HomeMy WebLinkAbout43962-Z ��o�c,UEFt1( COG Town of Southold 8/8/2019
0
P.O.Box 1179
J9 53095 Main Rd
o4,� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40606 Date: 8/8/2019
THIS CERTIFIES that the building WINDOWS
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
7/2/2019 pursuant to which Building Permit No. 43962 dated 7/15/2019
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:
WINDOW REPLACEMENTS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Herwald,Laurene
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut or)Aet Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
o 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#: 43962 Date: 7/15/2019
Permission is hereby granted to:
Herwald, Laurene
2801 Sunset Dr
New Smyrna Beach, FL 32168
To: install window replacements to existing single-family dwelling as applied for.
At premises located at:
105 Kraus Rd., Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-5-8
Pursuant to application dated 7/2/2019 and approved by the Building Inspector.
To expire on 1/13/2021.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
Buil Ins etor
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 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. Conunercial 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 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. t ��
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 105 V—qo�s F–b/ I✓�P��'�1 ��
House No. Street Hamlet
Owner or Owners of Property: L/�lA i�t�1� E{ZWi C]
Suffolk County Tax Map No 1000, Section 122- Block Lot 8
Subdivision Filed Map. Lot:
Permit No. �0 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: "onne)
Fee Submitted: $ 50
Applicant Signature
OF SOGIyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION,�,((
[ ] FRAMING /STRAPPING [ FINAL�Otfida(,6
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
wo
DATE ell INSPECTOR
FIELD INSPECTION REPOT I DATE COMMENTS
►d
FOUNDATION(IST)
H
--------------------------------------
FOUNDATION
-----------------------------------FOUNDATION(2ND) l�7
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ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y.
STATE ENERGY CODE
4 Aq., O
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FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631) 765-9502 JJ7
Survey
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 ,20 'a'`' r Single&Separate
t � Truss Identification Form
J U L - 2 2019 Storm-Water Assessment Form
Contact:
Approved S ,20 ;5ra:.DIFdCE �"' Mail to: Laurene Herwald
Disapproved a/c 2801 Sunset Drive,New Smyrna FL 32168
Phone: 386-690-1678
Expiration ,20J
Buil ector
APPLICATION FOR BUILDING PERMIT
Date July 1 520 19
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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 deolition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building cod ,h sing co(
o( ,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
Laurene Herwald
ignature applican 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 Mattituck
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 and Family
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work replacement windows
(Description)
4. Estimated Cost $10,864.00 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 N/A Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front N/A Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front N/A 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 R40
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO x
13. Will lot be re-graded? YES NO x Will excess fill be removed from premises?YES NO x
105 Kraus Road,Mattituck(Summer)
Laurene Herwald 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 NEW YORK)
SS:
COUNTY OF
Lo-rar&,le_, 4er—wa-td being duly sworn,deposes and says that(s)he is the applicant
(Name of individual sign
ing contract)above named,
S)He is the ow n e 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.
Aj
Sworn to before me this
day of 20
/j BARBARA H.TANDY
Netalty Public, State of New York ��Z_
Notary Public <0 No. 01 TA6086001 Signature icant
Qualified In Suffolk County
Commission Expires 01/13/20 sa
1461 Old Country Road
Riverhead,NY 11901
Phone 631-208-2190
Fax 631-208-2191 Installation Proposal o Windows
Cell 516-780-3373 Date:
Kenneth Cooper kenneth cooper@store lowes corn salesperson
Project Specialist-Exteriors
License#
Home Phone
City, I Work/Cell Phone
,Prep
rep aration:State and Zip Customer Email //f 1
Additional Considerations: /
Pre-installation inspection
11 Install new interior casing G�L c cJ
rovide appropriate protection to home during installation (]Install new exterior trim
Ob in and post any necessary permits ❑Install new exterior wrap(trim coil)❑Custom
edicated project support staff will be in contact with you work:
every step of the way.
