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Home My WebLink About21106-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22563 Date AUGUST 30, 1993 THIS CERTIFIES that the building ADDITION Location of Property 845 BAY AVENUE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 10 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 1992 pursuant to which Building Permit No. 21106-Z dated NOVEMBER 27, 1991 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 ADDITION TO EXISTING BARN AS APPLIED FOR. The certificate is issued to JOSEPH & JOANNA E. CHERNUSHKA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A a uilding Inspector Rev. 1/81 FORM NO. X 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) WN° 21106Z Date ....1./ 1991 i Permission is hereby ranted to; r.~ to 4"'R77........~Q~.... . F ••.~.././{.'/~•j~~~~•(//~~• • • •...•.•...An"-f at premises located at 5.......'36 / / County Tax Map No. 1000 Section c'F,l.......... Block ...........1 Lot No....... 1.4 pursuant to application dated .......fl/ 19.1~~.~' and approved by the Building Inspector. I Fee .....~~r I Ing Inspector i Rev. b/30/80 Form No. 6 YI,-- TOWN OF SOUTHOLD BUILDING DEPARTMENT t ; TOWN HALL AN ' G~ V ` 2 7 1993 765-1802 1r APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 19 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 a 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential Q{$/15.00, Commercial $15.00 Date New Construction..... Old Or Pre-existing Building ...Cxlito .fOl Location of Property 5, 5 ?FT.!!(!92(o v.... House No. / JStreet Hamlet Onwer or Owners of Property J.:..C,y!£ County Tax Map No 1000, Section,... : ~.....Block...../?.........Lot.......I Subdivision ....................................Piled Map............ Lot...................... Permit No..9..... Date Of Permit ...!Z:?..g2..Applicant..` ..1Z4£r2myGA9.,,,...... Health Dept. Approval..... PI A ................Underwriters Approval...... IV. 144 Planning Board Approval Request for: Temporary Certificate........... Final Certicate....... O~ Fee Submitted: $....2 ~ ~QK , MFG 7~ Q APPLICANT INSPECTORS Victor Lessard Principal Building Inspector 00 FO(kcaG Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector °w Z Southold Town Hall Thomas Fisher u--y P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gary Fish Building Inspector Fax (516) 765-1823 Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD August 18, 1993 Joseph & Joanne Chernushka 845 Bay Avenue East Marion, N.Y. 11939 To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: XX An application for Certificate of occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21106-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1~LJ I:: S: 7-c-. .::i ilDr : I~ v i•1Lt1T v (Qi H OUi7DATZON ( 1st ) ~I ti OUNDATI011 (2nd) •e :OUCH FRAME & rn\ .PLUMBING I 1 ti H m m _11SULATION PER N. Y. STATE ENERGY CODE FI;IAL o ADDITIONAL COMMENTS:® m SCI m H N -IN h~ `n H H )wo 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I IN LATION FRAMING [ FINAL [7 REMARK 17 E t t DATE INSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J F NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ~.r S i i K k f DATE 3 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [a4OUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 7 FINAL REMARKS% i :f DATE INSPECTOR] k BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . r, BUILDING DEPARTMENT C1IECh TOWN HALL SEPTl-8 FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL Exan;,lned . f~ • 7........ 198q12 MAIL TO: A7~roved l.?......., 19%a.? Permit No. . . Disapproved a/c (B 'ding pector) APPLICAq'I@W'F' 0h'1BUILDING PERMIT Date.-t, /d.........., 19 9 2 , dY.rrNQ±p,i INSTRUCTIONS ,c,`:• :i 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 gulations, and to admit authorized inspectors on premises and in building for necessary 1 specho - ign re of alicant,* or name, if a corporation) 9 o V 4'S 5.. j.~ Pk-$,e.0 s. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ® WA ILA . Name of owner of premises ...sl.?s=P~. CAcan~slr,4 (as on the tax roll or latest deed) If 4nplicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. L r~`ai Plumber's License No . Electrician's License No . Other Trade's License No . . +vz /l.: Y: 1. Location of land on which proposed work will be done. ......S 6.5+~ , !!