HomeMy WebLinkAboutZ-42341 � �._
�C"00 Cot Town of Southold 9/19/2021
�o Gy 53095 Main Rd
y x Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 42341 Date: 9/19/2021
THIS CERTIFIES that the structure(s)located at: 4180 New Suffolk Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-10-1
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- 42341
dated 9/19/2021 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 single family dwelling with enclosed porch and accessory wood frame one car garage_*
The certificate is issued to Koehler Fam Ltd Partnership
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aut or' e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4180 New Suffolk Ave,Mattituck
SUFF.CO.TAX MAP NO.: 115.40-1 SUBDIVISION:
NAME OF OWNER(S): Koehler Fam Ltd Partnership
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Koehler Fam Ltd Partnership DATE: 9/19/2021
DWELLING:
#STORIES: 1 #EXITS: 4
FOUNDATION: poured concrete CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: enclosed porch DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: off boiler AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER:
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame 1 car STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 8/19/2021
TIME START: 10:50am END: 11:10am
�uFFa1+� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
o� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 haps://www.southoldtownny.gov—
APPLICATION FOR PRE-EXISTING CERTIFICATE OF OCCUPANCY
OWNER(S)OF PROPERTY: -r 1
Name: �6 - —F—pf`(ll-L_�u j-�-1 _PftgT -1, _ tp Dater 7`
Physical AddressAg(� ��yv S�FFQI.K ( ._ SCTM#�10n000- 15— I O— C)I_
Phone#: �5� gyp—TICI—Z-7Z--7 Email )
Mailing Address:
CONTACT PERSON: �/,�,�
Name: John nUc it
Mailing Address: j(D13 pg) n
Phone#: 103 (QG `t- 412 Email: J �O�tfL C-Ro --1 - com—
To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the following D
• Accurate Survey Lci V DD
• Floor Plan
$100 Fee JUL 2 0 2021
CONSENT TO INSPECTION
That the undersigned does hereby give consent to the Building Inspector of the Town of Southold i�I+ t�BFr�r►� .
above described property, including any and all buildings located thereon,to conduct such inspT&rjjr1SjRM 1, j1T)kK0LD
deem necessary with respect to the aforesaid appli ation, including inspections to determine that said premises comply
with all of the laws, dinances, rules and regul ons of the Town of Southold.
7 S /21
caner s Signature Date
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at the above address,do hereby authorize
to apply on my behalf to the Town of Southold Building Department for
approval as described herein.
Owner's Signature Date
# # TOWN OF SOUTHOLD BUILDING DEPT.
`�coorm `' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]ANSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION- [ ] FI RESISTANT PENETRATION
] ELECTRICAL (ROUGH) VPRE
LECTRICAL (FINAL)
] COD VIOLATION C/O
RE RKS:
DATE ZD INSPECTO
-
TOWN OF SOUTHOLD PROPERTY
OWNER STREET L�1 -f) VILLAGE DIST.; SUB. LOT
.� .�� "�`�.'�•:.`.,.� �,1 � °`',t ,'2 � 's•. d r'L='�44° s��f•�'�'ems",>�d4 ��.".�yL"W 4 't Ar/p —�, ,¢;e ..... �z_� *, ... --- ------ ---`--
FORMER OWNER N "'
E ,� z ACR. `
X41–
W TYPE-OF BUILDING
RES „ ' ; SEAS. VL. FARM -- COMM. CB. MICS. Mkt. Value
LAND IMP. i TOTAL DATE REMARKS
.q -
74,
x.
v
+ P
-Yl. �
Li
7 `
', `}' P C� 'rte d— y t `_�^"An sunt
i !
066
AGS BUILp NG CONDITION z,fi ?•- �, b
�.. r s J C j ✓ t � 4 r ---
NE NORM.^.L PELOW – A
—-�
{"ARM Acre Value Per , lug �f
Tilla' ., a ?) FRONTAGE ON WATER Y
FRONTAGE ON ROAD ' S
°. .
