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Home My WebLink About31414-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31288 THIS CERTIFIES that the building ALTERATION Date: 11/18/05 Location of Property: 21405 CR 48 CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 96 Block 1 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 2005 pursuant to which Building Permit No. 31414-Z dated AUGUST 31, 2005 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 EXISTING CHURCH BUILDING (CELLAR ENTRANCE) AS APPLIED The certificate is issued to FIRST BAPTIST CHURCH OF CUTCHOGUE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uthorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP This application must be filled in by typewriter or ink and submitted to the Building ,vR1 JUL 2 6 Ub 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. or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: Accurate survey 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 - $.2.5 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pyre -existing Building: ✓/� (check one) Location of Property: Gi 14D 6 C awu k. 4ad 4/9 l d aAnd I.t.(_. House No. t Street j Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section a Block J Lot 115. t Subdivision Filed Map. Permit No. ? 1 y) Date of Permit. 2i ( Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,�5. Ot - (LC_ lot' 3 L) -_t) C.d _2L 3 Id g -r Underwriters Approval: Final Certificate: IN Lot: (check one) LE INSPECTION REPORT DATE FOUNDATION (1ST) IIII JI /' e% U, i ROUGH FRAME 6 PLUMBING � u u n INSULATION PER N. Y. u 'N STATE ENERGY, CODE !! q FINAL ADDITIONAL COHNENT S: 314I4�?- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: O DATE �'� �� ds INSPECTOR (� 3 7s Z -76s-- ?3 7 765-1802 P BUILDING DEPT. S INSPECTION �` - 7s,�r [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: C /�ttJLd_ �-2ee6L 7 DATE o � ' L O'S i i w/� I INSPECTOR '� 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. 31414 Z Date AUGUST 31, 2005 Permission is hereby granted to: FIRST BAPTIST CHURCH OF CUTCHO PO BOX 534 CUTCHOGUE,NY 11935 for : ALERATION TO EXISTING CHURCH BUILDING AS `APPLIED FOR. `NOTE_T.HI_S---, zRE-P-L-ACES.-BP,._#;2>6=3 7-5 =-Z')% at premises located at 21405 CR 48 County Tax Map No. 473889 Section 096 pursuant to application dated AUGUST Building Inspector to expire on MARCH Fee $ 150.00 Rev. 5/8/02 CUTCHOGUE Block 0001 Lot No. 013.001 31, 2005 and approved by the 3, 2007. ORIGINAL =u u a�9 , a4 --w 07 way so L"Hiaid 4 s y t - 1- '� Z C N .hurt it _ k -i 1 W t'• \ i u a�9 , a4 --w 07 way so L"Hiaid 4 s y t N .hurt it _ W i pry. bie'o Are y . , 00 4;'YP. 75 � /J n f-? �,• r' -y r. ."S � is ^',' r- a4 3r' ay 1 1:"-ic I lk I C) :y J Gr.=athmZE6 che:atlm+ *&N$W v, vnai tuhreY Is a violmlon of 4ecaar. 7205 of iha New yak StM Mutim Law. cwlc of this euvay Imp not boarkq the land sunwyafa kdtad Seal m embr� asel 00 nal be ox*Wered to be av0d VUs 0". Guarentsom Mom osi bemoan omit nm only to the psn dor wh mthe survey k premed, OM on Ids b"N to the tkle emr"ny, 9orammontad agerW and tandug kutibribn listed hereon and td tae assipoes of the le"n0 kwd- tution. Gmwentess aro not transferable to additional klatlUdiorw Or subwpuard owners. t�lsEEiL'11�r1r1�t JWl. 'y`, FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 Err,vmired T, 20. 9 7� Approved. 7-, rAcri Permit No. ................ Disapproveda/c .................................. ...................................................... (Building tor) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ r 3 SETS OF PLANS ............ SURVEY ........ .. ... CHECK :# 4 %Sr(P ............... SEPTIC FORK ................... NOTIFY: CALL QQ&s Oft l......... MAIL TO :.................... Date.................ED.... a. 'ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be draw on the diagram which is part of this application. 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS BEREEY MNL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Iowa, 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, lousing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..................................................... (Signature of applicant, or nae, if a corporation) ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ..........................................................�'.(.......,.,./...................................................... Name of carer of premises . h f�... �J. . ` I. Dirt` U,.. .. ...................... (as on the tic roll or latest deed) JJJ i If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No . ......................... Plurbets License Nu. .......................... Electricians License No . ..................... Other Trade's License No . .................... 