HomeMy WebLinkAbout22686-Z (2)FORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ball
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25316 Date
OCTOBER 17, 1997
THIS CERTIFIES that the building CONDOMINIUM
Location of Property 1565--D13 CALEBS WAY
House No. Street
County Tax Map No. 1000 Section 40.1 Block 1
Subdivision Filed Map No.
GREENPORT, N.Y.
Hamlet
Lot 13
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated M~RCH 23, 1995 pursuant 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 13D-MULTIPLE RESIDENCE-COMPLEX "D" AS APPLIED FOR
The certificate is issued to MOORES LANE DEVELOPMENT CORP.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0011-JAN. 19, 1995
ELECTRICAL INSPECTIONS CERT. N-434773 - OCTOBER 15, 1997
PLUMBERS CERTIFICATION DATED OCTOBER 14,1997 DOOLEY PLUMBING & HEATING
B~ ~ ector
Rev. 1/81
Ao
OF SOUTHO LD
BUILDIMG D gF ~_RI2~E ~rf
TOT~b! i~ALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP~
This application must be filled in by typewriter OR ink and submitted to the building
inspecuor with the following: for new building or new use:
1, Fina~ eu~rey of.pro~ar~y with aclu:ets ~ocacio~ o~ all buildings, property lines,
se~,~s, and umusuai natural o~ topographic features.
2. Final A~proval from Health Qept. of ~ater suppl7 and sewerage-disposal(S-9 form).
3, Approval of electrTcal installation from ~oard of Fire Unde~rriters.
&. Sworn statement from plumber certifying ~hat the solder used in system contains
less than 2/10 of I% 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 Approval of cdmpieted si~e plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'.'pre-existing" land uses:
I. Accurate survey of property showing aii property lines, streets, building and
unusual natural or topographic features.
2. A properiy completed application and a consent to inspect sit-ned by the applicant.
If a Certificate of Occupancy is denied, the Building !mspector shall state the
reasons therefor in '~ricing to ~he applicant.
C. Fees
1. Certificate of Occupant7 ~ New dweiiing ~2~.00, Additions ~o dwelling $25.00,
~lterations to dwelling $25.00, Swimming pool S25.00, Accessory building $25.00,
Additions to accesso~! building s25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-~istinz ~ui!din~ - $!00.00 ."
3. Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $~5.00, Commercial ~15.00
.... .........................
·
New ConstrUction ......... Old Or Pre-existing Building .................
~o~atio~ of ~ropert~...~.<.//.~ ................ M ..........................
House No. Street Hamlet
On.er or O~ers of ~ropert~ .... ~..~¢~ZZ~ ....................................
~ t'o. ~/0~/ .... ~ .........:o~ ...........
County Tax Map NO i000, ~ec : ...~ ..........Block. ./~..{..~....
Subdivision ...........
.................... Filed M~p ............ Lot ..................
p~rm:t ~o.~f~ ....... ~ate Of Pe=~ ................ Aopi:cant ........................ '...
Hetlth De~t. . A'p.urovai. ......................... J Unne~~_ter~' - ~- iuoroval ....... ~ ........ ·
Planning Board Approval ........................
Reo. ues~: ~or: Temporary Cer~:i£icate ............ Final. Cer':icate ...........
Fee Submitted: ~ .............................
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1195099 BUREAU OF ELECTRICITy
['~ 85 JOHN STREET, NEW YORK, NY 10038
D.*~ OCTOBER 15,199'/ Appile. tlo. No. o.f;I, 13332497/97 N 434773
THIS CE~IFIES THAT
o~y t~ ~t~ ~u~ment ~ ~d~ ~ ~ i~t~ by t~ ~t ~ on t~ e~ ~t~ numar i~ t~ pmm~ o~
PHEASANT RUN, CALEBS WAY #13, GREEPORT. NY
wase~ominrdon OCTOBER 09~ 1997 and found to be in compliance with the NaMonal Electr~cal Code.
RAMGRS
R
AWIG
Of HI-LEG
EXHAUST FAN~
JI}{ SAGE ELEC. INC.
PO BOX 38
GREENPORT, NY,
LIC. #3635-~
GENERAL MANAGER
P#r
This certificate must not be ohm'ed in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY HANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION l ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~J~SULATION
[ ] FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
DATE
INSPECTOR