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Home My WebLink About16936-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17313 Date SEPTEMBER 15, 1988 THIS CERTIFIES that the buildin~ AGRICULTURAL Location of Property 43635 MAIN ROAD PECONIC House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 1 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1988 pursuant to which Building Permit No. 16936Z dated MAY 5, 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 AGRICULTURAL STORAGE BARN. The certificate is issued to FRANK CICHANOWICZ III (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 / Building Inspector FOB~[ NO. B TOWN OF $OLITHOLD BUILDiHG DEPARTMEHT TOWH HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_] 6916 Z Permission is hereby granted to: ..~..,~..&~ ............................................. ~~.~. ...... ?.:.W..:~...~J.~ ............ :... .......... ............... : .......... at premises located at ~...~..~,.~.~.......]~.(:~n~....~-.J~( ............ ..~..~.~ ............. ..~ ........ ~.....~ ............ County Tax Map No. 1000 Section ...... ~.").~. ...... Block .... ..C~..I ........... Lot No...)..~..,./. ............ pursuant to application dated ....... ;~..~..~. ..................... , 19.~.~...., and approved by the Building Inspector. Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FINAL INSP£CTOR~ ~.b¢~ FORM NO. '6 TOWN OF SOUTHOLO Building Oepar~ent Town Hall Southold, N.Y. 11971 Instructions A. This application must be filled in typewriter OR ink, and submitted ,- ~ 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 $25.00, Accessory,,~$lO.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date..~f~/~../.~..//.~... NewC°nstructi°n ...... Old or Pre-existing Building ........... . Vacant Land ............ . Location of Property ............. .~..O..U~........,~..~-.............. ..................... .. ... . Houm No. Street Ham/et Owner or Owners of Property ...~..vfi~..~,~. .... ~. ~..C~.~. 9~.O.u~..%.¢~..~. ~... ........................ . County Tax Map No 1000 Section . . .O.~.~- Bloc O! J .~. ............. k . Lot Subdivision ................................. Filed Map No ........... Lot No ............. . Permit No../~ ~..~'. Date of Permit/~./t.~ .~M/.~.Applicant .~..VY~.~, Health Dept. Approval ....... .~J/~ ............. Labor Dept. Approval ..... ~/~. ...... Underwriters Approval ...... I~./~ .............. Planning Boar rov . .~//.~ .... d App al ............... Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $ .... /y~ ~---~ ,~.z~. p?~ .'~ .t. Construction on above described building and permit me,ets all ,applicable codes and regulations. . , d /Z /0, / f~ -,, /~pplicant . . . .,j~.?~.. ~Z~%~f~. ~-~__~. ...... %d70' ........... Rev. 10-10-78 ] .~;-~ ~. FflUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .FLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: .Z '' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO,: (Building Inspector) .APPLICATION FOR BUILDING PERMIT 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 lkyout 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 Perruit 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 ~emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildi~)~Z~de, housing code, and regulations, and to admit auth°rized inspect°rs °n p,remises and ~ building f°r necessary insp~O - ' ,, , :~, ,~ ::~ ........ .'3, .':"-.-'A ..... : .~X'n.~. . ........... . .. , (Signature oi' appli.c_a~n~p~r~,.~-~.i{~ corporanon) State whether appl,cant ,s owner lessee, ~,gen[ ardh,tect, engineer, general contra~t~t~, ~q~hmber or bmlder. (~,~.~'1.~ :~, .;~ ?tv) ~:~.~OO'~1 ~;15'~ ........................... ..... ."GE: ...................................... Name of owner q£p,rem, lse, s, ,,., ............. ~ (as on the tax roll or latest deed) If applicant is a ~'Oi;idO~rafiUn';Igig~/~'~tt¥5~°~ui~.)a~t~-~ized officer. (Nam'e ~lnd titI~,~5~6~.