HomeMy WebLinkAbout13516-Z Bldg 16 Unit EFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
PLUMBERS CERTIFICATION
No...Z.1.4.5.6..8 ......... Date .... .J.u.n.e...2.7 ..................... 19 .8.6.
THIS CERTIFIES that the building ...... M..U.L.T.~.P..L.E..D?.E..L.L.~.N.G. ......................
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
/~6~ Ho: ....................... 's't;~i ....................... i6,~i6
County Tax Map Ho. 1000 Section . .0.6.3. ....... Block ............... Lot .................
Subdivision...F.O.U.N..D.~.R.S...V.~.~.L..~.G~ .......... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore Filed in this office dated
· .~p.t.... 77 .......... ,19 .8.4. pursuant to which Building Permit No..1.35~-fi~ .............
dated . .O.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 .........
Building 16 Unit E--Unit in Multiple dwelling.
The certificate is issued to LIZDA REALTY LTD.
..................... io¥.'~U~.;S ......................
of the aforesaid building.
Suffolk County Department of Health Approval .... S'r 5.4..~..~.~ ~..5./.2. ~ [.8.6. ..............
UNDERWRITERS CERTIFICATE NO ............ ]~en~.ir~g ..............................
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- ].802
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 r.Realth Dept. of water supply and sewerage d!sposal-(S-9 form or equal).
3. Approval of elect{ical 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 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.
C. Fees:
I. 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 .... ~r ~ 7~.8. ~ ..............
Nev~ Building .... ]{ ........ Old or Pre-existing Building ........... . V~cant Land .............
Location of Property .. 3~],qlg....~ ~...t~D, ~, ~t.* .]~... ~.~5,5..Y.q~.g,% .A.¥f~...,.. ~Q.u.t, bglt.d. ..........
Hou~ No. Street Ham/er
Owner or Owners of Property Liz.d.a. Realty Ltd.
County Tax Map No. 1000 Section ...0.(~ ......... Block ... OD/ ......... Lot.. ~B..&. ~]...'...
Subdivision.. Fc~umde~-s. Ui.Llag'~ ........... Filed Map No ........... Lot No ..............
Permit No. ~.35.t6~Z~.. Date of Permit .10/~4...Applicant . .Lizda. RP_,,alty..b~,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.
Rev. 10-10-78
Project director
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 8S JOHN STREET, NEW YORK, NEW YORK 10038
June 27, 1966 394450186
~"' '""~""""°" ~"'""/'" N 756471
THIS CERTIFIES THAT
only the ~l~ctrtc~ equlpmsng as a~crib~d b~low and introduced by th~ applicant named on the abo~ application number ~n tim pr~rn~ of
Found~r~ Y:l. lla4~, l~l. lcU. ng #16, Apt-E,Youngs Avenue, So. of Middle Road, ~..f:J Rat. lroad Argue
Southolci, N.Y.
was e~amined on and found to be in compliance u'ith the r~u~rements of th~ ~rd.
RXTURE RXTUIIES
OUTL_~TS SWITCHES
18 26 18 18
RANGES OVENS D~SHWASHERS EXHAUST FANS
TIME CLOCKS UNIT HEATERS MULT~O4JT~T DIMMERS
SYSTEMS
NO.O~ FIET
SERVICE' I~JCONNI~T S E
OTHER APPARATUS:
Pau~l~oards: 1-11c/r. 150m-~-~
1-3 Ton A/C U~/t
1-G.F.C.t. 1-Smok~ D~cect~r
1
R V I C
2/0
Nce't,h Shore Electric Contractors, Inc.
141 Central Avenue
E. Fsrml~,dale, 11735
Llc. 1/DE
Per
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 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)