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
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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