HomeMy WebLinkAboutZ-41526 ��uEFOtA'�' Town of Southold 10/11/2020
;
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 41526 Date: 10/11/2020
THIS CERTIFIES that the structure(s)located at: 105 Kraus Rd., Mattituck
SCTM#: 473889 Sec/Block/Lot: 122.-5-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41526
dated 10/11/2020 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with attached garage and accessory wood frame shed.*
Notes:BP 2287 addition COZ-2023• BP 3148 addition COZ-2583;BP 43649 "as built"A/C COZ-40425; BP 43962
windows COZ-40606; BP 45305 "as built"deck COZ-41525.
The certificate is issued to Herwald, Laurene
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. ,��x
ut o e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 105 Kraus Rd.,Mattituck
SUFF.CO.TAX MAP NO.: 122.-5-8 SUBDIVISION:
NAME OF OWNER(S): Herwald,Laurene
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Herwald,Laurene DATE: 10/11/2020
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: blue stone
BREEZEWAY: FIREPLACE: 1 GARAGE: x
DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/14/2019
TIME START: 11:00am END: 11:50am
Form No.6 D �� \V/
TOWN OF SOUTHOLD b D
BUILDING DEPARTMENT
TOWN HALL FEB - 4 2019
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWNOff'SOUTH LD
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 Herwaid
Suffolk County Tax Map No 1000, Section 122 Block 5 Lot 8
Subdivision Filed Map. Lot:
Albert Zaneski(aka Zanowski)
Permit No. Date of Permit. built in 1950's Applicant: Laurene 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
Z8 0i
CONSENT TO INSPECTION
Laurene Herwald ,the undersigned, do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s) of the premises in the Town of
Southold,located at 105 Kraus Road, Mattituck
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 122 ,Block 5 ,Lot
That the undersigned(has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre-Existing Certificate of Occupancy
That the undersigned do(es)hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances,rules or
regulations of the Town of Southold. ,
Dated: 1 .2-S. Zo Lot
(Signature)
I mea U_7_S_*j E.Ht-RW.101,L�
(Print Name)
(Signature)
(Print Name)
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-7/ DO/ 19
TOWN OF SOUTHOLD PROPERTY RECORD CARD Ll
OWNER STREET VILLAGE DIST.' SUB. LOT
__.
al A
FORMER OWNER N .- E ACR.
t
orel'1Cg�r- �} + :s}c F` S - W TYPE OF BUILDING
RES. " �; SEAS, VL. FARM COMM. CB. MISC. Mkt. Value
LAND I:MP, TOTAL DATE 1 REMARKS
r / P Y CNs P t
AGE BUILDING CONDITION` _ r
NEW NORMAL i BELOW ABOVE
FARM ( Acre Value Per I Value 3
Acre
Tillable i i /`cv�S
Tillable 2e
Tillable 3 — -- m
Woodland
Swampland ( FRONTAGE ON WATER I
Brushland FRONTAGE ON ROAD
c
House Plot D ''�. �S �G.r, �1
BULKHEAD
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Recrecticn Room
•
January 28, 2019 V
L \-' FEB - 4 2019
From: Laurene Herwald
2801 Sunset Drive
New Smyrna Beach, FL 32168 Cell#: 386-690-1678 TOWN OF SOUTJIOLD
TO: Town of Southold Building Department
53059 Route 25
P 0 Box 1179
Southold, NY 11971
Re: 105 Kraus Road, Mattituck
To the Building Department :
Please find attached the following forms:
1. Application for Pre-Existing Certificate of Occupancy,with$100 check#2355
2. Consent to Inspect
3. Sealed Survey with the currently existing residence, deck, Fence and shed indicated
I am submitting the request for a Pre-Existing C.O. as the first step in applying for a Rental
Property License. I realize the application form for this newly enacted requirement is not yet available. I
believe the eventual Rental License,which will be contingent upon the C.O. and inspection process,will
Not only benefit the Community in general, but will benefit the safety and well being of the
Tenant/Renters. I look forward to meeting compliance and in being able to rent our home
In the Summer months and personally enjoy it,with my family, in the months when it's not rented.
Please contact me at 386-690-1678,or by email at Laurenez77@gmail.com if further info or corrections
are needed.
Thank you,
�O��OF SO�Tyolo
# # pno, c
TOWN OF SOUTHOLD BUILDING DEPT.
i'ouo" 765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] 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: 4 A��& ca�
cv-i I
DATE INSPECTOR
LOCATION: �� IrIQ1Ys m t
(number & street) (municipality)
SUBDIVISION: _ MAP-r' ,0.: LOT(S): ..
NAME OF OWNER(S): VrLVAP/
OCCUPANCY: �r
(type) (owner-tenant)-
ADMITTED BY: _�ML ACCOMPANIED BY:
KEY AVAILABLE: UEF, 'C0. TAX MAP G
�or_ 1000-
SOURCE OF REQUEST: , � .t/1�W _ DATE: --
DWELLING
'f
TYPE OF CONSTRUCTION: VV rQV 4 STO-=S: ` _# EXITS:_
FOUNDATION: CPA4 r✓` �ASZMENT: _'CRAWL SPACE:
# OF BEDROOMS: IST FLR: _ 2ND FLR: 3RD FLR:
BATHROOM(S): TOILET R;OOM(S): ULITY R00',M:
PORCH.TYPE: _ DECD, TYPE: ."4 PA IO;TYPE: ,tt5 v
BREEZEWAY:' . FIREPLACE: I&I 0A1 QARAGE:
ej
DOMESTIC HOTWATER: TYPE HEATER: li AIRCONNDITIO I G: '� �•�
nk t--g
TYPE HEAT: pl ✓ . WARM AIR: 1 //4-, HOTWATER: Y
# OF KITCHENS: /
RAI&
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE, TYPE OF CONST.: S'T'ORAGE, TYPE CONST.: 10—D&
SWIMMING POOL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS CHAPTER 144 &N.Y. STATE°UNIFO LM PPREVENTION & BUILDING CODE
t:.l'�0 I S 5�-c..Q"l,Q. L'D`•I I-a.D (,11e,c�2)
LOCATION ,SCRZPTION ART. SEC.
D.
s Lki - -t 9
to
REMARKS;
INSPECTED BY:&6 3A!q� % DATE OF INSPECTION: CfA NU WA
TIME START; n Am END: 0
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