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Home My WebLink About24993-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26225 Date: 01/22/99 THIS CERTIFIES that the building ACCESSORY SOUTHOLD Location of Property: 515 COREY CREEK LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 78 Block 4 Lot 26 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1998 pursuant to which Building Permit No. 24993-Z dated JUNE 30, 1998 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 INGROUND SWIRMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to HENRY & MARY ULRICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/a 22630 07/22/98 N/A 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. 24993 Z Date JUNE 30, 1998 Permission is hereby granted to: HENRY & MARY ULRICH 515 COREY CREEK LA SOUTHOLD~NY 11971 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. at premises located at 515 County Tax Map No. 473889 Section 078 pursuant to application dated JUNE Building Inspector. COREY CREEK LA SOUTHOLD Block 0004 Lot No. 026 4 1998 and approved by the Fee $ 150.00 ORIGINAL Rev. 2/19/98 Form No. 6 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 inspector with the following: 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 i% 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. .... ~or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 'I. Accurate survey of property showing all property lines, streets, building and unusual hatural or topographic features. 2. A properly completed application and a 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. ]. 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 Buildina - $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 · · · ~ew Construction ........... Old Or Pre-existing Building ................. doc ation o f P top erty..~ ~ ~.. ..... ~.~ e.?. ~.~ ~ e..k. A~.~ .............. g ~.~. 3.k ~.~d ......... House No. Street Hamlet mwer Owners of Property ........... ]ounty Tax Map No i000, Section .............. Block... ............. Lot ...................... ~ubdivision............. ............... .... .. .. Filed Map ............ Lot..· ................... ermit ,,o .. ~ ......... ate Of Permit ..... Applicant ........................... {ealth Dept. Approval.............. ..... .., . ...Underwriters Approval ......................... >lanning Board Approval .................... · ... ificate ......... Final Certicate ........... %equest for: Temporary Ce~ .. :ee Submitted, $ ..... ................... && ~-~b .... ; ......................... ELECTRICAL INSPECTION SERVICE INC.-. : 375 DUNTONAVENUE~ ' · EAST PATCHoGUF~NEw YORK ] i772 (516) 286~664 2 : , 22630 DATE: 7/22/98 APPL£CATIONNo. ONF1LE VILLAGE: $outhold rowlq: Southald ADDRF~$: 515 Corev Creek Lane I, gSOED TO: Henry Ulrich was examined on %22-98 ~nd found to be in oompliance v~tth the Nalional Electncal Code LOCATION: Base.. X 1st ' 2~t D~t. Garage Hot Tub : ' Pool x SWITCHES RECEPTACLES FIXTURES HEATERS FANS G,~L ~IR. COND. 2 2 " 1 DISHWASHER DRYER CLOTHESWASH. GAR. DISP, ; R~GE~ OVId, SMOKEDETECTOR FqI~VACE OIL GAS Cll~.' MOIOs~S ~mL r:~,N. - SF~CE D)$C~iCVECT ~ OTHER EQUIPMENT Outside, Res. 1-1 1/2 hp motor 1-20amp time clock ,1-20amp special Town Hall, 53095 Main Road P.O, Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPAR']?MENT TOWN OF SOUTHOLD November 9, 1998 Henry Ulrich 515 Corey Creek La. Southold NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: X An application for Certificate of Occupancy is not on file. (Enclosed) X No Underwriters Certificate on file. X The check is (not on file.)$~ ~f No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24993Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. .'iELD · ~OUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL 76S.'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] IN~.JON [ ~,4NAL [ ] FIREPLACE & CHIMNEY .,..J.,.(s. / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ,]!//~NSULATION [ ~-~ FINAL DATE INSPE~ BOARD OF~HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDIMGDEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY gOUTHOLD, N.Y. 11971 CALL ................ MAIL TO: TEL.: 765-1802 ro 19 . e mit No, ::::¥: ..................................... 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 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 stree or areas, and giving, a detailed description of layout of property must be drawn on the diagram which is part of this appi 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 perm 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 ~ Certificate of Occupan¢ 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 t~ Buildin,~; Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances ( Regular!ohs, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe. The apnlicant agrees to comply with all applicable laws, ordinances, buildir~e'code, houA/Ofg code, and regulations, and ~ admit authorized inspectors on premises and in building for necessary insp,/~)~. / ,~'/f /.. ~t~~, ifa corporation) (Mailing address 6f applicant') State whether applicant is.owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ;2~n~ of ~wner o; ;;emises...