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Home My WebLink AboutZ-25798 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. DPDATED PRE HEISTING CERTIFICATH OF OCCUPANCY No 8-25798 Date JUNE 26, 1998 THIS CERTIFIES that the building ORS FAMILY DWELLING Location of Property 19155 MAIN ROAD MATTITUCR, R.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25798 dated JONS 26, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued is ONS FAMILY DWELLING WITH ACCESSORY GARAGE The certificate ie issued to NANCY E. BUGLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A •TBIS DPDATSS PRSCO 5-4831 DATBD SEPT. 1972. t ui ing nape or Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy NoZ~31 Date BeP~..... 26 , 19.~ . THIS CERTIFIES that the building located at ..$/8 ~Maia •ReaL ~ ~ Street Map No Block No.. #~.....Lot No..]C>aG. !{~txltttok~. N*X~. , . conforms substantially to th Bede Bs1t befree c.rt n at. e~ .oon ane~ Rid .........~pTl,1.. 2~ 19~~ . pursuant to which~~ 0.$~~1.. . dated $!~1t Z6.. , 19'1. . , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is PZ'ij&te , 0lie . faml,~.q. dK417.anR . The certificate is issued to M1?rion. lrlemlrit OMne! . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval P~R~ . •xlstlts~ . UNDERWRITERS CERTIFICATE No.. Pte!. A7Cietlt~ HOUSli NUMBER. .'~9155.....Street .Mgt,A.R08Q Bzoeptieas hetsein~ oodet t . Aear elateranoe t tso ii~ht eritolt at point of entry C 2. 1Citehent po alpetteff st tia• ran=e appliance Cents, Building Inspector 3. Csilart 11o Bever eu eritol or ~unotion Dos oea>Ineotion to rater p~;,tsy _ T04iN OF S00'IHULll BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR. CERTIFICATL• OF OCCti'PA~`IC'L This application must be filed in by typewriter OR ink and submitted co the building inspector with the collowing: 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 LZ 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 existing buildings (prior to April 9, 1957) non-conforming uses, 'or buildings and '.'pre-e_isting" land uses: 1. Accurate sursey 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 525.00, Additions to dwelling S25.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building 525.00, Additions to accessory building 525.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Buildin¢ - 5100.00 3. Copy of Certificate of Occupancy - .25¢, i. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 515.00, Commercial 515.00 Date ...June,16,..1998 New Construction........... Old Or Pre-existing Building.. Location of Property....19155.Main.Road Malii;ituGk,,,,,,,,,,,,.,,, House No. Street Hamlet Onwer or Owners of Pro ert Nancy E. Kugler , P y .....................r............................ ~ouncy Tax ;Sao No 1000, Section.., 108 .,_,,,.Block...~4!..........Lot.,006 „ Subdivision .........................~%.........Filed Yap............Lot...................... permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......:.................. Manning Board Approval Updated Pre-Exist Certificate teauest car: Tamp_orary Certificate........... Final Certicate........... One Family Rvellinq_ and Garage cee Submitted: i 50 ;00 , _ , D ~'C~~D~Jff ~ /~u JUN 18 ~ APPLICa~~rr ,R ~w~ y 6 ~ E. LER ~"U"~°'"`"" ~ (a~s7,g BLDF .DEPT. ~;'e ' L'1111fi1_PYI' - ,LII INSI'1la.:'I'IOhI Nance E. Kugler__.__ - - Ihn nndcn•nllfnr.d, l)t,ner s) Nmm~ln) tln(us) Itr:rehy alnlu: 'Thal the ntulurnll;nnrl (In) btlPR7;)lhu mvnor~) of Iho pr!:mises In Iho Town of Southold lor.nlnd nl 19155 Main Road, Mattituck uhlr.lt lu uhnwu and duslllnnlud on Ilu! Snffnll: County lax Harp ne Illt:lrlcl 1(11111, Sr.utl!ttt 108 I:Ilonlr 04 L,ol 006 'Thal the tntrlnrslpned (hes? ) Illurl, or reused to hs fllnd, nn appllcu- Ilon In the Snullu+ld 'I'num Aulldlnlf Inspur.lnr's O1'flrs for Iho fnllowlnlft Updated Cer$ificate of Occupancy (Pre :Existing) with correction of the inclusion of the detached garage, which is shown on the enclosed sttxvey, upon which the Certificate~Z~~I- is based:--~xcep-Lion-f#T as in ica ed'-Tias been 'I'luil lha IIIIrIL'1'91~Ilyd !to(es) herrhy glvo ron[tnnl In the 1'Itct t~~(~~9pr.nlnre of Ihe'1'nwn of $oulhold to enter upon the nhovn dnsarlherl properly, inrludlnff nny lint) all bulldlnlfa lornlt•.d Thereon, In r.onchua s1+nh Inaperllons ns lhoy nary tleent neceaeot-y wllh reupecl to Ihn eforeuuld oppllt:ullon, InrLulhtff Insparllnn~ In dnlermine Thal gnld prentlsns comply wllh nll•nf Iha tares, ordinnnr.ns, rnlns and ref(ulnllona of the 'Town of Soulhuld. 