HomeMy WebLinkAbout13516-Z Bldg 15 Unit AFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..g.~.4..7.3.7 .......... Date ...g.u.g.u.st I . 19 86
THIS CERTIFIES that the building MULTIPLE DWELLING
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
County Tax Map No. 1000 Section . .0..6 .3 ....... Block ...0..0.1 ......... Lot .2.8...a..2.9. ........
Subdivision FOUNDERS VILLAGE
............................... FRed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore Filed in this office dated
· ...S.E.P..T:..2.7. ........ ,19.8.4. pursuant to which Building Permit No. 13516Z.
dated .N..oy.... 2._ .................... 19.8.4., 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 .........
BLDG. #15 Unit A Unit in multiple dwelling.
The certificate is issued to LIZDA REALTY LTD.
..................... .....................
of the aforesaid building.
Suffolk County Department of Health Approval S- 5 4 ·
UNDERWRITERS CERTIFICATE NO Pending
PLUMBERS CERTIFICATION
6/4/86
Building Inspector
Rev. 1/81
fOCal ~O. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 13516 Z
Permission is hereby granted to:
.... ..............
.... ~//~x......~..-,:',~ ~/~."~,~..,z~... ....
....... ~,~.~.g..~....~*....~.... ......... /..~..~ .....
, /
,o ....~.~u~..~. .................. ~.~.~x~.....,~x~..,~m,...~ ............ ~ ~...~.~ .........
.. .= - -,~_ . ~ -~ ~
. z~.~ ...... ~.Z.....~ .......... Zg.....~...~/~...~g~t~..~..r~ ~
....... .~...=..~z~ ......... ~,~.~%~-~....~a~.~.~=.~..~ ............
County Tax Map No. 1000 Section .~.. .......... Block ..(~./. ............. Lot No.~..~..~...~....~'.~..i.]~ O/C)
Building Inspector.
Building Insl:mcl'or
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
76.5- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ 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 sYmilar 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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.
C. 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
5. Updated C.O. $15.00
$15.00
Date ..... 5,: ~.7.~ ~ ~ ............
New Building .... :~ ........ Old or Pre-existing Building ............ V,acant Land .............
Location of Property ]~.d.g, ~-.5..Uo~.t..A ..... 255.5..]{ou~c~. A.v.e..,. Sp. tlt-]313~Ld ..............
House No, Street Ham/et
Owner or Owners of Property . ~.~c~. ,Rea-].tzy. TJr.~ .......................................
County Tax Map No. 1000 Section .... 0.63 ........ Block . .001 .......... Lot .28. &..29 .... '...
Subdivision,..~p.u, B0~r~..V~t.],e,g¢ ............ Filed Map No ........... Lot No ..............
Permit No. ~..3,5~.6.2.... Date of Permit .~ Q/B.4....Applicant .Li ~c1~..Rea,[.'c;y. k~d ..............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ...................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .~.. ~ ......................
,~v. 10-10-78 ~...,.~ ~,~'~;>_~'"~ 0 Gary S. KOstrewski
~/~ Project Director
d.d. ZlY737
PL',JMBING AND HEATING CONTRACI'ORS
LICENSED AND BONDED
14 SEABRO AVENUK NORTH AMITYVlLLE, L I, NY 117'01 · PHONE 842-8222
Town of Southhold
Building Dept.
Main Road
Southold, N.Y. 11971
The undersig]ad plumber certifi~zs installation is
in accordance with the Town of Southol. d Plumbing Code
and the New York State Building Const~3uction Code, and-
that solder containing less than .2 o! 1% was used for
any piping of potable water.
Location F____o. pnders Village Bldgt 15
2555 Youngs Ave. Southold, N.Y.
Building Permit #
13516Z
Name & address of ~wner Lizda Realty Ltd.
~ 4601 De~lafield Ave., Bronx, NY10471
Plumbers Signature ~c~ ~_~
Address '15A Otis St., West Babylon, N,Y. 11701
License # 153-P
Sworn to before me this ~19 g~
Notary Public
THE NEW YORK BdARD' OF FIRE UNDERWRITERS
000635 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK. NEW YORK 10038
,,-.. 198, 39, ,w8, N762571
THIS CERTIFIES THAT
on~y th~ electro-I equip~te~tt aa described below a~ int~ by t~ ~t ~ ~ t~ ~ ~t~ numar in t~ ~m~ of
in t~ y~lowing I~atlon; ~ B~e~nt ~ Ist FI. ~ 2~ FI. ~tlon Bilk
~s examin~ on ~ ~ ~ ~ ~ ~ and ~ound to be in compliance with the requlre.zenl ~ o~ t~is B~rd.
HXTUIE
OUTLETS
18
fiXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
26 18 L8
FURNACE MOTORS TIM~ CLOCKS UNIT HIATliRS MULTI-04~T~T DIMMERS
SYSTffdS
NO. Of FHT
SERVICE DISCONNECT
1-3~on AC Unit
1-G.t~.C.I.
l-_~-~ke
R V I ¢ E
2/0 1 ~/o
North Shore Electr£c Contractors, Inc.
141 Central Avenue
E. Farmlngda18 ,N.Y. 11735
LioJ160E
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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FIELD INS?~'~I(kN COMMENTS
FOUN DAT I O__N ~ (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
,INSULATION PER N.
STATE ENERGY
qODE
FINAL
0, o.
ADDITIONAL COMMENTS: