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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22949 Date APRIL 18, 1994
THIS CERTIFIES that the building NEW DWELLING
Location of Property 625 KENNEYS ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 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 MAY 5, 1992 pursuant to which
Building Permit No. 20616-Z dated MAY 8, 1992
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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & PORCH AS APPLIED FOR
The certificate is issued to STUART & TARA KRAEMER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 4/8/1994 - 92-SO-27
ELECTRICAL INSPECTION CERT. #2158 - JUNE 6, 1994
PLUMBERS CERTIFICATION DATED MARCH 5, 1994 - TIMOTHY HORTON
z
3pfilding I sp for
Rev. 1/81
FORK 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)
WN° 20616Z Date 3 )9../,P-
Permission is hereby granted to,
X06 :
e
$5A -
of premises located at r. ...'~v,......?
9 .
County Tax Map No. 1000 Section Block Lot No...r.~! 1
pursuant to application dated 19 and approved by the
Building Inspector.
Fee
f
..1..`. ey2.`irt a
B ing Inspector
Rev. 6!30!80
r
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 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 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 Occupancy on Pre-existing Buildine - $100.9'O
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date Am 1 P,~ ~ JL
New Construction Z........ Old Or Pre-existing Build`ing................. Location of Property. 6~ ..............l.l.~ 'MN ~N:............ ~~~/11.~
House No. p Street
~y/ Hamlet
Onwer or Owners of Property. J~TI/r`1/~T i.lRQ ll X?1-.R
County Tax Map No 1000, Sectionn..~W....... Block 7........... Lot..i3/f./*
Subdivision. ME. -FA - .....Filed Map .....0. MLO~ .Lot....................p....
Permit No. Z...Date Of Permit ................Applicant.V." -U/h/.e.T...KA14reP.
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate..?........
00
Fee Submitted: $.2
6,xc 1q
(o as C/~ APPLICANT
ELECTRICAL INSPECTION SERVICE, INC. 4
1322 MONTAUK HIGHWAY o ,
Date 1_6_94 EAST PATCHOGUE, NEW YORK 11772
Application No. on Fi1e215$ )
Stuart Kraemer
THIS CERTIFIES THAT
on the electrical equipment as described below and introduced by the applicant named on the above application number
in the premises of 625 Kenny Road, Southold, NY 11971.
in the following location: -x Basement xx 1st Ff. -x- 2nd Ff. °
Pool -Xr Hot Tub OUTSIDE/ATTIC
was examined on 1-6-94 and found to be in compliance with the National Electrical Code.
FIXTURE CEILING WASHER RANGES OVENS °
OUTLETS RECEPTACLES SWITCHES G.F.I. FAN AMT K.W. AMT K.W. AMT K.W.
47 50 47 7 5 1 10.
DRYERS DISHWASHERS EXHAUST FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
AMT K.W. AMT K.W. AMT K.W. OIL H.P. GAS H.P. AMT NO. AMT °
1 2#12 3 1 3F
SPECIAL REC'T TIME CLOCKS BELL UNIT HEATERS MULTIND) LET SYSTEMS DIMMERS
AMT AMPS AMT AMPS TRANS. AMT N.P. NO. OF FEET AMY WATTS
1 8 °
SERVICE DISCONNECT AN ELECTMCr.L S!RVEY HAS BEEN
NO. OF METERS AMP TYPE MAD_ r.F H r,i -)SGD J1LE:CTtrlv+/ L
1 200 X.G. EQUIP".E"T 1`1 ?PIE PREMISES NO President
OTHER APPARATUS: VISUAL DEFECTS FOUND
'
1-30A" OIL BURNER
1-200 C.B.
)
This certificate must not be altered in any manner. Inspectors may be identified by their credentials
0 0 0 0 0 0 0 0 0 0 0 0 0 0 o v o 0 0 0 0 0 /~~0~%~
V V V V V V V v V V V v V V v V v v V V V V V V e!'(vlb
cpFU(A-C, TEL. 765-1802
TOWN OF SOUTHOLD
ti OFFICE OF BUILDING INSPECTOR
fillPFi P.O. BOX 728
c??i 'r TOWN HALL
SOUTHOLD, N.Y. 11971
0(INS yb
C E R T I F I C A T I O N
Date 3AS -1-19el
Building Permit No.~~_
Owner-
(please print)
Plur,,ber=y,,,-,/7, tai/
(pleas print)
Z certify that the solder used in the water supply system
contains less than 2/10 of to lead.
