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HomeMy WebLinkAbout29288-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29465 Date: 05/23/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 2345 MILL CREEK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 51 Block 6 Lot 39 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2003 pursuant to which Building Permit No. 29288-Z dated APRIL 11, 2003 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 "AS BUILT" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to JOSEPH P & DOROTHY ULRICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /v6 Authorized Sign fure Rev. 1/81 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. 29288 Z Date APRIL 11, 2003 Permission is hereby granted to : JOSEPH P & DOROTHY ULRICH 1912 INNISBROOK COURT VENICE FL, 34293 for AS BUILT SHED PST AS APPLIED FOR at premises located at 2345 MILL CREEK DR SOUTHOLD County Tax Map No. 473889 Section 051 Block 0006 Lot No. 039 pursuant to application dated APRIL 7, 2003 and approved by the Building Inspector to expire on OCTOBER 11, 2004 . Fee $ 150 . 00 6 4or ' d Sig COPY Rev. 5/8/02 r- Form No.6 \�\ (A qz)L (� TOWN OF SOUTHOLD 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 44 A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, d unusual r}arural or topographic features. 9� 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). ' e' 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 I% le 5. Commercial building, industrial building, multiple residences and similar buildings and mstallatiops,,4 ce ficate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. `> r B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" d 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. /'n New Construction: v Old or Pre-existing Building: (check one) Location of Property: ;7-3 Vr Aj. :%- House No. Street // Hamlet Owner or Owners of Property: - � {2 (� ®� O?Q (it( l Ll Suffolk County Tax Map No 1000, Section / �� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant. Health Dept. Approval: Underwriters Appr al: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check ones) Fee Submitted: $ � L1O3g Applicant Si ature f. Board Of Southold Town Trustees SOUTHOLD, NEW YORK June 26, 2000 PERMIT NO. S_ 43 DATE: ..... ,= JOSEPH ULRICH aISSUED TO ............. .. _............. _ .. _ _ ......... _ ..._.... Aut4arizatinn Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the x State of New York 1952; and the Southold Town Ordinance an- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;'.'. and in accordance with the d" Resolution of The Board adopted at a meeting held on .June 21, > 19009...., and in consideration of the sum of $._150. 00 paid by Proper.77.1.Permit Services for Toseph.Ulrich_ ii of Cutchogu*e N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: y s Wetland Permit for the existing deck and landing, stairs t connecting them and a metal shed. all in accordance with the detailed specifications as presented in the originating application. e IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and thesepresents to be subscribed by a majority of the said Board as sof 4s; date. .x hlol .�1bD� Trustees L i I � ,R e* 3 s Board Of Southold Town Trustees } SOUTHOLD, NEW YORK PERMIT NO. 875 DATE: .April 2, 1973 ISSUED TO _ Joseph P. Ulrich ° Pursuant to therovisions of Chapter 615 of the Laws of �> the State of New York, 1893; and Chapter 404 of the Laws of the ti State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on April 2__. 19 73....., and in consideration of the sum of $23 .80 __ . paid by Joseph_P. Ul9outh6ld of 2345, .M.il1 Creek Drive WestN- Y. and subject to the t Terms and Conditions listed on the reverse side hereof, �. of Southold Town Trustees authorizes andpermits the 4following: b ¢' 4oftt uramp 101ft. by 3tftby float" 6d*tk byfl'l f ' and 16 ft, by 4 ft. , with 2 pilings at Ars amomaqu t Pond, in fronto hh s own Proert on Mill Creek \ Drive West, sougold, New Yorpk y w all in accordance with the detailed specifications as presented in ` the originating applcation. 1 if IN WITNESS WHEREOF, The said Board of Trustees here- f by causes its Corporate Seal to be affixed, and thesePresents to 1 be subscribed by a majority of the said Board as of this data. ni Trustees M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 1 ULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMA KS:_ DATE v INSPECTO FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION(1ST) — -------------------------------------- FOUNDATION(2ND) �� O ROUGH FRAMING R PLUMBING F' INSULATION PER N.Y. — STATE ENERGY CODE _ V n DSL _ - 62'.0, s< FINAL ADDITIONAL COMMENTS -S — p z 'n m X a she 1 L p H x 0 HOARD Of HEALTH . . . . . . . . . . . . . 3 SETS OF PLANS . . . . . . . . . . . . FORM NO. I SURVEY . . . . . . . . . . . . . . . . . . . . . n TOWN OF SOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . . . . TOWN HALL T - - SOUTHOLD, N.Y. 11971 oTIFY IOLp TEL.: 765.1802 CALL 3 Examined . . . . . / ,�9�. .a MAILqq Q-CC�� Approved . . . . . G.j. . . . . .,�`• bPmit Nop.l��. :�?.4. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . I . . . . . . . k104...t, g Inspecior) APPLICATION FOR BUILDING PERMIT 7 ?Il^7 Date . . . . . 