HomeMy WebLinkAbout12201-Z Unit 3 Apt PFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...z.~). 9.3.7 ......... Date ....... ~. 9y?.m.~..e.v. ?.6. ............. 19.87..
THIS CERTIFIES that the building .... C. o..n.d.o., u..n ~,~.. ~ .3 ?..B.i..d....i! 3. ..................
LO~Ut;n,n¢~o~*,, 2820 Shioyard Lane East Marion
House No. Street Hamlet
County Tax Map No. 1000 Section .... .0.3.~... 2...Block ......... 0. 1. .... Lot .... .3 .5 ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·...F.e.b.:..2.~ ........... 19 .8.3. pursuant to which Building Permit No. q.2. 2. 9.1.Z. ..............
dated .iq.. a..v....2.2. ................... 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 .........
,,, .Ifl.u.I. ~..t p.l.e., .v .e.s.~. d..e p.c.e., .U p.~. ~., ~).3..g. p ~..., P., .5. p.q 1..u .d.e.s...d .e.~.a.q .h .e.d., !, .c.a.v.. g.a.v.a, g ~.
The certificate is issued to CLEAVES POINT VILLAGE INC.
..................... toWn'e;, 7{ k' ............
of the aforesaid building.
Suffolk County Department of Health Approval ......... E.~ ~ t~ .............................
UNDERWRITERS CERTIFICATE NO ................. #.~ 7 .1.7.2.6. .0 ........................
LOFT AREA IS NON HABITABLE
Rev. 1181
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate ~Jrvey 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.
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
Nov. ].5,, ].984
Date .....
New Building .x..x.x ......... Old or Pre-existing Building(X) ....... = 'Vacant Land ............
2820 Shipyard La, East Marion, NY Unit 3P , Bldg 3
Location of Property ... ............................................. ~ ........ ~ ..........
House No. Street Ham/er
Owner or Owners of Property . C. ! ~.a.~ .e ~;. P o i .n.t..~{ !.]. ] .a.g e. ].n.c. .. ............................
038.02 O1 3~'i. 35
County Tax Map No. 1000 Section .............. Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
E.M. Kontokosta
Permit No. 1.2.2. .0 .I .Z .... Date of Permit .......... Applicant ............ .~ .o.r.. C. ] .e.a.v. e, s.. ,P.t.. V. ! !.] a g e
8/30/82
Health Dept. Approval ........................ Labor Dept. Approval ...................... ,..
8/31/82
U nderwriters Approval ........................ Planning Board Approval ..................
yes
Request for Temporary Certificate ..................... Final Certificate .................
5.00
FeeSo m,.edS .................... ....... ,/.
Rev, 10-10-78
~,. ~?/8~ N 717260
~".'~.~'~'~"' T"^' _
Ko~tol~sta Assoc., Sb~pyax~ Lane, Ea~t Yar~on, N.Y. Uait
RXTUIIE
OUTLETS
DRYERS
SWITCHES NXTURES RANGES COOKING DECKS OVENS DISH WASHEI~ EXHAUST FANS
FUR E ~T TU~ ~ ~B HEH KI ' IMI KS U IT HEATER DI~ERS ~l
G & 8 Electric
Box 215
Southold, N.Y. 11971
Lic. 578
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. 'rills CO?Y_ OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.