HomeMy WebLinkAbout23762-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No~ Z-25533
Date: 02/09/98
THIS CERTIFIES that the building ADDITION
Location of Property: 2225 CALVES NECK RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO, 473889 Section 70 Block 4 Lot 45.3
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 3, 1996 pursuant to which
Building Permit No. 23762-Z dated OCTOBER 21, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN & VALERIE KRAMER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
~/~
N/A
~'~Bulld~g nspe~tor
FOB,H NO. S
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.° 23762 Z
Permission is hereby granted to: ,~--- ~' __
....... 23:.... .............................. ~.....~........~. .~//j/
...~..~ .................. ~...../. .:~/.. ....... .
,, , ,o . . . ...... . . .. . .>.-. . ....... . . .
ot premises Iocoted ot .~-,.~.... .............................................................. X~ ....................:...... ~ ~/~ ~
County Tax Mop No. 1000 Section ..... .~7..~... .......... Block ..~....~.... ....... Lot No...~.~..~....~.....
pu~uant to application dat~ ........... ~2......~ ....................., 19. and appmv~ by ~e
Building Inspector.
Rev. 6130/80
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
inspector with the following: for new building or new use:
1. Final survey of property with acdurate 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 systsm 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.
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 prope{ty lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a 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 $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 0ccupancy on Pre-existinK Buildinz - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00
Date ....... ...........................
New Construction ........... 01d Or Pre-existing Building .................
Location of Property..~..0..~2C...C.~..~.q.??
House No. Street Hamlet
0nwer or Owners of p~m~w~z'~--~ ~' U~'I~-
County Tax Map No I000, Section .............. Block ................ Lot ......................
Subdivision . .. . Filed Map Lot ...... ·
Permit~,~..~.......o...~ ~2- .Date Of Permit ........ ........ Applicant ............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval .................
Request for: Temporary Certificate .....
Fee Submitted: $.~<4 ....................
...... Final Certicate...~ .......
.......................
Q ......... ~ APPLICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
February 5, 1998
Mr. John Kramer
P.O. Box 1360
Southold, New York
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. {Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT % 23762-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516} 765~1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 8, 1997
Albert Fickerson
575 Jennings Rd.
Box 1451
Southold, N.Y.
11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 23762-Z (KRAMER, JOHN)
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
[N,<~III.A'I"I()N Pt~:R b./.
~'I'A 1'1~,
DEC PERMIT~NUMBER
1~4738-00708/00004
FACI'LiTY/PROGRAM NUMBER(S)
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PEi /IIT
Under the Environmental
EFFECTIVE DATE
..May 2 1996
EXPIP~TION DATE(S)
May 3Q, 1998
.TYPE OF PERMIT I New O Renewal D Modification 0 Permit to Construct O Permit to Operate
Article 15, Title 5: Protection ~ 6NYCRH 608: Water Quality O Article 27, Title 7; 6NYCRR 360:
of Waters Certification Solid Waste Management
Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRM 373:
Supply Hazardous Waste Management
O Article 19: Air Pollution
Article 15~ Title 15: Water Control 0 Article 34: Coastal Erosion
Transport Management
D Article L~5, Title 27: Mined Land
Article 15, Title 15: Long Reclamation D Article 36: Floodplain
Island Wells Management
D Article 24: Freshwater Wet[ands
Article 15, Title 27: Wild, ~ Articles 1, 3, 17, 19, 27, 37;
Scenic and Recreational Rivers B Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
Other:
PERMIT ISSUED TO TELEPHONE NUMBER
John and Valerie Kramer (516) 734-5800
LOCATION OF PROJECT/FACiLITY
SCTM #1000-70-4-45.5
Southold
COUNTY
Suffolk
TO~N WATERCOURSE
Southold . Jockey .Greek ..
DESI~I~I~ CF/~;l}-1~17m ,aCTIVITY
NYTM COOROINATES
Construct a new two-level wood stoop attached to single family residence partially over masonry stoop and approach
walks. AIL work shall be in accordance frith the attached MYADEC approved plan.
8y acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of
this permit.
