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Home My WebLink AboutZ-9772FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy ~o ....... ~?77~ ..... Date December 4 19 79 THIS CERTIFIES that the building ......... ....................................... Location of Property .... .3.~..5?.5..~..~.J..~..R..o.~.~. ...................... .~.u. ~.o.~.o.g~..e.,..I?: .Y.o. House No. Street Hamlet County Tax Map No. 1000 Section ....9.7. ...... Block ...... ! ........ Lot ..... 8. ........... Subdivision...~..~..a.Y.-.M~.n.°~ .8..u.t~../.v. ~.~.t.o.~ No...1.7.5....Lot No. 6. ............ requirements for a one family dwelling built prior to conforms substantially to the icate of Occupancy A~ril 2~ ~7 Zq772 ..... ' ....... : ......... 19 .:=pursuant to whichl~i~qo ...................... dated ...D.~.C. ?.re.b.c.1:.../4., .............197.?. ,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 ......... ................. ?rli. v.~..~?., .~. ?. ~a.m..~.~.y..~?!~.~.n~ .............................. Lucille E. RySko .... The certificate is issued to ..................... id~n'~'J','t~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ................ .I7./.R. ...................... UNDERWRITERS CERTIFICATE NO. ~T/~ Building Inspector Rev 4/79 BUILDING DEPART~XTENT TO%'~OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 53595 .Main Road (number & street) Subdivision Name of Owner(s) Map No. Lucille E. R~sko ~unicipality) Lot(s) Occupancy R - 1 (type) A~mitted by:. self Key available " unoccup~e~ '(owner-tenant) Accompanied bY: self' Suffolk Co. Tax No.1000-97-1-8 Source of request 'Sheoard M. Scheinbgr~ Date Nov. 29, 1979 D%'~LING: Type of construction .Wp'od framed Foundation Cement block Cellar full -Tot~ rooms,.lst. FI 5 ~nd. Fi 2 #stories Crawl space 5rd. FI Bathroom(s) Porch, type Bre ez eway TYPe Heat o~1 fired 'Fireplace(s) Domestic hotwater Toilet room(s)_ Deck, type Garage X '~a~m Air No. Exits 3 Other Patio, typ~cement Utility room X Hotw;ater X Airconditioning yes Type heater tankless ACCESSORY STRUCTURES: Garage, type const..~ Swimming pool Other NONE Storage, type const. Guest, type"const. VIOLATIONS: Location Stairs(up) Housing Code, Chapter 52 Description Need ·rail going ~p .Art. Sec. vr 52~27-B - Remarks: Curtis Horton Date of Insp._ Time start3:J5 -Dec. 5, 1979 end 3:45 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 filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new usa: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sawerage 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. Bo For existing buildings (prior to April 1957), Non-conforming usas, or buildings and "pre-existing" land usas: 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 usa, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premisas, 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 New Building ............. Old or Pre-existing Building . .~. ......... Vacant Land ............. Location of Property .N./.S...M.~.~.n...~.o.a.d. ~..C.~.~ c..~.o~.u.e. ...................................... House No, Street Ham/et Owner or Owners of Property ,~c ~Ll~.e. E .... ~.iel.~& . f/~c~.a. ~c,:Lll.e..~: ,. J~:.&]~o..a~d ....... Zigmond Rysko a/k/a Zigmunt Rysko County Tax Map No. 1000 Section_9.~ .............. Block . .1 ............ Lot.. 8 ............. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ?.: .0.0 ........................ Construction on above described building and permit me~/~ ~11 applicable codes and regulation~ A p p I is a n t '.~.~-~..~. ~.~'~ ~:' ..... Y/~~'~.. ~~ ..... .? Z/GMOND RY;KO a/k/a~MUNT RYS~ R~. 10-10-78 ~ ~ AFFIDAVIT STATE OF NEW YORK ) ) SS: COUNTY OF SUFFOLK ) ZIGMOND RYSKO, being duly sworn, deposes and says: THAT, I am one of the owners of property located on the northerly side of Main Road, Cutchogue, County of Suffolk and State of New York, as shown on the attached survey; The structure as shown on the attached survey was in ex- istence prior to 1957, the date of the inception of zoning and that no other structures have been erected and no alterations to said structure have been erected since that time so as not to ne- cessitate a building permit or Certificate of Occupancy. o~to ~efore me this ~ d$~ .~f ~Nov. em~er,~lr979. ~LL~AN WICKIIA~I ~OTA~Y ~U~LIC. ~TATE OF NEW YO~K No. 52-4259000 qu~i~ in Suffolk Count~, Tern expires ~larch 30, i Z Z 0 0 0 = ~o o~ 7i 0