HomeMy WebLinkAbout22686-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC~umANCY
No Z--25285 Date SEPTEMBER 30, 1997
THIS CERTIFIES that the building CONDOMINIUM
Location of Property 1565-D]~ CALEBS WAY
House No. Street
County Tax Map No. 1000 Section 40.1 Block
Subdivision Filed Map No.
GRMKNPORT, N.Y.
Hamlet
Lot 15
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 23, 1995 ~ursuant to which
Building Permit No. 22686-Z dated APRIL 19, 1997
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 15D-MULTIPLE BESIDENCH-CO~PLEX "D" AS APPLIED FOR
Rev. 1/81
The certificate is issued to NOORES LANE DEVELOPMENT ~ORP.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0011-JAN. 19~ 1995
ELECTRICAL INSPECTIONS CERT. PENDING - SEPTEMBER 24, 1997
PLUMBERS CERTIFICATION DATED SEPT. 25,1997-DOOLEY PLD]4BING & ~I~ATING
/j/ lding'Inspector
TO~/q OF SOUTHOLD
BUILDING D EP .aJlTW-~ NT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF 0CCUP:~XCY
This application must be fii!ad in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new usa:
1. Final su~yey of proper~y with accurate location of all buildings, property lines,
2. Final Approval from Meai~h Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in syst~--m contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approva± of c0mpleted si~e plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate su~zey of property showing ail property lines, streets, buiiding and
unusual natural or topographic features.
2. A properiy complated application ~nd a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the gui!ding Inspector shall state the
reasons therefor in ,~riting ~o the applicant.
C. Fees
1. Cer~ificate of Occupancy - New dwelling ~25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool S25.00, Accessory building $25.00
Additions to accesso~! building $25.00. Businesses $50.00.
2. Cer~ificat~ of Occupancy on ?re-~istinz Bui!din~ - ~[00.00 ."
3. Copy of Certificate of Occupancy - ...25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15/00, ~ommercial $15.00
,/ .. .... .........................
House No. Street Hamlet
Onwe r
Subdivisio~ ..................... ~iled M~? ............ Lot ...........
................ .............................
Planning Board Approval ........................
Ra~.uesc for: Temporary Csr~ificats ..... · ...... Final Cern!cate ..... ....~. '
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E 1
11.95~99 BUREAU OF ELECTRICITY
r-- 85 JOHN STREET, NEW YORK, NY 10038
C
THIS CERTIFI£S THAT
PHEASANT RUI~ CONDOS #15, 15 CAL~BS WAY, GREENPORT, NY'
~s exomi.~ on SEP~ 25,1997 and ~u~ to be in compl~nce w~h the N~on~ ~ect~c~ C~e.
I 150 CB 1 X
2.50 TON A/C-1
HOTORS:i-2.5 H.P.;1-F H;P.
P.~NELBOARDS .- 1-1 CIR. 60
G,F.C.I:-3
SHAKE DETECTOR: -4
RANGES JCOOKING DECKS 1 OVENS l DISH WASHERS
SPECIAL BEC'PT, . TRAN. .~ SYSTEMS
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
I I
1 2/0
EXHAUST FANS
1 1/~3
JIH SAGE ELEC. INC.
PO BOX 38
GREENPORT, Fl, I1944-~38
LIC. ff 3635-E
GENERAL MANAGER
Ptr 11
this ~a~ ~t ~t h a#ered in any manner; ~urn to the offi~ of t~ ~ord if incorr~, Insp~rs may ~ identifi~ by t~r credentials.
COPY FOR BUILDING DEPARTMENT. THIs COPY OF CERT[FICATE MUST NOT BE ALTERED IN ANY MANNER.
INSPECT!?N/
[ ] FOUNDATION 1ST [/-,,~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~..~ ~ _ ,
DATE
INSPECTS'
765-t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ k'~ROUGH PLBG.
i. ~Oi/,] FRAU:iDNAGTION 2ND [ i IF~::~ATION
DATE
INSPECTOR