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Home My WebLink AboutZ-10409FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ................................................ :~35J~., (Cheese Shop), 53835 (2nd Floor Apartment) Location of Property fi)u~;l~o: (e.hot o-.She p.)..l~a~.~ .R~a~, ....... Sc~uthoJ, x[,. N...Z ..... - b'tree~ Hamlet County Tax Map No. 1000 Section ~.I. .Block 0.1. .Lot 0..t ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to ~ APt~l/catJa,~.fox. Bui/d/~. Pm-m/t, h~r~t~ere-filed, in- t4~is- of-flee-6ated-- Cer,tl.f~ic,ate of Occupancyy £10409 ..... ~ p rJ..m.. 2 3 .........195 7. pursuant to-wl~crr ~uittiiffg-l~u~tt'3N~. ..................... dated ..... ?4av~.~h · ~ ............... 19. & ~, 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 ......... · .T. wo. ~usine.ss~.!o~:n. sl:.~ivs,..ome,.f, an~il.y..ap~,r, tmen. t;. up.~.t.~ Sr~.-.a. ~[.sp. two} car Get'aCe. (dc~'tached) . ' ...... The certificate is issued to ...... ;1 a sJ..u ~ ¥..J.,. ~. ~..d,. I['~ p p.q. ¥ ,..[: y ~ }:~ .................... (owner. I~sea~.~z l~,.~al~), of the aforesaid building. Suffolk County Department of Health Approval ..... L/. ~" .................................. UNDERWRITERS CERTIFICATE NO ....... N / I~ ........................................ Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled 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. 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 features. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .. ?.9 .¥.~a.~Y. )_.8.,. ;]_,9.1~3,... New Building ............. Old or Pre-existing Building ...~. ........ Vacant Land ............. Location of Property .... iyl.a.i.n.. ]~.o.a.d..,. ¢.o.u~p.hp.l.d.,. ~e3¢. ~p.~]~ ........................... House No. Street Ham/et Owner or Owners of Property ...Kasimir. J.. Py~ko ...................................... County Tax Map No. 1000 Section .. ~1 .......... Block ... ~ ........... Lot.. ;I..7. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .. K~imir..J.. P.y.i~o ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....... 3~ ............... Fee Submitted $ .5., .0.0. ....................... Construction on above described building t/C~ermit meets all ap/p,~able codes and regulations. A pplican~/'~~,. / .~,~/~.'(.~. ~ ...................... R~.10-10-78 ~Q~lp~ Bru~, Attor~ for Kasimir J. ;ylko TO1,,%r OF SOUTHO,LD, N. Y. HOUSING CODE INSPECTION REPORT Location 53855 Main Roadr (number & street) -$~iV~%~- Cheese Shop Southold, N.Y. Map No. (Municipality) Lot(s) Name of O~mer(s) Occupancy ~-1 (type) Admitted by: Kasimir J. and Rose V. Pytko ~nant {owner-ten~'~t) Accompanied by: Key available__ Suffolk Co. Tax No. 061-01-017 Source of request R,do] ph H. Bruer Date Feb. 18, '81 DV~EI.LING: Type of construction Foundation Total rooms, 1st. F1 Bathroom(s) Porch, type Breezeway. Type Heat Fireplace(s). Domestic hotwater Other Wood framed, brick veiaer(F~tc~ies Cellar Crawl space Deck, type Garage Warm Air No. Exits 2 Y~ 2nd. F1 3rd. F1 Toilet room(s) 1 Patio, type__ Utility room Hotwater Airconditioning Type heater ~lectric ACCESSORY STRUCTURES: .Garage, type const. Swimming pool Other storage, type const. Guest, type Const. VIOLATIONS: Housing Code, Chapter 52 _Locati°n Description Art. Sec. Remarks: Curtis Horton T~me start 2:40' end 2:55 BUILDING DF-°AP, T~'~NT TOI',~,~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location -~i~i~r%2nd Floor Apartment Map No. N~me of O~mer(s) Ka~imir J. ~nd R~ v. 5B835 Main Ro~d; (number & s~ree~) Occupancy R-1 (type) Admitted by: Mr. Bruckei~er Key available Source of request gn.+ho~ ~ ~ Y. (MunicipaI~t~)' Lot(s) (owner-tenm-~t} Accompanied bY:Mr. ~,~=~=~ Suffolk Co. Tax No...061-01-017 Rudolph H. Bruer Date Feb, 18, '~ 1 DI'~LING: front Type of construction Wood framed~ brick veiner #stories Foundation Total rooms, 1st. F1 Bathroom(s) Porch, type Wood Deck, type Breezeway Garage Type Heat 2 Central Gas Warm Air X Fireplace(s) No. Exits ? Cellar Crawl space 2nd. F1 3rd. F1 Toilet room(s). Patio, type__ Utility room Hotwater Airconditioning Domestic hotwater Yes ~ype heater Other ~w ~nf.~an~ h~ w~4 ~f.~ ~ p!a*fo~m. ACCESSORY STRUCTURES: .Garage, type const. Swimming pool Other Storage, type const. Guest, type Const. VIOLATIONS: Housing Code, Chapter 52 , Location Description Art. Sec. floor aoartment Remarks: :i . ' Curtis W. Horton T~me st~rt_2:4o'"'end2:55 Location BUILDING DEPAETr'~NT TOI~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 53835 Main Romd~ (number & street) -~~J.G~%2nd Floor Apartment Name of O~mer(s) Occupancy R-1 (type) Admitted by: Mr. Br~ckeimer Key available Source of request Map No. Ka~imir J. ~nd R~s~ V py]U~ (MuniCi~Ality/ Lot(s) (owner-ten,%t) Accompanied by:~ ~,~u~ Suffolk Co. Tax No..061-01-017 Rudolph H. Bruer Date Feb. 18, '~1 DV~LING: Type of construction Foundation Total rooms, let. F1 Bathroom(s) Porch, type Wood Deck, type Breezeway. Garage Type Heat 2 Central Gas Warm Air X Fireplace(s) No. Exits ? Domestic hotwater Yes Type }]eater ACCESSORY STRUCTt~ES: .Garage, type const. Swimming pool Other front Wood framed~ brick veiner #sTories Cellar Crawl space 2nd. F1 3rd. F1 Toilet room(s) Patio, type__ Utility room' Hotwater Airconditioning Storage, type const. Guest, type const. :2 VIOLATIONS: Housing Code', Chapter 52 ...Location Description Art. Sec. floor gDartmont Remarks: . inspected.by:~~'--~~ Date of Insp. March 3, '81. ' ' ' " Curtis W. Horton TSme st~rt_2:4o 'end2:55 ·