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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