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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