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HomeMy WebLinkAboutZ-18106 � . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall . Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18106 Date JUNE 12, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 5605 STILLWATER AVE. CUTCHOGUE., N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 04 Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one-family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. Z-18106 dated JUNE 12, 1989 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* The certificate is issued to THEODORE J. & GRACE I. KRUKOWSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL- NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUI LDIi,;G, DEP.^-PST j:iT TOXIN OF SOUTHOLD, N. Y. i HOUSIidG CODE INSPECTION REPORT Location 5605 STILLWATER AVE. CUTCHOGUE, NEW YORK �nLjm, oer « szreez) (1-4unicipalizy) Su:,divisicn Man No . Lot(s) Na_n e of 0 an er(s) THEODORE J. & GRACE 1. KRUKOWSKI Occupancy RESIDENTIAL R-40 type oviner-zenanz) titi::it wed by: PEGGY COPIUS '.,•.: - AG'S�UII1p 2Tli efi by • PEGGY COPIUS Key available ' Suffolk Co. Tax No. 137-04-3. 1 Source of reauest WK. PRICE, ATTY Date 5/1/89 D? ELL;�.G: Type of construction 1 STORY Lstories Foundation CEMENT BLOCK Cellar -- Crawl space Xx Total rooms, 1st. Fl 4 2nd. Fl -- 3rd. Fl Bathrooms) ONE Toilet room(s) Porch, type Deck, type ONE SIDE OF HOMEPatio, type -- Breezeaay Garage Utility room Type Heat ELEC.WALL MOUNT' Warm Air __ Hotwater Fireplace(s) . ONE No. axits 2 Air conditicning -- Domestic hot-water PROPANE Type heater Other ACCESSCR`r STRUCTURES: Garage, type const. Storage, type const. Silimming pool Guest t ype 'const. Other VIOLATO;•?S: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Locat-on Description J Art 1 Sec - I I . I I Remarks: BP #6545/co Z-181_07 - BP #107191CO #Z-13829 Inspected by: Date of Insp. G4 FISH - Time start end BUILDIWG INSPECTDR TOWN OF SOUTHOLD BUILDING DEPARTMENT .TOWN HALL SOUTHOLD, NEW YORK 1 197 . 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.A]�ril_27, 1989 _ . NEW CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING BUILDING. -4U-VACANT LAND. . . . . . . . Location of Property. . . . . Stillwater-Avenue, -Cutch_o_gue, _NY HOUSE -NO.. . . . . . . . . . . . . . STREET . . HAMLET. . - . Owner or Owners of Property. . . . . . . . . Theodore_J. and. . .Grace i. Krukowsk - . . . _ . . _ County Tax Map No. 1000 Section . . 137. Block . . . . Lot . . . :1 _ . . Subdivision. . . . . Filed Map . . . . . . . - _ - .Lot . Permit No. . . . . . . . . . .Date of Permit .. . . . . . . . . ..Applicant . . . . . . . . . . . . . . . . . . . Health Dept . Approval Underwriters Approval . . _ . . Planning Board Approval . . . . . . . . . . . . . . Request for Temporary Certificate , -- Final Certificate . . . . . .X. . . . . . . . .. Fee Submitted : -+►" ��?��� APPLICANT. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - WILLIAM H. PRICE, JR. Qi\t co -;—z rev. 10/ 14/88 CONSENTft TO roO �ILDG _ f. INSPECTION SOP* tp THEODORE J. KRUKOWSKI and GRACE I. KRUKOWSKI the undersigned, Owner(s) Names) do(es) hereby state: That the undersigned 00(are) the owner(s) of the premises in the Town of Southold located at Stillwatter Avenue, Cutchogue, New York which is shown and designated on the Suffolk- County tax map as District 1000, Section 137 Block 04 Lot 3 . 