HomeMy WebLinkAbout16379-Z (19)FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18665 Date DECEMBER 21~ 1989
THIS CERTIFIES that the building. MULTIPLE RESIDENCE UNIT
Location of Property. 400 H31B MEADOW COURT PVT. RD. ~24 SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 87 Block 05 Lot 20
Subdivision Filed Map No. Lot No.
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 H31B MULTIPLE DWELLING-THE COVE AT SOUTHOLD~ INC.
The certificate is issued to THE COVE AT SOUTEOLD~ INC.
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-69 MAY 25~
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/29/89
1989
PLUMBERS CERTIFICATION DATED BERTSAND PLUMBING & HEATING 11/17/89
Rev. 1/81
TOWN OF SOUTDOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
#3
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .... ~ ............
· -~-..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
NEW
CONSTRUCTION
HOUSE NO. STREET HAMLET
County Tax Hap No.
Prope~ty..~n.~ ................................
1ooo Section .2.?.. Block .~..... Lo, ~..e. ....
Filed Hap ........ Loc ..........
.......... Appl£canC
Health Dept. Approval ..~ ......... Underwriters Approval
Planning Board Approval ..~.-~.. ........
Request for Temporary Certificate ....... Final
Certificate
APPLICANT .... ~.~..~. .....
rev. 10/14/88
TOWN OF SOUT~OLD
OFFICE OF BUILDING INspECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. ! 1971
TEL. 765-1802
CERTIFICATION
Building Permit No. ~7~'~-.
, (please print)
" (please print) '
I certify that the solder used in the water supply SySt.,~m
contains less than 2/10 of 1% lead.
Sworn to before me this
o~rW, day of _ Oc +o~-r
~.9, ~?? .
Notary Public,
EILEEN M. ROACHE
Nota~, Publk~, Stere of New Yo~k
No. 4826942
OualWied n Suffolk County
County
(plUmber's signature)
Notary Public