HomeMy WebLinkAbout31639-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31785
Date: 08/28/06
THIS CERTIFIES that the building ALTERATION & ADDITION
Location of Property: 13225 SOUND
(HOUSE NO.)
County Tax Map No. 473889 Section 141
AVE
(STREET)
Block 4
MATT I TUCK
(HAMLET)
Lot 27
subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 2, 2005 pursuant to which
Building Permit No. 31639-Z
dated
DECEMBER 2, 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 & LIFT ADDITION TO AN EXISTING CHURCH BUILDING AS APPLIED
FOR.
The certificate is issued to CHURCH OF THE REDEEMER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH AFPROVAL
N!A
ELECTRICAL CERTIFICATE NO.
106041C
08/02/06
PLUMBERS CERTIFICATION DATED
N/A
~~~~
Authorized Signature
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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:
I. 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 (8-9 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 I % 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:
I. 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.
Location of Property:
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
1~/0h
.k (check one)
$'OGlI'I~ 4-VE't.'!f /tHrT/~ /#j' Hamlet
Owner or Owners of Property: ~,otf~PAJ.. lJ!/Y/!$'F ~F L.t::>AI~ 7-j'LI?7V~
I Ifl Block bt)e;J ~ Lot 0;" 7
Date.
New Construction:
Old or Pre-existing Building:
CIJJ.$
House No.
Suffolk County Tax Map No 1000, Section
Subdivision
3/~'!.1
Filed Map.
Date of Permit. /~;J /b$ Applicant:
( , .
Underwriters Approval:
Lot:
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $ PI/-
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Applicant Signat r
~.ltl61:o5
~O .!2:3/785
Electrical Inspection Certificate
Issue Date
81712006
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Application
1 06041 C
Issued To:
Street:
Village:
Section:
Church of the Redeemer
CIO Sound Avenue & Westphalia
Mattituck Zip: 11952
Town: Southold
141
Block: 4
Lot: 27
Contractor: Good Ground ::Iectric Lie. # 4233-E
Was examined and found to be in compliance with the National Electrical Code.
IKJ Commercial D NV Defects D Pool D 1 st Floor 00 Indoor 00 Basement U Hot Tub
D Residential 0 Det. Garage D Attic D 2nd Floor D Outdoor D Addition D Survey
Switches Receptacles Fixtures GFI Heaters AlC Fans
10 9 30 1 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
/
Bldg. Permit:
Other Equipment
1- 30 Amp Circuit and Disconnect for
heelchair Lift
- Emergency Lights
- ({~f!~~
II. Hugo S. Surdi
President
I
I
Rough Inspection: 02/02/2006
Inspector: John Me Mahon III
Final Inspection: 08/0212006
Inspector: Dennis Brandi
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
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.
31639 Z
Date DECEMBER
2, 2005
Permission is hereby granted to:
CHURCH OF THE REDEEMER
PO BOX 906
MATTITUCK,NY 11952
for :
MINOR ALTERATION & LIFT ADDITION TO AN EXISTING CHURCH BUILDING
AS APPLIED FOR
at premises located at
13225 SOUND AVE
MATTI TUCK
County Tax Map No. 473889 Section 141
Block 0004
Lot No. 027
pursuant to application dated DECEMBER
2, 2005 and approved by the
Building Inspector to expire on JUNE
2, 2007.
Fee $
200.00
!L {!JL
/ Aut orized Signature
ORIGINAL
Rev. 5/8/02
51G's ]:1:;
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING { ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE 1 ~F(.
INSPECTOR
..
31 ~:;;; '7
4B Springville Road
Hampton Bays, NY 11946
1-866-541-7700
631723-1500
Pax 631 723-1035
sales@allislandelevator.com
www.allislandelevator.com
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ThP = = Elevator Co.
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MAR 2
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March 1, 2006
Rev. Nils Blatz, Vicar
The Church of the Redeemer.
PO Box 906
Mattituck, NY 11952
Re: Vertical Wheelchair Lift
The Church of the Redeemer
13255 Sound Ave.
Mattituck, NY 11952
Dear Rev. Blatz:
This is to certifY that the Vertical Wheelchair Lift (Model- PCDEI20) manufactured by
The National Wheel"O-Vator Co., Inc. installed at the above location was designed,
manufactured, tested and erected in accordance with ASME/ANSI A18.l, ICC/ANSI
A117.1 and NFPA70 National Electric Code. This installation of this lift is complete and
it is available for public use.
The purpose of this lift is to allow handicapped individuals to access all floors and it is
cOl\lpliant with the Americans with Disabilities Act (ADA) requirements.
Sinr:erely,
ALL-IS~TORCO" INC
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President
/ cc: Garrett A.$trang, Architect
141- L/,- ';).7
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS. 'v1l~ ~
IP~ c&p. ~ -
A. iCy} /lL: ~
p~ ~, ~\ce_
DATE S,.- H ~ 0 {, INSPECTOR ~ .~
3/~39 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[X FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [X'INSULATION
[XFRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~~ ,
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DATE I 'J- ~ 1-f -0 S
INSPECTOR
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FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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COMMENTS
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APPROVED AS NOTED
DATE: IllS- B.P. # '< I b3 'i C::
FEE: j}1JD. _._ s y ~c"^...J e .:..
NOTIFY BUILD"" IW'.eRTMr:NT AT
76: 'S.:? 8 L~} ~C; L \\ FOR THE
FOl..LC\,.':I~.J INSFF <::.<;3:
1. FOU!,..ATiON .' ~:QUIRED
FOR PCUriED ( . ~RETE
2. ROUC:,' - ~ . ";. J ~ PLL'MBiNG
3. INSULATiON
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ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THe CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
" ALL CONSTRUCT ION SHALL
e. 'eS"-A..I>-lIl-l':; HE
'v......'-'- $l' LI F""-lM!Ef THE REQUIREMENTS OF T
1'""\'1. . CODES OF NEW YORK ST ATE,
RETAIN STORM WATER RUNOFF
PURSUANT TO SECTION 45-100
OF THE TOWN CODE .
+
I!
CUPAN OR
E IS UNLAWFUL
ITHOUT CERTIFICATE
OCCUPANCY
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~C\.J.....=~v~ 8' 'VE:-~-"-""H"""'-(A-
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UNDERWRflERS CERTIFICATE
REOUIRED
L-E:-- V E-L-- .fl-AN
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