HomeMy WebLinkAboutZ-42772 � S�FfOIK Town of Southold 2/10/2022
4a�O�a ��ayn 53095 Main Rd
y $ Southold,New York 11971
�6T
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 42772 Date: 2/10/2022
THIS CERTIFIES that the structure(s) located at: 1005 Pequash Ave, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-7-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42772
dated 2/10/2022 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame single family dwelling with enclosed front porch and accessory wood frame garage_*
Note: The kitchen has been removed.New owner will apply for a Building Permit for alterations to the dwelling,
The certificate is issued to Doroski Wilma C Irry Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. L
u hor-z d Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1005 Pequash Ave,Cutchogue
SUFF.CO.TAX MAP NO.: 103.-7-21 SUBDIVISION:
NAME OF OWNER(S): Doroski Wilma C Irry Trust
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Doroski Wilma C Irry Trust DATE: 2/10/2022
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: front enclosed DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 3 #KITCHENS: removed BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: accessory wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/3/2022
TIME START: 10:15am END: 10:47am
S,2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT �� I
�a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 haps://www.southoldto3ynU.aov
.. . . .
ti APPLICATION FOR PRE-EXISTING CERTIFICATE OF OCCUPANCY:: .
OWNERS)OF PROPERTY
Name
• Date: 'L !G Zdz
Physical Address: `00$' SCTM#10
Phone#: G 31_ o Email: _
Mailing Address: .�r7,__.�J(/�'__��J'_,K.-(�GG_�Gv[D_. ..`f.G_
CONTACT PERSON
Name:
Mailing Address: . .___�p0�...._.-.�,* Z80 u- �t0
_-....._.._ -- -
Phone#:__6'r�G__771 0,7 .. .3t1..-(i�G �. Email:Ina,
To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the ® wI?:C E n n�
• Accurate Survey II
• Floor Plan DEC 16'2o 2
• $100 Fee
CONSENT TO INSPECTION BUILDING DEPT.
TOWN OF SOUTHOLD
That the undersigned does hereby give consent to the Building Inspector 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.
/2 Z/,6
Owner's Signature Date
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
1, /LIU G Zyk7P residing at the above address,do hereby authorize
to apply on my behalf to the Town of Southold Building Department for
approval as described herein.
Owner's Signature t 0(7 Date
—6
77
tSO TH,
'../.�.
16�
...
OWNER
v✓v. d/�r-
/` STREET °- �` VILLAGE ._DIST ` SUB'.- _�LOT
: 1ta^rg.. x. �'`°. " '"a;. .ar _ S`.a�''a...a: !`° .'.a.. dv> L,�t5l, s+`:° ✓ 4
j-7
f •,; �
FORMER OWNER N
1 � � tbr/'iZ.-eC Lr '+J ir+lY B»l�b i��lt�f of°� •f'`T�� .kr�44�'4'1__` ��"+��� \ !'�6.,wi"v..%m4! I� :iF
S W �a TYRE,OF 'BUILDING r t
f�' 3;, "i ' 3 w sw f } e. r� r ,�•,
RES f SEAS. VL. FARMCOMM. CB: ' MISC. Mkt: Value
LAND IMP, TOTAL DATE REMARKS ppg� 4
e+ /a o ,...�,g.+ ('} y///fir �S/m �} /ds ,,( -�•fj ^g P �+OP",(- f
.8 °" +w� )J ✓ J f `ss` .Gig. .9y�i° �i
"F ,� L'�Lr�p� id qk w.7J'ls+.tal
j
+�yy ay
OaroazK-1 k ~
AGE BUILDING.CON'DITION
NEW NORMAL BELOW ABOVE -
FARM. Acre. Value.Per Velue ,
Acre
Tillable- 1
Tillable 2 4;.
Tillable 3
Woodland
Swampland FRONTAGE:ON WATER,
BrushlandFRONTAGE ON".ROADi
PR
House Plot DEPTH
BULKHEAD'
Total DOCK: �� 1
_ , .. �. ,..
VRP/ —
r
COLOR
r �aJti �q I`falE a y i
U T
RZ
OR
. . W
iL2 - - --
M Bld I Foundation Bath Dinette
Extension iBasement Floors ,.�7 t f" ' K.
f`
Extension Ext. Walls. 'Interior Finish LR.
Extension Fire Place , Heat , DR.
yP&Roof Rooms Ist'Floor BR.
Porch f ; Recreation Room Rooms 2nd` Floor FIN. B Y
Porch Dormer'
Breezeway Driveway
Garage .
.
