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Home My WebLink About21996-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OC~:u~ANCY No Z-24382 Date MAY 23, 1996 THIS CERTIFIES that the buildin~ MULTIPLE RESIDENCE Location of Property 1895-C-9 CALEBB WAY GRMENPORT~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40.1 Block I Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 4, 1994 pursuant to which Building Permit No. 21996-Z dated APRIL 6, 1994 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 [INIT Cg-MULTIPLE RESIDENCE - CfH4PLEX C AS APPLIED FOR. The certificate is issued to MOORES LANE DEVELOPMENT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0011-JAN. 19, 1995 UNDERWRITERS CERTIFICATE NO. N--325423 - AUGUBT 30, 1994 PLUMBERS CERTIFICATION DATED JAN.23,1995--A~THUK MALAUBBENA, JR. Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical instailation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system 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 Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957)' ~on-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - $20~00 4. Updated Certificate of Occupancy - $50.00 5. :Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date .... ~~. · ·/- -~ Z.~-~- ............. New Construction...&~-f...~ ~. ~ld Or Pre-existing Building ................. Location of Property....~'/~,.'.~...~...~... ~/~...~/.~ ........ ~,--~4~. ~.~.~..~.. .......... · House No. Str~ ~H~let 1oo0, ..... Bloc ....... / ........ Lot .... ................ County Tax Sub divi sion ./~.~ ."~.C~'.~ . ~..~-~ ..... Filed Map ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... THE NEW YORI~ BOARD OF FIRE UNDERWRITERS" rAG~! 10(130~..37 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK. NEW YORK 10038 THIS CE~IFIES THAT only the el~tricel eq~dpmen~ ~ ~scri5 ~d below a~ Int~ by ~he applicant ~ on the a~.e ~p/i~t~n num~r In t~ p~miles of CEDARF]ELD$ DRIVE, UNIT #9, GI~F. ENPOI~.'r, N.Y. ~ I.~ rt. ~ ~.d F~. ATTIC/OUT and found to be in compliance with the Nation~ ~ectHc~ C~e. TIXTUlS FIXTURES RANGIS EXHAUST FA~ OUTLETS SWITCHES OTHER I (!iR. (J~ G.F.C.I~-3 S I V I OF CC. COND. 1 1/O 1/0 AMOUNT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS/ULATION [ ] FRAMING [/~ FINAL [ ] FIREPLACE & CHIMNEY ~ REMARKS: ~~ DATE INSPECT~ 7G5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY REMARKS: ~~'~ ~ [ ] ROUGH PLBG. [//~FINAL Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 JAN 2 3 f996 J OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE Building Permit No. Owner: Plumber: (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~lumbers Signature Sworn to before me this ~'" day of Notary Public, . ~,~_ (. ~ ~ '~u County JUDITH A SING Nolaw P~blic. State o! New No 0~ SI5031228 Expires Aug ~ 1996 Suffolk