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HomeMy WebLinkAbout20944-zFOBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22889 Date MARCH 7, 1994 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property 4600 OLE JULE LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 4 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 1992 pursuant to which Building Permit No. 20944-Z dated SEPTEMBER 9, 1992 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 ALTERATION & ADDITION TO EXISTING DEN IN A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WARREN W. & MARIA L. ULMET (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-304638 - FEBRUARY 14, 1994 PLUMBERS CERTIFICATION DATED FEE. 15, 1994-MATTITUCK PLUMB. & HEATING Rev. 1/81 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) N°N.o 2094~Z Permission is hereby granted to: ~..~.~...~......~ ......... .~.~.~ ....... ~...~...~.~ ...... .~..~...~.:~.:....u.~..~....~. ~,o ...... o2~..........+.......~.~........~ ...... ..o~...~~..~.....~.:...~...~ ~~.~.~.,....~.......~..~....~?. ....... . ................... . ....................... ~at premises located at ...~..~.~i ...... ~,~......~ ~rz~....~.......~..~~ .......... County Tax Map No. 1000 Section .... ~.....~.,....c~.. ....... Block ...... ..~....~, ........ Lot No.....~..~ ............ pursuant to application dat~ .~~ ff 19.~.~ and approv~ ~ the Building Inspector. Fee $...~...~.....:...~ Rev. 6/30/80 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 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. 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 p~operly 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5,00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00  Bc~ Date ......................................... New Construction Old Or Pre-existing Building Location of Property..~.~ ~ ~U[-~ ~ ~ .~..~...]~....~?..~. House No. Street Hamlet Onwer or Owners of Property....~.~g..~...~..' ~ ~.1 k:'). ,[I-' ,~, ,~-',"'['' County Tax Map No 1000, Section. I ~%' .Block.. ~- .Lot .............. Subdivision .~. . Filed Map .... '. ..... Lot ...... Permit No ........ .~.~ .... Date Of Permit ....... Applicant ............................. Health Dept Approval Underwriters Approval . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~. ....... Fee Submitted: $..~.~.~.. ~ .......... ~ ....... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK t0038 ' Date THIS CERTIFIES THAT only t~ olectrlcal equipment ~ ~scrib~ be~w a~ int~uc~ by t~ applicant ~med on the a~ve appli~tion number in the prem~es of in the/ollowing location; ~ Basement ~ Ist Fl. ~ 2nd FI. OU~' Section Bilk Lot ~s examined on J A [~ II AR ~ 2 8 t [ 9 9 4 and found to be in compl~nce with the National Elect~cal Code. FIXTURE OUTLETS 6 DRYERS FIXTURES RANGES OVENS EXHAUST FANS SWITCHES TIME CLOCKS SYSTEMS NO. OF FEET E OTHER APPARATUS: S E R OF CC. CONO, C NO OF HI-LEG OF HIJ. EG G & S CON~RAfi~OR BOX 2J. 5 SOUTEOLD, NY, 11971 LIC.~§TO-Z GENrdlAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified b~ their credentials. COPY FOR [[1JILD~G DEF~RT~VIF~T. TH~S COPY OF CERTiFiCATE ~U~T NOT ~ ALTE ~ED ~ ANY ~ANNER. INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Assistant. Fire Inspector Telephone (516) 76.5-1807, SCOTT L HARRIS, Supew/sor. Southold Town Hall P.O. Box 1179, 53095 Main Road Soathold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD (please print) contains less than 2/i0 of I~ lead. (Pliers S~ Town Hall, 53095 Main Road P, O, Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 25, 1994 Hr. Warren Ulmet 4600 Ole Jule Lane Mattituck, NY 11952 TO Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xxx No Underwriters Certificate on file. The check is not on file. ($25.00) No Health Department Approval on file. No final inspection has been made. No PlunLber Solder Certificate on File. (All permits involving plumbing being issued after April 1, 1984.) BP#20944Z BUILDING PERMIT # Please contact our office on this matter. your co-operation. Thank you for SOUTHOLD TOWN BUILDING DEPT.  