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Home My WebLink About33245-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32645 Date: 10/02/07 THIS c~KTIFIES that the buil~-g Location of Property: 13200 SOUND AVE. (HOUSE NO.) (STREET) County Tax Map No. 473889 Sectio~ 141 Block 4 ADDITION & ALTERATION MATTITUCK (HAMLET) ~Ot 32.1 subdivision Filed Map No. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2007 ~rs,,~-t to which Building Permit No. 33245-Z dated JULY 13, 2007 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 RAMP ADDITION & ALTERATION OF EXISTING BATHROOM IN CHURCH BUILDING TO PROVIDE FOR TEE HANDICAPPED AS APPLIED FOR. The certificate is issued to MATTITUCK PRESBYTERIAN CHURCH (OWNER) of the aforesaid building. SUFFOLK COI~TY DEPARTmenT OF ~H A~PROVA~ N/A ~.RC=rKICAL C~KTIFICATE NO. 3047489 09/27/07 PLU~S U~KTIFICATIO~ DA'r~u~ 07/27/07 MATTITUCK PLUMB.&BEATING Rev. 1/81 ~' ¥' ~ Z ....... FortnNo. 6 ?J ~ !~ [! ~ I!~ [~ TOWN OF SOUTHOLD u,~ [- ..... ---] I: BUILDING DEPARTMENT ~l! , ' el= [ [~! TOWNHALL 'to ¥~, C~'q~,~,~O! 9 A PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or mk 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 natm-al 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 ardhitect 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, orbraidings' ' and "p~'e-exlstmg' ' "land uses: 1. Accurate survey of property sbowiug ail property lines, streets, building and unusual natural or topograplfic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied; the BuiIding 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, Swirrmaing 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 New Construction: Location of Property: Date._ 9/25/07 _ (check one) Old or Pre-existing Building: 12605 MAIN ROAD MATTITUCK, N.Y. Street Hamlet MATTITUCK PRESBYTERIAN CHURCH 14 I ,,~ Block 4 Lot 3 2. 1 Filed Map. Lot: 7/13/07 Applicant: MATT.PRESBYTERIAN CHURCH Underwriters Approval: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No 33245-Z Health Dept. ApprovaL: Plamfing Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit _Final Certificate: xx (check one) Applicant Signature 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. 33245 Z Date JULY 13, 2007 Permission is hereby granted to: MATTITUCK PRESBYTERIAN CHURCH PO BOX 1411 MATTITUCK,NY 11952 for : CONSTRUCT RAMP ADDITION & ALTERATION OF EXISTING BATHROOM TO PROVIDE FOR THE HAI~DICAPPED AS APPLIED FOR. (THIS REPLACES BP #17332-Z) at premises located at 12605 MAIN RD County Tax Map No. 473889 Section 141 pursuant to application dated JULY Building Inspector to expire on JANUARY MATTITUCK Block 0004 Lot No. 032.001 13, 2007 and approved by the 13, 2009. Fee $ 50.00 Rev. 5/8/02 ORIGINAL IPOB, M NO. It TOWN OF SOU'I~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ Dote ...~../../..Z'..Y ...................................... Permission is he~eb~v granted to: / /, . / ~ ~ /~ ~ , .................................. ......... .................................................... County Tax Mop No. I000 Section ....... /...~../.. ..... Block ............. . .~..... Lot No ...... ~.....~...¢/.. pursuant to opplication dated .............................................. ~.. , 19..~.~, and approved by the Building Inspector. Rev. 6/30/80 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by REP ELECTRIC MATTITCUK PRESBETYRIAN CHURCH PO BOX 635 12605 MAY RD MATTITUCK, NY 11952, MA'I-rlTUCK, NY 11952 12605 MAY RD MATTITUCK, NY 11952 Located at Number: 3047489 Certificate Number: 3047489 Application Lot: Permit: BDC: ns11 Section: Block: Building Described as a occupancy, wherein the premises system consisting Commercial electrical of electrical devices and wiring, described below, located in/on the premises at: First Floor, A visual inspection of the premises electrical system, limited to electrical wiring devices and to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 27th Day of September, 2007. Name QTY Rate Rating Circuit Type Miscellaneous covers 1 st floor bathroom Wiring and Devices Fixture I 0 Incandescent Switch 1 0 General Purpose Receptacle I 0 GFCI seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road PO Box 1179 Sos!hold, Ne~ York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOW~q' OF SOUTHOLD CERTIFICATION Date: -I/~t~]~'7 Building PerTnit No, Owner: (Please Plumber: lead MAlfflTUCK PLUMBING Mattituck, NY 11952 631-298-8393 / Fax: 631-298-11 gO [ cerlify that the solder used m the water supply system contains less than 2/10 of 1% Sworn to before me this c:ff~ da>, , 20,P7 ? Signature) DENISE KING Notary Public, State of New York Registration #01KI6041757 Qualified in Suffoik County My Commission Expires Me,~/15, 2 ~'/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~ FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ,, ..~ ~.~J~_.c~. ~o., ,.R~. ~.,STA~ ~.~0~ REMARKS: ~~'- ~~ ~~ ~ DATE '~//~'"-a I INSPECTOR ~'~ 7G5.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. L[]] F~AU~iiNA~ION ZND ~FiNNSAULI. ATION R~MARKS. ~ 765-1802 BUILDING DEPT. ~/~ INSPECTION ~ [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: ~ .