O. B.
Toto Ira }`
w� n ,
r
X03—�-- k 1005- Y"„wsl\ Aw .
�aOF SO(/T�°
�# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 .
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH.PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING- _
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY -' [ ] FIRE SAFETY INSPECTION'
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL)
[ ] CODE VIOLATION IV PRE C/O
REMARKS: .
J +rvt
DATE 3 atia� INSPECTOR
LOCATION: vlf/
(number & st eet) municipali. )
SUBDIVISION: MAP V0.-. LOT(S):
NAME OF OWN R(S
OCCUPANCY; l 1 IntN°
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILA13LE: S1017.'CO. TAX MAP'NO. 1000- to$
SOURCE OF REQUEST; DATE:
DWELLING
TYPE OF CONSTRUCTION: STQI�1ES: '# EXITS
F'OUNDATIO: SPACE:
ii
# OF BEDROOMS: 18T FLI.2: f 2N-D FLIt: 3RD FLR:
BATPIROOIvI(Sj: TOILET AOOM(S): UTILITY IZ00'M:
PORCH,TY ADECK, TYPE: PATrO;TYPE`:
BREEZEWAY:' FIREPLACE: _ QAPAGt: (�J
DOMESTIC HOTWVA'fix.: TYPE HEATtR ,AIRCONDITION•ING:
TYPE,HEA'T: I/. WARM AIR:_�4 HOTWATER:
'HOF KITCHENS. : \�`✓ bn� +wJ/j
FINISHED BASEMENT YES No
'A,-
I' h �
OT:HEl�: I
ACCESSORY STRUCTCJRE$ '
GARAGE' TYPE OFC
CONST.�/1� . .� ST-0-RAGE,TYPE CONS'T..
SWIMMING P'0-OE: P GUEST,'TYPE CONST: '
lr -
OTHER: S r '
VIOLATIONS:, CHAPTER.14-4.&N,Y, STATE:UNIFORM FX PREVENTION & BUILDING CODE
Y,.QwC_; TION -r _ FrJSC PT ON ART. SEC.
w •y6W`` z cy V viY
REMARKS:
looel INSPECTED BY; V1 `] • �' DATA OP INSPECTION,
TIME START; lbs lS pgN1 END:
T
O I
Q � t BSNT1 r]
Nrtp1@1 eE[W:NA II
OWFWDwm BlSpAFM O mm
0
i I
Fl
BASEMENT PLAN FIRST FLOOR PLAN SECOND FLOOR PLAN
1/4" - 1'-0" 12.10.21 1/4" - 1'-0" 12.10.21 1/4" - 1'-0" 12.10.21
EXISTING PLANS
1005 PEQUASH AVE.
CUTCHOGUE
1000-103-7-21
wl S,"o6els
Y
` S.C.T.M. NO. DISTRICT: 1000 SECTION:103 BLOCK: 7 LOT(S):21
S 45028'20"E 100.00'
1.0$ MON. HEDG
6.2'W 4'S
77
M
N Qti
� N
7h
Lo
O
U
W
e
20.7'
I
3.0'W
O
62.6' ST
OO
"�::10.0':•:
1/2 STY
:-'-FRAME DWELLING::.
(x#1005?:: :w E.y
.M
E
zs.r E-
10.6'
ON
o U]
m
WOOD STOOP o
CIO ti
z � �
M
70.00'
N45007'03"W 100.25' o
W.M.
0
- j/�, C EDGE OFPAVEMENNT
P E Q V CA 1J fl AVENUE
THE WATER SUPPLY, WELLS ORYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA:19,997.22 SQ.FT. or 0.46 ACRES ELEVATION DATUM: _,
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA RON OF SECTION 7209 OF THE NEW YORK STATE EDUCAT70N LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE RILE COMPANY. GOVERNMENTAL AGENCY AND LENDING INS71TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECRON OF FENCES, ADD/RONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE RME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY OFNE4, CERTIFIED TO: WILMA DOROSKI IRREVOCABLE
MAP OF: �Q- �N M 0}�,p TRUST;
FILED:
SITUATED AT:CUTCHOUGE x
TOWN OF:SOUTHOLD
,Tv KENNETH M SIOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK ��S 050882 JProfessional Land Surveying and Design
N P.O. Bos 153 Aquebogue, New York 11931
FILE #221-220 SCALE:1"=20' DATE:NOV. 25, 2021 PHONE (831)298-1588 FAX(631) 298-1588
N.Y.S. LISC. NO. 050882 maintaining the records at Robert J.Hennessy&Kenneth M.Hoychuk