HomeMy WebLinkAbout17913-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18684 Date JAN. 3~ 1990
THIS CERTIFIES that the building. INGROUND POOL AND FENCE
Location of Property 150 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 MARCH 13, 1989 pursuant to which
Building Permit No. 17913Z dated MARCH 13~ 1989
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 INGROUND POOL AND FENCE.
The certificate is issued to THE COVE AT SOUTHOLD~ INC.
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL MAY 15~ 1989
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/29/89
PLUMBERS CERTIFICATION DATED BERTSAND PLUMBING & HEATING 11/29/89
PLANNING BOARD APPROVAL DECEMBER 21, 1989
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No ZI8685 Date JAN. 3~ 1990
THIS CERTIFIES that the building. TENNIS COURT AND FENCE
Location of Property 150 MEADOW COURT PVT. RD. #24 SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 087 Block 05 Lot 020
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 13{ 1989
Building Permit No. 17913Z dated
pursuant to which
MARCH 13{ 1989
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 TENNIS COURT AND FENCE.
The certificate is issued to
THE COVE AT SOUTHOLD~ INC.
(owner, XX~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FOZ~M NO. S
TOWN OF SO~JTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 017913 Z
~., premises ,ocoted at .~...)~....l~....c~./~...~ ......... ~L ............
County Tox Mop No. 1000 Section ..... .(~..~..'] ....... Block ...... ..(~....~.. ....... Lot No.....(~.....~.....O.. .........
......''~..o~...~ ......................... . 19.~..~... ond opproved by th.
pursuont
to
opplicotion
dated
/
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTROLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE ............
NEW CONSTRUCTION .~. .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
O~ner or O~.ers of Property...~.-~.C~..O~....X~4~OJd.
County Ta= ,.p No. ,000 Section ~2... "lock .~..... Lot . .~...~....
Subdivision ....................... Filed Nap
/? 913 Z ........ Lot ..........
Permit No ~ ......... Date of Permit .......... Applicant
Planning Board Approval
/
Request for Temporary Certificate .~ ..... Final Certificate ...-...
APPLICANT .... ~)
rev. 10/14/88
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
BLDg. ' LO
sOUTHO
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION .~. .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ......
Subdivision ..........
/7 ?/3 ~ ............. Filed tap ........ Lot ..........
Permit Ho. - ...... Date of Permic .......... Applicant ...................
Planning Board Approval ..~.~ .........
Request for Temporary Certificate .; ..... Final Certificate ...~ ....
APPLICANT..., . ........... ~)
rev. 10/14/88
TOWN OF SOUTItOLn
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit No.
Owner ~ ~3~
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
~~~gn~a~tur e )
Sworn to before me this
j~ -f'~ day of
19 ~
Notary Public,
County
Notary Public