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HomeMy WebLinkAbout39993-Z ��Q�SOFFO(��pp� Town of Southold 10/19/2016 P.O.Box 1179 C* 53095 Main Rd a'tS1 o�' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38602 Date: 10/18/2016 THIS CERTIFIES that the building ADDITION/ALTERATION 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 7/21/2015 , pursuant to which Building Permit No. 39993 dated 8/7/2015 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: ADDITION AND ALTERATIONS INCLUDING AN"AS BUILT"COVERED PORCH TO AN EXSTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Jemcap SD LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39993 7/1/15 & 8/24/16 PLUMBERS CERTIFICATION DATED t o ' Signature c��FFQ���aG Town of Southold 10/28/2016 P.O.Box 1179 53095 Main Rd 4% �� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38603 Date: 10/28/2016 THIS CERTIFIES that the building ACCESSORY Location of Property: 270 Illinois Avenue,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 7/17/2015 pursuant to which Building Permit No. 39993 dated 8/7/2015 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: NON-HABITABLE NON-SLEEPING ACCESSORY POOL HOUSE WITH DECK, AS APPLIED FOR The certificate is issued to Jemcap SD LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39993 10-26-2016 PLUMBERS CERTIFICATION DATED Autjohred Signatur � ¢� d ,�p TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE Py s 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#: 39993 Date: 8/7/2015 Permission is hereby granted to: J P Morgan Alt Loan Trust 2006-S4,Mort Pass-through Cert 3815 SW Temple Salt Lake City, UT 84115 To: alterations (porch repair) and as built additions and alterations (back porch) and as built additions and alterations to an existing accessory building as applied for. 2 cos required. At premises located at: 270 Illinois Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 113.-11-18.1 Pursuant to application dated 7/21/2015 and approved by the Building Inspector. To expire on 2/5/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $274.80 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $597.60 AS BUILT-ACCESSORY $315.20 C - DITIO' TO DWELLING $50.00 CO -ACCESS, RY UILDING $50.00 Total: $1,287.60 Building Inspector 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,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. New Construction: Old or Pre-existing Building: r (check one) Location of Property: �� '� � l �� 15 V � `P (� ` House No. Street Street LL Hamlet `— Owner or Owners of Property: �J>° LL—C Suffolk County Tax Map No 1000, Section Block Lot g_ Subdivision Filed Map. Lot: PermitNo. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature SO Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 a� roger.richert(atown.southold.ny.us Southold,NY 11971-0959 ®lac®U BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Kristopher Pilles-JEM CAP Address: 270 Illinois Avenue City: Mattituck St: New York Zip: 11952 Building Permit#: 39993 Section: 113 Block 11 Lot- 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT' DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only X Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200A Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 200A Switches 11 Twist Lock Exit Fixtures TVSS Other Equipment. EXISTING SERVICE - RE-CONNECT Notes. Inspector Signature: Date: July 1, 2015 Electrical 81 Compliance Form As - Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 ® aQ roper.riche rt(a-town.southold.ny.us Southold,NY 11971-0959 ®lyc®UNN,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Kristopher Pilles-Jem Corp (JP Morgan Act Loan Trust) Address: 270 Illinois Avenue City: Mattituck St: New York Zip: 11952 Building Permit#. 