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HomeMy WebLinkAbout28399-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector ' Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28889 Date: 09/26/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 23045 MAIN RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 2 Lot 22 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2002 pursuant to which Building Permit No. 28399-Z dated MAY 16, 2002 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 ACCESSORY CHURCH OFFICE BUILDING IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to ORIENT CONGREGATIONAL CHURCH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 09/03/02 PLUMBERS CERTIFICATION DATED 1/30/02 RBT.VANETTEN PLUMBING Authorized nature Rev. 1/81 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. 28399 Z Date MAY 16, 2002 Permission is hereby granted to: ORIENT CONGREGATIONAL CHURCH PO BOX 425 ORIENT,NY 11957 for CONSTRUCT ACCESSORY BUILDING (CHURCH OFFICE) IN REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP# 23676-Z. at premises located at 23045 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0002 Lot No. 022 . 001 pursuant to application dated MAY 16, 2002 and approved by the Building Inspector to expire on NOVEMBER 16, 2003 . Fee $ 385 . 80 Authoriz d Sign ure COPY Rev. 5/8/02 FORK NO. 2 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) C� 23 11 N? 23676 Z Date ....... . .............................. 19? Permission is hereby grant iod to: 44 &,-�l a& ..................... .... . ... ................................... ......... ...... .......... ......... ............... .......... ........ ..... e4--Ol - IV c;2 3 ........ at premises located at ................................ .. . .....je.... ....... .../. ....................... JJ ,/V. .......... .......... ................................................... ............................................................... County Tax Map No. 1000 Section ......... .z Block6-0.......... Lot No. A rZ........ pursuant to application dated ..................... 19..Y6, and approved by the Building Inspector. Fee 5 •`•-••..• ................ /.. ............. .................... ;or Building Inspector Rev. 6/30/80 1 f, r Form No.6 SEP `2 0 20 i - 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. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one). Location of Property: 23 6 House No. ( Street ` Haml t Owner or Owners of Property: C�, cca - Suffolk County Tax Map No 1000, Section O 43 Block 000 2 Lot Q 2. z . o O \ Subdivision Filed Map. Lot: ( { Permit No. 2 $ 3 Q g _Date of Permit. 4-A, Applicant: 0'r ; Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 00- coNR'e_. 62y13 //- App ' Signature CC �'aU $ $°� J ��sOFFO(,�co �o } ;; 2002 W Town Hall;53095 Main Road fr L T" Pak(63j)7�5-182 P.O. Box 1179O*, Telephone(631)765- Southold,New York 11971-0959 BUILDING DEPARTMENT _ TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. 2, 3 6 q'Z" YCrdewa+ Owner: 0rlent- (please print) Plumber: 30 C" (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers'Signature) Sworn to before me this 30 day of 20 OoLJ Notary Public, County LINDA J.COOPER Notary Public,State of New York No.4£22563,Suffolk Counw Tom &Pires December 31, PLANNING BOARD MEMBERS S1SFF0j/( RICHARD G.WARD � CQ Town Hall, 53095 Main Road Chairman h`Z` Gy P.O. Box 1179 o < Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. y x Fax(516) 765-3136 BENNETT ORLOWSKI,JR. WILLIAM J. CREMERS O Telephone(516) 765-1938 KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 21, 1996 Gordon Racket P.O. Box 151 East Marion, NY 11939-0151 RE: Request for site plan waiver Dear Mr. Racket: Thank you for our letter of August 12, 1996, requesting a waiver of site plan requirements for your proposed church