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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