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HomeMy WebLinkAbout40294-Z 0Fat4-4Q Town of Southold 3/24/2016 +a� P.O.Box 1179 o53095 Main Rd \01 •,d o: Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38172 Date: 3/24/2016 THIS CERTIFIES that the building ALTERATION Location,of Property: Crescent Ave, Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-2-12.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/24/2015 pursuant to which Building Permit No. 40294 dated 11/24/2015 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: INTERIOR ALTERATION TO AN EXISTING CHAPEL, AS APPLIED FOR The certificate is issued to ' FI Union Chapel Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut riz d Si ature �o�� o��co TOWN OF SOUTHOLD .. f �y BUILDING DEPARTMENT i o , TOWN CLERK'S OFFICE r SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40294 Date: 11/24/2015 Permission is hereby granted to: Fl Union Chapel Inc PO BOX 192 Fishers Island, NY 06390 To: INTERIOR ALTERATIONS AS APPLIED FOR Replaces BP# 30066 At premises located at: Crescent Ave, Fishers Island SCTM # 473889 Sec/Block/Lot# 9.-2-12.1 Pursuant to application dated 11/24/2015 and approved by the Building Inspector. To expire on 5/25/2017. Fees: PERMIT RENEWAL $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Buil. tor 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. 30066 Z Date FEBRUARY 4 , 2004 Permission is hereby granted to : ISLAND UNION FISHERS PO BOX 192 FISHERS ISLAND,NY 06390 for : INTERIOR ALTERATIONS AS APPLIED FOR at premises located at CRESCENT AVE FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0002 Lot No. 012 . 001 pursuant to application dated JANUARY 29, 2004 and approved by the Building Inspector to expire on AUGUST 4, 2005 . i Fee $ 200 . 00 -5450 C o A/ Auth rized Si nature a5-0 . COPY Rev. 5/8/02 TOWN OF S TTROLD " . BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. g(.. -, - Check Septic Form N.Y.S.D.E.C. Examined 2 , 20 `F ^� Trustees Contact: Approved a r f 20 Mail to: Disapproved a/cj� - -- ..,•_` 1 Phone: Expiration '3/y 20 41011 ,/ / _� 1 i, ._ c — ' Build' 'g `spector 37)--597G, JAN 2. 9 20e4 : i rd APPLICATION FOR BUILDING PERMIT r Tc.:).::*.: {^ ,r, ; �' �? ) _._..._ Date 20 INSTRUCTIONS a. This 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 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 permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from 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,the extension of the permit 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 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 applicaUe laws, ordinances, building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. , 1014.2Z �� (Signatur�pplicant or name,if a corpo ation) 7©X X115x' V (Mailing address of applicant) D63'2O State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 5/257Le_. r ,cd,75.b.46,„„ &,,,,,;_zgcx,2,,„,e Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. O6/cg Z 7 f 8 • Plumbers License No. Electricians License No. Other Trade's License No. ,----,,,,, • _\ 1. Location of land on which proposed work will be done: tscEA/7— Avc /E2c c /c(A-AI/), AC✓-V . House Number Street Hamlet County Tax Map No. 1000 Section GD 9 Block 2.... Lot /2:.. / Subdivision Filed Map No. Lot - (Name) 2. State existing use and occupancy of premises and intended use and bncupancy of proposed construction: a. Existing use and occupancy C LA-55 C 5.4- C/-fc/R-C b. Intended use and occupancy S/-M 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal • Demolition Other Work (Description) 4. Estimated Cost 1450 ) ©0 Fee /ZOO"" (To be paid on filing this application) 5. If dwelling, number of dwelling units i///1.