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Home My WebLink About22024-Z (9)FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-231S4 Date AUGUST 15, 1994 THIS CERTIFIES that the building M~LTIPLE P~EIDEN~E ~NIT Location of Property 655-14D MEADO~ COURT (PRIVATE ~D. %24) SOuT~OLD,N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 87.1 Block i Lot 14 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 D14 MULTIPLE DW~.ING WITH ATTA~n GAP~E The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED SUBJECT TO ONE YEAR I~'VIEW Rev. 1/81 ~ TO~NHO~SES AT SOuT~OLD INC. S-59 PENDING - AUGUST 9~ 1994 AUG. 2, 1994-SAN PL~MBIN~ & HEATING Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN }~LB 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 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~ Buildin~ - $I00.00 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 .~./~./r ~ · New Construction ........... Old Or Fre-existing Building ................. Location of Proper~.. .~.n ~ ~ ~p~ ~ C--~- ~'V~o g~ ..... House No. Street Hamlet Onwer or O~ers of Property .................................................................. No :000. .... . P,J .... ..... f .......... .... J.? ............ Subdivision ......... Filed Map ......... Lot .......... ZZ(D Z~/ Da Of Permit. ~/~7/~ Permit No ........... ~ .... ge .............. Applicant .......... ' ................... Health Dept. Approval ................... Underwriters Approval ...................... Planning Board Approval .................... . . .. Request for: Temporary Certificate ........... Final Certicate ........... WE ARE JN THE PROCESS OF ISSUING A CERTIFIC~'E OF COMPLIANCE FOR THE ELECTRICAL iNSTALLATION AS COVERED IN AN APPLICATION NOTED EELOW. IBP (REV 9/90) Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: ~oV~- (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~- day of /~IJG~5'~"' t 19f~ Notary Public, ~j~A/~ County GEORGE R LEWIS NOTARY PUBLIC. State of New York No. 4840722 Quslified In Suffolk Courtty ,.~ Commission. Expires ~9~.