HomeMy WebLinkAbout13516-Z Bldg 16 Unit AFORM NO. 4
TC~WN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14564 Date June 27
.................................................. 19.86
THIS CERTIFIES that the buriding MULTIPLE DWELLING
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section ... 0~,3 ..... Block ... OD.J, ........ Lot... 2.8..~. ~ ......
Subdivision .F..O..U.N.D.E..R.S..V.~.L..L.~.G.E. ........... Fried Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore Fried in this office dated
... Sept. 27 ,19 8. .4pursuant to whieh Buriding Permit No. 13516v.
dated ....O.c..~....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 .........
· ...$Ui.]~d.i..ng..16..U.n.i.t. A -Unit in Multil~.le dwelling .
The certificate is issued to .L.~[~DA REALTY LTD. .
................. ....................
of the aforesaid building.
Suffolk County Department of Health Approval ... ~:- 5.4. .B.l.~ .~ 3.6..5. ./.2.3./. 8..6 ...............
UNDERWRITERS CERTIFICATE bio ........... p.e.r~c3..ip~ ..............................
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 m ~ 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 sifnilar 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 pZoperty 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 ...... ~5 .-~.7.r ~ ~ ............
New Building ...... ~ ...... Old or Pre-existing Building ............ Va,cant Land .............
Location of Property .. ,B),dg....~. 6...Unik J~... 2,-~5 5..Y. qu[tg,s..~'V~.~.,.. Sg.L~hO ~J~, ..........
House No. Street Ham/et
Owner or Owners of Property . .~izd~. ,Realty. L.td ......................................
County Tax Map No. 1000 Section .... q(~ ........ Block . .0..0~ .......... Lot...2.8..&...2p...'..
Subdivision.. ~'p.u,~f~.~i. ¥~.Z.~cj.e ............ Filed Map No ........... Lot No .............
Permit No. $,~ ~.1.(~.. Date of Permit .~, 0/.8.4...Applicant . .~;L7,.c~. ~.e.e,],l;y..~t;~.. ...........
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
ay¥o7
(~gary S. Kostrewski
Project Director
I ooo62 THE NEW YORK BOARD OF FIRE UNDERWRITERS
-- J~ ~, 1~ ~/~
~,. ~.,,.,,o. ~o. o.~,,~ N 56472
RXTU~ ~A~S~ SWIT~ I RXTU~ I ~ Ic~,~sl O~NS [m~ WASHESI ~HAUST FANS
18 /~ 18 18 1 10.4 I 1.2 3
-,. ,... ., ,.,. ~. ..,. ~,. ,o. ....~. .,. ~,. ~,. ~,,. ,,,~. ,gTg~,
~v~ m~N~ ~. ~ s E e v ~ c E
~ ' ' ~ m~t nol ~ ~1~ in o~ monner; r~urn lo ~ office of ~ ~rd it incorr~, Insp~rs ~X ~ i~ b~ ~r
COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
PI bMBING AND HEATING CONTRAC~'ORS
LICENSED AND BONDED
[4 SEABRO AVENUE NORTH AMITYVILLE, L I., NY !!701 - PHONE 842-8222
Town of Southhold
Building Dept.
Main Road
Southold, N.Y. 11971
The undersig~ed 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 potaole water.
Location Fot]nder~ Villmg~ ~l~g_ 16
Building Permit # ]3516Z
Name & address of ~wner ~Ltv
4601 Del~Lf_ield Ave., Bronx. N.Y. 10471
Plumbers Signature
Address 15A Ot__is. S.t., West Bab¥1on.~ N.Y.
11704
License # 153-P
Sworn
to before me this ~-W'~day of ~19 ~
Notary Public ~
'INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFIC~~ ~ j~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO,
DATE [
FORM IBD (KEV. 1/86)
DATECOMMENTS
~,~ ~...+~. ,~,~'~,, ./ //er_.
/ /'~/ __
"~
~ '
, ~ ~~ - ,
FIELD INS?I~T~
1.
FOUNDATION
FOUNDATION (2nd)
2.
ROUGH FRAME &
FLUMBING
3.
INSULATION FERN. Y.
STATE ENERGY
~DE
FINAL
ADDITIONAL COMMENTS:
BUILDING DEPT.
INSPECTION
[ ) FOUNDATION ~ST [ ) ROUGH PI.BG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE ~ ~___~~ INSPECTOR ~