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Home My WebLink About46830-Z �o��S�Ff01y Town of Southold 12/18/2021 o - P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42637 Date: 12/18/2021 THIS CERTIFIES that the building ACCESSORY Location of Property: 4225 Mill Ln, Mattituck SCTM#: 473889 Sec/Block/Lot: 107.4-2.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/4/2017 pursuant to which Building Permit No. 46830 dated 9/15/2021 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: "as built"accessory structure(run-in shelter for horses)as applied for. The certificate is issued to Cirincione,Lorin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut ori e Signature osuFutkc TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE co SOUTHOLD, NY o . 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 #: 46830 Date: 9/15/2021 Permission is hereby granted to: Cirincione, Lorin 4225 Mill Ln Mattituck, NY 11952 To: remove "as built" accessory structure in rear yard per complaint#2014-615 and construct a new accessory building as applied for. At premises located at: 4225 Mill Ln SCTM # 473889 Sec/Block/Lot# 107.4-2.6 Pursuant to application dated 12/4/2017 and approved by the Building Inspector. To expire on 3/17/2023. Fees: PERMIT RENEWAL $235.00 Total: $235.00 ui ing Inspector S�FFot,r. TOWN OF SOUTHOLD co BUILDING DEPARTMENT s 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#: 42239 Date: 12/14/2017 Permission is hereby granted to: Cirincione, Lorin 4225 Mill Ln Mattituck, NY 11952 To: remove "as built" accessory structure in rear yard per complaint#2014-615 and construct a new accessory building as applied for. At premises located at: 4225 Mill Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 107.-4-2.6 Pursuant to application dated 12/14/2017 and approved by the Building Inspector. To expire on 6/15/2019. Fees: ACCESSORY $420.00 CO -ACCESSORY BUILDING $50.00 Total: $470.00 'Idin ector 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 Department with the following: A. 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. 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, Commercial $15.00 Date. 4 New Construction: !' Old or Pre-existing Building: (check one) Location of Property: Z12-2i— � �� / X7'7`(7uC House No. Street Hamlet Owner or Owners of Property: 10l" , d, el-ci h Suffolk County Tax Map No 1000, Section /0—) Block Lot o� 6 Subdivision Filed Map. Lot: Permit No. 2 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: p icant Signature vv� of sour courm,N�' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [/FOUNDATION 1ST [ ] ROUGH PLEIG. [/F F UNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS. n � DATE I INSPECTOR OF 50UlyOlo # TOWN OF SOUTHOLD BUILDING DEPT. courm,��'' 765-1802 iNSPECTION [ ] FOUNDATION 1ST [ I ROU PLBG. [ ] FOUNDATION-2ND [ ] 'I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ j FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: u Ve n v Dv DATE 11' I0 "o INSPECTOR F i FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) ------------------------------------ C 'FOUNDATION (2ND) t� �!� g S Aa.- �0 aim , n fie/ Q In ROUGH FRAMING& y PLUMBING r INSULATION PER N.Y-. H STATE ENERGY CODE A' J FINAL ADDITIONAL COMMENTS �✓ O z rn G l� z y b b H --f UO 4 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 Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 2 20 Single&Separate Truss Identification Form Storm-Water Assessment Form OW Contact: Approved 20� Mail to: r MITOR?,11V DD ltl,4 W7 W- 05 DEC 2011 Phone: Ei on 20 —; BuKQJ Ins or FUMDINO DEM APPLICATION FOR BUILDING PERMIT / YUAN OF SOLTMOLD Date 12- r,3 20L2— 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,andregulat' ,and to admit