HomeMy WebLinkAbout24687-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26490
Date: 06/02/99
THIS CERTIFIES that the building
Location of Property: 60335 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 56
NEW DWELLING
SOUTHOLD
(STREET) (HAMLET)
Block 3 Lot 13.2
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 30, 1998 pursuant to which
Building Permit No. 24687-Z dated FEBRUARY 18, 1998
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 ATTACHED TWO CAR GARAGE, FRONT PORCH &
UNWRATED 2ND FLOOR DOP~4ER AS APPLIED FOR.
The certificate is issued to TODD KRUKOWSKI
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0183
05/21/99
ELECTRICAL CERTIFICATE NO.
26099 04/22/99
FALKOWSKi-SMITH PLUMBING
PLUMBERS CERTIFICATION DATED
Rev. 1/81
04/26/99
Buildin~'I nspytor
FORM
TOWN OF $OUTHOLD
BUILDING DEPAETMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UN~IL FULL
CQMPLETION OF THE WORK AUTHORIZED)
24687
Z
FEBRUARY 18 ~
................................................................. 19 ......
Permission is hereby granted to:
JOSEPH F & WF KRUKOWSKI
MAIN ST
SOUTHOLD, NY i1971
fA CONSTRUCT A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE~
FRONT PORCH AND UNHEATED 2ND FLOOR DORMER AS APPLIED FOR.
60555 MAIN RD SOUTHOLD
at premise§ located at ...............................................................................................................................
CountyTax Map No. 475889 Section 056 Block 0005 Lot No. 015.002
· . . JANUARY 50 98
pursuant to application aa~ea ..........................................................19 ................ and approved bythe
Building Inspector.
894.40
Fee $ ...................... ,,,
Rev, 6/30/80
rmcn Nse SC r oN SER nCe' NC.
375 DUNTONAVENUE ~
EAST PATCHOGUE, NEW YoRK ~ 1772
(516) 286-6642 '
DATE: 4/22/99
VILLAGE: Southold
ADDRESS: 60335 Main Rd
TOWN: Southold
26099
APPLICATION No. ON FILE
ISSUED TO: Krukowski
INTROI~UCED BE ~0 Elec~ic
was ~amined on 4/21/99 and found to be tn comphance with the Na~onal Elec~icfil Code
~CATION: Jst ~ 2hd ~x 3rd Amc
Hot Tub Pool
Der. Garage
SWITCHES RECEPTACLES FIXTURES { HEATERS FANS ] O.F.L ~JR. COND.
41 53 42 I 2 Exhaust l lO
DISHWASHER DRYER CLOTHES WASH. GAR. DISP. IMNGE OVEN ~OKE DETECTOR
XX 20A gas ~ 6
FURNACE OIL GAS CIR. MOTORS BELL TRAN. ~ SERVICE DISCONNECT
4 - f mrm x~s ,mas~
1 200 UG
OTHER
1 - 20A whirlpool, 1: microwave
Outsi & E e~s . .~:
' BUILDING PERMIT No,
BLUE ORIOINAL YELLOW cOPY
pFNK COPY OFFICE
pRESIDENT
A.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Th£s application must be filled in by typewriter OR ink and submitted to the buildin
inspector with the following: 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 s~erage-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 buildi
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prio~ to April 9, 1957) non-conforming uses, or buildings
Ppre-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 a consent to inspect signed by the applicam
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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.
2. Certificate '~f Occupancy on Pre-existinR Buildinm - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
House No. Street Hamlet
Onwer or Owners of Property ...................................................
Court Tax No 1000, Section ........ n~ ~ ........... Lot
Subdivision .................................... Filed Map ............ Lot ...................
Permit No.~, Y.~, .~. 7.~ ~ .Date Of Permit..~/~e/.~.~. ..... Applicant...~.~.~.~.
Health Dept. Approval ........................ .. Underwriters Approval .................. . ...
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
APPLICANT
Town Hall. 53095 Main Road
P. O. Box 1179
$outhold, NewYo~ 11971
. Fax (516) 765-1823
Telephone (5'16) 765-3802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Date: April 26, 1999
Building Permit No. _ 2 ? 6 g 7- 7
Owner: TODD & KAREN KRUKOWSKI
MAIN ROAD SOUTHOLD, NY~ 11971
Plumber: HENRY P SMITH JR
FALKOWSKI-SMITH PLUMBING HEATING &.FUELS,
I certify that the solder used in the water supply system comains less than 2/10 of
1% lead.