1. Location of land on which proposed work will be dam ............................................................... C..2�--............................................ House Number Street ff hamlet Canty Tax Map No. 1000 Section .. �.11l........ Block .... /........... Lot ....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and omgn �ofp�p�r��i�snnesand intended use and occupancy of proposed construction: a. Existing use and occupancy�4!:.1... ................... ........................-..............f. b. Intended use and occupancy ....... r ..................................................................... Nature of V) (check which applicable): Repair ..f4K R,eemmal ............ Estimted Cost ^...'............... New Building .......... Addition ... Alteration .......... ....... Demolition ............ Other Work .................. (Description) fee.............................................. (to be paid on filing this application) If duelling, amber of dwelling units ............ Naber of dwelling units on each floor ................ If garage, amber of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ...................... Dimensions of existing structures, if any: Front ................ Rear ............... Depth Height ......................... 1k ber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Nnber of Stories ............... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... Size of lot: Front .. ... . Rear .................... De tth .................... _ Lr 0. Date of Purchase . 1 ..:5... Name of Former Amer ....... 1. Zone or use district in which premises are situated.............................................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 3. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 4. flames of Owner of �pr�e�jmiise�s.................,................ Address ..... ..�..N....�.�.�.. .,N. �.�./... Phase No . .............. Name of Architect 1r)D .re 1...�.Lf.,.l�ch ..... Address!"'[Jir`4^:lY!'^'Ir^:S:�Ptiorrie Nn. Name of Contractor ....... .f4�� ........ Address ...............................Phone No. .............. 5. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, SO[IIHH]) TM IRLUIM FMITT MAY HE RF MRM. PLOT DIAGRAM Iocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set -back dimensions yam property lines. Give street and block amber or description according to deed, and show street nares and indicate +nether interior or comer lot. 3rA11i OF NZW /� / 701 ly or .... . v(, % 1.... SS .......... Q !/. ?:C...... 0 .................being, duly sworn, deposes and says that he is the applicant (None of inlividual signing contract) above named, Ileis the ............................................................................................ (Contracto ,�agen , corporate officer, etc.) Df said owner or owners, and is duly authorized to perform or have performed the said work six] to make and file this applicatiai; that all statements contained in this application are true to the best of his knowledge and belief; aux) that the work will be performed in the meaner set forth in the application filed therewith. 9wom to beforq rye this / ...................day of ........�. !!V ce'0 Notary is .... . RE L GLEW NO" No. 0i1 GSmile L"79606 York Qualified in Suffolk Coty Commission Expires Dec. 8, (Shgnatureof Applic t) i� r�.i — "r/ - 1 - /3. l TOWN OF SOUTHOLD PROPERTY RECORD CARD M- a2/ OWNER STREET'jL D� VILLAGE DIST. SUB. LOT /3 TI s `,LA e, kf C u ve- 8 .1-e ,6N d FORMER O NEP N E df ACR. , " ;P1�Y05� I d Siv, W TYPE OF DOG UILG.20 RES. / SEAS. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 1 AO t Rao uc> > t 1 OQ da ,,f�1dd 3 7Q t ? — c\�Y�c3c� DoT.-Us•iPe��rs-�.1'��-Cb, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable t Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD 00, House Plot DEPTH BULKHEAD S�tal DOCK i% 4Gp 6E Ve7 &?IP rW tst* a. all _ . s „",+ 4 ,"Gf hC.4t-L�', � =- i aS�JL.:Fj +PiI6iC-1 �2><10 K21E®Ita�d,C,: 17U 4CJ® I&,,oc, t, APPROVED AS NOTED 37✓f DATE :7Q.Q B.P.B PEE: 5p, , BY: NOTIFY BUILDING DEPART NT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION • TWO REQUIRED FOR POURED CONCRETE 2 ROUGH • FRAMING \ PLUMBING 3, INSULATION 4. FINAL -,CONSTRUCTION MUST 1! BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF.THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR E PSE IS UNLAWFUL ".IIT ROUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE.Trrtin' REQUIRED O * ��` C