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HomeMy WebLinkAbout23382-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25619 Date: 04/01/98 THIS CERTIFIES that the building ADDITION Location of Property: 1700 PARK AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1996 pursuant to which Building Permit No. 23382-Z dated APRIL 22, 1996 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 RESIDENTIAL STUDIO ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EMILIA & ILYA KABAKOV (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-396897 09/12/96 PLUMBERS CERTIFICATION DATED N/A 0 P, ilding Inspector Rev. 1/81 FORM NO.3 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) Date......... ...a.Z ................. 19 .... N2 23382 Z Permission Is hereby grant To: ............. ... . ...... - , - ............... ... .. ............... to ... . .. (ol .. 2 a� G .........p. ....... :....... .. . . . . ................ ...... ..� . ....,... , ....... . ...................................................................... ................+/1.0..... � ...... ......................................................................................................................................................... ....................................................... at premises located at............../..../('d............. �....................................... ............................................ .................. . ............... County Tax Map No. 1000 Section ......../.. ..✓.. Block.....Y............. Lot No. -......................... pursuant to application dated .............. .. ............ 19.,1...6..... and approved by the Building Inspector. . . Fee$..... ..0. ....... Building Inspecto Rev. 6/30/80 (� VQrm 1V0. 0 II TOWN OF SOUTHOLD r1"IHI'l 249 �Ut BUILDING DEPARTMENT 19 TOWN HALL 765-1802 G BLOG. FTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line: 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 build_ 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 a "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 a consent to inspect signed by the applicaL 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - _ .25r,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date MlQ New Construction. ..� Old Or Pre-existing Building. . . . . . . . . . . . . .. . Location of Property. . . . . . !..d / 1L . . . . . ... . ..�C. . /." ...0 . . . . . . . . , : ¢ �v. House No. u StreetHamlet `K` Hamlet Onwer or Owners of Property. �.. .. . .?IV .......^: . .. . L� �.c ! :� . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . /. A: ). . . . .Block. . . .. . . . . . . . . .Lot. . . . . . . . .. . . Subdivision. . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . .Lot. . n 2 � Permit No. . . S.>. � . . .Date Of Permit. . .. �.49 Applicant. . . J:.! Health Dept. Approval. . . . .. . .. . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . Fee Submitted: $. . . � �.•.©� . . . . . .. . . . . . . . . . . . . ate. . . . 