plumber's signature)
Sworn to before me this
-/--day of
19,
> Notary Public
Notary Iublic ~ ~),In~
I n. k93 . 0 /
roar..fiiiad trt Su`.c~ Y
y
FOUNDATION (1st) ~ _
7OUNDATION (2nd)
0
',OUGH FRAME & S 1~ - ® U
PLUMBING
~Ct f~ y
3.
a
m ~
INSULATION PER N. Y. C-3
STATE ENERGY
CODE I T
}
ca
s H
FINAL kill
v
ADDITIONAL COMMENTS: x
02
cn \
- x
H
9 \
H
H
O
x
m
Villaye of greenport UTILITY OFFICE
QJI fcers INCORPORATED 1838
/ (516) 477- 1748
NEW INCORPORATION APRIL 1868
MAYOR RE-INCORPORA TION UNDER GENERAL LAW MAY 28, 1880 FAX (516) 477-1707
WILLIAM R. PELL III
POWER PLANT
TRUSTEES ~z (516) 477-0172
~/'~tq.~_
WILLIAM D. ALLEN
l U a'V SUPT. OF UTILITIES
STEPHEN L. CLARKE C) N G 1$ L A N G
JOHN A. COSTELLO JAMES 1. MONSELL 41111111111111
VICTORIA SWENSEN
nu..,. ASST. SUPT. OF UTILITIES
"S
236 THIRD STREET "...,GERALD W. HICKSON
J 1 sti £~ev;~
GREENPORT, NEW YORK 11944
October 14, 1992
Town of Southold
Main Road
Southold NY 11971
ATT: Gary Fish
RE: 625 Kenny's Road, Southold
Dear Mr. Fish:
As per our telephone conversation, on October 13, 1992, routine
inspections show that a new house is being built on Kenny's Road,
Southold. The property owners have not yet contacted our office
for a water agreement. Please advise and.verifty to us the
property owners status at this time.
Sincerely,,
Gerald W. Hickson
Asst Superintendent of
Water & Sewer Utilities
GWH:jgk
Over 100 Years of Community Service
INSPECTORS ~~gUFFO<,~-co
(516) 765-1802 ~y4 G,y SCOTT L. HARRIS, Supervisor
VICTOR LESSARD, Principal
CURTIS HORTON, Senior °y x Southold Town Hall
VINCENT R. WIECZOREK, Ordinance p P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire Southold, New York 11971
Fax (516) 765-1823
Building Inspectors Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 16, 1992
Mr. Stuart Kraemer
406 So. 8th Street
Lindenhurst, N.Y. 11757
Re: Building Permit #20616-Z - New Dwelling
Premises: 625 Kenny's Road, Southold, N.Y.
Suff. Co. Tax Map #1000-59-7-31.1
Dear Mr. Kraemer:
It has been brought to the attention of the building
department that you have not contacted the Village of Greenport
Water Department for a water agreement. See attached copy of
letter to this department dated Oct. 14, 1992.
Please contact Gerald W. Hickson, Asst Superintendent of
Water & Sewer Utilities of the Village of Greenport as soon as
possible.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
encl.
cc to: Gerald W. Hickson, ASS't Superintendent
of Water & Sewer Utilities
INSPECTORS ~c~$UFFOL/(
(516) 765-1802 ~,t0 , SCOTT L. HARRIS, Supervisor
VICTOR LESSARD, Principal = L
CURTIS HORTON, Senior co a Southold Town Hall
VINCENT R. WIECZOREK, Ordinance p • P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire Southold, New York 11971
Building Inspectors Oj .?0 Fax (516) 765-1823
Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 16, 1992
Mr. Stuart Kraemer
406 So. 8th Street
Lindenhurst, N.Y. 11757
Re: Building Permit #20616-Z - New Dwelling
Premises: 625 Kenney's Road, Southold, N.Y.
Suff. Co. Tax Map #1000-59-7-31.1
Dear Mr. Kraemer:
It has been brought to the attention of the building
department that you have not contacted the Village of Greenport
Water Department for a water agreement. See attached copy of
letter to this department dated Oct. 14, 1992.
