HomeMy WebLinkAbout13516-Z Bldg 15 Unit CFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14739 Date .. Aug. 1 ,]986
THIS CERTIFIES that the building ... M~U.I~TIP,I~]~. DW~;IJ~IN.G. ........................
Location of Property ...25 5 5..YOUNi~S. A~,'F. NUE .......... S013.T~0~) ....................
House No. Street Hamlet
County Tax Map No. 1000 Section ...0.~ $ ...... Block .... 0.0.1. ........ Lot ..... 2. 8...a.2.9. .....
Subdivision. FQ.U.I'ID]~R$..VI,L~AG~ ........... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore f'ded in this office dated
.... S~L~%,. 2.7. ....... ,191k4. pursuant to which Building Permit No..1.3.5..1.6.Z. .............
dated .... b10.v._ .... 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 .........
D~D.~, #15 UNIT C Unit in multiple dwelling.
The certificate is issued to LIZDA REALTY LTD.
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ..... S.~ .5.4 .................................
UNDERWRITERS CERTIFICATE NO ............. P. ~.d.~n.g .............................
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
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
InstrUctions
A. This application must be filled in typewriter OR ink, and submitted mm 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 srmilar 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 pZ'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 I~repare 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
5. Updated C.O. $15.00
$15.00
Date . .5.-.2. 7. ? .8.6. ................
New Building ..... ~ ....... Old or Pre-existing Building ............ Vacant Land .............
Location of Property . .~.l.c~g....~,,5...U. rl.~,..C.... ~:.5.,~ ~. ~Y.o. qn. cjls' ..~y~...,..~;Q~A.~.I'IQ ~ ............
House No. Street Ham/et
Owner or Owners of Property ...~i;z.d.a,. RIg~]. t:y. ~t~ ......................................
County Tax Map No. 1000 Section ...0.(~ ......... Block ... 09,1, ........ Lot... 2.8..&. ;~,9. ....
Subdivision.. F.o. qogt~. V~.l,].ag'f~ ............ Filed Map No ........... Lot No ..............
Permit No. ~ ;~.5.:[.6.:~,.. Date of Permit .:[0/,~4...Applicant .:~iz~e..~p.].t~y. ~(~ ..............
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.
Rev. 10-10-78
Gary S. Kostrewski
Project Director
THE NEW YORK BaAeD'OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~-~00635 85 JOHN STREET, NEW YORK. NEW YORK 10038
N762570
THIS CE~IFIES THAT
in t~ y~lo~in~ I~atlon; ~ B~e~nt ~ I~t FI. ~ 2~ FI. O~h ,~tion Bilk
~ ex=mln~ ~ ~ff 3~, 1986 e~ound to ~e in compliance with Ihe r~ulrement~ qf thi~ B~rd.
RANOIS
i 40 cb
Panelboazd~: 1-1 cir.,
COOKING DL~CKS OVENS DISH WASHERS
AMT. K.W. AMT, K.W. , MT. K.W.
TIME~OC:KSI BILL ~S MULTI,~OU~T. LIT
A/~AT. AMpS. TRANS. H.P. N So,Y~)~/~T
V I C
1
EXHAUST FANS
DIMMERS
4
No.ch Shore Electzic Contractor8 ,Zz~.~.
141 Central Avenue
E. FaLm~ngdale,N.Y. 11735
LicJ160g
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be
Per
identified ~y their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.