The URL can be used to link to this page

Home My WebLink AboutZ-19569 F . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19569 Date DECEMBER 7, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3915 STILLWATER AVE. CUTCHOGUE, NEW YORK- House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 1 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One. Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. ##Z-19569 dated DECEMBER 7, 1990 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 ONE FAMILY DWELLING The certificate is issued to ESTATE OF KURT A. KOEHLER, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. kidi ing In ector Rev. 1/81 BUILDI,•;G DEPART'.•IE:iT T0:•11',1 OF SOUTHOLD, N. Y. HOUSIi;G CODE INSPECTION REPORT Location 3915 STILLWATER AVE. CUTCHOGUE, NEW YORK �numoer 6c street) Nunicipaii-ty) Subdivision Map No . Lot(s) Name of Owner(s ) KURT A. KOEHLER, JR. EST. Occupancy ONE FAMILY RESIDENCE (type) owner-zenanz) Admitted by: PAUL KOEHLER Accompanied by: SAME Key available Suffolk Co. Tax No. 137-01-5- 1 Source of request BARBARA K. MERTZ, 'EXECUTRIX Date DE.C. 7', 1990 DWELLhTG Type of construction FRAME stories 1 Foundation CEMENT BLOCK Cellar lox Crawl space — _ Total rooms , 1st. F1 4 2nd. Fl 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type SCREENED PORCH Deck type Patio, type CANT Breeze:•iay Garage Utility room Type Heat NONE 'rearm Air Hotwater Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater XX Type heater LP Other ACCESSORY STRUCTURES: Garage, type const. FRAME (UNDER Storage, type const. Swimmin oo3!ERMIT116785-.Co Z-1955 g p Guest, type const. Other BULKHEAD, CONCRETE _ PERMIT #8949Z-CO Z-9395 for , ,DEC5 —Eff ?MT TION.p CONVERTED TO YEAR ROUND , VIOLATIO-1\1S: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Lncation Descrintion � Art. 1 Sec. I Remarks Inspected Date of Insp. DECEMBER 7, 1990 Tao J. FI R • Time start 1:45 end 2: 10 Ad_&f ed 40 Form No. 6 CJ V �,C, iU37�ljd� TOWN OF SOUTHOLD � l it BUILDING DEPARTMENT lY TOWN HALL ` 1 e``10 765-1802 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. ' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and v "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 a 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of nr on Pre-existing Building - 1Oq_QO_ 3. Copy of Certificate of Occupancy - 5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .��.ec? f . , 1q q 0. . . . . . . . . . . . . . . . . . . . .,ew Construction. . . . . . . . . . . Old Or Pre-existing Building,,, .✓ , ,Prl0-1 4 (�'3(0;"M M'61tU Ll Location of Property. 3R1.T. 1L�t��_P�' Av�VIUC � .e��G(no�CUC . . . . . . . . . . . . h, lGlgq C.D. 4t�3R5 House No. . . • . • . Street Hamlet • . . . . • . . • . Cnwer or Owners of Property.i564-�OT'. 4-Cf;ke.�;�f►;,, Tr. . County Tax Map No 1000, Section. . .13 : . . . . . .Block. . . . . . . . .Lot. .7 5% 1 Subdivision. . .Filed Map. .Lot. . !? £, „ Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. ivry e&Wev !1ealth Dept. Approval.? , , , , , , , , ,Underwriters Approval.�,.. L.. . . . . 5. . . . . . . Planning Board Approval. .. C;Q. 4,�q-3C), , Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . V Fee Submitted: $„ �00-D O. . . . . . . . . . . . . . . . . . . Qom" Oq 63 :- :a k: . . . . �' i.�J-OL` .`:�. . . . . APP ICANT tot " I CONSENT TO INSPECTION �ARBA� °K. fY12rz, �, �3-nqTE OFKuprkoLE-P, 7T, the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 39/� -,�;l�I„� �,�, IVY( which is shown and designated on the Suffolk- County tax map as District 1000, Section l3:3- , .Block Lot — That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: p p p _ ice rfi -�o ►�,. I�i z �m ,a�e �,w�c�y C.