HomeMy WebLinkAbout15839-Z Bldg 6 Unit CFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCcu~NC~
No Z17620
Date DEC. 20~ 1988
THIS CERTIFIES that the building
Location of Property 2555 YOUNG~ A~ENUE
House No.
County Tax Map No. 1000 Section 063.2
Street
Block 001 Lot 08
Hamlet
Subdivision FOUNDERS ~T.T~E Filed Map No. Lot No.
conforms substantially to the Application for Building Pe~mlt heretofore
filed in this office dated APR--. 2r 1987 purs-~t to which
Building Permit No. 15839Z dated APRIL2~ 1987
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 ~I~C IN~LTIP~ D~.T.TNG.
The certificate is issued to LIZDA P, EALT~LTD.
(owner, ~xxxxxx~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROFAL S-54 BLD 6 12/19/88
UNDERWRI'£~KS CERTIFICATE NO. PENDING SLIP 12/19/88
PLUMBERS C~KTIFICATION DA'£~U MIC~u~EL DUFf' INC. OCT. 3~ 1988
~ldin~ Inspector
Rev. 1/81
FORM BO. 0
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)
N9 15839
Z
Permission is hereby granted to: ,
..... .....
.....
..~.....~..:...~..,.~--~'-'"" ...... 1.~..9..2l ..........
,o
~:a~...~..~:.....*....~..~z....~...~~...~...~..*...~.`..~..~~..~...~.~'.~...
ot premises located at .......~.~......~.~.~.~.....~....., ...... ...~...~ ...... .,~...:~ ........
....... ^ .~.. ~..'b £
............................... ~'~,~"~' ............ ~ ~'~'1"~' ....................... '~ i';' .............. 7~':~ ~ :~'~: 79'z~£~'
County Tax Map No 1000 Section ..... .~.,,Lq,..~ ..... Block ....... ,,C~../, ....... Lot No..,b,..~. ,~......9.,,'~:,..~.
.....~ ~ ....... ! ..................... , 19...~...~., and approved by the
pursuant
to
application
dated
Building Inspector.
Building In.q:mctor
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Dapartment
Town Hall
Southold, N.Y. 11971
765- t802
APPLICATION FOR cERTIFICATE OF OCCUPANCY
BLDG. DEPI. ~
TOWN OF SOUTHO..,L.D.~___~;
Instructions
This application must be filled in typewriter OR ink, and submitted m Immmmm 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 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.
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.
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 .... 9/.9./.8.8. ................
New Building ...... X, ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property .B. qi.l.~.i.n.q .6.,...Uq~.~..C.,..2.5.5.5..Y..q .u~.c.[s..A.v...en. qe.,...So~..t;h.o.l.d. ..................
House No. Street Hem/et
Owner or Owners of Property Lizda Realty., ~ ."[~D.. - Foq~ders Village ....................
County Tax Map No. 1000 Section ...0.6.3. ~ ~ Block 001 Lot..~.
Subdivision .... ~..o..uq.d,.e.~.s..V.~.I.a. cde. ............. Filed Map No ........... Lot No ..............
Permit No. [.5.8.3.9.~. .... Date of Permit .4J.2J.8.7....Applicant .... .L.i.z..dA..Re.a.l~.,..~..~... ...........
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
~ary S .~'Kostrewski
~ i'~ ~ ~35-7 Project Director
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 OFFICE.~o~ f~ ~-
THE NEW YORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO. ~ ~ 7 (~J '~
DATE~ I
FORM IBD (REV. 1/86)
[nC.
roRs
:)4 ·
7r"~., 3F $OUTF!OLD i
(516) 491-9393
Town of Southold
Building Dept.
Main Road
Southold, N.Y. 11971
The undersigned 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 potable water.
Location Founders Village Bldg. #6
2555 Youngs Ave., Southold, NY
Building Permit # 15839Z
Name & address of owner
Plumber's
Address
Lizda Realty Ltd.
4601 Delafield Ave., Bronx, NY
Signature ~ ~ ~_~ ~.~fy
15A Otis St., W. Babylon, NY 11704
License # 153-P
Sworn to before me this
Notary Public
3rd day of October 1988
I~ ' '"~&~ BUREAU OF ELECTRICITY Idl
I~ ~ ~ 85 JOHN STREET. ~ YORK, NEV/ YORK 10038
~ examin~ ~ andf~nd ~o ~ in com~isn~ wi~h the ~ui~ments of th~ ~.
RR~ RX~ O~ ~ST FA~
DRYBRS
~OTOR.8: 3-F Il. P,
E R V I C
2/O
NY, ~ ~,7 ~5
This cediflcate must not
manner; return ~ the office of the Board