HomeMy WebLinkAbout28837-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~kNCY
NO: Z-29289
Date: 03/04/03
THIS CERTIFIES that the building NEW BUILDING
Location of Property: 38705 MAIN RD PECONIC
(HOUSE NO.) (STREET) (HAMLET)
Colulty Tax Map No. 473889 Section 85 Block 2 Lot 18.2
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 2002 pursuant to which
Building Permit No. 28837-Z dated OCTOBER 17, 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 DRY STORAGE BUILDING AS APPLIED FOR.
The certificate is issued to DONALD & NATALIE T WILCENSKI
(OWNER)
of the aforesaid building.
SUFFOLK COUNT"f DEPARTMENT OF ~ALTH APPROVAL
EL~t-rKICAL CERTIFICATE NO.
PLI~BERS C~KTIFICATION DA'r~o
N/A
N/A
N/A
~th~ized Signature
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. 28837 Z
Date OCTOBER 17, 2002
Permission is hereby granted to:
DONALD WILCENSKI
2465 FAIRWAY DRIVE
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A NEW DRY STORAGE BUILDING AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 085
pursuant to application dated SEPTEMBER
Building Inspector to expire on APRIL
38705 MAIN RD PECONIC
Block 0002 Lot No. 018.002
9, 2002 and approved by the
17, 2004.
Fee $ 1,601.00
/ - Authoriz~-d'Signature
ORIGINAL
Rev. 5/8/02
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 followih~7'
A. For new building or new use: 1. Final survey of property with accurate location of ail 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.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey ofprope~y showing all property lines, streets, building and unusual natural or topograplxic
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,
Swinm~ing 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
New Construction:
Location of Property: ,~3'~W>
House No.
Owner or Owners of Property: '[.~')t~hl~t~l"~
Old or Pre-existing Building:
Street
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Date of Permit.
Health Dept. Approval: ]Xl A
Planning Board Approval: fiQ/~
Request for: Temporary Certificate
Fee Submitted: $ ~ 4 ~'--~, C) (~
Block
_(check one)
Filed Map.
10'-17- 07- Applicant:
Underwriters Approval:
Final Certificate: ~ (check one)
Hamlet
Lot_ l ,oZ:3Z_
Lot: ~
AP~ licL~nt~
S~P-05-~002 15:R0
DEPARTMENT OF PLANNING
SC PLRNNING DEP'T
COUNTY OF SUFFOLK
SUFFOLK COUNTY EXECUTIVE
P.O1
T~AS A. ISLES A.I.C.P.
I~RECTOR OF PLANNING
SeptemberS, 2002
Mr. Don Wilcenski
President
Bdarcliff Sod Inc.
Route 25
Peconic, N.Y. 11958
Dear Mr. Wilcenski:
The Suffolk County Farmland 'Committee met on July 30, 2002. At that meeting the Committee
heard your request to build an agricultural storage barn (54ff. by 104ft.) on your property. The
Committee approved the struc{ure in the requested location, subject to local ordinances. You can
submitt this to the Town of Southold wi~ your request.
If you have any questions you can reach me at: 853-5111.
Sincerely,
Roy Fedelem
?dncipal Planner
LOCA~ON
H. LEE DENNISON BLDg. - ~,TH FLOOR
%',9 VETERANS MEMORIAL HIC4JWAY
P 0
HAUPPAUGE. NY 11
(516) 853-5'~g0
TOTRL P.O1
PLANNING BOARD MEMBERS
BENNETT ORLOWSKI, JR.
Chairman
RICHARD CAGGIANO
WILLIAM J. CREMERS
KENNETH L. EDWARDS
MARTIN SIDOR
P.O. Box 1170
Town Hall, 53095 State Route 25
Southold, New York 11971-0959
Telephone (631) 765-1938
Fax (631) 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
5 September 2002
Mr. Donald Wilcenski
Briarcliff Sod Inc.
2465 Fairway Drive
Cutchogue, NY 11935
Re: Agriculture storage building.
SCTM # 1000-85-2-18.2
Dear Mr. Wilcenski,
It has been determined that no site plan is required for the construction of the proposed
"dry storage building for equipment" and I am returning your application check
(enclosed). However, please note that the construction is being conducted on
development rights sold land. The owner (Suffolk County) must sign offon this and
proof of such must be provided to the Building Department before the project may
proceed.
Sincerely,
t 1P1
Senior nvlronmen a anner
Encl.
Applicanl/ ' Date
Owners Name: ~' }~J ¥~]~' · , Reviewed:
Architecff Date
Engineer: ~ ~ Submitted:
SCTM $:
District: 1,000 Scc0on: ~ Block: ~ Lot: ~.~
Projecl ~~ Subdivision
Single & separate Required t~ff ~
cemficalion: (Yes / No)
Rcq Req,
acq ~ Rcq %_/~t Req.
[FrontY~d ~O Pro~s~: ~] [S~deYa r
' rd Pro.sO: ~ I [R~r Yard 1 S'' Prolmsea
Project Description: X~
~ .Permit
~OUI~D FOR ~VIEW N.A. NO YE8 Number
Suffolk Co~W H~I~ Dept.
