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Home My WebLink AboutZ-10217FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Date 0etober 28~ 19 $0 THIS CERTIFIES that the building ................................................ Location of Property 180 Pike Street~ Mattltuck House No. I be 1 beStreet br Hamlet County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. require',~mnts for a Business Establishment b~lt prior to conforms substantially to Certificate Of Occupancy · .,~??.~{..2.3 .......... , 19 .5.7. pursuant to wkich guilding,P.~m~i~ . .$! 9.Z1.~ ............ dated .... Op.~.O..b.e.r..~..8, ........... 19 ~3.0. , 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 ......... ....... ~ .ay.~.r.a. wl.~..~..o.. ~.o.r.a.g.e..b. ulL~x~g ~., ................................. The certificate is issued to . .~.*.. ~. 9~t.~.]r.~.rI. .&.'..O.r.~.o. ..................................... (owner, ~.~ of the aforesaid building· N8be128 - The Broken Dow~ Valise Suffolk County Depa-~ment of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO...N./.R. ............................................ Building Inspector Rev 4/79 BUILDING DEPARTMENT TOI'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 180 Pike Street, (number & street) Subdivision Map No. Mattituck (Municipality) .Lot(s). Name of Ov~er(s) E. ~onklin & Ors. Occupancy B-1 (type) ~dmitted by: Tenant (owner-tenant) Accompanied by:. Miss Fogarty K~y available Source of request Thomas R. Suffolk Co. Costello- Tax No. ~141-4-4 Date Oct. 1980 D%CEI LING: ~ ?ype of construction Wood Foundation Cement Blocks Total rooms, 1st. F1 Bathroom (s) Porch, type. Breezeway #stories One Cellar Partial Crawl space Rest 2 2nd. F1 3rd. F1 Toilet room(s) 2 Deck, type. Patio, type. Garage Utility room Type Heat 0il Fired Warm Air X Hotwater Fireplace(s) No. Exits 2 Airconditioning. .Domestic hotwater Yes .Type heater 0il Fired Other Coal Burning Stove ACCESSORY STRUCTURES: Sarage, type const. Storage, type const. Swimming pool Guest, type const. Other Outside Walk-in Cooler Storage B~ild~ng Wood-Storage VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Bathroom Floors need fixin~ III 52-R2,D_ Main Area Chimney fnr ~1 b,~n~ ~s not a aoorove~ chimney. V A-1;B Should either be a a~roved orefa]~d_ chimney or a mann,wy chimney. 'There is a Board Remarks: Curtis Horton of Health Pe~mm~ ' ..... e mo~u.d for the B~.oken Do%,na Valise-.U$4128 ~~ Date Of Insp. Oct. 9, 1980 T~me start 2:30 end3:lO 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-fit~ied in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 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 featu res, 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 Date ~'-~ '~ /' ~ .~.~. · New Building ............. Old or Pre-existing Buildin§ ............ Vacant Land ............. Location of Property {~ ~-'~/&~' ~- .~W['~ ~ 7 ~"~,/~ '"~ House No. Street Ham/et Owner or Ownersof Property ~F~["~. h'~. (-T?7 L"~/¥ /~'/- / /~ ~" ~)~_ County Tax Map No. 1000 Section ....... /.£/./ .... Block ~7~ Lot Subdivision ................................. Filed Map No.- .......... Lot No .............. Permit No...~T.; ...... Date of Permit .......... Applicant .................................. Health Dept. Approval ........... ./~../~.... ~ ...... Labor Dept. Approval . Underwriters Approval ........................ Planning Board Approval ...................... Request for Tempora~ Certificate ..................... Final Certificate ....................... Fee Submitted $ ........ .~.~ ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ............ , ,/~...~... ?', '. ,~,~, ,~, .~/., ,~,.. ~ ~ ......... Rev. 10-10-78 Ck-Rec. #17808 [0/28/80 CO#Zl0217 THOMAS R. COSTELLO October 2, 1980 Town of Southold Building Department Southold Town Hall Main Road Southold, New York 11971 Re: Certificate of Occupancy Certificate of pre-existing use Att: Mr. George Fisher, Building Inspector Dear Mr. Fisher, Request is made for a certificate of occupancy or pre-existing use for the premises situated on the south side of Pike Street, Mattituck, Town of Southold, bounded on the north by Pike Street, east by C. A. Price Company Inc, used for the sale of alcoholic beverages. Enclosed you will please find my blank check to cover the cost of the above said instrument. Thank you for your courtesy in this matter. Very truly yours, Thomas R. Costello TRC/jsb Enc. 1