~-/.~...~....~/[.~'~ ~..~. · ....................... ~[10¥[[D ~ Nffi'FD ......... (as on the tax roll or la~.e~d_5,~O.~'~8.~ #~ If applicant is a corporation, signature'of duly authorized officer. ~ ]2~ O ~ ~y: ~ NOTIFY BUILOINO D~'~ (Name and title of corporate officer) ALL CONTRACTOR'S'M~J.S%,.BE. ,S,UFFOLK COUNTY LICENSED Builder's License No ................. Plumber's License No .................... UNDERWRITERS CERTIFICATE 7~-I~O2 9 AM TO 4 PM r-o; THE I r, OUND.iGION - lWO REQUIRED ~. ROUGH - W · Iq.UMBING ~. INSULATIO~ , ~'7 · '-~ ~--'- REQUIRED 4. FINAL - CONS~'RUCTtON MUST Elec,icians License ..... SECOM rE O,C.O. ALL CONSTRUCTION SHALL MEET ~ ENCLOSE POOL TOCODE THE REQUIREMENTS OF THE N.Y. Other Trade's License No ................... UPON COMPLETION STATE CONSTRUCTION & ENERGY BEFORE "WATER"~ Tn~ntinn nfland nn which oror)osed work will be done , CODES. NOT R,E.~ .PO.N.SlBLE .F~R ......... . ............. ................. House N'um bar / Street Hamlet County TaxMap No. 1000 Section...7.~. .......... 'Block ..¢ .............. Lot ~>~. ........... Subdivision..M/(~...C~.~I~.~.~ .7~' ~/' . ~'~'f .... Filed Map No. qq~...'...'.' Lot' ~. ......... (4qame) State existing use and occupancy of premises and intended nse and occupancy.of proposed construction: a. Existing use ~d' occupancy'. ~)C.. ~..t~[[l/../~.~(r~/}~. ............................ 'i ...... Intended use and occupancy .... /~. ,~.~. ~ · ·. p../~.',.F. ·.. f.~. · · .L/~. / ................ "i Repair .............. Removal' ........... Demolition ............. Other Work ............... ! (D rip.ti ) I est on I ' (to be paid on filing this application) 5. If dwelling, number of dwelligg units ............ Number of dwelling units on each floor ................ If garage, number of cars ... I .................................................................. 6. If business, commercial or mi:~ed occupancy, specif nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... N~mber of Stories Height ....................................................................... Dhuensions'of same structure,With alterations or additions: Front Rear Depth ............... i .... Height ....... Num!ler of Stories Dimenmons ofenhre new con~truchon Front .1~...' .... Rear...~. ......... Depth . .~. ',~. ,~... Height .............. N~mber of Stnrlas ..................................................... Size oflot: Front ........./i ............. Rear ...................... Depth ...................... Date of Purchase ......... ¢ ................... Name of Former Owner ............................. Zone or use district in which ~remises are situated Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ...... .~l, ........... , ......... Will excess fill be removed from premises: Yes Name of Owner of p.[remises ~,,_~ .,~.~//. ~.~'J .... Address~. (-~PV'~/5~.~'tihg~/~Phone No.~(t~. Name of Architect ~,..~r.~,~./,~,¢~r ........... Address ./~..~'.~..?~~. Phone No.?~i~r~.~.r/... Name of Contractor~ ~./:¢'~... Address qT/~f~.~ ,ZS/~ ~v~(~ ~/~. Phone No.q..//'~t.': .~.4 ~. .... Is this property locate~ within 300 feet of a tidal wetland? Yes ..... No~... *If yes, Southold Town T~ustees Permit maybe required. ....[ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all 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. 10. 11. · 12. ' 13. 14. 15. He is the ............. ,.. !qS '.'/~ ,,,. , ,.~; , '1 of said owner, or owners, and is du application; that all statements cont (Contractor, agent, corporate officer, etc.) y authorized to perform or have performed the said work and to make and file thi~ fined in this application are true to the best of his knowledge and belief; and that th( work will be performed in the manm'r set forth in the application filed [herewith. Sworn to before me this Notary Public, ...................... County .. ' ' ' ~ icant C.u~l~,ed in $'~,~,~.;~. C~. x. t ,~ ~ ' (Signature of appl ......... · · '.-,.. :', .t ,: ~ k-~.['. ;~O~.~ ~ ....... being duly sworn, deposes and says that he is the applicam . (Name' 9fiiadiu[¢.~aht~r lng contrac0 TO~,~ OF S00THOLD bUII,DING DEpARR~MENT Office of the Buildi~,g !nspactor Town ~mt! $outhold, N~Y. .ERTIF1CATE OF D~eat:;on of P~op~-~y..~.5 C~REM CREEK I,ANE CopntF Tax Map No. 10OO Soction 78 S~divisio~;~ COI~Y CREEK EST FiJ_ad Map No. 492~ ,Lot No. 20 COnfo~s substan~iall~ to t~e Application for Bui,kdiDg Per~ldt heretofore filed i~ this office deted O~OBE~7 ]}ucsuent t~o which Buildln~ ~rmit MO. 16!583-5 dated OCWOBE~R~_~3988 Wa~ issued, arid conform~ to ali of the raquir~ents of the ~rcvis~ons of the law. TSe o~cupancy for which this certiffcate issued ls ONE ~IL,. DWELLING WIT~ G~{~R~ ~ A'~'__~.f;~{ED DEC~ ~ ~.PPLI~D F~0R The cer~.i[icat~ is i~sued to WILLIA~4~I_~ (owner, ~X}~ZX~[YJd4~f~X of tho afol~esaid bui]~inq. ~ - SUFFOLK COUNTY DF. PARafONT 0~' ~.LTH ~PROVAL UNDERWRIT]~RS CERTIPICATE NO. N042919~OCTOBER FLUte%ERS ~ ~ ...... .LR~I:I[.&~ .)t4 DATED._~/~I/ig~7--STFPffEN O'CONNOR / // Z / _J 0 /' LU . /',', 0{,?;071