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Home My WebLink About43649-Z itw Town of Southold 6/1/2019 P.O.Box 1179 cm 53095 Main Rd 0y ® '54%, Southold,New York 11971 d s if CERTIFICATE OF OCCUPANCY No: 40425 Date: 6/3/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 105 Kraus Rd, Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-5-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/2019 pursuant to which Building Permit No. 43649 dated 4/15/2019 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: "as built"central air conditioning as applied for. The certificate is issued to Herwald,Laurene of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43649 4/23/2019 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �� Gy BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 43649 Date: 4/15/2019 Permission is hereby granted to: Herwald, Laurene 2801 Sunset New Smyrna Beach, FL 32168 To: legalize "as built" AC unit as applied for. At premises located at: 105 Kraus Rd, Mattituck SCTM #473889 Sec/Block/Lot# 122.-5-8 Pursuant to application dated 4/15/2019 and approved by the Building Inspector. To expire on 10/14/2020. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector Form No.6 ❑ c(�, BVH TOWN OF SOUTHOLD D BUILDING DEPARTMENT TOWN HALL FEB - 4 2019 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTrwLD This application must be filled in by typewriter or ink and submitted to the Building Department 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 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: attached 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. attached 2. A properly completed application and 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$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. January 28, 2019 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 105 Kraus Road Mattituck p House No. Street Hamlet Owner or Owners of Property: Laurene Herwald Suffolk County Tax Map No 1000, Section 122 Block 5 Lot 8 Subdivision Filed Map. Lot: -q�� Date ert Zaneski(a.k.a Zanowski) Permit No. of Permit, built in 1950's Applicant: Laurens Herwald(maiden name:Zaneski) Health Dept.Approval: Underwriters Approval: Planning Board Approval: Pre- Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 100.00 i.28•t, pF SO�j��®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA roger.rich ertR-town.so Litho Id.ny.us Southold,NY 11971-0959 c®U ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Laurene Herwald Address: 105 Kraus Road City:Mattituck st: New York zip: 11952 Building Permit#: 4364.9 Section: 122 Block. 5 Lot: $ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect 60A Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes- Central Air Conditioner including: 1- Condenser, 1- Air Handler, AC Disconnect is required. Inspector Signature: Date: April 23, 2019 0-Cert Electrical Compliance FormAs OF SOUIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 q INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. / [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: cyC DATE �� INSPECTORS` TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN BALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans x TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 `� Survey X Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application on file with Rental Permit ap Flood Permit Examined 1204 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ,2011 Mail to: Laurene Herwald Disapproved a/c 2801 Sunset Drive,New Smyrna FL 32168 Phone: 386-690-1678 Expiration ,20 A- wo Buil ector L, � r, 2019 tir APPLICATION FOR BUILDING PERMIT M: 2 Date March 25 20 19 "T• g� INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets f 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 are s,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 permit 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 derpolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building co", ousing co ;and regulations,and to admit authorized inspectors on premises and in building for necessary inspections, Laurene Herwald (Signature applicant or name,if a corporation) 2801 Sunset Drive,New Smyrna FL 32168 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Home Owner Name of owner of premises Laurene Herwald (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. 1. Location of land on which proposed work will be done: 105 Kraus Road Mattduck House Number Street Hamlet County Tax Map No. 1000 Section 122 Block 5 Lot 8 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Summer home occupied by Owner and Family b. Intended use and occupancy Summer Home to be occupied by Owner,Family and rented monthly,or no less than 2 weeks at a time. 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work Pre-C.O.to update unpermitted de c&A1C $400 base fee+$50 for C.O.+$180 for Electric (Description) 4. Estimated Cost inspection+(.80 x 273 Sf deck or$220)=$850 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 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 SEE ATTACHED existing DECK DRAWING Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 12,742 SF,See survey 10. Date of Purchase inherited Name of Former Owner Florence Rolle,deceased November 17,2017 11.Zone or use district in which premises are situated Roo i2. 