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HomeMy WebLinkAbout12238-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z..1.2.8.7.9. ......... Date ..... Q c. .t .. .1.1. .., 19.8.4 THIS CERTIFIES that the building .Add~io~ .t. 9. Existing Dwelling Location of Property 1725 Alvahs Lane Cutcho~ue i~[,~ ~'o: ....................... 'S;/e;i ...................... h&~iel County Tax Map No. I000 Section . .1.0.9. ....... Block . 9.1. ........... Lot ...0.2.4. ...2 ......... Subdivision ............................... Filed Map No. 271 .Lot No. 24.1 conforms substantially to the Application for Building Permit heretofore f'ded in this office dated March 22 ..................... , 19 .8.3. pursuant to which Building Permit No. 12238Z dated . .A.p .r.5..1.. 1..1 ................. 19 .8 .3. , 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 to Existing Dwelling The certificate isissued to ....... PAUL & LINDA KALOSKI .............. ioYn'o;, ¥idd-&'~ddO ...................... of the aforesaid building. Suffolk County Department of Health Approval .. ~1./.% .................................... UNDERWRITERS CERTIFICATE NO. N6 2 318 9. Building Inspector Rev. 1/81 Pen BUILDING TOWN HALL'' sOUTHOLD;'N. Y. BUILDING (TNlS PEmlT MUST BE KEPT ON TH~ PR~MI~SUNTIL ~ULL C~PL~ION OF THE WORK AUTHORIZED) , 12238 Z Date ..- :. nissio~ is hereby g ~..L ' ' ' "t{? ............ ~ .............. 19. . tO Building I~Spector. F ee ~ ........ ~ ............... dt pi'emises located at County Td~ Map No 1000 Sect on .?.~ , B ~k~ . ~...~,; .. ~ ~* ~ ~ ~ ' . '~': ........ "L "~ ..... :,~ ............................... pU~U to opp ic~ ion deted .............................. ;..,L; ............. ~....., ] ond opprov~ by the p,~,~,~" INCLUDES APPROVAL ~,:,,,,~l I ' tO ~MOVE EXCESS FILL Fi~.OM ABOVE pREMISES EY REG~ADING L~T ~ DRIV:EWAY C°NSTRUCTION ~ ~. csss~oO[- ~cONS FRUCTION CELLAR C~NSTRUCTION ~ . ; Bui'ldlng Rev. ,6/30~80 ' :~ i' $¥ANLEY FLI$$, JR. R ~ 1, B40 Bray Ave. Ma~fituck, N. ¥. ! ! 95,2 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink,, and subr~itted in dgplicate to the Building Inspec- tor 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 disposa~--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 appiicab)e. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 D te .. /l/qV., ;~'-..= ~'Vacant Land New Building ............. Old or Pre-existing BuiMing(:~) ......... Location of Property .................................. Hou~ No, Street Owner or Owners of Property .~/..C, ..~.,~,:~..~g...~.~.~.t~ .... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No, ~,-) / .Lot No../~..~.s./... Permit No./.~.~,.~.(~-..2,. Date of Permit ¢~/~,..ApplJca,t.. ~/~.~. ~.. ~'~..~f.% . , Hea,th Dept. Approva~...~ ................. ~or Dept. Approval-- .... ~/~ ............. ,.. d App W/~ Unde~riters Approval . ,~. ~ ............. Planning Boar roval .............. ~ ,., . Request for Tempe~y Certificate ..................... Final Certificate ................ - ~ee Submitted $ ............................. Construction on above described building (~0 ~: ~_~r~O~ Applicant and p~rmit' meets all apP~cable~c0des and regu lations. 10oo5o5 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELEC'rRICrTy THIS CERTIFIES THAT ' only the electrical equip.~ent as ~serlbed below and introduced by the applicant named on the above application number in tl~ premises of was exa~ntnea on and found to be in compliance with the requirements of this Board FIXTURE OUTLETS 8 ~ECEPTACLES SWITCHES FIXTURES RANGES :OOKING DECKS OVENS EXHAUST FANS 20 13 7 1 DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLE DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT R V OTHER APPARATUS: $ E .o~ o~.