HomeMy WebLinkAbout12119-Z Bldg 2 Unit 2F1FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z12168 Date December .28 19.8.3.
THIS CERTIFIES that the building Building 2, Unit 2F 1
Location of Property 2820 Shipyard Lane East Marion
House No. Street Hamlet
County Tax Map No. 1000 Section . .0.3.~, 9~ .... Block ...0.1 ........... Lot .. 9.2.5. ....... :. ~_~c.
Subdivision....X. .......................... Filed Map No. X .... Lot No. X
conforms substantially to the Application for Building Permit heretofore f'ded in this office dated
O c t o b e v 19 .8.0. pursuant to which Building Permit No...12 .119 .Z
dated .... .0.c.~.qb.e..p..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 .........
living unit within multiple dwellin~
The certificate is issued to EMANUEL KONTOKOSTA
..................... io¥.'o;, j, ......................
of the aforesaid building.
EM8R
Suffolk County Department of Health Approval ................................
UNDERWRITERS CERTIFICATE NO. N 6172 ~.0
Building Inspector
Rev. 1/81
THE NEW YORK BOARD OF FIRE UNDERWRITERS
ELECTRICITY
BUREAU OF yoRK' NEW~dI~I~8~38
~;l~D~te ' ~I~I~:N)~ ~0, ~L~ JOHN STREET. NEW
~_~ ~.,.,,~.,o.. ~o. o,./,. N 617250
THIS RTIFIES THAT
in the fM~ing ~at;on; ~ B=ement ~ Ist Fl. ~ 2nd FL S~tion B;~k ~t
~ exami~ ofl ~ ~ ~ ~ ~d found to ~ in ~mpliance ~ith the requi~ments of th~ B~rd.
RXTU~ RXT~ ~ ~l~ D~KS OVENS Ol~ WA~S FANS
9 2O 14
DRYERS FURNACE MOTORS FUTURE AF~JAHCE FEEDERS TIMECLOCKS DIMMERS
SYSTEMS
NO. OF FEET
SERVICE OISCONNECT S E R V I C E
1-10. Okw. beat
1-3~on &/C Unit
1-4.5kw. ho~ w~t~r
1-G.F.C.I.
1-B~ke dm~z~or
i 1/0
NO. OF HI-LEG
OF HI-LEG
1
OF NEUTRAL
1/0
Qua/lty Elect. Cc~tr. Inc.
10 ~rt Ma/n ~ee~
~ml~h, N.Y. 11787
This certificate must rot be altered in any manner; return to the office of the Board if incorrect. Inspectors may be
LDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. 6
TOWN OF SOUTHOLD
Building 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 ~urvey 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 ..A, ug 12~'
,1983
New Building . .Y.e.s. ........ Old or Pre-existing Building(Z). - ...... =/Vacant Land -'
East Marion, NY UNIT F1 ,Bldg 2
Location of Property 2 8.2Q._ S h i p~.a.r.d.L.a.n.e. ~.
House No. Street Hamlet
Owner or Owners of Property .C.l.~.a.v.e.s.. Po i q t.. y].]..1..ag e .C. 9.n.d.qm.i' .n.i.u.m. ....................
038.02 01 25
County Tax Map No. 1000 Section .............. Block ............... Lot ................
X X X
Subdivision ................................. Filed Map No ........... Lot No ..............
Jan.20,1983 E.M.Kontok. ost.a.f.or Cleaves Point
Permit No. .... 12 11. 9 ..... Z Date of Permit .......... Applicant ..............................
Village Inc.
Health Dept. Approval 8/30/82 .Labor Dept. Approval ..........
8/31/82
Underwriters Approval ........................ Planning Board Approval .................. , .~
Request for Temporaw Certificate ..................... Final Certificate . .Y..e.s ............
Fee Submitted $ . .5: 9.0. .......................
Construction on
Applicant.. ,~ ,~.....~/../~. ...............
~_~ ' Cleaves ~t Villa~
Rev. 10-10.78