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HomeMy WebLinkAbout16498-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. Z16737 Date March 24, 1988 THIS CERTIFIES that the building ,0. n..e..f.a.m..i .1 .y.. d..w .e.1.1. i..n .g.. ........................ 32625 MAIN ROAD ORIENT Location of Property/:/~t~s~ h/o ........................ ·Street' ........................... h~r~iei County Tax Map No. 1000 Section 014 .Block 02 ...... Lot 025 Subdivision....H.o.w..a .r.d..Y..o .u.n.g. ............. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'tled in this office dated 0 c t. 2, 1987 pursuant to which Building Permit No. 16498 Z dated 0 c t. 2, 1987 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 ......... One family dwelling, wood decks, attached garage. The certificate is issued to IRENE MALL I S ..................... ?o¥,'e;, '~'l~x~l~;~g x x ................... of the aforesaid building. Suffolk County Department of Health Approval 13-80-98 Feb. 8, 1988 UNr>ERWRITERS CERTIFICATE NO .......... ~. a..4 .~.0.q !..~.o.v. :..3.0.,.. J .9.8.7. ............... PLUMBERS CERTIFICATION DATED: N/A Original permit #12429Z July I8, 198~.~.~.~..~. ~ mldmg Inspector Rev. 1/81 FOR~ NO. ~B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_* 1647[! Z Permission is hereby granted to: · ...... ~..?.~....bJ~....~., ........................ . /at premises located at ....~,..~.....~.,.~.~.'~,,,,,..,,~.(~..,~1~,, ........ ,.C}.,.~ ..................................... County Tox Map No. I000 Section ........ ..~.../..~.. ...... Block ...... .~...~.. ....... Lot No......0......~'~.. ........ pursuant to application dated .....~)....~...~,d,,.....~.. ................. , 19.~'~.~.., and approved by the Building Inspector. Rev. 6/30/80 FOBI~ NO. ~B' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12429 Z Permission is hereby granted to: ........ ~z~.~....~/.~/.~. ........................... ......... · '..7.~....~..~'~Z....~.~.~ ..... .... ~'~/~.~..7.. ~ ...~.~.~ ............ ,.. ,o ........ . ~.~...~.~.~.....~,~.~.....~.,..~..../~ .~z~,~ ....................................... County Tax Map No. 1000 Section ...~..../'., .~... ........ Block ...~.. .......... Lot No...~..~-~.., ........ pursuant to application dated '~.~.~..~ ,-~ 19.~ and approved by the Building Inspector. Fee *.~.~.~ .......... ~ Building Inspector Rev. 6/30/80 J TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 ~ 765 - 1802 OCCUPAN~Y WN OF~SOUTHoLD-' ' APPLICATION FOR CERTIFICATE OF TO1 sL L Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new bse: 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 disposel-(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 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 featu res. 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: Additions $25.00 ?OOLS $25.00ALTERATTON $25.00 1. Certificate of occupancy New Dwelling. $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New Cons truc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. I Location of PropertyHouse [~ j No. '~'''~ k' .~. ¢;~. .(~. .~. . 3~. . .~. .Street ~1~*' ' Owner or Ownersof Property ................................ County Tax Map No. 1000 Section ..; ............ Block ............... Lot ............... Subdivision ................................. Filed Map No ........... Lot No ............. Permit No ........... Date of Permit .......... Applicant .............................. ... Health Dept. Approval ........................ Labor Dept. Approval ..................... '.'. Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and pe~rmi~meets all applicabl~regulations. Applicant .....~.../~,/./.~-,~... ,...,0.,0.,s d.o.z/ 737 ~ I,AM9 IURVE¥O~'S INI~ $~AL O~ 7-Ow~v OF= ! _ "~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING [-~/]~NAL REMARKS: DATE FIEL~ IN~FECTION FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL iL COMMENTS:.~~, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1903 Disapproved a/c ........ ;wT.... ~-~ .~x¥ ........ .~.,2. ..... .................. ..... .......... ./Y. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No.../'~. ~..~./~.. ....... Date .?~.. ............. 19 ~...~ a. This application ~nust be completely filled in by 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 be 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 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 purl~ose whatever until a Certificate of Occupancy shall 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. 