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Home My WebLink About13516-Z Bldg 16 Unit DFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g.i. .4.5.6.7. ......... Date .. ~.u.n.?..2.7. ...................... 19.8.6. THIS CERTIFIES that the burring ...~..U.L~I?..h.g..D.¥.E.L.L.~.~.G ......................... Location of Property 2555 YOUNGS AVE SOUTHOLD $1[~s~ ~o: ........................................................ Street Hamlet County Tax Map No. I000 Section .0..6.3 ........ Block 001 .... Lot 28 & 29 Subdivision .... ?.O.U.N..D.E.R.S...V.I.L.L.A..G.E ........ Fried Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... $ .e p .t. .. . .2 .7 ........ , 19..8.4pursuant to which Building Permit No ..... 1.3..5.1.6.2. .......... dated Oct. 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 ......... Building 16 Unit D--Unit in Multiple dwelling. The certificate is issued to LIZDA REALTY LTD. ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval .... R'rS .4..B.l.d...~.1.6...5/.2.3. ./.8.6 .............. UNDERWRITERS CERTIFICATE NO ............ ~..~r~0j~rtg ............................. 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 C;RTIFICATE 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 Realth 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 sifnilar 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~perty 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 informs- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Data ..... 5r 23.~86 ............. New Building .. ~ ......... Old or Pre-existing Building ............ V0cant Land ............. Location of Property . ~1.dg...1_6.. ~it,. [~... 25.55. ¥c~ungs. J~Veo ~..Sou~hold ............ House No. Street Ham/et Owner or Owners of Property ~J.~-c]a. J~ea/~y .~.Ld. ........................................ County Tax Map No. 1000 Section .. 9.6.3 ......... Block ...0¢}~ ......... Lot... ~J~..%. ~P..'... Subdivision... ~'.qu[t~.e.~;. ~,~.],], ~g.e. .......... Filed Map No ........... Lot No .............. Permit No~5~.6~ .... Date of Permit .~,0/~.4.....Applicant . .~,~.z.~. ]~.e.a,].~.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 regulation[ ;ary 8. Kostrewski Rev. 10-10-7S Project Director E' [] FIXTURE L FIXTURES P~NGES COOKI~ DECKS OVENS DISH WASHERS EXHAUST FANS IPlI~ ~ ~ ~ ~ACE ~TORS ~TURE AKA~ qi~ ~AL~'~ TImC~S ~ ~U~TmAT~ K~T~T ~MME~ 141 (~ntral Avenu~ East Farmin~,~)e, N.Y. 11735 Ltc. 1~ ~ Per ~ ~ ~is ~fflflc~e m~t not ~ al~r~ in any manner; ~urn ~ the office of the ~ard if incorrect. Insp~ors may ~ identih~ by ~ir credentials. CO~ FOR BUI~i~ DEPARTMENT. THIS COPY OF CERTIFI~TE MUST NOT BE ALTERED IN ANY ~NNER. 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)