HomeMy WebLinkAbout12606-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z~3951 Date October 22
.................................................. 19.85..
THIS CERTIFIES that the building ...... n.c..~..d?.e..1 !.i.n. $: ...........................
Location of Property '184-5 Central Dr. Hatti~cuck
House No. Street Hamlet
County Tax Map No. 1000 Section ..... q..0.6 .... Block 2 . .Lot ...... 34-
Subdivision..0.ap.~.a. ~..~. ?.i..d.d..~.~..~.a.~.o.~. ...... Fi~ed Map No....'l.6.7..~.Lot No ..... .'1.3.7. .....
conforms substantially to the Application for Building Permit heretofore fried in this office dated
September 2 19.8.}. pursuant to which Building Permit No. ~12606Z
dated .... .S.ep.t.e.m. ~.e.~..'] ~ ..........198..}. , 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 .........
...... . .~. $.v.a~e.. p.~.e.~..a.a.i.~.~..~e..~.~.i.~.~.. ........................................
The certificate is issued to ..... ~..~?~1~.
..... i ~.'~;, ~ ....................
of the aforesaid building.
Suffolk County Department of Health Approval ............ 13.'-,S..Q-.- .q 5~ ...................
UNDERWRITERS CERTIFICATE NO ..................... .~ .6 .9. 0. 7. .~ ? .....................
. Building Inspector
Rev. 1/81
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ia II~ 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 disposal--(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 Amhitect 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 p~"operty 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date ..........................
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property ... l~'5/¢- , ' "-- -CE-~IT'/cA-I ~'. .~.~.~..
House No. Street Ham/et
OWner or Owners of Property
County Tax Map No. 1000 Section ............... Block ............. Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. I ~-(~° 6 Date of Permit ~/~/~: '~ .Applicant
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval Planning Board Approval -- . ......
Request for Temporary Certificate ..................... Final Certificate ..... ~ .............
Fee SubmitS-ed $ .... . .~., .(?.(?....V/.~... [ .--~ .~....
Construction on above described building and permit mee~ts~all ap, l~licablAtcodes and rlgulations.
~c..~'-~_~ ~.'~/o19 App,,cant .................... ~..;.? ........................
Rev. 10-10-78
FIELD INS?ECTION
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
?LUMBING
3.
INSULATION ?ER N. Y.
STATE ENERGY
~ODE
4.
FINAL
ADDITIONAL COMMENTS:
,~¥'/ft..
2~ Toronto Avenue
~assapeaua, NY 11758
July 27, 1984
Town of Southold
~uildin~ Dep~rtment
Town Hall
SoutholS, NT 11971
Application $12606Z
18~5 Central Drive
Mattituck, NY
Gentlemen;
The owner of the aboved referenced residence, Mr.
Peter Carlaftes, has brought to my attention the incorrect
construction of the living room bearing wall. This wall
has ~pparently been constructed with 2x4.studs broken
by two double plates instead of the continuous 2x6 studs
indicated on the plans.
As the Architect for this residence, I have come up
with a scheme for solving this prmblem as indicated on th~
enclosed drawing. This solution consists of the addition
of an additional 2x~ stud to each existing stud. This
new stud will be run continuous past the existing plate
locations serving as a stron~back brace. The new studs will
be fastened to the existing studs with plywood gussets and
'Teco" tyoe connectors securely nailed in place.
This proposed solution will, I am sure, adequately
resolve the problem. If you have any further ~uestions,
please contact Mr. Carlaftes, ~nd he will relay your concerns
to me.
Yours truly
Paul J. ~'de
78S..1.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 'IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
~)~ FRAMING [ ] FINAL
-\
DATE ,~//c~/~l.~ INSPECTOR ~,//~.,'
/
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000662
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
..,e ~, 8. ~9~ .~,~,.,,co,,o. No.o.S,,e 2~o4o/84 N 690725
THIS CER'rlFIES THAT
Pete C~rlaftes, 1845 Central Drive,Mattttuck, N.Y.
