HomeMy WebLinkAbout21996-Z (5)FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~TIFICATE OF OCCUPANCY
No Z-24133
Date JANUARY 25, 1996
THIS CERTIFIES that the building MULTIPLE RMSID~NCE
Location of Property 1695-C-10 CALERS WAY (PVT. RD.~I} GREENEORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 40.1 Block I Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 4, 1994 pursuant to which
Building Permit No. 21996-Z dated APRIL 6, 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 ~NIT C10- MDLTIPLE ~ESIDENCE - COHPT~ C AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
MOORES LAN~ DEVELOPMENT CO~P.
R-10-95-0011 JAN. 19~ 1995
N-325421- AUGUST 30~ 1994
13~ 1995-AR'£UU~ MA~AUHSENA, JR.
Sui]~ding Ins~ect~
TOWN OF SOUTHOLD
BUILDING D E? .~RTMEhT
TOWi~ HALL
-~?PLZCATION FOR CERTIFICATE OF OCCUPz~NCY
This appiica:ion mus: be filled im by ~yp. ewri~er OR ink and submit:ed =o =he buildmng
inspector wi:h :he following: f=r new building or new use:
1. Final sur~ey of property wizh accurate loca:ion of al! buildings, properzy lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approvai of etec:rical installation from Board of Fire Unde~rr!tars.
4. Sworn s~atemenr from plumber certifying ~hat the $older'used in sys:em contains
less than 2/i0 of 1% lead.
5. Commercial building, industrial building, mulniple residences and s~m~%ar buildings
and ins%alia[ions, a certificate o~ Code Co~'liance from arckitec~ or engineer
responsible for ~he ouilding. . 'r~z~ "
Submi% ?!arming Board ADoroval of com~]~ed sine plan requirements.
For ~xisting buildings (prior :o Apr~--l 9, 1957) non-conforming uses, or buildings and
"pre-ex!sting" !and uses:
i. Accura:s survey of property show~lg all property lines, s~reets, building and
unusual natural or ~opographic features.
2. A properly completed applicazion and a consann to inspec: sig-ned by the applican:.
if a Certificate of Occupancy is denied, the Building %nspector shall sta~e the
reasons therefor in ~ri~ing to the applicant.
C. Fees
,. Certificate or Occupancy - New dwelling S~_5.00, Add!bions
Alta_a~_ons ~o dwelling S25.00 Sw~ing pool S25.00, Accessory =u%maznm S25.00,
Addizlo~s zo accesso~ building S25.00. Bus~esses ~50.00.
2. :artificers of Occupancy on _~_ ~x_sc_n~ Buiid~ - 5100.00
3. Copy of Car%if!cage of Occupancy - $20.00
4. Updated Cer~ificz~a of Occupancy - ~50.00
5. Temporary Car%ifica~a of Occupancy - Residenzial ~15.00, Co~ercia! Si5.00
New Consider!on .... ~ld 0r Pra-~is~ing Buil~in~ ~ ~ ......
..... ...... ..........
co~7 r~ ~ ~o rooo, s~::o~...~'.[ ...... ,zo~ ...... / ......... ~o~ .... /~ ...............
Subdivision
.................................... Filed "-map ............ Lot ......................
Hea!:h Dept. Approval .......................... Unde~r!:ars Approvai .........................
._=nn_ng Board Approval.
Requesu for: Temporary Certificate ........... Final
Fee SuDm!~ad: S ............................ i.-..--~-t/~l~
C 0 ~ 0~13 3