STURTEVANT MILLWORK CORP. UUI ~~ ~ .AX(516)667-6773 ?'"~ ~" DA~: JO : I ~-'o~ ©© New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11790-2356 (516) 751-7900 AMENDF~"NT TO PERMI C. Jorll~ng RE: Permit No. & Location: Dear ~'~(' ~ Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. The expiration date is extended to ~ Your recent request to modify the above permit has been reviewed pursuant to 6NY~RR, Part 621. It has been determined that the proposed modifications wzll not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: This letter is an amendment to the original permit and as such, shall be posted at the job site. All other terms and conditions remain as written in the original permit. CC: .Very truly yours, Deputy Regional Permit Administrator INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 24, 1992 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Warren & Maria Ulmet 4600 Olejule Lane Mattituck, N.Y. 11952 Re: Premises at 4600 Ole Jule Lane, Mattituck, Suff. Co. Tax Map %1000-122-4-33 Building Permit Application NY Dear Mr. & Mrs. Ulmet: In checking our records, we find that the enclosed paper work is outdated. If you wish to re-apply, please submit new application. Very truly yours, Principal Building Inspector VL:gar (encls.) Joh~ Henry P. Smith, Albert I. Krupski, Ir. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765~1§00 May 18, 1990 Marie L. Ulmet 4600 Ole Jule Lane Mattituck, NY 11952 Dear Mrs. Ulmet: Please be advised that after an on-site inspection on May 17~ 1990, the Trustees determined that your project to extend the walls of your existing home, is out of Trustee jurisdiction.'~ We thank you for your letter of inquiry. Should you have any questions in the future, please feel free to contact this office. Sincerely, John M. Bredemeyer, III President, Board of Trustees JMB: jb 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] IN~.~LATION FRAMING [~-F~AL INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING ROUGH PLBG. II~LATION ~FINAL REMARKS: DATE ,NSPECTOI~ ~/~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [_ ]~IJGH PLBG. FOUNDATION 2ND [~' INSULATION [ ] FRAMING FINAL REMARKS: DATE INSPEGYTOR//~~ 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~]~F~MING [ ] FINAL REMARKS: ,.~/~~ . DATE INSPEL~I'O~ 765.t802 BUILDING DEPT. INSPECTION (J/FOUNDATION ;ZND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR OUNDA'TION (1st) 'OUNDATION ( 2nd ) :OUGH FRAME .FLUMBING CNSULATION PER N. Y. STATE E};ERGY CODE FINAL Examined . .\pproved IIn l D TDWNOFSOUT.OLO' lUUl ""'Y,/' I" BUILDINGDEPARTMENT I m / ,~ TOWN HALL BLDG, DEPT. '~ SO U I ~,1'OWU O;$OUTHO~ · ' 19 :. Disapproved a/c HAIL TO: (Buildin ~ector) APPLICATION FOR BUILDING PERMIT Date ...,JAR..31 ....... , 19.92 INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 als o~' 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 r are'&s, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- atior' . . . 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 mil 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 .mil 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Legulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :imit authorized inspectors on premises and in building for necessary inspections. .-. . L: !4.1. f: ............. -- (Signature of applicant, or name, if a corporation) .. g 6.O.Q .01 e..~.ql ¢. J,a. 0e.,..tqat.t.i.t u cit.,..1~, y...1.1.952 (Mailing address of applicant) ;taLe whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ p.w.q~r. .................................................... ..... : ........................ ,tame of owner of premises .... k/Pr.e.q.H.-..~.. H.a?.i.~. !_....1! ! .m.e.t. ........................................ (as on the t,.'~x roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...8.], as .1.