39993 Section: 113 Block: 11 Lot: 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT" DBA: Custom Lighting of Suffolk License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat OIL Duplec Recpt 27 Ceding Fixtures 12 HID Fixtures Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures 2 Smoke Detectors 2 Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 14 CO Detectors Sub Panel A/C Blower 1 Range Recpt 50A Fluorescent Fixture Pumps Transformer Appliances DW Dryer Recpt30A Emergency Fixtures Time Clocks 30 Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS" Notes: "DEFECTS REMOVED" 2-Paddle Fans, 2-Exhaust Fans Inspector Signature: Date: August 24, 2016 OOElectncal 81 Compliance Form.xls S Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA a� roger.riche rt(a)-town.southold.ny.us Southold,NY 11971-0959 ®� COO, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Jemcap SC LLC Address: 270 Illinois Avenue City. Mattituck St: New York Zip: 11952 Budding Permit#: 39993 Section. 113 Block: 11 Lot: 18.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 19 Ceding Fixtures 4 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors 1 Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures TVSS Other Equipment- ACCESSORY BUILDING Notes: Inspector Signature: Date: October 26, 2016 0-81-Cert Electrical Compliance Form.xls rAf sooryolo - G Q ' cOUNi'1,� TOWN OF -SOUTHOLD BUILDING DEPT. 765-1802 1NSPECTION . [ FOUNDATION 1 ST [ ] 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: ll, ,J DATE ® 7 INSPECTOR ` C� o cou TOWN 'OF 'SOUTHOLD BUILDING DEPTi 765-1802 ,,,,ANSPECTl0-N I FouNDJ FOUNDATION IST ROUGH- PLUMBING ION 2ND INSULATION RAMING TRAPPING FINAL FI CE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTMT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) ] CODE VIOLATION CAULKING REMARKS: o,v- z \j DATE . f.NSPECTOR 3 � ��� �O��OF SO(/Tyol � o �ycou 1,N TOWN OF S'OUTHOLD BUILDING DEPT. 765-1802 INSPECTION. - -,, [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ 1,!ICATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLA ION [ ] CAULKING REMARKS: � ' � DATE l INSPECTOR if `✓ ° �"� �J lal - �^ loll- V • N � Q r . scv F OUTHOL® BUILDIN DEPT. 765-1802 INSPECT10" N [ ] FOUNDATION 1ST [ ] ROUGH PLSG. . L l FOUNDATION 2ND [ j l ULATI®N [ ] FRAMING / STRAPPING [ FINAL(A—p) [ ] FIREPLACE &FIREPLACECHIMNEY [ FIRE SAFETY INSPECTION [ FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATIO N [ ] ELECTRICAL ELECTRICAL (FINAL) RIGS: a.-SO, DATE INSPECTOR a - OF SOUjyolo TOWN OF SOUTHOLD BUILDING,DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) - ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] AULKING REMARKS: DATE ��- INSPECTOR�� W4�t� 4� �5f SOUIy N o old 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION` [ ] FRAMING / STRAPPING [ FINAL ) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ( ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) M REMARKS: c. -✓� -- � T DATE �� 07 INSPECTOR - ---------- SOUjy� cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL AL) REMARKS: i W *C �% f�+C� ©II /YIok.L -�-c o p v�ov✓ p f e-,� ' aHJ �vo n owdl I 6wt, ben✓ ezrAcrVoul �npvlit, DW24%,Iq DATE INSPECTOR Ql? —l1 � � � ► 3cr)'?3 Condon EnginseAngy, F.