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HomeMy WebLinkAbout18243-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218678 Date DECEMBER 28, 1989 THIS CERTIFIES that the building AGRICULTURAL OFFICE COMPLEX Location of Property 43635 MAIN ROAD PECONIC House No. Street Hamlet County Tax Map No. 1000 Section 075 Block O1 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 182432 dated SUNE 22, 1989 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 AN AGRICULTURAL OFFICE COMPLEX. The certificate is issued to FRANK CICHANOWICZ III (owner, XXXX7fXXXxxxxXXxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING SLIP 12/13/89 PLUMBERS CERTIFICATION DATED PERFECTION PLUMBING & HEATING 12/26/89 ilding Inspector Rev. 1/81 roaae< xa s 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) N ° 1 $ ~ ~ ~ Z Date .!~??Rz..... Vic.........., ) 9..R...1 Permission is hereby granted to: ro .......................................4.K.2~:r~.a:a,~........ r.~,,....~-~~.~~L:.....~.. at premises located at ....7a~.~n.~.~........~4L!:n...l~.:........~.R.Sit.~.x...i.sr County Tax Map No. 1000 Section .......5~7.~5..... Block Lot No.....~..1 pursuant to application doted ...~.Ar.4~!'A,A,....~ 19.~.., and approved by the Building Inspector. Fee S.•~r..~.T~..:. Building Inspector Rev. 6/30/80 ~ TONN OP SOUTIIOLD ~ ~ ` BUILDING DEPART:1Ct7T TONN DALL SOUTIIOLD, NEU YORK 1197 ~ 765 - 1II02 / APPLICATION FOR CERTIFICATE OF OCCUPALtCY DATE _December 22 ~ X1984 HEN CONSTRUCTION ..x....OLD OR PRE-E%ISTIt7G BUILDING......VAGAt7T LAND........ Location of Property..43635'A1AIN.ROAD ..,...-__-..•PECONIC=N_Y:-- llOUSE NO. ~ STP.EET UAHLET FRANK CICHANOWICZ III Owner ar Owners of Propcrty 17 County Taz Map No. 1000 Section .075.. Block LoC~......... Subdivision Filed Map ........LoC......_... i 15243-Z D a t e o f P c r m i C J~~ 1989 FRANK CICNANOWICZ III Pcrnit No. ..AppLicant Health DcpC. Approval Underwriters Approval.............. Plaaniog Board Approval Request for Temporary Certificate Final Certificate % Fee Submitted: 25,00............ APPLICANT... , ~ 3{7/3 ,,./~,~f~-y rw• 10/14/88 CU ZJ$t:?~ ...~r•^ I ' FORM N0. 6 TOWN OF SOUT110LD ~ ~ ~ _ ,~1 BIIILDING DEPARTMENT TOWN NAL. ' - 765 - 1II02 ' APPLICATION FOR FERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must bf filed in typewriter OR ink and submitted to the Building Inspector with the follpwing; 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 Dcalth 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 solder used in system contains less' than 2/10 of Iz lead''. 5. Commercial buildings'y industrial buildings, multiple residences and similar, buildings and instal]ations, a certificate of code compliance from the Architect or Engineer responsible for the building. ~ ' 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings ~~i(Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" landluses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and • unusual natural or typographic features. 