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HomeMy WebLinkAbout26645-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27587 Date: 03/23/01 THIS CERTIFIES that the building ADDITION Location of Property: 1775 MILL CREEK DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 51 Block 6 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 2000 pursuant to which Building Permit No. 26645-Z dated JULY 13, 2000 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 ADDITION OF AN ENCLOSED SCREENED PORCH & ALTERATION OF EXISTING WOOD DECK TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLOTTE M MULLEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-545201 12/14/00 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 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. 26645 Z Date JULY 13, 2000 Permission is hei?Aby granted to: CHARLOTTE M MULLEN WEST MILL CREEK DR SOUTHOLD,NY 11971 for NEW CONSTRUCTION ADDITION OF AN ENCLOSED SCREENED PORCH & ALT. OF EXISTING WOOD DECK TO A SINGLE FAMILY DWELL. AS APPLIED FOR TO TRUSTEES PMT. at premises located at 1775 MILL CREEK DR SOUTHOLD County Tax Map No. 473889 Section 051 Block 0006 Lot No. 033 pursuant to application dated JUNE 1, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature COPY Rev. 2/19/98 Form No. 6 .x � • : ,, I1 ;1 OWN OF SOUTHOLD MAR ,n1 €) ILDING DEPARTMENT TOWN HALL 765-1802 JOHN BERTANf BUILINC. s 1380 OakWood SOUTHO D, NEW YORKV11071 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, propeity` 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. '. 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. Submit Planning Board Approval of completed site plan requirements. 'or existing buildings (prior to April 9, 1957) non-conforming uses, or 7;buildiings and. 'pre-existing" land uses: Accurate survey of property showing all property lines, streets, buil.ding,'and - unusual natural or topographic features. A properly completed application and a 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. 'ees Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildine - $100.00 Copy of Certificate of Occupancy - Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 /0 Date . . . . . ��!�;/. �. . . . . . . . . . . . . . . . . . . . .. .. .. . . . . nstruction. . . . . . . . . .. . Old Or Pre-existing Building. . . . . . . . . . . . . . . yy on of Property. . . . l../.�� . . .!!1. �. .�� P.I� ,an, V.0 . . . . . . . . . . . . . . S). .. . . . ...... .... House No. Street Hamlet �or Owners of Property. . . . . :-:.'r^!���:�;�:� . . ; ,���-� ��r.--.-) . . . . . . Tax Map No 1000, Section. . . .S � . . . . . .Block. . . . . � . . . . . . . . .Lot. . . .3. 3 . . . . . .:. . .. . . . t-sion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . � Q . .,.(. . . . . . .. . . No. . .a�IO �Z. . . .Date Of Permit. . / P. . . . . .Applicant.�,TOhr).GJ�/.`. I2� uJ(4 - Dept. Approval. . . . . .... . . . . . . . . . . . . . . .Underwriters Approval. . . . .► . . . . . . . . .. . . . . . . . . Lg Board Approval. . . . . . . . . . . . . . . . . . . . . . . . for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .. . . . . . . emitted: .: . . . . . . . . . . . . . . . . . . . . . . . . v�K • 59?0 7 APPLICANT c0-a 7 5 r� T .E NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001011 BUREAU OF ELECTRICITY r 40 FULTONSTREET, NEW YORK, NY 10038 '''�"'6'tkEt3&ER"14; li}.�,,-'; 1 11493&001100 N 545201 Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant mined on the above application number is in the premises of RICHARD 1'ULLEN, 1175 11ILL CREEK DRIVE, WATER SIDE, SOUTHOU), NY in the following location; ❑ Basement ❑ Ist FL ❑ 2nd FL OUT Section Block Lot was examined on DECEMBER 07,20M and found to be in compliance with the National Electrical Code., FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWRCHES RAORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMr. H.P. 6 2 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.1 TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K W. OIL N.P. OAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO. S E R V I C-- - E METER AMT. AMP. TYPE EQUIP. 