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Home My WebLink About33999-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY 11I0: Z-33174 Date: 07/25/08 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Pr()perty: 250 KRAUS (HOUSE NO.) County Tax Map 11I0. 473889 Section 122 RD (STREET) Block .!..- MATTITUCK (HAMLET) Lot 36 subdivision Filed Map 11Io. Lot 11Io_ conforms substantially to the Application for Building Permit heretofore JUNE 12, 2008 pursuant to which filed in this office dated Building Permit 11I0. 33999-Z dated JUNE 20, 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 "AS BUILT" GARAGE CONVERSION TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Tbe certificate is issued to MARY WALLRAFF (OWNER) of the aforesaid building. N/A SUFFOLK COUJlrn' DEPARTMERT OF HEALTH APPROVAL KLBCTRICAL CERTIFICATE 11IO. 4006824 07/25/08 N/A PLUMBERS CERTIFICATIOIII DATED ~ri~~ Rev. 1/81 r 5/~ Lt:5'l Form No.' - ......l. 1"-..0' TOWN OF SOUTHOI;fl:.----------~--c - \I d- .J- BUILDING DEPARTMt!'fl' !' I TOWN HALL . , \ :1 765-1802 ,\.\\ 2. 5 ' . APPLICATION FOR CERTIFICATE QF O(:~UPANCY ~ This application must be filled in by typewriter or ink and submitted to tM-Buildil1&--uejiit1ffient with the following: A. For new buDding or new use: I. Final smvey 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 (8-9 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 eIisting buildings (prior to April 9, 1957) non-eonfonning nses, or bnlldings and "pre-existing" land nses: 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building 525.00, Additions to accessory building 525.00, Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Building - 5 I 00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residential 515.00, Commercial $15'OOZ l Date. .., ~11_06 Location of Property: ~f)O House No. Old or Pre-existing Building: rfp-0"!:. ~ ./ (check one) MP1T\\D~ Hamlet New Construction: Owner or Owners of Property: Street c...bt'\N !Iv p.l.. \,.. ~ I z.. "'Z.. B lock .-of- Lot "?c:;. Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~Date of Perm it. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~~, DD (Y) b3'6ny ~C '1'i~~3 Filed Map. Lot: Applicant:~p.w m\...e'L- . ~ t1fi"Bq- Underwriters Approval: ./ ./ . ignature ==11::::-!i:::-:-,II--":::""-.:l!:::::II.:::-..:II:-,::\!--"'[! !: :.:: I1-'--~f-:.' !I-:::""I!"'. :~ ~~_':-~[ :::':: -I ::- '. ---'-,':::': ..--! -,- -"-1 -....,'-.--,.":::_":"_-, ..._-:,::::::: :::::::: I:::::::~_:: -:::-:.' :::-::- - ::::: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ; BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PUMILLO ELEC. PO BOX 323 LAUREL, NY 11948, MARY WALLRAFF 250 KRAUS RD MATTITUCK, NY 11952 250 KRAUS RD MA TTITUCK, NY 11952 Application Number: Certificate Number: 4006824 4006824 Section: Block: Lot: Building Permit: * BDC: n511 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 22.d Day of July, 2008. ~ QIY ~ Rati.. l&l:!Iill 1m: AdditionalCkal1les os built-1990 convert attached garage to IMng space-wire detached garage Alarm Bod emergency equipment Sensor o o CarMonfSmoke Panels 40 3 Wiring And Devices Fixture OuUet Outlet Receptacle Receptacle SWitch 7 7 12 2 6 7 o o o o o o Incenclescen! Fixture Gen, Purpose GFCI Gen.PlJllOSEl Gen. PllfllOS~ seal Continued on Next Page I of 2 This certificate may nat be altered in any way and is validated only by the presence of a raised seal at the location indicated. iii [@@I!?1h!s?J p:l[~L?!ri!EJr::JE~l2J 1?l1~lJcJEJr2]Ed r~t?!p-Lr?ll-~_r~ ~~lf~~JI2!I?Jf~S'lr2J~f~@f~rM~@f?J[~r~@r~g@@@@@@i?Tl~~E!L~~EJ@Jj@] ji- :=== j- ~l!l ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ , II , 11==n==!!