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HomeMy WebLinkAbout28927-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29090 Date: 11/19/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 6300 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 38 EAST MARION (STREET) (HAMLET) Block 1 Lot 1.7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 2002 pursuant to which Building Permit No. 28927-Z dated NOVEMBER 19, 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 ACCESSORY BARN "AS BUILT" WITH ENGINEERS CERTIFICATION AS APPLIED FOR. ~e certificate is issued to JOSEPH A CHEREPOWICH & ORS. ( OWNER ) of the aforesaid building. SUFP~DLK COUITI"f DEPARTI~ElqT OF H]~;%LTH APPROVAL N/A ELEt-£RICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION D~£~3 Rev. 1/81 N/A Authorized Sign~re~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT,~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28927 Z Date NOVEMBER 19, 2002 Permission is hereby granted to: JOSEPH A CHEREPOWICH & ORS. PO BOX 103 EAST MARION,NY 11939 for : CONSTRUCTION OF AN ACCESSORY BARN "AS BUILT" WITH ENGINEERS CERTIFICATION AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 038 pursuant to application dated NOVEMBER Building Inspector to expire on MAY MAIN RD EAST MARION Block 0001 Lot No. 001.007 19, 2002 and approved by the 19, 2004. Fee $ 150.00 Authorized S~ Rev. 5/8/02 COPY Form No. 6 TOWN OF $OUTHOLD 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 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 November 19, 2002 Date. New Construction: xx Old or Pre-existing Building: Location of Property: 6300 Hain Rd (check one) East Marion House No. Street Owner or Owners of Property: Joseph A Cherepo~ich & ors Suffolk County Tax Map No 1000, Section 38 Subdivision Permit No. 28927 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit. Hamlet ! Lot 1.7 Lot: 11/19/02 Block Filed Map. Applicant: Underwriters Approval: Final Certificate: X (check o_ne) · ~ ~pp"ffcant Signaturff LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 Mr. Michael Verity, Dept. Head Southold Town Building Dept. Main Road Southold,N.Y. 11971 November 12,2002 Re: Aghcultural Barn Joseph Cherepow/ch, Marion Santacroce, Helen Polak 6300 Main Road, East Marion,N.Y. 11939 Scm # 1000-038.00-01.00-001.007 To Whom It May Concern: I have inspected the 30' X 40' Agricultural Barn at the above mentioned property on Saturday, November 9,2002 and certify that this structure meets the m/n/mum requirements for aghcultural buildings at the time of construction. Tuthill, P.E. STATE OF NEW YORK) ) SS. COUNTY OF SUFFOLK) AFFIDAVIT THOMAS E. SANTACROCE, being duly sworn, deposes and says: 1. I reside at 75 Shipyard Lane, East Marion, New York. 2. I have resided in the Greater Greenport area all of my life. I was bom on June 25, 1930. 3. I am familiar with the property located at 6300 Main Road, East Marion, New York. 4. I know that the metal barn at the subject premises has been there since 1955. THOMAS E. SANTACROCE Sworn to before me this ,,2~g/~day of October, 2002. ELIZABET}~ J. FARR SH Notary Pub c, State of New York No. 01 FA49732S5 Qualifned in Suf/olk County ~ Commission Expires Oct. 15, 20 ~ TOWN OF SOUTH6LD BUILDING DEPARTMENT TOVffN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 20__ Approved ,20__ Disapproved a/c Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST 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: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT i Date [ / ~' ,20 *~,2. · ~ ! 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 fi.om 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 inspectio~,. ~' ~'"' "~tS~"gnatu~e o-f ap~Tmt o"~ naine, ifa coxporafion) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ,[;,~_~,/~ ~ ~. ~Z~fi/~.¢j~ .~AP.,fq~ &M4i~VTZ-X5~, "- t ....... ~A's~-n'the t,~x r01i o~-l~test deed) z If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of lan4~on which p~posed work will be done: Hou-s¢ Number Street Hamlet County Tax Map No. 1000 Section 2~ Block [ Subdivision /q//]/~ Filed Map No. (Name) Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed constr~ction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~t~T) j - 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work ?~/ (Description) Fee (To be paid on filing this application) /t /k'/7~_ Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~ ~5 Rear Depth Height /5 ' Number of Stories / Rear Dimensions of same structure with alterations or additions: Front Depth Height. Dimensions of entire new construction: Front Height / ._5" Number of Stories 9. Size of lot: Front ~ ~ I Rear 10. Date of Purchase [~7~ Name of Former Owner Number of Stories 8. Rear Depth 11. Zone or use district in which premises are situated ~ L/g> 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO /9 13. Will lot be re-graded? YES. NO. .Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremise~ (/~?~,~JAV~ss 't~_.,qqf/1/~r&/2u/Jq~,~honeNo. N~e of~c~tect ~T ~ ' ~ Address Phone No Nme of Con, actor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO % 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) SS: COUNTY OL-~ r~F~&q~' t ]r~%o,~ ]~ (JrkP_.P_~ .Z~/t, being duly sworn, deposes and says that (s)he is the applicant -('Narhe 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~lefore me this · ~ "Notary Pub'~m / ~ ~"f~nature ~.~p-plicant LESLIE J. BAUER Notary Public, Sto~e of New York No.$01814~, Suffolk County ~ Term Expires Sep. 20. o~ o~$ .,'a~,~~N OF SOUTHOLD PROPERTY I~RD CARD OWNER .... ~' FORMEJS, OWNER VILLAGE ~""~, ~,~0 0 Wl'C..7_.. S W TYPEOF BUILDING COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS (('~/~/~ [" C~ ~4'{ bCH~ FRONTAGE ON WATER ~dowland DEPTH ~t v ~se Plot BULKH~D ,ta I NL Bldg. Extension Extension Extension Porch PorCh Breezeway Garage Patio- 'Foundation BQsement 'Ext. Walls Fire Place Type Roof Recreation Room DorlTler Both Floors Interior Finish Heat Rooms ]st Floor Rooms 2nd Floor Driveway Dinette K. LR. DR. FIN. B ~ STREET ~ VILLAGE ~IST SUB. LOT , /~, ~ - S - ' W ~, ' - TYPE OF BUILDING R~. S~S. VL. FARM /~ CO~. CB. COLOR ~/-._,,t ,~4.: TRIM -~xtension -~xtensJon -:xtensJon )omb ~orch 3reezeway ~arage ~ati0 ). B.~9 ~tv' total Foundation Basement Ext. Wa Is Fire Place Type Roof Recreation Room ~OOJ~Ormer ,,~0, J FIoors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway DR- BR.' FIN.