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattltuck,New York 11952 Fax 631-298-2651 condonengineering.com July 6, 2016 Mr. Mike Verity Chief Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Dear Mr.Verity: I inspected the plumbing at the 270 Illinois Avenue residence in Matttituck. Inspection found water supply and waste plumbing to be installed at all plumbing fixtures and the pipes were free of leaks.To the best of my knowledge the plumbing was installed in accordance with building code standards. If you have any questions, please call me at 298-1986. Yours truly, o [EQE0'V[R D JUL 12 2016 sun DING DEPS', TOWN OF souTgGID Condon En&eeNng, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck,New York 11952 Fax 631-298-2651 condonengineering.com September 16, 2016 � 'R(g[Rova d Mr. Mike Verity SEP 2 0 2016 Chief Building Inspector Southold Town Building Department Bi1D•DI�TQDE)p°i' 53095 Route 25 T P.O. Box 1179 OWNOFSOUMoLD Southold, New York 11971 Re: 270 Illinois Street—Mattituck Dear Mr. Verity: I inspected the framing of the building and the installed insulation and found the framing and insulation to be installed as shown in accordance with the plans.The steel column installed under the beam in the center of the cellar has be changed to a structural column. Fire rated gypsum board has also been installed on the bottom of the floor joists over the furnace flue pipe. Additional concrete has been installed over the oil line on the floor between the oil burner and oil tank. A pipe is connected to the relief valve in the hot water heater and extends down toward the bottom of the tank. All CO/Smoke detectors have been installed as required by Code. The cellar and crawl spaces are original to the building and there were no visible signs the any addition was added to the building. To the best of my knowledge the completed work is in compliance with the Residential Code of New York State. If you have any questions, please call me at 631-298-1986. Yours truly, OF q ; 6✓�r �~ oy � {1 ;a Co , P.E. ; �t Fall Mll- 1-1 va i WAX IN$ULI ATION PEA Y. STATE ENERGY CODB IN VA A"AM-11,0I 10,M I- -' - - - 052 EWA - � �, �� • r rww �`.._ ApWANr -a ""�=��. ... - ., • � f V .��(,i�e,�-F' � � �-� G���,�,..�.�Q � .�, f _'"off �_ �- - - � . � • . , . . _ _ • t _." f FIELD INSPECTION REP RT DATE COMMENTS b FOUNDATION(IST) ------------------------------------- 'FOUNDATION(2ND) ol z ROUGH FRAMING& PLUMBING INSULATION PER N.Y-. STATE ENERGY CODE a l tie Awa o wtokc co eA-CA:.6ati✓ o�✓ ow 'It ox/ D wtt hoVe #&^d,� rvvtto V%ovx WIMP G FINAL ADDITIONALz,COMMENTS q _ ly l< 11 � (J) Z � rn - o � O z d 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 2 Survey So utholdTown.NorthFork.net PERMIT NO. Jj Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form C ntact: 1 Approved ,20 " Mail to: Disapproved a/c Phone: Expiration ,20 � C Building Inspector I ' PPLICATION FOR BUILDING PERMIT U�� JUL 17 2015 ( �, • _ Date , 20 15 _ INSTRUCTIONS ---a-This--application-M-L-LST--be-c mpletely 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 BuildingYnspecforwill issue a Building Permit to'tlie 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 iri-part for4hy 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 18 months from such,d•ate: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, a new 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,buitding'code,housi de, and regulations,and"to admit authorized inspectors on premises and in building for necessary inspections. Signature of icant or name,if a corporation) r l (Mailing address of applicant) State whether applicant is owner, lessee, agent,architect, engineer, general contractor, electrician, plumber or builder 1L/ V1 IU Name of owner of premises (101,1/r) Sol I (As on the tax troll 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 