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HomeMy WebLinkAbout33991-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 07/01/08 No: Z-33131 THIS CERTIFIES that the building ACCESSORY Location of Property: 250 KRAUS (HOUSE NO.) County Tax Map No. 473889 Section 122 RD (STREET) Block 4 MATTI TUCK (HAMLET) Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in tbis office dated JUNE 18, 2008 pursuant to which Building Permit Bo. 33991-Z dated JUNE 18, 2008 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 SHED AS APPLIED FOR. The certificate is issued to MARY WALLRAFF (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DBPAR'DIBHT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE 11IO. N/A PLUMBERS CERTIFICATION DATED ~d1::!::: Rev. 1/81 L-._. I -~_ .i.~-!~" APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 if: ' JUii I 3 '1 .1 .)1 ".'.~T-'-~":. I "-;-q,j:..... . '-..~:::..! . This application must be filled in by typewriter or 1I1k and submitted to the:Building Department with the following A. For new building or new use: I. Final survey of propet1y with accurate locatIOn of all buildings, proper1y lines, streets, and unusual natural or topographic features. ,,' 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fom1). 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 2/1 0 of I % lead 5. Commercial building, ir.dustrial building, multiple residences and sinlllar buildings and installations, a certIficate of Code Compliance from architect or engmeer responsible for the buildmg. 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: I. 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 L 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 ofOcclIpancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25 4. Updated Cer11ficate of Occupancy - $50.00 5. Temporary..CerCtllicate of Occupancy - Residential $1500, Commercial $15.00 Date. June 12. 2008 Building Pe~t~ #7432Z) New Constructron: X d Old or Pre-existmg Building: (check one) Location ofProper1y: 250 Kraus Road, Mattituck House No. Street Hamlet Owner or Owners of Property: Linda E. Mills Lot 11> Lot. Suffolk County Tax Map No 1000, SectIOn 1 ?? . Block h. Subdivision f C3(',J)'VJ{ tf---- Filed Map. Pennit N03~''1<:j_1-_~ Date of Pe1l11lt "-f 6, D>i' Applicant Health Dept. Approval: Underwriters Approval: Plalming Board Approval: Request for: Temporary Certificate Fmal Cel1ificate: OLSEN & OLSEN llP 32495 MAIN ROAD PO BOX 706 CUTCHOGUE, NY 11935 Fee Submitted $ 25.00 CA/ 2~3 \~ , ~G --NSIo3 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. 33991 Z Date JUNE 18, 2008 permission is hereby granted to: MARY WALLRAFF 250 KRAUS ROAD MATTITUCK,NY 11952 for : ERECT NEW ACCESSORY BUILDING. THIS PERMIT REPLACES 7472. at premises located at 250 KRAUS RD MATTITUCK County Tax Map No. 473889 Section 122 Block 0004 Lot No. 036 pursuant to application dated JUNE 18, 2008 and approved by the Building Inspector to expire on DECEMBER 18, 2009. '\ \ , Fee $ 100.00 ( ed Signature ORIGINAL Rev. 5/8/02 3391/ 'Z- TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PlBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: M.. ~ ~f: A- ~~. o. I _ 3o~ 0 ~ DATE /0 INSPECTOR ~~ FOaM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ' SOUTHOLD, N,. Y. BUILDING PERMIT <THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3399 l (~/q Nt! 7472 Z Date ..........................Auguzt........1.3-..., 19..7-~~.. Permission is hereby granted to: D.'-"...l:!Uls................................. ............... ........... ..............;.:..t.t:i.tuck.............................. ........ ...... ................................................................................ to ..G/.r.@oQ:l;...ne-w..o/iloeQ&elOOl'y...1Hrl.:!.(l,in-g......... ..........................................................................,.. ................................................................................................................................................................. at premises Ioc:ated at ...... .Ole ..J.ule. .i.. ..j(.r-a:usQ.. .Rd...................................................................... ............................................................lla.tt:i.tuck... ..