The URL can be used to link to this page

Home My WebLink About13516-Z Bldg 17 Unit CFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. g. .1.4.5.7-2- .......... Date June 27 ........ 19 .8.6. THIS CERTIFIES that the building MULTIPLE DWELLING Location of Property ...21555..Y. QU.N.G.S. AVE. SOUTHOLD County Tax Map No. 1000 Section 063 . ·Block 001 .Lot 28 & 29 Subdivision FOUNDERS VILLAGE .Filed Map No ...... Lot No. conforms substantially to the Application for Building Permit heretofore fried in this office dated ·..$OP.~.... ~7 ......... ,1913.4. pursuant to which Building Permit No...1.3..5.1.6.g. ............ dated ...Qql:....~ .................. 1913.4., 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 ......... The certificate is issued to LIZDA REALTY LTD. of the aforesaid building. Suffolk County Department of Health Approval S.T.5.4 Bld 17 5/23/86 UNDERWRITERS CERTIFICATE NO. Pend£ncj PLUMBERS CERTIFICATION 6 / 4 / 8 6 · ........ 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 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 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 the 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 pgoperty showing all property lines, streets, buildings and unusual natural or topograph ic 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ,5. Updated C.O. $15.00 New Building .... .X ........ Old or Pre-existing Building $15.00 Date 5-2~?~6 ............ V~ant Land ............. Location of Property .B. 1. .dg... .1. 7. . Unit C' 2555..Y.o. unFs' A. ve ./. Southold House No. Street Hamlet Owner or Owners of Property . .I~z.d.~. :~.e.~,t-I;..I~t~t, ...................................... County Tax Map No. 1000 Section . 063 Block .0.0.1 Lot.. Z8..~. ,/.9...'.. Subdivision. ~.~u~d~s. Y~ la9~ ............ Filed Map No ........... Lot No .............. Permit No. ;[,3.53. ft~.. Date of Permit . ;[.0./.84...Applicant . ~,%.z,4~. ~,I~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 regulation~ Applicant.... G~a y.~.. ~../..~.~ ...... Rev. 10-10-78 .'Kostrewski Project Director THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1003B · N7560 8 Daz~ THIS CE~IFIES THAT ~y t~ e~t~ ~u~nt ~ ~e~ ~ a~ int~u~ by t~ ap~=nt ~ on t~ e~ ap~t~ numar in t~m~s o~ ~ ~11~, ~a Rlty. Ltd. ,~. of ~ddle ~, E~ ~ A~. Y~ A~,~ ~ examin~ ~ and found to be in compliance u';th the r~uirements of this J~rd. RXTURE RXTURES RAHGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 17 25 16 17 TIME OOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTIMS NO, OF FEET SERVICE DISCONNECT S E R V I C OTH~E APPARATUS: 1-3 Ton A/C Un'il; 1-~. F. C. I. 1-S~ke Detector Pmelboards: '1~11~r. Nor[~ Shore Electric Contractors, Inc, 141 Central Avenue Esst Fsrmi~le, N.Y. ~:11735 P#r 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.