The URL can be used to link to this page

Home My WebLink About32750-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~JlTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33399 Rte: 11/19/08 THIS CERTIFIES that the building ALTERATION/RAMP ADDITION Location of Property: 27150 MAIN RD CUTCHOGUE (MOUSE NO.) (STREET) (HANLET) County Tax ~ap NO. 473889 Section 109 Block 5 Lot 4 Su]~division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 2007 pursuant to which Building l~r~kit No. 32750-Z dated FEBRUARY 23, 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 AND INTERIOR ALTERATIONS TO A~ EXISTING CHURCH AS APPLIED FOR. The certificate is issued to CUTCHOGUE PRESBYTARIAN CHURCH (OWNER) of the aforesaid building. S~FOLK C~3I~Y DEP~T~ENT OF ~%LTHAPPRO~ N/A ~C'~RICJ%L c~KTIFIC_AT~NO. 3031802 08/13/07 PL~ C~{RTIFIC~%TION DATHD 11/06/08 JMES H PIM, PE Authorize Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOVCN HALL APPLICATION FOR CERTIFICATE OF OCCUP~ ., 11 ~ A. For new building or new use: { tikD(.;. DEPT. [ 1. Final survey of property with accurate locati^.- Ac ~,, . ~. , TOWN OF $.p,d_!~..~_0kD~ I . u,~ u,. ~. ouno '~gs, p~operty lines, streets, and unusual natural or topographm features. 2. Fiual Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Unden,vfiters. 4. Sworn statement from plumber certifying that the solder used in system conta ns less than 2/I0 of 1% lead 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a ceniGcate of Code Compliance kom architect or engineer responsible ffo~ the building. 6. Submit Planing Board Approval of completed site plan requirements. B. For existing buildings (prior toAprilg, 1957) uomconforminguses, orbaildiugsaud ne-ex,sting a~( ~ses: I Accmate smwey of propel%' shoxx ing all properly lines, sWeels, buiId ~g and unusual natural ol topographic features. ' 2 A propcrl5' completed application and co[1sell( to lliSl)¢ci signed by the al)p[icant if a C?c~tificate of ()ccup;mcv is denied, thc Building Inspecto~ shall state the reasons there:fOr m wNtmg to the applicant - C. P'ees I. Certificate of(3ccopancy - New dwelli ag $250(4 Adcliticm; ~o dwelli ag ~2q ()0, Alterations t(~ dwellmg $25 0, Swinm~ lg pool $25.00 AccessoD, bt c g $~5 00: AdclilJons to acccszo~¥ buiklin~ $25 (( Businesses $5000 2 Certificate of Occupancy on P~e ex~stmg Buiktm/, 7100 00 ' ' 3 Copy of Ceaificate of Occupancy - $25 4 Updated Cel~ificate of Occupancy - ,$5000 5. l'empora~y Certificate of Occupancy - Residential $1500, Commercial SIS00 New Constm?ion: Old or Pre-existing Building: _ ~"____ (check one) House No. Hamlet Suffblk C[mnty Tax Map No 1000, Seclion ~ Block ~ l,ot ~ Subdix tsmn ~ Filed Map. Iot: Health Dept. Approval: Undenv~ilers Approval: Plamfing Board Approval: Request for: TemporaIy Certificate _ __ . Final Celqificate: Fee Submitted: $ . __ ~__ (check one) ignature 750 Reeve Ave. Mattituck, NY 11952 November 5, 2008 Town of 5outhold Building Department P.O. Box 1179 Southold, NY 11971 Re: BP#a 750Z Gentlemen: This is to certify that no plumbing installed with this project has solder which contains more than 2/10 of 1% lead, James H. Pim, P.E. 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 ,JAMES PIM GUTCHOGUE PRESBYTERIAN CHURC 750 REEVE AVE po BOX 964 MAq-I'ITUCK, NY 11952 CUTCHOGUE, NY 11935 Located at 27150 MAIN RD CUTCHOGUE, NY 11935 Application Number: 3031802 Certificate Number: 3031802 Section: Block: Lot: Building Permit:~ ~75-~2~ BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring 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 13th Day of August, 2007. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 6 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 2 0 F.H.P. Wiring and Devices Outlet 12 0 Fixture Fixture 10 0 Incandescent Fixture 2 0 Flourescent Outlet 25 0 General Purpose Receptacle 10 0 General Purpose Switch 22 0 General Purpose Receptacle I 0 50a Range Receptacle I 0 20a Laundry Receptacle I 0 30a Dryer Receptacle 4 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. 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. 