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Home My WebLink About12201-Z Unit 3 Apt LFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.l. 3. ! .7.7 ........... Date ...6..a..n.u.a.~.y....2.8. .................. 19 .8.5. THIS CERTIFIES that the building .C.~..n.d.o..u..n.i.~..~t¢..&p..~, r.L...B.l.d.... ~[3 .............. Location of Property 2820 Shipyard Lane East Marion House No. Street Hamlet County Tax Map No. ]000 Section .. 9.~.~. .. 9.2. . .Block ... 9.1 .......... Lot ...~.2 ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. :J.a.n.u..a?.y...~ .4 ........ 198.3.. pursuant to which Building Permit No..~ .2.2.0. ! .Z .............. dated ..... ~. a..v.c.h..2..2 .............. 198.3. . , 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 ......... .~.u.L~. $ p3.e., r.eg.~.d. V ¢.c.e.. U.n.L~..q3..~. ~.~....~...t.n.c.~..u.d.e.s...~..c.a.v.. g.a.v.a. &e.. ............. The certificate is issued t6: L. E..~ y.E.$...t .0.I.~. T. y.I.L..Iv .~.G.E...I .Iq.C.. .............................. of the aforesaid building. Suffolk County Department of Health Approval .... .8./.39/.8.~.. E~q8 R ...................... UNDERWRITERS CERTIFICATE NO ............ ]).~6752.6. 9 ............................ LOFT AREA IS NON-HABITABLE Building Inspector Rev. 1/81 · FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-exbting dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Nov,15~ Date ..... 1984 New Building .X..X.X ......... Old or Pre-existing Building(Z) ....... =/Vacant Land ........... 2820 Shipyard La, East Marion, NY Unit 3L, Bldg 3 Location of Property ........................................... .,-. .. : ........ ~ .......... House No. Street Ham/er Owner or Owners of Property Cleaves Point Village Inc. 038.02 01 · 32 County Tax Map No. 1000 Section .............. Block ............... Lot ................ Subdivision ......... · ........................ Filed Map No ........... Lot No .............. E.M. KonJ:okosta PermitNo. l.2. 2. .0 .1.Z. Date of Permit .Applicant ', for Cleaves Pt Village 8/30/82 Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ............... Planning Board Approval .................. yes Request for Temporary Certificate ..................... Final Certificate ................. , 5.00 Fee Submitted S ............................. Applicant.,~.<f~.,,~...~~...~.:---- ~ ............. . ..... C.o. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT w~ examined on and fou~ to be in compliance with the requirements of th~ B~. ~XTURE RXTURES RANGES OVENS ~ WA~ERS FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE F~EDERS TIME CLO~KS UNIT HEATERS MULTI'OOTt-sT D4MMERS SYSTEMS NO.O~ FEET SERVICE DISCONNECT S E R V I C E Smith~:~m, N.Y. 11787 Llo9717E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors m nt f ~ ay be 'de '' '~ ced ' . GOPY FOR BUILDING DEPARTMENT. THIS GOPY OF GERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.