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HomeMy WebLinkAbout22024-Z (6)FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuuFANCY No Z-23381 Date NOVEMBER 30, 1994 THIS CERTIFIES that the buildin~ MULTIPLE RESIDENCE UNIT Location of Property 655-11C MEADO~ COUNT (PRIVATE RD. ~24) SOu'r~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 Cll M~LTIPLE 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 COVE TOWNHOUSES AT SOuTuOLD INC. S-69 pENDING - NOVEMBER 17~ 1994 NOV.29, 1994-8RM PLUMBING & HEATING Rev. 1/81 L~ing Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATiON NOTED BELOW. APPLICATION NO. ~:~> -~b"~.;, / ~ '~ . TOWN OF SOUTHOLD i;t ~' ' ~ ......... BIJILDIHG DEPARTMENT ,: 765-1802 . i .... ' BLDG. DEPT. TOWN OF SOUTHOLD 'LICATION FOR CERTIFICATE OF OCCUPANC~f'' IBD(REVg~O)~ ~%~= ~ ~%~ filled in by typewriter OR ink and submitted to the building ~L~pecLor wlcn cue to±lowing: 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 Health 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 buildings and "pre-existing" land uses: 1. 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. 1. 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 ~15.0~, Commercial $15.O0 ' Date .. .................... .ew Construction . ¥'.. Old Or Pre-existing Building ........... .r.r .... .ocation roperty :. . ............. House No. Street Hamlet nwer or Owners of Property ............ ounty Tax Map No lO00, Section..~..~../ .... Block .... / ........... Lot .... /~. ............. ubdivision .............. ermit No..~.~..~.. i~ale'~f Pe~t. ealth Dept Approval .......... ........ Filed Map ............ Lot .............. ........ ::'. ::.: ::.. Underwriters Approval ............. lanning Board Approval ....... -~quest for: Temporary Certificate ........... Final Certicate..' . -~e Submitted: $ .......................... . . i ~ ~_~//.~/~ '~'''''''/'~ --'- ........ · · ~ "" TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 ,CERTIFICATION c --II Owne=.. ~oot~- ~/~ .//~L~. {please print)' {please print ) I certify 'that the solder used in the water supply system contains less' than 2/10 of 1% lead. "s signature} Sworn to beforo mo this 19 Hotary Public, N~ARy PUBLIC, St~e of New ~ ~a~fr~ In Suffo k ~mm~op Expires March 30, ~9~ County ~Notary PubLic