and curtain walls - not applicable Pat~y walls -not applicable j / ~)' ~2 h~t~ req~d - m~o~ x~lls, U905 ~ ~ ~ meal s~d ~lls, U41 l Bea~g ~lls or paffifions ~ombusfible, maso~' walls, U905 Pa~fions encloshg ~ys ete - not a~licable Sep~afion of tenet spies - not a~licable Cohm - act applicable Floor construction - combustible Roof construction - combustible Section 705.4 Height and Fire Area- Oeneral. Building Construction Table VII-705 Height and Fire Area for Bttildings of Group C5 Occupancy One story - type 4b construction- 6000 sq ft basic fire area Section 705.5(b)(1) Special Conditions If a build'rog faces or abuts such slxeets or spaces on two sides, the fire area may be 50 percent larger than the basic areas shown on these tables. 6000 sq ft (from table) x 50% = 9000 sq ft allowable fire area Existing Building and Proposed Additions One story - type 4b conslruction Fire area between exterior walls Existing building 4819 sq ft Proposed additions 3712 Total fire area for building ~,5 ~00s~~ Jr-~-Y~d J/~-~?~.,/~,~ ~-AFFE~L.S BOARD MEMBERS Gerard P. Goeeymger, Chairman ~amesDinizio~ Jr. ~,diaA. Tortora Lora S. Collins George Homing BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 December 7, 2001 Mrs. Diane Herold, ,Architect P.O. Box 884 Westhamplon Beach .NY 11978 Re: Special Exception #5018 St. Peter's Church Dear Mrs. Herold: Enclosed please find a copy of the Zoning Board of Appeals determination rendered by the Board at its November 29, 2001 meeting. Please be sure to continue with the Planning Board Office and Building Department to finalize this building and planning review process. A copy of this determination has been furnished to the Building Department and Planning Board Office for their permanent records and information. Thank you. Very truly yours,. GERARD P. GOEHRINGEg-:-~ Enclosure Copy also by Fax to 288-5049 Copies of Decision Building Department Planning Board Office APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. ~1 - LydiaA. Tortora ¢ Lora S. Collins !! George Hornir~g BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 FINDINGS AND DETERMINATION MEETING OF NOVEMBER 29, 2001 Appl. No. 5018 - St. Peter's Lutheran Church Street Address: 71305 Main Road (a/Ida Route 25), Greenport: Zone District: Limited Business (LB) Date of Public Hearing: November 15, 2001 1000-45-2-7.1. FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: Applicant's property is located on the north side of NYS Route 25 in Greenport, and consists of 4.3669 acres with 500.06 ft. of frontage along the Main Road and Old Main Road. Existing on the lot is a church in the main building and an accessory building is located in the rear yard. APPLICANT'S REQUEST/BASIS OF APPLICATION: A Special Exception under 100-31B(2), and 100-81b(1), for expansion/additions to an existing Place of Worship, at Zone District: Limited Business. All parking and screening will be determined by the Southold Town Planning Board as provided under the Zoning Code site plan regulations. STANDARDS/REASONS FOR BOARD ACTION: After review of the requirements set forth pursuant [o Chapter 100 governing church uses by Special Exception review, and on the basis of testimony presented and personal inspection, the Board finds: 1. Additions to existing churches are permitted in this LB Limited Business Zone District under Section 100-31B(2) of the Town Zoning Code, subject to special exception authorization of the Zoning Board of Appeals. In this review the Board determines that the addition to .the existing Church is in harmony with the zoning ordinance and. will not adversely affect the neighborhood when meeting the code requirements. 