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HomeMy WebLinkAbout12289-Z Unit 4FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~.I.~?0B .......... Date August 5 1985 THIS CERTIFIES that tile building...C, q .n .d p.m. i..n .i.u.m.. [.J p.i.t.. ~! ,6,. (. E, .a p ,t.w.i..n .d..S.h. 9 F.e.s. !. Location of Property 52820 C R 68 Southold House No. Street Ham/et County Tax Map No. lO00 Section 0S 1 ,Block 005 .Lot 002 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated · ~l~.r.q i~. ?_.6 ............ 19.8.3 pursuant to wllich Building Permit No. 1.2. 25.9. Z. .............. dated ...A/>.r.i..1..2.9. ................ 19 .8.3., was issued, and conforms to all of the requiremen~ts of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .~.o.n~gc~.r~U~..~$.t.J~.q for residential use The certificate is issued to SOLAR SYMMETRY~ INC. ..................... /ol;.'e;, ...................... of the aforesaid building. Suffolk County Department of Health Approval S- 51 R UNDERWRITERS CERTIFICATE NO. N 695829 PLUMBERS CERTIFICATE 1/6/85 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUII COMPLETION OF THE WORK AUTHORIZED) 12289 Z ~. ....... ~..~,,,~,~... ............ .......... , is hereby granted to: ~//~,fL~,------ ~,-~'Gf/'~ ' Pel~is~ion _-~'-~ ..... ,~.~.....~....~.~.Z./.. ....... ......... .~.......~...~:~...........~.~...~ ....... ............................................................................................................. ..... County Tax Map No. 1000 Section ..... ~.~.-Z ........ Block ...... ~ ....... Lot No.../,,).O~..: ...... pursuant to application dated ...~..G?~.......~...~.. ................. , 19.Zw~, and approved by the Building Inspector. pERMIT iNCLUDES APPROVAL TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY REGRADING LoT DRIV£WAY cONSTEUCTION CEsspoOL coNSTEUCTION C~LLAE CONSTEuCTION Paw. 6/30/80- FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southo~d, N.Y. 11971 I 37a< 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 featu res. 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 survey of property 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date August 2, 1985 New Building ..... .X ....... Old or Pre-existing Building ............ Vacant Land ............. Location of ProperW Unit No. 4, 52820 (~R 48 (Eastwind Shores)~ South.o.l.d.... House No. Street Ham/et Owner or Owners of Property . .~..O.L.A.R...S.Y..~..E.'.?.R~.. ~...I.N.C... .................................. County Tax Map No. 1000 Section 51 Block 005 Lot.. 002 Subdivision ................................. Filed Map No ........... Lot No .............. 12289Z it 4./..3.9/.8.3. Appli Permit No ........... Date of Perm cant Caiola Health Dept. Approval ...S. 7'.5.1.R. ............... Labor Dept. Approval ........................ N695829 Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Fee Submitted $..5... 9.0. ...............~' ' ' '5 Construction on above described buildin~an(~ ~r~n~eel Applicant rtificate ....................... .le.~. Od;a nd regulations. ' ' ........... TOWN OF ~OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date January 4, 1985 Building Permit No. 12289z Owner Solar Symmetry, Inc. (please print) Plumber Bertsand Plumbing & Heating (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (pl6mber's signature) S~n to before me this day of ~ 1~/..'t A~I , d Notary Public, J~_~ County Notary Publ~ BARBARA A,S. NAZAR · ~ ' p ' with the requirements of this Board. H FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS ~ECEPTACLES SWITCHES FLUORE$¢EN? 18 32 23 DRYERS SYSTEMS NO. OF FEET E R NO OF CC COND A W. G. PER ~/ OF CC COND. 1 4/0 oT.~F%~!~US~ppllance Feeders: 1 ~2#] ;, 1-2#12, 1-3#8 MOtors: 1-3/4hp 1-4.5kw. Hot Water Heater 1-1010kw Heat Pump 1--3½ Ton A/C Unit 2~G.F.C.I. 1-S~oke Detector TrackLtghting 4'0~' 2 Lites. V I c E NOOF H~.LEG AW.G. A.W.O. OF HI-LEG OF NEUTRAL NO. OF NEUTRALS 1 2/0 M.A. T Electric P. O. Box 129 - II~ ' '' ust 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. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.