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Home My WebLink AboutZ-31048 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- 31048 Date: 07/20/05 THIS CERTIFIES that the building DWELLING Location of Property 57685 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 063 Block 0003 Lot 025 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- 31048 dated JULY 20, 2005 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, 2 ACCESSORY GARAGES, 3 STORAGE SHEDS, 1 BARN AND ACCESSORY COTTAGE.* The certificate is issued to HELEN KRUKOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Q. At on d Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 57685 MAIN RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : HELEN KRUKOWSKI OCCUPANCY: RESIDENTIAL HELEN KRUKOWSKI ADMITTED BY: EDWARD KRUKOWSKI ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 63.-3-25 SOURCE OF REQUEST: WILLIAM PRICE, ATTY - 6/7/05 DATE: 07 20 05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 3 FOUNDATION: CEMENT BLOCK LIJUZ: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 5 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: KEYSPAN GAS AIRCONDITIONING: TYPE BEAT: GAS-STEAM WARM AIR: HOTWATER: OTHER: SUMMER KITCHEN & PANTRY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2-WOOD FRAME STORAGE, TYPE CONST.: 3 SHEDS-1 BARN WOOD FRAME SWIMMING POOL: GUEST, TYPE CONST.: * OTHER: *FOUND.CEMENT-1 STY WOOD FRAME-3 ROOMS-1 BATH,PROPANE HEATER,ELEC.HW VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION: 07 18 05 GARY J. FI TIME START: 9:45 AM END: 10:30 AM kukid ►sus 1, ` TOWN 0l: SOUTHoLDTOWN RALL 765-1802 APPLYCAT1ON FOR-CERT1F1CATE OF OCCOPANCY A+ This appiicatioti must be filled in by typewriter 09 ink•and submi a Elie builditig inspector with the fallowingi for tieW building or new inset It Final survey of property With dccUrdtd location of ail buildings; property litiesl streetgi and unUsUal tiaturtil br Eopogrophity fettturdat �•' 21 Final Approval froid Itealtlt behtt' of Water supply atad seiaer:ige-disposal(S-4 form) 31 Approval of electricai installatioti from godrd of Firti Ondert4riteraa 41 Sworn attiteineiit from plu,n6er cektifying that the solder Used in system cohtslns i . less than 2/10 of 17. lead: 51 Commercial bLillditigi indiis.keitd 6uiidingi tailtipie residencea and situildr btalldings and installationai d certificatti bi Code Compliatjca from' architect or engineet responsible fok the building, 64 Submit Planning hoard ApproVdi of completed site plats requirements. • 01 For existing buildings (prior to April 9; 1957) non-conforming Uses; or buildingti tind Ilpt:e-existingil land Uses: 11 Accurate survey of property shoWitig ail property linesi streetsi building slid ; unusual tiatuxal or topograpitic ieaturgai i 2:• A properly completed• appliention and It consett to inspect signed liy the applicants If a Certificate of Occupancy is dettiedi the Diiiiding Inspector sh:i.li state the reasons therefor in Writing to the applicants dt Fees ' 1t Certif date of Octruptincy New dwelling $154001 Additions to dwelii•iig $25i00i •Altertitions to dwelling $25:00; SWitmnitig pooi $25100i Accessary building $25,001 Additions to accessory binding $15,004 Dusinessed $50:00: 21 Certificate of Occupancy on Ptd--existing 9uiiding - $100:00 31 Copy, of Certificate of Occupancy - $5.00 aver 5 yettrs - $MUO 4s Updated Certificatd of Occupancy $50►00 $i Temporary Certificate of Occupaicy - itesidentidl $15i00i Comtercial $15:00 June 7, 2005 bate Refit Construc boil i s s t i i i t : s : Old Or Pre-existinMg [iUiiding i l l :- 1 . +ya i : : 1 s : a l Loeption of Property, : 111�7'i6i'+'+' lit4lt + iitislIM-1i1i.4Aq'441 ltouse Ida: Street llnrnlet Helen Krukowski Unwer dr Owners of PropertyiIII141141taItat11111111 ! 1Ilialtsia3 : itittitt : 1t_.iIIi i l+tlii: County Tax flap do 10001 Section; I i 1 6.4 i0011 1 1 Abiocki 03 i 14 a 1 t s : s a 1 :Lot i s 1025i 000 subdivision: il1ia :•b 141s1iilii441114141. 4 / 1ia144Itiled HOP at : l : i14 : 6a :Lot. . i :ii : 611114".:l: . 