HomeMy WebLinkAbout39481-Z 44FF*Ou%\%,, Town of Southold
3/6/2016
P.O.Box 1179
b 53095 Main Rd
lb. 417
449 le, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38134 Date: 3/4/2016
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 400 Cardinal Dr, Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-4-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Pe t heretofore filed in this office dated
12/30/2014 pursuant to which Building Permit o. 39481 dated 1/9/2015
was issued, and conforms to all of the requirements of the a plicable provisions of the law. The occupancy for
which this certificate is issued is:
"as built"alterations to an existing one family dwelling as applied for.
The certificate is issued to Piscitelli,Mark
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39481 2/18/2016
PLUMBERS CERTIFICATION DATED 12/29/2015 A drew LaGrasse
i t
Au o r-d S' ature
1 ojFD(,�co TOWN OF SOUTHOLD
iS' ay BUILDING DEPARTMENT
0
J TOWN CLERK'S OFFICE
, o.4" 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#: 39481 Date: 1/9/2015
Permission is hereby granted to:
Piscitelli, Mark
400 Cardinal Dr
Mattituck, NY 11952
To: As built alterations to an existing single family dwelling as applied for.
At premises located at:
400 Cardinal Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-4-19
Pursuant to application dated 12/30/2014 and approved by the Building Inspector.
To expire on 7/10/2016.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $781.60
CO -ALTERA .. 6 : • LING $50.00
Tota : $831.60
#11P
`:uilding Inspector
■ - • --141
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 following:
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 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, e o .• • . - 1 $50.01
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 f
Date. /ZI3[7 f I ti
New Construction: Old or Pre-existing Building: I/ (check one)`
Location of Property: 1400 bra Lh.Al 0 r M aih i-v c, , t `l {iqs 2
House No. I. � Street ` Hamlet
'\
Owner or Owners of Property: golf, \A . plsct-te.• t i
Suffolk County Tax Mao No 1000, Section j j Block 14 Lot jet
Subdivision / Filed Map. L44 j�j Lot: Ste
Permit No. Date of Permit. Applicant: tA A,yE f�b pi s4 ir'e• `it
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check o, e)
Fee Submitted: $ 57) . Q 0
1 \ -
Appli ant S ignatu1ie
�,,%ApF SO(/l�o
Town Hall Annex 1�� ~® l0 : Telephone(631)765-1802
54375 Main Road ` illgFax(631)765-9502
P.O.Box 1179 ikG
.� Q $ roper.richertCa�town.southold.ny.us
Southold,NY 11971-0959 1
---- COMA"
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mark Piscitelli
Address: 400 Cardinal Drive City: Mattituck St: New York Zip: 11952
Building Permit#: 39481 Section: 115 Block: 4 Lot: 19
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Modern Electric East License No: 4253-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt 38 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures 3 Smoke Detectors
Main Panel 200A NC Condenser Single Recpt Recessed Fixtures 36 CO Detectors
Sub Panel NC Blower Range Recpt 40A Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt 1-30/ Emergency Fixtures Time Clocks
Disconnect 200A Switches 37 Twist Lock Exit Fixtures TVSS
Other Equipment: 2- Combination Smoke/CO Detectors, 1- Hydro Massage Tub, 2- Exhaust Fans,
3-LED Under Cabinet Lights
Notes:
Inspector Signature: ►� 77 Date: February 17, 2016
Electrical 81 Compliance Form.xls
CERTIFICATION
Date:
Building Permit No.:39(/ /
Owner:, A ( dk
Plumber: Andrew LaGrasse Waterworks
~"" I certify that the solder used in'the water supply system contains less than 2/10 of 1%
lead.
