HomeMy WebLinkAbout6785-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMEN'
Office of the Building InSpector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19555 Date DECEMBER 4, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 3915 STILLWATER AVENUE i
House No. Street
County Tax Map No. 1000 Section 137 Block 1
Subdivision Filed Map No.
CUTCHOGUE~ N.Y.
Hamlet
Lot 5.1
Lot No.
conforms substantially to the Application for BUilding Permit heretofore
filed in this office dated JULY 13, 1973 pursuant to which
Building Permit No. 6785-Z dated AUGUST 1Q~ 1973
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificale is
issued is ACCESSORY NON-HABITABLE GARAGE AS pER ZBA #18%4~
AND AMENDED TO INCLUDE SECOND STORY DECK.
The certificate is issued to ESTATE OF KURTA. KOEHLER,
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ~ N/A
UNDERWRITERS CERTIFICATE NO. N-207081-1/31/75 &i N-156352-10/18/90
~N/A
PLUMBERS CERTIFICATION DATED ~
B~i .lding Inspector
Rev. 1/81
TOWN OF SOUI'HOI,~
IUII,BING DEfAI~TMENT
'TOWN CLERIC'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE P'P, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
6785 Z
Permission is hereby granted to:
B~ ne,~ riv~t~ ar ~e
to ............................ ~. ........ ~ ........ g:.....e..~ ...................... fJ~w~.c~L ..I~X..~,,.. Apsee..~a ~. .............
at premi~e~ located at ~.?..~.......~.?......~.;~.~....~;.~.~.....,...-..,~.~.,~'~,~l. .............................................................
....................................... ~/..~...~.'~,~.~.~.. ~.~ ............... c~ ..........................................
pursuant to application dated ................... ~..~...~. ....... .~ .............. , 19.~..., and approved by the
Building In~ector.
Building I~ '
FORM NO. $
TOWN OF $OUTHOLD
Building Deportment
Town Clerks Office
Southold, ~4. Y. 11971
APPLICATION FOR CERTIFICATE OF
$5.00
Date ~v, 7~¥ ~
..j~. ................. .~./...~. ..........
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building
Inspector with the following; for new buildings or new u~e:
]. Final survey of property with accurate location of oll /?uildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewe~roge disposol--(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Un.'derwriters.
4. Commercial buildin? Industrial buildings, Multiple R~sidences and similar buildings crud
installations, a cerhficate of Code comp lance from the~ Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site planI requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, !treats, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, c!ccupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildinlgs or premises, or other pertinent in-
formation required to prepare o certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3, Copy of certificate of occupancy $1.00
New Building ....... Z ........ Old or Pre-existing Building ................ ; ............ Vacant Land ............................
3~ ~ 5J~l~o~f¢.r Ave (tu~ck~ ~ . . .
Location Of Property ................................................. ; ............... .~...~.. ..........................................................
Owner Or ~ners Of Property ...................................................... .~ ...........~ ...........................................
~ ~ ~ ~ G~O ' ' ]~. ~ Block No. House
Subdivision ............... ;; ............................................... ~ot No.. · ............
,~,~, ,o....~;%..... o~ of P,,~, ..~g.J].~...~pp,~o,, ...Em.{..~.~¢ .....................................
o.,,. .............. ................. o.,,. ...... .....
Underwriters Approval ..~./.~ ......................... Planning Boa~d Approval ........................................
Request For Temporo~ Ce~ificate ........................................ Final' Certificate ................................
Fee Submitted $ ....................................
Construction on above described building and permit meets all~plic,able_~codes and regulations.
Applicant
Sworn to before me this
................ day of ............................................ (stomp or seal)
Notary Public .................................... County
Form No. 6
TOWN OF SOUTHOLDi
BUILDING DEPARTMENT
TOWN HALL
765-1802
' OCCUPAN£~ ................................ *
~ APPLICATION FOR CERTIFICATE OF ~ '3VW~; L:,;: :~',~/~ ~, ..
.}. 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 t~e s6~der 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 sit~ 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 a consent ~o inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Buliding 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 $2'5.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesse~ $50.00.
2.Certificate of Occupancy on Pre-existing Building - $100.00
3.Copy of Certificate of Occupancy - $5.00 over 5 ~ears - $10.00
4.Updated Cernificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential~$15.00, Commercial $15.00
,ew Construction... ~s.~e... Old Or Pre-existing Building. ~ ...............
