HomeMy WebLinkAbout15839-Z Bldg 9 Unit DFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificnte Of Occupnncy
No. Z-16891 Date May 19, 1988
THIS CERTIFIES that the building MULTIPLE DWELLING
LocationnfPrnn,rtv 2555 Youngs Avenue Southold, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 63 ..Block 0l -. 28 6, 29
Subd]vmzon ........................ · ....... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
April l, 1987 · pursuant to which Bullding Permit No. 15839 Z
dated ....A.p.r.i..I..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 -'UNIT D in Multiple Dwelling
The certificate is issued to LIZDA REALTY, LTD. - FOUNDERS VILLAGE
..................... ............... : ....
of the aforesaid building.
Suffolk County Department of Health Approval .S.-:~.4..--. 3/3/88 - Bui.lding t19
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 Depa,b-,ient
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ ~ 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 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
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date .. AP.~, ~..~,5,. ,1.9.~ .......
New Building .... X ........ Old or Pre-existing Building ............ Vacant Land .............
Location of Property . ~B.u,~, ~ ~,~,~,g. 9~, .UO;[~ .~ ,. ~.5.~ 5..Y.o.t~og.s..A..vg.n.u.e' ¢..S.qu..t.h.o.l.d. ........
House No. Street Ham/et
Owner or Owners of Property ~k~(;]~. ~(~,]-,~,Y, ·. ~,~.d ·. r. ~qt,tO,~.e,~,~, y.~,[, ,1 .ag,e, ...............
County Tax Map No. 1000 Section . . .0.63 ......... Block . .QO;[ .......... Lot...2.8..&...27 ......
Subdivision Foun .d.ers Village
.............................. Filed Map No ........... Lot No ..............
Permit No...~.5.8.3.9. ~.. Date of Permit ...4/.2./.8.7.Applicant .L..~.z~.a...R.e.a.[.t;.¥! Tut(:] .....
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.
~'ry ~t~ewski
Rev. 10-10-7S Projec~ Director
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 __
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000635
BUREAU OF ELECTRICrrY
~- 85 JOHN STREET, NEW YORK, NEW YORK 10038
~.te JUNF. 20, ] 988 ~ppl~.,io. Mo.o.~, 44358686/86 N 0~ 7779
THIS CE~IFIES THAT
FOUNDK~S V~LL~,g, YOUNG~ ~VE~ BI~.~9,APT.~D, SOIITHOLD,
MAY 26,1988
~ exemln~ on ~nd/ound to 6e dn com~ian~ ~irh the ~ui~men~ o~ th~ ~.
RX~ ~A { ~ [ RXT~ [ ~ [~S{ 0~ I~W~ ~HAUST FA~
I I
~ PlNELBOARD8:I-IO CIR. ]50 [~t
[,ICENfE NO. 160 E Per } [{
COPY FOIt BUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AHY MANHER.