Vf cadow!andDEE
PTH
Nouse Plot BULKHEAD /ref k
Total n DOCK ��
3 ,1 �c b/5�
r�° j
-��&' `@E``�r/ r* . y,, - P /
e'� } ,. F' ;° •r ; r _.
t 8F ..+
i :- "
7 � � hji8
TOWN OF SOUTHOLD PROPERTY RECORD CARD
-L-A" -- -----
OWNER STREET VILLAGE DIST. SUB. LOT
�Aj P+(Ao NeAl'13 Su+fn Id I+ct cik
ACR. REMARKS
2-1 'E7V rv,c
-4
TYPE OF BLD.
A C4 (c/17 Z4) 75 40 6 -Z m
PROP. CLASS f /0
Lk, fired 'T✓
LAND IMP. TOTAL DATE 34�
&� LM -
0—0
P
i hd-
q I-7Z,4 -3.540 Q
-7 112— 7-' );7- Oaf 7y k oehlet-
FRONTAGE ON WATER TILLABLE
.............
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT 6r
TOTAL
Y
_
COLOR
TRIM
IF
IL
t �
� — — —
rvm
e
,
I
L4
a ..
»
x� "I
,
M. Bldg.
Extension —
> I ,
Extension
Extension
/J IT
— Foundation !Both Dilette
P r .; k 1 1 I Basement a M. Floors 1 i
P ch !Ext. Wails
Interior Finish LR.>
Breezeway ;i Fire Place I Heat I � . DR.
„ M
Garage ?�
� t - ?�°'� ,Type Roof i P.00ms 1st Floor ; BR. !---
Patio — Recreation Room Rooms 2nd Floor ; FIN. B
O. B. iDorer Driveway
Total I FY ! i
I I
r
TEST HOLE #i DATA TEST ROLE #2 DATA TEST HOLE #3 DATA DgER m
#S10-12-0003
V.==
rid 'Iq..oe rue m sa oss•o.v"�us ES veu lwly
� gtJFFOL�VEN •� � w .4.1. � �$ ter—'
`�
rR[rtus
0 r,u=• • E $1 1 p LO.' 1 - t I 11 IES
TEST Hoc a LOT71 cad SEaJ,ie
� Vg, nd NEwt Su Ffuuc AVE IIII
`1 a LR.1 OLiP Irl OKF RMEA� OQ Y•1Sf6=+.-TMGR _
LOT 4 � � �`` F� Ms�'E•eA
T ` " !8
KED MAP
srt Q LOTS SCAL 1"=600'
\s 1�1 B• p �f. "�sa„-as..Aaw:s v1a
\IS „ a CLUSTERED FINAL PLAT PREPARED FOR
d Lr •e m ,,;;; '��' _��� KOEHLER FAMILY LIMITED PARTNERSHIP
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
QW SUFFOLK COUNTY, NEW YORK
\ 6
LOT- ��y Y S.C. TAX No. 1000-115-10-01
s ..m„i„ �ez/7r y p_ SCALE 1"=50'
LOT AREA- 50.906 sq.
\ LOT 5 j_� 4 "=aeol,aa,a°g ` (TO TIE LINE) 6!943 ac. H.
m i r iEXIIA,Gli-r "A"
\ 5 i 100' Ps e cs ReF dP 9ou0000 70 l 0'1
TEST,�#s :�>4 •ax%� �^ A LEGeIJfl
\ .++ Is e
A s�., ; I .�A I OW GRADE TFAJCfoR 6Q
5PL1cE AcX
LO
'
Eq:WNKOHLER FAMILYI JYITEC PARTNERSHIP
a �.O BOX 164
t \ II`` '" MATTITUCK ^.Y 11952
� � 1.n•��iN'°';°o,�`..ea"a ' a NE�1 GuSTomFR cvP`+!
s �';+ q?'es4o'2o'L y, igSfAL1-
J-�a0p"T QtC(2Eo O`orsJILE
�N
- E ft Mf
LR t. ELEVATIONS ARE TOREFt EEXISTING RENCED TO N.A.V.D. 1988 DATUM Fp, Tra1SF. EO
WN THUS: SHOWN MONUMENTS A'14I 'AA (RODE EXISTING CONTOUR RESHOWN THUS:
a�LOPROPOSED MONUMENTS MV THUS:•
uuEE I.WR
2. ZONING USE DISTRICT: R-BO
ACCESSORY SETBACKS ARE TO CONFORM TO LOT SIZE.
