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Home My WebLink About29017-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31985 Date: 11/06/06 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1625 SHIPYARD LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 1 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 12, 2002 pursuant to which Building Permit No. 29017-Z dated DECEMBER 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARJORIE VOLINSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1139172 06/05/03 PLUMBERS CERTIFICATION DATED 11/06/06 MICHAEL VOLINSKI //AutJorize!d Signature Rev. 1/81 Form No.6 6 TOWN OF SOUTROLD Iz BUILDING DEPARTMENT TOWN HALL 00 " 765-1802 1!— APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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. 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 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. //'U —04/7 New Construction: Old or Pre-existing Building: (check one) Location of Property: /6d[J �ni�l//�! Ayf.� jP/�plt/ House No. Street Hamlet Owner or Owners of Property: t %CV►tl do1w3�l Suffolk County Tax Map No.1000, Section Block 4900 L Lot (9V7 Subdivision Filed Map. Lot: Permit No. .29017—Z, Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (chec one) Fee Submitted: $ 1.2Applicant Signature 9 7 Cozy 31gs 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. 29017 Z Date DECEMBER 17 , 2002 Permission is hereby granted to : CONRAD & WF VOLINSKI 1625 SHIPYARD LA EAST MARION,NY 11939 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1625 SHIPYARD LA EAST MARION County Tax Map No. 473889 Section 038 Block 0001 Lot No. 017 pursuant to application dated DECEMBER 12 , 2002 and approved by the Building Inspector to expire on JUNE 17, 2004 . Fee $ 446 . 70 Aut orized Signature ORIGINAL Rev. 5/8/02 a �� • 5BY THIS CERTIFICATE OF COMPLIANCE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT �5 5 Upon the application of upon premises owned by C� 5 RAYNOR FRANK L. MICHAEL VOLINSKI e5 1800 HARBOR LN./BOX 1065 1625 SHIPYARD LN CUTCHOGUE, NY 11935, SOUTHHOLD, NY 11939 Located at 1625 SHIPYARD LN SOUTHHOLD, NY 11939 5 Application Number: 1139172 Certificate Number. 1139172 SSection: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 Basement,Outside, 5 e5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was found to be in compliance therewith on the 5th Day of June,2003. 5 Name OTY Rate Rating Circuit IS& rj Service 5 1 Phase 3W Service Rating 200 Amperes 5 Service Disconnect: 1 200 cb L5� Meters: 1 5 5 5 S 5 5 5 seat 5 5 1 of 1 e�,I 5 This certificate may not be anered in any way and is validated only by the presence of a raised seal at the location indicated.rL35 5 5 Otri rrtJd3 r� rE3Pr r� �o��gUFFO(,�c W Town Hall,53095 Main Road O Fax(631)765-9502 P.O..Box 1179 y�o� �� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. 70/ Owner: 1�1t'C_HA 2� C VOltw$f�i �,,r� (Please print) Plumber: Y 411,_1 C V)pJ7NSL (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) 1 Sworn to�before � (m_e, this �O ay of�JJ11201 Q Notary Public, County MELANIE DOROSKI NOTARY PUBLIC,State of New lbrk No.01004634870 Oualified in Suffolk County . Commission Expires September 30,.-L-1 0 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET . VILLAGE DIST. SUB. LOT LANe CSCE FORMER OWNER E ACR. Lv g� W TYPE OF BUILDING 2ES., SEAS. VL FARM COMM. CBV WISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 5,9 r Puu 6 0-0s i4 '"� o / j Cc#Is6. 90 ooa co o a NEW N RMAL BELOW P FARM Acre Value Per Value' CTl/ r `� /� \ r� ( i I' , l r �f 6 i 27 Tillable I Tillable 2 Tillable 3 Noodland Swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD 0-N d '-louse Plot DEPTH BULKHEAD Total DOCK a ■■■■■■.■■■■■■■eO■■■■■■■SEEM c MEN OO■M.■MEN■■■■■■■■■■■NONE mom e■■MSMmom■■■■■.■■■■■■E■■ ONE... ..............■■■■■■ ■■NEMS ■■SSSS■■■MS■M■.■■■■■ SOMEONE ■■.NUJ■■.■.■■■■■mom ■■ ■■■■■■■ MA . ■■■■■■ISiE MOENN■N■■■■■■■■■■ ■■■■■■■■M■■■ ■■■■■■■■■■ ■■■■SAI■■■■■■1!■■■ME■■E■■■■N ■■■■E■ ■■■N■■11■■EMO■■■■M..■ M■■■■■ ■■■ ■■■.■■■■■■■N■.e■ SSSS.■ ■■■■■■■■■.■■■■■■■■■■ : .. .l . . - oundation Basement .. ®® Ext. Walls Interior Finish Fire Place .- ... .. - Dormer Driveway GARY TABOR Excavating/Landscaping/Coal Navy Street Orient, New York 11957 (516) 323-2667 DECEMBER 14, 2002 BUILDING DEPT SOUTHOLD TOWN SOUTHOLD,NY 11971 SUBJECT: VOLINSKI RESIDENCE 1625 SHIPYARD LANE EAST MARION,NY11939 I HAVE INSPECTED THE SEPTIC SYSTEM AT THE ABOVE ADDRESS AND IT WILL TAKE THE EXTRA FLOW. SINCERELY YOURS GARY TABOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE i EY REMARKS: vZV7 (- J DATE INSPECTOR 2a17 � 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] UGH PLBG. [ ] FOUNDATION 2ND [ INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACk & CHIMNEY REMARKS• Tz".1 A . � C a� DATE INSPECT c� qa 7 765.1802 BUILDING DEPT. 114SPECTION [ ] FOUNDATION IST f�jeROUGH PLBG. [ ]] FOUN TION 2ND [ ] INSULATION [ RRAAMING [ ] FINAL [ ] FIREPLACE S CHIMNEY .Go /4=1 ' 404& <Al XL¢4f4**- REM RKS: 9r w C — lrAV s / o ' A/ c 20 DATE Q INSPECT0 �4 �t we tior.