Location of Property.3.9.1.5. Stillwater Avenue. Cutcho~ue, New York 11935
House No. Street Hamlet
Estate of Kurt A. Koehler. ~.r
Onwer or Owners of Property .... o ................ : ...........
County Tax Map No 1000, Section .... .1.3.7. 01
...... Block ........ Lot... 5..1
Subdi~ision.S.e.e. attached 'copy of Deed :; '
................................ Filed Map ............ Lot ............. ; ........
Permit NO 6785
............. Date Of Permit..8/10/73 Estate of Ku
''' · ............. App~licant ............. r.t.A. Koehler,.J.r.
[lealth Dept. Approval .......................... Underwriters Annro~,=lSee attached cory. of ,,
Planning Board Approval ........................ Certi?icate
Request for: .Temporary Certificate ........... Final~a~e ..... ~ ....
.......................
. . .............. ..
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1185079 BUREAU OF ELECTRICITy
I ..... B5 JOHN STREET, NEW YORK, NEW ~ORK 10038
Da~ OCTOBER 18,1990 .4pl,li,.erlo,,No. onfile 00707290/90 N 156352
THIS CERTIFIES THAT
BARBARA KOEHJLER MERTZ, 3915 STILLWATER AVE., CUTCHOGUE, N.Y.
6 ~
SERVICE DISCONNECT-~NO,afl S
RE,IR'r. DETACfir.~ GARAGE-:[
?ARTIAL 2~D YLOOR O~LY AS NEEDED-1
~LgC. ~ATER HEATE~8::~-4.5 K.~.
G.F.C.~:-4
RANOES
SPECIAL REC'PT
'cOq~'NO ~ECKv $1 ~w~OVEN~w, I OIS~ WASK,wER~_
EXHAUST FANS
ROSLAK ELECTRIC
P.O.BOX 164
CUTCHOGUE, NY, 11935
LIC.#3677-E
I This certificate must not be altered in any. manner; return to the office of the Board if im
GENERAL MANAGER
~rrect. Inspecfors may be identified by their credentials.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
tab BU.E^U OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW iYORK 10038
n.,~ January 31, 1975 .~m~lle. t,o. No.o. file 762254 N 207081
THIS CERTIFIES THAT
only the cl~trical equlprnent as ~scrlbed bel~ and intr~uced by t~ applicant ~med on the above application number in the premises of
Kurt Koehler, 25-H, St~lwater Ave., Cutchogue, L.I.
in thefollowlng locatlon; ~ Basement ~ Ist Fl. ~ 2nd FI. Section Block Lot
a. asexami,wdon 5anuary 23, 1975 andfoundtobeincompliance~i~t~erequirementsofth~sBoa d.
FIXTURES RANGES OVENS DISH WA~ERS
ORYERS
~THER APPARATUS:
A,W G
OF NEUTRAl
2 S 0mcm
Anthony P.Bi£ulco
SO Miller Ave.
Port Jefferson Station,
L.I.11776
Per_
This certificate must not be c~liered in any monner; return lo the office of,the Board if inc',orrect Inspectors may be identified by their credentials.
765-1802
BUILDING DEPT.
I NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
REMARKS: ~/~~~~,
DATE ~'~ I~INSPECTO
'OUNDATION (1st)
'OU~DATIO:! (2nd)
:OUGH FRAME &
.PLUMBING
i]NSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL
COMMENTS:i
TOWN OF ~OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
APPLICATION FOR BUILDING PERMIT \__
Do,e ........ ........
INSTRUCTIONS
e. This epplication must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with
3 lets 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 promises or public streets or areas, end
iliving a detailed description of layout of property must be drawn on diagram which is pert 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 applicant. Such permit?hall 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 whatever until a Certificate of Occupency shall have been
jrantJd 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 ell applicable laws,
ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections.
................ .....
(Signature of applicant, or name, if s corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
If applicant is a corporate, signature of duly authorized officer.
IName 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 lan' on --ich r se- rk ill~- ne Ma No ~J '~O - ,. /~:~
o wn p opo awo w peso . p .............................................. LOtNO ........~. ................
Street and Number ....... ..~..~.......~.. .......... .~....~....~...~~......~. ~: ........... ~.~.....e~....~...~.~,,,.....~k..~
Municipality \
2. State existing use and occupancy of premisesk,and i~.l~nded ,use and occupan~of~posed construction:
a. Existing use and occupancy ................ ~..~/~.~....~..~.~.....i~::~.....~..%....~...1..~ .................................................
b. Intended use and occupancy .......... ,Z.~,~.. ~ ~j~ ~,_..... ~..... ~.h,.~ ...... ~ .......
