HomeMy WebLinkAbout51413-Z �o��pf SOUTya!° Town of Southold
* * P.O. Box 1179
ion 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46163 Date: 05/13/2025
THIS CERTIFIES that the building AS BUILT ACCESSORY STRUCTURE
Location of Property: 1515 Plum Island Ln Orient, NY 11957
Sec/Block/Lot: 15'.-5-5
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/04/2024
Pursuant to which Building Permit No. 51413 and dated: 11/25/2024
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" outdoor shower as applied for.
The certificate is issued to: Paul Mullins ,Marguerite Mullins
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION: Fulton Plumbing &Heatmi OS 02/2025
Aut o ' ed ignature
�auFso�ryo TOWN OF SOUTHOLD
JIM BUILDING DEPARTMENT
• �¢ TOWN CLERK'S OFFICE
*caUral.,
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#: 51413 Date: 11/25/2024
Permission is hereby granted to:
Paul Mullins
1515 Plum Island Ln
Orient, NY 11957
To:
legalize "as built"outdoor shower as applied for.
Premises Located at:
1515 Plum Island Ln, Orient, NY 11957
SCTM# 15.-5-5 -
Pursuant to application dated 10/04/2024 and approved by the Building Inspector.
To expire on 11/25/2026.
Contractors:
Required Inspections:
Fees•
As Built Accessory Structure $250.00
c0 Accessory $100.00
Total S350.00
Building Inspector
Date:
Buildin g Permit No. L i 6 6'o-r 2 /
It
Owner:
(Please print)
Plumber: D ,41 /
(Please print)
I certify that the solder used in the water supply system contains ss than /10 of 1%
lead.
k
(Plumbers Signature)
Sworn to before me thi �.
day of , 20
otary Public,
A®AM MATROS
Id®TARY PUBLIC STATE OF NEW YWK
SUFFOLK COUNTY
LIC.#01MA6354670
COMM.EXP.02/21/2029 u y
From: Paul Mullins munseymullins@gmail.com
Subject: Southold Plumbing-Certification for outdoor shower ,
Date: Apr.23, 2025 at 8:46:36 PM
To: danfulton1974@icloud.com
Hi Dan!
Thanks for helping me to be in compliance with the Southold Building Department.
I'm attaching below, the form sent to me by Evelin from Southold Building
Department and also my info for your records.
Paul Mullins
.(516) 732-7155. munseymullins@gmail.com
Billing Address: 71 Trumbull Road, Manhasset, NY 11030
Job Address: 1515 Plum Island Lane, Orient, NY 11957
Southold Permit #: 51413 (Outdoor Shower)
You can leave the completed and notarized form on the kitchen,table and I'll deliver
it to Southold when I get back. And again, many thanks! s
Paul
1 I
SQ(/ryOlQ . .
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765=9502
P.O.Box 1179Q
Southold,NY 11971-0959Ol
�COUNTY;��• -
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
{IELD INSPECTION REPORT DATE COMMENTS n
FOUNDATION (1ST) - -
------------------------------------ --- ---- -'�
FOUNDATION (2ND) - �
z
-_ Ux
� c
ROUGH FRAMING&
PLUMBING
1
- r
INSULATION PER N.Y.
STATE ENERGY CODE -
' O
FINAL --- ---
ADDITIONAL COMMENTS
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,: OSUFFOtxrOG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
y • Telephone(631)765-1802 Fax(631) 765-9502 https://vvww-.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: 0 CT - 4 2024
I
Applications and forms must be filled out in their entirety' p Incom fete Building Department applications will not be accepted. Where the Applicant is not the owner,an Town of Southold
Owners Authorisation form(Page 2)shall be completed.
Date:
OWNERS)OF P OPERTY:
Name: 10k.
uw-(N SCTM#1000-
Project Address: WA 6 (_ /,��i - O I A 1 („J Im-
i'`r 1�v f`I- l
Phone#: :!0 1 — Email: 1V\V W.Se q rAVL 81S 61AXOM
Mailing Address: -71 -?efR.VIA 161--1— M 14 F,-/ Y. d3o
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: FMT11--
CONTRACTOR INFORMATION:
Name: 6m ® K. -i,TIPA rr C C A
Mailing Address: d(.) L(
Phone#: t 1 - 2- .. Email:� ,� Q � .�e CU lei IMl®"
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition OAlteration ❑Repair ODemolition Estimated Cost of Project:
®®
(70ther b��®cNtJEL �j��, �tr (��[�, $
Will the lot be re-graded? []Yes' No Will excess fill be removed from premises? ❑Yes)ONo
OWE, :s1kowt--k -SILL 44 NMAN C v 15Uei'&RADE;-
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenan .and restrictions with respect to
it this property? ❑Yes o IF YES,PROVIDE A COPY.
