HomeMy WebLinkAbout15839-Z Bldg 7 Unit AFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCcumARCY
No Z17446
Date OCTOB~R24~ 1988
THIS CERTIFIES that the building
Location of Property. 2555 YOUNGS A%~UE
House No.
County Tax Map No. 1000 Section 63.2
MULTIPLE D~m~.?.ING
SOUTHOLD
Street
Block 001 Lot 11
~amlet
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL ir 1987 pursuant to which
Building Permit No. 15839Z dated APRIL 2~ 1987
was issued, and conforms to all of the requir--~nts of the applicable
provisions of the law. The occupancy for which this certificate is
issued is BDILDING %7 - UNIT A IN MULTIPLED~.IN~.
The certificate is issued to LIZDA P,~ALTYt LTO.-FOD~DER~ VILLAG~
(owner, :4~0~C~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-54 OCT. 21r 1988
UNDERWRITERS CERTIFICATE NO. PF/qDING 10/12/88
PLUMBERS CERTIFICATION DATED MIC~%EL DUFF, INC. 10/3/88
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 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 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-g 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.
B. 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 $15.0 0
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5 .Updated C.O. $15.00 Date ...9./.9./.~ .................
New Building X Old or Pre-existing Building Vacant Land
Location of Property .Bg.i.l.d.i.n.~ .7.,..U.n.i.t..A.,..2.5.~5~5 .Y. QLLn, g~ .~'~P_~I~L]~..~Qqt, J]q].d, ...................
House No. Street Ham/et
Owner or Owners of Property . .L.~.2;dJq .P~a. tt;y., .~TD, .r .Eot3zld(trs .Vi].Lage ............... .. ... .
County Tax Map No. 1000 Section ..... Q~ :'?. .... Block .... QQ]. · .. ...... Lot..~a'Ta?r~-~ .I..( . ·
Subdivision...E~..LF}d.e.~..s..~..~.],l. qcJ(t ............... Filed Map No ........... Lot No ..............
Permit No. [.5.8.3.9.3. ....Date of Permit .a~/..;~/.~7....Applicant . ~L2:de. ~ta].~.,. ~ ...............
Health Dept. Approval ........................ Labor Dept Approval ......
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Rev. 10-10-78
Construction on above described building and permit meets all applicable codes and regulations.
/" la~~/f~ v ~ar~.~(. Kostrewski
Project Director k~~)~' ~
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION~ILED WITH OUR
APPLICATION NO, L ~'~ ~ ~D~ J
· (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. #7
2555 Youngs Ave., Southold, NY
Building Permit
Name & address of owner
Plumber's Signature
Address
# 1 qRqqF.
Lizda Realty Ltd.
4601 Delafield Ave., Bronx,
15A Otis St., W. Babylon, NY
NY
License # 153-P
Sworn to before me this
Notary Public
3rd day of October
NOTARY P~Jv~ . ,~ateof
No 52 4779747
~ission Exp3res March ~.
1988
FIELD~INS'PE~T~ON DATE COMMENTS
1. dT/Zc''.
FOUNDATION ( 1~
~. ~/~ &~ ~
INSULATION PER N. ~
~DDITION~L COHHEBTS:
~ ~.