HomeMy WebLinkAbout35610-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34661
Date: 11/05/10
TI{IS C~I(TIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 1185 MILL RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax~4ap No. 473889 Section 106 Block 9 Lot 8.4
subdivision
Filed [4ap NO. Lot No.
MATTITUCK
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 4, 2010 pursuant to which
Building l~t No. 35610-Z dated JLrNE 4, 2010
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 ALTERATIONS AND ADDITIONS, INCLUDING COVERED PORCHES AND SCREENED PORCH,
TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA # 5498, DATED
4/8/04 (SEE STIPULATIONS ! & 2 NOTED IN ZBA DECISION).
~e certificate is issued to JONATH3kN GILSON & REGINA EBEL
(OWNER)
of the aforesaid building.
~OFPOLIK C~)[~%~I~/DEPAN~4EI~T OF ~g~J~IAPPRO~-AL N/A
ESECI~I~AL C~?IFICATE NO. 35610 11/01/10
I~I~ERS ~U(TIFICATION DA-l-~u 10/08/10
RESCOMM PHC. INC.
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENTsouthold,TOwn HallN.y.
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35610 Z Date JUNE 4, 2010
Permission is hereby granted to:
JONATHAN GILSON
310 EAST 46TH STREET
NEW YORK,NY 10017
for :
ADDITIONS/ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AND
RELOCATE ACCESSORY GA~tAGE AS APPLIED FOR. REPLACES EXPIRED BP # 32071
at premises located at 1185 MILL RD
County Tax Map No. 473889 Section 106
pursuant to application dated JUNE
Building Inspector to expire on DECEMBER
MATTITUCK
Block 0009 Lot NO. 008.004
4, 2010 and approved by the
4, 2011.
Fee $
971.30
Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 32071 Z Date JUNE 2, 2006
Permission is hereby granted to:
JONATHAN GILSON & REGINA EBEL
310 EAST 46TH STREET- SUITE 23~
NEW YORK,NY 10017
for :
ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING &
RELOCATION OF AN ACCESSORY GARAGE AS APPLIED FOR. (THIS REPLACES BP#28291-Z)
at premises located at 1185 MILL RD MATTITUCK
County Tax Map No. 473889 Section 106 Block 0009 Lot No. 008.004
pursuant to application dated JUNE 1, 2006 and approved by the
Building Inspector to expire on DECEM~ ~~,/~
Fee $ 971.30
~rize~ Signature
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28291 Z Date APRIL 18, 2002
Permission is hereby granted to:
JONATHAN GILSON
SUITE 23H
NEW YORK,NY 10017
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AND RELOCATION OF AN ACCESSORY GARAGE AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 106
pursuant to application dated APRIL
Building Inspector.
1185 MILL RD MATTITUCK
Block 0009 Lot No. 008.004
1, 2002 and approved by the
Fee $ 971.30
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the fbllowing:
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 f¥om 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 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.
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 $50.00, 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- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. O(~L-~_'~_~f' ~ '~--)! 0
New Construction: Old or Pre-existing Building: ~ (check one)
Location of Prope~y: l~ ~ ~[[] ~ ~ ~1~
House No. ~treet ' ' ' Hamlet
Suffolk County Tax Map No l000, Section 75 q r)wO
Subdivision
PermitNo. ~_,~r"bt0 ~ff' DateofPermit.
Health Dept. Approval:
Planning Board Approval:
Request fbr: Temporary Certificate
Lot:
~014 12l~10FiledMap' ~ __.
Applicant~: J 0 ~.~. q
Underwriters Approval:
Final Certificate:{"~,t~_
Fee Submitted: $ ~/Q~'. (~X/'~
I~pplicm
Leck?e)
Signature
Town 1 lall Annex
54375 Main l/oad
P.O. Box 1179
Sottlhold, NY 11!)71 095!)
Tclcphon,: (631) 71;,;-18(12
Fax (631) 765-9502
ro.qer, richert~,town southold.n¥.us
BI;ILl)lNG DEPARTMENT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Jonathan Gilson
~,ddress: 1185 West Mill Rd City: Mattituck St: NY Zip: 11952
3uilding Permit #: 35610 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: Pumillo Electric License No: 3200-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Corn merical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 2-exhaust fans, 1-well pump
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture~.~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Nov 1 2010
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Sou~hold, New York 11971-0959
Telephone (631 ) 765-1802
Fax ~63 D 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOL~
CERTIFICATION
Building Permit No.
