HomeMy WebLinkAboutZ-11304FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. i 1304......... Date .....November..1.8............. 1982.
.... ,
THIS CERTIFIES that the building ................................................
Location of Property 4 d75 ................. P?9.1. ash Avenue Cutchogue
House No. Street Hamlet
County Tax Map No. 1000 Section .. 3.7.......Block ..02 ........... Lot .. 0 9 003
Minor
Subdivision ..K?rbs ... .....akor3 tz .....Filed Map No. 56P Lot No. "
Requirements for a private one --family dwelling built prior to
conforms substantially to the Application -far Baitding- Termi'r-1M%-f5rZ-ffI'ed' in MF office da£e-d
Certificate of Occupancy
April. .2 3 .......... 1957. pursuant to which 13nitding'Painit No. ....Z113.0.4 ..........
dated.........Nov....ember. .18......... 19 .8?, 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 .........
a private one -family dwelling.
The certificate is issued to .... CHARLES LARRY & NANCY J. McCORMICK
(owner, lesseew-tenam)
of the aforesaid building.
Suffolk County Department of Health Approval ... n/a
UNDERWRITERS CERTIFICATE NO........... A .567903
Lo., 41 X
Building Inspector
Rev. 1/81
BUILDING DEPA.RT1,1ENT
TO171t. OF SOUTHOLD, N. Y.
HOUSIIJ CODE IPISFF.CTIOi�l REPORT
Location 40 5 -Pe uash Avenue Cutchogue
Minor (n=, ber do s treei j Municipality)
Subdivision Kerbs & Lakowitz Ma -b No, 5694
Lot(s) 4
Name of O;1ner(s) Charles Larry & Nancy J. McCormick
Occupancy R-1
t tYp.e owner -tenant
r:�'ai'tte•_ r ` Mr..; McCorr:ie.kby:
Acuomyanied same
Ke available 137-2-19.3.
Y ' Suffolk Co. Tax No
Source of request Larry McCormick. Date 11/3/82
DWELLING
Type of construction wood framedrstories one
Foundation cement block .Cellar partialCrawl space rest
Total rooms, lst. Fl. 4 2nd. F1 3rd., Fl
Bathrooms) 1. Toilet room(s)
Porch, type roof over Deck, type Patio; type.
Breezeway Garage Utility, room
Type Heat oil fired 'Warm Air Hotwater X
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater yes Type heater tanklbss
Other'
ACCESSORY STRUCTURES: :NONE
Garage, type const. Storage, type'const.
Swimriin-pool
p Guest, type const.
Other
VIOLATIO4: Housing Code, Chapter 52
Location Description
Art.
Sec.
No violations of the Housing Code,
Cha ter 52 where found.
- I
Remarks:
Inspected by:��' ate.of Insp. Nov. 16 1982
Curtis W.. Hortdn -Time start 12:15 end 12:30
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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-
torwith the following; for new buildings or neve 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.
B. 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. r
C. Fees:
Certificate of occupancy o pre-exlsting dwelling or land use $5.0
3. Copy of certificate of occupancy $1.00
Date ..
-New Building ............. Old or Pre-existing Building(X) __z'Vacant Land .............
Location of Property'.G4 .a sA.... CT.��:..........
House No. Street Hamlet
Owner or Owners of Property ��2di-le-S 1)"Iye;.� �C ; �f/.'4�c 6 lV�,I'l,r i%.�.T.,��,���ad
County Tax Map No. 1000 Section ... , .... Block �! E�.... , Lot .
Subdivision ."®1�11,49V .Filed Map No`-�.........
Lot No.
Permit No. ./UM! .... Date of Permit .1146 ..... Applicant ... !L%�GQ. . . . ...... : . . . . ...... ..... .
Health Dept. Approval .......VIA, , , , , , , , , , , , , ,Labor Dept. Approval ... .Wg..... ......... .
Underwriters Approval ...... !U /C11 .. , , , , , , , ...Planning Board Approval . !�� ��.............
Request for Temporary Certificate .....................Final Certificate ..... , ...... .
Fee Submitted $..'!..... ,,,,,,,,,,,,,,,,
C struct on on above descr bed building and pe it -meets all, appl.{cabl�odes and regulations.
js
3oi pplicant
Rev. 10-10-73
100145 'THE NEW YORK BOARD OF FIRE UNDERWRITERS
Da BUREAU 1OF ELECTRICITY'
F 85 JOHN STREET, NEW YORK, NEW YORK 40038
Date July 19 1982 Application No. on file 172795 .p 82 N 567903
a
THIS CERTIFIES THAT
only the electrical equipment described below and, iktr�ogduced by the applicant named on the above application number in the premises of
Cormick,
in a ollowing location; n Basement, ElIst Fl. El 2.d. Fl:, Section Block Lot,
was examined on JU1I-1 28, 1982 and found to be in compliance with the requirements of this Board.
FIXTURE
RECEPTACLES
SWITCHES
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
EXHAUST FANS
INCANDESCENT.
FLUORESCENT MERCuey AMT. K. W. AMT.
VAPOR
K. W. AMT.
'K.W. AMT.
K. W.
AMT. H. P.
OUTLETS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC`PT TIME CLOCKS
BELL UNIT
TRANS.
HEATERS `MULTI-OUTLET
-
SYSTEMS
NO. OF FEET
DIMMERS'
AMT.
K, Wye OIL
H. P:
''I GAS
H. P:, AMT. i' NO. A. W. G:, rAMT. AMP. AMT:.
AMR$.
AMT. H. P,
AMT.:
WATTS
i i
i
li
i
SERVICE DISCONNECT
NO. OF
METER
EQUIP.
S E R' V I C E
-
-
AMP.
TYPE
1,�0' 2W
7 J0" 3W.'3,,0"
3W'
3,0' 4W
NO: OF CC. GOND.
i - PER :0`
A. W. G:
OF CC. COND:
NO. OF HI-LEG.
A. W. G.
OF �HI-LEG
-
NO. OF
A. W. G.
OF NEUTRAL
100
2
1
2
'OTHER APPARATUS:
I —
tt d Dillingham
25 Bray Rd. r
iwel D N a dL o c• 756— o GENERAL M NA ER
Per—
er
This
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY Or CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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BUILDING DEPARTMENT
TM-TIH OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 40 5 -Fe uash Avenue Cutchogue
Minor
(number & streeti) Municipality)
Subdivision Kerbs & Lakowitz Plap.No. 5694 Lot(s) 4
Name of Owner(s) Charles Larry & Nancy J. McCormick
Occupancy R-1
type own er-tenant
n3.aitte-.'_ by: Mr- McC�brmic-k Ac` oM�anieci by: same
Key available ' Suffolk Co. Tax No.137-2-19.3
Source of request Larry McCormick Date 11/3/82
ME, LLI lG :
Type of construction wood framed JL
rstories one r'
Foundation cement block Cellar partialCrawl space rest
Total rooms, lst. F1 4 2nd. 71 3rd. Fl
Bathroom(s)— 1 Toilet room(s)
Porch, type roof over Deck, type Patio; type.
Breezeway Garage Utility room
Type Heat oil. fired '�Iarm Air Hotwater X
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater yes. Type heater tankiess ____-___.
Other
ACCESSORY STRUCTURES: :1�ONE
Garage, type const. Storage, type const.
Swimming pool Guest type const.
Other
VIOLA^IONS'.: Housing Code, Chapter 52
Remarks:
Inspected by:�y'/' ate: of Insp. Nov. 16, 1982
Curtis W. Hortdn Time start 12:15' end 12:30