2. In addition, the Board has reviewed the General Standards governing Special Exception uses set forth in Section 100-263 and finds that: A). The use of the proposed addition will not prevent the orderly and reasonable in this zone distdct and adjacent districts. The adjacent property to the north, east and west are zoned Limited Business,' and south of Route 25 zoned Light Industrial Office. B) This use will not prevent ordedy and reasonable use of permitted or legally established 'uses in the district wherein the proposed use is to be located or of permitted or legally 'e~tablished Uses in adjacent use dis{dcts. C) The safety, health, welfare, comfort, convenience, and the order of the town will not be adversely affected by the proposed Use and its location. D) -The use will be in harmony with arC--and intent cf thc Page 2- AppL No. SE-5018 St. Peters Lutheran Church (Addition) Dec!sicJn Rendered 11/29/01 code. E) The use is compatible with its surroundings and with the character of the neighborhood and of the community in general, particularly with regarding to visibility, Scale and overall appearance F) The structures, equipment and material will be accessible for emergency protection. In making this determination, the Board has also reviewed other matters under Section 100-264, and finds that no adverse conditions will result from this authorization: A. There will be no adverse change in the character of the existing and probable development of uses in the district and the peculiar suitability of such district for the location of such permitted uses. B. Property values will be conserved. Church uses are encouraged and allowed by Special Exception approval from the Board of Appeals. C. The location of the proposed church addition will not cause traffic congestion on public streets, highways and sidewalks.. D. There is availability of adequate and proper public or pdvate water supply and facilities for the treatment, removal or discharge of sewage, refuse or other, effluent (whether liquid, solid, gaseous or otherwC~se) as a result of this use. E. The use or the materials incidental thereto will not.give off obnoxious gases, odors, smoke or soot. F. The use will not cause disturbing emissions of electrical discharges, dust, light, vibration or noise. G. The continued operations as a church facility will not cause undue interference with the orderly enjoyment by the public of parking or of recreational facilities, exi.sting or proposed by the town or by other competent governmental agencies. H. The necessity for bitUminous-surfaced space for purposes of off-street parking of vehicles incidental to the use and whether such space is reasonably adequate and appropriate and can be furnished by the owner of the plot sought to be used within or adjacen~ to the plot wherein the use shall be located, and by approval of the Southold Town Planning Board under the site plan regulations. I. There is no evidence to