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 i~lspections. J (Signature of'/fpplicant, or name, if~ a corporation) · ./..7. .x.. (Mailing address of applicant) tV,~. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .O. o .................................................................................. Name of owner of pre,nises .f..~O-Or'.~.{-.. ~ ~:J~J.}! ~ (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 .......................... Plumber's License No .... -~..£..~7.~ .............. Electrician's License No.. ~ .ZT. ~ ............ Other Trade's License No ...................... I. ~ocaiio. n o~f land on w,hich p~op~sed work will be done.·..~1~./~:, h..~. ?..~.. ~ ~Q..~.O.o,.q2. ......... ./.o.o.o. . a&oo. . J.04, . r.,r/d o. , . .do. . ./.4 ........... Hous.e Number_f/~6~O~ Street Hamlet ~ ~-~ County Tax Map No. 1000 Section ....6_9.,/.~.. O.O ....... Block ....O.~, 0.O. ........ Lot..O~ 5~ O.O. O ....... Subdivision .~.O.CdOC-4~9.~.. ~.0~.~.,/...~. ......... Filed Map No...~..~.?..~..~..~'~.. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .btam. FF)O, ~ ~. ................................................ b. Intended use and occupancy ................................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... Fee ~,(,ft~ .~.~ (Description) 4. Estimated Cost ..... 6~.~'t~.OOa.. O0 ................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling t~nlts . ,~...: ......... Number of dwelling units on each floor ................ If garage, number of cars .... O~. ~ ~--/~'~. ................................... 6. If business, ~ommercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ....................................................... Dimensions of ~ame structure with alterations or additions: Front ...~,. ........ , ........ Rear ._ : ........ Depth ................. I.. Height ...................... Number of Stories ..................... Dimensions of entire new construction Front ,(o~. ~ ~. Rear ~b~. 8. Height ...[1~...a~., .... $ff,~ber of Stories ..... ~ ................................................ 11. Zone or use district in which pr~mises are situated .... /000 .... /. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...O..Q'. ...................... 13. Will lot be regraded ........ ................... Will excess fill be removed from premises: Yes ~. N(.~ 14. Name of Owner ofpr~emises r~P~0~, t'~,t~[/t 1~ ..... Address Z~.~.O.~de/l~O4'.d~,. Phone No. ~.o~.-.~.r~. ~ ..... Name of Contractor ...... Address ...,,ot~..~.. ~...,,~. ~ .~: 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 corner lot. 'OF work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i ' ' Term F~.~"~ '~ ~J, >n. I -- , (Signature of applicant) STATE OF N~WY~RK,., COUNTY ~ ..... ......... <7~'~' · · '~ '/~'*//l!'~ ......... ~ being duly ~worn, deposes and says that he is the applicant (l~ame of individual signing contract) above named. He is the ~) (g)~ ' ; (Contractor, agent, corporate officer, etc.) of said owner or owners, an&is dnlp authorized to perform or have performed the said work and to make and file this application; that all statements eontffined in this application are true to the best of his knowledge and belief; and that the TOWN OF SOUTHOLD OFFICF, OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is Co advise you that the job under building permit no. 12429Z issued to George Mallis on _.~d83 for New Dwelling is completed and a final ~nspectlon has ( ) has not ( X ) been done. A complete Underwriters Certificate is n~eded in order to complete th~s file, it ls necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an i~spectlon date Occupancy or use is unlawful without a Certificate of Occupancy. Please. help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly you~, Victor Lessard Executive Administrator VL:~:ar encl . TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 Sept. 30, 1987 TEL. 765-1802 Mr. George Mallis 174 Onderdonk Ave. Manhasset, N.Y. 11030 Dear Mr. Mallis: On Sept. 24, 1987 our inspector, Gary Fish was to your building for an inspection. He said to inform you that your permit has expired. A new permit is required. The head of the department, Mr. Victor Lessard said no further inspections can be made until the new permit'~is issued. Please