2. A properly completcd,,application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. ,If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing ''code or safety inspection of buildings or premises, or other f pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall-be submitted, ' and a certified abstract of title issued by a title company showing single and separate ownership a,f~the entire lot prior to April 9, 1957 shall also accompany the application. Ifs a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Duelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of (}ccupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 , 4. Vacant Land Certificate of Occupancy - $20.00 ' S. Dpdated Certificate of Occupancy - $50.00 6. Temporary Ccrtiiicate of Occupancy -$15.0,0 Residential Commercial I ,P ' ~ ~.r~' _i.rw Cam. U a_.~ moo. Io/t4/ss a_,_ TEL. 765-1802 pS~FF~~Cp,~ TO'4Y~N OF SOYJTB[OI.D ' ~ OFFICE OF BUILDING INSPECTOR ~ ~ P.O. BOX 728 i' y TOWN HALL O ~ SOUTHOLD, N.Y. 11971 A of°1 ~ y'b~ C~ J) y ^ ..w ~ ~C 2 & ~sss~ , C E R T I F I ~.C A T I O N , • _ .„,~„7~CYVL~fYt ~(d (.i~~,j Date ~yz6ld'9 Building /Permit/ No. ~~.~~f3 Owner~(~ ,~~o/~w /~J~,tSc>/-/~S i ~p~)lea~se pri~t) Plumber ~~7~CfoN l /+~?~7~>~_ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ®2rra - (plumber's signature) Sw~j r~`o befor`~me this^ 19~• ( ~ Notary Public ~ Notary Public~u~~v~ ~ Count ~ y CLAIRE L. CLEW Notary Public, State of New York No.A8795D5 llualifted in Suffolk County Commission Expires December 8,1 S~ ~.LLY L•~...i..~U~~ IIJh1~ ~I VV2K(`"~E:NI° ~.p ~ 00 i ti ~ ~ = µ ooNDATIOfr (tst) S ?OUNDATIOW (2nd) 7~~' ~ ~ ~v ~ -~C! ~ o ~ W SOUGH FRAME & / n " PLUMB I, H 3 . 9 ~ ~ m r-7 IIdSULATI0f1 PER N. Y. ' " y STATE ENERGX CODE I _ x r. ~ m 4. y tl ! a. FIiJAL o . i ADDITIOfIAL COMMENTS: x ~n ' ' '~Q//6C~~-~ ~o.Y~..mi~-oa 5Y4r~ 1Lr.oXR-~+ _ S . ~ ' X 'U H a N y N H O ~ 0 m ~ ~ r, r y x c7 m H Q~ / J 76S-iS02 ` BUILDING DEPT. INSI~ECTION [ ]FOUNDATION 1ST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ~RAMING ( ]FINAL REMARKS: / ~i~~- 1~ DATE 0 ~ ~ INSPECTOR 4 ) 765-1802 C BUILDING DEPT. INSPECTION [ FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING (]FINAL REMARKS: ` - - DATE ~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1'AGI; I. 10013131 EUREAU OF ELECTRICITY 88 JOHN STRlET, NEW YORK, NEW YORK 70038 Bnt. D$C$M6$R 14,1989 ApplicetionNo.onfile 6?t4~i7`)89J$9 N 10%45U THtB CERTIFIES TNAT only the deetrlcel equiprrtewt a dsecribed helot! end introduced 6y the eppUcant nerrlsd on the o(wee epplicstbn namfwr in the prom4es q/ PRANK CICHAIiONICZ, RT 1,'~ RAIN RD, 1'k:CONf:C, N.Y. in tksfolbminR kPCetbn; ©Besement ® Ixt Fl. ®Ynd FI, 3PL/(iAk/OUT Sertion Block Lot toe! exemIned on D$C$NIS$R 0'1 , 19$9 end found to 6e in rnmplionce math the reyuiremenrx of thu Boord. IOfTtlq RX RANORS COOIIEtO DECKS OVENf W IIAUST FANS OU7tQ5 A~ fYY17G1lf INCANO!!C!M ~ PlUO!!!ClNT OTNER AMT. W. AMT. t. W. AMi. R.W. AMT. K. W. AMT. M. P. oEYMS RIM4Aq EEOTOIK w71ME AMIIANCJ !eons snau EEC?i 7tME CIOCKE pLL INMi wA7EES T- oIEEMQS _ AMT. W. W N. P. OA8 N. P. AM7. NO. A'. W.O. AMT. AMP. AMT. AMIb. iEANS. AMT. N. P. 710. ~ R17 AMT WATTE 6 1 P boo SMVIC! OIEODFp/ECT 81O.OF ~ S E R pp~~ V 1 C E - AMI. AIN. TrP! 1 />w 1 / tW ] / !w ] / AW ~t~ icOND. ~G' ONC.. NO. CK MIdE6 Oi ~ NCI. p NlYTlAIS G NEUiAI Oi11EE AMARATIKI 5TON A/C UNIT-1 t PAN$LBOARDS:1-19 CIR. l0U S , ` 1~ \ G.P.C.I:-3 i JODY PUlS1LL0 LIC..iF23g0-$ PAT LAME MATTITUCK, NY, 1195'L oERERAI~~ i l Per This t>rrlificafettRM r»I b alNred in any monnert retllrfl To fM of[ice of fia EOard 1F.iRQDrret7. InlPecto)s may be i rb7' Mt»r crodmrliek. - COPY FOR BWLDING OEPAR OF CE I N:A T I BO.VRD OF HE.ILTH 3 SETS OF PL.