HomeMy WebLinkAbout12531-Z Unit 4 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. 4. .6 .3.1 ........... Date July 11 19 86
THIS CERTIFIES that the building ...Con/lQ .ur~,i,t;. # .4..-%1~::..Q..B.l.d.c/:..~.4. ..........
Location of Property ....... .2.8.2.Q , .S.h.i.~.y.a.~.d..L. 9.n.e' ...... E.a..s~..~.a..r.i.o.n. ...............
House No. Street Ham/et
County Tax Map No. 1000 Section .. 9.3.8.: 2. .... Block 1 . .Lot. 44
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·..F..eb ,..2:4 .......... , 19.8..3 pursuant to which Building Permit No.. J-2.5. ~ .1 .Z .............
dated July 30 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 .........
...Mul.~ip~..r.~.d.e.n.c.,e..U.n..i.t..%.4..,ARt....Q. includes detached 1 car garage.
The certificate is issued to . .C.~$..5..V.E.S. POINT VILLAGE INC.
........... .....................
of the aforesaid building.
Suffolk County Department of Health Approval ...... 8 / 3 DJ.82. E/qSlg ......................
UNDERWRITERS CERTIFICATE NO .............. I~. 7 ~.5.4.4. 9. ............................
LOFT AREA IS NON-HABITABLE
Rev. 1/81
THE NEW YORK BOARD OF FIRE UNDERWRITERS
Z00L07J,
BUREAU OF ELECTRICITY
~'~"U,~ L~; .Lg~5 JOHN STREET. NEW YORK.
THIS CE~IFIES THAT
,n the foll--ing l.at.n; ~ B~ement ~ lst FL ~ 2~ ". S~tion Bilk
w~ exami~d on ~ ~ ~ ~ a~ found to be iff compliance with the requirements of th~ B~rd.
FIXTURE RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUO~E,~CE~
DRYERS FURNACE MOTORS FUTURE AP~UANCE F~DERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET I~MMERS
SYSTEMS
HO. OF I~ET
SERVICE DISCONNECT S E R V I C E
OT~R APPARATUS:
COND. OF CC. COt4O.
2/0
NO. OF HI-LEG A.W.G.
OF HI-LEG
2/0
~U~oL~, H¥ LL97L ~Xo~578~ /,~///'~/~ue~euILL
Peri/~/ //
This ce~ifica~ must not be altered in any manner; return to the office of the ~ard if incorr~t. Inspectors may be 'identified by their cr~entials.
COPY FOR BUILDING DEPA_,.~MENT. THIS COPY OF CER.~FICATE MU. 8'( NOT B~E~ALTER~ED I~N A~NY_MANNER.
FORM NO. 6
TOWN OF $OUTHOLD
Building Dep~
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CEFITIFICATE OF OCCUPANCY
InStructions
TOWN OF ~O[J~I~OLD
A. This aPPlication must be filiedin Wpewriter OR ink, and SUbmitted m".'''~m' to the Building Inspec-
tor.with the following; for new build'ngs or'new use
1. Final SUwey of property with accurate location of all buildings, pmperty lines, streets, and unusual
natural or topographic feature[
2. Final approval of Health Dept. of water supply and sewerage disposel-(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 Amhitect or Engineer responsible for the building.
5. Submit Planning Board apProval of completed site plan requirements where appliCable.
R. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
or
C. Fees:
1.~'~!~anw SS..oQ .
2. ~7~ancy on pre-existing owelling $15.00
3. ~f~-Ce~.=f:~ccu~. $1.00
4.Vacant Land C.O. $5.00 ·
5.Updated C.O. $15.00 Date A~,,.:.,
1986
New Building New ~ Old or Pre-existing Building Vacant Land
Location of Property ...........................................................
House No. Street
...... ~ ...... ~p .... ., Cleaves Point Village Inc.
Coun~ Tax Map No. ,OO0 Section . ?.~?.: .0.~ ....... mock ..... ~ .......... Lot.../7~../..z/_ .......
Subdivision ................................. Filed Map No ........... Lot No ..............
12531Z E.M. Kontokosta for
Permit No ........... Date of Permit .......... Applicant ., C,l.ea ve~..P.
,~alt~ D~,~. ~,p~ova~ ....8./.3.0./..8.2 ............. Labor ~ept. ~pproval ........................
Underwriters Approval ........................ Planning Board Approval 8/3.1 / 82
Request for Temporary Certificate ..................... Final Certificate .......................
5.00
Fee Submitted $ ............................. ~..~ // /
~1// , ./ / /
Construction on above described building and permi~ a~ulations,
Apphcant ....... ~./, 6<.& .,/~,a..~t~./A_~.~ .~ ..................
C.O. z/ yg 3/