HomeMy WebLinkAbout41571-Z ��o�sUFFQI,tCp Town of Southold 9/25/2017
P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39242 Date: 9/25/2017
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 1700 Park Ave.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-8-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/21/2017 pursuant to which Building Permit No. 41571 dated 4/26/2017
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:
ELEVATOR/LIFT TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Kabakov,Emilia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 17-46111 09-13-2017
PLUMBERS CERTIFICATION DATED
th ' ed Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 41571 Date: 4/26/2017
Permission is hereby granted to:
Kabakov, Emilia
1700 Park Ave
Mattituck, NY 11952
To: install an elevator/lift as applied for.
At premises located at:
1700 Park Ave., Mattituck
SCTM #473889
Sec/Block/Lot# 123.-8-5
Pursuant to application dated 4/21/2017 and approved by the Building Inspector.
To expire on 10/26/2018.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
51 7L
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building 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 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 buildings 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 and"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 consent to inspect signed by the applicant.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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15..00
Date. tiPI 2D1(`7
New Construction: Old or Pre-existing Building: o/ (check one)
Location of Property: (700 PARR, 4-VENN 1"
House No. Street Hamlet
Owner or Owners of Property: EM11
1 o– 4L VO V
Suffolk County Tax Map No 1000, Section 12-2, Block Lot S_
Subdivision Filed Map. Lot:
Permit No. l 151 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ b
plicant Signature
Certificate of,Compliance-
..... , _........ .....................I.................... ..............,..........._................
..................................._......................... .. .............
CERTIFIED-ELECTRICAL INSPECTIONS, INC. DP)
188 PARK AVENUE'
AMITYVILLE, NY 11701 SEP 0 017
- P: (631) 598-5610
:................................................................:................................
......................._........:...............................................,
} CERTIFIES THAT
BUILDING Epr.
Upon the,application of Upon premises owneVOWNOFSo- OLD
Sid-Beebe & Sons Builders Inc Emelia Kabakov
PO,,Box 979 1700 Park Avenue
Cutchogue, NY 11935 Mattituck', NY 11952
Located at:-1700 Park_ Avenue
Mattituck NY 11952
Application'Number,#:,17-46111_ Certificate#: 17-46111
_" f Electrical License#:34091-ME Platinum EasfElectric
Section: 'Block: Lot: Building Permit#: 41571
Described as a Residential occupancy, wherein the premises electrical system consisting of
_'-electri_cal devices and wiring, described below, located in/on the premises at:
Elevator
--A visual-inspection of the premises electrical system, limited to electrical devices and wiring to
-the extent detailed herein, was conducted in accordance with the requirements of the applicable "
code/or standard promulgated by the-State of New York, Department of State Code Enforcement-
and Administration, or other authority having jurisdiction, and found to'be in compliance therewith
.-_ on the 13th day of'September 2017
Name QTY
_ Special Receptacle -30'Amp; 220V 1
Elevator Disconnect,Switch 30 Amp, 220V" 1
Elevator Circuit-.30 Amp, 220V 1,
" • Electrical Inspector: Anthony Giordano
" APPROVED A
.. .
This certificate is not valid unless-raised seal is.present.
L�11/
�o� olo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 -
INSPECTION.- ' ,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
e
DATE *. INSPECTOR
FIELDSgN 'Ox DAT
MC4ivS '
FOUND,A.�ftON(1ST)
FOUNDAJTIQN'(2ND)
AL
z
�y
ROUGH FR41'Q & . . cod
PLUMBING i
•�-
INSULATION PES,N.Y.
,
STATE BNERV COBE
FINAL
ECd - �P} C
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 // Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S D E.C.
Trustees
C Application
DIL�� V Floo od Permit
Examined ,2 Single&Separate
D
Truss Identification Form
( r APR 2 1 Storm-Water Assessment Form
C ntact:
Approved \ dLl? l '20 Mail to. V i/
Disapproved a/c
IDING 1D
FS Phone. _C I "
V v O
Expiration 20 CG{ S( / I '7 7 / g Z
�IOX
' g Insp cto Cj
APP R BUILDIN PERMIT
Date ,20j_7
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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 inspections.
