HomeMy WebLinkAbout13516-Z Bldg 15 Unit EFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No Z14741 Date Aug. 1
................................................... 19.86..
THIS CERTIFIES that the building ......... .M.U.L..T.I.P.L..E.p.W.E..L.L.I.N.G. ..................
Location of Property ..... 2.5.~ $..Y.O.U.N..G.S..A.V..E.N.U.E. ........... S.O..U.T.H.O..L.D ................
House No. Street Hamlet
County Tax Map No. 1000 Section ...Q~ ...... Block .... 0.9.1 ........ Lot 28 &29
Subdivision .... ffOURE}ERS..V. IY~b~G.$ ........ Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
... $.~R$,..2~7. ........ , 19 .8.4. pursuant to which Building Permit No..3:. 3. .5.~.6. Z. .............
84
dated Nov. 2 19..., 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 .........
BLDG. #15 UNIT E Unit in multiple dwelling
The certificate is issued to LIZDA REALTY LTD.
of the aforesaid building.
Suffolk County Department of Health Approval ...ST 5.4 ...................................
UNDERWRITERS CERTIFICATE NO ........... P. ?.n.d.J:~ ...............................
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 Depa,[,,,ent
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 m~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of properW 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 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 p~operty showing all properW 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.
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
$15.00
Date ..... 5v;~3.'~86 .............
New Building ..... :~ ....... Old or Pre-existing Building ............ Vacant. Land.. . ..... . ... ,
Location of Property . .~.l.c].g,..1.5' . .U~J,t,. '~- .... ~.~55..Y.q~t0. cJ,S..-SYf~...,.. $O.u.t, hq) ~ ..........
House No. Street Ham/et
Owner or Owners of Property Liz.d.a Realt~y Lk.d.
County Tax Map No. 1000 Section .. D. fi3 ......... Block . .00;1 .......... Lot.. 28..&. 29 ......
Subdivision .Fo~under~ .Viii.age ............. Filed Map No ........... Lot No .......... ... .
Permit No! 351.6.2, .... Date of Permit .10/~,4...Applicant .. Liz~ta. Re,~lt¥..L~.d .............
Health Dept, Approval ........................ Labor Dept, Approval ....................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ....
Fee Submitted $ '
Rev. 10-10-78
C.o.
Construction on above described building and permit meets all applicable codes and regulations.
Applicant . . ,~'~; ~~~ ............
,Kostrewski
Project Director
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000635 BUREAU OF ~LECTRICITY
~ 85 JOHN STREET. NEW YORK, NEW YORK 10038
19e6 394,4 /e6 N762569
THIS CE~IFIES THAT
~8 V~la~ B~i~9 No. 15 ~ ~. ~.E Yo~go A~, ~. o~ ~le ~d~
~s examifl~ ~ afld foufld to be m comph~nce ~th the ~qu~ments of th~s ~rd.
Bour.,dor8 VtJ. l&ge, Bu.:kid.tn9 Ho. 15 AL~. HO.E Youngo Awomlo, So. o£ il:Lddlo Road~
FIXTURE RXTURRS
OUTLETS SWITCHES FLUORESCENT
18 26 18 18
D~YRRS
FURNACE MOTORS FUTURE ,~UAN~I NIOIRS
Parmlbo&L,'dt ~ 1-11ct~:., 150au~a
1-~ 'ton AC Unit;
1-G.F.C.X.
1-Smoke Defect;or
S
RANGES
1 3O
NO. OF CC* C~D. A.W.G.
ICOOKING DRCKS I OVENS I IC~SH WASHERS
TIME CLOCKS BELL UNIT HEATRE$ MULTI-~JTt~T
NO. OF FRET
I
EXHAUST FANS
D~MERS
OF NEUTRAL
2/o
Ho~:h Sbo~e Electric ConCrac~ora,Znc.
141 Central Avenue
~. F&tu/ngdale,N.¥. 21735
Ltc#160E
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.