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HomeMy WebLinkAbout15839-Z Bldg 9 Unit AFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z- 16888 Date May l 9, 1988 THIS CERTIFIES that the building ...... .Mp?.T.I..P.L.E.. p .W.E.L.L. ~..~.G ...................... LocatinnnfPrnne-*- 2555 Youngs Avenue Southold, N.Y. House No. Street Hamlet County Tax Map No. ]000 Section .... .6.3 ...... Block 0 I ...Lot 28 & 29 Subdivision ........................ ~ ...... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 15839 Z A.~ ?.£.~..I :.. I. 9. .87 ....... pursuant to which Building Permit No ...................... dated ... ?.p.r. ~..l..2~;. ! .9.8.7. ......... 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 #9 -'UNITA in Multiple Dwelling The certificate is issued to LIZDA REALTY, LTD. - FOUNDERS VILLAGE ..................... ............... : .... of the aforesaid building. Suffolk County Department of Health Approval ..... 8.-:.5.4.. :-..3. ,/.3./.8.8.. 7..S.u.i..1.d.i.n.$./1.9. ..... UNDERWRITERS CERTIFICATE NO PENDING ' PLUMBERS CERTIFICATION DATED: Feb. 16, 1988- Michael Duff, Inc. Building Inspector 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 Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ia II1~ 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 disposel-(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. 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 $15.00 Date .-%PT.i.1..2..5,..1.9..8.8 ......... New Building .... X ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .B.u.i.l.d.i..n~. ,9. c' .U.n.i..~..A.,...2.5.5.5...Y.o.u.n.~s...A.v.e.n..u.e.,...S.o.u.t.h.o..1.d. ........ Housa No. Street Ham/er Owner or Owners of Property . .~.~.z.~ .~..R..e.a. [.~y.,.. ~..~.~.... ?. ?.o.u.n.~.e.~.s.. ¥~.~ a.~..e ............... County Tax Map No. 1000 Section ....0.6.3. ........ Block . .0.0.1. .......... Lot..2.8...&. 29 Subdivision ... Fo~.nder,s..V~-.t.[.~.gc ........... Filed Map No ........... Lot No .............. Permit No..].5~.9.~ .. Date of Permit .~/..2/.8.7. .Applicant ...~..~.z.~.a...R.e.~.~.~¥;..~.~: .......... 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. Gary Ko~t rewski Project Director Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS · ! 00{~;:,':~ BUREAU OF ELECTRICITY -- B5 JOHN STREET, NEW YORK, NEW YORK 10038 ~BN~: 20,]98~ 4~5~38~/g~ N 0~77~8 Dat~ ~pplica~ion No. on fil~ THIS CE~IFIES THAT FO1 ND~;~S V[hhAGE ~ YOUNGS in the follo~ing hmatlon, Bilk HAY ~s examin~ on and found to be in compliance ~ith the ~qulremen~s of this B~rd. FIXTUIIE I FIXTURES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1 IfiO cB ~ ' X 1 2/0' ' ~ 2/0 hIC:ENSE NO, 160 E Per ~: m~ll This ce,lficote must ~t be al~r~ in any manneo ~urn to t~ office of t~ ~rd if incorreO. Ins~ors may be identified by t~i mdentials. [J COPY F(g~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. · INFORMATION FOR BUILDING DEPARTMENT WE ARE IN THE PRESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION} FILED WITH OUR DISTRICT OFFIC~~ ~/ THE NEW YORK BOARD OF F1RE I~DERWRITERS lC. (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 Fg~n4¢rs Village 2555 ¥oun~s Building Permit # 15839Z Name & address of owner Plumber's Signature Address 1SA Bldm. ~9 god, tho]d: N.Y. Lizda Realty Ltd. 4601Delafield Ave., Bronx, N.Y. Otis St. West Babylon, N.Y. License # 153-P Sworn to before me this Notary Public __ FIELD INSPECTION · COMMENTS FOUNDATION ~(lst) FOUNDATION 2. ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COM~ 7GS.'1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING~ g:~~ y /_ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [~FINAL ~.~ REMARKS: DATE INSPECTOR ~65-~802 BUILDIN~ DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~ ~FINAL · REMARKS.-~ INSPECTOR ]'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ]FINAL DATE{~/~ ,NSPE~O~' ]65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION ~FF~MING [ ] FINAL DATE////~/~/"~ INSPECTOR 78S4802 BUILDING DEPT. INSPECTION [~FOUNDA~ON ZST I' ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION I' '1 FRAMING [ ] FINAL REMARKS: ./