show that there will be any hazard to life, limb or property because of fire, flood, erosion or panic by reason of or as a result of the use or by the building to be used, or by the accessibility of the property or structures thereon for the convenient entry and operation of WARREN A. SAMBACH, SR. CON3ULTING ENGINEER6 · PLANNERS 7675 COX LANE - P.O BOX 1033 CUTCHOGUE, NY 11935 6 3 ]- -- (516) 734-7492 December 16 2003 Bruno Simone Planning Board Town of Southoid Town Hall 53095 Main Road Southold NY 11971 Re: St. Peter's Lutheran Church 68465 Main Road Greenport NY 11944 Permit $289337~(11-20-02) Mr. Simone: St. Peter's. Lutheran Church respectfully requests consideration be given to obtain a Temporary Certificate of Occupancy from the Building Department, Town of Southold for sixty (60) days, in order to use the facilities. The only major outstanding construction to be completed will be the finish wearing course of asphalt paving., stripping of parking spaces and landscaping, which will be installed in warmer weather. Handicap parking wil~ be indicated by installing a HC sign as required. Conversation with Michael Verity, Chief Building Inspector of the Building Department will cooperate ~ith yeur department after maklsg an inspection of the facilities and property. Sincerely, Warren A. Sambach Sr. Chair Building Committee cc: Mike Verity, Building Departmen. St. Peter's Church Council Envelope Compliance Report Ne~r York State Energy Conservation Construction Code COMcheck-EZ Software Version 2.4 Release 1 Data ~lenamc: Untitled Section 1: Project Information Project Name: DesignetTConn-actor: Document Author: St. Peter's Lutheran Church 71305 Main Roa& Cn'eenporr Diane Herold, Architect Box 884, Wastlmmpton Beach Diane Herold, Architect Box 884. Westhampron Beach Section 2: General Infomafion Building Location: Climate Zone: Heating Degree Days (base 65 degrees F): Cgoling Degree Days (base 65 degrees F): Building Use Method of Compliance: Suffolk, New York lib 5750 730 Activi .ty Tspe Method Activity Type(si Religious Worship Floor Area 4005 Project Description (check one): New Construction Addition Alteration __ Unconditioned Shell (File Affidavit) Section 3: Requirements Checklist Air Leakage, Componenl Certification, and Vapor Retarder Requirements Inspection Date All joints and penetrations are caulked, gasketed. weather-stripped, or othenvise sealed Approved Fireplaees installed with tight fitting non-combustB01e fireplace doors Dampers integral to the building envelope are equipped with motorized dampers Cargo doom and loading dock doors are weather sealed Recessed ~ighting fixtures are sealed or gasketed Windmvs, doors, and sk'yli~ts certified as meethig leakage requh'ements Component R-values & U-factors labeled as certified h~itiai Vapor retarder installed Climate-Specific Requirements Component Name~Descriptiou (]ross Cavity Coat Proposed Budget Area R-Value R-Vaine U-Factor U-Factor Roof 1: All-Wood Joist/Rafter, qSruss 4005 0.0 31.9 0.030 0.059 Exterior Wall 1: Metal Frame, 16" o.c_ 2059 0.0 17.7 0.050 0.090 Window 1: Wood Frame, Double Pane, Clear, sl~gc 0.79 284 ...... 0.310 0.598 Door l: Solid 21 ...... 