~ ~ INSPECTO/~~ FIELD m .... ~,.0, IID~,m COM~gNT~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .?LUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180:3 Disapproved a/c ..................................... ,A~uildin~ ~nspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... August 3 88 Date .................. ,19... INSTRUCTIONS a. Tiffs application must be completely 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 (~r public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 Certificat~o~ ~d~-r~ancy shall have been granted 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 inspections. ~4o/,r_~Z~.~.r .~ .... (Signature of a~plicant, or name, if~ corporation) Mattituck Presbyterian Church (Mailing address of applicant) Route 25, Mattituck, New York 11952 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Name of ownerofpremises Matt~tuck Presbyterian Church (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. HELEN WOLFE, CHAIRMAN OF THE TRUSTEES (Name and title of corporate officer) NOT SELECTED AS YET Builder's License No .... . ...................... Plumber's License No .... . ..................... Electrician's License No ....................... Other Trade's License No ...................... /~,~ 0~ l'. Location ofland on which proposed work will be done. Southwest corner of' Main Road (Rte. 25) & bound ~venue ................. Mattituck House Number· Street H~mlet ........... County Tax Map NO. 1000 Section ..... .1.~.5 .......... Block .... /{. ............. Lot... 3.2 ..5. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. Sta,te existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing useand occupancy Church and Church -School and Social Hall SAME b. Intended use and occupancy ..................................................................... 3. Nature if work (check which applicable): New Building . aition .......... Alteration ...X.X.X. .... Repair .............. Removal .............. Dem0,uon .............. Other Work ................ (Description') 4. Estimated Cost $20,000 ...................................... Fee .................................. ~ .... " (to be paid on fding this application) 5. If dwelling, number of dwelling units...............N / A Number of d~velling 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 .'.'..N{.A. .......... 7. Dimensions of existing structures, if any Front. ~. 9.' ........... Rear ...8.0. '. ........ 'l~enth Height /40 ' ( 2 ) ............... Number of Stories. TWO :. .............. Dimensions of same structure ~ith alterations or additions: Front SAME Rear SANE De th SANE · SANE ................ .' S/il~Ig.' .............. p ...................... Height ..... iq ................ Number of Stones ............... 8. DimensiOns of.entire new construction' Front /A Rear -iqf,i Depth H ' N/A .... l~7'A' ....................... , ' ' ............. eight ............... Number of Stories ................................................ 9~. Size of lot: Front .................. Rear ................. Depth ....... -- Pur 1715 ..... dANES R229-2 ..... ...... I 0. Date of chase ............................ ,,. ,I~an}~e of Former. Owner ........................... il. Zone or use district in which premises are situated ~ .E.e.s. 1..d.e.n.g.~..a.~..~ .~..g?.l. qu..l.'c.u.~.e. ........ i 2. Does proposed construction violate any zoning law, ordinance or regulation: NO i3. Will lot be regraded ...N..O ....................... Will excess fill be removed from premises: ~ No i4. Name,ofOwner ofpremises ..I~..~X....P..t~..B.Y......¢~...~ddress..r~a.~?.l.~.u.e.k.,..Ny.. ..... Phone No.2~.8;..~2.~i¢.~. ...... Name of Architect ...DQ.N..g~.. fl....D..EN..I.S.,..A...I...A..... Address ?.qu.e. b9..au.e.,..Ny.. ..... i~hone No.7.2.2:-.3.5.1.1 ........ Name of Contractor NO7 SELEO'±'Pxu . Address Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from -,roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or coruer lot. ' Work consists of adding external handicap ramp to west side of Church to provide handicap access to Sanctuary and offices, social hall and lowe~ ' floor of classroom wing. Existing toilet to be altered to provide for handicapped. TAV OF SUW fl/ S S (Name of individual signing contract) oove named. (Contractor, agent, corporate officer, etc.) f said owner or owne~, ~d is duly auto,ed to perfom or have peffomed ~e said work ~d to m~e ~d file ~s · p~cation; ~at ~1 statements cont~ed ~ ~ application are tree to ~e best of ~s ~owledge and belief; ~d ~at ~e · ork will be performed in the manner set forth in the appli8ation filed therewith. worn to before me this ......... :... l .V otary Public,~ ~t.~..~.. County ~ kt Suffolk County ~ O~I~MIM~ EIIplml December 8, 1~,~ (Ir~gfiature of applicant) FF{cE // =% I f FI F--~t FLUFF.. PLAt,.I tcIA ft-~fUcK. N~W 4.16 Water Closets IcR-hund or n~ht-hund approuch. SPACE 36 1220 &=LUMBER CERTIFICAZ'ION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WAT£R SUPPLY SYSI'EM CANNOt EXCEED 2/~0 of 1% LEAD. OCCU?ANCY OR USE IS U~,JLAWFUL !,~/1THOUT CERTIFICATE (? OCCUPANCY R,,UMIIN~ ALL Iq. IJMI~e ~a~fE · ~N"ER UrgE8 NEED TF...~FING BEFORE COVERING API"ROVED AS NOTED 76.5-1802 9 AM TO 4 PM ~OR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - 'lrWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL . CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEE'r THE REQUIREMENTS OF THE N,¥. STATE CONSTRUCTION & ENERgy CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR~ DONALD A. DENIS A.I.A.P.C. / / ~,~d~t~ df' ? / / / II Joe ~a. ~9.."1: . ir F':'¢ F.,"c'lP '" podd.~- dp Es~ ' '2% S" ELIIJ P 12~mdc,;-,L~ H j .? I%