contact our office to aKrange for this so that the needed inspections can be made and when completed a Certificate of Occupancy can be issued. Yours truly, Secretary B.P. #12429g THE NEW YORK BOARD OF FIRE UNDERWRITERS !001~7l BUREAU OF ELECTRICITY [~l,~ 8B JOHN STREET, NEW YORK, NEW YORK 10038 30. i9 7 "845001 THIS CERTIFIES THAT Geroge~i4~lt~$, Main Road C/O Btght Road, On Sound E/S, Orient, in the fotlotclng location; [] Basement [] 1st FI. tt~sexaminedon NO~T 12, 1987 FIXTURE OUTLETS ~ 2nd ~7. ,%etlon Block and found to be in compliance with the requirements of th s Board 77 82 77 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS FIXTURES RANGES OVENS DISH WASHERS 73 TIME CLOCKS Lot UNIT HEATER! MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: Hotors: 1-1bp Pamelboards: 1-4c&r. lO0amps 2-4 Ton A/C Unlt, 1-6. Ok~ Sauna 5-G. F.C, I. 2-t_= .~Smoke Detectors S E R NO OF CC. COND. A.W O. pER ~' OF CC COND. 1 21o I C E NO. OF HI-LEG 21o S Electric 215 So~=hold, N.Y. 11971 L~a. 578E GENE~ MANAGER Per ~- This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 0 SUFFOLK COUNTY DEI~E,I~ENT OF .F. ALII{ __ 8INGLE F~IL~ DWELLING The sewage disposal and water,suPply facil~s Iocat*o~ have ~en inspected byih~s Depa~nt ~other ~nci~ and t~nd t~be (~ .... ~.. -.. ,N. =,. N~,k ............ N --9 f OWNERSHIP OF DOCUMENTS THESE DRAWINGS AND SPECIFICATIONS A/LE INSTRUMENTS OF SERVICE 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 ON ANY OTHER PROJECT EXCEPT BY WRITTEN AUTHORIZATION OF THE ARCHITECT. ,/ AS NOTED..= y EOR pOUR£D CONCRETE 2. ROUGH - FRAMING & pLUMBING INSULATION FINAL - CONGTRUCTION MUST EE coMPLETE FOR C.O. 'ALL CONSTRUCTION SHALL MEET 'pHE REQUIREMENTS OF THE N, Y, STATE CONSTRUCTION & ENERGY" CODES· NOT RESPONSIBLE FOPC DESIGN OR CONSTRUCIION ERROESi- % ENERGY CONSERVATION NOTES .( NEW YORK STATE ENERGY CONSERVATION CODE) COUNTY OF ~d~'~ob~. PERCENTAGE OF GLAZED AREA IS LESS THAN ~'~% OF TOTAL WALL AREA. DEGREE DAY EQUAL ~OO FOR COUNTY. 2. THE HOLLOWING VALUES OF THERMAL T~ANSMITTANCE SEALL BE MINIMUM VALUES FOR USE IN THIS PROJECT: ~ ROOFS & FLOORS EXPOSED TO CONDITIONS ............ r" .05 AMBIENT ...... U EXTERIOR WALLS ........ Uw= .08 GLAZING .................. ~ ....... .. . Ug= .69 ENTRANCE DOORS ...................... Ud= .40 FLOORS OVER, OR ABOVE GRADE BASEMENT WALLS ENCLOSING UNHEATED SPACES ..... Uf= .08 SL~B EDGE INSULATION UNHEATED SLAB .. Ri= 5.5 SLAB EDGE INSULATION HEATED SLAJ~ .... Ri= 8.0 HEATED BASEMENT / CELLAR WALLS (ABOVE GRADE) ................- -. .... Uw= .08 HEATED BASEMENT / CELLAR WALLS (BELQW GPa. DE) ....................... Ri = 5.5 3. FIREPLACE CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE PROVISIONS OF SECTION E - 402.4 OF THE N. Y. STATE ENERGY CONSERVATION CODE. ALL DOORS AND WINDOWS TO BE DESIGNED AND CONSTRUCTED TO LIMIT AIR LEAKAGE IN ACCORDANCE WITH SECTION E - 402.4b OF THE N. Y. STATE ENERGY CONSERVATION CODE. BUILDING MECHANICAL SYSTEMS SPiALL BE IN ACCORDANCE TH P~qT 5 - "BUILDING DESIGN BY ACCEPTABLE PRACTICE" N. Y. STATE ENERGY CONSERVATION CODE, E- 503.O. GENERAL NOTES ALL CONCRETE TO BE CONTROLLED STONE CONCRETE HAVING A MINI~IHM COMPRESSIVE STRENGTH OF 2500 POUNDS PER SQUARE INCH AT 28 DAYS. BOTTOM OF ALL FOOTINGS SHALL BEAR ON HAVING A' MINIMUM BEARING CAPACITY OF SQUARE FOOT. UNDISTURBED SOIL TWO (2) TONS PER PROVIDE MEMBRANE WATERPROOFING AT EXTERIOR FOUNDATION WALLS. NO NOTE OR DETAIL OR LACK THEREOF SHALL BE CONSTRUED AS RELIEVING THE CONTRACTOR FROM EXECUTION OF ALL WORK IN ACCORDANCE WITH ALL STATE AND/OR LOCAL CODES. FRAMING LUMBER SHALL BE STP~ESS RATED DOUGLAS FIR OR SOUTHERN PINE STRESS RATED 1200 POUNDS PER SQUARE INCH MINIMUM FOR BENDING (fb) FOR SINGLE MEMBER USE, AND 90 POUNDS PER SQUARE INCH MINIMUM FOR SHEAR (Fy), AND HAVING A MODULUS OF ELASTICITY OF 1,500~000 UNLESS NOTED OTHERWISE. VALUES ARE FOR SURFACED DRY LUMBER ONLY USED AT 19% MOISTURE CONTENT. HEADERS AND TRIMetERS TO BE DOUBLED WHERE REQUIP~ED. DOUBLE ALL FLOOR JOISTS UNDER PARTITIONS PARALLEL TO FLOOR JOISTS AND OVER 6'-0" LONG. ALL PLUMBING WORK TO BE IN STRICT ACCORDANCE WITH LOCAL TOWN ORDINANCES. ALL ELECTRICAL WOP~K TO BE UNDERWRITER APPROVED. CURBS, CURB CUTS AND PAVING MUST CONFORM WITH ALL REGULATIONS AND REQUIREMENTS OF TEE DEPARTMENT OF PUBLIC WORKS. /, ir/.. 1'2. rrF FFF , [ + copper tubing is used ~or water distributing $¥steml piping s~ali be 7 5 I I t j I I I I I 'V