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HomeMy WebLinkAbout13516-Z Bldg 17 Unit DFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14573 Date June 27 ., 19.8.6 THIS CERTIFIES that the building M.U..L.T.I.P.L..E..D.W.E..L.L.I.N..G .................... Location of Pr ...... 2555 YOUNGS AVENUE SOUTHOLD --uV~zty ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section ...0.6.3. ...... Block 001 .Lot 2 8 & 2 9 Subdivision..FOIJ~I~$]~$..V. 2[ .L.Lp~G.$ .......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated Sept. 27 19 8..4pursuant to which Building Permit No. 13516Z 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 17 Unit D--Unit in Multiple dwelling. The certificate is issued to L I Z DA REALTY LTD. ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ...... S.-..5.4. Bld #17 5/23/86 UNDERWRITERS CERTIFICATE NO Pending PLUMBERS CERTIFICATION 6/4/86 · ...... Building Inspector Rw. 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 A. This application must be filled in typewriter OR ink, and submitted ~ 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 Wealth 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 sitnilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for tik~ 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 unusu~,! 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: 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. $15.00 Date ... 5~.~-~ ~ 8~L .............. New Building ;( Old or Pre-existing Building Vacant Land Location of Property . Blclc3,. 13... Un.it. D...2 5 55..Younos. A~'P~, ~. SD.u~;]3oJ..d ............. House No. Street Hamlet Owner or Owners of Property...L,i.z d..a.. ~R.e a 1 t,y......L, t_.d.. ..................................... . County Tax Map No. 1000 Section .. Q.6.3 .......... Block . .0.q3, .......... Lot..2.~..&..;{~.. :... Subdivision..Eoun. ders..'~i ! .lz~ge ............ Filed Map No ........... Lot No .............. Permit ~o.1.3.5. .1.6~.... Date of Permit . .1. Q/. {~.4...Applicant , .I~,$~lp..R.(~9,]..t3.. b;t.cl.. ............ 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 Tf //7 Applicant ~" Gal-~ S. Ko,strewski Project Director THE NEW YORK BOARD OF FIRE UNDERWRITERS ].0O0~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~,~, oh,me ~-~, 1~8~ N756019 THIS CE~IFIES THAT ~ Vile, T.~a Rlty. Ltd., Yo~ Av~, ~. of ~ ~, E/S R~ ~s examined on and found to be in compliance with the r~quirements of th~ B~rd. RXTUI~ RXTUEES EANGE$ OVENS ~ISH WASHERS 04JT~'TS SWITCHES 17 25 16 17 DRYERS FURNACE MOTORS PUTURE AKttJANCi I~EID~IIS LJNJT H~ATEI~S MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E E V I C OTI'I~I~ APPARATUS: 1-3~o~ A/C Unit Penelboards: 1-11cir. .o.~ ce. co... 2/(~.w.o. 1 2/0 North 3h~re Electric O~n~rac~rs, Inc, 141 Central Avenue 17s~; l~a~ni~le, N.Y. 11735 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.