' - (j~]eas~ print)
Plumber:
(Please print)
Date:
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this
~lumbers Signature)
HARRY HUANCAYO
NOTARY PUBLIC STATE OF NEW YORK
QUALIFIED IN SUFFOLK COUNTY
NO 01HU6206513
MY COMMISSION EXPIRES 05-~8-2013
IOWN OF SOU~'HOLO --
BUILDING DEPT.
/JNSPECTION
[ r/~ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP~AC/~CHIM~EY. / ~
REMARKS.
DATE
INSPECTOR
//
765-1802
BUILDING DEPT.
INSPECTION
[ ]/FOUNDATION 1ST [
/
[~/] FOUNDATION 2ND [
] ROUGH PLBG.
] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[~, ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE
I N SPECTOR ~
765-1802
-.-*---'~ BUILDING DEPT.
INSPECTIO
FOUNDA?ION 15~ [ ~ ~O~GH
[ ~FF~UMNDATION 2ND [ ] INSULATION
lNG [ ] FINAL
[ ] FIREPL(~E & CHIMNEY
REMARKS:
DATE ~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] F~ UNDATION2ND [ ] INSULATION
[ ~,~FRAMIN~ []FINAL
[ ] FIREP.~CF.~t CHIMNEY ,~
DATE
INSPECTOR
765-~.802
BUILDING DEPT.
INSPECTIO N
[ ] FOUNDATION 1ST [ ~ ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[~H PLBG.
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ]FIREPLACE & CHIMNEY
REMARKS: /~ ~_
/
[ ] INSULATION
[ ] FINAL
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ~)UGH PLBG.
INSULATION
FINAL
DATE
INSPECTOR
~2-o71 ? ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[/~FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE '~ - ~ ,-~o 7' INSPECTOR ~'~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING /~FINAL /~-;
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
F~E..,STJ. T CO. ST.~.O. I I F,.E.ES,STA.T ~ET.ATW
REMARI(/~ ~
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING [~' FINAL ~.~ ~
[ ] FIREPLACE & CHIMNEY [
[ ] FmEnEmSTANTCONSmUCnON [
REMARKS:
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
INSPECTOR
DATE ~--/~-/0
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) ~LECTRICAL (FINAL)
REMARKS:
LEE ARCHITECTURE, PC
ARCHITECTURE AND PLANNING
August 8, 2003
Mr. Gary Fish, Building Inspector
Town of Southold Building Department
53095 Main Road
Southold, NY 11971-11179
re:1185 Mill Road, Mattituck, NY
SCTM #: 1000-106-9-8.4
Dear Mr. Fish,
The basement girders at the Gilson-Ebel Addition and Renovation are 6" x 10" microlams
instead of 3-2" x 10" girders as shown on the blueprints. I fully authorized this change
when requested and it is structurally sound.
I appreciate your attention and concern regarding this structural substitution.
Please do not hesitate to contact me at my office if you have any questions.
Craig Lee
LEE ARCHITECTURE, PC
POST OFFICE BOX 2193 · SAG HARBOR, NEW YORK 11963 · TELEPHONE: (631 ) 725 9468 · FACSIMILE: (631) 725-7782
E-MAIL: !eearcht ~'aol.com
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: February 5, 2004
TO: Deborah Doty A/C Job_nathan Gilson & Regina Ebel
PO Box 1181
Cutchogue, NY 11935
Please take notice that your application dated February 4, 2004
For permit for additions and alterations to an existing single family dwelling at
Location of property: 1185 Mill Road, Mattituck, NY
County Tax Map No. 1000 - Section 106 Block9 Lot 8.~4
Is returned herewith and disapproved on the following grounds:
The applicant was issued a building permit on April 8, 2002, for additions and alterations to an existing
single family dwelling: located on this conforming 3.21 acre parcel in the AC District, with the
understanding that the existing accessory garage would be relocated to the required rear yard.
Following the construction, the applicant has decided not to move the accessory building. Therefore, a
certificate of occupancy will not be issued on the property pursuant to Article ffI, Section 100-33,
which states,
"In the Agricultural-Conservation District and Low-Density R-80, R-120, R-200 and R-400
Districts, accessory buildings and structures or other accessory uses shall be located in the
required rear yard."
The existing accessory garage was located partially in the side and rear yards. Following construction,
the garage was made more non-conforming, by being brought further into the side yard, which is not
permitted pursuant to is not permitted pursuant to Article XXIV Section 100-242A which states;
"Nothing in this article shall be deemed to prevent the remodeling, reconstruction or
enlargement of a non-conforming building containing a conforming use, provided that such
action does not create any new non-conformance or increase the degree of non-conformance
regulations pertaining to such buildings."