~.,~/o,,o,~;.~,o~.,~o.; [] 8o~m~., []., r,. [] ~.~ r,. s.c.o. .fo~ Lo,
wosexaminedon I~y 2, 198.5
FIXTURE
OUTLETS
~ECEPTACLES SWITCHES
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
40 35 59
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
OTHER AFPARATUS:
S E R V I C E
NO. OF CC. COND. A.W.G. NO. OF HI-LEG A.W.G. NO. OFNEUTRALS A.W.G~
PER ~' OF CC. CC)NO. OF HI-LEG OF NEUTRAL
]. z 21o
4-G.F.C.I.
1-S~ Detector.
*Future Appliance Feeders; 1-2~14, 1-2~12, 1-3~6
Panelboards: 1-Scir. 125amps.
Alan Bradley Electric
9 Hewes Street
B~mtwood, N.Y 11717
Lic. 2,.349
G~NEEAL
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO, !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined,
Approved ....~..~.. ~..~. .... 19~ .~. Permit No.~..~:-..~?..~..-~..
Disapproved ale .....................................
Received .......... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ............... 19
a. This application must be completely filled in b~ typewriter or in ink and submitted to the Building Inspector, with 3
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not bp commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
~hall 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
:~hail have been granted by the Building Inspector.
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.
l~he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
~:dmit authorized inspectors on premises and in building for necessary inspections.~,~, ~, /O /~ J
(Signature of applicant, or name, if a corporation)
· ~2~.~. ~/. ~ p.,:~. ?..~:~...,¢~%~. ~:'/. u.~.,.o...
5-3 ~'- ,~ 7~, (Mail¢~l address of applicant)
qtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................... .............................................................
\'amc of owner of premises ...~.~...~'.'.~....~...~...o.r~).~. .... ~./.7..~..~.' .~.~. .~. .............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plu nbcr s License No .........................
Electr clan s L~cense No .......................
Other Trade's License No ......................
i. Location of land on which proposed work will be done ..................................................
......................... .c. ............... . .7'?. ...........
llouse Number Street Hamlet
County 'Fax Map No. 1000 Section ...... /?..~. ....... Block ...~..~. ............ Lot .... .C).7..~/. .........
Subdivision .... ~. ?../~.~.~../.~...~..]~..~...~..~.7.~...7~.~..~ .... Filed Map No... ?.. ~.. Z.~.... Lot .... .//..2..7. .....
(Name)
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
V
3. Nature of work (check which applicable): New Building /~ Addiiion .......... Alteration
Repair .............. Removal .............. Demolition' . ............. Other Work ...............
(Dcscriptiont
4. Estimated Cost ....~.. ,/. ~ ........................ Fee ......................................
(to be paid on filing this applic:ition)
5. If dwelling, number of dwelling units .... .~..~..~. .... Number of dwelling units on each floor..O...~..~. ........
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 ...... ". r'. ........ Rear ..................
Depth .... ..........~ ......... Height .... .'77. ....... , ~. ........ Number. of Stories~ ...... .'z~. ~.. t ........
8. Damenslons ofenure new constructmn: Front .... ~.~..7, ..... Rear .... ~.~/~.. ..... Depth .... 7. .........
Height ...,.~...O..~. ~., ....Number of Stories O/VL~ . .
9. Size oflot: Front ... [.0.0...~.~'. ........ 'l~;~iiiiii?.'~i0.'i'.~i.~.iiii.i'~'e~;l~
10. Date of Purchase ............................. Name of Former Owner .............................
1 I. Zone or use district in which premises are situated .........................
12. Does proposed construction violate any zoning law, ordinance or regulation: .... .............' ' '~'~ ..................... .... · ..........
...... ~. ................. Will excess fill be removed from premises:
13.
Will
lot
be
regraded
Yes
No
14. Name of Owner of premises .................... Address ................... Phone No.
Name of Arch,tect ~., ....... P.. ~.. ........... Address¢.'). 7'.°~. ~fff?.~.~ .r/.~.$.l.~.t'e.~one No. ~i~
Name of Contractor ..................... : .... Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK.