0.580 0.142 Floor 1: All-Wood Joisv'Truss 4005 0.0 32.5 0.028 0.055 (a) Budget U-factors are used for software b~seline calculations ONLY. and are not code requirements. Envelope PASSES: Design 22% better than code Section 4: Compliance Statement The proposed envelope design represented in thJ~ documem is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed envelope systetn has been designed to meet the New York State ~hqet gy Consenration Consta~Jction Code reqtdrements in COMcheck-EZVersinn 2.4 Release 1. When a Re~stered Design Professional has stamped and signed this page, they are attesting that to the best of his. her knoxvledge, belief, and professional judgrnent, sach plans or specifications are in compliance with this Code. Principal Envelope Designer-Name Signature Dam )RMER OWNER N SEAS. VL LAND IMP. TOTAL r-Td d ,~C"d d. OF $OUTHOLD PROPERTY RECORD CARD STREET VILLAGE SUB. LOT E ACR, '0 O'¢,/M W TYPE OF BUILDING FARM C'B. . MISC, Mkt. Value ~z~ ~QO DATE REMARKS AGE kRM lable 1 fable 2 able 3 odland ~mplond shland ase Plot ~,~, ~_-?' BUILDING coNDITION NORMAL Acre BELOW ABOVE Value Per Acre .Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH : BULKHEAD DOCK M IBIdg Extension Extension COLOR TRIM ~,undation B.,gsement ~t, Walls Fire Place I Type Roof Bath ,Floors Interior Finish Heai' ~}/ . Rooms 1st Floor DR, ·Porch· Recreation Porch Dormer Breezeway Driveway Garage Patio ' Total Rooms 2nd Floo FIN. B, l ~RMER OWNER RE~kND ?o.o · TOWN· 'OF 'SOUTHOLD PROPERTY RECORD CARD STREET 'l LLAGE SUB. Ti SEAS. AGE EW \RM lable )odland !adowlcmd ,use Plot' N E ACR, · W TYPE OF BUILDING 'COMM. CB, MICS, Mkt. Value ' REMARKS . ' d tal NORMAL BUILDING CONDITION BELOW ABOVE Value Per Acre LOT ~ ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK VallUe COLOR TRIM I I ension. Ex¢~nsion Bre[ezowcy Garcge Patio O.B. Tctal Bath :oundotion 'Basement Ext, Walls Fire Place Type Roof Recreation Room Dormer Floors Interior Finish Heat Rooms 1st Floor Rooms 2.nd Floor Driveway Dinette K. lot5 sq BUILDING PERMIT EXAMINER CHECK LIST DATERE¥1EV~ED: ~ ~ZV DATE SLTBMITTED: ~ .,t~ SC'H,,fg DISTB2CT: 1,0,'3) SECTION' .~5 , BLOCK 2 , LOT: STKEET ADDRESS: ?lSr.~ M.~,,,~ Ro~ SUBD1Z'IS ION: ~% PROJECT DESCRIPTION: EST~'L:NTED PROIECT COST: FAST TRACK? SINGLE & SEPARATE. CERTI]7ICATION-REQUIRED? ,~ NOTES: LOTS 40,000SF -100 24. Lot r,tc,nNuhsn (CPdE.q. TED before June 30, I .°~3'), UNDERSIZED LOTS FF. OM J~,JN.1997 [C,,3-25. t,,Ie, ger (A nsnconfon~iing aL any t!rr[¢ ZONING DISTRICT: LOT REQ, FRONT. g* REQ. REAR 5 CONFORMING? ACT. LOT S[27_E: I~o?~?,. REQ. LOT COX,'. PROP. FRONT / REQSIDE ~?~': PROP. REAR -/ REQ. HEIGHT__ ACT. LOT COX,' ACT. SIDE PROP. HEIGHT WATER FRONT? ,,'o ~, D E SCRIP F,,~N: ----'---- \ PANEL,: !5-? F n O O D ZO N3E: ~= ~d/7//x/,:~- APPROVXES REQUIRED C-gO- Ol -oo3F SUFFOLK COUNTY HEALTH DEPT: ~)or NO, (BED #): ~DTE:d /# /~, PERMiT#~-- -4 TOWN SEPTIC RECEI2T: T or N - - NEW YORK STATE DEC: lmt-l)Ec 9,'L75 YES or~ TOWN PLAN. BOARD APPRO\' .AJ~: '~___..~r NO ~,'~,"'.