Loading...
HomeMy WebLinkAboutZ-37798 FFOI Town of Southold c_, 9/28/2015 1,4s gV OGy 53095 Main Rd Southold,New York 11971 cf, dal ,�'� PRE EXISTING CERTIFICATE OF OCCUPANCY , No: 37798 Date: 9/28/2015 THIS CERTIFIES that the structure(s)located at: 53930 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 61.-4-19.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37798 dated 9/28/2015 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame church.* NOTE: BP 39868 restroom and ramp additions to church COZ-37797. The certificate is issued to United Methodist Church (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. th riz Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 53930 Route 25, Southold SUFF.CO.TAX MAP NO.: 61.-4-19.1 SUBDIVISION: NAME OF OWNER(S): United Methodist Church OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: United Methodist Church DATE: 9/28/2015 DWELLING: #STORIES: 1 #EXITS: 4 FOUNDATION: Brick CELLAR: Full CRAWL SPACE: BATHROOM(S): TOILET ROOM(S): 3 UTILITY ROOM(S):Boiler in basement PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Oil TYPE HEATER: Off Boiler AIR CONDITIONING: TYPE HEAT: Oil WARM AIR: HOT WATER: Steam #BEDROOMS: #KITCHENS: 1 BASEMENT TYPE: Finished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: Side entrance to church in need of repair,interior and exterior. REMARKS: INSPECTED BY: G RYF DATE OF INSPECTION: 6/22/2015 . /7;1 TIME START: END: Town of Southold 9/28/2015 `3�0� �eGy 53095 Main Rd Southold,New York 11971 o t,1 * 0 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 37799 Date: 9/28/2015 THIS CERTIFIES that the structure(s)located at: 53930 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 61.-4-19.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER 1- 37799 dated 9/28/2015 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with small front covered porch, 1 gas fireplace, 1 fireplace blocked off, and accessory wood frame 1 1/2 car garage.* The certificate is issued to United Methodist Church (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Au /I :* nat 21 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 53930 Route 25, Southold SUFF.CO.TAX MAP NO.: 61.-4-19.1 SUBDIVISION: NAME OF OWNER(S): United Methodist Church OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: United Methodist Church DATE: 9/28/2015 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: Brick CELLAR: 1/2 CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: Off Boiler AIR CONDITIONING: TYPE HEAT: Oil WARM AIR: HOT WATER: X #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: Wood Frame 1 1/2 Car STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: Roof shingles in need of replacement on accessory garage. REMARKS: INSPECTED BY: ARYF DATE OF INSPECTION: 6/22/2015 /fill TIME START: END: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 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 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. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing" land uses: 1. 