HomeMy WebLinkAbout34324-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~qTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33448 Rte: 12/18/08
THIS c~TIFIES that the building ACCESSORY
Location of Property: 403 MASTERS RD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 126 Bl~k 9 Lot 18
Suhdivision FiledMap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 25, 2008 pursuant to which
Building Permit NO. 34324-Z dated DECEMBER 1, 2008
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 PERGOLA AS APPLIED FOR.
The certificate is issued to BRADY S & KIM ULMET
(OWNER)
of the aforesaid building.
SUFFOLK COUNTYDEPARTMENTOF HEALTH APPROVAL
ELECTRICAL c~KTIFICATE NO.
pLUMBEI~S CERTIFICATION DA'£Ku
N/A
N/A
N/A
Rev. 1/81
Form No. 6
TOWN OF SO[ri'HOLD
BUILD ING DEPARTMENT
TOWN [-IALL
765-1802
APPLICATION FOR CERTIFICATE OF O~CUPANC¥
~ application must be filled in by typewriter or ink and submitted to the Building Department wi~h the Il
A. For new building or new use: ollowmg:
1. Final survey of property with ac. curate location of all buildino~ ,,m,,~,, ;,~. ~ ....... .
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-d/sposal (8-9 form}.
-3. Approval · · .
4. of electrical msta/latmn from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder ....· '
u~e,o, m system COntains le~s than 2/10 of 1% lead.
5. Comn'm-eia/bu/lding, industrial building, multiple residences and similar buildings and installations, a cart/fie, ate
of Code Compliance from architect or engineer responsible for the building.
6. Submit' Planning Board Approval of completed sile plan requirements.
For existing buildings (prior to Ap,'il 9, 1957} nou-couforming uses, or buildings .
!. Accurate survey of property showing all proper~y lines, streets, building and
features, and "pre-existing,, land uses:
unusual natural or topographic
2. A propea-ly Completed application and c-otlsell{ to iuspect signed by the applicant. Ifa Certificate of Occupancy is
degfied, the Building Inspector shall state the reasons therefor in writing to t/he applicant.
Fees
I. Certificate of Occupancy _ New dweliing $25.00, Additio~ts to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building :$25.00, Additions
2. Cert:ificate of Occupancy on Pre-existing Building - $100.00 to accessory building $25.00, Businesses $50.00.
3. Copy of C?ertificateofOccupancy_ $.25 '
4. UpdatedCertificateofOccupancy_ $50.00
5. Temporary Certificate of Occupancy _ Resideutia[ $15.00, Conmmrcial $15.00
New Construction: __ !/ Old or Pre-existing Building: ~' (check on '
LocatiouofProperty: L~[~3 ~0~].a~(/') ~ -- ~ - el
~ Fil~ Map. ~.
[~lth Dept. Approval: Undenvrite~ Approval:
i~ng Board Approval:
~uest for: Tet~ora~ CeRificate ~ Final Ce~lificate: ~
~ 8ub=tted: $ ~ ~, 00 (check one)
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. 34324 Z
Date DECEMBER 1, 2008
Permission is hereby granted to:
BRADY S & KIM ULMET
403 MASTERS RD
LAUREL,NY 11948
for :
AS BUILT ACCESSORY PERGOLA IN THE REQ'D REAR YARD AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 126
pursuant to application dated NOVEMBER
Building Inspector to expire on JUNE
403 MASTERS RD
LAUREL
Block 0009 Lot No. 018
25, 2008 and approved by the
1, 2010.
--~-t~thori z ed~
Fee $ 200.00
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~-~ FINAL
[ ] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING / STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
REMARKS:
DATE ~ ~ ~ ~ INSPECTOR
FmLD INSPECTION REPORT I DATE [ CO~S ,~.
FOUNDATION (1ST) ~ ~
FOUNDATION (2ND) -~. ~
ROUGH F~G & -- ~
PL~G ~
STATE ENERGY CODE
~D~ON~ CO~S ~
~ Z
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined I ~- ] I ,20.
Approved ~ c~ /I ,20 OR
Disapproved a/c
Expiration ~o\ ~ ,20 lO
PERMIT NO.
/ b~.DC. DEP'T
L TOWJI..q.L ,
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board hpproval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 corrmnenced 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~terim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a n4w permit shall be required.
APPLICATION IS HEKF013X/MADE to the Building Department for the issuance of a Building Permit pursuant to the
B~uilding 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 re. gulations, and tp~l~nit
authorized inspectors on premises and in building for necessary inspections. ~ G ~~
- kSignamre of applicant b~r na~e,-~f a corporation)
(Mailing address of applicant)
State whether applicant ~'-~essee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~/[/"y~ I~ ~A~s?n t4 ~{ x~rti( o/Itel at'est d~ee ed?
· -' ( )
If applicant is a corporation, signature of duly authorized offils~
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed wo~ x~l be done: ~ ~1~) (_ ~)
House Number Street Hamlet
County Tax Map No. 1000 Section qTJ ' B1ock ¢ L-;t
Subdivision
Filed Map No.
i,-3/a-- Lot
2.
State existing use and occupancy of premises and i~_ended pse and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal
Estimated Cost "~////, tO
If dwelling, number of dwelling units
If garage, number of cars
Addition
Demolition Other Work
Fee
_Alteration.
[/ ~/- (Description)
(To be paid on filing this application)
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
Height_ Number of Stories
Rea[
_Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height
8. Dimensions o~ir~n~v/construction: Front I~ 1 7 I
Heiuht 0 I Number of Stor~es /
9. Size of lot: Front Rear Depth
10. Date of Purchase /~5 Name of Former Owner
Number of Stories
Rear
Rear
_Depth q
,,. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES
13. Will lot be re-graded? YES . NO ~ Will excess fill be removed from premises? YES NO fi(
14. Names ofOwner ofpremis~s~5}~ ~'~;t~/J//~)J~dress Z/)q~/D;2~>/~ ~neNo.
Name of Architect ~ ~/~L' (] Address ~ ~ -' ~,~'none No.
Name of Contractor ,~ ~/F/' Addres~ ~ ~ ~t~ne 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 NO ~
* 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.
l 8. Are there any covenants and restrictions with respect to this property? * YES NO X
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY Ol~O~{ [ )
~ 0A/h,.4~ ~,-~57~ being duly sworn, deposes and says that (s)he is the applicant
(~,Tr/nne of indivi~u~l's~ghi~g contra~t)-ab6ve named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed tl~e ~q~[3~t~o make and file this application;
that all statements contained in this application are tree to the best of his l~fi~i~e work will be
performed in the manner set forth in the application filed therewith. No. 0'10611~08
t~c/before me this
Swor~ ~ day of 0~
20 ?
Notary Public
QuallkM in Suffolk County
My Oomm~lon ~ Augmt ~9.,
Signature of Applicant
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York I 1971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 11, 2008
Brady Ulmet
403 Masters Road
Laurel, NY 11948
Dear Mr. Ulmet:
Please be advised that we have received a complaint that construction was
started, (pergola), without first obtaining a Building Permit.
According to the Code of the Town of Southold, a Building Permit is required
before any construction begins, including plumbing and electrical work.
Enclosed is a Building Permit application for your convenience. '
Thank you for you anticipated compliance.
Respectfully,
Southold Town Building Dept.
George Gillen
Building Inspector
GG /cb
(Cert. Mail)
TOWN OF SOUTHOLD PROPERTY RECORD CARD
/o~o ' I~ - ?- I~
OWNER STREET Z//'~ '~ , VILLAGE DIST. SUB. LOT
FORMER dWNER N Ev ACR. ,
RES. ~/O S~S. VL _ ~ FARM, COM~.. CB. MICS. Mkt. Value
~ND IMP.. TOTAL .~ DATE RE~RKS
., , l~/~/~
A~E BUI~glN~ CON~ITION
NEW NOR~L BELOW ABOVE
~A~ A~re V~lu~ Per Value
Ac~
Tilloble F~ONT~E ON WATER
W~land FRONTAGE ON ROAD
M~adowl~d DEPTH
House ~lot BULKH~D
Total g~K
COLOR TRIM
M. Bldg.
Extension
Extension
Extension
Foundation
Porch Basement
Porch Ext. Walls
Breezeway Fire Piece
Garage
Patio
Oo Bo
Total
Type Roof
Recreation Room
Dormer
Both
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
.?
DR.
BR.
FIN. B
Tow____ n o__f Southol d
Erosion, $odimentation & Storm-Water Run-off ASSESSMENT FOI1M
PROPERTY/~N: ~C,T.fl.~: ~ THE FOLLOWING ACTIONS ~AY REQUIRE THE SUBMiSSiON OF ~
Districl Section Block Lol
STORM-WATER GRADING~ DRAINAGE AND EROSION CONTROL P~ll
CERT F ED BY A DESIGN PROF£SSIdNAL IN THE ETATF OF NEW YOR~,
Item N tm~ber:
1
(NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No
Will
this
Project
Retain
All
Storm-Waler
Run-Off
by a Two (2" nch Rainfa on Si e?
Generaled
(This item will include all rdn-0ff crea ed by s te c ear ng and/or construction activities as well as all Site --
Improvements and the permanent creation of impervious surfaces.)
2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? '~ r~
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Wated:low!
3 Will this Project Require any Land Fil!!ng. Grading or Excavation where there isa change to Ihe Natural
Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel?
