HomeMy WebLinkAbout13516-Z Bldg 18 Unit DFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14021 Date November 2~
.................................................. 19.85..
THIS CERTIFIES that the building ...H.U.L..T .Z?.L.E...D.~.E.L..L.Z.~.G. .........................
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
I~l~s~ Ho: ................................. Street Hamlet
County Tax Map No. lO00 Section .0ff.~. ........ Block .... ~..~ .~ ........ Lot .. 2 $ & 2 9
Subdivision...~.QU~.~.R.~..Y.:I.L..L ~.G.~. ......... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
....S.e.p.~. :..2.7. ......... 19 .8.6. pursuant to which Building Permit No... ! .3 .5.1. 6. .Z ............
dated ..... .N.q v.:..2 ................ 19.8.~., 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.u.~. ~..d.~.n.~. ~? J.8..g.p.~...1. 8. r p..U.n..~.~..~.n...m.u.~..~.~p.~.e...dy.? .~.~.n.g.: ...................
The certificate is issued to LIZDA REALTY LTD.
..................... /o'.;.~),'/~L~¥;Ct~;~}~ ......................
of the aforesaid building.
Suffolk County Department of Health Approval S- 5 4
UNDERWRITERS CERTIFICATE NO. # N 7 1 7 8 9 3
Plumbers Certificate 10/9/85
m ~ng 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
THE NEW YORK BOARD OF FIRE UNDERWRITERS
THIS CE~IFIES THAT
~y t~ ~t~ ~u~nt ~ ~sc~ ~ ~ int~ by t~ ap~ant ~ on t~ ~ ~pl~t~n numar in t~ p~m~es o~
F~o V~e, Bl~jlS, ~tJD, ~old, ~
in the/ollowing location; [] Basement [] lsr FI.
was examined on
MovelM)er 11, 1985
[] 2nd FI. S~ction Block Lot
and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTL_BTS SWITCHES
25 16 17
FURNACE TIME CLOCKS UNIT HEATERS MULTI~UTI~T DIMMERS
SYSTEMS
NO. OF FEET
17
DRYERS
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
~&nelbo~bi ~ 1-lloL~., ~50m~s.,
l-3~on A/¢ Un~.c
NO. OF CC, COND. A,W.G. NO.OF HI-LEG A.W.G. NO. OF NEUTRALS A-W-G.
PER .g OF CC. COND. OF HI-LEG O~ NEUTRAL
I i/0 I 1/0
Iiort..h Shore lllect. Co~rs.
141 CenCrll Avenue
~;. Fazutngd~le, HY 11735
Li0#160
GINEI~AL ~N~ER i* ?
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ma), be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions ' '
A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 Health 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty 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:
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
$15.00
Date .... .~.¥..ej~e...~' .8{..1.9.8.5 ......
New Building .... Z ........ Old or Pre-existing Building ............ Vacant Land .............
Location of Property 18-D 2555 Youngs Ave., Southold
House No. Street ' Hem/et
Owner or Owners of Property ... ~1~.~(;]~. ]~{~{~.~.y. ~.. ........................................
County Tax Map No. 1000 Section .. Pt53 .......... Block . 99.1 ........... Lot....~.8..&..2.9 ......
Subdivision.. ~Qpp¢.e~c.s..V~.l.~.a¢.e ............... Filed Map No ........... Lot No ..............
Permit No .... ~ .3 .5 ~ .6 .3 . Date of Permit 1.0/.8.4 ...... Applicant ... ~.I?;.D~.. [~ALTY T.TD.
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 . , H/~.~. ~.~j~ .................
Kostrewski
Project Director
z_
PLUMBING AND HEATING CONTRAC' ORS
UCENSED AND BONDED
14 SEABRO AVENUE - NORTH AMITYVILLE. L~ I., NY 11'701 · PHONE 842-8222
Town. of Southhold
Building Dept.
Main Road
Southold, N.Y. 11971
The undersigned plumber certifiers installation is
in accordance with the Town of Southold Plumbing Code
and the New York State Building Const?uction Code, and
that solder containing less than .2 o! 1% was used for
any piping of potable water.
Location Wo~nd~rs V~llaqe Bldq. 18
2555 Vn~lngS AV~. ~n~hnld~ ~.¥.
Building Permit # ~l~51~Z
Name & address of owner Lizda Realty Ltd~
4601 Delafield A~e. Bronx, N,Y, 10471
P lumbers Signature ~ ~-~ ~..~
Address 1~ ~hro Av~. No. Amityville~ N.Y. 11701
License # 153-P
Sworn to before me this q ~-
~ day of o~t. ~ 19 85
Notary Public k(~,-~-- ~Y