-;--lr:::=!I==W==\1 =:~H-:=:-!I'::-:-!! -IF=-:::- iI =:: W'''.' ';F!!-!!:'.-::.~117-q:::::-I!-- f/--~ I +. -II -',J" l!l~i'IDl! ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ i Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the appl ication of upon premises owned by PUMILLO ELEC. PO BOX 323 LAUREL, NY 11948, MARY WALLRAFF 250 KRAUS RD MATTITUCK, NY 11952 250 KRAUS RD MA TTITUCK, NY 11952 Certificate Number: 4006824 4006824 Block: Lot: Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Detached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 22nd Day of JnIy,2008. ~ QIY ~ Ratin. ~ ~ An as built visual inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the irmallation is believed to be in conformance with the applicable reference standard for the estimated period of construction-of the premises wiring system. seal 2 of 2 This certificate may not be altered in any way and is validated only bY the presence of a raised seal at the location indicated. 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. 33999 Z Date JUNE 20, 2008 Permission is hereby granted to: MARY WALLRAFF 250 KRAUS ROAD MATTITUCK,NY 11952 for : AS BUILT ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR 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 12, 2008 and approved by the Building Inspector to expire on DECEMBER 20, 2009. Fee $ 400.00 re ORIGINAL Rev. 5/8/02 ~ 33??1 'Z.. TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ ~ ~ ~ ~f<tt1<-€ Ld-- &tr ( ~ \ ~\ ~, .h-1J- " r.€ ~ DATE "~}o- 0 r INSPECTOR ~~ , 33;;'17 TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST ] FOUNDATION 2ND ] FRAMING I STRAPPING ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRucnON REMARKS: /t;r..L [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION r ~2 DATE h'" ~,..I) 0 INSPECTOR ~~ .. " FiELD INSPECTION REPORT DATE I COMMENTS \}J , \)J "d ~ , -') ~ FO~ATION (1ST) 5J .., -5> "" --------------,-- - -------------------- i\J \:) c:~ ~ FOUNIDATION (2ND) '" ~ t'J ~ 2: 9 \U J\", ROUGIiI FRAMING & Q~ pI! U1YffiIN G ~ " - ...., <) --- f-- t V' .. - ---- ---- - -----~-- ----- 'FJ::r: --~- -- ~-- ~ INSULATION PERN, y, f------- - t'J STATE ENERGY CODE .., --... - -_...- ~ Jdb.-c ~ '/ NO iII..~ U J L..< -'hi Y ./~ ~ '1,-30-0 g JY.. ~ tUII, ~ .... '-E:.. ~ , - J/~ --- + IfIN AL C4 oK, 6'" //A ~ rJ2..l,'P- ~ '(to. ;; ("', , -?.//~ 7\ , . C ADDITIONAL COMMENTS D, , ':;: !0 -, :i) :+;0 ':: z m :xl ~' " ~ , -'" Q/~ ~~ , .., 0'8 _\) z , , xi , , i'l "d ~ i ()> TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined (Sf (~C) ,20 ~ I-..----.~ Ir~l. ~-~-~~- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check ___ Septic Form N.Y.S.D.E.C. Trustees Storm-Water Assessment Form_ .....--- PERMIT NO. 33CfQQ-t . 1, Expiration ,20 , l b' ~lD~ 72, . Building Inspector . , 2 " . Ii ~-.-' , Contact: Mail to: D. l=E: I u-7\.....