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 NO 105 Kraus Road,Mattituck(Summer) Laurens Henvald 2801 Sunset Dr,NSB FL 386 690-1678 14.Names of Owner of premises Address 32168 in the Winter Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x * 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. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF N£ -A ) SS: COUNTY OW 011J5 0 ) L-CL y r e p $ '14.py—Liu u I Cl being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the V-)c m P 0 Lc, n Q r (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 ,�,',;t� "��. ./��, ;� r MARGARET CONN day of / � lu-r� 20 ) e Notary Public-State of Florida "sy Commission#F FF 990393 (i „�gist, Comm.Expires May 24,2020 ry Public Signature o App scant BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD An- Ca Town Hall Annex - 54375 Main Road - PO Box 1179 1u. Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roper:richertCcD,town.sodthold.hV.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Home Owner:Laurene Herwald Date:; March 25,2019 Company Name: Name: License No.: email: Address: 2801 Sunset Drive,New Smyrna Beach,FL 32168(in Winter months Phone No.: 386-690-1678 JOB SITE INFORMATION: (All Information Required) Name: Home Owner:Laurene Herwald Address: 105 Kraus Road,Mattituck NY 11952 Cross Street: Ole Jule Lane Phone No.: 386-690-1678 Bldg.Permit#: Pprmo+Appli ar 9 email: Laurenez77@gmail.com Tax Map District: 1000 Section: 122 Block: ' s Lot: 8 Please inspection electrical connections at BRIEF DESCRIPTION OF WORK(Please Print Clearly) existing AC condensor/coil. Circle All That Apply: Is job ready for inspection?: 0YEiNO Rough In Fina Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service,Size 1 Ph 3 Ph Size: A #Meters._ Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected - Underground -Overhead #-Underground Laterals 1 2 H Frame Pole Work done.on Service? Y N_ Additional I nfot•m ation: Thank you! PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form.x!s 04,ce APPR0 ED AS NOTED DATE: S FEE: �` D BY: RETAIN TO CHATER PTER 236RUNOFF NOTIFY BUILDING DEPARTMENT AT PURSUANT 765-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE. -FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ELECTRICAL ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEV INSPECTO®N REQUIRED YORK STATE. NOT RESPONSIBLE FCIF DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF tiSBEA+I SOtifi#6tDTG71fWIIW.WOARD S�tlfir�6tB-fi6WNiEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Hecexvea: U;e ll :;Jt3AM; merwal.a i—onszrucTxon inc; rage / 08/23/2002 11:24 16312985534 KOLB MECHANICAL PAGE 02 Pepe No. l o1 l Pages Kolb Mechanical Corp. Heating and Air Condlflonino 11500 Sound Ave,P.O.Box 106 Mattituck,AfY 11952 (631)298-527/Fax(631)258-5534 PROPOSAL"MITM TF- O DATE Lorraine Herwald PHONE609-0187 August 23,2002 I� JOB NAME 'Tffkrouse Road `1�$f��uc�c,WN. 11952 LOCATM Wehenbyeubmaepadrfcetfbnsand a.11mWator: (�-� Remove and discard existing furnace and add air conditioning to consist of the following: (1)Thermco Pride,model#OH-85,oil fired furnace with Riello burner and(1)2.5 ton ADP coil to be installed in new plenum. 2 `3(y (1)Trane,model#2TTR2030,2.5 ton condensing unit to be installed at residence exterior not more than _ four feet from residence structure and within 50 feet from air handler on pre-cast slab. r Renovate(2)existing supply outlet a airflow. Wi�a ' our►— � Includes: (1)(1)White Rodgers thermostats Refrigerant pipe Line and low voltage wiring Condensate drain Reconnection of oil lines One-year guaranty on defects in materials and workmanship. Ten year Trane limited parts warranty on compressor and condenser coil. Lifetime warranty on heat exchanger Five-year warranty on all parts. Optional extended warranties available_ All factory warranties honored. Total Investment: Upon acceptance,please date,sign by the"X"and realm yellow copy with your deposit KOLB MECHANICAL HEATING dr AIR CONDITIONING In the event this account is forwarded to counsel for collection the purchaser shall be Hable for all reasonable tees of Kolb Mechanical Corp.which are 50%of the first$100.00 and 33-1/3%thereafter. It is the responsibility of the Homeowner to have qualified service Mechanics maintain heating and air conditioning equipment as required by man- ufacturer in order to preserve warrenbas. All equipment shall remain property of Kolb Mechanical Corp.,until fully paid All past due accounts stall be charged interest of 21,s per month All payments Due Upon Receipt Me MtAR08E hereby to lumish material and labor—comdats in wecordenca with above specifications,toy the sum ol. dollars(S r ) Payment to be made as follows- 30%Deposit,30%Equipment Delivery,30%Ducting Complete and 10%Start-Up. AN mural is guwarileW 0 be as apadfed Al%wilt to be WWWAd In a teoeuttaMse mum eowrdtq to standard pradbm Ary alta ri a daAalvi nom abm spi%*=ti^'&M anti Aulhonzed wo ws M a mwW"uprnwAbn ordwa,end wd become an etre e+rpe over aei amve the Signature A Ql 11.Cli� . e.Amd.Al Warrants corabipra yin ebAm,and ena or delays beyond our mmmt Owner to wry Poe romarb and otter nemssary Inswanra Oa*o*m are WNy omen by wor~s Note: a ptc)ed maybe Curpriaybn Irea iia withdrawn by us it not accepted wRW a gays ttfgitamE of The alcove prime, p.6.b. arts conditions are satisfactory and are hereby accepted You are autdtorized to do the work es spKdted Payment will be tante as of ned above Date of Acceptance X Signahne