HomeMy WebLinkAbout45105-Z �SUFFDl,y�OGyy Town of Southold 9/15/2020
P.O.Box 1179
53095 Main Rd
�0 ao� l Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41443 Date: 9/15/2020
THIS CERTIFIES that the building HOT TUB
Location of Property: 270 Illinois Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-11-18.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/13/2020 pursuant to which Building Permit No. 45105 dated 8/13/2020
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:
Accessory hot tub as applied for.
The certificate is issued to Panter,Gabriel&Livingston,Lauren
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45105 08/21/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
5S�Ffotp042 BUILDING DEPARTMENT
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#: 45105 Date: 8/13/2020
Permission is hereby granted to:
Panter, Gabriel & Livingston, Lauren
163 Pacific St Apt 2-F
Brooklyn, NY 11201
To: -
legalize "as built" hot tub as applied for.
1
At premises located at:
270 Illinois Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-11-18.1
Pursuant to application dated 8/13/2020 and approved by the Building Inspector.
'To expire on 2/12/2022.
Fees:
AS BUILT-ACCESSORY $500.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $550.00
I
Bui din ector
Form No.6
TOWN OF SOUTl30LD D
BUILDING DEPARTMENT
TOWN MALL l
765-1802
A 4'
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEE".
This application must be filled in by typewriter or ink and submitted to the Building DepartmelfWith-t(iefolt
° '`FOLD
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 I%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 550.00,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- S50.00
5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 2-7® (t®�O� ot-f H4 1.
House No. Street Hamlet
Owner or Owners of Property: 26e6v) N—V-e ✓ 91 ����
Suffolk County Tax Map No 1000, Section_ it Block 1t Lot ,
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
oF so�,�y®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q sean.devlin(&-town.southold.n us
Southold,NY 11971-0959 's` • �® y'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To- Gabriel Panter
Address: 270 Illinois Ave city:Mattituck st: NY zip: 11952
Building Permit#: 45105 Section: 113 Block. 11 Lot- 18.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE_
Contractor: DBA: Alan Hubbard Electrical License No: 4285ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub X
Addition Surrey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 50A Switches 4'LED Exit Fixtures Pump
Other Equipment
Notes: Hot Tub
Inspector Signature: Date: August 21, 2020
S.Devlin-Cert Electrical Compliance Form As
gf SO(/,yolo L4 S10 S 270 tcL/NrOl s Avz-
* # TOWN OF-"SOUTHOLD BUILDING DEPT.
cou 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ '] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/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:
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DATE INSPECTOR G�
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
FOUNDATION(M)
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PLUMBING `3
INSULATION PEA N.Y. y
STATE ENERGY CODE
FINAL
A DLJ ONAL CO1AMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL I 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 P 2;V Single&Separate
Truss Identification Form
Storm Water Assessment Form
�j Contact:
Approved 20�VVV Mail to:
Disapproved a/c
Phone:
Expiration 20
1� B or
'� 1
APPLICATION FOR BUILDING PERMIT
AUG 1 3 2020 _." . INSTRUCTIONS
Date ter /�rh,2o�v
n7mftl MUST be completely filled in by typewriter or in ink and submitted to the•Building Inspector with 4
e to scale.Fee according to schedule.