(Plumber Sign e)
Sworn to before me this
day of c,--b -,2.015
,
Notary Public •
PATRICIA f11 'Ckob .:
Notary Public,State of New York
No.42572
Qualified in Suffolk County
Commission Expires I2-e.4 GO(7
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOU ATION 1ST [ ] ROUGH PLUMBING
[ ] F NDATION 2ND [ ] INSULATION
FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE I INSPECTOR == 41t-
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-IyCOUMY;,,,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION. 1ST [ ], ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
37,04'
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL BING
[ ] FOUNDATION 2ND [ ] I ATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
4
REMARKS:
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DATE 3 3 C2 INSPECTOR, 2--
CHARLES M. THOMAS R.A., PLLC
206 LINCOLN STREET
RIVERHEAD, NY 11901
(631 )727-7993
CDTHOMAS63 @AOL.COM
FEBRUARY 16, 2016
Building Department
Town of Southold
Re: Piscitelli Residence - 400 Cardinal Drive, Mattituck, New York
. Permit No. 39481
- As built alterations to existing single family dwelling
- As built detached garage
Dear Sire/Madam:
This letter shall serve to certify that I was retained to inspect all aspects of the
construction at the above referenced property and can attest that all
construction was in conformance with the 2010 Residential Code of New York
State.
Thank you for your attention to this matter. Please contact me with any
questions you have.
Ve ly yours, `
N.
CHARLES M. THOMAS, R.A., 6� y� 7',�,®���
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1 _.FIELD INgPECr QN B OI�TDATE COMMENTS
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STATE ENERGY CODE . • . •
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 • , ' 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 • Survey
SoutholdTown.NorthFork.net PERMIT NO. 7 y ( - Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
• Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone: Le "
Exp irat'•`. ga% 72�0 C.I�f' (:).?) 1, q
p� : . re •:-Ins. ctor
DA DEC 3 0 2014 APP ICATION FOR BUILDING PE'
BLDG bEPJ ' 20
Date d
TOM OF SOUTHOLD �= • �� ��• '
INSTRUCTIONS •
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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.
£Every,bubldiig permit shall expire if the work:authorized has.nof pQmnienced within 12 months after the date of
issuance,or has no been completed within 18 months from such date. If no zoning amendments pr,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, a new pesmit•sball_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 ,`gula ions,and to admit
authorized inspectors on premises and in building for necessary inspections. K
r s� _
(Signat ' e of a.i.licant r nam',if a corporation)
(Mailing address of applicant)
State whether applicanti owner, ssee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises gay)
(As on the tax roll or latest deed) ` -
If applicant is a corporation, signature of duly authorized officer
•
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on w ich proposed work will b dope:
1400 C(�rama I "b r • \{ l i sz
House Number Street Hamlet
County Tax Map No. 1000 Section N K. Block ;,. :,'o.: t Lot /el
Subdivision 0,-{h// 4I5, Filed Map No. Li q b 3 Lot Sla
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy F 1245LbebtL oe._
b. Intended use and occupancy jc' iG.es e,ytce
3. Nature of work(check which applicable): New Building Addition Alteration ✓
Repair Removal Demolition Other Work Aub ullnabuas I tatsc si31hc1
(Des ription
4. Estimated CostjJ 000 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units j Number of dwelling units on each floor /
If garage, number of cars o.
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories 5v1'Vey
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories 454114-e
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories 'f! A
9. Size of lot: Front ICD Rear I,Pb Depth 2 Si
10. Date of Purchase Name of Former Owner
<11. Zone or use district in which premises are situated .— Li-D
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO f Will excess fill be removed from premises?YES NO ✓
14.Names of Owner of p e is-s k PR.% • Address fb expt s-33--, 6►Vhone No. 1031 127 3102 4,,Name of Architect U-i� ,- Address Phone No&A 72/ -R93
Name of Contractor ! t • ,.i.: Address it obi 2: 1 Phone No.6S19;010 ''ZZt3(
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 1,/.
* 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 ) o
f‘Au(f k. M. P`5`11'ei i befog duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Dujme(
(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 will be
performed in the manner set forth in the application filed therewith.
Sworn to before me thi%R.A1,110-er-
30 day of 20 I Lt
& cN0Y )4* •• _Public,State of New York igna rid pplicant
NO.01S06152197
Qualified in Suffolk County
Commission Expires 8/28/20!
J
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FFo
Scott A. Russell °/ -.
j��'SU C4 4._
-_ ST00>RMWA\TER_
SUPERVISOR . ; MOAN A(Gi]EMUENT
SOUTH OLD TOWN HALL-P.O.Box 1179 O •• Town of Southold53095 Main Road-SOUTHOLD,NEW YORK 11971 ��'�2/ ,•
-'e+girun1 ..
