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§
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