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Home My WebLink AboutZ-20938FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20938 Date AUGUST 12, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 120 OLD MAIN ROAD LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 2 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 OCCUPANCY NUMBER Z-20938 pursuant to which CERTIFICATE OF dated AUGUST 12, 1992 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, METAL MOBILE HOME & ACCESSORY GARAGE The certificate is issued to MILDRED LAUBENGEIGER & GILBERT KOLLOFF (owners) 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. W_JOer " ildifig Rev. 1/81 BUILDIG DEP:u T:L,;T TO;o-N OF SOUTHOLD, N. Y. HOU = G CODE INSPECTION REPORT Location 120 OLD MAIN ROAD MATTITUCK, N.Y. (numoer do street (i.iunicipaiity) Subdivision itiiap No. Lot(.-) Name of Owner(s) MILDRED LAUBENGEIGER 6 ANO Occupancy 1 FAMILY RESIDENCE ✓ti MOBILE HOME OWNERS type owner-Lenanz Admitted by: OWNER Accompanied by: SAME Key available Suffolk Co. Tax No. 126-2-2 Source of request WICKHAM,WICKHAM 6 BRESSLER P.C. Date JULY 13, 1992 DWELLI`\TG Type of construction FRAME JL 7 -,stories 2 Foundation BLOCK (MASONARY) Cellar 502 Crawl space 50Z Total rooms, lst. F1 2 2nd. F1 2 3rd. F1 Bathroom(s) 2 Toilet room(s) Porch, type STOOP WOOD Deck, type WOOD Patio, type_ Breezeway Garage Utility room Type Heat ELECTRIC 'alarm Air Hotwater Fireplace(s) No. Exits 3 Aircor_ditioning Domestic hotwater II Type heater ELECTRIC Other METAL MOBILE HOME ACCESSORY STRUCTURES: Garage, type const. FRAME Swimming pool Other Storage, type const. Guest, type const. FRAME VIOLATIODTS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE BP #4326Z -CO Z-20937 for Add., BP #20887Z -CO Z-20936 for Deck Add., Remarks: BP #20887Z- CO Z-20935 for ApW Shed. Inspected by,,�� -�Date of Insp. 7/29/1992 J. -1 Time start 11:00 end 11:25 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 S -Ii_ 2 2 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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. 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 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 Occupancy on Pre-existing Building - $100.00 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 $15.00 Date ....... July. l3 ; 1992 .................... New Construction........... Old Or Pre-existing Building..... X ...(?,story frame house) Location of Property.,120 Old Main _Road, Mattituck House No. Street Hamlet 3nwer or Owners of Property...,Mildred Laubengeiger and Gilbert Kolloff ':ounty Tax Map No 1000, 00 Section..126.......Block.....,,02.00. . ...... ..Lot....002.....000 ............. Subdivision....................................Filed Map ............ Lot ...................... 'ermit No................Date Of Permit.......... ......Applicant ............................. lealth Dept. Approval..........................Underwriters Approval......................... 'lanning Board Approval ........................ request for: Temporary Certificate........... Final Corticate..$..,,,,,, 'ee Submitted: $, 100;00 ...................... Vv C d o93 APPLICANT- M� dyed ubengeiger Mildred Laubengeiger ner;si `arre(s) state CONSENT TO INSPECTION , the undersigned, do(es) hereby That the undersigned (is) (are) the owner(s) of the premises in the Town of Scuthold located at 120 Old Main Road, Mattituck, New York 11952 Which is shown and designated cr. the Suffolk County tax :rap as District 1000, Section 126.00 , Block 02.00 , Lot 002.000 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion :n the Southold Town Building -Inspector's Office fer the following: Certificate of Pre -Existing Use (2 story frame house) That the undersigned do(es) hereby give consent to the Building Inspectors of the Tcwn of Southold to enter upon =he above described property, including any and all buildings located t;nerecn, to conduct such inspections as they may ieem necessary with resoect to the aforesaid application, including inspec- ticns tc -etermine t`.at said p -=rises comply with all of t^e 'laws, ordinances, n,e nders_gned, ccnse.._.na to such _nsrecticns, 5c'es) sc wi-h the kncw_edce an un::erst3-._4ing ~^.a- ar.v information obtaine5 .n conduct e' such inspections may to used as evidence in subsequent crcsec.:ticns for vio- laticns of the laws, ordinances, _'.les or regulations of the -own of Southold. July /3 1992 �J Signature Mildred Laubengeiger Print name Signature Print na-le PLEASE CONTACT MILDRED LAUBENGEIGER AT 298-4308 FOR ACCESS u ROAD 00 M p,1N , E. N' 160•/1 e Ln N w N O V CERTED TO+ RICHARD E. ODDON EILEEN E. ODDON SECLOTY TITLE AAV GUARANTY COWANY AREA= //,0/0 sq./f. 4.V VM00 62 BO, JA- SLPC N �' wolf VEY FOR RICHARD E. ODDON & EILEEN E. A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. woo -M-02-02 Scale: 1"= 30' July 6, 1992 I SOUTHOLD, N.Y. 11971 ODDON Prepared In accordance with the mk*num standards for title surveys as eslob!lshed by the L.I.A.L.S. and approved and adopted for such use by The New York State Land Title Association. 92-210 Location BUILDI::G DEP,u?T:•Li1T TO'�id OF SOUTHOLD, N. Y. HOUSIi1G CODE INSPECTION REPORT , Subdivision Name of Owner(s) Occupancy TIap No. Lot(s) Admitted by: Accompanied by: Key available Suffolk Co. Tax No. 1;26 -- --2 Source of request az�/`�J,P�L Date 2_ D? EIMLING : Type of const' r 'Ct on -� rs�tories Foundation_--� �1 �` Cellar27� Crawl space�— Total rooms, 1st. F1 2 2nd. F1 3rd. Fl Bathroom(s) Toilet room(s) Porch, type 4 Deck, type Patio, Breezeway - Garage i � Utility room *---- Type Hea 'alarm Air Hotwater Fireplace(s) No. E:cits.� Aircond'tioning_Z Domestic hotwater zl-;-� Type heater Other " 1-,:' /11 ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swirm,�ing pool Guest, type const. Other 2 'z9' ".r/ / _ _ VIOLATI0i\1S : CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks Inspected by: Date of Insp. Time star 1'01 end 8` , _ _� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 2� VILLAGE DIST. SUB. LOT q1 A 07 FORMER OWNER V N 1 _W. _ ACR.y S: C7 L t W� TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value N IMP. TOTAL DATE REMARKS 60 l� /D pwriL� ,L u=Nlat�GtR %o�141.Z'gU8tNL7t clr c �An1a 8 8�� -?21,t Soo a AGE BUILDING CONDITION` NEW NORMAL BELOW ABOVE ,- c /6_. FARM Acre Value Per Acre Value Tillable 1 1 Tillable .2_ Tillable 3 Woodland a.. Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH % .ow BULKHEAD Total DOCK c+ ! .� 310+ .kY)'Y � f��.-..,� ;,,r�=f�.��'4,'� •+;�! ��„ ,,�'� ,