Sworn to before me this
O~69'+~x. dayof ~/~ ,19~
Notary Public, Suffolk County
BERNAOETTE L. TAPLIN
NOTARY pUBLIC ~844893
State of New York
Residing in Suffo~R County
Cor~mission ~;~pires ~e~t, $0~ [li.Z.../
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765~1823
Telephone (516) 765~1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 3, 1999
Mr. & Mrs. Todd Krukowski
3575 Lighthouse Rd.
P.O. Box 1899
Southold, NY 11971
RE: 60335 Main Rd., Southold,
1000-56-3-13.2
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX
XX
XX
XX
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 24687-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTIO~I~/.
-[ ] FOUNDATION 1ST [ ~~ PLBG.
DAT
/:: INSPECTOR~~
/
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROU~G.
[ ]FOUNDATION2ND [ ~ISULATION
[ ]FRAMING [~] FINAL
[
REMARKS:
] FIREPLACE & CHIMNEY
INSPECTION
[ ] FOU/ND~ON 1ST [ ] ROUGH PLBG.
[ ~I~OUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ ]FINAL
[ ] FIR~ CHIMNEY
REMAR~
765-1802
BUILDING DEPT.
INSPECTION
[ ~FOUNDATION 1ST [ ] ROUGH PLBG,
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
~~~~REMARKS,,,'. . '
DATE
CONSULT YOUR LAWYER ~BEFORE SIGNING THIS INSTRUMENT , THIS INSTRUMENT SHOULD El USED BY LAWYERS ONLY~~ ~
THIS INDENTURE, made the ay of June , nineteen hundred and seventy- four
ROBERT LANG, JR,, as devisee under the Last Will and
Testament of Robert ~Lang, residing at (No Number) Main Road,
Southo'ld, .New York 11971,
party of the first part, and
~0SE~H ~. KRUKOWSKI and MARILYN KRUKOWSKI, his wife,
botk ~eaidin~ at (No Numb~) EastMain Street, South01d, New
YQrk '~, 1197I~'.
party of the. second part,
WITNESSETH, that the party of the first part, m cons~derat,on of ten dollars a.nd other va!uable cons~deraBo~
paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of the p~arty of the second part forever, " ,~,~ ,~
ALL that certain plot piece or p~.rcel of land, with the buildings and improvements thereon erected, situate
~.ly~pg and bez,gg m t~ H~le~ 'of Southold~ Town of 8o~tholdt County ~of
)~S~:ffolk~'. S~:~e of New York/ Un,ted States~ of','~e~ic~,'..~eing more .
particularly, bounded and described as follo~s: ': .... J" ': '
~ . . .
..... BE~INN~ at a mon~ent ~n the northerly l~ne?of the . .
......... Mafn' RQadat'~'t~"'sou~heasterly corner of land of D~wson,. sa~d
.~f ~e'g~nning...~e!ng about' 8~0 fee~ 'easterly along':sai~rt~h6rth'~:rly, lmne
RUNNING ~H~NC~ along said lafid of Dawson and along la~d of
Cale~ .North 23~' 49~ 50" ~e~ 449'.42. See~ ~o a m0n~en~ and land
Long ~1and"Ratlroad~
.: .... . ,RUliNG ~H~NC~ along safd land of Long ~sland Railroad
~i~No~t~7.~,~2~,~4~,9'~¢~ast 230.i2 feet to an iron' pipe;
RULING THENCE along land o~ the party of the first part
and land of Dorosk~ South '23"'' 49' 50". East ~00.24 fee~ to'an iron
pipe 'on said northerly line of the Ma~n Road;
' RUNNING THENCE along said northerly line, two courses:
~l 8~Ut~'58~ 23"' 00" West' 189.90 fee~ to an iron pipe-, thenc~
.~2[. South' '58~ 02r 103' West' '41,71~fee~ to the point of BE~I~ING.
Containing 2.2~7'. ao~es.
, BEING ~D INTENDED TO BE, a portion~of premises cgnveyed
bv deed.'dated Deoe~er 28,,~19~, and recorded' in,the Suffolk ..,.
