HomeMy WebLinkAbout33992-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33130
Date: 07/01/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 250 KRAUS
(HOUSE NO.)
county Tax Map No. 473889 Section 122
RD
(STREET)
Block L-
MATTITUCK
(HAMLET)
Lot 36
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 18, 2008 pursuant to which
Building Permit No. 33992-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 TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to MARY WALLRAFF
(OWNER)
of the aforesaid building.
SUFFOLK COU1llTY DEPAR'ftIKNT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
10/24/74
N 189540
PLUMBERS CERTIFICATION DATED
N/A
~ J0'. :!1~
./'~,-
uthorized Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
., "
!. I
JUN
3
L-
APPLICATION FOR CERTIFICATE OF OCCUPANCY 1_1,1".
This application must be filled in by typewriter or ink and submitted to the:Building Department with the following:
I
___J
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. o'
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 2/1 0 of 1 % lead.
5. Conmlercial 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinmling pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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. TemporafJi'Ceiti.ficate of Occupancy - Residential $15.00, Commercial $15.00
Date. June 12, 2008
Building Permit 8490 ~~~w ~rtvate ~art~e
New Construction: X Old or'P'rle',!\st~8gB~il3~ng:ng fence) (check one)
Location of Property: 250 Kraus Road. Mattituck
House No. Street
Hamlet
Owner or Owners of Property:
Linda E. Mills
Suffolk County Tax Map No 1000, Section
122
Block 4
Lot 36
Subdivision (C{\~q
Permit No. 63 CJ'l ~ ~ ~ate ofPennit.fc,(J~ J 2l
Filed Map.
Lot:
Applicant:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Underwriters Approval:
Final Certificate:
'"
Fee Submitted: $ 25.00
C,.,o -2'3'9 \? 0
t2.eL '"1 't S L. J.-
OLSEN & OLSEN LLP
32495 MAIN ROAD
PO BOX 706
CUTCHOGUE, NY 11935
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THE NEW YORK BOARD OF FIRE UNDERWRITERS
r-- BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
Dat<()c tober 24, 1974 Application No. on file 764718 N 1Qqr;4n
....... ...c' "'''''.J' -...:
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
David Mills . 250 Kraus Rd. . Ml.lttituck. L.I.
in theJollowing location; o Basement iJ ],t Fl. D 2nd Fl. Section Block Lot
was examined on Ot:tober I2 1974 andJound to be in compliance with the requirements oj this Board.
.
FIXTURE ~ECEPI AClES FIXTURES RANGES COOKING DECKS I OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES INCANDESCENT FLUORESCENT ~:~y AM'. K.W. AM'. K.W. I AMT, K.W. AMT. K,W. AMI. HP
" 6 5 2 I
..
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTlET DIMMERS
TRANS. SYSTEMS
AMT. K.W. OIL H.P, GAS H.P AM'. NO. A.W,G. AMY. AMP. AM'. AMPS, AM'. H,P. NO. OF FEET AMT. WATTS
'"
.
SERVICE DISCONNECT NO. OF S E R V I C E
METER NO. Of cc. CONDo A.W.G. A.W.G. A.W.G.
AMY. AMP. mE EQUIP, 1.J!2w 113w 3H3w 3,H4W PER 18 OF cc. CONDo NO.OF HI-lEG OF HI-lEG NO. OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
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Warl\ar Electric
194- Wiod lawll Ave.
St.Jaraea. L.I. 11780 GENERAL MANAGER
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COPY FOR BUILDING DEPARTMENT. THIS COpy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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.
33992 Z
Date JUNE
18, 2008
permission is hereby granted to:
MARY WALLRAFF
250 KRAUS ROAD
MATTITUCK,NY 11952
for :
BUILD NEW GARAGE. THIS PERMIT REPLACES BP 8490.
at premises located at
250 KRAUS RD
MATTI TUCK
County Tax Map No. 473889 Section 122
Block 0004
Lot No. 036
pursuant to application dated JUNE 18, 2008 and app;rove<i by the
Building Inspector to expire on DECEMBER 18, 2009.
Fee $
152.00
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/
,.
ure
ORIGINAL
Rev. 5/8/02
FORM NO. 2
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
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Date .......................,Ap.r.U.....1.2..........., 1 '1l6....
Permission is hereby granted to:
J.OM..WaJ..r.a.f.i:...................................................
............Mat-t:i.-tuek.... .N...)t.... ....... .............. .........
to ...1...:i,;!.<i.o..r.;ew...p.:r-l:v.ate..ga;r.age.."'. .:r-epJ.a.o e.. e.xil..st-i,ng...t"ena.e.. ... ... ..... .... ... ...............
................................................................................................................................................................
at premises located at ..03:e-..J'I:l3:e-..b~ne..b....K.ra\l:se...Rd..............................................................
.... ....... ...... ............ .....................Matti tu-ak" .... "N'.'Y', ..... ....... .... ... .... ................... .... .... ... ..... .... ..........
.................................................................................................................................................................
pursuant to application dated ......................Jl.p...;!,J............1.::1......., 19.';16.., and opproved by the
Building Inspector.
Fee $..10.00...........
............(~~"'i~l.................
3377iJ-'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 PENETRAnON
REMARKS:
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b-}O-o'l
DATE
INSPECTOR ~~
FIELD INS~ECTION REPORT
.
