HomeMy WebLinkAbout16379-Z (20)FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18666 Date DECEMBER 21f 1989
THIS CERTIFIES that the building. MULTIPLE RESIDENCE UNIT
Location of Property 400 H32B MEADOW COURT PVT. RD. #24
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 H32B MULTIPLE DWELLING-THE COVE AT SOUTHOLD¢ INC.
The certificate is issued to THE COVE AT SOUTHOLDf INC. (owner,
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
- - -~uilding Inspector - ¢
Rev. 1/81
TOWN OF SOUTDOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTUOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CONSTRUCTION --~-...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Locationof Prop.~ty...4.o.0..
HOUSE NO. STREET HAMLET
0~,~ o, o.~, o~ ~o~,...~z..~ ~ ~o~d.
s~vt,to~..~..~ ........ ~.a ~ ........ ~o~ ..........
Permit ~o ......... Date of Permit ..........
~ealth Dept. Approval .~
Planuing Board Approval ...~..~.. .......
Request for Temporary Certificate .; .....
Final Certificate
rev. 10/14/88
TOWN OF SOUTitOLD
OFFICI~ OF BUILDING INspECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 76~-1802
CERTIFICATION
Date
Building Permit No. /~7~-Z_
(please print)
(please print)
I certify that the solder used in the water
containa lea~ than 2/10 of 1% lead.
(plUmber's signature)
Sworn to before me this
~rd day of ~c ?o b,-~
Notary Public, ~ w~ro=,c, County
EILEEN M, ROACHE
No.fy Public. State of New York
No. 4826942
Ouafified in Suffolk County --
Notary Public