~TQGETHER with all right title and interest, if any, of the party of the first par~ in and to any streets and
' roads abutt ng ~he above descried premises to t ~e center lines thereof; TOGETHER with the appurtenances
,,and al ~the~e~tate and rigbts of the party of the first part in and to said premisesj TO HAVE AND T0
,~HOLD the~'pr~mises:herein granted unto the party of the second part, the heirs or successors and assigns of~
the party of the second part forever,
~ND the'party'~f the.first part covenants that the par~y of, the_firs~~ or suffered anything
:~fl~r~bv~t~e~$~d2~f~iS~i.~have been encumbered in any Oay whatever, except as aforesaid.
[~ND th6 oartv or'the first part, m comphance w~th Sectmn 13 of the L~en Law, covenants that the party
the first pa'rt w'ill receive the consideration for this conveyance and will hold the right to receive such consid-
eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply
tbe same first to the payment of the co~ of the improvement before using any part ~of the to~al of the sam~ for
any other purpose·
if it read "parties" whenever the sense of this ~ndCnt~re so requires.
~art has duly executed this deed the day and year first above
STATE O~ NEW YORK, COUNTY OR SUFFOLK SS
On the ~7.~.~..day of ~ June i . , 1974 , before me
personall~ came , ! , '
, ROBE?.TTLRNG, JR.,
'to me known to b~,~tfle ind,v,dn~l descr b~d n and who
executed the foregoihg tnslrum~bt and' aekno~ edged trot
he ' ~xecUted ~ same.,
: ~ ~, ,~OT~RY PUBLIC ' -
STATE OF N~;~~'
SSI
On the ~ ............. day o[ · ' ~ 19 , be[ore me
~fi~ came h:J~, ,, .', ...... ", . ,
to me known/,wh~l being by me duly sworn, did depose and
say tha[ he resides at No.' ' , ] , .
that he is the, ,
~ the. corporaCon described
in and W~icb~xeeuted the
knows the.seal of said
to sald instrument,
a~xed by order of t~e ~ard c
tlon. and that he s~ed h :'
Jtargai. auh,
WITH COVENANT AGAINST ~RANT~R'S
TITLg NO. ,
JOSEPH F. KRUKOWSKI~ & ~R,ILYN KRUKOWSKI
~1~ F~M ~ N~ V~ ~1 ~ TIRE ~'~ u Distributed b~ ,
STATI OP NEW YORK, GOUNTY OP .
un the: ,, nay ox , ,'~,L~%",qg~,~,~,~ betore me
p~rsona y came .... ~:, "~'~,
to
me know. to.b~t~e descried; m and who
executed'the foiegom~ jnst~ffient, and,acknowledged that
e~ecuted the sam~.
'
NOTARY PUBLIC, State of New YO_l~
',~. ,~'. No.'..~ 0 ~. %~9 ~.,:,.
On the day o~ 19 , be[ore me
personally ~me
the subsmbmg,wttness, Ao th~ foregoing lnstrument~ wltb
whom I am personally ~couainted who/'belnk.by~ me duly
sworn did depose and say that , be'r~slde~E~Nb.'~,, ..
that he*knows
to be the individual
foregoing 'instrument;
and saw
, . ,;, ,.,~' ,,'.:, , ,~:.: ,','~'
BLOCK,
,. ~dr~e, C, ~ S~ankevich,
Main Road ~,~,~
~uu=nol~ New xorK
FORI~ NO. 1
TOWN OF S, OUTItOLD
BUILDING DEPARTMENT
TOI~ HALL
SOUTHOLD, N.Y. 1197 {
TEL: 765-1802
Disapproved a/c ..................................
......... Z"-'~ ...... '* ........... C~ ..... ; .... /~v
=
l ' ' /(Building Inspector)'
INSTRUCTIONS
~OARD OF HEALTH ...............
~ SETS OF PLANS ....... .. ... ---
SURVEY . ..
CHECK. .................... ... ·
S~PTIC FORIt ...................
NOTIFY:
CALL ..................
HAIL
....................
