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Home My WebLink About46828-Z �o��SUFFUI � Town of Southold 12/18/2021 P.O.Box 1179 o - co z 53095 Main Rd oSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42636 Date: 12/18/2021 THIS CERTIFIES that the building DECK 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 10/8/2008 pursuant to which Building Permit No. 46828 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"deck addition to an existing single family dwelling 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 A tho ize 'gnature �ooE TOWN OF SOUTHOLD �o aye BUILDING DEPARTMENT TOWN CLERK'S OFFICE co 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 #: 46828 Date: 9/15/2021 Permission is hereby granted to: Cirincione, Lorin 4225 Mill Ln Mattituck, NY 11952 To: as built" deck addition to an existing single family dwelling as applied for. Replaces BP 42243. At premises located at: 4225 Mill Ln, Mattituck SCTM #473889 Sec/Block/Lot# 107.-4-2.6 Pursuant to application dated 10/8/2008 and approved by the Building Inspector. To expire on 3/17/2023. Fees: PERMIT RENEWAL $450.00 Total: $450.00 Bu' I c or �QgtlfFBI, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • o� 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#: 42243 Date: 12/15/2017 Permission is hereby granted to: Cirincione, Lorin 4225 Mill Ln Mattituck, NY 11952 To: ..AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR Replaces BP# 34213 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 6/16/2019. Fees: PERMIT RENEWAL $250.00 T $250.00 _130ding Inspector 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. 34213 Z Date OCTOBER 8, 2008 Permission is hereby granted to: LORIN V CIRINCIONE 4225 MILL LANE MATTITUCK,NY 11952 for "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 4225 MILL LA MATTITUCK County Tax Map No. 473889 Section 107 Block 0004 Lot No. 002 . 006 pursuant to application dated OCTOBER 3, 2008 and approved by the Building Inspector to expire on APRIL 8, 2010 . Fee $ 400 . 00 -f- '51D C-60 1-150 , 06 IeAe"� K;�A� Authorized Signature ORIGINAL Rev. 5/8/02 0FS0UlyO6 -TOWN OF SOUTHOLD BUILDING,DEPT.' 765-1802 _ INSPECTION [ ] FOUNDATION 1ST b [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY. [ ]=FIRE SAFETY INSPECTION [ j FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ceeS Yj DATE a INSPECTOR r FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) 1 y ((V ------------------------------------- 'FOUNDATION (2ND) , s to ROUGH FRAMING& � H PLUMBING - r INSULATION PER N.Y: H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS m/vJ �4 V nD ,c O 12tC X19 o C� g o Z 5 m td� H d b H 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 SontholdTown.NorthFork.net PERMIT NO. � �/ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined '� -� 20 d� Storm-Water Assessment Form r f� Contact: Approved ,g/,20�� I D LS I l Mail to: Disapproved a/c MT 20 y Phone:,r�9 6f- S-/ 3 Expiration 20 BLDG.DEPT N SOUTHOLD B ilding Inspector APPLICATION FOR BUILDING PERMIT f Date ` , 200e 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation)0 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,rengineer, general contractor, electrician,plumber or builder Name of owner of premises �_o 4/ (,\ .n C1�6 PP (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��,��/l w ichLroposed work will be dou Yy( � I 1-�) �,k, I " House Number Street Hamlet �i County Tax Map No. 1000 Section Block � � Lot , Subdivision Filed Map No." Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S_ l b. Intended use and occupancy 'SI---b 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other WorkefX s ria ?–'Ac-4 (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 extentof each type of use. 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 Stories 8. Dimensions of entire new construction: Front Rear 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 NOA-1 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 E REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES * 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. It7 STATE OF NEW YORK) COUNTY OF� AWS OY61 EL,V i j1 C r e,) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (1-Z1-) n (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 Sc) day of 104 20 VICKI TOTH Notary Public State of New York Nota Public 190696 Signature of Applicant Notary Qualified in Suffolk Coin pp Clommission Expires July 28,2 lI>' eosUFRZIr Towyn of Southold g Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM of PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. ---------------------------------------------------- Item Number: (NOTE: A Check Mark(4)for each Question is Required for a Complete Application) Yes No ---------------------------------------------------- Will this Project Retain All Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? 