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Home My WebLink AboutZ-29147 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- 29147 Date: 12/26/02 THIS CERTIFIES that the building DWELLING AND ACCESSORIES Location of Property 57995 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 055 Block 0006 Lot 034 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- 29147 dated DECEMBER 26, 2002 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 WITH FRONT & REAR PORCHES & REAR CONCRETE PATIO WITH ACCESSORY 1 1/2 CAR GARAGE WITH LEAN-TO AND FARM STAND WITH METAL SHED.* The certificate is issued to JOSEPH F KRUKOWSKI & ANO (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 PORT. Authorized gnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 57995 MAIN RD SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : JOSEPH F KRUKOWSKI & ANO OCCUPANCY: SINGLE FAMILY JOSEPH F KRUKOWSKI & ANO ADMITTED BY: JOHN NICKLES ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 55.-6-34 SOURCE OF REQUEST: JOHN J NICKLES (AGENT) DATE: 12 26/02 DWELLING: TYPE OF CONSTRUCTION. WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 3 3RD FLR.: 0 BATHROOM(S) : 2.0 TOIT ROOM(S) : 0.0 UTILITY ROOM(S) : PANTRY PORCH TYPE: FRONT & REAR DECK TYPE: PATIO TYPE: CONCRETE REAR BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD 1 1/2 CAR W/LEAN-TO STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: OLD FARM STAND WITH METAL STORAGE BUILDING VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: RE-INSP TE 12 19/02. INSPECTED BY: TE ON INSPECTION: 12/06/02 JOH M BOUFIS TIME START: 9:45AM END: 10:15AM Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL tl� �71200� 765-1802 1 APPLICATION FOR CERTIFICATE OF OCCUPANCY ? This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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. �2J Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. December 3 , 2002 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 57995 Main Roadd(Route 25) Southold House No. Street Hamlet Owner or Owners of Property: F s t n t P of T.i 1 1 i n n K r u k o w s k i Suffolk County Tax Map No 1000, Section n 5 5 Block 06 Lot 034 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 (check one) Fee Submitted: $ 100-00 okpplicant SignatW 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ j FIREPLACE & CHIMNEY REMARKS: ALe/,, anC/ ,X�-407 r DATE D� INSPEC'TO �� >� CONSENT TO INSPECTION Estate of Lillian Krukowski , the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at 57995 Mail Road, Southold which is shown and designated on the Suffolk County Tax Map as District 1000, Section 055 ,Block 06 ; , Lot 034 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Certificate of t;Occupancy (Pre-existing) 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. . Dated: (Signature) (Print Name) (Signature) (Print Name) ( I FOUND SURVEY OF RE-ROD DESCRIBED PROPERTY LONG ISLAND RAIL ROAD (MTA N 4.9�\ SITUATE W 9.5 S 70.1150"w 140.50' 692' RAIL -SOUTHOLD, TOWN OF SOUTHOLD -- - ; MON. SUFFOLK COUNTY, N.Y. 453.21' I (DRIVEN TO RAIL I VERT.) MON. I SURVEYED FOR: JOHN ROMANELLI I > I � I o I x I m o I m I o .I j TM# 1000-055-06-034 of of SOD zl � I czi Iz I I � c�•i I � GUARANTEED TO: o JOHN ROMANELLI SAFE HARBOR TITLE AGENCY Cn I. PLANTED V 00 I rT1 ' I I I I I I I A� I �V I I . I I I N/F CARDINAL I I I I I - I I I I I I I � N/F KRUKOWSKI / 00 00 --� / EVERGREEN BUSHES R�� 78 y,0' E C---�_� 00 FRAME 4 / GARAGE 5' FENCE y OVER n 0.7' I I I n CONC. I 15.0' ry 2-STORY On METAL RES. 0.6' �0UNIT �� 12 0 zo CO c 14.6' 25.9 35.3' �A 2 7. FPRM 51PN0 FD ENcLOSED CM SIGN S� Oft POSTS (0 1 CFD M w o:3' S�28 5� v ��26E SON' N SURVEYED: 19 NOVEMBER 2002 SZON �� SCALE 1'= 60 �® AREA = 99,483.68 S.F. 1� OR 2.284 ACRES GUARANTEES INDICATED HERE ON SHALL RUN PREPARED, ANDS T SURVEY HIS BEHALF THE IS SURVEYED BY ENDINGOMPANY INSTITUTION, IFNISTEDLHEREON, AND STANLEY J. ISAKSEN, JR. TO THE ASSIGNEES OF THE LENDING INSTITUTION. P.O. BOX_ 294 GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITU77ONS OR SUBSEQUENT OWNERS. NEW SUFFOLK. N.Y. 1 195 631 -734-5835 UNAUTHORIZED ALTERA77ON OR ADDITION TO THIS r SURVZY IS A WOLA77ON OF SECTION 7209 OF _ THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING _ — —_--- _ THE LAND SURVEYORS EMBOSSED SEAL SHALL LIC EN D LAND S U EYOR NOT BE CONSIDERED TO BE A VALID TRUE COPY NYS Lic. No. 49273 02R1194 LOCATION: (number& street) (municipality) SUBDIVISION: P NO.: LOT(S): NAME OF OWNERS: OCCUPANCY: l (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: �'� ` KEY AVAILABLE., SUF O.TAX MAP NO. 1 00- SOURCE OF REQUEST: -� DATE: /� DWELLING: 0007 TYPE OF CONSTRUCTTN: � # STORIES: '�— # EXITS: FOUNDATION: c CELLAR CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE:49 BREEZEWAY: REPLACE: GARAGE: DOMESTIC HOTWATER: , TYPE HEATER: � IRCONDITIONING• TYPE HEAT: WARM AIR: HOTWATER: OTHER: o ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: kovo6��J�TORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER A& . isy. U/ /'�/' �� *- VIOLATIONS: CHAPTER 45 &N.Y. STATE UNIFORM FIRE PREVENTION &BUILDING CODE LOCATION DESCRIPTION ART. SEC. 7 REMARKS: INSPECTED BY: �voz6 ;� DATE ON INSPECTION: TIME START: ` END: TOWN OF SOUTHOLD PiOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT .r 4"--M,. FO; ER OWI E L ko 5ki' fl, E A EAGE q . / jj b ` + 4 W ° f P OF BUILDING RES. •' SEAS. VL. FARM COMM. I IND. CB. IS I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS `- ' IVI N91 1-2 L Z.J ?6 0 573- ru rNiki' h ✓u v AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland Brushland House Plot Total lf i I 'Y I �. Bldg. Foundation Bath ! ' = � �� F. Floors Basement . ctension � �s :tension Ext. Wallsx&E Interior Finish C':c.cv4✓ f� :tension Fire Place Heat e Y S Porch Roof e Porch Rooms 1 st Floor eezevyay I Patio Rooms 2nd Floor ira 9e cD Driveway Dormer B. i i