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
Lydia A. Tortora
Vincent Orlando
James Dinizio, Jr.
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Tel. (631) 765-1809
Fax (631) 765-9064
http://southoldtown.nor th fork.net
BOARD OF APPEALS RECEIVED
TOWN OF SOUTHOLD .~ ,'~o ~
FINDINGS, DELIBERATIONS AND DETERMINATION APR 2
MEETING Of APRIL 8, 2004 ~$. ~ ~'
ZBA Ref. ~ 5498 - JONATHAN GILSON and REGINA EBEL Southold Town Clerk
Prope~y Location: ~ ~ 85 Mill Road, Ma~ituck; CTM q 0&-~-8.4.
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under
consideration in this application and determines that this review falls under the Type II category of
the State's List of Actions, without an adverse effect on the environment if the project is implemented
as planned.
PROPERTY FACTS/DESCRIPTION: The applicants' 3.21-acre parcel has 164.40 ft. frontage along
the west side of Mill Road in Mattituck, lot depth of 647.50 feet along the northerly lot line, 271.61
feet along the westerly lot line, and 654.74 feet along the southerly lot line. The property is improved
with a two-story frame house, accessory garage, and accessory storage trailer.
BASIS OF APPLICATION: Building Department's February 5, 2004 Notice of Disapproval, citing
Code Sections 100-33 and 100-242A in its denial of a building permit application concerning an
accessory garage, which will become more nonconforming in its existing side yard location, after
construction of proposed additions to the dwelling. The code requires an accessory building to be
located in a rear yard. The new construction is at the side of the existing detached garage, and the
April 18, 2002 Building Permit (#28291-Z) required a relocation of the accessory garage to the rear
yard location, as applied for.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on March 18, 2004, at which
time written and oral evidence were presented. Based upon all testimony, documentation, personal
inspection of the property, and other evidence, the Zoning Board finds the following facts to be true
and relevant:
AREA VARIANCE RELIEF REQUESTED: Applicants recently constructed new additions to the
existing dwelling, as shown on the March 29, 2002 amended survey prepared by John C. Ehlers,
L.S. The porch at the rear of the dwelling places more of the existing garage in a side yard location.
The existing garage replaced the former garage destroyed by fire (BP#11980-Z), and has remained
in its present location since 1962, with setbacks 25 feet from the south side line and at least 115 feet
from the easterly (front) lot line.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and
personal inspections, the Board makes the following findings:
Page 2 - April 8, 2004
ZBA Ref.//5498 - J. Gilson and R. Ebel
CTM//106-9-8.4
1. Grant of the relief requested will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. The Board is aware of the 35 years that a
detached garage has been in this (partial) side yard location.
2. The benefit sought by the applicant cannot be achieved by some method, feasible for the
applicant to pursue, other than an area variance. The problem arose when the applicants agreed to
change the location of the three-car garage during the construction of the additions and renovations
to their home. In fact, the addition extended the depth of home into the rear yard, placing more of
the existing garage within the side yard area.
3. The difficulty was self-created. The applicants had knowledge of the code requirement to move,
relocate, or destroy the garage, in order to get a certificate of occupancy for the additions in the
dwelling when a building permit was applied for (BP #28291-Z dated 4/18/02).
4. No evidence has been submitted to suggest that a variance will have an adverse impact on the
physical or environmental conditions in this residential neighborhood. The existing topography and
proximity to lot lines will not be changed.
5. Grant of the relief requested is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of additions and a garage, while preserving and protecting the
character of the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing
test under New York Town Law 267-B, motion was offered by Member Goehringer, seconded by
Member Dinizio, and duly carried, to
GRANT the variance as applied for, as shown on the survey dated September 21, 2001,
revised March 29, 2002, with the following conditions:
1) That the garage not be used for sleeping or living, and be used only for accessory
storage as authorized by the Code;
2) That the utility of electric (and cold water) shall be permitted; that other plumbing and
heat is not permitted in the garage.
This action does not authorize or condone any current or future use, setback or other feature of the subject
property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly
Page 3 - April 8, 2004
ZBA Ref. #5498 - J. Gilson and R. Ebel
CTM #106-9-8.4
addressed in this action.
Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, Tortora, Orlando, and Dinizio.
This Res°luti°n was duly ad°pted (5-0)'~..~ j /~, (~,Q~x~,.
Ruth D. Oliva, Chairw~'~an 4/16/04
Approved for Filing
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ///~ .~.)' VILLAGE DIST.' SUB. LOT
FOR~ER OWNER N E , ACR.
