HomeMy WebLinkAbout12289-Z Unit 3'FO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.Z.].3.7.0.9. .......... Date Aug. 5 ., 19 .8.5.
THIS CERTIFIES that the building ... ¢.o.n.d. 9.m. Ln. ~ .u.m..U.n..~.~. J). 3. . .( .E. qq .~y.i.n.d...S.h.q .ppp.).
Location of Property .... ~ .2.8.2.q..C...~ ....~ .8 .................... S. o..u.~.h.o. 3:..cl ...............
House No. Street Hamlet
County Tax Map No. 1000 Section .... Q~J ..... Block .... 0.0.5. ........Lot 002
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
·.. gg?.c, t3..2.6 .......... 19 .8.3. pursuant to which Building Permit No .... ~ ~2.~ g ...........
dated ....R .p.:-.5..1...2 .9 ................ 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 .........
... C.o.n 0 om,t.a $urn..ur~.~..I~.~..f.o.v.. r.e.s.~. ~..e.n.~.5:..a.1..u.s. ?: .............................
The certificate is issued to .. SOLAR SYMMETRY~ INC.
................... ro¥,-,; 'r, ',i ix ' i ie&4(a' ...................
of the aforesaid building.
Suffolk County Department of Health Approval ....... .S.-: ~ .1.8 .............................
UNDERWRITERS CERTIFICATE NO ................ Nfl, ,9 ,5 .8.3.0, ..........................
?lumbers Certificate 1/2/85
Rev. 1/81
Building Inspector
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 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 unusua~ 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. $5.00
Date August 2, 1985
New Building X Old or Pre-existing Building Vacant Land
Unit No. 3, 52820 CR 48 (l~astwind Shores), Southold
Location of Property ....................................................................
House No. Street Ham/et
SOLAR SY~IETRY, INC.
Owner or Owners of Property .................
County Tax Map No. 1000 Section ...... .5.[. ...... Block ...... 0.0..5 ...... Lot ....... Q.0.2. .....
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. 12289Z Date of Permit 4./..3.9./.8.3. Applicant Caiola ...
Health Dept Approval S-51R Labor Dept Approval .............
~i695830 Pla ni g Board App oval
Underwriters Approval ...................... n n r ......................
Request for Temporary Certificate .................... ,~,,~nal Certificate .......................
FeeSubmitted$.5.....0.0 ................ f !.~. // X~ ff ~
Construction on above described building an~ ;~i~m~ sail apl~licable~o/des~nd r1 Jlation,.
/370? .....
TOWN OF SOUTHOLD
OFFIC£ OF BUILDING INSPF-CrOR
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.
(plUmber' s signature)
S~n to before me this
day of ~j~DA]J ,
Notary Public,~~County.
Notary Public~
BARBARA A.S. NAZAR
NoraW Public, State o~ ~ YMk
No. 4761498
Comm/ision E~plree Meroh 30, !~
'"
~~~~i~'
THIS CE~IFIES THAT '
was examined on ~e
FIXTURE
OUTLETS RECEPTACLES
18 32
DRYERS FURl
AMT K.W. OIL H.P. GAS
SERVICE DISCONNECT NO. OF S
x
~om: l=3/qhp
1-g. ~ Hot ~t~ ~ater
FURNACE
MOTORS
COOKING DECKS OVENS DISH WASHERS
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLEt
-. Ts.
V I C E
NO. OF HI-LEG
A. W. G, NO, OF NEUTRAL:
OF Hi-LEG
EXHAUST FANS
DIMMERS
OF NEUTRAL
2/0
_Tz~ck ~tlr~ 4'0" 3 IAtes.
M.A.T. Electrlc
P. o. ~ox i~ , //'
~st Is~p, N.Y. 11795 Lic. 2566 ~ ~,
This ce~ificate must not be altered in any manner; return to the offke of the Board if incorred. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.