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
,DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: •
t
Yes No (CHECK ALL THAT APPLY)
Z.
0E1 A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
i ❑ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
■ e_ _ ' - I - .. - . '•I_ •-1 -• .es which exceed 10 feet vertical rise to
100 feet of horizontal distance. •
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
• erosion hazard area.
❑ (E. Site preparation within the one-hundred-year floodplain as depicted
,�,/ on FIRM Map of any watercourse.
❑L r. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management .
1
Control Plan was received by the Town and the proposal includes :
in-kind-replacement of impervious surfaces. . . _. _ -__ . --- __
* If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
- - - - --- -- • -- • -- -- S-C.T.M. #: 1000 • Date
- APPLICANT: (Property Owner,Design P ofessional,Agent,Contractor,Other) District
i I I. L , I ✓ 1• ' '. • t� io<- T 4J .-
`Da -24)I
•
• ectn Blockot
\ -`- " FOR BUILDING DEPART IENT USE ONLY * `
Contact Informatioe / 1 4 /
rcnron m Amt.; '
Reviewed By: 40' ll a
Date- "S So
Property Address/ L cation of Construction Work:
Lido cet4 �v
Approved for processing Building Permit.
Stormwater Manageent Control Plan Not Required.
I
Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review)
FORM " SMCP-TOS MAY 2014
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Town Hall Annex ; * Telephone(631)765-1802
54375 Main Road ' (631)765-,95Q2,
P.O.Box 1179 �: G Q 0�� roger.richertCa7�own.SOUtf10I1a.nY.US
- .Southold,NY 11971-0959 ,qe �*\ if
il
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
- REQUESTED BY: ( / /« (�`c,t`TK.: 0 W S Pc-4 Date: a, i 0/i (p
Company Name: ri a D EQ-N (`( e c-r a-i s E4.3—c
Name: Tr Kr:- Qt -rcCo wS-i-
License No.: 4-/AS-3 —
Address: POf3 m xa°( 9 , 01,47-r r1-1,4.c KN, f ( 9 S',Z
' Phone No.: .5-1 (o - 9 D 3 - 713-1
JOBSITE INFORMATION: (*Indicates required information)
*Name: M42K. 7 ,cr-r& 4-L I �v1 �(
*Address: y D U C A�-e2 I N A. ( T 2 v I /�l47Tr rt,Lcr . , N. 'I. ((9s 2.
*Cross Street: 9,0 ‘...1/4k--e_ a S'
*Phone No.:
Permit No.: .3t,-(''‘ ( -
Tax Map District: 1000 Section: \l 5 Block: ' Lot: i
*BRIEF DESCRIPTION OF ORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In 40
*Do you need a Temp Certificate: YES a)
Temp-Information (If needed). • • .
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change-of Service Overhead I/
Additional Information: PAYMENT DUE WITH APPLICATION O I ((c
filLj
q6LiC) (P{
5(1
82-Request for Inspection Form 0 t
(fib% —
CONSENT TO INSPECTION
U vk AA. ,the undersigned, do(es)hereby state:
1�t
Owner(s)Name(s)
That the undersigned(is) are) a owner(s)of the premises in the Town of
Southold, located at X00 U4v Ct 1 ))Y. MA-fhb)de, MI [1
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section (S ,Block 44 ,Lot (q
That the undersigned(has) (have)filed, or cause to be filed, an application in the
South4 Town Building Inspector's Office for tlie following:
ketio&cium OF Q 5thcq(i PANYttil hualtir9
That the undersigned do(es)hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property,including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances,rules and regulations of the Town of Southold.
