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Home My WebLink About11439-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAWfMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z. ] ?.6.3. 5. .......... Date ..... .d.u.l.y... ?3 .................... 19 ~.6. THIS CERTIFIES that the buildingF.u.~. ~.. 9P.Z.]: .a.r. .u.n..cl??..a.c. ?.s.s.o..~ y..b.u..i.]_.d.J;n..g.. ..... Location of Property 20985 Main Road Cutchogue House No. Street Ham/et County Tax Map No. 1000 Section 108 .Block 03 .Lot 0 q 3- 6 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ·..Q~ ~....~.6 .......... ,198. ]. pursuant to which Building Permit No.11639g. dated ...O.q .t ....2.8. ................. 198. ~.., 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 ......... ...F.~t3.1' collar under accessory building· The certificate is issued to James R. and Mary V. McGuire ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ....... ~ ./~ ................................ N588135 UNDERWRITERS CERTIFICATE NO .................................................. Rev. 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 Amhitact 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 ali property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of ownar 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 ! land use 3. Copy of certificate of occupancy $1.00 ~ --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Dar, .... I~ I.~ ........... New Building ....... , ....~..~DId or Pre-existing Building ....~'. ....... Vacant Land ............ OC i n fPro e e.~O~ M~ ~ L ara o p ~ ..... ~'~ ........................ ~(~.~.~ ..... ~:~ ...... Hou~ No. ~t~t Ham/et Owner or Owners of Prope~ . ~,~.. ~ ,~...~.~-~.. ~:..~ ~.~ ~.~. ........... c~,~ ;~x ~, ,o. ~ sec,~o, . ./~.~ ...... . ~,oc~ .. .~..~ ..... .. . ~o, . .~/~.~.~. .... 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 ...................... ',,~e Submitted $ ............................. Cohstruction on above described building and,oermit meets all applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~'~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..re ~ ~, ].am ~,p,.lie.tio. No.o.~'ile ~/S2 N 588135 THIS CE~IFIE5 THAT only the el~trical ~ulpment ~ ~scrib~ below and int~uc~ by t~ appl~a~t ~med on the above application numar in the premises of in the followlng location; was exatnln~d on RXTURE OUTLETS J~CEPTACLE$ DRYERS AMT. K.W. OIL SERVICE DISCONNECT OTHER APPARATUS: FIXTURES SWITCHES INCANDESCENT FLUORESCENT FURNACE MOTORS [] 2nd Fl. Section Block Lot artd found to {~e in compliance with the requirements of this Board. RANGES COOKING DECKS OVENS FUTURE APPLIANCE EEEDERS SpECIALREC'PT. TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET NO. OF METER AMT NO. A W.G. AMT. S E R AWG. OF CC, COND. DiSH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET DIMMERS AMT. WATTS OF NEUTRAL Youths Pt. lla~iluck, P.O. Box 373 ~1, N.Y. 119S8 IAo#2144~ This certificate must not be altered in any manner; return to the office of the Board if incorrect, may be COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. RFD #1, BOx 106C Mattttuck, 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 s Certificate of Occupancy for a one-story frame house. Very truly yours, · MC GUIRE JRM/ef attachment cc~ ~upervlsor Murphy RFD ~1 Box 106 C Mattituck, N.Y. 11952 July 15, 1984 Executive Administrator, Victor Lessard Southold Town Building Dept. P.Oo Box 728 Town Hall Southold, N.Y. 11971 Dear Mr. Lessard~ Pursuant to Supervisor Murphy's letter of July 9, 1984, (copy attached) enclosed is a copy of the Underwrtter'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 soom as possible. Thank you for your cooperation. Very truly yours, cc, Francis J. Murphy, Supervisor FRANCIS J. MURPHY SUPERVISOR 'r L. EI MAiN ROAD SOl. FI'HOLD, L.I., N,Y. 11971 I'IR TELEPHONE (516) 7~5-1800 (St6) 765-1939 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. FJM:jmr Thank you for your cooperation. rs~ perviso/,~,~_~ci~ J~ Murphy