11 permit Not ilaria61 44'1iiallatti Of Pei:mitaIIIIi11i4t14114APplicd1itali1 $'1141141111 :t11t.:11 : 11 Health Depts Approvaiils1ii111311i11a► 111111AIAUndert,irittirg Approvdi+ : 11411i1ia1 ._ita:l: : tis planning board ApprOVala': 11 : itaaaiia + i1111ita11• X Request for! : Temporary Certificatb+ 11a11ti144 Final CerticdEeliIiIaiaali Fee submitted t $ii100i00 + i + tttisisaaa +tltail 11a11 . 31i1 • : + sail . a : i,si + ilsii : : : : 11 : i • i+i1: :: r AP r L I cn►rr ' William H. Price, -Jr. 8�- c4�3iGyg' LOCATION: 57685 Main Road Southold, N.Y. (number& street) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNER(S): HELEN KRUKOWSKI OCCUPANCY: SIIgGLE flaAMILY IDWELLING (type) (owner-tenant) ADMITTED BY: �j�, , T� �L ACCOMPANIED BY: 41v_ KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- 63_-_3-25 SOURCE OF REQUEST: WK. PRICE, ATTY DATE: 7/8/05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: ]-1/2 # EXITS: FOUNDATION: CEMENT HLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): ] TOILET ROOM(S): 1 UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: KK TYPE HEATER: KEYSPAN GAS AIRCONDITIONING: TYPE HEAT: KEYSPAN GAS-STEAMWARM AIR: HOTWATER: OTHER: SUM ER KITCHEN & PANTRY ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 GJ14W,,e STORAGE, TYPE CONST.: 3 "STORAGE SHEDS & 1 SWIMMING POOL: GUEST, TYPE CONST: COTTAGE OTHER: *FOUNDATION CEMENT— ] STORY WOOD FRAME 3 ROOMS—] FULL BATH TROPANE HEATER, ELEC. HW VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTION ART. SEC. �l REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: END: CONSENT TO iNSP12C'r10N William. H. Price, Jr. , as .agent for Edward Krukowski, Executor-of-the. Estate of Helen -Kruowski Owners) Narriu(,;) the undersigned, do(es) hereby state: That the undersigned {is) (are) the owner(s) of the premises to the Town Of Southold located at 57685 Main Road Which is shown and designated p11 the Suffoll; County tax'rnnp as District 1000; Section 063. 00 Dloelc 03 . 00 Lot 025. 000 . That the undersigned (has) (have) filed, or caused to be filed, an" applica- tion in the, Southold Town Duilding; Inspector's Office for the [ollorvillg: r Application• for Pre-Certificate of Occupancy That the undersigned does) 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 withrespect to the aforesaid application] including inspections . to determine that said premises comply with all of the laws, ordinances, rules and regulations of the 'rowd of Southold. The undersigned; in coilseiltinrf to such inspections, do(es) so 1Yith the knowledge and undertstandin(; that any itlformdtion 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. -Dated; June 7, 2005 (signature) William .H. Price, Jr. (print name) (Sighature) (print hame) Y _ TOWN OF SOUTEHOLD PROPERTY RECORD CAR® OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER NZ ^ E ACREAGE S - W TYPE OF BUILDING "k1-44k, VL*OV6 RES. f SEAS. VL FARM comm. IN\P. CB. I MISC. LAND IMP. TOTAL DATE REMARKS ° � tP 111.7166 .rr,z 16A. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE -Fermi Acre Value Per Acre Value Tillable 1 ;? I � Tillable 2 Tillable, 3 Woodland Swampland Brush.land House'ot' 3 (✓ Toto I a ' Y r ■■■■■■■■■■■■■■■■■■■■ -� Interior ® •, Fire Place Rooms Ist Floor _� FloorRooms 2nd i� I _ SURVEY OF PROPERTY A T SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, NY 1000-63-03-25 SCALE: V-40' MAY 3, 2005 ROAD ' q53 - SLAND - 1 ., LQNG , r ARC r.E N R.F ' MGM a w O ,Z m \ O -mot Z C7 m r m r O Un m -o Z z 7, O s R' r Z ', r- \ O � Z 'T1 O , A C �g C O � 1 71 D SCC r O v w � O i � I 1 � CER T/FIEG TO., cfl !EN',I,IFER STACK GIBRS N ZBL. RNOFEK TIES L L C W � AOVA'liAGf._ TLE lPv'_-UR,4NCE TITLE NO. 0_`.4. .3.3Q 1 P f7RST PIONEF ra�T,,; ''.grDIT, A,--A 1 EGGS Or' SOO FARM 3 6' — C Fu G - FR T BLDG' FR. .+ 8 0 24,3 -- fN Bi G pE Al o �lz oBY v t `DG 7 Z , z O Os T TE . C) m OF NCW y h�FT2�'t- 0 ' la C AREA=B ANQ�U 49 2288 ACRES E;18 OR 358, 4 45 SQ. FT l7 - - T,r '1• .n.- 'f• J F `%ii� �. Z' ��' 7 `ire, 4 99-322