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Home My WebLink About33672-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 02/11/08 NO: Z-32879 THIS CERTIFIES that the building ADDITION Location of Property: 1625 (HOUSE NO.) County Tax Map No. 473889 Section 55 YENNECOTT DR (STREET) Block 4 SOUTHOLD (HAMLET) Lot 22 Subdivision Fi1ed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 2008 pursuant to which Building Permit No. 33672-Z dated FEBRUARY 6, 2008 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD F MULLEN III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE No. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 . . , , 'j , \ ,,..,...../ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled 111 11\ Ilvewnler or 1111< and submitted 10 the Building Depaliment with the following: A. For new building or new IIse: 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 fonn). 3. Approval of electricalll1stallatlOn from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Conunercial building, indusI rial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from arclntect or engineer responsible for the building. 6. Submit Plarming 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: I. Accurate survey of propelCy 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirruning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Celilflcate of Occupancy on Pre-existing Building - $100.00 3 Copy of Certificate of Occupancy. $.25 4. Updated Celiiflcate of Occupancy - $50.00 5. Temporary Celiilicale oCOccupancy. Residential $15.00, COImnercial $15.00 Date. ?../C /f)"'!" . New Construction: Old or Pre-existing Building: V l,J"'IJNr'/'/"JH .tl~ Street (check one) Location of Property: It: ~ House No. ~( .J-II.., a. Hamlet Owner or Owners of Property: k!t(.,w..;,;,,{ P 11, JIM JJ j2!:' Suffolk County Tax Map No 1000, Section 5s Block 4C Lot ;1..;), Subdivision Permit No. ?>~~ 7 d- 12,-, ^'o Llv'l:'d Approvar- Date of Permit. :;J -G -u! Filed Map. Applicant: Lot: Health Dept. Underwriters Approval: Planning Boarel Approval: Request for: Temporary Celiiflcate _.~__ Final Certificate: (check one) Fee Submllted' $ ~. 1'71(P~ CO c3:J,B?~ ~."ia...a( ~jt-t?i. =- Applicant Signature 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. 33672 Z Date FEBRUARY 6, 2008 permission is hereby granted to: RICHARD F MULLEN III PO BOX 1408 SOUTHOLD,NY 11971 for : DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 17927. at premises located at 1625 YENNECOTT DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0004 Lot No. 022 pursuant to application dated FEBRUARY 6, 2008 and approved by the Building Inspector to expire on AUGUST 6, 2009. Fee $ 200.00 u.~. ...i-t:.d. , orlzed Signature ORIGINAL Rev. 5/8/02 3 3b 7J-.:c-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRlJCnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [~L ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE ;./r/~ t INSPECTOR '"' - - -- - .' ~ . ;;UHMUIT.<: ~: I, 7 " C' '; :-;::: 2.J:~ liD'; 7:: if ~ ELi) ~H~. .... ~ r-c:' I . - - ~ . . - OUllDATI..Q.N _ {1s~ -.J ~? - - - C'l~~ FOUNDATIO:l (2nd) ~ 0 6' . ,., 2. v\ ROUGH FRAt-IE & j PLUMBING ~~ ., ., 3. D -". IllSULATION PER N. Y. STATE ENERGY I ~~r CODE 1/ .fA I> ~ L'J-r (' /J xk./ Il A/o.f.~. % 4 . '/2 "/ / - I IL ~ v -. ~ - FIlIAL 0 ::c I .;; 'i-"- ~ . COMMENTS: ~ ADDITIONAL . .. ~ t " . . . - . '" . >< .."...J. H _-I- ~- . . ., \~ .. ~l.p . 00 .. J> 1 - . :I: C'l :> t"' ., :I: . t:l C'l ..., ... . - "" ~ .2> 10 rn MAR , 4 1989 FORM NO.1 /' BOARD Of HEALTH ............ 3 SETS Of PLANS .9,1(........ SURVEy..... ."!d<'.,........... CHECK ., :>.1.(". . . . . . . . . . . . . . . . . SEPTIC FORH ................ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. ~OUTHOLD. N.Y. 11971 TOWNOFSOUTHOLD TEL.: 765.1802 Examined. ::rJ~~. 1.1.9.., 19~1 "3~1.~.g ~ Approved . .'!Y).~~ .J. k ., 19 ~.~ Permit No.