~c~co~.,l A. WG OF CC COND, 3 NO, OP HI-lEG C E A, W G, [NO OF NEUTRALS A, W G, OF HI-LEG / OF NEUTRAL 1 5 Jotm La~ann 1200 Ilarbor iaue C[ttbl~ogue, N.Y. This certificate must not be altered in any manner; return to the office of the Board if incorrect nspectots may 'EP~RTMEN~ THIS COPy their c COMMENTS FIELD INSPECTION 1. F'OUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION FER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: STANLEY J, FUSS, JR. TEL. 765-1802 PAY Sept.26 ~1984 TO Whom This May Concern, We are unable to comple%e your Certificate of Occupancy because of the following reasons. 1) The check is out dated. 2) No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Please find check ~3210 for $5.00 enclosed. Building Permit ~12238Z for Kaloski. ,~"Dr) ' A?TTC" -~ AS NOTED, .ATE:..~_C~ B.P. :~ /~~ '- -J~'~'~ BY: - 765-I~"2 9 AM TO 4 y~ ru~ -,, ~LT OW~K~G ~NSpE~IONS: 1. FOUKroAT~0~ ' ~O REQUIRED ~q poU~ED CONCRETE ~ ROUGff- FRAMING & PLUM3ING .~ ~ N~ .U~.,~ON MUST ,, 4. FINAL - CO, ~ _ _ -- ~ C.~ ~E C~~(~t:TE nOR ~ CON~RtJCT]ON SHALL MEET ~E REQCffqEMENTS OF THE N.Y." ~A~ CONSTRUCTION & ENERGY ~ ~x/~ S~N~ ~OT RESPONSIBLE FOR ~1~ ~ ~TRUCTION 5RRORS. Ail If coppe,r tubing is used for water distributing sys]em; piping shall be of types K or L only Steel o.D.×. S/il If copper for war, system; of typ~ tubing is used r distributing iping shall be ~ K or L only Des'/(. A/el, u Old FOBM ~qO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exo min ed '~.../T/..../. ........ .~..r'. ........... , 19...~....~...~ Approved Y~..~./...~ ...... .~../. ........... , I .~..~. Permit No..../.~.~.~.....?....~.....~.. .......... Disapproved a/c ..................... ~'~ .: ..~...'..-~.. ....... ~ ...................................... ......................... ....... (BUi ~r) '---i'~'-~ ..................... ~ Application No.../..,~.~c~?...~... ............ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedu e b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets az areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment 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, bdilding code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ...... ........ ................ ($ignatur~_e. ~f ol~P~cont, or nom~,qJf ~rl~r?ion) /) .................... (~ess of applicant) ...... State whether applicant is owner,, lessee, agent, architect, engineer, general contractor, e ectricion, plumber or builder ..................... ............... .. .................. ., ............................................................ Name of owner of premises ..... ..~.~.(~./....C~.":'..~.~.,/~..:-.~.~.{: ...... ~'~..Lc/.....~.'/.?~ ~..?./. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .............. ~,~.,i .............................. Plumber's License No ......... ~./...~./~. ......................... Electrician's License No ....... ,~..~....~. ......................... Other Trade s License No ......... .~./~..~.;~.,.~.,g..~. ............... · Locat on of and on wh ch propose~work w be done Mop No ~ J ....... Lot No Municip~li~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use a~ ~cupancy .............. ~.~.~/~ b. Intended use aod ~cupancy ............. ~.~.~4Z].~ ........................................................................................ 3. Nature of work (check which applicable): New Building.. ................. Addition ...~ ........ Alteration ~. ........ Repair .................. ~ Removal .................. Demolition ..................... Other Work .................................................... ~,// I ,,~ (Description) - aa 4. Est,mated Cost ..~...,.~;~j.(~).(J ................................ Fee ...... ..~... ............................................................................. ; (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .~../.)...~z.. ........... Number of dwelling units on each floor ............................ If garage, number of cars ...... i ...................................................................................................................................... 6. If business, commercial or ~ixed occupancy, specify nature end extent of each type of use ............................ 7. Dimensions of existing structuies, if any Front .... .~..~.. ............... Rear ....... ~.~.. ................. Depth ...c~..~. .......... Height ...... ff..~.. ........... Number of Stories ................. C~.~.l~. ...................................................................................... Dimensions of same structurelwith alterations or additions: Front ........... .4~'..~. .................. Rear ....... .~/~.. ............... Depth ........ ~.~. .................. H~ight ........ ./..~..~. ............ Number of Stories ........ ~..~..~. .............. 8. Dimensions of entire new construction: Front ........... /..~.. ................... Rear ........ ~./. ................ Depth .....~..~.. ............. Height ......... ~ ........ Number !of Stories .............. _~....~...~ ......................... >'r, ........................................... u...uv ........... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ~...P ........................................ 13. Will lot be regraded . ....... ~....d, ............ Will e?<cess fill be removed from premises: 4><) Yes ( ) No Name of Architect .............................................................. Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street end blo?¢ number or description according to deed and show street names and indicate . whether interior or corner lot. COUNW OF ................... ,~(.44~F/,t~....,~.~../~..:..f~.: .............................. being duly sworn, deposes and says that he is the applicam i(Name of/~dual signiKg contrac0 above named. (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 statement~ contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this · ,,,:.. ............ ..... ......... .................. ,I IN ' F OAD / ;J :1 i.q LA hJ I" = pOLO .SCALr- ,3, ¸9. I10. ~ONTR~T~R SHALL CHECK ALL CONDITIONS AND DIMENSIONS AT SITE BEFORE bOMMENCING CON- STRUCTION. ARCHITECT SHALL BE ~OTIFIED OF ANY ERRORS OR OMISSIONS BEFORE WORK IN QUESTION IS STARTED. BUILDING LOT LINES, ELEVATIONS AND GRADEs · SHALL BE STAKED OUT BY A LICENSED SURVEYOR. CONTRACTOR IS RESPONSIBLE FOR OBTAINING PER- MITS AND CERTIFICATE OF ocCUPANCY. NEW MASONRY SHALL BE LAID UP IN TYPE M OS S PORTLAND CEMENT MORTAR, 1:3 MIX WITH NOT MORE THAN 10~ LIME BY VOLUME, AS PER RS10-4S ASTM C270, 1964. BLOCK WALLS SHALL HAVE "OUR-O-WALL" METAL WALL TIES EVERY-OTHER BLOCK. TEMPERATURE REQUIREMENTS SHALL BE A 70~ IN- SIDE TEMPERATURE WHEN 0° OUTSIDE:FOR ALL OCCUPIED AREAS. VENTILATION OF TOILETS SHALL COMPLY WITH CODE. ALL DUCTWORK AND FIRE DAMPERS SHALL COMPLY WITH CODE. ALL ELECTRICAL WORK SHALL BE PERFORMED BY A LICENSED ELECTRICAL CONTRACTOR. THE ENTIRE ELECTRICAL INSTALLATION SHALL ~ONFORM WITH ALL LOCAL LAWS~ THE NATIONAL ELECTRICAL CODE AND LOCAL UTILITY'S'RE- QUIREMENTS. C 0 N C R E ~ E 1. A. DESIGN, MATERIALS AND METHODS.OF CON- STRUCTION SHALL COMPLY WITH THE B~LLDING DEPARTMENT.REQUIREMENTS FOR CONCRETE OF B. THE ULTIMATE STRENGTH AT 28 DAYS FOR ALL REINFORCED CONCRETE IS TO BE 3,000 P.S.I. C. CONCRETE TO BE SUPPLIED ON THE BASIS OF PRE-QUALIFIED MIX FOR THE STRENGTH SPECI- FIED. CO~TROLLED INSPECTION IS WAIVEG IF LESS THAN b~ YARDS.ARE POURED AND THE STRESSE§ DO NOT EXCEED 70% OF ALLOWABLE. 