HomeMy WebLinkAbout16379-Z (18)FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18664 Date DECEMBER 21~ 1989
THIS CERTIFIES that the building. MULTIPLE RESIDENCE UNIT
Location of Propern¥ 400 H30B MEADOW COURT PVT. RD. #24 SOUTHOLD
House No. Street
County Tax Map No. 1000 Section 87 Block 05 Lot
Subdivision Filed Map No. Lot No.
20
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 21~ 1987 pursuant to which
Building Permit No. 16379Z dated AUGUST 25~ 1987
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 UNIT H30B MULTIPLE DWELLING-THE COVE AT SOUTHOLD~ INC.
The certificate is issued to THE COVE AT SOUTHOLDf INC.
(owner, Y~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-69 MAY 25~ 1989
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/29/89
PLUMBERS CERTIFICATION DATED BERTSAND PLUMBING & HEATING 11/17/89
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTDOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRHCTION ~ ..OLO OR PRE-EXISTING BUILDING ...... VACANT LANO ........
Location o£
HOUSE NO. STREET HAMLET
County Tax Map No. I000 Section ..~.!. Block
Permi: No. -J~.Da~e
Health Dept. Approval ..y~ ..........
Planning Board Approval ...~ ........
Request for Temporary Certificate .~. ....
Fee Submit:ed:
APPLICANT...
Underwriters Approval~~-~..
Final Certificate ..... ~..
rev. 10/14/88
TOWN OF OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTNOLD. N.Y. i 1971
TBL. 765-1~02
CERTIFICATION
Date / {
Building Permit No.
Owner ~ ~ ~
(please print)
Pl~ber~F~-~,D 13~,~(5.,.,6 ~,~,~, " (please print)
I certify that the solder used in the water supply system
contain8 less than 2/10 of 1% lead.
(plumber's signature)
Sworn CO before me this
19 ??
Notary Public, $.~=~o~c
EILEEN M, ROACHE
No.fy Public, State of New York
No, 4826942
Qualified in Suffolk County
Cor~nission Expires January 31,
County
Notary Public