COUNTY OF...MOO ..........
...... ~.~'~..{....C-~..~.'E. ~..~.P~.. ~ ................... being duly sworn, deposes ~d says that he is the applicant
(Name of individual signing contract)
,bore named.
..... .........................................................
(Contractor, agent, corporate officer etc.)
of said owner or owne~, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this
application; that all statements contained M this application are true to the best of his ~owledge and belief; and that the
~'~:rokrn~~ t}:~::f~idsin the m~ner set forth ~cation filed therewith.
.... .......
- ...........
' ~ ' , ..... , ......... ~ ........... County
126
Lot
, ~00" W.
Area= 12,000
Lot
128
Lot 129
'H'£ALTH DEPARTMENT-DATA FOR APPROVAL TO ¢ORSTRUCT
SUBOIVISlON MAP FlIED IN ;'HE QFI~ICE OF THE
OF SUPFO£1~ COUNTY ON dAN./~ 19~9 A~ Pl~ N0. 1~7~.
SURVEY FOR
P£TEt? CAt~LAFTES ~ SOPHIA CAt?I AFTES
LOT NO. 127, "CAPTAIN KIDD ESTATES "
AT MAi'T/TUCK
TOWN OF~$OUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE' dU~Y 15,1955
SCALE; I"-'$0'
NO. 83 - 539
YOUNG YOUNG
RIVERHEAD, N£W YORK
ALDEN W. YOUNG~ PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845
HOWARJ~ W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE N0.45893
cENTRAL '
1~6
Lol
131
Lo!
HEALTH O[PART¥[NT-DATA FOR APPROVAL TO CONSTRUCT
L,ot 130
128
Lot
Lot 129
EXCAVATION IHSPECTION REQUIIIB
SURVEY FOR
PETEt? CABLAFTES ~ SOPHIA CARLAFTES
407' NO. 127, "CAPT'AIN KIDD EST,47'ES "
AT M~TTI~UCK DATE: JULY
'
~WN ~ 50Ur~OtO SCULL: /
S~FFOLK COUSTY, NE~ ~RK NO. a~--~
TO EXISTIN6 STRUCTURES ~RE FOR A SPECIFIC
OF HJA/TH BJRVlC[S. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH '
'~ ~-'~ YOUNG & YOUNG
SU~O/FlSlON M~ ~/4~0/~ ~ 0~/~ ~ ~ C~K ALDEN .................. W.~NG~ PROFESS. ON,,.~L E .,~G EE,~..
OF SU~FOL K ~NTY ON JRN. 19, 1~49 ~S FILE NO. 167~. ~,u ~,u =unvc.un ,. ,.~. u~aac au. ,~o~u
I Il i I I "OWARO W. YOUNG, LAND SU"VEYO"
BRANDIS & SONS, INC. 1618
128
Lot
126
Lot
Lot
FRAM
I sTORYB $ARA6
Lot 1~9
Lot 130 , ~
~speot~ by this de~t~n~ ~d fo~
~tof ~ ~al ~noori~~
HEALTH DEPARTMENT-DATA FOR APPROVN_ TO CORSTRUC T
NOTE" I -' MONUMEN~
SUBDIVISION MAP ~ILEO IN rW~ OFF/CE 01= THE CLERK
OP SUI~OLK COUNTY ON d~N. 19, 1949,45 FILE NO. /62'2.