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. Certificate of Occupancy on Pre-existing Building- $100.00 A- 0."lc C. o 3. Copy of Certificate of Occupancy-$.25 p YI,�, 4. Updated Certificate of Occupancy- $50.00 1 1 i Ur 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. 0 — New Construction: 22 Old or Pre-existing Building: (check one) Location of Property: S 7 ( 2 s) .} 6'0 • House No. rStreet `� ( Hamlets 1 Owner or Owners of Property: V `1. �l c11710(4,--( l urc/�\ , Suffolk County Tax Map No 1000, Section (i) Block 1 Lot ) 9 , Subdivision Filed Map. f�`` Lot: (4X, Permit No. \ \ �� Date of Permit. 1) �/ Applicant: ' l W�� (_Q 1-'l -C— . t,v wealth Dept. Approval: Underwriters Approval: 1�� Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature CONSENT TO INSPECTION \ c 'hi ` O f\AO YeAiik - cl • , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned (is) (are)the owner(s)of the premises in theTown` of Southold, located at 53930 kR-iJ 2 ri S. i�l/`,c4c\' . which is shown and designated on the SuffolkCounty Tax Map as District 1000, Section (i ` ,Block 1-1 , Lot I 61 , f . That the undersigned (has) (have) filed, or cause to be filed,,in application}in the Southold Town B ilding Inspector's Office for the following: Vi _ C CAt'VC,1c�.1��Y1 � -- C o c� 164 1 I -7 6? That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: CSL 0^ I S k(0_1\''•- (Signature) 1J &( Q kt:C. r1 (print Name) LJ (Signatue) (Print Name) l - SURVEY OF PROPERTY N AT SOUTHOLD • TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-61-04-19.1 SCALE 1=30' • - AUGUST 27. 2007 to 1 ' 1 l ,..6 • At. i I 40x9 4# �" Y.14.". ' 0660 se; \ 1,..:\ IA .4,i p► a.' cdlet2 4 -4' i .s! , . x'" 1 \ - • I' i •,:t. t tk r l 'N� 1$4 " �, 6..,..\ apISA /......."*..............................**.........ri.z"‘"N\ " &.' \ i.- ‘ *P916\ \\,.. v ' let \ , o. 011110" 0 • \ \ \l''1% i lg. 00 4'.4 • . V_t.,.. 000 .-.-,\ \ , . illika \ ..,,,•#., o • 'it. �uu��q,�% qt ti •o \ • to \ + / s + \+ y lV s _ / ‘.0`.6 <4 1, rrat 004 \1,10, CERTIFIED TO: SOUTHOLD UNITED METHODIST CHURCH 0I' FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK - AREA-50,206 SO. FT. N.Y.S UC ANY ALTERATION QR AOOTTION TO THIS SLIMY IS.4 MClAnAN NO. 49618 OF SECOLW 72090F THE NEW YORK STATE EDUCAIICW LAW. ONIC SU nvt>•ORS P.C. WaPT AS PER SECTION 7209-SUBD►W9QV 2 ALL CERTIFICATIONS (631) 765-5020 FAX(631) 765-1797 HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY F P.O. BOX 909 • SAID MAP OR COMES BEAR THE IMPRESSED SEAL OF THE SURVEYOR MrMOSE SIGNATURE APPEARS HERON. 1230 TRAVELER STREET183 SOUTHOLD, N.Y. 11971 07- - , tom vow. - _ - -�-- -a-a �. TOWN OF SO.UTHOLD PROPERTY ORD CARD _.). OWNER STREET ,5---(3,930 VILLAGE DIST. SUB. LOT e TACr 1 r7-- C A.il.&c 4 /74 d :t 1-4 o f`Z . 'FORMER OWNER N •4/ ACR. 1 C ,( : MMI ,P ri /11-g B lei .Ce.; a /2 40 /4/1/ SW TYPE OF BUILDING .6/caee irs d I/ 0 41-S il,Pt iqf; F i-oAels I -a a t C.?o f ?4 41',-Ai*g e., zES. 1.2-/D SEAS, VL. FARM I COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS .2. .433e_ts, 9W/ ' aAs/ 4w' C4,;l2 . ..5'�o 4(98 .3a Anaa ' 7//jz- , hie /y „er- ir7' z. 'Mh, a4�cl!•axiT�..C- Zeity„. eP -E, . •3 CJ'j\ 2.51 4:-‘01 t ' efi-a '7 1774 _ L]asticF`,9-Sprf'!' y ¢ -Fr Q�k -- kLTi -35 > L2 1 c 1;3C‘,) 1 IS ciW l1("6° /0/17.