HomeMy WebLinkAbout10924-Z BLDG 1 UNIT F1FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z..1 .1.2.0.5 .......... Date .... .~.e~.t.e..m.b.e.~. g.0 ............... 19.8.~.
THIS CERTIFIES that the building ................................................
Location of Property . .~.8.~. 9 ............. .~.b.$py.ay.d...~.a.q9 ................ N..a.a.t;. ?..a?.:L.o.n
House No, Street Hamlet
County Tax Map No. 1000 Section ...0.3.8....0.~...Block ...0.1 ........... Lot .... 1.1. ...........
Subdivision...X .......................... . .Filed Map No...X ...... Lot No..X. ...........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· .O.c..t.o.b.e.r...2.0. ........ 19 .8.0. pursuant to which Building Permit No..1.0.9. .2.4..Z. .... ........
dated ...0. ~..t.o.b.e.r...2.0. ............. 198..0. , 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 .........
....a. ;t.~.v. $o~ .u.n..t.t..~. $.~.u.~.n...a..~.u..~.~.~.p.~..e..~?.e. .z.kt.n.S., ............................
The certificate is issued to .... C~],9~y.q~..P.o.:I,u .t;..V.~.I. ~..a.&q..C.o.n.d.q.m.~.n.~ .u.m ................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval . . ~]~ s..9./.~/.8.~
UNDERWRITERS CERTIFICATE NO .......... .N..S. 7. .1.5.T.~. .............................
Not®: UnX~ Fl, Bldg, #1
Building Inspector
Rev. 1/81
FORM NO. 6
TOWN OF SOUTHOLD
BuiJding Department
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 peoperty 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 or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date.~UG-31,1982
New Building ...X.X. ........ Old or Pre-existing Building(Z) ......... =/Vacant Land -
Location of Property UNIT F1 , Bldg #1,Cleav.es Point Village Condominium
2508.97' south 0fSq~eYth Road,Shipyard Lane~/~r~/et
Owner or Owners of Property . .C. ! .e.a.v.e. ? P o i. n..t..V._i..1, ! ? g e.. C..o.)l.d.o.m. ! .n.i.u.m. ...................
CountyTax Map No. 1000Section 038.02 Block 01 Lot 11
Subdivision ................................. Filed Map No ........... Lot No ..............
PermitNo. 10924Z Oate of Permit .1.0/2.0./..8.0Applicant E,Kontokosta
Health Dept. Approval . .8. ,/.3.0./.8, .2 .............. Labor Dept. Approval . .-.~ ~'~'.-.~ ~ ~' .............
Underwriters Approval 8/3/82 .Planning Board Approval 8/.31/8.2
Request for Temporary Certificate ..................... Final Certificate xxxxx
lUO0~9~ THE NEW YORK BOAR~)'~)~ FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
THIS CE~iFIES THAT
~as examin~l'on ~lJ,y 2 on~ foun~ ~o be in compliance with the requirement~ of this
OUTLETS ECEPTACLES SWITCHES
RXTUEES
NCANDESCENTI8 FLUORESCENT
1-G.F.I., 1-,~:~ De~.ecCor
1-9.~0iUe ~ Pump, I-4.:~M H.W.H.
RANGES
E E
V I C
2/o
EXHAUST FANS
DIMMERS
OF NEUTRAL
C/4. Yd. chMl~, T,,,,,.,
338 Lake Ave.,
St:. James, N.Y. 11780
This certificate must not be altered in any
T.*1,'~717~
11
return to the office of the Board if incorrect. Inspectors may be
COPY FOR BUILDING COPY OF NOT BE ALTERE~D I~ ~~ ' _~,
KONTOKOSTA ASSOCIATES · ENGINEERS/ARCHITECTS
43 west 54th street / new york city, new york 10019 / 212-582-6100
e.m. kontokosta p,e.
gary rogers r.a.
June 2, 1981
Mr. George Fisher, Chief Bldg Insp.
Office of the Building Inspector
Town of Southold
Town Hall
Southold, New York 11971
Re-'
Shipyard Lane Project
Permit No. 10924Z & 10925Z
Flood Devel. Permit No. 7F
Dear Mr. Fisher:
This is to confirm the fact that all-loft areas shown on the approved
drawings for structures #1 & #2 (permits 10924Z & 10925Z) are to be
utilized for storage purposes only.
This fact will clearly be indicated in the prospectus being prepared
and to be approved by the New York State Attorney General's Office so
that all purchasers of the condominiums will be aware of this fact.
EMK/ck