\�' •� / \ LOT 7 / ACCESSORY STRUCTURES ARE TO BE IN REQUIRED REAR YARD OR IN THE CASE OF WATER
FRONT LOTS,THE ACCESSORY STRUCURES MAY BE LOCATED IN THE FRONT YARD.
OPEN SPACE GROUND LEVEL LOTS CONTAINING 20,000 aq.ft.TO 39,999 sq. ft., NO ACCESSORY STRUCTURE
SMALL BE LESS THAN 5' FROM ANY LOT LINE.
s p• �F a r LOTS CONTAINING 40.000 s9.ft. TO 79,999sq. 1t., NO ACCESSORY STRUCTURE
r-SAFFEY MARKOUT TAPE 12' BELOW GRADE SHALL BE LESS THAN 10 FROM ANY LOT UNE.
LOT 7 \ g ELECTRIC LINE W/SLEEVE AT SEWER LINE CR$ING PRINCIPAL STRU T IRg TBA RS
15 g FRONT -40'
Ilk. FRONT
MINIMUM -15'
TYP{COT TO SCALE AL PLOW PLAN \ \ o PROPOSED 4 REAR -50'CAST IRON SEWER PIPE TOTAL BOTH SIDES 35'
N \
IROR1Rr 111( .� •'
\ �a � AREA DATA
N
REA
6150.989 eq. tt. TOTALBLUFF hA WETLAND AREA
// - 5,319 aq. I - 10'WIDE LONG ISLAND POWER AUTHORITY EASEMENT
a TJ TEST HOLE /2
\ 4 / - 2.374 aq. ft. - 20' RIGHT OF WAY (LU TON POINT ROAD)
/.a 633,024 sq. f1. = DEVELOPMENT AREA
u6trsE \ ��
379,814 sq. ft. 60% OPEN SPACE AREA
253,210 sq. ft. 40" DEVELOPMENT AREA
oil O TOTAL BIABLE AREA = 253.210 sq. ft.(40% DEVELOPMENT AREA)+ 5,319 sq. ft.
= 258,529 sq. ft.
DRAINIGE�T£L CALCUL.ITIONS:
TR19U7 S.t961*q 11.
tYNROR \ «�Y \ T� WEIUN w��c.l 9 5.aa6 II.%/Oalt.2".922.34 wnkel 11 .1 6'Cla.I. hang Peal requbW
0 REVISED 03-20-18
egR51Tr .STs+'°L`' e'ala.%6'nips STORM DRAIN POOLS REVISED 08-14-17
TRIBUf 7,336 sq./1. REVISED 07-72-17
M 2j'Js'2p. `� X 'aaRAn WNG.rtPI 3,466 1.%0.17=1,247.12 cu.It.
\ M f D'K 1,2l7 ft./42.2•29.55 vsMeel fl.01 8'Ala.I...thing Pool rpulr.d M wA IFR$(/PP[r,truS ORriElls AFD tISSN'R
sOAD Afgy a}r ✓" :•zEs�-.. 8'Aro.%10'high STORM ORNN POOLS LOUildes Sx011N ARE FROM/[[O CYRRVA70e
w4i l- =01•R ,_L, / ARO MOA.Ou"A'Am FROM OMWS
ga1ELL!... 1 cr
PROPO%DIA.%f0'DEEP ORYwEU3 FOR ROAD ARE SHOWN TNUS:
�'� s TR•Tli'• � �� ,cgs r;a:. Ocv.Pw o.w:nAv088
,I n- TAT,a. �- !- �• A:rz./�O•W/t)P'lIM ro n=s sG1Kr a A Nh.r�dl O�sfC•i0�=]W OF a1=KR n%R s..E04C—uR L=YKs O'1M5—1
r p4gk��, _ ,{•+'�"i'�"' 1 gist,, sExsa io:.OY�IIR�s1.wEHA r�.< X&
` .i1f1m iiri` Is,A F m rni n M.
