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Home My WebLink About12840-Z Bldg 4 Apt 4CFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z13622Z No .................. Date ......... J u 3_.y.. THIS CERTIFIES that the building... ¢l.lJ.l~ T ~[?.I~. I)N.~I~ I~ ~[~I.G. ........................ Location of Property ...... .2.5.5.~. ZO.U.~. 9.S..~.V.~.~.u.~. ........... s..o.uy.~.o..~p ............... House No. Street Hamlet County Tax Map No. 1000 Section .... Q ~ 3 .....Block ..... Q Q .~ .......Lot .... ~. ~..~ 9 ..... Subdivision ..... F.. q)~J iq~.g I~ 5. X ]; I~ L 3.q g ....... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... ~.a.n.....~ 9 .......... 19 .8.~. pursuant to which Building Permit No .... 1..2 .8).0.Z. ........... dated ......... 3. g ¢..1. T ............ 19 ~ .6., was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ....... l~u ~ J-.dj, ag. Jt.~.. ~ p.t.... 5:-.C..UaJ-.t..~,~. FtU:L l:J-~.Lq, t~.~.e. 3, ]-~ng .................. The certificate is issued to LIZDA REALTY LTD. (owner, ~Le~oj~ of the aforesaid building. Suffolk County Department of Health Approval ...... ; .S 7.5.4. .............................. UNDERWRITERS CERTIFICATE NO ............... .N.6.9.7. 9..3.4 ........................... Flumbers Certification 7/~/85 Building Inspector Re~. 1/81 FORM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12840 Z Permission is hereby granted to: ~ ~ ~ ....... .Z..z.~.,~.. ......... ~:.xz.:~...~.....Z?7./.~: ....... .... ,;z~.~'...z~,~ --v~ .~ ...,~'r~x.~.T..~...:..~ ............ zm..~7../. ....... .' .... "S" '; ............ ::"- ..... .:.....,c.. ............................................... .; .... 0,~,,m,,s located at..,~./...~.Z~: ......... .~.~..~..~.¢. ...... ~'~r ....... ~.~.0.~..... .......... ~ ~. .~ ,c,,zT~.~ ...... ~ ././.,,~ ~. .~. ; ......... ...~.. ,~. .~ ,zr~.. .z,~. . z. /~.,/4 ........................... County Tax Map No. 1000 Section ..~..~'....~... ....... Block ..... .~..Z ........ Lot No. ~.~...~....~...~....~."'% pursuant to application dated ...... ~...~.~.~..~..~.....J'..~. ......... , 19~...~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depar U~mnt Town Hall Southo;d, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .J.u..ly..1. ~..1.9.8. 5. ........... Apt. 4-C New Building .... ,~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ;~,55,5. ¥o~D. gs,A.v, enue .......................... Southold House No. Street Ham/et Owner or Owners of Property Liz~[a .Rez~lty. Ltd.. ~555..Y~umg~ .Avenue. S~ut[%~l~. l ~.~7.1 County Tax Map No. 1000 Section . .0..6.3 .......... Block ...0.q ~, ......... Lot. ~.1~. ~. ~.9. ...... Subdivision .. ?..op,.cie..~.s..V.~,)~.a.g~ ........... Filed Map No ........... Lot No .............. Permit No.1.2.8.4. Q~ .... Date of Permit ;[J3,'~,/~.4..Applicant I,,t.z, cl~. ~]~:b'..Lt:cl ................ Health Dept. Approval . $~,5.~ .................. Labor Dept. Approval ........................ Underwriters Approval . ~]..6.9.7 93.4... 6/2.5/. 85...Planning Board Approval ...................... Apt. 4-C Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and pe;/r~it~meets al[~a~icabl~'co(j~$'and regulations. R~. 10-10-78 I ~ounders Vi 11 ag~ C. 0.~ Z 13~22 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ' ~L.0006~J5 BUREAU OF ELECTRIC;ITT BE JOHN STREET. NEW YORK, NEW YORK 10038 Date O~ Application No. on file T'.,s C:E.T,,=,EB T~.~' ~'5. l~e'~ ~3~475/~5 N 697934 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of },'ot,u"'~t~s~ V~ilage, ~ 4 Ap~ ~, ¥o~gs Ave, ~ouf~lold, ~ y in thefollowlng location; [] Basement [] 1st FI. [] 2nd Fl. Section Block Lot was examined on JLI~ ~:0 ~ J.~ and found to be in co,npliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT yAFOR J. 7 25 16 17 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: ?~ 1-11cir, 150amp 1-3~on AC L~t NO'O~E~C~COND' OF A' CC. COND 1 C OF HI-LEG NO' ~ NEUTRALS OFA' W. O 1 141 Ce~*I~z~o/L Ave. 11735 Lic 160 ~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. C01~Y FOR BUILDING DEPARTMENI'. 'I'HIS C011~ OF CERTIFICAI'E MUST NOT I~E ALTERED IN ANY MANNER. PLUMBING AND HEATING CONTRACTORS LICENSED AND BONDED 14S£ABRO AVENUE. NORTH AM~TYVILLE, L I. NY I170! PHONE 8428222 Town. of Southhold Building Dept. Main Road Southold, N.Y. 11971 The undersigned plumber certifies installation is in accordance with the Town of Southold Plumbing Code and the New York State Building Construction Code, and that solder containing less than .2 of 1% was used for any piping of potable water. Location Founders Village Bldg. # 4 Units A,B~& D,& E 2555 Youngs Ave. Southold, N.Y. Building Permit # 12840Z Name & addre.ss of owner Lizda Realty Ltd. 4601 Delafield Ave. B~nx~ N.Y. Plumbers Signature ~ t.~~. /~~ Address 14 Seabro Ave. 10471 License # No. Amityvil~_N.~..~%3201 153-P Sworn to'before me this Notary Public __3rd day of Ju__ly_ 19 85