1 t-- . . . . . . . . . . APPLICANT e ° a5(n(9 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1135107 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER 12,1996 Application No.on file 11841656/96 N 396897 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of EMILIA KABOKOV, 170[00� PARK AVENUE, POLE#17, MATTITUCK, N.V. inthefollowinglocatio8,n.PTI"F4BERe09n199 lstFl. ❑ 2nd Ft. OUT Section Dlock Lot uws examined on and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS IFICANDESCENT1 FLUORESCENT OTHER MIT. K.W. AMT K.W. MAT. KW AMT K.W AMT. I H.P. 2 12 7 1 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL M.P. GAS N.P. AMT NO. A.W.G. AMT. AMP AMT. AMPS TRANS. AMT. H P SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT jNO.OFj S E R V 1 C E MAT. NAP. TYPE METER p,TW 1 SW ] SW S�,AW NO.OF CC COND A W G NO.OF H AEG A W G NO.OF NEUTRALS A.W.G. EQUIP. PER a Of CC COND OF M6LEG OF NEUTRAL OTHER APPARATUS: PADDLE FANS-2 MOTORSs2.-F H.P. TRACK LIGHTING:--50 JAMES MURRAY LIC.#3653 P L L L P.O.BO$ 305 LAUREL, NY, 13.948 GENERAL MANAGER 11 A'Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by.their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ------------- 51.)1, '15 low---- --- oV E911111111---Muhl-.... -------- R01101 FUME, 6 ------------ -- ------- ---------- ---------------- ---------- Uj------ .... Z5 ----------------------------- ---- STAIR K"KHOY ITT 77111:l ll::7111: ---- --------- ----- ----------------------------- -- ----- .ally, F I UA(, ------ --------------------- ----------------- ----------- ......... ... ....... ENE1tGY CUUE CALCULATIONS (For Non-Electric heat) Design Criteria 6 , 000 Deyroe' nays O.A. loop I . A. 70°L' FOR: _ /C �� A go /t f V PER: � n y Lim ,'736 � — llA'1'ED: if r I1REA DESIGN '1UJImMEL REMARKS SUBSYSTEM U RATING L';xLerlor Walls (Opaque) / 7 C, + /1{o Glazing / J// 3Z - Z Z Doors / f; Z/ U V Ceiling/Roof (Opaque) 7 �� p 5- Skylights Skylights /7. B / v il Floor 0 U Foundation Walls Slab Insulation - — TOTAL �� U Notes : Building Envelope Systems to meet requirements of 7615. 2 ❑VAC Equi.pement to meet" requirements of 7015 . 11 nVAC Systems to meet requirements of 7015 . r2 Duct Systems to meet requirements of 701.5 . 1.3 Ventilations Systems to meet requirements of 7615. 19 Insulation of piping Systems to meet requirements of 7015 . 15 Service Water Heating Systems & Equipment to meet requirements of 7015 . 7.1. Electrical & Lighting Systems & Equipment" to meet requirements of 7015 . 31 To the best of my knowledge, ffANEJt. belief: , & professional �a��$cE t6A �d judgement, these plans are ine 41 cowpllance with the code. r w . i R 11 o Q 1 - 9 ��\L --- ---- -- --- -60 _-- ---- -- - - --- 765-1802 BUILDING DEPT. INSPECTION [ ] FO ATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: oe DATE 5 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ } SULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATES 4' INSPECTOR , 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] �FODATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY a REMARKS: DATE ?" INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ate} NSULATION [ ] FRAMING [ ] FINAL [ } FIREPLACES CHIMNEY REMARKS: DATE i ,` � _ INSPECTOR n) Q �� r .1 j ROARN OF WEALTH . . . . . . . . . . . . . . . k lr •c'�" j Von" no. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . 9OJN 5O1I SURVEY 'APR _$ BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . 'i'ONN IIAt.I. SE.P'I'IC pO12H . . . . . . . . . . . . . . . . . . . €;I [;, L°;.i''i'. I''� S(1UTnOI.O, N.Y. 1 197 1 '1 90 IST (X\ _ '!r�Vh'I:i3f4^t3iS'?i-7Cur?. 9 TEL: 765-100'1 NOTIFY: CALL. . . . . . . . . . . . . . . . . . . *2. MAIL TO: . . . . . . . . . . . . . . . . . . . . Alproved. ..z.19.. ; Permit M0,; ✓... ... ................................... . Oinapprwvedu/c .................... .......... .. .................................... ........................................... .. ....... (Iktildhrg 1nslxactor) AI P ,ICATION 17011 BUILDING PERMIT �.f/ DaLe . . . 11 �1. . . . . . . . . 19.dtlJ INSTRUCTIONS i / a. 'Thin alrpl icntion noel be curplelely filled in by Lylxniriler or in into aril mrlxaitted Lo I.Le Moulding inspector 141111 3 rets of piano, accurate plot Plan In scale. Pee according In ncliekluie. t b. Plot plan allowing location of lot: aril of buildialm of premises, relationship to adjoining preinines or public nlreelo or areas, not giving a (Wailed descripcior of layout: of property must le drawn an the dingran which is part of this application. e. The work covered by thin rilldieat-hin any ml. Ire camreo_ed before itrona :e of Building Permit. d. Wpo n approval of thin application, the Building Inspector will issue a Moulding Permit to the applicant'. Scxh leunit shall he kept on lire preadsen available for indention thronghott Lie work. C. NO building nball he occupied or used in whole or in part for any purpose whatever until a Certificate of occ olxax:y shall have leen granted by the Boilding limpector. AI'Pll(',A'fl(1N IS IMiI(IIIIY MADE. to Idle Floildiog Deparirent for the issuance of a Building, Perndt porsonal: to the Building Zane Ordinal" of the 1ix01 of: Southold, Suffolk Crxntty, New York, six] other applicable laws, Ordinances or Regulations, for lite construction of buildings, nklitioos or alterations, or for rerxrval or deiolitio , as herein descil1wil. 'tile applicant agrees Lo rarply with nil applicable laws, ordinances, building code, housing axle, six] regulal.iocm, ool to :xloit ontdxnrixecl iiniveclorn on premises and in boildingl for necessary inspections. ........................ (Signature of deli 1,1 ant, or nave, if a corporal ion) a ....�v..:....... (MoI11lip okl s of. applicaat) Stale wtne(her appl iraut is cFmer, lessee, agent, rrd0lect, engineer, general ccmtractor, electrician, plcnier or builder. ..........Gmmex.c,t�.........C.Qn .......`... ......./...1._.....\ ....................... ........ ..... . Nate of caner of prelises7i­- -0,-...aA.... ..�.'(X211.Q�.....11Q'U.4..'S��y........ ......... ........ . . ... . ((art on the lox roll or Intent: deed) If applicant in a corlymation, signminre of duly :mlhorize(l officer- .. ...... .. . fficer. .. ...... .. ...........d U. A........ .......... ........ ... (K-me and title Of corn reale officer) Moulders LTcenne No. ..... .�� ..L�J..G.7.. 1'h.dern licenne No. ......................... . Rlectricims license No. ................. .... Oliver TrixWs license No. ........ ............ 1. locnlion of land on wlricil proposed wok witI be dole.....1. .�lk3.T.l S�S....h.................... ................. ... ........................ t�r11�....AU� ..... ..................,......