HomeMy WebLinkAbout12289-Z Unit 6FORM 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 .Condo~io:~.r~. [~ p3.~..q.6.. E..a.~.~.E 5:..n.cl' .5. h..o.c.e.s. !...
Location of Property 5,282D..C.B....48 ....................... ~9~.~.h 9~..d ...............
House No. Street Ham/et
County Tax Map No. 1000 Section ...0. ~ .q ...... Block . .0.0.5. .......... Lot ....... .0.0.2. ......
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore f'ded in this office dated
· .~l~.c.~b. 2.4 .......... , 1~.. pursuant to wltich Building Permit No. 1.2.2..8 ~.Z ...............
dated .... ~.,p.v. J, ~L..2.~ .............. 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 .........
·. Co.ndom~z~%u~..~n~ ~,..#.6. fpr. ~7¢~ ~.cl~3.±.a..1..u.s.e... ..............................
The certificate is issued to ... $~)L.~.~. &Y.HMETRY ~ INC.
...... ......................
of the aforesaid building.
Suffolk County Department of Health Approval .... ~ .- 5.1 ?. ................................
UNDERWRITERS CERTIFICATE NO. ~ 6 9 5 8 2 7
PLUMBERS CERTIFICATE 1/4/85
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
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 features.
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 app!icable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pZ"operty 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
X
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property Unit No. 6, 52820 CR 48 (Eastwind Shores), Southold
House No. Street Ham/et
SOLAR SYMMETRY, INC.
Owner or Owners of Properb/ ............................................................
County Tax Map No. 1000 Section 51 Block 005 Lot .... 002
Subdivision ................................. Filed Map No ........... Lot No ..............
12.2.8.9 4/29/83 Caiola
Permit No. Z Date of Permit .......... Applicant
Health Dept. Approval S-BLR .Labor Dept. Approval
Underwriters Approval N695827 Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Construction on above described building ~ t~s ~l ~'c. ab~%odes and regulations.
Applicant ...~,.\~ ........ %,.\.. ~.~..¥..~....~., ....................
TOWN OF SOUTItOI D
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. ! 1971
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.
(plumb&r' s signature)
S~o~n to before me this
-- day of~/~L4y~/ ,
Notary Public,~County
Notary Public/
BAR~JARA A.S. NAZAR
Notary Public. State of MIiw Y~
No. 47514~ f
Qualified in ~ ~ ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~00055~ BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
.ate J=e ~2, 1985 ~ppli~atlo,~o. on~i,, 3o8a,3/~ N 695827
THIS CE~IFIES THAT
only t~ el~t~al equipment ~ ~sc~ be~ ~ int~uc~ by t~ appli~nt ~med on the ab~ ~pl~at~n num~r in the p~mises of
~1~ ~t~, ~., 6 ~st~ ~s, ~t~ld, N.Y.
~es exa:nined on J~ and found to be in compliance with the requirements of th~ Board.
FIXTURE fiXTURES RANGES .'OOKING DECKS OVENS DISH WASHERS
OUTLETS SWITCHES
FLUORESCENT
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIMECLOCKS UNITHEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V
NO. OF CC, COND+ A.W.G.
i 4/0
OTHER APPARATUS:
Motors: 1-3/4hp , ..Track lighting 4' 0" 3 Lites.
1-4.5kw H~t Water ~teate~
1-10. Okw Heat ~ump
1-3} Ton A/C Unit
2-G.F.C.I. 1-Smoke Detector.
*Future Appliance Feeders: 1-2~Cl~, 1-2#12, 1-3#8
M.A.T. Electric
P. O. Box 928
NO. OF HI-lEG
his certifi;.~r~w~..~er~,O.t,e~.mus~,tmn,~ol~be altered in anry.,~m.a,~.n~r; return ,o the office .......... of the Board if incorrect. I_. nspectors may be identified by ;hei____~ ~w~ r~,-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.