\NS FORM NO.t SURVEY 70WN OFSOUTHOLD CFIECK BUILDING DEPARTMENT SEPTIC FOR:1 • TOWN HALL vDl1THOLD, N.Y. 11D71 NOTIFY • TEL.:7G5.1802 CALL MAIL T0: Gxamincd ,L?.rtA , 19 a° 9 vik ~~p .\pproved 19~~1. Permit No. 1 ,~~~~~L, ~ ~ ~ U G~~ Disapproved ale •U~•~~'.. ~.!i' BLDG. DEPT. ' ' TOWN OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT ' Date ..V II.VktQ... g......., 15 ~9 INSTRUCTIONS a. Tlus application must be completely filed in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. e. 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 hail 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 Certiftcate 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County> New York, other applicable Laws, Ordinances or Re;ulations, for the construction of buildings, additions or alterations, or for val or demolition, as herein described. iite applicant agrees to comply with all applicable laws, ordinances, bu' dingy co ousi ~ co ,and regulations, and to admit authorized inspectors on premises and in building for necessary ins ec o (Signature 'applicant, or e• if a corporation), . ...~trf?. ~s..... P~:~. ~1~,..,1,1P~g........ ' (Mailing address of a licant) Mate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Qu?ne~ ............y.........//.++...// Fame of owner of premises ....~r~'~.k.. l~!ChGnoy~/ fc.~ . ,2LC, , , , , , , (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate off/i~c//er~~} Builder's License No. ......~~~1 /6jJ!-........ • Plumber's License No . . Electrician's License No. ...~r.3~O E OtlterTrade's License No . Location of land on which proposed work will be done. X<o:'~? . , , ;L~• , , P2_COV1iG IiouseNumbcr•~•~•~- Street. Hamlet ' County Tax Alap No. 1000 $l;C[IOn ...Q~~.........: Block Q, ~ , , , , , • , , , , Lot ~ ~ . Subdivision Fi1cJ ;1fap Na. Lot . ~(Nautc) State existing use and occupancy of premises and inte``nttdLLed use and occupancy of propose) construction: a. Existing use and occupancy • ~Tt;~vF~t, • • ..7lL4<.. • • . b. Intended use and occupancy ....~~~~~•-•~~I~•.•••.•••••.•..•••••..~....•... 3. ldaturc of work (check which~pplicable): New Building , Addition > .Utcration . Repair Rctjtoval Demolition Other SVork ,i!/ (Description) 4. Estimated Cost .......1 Q 07 DDr~. • Fee , . ~ (to be paid on filing this application) 5. If dtvelting, number oC dwcllin~ units . . . Number of dwelling units on each Cloor , , If gars.c, number of cars . . 6, If business, commercial or mixt:d occupancy, specify nature and extent of each types o lust:...... . 7, Dimensions of existing structure iCan Frant . o JO" o.• o ~ ~ ~ ~ ~ ~ • Y~ , , , Rear Depth . ~ . Height , .LS. Nur4tbcr of Stories n2~ . • . • • • . . Dimensions o~samc structure t ith alterations or additions: Front . `1.CP.. , . , , Rcar Dupth , , , li... Height , ,i, , • Number oC Stories ~ ~~6~.. r,o,~,.. , , , 8. Dimensions f~en4irc construction: Front , , 0 , , Rcar . .............Depth ,',,,"2 ~ . , . Huigltt Nurpbcr of Stories (:Yr...... ' . 