BRANDIS & SONS, IN(; [618
SURVEY FOR
PETEt? CAtPLAFTES ~ SOPHIA CARLAFTES
LOT NO. 127, " C~P?~IN KIDD ESTATES "
AT M~TTITUCK
TOVlN ~ SOUTHOLD
SUFFOLK COUNTY, NEW ~RK
SEPt? 15, 1985
DATE= dULY
SCALE: / ": 30 '
NO. ~3 --5:/9
PURPOSE AND ARE HOT TO BE USEO TO ESTABLISH
PROPERT~Y LINES OR FOR THE ERECTION OF FENCES
YOUNG & YOUNG
RIVERHEAD, NEW YORK
ALOEN W. YOUNG~ PROFESSIONAL ENGINEER
AND LAND SURVEYOR NY.S. UCENSE NO. 1284.5
HOWARO W. YOUNG, LANO SURVEYOR
NY.S. LICENSE N0.4§893
I
- _ HV.~ 6. Al c~
/
765-180~ 9 AM TO 4 PM FOR THE
FOLLOWING iNSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3 iNcUIAT!ON
4. FIN^L - CON'STRUCTION MUST
AEL CONSTRUCTION SHALL MEET
~m~TE CONSTRUCTION & ~E~GY
~O~.ES NOT RESPOnSIbLE FOR
,I
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-- i 8"~'4 ° --r
9
_~F-'
I01.~'1
./~Z¥1O '
dP
16 o.~.
m
4"g" $"
4/' o~c, $ca~,
~01-0u
C7R
~3
I~L IiI)
~'o n6
Paul John de Silva PROJECT.
DATE:
IL
J~
LI I ''-- LJ -J__
1
I
II
/1~1o ,,v~ Yrtn.4
61
6~
I~" fu6~O
~ 4'/~Nc, CL4r~ ,,v/66-lOtO WXV1'~
L~v IN IZ oor-,'~ .
I~" ANOtO~ r3oc75
John de ,Silva
MI~$ IMIW Yl~ I l~ ' ,
DATE(
I hereby certify that I have prepared the ~lans and specification
for th,~ above referenced project and~ to~ether with the follewing infe~ation~
they a?e~ to the best of my knowledge and belief~ in compliance with the h~ew
acceptable practice method (ESO0) PART 5.
Oil Electric
Air gteam
Cooling Only.
~tg. & Cooling ~p
SYSTE~!t gas
DISTR~TION~ / Water
/ Heating Only
A. The contractor shall furnish and instail construction materials
such that the following ,~J- values are not exceeded~
1. Roofs ,Of
2o Floor over Unheated Basement
?* Floor over Crawl Space ~.
Electrical lighting and power design data are in accordance with
Section E405.2 of the COIIE.
sheet No. 1
The contractor shall furnish to the o~ner written maintenance
instructions for all equipment which requires preventative
Building Cons%ruction Code ~,anual~ latest edi%~onso
penetrations of u~ility serYices through walls~ floors~ & roofs$
and all other such openings shall be caulked~ gasketed~ ~eather-
stripped or otherwise sealed.
The contractor shall furnish and install manufactured doors
~ndo~s ~hich have infiltration loss rates ( a% 25mph ~nd ~eloci%y
equal to or less than %hose lis%ed belows
6. ~nsula%e piping'in all unheated spaces ~nd slabs ~h 3/4" %hick
shee~ No. 2 of ~
rL
ROOF
~ILING
SUB TO T,~L
TOTAL
t
7y~f
sheet No.
t
O~VNERSHIP OF DOCUMENTS
THESE DRAWINGS AND SPECIFICATIONS ARE INSTRUMENTS
OF SERVICE FOR PROJECT NO. ~' '~J '~ AND SHALL REMAIN
THE PROPERTY OF THE ARCHITECT WHETHER THE PROJECT
FOR WHICH THEY ARE MADE IS EXECUTED OR NOT, THEY
ARE NOT TO BE USED IN ANY OTHER PROJECT EXCEPT BY
WRITTEN AUTHORIZATION OF THE ARCHITECTi
If copper tubing is used
for water distributing
system~ piping shall be
of types K or L only
OCCUPANCY OR
USE IS UNLAV~FUL
vtmtiitil CERTIFICATE
OF OCCUPAt~CY
A?~C?XD AS NOTED
FOLLOWING INSPECTIONS:
1. FQUN~ATjON ' ~O
2. RnUGH - E~AMING & pLUMBING
.?
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