The undersigned,in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances,rules or
regulations of the Town of Southold.
i
r
Dated: Zo(� .
ffit
Li . u
(Print Name)
(Signature)
(Print Name)
1
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0)trauma=AMASON P�aw s1AU.M R ON VADMEN IE PERSON MS�MOWW OO WioN�Is�,�um ami x3 Gnaw TO iSEi l ATE Cu Y.(c�AVERNMENT s MMO Aso WO iG esmu m im 1 ammo
. LEINC asnwiON.osE AND ARE NOT
n nUSEDRE NOT m *i.o suint s (5)n1E iOCAAsual PROPERTY LINES OR FOR MOWN OF FIN=(3)COPES Cr Dis5 SuTNEY Ynaw OF o is(a T�GS9'OOLs NM sEAL O) Kam r+/mosso sEAL ARE RoH rmn 11055 DE ammo To NW oo DATA .ktom oopy. w o1RSUS,
11
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" 400 Ostrander Avenue,Riverhead,Now York 11401
ton.l.651:121.2305 Pax.651.fa'T.0144
admin®y gmngrneortngrom
MAIN ROAD (N.Y.S. RTE. 25) .. ¢� �
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,t La?p / Howard FL Young,Land Surveyor
�` Thomas L.Nbiport,Proloastonal 6tglneer
.i........--',',-,-(-. ..4.,y 8$��. Douglas E.Adams,Processional Engineer
tj" E
Wim . Robert L.TaskArchitect
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- SITE DATA
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i AREA = 21,1>3E 50.FT.
6. ®SUBDIVISION-'MATTITUGK ESTATES,INC.'FILED IN VIE OFFICE
m (� OF'714E CLERK OP SUFFOLK COUNTY ON SEPT.015,1465 AS FILE
0 NO.44539
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iSURVEYOR'S CERTIFICATION
LotI 51 _ $ `•re HoESY CERTIFY TO MARK M. PISCITELLI THAT'1 45
�" 1 SURVEY MAS PI ARED IN ACCORDANCE W1TH TiE CODE OF
l 0 O PRACTICE FOR LAND SURVEYS ADOPTED BY 714: STATE
II 1 subdivision - PA =_ ti
inc. " Q k ASSOCIATION OF CONAL LAND a, T E :z-.
"Mattituck Estates, . ill, .� '� °°< w
e "t"' '-.. - , 4�;4 r �'t gg
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® Lot 56 100Z
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attituGk, Ton of Southold
Z24.3. % Suffolk Gounty, New York
c II 4
- 4 .4.,. Suffolk
SURVEY
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S88 24 40 Yui covet County Tax Map ms€et_1000 section IIS Block 04 Lot 19
1 FIELD
COMPLETED .0q'2013
.
RcGord OP Revisions
Lot 55 RECORD OP R 13IO1LS DATE
1 Subdivision —
I "Mattituck Estates, Inc." _
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40 0 40
ao
Saatet I" = 40'
I' 15-0161
DDM.2018_o16I swvay I F
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0 Q 1-4014.114ENT SET ■=moNu ANT FOUND A.5TAIE sEr A.STAKE FOUND•
1
Mark M. Piscitelli
PO Box 53
Jamesport, NY 11947
December 29,2014
Town of Southold Building Department
Damon Rallis
Building Permits Examiner
54375 Main Rd
PO Box 1179
Southold,NY 11971-1179
Re:Application for a Building Permit and Scope of work to be performed at 400 Cardinal
Dr.Mattituck,NY 11952, SCTM# 1000-115-4-19
Dear Mr.Rallis:
I am enclosing my Building Permit application for your review and consideration
regarding my residence in Mattituck. The following items are being upgraded and
replaced.
I am proposing to remove 6 existing Aluminum glass sliding doors 6'-0"x 6'-8"in the
Sunroom that were vandalized. (See new list of Andersen Sliding doors).
Replace all windows with new Andersen 400 Series double hung windows and new
Vinyl siding and R-board backer. (See attached list)
Remove the front existing brick stoop and replace it with a new 4' x 27' front wood
porch(see attached sketch)
Replace all exterior doors with new Therma-Tru doors, a fire rated steel door in the _
garage to the sunroom and replace the existing garage doors with 2 new Insulated garage
doors.
Upgrade the electrical system from 100 amps to 200 amps, add a 22 kw LP Generator
with a 1,000 lb tank, upgrade all electrical receptacles, GFI, and lighting(See Modem
electric's application)
Relocate Laundry Room with a slop sink and toilet into the Sunroom from the basement
(see sketch plan prepared by Charles Thomas,Architect)
Remove and replace ceiling panels,wall coverings, carpet, and electrical, in the existing
Sunroom/Porch area.
