The URL can be used to link to this page

Home My WebLink About12201-Z Unit 3 Apt QFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.1.3.7..7.5 ......... Date August 16 ,19 85 THIS CERTIFIES that the building ...C.o..n.d.o..U..n.i.t..~.3,.. APt. Q - Bldg .. 3 Location of Property ....2.8.?:0. Shipyard La.ne East Marion Mou~e NO. Street Ham/et County Tax Map No. 1000 Section 038.02 . .Block 0[ 034 Subdivision X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fled in this office dated ..... J.a..n.u.a.r.y...1.4. .... 19.8.3. pursuant to which Building Permit No.. 12201Z dated January 14 ~ . 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. Q , with Detached Garage & Non-Habitable certificate isissued to ..... CLEAVES POINT VILLAGE INC. - Loft Thc of the aforesaid build!ng. Suffolk County Department of Health Approval EM 8R 8/30/82 UNDERWRITERS CERTIFICATE NO N69810.4 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 fo~ 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-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Nov.15~ Date ..... 1984 New Building XXX Old or Pre-existing Building(Z) =/Vacant Land 2820 Shipyard La, East Marion, NY Unit 3 ,~ Bldg 3 Location of Property .............................................. ~d~ ................. House No. Srreet /-/am/et Owner or Owners of Property ..C!.e.a.v.e..5. Poi nt Vi 1 lage ]nc. 038.02 01 ,36 County Tax Map No. 1000 Section .............. Block ............... Lot ................ Subdivision ......... · ........................ Filed Map No ........... Lot No .............. E,M, Kontokosta ':' for Cleaves Pt Village Permit No.1.2.2. .0.1.Z .... Date of Permit .......... Applicant ....... .~ .......................... 8/30/82 Health Dept. Approval ........................ Labor Dept. Approval ......................... ~[~) [OC~ ~ )Oq 8/31/82 Underwriters Approval .................... Planning Board Approval .................. · yes Request for Temporary Certificate ..................... Final Certificate ........ ......... 5.00 Fee Submitted S ............................. Construction on above described building and ~eets~~d requlations e~o ~ t~qq~' App cant . ..L_.._.,...~'.~ ./......z.. ~. ~ ...................... Rev. 10-10-78 1'10o~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ..REA,, OF E'E=RICITY .~ ~ ~- 0.1. 85 JOHN STREET, NEW YORK. NEW YORK 10038 ~,~ ~ ~, ~ ~,,~.,,o.~..~.~,,~ ~l~l/~ N 698~04 THIS CE~IFIE5 THAT only t~ ~t~ ~u~nt ~ ~c~ ~ and int~ 6y t~ ~pli~nt M~ on t~ ~ ~pl~at~ ~um~r in t~ p~m~s of ~ ~. ~.~ W/b ~ ~.t ~. ~3~256a.97~ ~/0 ~ ~E. ~ ~ w~ examln~ on a~ found to be in compliance with the requirements of th~ B~rd. FIXTURE RXTURRS RANGES OVENS DISH WASHERS EXHAUST FAN OUTLETS SWITCHES DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E NO. OF CC. COND. A. W, G. NO. OF Hi-LEG A.W.G. PER ,g OF CC. COND, Of: NEUTRAL A. W.G. NO. Of NEUTRALS OF HI-LEG ~Lec~ric Oon~. 11787 Li~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 BUILDINO DEPARTMENT. 1'H18 OOPY OF CERTIFICATE MUST NOT ~E ALTERED IN ANY MANNER,