32750 Z Date FEBRUARY 23, 2007 Permission is hereby granted to: PRESBYTERIAN CUTCHOGUE PO BOX 964 CUTCHOGUE,NY 11935 for : Pg~MP ADDITION AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 27150 MAIN RD County Tax Map No. 473889 Section 109 pursuant to application dated FEBRUARY CUTCHOGUE Block 0005 Lot No. 004 21, 2007 and approved by the Building Inspector to ex/~ire on AUGUST 23, 2008. Authori%ze Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~,~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION ~x~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS; /~ ~C ~~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FIRE RESISTANT~ONS'~UCT~. [ ] FIRE RESISTANT PENETRATION REMARKS~ DATE "~----~/,--0 Z iNSPECTOR~t-~ ~ FOUNDATION (1ST) ROUGH ~G & PL~G ~SULATION PER N. Y. STATE E~RGY CODE F~ ,~ ~ ~, . ~DITION~ COMMENTS TO~VN OF SOUTHOLD ~I[JDING DEPARTMENT WN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ / Examined ,.~! ,20 _ Approved ~/&/.~.-"~ ,20~'' Disapproved a/c Expiration ,20___ PERMIT NO. ~x~z~d~.~__ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health ~- 4 sets of Building Plans Planning Board approval Survey a Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: FI13 2 I APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typelvriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building pemfit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 1 $ months froru such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize,'in writing, thc extension of the p~ermit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Build!ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection~s; ,] , ~ ///~ . ]' (Signature of applicant or name, if a corporation) (Mailing address of applicant) .t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ? (As on th4 tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proPosed work will be done: House Number Street ~7 Hamlet County Tax Map No. 1000 Subdivision (Name) Section Block ~'~ ~ Filed Map No. LOt," State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,...~.~ Ex~stlng use and occupancy ~,,., b. Intended use and occupancy 5' 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work ~, (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specit~, nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front S Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front 5-~ Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories ~-- 9. Size oflot: Front tl y,&/ Rear .~q.~/ Depth 10. Date of Purchase ,/'7,,~J /~'t>'Oj Name of Former Owner Depth 11. Zone or use district in which premises are si.tuated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO w 13. Will lot be re-graded? YES__ NO ~-. Will excess fill be removed from premises? YES premises ~, ~/~t,~e 14. Namesof,.Ownero.f, ~aress Po fia',Z cica PhoneNo. Nameof~ ~]a.,~,_.~ lC~,,~o Address 7.5~ /Z~:~,.,t.. flr~-e.. PhoneNo Name of Contractor Address/"/~g77-~ c/~ Phone No. NO ~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) , ff~rm ~...~ ~/. f~/~'~ being duly swom, deposes and.says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the / (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,~- ~P:~': day of i,~otat~y t;ublic Che~ Simons otary Public, State Of New York No. 31-4970341 ~ Qualified in Suffolk County .; COmmission Expires February 4, 20 .,.~/ Signature of Applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORJ~R OWNER S SEAS. IMP. TOTAL DATE VI LLAGE E W COMM. CB. MIC$. Mk REMARKS Value Per V¢lue Ac re AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland , House Plot Total Value DIST.~ SUB. LOT · ' ~7 TYPE OF BUILDING DEPTH BULKHEAD DOCK /6 M. Bldg. Ex fan, ion Extension Extension Foundation 5 '~o rV ~ Bath Porch Floors Porch Breezeway Garage Patio Basement Ext. Walls Fire Place Type Roof Recreetion Room Dormer [pterior Finish Rooms 1st Floor BR. Rooms 2nd Floor FIN. B O.B. Drivewoy Total J Dinette DR. PI EPTIFIC, 80LDFR EXCLED £/10 OF ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE ~OJ:~ES OF NEW YORK STATE. L CODES OF ED AND CONDITIONS 0 SOUTHOLD TOWN ZBA SOUTHOLD TOWN Y SOUTHOLD TOWN TRUSTEES N.YS. DEC PLUM1 & WATER LII TESTING 'BEFE OCCUPANCY. OR _. [" = t00' Jooo-log-4-4 UNDERWR~RSCERTIFICATE REQUIRED APPROVED AS NOTED DA'PE:~/~ B.P. #__ NOTIFY BUILDING DEPARTMENT AT 76541802 8AM TO 4PM FOR THE FOLLOWING INSPEOTIONS: 1. FOUNDATION - TWO REQUlREB PpR POURED CONDRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4, F!NAL - CONSTRUCTION MUST BEB COMPLETE FOR CO, ~,LL CONSTRUC'FION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIRLE FOR DESIGN OR CONSTRUCTION ERRORS. LY :[" IS UNLAWFUL 5c-~,u~-; 74'''~ ~'-0" 2 / U~,/07 t t I ,-'t I:1£ WOT~.S ~c~.',L~-: ¼"~ I'-0" 1:: ....... C O~nt~