10 2W11 0 3W130 3W130 EW NO.OF RPE.GOND. OF CC COND. NO.OF NI-IE6 OF MI-S NO.OF NMRAIE OF NET RAL I-J-1 OTHER APPARATUS: G & S CONTRACTOR LIC.#578_E L BOX 215 ANN SOUTHOLD., NY, 11971 GENERAL MANAGER 11 Per This certificate must not be altered In any manner;return To The office of the Board if incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSU [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM ,DATE � _INSPECTO 765-1802 BUILDING DEPT. ,-.INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �._2=1 ,DATE- // [(, � INSPECTOR HELM INSPECTION REPORT DATE COMMENTS _ ____-______—________ ------------------------ tr ------- II FOUNDATION ( IST) li °--------- --- ------- -------------- ---- , II 11 II __If------ ------- -------------- II it FOUNDATION (2ND) Irr-- ----II md -----_— 1i II—r ROUGH FRAME & � v PLUMBING II ii ii . . If HINSULATION PER N. Y. i STATE ENERGY CODE I -moi II it V oe of uii ;1 ------------- ------- — ----- -- II II H !1 FINAL a �� II ------------------------------------ ADDITIONAL COMMENTS: _=__________=__________________—____=—____—=______________________________________= 7d to` H� H 0 O z4 , ro To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: X An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. X The check is (not on file). No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 26645Z Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Vy(`� •,'�rk j{ ...'_ , `. .; ri'P ( ( Y.P17 •1yY�•' .LI- i„_': :.`,y,A#F.1a�.'Y./ .wr.+ y ,' New°1forlatt , epsrttttli bi �nVirottrier�t> I' iM 8611din '�- BtiO 1rdfok New �.:. ,•.� ,. A -ME ► Ycirk 117'90-7358 •� JZ,I rNAI�l c/41 j?Lo77F GJ j�w,,ST G'� L C C /L/=/Z l//Z • •'r:':ri.. Thomas C.'J0rlln9' Date: Q .� _ 267- c/q Commissloner Re: L/ uu`i-u /j/V7. . Dear (27A. � VL/ /�•c/ Ya.��� Sc T-I O/ auu - u3� ..Based on the 'information you have submitted, the New ' Department of Environmental Conservation has ;determined t atState , 13 y v ,v 7 C7 � � .tl cJ c✓.-v .o � p-�/ir . �9 s Jr �J ,v u v. / Z /1 / cC i- T ,� refore, in accordance with the curtent Tidal Wetlands Land- ' Regulations (6NYCRR Part 661 no se` ' '''�letilgiids' Act j Permit is �recluired under the Tidal ,r please be advised,' howd%rdry. that no construction s , edimentation j or disturbance of any ki�hd•may 'take place seaward of K� `nthe tidal wetlands jurisdictional boundaryp as indicated above without a permit, It is your raoohsibility to ensure that all ...0 -hessary,•precautions - are taken to ' e other'.alteration or disturbance by thrdd slnirface iomentatior�. or ,�within 'tidal Wetlands r vegetation . . a pro j ecti such jtrisdicton �aH3H�`}nab 'tesult from your xr , ; precautions mai indi udd':mai. I..in adequate .•,.- .drda 'between the tidal wetland g goats work urisdidtidnal. bounds prdject' tise a 15r to 201 wide const 't'ction area) or eand rectino a Y temporary fence, barrier, or hay -bale - beria, g Pldase be further advised that this • responsibility of obtaining any necessadoes, not relieve you of-' . : ;from other agencies, rY permits or approvals trul • . Very y yours, . • z` Deputy Regional Permit Administrator •. cc: t:`OJLA4(o c`f.4AIsvr e,&-vr/t �4ctiw� KF0/1 P GI 1 9.j aM(w on t.eycied sow www.r—.'.""`^+'w•.r..��•-+.-w.w.......w+•:r-...r...-r:v..w.+u-•.rte-r.•.•.uv.v..�.. ..ww�.... - '• . r_n.. .,,rrr«r•��.r�.v.r�w.