HomeMy WebLinkAbout22024-Z (5)FOPS4 NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
$outhold, N.Y.
C~RTIFICATE OF OCCUPANCY
No Z-23382 Date
NOVEMBER 30, 1994
THIS CERTIFIES that the building. I~LTIPLE RESIDENCE UNIT
Location of Property 655-10C MEADOW COURT (PRIVATE RD. ~24) SOO'£~OLD,N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 87.1 Block 1 Lot I~
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 6, 1994 pursuant to which
Building Permit No. 22024-Z dated APRIL 27, 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 UNIT Ci0 MULTIPLE DWELLING WITH ATTACHED GARAGE
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
COV~ TOWNHOUS~S AT SOUTHOLD INC.
S-69
PENDING - NOVEMBER 17, 1994
NOV.17, 1994-~RM PLUMBING & ~&TIN~
Rev. 1/81
/~uil~ing Inspector
THE NEW YORK BOARD OF FIRE UNDERWRITERS
WE ARE IN THE PROCESS OF ISSUING A
CERTIFICATE OF COMPLIANCE FOR THE
ELECTRIC. Ar INS'TALLATION AS COVERED
Form No. 6 : :i - '1
TOWN OF SOUTHOLD
TOWN HALL
765-1802 ~----BLDG. DEPT. OLD
_ ~. TOWN OF SOU'['HOLD
LICATION FOR CERTIFICATE OF OCCUPANCY
........ ~ ...... v, a,~=c u= 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 all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Heal th 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 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) non-conforming uses, or bu~-ldings and
"pre-existing" land uses:
i. Accurate survey of property showing ali 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.
], Fees
[. 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-existin~ Buildinm - $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 ...~/./..~.~/~.'/ ........................
.ew Construction ........... Old Or Pre-existing Building ....
......................................... r.. .............. ,.y. .......
.=a,ion of Froperty. ~ ~'~'-- ¢ -/0 ~,~'~,,,., '2 ...... ~-
House No. Street Hamlet
· . r~ ~ ~. .~..~~..P...
nwer or Owners of ~roperty...~.~ ....... ~.~ .... ~ .... ~ ......... /~--
.o ooo, .... ...... l ......... ...... ............
ealth Dept. Approval.......... ............. . .. Underwriters Approval.o...... ............ .. ~ ..
lanning Board Approval ........................
~quest for: Temporary Certificate...
Ae Submitted: $ ...............
Final Certicate .
APPLICANT
~'" ·TOWN OF SOUTfIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLDo N.Y. 11971
TEL. 765-1802
C E,,R T I F I C A,T I O.~
Date
! certify *that the solder used in the water supply system
contains less- than 2/10 of 1% lead. ~..
Sworn to before mo this
day of
19
· [Iobary Public,
N~ARY POBLIC, Stete~ ~ew
No. 48~0722
- Q~e[ifJed I~ Suffolk Coun~
~omm*~on ~xpJres Merch 30,
County
~='s a~'gnature)'"
Notary Pub~.[o