T®VK';:Y.i;'I'lox p b cation 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 IS 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,anew 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)
j 3-ro �vjn.�r�l G+- , C�-�r�lt /✓�1 /05`�3
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
��ia.31�A,►r
Name of owner of premises GT F5e—%U L `at4V c,%j
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title&corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which pproposed work will be done: w 1
INV
House Number Street Hamlet
County Tax Map No.1000 Section 1 M J 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 Tf(3i
b. Intended use and occupancy,
3. Nature of work(check which applicable):New Building Addition —Alteration� ��
Repair Removal Demolition Other Worky
,t _ (Description)
4. Estimated Cost Fee �j�jZ? ie�d (t,�Q x + ko_ N-<L
(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 a
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use._f-I / N,
7. Dimensions of exi ting structures,if any:Front Rear-315. (W Depth
Height l Fr Number of Stories 1
Dimensions of same structure with alterations or additions:Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front 5S&Vv-� Rear Depth
Height Number of Stories
9. Size of lot:Front k Rear fj Depth 1 (D-1
10.Date of Purchase Name of FormerOwner , i.-c c-
11.Zone or use district in which premises are situated
•a
12.Does proposed construction violate any zoning law,ordinance or regulation?YES N0YL-j
13.Will lotbere-graded?YES NO Will?ex��cess fill be removed from premises?YES NOl�
14.Names ole �lf p e u"s��'� t�A �-W i ��t V 1°�S`1�'�'hone No.Z -'( ` �^ T Z-F t�
Name of Architect Address Phone No L S iyi 1a 'Z-74k k9_77—
Name
9_7Z..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�
*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.
STATE OF NEW YORK)
SS:
COUNTY OF��-S'�1�L.
ZAMA I l% '�-o(--YL- being duly swom,deposes and says that(s)Pis the applicant
(Name of individual signing contract)above named, r
(S)&is the V
(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 wiOLVADOR J.ROZENBERG
performed in the manner set forth in the application filed therewith. N=ypUbftSM of New York
Na o9 RM068900
Sworn to before me this QUaM In Westchester County
BM day of _20 - Commission Expires January 14,20W
N Public Signature of Applicant
DD
BUILDING DEPARTMENT-Elect rty
TOWN OF SOUTHO L
Town Hall Annex- 54375 Main Rc
PO ?x 117
- �020
Southold, New York 11971-095
Telephone (631) 765-1802 - FAX (631765-9502
roge rr Ou-so uth oldtown nv,.q ov - sea nd s �Mi 011� lgizIM Y7.,
V"j UL"
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: Alcun habbar-d Qee_*ricAj I,-)e
Name: Alo'k, bL 106a_r j
License No.: Lla_& S- email:
_hubbard va &.,,
Address: Aaw-kc
C�L&P I\j
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: -0 -r-O
- a ls?SeA I V,tvv r )
Address: d-7jD -X11 IM4A S KV'r_ "&4A
Cross Street: des VV\a k I A
Phone No.: 1411 - 2-31S L-" LQ -!Z'7 01,1 ILL
Bldg.Permit#:—q,5 email:golaf paxXT-e4a)qr--t6a "q
—Tax Map District: 1000 Section: 11 Block: %\ Lot:j_&,
BRIEF DESCRIPTION OF WORK (Please Print Clearly) a kcA,
Circle All That Apply:
Is job ready for inspection?-
G�/ NO Rough In in
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: -A #Meters— Old Meter#
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected-Underground - Overhead]
W Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs F;r
1
Bunch, Connie
From: betsy@mooreattys.com
Sent: Monday, September 14, 2020 12:16 PM
To: Bunch, Connie
Subject: OPEN PERMIT 270 ILLINOIS AVE MATTITUCK
hi Connie. can you tell me the status of open by #45105? and when c.o. will be issued?
thank you.
Betsy Perkins LA
Moore Law Offices
William D. Moore, Esq.
631-765-4663
Patricia C. Moore, Esq.
631-765-4330
mailing & physical address:
51020 Main Road
Southold NY 11971
fax number for both
631.765.4643
www.mooreattys.com
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FOLLOWING INSPECTIONS: INSPECTION REQUIRED
1. FOUNDATION - TWO REQUIRED
FOR POURED C0-W RITE
2._ ROUGH -�FRAMIN-_3 & PLUMBING
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4. FINAL - CONSTRUCTION MUST
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.AiWaterfall Hand Rail"Valve
Con#rol -
Waterfall -Topside Control Panel
_Hand Rail.
Locations-of spa components; pamp 1 4 Skirn Filter
Remove caUinet,panels and 2 pump 2_ 5 Wafer Drain Valve
corners to access components.
3' Electrical Power-System 6 Multicolor LED Light
7 Subwoofer
11/2/2017