•w-tnw+rw �T.T -VT... Albert J. Krupski, President �1;4S13FF0j/( Town Hall James King,Vice-President ��� �l/y 53095 Route 25 Henry Smith P.O.Box 1179 Artie Foster as Z Southold,New York 11971-0959 Ken Poliwoda �y �� Telephone(631) 765-1892 1 �a0 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 25, 2000 Mr. John Bertani John Bertani Builder, Inc. 1380 Oakwood Dr. Southold, NY 11971 RE: RICHARD & CHARLOTTE MULLEN SCTM#51-6-33 Dear Mr. Bertani : The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 24, 2000 : RESOLVED, that the Southold Town Board of Trustees grant the request for a Waiver to RICHARD & CHARLOTTE MULLEN to construct an addition to an existing one family dwelling, with the condition that there are to be drywells installed to contain the roof run-off, as per survey dated June 29, 1993, last revised Sept. 28, 1993 . This approval does not constitute approvals from any other agency. If you have any questions, please call our office at 765-1892 . Sincerely, D Albert J. Krupski, Jr. President, Board of Trustees AJK: lms cc: Building Dept. BOARD OF HEALTH . .. . . . . . . . . . . .. FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . .. . . . . . BUILDING DEPARTMENT CHECK ... .... .. ... . . . ... . . ... .. TOWN HALL SEPTIC FORM .. .. . .. . . . .. . . ..... SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL .. ... .. . . .. . . . . . . . Examined...07//2 ..... s'1®t7d f�i MAIL TO:. . ... . . . .. . . .. .. . . . . ©7�2V 1 Approved- Peanut No. ................ ................................... Disapproved a/c .................................. ................................... ...................................................... C5 n n`�I (Building Inspector) t ___ __.--- APPLICATION FOR BUILDING PERMIT .. Date. .. .�. . . . . ., � U L, INSTRUCTIONS BLDG.PUT a. 'oris etely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets ofplans, 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 giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. 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 permit shall be kept on the premises available for inspection thro Shwt the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildfor for necessary inspections. hta-0......./. .....0....ac......... •(Signature of applicant, or name, if a corporation) (Mailing address o whether f applicant) NY ��y 7� State ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ..............................................e.1.l [, ................................... N ..... Name of owner of premises .................. .1.Q J.::..1. :�':C.�!':........................................ (as on the tax roll or latest deed) i If appli t is a corporat'on, signature of duly razed officer. (Name aid title of corporate officer) Builders License No. ...f 7. . ... Plumbers License No. .......... ......... Electricians License No. T Other Trade's License No. .....:'-........ 1. Location of land on which proposed work will be done.............................................................. ..........��75 ......... �Jf,..l./.!�.<<...�D.!�e �:.../.Jl!Y. .:............ Q......i....Lam.................. House Number Street // Hamlet Couaty Tax Map No. 1000 Section ................ Block ....Q.!4....... Lot ......3. .... Subdivision ...................................... Filed Map No. ............0.0 lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............a r .. .�j�...4:�U.' .�LGl1.j�........................ b. Intended use and occupant' n-............. �G`-�'1(1 ............. .......... ....M 11dV1Y.1............. 0 OW WAH 110Ftcarwa,oU duq vrdo 0i1 sEW:0;10e WON VnuoO X110,60 ni b4.01iftd ,r,,.OS,8 dms',A rshigx3 mhdr 1. Nature of work (check Wldeh applicable): New Building .......... Addition ... ... Al-eration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) i. Estimated Cost ... :............ fee .................................... .... .... (to be paid on filing this applicat • ion) 5. If dwelling, number of dwelling units .... ...... umber of dwelling units on each floor ...... ......... Ifgarage, nunber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front....�f....... Rear ....�'.�'....... Depth ...�{5:�......... Height ..........j.(4........... Amber of Stories ................... Dimensions of sane structure with alterat or additions: Front ......� ...... Rear ...3.......... Depth ...........(y:)..... Height .....`. ......... Number of Stories ....I.......... 8. Dimensions of entire new construction: Front .....?.