9,26100. . . .. 15 . . . INSTRUCTIONS a. This ap cation must be com(i7�ely 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 lertificate of Occupancy shall have bes7,granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department'fbr the issuance of a Building'Perniii pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, acid other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for iemo r olition, as herein described. The applicant agrees to comply with all applicable laws, ordinances Iinig co d tions, and to admit authorized inspectors on premises and in building for necessary spe ns. (S• ature of applica or na e, if orporatnon) oyer-TSP itr ,ervices Pa .]Box. •617,. , utahogue .N.Y. •11935 • • • • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor; electrician, plumber or builder. . . . . . . . . . . .agent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . .. . , .'r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . :T.oseph ,Ulrich„ • • • • • . . • • • . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ?345,Mi11. Creek ,I?rve .W0At.. ,Southold. NY. 1.1.971. . . . . . . . . . . . . . . .`. . . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . .51 . . . . . . . . . . Block . . . . . .6. . . . . . . . . . . Lot . . . . .39. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . .Private residence . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . ... . . . . . . Private. .z eaJ deriRe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . • • • • • • • • • • • • L' 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration Repair Removal . . . . . . . Other Work .EXJ p be . . . . . . . . . (0___ ., an) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . .%:a� . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor. . . . . . . ... . . . . . . . ifgarage,number of cars . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . ae$. helow . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . : . . . . . . . . . . .Number of Stories . 9. Size of lot: Front . . . . . , .i OA . . . . . . . . . . . Rear . . . . ,120 , , , , . , , . , , , , Depth . . 22 . . . . .war. . , _ . . , . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . , . . . . . . . . I . . . 11. Zone or use district in which premises are situated . . . . . F,-40. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law,ordinance or regulation: . . . .199. . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . .Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . aee. helOW . . . . . . .Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . .Address . . . .Phone No. . . . . . . . 15.Is this property located within 100 feet of a tidal wetland? *TES. . X.NO. . . . *If yes, Southold Town Trustees Permit may be required. PIAT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property tines.Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. We wish to obtain buildin� permits and Certificates of Occupancy for two sheds and a deck/walk landing that already exist. Those structures within the jurisdiction of ,the Trustees have been approved under permits #875 and #5183, copies attached. #7 – Shed #1 : 10' x 121 x 101 approx high Shed #2 : 5' x 7' x 61 approx high Deck: 14' x 16 ' LandinIg: 61 'x _8' Connecting walk and steps #14 — Owner: Joseph Ulrich 2345 Mill Creek Drive West Southold NY 11971 STATE OF NEW YORK, S.S COUNTY OF'.Suftolk. . . . . . . . • • • • • • • .Tames •E.• -Fitzgerald,. Jr.. . . . . . . . . . . . being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) above named. Ile is the . . . . agent. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . (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 fortis in the application fled therewith. Sworn to before me this . . . . . . . .26th . . . . . . . . .day of. . . . . SePtewb . . . .. 19�PPO Notary Public, , County ` . . . . . . LYNDA M.BOHN (Signature of applicant) NOTARY PUBLIC, State of New York No.01806020932 Qualified in Suffolk CoyA ' Term Expires March 8,20— F t 1 1 1 - _ � 1 4 F 1 1 x)�� S UR VE OF PXROPERTY S k3 ti��g AT ARS A OMOQUE 4 TOWN OF SOUTHOLD SUFFOLK CO UNT Y, ME W YORK 1000-51--98-39 MZ: 1 =3 SEPT. 9, 2002 15* IV Ir a IIL IL N t� < 40 kss' sTY. FR. 'IP A t4 OF w _ - ►U S�Po�OF NEW 1.Mer 4 1,00 POND R S Wkw25,W7 V%MW TIC LPE' .ate awze saxlylErgs; ,+ter, ire sa arts "VEY W .Vs"tmw C631� 7b5 — 502U FAX —1.797 a i m' r w t#t rV I w $t .*0" Wcr+ ws P. 0. BOX 909 1230 TRAVELER SE'ET =h�MUMENT SaUTHMD, N.Y. 11971 *LFOLD'S Re: Joseph Ulrich acNli70� GUARANTEES YOU THE MAXIMUM VALUE sc X1000-51-6-39 (MIK STANDARD FEATURES 4'�v 225 lb. 20 Year guarantee 16"O.C. Double gusseted roof asphalt sell-sealing shingles Plywood C.D.x. trusses for unmatched �p in vour choice of 6 colors Plywood roof strength 4Y - c,l nates sheathingy ' t Pa 'l ,••',m ���..-.cam`...-� i'.."� E Finished beauty ar?'b r r Z_ � lightness -� r, End vents on both ends provide Proper ventilation ca-.n:ec 15 4'r ens e��e OC r NCY OR e-e 58, .. Nay ace^ent ,: a ` '=a WIT UT CERTIFICATE Reinforced Double Oows painted on both Sides '� CUPANCY - __oi e c' !Ir paint with 2x4 framing F .__. -"OiCe ^� 1 I GOIOrS P s - - -_ - PRESSURE TREATED B.C. 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