~C~ ~ ~ ~'~, S ') W ~PE OF B~LDING
~ES. ~ jO S~S. VL. !FA~ COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS (~/'0 ~ ~g 'g g ~ ('~l
AGE BUILDING CONDITION ~-~ C (' /?, ~'-- '~ ~ ~' ~ ¥ /~"/~5~' , "~:(=,~e,,
N~ NOeL BELOW ABOVE
FA~ Acre Value Per Value
Acre
Tillable
Fillable 3
~oodland
~wampland FRONTAGE ON WATER
~rushland FRONTAGE ON ROAD ~ ~ ~
~ouse Plot ~ ~v~ ~ ~ ~ L_) DEPTH
~ ~ ~ ~ BULKH~D
'oJal ~ ~ DOCK I
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Bre~i~
Garage
Total
Foundation
Ext. Wails
Fire Place
Type Roof
Recreation Room
Driveway
Both
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
LEE ARCHITECTURE, PC
ARCHITECTURE AND PLANNING
April 9, 2002
Damon Rallis, Permit Examiner
Town of Southold Building Department
53095 Main Road
Southold, NY 11971-I 1179
To whom it may concern,
The Gilson-Ebel Addition and Renovation, located at 1185 Mill Road in Mattituck, will
fully comply with the New York State Energy Conservation Code requirements.
Please do not hesitate to contact me at my office if you have any questions.
Craig Lee
LEE ARCHITECTURE, PC
POST OFFICE BOX 2193. SAG HARBOR, NEW YORK 11963 · TELEPHONE: (631) 725-9468 · FACSIMILE: (631) 725-7782
E-MAIL: leearcht@aol.com
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro.q e r. ri c h e rt('~,,~ (w63n1.)s~)~{~l~d. n ¥. u s
BUILDING DEPARTMENT ~_.~'t 7~
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Phone No.:
Date: /~----~::~ --/0
JOBSITE INFORMATION: (*Indicates required information)
*Name: ~--'0/~//~r~-/-J~-/~/ ~/~ ~0 ~
*Address: ~ ~ ~ ~1~
*Cross Street: ~~[ 7~ d ~ ~,~
*PhoneNo.: _ ~'~[ ~ ~1J'~ /
Pe~it No.: ~ ~ O ~
000 ec.on: ,oc¢ g
*BRIEF DESCRIPTION OF WORK (Please PHnt CleaHy)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Tamp Certificate:
Tamp Information (If needed]
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
3Phase 100
82-Request for Inspection Form
,ot:
Underground
PAYMENT DUE WITH APPLICATION
150 200 300 350 400 Other
Number of Meters Change of Service Overhead
~/NO Rough In (~
YES/~)
1.ER ARCHITECTURt:,, PC
ARCHITECTURE AND PLANNING
April 9, 2002
Damon Rallis, Permit Examiner
Town of Southold Building Department
53095 Main Road
Southold, NY 11971-11179
To whom it may concern,
The Gilson-Ebel Addition and Renovation, located at 1185 Mill Road in Mattituck, will
fully comply with the New York State Energy Conservation Code requirements,
Please do not hesitate to contact me at my office if you have any questions.
Craig Lee
LEE ARCHITECTURE, PC
POST OFFICE BOX 2193. SAG HARBOR NEW YORK 11963 · TELEPHONE: (631) 725-9468 · FACSIMILE (631) 725-7782
E-MAIL: leearcht@aol corn
J.E AR(.HITL(.TURE, PC
ARGHITECTURE AND PLANNING
April 9, 2002
Damon Rallis, Permit Examiner
Town of Southold Building Department
53095 Main Road
Southold, NY 11971-11179
To whom it may concern,
With regard to the Gilson-Ebel Addition and Renovation, located at 1185 Mill Road in
Mattituck, it is our intention is to use a poured concrete tbundation, footing and slab for
the garage relocation. If costs allow, we would ideally use an 8" poured concrete
foundation with a 4" brick facing creating an overall width of 12"
Please do not hesitate to contact me at my office if you have any questions.
Sincere~y~ ~
Craig Lee
LEE ARCHITECTURE, PC
POST OFFICE BOX 2193, SAG HARBOR NEW YORK 11963.TELEPHONE f631) 725 8468. FACSIMILE: (631) 725-7782
E-MAIL: leearcht~aol corn
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone(631)765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 8th, 2006
Jonathan Gilson
310 East 46th Street
New York, Ny 10017
RE: 1185 Mill Road
S.C.T.M. # 106 0009 008.004
Dear Mr Gilson
Please be advised that your Building Permit # 28291 issued April 18th, 2002 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $971.30 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765 - 1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971 0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 9th, 2009
,Tonathan Gilson & Regina Ebel
310 East 46th Street Suite 23-H
New York, N.Y. 10017
RE: 1185 Mill Rd. (Additions/Alterations)
SCTM: # 1000-106.-9-8.4
Dear Mr. Gilson & Ms. Ebel,
Please be advised that your Building Permit # 32071 issued ~Tune 2nd, 2006 has expired.