which proposed work will be done: 71 House Number Street Hamlet l County Tax Map No. 1000 Section 3 Block , I Lot Subdivision Filed Map No. Lot 2. State existing use and'occupancy of premises and inten ed use and occupancy of propos d construction: a. Existing use and occupancy b. Intended use and occupancy �) 3. Nature of wor check which applicable):New Building Addition Alteration V Repair Removal', Demolition Other Work e ri ftS"5 w ow S T e cription) 4. Estimated Cost Fee S 1" I " (To bepaidon filing this aPPlicatio) a dd7+jQ1 5. If dwelling, number of dwelling units Number of dwelling units on each floor -Ity If garage, number of cars C� C�CCe � 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 j8 Number of Stories Dimensions of same structure with alterations or additions: Front 45 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°ofform'er Owner 11. Zone or use district idwh16 premises are situated''" 12. Does proposed construction"vi'olate,any zoning`laW,,ordinance,or regulations. YES, NO . ?,., 13. Will lot be re-graded? YES N,(;� Will excess f ll.be removed from,premises?,.YES NO 14.Names of Owner,of premises,SfMCA f$PILL,address- . ' =Phone No.- Name of Architect Address Phone No 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'BR REQUIRED'. b. is this property within 'feet 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 OFV_r7l ) (?,k— beiha duly,m0,m, de oses and says that(s)he is the applicant Name of individ al 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 knowledge and belief; and that-the work will be performed in the manner set forth in the application filed therewith. Swornbefore me this day of 20 . Notary Publry Pub c,Stat of New York Sign of Applicant No.81`06190696 Qualified in Suffolk Coun Commission rydres luly 28 ?_ � 3qq�� Scott A. Russell 4, SUPFFQ ERVISOR �� STtO)REZI\ WA\TIER, SUPERVIS®R MA NA(G]EA�MI ENT SOUTHOLD TOWN HALL-P.O.Box 1179 6 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold L �Ivtg CHAPTER 236 - STORMWATER MANAGEMEN SKEET D ( TO BE COMPLETED BY THE APPLICANT SEP 2 8 2016 DOES THIS PROJECT INiVOLVE, ANTY OF THE F 0LL0]k=jNG DEPT. j Yes No (CHECK ALL THAT APPLY) TO'"OF Spm,®L ® A. Clearing, grubbing, grading or stripping of land which affects more I than 5,000 square feet of ground surface. 1 OQ B. Excavation or filling involving more than 200 cubic yards of material I within any parcel or any contiguous area. ®® C. Site preparation on slopes which exceed 10 feet vertical rise to yy 100 feet of horizontal distance. I ® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑0 F. Installation of new or resurfaced impervious surfaces of 1,000 square I feet or more, unless prior approval of a Stormwater Management 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 x 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 Datc- II APPLICANT. (Property Owner.Design Professional,Agent.Contractor.Other) D atrict 1 NAME �6 t ��� ��cH l� 113 � 1 ` Section Bloc}. Lot FOR BUILDING DEPARTMENT USE ONLY** *� Contact Information f 7 n Reviewed By: r"y' &t"A � I Property Address/ Location of Construction Work: � � � _ _ _ _ _ _ _ _ Date: M Approved for processing Building Permit. } Slormwala Management Control Plan Not Required. 1� + r � � 5 �� — - - — — — — — - - - - — — — — — c { I Stormwater Management Control Plan is Required. Worxrard to Engineering Department for Re\iew.) FORM 4 SMCP-TOS MAY 2014 .rtr- /5/2016 /1 : 47 TO: 16317659502 FROM; 8002645430 Page : 2 03 \030 V-7> Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1179 x,161117 _e�Vw_'66ffiuffi 0 Souffiold,NY 11971-0959 fo_�rich�ertfo agany.us 1?