HomeMy WebLinkAbout41836-Z Town of Southold 8/23/2017
P.O.Box 1179
co 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39158 Date: 8/23/2017
TMS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 360 Greton Ct, Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.-2-3.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/20/2017 pursuant to which Building Permit No. 41836 dated 7/25/2017
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:
"as built"alteration for partially finished basement as!Ipplied for.
The certificate is issued to Jemcap SD LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41836 8/2/2017
PLUMBERS CERTIFICATION DATED
7hoed Signature
�SUFFn TOWN OF SOUTHOLD
�ciw BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 41836 Date: 7/25/2017
Permission is hereby granted to:
Jemcap SD LLC
360 Madison Ave Ste 1902
New York, NY 10036
To: legalize an "as built" basement alteration as applied for.
At premises located at:
360 Greton Ct, Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-2-3.2
Pursuant to application dated 7/20/2017 and approved by the Building Inspector.
To expire on 1/24/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $536.00
CO -ALTERATION T ELL $50.00
Tot $586.00
r'
Building Inspector
Certificate of Compliance
............................ ...........................................................................................................................................................
CERTIFIED ELECTRICAL INSPECTIONS, INC.
188 PARK AVENUE
AMITYVILLE, NY 11701
P: (631) 598-5610
.........................................................................................................................................................................................
CERTIFIES THAT
Upon the application of Upon premises owned by
Jemcap sd LLC Christopher Pilles
PO Box 504 360 Greton Court
Southold, NY 11971 Mattituck , NY 11952
Located at: 360 Greton Court ,
Mattituck , NY 11952
Application Number#: 17=45241 Certificate#: 17-45241
Electrical License#:
Section: Block: Lot: Building Permit#: 41836
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Finished Basement
A visual inspection of the premises electrical system, limited to electrical devices and wiring to
the extent detailed herein, was conducted in accordance with the requirements of the applicable
-code/or standard promulgated by the State of New York, Department of State Code Enforcement
and Administration, or other authority having jurisdiction, and found to be in compliance therewith
on the 2nd day of August 2017
Name QTY
Incand. Fixture - 15 Amp, 120V 9
Switch - 15 Amp, 120V 9
Duplex Receptacle - 15 Amp, 120V 21
ARC-Fault- 15 Amp, 120V 1
Electrical Inspector: Anthony Giordano
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�aAPPROVED.o=
(L1) S
AUG
This certificate is not valid unless raised seal is present.
TOWNOFSOUTHOLD
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: (check one) J
Location of Property:
House No. Street Hamlet
Owner or Owners of Property: p !,� ;1(: f✓��
Suffolk County Tax Map No 1000, Section Block a Lot
Subdivision ��— L�CD�-C�� Filed Map. Lot: �1
Permit No. b Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval: -
Planning Board Approval: 1�
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
pplica re
OF SOUIyo
cOUNiV,Nc�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ],INSULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 6)
V �S ��OrV6
DATE INSPECTOR
N O
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] LECTRICAL (FINAL)
REMARKS: ezay,45
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DATE 1)4 INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
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FOUNDATION
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ROUGH FRAMING& !v 9
PLUMBING !v
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INSULATION PER N.Y.
STATE ENERGY CODE
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ADDITIONAL COMMENTS
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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) 765-9502Survey
Southoldtownny.gov PERMIT NO. �� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined /',20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved•a/c ��v- j�,r `)
�! Phone: 7r���lGZ� ?7
Expiration '20
D �(E D72 Building Inspector
l� PLICATION FOR BUILDING PERMIT
JUL 2 0 2017 j
Date�ly��7 , 20_1!:)_INSTRUCTIONS
WELDING DEPT.
a.Tqtt71W4Pcompletely 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.
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 date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, 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,building code,housing code,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Sign a Lica r name,if a corporation)
1��e4 <, ,A'�i��//P7
(Mailing addressof app scant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Ur ' �j , �C
(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 which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section �� Block (�. Lot �j t�
Subdivision Filed Map N Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy A-;, Jy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost � Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front �/ �/�� Rear �� �� Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories--,...
8. Dimensions of entire new construction: Front Rear i i Deptfi
Height Number of Stories
9. Size of lot: Front 126,' Rear r Der th
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated 5�1elc y"Al
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO--",o
13. Will lot be re-graded? YES NO_�,Will excess fill be removed from premises? YES NO
14.Names of Owner of premises,±&&, e,,p Address�: 'aN^d, lse,, 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 BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO__�V
* 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 )
—t'-- - (1-r- being duly sworn, deposes and says that(s)he is the applicant
(Name of i dividual signing contract)above named,
CONNIIE D.BUNCH
(S)He is the NotW public,State of Now York
(Contractor,Agent, Corporate Officer, etc.) No.01 B
QuetvwAEin SufotlkxpirespC�loun 2
of said owner or owners, and is duly authorized to perform or have perfogrgied ie 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 tod�efore me this
a 0 114l day o 20
VIjiAP'A
Notary Public 1gnature o pplicant
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