(�. 7- 9 3 Q 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. D ate d: -194 C)a _ 7EC"Zwa L'�e (signature) K. MCI (print name) (signature) (print name) { ��' ► ram) �� _ • a - f 14 *C a _ .. CO.aS'�c;� < a{::l':i'GTiu •`,i I (-•r1! _ ._'-`1 `y�..�r J!✓L�..!j'F+i':� �r.rr-l.Ci�n Le;a. „.•..? .. �. 1 r F (_G .� T.G � � �id�� i ayr - T� �tl+ ;M SS'.+ '�•;,;�-i s".,,^.�.i:;:c ;l�-i:er,.• 1 ✓ ti c�C,z'j +i i�?,:r r r yl' ` r •l�0 1 try 7e a ve,,i ;c� •. r.,'' . ,. ZO LO is ram_ Z :;. r } ,Onii! i,lSionS lZ It � �• ` '- �- ](" t__:,L� .�2 N�-r'. r^ Pf I1 'Li 1�1 V i ry i t� I� i)'I 61•ice) _l.: __-._-.-. •_ _. .. _. --_. -_ .—_. _._ ._- .• ' 'V`•�G _.._ Pti ice'."-'^.'� 4-� T��i�(l.-Q� ^t-� �`�•1�--- - Y _ 7�, '•.per fir'' ( - . - r +1 •{:+--'1, A - _••_. •r; ....�. ( :r.'•'�• 7-- m r-TZ(• , ��_ I ,, ffi.� I I. 4 f�. ✓r -�~aft -!.�. �;/ - ..( .!.m - I N,t9-4 E (,_.._I'F "'-0 ; Ik ) - i TOW N1 OF SOUT HOLD MOPERTY RECORD CAR® OWNER STREET VILLAGE DISTRICT SUB. LOT # 4,1 FORMER OWNER N E ACREAGE /Q 1A/ S ( W /o TYPE OF BUILDING C7 p1.C; —RES. j� SEAS. VL., FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value e LAND IMP. TOTAL DATE REMARKS � l�� :" Ad �� ,j t r t,r° �:54 Lr �9;'%O ,'.a~.� Y ri a ,n e re. -,, o ve d ZI y G" ?a a h 76 &D ?,Er 'd85 z � � L1,1;l6N :`c' % Goa, 1/ 1//0 0 V �'/ 1~ -7 100—L I I IS�pMY— Kwf A Kry�fer J r. 40 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ljb � �%' Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland j Swampland Brushland House Plot Total i i71"fA Ln 3E'�7 wan• � -o-=� � , l't' I i I 17 LT M. Bldg. 7 N a a 8 ' Foundation r i. Both 1 Extension Y°fir r'�. -o Basement L Floors 7 .� i 8 = ro 3.s� L G r Extension Ext. Walls Interior Finish Extension c> 9 _,� . _ j Z I� Fire Place I / Heat `s X. .�� // 1 Porch I Roof Type I Porch Rooms 1st Floor .&eezeway Patio Rooms 2nd Floor Garage -- Driveway Dormer T- -3 TOWN ' OF SOUTHOLD kOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT -171- FORMER OWNER N E ACREAGE S W TYPE OF BUILDING RES. 012- SEAS. VL. FARM comm. I IN D. . I CB. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS T-,4 a / 00-0 b 73 13Z D '7 S.6- /3 u j L 0 Al 7 ,0 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland kpm -7- House Plot Total ti \� r1 •i/, , 1�'��I � J T I I i Wn 77, t ' i M. Bldg. i Foundation Bath i I Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat y ' Porch Roof Type I Porch Rooms 1st Floor i Breezeway Patio Rooms 2nd Floor Garaged $ �a y Driveway Dormer I — O. B. —I i BUILDI?1G DEPART.•IE.iT T0,•l,,I OF SOUTHOLD, N. Y. HOUSIIdG CODE INSPECTION REPORT Location Aga. �numoer 6c street) X !Muni aiity) Subdivision clap No. Lot(;) Name of Owners) -z&uZ'4 Occupancy 6 e owner-tenant) Admitted by: Accompanied by: Key available Suffolk Co. Tax No. 137 6,1 p��O Source of request Date DWELLING• .. Type of construction #stories Foundation �sy --- Cellar � g Crawl spac e Total rooms, 1st. F 2nd. Fl 3rd. Fl Bathroom(s) Toilet room(s) Porch, type eye z Deck' ype � YP t � Patio t Breeze:aa ==----- _ Y Garage Utility room — --- Typ e Heat ,��,, arm Air Hotwater Fireplace(s) t-- N . F-cits Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES. type const., o -- type const. Swi,-zuning pool Guest, type const. Other VIOLATIONS.- CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENT ON & BUILDING CODE - . Location Description Art. 1 Sec. Remarks: Inspected by Date of Insp. J 7/0 Time start •`Qc/ end % /0