FOUNDATION (1ST)
FOUNJpATION (2ND)
ROUG~ FRAMING &
PDUMBING
INSULATION PER N. Y.
STATE BNERGY CODE
,
FINAL
,
,
DATE I
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COMMENTS
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MATTITUCK
TOWN OF SOUTHOl.-D, N.Y:
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101IIII NO. 1
TOWN Of SOUTHOI.D
IUILDING DI'AlTMIHT
TOWN CLIIIrS OffiCI
SOUTHOLD, N. Y.
19? f... ?,[!;~ --2. ~i? Ajlpli~Q'iw\ ~ ..c;J:,f,fY.........,
1;29.... Permit NQ. ...::'.....:.~.~.~....... ~cI
Approved
.................. ...... ....(B'~'iidins .i~~I*.irl....................
APPLICATION POI BUILDING PERMIT
Date .......................J..pr.11......1.2.... 19...~6.....
INSTRUCTIONS
a. This application must be completely filled in by typewriter Of in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans. accurate plot plan to reale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets a.
areas. and giving a detailed description of layout of property must be drown 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 0 Building Permit to the applicant. Such pennit
sholl be kept on the premises available for inspectian throughout the work.
e. No building sholl be occupied or used in whole or in port for any purpose whatever until a Certificate af Occupancy
sholl hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of 0 Building Pennit 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, bUildi~....ode' hOUSing. code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessoz, in (lionS.
.....~.~....0.9f&./Jjfc:............................h....h....
(Synature of applicanr:(o~';:,;;~. if a corporation)
.........{)l-e...J.ul-e.. <I......,.J'a;U6'l.h.tG.....hl~;t.t;L;t\lck...........
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor. electrician, plumber ar builder.
,............................................................................................................................................................................................uu...
Nome of owner of premises ......rohrl'..'vla.J:lraf'f'................ ................................................ ................................................
If applicant is a corporate, signature of duly authorized officer.
I)J;-J.o
(Name and title of corporate officer)
Builder's License No. .......cwn'!'!'!'"................................
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.: ............;x:x....................... Lot No. .......JUt.............
Street and Number .....,..',."...~u.,.~........,..-".-e...;!o,...................~..~1;ti.ttlt'!k..... ...............................................
"...,. " .L.v '" ".<~'" ,.uU .~.. -- Municipality
2. State existing use and occupancy of premises and in~ended use and occupancy of proposed construction:
o. Exisiting use and occupancy ....dwe-?j.j:r;.w.......................................................................................................
b. Intended use and occupancy ..............5€t1!!-e..W'it~..j:)1'4.....a.te...1la.1'a..g.e........................................................
5.
Nature at work {check which applicable): New Building' ......xxx..... Addition .................. Alteration ............,.
Repair .................. Removal.................. Demolitior' .................... Other Work ................................................
(Description)
Esti mated Cost ........... ........ ..1.!j'OO,!:.......................... .Fee ... ..~. 0~~b~" ~~id "~~"ii'I'i'~~"th'i;"~'p~ii~~ti~~;"''''''''''''''
II dwelling, number of dwelling units ......,c..e.a::r...ga:rNumbcr of dwelling units on each floor ...........................
I I garage, number of cars ............................................................................................................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
Dimer.sions of existing structures, if any: Frant ............................ 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 ......~t......................... Rear .....2'................... Depth ........'30..........
Height .................... Number of Stories .......Gfle............................ ........................... ........ ......... ............ ...................
Size of lot: Front ........................................................ Rear .......................................... Depth ................................
Date of Purchase ........................................................Name of Former Owner ........................................................
Zone or use district in which premises are situated .............A......d'lst......................................................................
Does proposed construction violate any zoning law, ordinance or regulation: .no.................................................
Will lot be regraded ......nG................. Will excess fill be removed fram premises: ( ) Yes ) No
:1
4.
6.
7.
8.
9.
10.
11.
12
13.
] 4. ~Jame of Owner of premises .................................................... Address ................................ Phone No. ......................
Name of Architect .............................................................. Address ................................ Phone No. ......................
~.'omc of Contractor ............................................................ Address ................................ Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or praposed, and indicate 011 set-back dimensions fram
property lines. Give street and block number or descriptian according to deed, and show street names and indicate
..vhether interior or corner lot.
See filed Plan
~TAE OF NEW YORI<, I
"Ol" ....v 00 r S.S
L ,0' I , . ' .......Suffolk........
........................John...WaI:1Tr,f,f........................................being duly sworn, deposes and soys that he is the appllcue,]
(Name-oTindiviOua signing contrad)
above named.
He is the ............................agen1;..'f~;~'t~H~~:.~..~~'r#i~.~.;:'~t~.';""'"'''''''''''''''''''''''''''''''''''''''''''''''' ........
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 staterr,ents contained in this applicction are true to the best of his knowledge and belief; c"id
thar the work will be performed in the manner set forth in the application I d therewith.
Sworn to before me this '
...............l2th day of .................AprU............., 19"76' .
~H ANN NEVILLE j"L A'. 0'1.
NOTARY PUflUC, StaIr. (If New '(or:/~
No. 52~8I.2585'], S'Iff:;!,~ ~;:)Unl~
Term tXplres ,V,arcn j". t9_2~
V t<J"C> versIon 't" [lJWner ,,,roup" rnqmry, Name-InqUIry]
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