authorized inspectors on premises and in building for necessary inspections. (S gature of applicant or name,if a corporation) /l,// 4 A&4-PA-e-�A*11 1? (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises I V ILI✓1 (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 License No. 1. Location of land o which proposed work will be d ne: 4MATTIZ_ House Number Street Hamlet County Tax Map No. 1000 Section 10q Block 4 Lot . XL-150 140-0tO I I..o"P -1 "WoI.F P►'T poaD &S TSS.. `subdivision y�('iV' FIT RNo aggm5 Filed Map No. & 03 Lot 2. State existing use and occupancy of premises and intended use and occupancy of roposed construction: a. Existing use and occupancy &g!I Ot6=T-1 V5(ee LOT Sy1ST10 A Amy b. Intended use and occupancy k- 17 UG{U ' 170 P=t-)N- Int 3. Nature of work(check which applicable):New Building X Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ocsd 0'j Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units_O Number of dwelling units on each floor r.1 f A If garage, number of cars�/A 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. hVA 7. Dimensions of existing structures,if any:Front Rear D Depth Height "f 20 ' Number of Stories (—'Tw o — y - Height of same structure with alterations or additions: Front r31Ar Rear LOAN Depth nyA Height N' Number of Stories /�� 8. Dimensions of tire new construction:Front 40 Rear Depth Height 4 Number of Stories (o Nj 9. Size of lot:Front 24jfi�'• Si Rear 25O•S Depth g�S. r 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated IPMI-00-t-)TA 1411 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO_-K 13.Will lot be re-graded?YES NO I ill excess fill be removed from premises?YES NO X (,o1iltla J: Gl�rn�uvac 4229, m)L4, L---j14.Names of Owner o premises Ad ess mA7T47uctL. Phone No. Name of Architect JPFFP-Cy . A A1MLl, Address 6 Z AtM•m 6p'? ySPhone Nq— • 33 d I 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 REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO_,ZC_ *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 Ol *IF YES,PROVIDE A COPY. CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01 BU6185050 SS: Qualified in Suffolk County COUNTY OF ) Commission Expires April 14,2 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent,Corporate 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 therewith. Sworn to before me this 1,1 day of �� 1� drJLA c Notary Public Signature of Applicant Scott A_ Russell SUPERVISOR R NIA NA\(G)ENUENT � 2 1 t� 1��- SOUTHOLDTOwN HALL-P_O-Box 1179 `� `p 53B95Main Road-SOUTHOtD,NEW YORK 11971 �: _�` Town of Southold CHAIPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) : .. ' ._ . DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLE ' Yes No ❑[v_1 A_ Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface_ ❑Fv1 B_ Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑r7l C. Site preparation on slopes which exceed 10 feet vertical rise to z 100 feet of horizontal distance. ❑( D_ Site preparation within 100 feet of wetlands, beach, bluff.or coastal ; erasion hazard area. r ❑ E. Site preparation within the one-hundred-year floodplain as depicted = ' 144vlp= F_ Installation of new or resurfaced impervious surfaces of .1,000 square = . feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces_ If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tag Map Number! Chapter 236 does not apply to your project_ If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. S.C_T.M. = 1000 Date APPLICANT: (Property Owner.Dee55ign Professional.Agent_Contractor.other) DUtrict NAME ��C�I)J V l/l�Iti1Gl0� L �� 4601.c Zit Section Lot t3.