Bldg. 4.B, SURY, Room 219, Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE~'~'~'~ ~ DATE
May 2, 1996 Page 1 of 4
,gOT 3 - ]9,96
PERMIT ADMINISTRATOR:
Roger Evans
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ]INSULATION
FRAMING [ ~
FIREPLACE &~CHIMNEY
DATE/~,/~ INSP
~ 7G5-1802
IG DEPT.
SPECTION
[ 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
FORM NO. {
TOWN OF SOUTUOLD
BUII.DING DEPAR'ITIE~IT
T01~I HALL
$ODTtlOLD, R.Y. 1197!
TEL: ?65- 1802
Disapproved a/c ................................. .
BOARD OF IlEAL'FIt ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
~IL TO: ....................
( Ilu~d~ng ]/nspector )
APPLICATION FOR BUILDING PERMIT
7NSTRHCTIONS
a. 'lids application ramt be ca~npletely filled in lry typewriter or in ink and suhnitted to the Building Inspector with
3 sets of plans, accurate plot plan to ~cale. Fee according to schedule.
b. Plot plan showi~g location of lot and of lmildings on premises, relationship to adjoining premises or pt~lic
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram ~ahich is part of
this application.
c. The ~ork covered by this application my not be conmenced 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 thron~ont the work.
e. NO building shall be occupied or used in vYnole or in part for any purpose ~hatever until a Certificate of
Occupancy shall have been gra~ted by the Building Inspector.
APPLIC. ATI¢I",I IS I~III~Y Mblig to fie hiilding Departn~nt for the issuance of a Boildlng Permit l~lrsuant to the
Building ~ae Ordinance of the T~m of 8onthold, Suffolk Connty, ~ York, and otlmr applicahle l~s, Ordlnaeees or
Regulations, for tbe construction of buildings, additions or alterations, or for rervoval or deanolition, as herein
described. 'the applicant agrees to coa~ply with all applicable la~, ordinances, building code, honsing code, and
regulations, and to admit authorized inspectors on premises and in builb, jj~_.for necessary insl~.~tjX~s.
(Signature of applicant, or nam, if a corporation)
(Mailing address of applicant)
State ~hether applicant is amer, lessee, agent, architect, engineer, general contractor, electrician, phmber or builder.
.......... ...........................................................................
/ ..
,~ o~ ~r o~ p,~ises . .. .~. ~. .h ~. . .~ . . ~ /~ O. ~. . .I¥C*.~.e': ............................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly autl~orlzed officer.
('game and title of corporate officer)
Plmbers License Ro ........................ . ,
Electricians License No ......................
Oraher Trade's Lieen~ No .....................
,. , ation of laed on , ich pro o will be ............
...~..?.~.~. ....................................................... o. ......................
ltouse limber Street Uanlet
~ty .~ ~ ~. ~ ~ion ...... Te ..... ~x .... d/. ........ ,~ ..~.~ .....
~ivisim .................................... Fil~ ~ ~. . Ior ...............
(~)
2. State ~iating ~ a~ ~ of pr~s ~ inte~ ~ ~ ~c~ of pro~ construction:
~. ~ng ~ ~ ~, 2.~es,2~: ~. ...... =..~.dd..~ed~ ..............................
13,
15.
£rcs. pro[~H-y lines. Give sl:~l: ar~l block
whether interior or corner lot,
~ ~ i (l)escript ion).
] ' ' ' ' (to I~ F~Jd on filing th[~ al~lJcatltm)
aIterat~(~m ~gkli tiorm: Front ...............
FI,OT D1 AGRAH
l~:ate clearly rog] dis:~l:ly all la, tidings, x~etl~r exes :a~ or pro[~, mfl l~xhcaLe fill set-l~k di~usions
~ait{~v or ~scril)ti{m acco~ling to de~l, a~ M~ street n~s mR] i~llcale
f,
(Cxmtr,actor, np. ent~ c:orpoFate o fleer~ etc.)
........... .... ....
~)tary l~fl~llc ~ _ ~
N~ARYy~L~. ~t~of N.Y.
Term Expires Mav?I. 1
(,~gr~alure OI Appl [~
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