~atO"~i~ficel~)l 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 .... ~.~.~....~..*~ ................. .................... ................... C~ '. ................ 7.' ...... '... House Num bet Street Hmnlet County Tax Map No. I000 Section .... ~.~ ........ Block .... O/ ........... Lot ./.~. .............. Subdivision ..................................... Filed Ma o ............. Lot ......... - ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed'construction: a. Existing use and occupancy ......................... 1 b. Intended use and occupancy ..... .................................... 3. N k( ' h~ppl' ) ' ' ature ofwor check wh~c ~cable: New Bmld~ng ....... Addition ......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost .... ] Fee (to be paid on filing this application) 5. If dwelling, number of dwellidg units ............... Number of dwelling units on each floor ............... If garage, number of cars ...: ............................................... . ........ 6. If business, commercial. . or mi:~ed, occupancy, specie; nature and extent Yf each type of ~se '~r.i .~"./~.'"r4'.. i~-;* 7. Dimensions of ex~stlng structures, if any: Front ............... Rear ............ ~..~ Depth ............... Height ............... Nfimber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. ! .... Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front .... ./P.~.'. ...... Rear .... /.o.q: ...... Depth .. Size of lot: Front ......... ' ............. Rear ...................... Depth ..................... Date of Purchase ......... i ..................... Name of Former Owner ............................ Zone or use district in which Dremises are situated ./~v'~C~./~t, dv .,,~. t~. tu,~ (.~,,,o ~/e~. . Does proposed construction violate any zoning law, ordinance or regulation: ../~.o. ......................... Will lot be regraded .... J~47. i ..................... Will excess fill be removed from premises: Yes Name of Owner of remmes hr,~ C~..c~.~.,,~ .o~Address g-~- ~C'.~-_~ ~Phone No .'~q ~' Name of Architect . ./2'/.~..'C°t% .~.~.~. I.d/.~$ .........Address . Tl-O..a.Y~..t%.[.c~..~..u..~.... Phone No... 7.~.7.'. Name of Contractor ./~.*r~ ~¢~/.~.t.,, j . .. Address I~'g t. ~,'x ~" ['J' Phone No 5/27-' 10. 11. 12. 13. 14. ... 1 PLOT DIAGRAM Locate clearly and distinctly 911 buildings, whether existing or proposed, an& indicate ail 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. OCCUPANCY OR i USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED OATT[: ~ e.p, # ~ ~_~._'~:' FEE: ~ ' ~' aY: ¥' '--~' NOTIFY 81JILD~IG DEPARTMENT AT ?~5.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: t. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE ~. ROUGH - FRAMING & PLUMBING ~. INSUI.ATION 4o FINAL CONSTRUCTION MUST BE COMPL.ETE FOR C,O, ALL CONSTRUCTION BHALL MEET THE REGUIREI~NI~ OF THE N.Y. STATE CONSTRUCTK)N & ENERGY ~)DES. NOT Ri~IK)NGIBLE FOR DBBiGN OR ~.,ONOTRt~'TION ERFIOFI$ STATE OF NEW YORK S COUI}ITY OF .... Xg.~! .k-... S. ....................... .'~F.~ ................ being duly sworn, deposes and says that he is the applicant (Name of individual si~ning contract) above nan;ed. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~erform 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 manper set forth in the application filed therewith. Sworn to before me this ........... day 9f .............. l Notary Public, . .... ' ............. County B, WURTZ , ~re of applicant) NOI'AR~ PUBt.iC, State of New York N0. 14787124, Sutlelk Coun[~..4~ N/O/F FRAN~( A. CICHANOWICZ ~ DA VID CICHANOWICZ; & TO'I4/NOF SOUTHOLD(DEVELOPMENT RIGHTS) N ~° 25' 50"' E 274.89~ AREA = 3.67acres 0 BOX MAIN ROAD SOUTHOLD, N)~ 11971 t LIC NO, 49668 N/O/F A. REINHART N/O/F GEORGE I BERKOSKI N/O/F S.B. BERKOSKI 1500.00'~: MAIN ROAD $ 42' 0~' 00" W 88 - 312A