HomeMy WebLinkAbout15839-Z Bldg 9 Unit EFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z-16892
Date May 19, 1988
THIS CERTIFIES that the building MULTIPLE DWELLING
Location of Prnn,rtv 2555 Youngs Avenue Southold, N.Y.
House No. Street
County Tax Map No. 1000 Section 63 . .Block 0 I .Lot 28 & 29
Subdzws[on ........................ ....... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
A' P'r.i.l' · ! :. · I. 9..87 ...... pursuant to which Building Permit No. 15839 Z
dated ... ?.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 .........
' BUILDIN'G I/9 -' UNIT E in Multiple Dwelling
The certificate is issued to LIZDA REALTY, LTD. - FOUNDERS VILLAGE
..................... /o¥.'e; ............... : ....
of the aforesaid building.
Suffolk County Department of Health Approval ..... S.-: 5.4..-.. 3. ,/.3./.8. 8.. 7..B.u..~ .1.d.J:.n.g. ft..9 .....
UNDERWRITERS CERTIFICATE NO.. PENDING
PLUMBERS CERTIFICATION DATED: Feb.
]6, ]988 - 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 ~ 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 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.
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.I;% ~..2..~,..1.9.8. 8. .......
New Building .. * ......... Old or Pre-existing Building ............ Vacant Land .............
Location of Property . .B.u,i..1 ~t.i.n.g..9.,, .U.n..i.%..E.,..2.5.,5 ,5..Y.o.u..~cj.s..A.v..e.n.u.e. 6..S.o.u..t.h.o.l.d. ........
House No. Street Ham/et
Owner or Owners of Property I~%;~lp, l~,c~lt, y.:~.t.c].' 7. Founders Villaqe
County Tax Map No. 1000 Section .... 0.63 ........ Block ...0Q.I ......... Lot...2.8..&...2.9 ......
Subdivision.. Fnundems. Vi. Llage ............ Filed Map No ........... Lot No ..............
Permit No... 15.8393. Date of Permit .4,/2./.87..Applicant .I,i;~a, .g~.l.t;y,..L.t..d.. ............
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.
A"p"cant ..... ....
Project ,Director
· ' THE NEW YORK BOARD OF FiRE UNDERWRITERS PAG*~
[000635 BUREAU OF ELECTI~C:ITY
F-- 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
~ ,
FOJNDERS VILLAGE, YOUNG AVE, ~L~.~9: SOIJTROI,D, N.Y.
in t~/~lowi,g hw.tio,; ~ ~e~nt ~ I~t FI. ~ 2nd ~. ,~tton Bilk ~t
~ examin~ on MAY 26~ 1988
and f~nd to ~ in compliance with the r~uimmen~s of ~his ~.
RXTUI~ r~XTURES RANGBS COOKING DICKS OVI~JS DISH WASHL~S EXHAUST FANS
OUTIJTS SWITCHES · FLUORESCENT
S~RVICE DISCONNECT S E R V I
OT~RAFPA~TUS:
POST I,ITES-2
PANEI,BOARD~.I-1 CIR. 125
NEUTRAL
NORTH SHORE ELEC. CONT.
]43 CENTRAL AVE
E. FARM.~ NY, lJ735
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials,
~ II~ll BUILDING DEPARTMEWr. THIS COPY OF' CERTIFICATE MUST NOT BE ALTERED IH AHY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~o0os~ .UREAU oF
~ 85 JOHN STREET. NEW YORK. NEW YORK 10038
Dutf ~JN~ 20,~)88 Applieatio~No. on~ile 44358786/~6 N 0~777~
THIS CE~IFIES THAT
~ t~ e~t~ ~ipme~t ~ McM ~ ~ i~t~ ~ t~ ~ ~ on the =~ ~ ~umMr
~ examin~ on NAY 26,1988 and f~nd ~o ~ in ~m~iu.ce ~i~h the r~ui~meni, of th~ ~.
18 26 18 18
O~YERS RJRNACEMOTORS TUMCbOCKS MULTI-OUTSeT DIMME~
S~TIMS
NO. Of FIL~T
3 TONA.C.UNIT-1
SHOKE DETECTO~:-I
S E R V I C
2/0
2/O
NORTH SHORE E~EC. CONT.
141 CENTRAh AVE
~. FARM., NY, 11735
L.CENSg NO. 360 E Per
This cerlificote must not be altered in any manner; return h) the office of l~e Board if incorrect. InspectM. s may be identified by their credentials.
COI)Y FOR BUILDING DEPARTMB4T. THIS COPY CXI: CERTIFICATE MUST HOT BE ALTERED IN ~ MAIMER.
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 __