HomeMy WebLinkAboutZ-9771 FORM NO.4•
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
.Town Clerk's Office
Southold, N:Y.
Certificate Of Occupancy.
No.Z.97.71. . . . . . . . . . . . Date . . . D9PAZQI Gr. 3 . . . . . . . . . . . . . . . .. 1979•
THIS CERTIFIES that the building . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property !Mq 94�11 Aoad . . . . . . . . . . . . . . . . . . . . .4 . . .Peconic• N
House No. Street ill.&y,
County Tax Map No. 1000 Section $5. . . . . . ...Block . . . .2. . . . . . . . . .Lot . . . . . .9.7 . ... . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . .Lot No. . . . ... . .
requirements fora one family dwelling built prior to
conforms substantially to the g RuIR 11cwt
Occupancy
te of
- . .APri 1. 23. . . . . . . . , 19 57. pursuantt�to which] N . . . . . . . .Z977.1 . . . . . . ....
-d-a d . . .December. .3. . . . . . . . . . . . . 19 7. ,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 . . . . . . . ...
.r._One .Fami.ly. Dwelling•w/•2 .story•Farm.Labor. Dwell tng*. . . . . . . . . . . ... ... . . .
The certificate is issued to . . . . . . . . . .JUIiuls. xrup�xi . . . . . . . . . . . . . . . . . . . . . . . . .
(own..1
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . N/R. . . . . . . . . . . . .. . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . .DTI.R•. . . . . . . . . . . . . . . .
Building Inspector
Rev 4n9
*Farm labor dwelling - non habitable
until approved by the Hoard of Health. etc.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y. -
HOUSING CODE INSPECTION REPORT
Location 38350 Main Road Peconic N.Y.
number & street Municipality
Subdivision Map No., Lot(s)
Name of Owner(s) Julius Krupski.
. Occupancy R = 1 Owner
type owner-tenant
Admitted by: Mrs. Krupski Accompanied by: Mrs. Krupski
Key available Suffolk Co. Tax No. 1000-85-2-17
Source of request R. G- Terry, .Jr. ' Date Nov. 27, 1979
DWELLING: ._
Type of construction Wood #stories2.. -
Foundation cement block Cellar full Crawl space
Total. rooms, lst. Fl 2nd. Fl 3rd. Fl
Bathroom(s) Toilet_ rooms)
Porch; type closed in beck, type Patio, type
Breezeway Garage. Utility room
Type Heat oil fired `Warm Air Hotwater X
Fireplace(s) No. Exits Airconditioning
Domestic hotwater yes Type heater tankless
Other -
ACCESSORY STRUCTURES: Potatoe storage
Garage, type const.. Wood/3 car Storage, type const. barn- - wood
Swimming pool Guest, type const.
Other two story/wood framed - Farm labor dwelling
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
3 car
garage Roof - very bad III 2-30-C
Farm labor dwelling needs heat hot
water various repairing. It also must
have a roval from the Board of Health
Remarks: The Farm labor dwelling is non-habitable._
Inspected by:. �Date of Insp. Nov. 28, 1979
Curtis Horton Time start 3: 00 end 3:45
-fORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following;for new buildings or new-use:
1. Final surrey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, 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 peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion 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
New Building . . . . . . . . . . . . . Old or Pre-existing Building X. . . . . . . . . Vacant Land . . . . . . . . . . . . .
Location of Property . . . . . . . . . . . . . . bUZA : .i� . . . . . . . . . . .. . . .
House No. Street Hamlet
Owner or Owners of Property . . . . . . . . . . . . � . .J'. . . .N"�!'.. . ..
County Tax Map No. 1000 Section . . . .F5 . . . . . . . Block . . . .2 . . . . . . . . . Lot . . . . 1.7. . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval ... . . . . . . . ... . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . .
Fee Submitted $5( cry? . . . . . . . . . . . . . . . . . . . . . .
Construction on above described building ynd,,er.mit meets all applicable codes and regulations.
Applicanto. . . �.
Rev.10-10-78
v r - '
7 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
�e c.40 r► r Ci i
FORMER OWNER N . ' E r �J�' ACR.
S W _ TYPE OF BUILDING
L
l2ES. SEAS. VL. ARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
�
OV u o a / 7 L LY zv0/1✓od-,j4 042 fe, C, M , o n77 46 ,426n✓
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AGE BUILDING CONDIT O
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Totol 77 J-tl. DOCK
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