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HomeMy WebLinkAbout12289-Z Unit 1FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 3.1.3. ! .6.0 .......... Date ...... 0. oB.u.a.r.y..1.5. ............... 19~..5. THIS CERTIFIES that the building .C.o.n. ~. 9.m.~.r! ~?.~... V..n3.~.. ~! .~. ! .~.a. ~..~y.t.n. ~.. ??.~. ?.~.)... Location of Property 528200 C.R. 48 ~outhold [4o' ~ 3Jo: ........................................................ Street Hamlet County Tax Map No. 1000 Section ....0.5.1 ...... Block ....0.5 .......... Lot 002 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated March 24 19 ~.3. pursuant to which Building Permit No. 1 ~289~ dated .. g. pF.~. ~...~.9 ................. 19 .~.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 ......... Condominium unit I11 for reslOe~t$~)_ ......................................... q~ ............................... The certificate is issued to ........ S. 0..L .A?.. ~ .g .M~.E.T..~ .g.,.t. ~ .C .............................. (owner, Ill(gl~ ~lXt'll!~l~t) of the aforesaid building. Suffolk County Department of Health Approval .... ~ v 5.1.~ ................................ UNDERWRITERS CERTIFICATE NO ' t~ .~ 6 5 8. 1 ~ 1 Plumbing Certification 1/6/85 Building Inspector Rw. 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- THE NEW YORK BOARD FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~)~Jl~'~V~'~l[' ('~s 'J~C~ JOHN STREET. NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT only the e~r~al equipment ~ ~scdb~ ~ a~ int~uc~ by t~ applicant ~med on the a~ applica~n numar in t~ premiss of in the following location; was examined on and found to be in compliance with the requirements of th~ Board. RXTURE ~XTURES RANGES IC~K~NG D~KS ~ OVENS J DISH WASHERS EXHAUST FANS DRYERS ~RNACE MOTORS ~TURE AKANCE FEEDERS ~ SYSTEMS TIME CLKKS BEE UNIT HEATERS MULTISTAT SERVICE DI~NNKT . So. R I C rhls ce,ificate must not be altered in any manner; return to the office of the ~ord if incorrect. Inspectors may be identifi~ by their creden~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit NO. Owner ~Ol~ (pleaSe printS; Plumber B~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ? (plUmber' s signature) Sworn to before me this ~-- day of ~, ~6~No. 'ta~y p~~i~ 19 ~ . Notary Public ,/~~County No. BARBARA A.S. N~ FORM NO· 6 TOWN OF SOUTHOLD Building Deparh,ent 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 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. B. 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date ...January. 2.,.. 19;8.5 ..... New Building ..... ~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property Unit No, it 52820 CR 48 ~Eastwind Shores), Southold House No. St~et Ham/et Owner or Owners of Property SOLAR SYH~P. TP,¥ ~ THC ~ County Tax Map No. 1000 Section 51 BlocR 005 Lot. 002. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 12289Z Date of Permit .4./?9./..8.3Applicant Ca±ola .. Health Dept. Approval S~51R App · ·, ..................... Labor Dept. roval ........................ Underwriters Approval N6,5,815~L Planning Board Approval ....... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. 5.00 Construction on above described building and permit meets all applicable codes and reguiations. Applicant ....................................................