~.:l................................................................... ................................................................................................................................................................. pursuant to application dated ........................Alolg......1.3..............., 1994...., and approved by the Building Inspector. Fee $:1.0...QO............ h ~-'\c."k~[~m f.~ Building Inspectar ( . FIELD INSPECTION REPORT DATE I COMMENTS ,tJ ~ "d t<'l ~ ~ FOUNDATION (1ST) ':\ ..., - "" 0 ------------------------------------- f'\' Y'y FOUNDATION (2ND) f(\g ....... r.~ ;.= Z 'fJ9 V\ \' '" ..., ROUGH FRAMING & E:l PLUMBING !--~ '\ (', r \" .-'- -- ~- tp :- _.... ?\) , - --- --. -----~~ ------- :x: , --._-- ~ INSULAtION PERN. Y. -- .. t"l STATE ENERGY CODE ..., ... -... --." <-' '" r' , .~ (, r"o,.- T .LL~ "CAJ)fC LA t" j D-41 ... - v ',.........y ./ :/ -+ "-"t: J \' r ('. FINAL /i.' 0 0 0 ~ 0 ADDITIONAL COMMENTS . :> ~ - ~. ". .' 0 "h::E 0 """""iij ;0 ::::;c. 0 s.. " " r- Oo r ""- ~ '" . 9....l ~ -!.. ~ '7i' ..., - C' 0 -'l z 0 ;J . ~~ :x: :to 0 t'l "d ~ . ..- - L~ STREET Z5D VILLAGE DISTRICT SUB. .~~ 11 A T 1/1;; l:- f ...eA-- N E ~EAGE -r. j{j..// ~ES . ?SD S W TYPE OF BUILDING R. E VL. FARM COMM. I IND. I CB. I MISe. TOTAL DATE REMARKS ....... ........ , _I.. FORMER OWNER o..Y"i 1::.. . AS/.J D . RES '..</0 SEAS. LAND IMP. I/J-C ~ / :ro 0 1111' I Est. Mkt. Value " V. ~fJ - ,. ~ ..,;p\\ l" v--- .~ [,f'" v<;...' /"";:' Farm 7-'7<10 Acre DO .....;.. Tillable 1 BULKHEAD DOCK Tillable 2 Tillable. 3 Woodland Swampland Brushland House Plot Total . . . A. Bldg. I ! Foundation 7-j) 'X'} { .:' S-.~ I xtension ['rei '6.7:& : "il.1-L(L~-"'I. 3 ;s: () . xtension ~ y ;.z ;:1- ~ If 1-,,-~ .3 ,;. ( xtensi~ _---L-_____ ;,-.~-~~ ~ 1 ~ 30 -=- ~b b reezeway I iarage /:: \ y .~)..-- IL-J '/ ~ / "Ill I Basement . ,,~_....::>:'Z..~t-~._... I , if b ' Ext. Walls Fire Place r;O - 6 60 Patio J-fl, Driveway ;lDt' b / '. B. oZO? /,00 ~ I [ ! ! [ I I , ! I ., _.0" H i " - ;i.j!f )..-, Ir- "- I / i;r-- , , '.. " 1 .'" j I '.1 .Y '_ 1,/ v, I- /;) '" l\ , ,I"} , ,.... l,f-- ~ [ ~ :...: ! ; , , 1 I "r 1 i. ',,' . I " ! , tu ! , , I [ i ' I : I , I , i , f~+~' I ! , ! ! i I I i i , , [ J I I I I i i I , I , I + , ! I i I I I ! I T I , ! , I I I , , , ! L , , t-t~ , i : I :/l~--:t-I I I 1,1 c Bath '/y . .E.12.lL Floors J1 J I Interior Finish ~vt1 "9-11 Porch Porch (),( c.t-" \L Heat HcU [if- (-" H 111 Roof Type Rooms 1 st Floor Rooms 2nd Floor Dormer 4556:;'" V",lvC '76fX:> ~ot11( "'/~ y,.,l!/ -","" 411J -0. r>u '1''' f' <I ;, 7f.r fitter to-I~, ~ I I I -' r'1J>;.\t-( -- II'OBM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ....~6...1...~........, 19..7.1 339Cf {r~~Plication No. ..2..Y...?..~....... ...........I..\............~.:?........, 19..?..Y Permit No. .-:i.J...??:..Z-"....... Examined Approved Disapproved a/c ...... .......... ............................. APPLICATION FOR BUILDING PERMIT Date ........~cf.....f...~............., 19.?y.... INSTRUCTIONS o. This applicotion must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 applicont. Such 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 pa rt for any purpose whatever until a Certificate of Occupancy sholl 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~.> . ................~~~................................. (Signoture of applicant, or name, if a corporation) 25" /["4.-11/0 /f".<f'6'#;f~/vCtt AI.,k .........................................,;....................../................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generol contractor, electrician, plumber or builder. ........................!.f if..f./?:d.1:!... /L. !?({.!ff!d.. C(?!!.1! f.?!.1.f... ?c?,~r..'1.'f.C: [q,1.......................................................................... Name of owner of premises .......p,(.f.f(!.f!....d:..d(f:~....... ................................................ ................................................ If applicant is a corporate, signature of duly authorized officer. /~OJ _ '1-.;';' (Name and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .............................................. 1. Location of land on which proposed work will be done. Mop No.: ........................................ Lot No. ........................ Street and Number ..... ..z.!?.~...({'.l'.-ff(:f...tff.6'.~.......... .............. ........ .......... ............... .. ~--1 t7.(,(J!.~.'J......................... Municipality 2. Stote existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ............6(~~{........................................ ...............'................................................ b. Intended use and occupancy ......5...'f.tf.'?....(:::::r...~.7!!.1!i:.":'!...r..~f::~~ ere. ...........................................................,........ Nature of work (check which applicable): New Building .....i........ Addition .................. Alteration .....::.......::-:-~ Repair .................. Removal.................. Demolition.................... Other Work ..................................................... I 0-0 (Description) Estimated Cost ...... .... .....7.: .?.~........... ....... .... .... .... .... ..Fee .. ../. Q .............. .,. .... .... ....... .... .... ...... ........ ....................... (to be paid on filing this application) If dwelling, number of dwelling units ............................Number of dwelling units an each floor ............................ I f garage, number of cars ....... ........... ....... .................. ........ .... .... ............. ........... ........... ............ ............. ... ...... ............. If business, commercial or mixed occupancy, specify noture and extent of each type of use ............................ Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height . ......... .... .......... Number of Stories . ........ ...... ..... ............ ....... .... ... .... .... ................ ................ ..... ........... ........... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ Dimensions of entire new construction: Front ....../tf..../?i?.r......... Rear ....../.f:..t."?f.'?!....... Depth (:&..~?!.r......... Height ....I.~tJ.F.t.. Number of Stories ... ./.... ........ ........ .... ... ..... .... ......... ... ..... ... ........ ........ ..... .... .... ........ .... ... ...... ...., Size of lot: Front ......7.:.:f:.<?...f.!:::~r............................. Rear ....?~/.....E<:.<!.r............... Depth ..I~f....6:'!:r............ Date of Purchase ...............Lf.'f:.'..............................Name of Former Owner .:r.k:f.e.-!...e.t!..4!.~'?~1'.!.................... Zone or use district in which premises ore situated ...d'd..f.(.~t.~.!?'i~...................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ....1(,-:............................................... Will lot be regraded ......~'!................. Will excess fill be removed from premises: ( ) Yes () No Name of Owner of premises ....P./.?t!..t!..:~!f..{-.~.L...................... Address ..~f..~J:1.1.~J..1.~'!.".:"!.1-[; Phone No. .!:1r..:.f1.(f..Y.... Name of Architect .............................................................. Address ................................ Phone No. ...................... Name of Contractor ........P~1?'...&'!!..f......................... Address ?:f.~.((,1.~~.1~.~.::.1.~ Phone No. .1:.r.r...:5'/7.;I... PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate 011 set-bock dimensions from property lines. Give street and block number or description according to deed, and show street nomes and indicate whether interior or corner lot. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. j'f St'~ t'1/l/1?'''~ STATE OF NEW IS S COUNTY OF ......... .... ..............f . ............~q. . ..?:~.f...........................................................being duly sworn, deposes and soys that he is the applicant (No e of individual signing contrad) above named. He is the . .... .f?'f!!!!.41.1:::..tf.0/.!'7.-1..-?..<;.[-:'::t..... ....................................... .... ..................... ......... ............................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the soid work and to make and file this application; that 011 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. ~~~~.~..~~..~:i3;a: t:~s ..........~~..............., 197f... Notary Public, .................................................... County (Signature of applicant)