�b Cow BUn DING DEPAWIMENT AI�PLICATION FO;TOWN OF SOLTTHOLD ELECTRICAL INSPECTION REQUESTED BY: / i)*- I,. Date: Company Name: rl�qr',�D I L Name: License No.: Address: Eh2ne_No.: JOBS!TE INFORMATION: (*Indicates required infomiation) *Name: *Address: *Cross Street:' .......... *Phone No.: 63, Permit No.: qc Tax-Map District. 0Section:_�. Block: "BRIEF DESCRIPTION OF WORK(Plea-se Print CIeady) -61a-1 ,'Please Circle All That Apply) 'is job ready for inspection: NO Rough in nal '00 you need a Temp Certificate: YES NO remp InfbIrTnation (it needed) Service Size: I Phase Whase loo 150 200 300 350 400 Other New Service. Re-connect Underground Number of meters Change of Service Overhead idditional Information: PAYMENT DUF WiTwADEL.ICATION P It 82-Request for Inspection Form -- 1 I --� C' l k 4 vco� � C��� Va1 �1 e� �c-A o to r . � o SOF SD(/r�, Loc(,c �� C 6 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q roger.riche Southold,NY 11971-0959 ' Cp D Qi y OCT 252016 BUILDING DEPARTMENT TOWN OF SOUTHOLD BUILDING DEPT. APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUrHOLD REQUESTED BY:—�E>0A'DCC0.Svo Date: Company Name: r �- Name: 5 erg Cx%- Ulm V o Ste License No.: Address: Phone No.: (� l JOBSITE INFORMATION: (*Indicates required information) *Name: 4(C�S�•e t C�. - e,,v� �'.�I ; *Address: fcc c r/ 1113 1 (15-0 *Cross Street: MMA�4 AVL *Phone No.: 631 kit H Permit No.: 'f Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) �C - I (Please Circle All That Apply) *Is job ready for inspection: YES/ NO Rough Infinal Vo-you need a Temp Certificate: YES/ OO - j Temp Information(It 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 Additional Information: PAYMENT DUE WITH APPLICATION 1 � v\I 82=Request for Inspection Form to �� I Verity, Mike r From: Kristopher J. Pilles <kris.pilles@northforkcommercial.com> Sent: Friday,August 19, 2016 5:36 PM To: Verity, Mike p 2 Subject: 270 Illinois - Mattituck `] J Hi Mike. John Condon has inspected the property and advised me that early next week you will be receiving letter from him with the following information: 1. Insulation& Framing certification 2. Certification of Column installation in basement(this has been replaced with structural column) 3. Certification of Flue pipe in basement(Fire rated Sheet rock was added above Flue per engineer 4. Energy calculations for both structures The other requested changes have also been completed: 1. Additional concrete to fuel line and foundation wall where fill exits 2. Plumber has corrected the relief value extension issue. 3. CO&Smoke detectors installed as requested 4. Insulation has been installed in the basement , I have left a ladder on site for you to access the attic of each structure.There is a lockbox on the front door of the house with a code of 7979. I am very happy to meet you at the property or allow you to go as your schedule permits. As we discussed we have an anxious buyer who would like to schedule a closing but we need a CO in order to do so. Please let me know when you are able to re-inspect the property? Thank you for your help and assistance with this, have a great weekend. KP Kristopher J. Pilles- CCIM, MBA Founder& Chief Executive Officer North Fork Commercial OFFICE: 560 Fishermans Beach Road Cutchogue, NY 11935 MAILING ADDRESS: PO Box 504 1 Southold, NY 11971 tel 631.477.6626 ( fax.800.264.5430 cell 516.449.2783 1 . 