Remodel kitchen and 2 bathrooms.
Add a 55 Gal Hot water storage tank and install 3 additional heat zones to improve
energy costs and efficiency.
I am also proposing a 24' x 30' detached 2 car garage,with a 10' x 24' canopy,however,
that application will be filed separately in the near future.
If you have any questions,please feel free to contact me at 631-727-3626.Your attention
regarding this project is appreciated.
Thank you, f"(
e
,i4c._
Mark M.Pis 'tel •
Owner
`►: y rt QUOTE
SUPPLY COMPANY
www.morJam.com
Building Materials:Drywall-Acoustics-Lumber-Tools-Flooring UPC VENDOR QUOTE DATE ORDER NO.
Adhesives-Doors-Windows-Insulation-Siding-Roofing 000000 12/29/14 15238715-00
P.O.NO. PAGE#
CUST.#: 1053567 DOORS 1
SHIPTO: MARK M PISCITELLI mj
45 EILEEN CIRCLE
PO BOX 53 CORRESPONDENCE TO. MARJAM - MATTITUCK
JAMESPORT, NY 11947 12585 SOUND AVE
(631) 298-8559
MATTITUCK, NY 11952
BILLTO: MARK M PISCITELLI mj
PO BOX 53
JAMESPORT, NY 11947
INSTRUCTIONS TERMS
COD
SHIP POINT' SHIP VIA I SHIPPED
MARJAM - MATTITUCK PICK UP L
UNE , •.PRODUCT QUANTITY QUANTITY ' QTY. QTY. UNIT -AMOUNT
NO. AND DESCRIPTION ORDERED B.O. SHIPPED U/M PRICE _NET).
1 S996-1C 1 each 1190.00 1190.00
3/0X6/8 SMOOTH STAR
SMOOTH-STAR 3068 S996-1C KEYSTONE BRSHD NK
(*1640*) ,4-9/16" PRIMED JAMB INSWING RIGHT HAND ,T/D
ADJ COMP SILL NICKEL ,W/BRUSHED NICKEL HNG&STRIKE
[SA] ,BRONZE COMP W/S ,W/PRIMED BRICKMOLD ,DOUBLE
BORE ,2 3/4 - 2 1/8
2 S6035VBR 1 each 513.00 513.00
2/8X6/8 SMOOTH STAR
SMOOTH-STAR 2868 S6035VBR INTERNAL BLIND R/L/T
(*104*) ,4-9/16" PRIMED JAMB INSWING LEFT HAND ,T/D
ADJ COMP SILL NICKEL ,W/BRUSHED NICKEL HNG&STRIKE
[SA] ,BRONZE COMP W/S ,W/PRIMED BRICKMOLD ,DOUBLE
BORE ,2 3/8 - 2 1/8
+ +
3 86035VBR 1 each 506.00 506.00
2/8X6/8 SMOOTH STAR
SMOOTH-STAR 2868 S6035VBR INTERNAL BLIND R/L/T
(*104*) ,4-9/16" PRIMED JAMB INSWING LEFT HAND ,T/D
ADJ COMP SILL NICKEL ,W/BRUSHED NICKEL HNG&STRIKE
[SA] ,BRONZE COMP W/S ,W/PRIMED BRICKMOLD ,SINGLE
BORE 2 3/8 - 2 1/8
+ +
4 978HDFIRE 1 each 351.00 351.00
2/8X6/8 FIRE DOOR
PROFILES 2868 978HD 2-PANEL ,4-9/16" PRIMED JAMB
INSWING LEFT HAND ,T/D ADJ COMP SILL NICKEL ,W/
BRUSHED NICKEL HNG&STRIKE [SA] ,BRONZE COMP W/
S ,W/PRIMED BRICKMOLD ,SINGLE BORE 2 3/8 - 2 1/8 ,20 MIN
FACTORY WARNOCK HERSEY LABEL ,20 MIN WOOD FRAME
LAKE
+ +
4 Lines Total Total 2560.00
Taxes 220.80
Continued
Continued
G'-(t -rt
-� Frr`e-�x •
SPT
IL"JZ.--'� \ �7��� C���c - ARCHITECT
� . "` REVISIONS DESCRIPT ION
APPROVED NOTED
DATE: , B.P.#
FEE LtfBY'-:--- -‘?-2"'----
NOTIFY BUILDING DEPARTMENT AT
I 'B•-B. fi 765-1802 8 AM TO 4 PM FOR THE
r_______„.__1
