HomeMy WebLinkAbout11439-Z FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z12635. . . . . . . . . . Date . . . . . July. . 23. . . . . . . . . . . . . . . . . . .. 19$4.
THIS CERTIFIES that thebuildingFA,l . e,llar under. accessory building .
. . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 20985 Main Road Cutchogue
House No. . . . . . . . . . . . . . . . . . . . . . . . Street . . . . . . . . . . . . . . . . . . . . . . .Hamlet
County Tax Map No. 1000 Section . . . 08 . . . . .Block . .0 . . . . . . . . . . . .Lot . 01. . . . . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
QC t.•. Al . . . . . . . . . . . 19$? . pursuant to which Building Permit No 1 14 3 9 Z
dated . . 0 c t.., 2.8 , , , , , , , , , , , , , , , , , 198.1. . ,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 . . . . . . . . .
Fµ� l ,cellar , under accessory building.
The certificate is issued to James R . and Mary V . McGuire
neriR . . . . . . . . . . . . . . . . . .
(ower,Ye7Esi#�Cd'rjfi3Ftb'ik}'
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . .NlP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . • N588135
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
��• . / . ..�. . . . . . . .
Building. nspector
Rw.1/81
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 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.
C. -Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling / land use --Pre-Existing C . O. $15 . 00
3. Copy of certificate of occupancy $1.00 Vacant land C . O . $ 5 . 00
Date . . . In��o . . . . . . . . . . .
New Building . . . . . 1�Id or Pre-existing Building . .px. . . . . . . Vacant Land . . . . . . . . . . . . .
tj
Location of Property . . . . . �. . . . .M.. . . . . . . . . . . . . . . ` u,�C [ O.�.0 `z . . . . . . N:
House No. Street // Hamlet
Owner or Owners of Property .-MA)AeA .. . Fr, .Au'� r1Ak`f V; M � t?u{RZ0 , . . . . . . . . . . .
County Tax Map No. 1000 Section . .t/�.Q . . . . . . . . Block . . .V . . . . . . . . Lot. . 1:3 �. .' . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. . . . . . . . . . . Date of Permit . . . . , . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .
UnderwritersApproval . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . . ... . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . .
ee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Co struction on above described building and(perr�mit meets all applicable codes and regulations.
Applicant . . /.C^':' �. `�: /. . . . . . . . . . . . . . . . . . . . . . . . .
R«.10-10-7e U y 7 6
)QTigC1{M6 Airs- - CoPY of Su2urc,7 b,#1-6b Ap1.. .3, 19-7Lff
C°P`f or- Hs.zr krzcev.- tceAwrey
1000744 THE NEW YORK BOARD OF FIRE UNDERWRITERS
—L'_ BUREAU OF ELECTRICITY
lubg 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date December 18 t 1M Application No.on file 196.5N/82 N 588135
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
James McGuire, Main Road, n/s e/o Greenhouse, Hattituck, N.Y.
in the following location; A Basement ❑ lst FL ❑ 2nd Fl. Section Block Lot
MVM
was examined on DaC=ber 23,
1M and found to be in compliance with the requirements of this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES M Uw RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT vq K AMT. N.W. AMT. K.W. AMT. K.W. AMi. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMi. K.W. OIL H.P. GAS N.P. AMT. NO. q.W.G. AMT. AMP, PMi. AMPS. TRANS. pMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V 1 C E
AMT AMP TYPE METER I R PW 1�3W 3 9 3W 3,d dW NO.OF CC.COND. A W G. NO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G.
EQUIP, pER a Of CC.COND. OF HI-LEG OF NEUTRAL
1 1JQ X 1 1 1 1
OTHER APPARATUS:
Richard Relyea
Youngs Pt. Vattw=k, Y.O. Hoar 373
VA061, N.Y. 11948 Lie#2148E E NAGE
1
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identi d y their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
t
RFD #1, Box 106C
Mattituck, N.Y. 11952
July 24, 1984
Victor Lessard, Administrator
Southold Town Building Department
Main Road
Southold , New York, 11971
Dear Mr. Lessard :
As requested by your office, attached hereto is my
check #659 in the amount of Five Dollars ($5,00) to
cover the required fee for a Certificate of Occupancy
for a one-story frame house.
Very truly yours,
6JAME'SR. MC GUIRE
JRM/ef
attachment
cc : Supervisor Murphy
r
RFD #1
Box 106 C
Mattituck, N.Y. 11952
July 13, 1984
Executive Administrator, Victor Lessard
Southold Town Building Dept.
P.O. Box 728
Town Hall Southold, N.Y. 11971
Dear Mr. Lessard :
Pursuant to Supervisor Murpht's letter of July 9, 1984,
(copy attached) enclosed is a copy of the Underwriter's
Certificate requested.
As you know, my application for a Certificate of Occupancy
has been pending for quite sometime. It would be appreciated
if this application would be given priority by your office and
the Certificate of Occupancy be forwarded to me as soon as
possible.
Thank you for your cooperation.
Very truly yours,
�( ,ktrU&ct
James R. McGuire
cc: Francis J. Murphy, Supervisor
ti
OFFICE RVISOR
O
T LE) ,
FRANCIS J.MURPHY TELEPHONE
SUPERVISOR (516) 765-1800
MAIN ROAD (516) 765-1939
SOUTHOLD, L.I.. N.Y. 11971
July 9, 1984
Mr. James R. McGuire
RFD #1, Box 1066
Mattituck, NY 11952
Re: Certificate of Occupancy
Dear Mr. McGuire:
Enclosed please find a report, on the above referenced,
from the Executive Administrator, Victor Lessard.
According to Mr. Lessard' s report, you are required to
submit an underwriters certificate before a Certificate of
Occupancy can be issued.
Thank you for your cooperation.
Sinc y o rs,
cis J. Murphy
pervisor
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