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HomeMy WebLinkAbout40491-Z ,i yg1s14 fc© Town of Southold 3/22/2016 +'+& % P.O.Box 1179 � 53095 Main Rd `a*.. a° Southold,New York 11971 CERTIFICATE'OF OCCUPANCY No: 38161 Date: 3/22/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 9920 Route 25, East Marion SCTM#: 473889 ' Sec/Block/Lot: 31.-11-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/22/2016 ,pursuant to which Building Permit No. 40491 dated 2/29/2016 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: "AS BUILT"INTERIOR ALTERATION(FLOOR REPAIR), TO AN EXISTING BUILDING, AS APPLIED FOR The certificate is issued to Baptist Chapel of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Author' d Signatu e co' ` TOWN OF SOUTHOLD BUILDING DEPARTMENT ia TOWN CLERK'S OFFICE oy �� + 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#: 40491 Date: 2/29/2016 Permission is hereby granted to: Baptist Chapel PO BOX 66 East Marion, NY 11939 To: As-built interior alteration (floor repair) of existing building as applied for. Additional certification may be required. At premises located at: 9920 Route 25, East Marion SCTM # 473889 Sec/Block/Lot# 31.-11-1 Pursuant to application dated 2/22/2016 and approved by the Building Inspector. To expire on 8/30/2017. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $278.80 CO -COMMERCIAL $50.00 Total: $328.80 Bu • nspector 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. 1 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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 Date. 2/2 Z/1 �jj New Construction: Old or Pre-existing Building: I (check one) Location of Property: l -I 2 0 R--k 5 M(1y r ply House No. Street Hamlet Owner or Owners of Property: Fa Suffolk County Tax Map No 1000, Section S1 Block 11 Lot 1 Subdivision Filed Map. Lot: Permit No. I 4041 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: '/ (chec one Fee Submitted: $ / / 'AlnSgtuiiaf ,n _,___„ .. „/"Z S011 , _ ,,, r, v / 4 '‘,:_s L,t1 .• TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - ANSPECTION - -- - " [ ] F UNDATION 1ST [ ] ROUGH PLUMBING [ ØOUNDATION2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY - [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: rJ 7 : /i. "-e..._ J DATE INSPECTOR 1 ti r ���O�*pF SO(/lyolo\` ` l, vI01 V ;'l ICl N � G 0 11 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ =] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: OX C cf7 s' DATE 03/0 INSPECTOR AdmiliArAl - t. ri . FIELD VSPE qN IMPORT DAA . _ C01v 'SCS •_ • . n' .. , , �w ' FQUNDAnON(1ST) , . I • .. . , •� . , V ROUGH FRAM4IG•& I :..: 71Q)1 PLUMBTN'G '• • f f 4"."."."".: .' '. . . . ..• U1 INSULATION PEA N. . ', •, - • • ' VJ H Y STATE ENE :GY CODE . 1 r_. , ' i , ' • . ' .„/ i• . , , .1 , ' ../ 7,17,, f'v' �'/ ../,Ca'! ,1 _. ._._ o ., . •, FE AL . ' NM r, • • m :U r , , i J J' e 1 ' . , . ' I v 1, mo. 4•.! �. 1 / ' ' .'. .. _. f �..,., .. ., ` 1' . .. .. J TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 O'is of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 J ] /�{�/)/ c: .�rlay— SoutholdTown.NorthFork.net PERMIT NO. `� (,��( "�( Check Septic Form N.Y.S.D.E.C. ___ Trustees 11—') .1� CApplication ) Flood Permit Examined ,20 ( [.e r�,l Single&Separate 11, FEB 2 2 2016 Storm-Water Assessment Form (� I Contact: Approved ,20/ (.(� ; ' Nfamte- Disapproved a/c � �� l'CLO-7--7Oin Phone: (o3/ _ -1 1 f — L) 2-LQ) Expiration ,W j� ,20 f ' Buil ' Spector APPLICATION FOR BUILDING PERMIT Date 2/22 1/6, , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter 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 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 applicable laws, ordinances, building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street MAW Al let V16f0i? County Tax Map No. 1000 Section - (-61BIoCk1 '` ~'`0`" 'Or '4 '' Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy• 3. Nature of work (check which applicable): New Building - .e• •In Alteration Repair Removal Demolition Other Work ,0•, , - (Description) 4. Estimated Cost80000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling 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. 