~ _~, TOWN HISTORICAL PRE (SPLLA): YES o~ NYS ENERGY: '~qgS ORNO : EGRESS (l 8 H min.? 4 sq total) _ \FE, NT (SQ. FT. x 4%)_ BUll,DING PERMTFS OPEN/EXPI1/~ED: BP -Z / CI0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: LIOm' (SQ. FT. x 8%) FEE STRUCTURE_: FOUNDATION: FI2~S T FLOOR: SECOND FLOOR: OTHER' TOT_AL: SF SF SF EN[T OTHER TOT_AL SF FEE FEE FEE SF)- ( SF): SF X $ _SF)- ( SF)=. SF X $ =$ +$ +S : $ --$ +$ +$ = $ 765-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~" ~4 '/ _/ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOU,.NDATI~ON 1ST [ ] ROUGH PLBG. ~F/GUN ON 2ND [ ] INSULATION [ DATI~ [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ~OUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY - 7// ~--~ DATE 7~-Z~2 DEPT. ION ] INDATION 1ST FOUNDATION 2ND ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL '-, DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~INAL [ ] FIREPLACF..~& CHIMNEY ~ REMARKS: *~~~ ~ TO~lq~ OF SO[.TT-H-OLD , BUlJ~DING DEP:~qTMENy . TOWN HA-EL SOUTHOLD NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined .Approved Disappro; ed i c ,20 PERISH[ NO. BUILDING PERMIT APPLICATI.~ON CHECKLIST " Do you have or need the following, before applying? Board of Health 3 sets of Bufld/ng Plans Play-in5 Board approxml Sm'rev ~" Check Sephc Form N.Y_S.D.E_C. Trustees q~q-'7~ '"' ' ' - ' Contact: ' ~.l~-b ~'~,~ ~¢~,~-~ ~, BulldOg Inspbctor ' APPLICATION FOR BUILDING PERMIT Date OCTote¢- /o ,2002- INSTRUCTIONS a. TbSs apphcatiop_ MUST be cpmpletely filled in by type~ter or in ink and submitted to the Building Inspector with g sets of plans, accm'are plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoinifig'piemises o.r p~ub]J.c streets or a~eas[ ;and wgtelSx-a3-s. .- ' ¢. Th6 work covered by ~ds application may not be commenced before iSsuance o£Build~g'Permit. ' "d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant.. Such a permit shah be kept on the premises available for inspection throughout thc work. e. ~6 building shall be. occupied or used in whole or in part for an5' purpose what so ever until the Building Inspector issues-a Certificate c,f Occupancy. f. EvgrT building permit shall expire if the work guthorized ha~ not commenced witliin 12 months a_fter the date of ' issuance or has not been completed within 18 months fi:om such date_ If no zoning amendments or other regui&fions affecting the property haye been enacted in the inrmSm, the Bui/duig Inspector may authorize, i~ writing, the extension of~_e permit for ma ". addition six months. :There~ifter, a new p~rm~t shall De required. )~PPLICATrON IS I-I~RL~Y MADE to the Bui,ldixtg Department for the iSsuance ora Buildin~ Permit pursuant to the Build/ng Zone O~-dinmice of the Town of Southold, Suf~blk County, New York, ahd other applidable Laws, Ordinances or Regulations, for the construction o~fbuildihgs, additions, or alterations or for remowal or demohtion as here~n descffbed. The .... ~pplicant 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 applic ,ant or name, if a corporation) .. ?.o, ~,o~ f5~-/' , ;: . "~ ,~ ,, :' ~'.~L._. ';. · ' · 'CNlailm¢ address of applicmit<l "' : '. , -. ~ ~ ....... · . ,. ~ . . State whether applicmit is owner, lessee, agent, ardl~it~; engineer?ge~/eral contractor, electrician, plumber or builder" (As on t,h~ mx roll or latest deed) If applicant is a corporadon~ signature of duly autherized officer-' 12Name aud title Of corporafe officer) ': · ' ~- :._ · i. . Builders License No. Plumbers License No. Electricians L~cense No. Other Trade's License No. Location of land on which proposed work wflI fbe idone: -/1~o~ rv~C, tP v..or~/ f<.~crf.~- ~.- · House _Number S~e~ ; County Trax Map No. i000 Subdivision (Name) Section ., 77. G rLr=c-u'ecn'~z · · Hamlet Block. 