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:
./