~ .1:. NOTIFY CALL HAIL !fr:.7!!~~f( !r!.~. TO: Disapproved alc ..................................... ........... ....... ........ ..... ..~~~~.. ..f::) ~ ..~ .~..... .~............ (Building Inspector) oJ ~,-\1~1 O.""lJIP APPLICATION FOR BUILDING PERMIT Date ~(1i It. . . . ., 19?1 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 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 applicab1e laws, ordinances, bUilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . . '(Sig~~t~;e'o'r ~pplic~~t, ~; ~;~~, if'a' co~por:i.tionY . . .............................................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...&/#.;:-................................................................................... Name of owner of premises &.b~(t;(;:;. .~&..-t;. . .:z;'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll Or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ',~ (Name and title of corporate officer) Builder's License No.!'j1.~. If;!. ... ....... Plum ber's License No. ........................ Electrician's License No. Other Trade's License No. ..................... , 1. Location of land On which proposed work will be done. 4t!'.,{,~((!!t!.. .!(l.C:&:~ tL-~4<::k1. .c:..l''//f1~cJ.'?!-J ......... ...... .,. !~~~...... .. ~1'({(.(c:!!.. ~'?~~.r... .~r:!/r?V............ ........ House Num ber Street. Hamlet 5'-S 9 "- County Tax Map No. 1000 Section .................. Block.................. Lot..J.?:-............. Subdivision. ft/J/t.eccf.)!. Bot............. Filed Map No. f"/.'?.7...... Lot............... (Name) ~. State existing use and occupancy of premises and intended use and OCCupancy of proposed construction: a. EXisting use and occupancy . .~<~uf~.. .#.~,/'(.. ?~.e//.h,j.................................. / , I I l I b. Intended use and occupancy ..................................................................... 3. Nature of work (check which applicable): New Building ...... . . . . Addition.. . . . . . . " AlteratIon ......... Repair .............. Removal............ .. Demolition .............. Other )Vork (CJ{4<<;,.n:U:l;'~~:;8 (Descnptlon) 4. Estimated Cost. .1("9. 9. . . . . . . . . . . . . . . . . . . . . . . . . . . " 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, ty.pe 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 ............................" I I. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .............,.................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: , Yes No 14. N:une of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . , , . . " N:une of Architect .... 'J,' . . %'. '/ . . . . . . . . . . . . . Address . . )5;' . . . . . . . . . . . . , Phone No, .. . . . . , '<;9' . . . : N:une of Contractor S-~ .'7"0 ,r.cw. "~ . . . . . . . . . . . Address f:~ . .<<.J:/P. If: . . . . . Phone No.7.t..f: ,"l:S. . . . . . . . 15.Is this property located within 300 feet of a tidal wetland? *YES... .NO.... *If yes, Southold Town Trustees Permit may he required. PLOT DIAGRAM Locate clearly and distinctly :111 buildings, whether existing or proposed, and, indicate :111 set-back dimensions from property lines. Give street and block number or description according to deed, and show street n:unes and indicate whether interior or comer lot. , / ~e.- SC/(l/ey CcJ'1.d ,61Q. ej'?'1 (Vc.+5 " STATE OF l\EW YORK, COUNTY OF . . . . . . . . . . . . . . . .. S.S (Name of individual Signing contract) above named. .............. ....... '... ........".. ...... '" .... being duly sworn, deposes and says that he is the applicant lie is the ...... ..... ...... ..................... ............ ............... ...... ................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file this application: that all statements contained in this appliqtion arc 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 m~ " ;:;,~;::,:;. 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