- -W). ~ 'l;. f\/Jp. IT fTlX:;\C- Phone: 2~~ - 54-53 Approved Disapproved ale ,20_ APPLICATION FOR BUILDING PERMIT Date JU14e- ~t ,20~ 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 Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Perntit to the applicant. Such a pennit 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 pennit 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 pennit for an addition six months. Thereafter, a new pennit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pennit pursuant to the Building Zone Ordinance of the Town of South old, 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 regulat" ns, and to admit authorized inspectors on premises and in building for necessary inspections. t or name, if a corporation) ~~i;m~ts~~r~~fcat) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~t-\ I \Cs;:::T Name of owner of premises .....JO{\N ),j ~(...l-P~ (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. to c"'( II . ,. I. Location of land on which proposed work will be done: :2- '=' 0 K P-f'.. \) S f-DI-"O House Number Street lY)~lT \ IUO~ Hamlet County Tax Map No. 1000 Section Subdivision (22. Block 4- Filed Map No. Lot Lot 3(;" (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . 51 Nt-; U::;;, "FPrY11 L.l! :c:vJ~, ('Jc. b. Intended use and occupancy e:>p.yyJ E.., 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work /lJ /3",'/,- Alteration X. (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. - 7. Dimensions of existing structures, if any: Front ~ Height 18 Number of Stories Dimensions of same structure with alterations or additions: Front S p.{Y):e:- Rear Depth Height Number of Stories Rear ""0 ":) Depth 2f, \ 1,,- ,_ 8. Dimensions of entire new construction: Front B",:> Height It?> I Number of Stories Rear Depth 1'2'_1 . 10. Date of Purchase \"\1+ Rear '00'1.. Depth \ '5G Name of Former Owner I;'IJ lI...v I PVY1 Nil u.s 9. Size oflot: Front "Z..:Zo 11. Zone or use district in which premises are situated R40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13. Will lot bere-graded? YES_NO~ Will excess fill be removed from premises? YES_ NO_ 14. Names of Owner ofpremisesJ, \o<Jj).l...U2PP'r::::- Address z,5) ~ fllilo, Mft;'~Je9}t'1'- Name of Architect :\")-)NP-1-l? FEI ~ Address (TJj\Tf1~ Phone No ~ 98 - 5" -4-S3 Name of Contractor Address Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ~ * 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. - b;~;~" (o{2.l(;.{ N~ ) 17. If elevation at any point on property is at 10 feet or below, must provide topographical data 0~(f2.t rJ f" 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~ ~ N f>vO G" f;;;..\ L~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe APc+t l l ~\ (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. 200S JlJ . HERT ~o I 6 te of New York No.3 -4741154 Qualifiedin Nassau / S'I~ Cft!n~s CommISSion Explfes { 0 / 0; I , . , - L~ LAND IMP. STREET Z5D VILLAGE DISTRICT SUB. . ~a.MA..-- /1A T f;,r;;C ? ..e.A- N E ~EAGE -:r: KJ..II t; ES .?SD S W TYPE OF BUILDING R. E VL. FARM COMM. I IND. I CB. I MISC. TOTAL DATE REMARKS -- L'. FORMER OWNER , //d;;" ~ / .j- 0 0 - - I' I Est. Mkt. Value ,," ~ ). ..,.>p\\ CtA V--" SEAS. a /'''D Farm 7'9Q~ Acre Tillable 1 BULKHEAD DOCK Tillable 2 Tillable. 3 Woodland Swampland Brushland Hause Plot Tatol c . . .;'~ '''''''~:''''''".~.''',.'' i - . . i ! ,_l-/ ! ""I I I I i : I i I , I ! i--i-----+-- . ' I . 1 i I i , I M, Bldg. i -I Extension . I . Extension - -~. Extension I _.-- I ~__._ I t; " " " ,~~ .c.:~\~_ ~ Breezeway Garage O. B. _ 7l)"f.'2s..:: S.o. ", I I u~LI. 'I r- (p: '~'f J /I g ~i . . if" -J ,,;;;., Lf "1"", /IA_,Ar- .........,',.- 1.1.1\ 30 - (:,{'b / ') x' ',y' ')..-- , .J ' 'AH I .,2,tJ? I I /3 )( J L 0 , Foundation 3;.s-0 J;;d I ~ I ~.; I Basement 7 if b Ext. Walls , Fire Place /!!.2- 6 60 Patio I ~ - ~ ~ fp Driveway /,00 olo? 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