2L oZ. Filed Map No. Lot 2. Stae e~s6ng use. and occupancy of premises ~nd in;~nded uae and occupancy of proposed construction: a. Existing use and occtrl0ancy C~4urccut. ~c~s~o~t ~oit.~e b. Int~nded use and occupancy ,~'~DL-ttO~S- O_~OIZ.cJa eFgt ¢g$ / F~'~"o3~HtP KAU- 3. Nature of-work (check which applicable): New Bgilding. Addition ~' Alteration Repair Removal Demol~ti~..n . Other Work Estimated Cost ,k Y~;~ ~o .'~".,. Fee . .~ (Descriptioz{) (To be paid.on filing this application) If dwelling, number Of dwell/ng units -- '~ber of dwelling units on each floor tf garage,'number of Cars - ' ' 6. Ifbusines~ commercial or mixed occupancy, sped'if)' nature and extent of each ts~e of use_ -z'o 7. D/mensions of existing structures, if any: Front 7 ~.3 ~ Rear S~, Depth Height 'z3 Numberof Stories o~ Dimensions of same structure with alterations'or additions: Front 'Z ~.~ Rear Depth t 6 z..~ Height L~. Number of Stories b Dimensions Sf entire new construction: Front Height Number of Stories Rem- Depth Depth ;-(q[. qT- /~o. i?. 9. Size of lot: Front ~c~o. Off Rear -L'gq-~ 8 10. Date of Purchase~o~ ts. t~6~ Nme ofFom~ Own~ 11. Zone or use dis~ct in w~ch ~ises ~e si~t~ ~ t t m 12. Does proposed consmcfion ~5olate ~y zomg lax~:~.ord~ or relation? ~S~ NO ~ 13. Will lot be re-~ad~? ~S__ NO ~ Will exce~s ~ be removed ~om pr~ses? YES __ NO 14. Nmmes of Owner ofpr~ses Address G~OP~ [t~Phone No. ~YT- Nme of.~chtec, t ~[mcS ~ Ad,ess ~ 88~ m~8 lt%x~Phone No Name ofConCactor O~ ~¢~mCu I ~.. Ad&~s S~ q~ PhoneNo. 15 a. Is this prope~' wit~ 100 f~ of a ti~ wetl~d or a freshwater wetl~d9 *~S NO * IF YES, SOL~HOLD TO~ TRUSSES & D_E.C_ PE~TS MAY BE ~Q~D. b. Is this prope~" ~St~n 300 feet of a fid~ wetl~d? * ~S~ NO ~ ~ YES, D.E C. PE~S 5~Y BE REQ~D_ 16. Provide survey, to scale, x~Sth acchrate foUndation plan and distances to properB_' lines_ 17. If elevation at any point 6n properS' is at 10 feet or below, must prox4de topographical data on sm'ex'. STATE. OF NT'vV YORK) SS: C OLTNTY OF '~D tg.~r~ .~[ ~:g.o L_X>. be_'ing duly swom~ deposes and says that (s)he is the applicant (Name of i~dividual si~i~ g contract) above named, i'S'He is the ~ ~ ~,/"~ . . · (Contractor, Agent, Corporate Officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ap~ii~en: rkat all statements contained in this application are true to the best of his Icaowledge and belief; and that the k-ork will be erformed hi the mariner set forth in the application filed therewith. - ............. S worn to before me this I I ~ da}- of ~- 20 O.~ Q_./hN~tm-y. Public JOYCE M. WILKINS Notary Public, State of NewVork No. 495224~, $uffo§k Count~ Term Exp~resdune 12, ~ 0._.~ Signature of Applicant , · ANSLll, - K10Z __3 ' pin9 Materiah Black Iron s Valve type: ~A'~%,~ Size lector Temperature rating ,od Size: ood Size: Branch Pipe ~" [lanufacturer ou:t size: Duct SUKlCACE NO'ZZI~ IN I 2~2 15-2o 1N ~ 35-40 27~7 1/g ~ IN 18-~ 1N lS~ _~X Fryers to have High Limit Control to shut off fuel at 425 deg.