� .__1 FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED W
FOR POURED CONCRETE 0
2. ROUGH - FRAMING & PLUMBING
EXISTING INSULATION
R 0 0 I 4. FINAL - CONSTRUCTION'MUST W
BE COMPLETE FOR C . Q
LDIC or
ALL CONSTRUCTION SHALL MEET THE
MTN WC LE REQUIREMENTS OF THE CODES OF NEW li.i ^ rz
__I ro N�irnc�vl V J
YORK STATE. NOT RESPONSIBLE FOR p
_-I� -�,�_,_ - DESIGN OR CONSTRUCTION ERRORS. W
�E� O F CC
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Z
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corm-�-� ,,��s i TO�N C�ES v
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Om
0 FIRST FLOOR PLAN CC L��r11 Charles M.Thomas
SCALE 1/4” = 1.-0" USE IS UN CAS a C n I t o as
®�-� CERT�F1 ect
PO BOX 877 JAYESPORT. NY 11947 (631)727-7913
SNIT ��c�.
OfOCCUr ` INTERIOR ALT
®� '� � PUNale CK)TrN BOO E -
�, ®NLa,
cod ��� Psi o CERTPFICATE bF SCC AD -
�� o G\ V� \�,,- PAIL 14/01/14
o� Q�.��,e\� s� `e�'r SOLDER USED M CANNOT
0ICRY FS
®�9 ��e���,o�� SUPPL:1 f - 1% LEA). OM N,L
.CaB' ETC`-c-�r.n % 151' 11x1
11fESE ORAWNOS HYO ACCRIPANIDIG SPEORCAI%NS,AS NSIRUYENTS CF SOME.ARE HIE EXCLUSIVE PROPERTY OF 1HE MOITECT AND 11210 GSE AND PIBUCA0ON STALL BE RESTRICTED TO 7HE OIAORA.STE FOR MI01 MET 842E PREPARED ` REPRODUCTION OR PUBUCATIIIN BY ANY METHOD.N MOB CR N PMT,IS PRCDBITEO E%QPT By 19U1hTN 1400405ON ERNE ME ARCHITECT TITLE TO THESE PLANS SHALL WINN WIN INE AR660ECT NSJAL CONTACT 1910 11EA SHALL CYWSME PRIM FADE ESSENCE OF ACCEPTANCE OF IVES RCSTOCM%IL
Andersen Andersen Windows- Abbreviated Quote Report Andersen
`WA Project Name: PISCITELLI - MATTITUCK I`W, '1
...,,...00na .1.ca...000n
Quote#: 11099 Print Date: 12/15/2014 Quote Date: 12/15/2014 iQ Version: 14.1
Dealer: MARJAM SUPPLY CO. Customer:
12585 SOUND AVE. Billing
MATTITUCK, NY 11952 Address:
(PH)631-298-8559 (FAX)631-298-8561 Phone: Fax: •
Sales Rep: MIKE OTT(Fax 631-477-8924) Contact:
Created By: Trade ID: Promotion Code:
Item Qty Item Size(Operation) Location Unit Price Ext.Price
-17:1„--7
—� 0001 1 TW2652-DHP3052-TW2652(AA-F-AA)
•
ROSize=8'55/8"Wx5'47/8"H Unit Size=8'5 1/8"W x 5'4 7/8" H LIVING RM $ 1432.65 $ 1432.65
-�1-•' 2 i=3-
I
o r� Composite Unit, White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4*High Performance Low-E4 Top/Bottom
Glass, No Grille, Mulling Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
Insect Screen, White
Exterior Trim, 3 1/2" Flat, Sill Nose, White Exterior Trim, Pre-Cut Trim Kit,8'5 1/8"x 5'4 7/8"
Zone:North-Central
Unit U-Factor SHGC ENERGY STAR®Qualified
1 0.30 0.31 Yes
2 0.30 0.33 Yes
3 0.30 0.31 Yes
•
Quote#: 11099 Print Date: 12/15/2014 Page 1 Of 5 iQ Version: 14.1