7h(� (This item will include all run-off created by site clearing and/or constructj'oV activities as well as all„ Si Sf — Improvements and the permanent creation of impervious surfaces.) 111+ 1"1/(St i El 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location? F]This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! — 3 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural ❑ Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? — 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of F Five Thousand(5,000)Square Feet of Ground Surface? — 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred(100')feet of a Wetland or Beach? F] — 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to M One Hundred(100')of Horizontal Distance? — 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ❑ into and/or in the direction of a Town right-of-way? — 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of ❑ any Item Within the Town Right-of-Way or Road Shoulder Area? — (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodplain of any Watercourse? ❑ — NOTE: If Any Answer to Questions One through Nine is Answered 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 Permit! ---------------------------------------------------- EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question,a Storm-Water,Grading,Drainage&Erosion Control Plan is NOT Requiredl — - -——————————————————————————————————————————————————— STATE Or NEW YORK, COUNTY O ..::....... .. ........SS That I, ... ... being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) �� And that lie/she is the ...!........�2C...�Z-...................................................................................... (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of die Owner of Owner's,and is duly authorized to perforni 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 perfornied in die manner set forth in the application filed herewith. Sworn to before nie this; +� ..................-rday.of.... i �........................... ,206-_. Notary Public: ................... TOTH............. ................................................ Notary Public State Of New York (Signature of Applicant) fin ni�nnianizoa FORM - 06/07 Commission ExpirSuffolk s July C28 20 1 Z Fo� sF� �>O ' Dti Young & Young Land Surveyors W= IIUtt 400 Ostrander Avenue, Riverhead, New York 11901 516-727-2303 F„ < I IIUTt I � oY�o 1 AldenHoward F Young, g, Land Surveyor e1994 x ` Thomas C. Wolpert, Professional Engineer �tnnning Johan Schnurr, Land Surveyor ! iEnginerring � -� I 3nrueying i O Off,• � 3QiN �aZO A °F 0- O oozC �_V5 ' � $�'o •�r\�\ asci I GOo v' oo�rc 0. i ny Qo�o 6 37' CP Cazu ' O ' Na Fa-G U N O %3yS 9 1 j 3-9 9� iA i 4UQ •o'.O'A�- P� GE 4 L 0 N OTF MONUMENT SET = MONUMENT FOUND A = STAKE SET A= STAKE FOUND N = \ gti AREA = 218,000 SQ. FT. OR 5.004-6 ACRESa \ • SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERK OF a BF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO. 8963am Z9 SURVEYOR'S \ SURVEYOR'S CERTIFICATION awo$ C) 0 WE HEREBY CERTIFY TO LORIN V. CIRINCIONE ULSTER SAVINGS BANK & FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK THAT THIS SURVEY COMPLETED IN THE FIELD DECEMBER 2000 WAS �''j• \ 2 \ j r„ ��C/ PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND + SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. o ---- G moo\° c” °� \+ ° �`��\\ Q� " �� NEW y oa 00 �2�� \ ww\\�V Q A cos +\ yQ� JOHN SCHNURR, N.Y.S. L.S. NO. 517 m (/� IoW + T Q HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 <i0 3 pQ axm SURVEY FOR ' -�,< \\ ! L O R I N V. C I R I N C I O N E o��o ° \ LOT 7 "WOLF PIT POND ESTATES" \ \ At Mattituck, Town of Southold .\ \ Suffolk County, New York \ \ ( County Tax MOP District 1000 Section 107 Block 04 Lot 2.6 0 \\ \\ E I N LJ F=R \/ E Y \ i ADDED CERTIFICATIONS ONLY FEB. 13, 2001 \ FINAL SURVEY DEC. 7, 2000 LOCATED FOUNDATION APR. 20, 2000 ��€g \ STAKED PROPOSED HOUSE MAR. 15, 2000 $ MAP PREPARED APR. 6, 1999 ��6o Np ' oho; SCALE 1" = 60' �F�o JOB NO. 99-0175 OF 1 3 O DWG. NO. 990175—final 's = i i I I i Id*57 I 76 I ,;/4 Q.X.IQ T�-: �-- -t- -� ✓ -- - ----- -- - - t1 --- Lo it LSI/ r .�. 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