HomeMy WebLinkAbout12531-Z Unit 4 Apt PFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14923
Date September 30, 86
................................ ,19...
THIS CERTIFIES that the building ...C.o.n.d..o..U.n.~. ?..4..~..p?....P. :..B.l.d..g....4. ............
Locatinnnfprnnertv 2820 Shipyard Lanb East Marion
....... .........................................................
~o o. 038.02 ~treet 43 Hamlet
County Tax Map No. 1000 Section ............ Block ............... Lot .................
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore Fried in this office dated
Feb. 24 12531Z
..................... , 19 83... pursuant to which Building Permit No ......................
dated .. J..u .1.y..3. .0 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 .........
Multiple residence~ U.n..i.t..4 Apt. P include.s 1 car garage
CLEAVES POINT VILLAGE, INC.
The certificate is issued to ...........................................................
(owner, ~JtFeYoX ~D
of the aforesaid building.
Suffolk County Department of Health Approval .... .8/.3.0./..8.2...E..H.E.g. ...................
UNDERWRITERS CERTIFICATE NO. N ? 6 ? ? 3 4
LOFT AREA IS NON-HABITABLE
Building Inspector
Rev. 1/81
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instruotions
This application must be filled in typewriter OR ink, and submitted m ~ 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 feeture~
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 P!anning Board approval of completed site plan requirements where applicable.
Bo
For existing buildings (prior to April 1957). Non-conforming uses. or buildings.and "pre-existing"
land uses:
showing all property lines,
tion required, to prepare a certificate.
C. Fees:
1. Certifmate~of occupancy $5.00
2. Certificate'of occupancy on pre-existing dwelling $15.00
3. Copy~of~certificate of occupancy $1.00
4. vacant Lan~ C. O. $ 5.00
1986
5.Updated C.O. $15.00 Date .??.'..':..~.~.:.
New
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
House No. Street Ham/et
O ..... ,,,n .... c~fpr~o,~,, Cleaves Point Village Inc.
County Tax Map No. 1000 Section . ?.3,8,: .07 ....... Block ..... 1 .......... Lot... ,~..~, .......
Subdivision ................................. Filed Map No ........... Lot No ..............
12531Z E.M.Kontokosta for
Permit No ........... Date of Permit .......... Applicant .. C.l.ea v e6..P.~ J re, t, .V.i.l.l.a ge..~:,.
Health Dept. Approval . .. 8, ./.3.0./..8 .~ ............. Labor Dept. Approval ........................
8/31/82
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
5.00
Fee Submitted $ .............................
Construction on above described building and per~al, e~~'~ations.
/ /'///'
Applicant ' '~'~'~4 --~' '~~'
Rev. 10-10-78
tog_
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1001071
~1 ~ ~' BUREAU OF ELECTRICITY
~,. September S ,~[~J~)HN STREET. NEW YORK. NEW YORK lOOSe
.~,.,ic.,,o.~o.o./.. sss914/8s N 767734
THIS CE~IFIES THAT
Kontokosta Assoc., Shipyard Lane. Bldg.,4 Apt. P, ~ast Harion, New York
int~followlngl~otion; ~ ~.t ~ ~r~. ~ ~ ~. 5rd fl. .~,o~ at~ ~t
~ examln~ on August 28,1986 ~.~/o..~ to ~ in compliance with the requirements of this B~rd.
RXTUIIE RXTUI[~S RANGES OVENS ENSH WASHBIS EXHAUST FANS
21 38 23 21
SERVICE EgSCONNECT S E R
OTHER AIq~ARATUS:
Hotors-l-$/4H.P.
Panelboards;1-20(cir.)20Oamps.
2-10.01o~ heat pumps- 1-2 ton A.C.
1-$ ton A.C. Unit- G.F.C.I.-3
Smoke Detectors-i, Elec.
1
OF CC, COND.
z/o
I C
2/O
unit
~ater Heater-l-4.5K,~.
G ~ S Electric
Box 215
Southold, N.Y.,
11971
Per (-~
This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.