Installation: Clean-up/Final Inspection:
Remove and haul away existing windows obmplete final cleanup and haul away all job related debris
heck existing windows for leaks and evidence of pest NTest product and perform complete inspection with customer
in a tion
Install new windows and window accessories,including
re uired caulk,stops,and fasteners
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Total Investment /0 0_ 49 �6 n �'
Allin allation se vim are guaranteed by Lowe's labor warranty.Additional charges may apply for perrnit fees. Professional installation available through independent contractors licensed and reStstered
where applicable. License numbers a rid certifications held by or on behalf of Lowes Home Centers,LLC and/or Lowe's Home Centers,IM:AL 98167;AK#39289;AR&0
037290514;AZ#ROC291645;CA
4991632,Bond#106055$77:,Cr#HIC0639367,#MCO.0903044;DE#3993102010;FL#CCC3326824,#CGC3508417,#CRC3327732,#FRO4517;GA URBC0005306;M#0-33489;IL#104014837;KS-Ar1645;KS-Arkansas
City#R-2010-0036,Wichita#5495,Johnson Coumy#20124a66;KY-Lexington#11562;IA#0110383;ID#RCE-38637;IN41ammond#017105-02;LA-#LMP2481,CBC#16533,#554408;MA#148688,#35194;
MD#91680-22;MI#2102144445;MN#BC629959;MS#837568,MT#161006;NC#70220;ND#30316;NE#23319;NM#382385;NY-New York City#1291730,#1291733,#1375178,#1351065,Nassau ,
#H1777890000,#H1777890100,#111777890200,Suffolk#43906-H,448295-ME,944066-MP,#41444-HF,Buffalo#556853,Puna m#PC2742-A,Tonawanda#CN0391,Rockland 11111-11002-86"00.00, 1
Westchester#WC-23319-H10;NV#0079079;OH-Columbus#65872,#HIC4565,Lancaster#500596,Warren#4266;OK#48191,8000D341,002337,OR#202237;PA-Sunbury#751,Johnstown#0467,RI
#20575;SC#G116664G118696;TN#64743,#3070;TX#TACLB24674E,#EC-29349;UT#9002087-5501;VA#2701036596A;WA#LOWESHC863DH;WVVWM14656;and WI#1133309, License nomber(s)
and certifications may be subject to change in accordance with local or state government processes"For the most current listlrg of license numbers and certifications held by or on behaif of Lowe's Home
Centers,LLC and related entities,please visit http//Www.lowes"mmA!certsenumbers.
IMPORTANT:This is an estimate onty.This estimate is subject to charge and does not bind you or Lowe's.This estimate is not a contract nor will it modify any future contract you may sign with Lowe's for
the IrstaRation services.You may accept this proposal only bysigrdngthe appropriate Exterior Solutions Installed Sales Contract with Lowe's and maki
therein. Estimate Y ma payment exceeds
c thetomsandconditions
( good for 30 days)_Installation fees will be and additional charges may be based on total flooring required to fulfill order(including waste),which ex¢�actual room square footage.if
you would like to discuss the measurements or would like a copy of this document,please contact the Lowe's Store Associate.Please review your contract carefully for all chars prior to signing.
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LOWE'S HOME CENTERS.LLC#2921TM
1461 OLD COUNTRY ROAD � @���
RIVERHEAD.NY 11901-21026
USAt a �sra
Date: 00f 17f-019 (631)?08-2190
Pr��ject ? 4485504 Description: pse w,nd w ro ect
Customer Name: LAURENE IiERWALD ocG,ec NCY �R
Customer Phone: (3;i(,)C,9()_1 fi7ti USE IS UNLAWFULCustomer Address: 105 KRAUS RD
NIATTITUCK. NY 11952 WITHOUT CERTIFICA7-
USA OF OCCUPANCY
Linc Item Product Code
Frame Sirs Description Unit Price Quantify Total Price
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iExtei for Color:White
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s Exterior Color: White
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! Glazing'Type: Insulated s'
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1COnfi,ure Unit
4of6
Quote 11UP /sstsm]owes.com/m2o_b/medWmQuoLe.jsp?...