..........
a. ahis application mst be eo~letely filled in by ty~e~iter or in ink and sut~dtted to the hlildi~ In~tor with
3 ~ts of plus, ~ate plot pl~ to ~ale. F~ ~c~it~ to
b. Plot pl~ ~ l~tim of lot ~ of ~ildi~s m ~s, ~lation~ip to Mjoining pr~i~s or ~lic
~s~r~t.s or ~eas, ~ 'givi~ a ~tail~ ~ripti~ of l~t of ~r~ ~st ~ dr~ ~ the di~ ~i~ is ~rt of
d. ~ ~1 of ~is ~li~ti~r, t~ ~ldi~ In~tor will isa a ~ildi~ P~t to the ~li~t.
'w~t ~all ~ k~t ~ ~ ~s ~il~le ~' in~ti~ that fl~e &rk. "~
e. ~ ~ildi~ ~ll ~ ~i~ or ~ in ~le ~ i~ ~rt for ~ ~ ~mt~r m~il a grtifi~te of
~ ~all h~ ~ ~ ~ fl~ ~ilfli~ I~tor.
~ildi~ ~ ~i~e of ~ T~ of a~lfl, aiolk ~, ~ Yo~, ~ ot~r a~li~le ~, ~i~s or
~lati~s, f~ t~ ~stxti~ of ~ilfli~s, ~iti~s or alterati~s, ~ for ~al ~ ~liti~, a~ ~in
~lati~s, ~ to ~it a~ri~ i~tors ~ ~s a~ m ~1~ for ~ces~
(Sil~atu~e of applicant, or r~ae, if a corporation)
(Mailing address of applicant)
State ~dnetber applie~t is mmer, lessee, agent, architect, engineer, geseral contractor, electrician, plmber or builder.
o~..~.. : ..........
' ..~.~.~ ~., K'g'v.~..,"~...~ .l~K.~..~q.,e.~.t ........
~ of~oaner of prmises ...........................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
and tltle of corporate officer)
Plumbers License NO .........
Electricians License No .......
Other Trade's License No ..................., .
I. Lecation of land on ~hieh proposed wrk will be done ..............................................................
, into ~.. ........................
.................... .................... ......................
Pause lift,er Street H~nlet
Coanty Tax ~ No. lO00 Section .... ~--~ ....... Block . a~ .......... lot .~/~.:..~.. ......
Subdivision ................ Filed llap NO ............ I~t ............
2. State exlst~ng use and oecupaney of premises and intended use and oecupanc~ of proposed ¢onstrection:
a. ~stlng ~ ~ ~ ....4~O~...~.t~..~' '~ .. ~..~-~..~..4 ..............................
3. g']lnre oLwork (clmek which I
applicable)~ ~ lhdhling .~ .... ~iti~ .......... Alteration ..........
l~I~ir ............ I~al , .4 .......... I~lirlon ............ Other
I ~riptim)
4. Esrimt~l Cost . .~ ......... .. ~ ......... f~ ..............................................
' (to Im ~id (a~ filing this a~licari~)
5. tg ¢~llip8, a~dar of ~lli~ nnits ............ ~a~tmr o[ (~mllieg t~lta on each ~r ................
If garage, ~amtmr o~ cars .... ~ .................................
6. If lamheaa, ~ercial o[ mi~l ~aqm[~, s~clfy mtare md ~tenr of eacl~ t~ o~ u~ ......................
7. l)i,ensi~m o~ ~iating a~nmm[es, i~ any: ~ont ................ ~ar ............... ~pth .................
Ihi~t ....................... ~. ~tmr of Stories ......................
Dinenai~a o[ m~m stricture w~th alteratiam or ~itions: Front ~a~ ......
l~pth .................... I~i~tt .................... ~imr of Stories ...............
0. si~ o~ ~o~: ~t 4~¢,'~,'"
........ . ......... ~ . ~ ~.t.~ ....... mpth .~: ~g .......
I0. I}lte of hirdm~ ............. f ....... ~m o~ ro~mr ~er ........................................
II. Z~e or um alatricr in~,ia, 6r~i~s ams~t~ .~~.
12. l~a prolmml c~mt~tim~vlo}ateq any mHng 1~, o~i~e or regulatfm: ..~ ..................
I~. ~ill lot Im regr~ ..~..; .......... ~ill excess fill Im r~ fTm
15. Ia ada p~rty within ~ f~t o~ a }i,hl x~tland~ * YI~ .......... ~ ~ .....
Irmate clearly and distinctly
properly lines. Gi~ street aa
xdmtlmr interior or corner lot.