- Number of dwelling units on each floor /V�A- If garage, number of cars //f C,w,eCff SE.��/ic�s 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. _ — 0 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front 'Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 13. Will lot be re-graded? YES NO ✓Will excess fill be removed from premises? YES NO ✓ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor AM-get_O'S Address FI h// Phone No. G ( •7,66. 5S-Sb 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;3i:vtst provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OFSL. Pou< 1014/A/ e $ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the /R.115 7" F75/6C/5 `SCIWI) 'oCf t+61 f C('IA1P Z- (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 rr �(D`F' day of v s.vn u o.n_* 2005'4 zgoa Totary Public Signature of AZant MARY B PANKGE 6 Notary Public State of New York F. 63� No 52-8267950Apg Commission Expires q f b Io 4 631 les 766 4- 1111B , • -41111111111111111111111k T .may- s, x 9 mtilta�+x'z¢.tK' °as .. L ", ..., • . y a» 1 - �. i v 9 k ..;..,.,,,,..1-,.,.., Southold Town Building Department ,c:0nFFGLi . P.O.Box 1179 Permit#: 30066 53095 Main Rd z Permit Date: 2/4/2004 { Southold,New York 11971 .# o (631)765-1802 _dol �aExpiration Date: 8/4/2005 Parcel ID: 9.-2-12.1 BUILDING PERMIT RENEWAL LETTER Dated: 8/6/2015 Applicant: ISLAND UNION FISHERS Location: CRESCENT AVE FISHERS ISLAND Work Description: HISTORICAL INTERIOR ALTERATIONS AS APPLIED FOR A FEE OF $250.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ISLAND UNION FISHERS Address: PO BOX 192 FISHERS ISLAN,NY 06390 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. 0.6-n--,. 1?„, 0 e alpf /4 z T . N OF SOUTHOLD PROPERTY RECORD- CAR _ 6 "�,.c�. -- - - V a.R - OWNER STREET VILLAGE DIST. SUB. LOT efeSe-c180\1:,,ICI'''f_:, /71- Ala o ci IMIIIPANINIPIAL _J--.41: FORMER OWNER MIMI EACR.ex� c. - .. N. _i -- - .. r ( 5 W TYPE OF BUILDINt °l 5,6,'' i , , y_ 1 L. Y e s.c.. e. . Iyer RES. SEA'. VL. FARM COMM. CB. MICS. Mkt. Value - - - - co-0'z- Gi zs - LAND IMP. - TOTAL - DATE ' REMARKS a 0 Irffrin I - }'54- - " -_ ,- - , - - .. - F . ..• -- . . . t iimirj 5 I‘ gs P • A ACID I'-rOrl �‘-- • - - - - -- - ----- WM/Mi i • BP .! a SIO 8 I [� .ti 1 i s lb hart►Ca1p bi hroom .111.-= ,. /MK\ AGE BUILDING CO DITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre 1/1-6 IIMIIIMIE J 2 1-4 FRONTAGE ON WATER Woodland 111111M. FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total .� or .w DOCK " _• PA 4.dlIMINIMMEMIli q l� 3�,tr '5'byit �I��y I 1r I ti /.`7 ,vl"9 ' • '. COLOR TRIM , t,,i n i..f6 ." 'Y6 ir, „ If eYai v 5 0;: gw om - < 4'vritfrtr4t1/44-..-% e, .=••••' or._ mil ' ■■■■ J -- M. Bldg. Extension \ Extension Ex`ension Foundation Bath Dinette 44. . _ 4 Porch Basement LFloors • K. ° h= Ext. Walls Interior Finish• LR. Fire Place Heat DR. O C tyL '; ;: ,� : Type Roof Rooms 1st Floor BR. p� - `.. Recreation Room Rooms 2nd Floor FIN. B �� ,\u >>E Dormer Driveway ���Gh ''''''''°-:'' '''''''' `idt1 Pym • • israynirrrivetsmymcmitr.