- tr .. - rc_a_ k.. . .. - .. 3Jt IS-- 7LO le/5 106, • i. F I Tillable FRONTAGE ON WATER ' Woodland FRONTAGE ON ROAD Meadowland DEPTH House PlotBULKHEAD Total 1 1 . :' ,,.�..��- r 1 : , .: .�F,!'- t ' ` �� �: ( .....: ,. . ._ x,, .,._,„,..„,,, e� 44 •,'-,/- ; - '} 1 �a T�. • pLOR 0i� t TRIM �/ �/ :,._. - ...,:i Z ":":4,;.--.41:1-. ; t1 i��-��e- 7t+J __,,,..„.„.,1,..:,„,:., ter . � =„., i • r !!!g! ' !! i _ i ■■� amaii... Ell IIIIIM11111111 :Z-_"--- 1,63831-#1, _:-7,f• ..:.... , i 111111111•111111111111•111111111111111111E . ragsam. :2--.....-i-i,..,-15:0;- 4 111111111•11111111111111111111111110211 IN . ",a __, tallemmilimmemillimilmmummullmilill _ _ _ JIE1IIIP'JL!IF_11101 9.1 02/2015 ■! ■i■■ I ■■■■■ ■■ ■■ 1 ■ QUI:- Bldg. �� 1� = �i I i I ■1■■ ■ 11111111111111 i Extension ,l1 .x-14 - 1/ lie f ,3)-2r ,..5.a4/.r4 4ExtensioniIi!iiiihIiFii!!iL. Extension '� r'J Foundation s r c/ Bath L &, Dinette l -� Porch l,_ 7 ! -'2 a / Basement !'� 1 ( Floors d..)� K. Porch Walls I VI- Sqa, Interior Finish 'V� §4 fhol.e r; LR. Breezeway Fire Place 1 ,A,6 Heat 37.---, ..d....,..., DR• Garage 1 Type Roof {moi a- Rooms 1st Floor BR. Patio 1 Recreation Room Rooms 2nd Floor FIN. B EBAliti,a /-:`,y ..'1 rlCt Dnner Driveway Total 1t9 ,1 - �9 d 2/ 4tYl_________— 9 ' rj ) ))5 1) 0 0 Iry SO!/ it--00/SiabliA- (411 g6)UcTiOti) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: _ 02- * va_ Co tc5VW ? T Fa 1 css DATE 7 16 INSPECTOR • LOCATION: (number & street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: • DWELLING TYPE OF CONSTRUCTION: C&4.. Q6L'" •a-# STORIES: A' #EXITS: .2."---- FOUNDATION: 61-/CiC., . BASEMENT: it,/..--- CRAWL SPACE: # OF BEDROOMS: 1ST FLR: '/4/4-- 2ND FLR: 3 3RD FLR: ("---- BATHROOM(S): / TOILET ROOM(S): 7 _ UTILITY ROOM: PORCH T��'P`E: C 'ECK, TYPE: PATIO TYPE: l 1 jcf.4 O/i2 BREEZEWAY: FIREPLACE: _ .2/1 C GARAGE: ` DOMESTIC HOTWATER: Ci.f4P TYPE HEATER: 9( $ ONDITIONING: '------- TYPE �TYPE HEAT: okt WARM AIR: HOTWATER: # OF KITCHENS: Ora A FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES C C� GARAGE, TYPE OF CONST.: (4 . : N' STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION n c6F"6L'YDESCRIPTION ART. SEC. ki Crli-it,fr4 ha6-; /i•J A/644i IC 1171,9,e,64,11<„,-r; REMARKS: INSPECTED BY: A-lej DATE::RE0 CTIN:er'447 . 4 ,� �� TIME END. LOCATION: , (number & street) - (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: _ (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP'NO. 1000- SOURCE OF REQUEST: DATE: AliKG< C /QCT TYPE OF CONSTRUCTION: 0 ' #STORIES: © -- # EXITS: Y' FOUNDATION: . BASEMENT: r141( CRAWL SPACE: # OF BEDROOMS: 1ST F : 2ND FLR: 3RD FLR: BATHROOM(S): � 4 /SILET ROOM($): UTILITY ROOM: -- r PORCH.TYPE: DECK, TYPE: , PATIO;TYPE: BREEZEWAY: , , ,_ FIREPLACE: . , GARAGE: DOMESTIC HOTWATER: , TYPE HEATER: , k9 A CONDITIONING: TYPE HEAT: Ll't-�-- WARM AIR: . HOTWATER: 70 # OF KITCHENS: FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES - GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LO •N ' DESCRIPTION ART. SEC. - -N '1 ,V� - I a /Y Man /0, REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: D: