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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