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Home My WebLink About13516-Z Bldg 15 Unit DFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..zg. 4. 7.4.0 .......... Date .............. .~.u.9.....1 ............ 19.8..6 THIS CERTIFIES that the building ..... .M .U.L.~. I. ~ .L.E.. D..Iy.E.L.L.I. ~.G ....................... Location of Property ........ .2.S.5.5.. ¥9.u~9 .s. Av.~. ~.u.~. ....... s. 9.u7~o..~p ................. House No. Street Ham/et County Tax Map No. 1000 Section ....0 .6.3 ...... Block ... 0..0.1 ......... Lot .... .2.8..&...2 ? ..... Subdivision..F.O..U.N.D.E.R..S..V.I.L..L.A.G.E. .......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Filed in this office dated ...SePk-..27 ......... ,19..8.4pursuant to which Building Permit No....1.3. 5..1.6.g. ........... dated .lq.°X'...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 D Unit in multiple dwelling. The certificate is issued to LIZDA REkLTY LTD. . ..................... io¥,,'d.,'~; 'xau~ .................... of the aforesaid building. Suffolk County Department of Health Approval ... $.-.~ 4 .................................. UNDERWRITERS CERTIFICATE NO ........... .P.e. n. .d .i .n.c.[ .............................. 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 ~l 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 H~alth Dept. of water supply and sewerage disposel-(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 installs- 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 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. 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 $15.00 Date 57~3~ . .. New Building ..... ~ ....... Old or Pre-existing Building ............ Va.cant Land ............. Location of Property . ~.],qlg,..~, 5...U~i t:. D.... 2.5.-~ 5.7.o. ur;g~s..-5¥~, ~..$o¢.tho ~ 0 ............ House No. Street Ham/et Owner or Owners of Property Jai$0a. ,P. eal.ty. BI:B. ........................................ County Tax Map No. 1000 Section ...0.63 ......... Block ... 0D-1 ......... Lot.. 28..&. 29...'... Subdivision... ~.ounc~-z:s. :VJ.1 lag~ .......... Filed Map No ........... Lot No .............. Perm it No. l .3.5.1.6. 2.... Date of Permit . ~, 0/.8.4 ...Applicant .~- ;~.d.~. ]~f~.~Z,t~¥. ~,4, ............. 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. ~' ~/Gary S. Kostrewski Rev. 10-10-78 & d~Y~5 Project Director THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000635 BUREAU OF ELECTRICITY ~-~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,.,e 5, 1,.,.,,,p,,.,,o.~o.o./,,e N762568 THIS CERTIFIES THAT only the e~ctrigM ~qu~pme~t ~s d~scribed b~lole and introduced by t~ ~nt ~ ~ t~ a~ ~t~ numar in t~ pMm~s of ~ examined on ~ 31, 1~6 and found to be in compliance with the requirements of this Board, 3.7 25 16 17 DRYERS FURNACE MC)TOILS FUTURE AlqqJANCE F~EOERS TIME CLOCKS UNIT HEATERS MULTI.4~JTLET DIMMERS SYSTEMS NO. Of FlIT ]~meZhoa.--da: 1-11ctx., 15Oaz~a 1-3 To~ A.C. Unit 'Z~cack L 1-G.F.C.'r. 1-Smo~e Detector S E R I ¢ 2/0 3. 2/0 North Shore Electric Contractora,Znc. 141 Cent. gal Avenue E. Fare~ngd~le,N.Y. 11735 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 MAHNER.