'Phn undersiffnuel, ht oonsenllnlf to snrl+ inspnr.llons, do(es) sn wllh Ihu Icnua•Indgr, onrl un!lur!!1!uullull Ihnl nny Infurtnttllnu ohltth+nd In the nouducl ul' such IIIHpnrlln113 finny Le usu!I nn evldnnce In t1111+3G'rplBlll 1+1'09eCt11lDlle for vln- lullone of the letws, ordhwnrns, rnlus nr relptlnllons of lhtt'I'uwn of Soullutl!I, Unlydt-_! June 16_ 1998 - ~ L- NANCY E. KU R ~n~lnl nantej - ---------'(s I p n o l u r n 1------------- -------j~trlnl n!une)----------- R k'. ..::n'.. . ~ Alex Kupfersiein fcrn''erly Iola L. Bergen , 6200 N.81° 57 X00 ~ E. Vl - \ _ N ,^\\VYf O Z O W ~ ° p0 , N O id fR 7 O O • ~ L i ~ - ' ~ o ~ A - UNAUTHGRI2ED AIIIRAiION O0. ADCITION ' ~ (D TO iHl$;UFVET 1; A vl•°IA TION G7 -n (D % - - ~ SECTION 7:C9 Cf iXl NLW YORK STATE ~ ~ EDUUiION LAW. ~ - ' COIIE$ Of IHI; ;URV:Y MAR NOi BfA0.1NG ~ ~ C ~ IXt IAeD ;V.VEYGVS INUD Si AL 04 K 0 ~ v LNEO`.SED S, AL ;HAII NOi EE CONSIDERED ' ' 10 Bf A vAUD TRUE COPT. O r N ~ ~ GUA[A\RE; INDICAIID N:kFCN EHAtI CUN y O W ~ , - ONtY TO IME R:P.WN EGA V/Y.GM iXE SURVET r ~ 7 /Rn~ h vREUxto. A:.D oX w: etnAU iG THE NOTE: Q= MONUMENT 11 • RTES COMEANY, GOVER::MEN: AE AGFNCY AND t0 - - IENCD:G IX;TitUaJN L.Si'.D Nif.:Oly AND ~4a- ~ i0 TNF A;;EGAEF; Gf IHF tY:GWG IN;Tb ~ 2 ,fr, TUiION. GUARAkiff; ARE NCI GANSiFRARIE C TO ADCUIONAt iN;LIFUTIGN$ OR ;URStOU[Nj ~ f~, hs<. - OwNVas a ' REVlslons YOUNG 8E YOUNG ~ , N i f p ~ N ~ 400 OSTRANDER AVENUE, RIVERHEAD; NEW YORK 9 I ~ N o Y' r ih ~ ~ ALDEN W. YOUNG HOWARD W, YOUNG -Y ~ ID ~ J PROFESSIONAL ENGINEER AND LAND SURVEYOR C' EV LAND SURVEYOR, N.Y.S. LEC. NO. 12863 N.Y.S. LIC. NO. 43889 ~ I SURVEY FOR: ' ~ N83D25. EDWgRD E. KUGLER & NA(VC ,N R N.86 °43'OO~tiN 267$790 W. N.87 °4p'$O"W ° W e°AS/~, v00\ 63.00' 161, 3' N86 5850" - - 395 38 4, •k pp nn AT MATTfTUCK Gu A r~~~-, K I`,Iq IN - US F,E IN ~ R trt~.a CCRt r^A.JY N.Y ' `OHD TOWN OF SUS ~K Ci4~:YV'F€J.'EfiALI~a~'VGS Q (N.YS. Rte. 25) souTHOL~ ~o sJo`~~arr;,,~.;:~ j;l' Y SUFFOLK CO., N. Y. E3Y m ~`°J ° ' > r/.. :,r; sip -7 ` y6 SCAE_E: In o 4O, I DATE: ~~t a.I'`'r r OCT. 30, 1972 ~ }2~6~61 HOUSING CODE INSPECTION September 26, 1972 19155 Main Road Mattituck, New York Tax Roll: Marion Fleming Upon request of the Southold Town Building Department I made inspection of this two story framed dwelling and found the following violations of Local Law #1, Housing Code of the Town of Southold. I was admitted to the rear, northeast entry by Mrs. Fleming and began inspection at this point at approximately 11:05 a.m. Rear entrance: No light switch at point of entry to control light in room - Section 529b. Kitchen: No shutoff valve at gas range connection - SS-won 508b. Cellar: No switch plate on switch or plate on junction box where new water pump had been installed - Section 528a. Inspection completed at approximately 11:30 a.m. Re ectfully u fitted, w nde mann~~~r~~~~ Inspector EH:tle F08a[ N0. t TOWN OF SOUTHOLD Building DeportrnaM Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY InMrucfkms A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate I«ation of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispcsal-(S-9 form or equap. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan 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, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, «cuponcy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 September 26, 1972 Date New Building Old or Pre-existing Building ........x................. Vocont Lond L«ation Of Property .......Mtin ROad.t..Mattituck (~,(~...-„betr,,,Ii~,yill~„on„east & Marion Flemi Bergen on rest) Owner Or Owners Of Rroperty Subdivision ................................................................Lot No............. BI«k No............. House No............. Permit No Date Of Permit ....................Applicont Health Dept. Approval ............................................Labor Dept. Approval Underwriters Approval ..............................................Planning Board Approval Request For Temporary Certificate Final Certificate Fee Submitted $ ......S...QO Construction on above described building and permit is all applicable c an egulations. Applicant SworLLn to before me this ,~~,,yy~~ c f 7L .....Inr..... day of S. c..~.'..`..:'!ul~....../..~1 7 (stamp or seaq 7~i ~ ,3~ Not Public County !pg ~ G~3 JOSEPN 1. SNEILEM~UAIG H ° p/~-~19~/- IJotary Public, State of New York G:Y 1~ Qualified to Suffolk County y~;;~, No. 52-9091250 mmlglon fzpiret March 3b, 144