office. The Board will waive site plan requirements, but would prefer wood siding instead of other material such as vinyl. If you have any questions, or require further information, please contact this office. cer ly /Plan.'Reviewer assner it Cr: Thomas Fisher, Senior Building Inspector "jliuc 26 ¢ TOWd�OF�OSr ._ 765-1802 BUILDING DEPT. NSPECTION [ZYZFOUNDATioN 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & IMNEY REMARKS: i DATE INSPECTO 9 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 73T [ ] FO [ ] ROUGH PLOD. DATION 2ND [ FRAMING [ ] INSULATION [ ] FIREPLACE [ 7 FINAL & CHIMNEY REMARKS; rp s Xs ivy j e �. e4-�— (17 001 � c5)/1v —' J DATE p 1 INSPECTOR O� �' ( � c� aJ3g `� ✓�r��tia� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUGH PLB G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: -'div© c_ r DATE rl INSIDE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [,, �INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATEINSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �INATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /7Z /o/Z' ���� i�J �-W� — DATE % INSPECTOR 76 AW2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �a ^" -? S:� DATE O`er °9 9 INSPECTOR /�� •G�0" 765- BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING / [ FINAL [ J FIREPLACE & CHIMNEY RE ARKS:77 16 ✓e, � DATE INSIX M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND �[ ] INSULATION [ ] FRAMING A-�" FINAL(4��) [ J FIREPLACE & CHIMNEY RE ARKS: ]? j )"_�� DATE 07 i7 G 2 INSPECT ✓ �� . G�--d' r:IiLD ;rl;;recrlort I(l,ronI- DAIS U 19 0- ii 1 I! �O if I°UUNDA't 1UN"---- 2ND) _ c] A91 "� uoncD runrlr. a !I I'LllFlll I NC 111SPLATFON y . .`i'1'Al'I5 IiNP.I(CY L ` _ �! FT NA 1. I�p` i U I __ - --- ADDITIONAI. coMMl Nr>: -_-- ------------ 3/,3 14 A o/r4:-� ---- ------ of 80,1RD OF HEALTH _ FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . E TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK 26 1`;�;�� TOWN HALL SEPTIC FORH . . . . . . . . . . . . . . • • . . . . SOUTHOLD, N.Y. 11971 T. TEL.: 765-1802 nor I FY �n/� ( �7 CALL Examined . .�r. .. 19 0" C�(j� ! -� P1AIL TO : yJ��.� Approved . . . y� (? 19�.?Permit No. . . . . . . . . . 1 . Disapproved a/c , . (Building Inspecto KATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . 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 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 Certificate of Occupancy 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. (( �� ��,��77 (Signature of applicant, or name, if /a corporation) . .Sit A.*-It'i �L_-1..z.: { (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. a ^'!Y.� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .l2 P%i.4. NNT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . ... . . . . . . . . . . . . . . , 1 . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . j� Tf . . .?. . . . . . . . . . . . . . . . . . . . . . . . • .7- House Number Street Ham*Iet . . . County Tax Nlap No. 1000 Section /X. . . . . . . . . . . . . . Block . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . .(N . . . . . . . . . . . . . . . Filed Map No.ame) . . . . . . . . . . . . . . Lot . . . . . . '_. 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 . . .S'I{ ,k, <=. . . . . . . . . 5' . .,. . . . t r . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . �, . . Repair RAddition . . . . . . . . . . Alteration Removal . : . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . ... . . . . . 4. Estimated Cost . . .�J.�.LU vv l"7 0 (Description) . . . . . . . . . . . . . . . . . . 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 t . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . YPe of use Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . Dimensions of same structure with alterations or additions: FrontRear . . . . . • ' • • ' ' ' ' ' ' Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entre new construction: Front . . . . ��: , , Height Rear . . . . . . . . . . Depth �� • • l&• • • • • . . . Number of Stories . , f 9. Size of lot: Front . . . • • • • • • . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . 10. Date of Purchase . . . . 1 .1 qf:� , • • • • • Depth . . . . . . . . . . . . . . A . .�/.� ,��, 11. Zone or use district in which premises are situated . , . , Name of Former Owner J�A.)tt . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ... . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of premises o>2!(=rf t. A'tq/,q , j/ ��tfdill e . ess till, y20 moved ,' No Name of Architect �ior<a , ► {. Phone +� 1 c i� . . . . . . . . . . Address ;��;T Name of Contractor . . . . . . . , a''•" Ic'• . • • . Phone No.=i=1 ;,., , �1 ti.e> Address .)F2.i_.y 15. Is this property within 300 feet of a tidal wetland? * . . . . . " " ' Phone No. Yes. . . . . . . . *If yes, Southold Town Trustees Permit may be required. No.l. . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. TATE OF NEW YpI�K, BOUNTY OF . . . _ S.S • • • • • • • . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) hove narned. eisthe . . . . . . . . . . . . . . . . . . (Contra r, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. .vom to before me this tY31 (, Yof. . . . . . cJ. . . . . . . 19 Y6 otary Public, . . . . rr BERT I. SCOTT,J County N _T RY PUBLIC.State of N.Y. R, - �), A No.4725089.Suffolk Cou tv' °�• . •' ti ` .. . . . . . . . Term Expires May 31, 19�c:. (Signature of applicant) � I �I I o�D MAr of PCOPr 2TY s ! __ UNlp S( D FrO¢ THE ScNpp` OI�I�NT CONGI �GQT/C�N >� CNU��F -I I { ooCDc� O� N C�12(ENT .�,� o J _- OD•E TOWN OF _ OCL)7 '<7LD, N.Y x.� 9 to 01- X ! I J `�20�., I o 5 to pro' 30'i 9D' 50 Ts' 100 A2E4 73,000sci-Fr. (L676 Act t _ I `'J I GA2 f O = MAJ02 72EE I 11 i M 2 I BLgGKTOP I - � i I PA2/GING � ` I I 0 I I 0 2 z I Q D ID I j I � II I I I � r v ' I L I I �au2cH f 1 W I h r Z _ 5702Y I I f � I �r I F4/aME Z i I 07 0 �I I pq2 SONRGE � J II �, �ry i P I f y dl QOQFEO P02GH I m l e l Rp I a zm Iro l III I I O I I I L�POQCH q¢I<K yyyp I I'� I N 1 ZLl6y 7'n I u � I r YOUN65 20gp I I f w a I "ILII I 41:27 -------- N•87'S8 74.25 5.84' 39 f0 W-- 57.6cJ 5- 87'5450,.'A! � I � • ems.-_ SIGN GRS �I ° -GAS 'W JI I I r ti �tOAD YI N. Y. STATE lZOUTE 2S fl �, aroe h`i �f AMEI 1DEC AL'C. mrnbeurvryl°Noinllm W 8a;lim T1(.lelMe NwrVwkdM - _ ___ -. I cwnrolmneunevmoommnevNg _______ ____. __ bEe.vpmbapyipR _ p� ^ 1 4 OwmnlehYlmrtleON�oaNuln• ry - ,Y wamabea.oa M nemmFeMe f d" IJIo[omObly OM'emmenblaperxyentl cFryy�OLS 2562po"{�' MMeeeo:mumwnnemanemee ma ec LAND s° SU2V¢YED Au sus-7 !o , : �995 Dl ai m onlea�nanmore�4ew to°amnonol .u; uoe:arsuereqerc 200ea/ccs VAN IDYL , P. C . rF . V 7 LiceNSOO LAND .SUaVeYOQS 02E6N Z7 ^- NEW YO2e 0 ow I l7LL j + / ` � 1 mom Mw I — OCCUPANCY OR � USE IS UNLAWFUL 2e� {!♦ t {,�,(� j�I..f _ WITHOUT CERTIFICATE APP D AS NOTED wik �li"^ �J'✓FV OF OCCUPANCY DATF�SY f OTIFY BUILDING OE NT ' - -"- ---' - - 7 - 765-18029 AM T04 + RTHE !1 .:9 FOLLOWING INSPECT NS: - - - I FOUNDATION - TWO REQUIRED - - - _ FOR POURED CONCRETE ��- 2 HOUGH . FRAMING R PLUMBING 3. INSULATION PLUMBER CERTIFICATION 4, FINAL - CONSTRUCTION MUST ONLEAD CONTENT BEFORE BE COMPLETE FOR C.O. CERTIFICATE OF OCCUPANCY ALL CONSTRUCTION SHALL MEET' S THE REQUIREMENTS OF THE N.Y. + SOLDER USED IN WATER STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR - SUPPLY SYS TENT CANNOT DESIGN OR CONSTRUCTION ERRORS EXCEED 2/iQ of 1% LEAD. PLUMBING H oopW tubbV N und ALL PLUMBING WASTE for view distributing tEOF NEW ), LINES&WATER NEED SystoM pipi g shalt be 0-f PP AGE r�r TESTING BEFORE - COVERING of Wpm*K_�L s v � (p Op�OFESS10�Fe - -. �II - PO Eptt StA !, 9691%NY,11967 �. - - - - - .. ; � I I I , : (