P1.OT 1)IAGRAIg
,11 buildings, ~lmtlmr existing or proposed, and italieate all set-lxack dimensions
[ blnck ramtmr or description according to deed, and Mica* street nares and ir~licate
81Y¢IE (1/? IqI'~.M YOILK, ,qS *" '
,
lining dnly ~m, depots and says that he is tim appli~ml.
(~m o~ hd[vidtml signing contract)
al~e mmV, I
I~ is [he .....................................................................
(C~tractor, ~gent, i corporate officer, etc.) ~ ~ ' -
off said (~r or ~ers, taxi is duLy[m~thoriz~l to I~rfom or h~e Imrfn[~ I.he ~id ~ a[~l to n~ke a~l file this
appl icatlon; that all statamntS ca~tai~ in this al~l ~catlon are t:n~ to the Imst off his kt~ml~ and Imllef~
that the ~rk will 1~ I~r~om~l in ti]sa s~m~r ~t forO~ in the application [il~ tlmr~tth.
~,rn to I~,~ thi, ~
..... ~.~..~.'~ .d,y ,,r~~.
H~LEN~ D, HORNE [ (S]g~ml ute of hppl J conO
NOl.ry P~blic, Slate of NeW York
No. 495~384 I ~ ~
Qualified in Su~olk qou~ ~ ~
Commmsion Expires May 22,19 ~
r
I J
, Lr
J
ENEI1G~ CODS CALCULATIONS
(For NOn-Electric Ileat)
DATED:
SUBSYSTEM AREA "U" REMARKS
Lxker±or Walls (Opaque} /o~/ . O~ +/~
Ceililw/Suof (Opaque)
Floor '
ulldlng Envelope Systems ko meet requirements of 7815.2
IIVACE. quJ. pement' to meet requirements of 7815.11
IIVAC Systems to meek r~quirements of 7815.1'2
Duct Syskelus t~ Illest requirements o~ 7fl15.13
Ventilations SystslltS to meet requirements of 7815.14
Insulation of [*iping Systems tu meet requirements of 7~15.15
Service Waker lleattng Systems & Equlpmenk ko ,leek requlremenks of
Electrical & LtghEing. Systems & Equipnler~t to meek requirements of
7815.21
To kbs best of my knowlsdge,
belisf, & professional
col,,pllallcs wlkil tile code.
PROVIDE SMOKE-OETECTII~
ALARM OEVIC~
uml/SURV~
PROVIDE A~AtD MD~R USE IS UN~UL HAS BEEN APPROVED.
t.r M r s.ocK ' WITHOUT
DEYlCESN.y. ~ATEAS BUILDING TM mK ~2.6(~ OF
coo~_
PLUMBER CE~"~ ION ~:
ON ~D ~ ~FORE
CER~FI~ ~ O~UPANCY f~
SUPPLY~M ~NOT ~ ~ K o; L o~ FOR POURED CONCR~
2. ROUGH * ~MING & P~MBiNG
EXCEED ~0 ~ f~ ~AD. ~. *,NSU~ON
PLUMBING ,.~
4. FINAL - CONSlIRUCl~ON MUST
BE COMPIJEI'~:,FOR CO.
ALL CONSTRUC~ON SHALL MEET
THE REQUIR~ME[~'~ OF THE N.Y.
STATE COHSTRUCI~OM & ENERGY
COOES. NOT I~SPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
NEQUIR[O
S~ b~
pRoVIDE OPENINGS FOR
E~ERGENCY ESCAPE AS
~ EM
' REQI
DE OPENINGS FOR
GENCY ESCAPE AS
ED BY PAR~ 7J4 OF
WE BUDDING CODE.
pRoVIDE OPENINGS FOR
N.'Y, STATE BUILDING COOE,.
!
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
REQUIRED BY PART. 714 OF
N.Y. STATE BUN. DING CODE.
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
REQUIRED BY PART. 714 OF
N.Y. STATE BUItDING CODE.
PROVIDE N HR. ~
RATED SEPARATION TO
PART. 7].7.3 (f) (].) OF
N.Y. STATE BUILDING CODE.
+ -T
ti
i!
PAGE MAIN ROAD GREENPORT
?' NEW YORK 11944
/~'~,~ HO~ & ~O0~G C~ ~-~-o~oo ~x ~-.~-o~
I Ifil I