HomeMy WebLinkAbout28726-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPAi~CY
No: Z-29018
Date: 10/25/02
T~IS CERTIFIES that the building ACCESSORY
Location of Property: 625 KENArYS RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 7 Lot 31.1
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 6, 2002 pursuant to which
Building Permit No. 28726-Z dated SEPTEMBER 6, 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
· ~ne certificate is issued to STUART & TAR3~ KRAEMER
( OWNER )
of the aforesaid building.
SI/FFOLK CO~%~l~f DEPART~4EIqT OF ~RAL~IAPPRO~_L N/A
ELRt-£KICAL CERTIFICATE NO. 43740 06/06/00
PLUMBERS C~TIFICATIONDA'r~ N/A
Rev. 1/81
/~ zed S i~nature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIT~ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28726 Z Date SEPTEMBER 6, 2002
Permission is hereby granted to:
STUART & TARA KRAEMER
625 KENNEYS RD
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 059
pursuant to application dated SEPTEMBER
Building Inspector to expire on MARCH
625 KENNYS RD SOUTHOLD
Block 0007 Lot No. 031.001
6, 2002 and approved, by the
6, 2004.
Fee $ 150.00
Rev. 5/8/02
COPY
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. 26464 Z Date APRIL 25~ 2000
Permission is hereby granted to:
STUART & TARA KRAEMER
625 KENNEYS RD
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
at premises located at 625
County Tax Map No. 473889 Section 059
pursuant to application dated MARCH
Building Inspector.
KENNYS RD SOUTHOLD
Block 0007 Lot No. 031.001
28~ 2000 and approved by the
Fee $ 150.00
Authori ignature
COPY
Rev. 2/19/98
Electrical Inspection Certificate
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Date: 06/06/2000
Appficafion No.:
43740
Issued to: Stuart Kraemer
Street: 625 w/s Kenneys Road
Village: Southold
Section: 59 Block: 7
Zip: 11971
Lot: 31.1
Town: Southold
Introduced by: Hank's Electric Inc.
Lic.# 2675-E '
[] Attic
[] Basement
urns examined and found to be in compliance [uith the National Electrical Code
[]1st Floor [] O/S Residential [] Pool [] Dat. Garage
[] 2nd Floor [] O/S Commercial [] Hot Tub [] NV Defects
Switches
2
Dishwashel
Receptacles Fixtures GFI Heaters A/C Fans
I I 1
Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal
Furnace Oil Gas Circulator Smoke Detector Bell Transformer
Meter Amps Phase Motors Telephone Television Carbon Monoxide
Other Equipment
POOL/buil~ in
! ~/2 HP motor/hea~er/
~-20 APIP spec/a/
outside only
Building Permit No.
Hugo S?Surdi
President
This certificate must not be altered in any manner
Znspectors may be Identified by their credentials
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY' ! ~'
· -5
This application must be filled in by typewriter or ink and submitted to the Building Dep~rtm~nt with the followin~ ]
A. For new building or new use: / '~'~'.e~ ~ $;'~;D~OLO ] 1. Final survey ofprope~y with accurate location of all buildings, prope~y lines, streets, and uunsual natural or
topographic features.
2. Final Approval ~om Health Dept. of water supply and sewerage-disposal (S-9 fo~).
3. Approval of electrical installation from Bo~d of Fire Undc~fiters.
4. Sworn statement from plumber ce~ifying t~t the solder used in system conta~s less th~ 2/10 of 1% lead.
5. Co~ercial buil~ng, ~dustfial build,g, m~tiple resid~ces ~d s~l~ buildings ~d ~stallations, a ce~ificate
of Code Compliance from ~c~tect or engineer responsible for the building.
6. Sub~t Piing Bo~d Approval of completed site pl~ r~uirements.
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 o£ 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:
Old or Pre-existing Building:
625 Kennys Rd
Date.
September 9, 2002
(check one)
Southold
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Street Hamlet
Stuart & Tara Ktaemer
59 Block 7 Lot 31. i
Filed Map. Lot:
9/6/02 Applicant:
Underwriters Approval:
Permit No. 28726 Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
(check one)
Signature
Applicanl/
Architec~J
[;ngineer: ·
SCTM it:
~i~t~i~l: k0o0 s¢~,o,~ ..~? ~l,,~k ~ no~ .31. I
l)atc
Rcvicwcd
Date
Submi[tcd
Ihoposcd __ } [Rear haid Pro[x)scd }
Project Description:
AGENCY PERMITS
REQUIRED FOR REVIEW
Suffolk County Health Dept.
New York State D.E.C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flbod Zone:
Permit
N.A. NO YES Number
Notes:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ / ~N~ULATION
[ ~] FINAL
UILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSU~
[ ] FRAMING [ .~]*~qNAL
[ ] FIREPLACE & CHIMNEY
::~ / - . i
DATE //~/~/~/~,/}/// INSPECTOR
/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ .~d,IL~ATION
[ ] FRAMING [,~] FINAL
[]FIREPLACE&CHIMNEY
DATE ~-~ 2,**''~INSPECTOR
FIELD INSPECTION R~PORT DATE COI~II~NTS
II
II
II
FOUNDATION (~S~) II
II
II
II
II
II
FOUNDATION (2ND)
ROUGIt
PLUI~INg II
ii
ii
ii
ii
_il __
ii
ii
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