• J
Item Qty Item Size(Operation) Location Unit Price Ext. Price
0002 1 TW3O-DHP3052-18(AA-F-AA) DINING RM $ 1989.76 $ 1989.76
. 2
RO Size=6'8 1/8"Wx5'63/4" H Unit Size=6'8 15/16"Wx5'61/4"H
I Group Unit, Tilt-Wash Bay Windows,White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4*High Performance
_.J Low-E4 Top/Bottom Glass, No Grille, Mulling Location:Distributor, Mull Priority:Vertical
Insect Screen, White
HEAD AND SEAT BOARD, WHITE 30 DEG ANG BAY 5 1/4 WALL SET
PLATFORM, 30 DEG ANG BAY SET
CABLE SUPPORT,SYSTEM
COMMENT: NO EXTERIOR TRIM AVAILABLE FOR BAY UNITS.
Zone:North-Central
Unit U-Factor SHGC ENERGY STAR®Qualified
1 0.30 0.31 Yes
2 0.30 0.33 Yes
3 0.30 0.31 Yes
_—__ 0003 1 A281 (V) PORCH/LAUNDRY RM $ 356.46 $ 356.46
ROSize=2'8"Wx2'05/8"H Unit Size=2'71/2"Wx2'01/8"H
Unit, White/White-Factory Painted, V Handing, High Performance Low-E4 Glass
3 1/2"Flat,Sill Nose, White Exterior Trim, Pre-Assembled Surround(shipped separately)
Insect Screen, White
Hardware Pack, PSA, Andersen Classic Series-White
Zone:North-Central
U-Factor:0.29, SHGC:0.31, ENERGY STAR®Qualified:Yes
Quote#: 11099 Print Date: 12/15/2014 Page 2 Of 5 iQ Version: 14.1
r
Item City Item Size(Operation) Location Unit Price Ext. Price
Til
0004 1 TW2832(AA) GARAGE $ 409.99 $ 409.99
—lii RO Size=2'10 1/8"W x 3'4 7/8"H Unit Size=2'9 5/8"W x 3'4 7/8"H
-- ,ill!l l Unit, Equal Sash, White/PI White, High Performance Low-E4 Glass(Each Sash)
l'. 11;-------"Lit
11 3 1/2"Flat,Sill Nose,White Exterior Trim, Pre-Assembled Surround(shipped separately)
_� Insect Screen, White
Zone:North-Central
U-Factor:0.30, SHGC:0.31, ENERGY STAR®Qualified:Yes
- __.-1' 0005 2 TW2032(AA) BATHROOM $ 373.04 $ 746.08
,!I RO Size=2'2 1/8" W x 3'4 7/8"H Unit Size=2'1 5/8"W x 3'4 7/8" H
Unit, Equal Sash, White/PI White, High Performance Low-E4 Glass(Each Sash)
3 1/2"Flat, Sill Nose, White Exterior Trim, Pre-Assembled Surround (shipped separately)
D - -,� Insect Screen, White
Zone:North-Central
U-Factor:0.30, SHGC:0.31, ENERGY STAR®Qualified:Yes
--- —1 0006 1 TW2852-2(AA-AA) MSTR BEDROOM $ 937.51 $ 937.51
FROSize=5'77/8"Wx5'47/8" H Unit Size=5'7 318"W x 5'4 7/8" H
Composite Unit, White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, No Grille, Mulling
I Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority:Vertical
' Insect Screen, White
Exterior Trim,3 1/2"Flat, Sill Nose, White Exterior Trim, Pre-Cut Trim Kit, 5'7 3/8"x 5'4 7/8"
Zone:North-Central
Unit U-Factor SHGC ENERGY STAR®Qualified
1 0.30 0.31 Yes
2 0.30 0.31 Yes
Quote#: 11099 Print Date. 12/15/2014 Page 3 Of 5 iQ Version: 14.1
z.