mix rM= A". c.Armon a5n w'P'
.ARD* M AsaGVFZs Y ME LO4Mi0.i6 nronW,aWRARREs ARF NOT 1RARJRRA
LOT AREA DATA RAE w P'KR—S10sM xLRra r.oM r•C narR>r I—ro r.r s7mr—ARE FM A srcOFK ffl F AM ug R,BxFOtE Mr AAr
— -C M IRyERr,;m±s a m aAU[asE[arcnov 6=IS emnowt S1a1K1WKY w Axa OnQ A49MK1gVIs U6E ALl
LOT 1 LOT 2 LOT 3 LOT 4 LOT 5 LOT 6 LOT 7 ROAD TOTAL AreAx snwe7d�s,reaoEa>•uxrcaaem Aar Ror ruARAxrzrP,+a4Ess vwrscaaar ElfplT oR M assseMs.1 rhr rR1E a sue.Er
DEVELOPMENT 34,916 p.H. 3t.20t p.It 32.671 w•H. .)•866 w•It 26,644 so.'• 30,634 sq.fl. 32.094 sq.ft. 23,802 sq.M. 243.030 sq fl• slwwr SCR'.B=C PROPERTY CERTIFIED TO.KOHLER FAMILY LIMITED
BLUFF III WETLAND AREA - 3.757 sq•H.` 6,469 sq.It. - - - - - 10.226 eq•H. PARTNERSHIP;
EASEMENTS - - 4,213 sq N. _ _ _J _ 2.3]4 sq.f1. - R""W H. snulEdATTITJCK
_ 379,900 sq.H. 379.900 sq.N. tVw dTHO_D
OPEN SPACE - KENNETH Y 'I IT UK LAND SU_R C.PIZ.0
UPLAND BUFFER - 4257 sq.11. 4906 sq H. - - - - - 9.163 sq.it S WFOUNTY,NEW YORK Prafesato0el lend Su l+eyina ssd Design
TOTAL /1. 39.213 M, 1t. 26.844 it. 70.634 H. 414.368 H. 23,602 p.H. 630,906 ft. P.O.Bot 169 Aqueboaue,Ne1r York 11991
34.918 1;. sq.tt. 459 W.H. 3.iS66 q. aq. aq. p. W ,�41 scA:s..,.� � t•tw.va taat)xee-lase rA%lea=)eM-
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' \ � .. . .. . \\ \ X22.1 '. �\ :�:: -ac 1 t I 1! 4 _ ". ,
.•, ..' - - .. �s To__ t t ► o � KOEWLER 1`AMILY
.•�' •. �'.',. ... � ., ,.,�: �• \• � � � I s _— t t I LIMITED PAR1fNERSHIP .
'. . ,. . . . ..`� \ : .... .:.;. . - � :.. .., •� ' ,.. , � ... a I t 1 I .. . . FIDELITY NATIONAL TITLE ' INSURANCE COMPANY ' . . � . .
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' • '�! - �`•, •.. �' \,�' .. \ ' .. �\ x.LS'3 \,�. - - , _..n.--- \ - STANDARDS FOR TRIE SURVEYS AS ESTA$LISHED '
BY 7HE LLA.L.S. AND APPROVED AND ApOPTED
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N.Y.S.' LiC: No. 50467
. � UNA>JTHORIZED ALTERATION OR AOOITiON J �
' • - .. TO THIS SURVEY IS•A VIOLATION OF Nathan �a�t ��r\�/'n ��� .
- - � � � - � - � � � - - _ SECTION 7209 OF THE NEW YGRK STATE- - r�/
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" . , , . . • ' , . . . : . � ., COPtES OF THIS SURVEY MAF NOT BEARING . �an d S u r v e o r
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. • - , •� EMBOSSED SEAL SHALL NOT BE CONSIDERED .
• •; TO 9E A VALtD TRUE COPY. •
• " ... CER71FICATIONS INDICATED HEREON SHALL RUN Successor 70; Stnnley J. Isdksen, Jr, L.S. -
' .., ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. .