Please contact Gerald W. Hickson, Asst Superintendent of
Water & Sewer Utilities of the Village of Greenport as soon as
possible.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
encl.
cc to: Gerald W. Hickson, Asst Superintendent
of Water & Sewer Utilities
VJl.cers CGGaae o/ /reenporC UTILITY OFFICE
INCORPORATED 1838
/ (516) 477-1748
NEW INCORPORgT10N APRIL 1, ICES
MAYOR REINCORPORATION UNDER GENERAL LAW MAY 28,1894 FAX (516) 477-1707
WILLIAM R. PELT. III
POWER PLANT
TRUSTEES (516) 477-0172
WILLIAM D. ALLEN
STEPHEN L. CLARKE SUPT. OF UTILITIES
"G NG I S LAN
JOHN A COSTELLO t V ~ JAMES 1. MONSELL
VICTORIA SWENSEN ASST. SUPT. OF UTILITIES
236 THIRD STREET OERALD W. HICKSON
GREENPORT, NEW YORK 11944'
OCT 15 "t
October 14, 1992
Town of Southold
Main Road
Southold NY 11971
ATT: Gary Fish
RE: 625 Kenny's Road, Southold
Dear Mr. Fish:
As per our telephone conversation, on October 13, 1992, routine
inspections show that a new house is being built on Kenny's Road,
Southold. The property owners have not yet contacted our office
for a water agreement. Please advise and verifty to us the
property owners status at this time.
Sincerely,,
Gerald W. Hickson
Ass't Superintendent of
Water & Sewer Utilities
GWH:jgk
Over 100 Years of Community Service
M-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ROU H PLBG.
[ ] FOUNDATION 2ND [ =SULATION
[ ] FRAMING [ ] FINAL
REMARKS: UlC
DATE ? INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] FO NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
REM S:
DATE INSPECTOR
r
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[eFOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE lO//V INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ j ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
_ZZ
DATE (O INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INS TION
[ ] FRAMING FINAL ,tom
REMARKS:
! /2 e S74?~r~~°- C~ ,
DATE ` INSPECTO
05
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS LATION
[ ] FRAMING [ FINAL
REMARKSFr~s7~~ d oa7zl`~-e
eti
~YA
~G -e t a e 3 { Ili W Al
1 rta, /i~-~
L
DATES INSPECTOR
BOARO OF HEALTH 6°.
FORM N0.1 3 SETS OF PLAN
L TOWN OF SOUTHOLD SURVEY
tiBl' MAY 51992 BUILDING DEPARTMENT ClICC>; •
e
TOWN HALL SEPTIC FORK . . .
B,B SOUTHOLD, N.Y. 11971
1:OT 1~
TCHd>~' TEL.: 765-1802
~rzr CALL :.J_~'~•C~•
Examine
........x..191". S MAIL T0:
~j (?Y/ ~~k7 ~1~> etY
Approved / , . , , , , „ 19/. Permit No. 1//I
•
Disapproved a/c
(Bu- ding In cctor)
APPLICATION FOR BUILDING PERMIT
Date 19
I INSTRUCTIONS /
•a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
ets 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
)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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 issued a Building Permit to the applicant. Such permit
hall 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 whatever until a Certificate of Occupancy
hall 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
legulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary inspections.
~_rz X
(Signature of applicant, or name, if a corporation)
~7_1 5?~ Li yl~ ~ys!t!Rs7~ A& ?.ez5: ~
(Mailing address of applicant)
date whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
QGt~/ `1
dame of owner of premises mrz& .
(as on the tax roll or latest deed)
f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.
Plumber's License No. .
H
Electrician's License No . .
Other Trade's License No.
Location of land on which proposed work will be done . . .
~ a r
]louse Number Street Hamlet
County Tax Map No. 1000 Section o!S Block ....7 Lot 4310.x...........
Subdivision / P r,'V. Filed Map No. ...,q®/, Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .~~/r~..~~?
.
b. Intended use and occupancy ...~N~C....~mIy ,rJ ~-!v!L , • .
3. Nature of work (check which applicable): New Budding Addition Alteration
Repair vaI . Demolition Other Work
)n ~j CIO (Description)
4. Estimated Cost Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor ...1.... .
If garage, number of cars 4. . , • .
6. If Height occupancy, specify nature and extent of each type of use
Nu mixed'!
7. Di sensions ofT existing al or structures,
business, commerciI er of Stories
Number any: Front , , Rear Depth , . , . , , .
. • , • .
Dimensions of same structure with alterations or additions: Front Rear .
Depth . . . . . . . . . I
Height 7 Height Number of Stories
8. Dimensions of entire new constbction: Front y......... Rear Q.y......... . Depth .3,'/ `T "
Number of Stories ...';.L...........