+ ....... Rear .... b....... Depth ....6.7...... Height ...........1.,Y........... Number of Stories ...... .............. 9. Size of lot: Front ........ .1.......... Rear ....7�k �....... Depth ...........Y. u` 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: ..JUD................. 13. Will lot be regraded .......Y?D......... Will excess fill be removed from premises: YES 14. Names of Owner of premises t 44.�kC/:ti. Address of Architect &I- . `l:�r... L1.1 :'............ Address No .�i�f ....... of Contractor .Ann.J..Li.l..i:1i�LW .............. Address m � .. :�:} d1: .�Ic��..Phone No�7. �JY.. 15. Is this property within 300 feet of a tidal wetland? * YES .... .... ND .......... *]CF YES, 9WM01D MM TRDS1FEs PEIdlIT MAY BE HEMMM. PLOT DIAGRAM trUP,C/j n o/ Locate clearly and distinctly all buildings, Whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. SPAS Or NPV YORK O",x OF J` SS �( . .k.... .. . . ........ ..lc\cc. .. .4 ............being duly sworn, deposes and says that be is tt�e applicant (Name of individual signing contract) above named, lieis the .................. ........................................................................... (Contractor, 't, 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. rn to before me this ... ............d of ...... Q �.......... �? C) 'D Notary Public . ...... ... _ 'C�l�✓c. ...(� ��VDiA�M.sOFNr IWWV ftOStMe eoN�r (Signature of Applicant) biRrk Tam Exp1m Mamh a 90% , . 'IV 00 500 Q CLJ� VEY FOR �jo. " �`� (�• -9 TE M. MULLENICA IAMOMOOUE W SOUTNOLD y� 6 ,� COUNTY, N. Y. 0 , 51- 06- 1"= 30' 4. i s '�°h� 29, 1993 k o c 22, 1993 (additions) ,�;►� W,� 281993 1 eleveio s �� Al1 AREA = 19,31'1 sq ft. F��, ��; f tr' atsr a Qa• a .� / < • tot 5• to tie lines - 49618 prepared in accordance wilh the minimum standards /or title surveys as established Q by the UA.L& and approved and adopted 15 U 1LIJ111 is 1JLItl`'ltApplicant/ 1I I Applicant/ �� I► �V�l_P Date Owners Name: Reviewed: Architect/ Date Engineer: Submitted: C� SCTM #: District: 1,000 Section: Block Lot: Project 111 Subdivision Lc cation: \ ► f��-- /Jf; _ Name: --- Sin"le& separate Required certification (Yes/ No) /Jo---'-� A�►'f7�1 ____--___- _—- _ Q Req Rey. vt /onuig District / �� 11,01 size Actual Z� 3 �2 Ih),c(Weragc Proposul— /j 401 Req Req- / t Req (Front Yard Proposed: F_ j (Side Yard Proposed (Rear Yard, Proposed J A,R Project Description: �`� �Q''s�^ n�� a� .a--+ brs r.r4fca shoo /CW-C 14 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. IN•�u o�T u,�, Town Trustees ✓ Sf'633 Town Zoning Board approval: v Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • Eiam ()Fri CE 9E7— am oo Ram FEE 7.5 NORM GIIN.0111G OER9OMENT AT (\ c d 7MI000 t AM TO 4 PM FOR THE uJ FOL OIMNG■NIFEf.ROMI' ....... I FOUNDATION • TWO REQUIRED _ 1 FOR POURED CONCRETE 2 ROUGN • FRAMING i PLUMBING 3. INSULATION 4. FINAL • CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALLIVl: ET THE REQUIREMENTS OF THF n Y STATE CONSTRUCTION '.•. -�•.• ,Y CODES NOT RF." R DESIGN OR CO- \a Wry ed HORS I' 011t� UNLAWFUL --- WITHOUT CERTIFICATE - -� OF OCCUPANCY w 2 AXI°" IRIOflINRN6H5CER11FIC11E RMIRED DO NOT PROCEED WITH _..- _. . - . -- T E u ILA-v FRAMING UNTIL SURVEY —� - OF FOUNDATION LOCATION - _-- HAS BEEN APPROVED. 7ulccd� rd' s �y SKI L ---- — WI 44„x� I•XI ? 4 v 2 W2254-1 .lV ' p9DFESSIONI' • Gp�'J dJ�Pc't�f is V r - - - I i Rj I J e' I C7 R Y LL G z 3 0 � Z Z I � i �e N4 : zee _ p � V S" � IP ��• �_N,,o., � y� �5 �N-T - /_—_1�—_cam' ----� 1 xi �P 2 ,r. �"r.• f I 1 S � I i I I I 01 Lee" e�G ` W ��- QuOGJ \ iy a � f lir _In-Cc_/� U P. a O � r � ' ----- I - - — o I�c[� ; v/��IF a i. r , `�s✓ilf'E p {G� �s f T--Ir'LP g, 0322671 9OFESS10% - 0 { k nt _ A � * Ao ,I " `Li� 1 ,c , -.i. ..� ?r A• ..,,YYY 4 M �f10 ,��' 9U' p" ,""'i n i� 11�+ �/ �1�fl .q�Pn fP�,p., �'� .�.d,s�� $.'�" !«'�r �,0• !O / FYi,+r//.,-i d 5cA46 T7�c K —44 4,U moo' 4_o f T u Al y I r n 4 N D m r 12 124 I I : r- : : 1 I • � �r F m a b � 10 i \ x I032 V Y LL A90FE SO 3 Z J $ 3e n Lk I � I 4 ' j � J ' r � 4