(Signature applicant or name,if a corporation)
50 11�h1P5 G'A4�p�N5 DKl�i+ ,l�l�6T H�hfPSITAD o y
(Mailing address
State whether applicant is owner lessee,a ent, rchitec engineer,genera cont actor,electrician,plumber or builder
2 P i
Name of owner of premises cm I I;(L lJ�l�u1/
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. 5133—H tx k
1. Location of land on whichroposed work will be done:
1700 Plav K AVenue-
House Number Street n Hamlet
County Tax Map No. 1000 Section 12Z Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises j�nd intended use and occupancy of proposed construction:
a. Existing use and occupancy INP.SI OI If'n�i�
b. Intended use and occupancy �es') 2 ( nl�W e
3. Nature of work(check which applicable):New Building Addition t//" Alteration--_----
Repair Removal Demolition Other Work I1q6TR1-L (9g&(I) '�E�iDENPI�lLELEVO}ft� ab
g (Description)FVk6blej v9nq�
4. Estimated Cost �� 200 Fee —�
(To be paid on filing this application)
5, 1f dwelling,number of dwelling units Number of dwelling units on each floor
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 Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front Rear Depth
10.Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO
13.Will lot be re-graded?YES_NO V'Will excess fill be removed from premises?YES_NO_ Nih
14.Names of Owner of premises Address Phone No
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO V"
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF N6t5-1,,x�)
�r
*4,4, being duly swom,deposes and says that(s)he is the applicant
(Name of individual sibrningcontraact)above named,
(S)He is the ll t W 6(.I3A
J / (Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly Khtiorized to perform or have performed the said work and to make and file this application;
that all statements contained in this a li ation are true to the best of his knowledge and belief;and that the work will be
performed in the manner set forth in th a" ication file -th�rewith
Sworn t before me this G^
day of 2-0(7 JAIDEVO . GAITONDE
NOTARY PUBLIC-STATE OF NEW YORK
Notary Public No. 49-541 Signature of Applicant
Qualified in Nassau Cou ty
My (r-1,1sion Expires
APR-17-2017 11:29A FROM:LADEMANN ELECTRIC IN 6317347206 70:16317345261 P.1/1
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����pF SOUryO
Town Hall Annex Tdcphone MI)7651802
54375 Main Road c6$Ll 07 WOR I
P.O.Box 1179 racer riche a own.S0WOla.nv.us i
Southold.NY 11971-059
�� �.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: f �1.4,,_. Date: 7--17
Company Name: .,,,,dIJ,)
License No.:
Address:
hone No.: f I_ _
JOBSITE INFORMATION: (*Indicates required information)
*Name: �
*Address: M ri .0,4/1 11 ,AYL Aw zt•j u e 4 A11Y
*Cross Street: I' a rv3gg ±2p9,-7- R4 J 1, .*1gL,1 1
*Phone No..
Permit No.:
Tax-Map District: 4000 Section: Block: Lot: 5 `
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
30
(Alease Circle All That Apply)
Is job ready for inspection: YES/(!D Rough In Final
Vo-you need a Temp Certificate: YES/(s)
Temp Information(if needed}
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Ovedlead
Additional Information: PAYME T DUE WITH APPLICATION
-824kquest for Inspection Form
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PVE37 Electrical Specifications
The following are the electrical requirements for a 2, 3,.and 4stop elevators, model series PVE37:
➢ 220VAC (no exceptions 220VAC must be provided,210 VAC or 230VAC is not acceptable, if installation does not have 220vac on a regular basis, a
voltage regulator or transformer must be installed by home owner).Voltage fluctuations are not covered by the warranty.
➢ 1 phase
➢ (L1,L2, Ground)
➢ 30amp
➢ Primary disconnect is to be provided by home owner. Location of disconnect is requirement of local Authority Having Jurisdiction (AHJ).
➢ Electrical termination point is at top of elevator. If a split unit is used electrical termination will be on top of head/split system.
➢ If installing a phone line a phone jack is to be provided near the power supply line, but isolated.
➢ A 4ft power cord and plug is provided on top of elevator or head/split system for easy of connecting. The provided plug is manufactured by Pass & Seymour or
comparable substitute:
Catalog page (PDF) Rating A Rating V Des6ription Cord Diameter NEMA Con€ig.
Number No.
