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HomeMy WebLinkAbout13516-Z Bldg 16 Unit CFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14566 Date June 27 8..6 THIS CERTIFIES that the building .... ~ .U.L.T.I.P..L.E..D?..E.L.L.I.~ .G ........................ Location of Property ....2.5.5.5.. YOUNGS AVENUE SOUTHOLD House No. ' .................... County Tax Map No. 1000 Section .·0..6.3 ....... Block .... 9.0.1. ....... Lot ... 2. .8..&.. 2..9 ...... Subdivision FOUNDERS VILLAGE ·Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore fried in this office dated · ...S.e.g .t :..27. ......... 19.8.4. pursuant to which Building Permit No...i .3.5.1.6. .g ............. dated .. 99.%....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 ......... ....B. qi..1.d.i.n.g. 16 Unit C-- Unit in Multiple dwelling. The certificate is issued to LI ZDA REALTY LTD. ..................... i,;~,;;.'F~fi~ii~di~ ..................... of the aforesaid building. Suffolk County Department of Health Approval S-54 Bld #1.6 5/23/86 UNDERWRITERS CERTIFICATE NO ........... P..e.n.d.J:.r;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 a FORM NO. 6 TOWN OF SOUTHOLD Bui;ding Department Town Hall Southold, N.Yo 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final sun/ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of ,.Realth Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electflcal 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 property showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.C. $5.00 .5. Updated C.C. $15.00 Date .... 5.7.2.7.-.8.6. .............. New Building ...X.. ........ Old or Pre-existing Building ............ V~cant Land ............. Location of Property Bldg. 16 Unit .~. .2.55.5. Youngs Ave., Southold House No. Street Hamlet Owner or Owners of Property . .L±zd~ .Rea.].~.y.T.td ....................................... County Tax Map No 1000Section 0.(~3 Block QQ~i Lot ~.8 &..2.9 * ~F.o.u~o~].er~ V~il lacj.e. Filed Map No Lot No Subdivision ............................................... Permit Nell $.5~t.6.~ .... Date of Permit . .1.0/.8~4~...Applicant . .L.i.z.d.a...R.e.a.l..ty..L.t..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 R,~.lO-10.;a Gary S. Kostrewski ~c/~ ~/0 ~ Project Director was examined on ~ ~ ~ t .... and found to be in compliance with the requirements of this Board. RXTURE 1A I WIT t FIXTURES I RANGES ICOO4(ING DICKS I OVENS [DLSH WASHERS EXHAUST FANS DI~VBtS I I~J~ACE ~TOES I FUTUIE A.hl~AN(:i PIEDIilS IPIaALK'PT TIMICLOCKS I MLL ]UNITHE&T~ES MULTI-OUTLeT DIMMRRS SERVICE D~SCOfdN~T METER w 1-~on A/C Unit 141 (~ltral .'~ver~e F~st Farmi~::lale, N.Y. 117~ ~c. i~E COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFI~TE MUST NOT BE ALTERED IN ANY ~NER. 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)