10.
11.
12.
13.
14.
Nature of work (check which~ll~lEmble): New Building ....................... I// ~~"~~lition .............. ~...,.. Alteration ...............
Repmr ......................... Remov~ ......................... Demolition ........................ Other Work .J~'. .......................
(Description)
(to be paid on filing this application)
If dwelling, number of dwelling dnite ................. Number of dwelling units on each floor ................ ~ ........................ :
If garage, number of cars ....... ~~ ................................................................................................................
If business, commercial or mixed occuoency, specify nature and extent of each type of use .....................................
Dimensions of existing structures, if any: Front ..................... Rear ........................... Del~th ..................................
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 ..... .~...(q...~ ......... Rear ...... .?a.~.:. ........... Depth ....... ..."~...~..;. ..............
Date of Purchase ......... ................. Name of Former Owner ...............~...~m,. ~ ..........................................
Zone or use In premises are situated .......... ~....:...-~...%~ ....................
Does proposed construction violate any zoning law, ordinance or regulation: ........ ../~.....o. ................................... .~.....~
Will lot be regraded ....... ~...-~... ........ ~ ...... .Will ~xce~ fill be removed .from pm. mises: [ ] Yes [t~No
(Address) (Phone No.)
(Address) (Phone No.)
Name of Contractor .......................................... ~ ........................................................................................................
(Address) (Phone No.)
PLOT DIAG RAM
Locate clearly end distinctly ell buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and ~nd~cete wheth-
er interior or corner lot.
COUNTY OF ................ SS
....................................................................................... being duly sworn, deposes and says that he is the applicant above named.
(Name of indivldual signing contract) ~
{Contractor, agent, corlmrate of~cer, etc.}
of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that
statements contained in this application are true to the best of his knowledge and belief; and ~lat the work will be Rerformed in the menner
set forth in the application filed there~th. \ ~ ~
............................ ....... . \, \
Notary Public,~ ....~~e!: ~u~ ,97..~. .................... .~' ~.--~.........~~
TOWN OF SOUTHOLD, NEW YORK
ACTION OF THE ZONING BOARD OF APPEAL8
Appeal No. 181# DaSd JUI~
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To ~Urt ~oe~ler
Stlllwater Av~nu~
DATE i~t"9, 1~7~
AppeRant
at a meeting of the Zoning Board of Appeals on
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance
( )
the appeal
1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article .................... Section ....... : ............ Subsection .................... paragraph
.................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be
~o~e~ ~au~ 811~ P.~.
~tlll,mter Avenueg Cutelmgue,
aeoordanoe with t~ Z~nin~ Oa~lln~nee. Artieze Ill,
of ~~ e~t
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not). produce
hardship because
practical difficulties or unnecessary
(b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties
alike in the immediate vicinity of this property and in the same use district because
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would)
change the character of the district beceuse
(would not)
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed.
SEE ~EVERSE
FORM ZB4
ZONING BOARD OF APPEALS
~:arJorie ioDernott, Seoretar~
~outhold Town l~oard of Appel.TS
A ?~v~_~EFOP~E iT WA~ P~OLV~, Kurt Koehler, S*lllva, er
venue0 ou{ohoguo, ~ev ~orke be OXAWTED perulogion to oonetz~e{
.garage ia fron~ ~ard area, Le~ #260 Map of ~. S. ~dfld, eart
aide ef $~lllva~er Awaue, Cu~ohogve, aa applied Fore oub]eo~
~o ~he following oondl~lon,
Tha, ~he garage a~y be leea~ed a~ andy p~Jfl~ between
12~ fee~ and 17~ fee, froa $*lllviter Avenue on the vest.
Vote of the ~oard, AYos,- ~estro, Oilliepie, Bergen,
~rigenie.
Disapproved a/c ~-~ ..........
................ .........................................................
· r . L "'lb (Building Inspe~for) --
~ '-_~ ,.'!~.,,~.~'~ ~ ' APPLICATION FOR/bUILDING PERMIT .
,~' '~ INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wit~
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot end of buildings on premises, relationship to adjoining premises or public streets or areas, an~'
giving a detailed descriptiOn of lan/out of property must be drawn on diagram which is pert of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of' this al~lication, the Building Inspector will issue a Building Permit to the applicant. Such permit .shall be kept orr'
the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ce.rtificate of Occupancy shall have beer~_.