New York S~te D. E. C.
Tom Trust.s
Tom ~ffing Bo~d approval:
Flo~ Pl~e Elevation
Flood ~ne: ~ ~
DEPARTMENT OF PLANNING
SC PLFtNNING DEP'T
' COUNTY OF SUFFOLK
EOSERI J, GAI~FN~Y
SUFFOLK COUNTY EXECUTIVE
P. 01
THO~S A. ISLES A.I.C.P,
DIRECTOR OF PLANNING
September 5, 2002
Mr. Don Wilcenski
President
Briarcliff Sod Inc.
Route 25
Peconie, N.Y. 11958
Dear Mr. Wilcenski:
The Suffolk County Farmland Cormmittee met on July 30, 2002. At thai meeting the Committee
heard your requ~t to build an agricultural storage barn (54R. by 104fL) on your property. The
Committee approved tt~e strucium in the requested location, subject to local ordinances. You can
submitt this to the Town of Soiithold with your request.
If you have any questions you can reach me at: 853-5111.
Sincerely,
Roy Fedelem
Principal Plarmer
{51§) 853-5190
TELECOPIEE (~16) SS~Jl~14
LO(;ATION MAILING ADDRESS
H. LEE DENNISON BLDG, -4TH FLOOR · P 0 BOX 51~
!00 VE'FERAN$ MEMORIAL HIGHWAY HAUPPAUGE, NY 1118~-0099
TOTRL P,O1
PI.,ANNING BOAI~,D MEMBERS
BENNETT ORLOWSKI, JR.
Chairman
RICHARD CAGGIANO
WILLIAM J. CREMERS
KENNETH L. EDWARDS
MARTIN SIDOR
P.O. Box 1179
Town Hall, 53095 State Route 25
Southold, New York 11971-0959
Telephone (631) 765-1938
Fax (631) 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
5 September 2002
Mr. Donald Wilcenski
Briarcliff Sod Inc.
2465 Fairway Drive
Cutchogue, NY 11935
Re: Agriculture storage building.
SCTM # 1000-85-2-18.2
Dear Mr. Wilcenski,
It has been determined that no site plan is required for the construction of the proposed
"dry storage building for equipment" and I am returning your application check
(enclosed). However, please note that the construction is being conducted on
development rights sold land. The owner (Suffolk County) must sign off on this and
proof of such must be provided to the Building Department before the project may
proceed.
Sincerely,
tl
Senior nwronmen a Planner
Encl.
TOWN OF StU~HOLD
BUILDINGiDEPARTMENT
TOWN HALL
SOUTItOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/S outhold/
Examined____ ]0/1~, 20 t)~
Approved_ I o/I ~720. O~"'
Disapproved ~/c
Expiration
~t/! '7 ,20_0~
PERMIT NO.
Inspector
BUILDING PERMIT APPLICATION ¢HECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
,20 O~-
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 shalI 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 Binldmg perrmt 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
Nameofownerofpremises '~,M~.'~ ~.'~'-
(As on the t~ roll or latest deed)
~~~~e of dulyl a~~
'~ ~d title o~co,orate officer)'
Build~s Lic~e No.
Plumbers License No.
Electfici~ License No.
Other Tree's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block
Filed MapNo.
J,Bt: to.t,. :
State existing, use and occupancy of premises.and intende~ use arid OCClapancy of proposed constructib~:
a. Exist~nguseandoecupaney i~D~ffl ~ ~'v~x[~vt~ t,),>
b. Intended use and occupancy ~O u0v, l,~.,a J[ ~,rtq .5-~c~ ,(
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4.
5.
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each t}~e of use..
7. Dimensions of existing structures, if any: Front. ( O O Rear
Height q-~c' ~c* r/..,,L~ Number of Stories
Depth
Dimensions of same structure with alterations or additions: Front
Depth bJ' //St Height. Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height "L-~' Number of Stories
9. Size of lot: Front ZO(o' Rear t4' 0 _~ ' Depth 3o 3"/ ' (~, C. 6 ~-~C,~,~ )
10. Date of Purchase /'/[,/~ Name of Former Owner ~--~ ~, ~ C { g,-c~ o,,,~ ,' ~-z
11. Zone or use district in which premises are situated
Rear
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 5(
14. Names of Owner of premisesD)
Name of Architect
Name of Contractor
Address
Address
Address
Phone No. '~ gq
Phone No__ '/3"~ - '~,~
Phone No.
l 5 a. Is this property within 100 feet of a tidal wetland or a freshxvater 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 sutw'ey, 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
~,x~t .~ ~' ~ ~ { C--~"' '-[~ng duly sworm deposes and
~e of individual signing contract) above named,
(S)He is the
say's that (s)he is the applicant
(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 tree 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 __
9`../--/D day of \_~,~,tqT/en3.~,~,- 20 0 ~
N~
OO'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERFIEAD, N.Y. 11901
369-8288 Fax 369-8287 REF-\kHp server~d~PROS\97-94.pro