HomeMy WebLinkAbout12201-Z Unit 3 Apt JFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z.~.3fi. 7. ? .......... Date ..... d.a..n.u.a.~.y...2.8 ................. 198..5.
THIS CERTIFIES that the building .... C. o. ~.d.q.u..n).~.. ~! 9..A ~ ~ ...-.4.. f~Zd., t~2. .........
Location of Property ... ~..8.~.0.. ~..~.~.p.y.O.e.d.. L..a.n.q ................. ~.a..s .t..~C~-.qq ........
House No. Street Hamlet
County Tax Map Ho. ] 000 Section . .0.3..~ ...0.2....Block . .0.1. ........... Lot ...3 0 ............
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
·.. ~.a.n.u.a..p y..1.~. ...... ,19 .8.3. pursuant to which Building Permit No..l ¢¢.0.~.~ .............
dated ..... .M.a.p.c..h..2.2. ............. 19 .8.3. , was issued, and conforms to ail of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
.M.~ ~.t~.~ J. ¢. ~r.a~ ~d.e.nc e. ,U.n $ ~..#.3. Ap.t,,. d..J. nc 1.~d e s..d.e t ac~e d..1..car..ga r a~,e..
The certificate is issued to CLEAVES POINT VILLAGE INC
[owner, ~gN~Y~X g~4~X X X X
of the aforesaid building.
Suffolk County Department of Health Approval ...... 8../.3.q/..8 .2 .... ~M ~ I~ ...................
UNDERWRITERS CERTIFICATE NO .............. ~.) .N..6.7. .5.3.~.2.
LOFT AREA IS NON-HABITABLE
Building Inspector
Rev, 1/81
FORM NO. 6
TOWN OF SOUTHOLO
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 featu res,
2. Final approval of Health Dept. of water supply and sewerage disposel--(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 featu res.
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 requ ired 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
Date ..0ct
31,1984
New Building .X..x.x ......... Old or Pre-existing Building(Z) ........ = tVacant Land 'i ......
2820 Shipyard La, East Marion, NY Unit 3J, B]dg 3 ~
Location of Property ......................................................... =,,, ~
House No. Street Hamlet
Owner or Owners of Property Cleaves Point Vii]age [nc.
038.02 01 30
County Tax Map No. 1000 Section ............... Block ............... Lot ...
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No.1.2.2..0.1.Z .... Date of Permit .......... Applica~n~ Kontokos ta for C1 eave. s Pt Vi 11 age
8/30/82
Health Dept. Approval ........................ Labor Dept. Approval .........................
~ ~. ~ ~-~%~/'~'- Planning .8 / 31 / 8 2
Underwriters Approval ....................... Board Approval ................. ~ ..,
· .ye.s
Bequest for Temporary Certificate ..................... Final Certificate ............... ,
5.00
Fee Submitted $ ........................... ~)/~ / ~ /
Construction on above described building and~all ~ons.
App,,cant .................
Rev
10 10 78
· C.o.~Az- 131).~'"
lOOO~1 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
~,te Jafra.r7 18, 1985 2,5635~/84
~pp,lc.tio. ~o. o.~i,e N 675312
THIS CE~IFIES THAT
~.~.;o,o~.~:o~.,o.~ ~ ~.~ ~,r~. ~ ~.~ r:.~' ~io. m~
w~ examined on J~t~ ~0~ ~8~ and found to be in compliance with the requirements of this B~rd.
FIXTURE RXTURES RANGES COOKING DE~KS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES
15 34 g2 15
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDER
TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNB S E R
OTHER APPARATUS:
2-O.F.I., 1-Sm:>ke Detector
'-'-10.0kw Heat B,-p. s
OF CC, COND.
I
NO. OF HI-LEG
NO. OF NEUTRALS
2-2~ Ton A/C Units, 1-4.Skw Hot Water Heater.
Panelboa~ds: 1-19cir. 1~/)an~s.
~,~ ity Electric Cont. Inc.
10 East u-in Street
~m~tht/.~in, N.Y. 11787
Lic. 717
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
OF FIRE
rmelbOa-t~: 148~fr.
Quality Electric Cont.
10 East Unin Street
Smithtown, N.Y. 11787
Inc.
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors t be