HomeMy WebLinkAbout12201-Z Unit 3 Apt NFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Off~ce of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building ...C.o..ri.dP..U..n.i.t..~.3 ,...A.p.t....N.. 7..B. 1..d~l....3. .......
Location of Property 2820 Shipyard Lane East Marion
CountyTax Map No. 1000 Section .0.3..8...0.2. .... Block 01 . .Lot 034
Subdivision .... .X .......................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
..... J.a..n.u.a.r.y...1.4. .... 19.8.3. pursuant to which Building Permit No. 1220
dated ...... J. a..n.u.a.r.y..1.4. ,. ......... 19.8.3., 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 .........
Multiple Res. Unit #3, Apt. N , with Detached Garage & Non-Habitable
The certificate is issued to CLEAVES POINT VILLAGE INC. - Loft.
(owner,
of the aforesaid build!rig.
Suffolk County Department of Health Approval EM 8R 8/30/82
UNDERWRITERS CERTIFICATE NO. N6 9 810 3
Building Inspector
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 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Nov.[5 1984
Date .. '
New Building xxx Old or Pre-existing Building(Z) ..... =/Vacant Land
2820 Shipyard La, East Marion, NY Unit 3N, Bldg 3
Location of Property ........................................................ . . ~ ..........
House No. Street Hamlet
Owner or Owners of Property Cleaves Point Vii]age ]nc.
038.02 01 · 34
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
E.M. Kontokosta
PermitNo12201z Date of Permit .... Applicant for Cleaves Pt Village
8~30~82 ~H~>~-
Health Dept. Approval ........................ Labor Dept. Approval .........................
%oc]. ~ 1.0..~ 8/31/82
U nderwriters Approval . ~, ........... Planning Board Approval ..................
yes
Request for Temporary Certificate ..................... Final Certificate .................
5.00
Fee Submitted S ........................... ,,~ ~/ ~ ~_-~4~ ~~
Construction on above described building and per i~ al~ ~Jations'
~,~a_~ ~ ' ----L~- "]]y ................
Rev, lO-10.7a
1000591 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 0'1 85 JOHN STREET, NEW YORK, NEW YORK 10038
aa,.~ 2e, ~.~e5 ~.,~i,c~.onNo. on/.e li63~5/sa N 698103
THIS CE~IFIES THAT
o~y the e~tHc~ equipment ~ ~cH~ bel~ a~ int~ue~ by t~ ap~aflt ~m~ on the a~ ~p/i~ti~ nu m~r ~n
Kaoe ~c~ Corp. W/S S~ T~e, Bldg %3, 2568.97 Ft.S/O North ~, E. ~,
in the followlng l~atlon; ~ B~ement ~ Ist Ft. ~ 2nd FI. 'on Bilk
w~ examtn~ on ~ 20, 198~ and found to be in complia~e wiih the requirements of th~ Board.
RXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES
23 37 25 20
DRYERS MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
OF HI-LEG
1 i
~ 717 ~ p,, 11 ~./~*~__..,~
This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified ir credentials.
FOR SUILDING DEPARTMENT. '1'HI8 COPY OF CERTIFICATE MU81' NOT I~E ALTERED IN ANY MANNER.