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HomeMy WebLinkAbout15839-Z Bldg 9 Unit BFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N°''"ZT'l-6-8'8-9 ........ Date May 19, 1988 THIS CERTIFIES that the building MULTIPLE DWELL ING Location of Property 2555 ¥oungs Avenue Southold, N.Y. ouse .............................. No. 's'de;i ............................ am er County Tax Map No. ]000 Section .... .6.3 ...... Block .... .0.1 ......... Lot 28 & 29 SubdivisiBn ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 1, 1987 pursuant to which 15839 g .................... Building Permit No ...................... dated ....A.p.r.i..1..21 ,.. ! .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 -'UNIT B in Multiple Dwelling · The certificate is issued to LIZDA REALTY, LTD. - FOUNDERS VILLAGE (owner,Td~e'l~'l~tI~'~ ~ ............... ? .... of the aforesaid building. Suffolk County Department of Health Approval .... S -: 5. .4..-.. 3. [ 3 / 88.. 7..B.u..i .1 fl.i.n. 9../1.9 ...... UNDERWRITERS CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED: Feb. 16, 1988- Michael Duff, Inc. Building 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 Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ia I1~ 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date . .ADA.i, ],-. ~2.5.,.. ~_ ~).8.~ ........ N B ildi × Old Pre existi g Building Vac Land ew u ng ............. or - n ............ ant ............. Location of ProperW . ~.~J, ~;%g. ~,, .U~i~..]~,. 2~.55. MP.~ngS. J%Ve~,. $~tho;kd ........ House No. Street Hamlet Owner or Owners of Property . ~.~la. ,Re~l.t,y.,. L.td ,. ~..Eounc].e.r$..V.£[ [ac3~. .............. County Tax Map No. 1000 Section .. 0.6.3. ......... Block . .CtQ1 .......... Lot..28. ~ .29 ...... Subdivision..]Fo~%r~ler,% .Vii.],age ............ Filed Map No ........... Lot No .............. Perm it No... % ~.8.3. 9. $. Date of Permit .. 4 ,/2./.8,7 .Applicant .Li z da. .Rea,t.t.y,. Ltd ............. 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. G~ary Kq~45rewski Project Director Rev. 10-10-78 p,, THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~: ] 1000635 BUREAU OF ELECTRIcrrY I--- 85 JOHN STREET, NEW YORK. NEW YORK 10038 THIS CE~IFIE5 THAT ~y t~ ~t~M ~u~me~t ~ ~d~ ~ ~ ing~ ~y tb ~t ~ ~ ~ ~ ~t~ numbr ~ tb ~s of FOUNDERS VIL,A(,)~, YO[IN(;S AVE, BhDG.{9, APT.]B, SOUTBOI,D, N.Y. in t~ /~lo~ing l~u~ion; ~ ~e~nt ~ Is~ FI. ~ 2~ }2. ,~tdon Bilk ~t ~examin~on ~RY ~,~98~ end~oundto~incom~iencewlththe~ui~mentao~th~rd. ]7 16 s.v,cl .,SCO.N.CT.o. :1 150 CB 1 PANel,BOARDS: ]-1 0 CIR. S~40RF, DETECTOR: EXHAUST FANS raMMERS o~^'w'°'.,,-~ 7'°'''''uTR^ts 2/0^'w'°'o~ .EUT.^t NORTH SHOR~ ELEC. CONT. I 341 CF, NTRAI, :AVE ~, FARM,, NY, 1:1.3235 This certificate must not be altered in return to the office of the Board if incorrect. Inspectors 6e identified by thek tials. Iq any manner; may COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MU~T HOT BE ALTERr;Di MAI4~ ?, ~11 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 __