HomeMy WebLinkAboutZ-18106FORM 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
• � I
BUILDIP:G DE? ^P.1 iE?iT
TO,•I111 OF SOUT.'--:OLD, N. Y.
HOUSING CODE INSPECTION REPORT
LOc_;.ion 5605 STILLWATER AVE. CUTCHOGUE, NEW YORK
�n=.,oer (:K street) �i-iunicipaiity)
SUC.14V4S4on Flap No.
Lot(s)
Name of 0:. n er (s) THEODORE J. ✓k GRACE 1. KRUKOWSKI
Occupancy RESIDENTIAL R-40
`ype� olaner-tenant)
�_: �� y ;-Acs��m pied b
. :� ad b PEGGY COPIUS P PEGGY COPIUS
y'
• Key available
Source of request
WK. PRICE, ATTY
Suffolk Co. Tax No. 137-04-3.1
Date 5/1/89
D'. L L I�iG:
Type of construction 1 STORY rstories
Foundation CEMENT BLOCK Cellar -- Crawl space Kg
Total rooms, 1st. F1 4 2nd. F1 -- 3rd. F1 --
Bathroom(s) ONE Toilet room(s)
Porch, type Deck, type ONE SIDE OF HOMEPatio, type --
Breezea2
Y Garage Utility room
Type Heat ELEC.WALL MOUNT Warm Air --
Hotwater
Fireplace(s)_ No. Exits 2 Airconditionir_g --
Domestic ho twater PROPANE Type heater
Other
ACCESSC?Y STRUCTUP,7S:
Garage, type const._
SWi.:.:ai ng pool
t..er
Storage, type const.
Guest, type const.
V1OLAT1O;,?S• CHAPTER 45--N.Y. STATE UNIFORM FIRE PRFVF.NTmu F. WITT"TXTn
Remarks: BP 06545/co Z-18107 - BP 11(719/CO BZ -13829
Inspected by: ,(/ Date of Insp. S fxj <S" /G
G FISH ' Time start end
BUI G INSPECTDR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 1197
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE.April_271 1989•.
�JNEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING..ZU.VACANT LAND........
' Location of Property ..... Stillwater •Avenue, Cutchogue, NY
HOUSE NO. •.. STREET HAMLET ..........
Owner or Owners of Property ......... Theodore•J:•and.Grace. I.Krukowski•_•.•.•
County Tax Map No. 1000 Section ..137. Block .04.... Lot... a.
Subdivision ....................... Filed Map ........ Lot ..........
Permit No. ..........Date of Permit
..........Applicant ...................
Health Dept. Approval Underwriters Approval...... ........
Planning Board Approval ................
Request for Temporary Certificate Final Certificate
Fee Submitted: $11)D..DD..�.�?�,,,,
APPLICANT ... ......•................
WILLIAM H. PRICE, JR.
6.x.3?y?$
<e Co *.;—z i 810 6
rev. 10/14/88
CONSENT
TO
INSPECTION
THEODORE J. KRUKOWSKI and GRACE I. KRUKOWSKI
t
Owners) Name(s) he undersigned,
do(es) hereby state:
That the undersigned 000C (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)
(signatur
GRACE I. KRUKOWSKI
(print name)
iL_
&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
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