9. Size o ' / Rear /.Y/.,.,!r5? Depth 4~~~` r 2 .
10. DateoflPur haset ..7"/-' 9/........... • • • • Name of Former owner , Ncn(R x/213 E y
11. Zone or use district in which premises are situated , . .
12. Does proposed construction violate any zoning law, ordinance or regulation: .Wp
13. Will lot be regraded P _rilgA
• • • • • • Will excess fill be removed fro rem~sgs• Yes
? ?Y.22S os Q
14. Name of Owner of pr ises S?V((1X_,~jLMAAddress . Y>?~.. e S~ ~~one ~Kf` os.
Name of ArchitectQCh/.
4~%d~y,.. , r f1T. ff-SAddress . ~7 .LavtS)1"1i5£41R/. Phone No. ~
Name of Contractor Address . Phone No.
15. Is this property within 3Q0 feet of a tidal wetland? * d " " "
*If yes, Southold Town Trustees Permit may be required. No.........
PLOT DIAGRAM
Locate clearly and distinctly all 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.
S`oG. 28
51' ~~--xo,
GAR. QkivEwAy
0
Nousi K>=AWEY S
ROAD
S3~
.SOS. 72'
(3L®CK
07.00
458.76
;TATE OF NEW YORK,
:OUNTY OF
. . . . S.S
%~~aN c of t Rfi Y'1 MiAO.r= RD. (CR.V8~
_ being duly sworn, deposes and says that he is the applicant
contract)
bove named.
'e is the....~GJr~I
.
(Contractor, agent, corporate officer, etc.)
F said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
)plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner sett forth in the application filed therewith. ARTHUR I APICEIJ,O
.votn to before me this day of. , NOtARY PUBLIC, State of New Yale
y of/ No. 52-4637124
C~ f9 • • • • 19 QuaIIW in Spffolk tawny
' ' d
r,isslon ExPiJ~
otaty Public, County
(Signature of applicant)
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___1
Amendment to Specifications
The 0llowing amendments to the specifications are required to comply with the
New York State Building Code and the New York State Energy Conservation Code.
Effective March 1, 1991. This specification supersedes any other notes on these
plans where such notes are not in agreement with same. Insulation values indicated
are based on PART 5. ACCEPTABLE PRACTICE. Reference table 5-1 and table 5-2, and
are minimum requirements.
(Non-Electric Heat)
P1 an Number AIDA C—f uCI'a 3 6 9 &
� 7000-9000 Degree Days
County of Construction SU /-At 0 6
Heating 6 0 CfC' Degree Days
Type of Heating Gas, Oil or Propane Minimums
Exterior Wall Insulation R= 18 , U=.050
Roof and Ceiling Insulation R= 24 , U=.040
Floor Insulation R= 19 , U=.050
Foundation Wall R= 10 , U= .09
Slab Insulation R= 10 , U= .09
Glazing R= 1.7, U=0.58
Entrance Doors R= 2.5, U=0.40
Depth of Slab Insulation 4.0 Ft.
* Provide vapor barrier on winter warm side of insulation capable of absorbing
moisture.
* Provide insulation continuity at sill plates and corners.
* Floors over unconditioned spaces require insulation indicated above, basement
wall insulation not required.
* Skylights not to exceed 1% of roof area. Units to comply with glazing listed
above.
* Maximum infiltration of windows 0.37 CFM per lineal foot of openable sash.
Doors maximum 0.5 CFM per Ft.2 of area.
* All joints and openings in building envelope to be sealed or weather-stripped.
* Provide infiltration barrier under ventilated siding.
* All fireplaces to have dampers which limit loss to 20 CFM at .03 inches water
static pressure, or provide non combustible tight-fitting fireplace doors.
Provide outside make-up combustion air for fireplaces. No standing pilots
allowed in gas-fired fireplaces.
* .Exterior wall to be 2x6's 16" o/c construction.
* All footers to be minimum 4'-0" below finished grade with 2 #5 bars
horizontally sized as indicated on plans.
* Soil bearing capacity to be 3000 pounds per square foot to be verified
by owner.
* All masonry walls around basements or cellars to have steel reinforcement of
#5 bars vertically at 32" o/c. In C.M.U. construction, cores with rebar to be
filled with 2500 psi concrete from foote,r to sill . Install Dur-O-Wall every
three coarses. In poured construction, vertical rebar is to be installed 3" from
inside face of wall . Also install horizontal rebar #5 bars horizontally at 6"
and 18" below sill plate around perimeter.
E
�'® ses indicated on plans are to be supplied with design criteria for
�� aw loads with a New York Professional Engineer's or Architect's Seal .
c,? a is 3p I bs rJ r Z, _
James R. Frandsen, P.E.
520 W. Water Street, Elmira, NY 14905
607-733-0100
apt o es