�IaN��ut`�........................... Moline Haler Street n llanlet (kxsay Tax lop 0 fle NO. 100ction .. .IA!>.... ... Inmk . . .y .. ... ..... Int: .... 00 Sulxlivisiot ......... ....... ................ .. .... Irl led the for. ............... Int: .... ........... (Nome) 7.. Stale existing tire and occulwin nt(f prc+n1isen aril intended tire and cx:culrarx:y of. proposed construction: a. Existing use and ocupo :y ...1151571. (.11\.\. ... -)..p.-...... .................................... h. Intended ane nal ocanpwnxy '�.5.(.� i1 .C'1....� �-' - Selo ........ ..... ............... ................ 'I, Minion uP talk (cheek which 11dq)l�lrablo)1 ika+ linildioll . . . .. .... . Acldltdon . j:. . . . . AtIarel tun . . ... .. ... Ik:luiir . ...... . ... . Italivol ....'..... . ... 1k0110Ill1011 . .. ..... . . . . Other lkalc ... . ....... . .. .. . . . ... . . . . . . . ... .. . (I)vnr.rlilt Ion) ' 4. lint hwned Glut .`.. . ....ter.l.Xk?:. .?. .... I`re ...... .. . . ... . ....... .. .. .. .... .. . .. .... . . .. . . ry (In Ix. pnld on flIhill Ibl$ nppllcIll.Ion) :i, If Aeollioli, 1KnJler .. of Aeallirrll � 1llla . ?. .. .. . . IAntx!r of dwell log uultn on each fIlear a+:vY�.��a?r fwJ5 If 1Pnol,e, lnnber of corn . •... . .).['1.... . . ... . .. . .. .. . .... . .. . 6. If Inmllx!en, cfanllnrcinl or nd xed', ceruluux:y, adx!r.11y nalun! my! CNI eI1C OP L'Ile1r lY1x! of non. .... . . ... . . .. . . . . .... ). HInK:III bxu) of exlaI'Ilift (It roc lure'p, If tiny: ltrxd'.`50 !77. ... . . . near .. . . . . ... ...... Depth �,'`�....... I Oh Il' �b.cSa allot ,. a wily alters of fit orlon . , , ,n . . .... .. . . . .. .. r Ik�II ' I;f 1 nllernl'It2wui or rnldlllonn: IMoul . ..�.6. .. .... . Ilenr SA(31•F'Y;. ... . ah .... Of a1111L. e...... Wall' . .. . .,ca�:.J�.. .. . . .. . Rmber of Hlarlen . . . . ..t. ..... If. Mileallione of not lie new�cona•LLroct ion: Irr(AIL . .�.+O.... .. .... Itinir(�.L ). alit. of lot: Ihfxlt / `�I Il til It!r of til or len „�. .5 ""iYl?lrQ� '-o� S�fb Il�•+� Ik:IlJil. .... .a.� .....m x:r1. I ,••. . Ileac f sb . . . ... I e.. . �.. . . .1..3...95 . ... . .... .. .... . . . . .. . . . ... .... . IO. Nile of 1lacbone ...�/ / i. .... . IlmK! of VoinIer "4iwir ... .... ..... . 11. Ylxle at. tine dialrice hiidddl, pcanlnea nceailunted ... ey(.u�' � . .. .. . . .... ... . .. . . ....... .. ..... . .... . . . . . .. . . . . L 12. I)x!n prulx)nncl cfwal."K:Llon violike any zoolnQ Inv„ordlu two or regtdnl Inn: . . .. . .NO.. ... . . ...... 11. Will lot: he rellruled ...... . ....... Was Will excen fill be laved y�fran pranlneei YLIi 110 16. Hnmen of Onterof prenlaea y�.�. ><Ln2ldI0... Mkbeon ./.�. .I,S�.:l.'jjV.'L 1 .. . .. . .. .... 111oiw ikr.�n or 16ur. of Architect ....G ,�15�.. .... ... . . .. tWdrran 1'�/1.1?1�.. ,hUh•11�)�,?`.n�.. .. ...... ILono Ho. 15. In thin unxrrl: wllhin aU( •L O.-U........ ... Addle �it.Sol Av 111nfx IJt, eRQf�'44141 .. IJ+nK. of l'fxn racl'or ...... ....... of n I idol net * YI li IJP) ...... .. .. ��Q I I Y e _ --- *IV YIN, fXXII1KXJ) 'ICl<JN 'lls1511 IR, 11311111'1' HAY 14: ItIsjllUiO. V1.OT IIIAOIIAII - Srl(Xa�rJ Sid°"*�r',yS 1<x:W a clnnrly and diathreLly nl�l holldinga, dielber exiathIn or prolx)and' and Indicate nil net-back dinr:nnluna 111011 prolNLty Ilnea. Qlve atreaL and I)la:k nulier ur cleacrlplloo according Co deed,,and ehai atreat nallen 11141 I1x11cole id Nnhor lulnrlor or center lot:. I Ivy- o � 1 Iul'A'Ili lXr IIl�YU:1. U` ,. , ,• ,,,, Ii1 . IIXIIIIY lX' . ./ �. . e,� . ... . . . .... . . . . • - • • •I��•P�•• • Yjh 1 1. . , . ,being duly, Inw)m, delx)ree and un"ye that be in Ibn. nppllr.Hnl (Ileau el' individual nlgndag coolruct) I above uIMIK:d, l/1 n4cr Ikfie fill: .. . . ... .. ..OnAmV. .1 . .. . .. . . . . . . ... . . .. . . . . . .. . .. . .. .. .. .. . . .. . ... . . . .... . ... .. ....... .. .. (Onalaclor, agent, eurlxirda officer, ole.) atHaid wilxn or 1MIN011, JIM In duly rallholIzed to liorlann or hive In!rlunlud Iia Bald work and to nKilm end 11141 thin application; Ihul. nil olalalentn conjoined in thin app11ca1 tan ann lrw le Ibe bent of Ill" knowledge and Ixiliefl nd Ihnt lilt- wick will be perfouned lit Iht manner net I/'urth In the npplical inn filed therewith. �Xann to btfo1 n live .. .(Illy of . . I). .(. Y... Ibinry I'Ilblic?Anlrr M.WILKMS (>I gnntul a of App;ic:nnl) Notary Public,State of New'York No. '1952248,Suffolk Cou' Term Expires June 12,18 '1 y � t H ROAD , o r AV�'VLF iN2S°37E 6zsd —� PARK 32800•� . � ��s.as°s7';r >� Nse57'E p „ /31D0 +` 13200 ) /V-'9`'• \\ 248.8 1 1 � �' t o f 1 2 = A � 1 Ti 1 t 3 lk 771 _ e V ��-•t i�� , p_ ��_ ti. c_ a ty. ,, _ >.>..;_ .. _. --a _ v 'S:CN✓Si FIi-J:'l7 Ei:;w NO"L, /90'�L5FiLENC.4�C Y.OUNG YGU';G pON'-_'nN'.YCUVG i J57=`,,;-=y pg .r' Gi i4- -Kitt ;62gr'- �___�_ P�-A ! o[' NAAR> C'CK;+ ..,-�n1_:.v:�I=� ,I /-� ! 'Fq-IT22J -' '�t_- T1 i 1 ItjC \ i5vu.rGL�SL•. �`X n r ,Y.ei V: - j whG 'f.V�1 j 4 % _4p ?Xp (v -77 .......... c '; � r ` j 14� ZN E p XIP-i b A-4 4,TL q i ') - -,CAI Y'S Vr' 4 7 '1 OCCUP ANCY OR LAWr T, - USE IS UN UL WITHOUT CERTIFICATE RPP 0 AS NOT OF OMUPANCY DATE, RR FEE. NOTIFY BUILDING EP MEN AY 1) R 4' ILL VA I 765-1802 9 AM M THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWOREQUIRED FOR POURED CONCRETE ti BOUGH , FRAMING & PLUMBING 3. INSULATION 1 4. FINAL, ALL CONSTRUCTIO CONSTUCTN BCOMPLETE FOR RC 0 N iHAIOLL MUST E MEET THE BE QUIREMENTS OF THE NX. iSTATE CONSTRUCTION IN ENERGY CODES. NOT RESPONSIBLE FOR L DESIGN OR C0flSTRjJCT*%gkR6Aj IT' 1-7 -------- C,l V'o 4'17440 7� I 17w Al L P _77 cm ?A W L ✓ CK I aak$- NEW DOOR F 2- 2.0 FX�S7 Fou,N D T� (7j VC, fJ 17. IL CAN's+ :CW t Lt 5 ? pw 251 ? T I - 3 _5 i C) Ij E Ilk �ir tod N P()fy,-1 194 4 ,--v%I r y 3 _ 1 dW I I i I I ol� I 1 I { I _ ] ,I t � YI I � I h I I pY-Ff";f .,r. ,I.,ntG1 ,.� r4 J-7r•_,. iu,>,�} - Ilk _. ._ _ h ti ri•+nn,. �;,LJtuL�� h- .1 '� _�'" ' •. ry• ^ L.-_.._ 1 `, 1. (7 1C -- t { IIs � !F✓/Q 1 i - a - 1 a. - - ^• _ 032254 FESSIDN 4� 10 P e✓J5 e e o e �o c t')ah it 11 .1� _•_._. 1 it 1 S! . E t S 1 " l V f 1 1�_ __.y.. eul5 t Has• ba r �. {f r. 74. w � a _w �',iA 1.1 _ I : e t L'x I V- _ r r� >A35335 ! h 2'Llt4, °o ,s �k�s,lur i ' (�2Ag11. rl, ' RE nevi f0 � OR 1 %/Ew onerz a'tl - I I G'cLL.Mu.. I if C� DOO, it 2_ Z'p Ucnr< 1 ex" _ I • � t cxh nrcv" Is i Lxi57 , � nA� Ter - ;( f 1 C taLLL r rr„ tx f23 •�` _ � ltanr ixn,C I 21 I j r 1 I 1 I NEW J`0 - i oy II t 1 . 032254-1 . II+2f I•>' ��- {^ rc, � "4 !i . :a,,..: p90FES510NP�� I .i I r � 9ry lAd 77, ji .. 47- S'l, I