-.IL1. ............... lumber s hcense No .... ,. ~..i.,~,q ,.. .............. Electrician's License No... ¢.H.S.. E..'1 .e.c.t. I7. 1~ .c.,..s. 9 .u t h o I d Other Trade's License No ...................... Location of land on which proposed work will be done ......................................... House Number Street Hamlet County Tax Map No. 1000 Section · .1,~. Block 4 33 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy .q] itl~.l'..aDd..a, dd. %.0 .exi6.t.i.~§. It.ell .... ~ ' , ' , ,r ;*;~*'%f~ 3. Nature of work (check which apl~licable): New Building .......... Addition . .X~( ....... Alteration ........... Repair .............. Removal .............. Demolition ........... .... .......... ' ~,w,~,~ w ~ (Description) 4 Estimated Cost $.20 D0.Q 01 · ''' ° · ' ....................... Fee .... ' . ~ , . ........... ~...: ......... (tq.~? ;paid*on filing ~his, app icat on) 5. If dwelling, number of dwelling u tits ............... Number of dwelling units on each floor ...... : .... · If garage, number of cars ...... ~. ' .... 6. If business, commercial or mixed ~ ........................................... · .......... )ccupancy, specify nature and extent of each type oF use .......... , ........... 7. Dimensions of existing structures if any. Front. ' '~ ' ' ~ ' Rear ............ 'Depih ............... Height ............... Num bler o f Stories ...................................................... Dimensions of same structure with alterations or additions: Fr~)~t me ,L , . · ................ Rear .................. ~. pm .. .... ;,' ' L' ........... i' Height ...................... Number of Stories ........... 8. ~mensmnsolennrenewconstruction. Front ' . .. Rear . J. 7' ~" '-- ~h 1¢. ......... Height . .7.: ........... Number of Stories . 0 n.c. '. · .'...... o ........ ~ep ..... ~ ~- ........... 9. Size oflor Front 7.5' -';- /,'~-'"1:~i'' ...................... :".,',',:': ........... ..... ' , ' ;',,;.'.. ..... ) .... · ...... ~xcm ...................... Denth.S.o. lll;tl.~q~}: north 2g0ft I0. ~areorrurcnase ~/ . Namenf~n ..... t~ ..... OuTius ZabrosktL'b"d". .... ...... , ..................................................... 1 g lot 11. Zone or use district in which prmqises are situated..R/JO ................................................ 12. Does proposed construction violMe any zoning law, ordinance or regulation: . [lO.. 13. Will lot be regraded i ....... ' .......................... ......... ; .................. wm excess tm t)e removed from premises: Yes ~ No 14. Name of Owner of premises SarJn. erl ~.., I]] me.t. Address 460.0 0.1 e ,;ul e -aph,,,o tq~, ame of Architect .Nor.th~)d.e..~gp.struct~onAddress 2105 Camp Nineoi~h~ ~ Nme of Contractor Tom. MOc~..~od "' ' '"' ............. ,, .....~, ................ ,~ .....,~ .....,~ · ..... Address" ................................ Phone No ............... L5. Is this property within 3010 feet of a tidal wetland? *Yes...~... No ......... · If yes, Southold To~n Trustees Permit may be required. " ' i PLOT DIAGRAM Locate clearly and distinctly ~I1 bhildin s h ' ' , g, w ether ex~stmg or proposed, and, indicate all set-back dimensions fron~ property lines. Give street and block nflmber or descriptioh according to deed, and show street names and indicate whether interior or comer lot. . TATE OF NF23LYO~ oum , OF s. sl . ...... ~.~ [.C,-~...~.~ .... ~. J.l~ ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing ~ontract) ' ' ~ove named. is the ......................... i ......~ ~ ........... : ............................. (Contractor agent corporate officer etc ) said owner or owners and is duly aqthorized to perform or have performed the said work and to m~e and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be perfomed in the m=ner set forth in the application filed therewith. ~om to before me this .......... ~¥.. ~. · [ .... ,day of r~ ~ Not~ry l~ubllo, StYe of No. ~79505' ~mi~n E~lres D~mber 8, 19 ~ ..... County (Signature of applicant)