; 'I?nervy Star(R)Qualified Products Only: Yes-1 would
}like to view only the units that arc qualified for Energy
1.Sutr(R).
r
' �E nergy tar-(R)Zone; Northern
Location Gast or West: East
t
Room Location: Living Room
�Conf auration. I Wide f
l 1I-rame Type: Block
Actual Frame Width:35 3/4-in
Actual F,,ame Height:49 3/4-in
Fits Opening Width: 36-in i
s
; IFils Opening Neighs 50-in I ;
'Venlina Height: Equal
jUnit Type:Complete Unit I
IPei formancc Option:Standard
j IlEaterior NInterial Type: Vinyl
t !Foam Insulated: Foam Insulated ;
i
l Actual Base Frame Depth:3 1/4-in ;
,Actual Base Wall Depth: 3 1/4-in i
(Sill Adapter: Sill Adapter Included
{ ,Head Eixpandcr: Head Expander Included
l IF-xtcr•ior Color: White
�Interior Color. White
Glazin.','Typc: Insulated I
I Ilnsulaled Type: Dual
jGlass Slreneth: Annealed
jinsulated Glass Option:Low-E {
1Low-E Glass Style: NaturalSun I_ow-E Insulating Glass
t iGas illed: Argon
{ 1.1igh Altitude: Non High Altitude
Sash Lock: AutoLock i
}Exterior Hardware Finish: White j
iHardware Finish:Whitc
AVindow Opening Control Device:Standard Vent Stop
! ! t
;Limited Opening Hardware:No Limited Opening ;
1 'Hardware
(Screen Option Full Screen
i !Screen Shipping Option: Shipped In Unit
!GiilleType:No Grille
1
f Is This A Rcmakc?: No
(i-earl Tinmc:21 Days ;
i Iltenm Numhcr: 933,162
i
1
f }
0002 y Nlanufaclurer: Reliabill by Atrium --`�-'-
Size=30 1/4-in W x 11 3/4- ;1�,iccls Energy Star Requirements for North
Jill H `
i jCcnp•al/South-Ccntral/Southern Regions'-',
(U-Valuc:0.30.SEIGC:0.23
f
5 0£6
a uote httD:Hsstsn�Lowes.com/m2o_b/mediumQuote.jsp
Division:Millwork
Product: Windows
)Type: Basement
Manufacnu'er:Reliabiit by Atnum
l { i Will this product he installed by Lowe's: Installed By
f ILowe's f
I
11'roducl Type:Sliding 1
I )Product Line. Replacement
f iSeries: 3050 Economy
f {
IAcuurl Width:3() I/•i-in r
Actual Height: 11 3/4-in
(Fits Opening Width:30 1/2-in
;Fits Opening Hergitl: 12-in t
1
[Configuration:2 Lite
tC.olor. White i
jl ;
1"See-in-,tore displays for exact color samples for hath
jinterior and exterior color.'
)Locking Sanh:Left
Glass Energy Efficiency: Ultra Low-F,w/Argon
)Glass Color:Clear
`'The graphics present an estimation of the color and are
not a crnnpletely accurate represenruion."'� i
;Glas%Strenglh/Safety:Single Su-ength
(Grid'rype: No Grids
i IGr id Style: No Grids
113ouhle Sash Locks:No
i IScreen: 1•1a11'Screen
Breather Tubes: No
1 Lend Time: 15 Days
jilem Number:362170
A
Salesperson: KENNETH COOPER(S2921 KC 1)
Accepted hv:
thin quote is an estimale only and -valid for 30 days on all regularly priced items. For promotional items please refer to the
date~ limed above.This estimate doe~not include tax or deliver•charges. Estimated arrival will he determined at the ume of
purchase.All of the above quantities,iiimensions,specifications;md accesorres have been verified and accepted by the
cuntonrer.
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6/17/19, 10:3