• � '; - iS PREPARED, AND ON HIS BEHALF TO THE
' - .. - •, � TITLE COMPANY, GOVERNMENTAL AGENCY AND Tiffe Surygys — SubdivrSlORS — SifG PJOnS — 'COnSfrllCfiOC1 Lo 0t1f .
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LENpING INSTITUTION LISTED HEREON, AND Y
• TO THE ASSIGNEES OF THE TENDING ;NSTI PHONE 1(631)727-209 �
- .. .. TRANSFERABL .
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• T cAT {6 1)727 1727
' • ' • THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
' ". � �• . . � � • . . . ••AND/OR EASEMENTS OF RECORD, IF 1586 Main Road .;' P.Q Box 16 ..
- " ANY, NOT SHOWN ARE NOT CUARANTEEp. •' Jomesport„ New York 11947 Jdmesport, New York 11947::•
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LOCATION, 41 • �,i
(number & street) (municipality)
SUBDIVISION MApy.N'0.: LOT(S):
NAME OF OWNER(S)':
O'CCUPANCY: 34 Che 1� o
(type) (owner-tenant),
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE; SUPF. 'CO. TAX MAP'NO, 1000- 1.15'•-- 10.-1
SOURCE OF BEQUEST; DATE: -SvIM, IC, yOYI
DWELLING
TYPEOF CO.N'ST UCTI'0 : # STORIES: _,'# EXITS; F
FOUNDATION: • ASV=NT: ` 'CRAWL SPACE:
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# OF BEDROOMS: 18T FIIK 2ND FLR: 3RD FLR:
•BATI-IRO`OM(S); TOILET RidOM(S _ UTILITY ROOM;
PORCH.TYPE DECK, TYPE: PATIO;TYPE;
BREEZEWAY:' FIREPLACE: QARAGE: —.
DOMESTIC HOTWATA.: TYPP, HFATEP2: O Y ,AIRCONNDITIONING:
TYPE,HEAT: _
IO.. vwARM AIR: . FIOT'WATER: QAnit
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4 OF-KITCHENS: ..,
FINISHED BASEMENT:, 'YES NO
OTHER: V0.
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ACCESSORY STRUCTUIkS 1Y '
GARAGE; VZPE OF CONST.; STORAGE, TYPE CONST.:
SWIMMING P'O'OL: GUEST,'TYPE CONST:
OTHER;
VIOLATIONS;. CHAPTER]44 &N.Y, STATE.UNIFORM FX PREVENTION & BUILDING CODE
LOCATION, D4SC I PTIO ' ART. SEC,
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REMARKS;
INSPECTED BY: c I DATE OF INSK=ION:
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TIME START; O �' END: l
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THE KOEHLER FLP LETTER OF TRANSMITTAL
108 Allen Blvd.,Farmingdale,New York 11735
631-694-4720\631-694-4649
To: Town of Southold From: John Koehler
Town Hall Annex Date: 7/19/21
F—F5-4375 Main Road P.O. Box 1179 Reference: i11 OSuffolk Ave
Southold,NY 11971 F _
Attn. Connie Bunch
We Are Submittin
Submitted for: Action Taken:
Shop Drawings r❑Approval ❑ Approved as Submitted
Prints F❑ Your Use Approved as Noted
Plans r® As Requested Return for Corrections
❑ Samples ❑ Review&Comment rEl Resubmit
❑ Letter _ ❑ Returned
❑ Change Order ❑ Returned for Corrections
®Other
Original Date No. Description3 D
_R PC
F1 Pre-existing Certificate of Occupancy
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I I I F — $100 Check for inspection U � �_ 0 221
11 —( —F— Floor Plan
�—F Survey --- BUILDING DEPT
�9 F—rFPhotos of cottage and garage TOWN O'F J
C ID
Remarks
Connie- Enclosed are the documents as requested along with the$100 check for the inspection.
Please let us know if the documents are satisfactory and when the inspection will be.
cc: Koehler File Signed: CjC&706rh&r
If Enclosures Are Not As Noted,Please Notify Us Immediately
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