HomeMy WebLinkAbout13516-Z Bldg 16 Unit BFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hale
Southold, N.Y.
Certificate Of Occupancy
No..ZlgS.65 ......... Date . .J.u.n.e., .2.7. ....................... 19 .8.6.
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..?O.P~.~..~.S..v. ;.~.~Aq.~ .......... Flied Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·..S.e.p.~....2.7 ......... ,19.8..4pursuant to which Building Permit No. 13516Z
dated . 0.c.t.:..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 .........
...~u ~.clir~g..~.~...~.n.i.t.. ?.-.~.n..i.t..i..n. ~.uA .t.ipA. e...~?.e.% % ~.n~ .. ......................
The certificate is issued to .. L~.~DA .R.~A..LTY LTD.
......... ?o¥.'.;,~di~ ......................
of the aforesaid building.
Suffolk County Department of Health Approval .. ?.5.4..B.u.l.c!...~.1.6.. 5. ./.2.3/..8 .6 ...............
UNDERWRITERS CERTIFICATE NO .......... ?.e.n.c!. ~ .nD ................................
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
Bo
This application must be filled in typewriter OR ink, and submitted m ~amm~a 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 IZJealth 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 tho 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. Data 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
Date ...... ~r~.7.-~6 ............
$15.00
New Building ...... Z ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property . ~.c~cj ,. ~.6... UpjiJ;. ~ ..... ;Z,5.5.5. ~p.u~)g~. A~'e · ,..Sou~o 1 d ...........
House No. Street Ham/er
Owner or Owners of Property . ~,~q]~. ~(~3 [ J:.y.. [.t~ ....................................... .
County Tax Map No. 1000 Section .. 0~,.3. ......... Block . .0.01 .......... Lot..28. &. ,:29...'...
Subdivision .F. ogp.d.e.];'~..V.J. ~, ~ p.%~ ............. Filed Map No .......... · .Lot No ..............
Permit No.l.3516Z... Date of Permit . .~,0/8~, · .Applicant . .T-iz(]~ .Rea.l.by- ;_,.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.
Applicant
ry S. ,Kostrewski
Project Director
FIXTUI~ L FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
17 ~5 16 17
SERVICE DIS4~INE~T S E R V I
OTHER Aag'ARATUS:
1-3 Ton A/C Uatt
1-G.F.C.I. l~he Detector
l~melboards: 1-11c~r. 150~s
1 2/0
Nc~h Sl~re E]~c~tc O~ntr~ors, IN~
141 Central A~n~
C
i 2/0
This certificate must not be a tered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their entials. I -
COPY FOR BUILDING 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)