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 Address Phone 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O1 6I i aW1 \\ V Din '�„ l being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, r (S)He is the E I8.�� ECAs`?- M Gtif� Z or Ch (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 as day of Fe_brtin r 20 I "4 /If/ tOCo>�ry ,,l�c.State of New York Notary Public Wo.01WA6140448 Signatur of Applicant Qualified in Suffolk Coun Commission Exprces January Slot, S 1 ..--,Mr...".:,-el r t „,, ,t. .Ik i K S a 111141114k - cM =....„,,, , ,,:_,,_1';:: :: _._ .a t 4 'N. i f i 3 a"A LL it Yf iw zry n .. *. :::v a {IIA.:. f ryd £ ���\ i r 4444 ` ter, ,: w '•r' Y '. � t 4 or -, ..=',-''4 e' • [, # ¢ {i rr ;y it .P'A Nii.+,ft WILLIAM M.DUFFY ,,. SCOTT A.RUSSELL TOWN ATTORNEY I��®*� SO(j11 1" 70 ` Supervisor bill.duffy@town.southold.ny.us O \ Town Hall Annex,54375 Route 25 STEPHEN F.KIELY % * 41 , P.O.Box 1179 ASSISTANT TOWN ATTORNEY va Southold,New York 11971-0959 stephen.kiely@town.southold.ny.us • LORI M.HULSE0�`q. �,`r iTelephone(631) 765-1939 ASSISTANT TOWN ATTORNEY COUP(i`; s° Facsimile (631) 765-6639 lori.hulse@town.southold.ny.us OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD NOTICE OF VIOLATION—ORDER TO REMEDY February 10, 2016 Baptist Chapel 9920 Route 25 East Marion,NY 11939 Re: 9920 Route 25,East Marion,New York Suffolk County Tax Map Parcel#:1000-31-11-1 You are hereby notified that you have been found to be in violation of the Town Code of the Town of Southold, Chapter 144, Section 20, Subsection(A). The specific violation was: It shall be unlawful for any person, firm or corporation to construct, alter, repair, move, remove, demolish, equip, use or occupy or maintain any building or structure or portion thereof in violation of any provisions of this chapter, or to fail in any manner to comply with a notice, directive or order of the Building Inspector, or to construct, alter or use and occupy any building or structure or part thereof in a manner not permitted by an approved building permit or certificate of occupancy. The following corrective measures should be taken no later than February 24, 2016 or penalties may be assessed: the building shall not be occupied and a building permit shall be filed. For the purposes of applying the penalties described in the Town Code of the Town of Southold, your first violation shall be deemed to have occurred as of February 10, 2016. If you have any questions,please contact the undersigned. Since5l , ; rr Peter Doherty Code Enforcement Officer APPRO ED AS NOTED DATE: d 4f. .P.# -._ RETAIN STORM WATER RUNOFF FEE:,21 . BY:- `r , PURSUANT TO CHAPTER 236 NOTIFY BUILDING ..31TPAR T ML AT OF THE TOWN CODE. 765-1802 8AM TO 4 flM FOR THE FOLLOWING INSPECT IONS: 1. FOUNDATION - "-WO RECUIRED FOP POURED CO!JCRE'T 2. ROUGH - FRAMING a PLUMBING 4dci( IiorV,.L( Ceir114 Cdio i 3. INSULATION 4. FINAL Gr;. ` "'TiC N P;US i BE COMPLE I E nfl akif YJe_ rep-Ire-di ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. n.;: RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES-OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF gOU1'H01 D TOWN 713A SOUTHAE13449WN-TRUSTM OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY • 0 -1C-ke. 4 r-.,, , , \t„._ .,. -,IFJ J.'4,---)„.. MURRAY Df-SIGN & (l{IIIA) 449 Main Street Greenport,NY 11944 ) 1. ec.f fl v.,_ 631.47'7.0075 t i 1 EX1A -11/4 i ci41MW EY is) ,, X•, ���� KBO x s':,," r ,� �j'Q-/cF.' � rti 4 i RS.i it l c"�..?''C 8 *CI t _ ,tt dd ..�e.c4#011 ,L t' t Sce ? 4r A<ep 0_; i Nis 4.... it.i. 147.., ,. `,...re 3 ..... 4- v ..:i, i \ *it kx S; ,p3 ��, „ yam;. Baptist Chapel �" ~j r 9920 route 25 w1�.`�` ''" 4,e •East Marion, NY 11939 '' ,-,v ' ,rk ¢ Suffolk County Tax Map Parcel #:1000-31-11-1 ' ' ;.; ;4 -" •