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Home My WebLink About10722-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15027 Date October 22 86 .................................................. 19... THIS CERTIFIES that the building Solar c.ollec.tor . Location of Property Pvt. Rd. East End Pishers Island h s'o hio ....................... 's'tle i ....................... County Tax Map No. 1000 Section 1 .Block 2 .Lot 4 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ·.. M.~.y.. 2.4 ........... ,19.8.Q pursuant to which Building Permit No. 10722 Z dated .... .J.u.n e.....................10 19. ..80, 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 ......... ~ql~r ~Q~-eq~9r racks attached to the dwelling, with a fence. The certificate is issued to .I~]~¢%I.S. 0 ' BRIEN .............. ..................... of the aforesaid building. Suffolk County Department of Health Approval .... NJA .................................. UNDERWRITERS CERTIFICATE NO ............ N.5.3. 4 ~ 45 ............. Rev. 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPI' ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) 10722 Z ,Jw6 I 0 ~ ~ 0 Dote ........................................................ , . y ........ Permission is hereby granted t9: , , , 6 ................................... ~'"'; .............. ,..r ...................... at premises located at ............................................................................................................ , ............... .......................... ~ ...................... ~:: ................................................................................................. : ...... pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. .. ....... Inspector FORM NO. O TOWN OF $OUTHOLD Building Department Town Hall ' $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY |nstructlons A. This application must be filled in typewriter OR ink, and submitted ca ~,=,-~=, to the Building Inspec- tor with the following; for new buildings or now use: 1. Final survey of propertv with accurate location of all buildings, property lines, streets, and unusual natnral or topographic features. 2. Final approval of Health Dept. of water supply and s0werage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fifo Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and slmilar buildings and installa- tions, a certificate of Code compliance from tho Architect or Engineer responsible for the building. 5. Submit Planning Doard 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 p~operty 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $ ~ 5.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15. O0 Date ..O,c.~9~PJ', .9 ~. J,9.~ ....... NewtOns trtlc Lion ...... Old or Pre-existing Building ............ Vacant Land ............. Locafion of Property Private Road Fishers Island, N,Y. House No. Street /tam/et Den~s O'Brien Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section ...0.'0.1 ......... Block., ,0.2 ........... Lot....00~ Subdivision H/o East End. of F'ishers Island Lot ], B]_A ................................ ~ned Map No ........... Lot No .............. PermitNo, .1.07.22 ...... Date of Permit 6/10/80 .... /~pplJcant* ' Hary B, Goodhue Itealth Dept, Approval ........................ Labor Dept. Approval ........................ N520980 Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. 5.00 Construction on above described building and permit meets all applicable codes and regulations, THE NEW YORK BOARD OF FIiRE UNDERWRITERS BUREAU OF ELECTRICITY~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the e(ectrical equipment ~ls described below and introduc~ by the applicant named on the able application number in the premises of J.~; 0 ~ attdfound to be in compliance with the requirements of thts Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SW)TCHES FLUORESCENT VAPOR DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME (:LOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET SERVICE DISCONNECT OTHER APPARATUS t~ JgOamp S E R V I C E NO OF CC COND A WG A WG A W G PER ~ OF CC COND OF H~LEG OF NEUTRAL NO OF HI LE~ #2939 Th,s certificate must not be altered in an return to the office of the Board if Inspectors may be ;dentlfled ~/MANAGE~/ by their credenhals IN ANY MANNER. E-S-EL The New York Board of Fire Underwriters BUREAU OF ELECTRICITY 85 JOHN STREET NEW YORK, N, ¥. 10038 ]J, Mc~overn Pre$~defft AJ.R~ September 18 1980 Town of Southold RE: Mr. Dennis O'Brien Eastern Point Road Fisher's Island, N.Y. Dear Sir: We wish to advise that we have notified the owner of the property in the caption of this letter on two occasions of the existence of a defective electrical installation. To our knowledge there has been no effort made to rectify the condition, and attached here to is a copy of the defects we have noted. Very truly General Manager Enc. - Defects #11 AJR/ehg