~rented 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 Southdid, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of
buildings, additions or eltefetions, 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 necassarv inspections.
. ..........
(Signature of applicant, or name, if a corporation)
....... .....................
(Address of appl{ca~,t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
If applicant is a corporate, signature of duly authorized officer.
(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 wilLbe' done. Map No .......... .3...~......O.. ................... Lot No ........ !..L. ....... !.
Street and Number ....... ..~...~.....%..~.. .......... .~..~.....~...~:....~...d..:. ....... ~.~.'.'..L~ct~...~...~L)-.~
8. I=XlStlng use aaa occupancy ............... L..~.~, ...;..:.....:..-w, ..............:. .......................... ;~ ................
u. inwn~e~ uw aaa uc(;upancy ..... ~.,,X~L,~T:W~% ........................... ~ ..-~. , .............................
, / ./ . , ,.. ........ \
3.Nature of work (chack~wh,ch ~ll~adie)New Budd, ng .................. ~1 ..................... Alteration ...............
Repeir~ . ............ ~ ........... Remove'"'" ......................... Demolition ........................ Other Work ....................................
. (Description)
4. Estimated Co~t..........................~ ~ o . .o....................e Fee ....[..0 ........................................................................................
· ,,-;~ (to be paid on filing this application)
5. If dwell[q~n~..m~pe_ r of dwelhng un~ ................. Number of dwelhng un,ts on each floor .........................................
If r?~'of cars ......... ...~.......~..~.. ..............................................................................................................
6. If ~"~~cial or mlxe~ occuoancy, specify I~stu-- and extent of each type of usa ......... ..: .........................
Dimensions of existing structures, if afly: Front ..................... Rear ........................... Depth ...................................
Height ....................................... =-;.;.*;:.; ......... Number of Stori6s :.;., .......................................................................
Dirtr~ ,i.~o~: of same structure with alterations or additions: Front .......................... Rear ........................................
De~ ~.,~ .................................... Hmght ......................................... Number of Stones ........................................
8. D~ of entire new construction. Front ..~....~.~. ........ Rear ..~ .~. ~.~ .... Depth . ...'~... ~ ...................
I~ ...~. .......... ~ .............................. Number of Storms ...............g..: .....................................................................
· · . .5-~
9. S,Z, lo~t. Front ............ ..~. ~ ............... Rear ....................... ;~.. ............. Depth .......... .~..../_)...dj,. ..........................
10.· Dat~of' PUrchase ..........
!.~..~. ~. ................. Name of *Former Owner ............... &-~,~ ...... ,....., ..............................
11.' ,.~one or use district in which premises are situated ..... ~.~.~....~..:~..-~... ~....Lc).....~....~=...J~..~p.~.~ .........
12.: Does proposal construction violate any zoning law, ordinance or regulation: ........... J~aP. ........................................
,13· Willlotpere~raded .... ~...-~... ......... , ..... ~Nille,xcessflllbemmovedfro,m, pmmisas: [ ] Yes [~o
14. Name of Owner of nmmises ..?. ....... ,...~..~......u:~...~..~.~ ~ ~,.~ ~---~
· ........ ................... ....
Name of Amh,tect ...................................................................................................... :.....~.~'.. ......... ..~...(~..J...ci.. ~.. ....
(Address) (Phone No.)
Name of Contractor ...................................................................................................................................................
{Address) (Phone No.)
PLOT DIAG RAM
Locate clearly and distinctly alt building, whether existing or proposed, and indicate all sat-back dimensions from
property lines. Give stract and bleek number or description according to deed, and show street names and indicate wheth-
er interior or corner lot. ~ ~ ~
'2-
(Na~ of in~vi~ si~ing ~q~] ~ ~
,be ......................... ....... .................................................................................................................
{~n~ctor, a~nt, coyote o~r, etc.]
of said ownsr or ow~ars, and is duly au~horizsfl to ~rform or haw ~rfor~d the said work and to maks and ilia this ao~li~tion: th~ ag
~ta~n~s containad in this a~i~tion are tru~ to t~ ~st of his knowlaO~ and ~li~; and ~hat tbe ~ork will ~ ~dormsd in
~t ~orth in tbs a~lication iliad t~mwi~~ ~ ~
.............. ~..~.....day of ..... ~BLIC, State of ~.~ ~ ~
, ~/ ~d in 5uff.~ County ~ . ~ ~ -
Nohow ...... .....................................................
Lo/
L ...... J [ r~
,