~ ~X Detectors shaLL be located over every piece of equipmeht. X The system installed as per manufacturers specs and the AHJ. X The System has been installed as per UL300. X The fo[Lowing functions to operate upon system discharflQ: · * Supply air damper closes * Oas fuel shuts off in kitchen · Exhaust fan remains on * Electric fuel shut off under hood · All systems to activate simultaneously in same hazard area. · Fire Alarm sha([ activate if one is installed in building.. ~X Manual Putt is Located 10-35 ft from hood and 3-5 ft from floor. X AL[ fuel sources are GAS unless otherwise noted. [03te~_a] ABT DESIGN & FIRE 'PROTECTIO~ · 49 Montauk Highway Te~rmimal 1)e'~tor 417368 ~ Pullc~ /42325i 318~ Seal ' 77285 1/2" Seal .T/287 pull Station 4835 CekYalvcP'Ausul ~3G / o '{(.%FI V eL.4 o/4 S UR VEY ?tea?' TO WN OF PROPER TY CREENPORT OF SOUTHOLD SUFFOLK COUNTY , N. Y. I000-45-02-7. I SCALE: 1 "=$0' OCT 27, 1999 AUG. 6, 2001 (prop. add/lions ) 0 0 AREA = 4.3669 acres .?,~lO~COIfS? ~' $/~/ ANY ALTERATION OR ADDITION TO THIS SURVEY 15 A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209 SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP ANO COPIES THEREO/ ONLY IF SAID MAP OR COPIES HEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON, Y S. LIC NO 49618 (6JI ) 765 - 5020 FAX ( 631 ) 765 - 17,97 P 0 BOX 909 _ ~o~e~vE~Ee S~eEE~ I ~ 8'"o4 sour, o~D, ~ ~ ~7~ SURVEY TO WN OF PROPER TY GREENPORT OF SOUTHOLD SUFFOLK COUNTY , N. Y. t 000-45-02.- ?. I SCALE: 1"=50' OCT 27, 1999 AUG. 6, 2001 [prop. additions ) NOV. 6~ 2008 (FLOOD ZONES DEC. I~ 2002 (FOUND,~TION LOC. ~ II/4 WATERLiNE FLOOD LIGHT ACCENT LAMP ENTRANCE LIGHT SCDHS REF. ~ O0 ' OB' 0004 ANY ALTERATION OR ADD~T/O~ TO TH,S sURVEY ~s A WOLArION oF SECTION z2o9 OF r,r ~rw ~o~ sr~ ~ouc~,o~ ~w. EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ~LL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR ~g IMPRESSED SEA~ OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. A.RDA = 4.3669 acres FLOOR AREA = 9086 sq. ft ST. PETER'S LUTHERAN CHURCH 68465 MAIN RD. GREENPORT, NY 11944 SOUTHQLD, are minimum ra~iremen,ta ~er paved (nob t0 scale) I'-J 16 'N, f ~L"/. L~, !M(¢ P,,'SPH F gUFPOLR COUNI~ DEPARi~ENT OF HEALTH 8ERVIOE8 ~ APPROVED FOR CONSTRUCTION ONLY_ 0~,,u~.,~_ I ," "p~ ~I~ ~i]ts approval is gBnted for tho const~ctiJn of the dkposal and wat~ supply facilities pumuanl to A~icles VB a~ 7 of the Suffolk County 8anilaD Code and is not ~ nor implisd approval to discharge from or occupy ~e stmaum(s) shown. THI~APPROVAL EXPIRES ~REE Y~S FROM THE D~E BELOW. ¢ , DA~ ' 81GNA~R~" '\ ~'PROVED BY PLANNING BOARD TOWN OF SOUTHOLD \ ) ,,,/ ¸,% ~ Yo~ 11978 ' P°4;~OniC, ~"~yo~, l~d:warm~ 8ambach, E~Jnecr ¢_ I o- oz- oco / APPROVED AS NOTED 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED I 2. SOUGH - I & 3. INSUL~TIO N 4. FINAL - CONS MUST BE COMPLETE I ALL CON~ )N SHALL MEET THE REQUIR~ME OF THE N.Y, STATE CONSTRU & ENERGY CODES, NOT SPONSIBLE FOR DESIGN ERRORS OCCU USE IS WlTI OF FIRE OR XlLAWFUL CERTIFICATE BEFORE OPENII G i WASTE INES NEED COVERING PROVIDE ANTI-$CALO AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) N.Y. STATE BUILOING CODE. UNDERWRITERS CERTIFICATE REQUIRE~ ~I-?F_ 'I ,q % v? 0 ,¸1 15 .-0 .s.qt ( '¸7 o'F IS , it¸ -fo W...E:r'A:t~ i I-2 ,ss ~w c.~ ~.6.1kCvo ~ --I ,toLo'' /OLd` --I -- L QLd i rI i ,,do -,.%,~ 1 ~4 P 7 9 t~,"~- ~. I ¢0''t x 187- i,O~'£,~LL v~:,tz:~c.~:,t~_ i~ co/kLL.$. /~.S /~JE%F~.~'.f '7'o ?,0~'~o~_¥ C..hx.tt:l~6¥£S i-'qr\?., ; ~ll SPACE d ~ -- ~:) 0 © © q 5 '7' H LJ &F~ / q,)(,, . 'T, f I, i r / 47__ L // a. CE~'7 ~f ttu~a~l,~ ~ tl~ ~xisang conditions, , ' , 4'¸