HomeMy WebLinkAbout12119-Z Bldg 2 Unit 2G2FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z12166 Date December 28 ,19 83
THIS CERTIFIES that the building ....B.u.i..1 .d.i.n.g..2.,..U..n.i.t...2.G. 2. ....................
Locatlon of Property 2820 Shipyard Lane East Ma.~ion
~13~ ~/o~ ....................................................... Street Hamlet
County Tax Map No. 1000 Section . .0.3.;~, Q.2 .... Block ...0.1 ........... Lot . .0..2.8 ........ ;..~-
Subdivision....X. .......................... FLed Map No. × .... ]Lot No. ×
conforms substantially to the Application for Building Permit heretofore fried in this office dated
.... .O.c.~.o.b..e.r ..........19.8.°. pursuant to which Building Permit No...1.2..1.1.9. ..Z ...........
dated .... .0 9.~.qb. e..~..2.0. ............ 19 .8 9., was issued, and conforms to all o f the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
livinK unit within multiple dwelling. ~
The certificate is issued to EMANUEL KONTOKOSTA
(owner, fe~ru, ~anr)
of the aforesaid building.
Suffolk County Department of Health Approval . E. HSI~
UNDERWRITERS CERTIFICATE NO .... N 6 1 7 2 5/*
~THE LOFT IS NON-HABITABLE.
Building Inspector
Rev. 1/81
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 applicable.
B. 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
topograph ic features.
2. S~/orn 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. 12,,1983 ..
New Building . .Y.e,s. ........ Old or Pre-existing Building(Z) ........ =/Vacant Land ............
Location of Property 282Q Shi ard Lane East Nar-ion, NY UNIT G2 ,Bldg 2
......... D,Y ......... ~ ...........................................
House No. Street Hamlet
Owner or Owners of Property C1 ~aves Poi nt Vii.[age £ondomi ni um
County Tax Map No. 1000 Section 038.02 Block 0[ 28
............... . .... ..... .... Lot. ...... . .... ....
Subdivision X X X
................................. Filed Map No ........... Lot No ..............
Jan.20,1983 E.M.Kontokosta for Cleaves Point
Permit No. .....12 1 19.....Z Date of Permit .......... ~pplicant
............ 'i'l'i 'f ........
Health Dept. Approval 8/30/82 .Labor Dept. Approval ..........
Underwriters Approval .Planning Board Approval 8/31 / 82
Request for Temporary Certificate ..................... Final Certificate . .Y.e..s ............ .
Fee Submitted $, .5.. ?.o. ..............
Applicant . ..~..~,~._.~.,~.% .~,.-.-~..~/~-.;.
Cleaves Point V~11age [n~. ............. ' .....
i THE NEW YORK BOARD OF FIRE UNDERWRITERS
PP' '~ N
-r.,-. c.,.-,F,.s 617254
[] RXTURE I I FIXTURES RANGES
,~1~ DRYERS I FURNACE MOTORS I "'"U"' ,'PP",'"C' "'"'"' S"'"",','.'~'"T "'"":LO':"S I .U. ~
* * * i i i
I~ ~RVICE DISCONNECT I NC). OF I S E R V i ¢ E
x 1 1/~
MULTI-OUTLE
SYSTEMS
NO. OF FEET
EXHAUST FANS
OF NEUTRAL
° l~U~"^~s .1./0
OTHER APPARATUS:
~~ 1-~. ,~.
1-10.~. ~t ~
1-~ ~/C
i~.F.C.I.
(~AaliZy Elect. Ooatr. Inc.
10 East Maiu ~treet
· ~-~th~owa, N.Y. 11787
This certificate must not be altered in any manner~ return to the office of the Board if incorrect. Inspectors may be identifi r credentials.
IN ANY MANNER. --