lap
Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
ter 236 of the Town Code.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,NewYork and other applicable Laws,Ordinances or Regulations,forthe construction of buildings,
additions,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 an premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name): gvo-IN(� DAuthorized Agent caner
Signature of Applicant: Date: In
Pay � �Lj
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU618505o
COUNTY OF commission
in Suffolk County �(
ommission Expires April 14,k�U
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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
` day of O&A 645� - .20 c) L/
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Mejia, Evelin
From: Mejia, Evelin
Sent: Tuesday,April 15, 2025 11:40 AM
To: 'Paul Mullins'
Subject: 1515 Plum Island Lane, Orient
Attachments: PLUMBERS CERTIFICATE.pdf
Good morning,
A Solder Certificate is needed in order to issue the C of O for the outdoor shower at the address above. Please see the
attached form.
Kind regards,
Evelin 9Kejia
Office Assistant
Town Of Southold Building Department
Annex Building
54375 Main Road
P.O.Box 1179
Southold,NY 11971
(631) 765-1802
1
LOT 117
MAP OF"ORIENT BY THE SEA" SEC.2
AT ORIENT POINT,
FILED O SO FILE NO.3444 PLUM ISLAND LANE
TOWN OF SOUTHOTHOLD '
SUFFOLK CO.,N.Y.
SCTM 1000-15-05 -05
S 87A15 30 E 145.06
LOTAREA: 20,722.13SF SCALE- $%20'
0.46 ACRES
�.: 9&82
GUARANTEES. + _
PAUL MULLINS
MARGUERITE MULLINS
HAMLET TITLE AGENCY,INC V
� W
SCTM LOT 04A SCTM LOT 5
c' 41 ►aor. SCTM LOT 06 Z•wFLc
aze Est
2STORYFR4ME
Z # 8 VINYL RESIDENCE C.
NO.Isis j
&ILAA44V9BRI/6j,7,VfZMa ~. �tY. s0'0 ��21►1 12s A a
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PETER A.GROBEN Pt v
LAND SURVEYOR NY LIC.50869 c w�wopp ~
P.O.BOX 704 RIDGE,NY 11961 8. /
631.649A750
S.T.
-FOUND COMM,MONUMENT
-FOUND aR MTHPLASTIC CAP
DATE OF SURVEY:12 MAR 2023 p - I Z x 50 wig,
� J 1
7HE OFFSEM ORDIMENSIONS SHOWN HERONFROM THE PROPERTYw!BTES TO
THE SIRUCMRESAREFOR A SPECWC PURPOSES USE THENUORE.7HEYARE I.S
NOT INTENOEDTONONUN MEPROPERTYLWES OR 7000IDETNEEPEORON
OFF&CEMADCUMNALSMUCTURESOR ANY OMERIMPROVEMENT.
UNAUMORM ALTERATIM ORAUUMONS TOTHISSURVEYISA VITIATION OF `Q
SEMON720BSUMMSON 2DOFTHENEW YORKSTATEEOUCAIMNLAW.COPIES
OF THIS SURVEY MAP NOT SEAWNO ME LAID SURVEYORS INKED SEAL OR
EMBOSSED SEAL SHALL NOTSECONSIDERED TOBEA VAUD 7RUECO➢Y. _
CLFD.76 SIN SWOGT ON SH NLY7 0TH FOR WHOM NAV LINK FENCE
THEURVEVISPRE ANDONTHEINW:tMMMCO N66'57140,w 14500
PHI C1N54
ERNAIWAGENGY AND LENDING WSTUONU97EDHEREON fXRYFFICARTONS
_
ARENOT TRAHSFERASIETOADDMOWLINSn?U ID ORSUBSEOUENTOWNERS.
NO RESPONSMIRYISASSUNEDOY ME VAOERSIGNE DFORANYSURFAM SU8- SCTM LOT 24.6
SURFACE:AERML EASEv&=.SUDSURFACE UTSIT�S AND/ORSTRUCMRES
WOROUTOFEASEMENTS IFSOPROVNEO.
SCTM 1000-15-05-05
4APWAD AS NOTED
WFEB BY:
WMFY BUILDING DEPARTMENT AT
C W7I3,5.1802 8AM TO 4PM 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.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD ZBA-
SOUMO TOWN PLANNING BOARD
SOUTH TOWN TRUSTEES
N.Y,S EC
SO OLD HPC
HD
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICAT
OF OCCUPANCY
.i✓r_aA.,,rw,�q,wa,aY.r: 's.�rl�.!„«.iw'G:;..j
s
FTA,6N STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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