2. CONCRETE' AND REINFORCING MATERIALS SHALL CONFORM TO THE FOLLOWING STANDARDS: A. PORTLAND CEMENT AS PER AsTM C1SO-BT. B. AIR ENTRAINING PORTLAND CEMENT AH PER ASTM C175-B7. C. CONCRETE AGGREGATES AS PER ASTM CSS-HT, D. WATER SHALL BE FREE 'AND CLEAR FROM IN- JURIOUS AMOUNTS OF OILS, ACIDS, ALKALIS, SALT ORGANI~ MATTER, ETC. E. ~ REINFORCING BA~S SHALL BE INTERMEDIATE GRADE NEW BILLET STEEL, DE- FORMED AS PER ASTM A15-HB,,ASTM A4OE-SH AMD ASTM ASOS-BS. BASICi DESIGN STRESS IS E4,000 P.S.I. $. THE MINIMUM NUMBER OF BAGS CEMENT FOR EACH CUBIC YARD OF CONCRETE SHALL HE 5.75 BAGS. THE 'SLUMP SHALL NOT KXCEED 5"+1" FOR STONE OR GRAVEL CONCRETE,' FOUNDATIONS 1. ALL FOUNDATION WALLS SHALL BE STONE CONCRETE 2. MO BACKFILL SHALL BE PLACED UNTIL FOUNDATION WALLS ARE ADEQUATELY BRACED AND CONCRETE HAS ATTAINED ITS INITIAL SET. ,3. FIRST FLOOR SLAB SHALL BE 4" STONE CONCRETE 9500 P.S.I. ON WELL-COMPACTED EARTH WELDED WIRE MESH. WHERE FIRST FLOOR RESTS ON FILL, REINFORCE WITH HH-BH WELDED WIRE MESH. 5. PLUMBER SHALL PROVIDE PROPER SLEEVES IN FOUNDATION WALL AS REQUIRED BY ~IS TRACE AND SHALL COORDINATE HIS WORK WITH THE FOUNDA- TION CONTRACT(SR. ,H. EXTERIO~ EXPOSED PORTIONS OF FOUNDATION WALL SHALL BE FINISHED WITH 1" CEMENT TROWLED ON WATERPROOFED, SMOOTH WHITE.FINISH. ,7. MINIMUM PROTECTION OF REINFORCING BARS JN CONCRETE POURED AGAINST THE EARTH SHALL BE 8. ALL BARS SHALL BE DEFORMED INTERMEDIATE GRADE BILLET STEEL. HOOKED ENDS AND LAPS SHALL BE 40 TIMES T~E DIAMETER OF THE ROD. 'FOOTINGS, AND ~i.'1'AI L_ IWro I'.o" I FZ,.¥ W F= LIL. D -TA l L L,P____ E... N O SOLID LOAD CC)NO, GYPSUM IbOA¢~.o ~bO-FH I-HF-~%,A_T,.~D M=TAL- STUD pA~.TITION W/~" I-I;~COD5 ~YPSOM M~DA~D INDICATES COLUMN NUMI~I::',,~ GHBBT N° WHL::R.~ .SECTION o~, ~DBT~t~ D~AWN - OCCU?AI CY OR USE B UNLM fFUL CF. RTIFICATE OF OCCU?ANC¥ NOTIFY BDILUI~ ~65-1802 9 AM TO 4 PM ~R THE FOLLOWING INSPECTIONS: [1. FOUND~T ON - TWO REQUIRED FOR pOUReD CONCRETE 2, ROUGH - FRAMING & pLUMBING ~. INSU~TqON & FINAL - C~HSTRUcTION ~U~ A~ CONST~UCT~ON SHALL C~. NOT R~pONSIBLE AAAI N '~OAD N~w JE KO-30 fS4th STREET, JAMAICA, HEW YORK I1, TEL. 212 380-1DO0 ROY KIOBENBAUM, ;OUNTY NAT ONAL bAN 1. FURR EXTERIOR WALL WITH GYPSUM BOARD ON METAL FURRING UNLESS OTHERWISE NOTED. 2. ALL INTERIOR FINISHES SHALL BE BY TENANT. 3. TOILETS SHALL HAVE CERAMIC TILE FLOOR, 6" TILE BASE AND WATER-rESISTANT! GYPSUM BOARD WALLS. , _- :-~-. ....... --- / Ifil ~ I . . , .' t ' , , ' MIATA b · ALL C_¢~LI~Iq~ T~ ~ 4"×4~X'I4"D 1. LINTELs SHALL HAVE FULL §" OF HEAHZNG, EACH END. 2.~ ALL MEDIUM STRU'~TUEAL STEEL SHALL CO~FOH~ TO THE STANDARD SPECIFICATIONS OF THE ASTM SERIAL DESIGNATION 1-36 AS TO CHEMICAL AND PHYSICAL PROPER- , TIES, INsPECTIQN IN WRITING. STATING ALLOWABLE WORKING STRESS'SHALL BE 22,000 P.S,I. 'S. ALL SHOP CONNECTIONS SHA~ BE BOLTED. ~4. ALL FIELD CONNECTIONS SHALL BE HIGH TENSISE BOLTS. 5. ALL BOLTS 8HAL5 BE S/4" DI,AMETEH. OPEN HOLES SHALL BE 13/16" DIAMETER. :6. BEARING PLATES SH-~LL.BE PRbVI?ED FOR STEEL RESTING .ON MASONRY. I _ TYPICAL PLOO CONSTRL)GT[ON DETAIL-' fiIl VAULT ~- C;HOGOE D.,I, L. ~VA'7' I ~ V/NT Z__ L4 T ' l I c~ L LA'~--. L ,L_ P___ VA-i- i C, h-4 k - ~'T L 9 - II'- II1¢11 ( > · -~ 0 o I~~LL BE 18 GAGE, RATED ~D J ~AUL~ E~ERIOR DOORS SH~L B~ 16 GAGE. ' J 3~PROOFIN~HALL BE IN- J T~GR~ WITH DOOR ~D/OR ~NCEALED, ~ J , ~L_BEAR APPROVED ~BELS. J ' ,, 5~R SH~L BE BY MAN~ACT~ER, J ALUM, ~" ~yp,, , ! 4¢ ,~Lt R'r--Ac~ O,S [] [] 4 ALU/V~ 'IV" CP, OCV~' SOl=FIT ~- I C.,5-'-L E. A 1=,... FL..F_ FLECTf=E) CS:ILl N~ .,,mOA L,P_.., PLA t,,4,~ 14,n= ,' FiI=L~T FLOOP,,., /~'Y'- C ~'!AN ICA L_ 14 -- P-C:)" If copper tubing is used for water dbtributing sys'em; piping shall be of Iypes K or L only W · is used ~ c° P P ~rt et; ~i~¢~hu t in g - ~'°r eV/r~} piping shall be ~ - '¢~N ff-,oo~. TO r= /k/c. 4r g L PI t%. ,~-F' ~'L_.O07¢%. YORK 11432 TEL 212 3jBj§ I "-'~' '~'~ '*""'"'"'"' "'"" "'"'"""'"""'"-' "'~1 ~,~1