„7„j......m", ,,,_t„._.,,, ,,,-.. , _ Go!_,;:00,0000,--- --,11-,=,-,e---.-- , „.,,7-,7:7--- ,..1- --MI� . STREET VILLAGE - -4' `:,::''''.144,741 - . � DIST. SUB. LOT ” : Z6.4.44.11 Ctel a,..ate„:1 . / , /4' ,..Q.,,,a,„.„.,,,i, / 5.7. FORMER OWNER N ACR. fi % -z #iyie,VC`ie4deZ SE a-[ n -L tt I S W TYPE'OF BUILDING e l 6_IA le ave. . ir;/64,sas/ C�i9p, RES. - SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS on 2600 0 ?®6rf, � �-'' , / tt A , . AGE BUILDING CONDITION ` ., NEW NORMAL BELOW ABOVE ' FARM Acre ,'+ Value Per ValueI/J/7 Acre r r Tillable 17 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD J/B House Plot DEPTH / 0 o ' BULKHEAD Total ,,- DOCK COLOR TRIM M. Bldg. Foundation Bath Dinette Extension Basement Floors K. Extension Ext. Walls Interior Finish LR. Extension Fire Place Heat DR Type Roof Rooms 1st Floor BR• Porch Recreation Room Rooms 2nd Floor FIN. B. • Porch Dormer Breezeway Driveway Garage Patio O. B. Total ' ___‘ ---- i44--- V--e)i4--VD F_,r/5T-(A/CI- I'M CL u//DP71 EXP7- err - e. 1 CLiL/ntG- (OWE£SP d o wN) -4 661 rl . if S � Pi Al- /I/ L4V - S!/.-Et-(z.oct< clic{ I TR ylv5ON? 1.../G6L I v / ---- - _-- a oFFrc 1.e4 t/ , L - r 1.__________:________- , P-(/cep 5/ 5�2. /2 V `'/</C1< ,L-T61-6r-P4NtC, /2�o� � S/USS 3-0 x. 6 -8° Dock i Dcueu= ACT10H !,4/n/e;ES PASTO&S 5Ec770M A -A UNDERWRITERS CERTIFICATE¢ c rao Y N 19-1-1-0.1. p+ c REQUIRED k(?` �. S 11� / f 1.------_,: A, - - .,A HAI A/ 1 . .I (G2ADt LEVe C fog. aweeLC/-�i az) A'SS /e'LY , 1tfECL r 7- 1 .-� ZO 1 iX 1 7-© G d2/-}/.�c (07..z S�F/� 0OavN) -4L6- SfztillCTc�,+4fz� ,LEv��. ,,"‘J SC i APPROVED AS NOTED / F 9o2 PLAN ScAGC B.-�'' 60/2_ TD�2 NOISE CD tuTiZV L. {'Q FEE: ' O BY: dI _ ' ( . A , Div/o/ c7-71Aof L 765-1802 8 AM r0 4 PMl FOR THE • S/t (ALLOWING INSPECTIONS: 8 UEc 03 FOUNDATION a TWO ,REQUIRED -_ COMPLY WITH ALL CbI'ES OF FOR POURED CONCRETE NEW N Q- r' STATE & TOWN CODES 2. ROUGH - FRAMING & PLUMBING AS REQUIRED AND CONDITIONS OF 3. INSULATION ��.n- 4. FINAL - CONSTRUCTION MUST SOUTHOLD TOWN ZBA a `�= '�� , t ��,�, BE COMPLETE FOR C.O. --Jar ,l �� j SOUTHOLD TOWN PLANNING BOARD ``'s '`5'`� a` ALL CONSTRUCTION SHALL MEET THE - - r 4Z" �,.,,�„ Y• REQUIREMENTS OF THE CODES OF NEW A ��—_ SOUTHOLD TOWN TRUSTEES r' til , ',=��,•,ck- ; YORK STATE. NOT RESPONSIBLE FOR a =' S' Atli N.Y.S.DEC DESIGN OR CONSTRUCTION ERRORS. � `'' +c 4., ' �a it, F ,-, ew.c,,` wry 7- )` ` "_ NCS ®R ,� ,, a ,, L ./ � 4°}' '�:''CcµT4�V u+ �.�'- USE I,, , 'NLA'1 v FU L jF WITHCU_r CERiRGAT ALL CONSTRUCTION SHALL - Or v.U U PA\`CY MEET THE REQUIREMENTS OF THE{ CODES OF NEW YORk;STATE„ ," . , 4 b\. 01,4 ,,,:t:,�t<1a3 it o', f✓z 1 �iii J �® � � W -730 9 770q7/7?'`.7 7V0) Y.77 anP 5/ 5?/-7/--/5/d fps -9Jvi.2.7v. 7 .11?�-VAIDIYt/S- 7-?evg/1/0c7-F/ fr CJ/.//OQ/ —?71:171/ A5SW/ 4.11N L (?)>64,77D -7rn /) f -7,1-77 314-6e2) \ 3/w-V22 TY/-VH I 7 -v g • f 1 oza-b° ll1: J 9 &01 i -.1, -9nd(7-7-1/ -ni/1 H 9/7 >T. �1� Odd/ � I I � � I I I Ay-Vn -Dr--6// I I I � I j fl\Pp?1 '?/7C7 X79-115 79/'Cl-% JvJg0c / (22 ,,,/'''' 3727,119r7 ry+r) 3 1V-E1711,5 • _. 0.0 35I 1-b' 37/1OJ NO I ,, 7?)-P0 / tel?V� #© "?,i7-_-/_17L)/1-Yd ,— - - _ - - .__- _ --- - - - -- - - - - - _ _ - ji.