� FOUNDATION r. 1 1 1All i • u I: 1 s _ _t<,�� /� -� awi: t 1 • :M' N.Y. ✓tet, / II/ii /iL/ i��_�.� I��.�i.'.�ii STATE ENERGY CODE 0 t ADDMONAL COMMOINTS TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT , I S 2aII Do you have or need the following,before applying? TOWN HALL 1 Board of Health SOUTHOLD,NY 11971 . 3 sets of Building Plans TEL: (631) 765-1802 J Planning Board approval FAX: (631) 765-9502 G�O I ,/ Survey www. northfork.net/Southold/ PERMIT NO. ` �(� Check Septic Form N.Y.S.D.E.C. l Trustees Examined I� 0_ Contact: Approved 20 1-/' Mail to: Disapproved a/c one: q7 ) -163# Expiration "20 Building sp ctor APPLICATION FOR BUILDING PERMIT Date 11CC6wfi�42/G 200,1 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 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 shall 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 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si tore of applicant or name,if a corporation) �6aSSFf/Py9QD t-.s.+�� T /liars i✓ 11g3J (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder nwAi6K Name of owner of premises /yICG2sp/1/E 19• Vot,int SICI (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Ta D , Plumbers License No. n Electricians License No. « Other Trade's License No. 1. Location of land on which proposed work will be done: /6aSS(IIP /ARc> CAn/L E:ASi 4VA16ff N House Number Street Hamlet i qq .�• { V1i L'.t County Tax Map No. 1000 SectionBlock1 Lbt Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occu�art y�flproposed construction: a. Existing use and occupancy 5 rn� l,� wp / 1 .e b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition_j,� Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �t- an o -t Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature andextentof each type of use. 7. Dimensions of existing structures, if any: Front SEL- P"�� // Ttear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front SEE S /rE FLft/ Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 5� ?a/yRear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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_ fJST/YNR�D� ' j't4. Names of Owner of premisesMjg2oe16 F/ Vai#4&1 Address/AS-r/1ip,(/.eD AA Phone No. 5177 14?01 /Name of ArchitectWt[U AM F. SAy)�J o Address?/W. 3 OS-Z 1J,1,,J1 Phone No �2/a- 7.27. ;t1� Name of Contractor Tri . D Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater 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 NOS * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, 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) COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 forth in the application filed therewith. Sworn to before me this l/n_da of _20 OZ_ �) U� u. N Public Signature of Applicant LYNDA M. BOHN NOTARY PUBLIC,State of New York No.01B06020932 Qualified in Suffolk Coun Term Expires March 8, 20 BUILDING PERMIT EXAMINER CHECK LIST ,/-� DATE REVIEWED: a/a/02 APPLICANT,( c�� DATE SUBMITTED: /J&/02 SCTM#DISTRICT: 1,000, SECTION: , BLOCK: _(_,LOT: 1� STREET ADDRESS: CITY: SUBDIVISION: PROJECT DESCRIPTION: Ai�i-r.' tt ESTIMATED PROJECT COST: 5K_ T/ENGINEER:3cwlno FAST TRACK? Alb SINGLE& SEPARATE CERTIFICATION-REQUIRED? , VO NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8: ZONING DISTRICT: 11-YO CONFORMING?0 REQ. LOT SIZE: 0' 6 ACT. LOT SIZE: /TREQ. LOT COV.0ACT. LOT COV. REQ. FRONT c�3j PROP. FRONT- REQ SIDE r — ACT. SIDE REQ. REAR. 3 5 PROP. REAR / REQ. H K IGHT PROP. HEIGHT WATER FRONT? A10 DESCRIPTION: PANEL #: /X__7 FLOOD ZONE:, APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES oA (BED#): DTE: / /_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y J NEW YORK STATE DEC: PT�EC 9/1/7.5 YES o SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o O NYS ENERGY(�&R NO : 4-L A/o EGRESS(18 H min.?4 sq total) ✓VENT(SQ. FT. x 4%) ,/ LIGHT(SQ.FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INTI OTHER TOTAL TOTAL: lie, 3 q SF FEE FEE FEE 90 1. ELOP_SF)-(8 9*"6 SF)= �'1�9 SF X$ 36 =$QS1L�L +$-L!'O +$ =$ j q 6 2. ( SF)-C-SF)= SF X$ =$ +$ +$ _$ William F. Savino Architects 71 West 23'd Street Suite 1908 New York, N.Y. 10010 December 13th, 2002 Town of Southold Department of Buildings P.O. Box 1179 Southold,New York 11971 Attn: Pat Re: Volinsky Residence 1625 Shipyard Lane East Marion, Town of Southhold New York 11939 Dear Pat, I have reviewed the existing septic system for the above referenced project and have determined that the additional flow would be acceptable. Sincerely Yours, William F. 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