•
Item Qty Item Size(Operation) Location Unit Price Ext. Price
i 1 0007 2 TW2832(AA) NORTH BEDROOM $ 409.99 $ 819.98
;ii RO Size=2'10 1/8"Wx3'47/8" H Unit Size=2'95/8"Wx3'47/8"H
Unit, Equal Sash, White/PI White, High Performance Low-E4 Glass(Each Sash)
�' 3 1/2" Flat,Sill Nose, White Exterior Trim, Pre-Assembled Surround(shipped separately)
Insect Screen, White
Zone:North-Central
U-Factor:0.30, SHGC:0.31, ENERGY STAR®Qualified:Yes
-" "—, 0008 1 TW2832-2(AA-AA) WEST BEDROOM $ 741.67 $ 741.67
._ 1---! 'H-2--=I RO Size=5'7 7/8"W x 3'4 7/8"H Unit Size=5'7 3/8"W x 3'4 7/8"H
I
n i•� Composite Unit, White/Pre-finished White, High Performance Low-E4 Top/Bottom*High Performance Low-E4 Top/Bottom Glass, No Grille, Mulling
Location: Factory(Direct), Mull Type: Narrow Mull, Mull Priority: Vertical
Insect Screen, White
Exterior Trim,3 1/2"Flat, Sill Nose, White Exterior Trim, Pre-Cut Trim Kit,5'7 3/8"x 3'4 7/8"
Zone:North-Central
Unit U-Factor SHGC ENERGY STAR®Qualified
1 0.30 0.31 Yes
2 0.30 0.31 Yes
- __-,_.;a;4 0009 1 TW2832(AA) KITCHEN $ 409.99 $ 409.99
—'; RO Size=2'10 1/8"W x 3'4 7/8"H Unit Size=2'9 5/8"W x 3'4 7/8"H
Ili Unit, Equal Sash, White/PI White, High Performance Low-E4 Glass(Each Sash)
- I f 3 1/2"Flat,Sill Nose, White Exterior Trim, Pre-Assembled Surround(shipped separately)
p_,-:_—..:1: Insect Screen, White
Zone:North-Central
U-Factor:0.30, SHGC:0.31, ENERGY STAR®Qualiified:Yes
Quote#: 11099 Print Date: 12/15/2014 Page 4 Of 5 iQ Version: 14.1
J
Item Qty Item Size(Operation) Location Unit Price Ext.Price
Subtotal $ 7,844.09
Total Load Factor Tax(0.000%) $ 0.00
Customer Signature 3.597
Grand Total $ 7,844.09
Dealer Signature
**All graphics viewed from the exterior
**Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or
other items.
Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR®qualified.
ASK ABOUT
ENERGY STAR
This image indicates that the product selected is qualified in the US ENERGY STAR®climate zone that you have selected.
Data is current as of February 2014.This data may change over time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification.Ratings
may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc. -
Project Comments:
BASED ON VAN PRICING. PLEASE ALLOW 3-5 WEEK LEAD TIME.
*
I AGREE THAT THESE ITEM(S)AS LISTED ARE CORRECT AND ARE SPECIAL ORDER MATERIALS WHICH CANNOT BE CANCELLED OR RETURNED. THIS INCLUDES
ORDERS ACCEPTED FOR MANUFACTURE,PRODUCTION OR MODIFICATION. I ACCEPT MARJAM'S TERMS AND CONDITIONS. I FURTHER AGREE FOR
MERCHANDISE TO BE PICKED UP OR DELIVERED WITHIN 5 DAYS FROM THE DATE MARJAM HAS RECEIVED MATERIALS. MARJAM WILL NOT BE HELD LIABLE
FOR ANY LOSS OR DAMAGES ON SAID MATERIAL THAT IS LEFT IN OUR WAREHOUSE(S)OVER A PERIOD OF 5 DAYS.
Quote#: 11099 Print Date: 12/15/2014 Page 5 Of 5 iQ Version: 14.1
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