3869 G11 0/50 50 Angl,ed Plug, Black .56 - 1.1 in. 6-30P/6-50P
➢ Home owner/ electrician needs to provide 220VAC, 1pbase, 30amp electrical outlet as shown below (Pass & Seymour or comparable substitute):
2--'DC-VAC, -'Phase
POWER OUTLET ® d � too of fsEtn� �-
r:1. 9. �P
/� z}'�"r7a,5%�'j9`'� :��;'r��^ - ''?• ?,.; t`"b `,;� �'' ''i', L`t`4t"�'•' -u';:. `4/ �
3
Catalog eceptacle/Plu � ��
0 o r g ating A- Rating V. sage onfig and Description AL1CU yn`�, f r
/ umber EMA No. 1
801 0 50 -30 lush Receptacle 0 6037 V1 Gp�
It is strongly recommended that the electrici-,Ul contact PVE before starting work.
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Nationwide Lifts 1700 Park Avenue, Mattituck, NY 11952
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APPROVED AS NOTES
DAT
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FE _ � B`(:
NOTIF BUILDING )EPA t�ENT A -
765-1 Q2 $AM TO 4 PM FOR THEy`. �'} `� DETAIL,""A""
FOLLOWING INSPECTIONS: TW.OF2 ?
1. FOUNDATION - TWO REQUIRED 4"PVC LEASYM 5�s I " �°��°° ��"
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING ATTIC �� �
4
3. INSULATION CE1LiG�FLOCJR
4. FINAL - CONSTRUCTION 'MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET rHE
REQUIREMENTS OF THE CODES OF I IEW
YORK STATE. NOT RESPONSIBLE OR
DESIGN OR CONSTRUCTION ERR RS. 37
39
COM Ly°r t,' 1', ? ALL COC)ES OF
�,it SAf- ° !OV!`� CODES
NEVJ Yi)I, OF
AS REQUIRED Ak? - ,.,
D TOWN 7_'A RIP- 2ND FLOOR
-OLD OWP BOAR -
VIEW"A-A!'
SC�iFO.0 TOWN SlBS A A
N.Y.
N
CCC�1 A c ��°NEW y°
LA FL CO� �o L��o �� akk �
�9��r
USE TOFIC [E
E T CERGROUND FLOOR j
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OF OCC ` : "�' /`' �' .="f�` Y''/ 0 ,• �. iA t�FENLR OF DOOR
90 REGRESS
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���P�N P���� GOpE• Pi'NEE;114r!TIC Nationwide Lifts-1700 Park Ave dwg
Information contained herein,s the property of Pneumatic Vacuum Elevators LLC,No reproduction or disclosure of this information �yj VACUUM ELEVATORS L,L� Scale
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may be made by the recipient to any person or organization without the written consent of Pneumatic Vacuum Elevators LLC- PVE ENG. t-1 237GAS 3�Z3i1'
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PVE37 Technical Specifications pve.
General: Cabin:
• External cylinder diameter: 37" (940mm) • Entrance width opening: 20 1/2 " (521mm) `
• Rated Load: 450 lbs. (205 kg) • Internal cabin height: 79" (2007n-m)
• Number of Stops: 2 • Internal cabin diameter: 29 1/2" (750mm)
• Speed: 30 fpm (.15 ms) • Automatic LED lighting and cabin fan
• Total Travel: 127" • Door openings: same side (in-line).
• No pit required. Bottom level floor must be 100% level as o All doors are hinged on top left, with door swing to the
elevator rests on existing floor. left, from inside the cabin.
• Overhead clearance: Min. of 97" ' Door Height: 773/4 " (1,975mm)
• No hoistway required. ■ Height to top of Door closer: 79 1/2"
• Penetration required to install through floors and ceilings: 39" (2,020mm)
(991mm) o Each landing level specified will include only one door.
• 24 Volt electrical circuits with all controls in cabin
• Push button call controls with precise leveling at each landing.
Safety:
• Automatic descent to ground level at safety speed in the event of Mechanical Requirements
a power failure. • 220V, 60/50 Hz, 30amp single phase power supply
• Mechanical emergency brakes within two inches of free-fall in •
- 5turbine motors located in pump box using a total of 3I
vacuum loss or catastrophic failure.
31-"-W
• Electromechanical interlocks at each landing
• Alarm system and telephone
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Certification:
• American Society of Mechanical Engin
eers ASME A17.7
• See supporting certificate and report v 4Y
• Certificate # NA 10-0842-1004-003-01o (50311"�
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