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Home My WebLink About12289-Z Unit 10FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z13430 May 9 1985 No .................. Date .................................... THIS CERTIFIES that the building ...q 9~a.d.qm. $.n.i.u.m...U.n.t.~...#.1.0.. { Eas tw~.nd Shores Location of Property ... 5.~ ~ O..q, 8 ,..$~.4. ~ ..................... S.o..u.~.h.q .1.d ............. House No. Street Hamlet County Tax Map No. 1000 Section . . ~ .1 ........ Block . .0..0.5 .......... Lot .... .0.0.2. ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Fried in this office dated ..... M~r.c.tl. 2.6 ....... ,1¢3.3 i pursuant to which Building Permit No...~ .2.2.8..9 .Z ............. dated . . . .M.a.v..c.h..2.9. ............... 198.3. . , 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~.c~m~r~J, um. ~./tq.o.f.o.r..r ~.J,c~;~.t.J,a. ~..u.s.e.: .......................... The certificate is issued to ....S.O.L.A..R..S.Y.~ .H.E.T.R.¥ ,..Ifi. C.: ................................ (owner, le~,~9 of the aforesaid building. Suffolk County Department of Health Approval ....S 7.5. ~. ~ ................................. UNDERWRITERS CERTIFICATE NO .... Iq ~ @ 5 3 ~ 8 Plumbers certification January 4, 1985 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- 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. (plumber's signature) Sworn to before me this Notary Public.County Notary Publ~ FORM NO. 6 TOWN OF SOUTHOLD Building Depa,[i,ent Town Hall Southold, N.Y. 11971 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 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 applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pL'operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Co 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 .... A..p.r.i. 1. . .2 .9. ,. . .[ .9 .8.5. ..... New Building ..... ~( ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .U.n.J:.?..N.o.,...1.0.,, .5..2.8.2.0...C.E. ?.8...(.~a..s.t.~j:~..d..~.h.o..~.e.s.). ~..~.o.u.t..h.o.Z.d. .... House No. Street Ham/et Owner or Owners of Property SOLAR SYMMETRY, INC. 51 005 002 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 12289~. Date of Permit 4/29/83 .Applicant Caiola S-5lR Health Dept. Approval ........................ Labor Dept. Approval ........................ N-685318 Underwriters Approval ........................ Planning 8oard Approval ...................... Request for Temporary Certificate ..................... :inal Certificate ....................... ,5.00\ Fee Submitted $ ..................... Construction on above described building an~p egulations. Applicant .... ~, ........ ~,,.. :: ,.x%. ~'r'J'.'~'~'": .......... ' ' ' ' J( ,eph Fz.~ chetti,\ r., Presicent 1000550 THE NEW YORR 'BOARD OF FIRE UNDER~RITER~ BUREAU OF ELECTRICITY ~!l~g 85 JOHN STREET, NEW YORK, NEW YORK 10038 o.t.~=~1o=, 19,s .',.,.iic. tlonNo, o.;,,e 3o8847/., N 685318 THIS CERTIFIES THAT only the electrical equipmertt as described below and introduced by the applicant named on the abo~ application number irt tbs premlsez of $ola~ Sy~aetry, Inc., #10 ~as~;w;L~d Sba=es, Sou,hold, NY in the followlng location; [] Basement [] 1st FI. [~2nd Fi. 3rd · fl o .Section Block Lot was examined on ~ 28, 1985 and found to be in compliance with the requirements of this Board. FIXTURE IECEPTA FIXTURES RANGES ,M~DT"YER~w' I Ol[ ~UR~pACE M(OAsTORSH. p+ I FMTjT, E ^PPUNA©,CE FE:DwE,GS' S'EA~C~ALREC::T * * * i 30 SERVICE DISCONNECT [ NO. OF I S R i 200 0~, X lc 4/0 a~l~a~ce £eede~s:l-3~8, 1-2#10,1-2#12,1-2#14. detecto=s COOKING DECKS OVENS DISH WASHERS TA~MTE. CLOACMKpsS TEBAE~S.1 ~ UN,? HEA~T. Ep, S V I C 1 EXHAUST FANS DIMMERS OF NEUTRAL 2/O M.A.T. Blect.~lc ~~/~z~~ P.O. Box 928 g-'.-?ton Bays, N~ 11946 'r'"Lc#2566Per~i~l~LIg.~...~ MANAGERll This certificate must 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. ~HI8 COPY OF CER?IFICAI'E MUST NOT BE ALI'ERED IN ANY MANNER.