HomeMy WebLinkAbout28586-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMEN~f
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28610
Date: 07/23/02
THIS CERTIFIES that the building ALTERATION
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 JULY 16, 2002 pursuant to which
Building Permit No. 28586-Z dated JULY 23, 2002
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 ALTERATION TO AN EXISTING ELECTRICAL SYSTEM AS APPLIED FOR.
The certificate is issued to JOHN KRAMER & WF
(OWNER)
of the aforesaid building.
SI/FFOLK COU~TY DEPARTMENT OF HI,ALl, APPROVAL N/A
EL~t-I'KICAL CERTIFICATE NO. 1047185 06/10/02
PLUMBERS cmTIFICATION DATED N/A
Auth0~zed Sig~ure
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)
PERMIT NO. 28586 Z Date JULY 23, 2002
Permission is hereby granted to:
JOHN & WF KRAMER
PO BOX 1360
SOUTHOLD,NY 11971
for :
ALTEP~ATION TO AN EXISTING ELECTRICAL SYSTEM AS APPLIED FOR.
at premises located at 2225
County Tax Map No. 473889 Section 070
pursuant to application dated JULY
Building Inspector to expire on JANUARY
CALVES NECK RD SOUTHOLD
Block 0004 Lot No. 045.003
16, 2002 and approved by the
23, 2004.
Fee $ 150.00
ORIGINAL
Rev. 5/8/02
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 Departtnent 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 fom~).
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.
Bo
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. Ifa 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- $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property: ,~T' tQ.4.Z 1/,£.1
House No.
Owner or Owners of Property: --~/ff,~
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building:
Street
Date.
Permit No. Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
/ (check one)
~0 c~ ~-'3~
Hamlet
Final Certificate:
(check one)
Applicant Signature
Block ~ Lot
Filed Map. Lot:
Applicant: ~ ,~,~ /c",-,,,-~, ~-
Underwriters Approval:
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
J.KRAMER JOHN KRAMER
2225 CALVES NECK RD-BOX 1360 2225 CALVES NECK RD
SOUTHHOLD,NY 11971 SOUTHOLD, NY 11971
Located at 2225 CALVES NECK RD SOUTHOLD, NY 11971
Application Number: 1047185 Certificate Number: 1047185
Section: Block: Lot: Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, located in/on the premises at:
Basement,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 10th Day of June, 2002.
Name QTY Rate Rating Circuit Type
Alarm and Emergency Equipment
Sensor 1 0 Carbon Monoxide
Sensor 2 0 Smoke
Wiring and P. evices
Receptacle 16 0 General Purpose
Switch 8 0 General Purpose
Fixture
31 0 Incandescent
Dimmers 6 0
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.
July 12, 2002
To: Southold Town Bldg Dept.
Description of work covered by building permit application:
I changed the lights in the finished portion of my basement which was finished in
1954 by the original owner: While doing that I knew that code now requires
hardwired smoke and CO2 detectors so I added them.
John Kramer
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
Examined ~ ~'~ ,20 ~0 2~
Approved~/~ ~,.2-~ , 20 ~
Disapprov~a/c ~'
-'0,
PERMIT NO.
BUILDiNG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans_
Planning Board approval
Survey.
Cheek
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Building ~s~ector
Phone:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,2O
a. This application MUST 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 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 pen'nit 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 of applicant or name, if a corporation)
(Mailing address of applic~t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~'b,4',-, g //'~r~-,.~ /C~',~-
(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.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block ,z/r
Filed M~p .No.
Lot -5/J'7_.,
Lo:?
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ./~'f,o,.m ,~ff~ !
b. Intended use and occupancy
Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition _Other Work Jk~r'~5.,,a~,~-~v~/.Zz~ffT-.r ,e.,o-~a(4~
~--~-,o,~,~- ,~'~",,~ Co~. o'.~ (Description)
x'/
Estimated Cost ;'q~tgt) Fee
If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
NO
15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* 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
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
1 ?. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
COUNTY OF~ ffHoc~S:
~ ~ ,.~ ,~r-,,:~,-,,,.._ being duly sworn, deposes and says that (s)he is the applicant
(Name of' individual signing contract) 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 tree to the best of his knowledge and belief; and that the work will be
pertbrmed in the manner set forth in the application filed therewith.
Sworn to before rrre-this
ROi T~. SCOTT, JR.
No. 018C4725089
Term Expires May 31,
Signature of Applicant
NO
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 Will excess fill be removed from premises? YES
14. Names ofO~vner ofpremises---,.~-0/(.. .
n~ ¥,a,t,e~,tt Address J::b~x I~Fgd,J~u'b'~"~6hone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
Name of Former Owner
Rear Depth
9. Size of lot: Front
10. Date of Purchase
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
Depth
· ~ear
7. Dimensions of existing structures, if any: Front Rear
Height. Number of Stories