HomeMy WebLinkAbout46409-Z Yrs
O��S1}EFOIKIpG` Town of Southold 7/7/2021
cm a yam' P.O.Box 1179
C*
_ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42144 Date: 7/7/2021
THIS CERTIFIES that the building ALTERATION
Location of Property: 4525 Wunneweta Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-12-7.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit-heretofore filed in this office dated
6/29/2016 pursuant to which Building Permit No. 46409 dated 6/11/2021
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:
Repair to existing chimney as applied for.
The certificate is issued to Mallin,Barry&Mallin,Gail Kriegal
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Arite
h eignature
O�gUFFQ(p co TOWN OF SOUTHOLD
a aye BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 46409 Date: 6/11/2021
Permission is hereby granted to:
Mallin, Barry
268 E Broadway Apt A1706
New York, NY 10002
To: Repair an existing chimney (lightning damage) as applied for.
Replaces BP#40804.
At premises located at:
4525 Wunneweta Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-12-7.2
Pursuant to application dated 6/11/2021 and approved by the Building Inspector.
To expire on 12/11/2022.
Fees:
PERMIT RENEWAL $125.00
Total: $125.00
Building Inspector
offal TOWN OF SOUTHOLD
00,y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 40804 Date: 6/29/2016
Permission is hereby granted to:
Mallin, Barry
93 Mercer St
New York, NY 10012
To: Repair an existing chimney (lightning damage) as applied for.
At premises located at:
4525 Wunneweta Rd
SCTM # 473889
Sec/Block/Lot# 111.-12-7.2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 12/29/2017.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50:00
T2uildin-g-�tor
tal: $250.00
Form No.6
TOWN OF SOUT14OLD
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 following:
A. For new building or new use:
I. 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.
B. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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,Comme cial$15.00
��—
New Construction: ✓ Old or Pre-existing Building: (check one)
Location of Property:
.52 viewt _f a C(Ac, nc) A
IJ
House No. Street mlet
Owner or Owners of Property: '
P rh'� mac...� �� � VN s
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. v Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: ✓
Request for: Temporary Certificat Final Certificate. (check one)
Fee Submitted: $ OU r
A licant Signature
��V( � �o��OE SOUTyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm, '' 765-1802
INSPECTION - -
I
FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] SULAT10WCAULKING
[ ] FRAMING%STRAPPING [ FINAL
[ ]
-FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL-(FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Cy% '✓ ��
LAU
, , PATE w L INSPECTOR
FIELD nMY T,� Z` =- PORT A QO2 ,M
FdU 410N(1ST)
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ROUGH m.4. Q,& l�
PLUTYM N•G --
INSULATION PE1 N.Y. ,
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STATE BNERC7Y GQDE
ANAL
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
South oldTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
Zq Contact:
Approved \ ;20 Mail to:
Disapproved a/c _
Phone:_
Expiration
D
2 9 2016 Building Inspector
APPLICATION FOR BUILDING PERMIT
EUMDING DEPT-
TOWN OF S&TR®IaD /Date Juv%e. 2y , 201,
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 commenced 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 interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building 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 fegulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(SignatU of applicant or me,if a corporation)
(Mailing address of applicant)
S Qte whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
ame of owner of premises Mc../
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's Licdh''se No`s
Location pf;land ow-which-proposed work will be done---
y52`�''>; (;iJuinv;P'i �''er�
House Number Street Hamlet
ounty Tax Map No. 1000 Section 1 Block ']_ Lot .
Subdivision Filed Map No. Lot E�
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy C��6 v,&.,
b. Intended use and occupancy
3. Nature of work eckwhich applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. r
7. Dimensions of existing structures, if any: Front Rear ., _ Depth
Height Number of Stories
Dimensions of same structure with alterations or additions--Front,.,, Rear ,
Depth Height Number of'$;tories3 gala
8. Dimensions of entire new construction: Front Rear ,�,.a-.-- Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone 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 REQUI D.
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.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFUfnl<
C� 1 2abdo U0 010 r) being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contra or, Agent, orporate 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 forth in the application filed therew' i fiRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
Swor to before me this QUALIFIED IN SUFFOLK COUNTY
day o u 20�( COMMISSION EXPIRES JUNE 30,2.OJS
Notary Pu iSignature of Applicant
A C,,13
y
a"11
TO: Buildings Department
Southold Town Hall Annex �ZOZ6 NnP
Town of Southold
"j
FROM: Barry Mallin
4525 Wuraieweta Road
Cutchogue,New York 11935
917-734-9843 17 IL I
RE: Open Building Permit#40804 JUN 9 2021
Renewal of Permit and Request for Inspection(July 6, 202 1)
J%
Check Enclosed for $125.00 for Renewal of Permit
Thank you,
Barry Mallin
TIM GRAY MASONRY CONSTRUCTION, LLC.
P.O. Box 412
Southold, NY 11971
Phone (6-31) 765-5221
Fax (631) 765-8156
graymasonry@aol.com
June 28, 2016
Southold Building Department,
We have been hired by the Mallins at 4525 Wunnewetta Road, Cutchogue N.Y.
to repair the damage done to the top of their stone chimney by a lightning strike on June
20, 2016.
The strike blew out some of the stone and flues in the top several feet of the
chimney. The rest of the chimney is undamaged. We have taken down all the loose and
damaged parts to eliminate any danger of anything failing and plan to start rebuilding
the chimney to the exact shape, size and height as before. We would like to start
rebuilding at the end of this week.
Thank you for all your help.
Sincerely,
Timothy S. Gray.
"97
APPROVED AS NOTED
DATE
I2, B.P.# d�0'- COMPLY V%11111 6�,LL CODES OF
NEW YORK ST�oTIE & TOWN CODES
F BY: AS REQUIRED A , CON JF
f`lOT Y BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE __ SOl THOLD TOWN ZBA
FOLLOWING INSPECTIONS: _So pAIN PLR;\„ING BOARD
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE S'��' HvL���!'ANITRUSTEBS
2. ROUGH - FRAMING & PLUMBING N
3. INSULATION -.nz y
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE ,OCCUPANCY OR
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR USE IS UNLAWFUL
DESIGN OR CONSTRUCTION ERRORS.
WITHOUT CERTIFICATE
OF OCCUPANCY