HomeMy WebLinkAbout12531-Z Unit 4 Apt LFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building Conda .u.n.i.t...~.4..A..p.t....L...B.l.d.g.:, ?.4. ..............
Location of Property 2820 Shipyard Lane East Marion
County Tax Map No. 1000 Section . .0..3.8...2. .... Block 1 .Lot 40
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· ¥~.h,. ~A ............ ,19.8..3pursuant to which Building Permit No...1.2.5.3.1..g .............
dated . Jt~J,Y.. 3 0 ................... 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 .........
~llJ, l~ipl.~. ~.J,4~.c.e..U.n.i.t.. ~ .4. Apt. ....L.. i..n.c.l.u.d. 9.s' .d.e..t.a.c.h. ed 1..c.ar garage.
The certificate is issued to .C~.F~V.I~$. PO][NT VILLAGE INC.
(owner,Xe4NK~Y~(~)
of the aforesaid building.
Suffolk County Department of Health Approval .... .8./.3. Q [ .8.2.. E..M.8.R. .......................
UNDERWRITERS CERTIFICATE NO... N 744418
LOFT AREA IS NON-HABITABLE
Rev. 1/81
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~ - BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CE~IFIES THAT
~ exami~ on and found to be in compliance with the requirements of this B~rd.
RXTURE RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
O~TLETS SWITCHES FLUOrESCeNT
21 23
DRYERS FURNACE MOTORS
APPUANCE FIEOERS TIME CLOCKS UNIT HEATER
MULTI.OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
NO, OF CC. COND. A.W+G. NO, OF HI-LEG A,W.G. NO, O~NEUTRALS A.W,G,
~. 2/0 i 2/0
OTHER AKIARATUS:
~lotors, .1.- 3/4h~
2-10.0~ ~t ~8, 1-2 ~ A/C ~t8, 1-3 ~n ~/C U~ts, 1-4.5~
~.tt. hOld, M.¥. ~.1973.
This certificate must not be altered in any manner; return to the office of the Board if i
may be identified by
FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER;
FORM NO. 6
TOW., OF SOUT,O O !/ 7/1" ' "* ". .... ---7/1t
Building Department Il I~ I nar -
T°wn Hall III~U
So.,,old.....¥. 1971 I-
765 1802 I tn,~A',~.~'-u_ ~PT.
APPLICATION FOR CERTIFICATE OF OCCUPANCY~ .... ,, u~ ~OUTHoLD
Instruclion~
A. This application must be filled in ~ypeWriter OFI ink, and submitted J ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal--($-g form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commerciel buildings, Industrial buildings, Multiple Residences and similar buildings and inst~ll~
tions, acertificate of Code compliance from t~e Architect or Engineer responsible for tho building.
5. Submit Planning Board approval of completed site plan requirements where eppliceble.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
or
C. Fees: '
h pancy $5.00
2~ Ceft~m~lPancy onPre-existing dwelling
3' ~ ~f~eur~v $~.00
4. Vac~ant' Lan~ -C.O. $5. O0
5.U.odatec~ C.O. $15. O0
$15.00
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of property .............................. .B.l.d..g..4. :. U..rl?.~..
House No. Street
O .... Cleaves Point Village Inc.
wner or gwners o~ rroper[y ...........................................................
· : ./.-.
· 038 02 I /--/~_
County 'Fax Map No. 1000 Sectmn ..... : ......... Block ............... Lot .......... ./..¥.:
Subdivision ................................. Filed Map No ........... Lot No ..............
12531Z E.M. Kontokosta for
Permit No ........... Date of Permit .......... Applicant .. C.l.e a v e.s, ,P, e .i a,t,. V .i ,l.l,a § e, .~ r~ ~..
Health Dept. Approval ... 8../.3.0./..8.2 ............. Labor Dept Approval ........................
Underwriters Approval ........................ Planning Board Approval 8/31/82
Request for Temporary Certificate ..................... Final Certificate .......................
5.00
Fee Submitted, ..........................
Applicant
...,o.,o.,