10/24/16 vr�' Town of Southold OCT 2 4 2016 Building Department BUILDING DEPT. 54375 Route 25 'TOWN OF SOUTHOLD Southold,NY 11971 Mr.Verity: Please amend our permit for 2701111nois in Mattituck to reflect the use of a Pool House for the existing accessory structure. Thank you for your continued assistance with this matter. Kristopher J. Pilles Agent for Jemcap SD LLC. ..r; &; t �4 ; N ,Uzz g IN- ma D y E a D 5w� L O ry c. .d �,/- Its MR Z .,.� �'4 Or n i way � a 7 \ ........... 1 Otis , 1h 1w< - n a 41 r: F _ 0 S�� f ' est � � f w g � fr y F 4 , �< a TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 27(� VILLAGE DIST. SUB. LOT '41 . 74 z -vl M /ACR. ,�011, Ell WNER, N E Caro 014- .yo 4 Arlo T4v E3 W TYPE OF BUILDING ac.L:5 S n RES. SEAS. VL. FARM comm. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7 27� 9,a Z9 tIlIS16 >A, (I/Va .40 S � Ae- AV W /A/,7,j Dd U Z hc TAAl,-5', 70-0 3 37o—oZ11d 9�' 7 v -7 q, 6 1,-A no v ao- BUILDING CONqIT),PA 4 (�GE 6 aaV 5500 A4. NEWNORMAL, BAQN,, .AYOVE FARM Acre Value Pera uL e 70AAcre 0 "00 510 V/ lahil% 'faAz) -6' 4da 44;4up Tillable I Lq o�'19 2 iq , h Tillable 2 f Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot 7-S /do 0 o5 a7 DEPTH BULKHEAD Total DOCK "V- COLOR I< 1 "� ;� k ` TRIM i a1 ARM, T 47 --i 11 131 Z TJ 113,11-18.1 4/07 Y, -M. Bldg. /3 7�4 Foundcition Bath Dinette Ext6hsion 0 V z 2- 2 2- u Basement Floors K. Extension Ext. Walls Interior Finish LR. ,Ex slon DR. te� Heat & 13>r 17 2-:2— Fire Place iececlz- 3 A / Typ&.',Roof Rooms 1st Floor BR. Ll"A't -7 340 ,1p0;rc9 7k- Kecreation Roorr Rooms 2nd Floor FIN. B Porch Dormer ` 17:w 17 150 -- way Drive CT) 1/00 3 C?O Gbrage, >L 1411 Lj,L. 62,1,1pt 4 A e— 'puti- 0 Total 4,4 7 j OWNER STREET VILLAGE DIST. SUB. �T , - (2 611t-I V4-' FORMER OWNER N E ACR, S W TYPE OF BUILDING RES SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS 7 /71 4- dF /Z qs AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value' Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD,- House Plot DEPTH BULKHEAD Total DOCK yr 41 MWj TI 41 13A;Z-B-QUE 1z: 1 11 A it Ul 23 tL NOTE-LOT P E ii F TO 24 10 L.D PS W M, �-o D L I N G I=I LED i N U F rO 1 C. ka A P r< MAP f7 i ii LIJ 'Y •FIT -iH AND MlC-P:rC-AG'r_- AN! 2f 0 AS p E V) .56 FoaYx tPo, s TOWN OF SOU7"HCLD Building Deportment Town Clerics Office Scntbald, N. Y. 11971 APPLICA'1ION FOR C�RTIFIC'ATZ 07 OtCUPANCY I n5trUCHOD3 A. This application must be filled-in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(5-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. d. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of•completed' site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C.- Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy an pre-existing dwelling or land use $5.00 t 3. Copy of certificate of occupancy $1.00 Dote May .. 1975 New Building .................... Old or Pre-existing Building .......X... ........ - Vacant Land ........................... Location Of Property .ErS..Illinois Avenue (Private road) , off Westphalia Avenue, 'N1atituc7t;...1�?'ew y'o'rk.............................................................. ................ Owner Or Owners Of Property ,GEORGE T. WOODHULL and RUTHANNE WOODHULL, his wi f (To be Michael��J..S mone..&...WireT............................................ Subdivision ....................... ................................ ...Lot No. ............ Block No. ............ House No......... ... - PermitNo. .................... Date Of Permit ............. .....Applicant ...... .............................. ........... ................ HealthDept. Approval ............................................Labor Dept. Approval ............................................... , Underwriters Approval ..............................................Planning Board Approval ........................I............... Request For Temporary Certificate ....:....................................Final Certificate ...............X..................... .. Fee Submitted $..5.:0 d.... ................... Construction on above described building and ( pl' le codes and regulations. Applicant ...... ..... . . ............. ........��..... ................................................ Wickham & Lark, P.C. , ttys. for George T. Sworn to before me this Woodhull & Wife .....1st... day of .........Mai:!.....19 7 5.:......... (stamp or seal) No�Public ....:.....Suffolk..._. County - i�'� "Q NOTE: Key -- Owner on premises. Closing -- 5/8/75. • MARY LOU DUR�DSKi ' NOTARY PUBLIC, State of N.w ynm .Na. 52-1004ti58 Suffolk t ytw;y Cemmission Expires March 30, 19'77 I' REScheck Software Version 4.6.2 C�J/ Compliance Certificate Project JEMCAP Accessory Building Workshop Energy Code: 2010 New York Energy Conservation Location: Suffolk County, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 688 ft2 Glazing Area 40A Climate Zone: 4 (5750 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 270 Illinois Street JEMCAP SD,LLC John J.Condon Mattituck,NY 11952 360 Madison Avenue Condon Engineering,P.C. New York,NY 10017 1755 Sigsbee Road Mattituck,NY 11952 631-298-1986 condoneng@optonline.net _or ® Q, - - -��'. ,.n'?s:.±�'=`..;�4'+.� -�''•'i_ iaa2_'�iz-. � �_ .i<':-,;.`5_,,,,,_� <`_2`.; �tM":':'��.�.-"'�; '�rv�!, ",",�"r!.�. Compliance: 17.60/6 Better Than Code Maximum UA: 204 Your UA: 168 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Assembly Gross Area Cavity Cont. U-Factor UA Perimeter Ceiling 1: Cathedral Ceiling 688 30.0 0.0 0.034 23 Skylight 1:Wood Frame:Double Pane with Low-E 10 0.530 5 Skylight 2:Wood Frame:Double Pane with Low-E 10 0.530 5 Floor 1:All-Wood joistlfruss:Over Unconditioned Space 688 30.0 0.0 0.033 23 Wall 1:Wood Frame,16"D.C. 396 15.0 0.0 0.077 27 Window 1:Wood Frame:Double Pane with Low-E 9 0.480 4 Window 2:Wood Frame:Double Pane with Low-E 9 0.480 4 Window 3:Wood Frame:Double Pane with Low-E 5 0.480 2 Window 4:Wood Frame:Double Pane with Low-E 5 0.480 2 Door 1:Solid 23 0.480 11 Wall 2:Wood Frame, 16"D.C. 396 15.0 0.0 0.077 30 Wall 3:Wood Frame,16"D.C. 180 15.0 0.0 0.077 13 Window 5:Wood Frame:Double Pane with Low-E 6 0.480 3 Wall 4:Wood Frame,16"o.c. 180 15.0 0.0 0.077 13 Window 6:Wood Frame:Double Pane with Low-E 6 0.480 3 Project Title:JEMCAP Accessory Building Workshop Report date: 08/13/16 Data filename: C:\Users)john Condon\Favorites\ResChecks\Cap.rck Pagel of 2 1 ' Qompliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck rsion 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection hecklist. Name-Title Date Project Title: Capp Accessory Building Workshop Report date: 08/13/16 Data filename: C:\UsersVohn Condon\Favorites\ResChecks\Cap.rck Page 2 of 2 C4�J( REScheck Software Version 4.6.2 Compliance Certificate Project JEMCAP Accessory Building Workshop Energy Code: 2010 New York Energy Conservation Location: Suffolk County, New York Construction Type: Single-family � Project Type: ._ New Construction D Conditioned Floor Area: 688 ft2 Glazing Area 4% SEP 2 S 2016 Climate Zone: 4 (5750 HDD) Permit Date: BUMDING DEM Permit Number: TOWN OF SOLTMOLD Construction Site: Owner/Agent: Designer/Contractor: 270 Illinois Street JEMCAP SD,LLC john J.Condon Mattituck,NY 11952 360 Madison Avenue Condon Engineering, P.C. New York, NY 10017 1755 Sigsbee Road Mattituck,NY 11952 631-298-1986 condoneng@optonline.net Compliance: 17.6%Better Than Code Maximum UA: 204 Your UA: 168 -The%Better or Worse Than Code Index