According to the Code of the Town of 5outhold, a Certificate of Occupancy must be
issued before the use of the structure.
To renew your Building Permit, please submit a fee of $971.30: at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
5OUTHOLD TOWN BUILDING DEPT
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone(631)765-1802
Fax(631)765-9502
BUILDINGDEPARTMENT
TOWN OFSOUTHOLD
November 9th, 2009
Jonathan Gilson & Regina Ebel
310 East 46th Street Suite 23-H
New York, N.Y. 10017
F'rNAL NOTICE
RE: 1185 Mill Rd. (Additions/Alterations)
SCTM: # 1000-106. -9-8.4
To Whom It May Concern:
Please be advised that your Building Permit # 32071 issued ,Tune 2nd 2006 has expired.
According to the Code of the Town of 5outhold, a Certificate of Occupancy must be
issued before the use of the structure.
To renew your Building Permit please submit a fee of $ 971.30: at that time we can
,Schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765- 1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MAY 27*h 2010
Jonathan Gilson & Regina Ebel
310 East 46th Street Suite 23-H
New York, N.Y. 10017
Re: 1185 Mill Rd. / Violation
SCTM # 1000-106.-9-8.4
To Whom It May Concern:
Your BUILDING PERMIT # 3Z071 issued ,Tune 2nd, 2006 for construction of a
A~)~)ITIONS/ALTERAT[ON5 has been referred to me because you have not
responded to requests to obtain your Certificate of Occupancy as required by
Southold Town code.
Pursuant to 144-15A, of the 5outhold Town Code, "No building hereafter erected
shall be used or occupied in whole or in part until a certificate of occupancy shall
have been issued by the Building Inspector.
Therefore, you have ten days from the receipt of this letter to submit a check
made out to the Town of Southold in the amount of $971.30: to renew the building
permit, or legal action will be taken against you. Should you have any questions, call
the building department between the hours of 8:00 a.m. and 4:00 p.m.
Respectfully Yours,
Damon Rallis, Zoning Inspector
Southold Building Department
J'os~n 1 tall Amwx
5437,5 Main Road
P.O. Box 117!t
Soud~olll, Nh' I
Tck. llhonc (631) 76,5-180~2
l:ax (63 I) 76,5-9,50~
BI'ILl)IN(; I)EPAI/TM I';NT
TOWN OF $OUTHOLD
September 23, 2010
Jonathan Gilson
310 East 46th St, Suite 23H
NewYork, NY 10017
RE: 1185 Mill Road, Mattituck
TO WHOM IT MAY CONCERN:
The following items are needed to complete your Certificate of Occupancy:
Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $25.00.
__ Final Health Department approval.
~. Plumbers Solder Certificate. (All pein'fits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board approval.
__ Final Fire Inspection from Fire Marshal.
__ Final Inspection from the Building Dept.
__ Final Landmark Preservation approval.
Building Permit: 35610-Z additions/alterations
IJ~',l~, AR(~HITf~CTURF., PC
ARCHrTECTURE AND PLANNING
POST OFFICE BOX 2193 · SAG HARBOR NEW YORK 11963 · TELEPHONE: (631) 725-9468 · FACSIMILE: (631) 725-7782
E-MAIL: leearcht@aol corn
i~URVE¥ OF PROPERTT
!51TUAT~.. HATtI~I~K
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.JONATHAN
'P-,E®INA EBEL
C. OIvlMON~EALTH LANE~
TITLE INSU~ANC, E C. OiVlPAN'f
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NOTES:
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.¥.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\~I--IP SERVER~D~PROSX01-277.pro
SUR'CE'r' OF= PROPERTY
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CERTIFIED TO:
JONATHAN ~ILSON
RE~INA EE~EL
COIVlI"dON!NEALTH LANE)
TITLE INSURANC, F COMPANh"
NOTES,
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JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\kHp server\d~PROS\01-277fn.pro
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LEE ARCHITECTU1/E~ PC.
P.O. BOX 2193,
SAG HARBOR, NY 11963' '
PHONE: (631) 725-94,68' .
FAX: (631) 725-778:2
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CHECKED BY: C~AIO LEE
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