9. Size of lot: Front , . . Rcar Depth 10. Date of Purchase , 1 , Name of Fotmcr Owner . . ] 1. Zone or use district in which•prpmises are situated . , , A~¢,. ~y/~Yf~ , . 1 Does proposed construction vio`ate any .zoning law, ordinance or regulation:..,lQ/P . . 13„ 1Vill lot be regraded ~O . . . \Vill excess fill be rcmovc~l from premises: Ycs 14. Name of Owner of premises . Fra'^k,C:a':°:'ew.c~ t>Y Address .ley, Lypen ~Rl~?fvC Phone No..Z~~:?~leb Name of Architect ,Address . Phony: No. . Name of Contractor ..9.u . ~grrs~q~cCto+s. , , Addtcss ~inl~..:T!~~ Phone No. 73g; .~~.".t? : , , , IS.Is this property loca~Ced within 300 feet of a tidal wand? *YES....ttD.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly^all~~ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to decd, and show street names and indicate whether interior or corner lot. i I II I i V I~ ~i I I , T,1TG OF Xfi1V YO III' • Je- • • • • ~.1~-..... , . , being duty sworn, deposes and says that he is the applicant {Name of individual signing~icontracC) ~ovc named. i , •~I (Contractor, agent, corporate officer, cte.) said'owncr or otvncrs, and is duly adthorizcd to perform or have performed the sail work and to make and Gle this alication; that all statements containc~ in this application arc true to the best of his knowledge and belie C; and that the rk will be performed in the manner set, forth in the application Glcd therewith. ern to bcfor/c'/me this 1.y..~G. ......day of L`+~-'.!,ere 199. I , ar; Public, ~ County . URTZ 4x, ~ NOTARY PU9UC, State of N~w Yank ~ ~ ' ~ ~ ~ ' ho. 8787124, SuffolN Co nt~J ~~'~'`~''y~~.- (Si, nature of applicant) Term Expires Match 30, ]9 ~j U li _ WO/f Fl4ANKA. CICHANOWACZit( DAY1D CICHANOWICZ 6 TOWN OF SOUIFIOLD(QEVFIOFAENT RH3flT5/ N 39' 25' 60" E 271.89' W 0 L7i _ ~i y h ~ ~ I e4w• wom ~ srEVS _ weu loaw' 1 A oa' c I sraRV W ^i N ~ FBUIlDWG 4 I STMY YET~L aUrDWw N O ~ waoo Ci wwtc gi loo _r_xa• ~•7 yl ao.a• u L~. ___O____ SURVEY OF ~ 5 Fl/fL PROPER T Y i f aNR ~ A T PECONIC i o ~ TOWN OF SOUTHOLD I o SUFFOLK COUNTY, N. Y. 1000 - 075 - Ol - P/017 I ~ Scale 1" . 50' ~ I ~ May 3, 1988 3 y ~ Aug. 16, 1988(final) $ ~ of U U p O ~ I w wa, Ls N N 3 ~ nNr. O „rRN ~ s ~ U d v ~ 3 shN,.-, ypVEMEN, i y Q ~ Prepared in acrordonce with the minimum FAa.vE pp¢ standards Ior Idle sdrveys as eslafilished ~ _z88 sHFD XL by the L.LA C.S. and a9preved ono odopled ~ 8 for such uce tv The New ~arX Stole Land I ne SrY. z2 s' ~L Tilfe Assoc(ahoa sIUCCpV FRMM' OO O ~ Z L FR. d'LHN x ~ c~6 9LOG 52.5' N 1./' .D ~o.z' FNO 'PS :ONC II ~ 'F<qE MON PU4P'~ :LI9 V 9frl • 0.4E , - O.L.N/S !.5'E _ _ 9.6' FAAM£ 11 U fwJ L~•= r. 1 ~ NGN O ^ Id_ ~.p IN_ O ' woaa ~ iR i LL FENCE I AREA = 9.87acres ~ 'xsr S 43. 15' 50" W `°o _ L q o 2 `ucNON ' 192' o 0.4Y ^ W 0.L. N/s FNO ~ n 1 "10 ~ 8 L11 N/O/F N/O/F GEORGE ~ R i Q ~ BERKOSKI Q I -.1 N/O/F 3 U A. RE/NHART ~ o SB. BERKOSKI ~ ~ Z ~ ~ Ed LANp Q v0~~~z¢QN A' /~40FG9~ LULI' ~ I 2 ~'d jai f1 1 ~ I `Mo a ° ~ ~ I / 0, 'r ~ 1500.00 t 43.92' 00'• yy I ROAp 542 r ~e. asses .YS. uc. No. assse PEC e ~ , RSPO. M/aIN (~YSI l sn a. 25 ) MAlN ROAD 9 (S~ SOUTHOLD, NY 17971 86-312A