1 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre-co and co to cover addition applied for with permit #6545 That the undersigned do(es) 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 with respect to the aforesaid application!, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information 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: � (signat re) THEODORE J. KRUKOWSKI / (print name) r/ A d�,�_4,ez- (signature. GRACE I. KRUKOWSKI (print name) &V A V Z -5r ,AleCr. 47O.CrC7 z C4 Fa 14L 1000 1.37 Pipe - A dd V, Static e the or 1,;Gptjc,n LIIO-� -r ma- rot b�Aarnq 0 lhis n- "a� O. ice," LE . wnsi -1 L d ad iid true CII)PY �o be shall ren hereonm for ,hoM the survo% is revar9d. and On his bhetalf to "'s rn,mal aqency and t'c,e corr�7;31 and govern listed heM tending insti- to -z_he as"Iqn.ees Of the trarisferahle, 6*,,r,r,%82S are ne-A r subsequent to institutions 0 4t 19 cr 1-1) m *V '001'e"Ad 6141-V Z., 1909 &'rW400D OVE" &wow, if S910;0e-04. A(,, COVNrY AMP MO. IZ43 saaease"'d fa 5dVt#Otd Jwl;ryo a, Ir 4WO' 40 PedOffilC Ab-fte-JC't. INC t s 25 sJP, &70 Z7CAZJCX VA V TU Vt.4. P. C. 5tic For- /006 - /,17- V-3 TOWN OF SOUTHOLD e*� PilOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT 0-7 L w v 2 77 7 FORMh OWNER N E ACREAGE [)6 S W TYPE OF BUILDING RES. p SEAS. VL. FARM comm. I IND. `CB. I misc. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS &�/ (J.� C'X, Ole- 7L 'A/ 0 0 C) ,, /z/ - " v !),/' 2 -% 0.. 52. 2-110 -- co a 139-73 Ij 71 C 4 / S10, - 1 - ap6d e. I 17 a pay C z!) AGE B IFalI G CON IT NEW NORMAL BELOW ABOVE FRONTAGE ON WATER .47 Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brush Iq-pd House Plot Total INC�OACN N, - M. Bldg. ;L 7 Foundation G Bath i Extension ,� ._�1 , T Basement �� Floors Extension Ext. Walls /0 moi- Interior Finish Extension Fire Place ?i CS Heat , — (7 �`. G X �/� " •� �- S/ _ ^'+ --- Porch Roof Type Porch Rooms 1st Floor Breezeway Garage Patio Driveway Rooms 2nd Floor Dormer O. B. .y TOW14 OF SOUTHOLD P40PERTY RECORD CARD (D /1"I - -,I- OWNER STREET VILLAGE DISTRICT SUB. LOT 21e' r j,, Pest a-�Lsf Lod 4' /1711411 FORMED OWNER N 1 �] 7 . �.C/�. E / ACREAGE l/,. , /)- )S (/' 7 �0 LC PC f S W TYPE OF BUILDING RES. ..5 /f SEAS. VL. C•, FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value T LAND IMP. TOTAL DATE REMARKS I/,o c/ IncP yvtld W Xk►, 00') .2 !>G / /0 72 � X73 �/0 qr 4e -* rXf-.Z,IYu, �Aa aH a/iCr'fiaEi,,�, c'', /9Q0 ± �eAt& l AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ;� // S,r✓�t':' Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total BUTT DI','iG DEPART 1E T TOWN OF SOUTH OLD, N. Y. HOUSING CODE INSPECTION REPORT � Lo cation J'` oj�- `� w � AVe.. (numoer 8( s zreez) i-iunicipality) Subdivision Man No. Lot(s) .---- Name of Owner(s) Occupancy 9 ,,, 0. pe owner -tenant) JI'dmilmad by ,Acs-,bmp4nied by: Key available ' Suffolk Co. Tax No. /.37-oY- Source of request Date D1,11ELLING Type of construction rs-tories Foundation o. L Cellar Crawl space A,-' Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, type Deck, typed Patio, type Breezeway Garage --- tility room Type Heat &4!e ."' ' arm Air — Ho twater Fireplace (s) onj,� No . E;cits o2 Aircondi i.oni ng = Domestic hotwater Type heater Other ACCESSORY STRUCTURE'S: Garage, type const. Storage t b type const. IC/t Swimming pool - — Guest, type const. Other- VIOLATIONS: ther VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: Inspected by: Date of Insp. S�y �$� 4 Time start end r