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HomeMy WebLinkAbout16945-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17073 Date JULY 13,1988 THIS CERTIFIES that the building RAMP Location of Property 27245 MAIN RD & 120 HIGHLAND RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 02 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 9, 1988 pursuant to which Building Permit No. 16945Z dated MAY 9 1988 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 CONSTRUCT RAMP FOR HANDICAPPED. The certificate is issued to CUTCHOGUE PRESBYTERIAN CHURCH (owner, ) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATE NO. N/A Building Inspector Rev. 6/88 FORM NO. $ 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) Na16945 Z Date ......�7r/�...................................... .9 Permission is hereby granted to: to . `. , .......: ..... ,. ...............................................................Q........ ........................................................ 's at premises located at -w /, _ � ......................................................... ..................................... r�.... ....... . ......... `7.`............................................................. .............................................. ... ..................................................... County Tax Map No. 1000 Section ......./&r..... Block ......`e�. ............ L .Lot No .....174.1..... pursuant to application dated ....... .................................. 1945Loand approved by the Building Inspector. Fee $..�..... ..................... ••• •..... �.. .... Buil g 1 for Rev. 6/30/80 m )UNDATION ( 1st ) c7lJ )UNDATIOIJ ( 2nd ) o \ � )UGH FRAME & N PLUMBING U` y b 'SULATION PER N . Y. y 'q STATE ENERGY CODE x (� m H O FI14AL ADDITIONAL COMMENTS : x Cj rn x H •V H o� O �Q r H C7 m 1v H C FORM NO.6 Q � TOWN OFSOUTHOLD JUL Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted a_m to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00 1. Certificate of occupancy New Dwelling_$25.00, Accessory -$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 S.Updated C.O. $ 50 . 00 Date . . .2 IKI: g. . . . . . . . . . . . . . . NewConstruction . . . . . . Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property 47,z�4r, . . Y`1 nlN ./l'A,0. . . . Cu o4,tlE House No. Street Hamlet ��rcf/o�/iE , s r,--w fin/ ct/d2cy Owner or Owners of Property . . . . . . . . . . . . . . . . . . .�!� . . .�,�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . �qf . . . . . . . Block . . . . .a. . . . . . . . Lot . . . . . . . . . . . Subdivision ./. . ..'/.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. 449T'r. Z . Date of Permit . . . . . . . . . .Applicant . . .P E.-P . , , , , , , , , Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . f G . A!d . . . . . . . . . Construction on above described building and p rmit meets all a(PPplicable codes and regulations. Applicant . ,nGa✓i!i?! . o`' ^�. . . . . . . . . . . . . . Rev.70-10a8 iG"S. D f 7,�eel9 74E S 3 s i &4 -7 W;_- st 7 3 IIitARlt UP II IiA L'I'II t is q- n' FORM NO. 1 SURVEY t bWhA "44att A44 TOWN OF SOUTHOLD CIIECK . . . 3&�`f Cs'td ! l+r' BUILDING DEPARTMENT SEPTIC FORM . . . . . . . TOWN HALL NOTTFY ,OUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 MAIL T0 : Examined . . . . .. . . . . . . . . . ., 19Af JJ r,o 2. //c . ( Approved . .S�,(./�'. . . . . . . . . , 10?Permit No. . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . \ . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . uildi nspector) APPLICATION 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 Zane 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. . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . I . . . . . . . . . (Signature of applicant, or name, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant ' owner, essee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises .ir?/� S d•�} TE�C• •N �l�U 12C/ d . . . • .... . . .� •��. ��' (as on the tax roll or latest deed) If Ally'ant is a co oration, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED 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. . . . . !` A/ D t2o ACT N C /-1 A/ L> <� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . 1.V.Q. . . . . . . . Block . . . . . . . .2: . . . . . . Lot.. . . .1.77.,. .1. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .eU✓E.