reflects how dose to compliance the house Is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies ross Area." Ceiling 1:Cathedral Ceiling 688 30.0 0.0 0.034 23 Skylight l:Wood Frame:Double Pane with Low-E 10 0.530 5 Skylight 2:Wood Frame:Double Pane with Low-E 10 0.530 5 Floor 1:All-Wood joist/Truss:Over Unconditioned Space 688 30.0 0.0 0.033 23 Wall 1:Wood Frame,16"o.c. 396 15.0 0.0 0.077 27 Window 1:Wood Frame:Double Pane with Low-E 9 0.480 4 Window 2:Wood Frame:Double Pane with Low-E 9 0.480 4 Window 3:Wood Frame:Double Pane with Low-E 5 0.480 2 Window 4:Wood Frame:Double Pane with Low-E 5 0.480 2 Door 1:Solid 23 0.480 11 Wall 2:Wood Frame, 16"o.c. 396 15.0 0.0 0.077 30 Wall 3:Wood Frame,16"o.c. 180 15.0 0.0 0.077 13 Window 5:Wood Frame:Double Pane with Low-E 6 _ 0.480 3 Wali 4:Wood Frame,16"o.c. 180 15.0 0.0 0.077 13 Window 6:Wood Frame:Double Pane with Low-E 6 0.480 3 Project Title:JEMCAP Accessory Building Workshop Report date: 08/13/16 Data filename: C:\UsersVohn Condon\Favorites\ResChecks\Cap.rck Page 1 of 2 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck rsion 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Shecklist. ,73-OA/2 Name-Title Date Project Title: Capp Accessory Building Workshop Report date: 08/13/16 Data filename: C:\UsersVohn Condon\Favorites\ResChecks\Cap.rck Page 2 of 2 - 12o2q I � i 10 op AvE e. a , -- -P- — F HOJQ;t) CO 5/(,/76 3 3 INE � a 68� � rr (� _ I ^ c ,� `^ -tDATR r."�:�-FEEAE: y �NOTIBUILCI`:+ T 765-1802 8 A1,11T O 1 r"'i.', Rk "I I7E FOLLOWING 1. FOUNDATION - TWO REQUIRED FOR POURED COPyCRETE 2. ROUGH - FRAMING & PLUM31NG 3. INSULATION 4. FINAL - CONSTRUCTION Pw`UST RE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL P/iEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT.RESPONSOLE FOR DESIGN OR CONSTRUCTION ERRORS. Civ,. ,LL CODES OF NE4^a K STTE a TOWN CODES n n F Z=j T71- BOARD t OCCUFANCY OR USE IS UNLAV%'FUL -__-- _- `� ti� -� �,, '��° �' • ' WITHOUT CERTIFICATE OF OCCUPANCY t. r. ,p. stC�N@�' Wi all �� �, �► TFr - -- 46 �,met W , a 12 14-10 RD12, _ � � :, t�i 4TUDIAU, 1 ,/+ ; o j r _ � I I Q ►5 5��FT. o' 0 U G �{'r 1 y vo"T �. _' �t j - �-- r Fra •- -•-r-+'.-.�� - . w em 6L Y_ i ; � � fl ,� rlXQj�..l�tleu DAG Q•, Pr !('C '1 2 I E o . r, ��O�ESS1W'� i 4D a . tI � s PAW L.-ISPA4.E cCl PIER UWPEIZ ' JA s l L WALL LL r1j c44 4" Irl.� ���� e I Le���•G. � _ f I�-.IPT 4 I 4 1 v I C) �- � I tj RNA �- �---� , �P P, A�o¢ESSiolk , -12 v r2 tt ac, _ �.....e......,. .....,� � 1 .............. .WAR ..-- �/ _ _'. r c - -- D54 17 _ .---.. ___._._....-_.___----__. ----�-- � +�x�_R�E.�- .�p l�a'�"" Int►�.�.� fjj NEV/ c't ,, �• cod; '� -� 06Gv U G ----- .. . OUC- LN it ptNd!! 2x 2 Pa 6-4ALF, �I! t a �2*l o I22 elro«ac_ e IJ&c(000, E i Lop, Ya f f'5o,l1J;uwK rCUUQATIw 2 V21, G oil: . .. /4 LN tj E -dF- C LCA DATE FLS, -z-- _._....._.. NBUILi: 7651$02 8 Aiv1 FOL LOWING ! �c 1. FOUNDI'TIG'J T1FOR POU^4D C;' 2. ROUGH - F " ,r,IV ; `. 3. INSULATION 4. FINAL - CON;TRU,:.7 BE COL?PLL"fE Ftr+rC.J. ALL CONSTRIJCT; P L ��. REQUIREMENTS OF THE COu F—'S O ','' YORK STATE. NOT FESFONQi'!":'.l.- ;--) DESIGN! OR CONSTRUC T ICtd or 11 IT I OARD OCCUPANCY OR USE IS UNLAWFUL. WITHOUT CERTIFICATE OF OCCUPANCY R6 sioa ( 0(2-q[ICp AeAle P�OFESS�Q�@�• [�C'D'V[E U OCT 2 6 2,916 BUILDING DE'F'T. TOWN OF SOUTHOLD ►7 ,I e>ge4?,r;' Ito O.G• AW-_ A DI _ - --U MHS - i- I I G,!44PPwi , i r Q- I Q i 52 C-164).FT z � _ Aq calw 1uaowry RAW L Nu 'gc56�e�� u��� s Y P�SS�ON�' 1 t { ` -1 U - PEA uwwv •Ind xq/�. "�'? h��F '1�I�T a ►-tilt' A-q k l vl. CSYTlcq) x '�2 Gr�1.tG Foci 3 c444 f � I J0. 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