�iL.U1f� ��LPANTME1uT USE Contact Information. Reviewed By: l/V/VV — — — — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Wor{C: — — — — — — — — — — — — — — A� J Approved for processing Building Permit. Zzs �(l 11 Ly� �i _ — — Stormwater Management Control Plan Not Required. mck f A /') �- ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM ` SMCP - TOS MAY 2014 0 pada e Young & Young, Land Surveyors it R� 400 Ostrander Avenue, Riverhead, New York 11901 g;e, 516-727-2303 nun as Alden Ip. 1'ou. P.E. &L.S. (7 eyor 94) y !Toward R'. Yauny, Land urveyor Thomas C. W.fpert, Pr.f—ionat Engineer John Schnurr, Land Surveyor r'mn;nq Fnq,nrrnng 8orvrginq -- O Pio coRl s 4Fa - I aa- *i 'rt Riad ��(a��(•V1 ry �'�� ,J 6 O ARS &$� �o0 Ogg '; p -x-c �cafh,Q o 1 s 101-111" 60 a NOTE $\b �' '•• e. ❑-.wrunan sn ■-uwwm+.rqu.q D-srNcc •-sru¢ra.mcg \ gBti AREA = 218,000 SQ. FT. OR 5.0046 ACRES gay •SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERK OF �§e99n `\ \ SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO. 8963 gist SURVEYOR'S CERTIFICATION a � ?, � ��' • WE HEREBY CERTIFY TO LO RIN V. CIRINCIONE& LJ LSTER SAVINGS BANK THAT THIS SURVEY WAS PREPARED �� y\ yj\\\ $ IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS p- •k G,p _ ti ` ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL o LAND SURVEYORS, rn� s \ �N` Q` ° l/ U — t`n P�� \ !V� ' ' y A 5 * x' 66 0, JOHN\\ 58y$ Q HOWARD W.UYOUNG,N.Y.S. I S. NO 45893 3 SURVEY FOR LA n a e LORIN V. CIRINCIONE \ LOT 7 "WOLF PIT POND ESTATES" \ \\ At Mattituck, Town of Southold - \ Suffolk County, New York \ \ \ County. Tax Map msrrc�1000 sn�unn 107 mock 04 Lq1. 2.6 ° \ I IV A L— LJ FZ;Z "/E=-- FINAL FINAL SURVEY DEC 7, 2000 \ LOCATED FOUNDATION APR. 20, 2000 a�b3 STAKED PROPOSED HOUSE MAR. 15. 2DOO �y MAP PREPARED APR-6. 1999 Y 2bG SCALE 1" = 60, JOB N0. 99-0175 OF 1 O DWG. N0. 990175_final Untitled Map Legend r Write a description for your map. 0.2 PCT ANNUAL CHANCE FLOOD HAZARD 1000 f 4225 Mill Ln AE .'_• Route VE ,+ •�'�''� T ,.iT: a.?'• ,�w .-.J *'fry, s 1�;��..rsr, r IC.71'�, Io,•�, rPei t�tl t��-�s° !r`'rl'��"tr.•t 1.� _ .-Jz lx I I _ • -_.__.b - ,+. D d � : . b _t Irk� Lj lkj APPROVED AS NOTED DATE: i _ B.P. �� 'L.E'CT"�=��C,�F� - FEE: BY: i4 9S` ECTi013 REQUIr ED �: NOTIFY BUILDING DEPAR MENT AT ' 765-1802 8 AM TO 4 PM FOR THE 11 FOLLOWING .INSPECTIONS: = 1. FOUNDATION TWO.-REQUIRED FOR POURED CONCRETE TnUSS PLACARDItiC, _ t � 'V._. -��'�- ,�� -- — ( 2. ROUGH - FRAMING & .PLUMBING R C�UEF�;{ti� rr�- 3. INSULATION Si 4. FINAL - CONSTRUCTION MUST _Y C.O. BE COMPLETE FOR M exterior Iighting ^o , d.•' FSI I ALL CONSTRUCTION SHALL MEET THE P — ,° ' ; I �i- (!. G'i -r,-;F _ Installed, replaced or __._.. -__.__.._. �. v REQUIREMENTS OF THE CODES OF NEW Mpnired shall conform t , YORK STATE. NOT RESPONSIBLE FORto Cl3 p¢cr 172 I - . ( DESIGN OR CONSTRUCTION ERRORS. ,Cthe Tovm Code .-P. � (1, -Tr,� ,•-•-� I �`,�~�—T�-,r,�� ;,�;r. ,- — COMPLY WITH ALL CODES OF I ► �G �-i...r�M._ t� NEW YORK STATE & TOWN CODES -I T_�� — - i .-"'rb ��, �� (�, I,;,: AS REQUIRED AND CONDITIONS OF • _ EE 1/ 1".1 [inn ` lr f - ---�---- R ET/!I STO.I,.:s „':`� F'!i,"�..A- • . I I PUFI"J;�.�,1 TO Gi :,f'i cii 2u36 OF ThE 1-0W14 C - jeRED -j �9/ 10 ' OCCUPANCY C•"Di - 10w USF S UNLAWFUL ' � W�� UT CERTIFICATE I t t rt °�9�9aC-CCUPANCY OF NEW — f� 11►�'-� , t==ry-lid _`�I-=1'-= �� lot rz a 10 C�- WoGrp V:). 11 14, I Ftp vi 4; 101-i r"tIA-75 :�F,— 14 it ZJ I Z� I''1I''1 -ro i4v .010" a j Ir'� i'(L ! ' i pZ' Gl' i ��' ! 'f-�r,.l I fJr-i �� t� 'f�fi�_.- 1^�f rl�a, > i _r, ,o t-J i -� ( 5 1= r7�•j �r ,�� a M -7 T H 4-J IH Jr m T r tJ ��'�o, ,.U, iiJ, lz I I rvl e;:5;, T14 rr -To �rznjrjc 1,,,�_rl r->tJs, Lj Cr--,e—I"/e-cp Kew LJ:5;,l ri Cr io,I V I rj Ki L'c�0 es, [A tqlF,0 To e,:' �V(Z- nic, ll"je- -7 V.JI r4 44 iqjr-Llrj�, c;, 1-o IP Q. 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