(77fi� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I/ b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . uwo (;usoflddu;o azn;uuF[S) ` � �0 ulpyNNnQ�IMI�u AmNN ` ri uno AMA AAY1F� 1 O . . . . . . . .,.; . .. <orl0.nd fUelop 61 ,. . . . . . . . . . Jo hers. . . . (/y s[q; aui azo}aq of tuom gl[mazaq; pa13 uor;eoTlddu gill ul glzoJ ;as TauuzuT oq; VI pawzoJzad ail llrm )lzon aql :[eql puu'Jarlaq pus o9polmouNIsrq Jo ;sail gill o; onz; om uorlurTdds srq; ur pourzluoo s;uauta;sls Ile 1zI[3 !uor;soildd STITJ a r3 put, a m o1 pue zoM PTp,(s ail; pa!u u`q uaCd anzq zo uuzoJzad o; paOu) ogine llnp sr puz 'szauMo zo zauMo pres J, aal rJJoa;e .';ua3e 'zo;ouzluo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . aills( ol•pataett anoq (iaezluoo 2utu9rs lenprnrpur,lo awuN) I ll [ ;Pill P odop 'uzoms Ajnp Suraq ;czar ddz at st at t s Ces ue sas ao AINno: S S 7 M3N 10 31KU '101 zguzoo zo zoua;uT zaglagM a;eorpur puu satueu ;aaz;s moils puz 'poop o; eurpz000u uorlduosop zo zaqumu)laolq puu laazls an1O •sourl S;Tadozd LUOIJ suorsuatulp xosq-;es TIE aleorpur-puz 'posodozd zo Emsrxa zaglagm 's2urplrnq I[u ail;our;srp pus ATzualo a;uoo7 N[b'349vIQ 40-id •pazzn az ail Avui aTwaad saaasnaj, umoy pToTlanos 'sail 3I* [d . . .SbX* LPusTaam TsPTa z 90 a9a3 00£ uTgazm paasooT Xazadozd sTLta sI 'SI N g o ouot ssazPPd zolozz;uo0 Jo atueN . . . . . . • • • •o auo PPd oa T oz o auzz N ' ild7��vo'�. . . .. C. . . . . ... . SSoz /�$%a�� ✓jr NHjj/ 1 l.q d3 N .o auo d . . . . . . . . . . . . . . . . . . ssazPPd . . . . . . . . . . . sasr azd Jo zaum0 Jo auzzN 'bI oN sad :sasrutazd tuozJ panouuaz a0. [Ig ssaaxa 11rh1 Wr . , popzz8az oq lol I[[M '£I ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' � ' ' • :uorleln8az zo ooueurpTo 'mel Vuruoz Cue a;q1 or;onzlsuoo pasodozd sooCl 'Z I pa;zn;rs aze sasrtuazd gorgm ur lou;srp asn zo ouoZ IT . . . . . . . . . . . . . . . . . . . ' zauMO zauuog Jo auzeN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . osuLloznd Jo o1zQ -01 111daQ . . . . . . . . . . . . . . • zsa2l . . . . . , . . . . . . . . . . . . . . . . luoz3 :101 Jo az[S '6 . . . . . . . . . . . : sauolS Jo zagtunN . . . . . . . . . . . . . . . 1g2raH q;daQ zuau . . . . . . . . . . I . . luoz3 :uol;anz;suoo Mau an;ua Jo SuorsuauTrQ •S . . . . . . . . . I . . . sauol tun 8I S.)o za 0. N . . . . . . . . . . . . . . . . . . . . . . lg aH . . . . . . . . . . . . . . . . . . . . . . g1dgQ • • • • • • • • • • • • • • • zuag • • • • • luoz3 :suoT;r s zo suoT uza s Tm azn oru s atuzs o.suorsuoun . . . . . . . . . . . PP .1 li T[l, 1 1 J ,Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . souolSJozagtunN . . . . . . . . . . . . . . . ;Ll2[aH . . . . . . ' . . . . . . . . q;dgQ . . . . . — ; zuag . . . . . . . . . . . luo.13 :Mrs JT 'Saznlonz;s Sur;srxa Jo suorsuatu[Q L ' ' ' ' • ' ' I • • • • • • • • asn Jo adAI goea Jo lualxa puu azn;eu 6Jroads 'dousdn000 paxitu zo luroiouTuzoo `ssoursnq JI '9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . szsoJo1aqutnu 'a2uzzS3I • • ' ' ' • ' ' • • • • • • 10o13 goza uo SITun 2urllamp Jo zagtunN • • • • • • • • . • • • shun 5u11lomp Jo zogwnu '0u[IIomp JI -S (.to. . .e i1 u still `nT[3 uo pled !il�01) . . . aeg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., lsoD paletuTls3 'b (uorxdfuosaQ) xzoM zaLD0 . . . .� .. . . . . . . . . . . uor3[[ow0(l . . . . . . . . . . . . . . IznouTaZl . . . . . . . . . . . . . . zTedag .,!•�uo[;tzally . . . . . . . .'.,, uor;rPPV . . . . . . . . . . gurplIng maN :(a[gsorrddz gorgm)Ioago) 'Izom3o azn1EN 'E txNll k, ----------A �-Xr-5r, TDFIL-) R _ ;� ___ -7 f-x le7 I �%l Lj- X�l I-J APPROVED AS WED DATE: FEE: --- ---- 40 BY. 765-1802 9 AM TO 4 PM FOR THE NOTI F�y�U �L ING, DEPART TAT FOLLOWING INSPECTIONS: OCCUPANCY OR I- FOUNDATION - TWO REQUIRED !! f� FOR POURED CONCRETE I M ;,i,-,;,T J-11 2. ROUGH USE IS UNLAWFUL - FRAMING & PLUMBING 3. INSULATIONS CERTIFICA 4. FINAL - CONSTRUCTION MUST VVITHOU "li- 13E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. OF OCCUPANUY STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ffx L'J ST 53-1 -D A t I ' : t r 4 j - N`ir� rti x El -A 11 i C - - Ex -+ a- � 1 I2Y-- rt\l._, 1 53-I a t 1 ; 1 � + t � S Li ra I �� r�ul�-;_ u --7 C,..�i"NT. �/`•'rY`� W� '"�s�l`tilt✓'----_—__._-._______ f �' I t �� 7 j � ' ' i I I i iI I i1. E I _ / 1, 01 i ' � I ' � ' �i I r � � � ,ik•� • p-t-, Wr; -fir Si�eT- - - __ ._ i �r t�= u :=� { T LAN�.; ,T= U( ' p C� x Is MI!'^5!�O�� L.�./if/ilf'� `-'"y--""..-1--t-r� �+---�-----�-- �- -?—" I � � \\ I � �i I —_..._.___..- - -�--__-..,—...._. -'-- --�--� ----• � � �!c.:.•'wl-•I�14. ��� �1-� � i I � ,� 1 V V2 �- O�'i I;�?r•^�l�l•�� —=--�--? '--�---._!.._:—_•--:—�---�—_-_�:_�{____. .� `t � 1f � ! C:LI:•>;'��•�.�" G..•E�.II...�R�c'. � —_`_____—"��`.��_.._...__._ � + � i I t i � ; ; ; j � � I ! i I I!� ,I I� � Iii j i � I !� ��� � f i'` � f i j •- ,Ai � �,.v � --------�� � ;� t li ' z 953-1