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HomeMy WebLinkAbout22024-Z (8)FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~RTIFICATE OF OCCUPANCY NO Z-23163 Date AUGUST 15, 1994 THIS CERTIFIES that the building. MULTIPLE BESIDEN~ UNIT Location of Property 655-13D ME~DOW CO~T (PRI~-ATE ~D. %24} SOu-£~OLD~N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 87.1 Block i Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1994 ~ursuant 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 D13 M~LTIPLE DW~Z-ING WITH ATTAu-Ko GABAGE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED S~B~-ECT TO ONE YEA~ REVIEW Rev. 1/81 COVE TOWNHOUSES AT SOu'£uOLD INC. S-69 PENDING - AUGUST 9~ 1994 AUG. 2~ 1994-SRM PL~MBIN~ & HEATING Building Form No. 6 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be 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 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. C. Fees 1. Certificate of Occnpancy - 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-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. T~emporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 Date ..... --.~f./.~./~f ....................... ........ ./ New Construction .......... Old Or Pre-existing Building ...... Location of PropertY'..~. .~..-.t.~. ~--~ ~-~ ~. ~· · ......... House No. Street Hamlet Onwer or Owners of Property. ~- County Tax Map No 1000, Section .... ~2'.~. .... Block ....... ~ ......... Lot .... ~R ............... Subdivision........................... ....... .. Filed Map ..... . .. ....Lot ..................... Permit No .............. Date Of Permit ............. Applicant ......... ' .......... Z.z?.zV ........... Health Dept Approval . .. Underwriters Approval .. Planning Board Approval............. ......... .. Request for: Temporary Certificate ........ ... Final Certicate ....... . . . . Fee Submitted: $ ..... ... Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE Building Permit No. JZO~% Owner: (please print) Plumber: ~ W-~ ~L.,Jr~R~;,,J~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (~flumber~ Signature ) Sworn to before me this Notary Public, ~J~-F~A/~ County GEORGE R LEWIS NOTAI~Y mjB-it, State of New York No. 4840722