/,9210 ~..fszFf'J~/?........... House Number Street kL Hamlet County Tax Map No. 1000 Section Block Lot R'.+. . Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: n o a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition, Alteration Repair • • • • • , • . • • Remo val Demolition . , Other W ~ 4. Estimated Cost , i... ion) B o oo, Fee ..(f~r . (to be paid on filing this application) 5. If If dwelling, number number r of cars dwelling units , Number of dwelling units on each floor. . . . garage, :Z 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 . ; of ....I........ o.. 1 . Height o............ Number of Stories , D. $ Dimensions entire new construction: ction: Front Rear 7......... Depth A° Height Number fStories . . . . . 9. Size of lot: Front.. 9,,,,,,,,, Rear • ' 10. Date of Purchase • •?-/q2- , .ACR£S ?4 w . .y . . . . . . . . . Name of Former Owner 11. Zone or use district in which premises are situated R4s! RfM Mt t 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded .....I!N.? . Will excess fill be removed from premises: Yes 0 i es 14h 14. Name Name of of Owner of Contractor . ,rem, t • @b LaNea• , 'Address . N.s..-, f~y.ft, phone No..G?Y,-, 9i so Name of Architect N l.I w A...' l,uwt,6}n.....Address ...OA.`4IwRPPri.... Phone No.. v>?;eyoo.... Y within `LD 3f tw .I Y.°tli...... Address S. tMOV Phone No.. 722 ;4e 01 15. Is this property 00 feet of a tidal wetland? *yes........ No......... *If yes, Southold Town Trustees Permit may be required. 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. r i STATE OF NEW YO ! S.S COUNTY (Name of individual signor ! being duly sworn, deposes and says that he is the applicant g contract) above named. b .h:'•, rCA He is the ........I Q-7 ^-Y_ - . (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 forthln the application filed therewith" Sworn to before me this 1 .7 ..........day of . . 19 Notary Public . _ County NOTARY (Signature of applicant) FIy Commission lirpues S4 k'* :1 I 114 I ; (0 nr<rzl , FIO2E ; WSJ I M'. VA iL I Fd ~i5 ?r3 30 fc. ' 42944 - -429 4A l/h I I ru tla,A2¢I; ~rce r31 1 I - ~ ~ i, I I F ~ of ~1 fY - ~ I H 57 _0 W] I: i f U\ I Y i I I i 1 I ' I A f } i cu ' i ru RP-G F\ILE c, 5 W r n v l~ ~ I w v ~ 4 a~ t • 115.59 [J ~ ~ _ 4 O =S7°35 w o ..a ~,I. yr 0 SCP LE-50'-I" I s*onv v ,r ~ m F2. Hp ; C~ Al.1LA ITCi TIE ~IIdPSJ=G.~~'.S AA; is i~'> ( cl • r-i/~t1Ui~1 F i F ~ V to RM V •n rl C~ l.~^6, ~u ~ w m m N° QQ4vT• a I °m I i I Y SUFFG UL C71Ut,17 Y TAY MAT DESIGNATION: GIST. IQ.)C SECT ci?! 0104<I O-P:L. 15. i L1J ~ ~ Ip rtr ~ll rll ~ \ • ~ Sri I~3 ti U U,1 ¢ ~e a~ml~tl r u nPY, ~(~~4.P } Y~~~r r'ia,...yar lnOrrmC burr O ~ f ~ . , .r 1E 1~'O ,rte ceieoriMm.4-~r" R r ~I ~ to ~{l ..,,1, m•1 nn M1'n Fr I ~'y,~ ~ I i <,l'm <ll~m e .n OF ~%~t •I~..,Imimrs rin.L -'~IIAN~s Vh _ ! !1a~ OF PQnPE,F2'FY !i2LEYc.D FOR TII 1r ;gyp I . r rr r -EF3-r MAr1!r"J!•1 row!,J OF SOUrHa-it-r- !-3Y. i AI h5 SUQVE'`'EP FES,?A.t992 . i RnPF-Q!C- JAN TUYL P.C. ; i _IC C ANU SUfZVE11 Of;y - t7t2~iriAJf~1 ; ht.Y -s a1! r S t 0, C) 30 X6310 2214__ - - I I ' f . it ~I c of o M lop 3 2' ~6 93~----- ° sn.06L. cN rYarcA~ - o i ~ ~ fb0't u•I 1 O ~ oa 57L CD L. nti T I ZO~X 2n x i~o 1111 d 471 H%~~ ELRVAT(,tom . 0p, o p o , _ ro #1L cc II I~ s E r v=-"`r L I r i a rE'>'brow MuG E~~/ t 2-2K:0 I V lr - f - - - - F0 U N DA-7 I Qf-! LA N FLLLR 'P I_A-~1-~ vr_•,*s b- 1 G' 0 e 2 ° cDK I I,EF Ic, IkA J, A 2X"9- Z-2K~D L:ureL~ _ / 2'0$ SCALL MEN i Y., I ('~K~ I'L(e OF GnRnG4 IY6 l U f '3-?K10 A7J ;a-T = GIR I)ET~ I ~a ~:ti ri veurEb sl,r-r " p,T i ~E _07 AP OV AS NOTED Y-nr r DATE: B.P. # 11 //O 6 FEE: BY: ~..-nom F4a~ NOTIFY BUIL NG DEPART"' AT 'POP ~ 1 -~L r.n 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTI0:1{S. . - - - - _ - -~ry- A - 1- 1. FOUNDATION - TN'O REQUIRED FOR POURED CONCRETE 2. ROUGH FRAMING R PLUMBING ! I - 3 INSULATION I (o J8 4 FINAL - CONSTRUCTION MUST 1-I BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET CROSS ~ THE REQUIREMENTS OF THE N.Y. y J T i I~~ i Phone 4'7-04p0 1,; Main Road STATE CONSTRUCTION 6 ENERGY CODES. NOT RESPONSIBLE FOR GREFNPORT, N.Y. 11944 DESIGN OR CONSTRUCTION ERRORS TZ5O V -FR C'W 1.,1 (MM t1-5~9Z jp chslzu,54.kn 4/i[RGLIa~?- ow,G GA-RAGE PLAN NO 15 2-1 F SCALE ~j I40 I $Pl