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HomeMy WebLinkAbout3447-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. P, ERTIFICATE OF I"iCCUF)ANC2Y No. ,. S '~[~3' ' ' Date ..........~0mo .... 19 ........ ,19. THIS CERTIFIES that the building located at . l~Ooth..11~..d ............... Street Map No.. ~:g ...... Block No...x,~ ....... Lot No.. ~1;... B~llltho].{l~. N.,¥, ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... &i~l'l.l · · ~' .., 196r~. pursuant to which Building Permit No. dated .......... &I~l' .... [% .... , lg.7..., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...... l~lYa.[e, oa.e. lairdly, dwelling ................................. The certificate is issued to . El'. ~ .... ,..,,cl~,r- .Krame~ ..... 0~rn~'s .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... PFC,. ?.,..19.67...b:~ .I~,..V. llla. Building Inspector FOP, a~[ NO. :~ · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDINe PERNIIT -(THIS PERMIT MUST BE 'KEPT ON THE PREMISES UNTIL FULl- COMPLETION OF TI~E WORK AUTHORIZED) N? 3447 Z Permission is hereby granted ', Building. Ins - ~1 ~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS Upon the application of BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT upon premises owned by C-CAT CO. 9280 SOUND AVE. MATTITUCK, NY 11952, EDWARD KRAMER 230 BOOTH ROAD SOUTHOLD, NY 11921 Located at 230 BOOTH ROAD SOUTHOLD, NY 11971 Application Number: 2083466 Certificate Number: 2083466 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, 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 and/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 ]gth Day of December, 2005. Name (~TY Rate Rating Circuit Type Service I Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: I seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by C-CAT CO. EDWARD KRAMER 9280 SOUND AVE. 230 BOOTH ROAD MATTITUCK, NY 11952, SOUTHOLD, NY 11921 230 BOOTH ROAD SOUTHOLD, NY 11971 Located at 2083466 2083466 Application Number: Certificate Number: Section: Block: Lot: Building Permit: BDC: ns11 Residential Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, 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 and/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 19th Day of December, 2005, Name QTY Rate Rating Circuit Type Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: 1 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH DaZe Bldg. Permit No. ,<~×/~/~L TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located ~ve deed location) / have been inspected by this department and found to be satisfactory. Distriot Engineer District Engineer FOEM NO, ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................. , 19 .... ~ 19.~ .... Permit No. ~/'-/el '? ~ Approved ........................................ , ..................... ....... Application No...~.~....~....~....~. ......... Disapproved a/c .........z. ................................ (Building In~ector) APPLICATION FOR BUILDING PiP. MIT Date .... ~' ~-~....~ ............ t9~/ ~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building ,Inspector. 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 thi~ 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 progress of 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 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 a.~plicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) (Ac~dress of applicant) State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder. Nome of owner of premises ......~....:......~..:...~....~.}i.~ ..................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done..Map No.: ....~t~.'...~....~.~No.: ........................ Street and Number ..'.~.....~7>, .................. .~,..~.~..,,~...-~..=.x~ ................ ~ ................ ~ ..................................... MiJnicip,ality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing u~e a;d occupancy ........ ~....~ b. Intended., use and occupancy ....~.....~...~.....~..~...~....-. ................................... 3. Nature of work (check which applicable): New Building..... ........ )~ ..... Addition .................. Alteration .................. Repair .................. Removal .................. Demolitian .................. Other Work (Describe) ........................................ ~.~.~.~..~ ................................... Fee 4. Estimated Cost .... ~ .......................................................................................... (to be paid on filing this application) 5, If dwelling, number of dwelling units ........ J. .................. 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 .~...~ ................ 9. Size of lot: Front ..... /...~..~...~ ......... Rear / C rjr Depth ..... ~. ......................... 10. Date of Purchase ....... .--....../..~t?..~. .............................. Name of Former Owner .~..,...~Z..,..~ ........................ 11. Zone or use district in which premises are situated .....~ ................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ~'~ ~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .~.~: ................... Address ~~ .~.'F~', Phoney'7 ~ No.G.7....~..- PLOT DIAGRAM Locate clearly and distinctly ail 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. ! STATE OF NEW YORK, ~ c c COUNTY OF ................................ ~' .... ...... .~,.~...~..~.: .......................... being duly sworn, deposes and says that he is the applicant (Name of indTvidual signing application),~ above named. He is the ....................................... ~.../. ........................................................................................... (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 statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... ...... day ................. , Notary Public,~...},.~/.~..,....~m.,;~p~b.~..i?r..c~~. County~,.;q;.,, ,Signature of applicant, ~0TARY PUL~[IC, Sia'a of F~o'~ York No. 52-3233120 Sulloik C~m]t farm Expffes March 30, 19~'