4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand (5.000) Square Feet of Ground Surface?
5 Is there a Natural Water Course Running through tile Site?
Is this Project wittlin the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? ~ /~'--
60,~eWill there be Site preparati°n °n Exislin9 Grade Sl°?es which Exceed Fifteen (15) feet °f Verficai Rise to F~'~--~ gHundred (00') of Hodzontaf Distance?
7intoWill Drivewa,s. Parklng Areas or other Impervious Surfaces be Sloped to DJ,act StorTn Water Run Offand/or in the direction of a Town dght of-way? E~~
8 Will this Projecl Require the Placement of Material, Ren~oval of Vegetation and/or the Constmclion of r~ ~.~
any Item Within the Town Right*of Way or Road Shoulder Area?
(This item will NOT include the Installation of Driveway Aprons.)
9 WillthisProjectRequireSitePreparationwithintheOneHundred 100 YearFioodplainofa~yWaercourse? ~ ~
NOTE: If Any Answer to Questions One through Nine is Arrswered with a Check Mark in the Box, a Storm-Water, Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Paring!
EXEMPTIONi
Y e~s N~o
Does Ibis pro act meet the minimum standards for class fica on as an Agricultural Projecl?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl
STATE OF NEM~
(Name Gl individual signin9 Oocumenl)
Owa~ zad/or r~pr~s~n~v~ of
Sworn to b~¢or6 m~ this;
FORM - 06/07 t~Comml~lon Expires Augu~t~)2.,EO~
jOr~ (~
/"NO
MAP O~
DESCRIS~'D PBOP£t~TY
SITUAT£D AT
MA T TI TUCK
S.C D£~. OF
H~ALI'H
sealand
Al
I,,,$urv'yi"g
~ engineering p.c.
I10 west main street
riverhead, new york 11901
(516) :569-17'17
Dec. 17, 1986 dob N~ ,8,6-1.5,91
1000-1;::'6-09-18 $cQle: I "'50
JDS
o~ ~c~ ~o~ ~ ~ ~ Y~ ~ ~
N/O/F ~RK DA ~S ~r ~s ~ ~c~ ~ - ~ ~
A~LLY TO C~Y ~ ~ LAW ~
~T~BY~L ~$~A C~Y
N. 86'Z4'30"E. ~
~ 3~.61'
~ , ~ ~ ..,. " SURVEY FOR '
,,.,~ ¢ BRAD Y S. & KlM ANN ULMET
~. ~ ; A T MA ~ITUCK
' ~ ' TOWN OF SOUTHOLD
~ . ~ - ~ ~' ~ooo - ~- o~ - PlO ~
~ SUFFOLK COUNT~
~ /' ,~' Sclc: 1" = 40'
~ ~ ~=~"'"~' ~:;~o Au~ 3, 1992
AREA = 23.288 sqft.
S. LIC. NO. 49618
r651~ 765 - 1797
P.O.
IE3(2 TRAVELER STREET.
SOUTHOLD, N. ¥. 11971
90-271
LEFT ELEVATION
SCALE: 1/4" = 1'-0"
FRONT ELEVATION
SCALE: 1/4" = 1'-0"
FLOOR PLAN
SCALE: 1/4" = 1'-0'
2X2 CEDAR ~ G"OC
POST
BLUESTONE PA'rIo ON GRADE
SECTION A-A
' "'CUPAN C',' ""~
u:.., 'S; UNLAVvhu
'VlTHOL, T OERTIFIC;~,
u, ?CCUPANCY
APPROVED AS NOTED
DATE:/,:~// /O___~p ?
FEE:~O0,~ ~' V~
NOTIFY BUILD~,h. ~ '~r','L1ENT AT
765-1802 8AM ~O 4~¢M FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.C.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF
YORK STATE, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
RETAIN 8TORU WATER
pURSUANT TO SECTION 4~1~
~ THE TOWN COOE.
SCALE: 1/4" = 1'-0"
CERTIFICATION OF
NAILING & CONNECTIONS
REQUlRE~.
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
M B H
631) 298-2250
DRAWN BY: MH
November 16, 2008
SCALE: 1/4" = 1'-0"
SHEET NOI
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
~ROUHD WIHD aE~IC ¥~TEII ICE~HIELB FLOOD
DECK AND COVERED PORCH NOTES:
RAFTER-TO-LEDGER CONNECTION HEADER-TO-POST/STUD CONNECTION
GiRDE~DE~ ~ ROOF F~MING:
~Lm ~.~U~UOD~ DECK POST FTG. CONNECTIO~ ~;
Design Services
www.mchdesi nservices.com
phone:
(631 } 298-2250
michael@mchdes[g ns~vices.com
DRAWN BY: MH
~ovember 16, 200~
SCALE: 1/4" = 1'-(~
SHEET NC