HomeMy WebLinkAbout13654-Z Bldg 11 Unit CFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.Z16107 Date August 31, 1987
THIS CERTIFIES that the building ..... M.U..L.T.?.L..E..D.W.E..L.L.I.N..G .......................
Lo~.+;~_^cz~ .... ,. 2555 YOUNGS AVENUE SOUTHOLD
House No. Street Ham/et
County Tax Map No. 1000 Section . .Q6..3 ....... Block .... 0..0.1 ........ Lot 28 & 29
Subdivision FOUNDERS VILLAGE .Filed Map No. .Lot NO.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· . p.e.q:..2.7. ~. J .9.8.4. pursuant to which Building Permit No.. 1365.4.Z .............
dated J a n. 2, 1985 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 #11 Unit C in Multiple Dwelling
The certificate is issued to LIZDA REALTY, LTD.--FOUNDERS VILLAGE
..................... ?o¥,;~;, ~'~,~'ff f '2 ...................
of the aforesaid building.
Suffolk County Department o f Health Approval .... S. 7 .5.4..A..u g.... 5. ~..1.9. 8..7 ..................
UNDERWRITERS CERTIFICATE NO ............ ~..g.~p.X.~. ? ..............................
PLUNBERS CERTIFICATION DATED: MICHAEL DUFF, INC. July 13, 1987
........
Building Inspector
Rev. 1/81
I~OB,~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISF..~ UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 13654 Z
Permissio~ is hereby gronted to:
...... ~/~.w~..ff~.,:z:~ .... ~/~, ..........
...... ~.o../.. ....... ..D..~.~/.a.a...,4~. ....
.... ~.~..,...~.~ ......... z~..~.7..../.. .......
- ,- - - 0 '~ ' (..~,,~ -
~./5....~..v.....E...~.$...~.~¢..~.¢.~ ....... ~.~/~.~.....~:...~....~t...~ .............. /.......
.,,,,,,,, ,oco,ed o, .~,./.~ ........ ./..~,~.~.~..,,~-.v.........L.~.~,~...?....~.,.,..P.,. ......
~.,~.~.....Y.,z/,~....~.~...,~,.~.,~. ....................................................
County Tax Map .o. 1000 Section .~.. .......... Block ...1~/.. ........... Lot No.(~.~..~....~-~
pursuant to application dated ..'~.~-".~.: ....... /....~. .......................... 1~..~..i and approved by the
Building Inspector.
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~m I~mas~m 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 sifnilar 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 *:pplicable.
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
5. Updated C.O. $15.00
Date .... 3.~f~.l ...............
$15.00
New Building X Old or Pre-existing Building Vacant Land
Location of Property Buildinq ll ,Unit C. ,2555 Youngs Avenue,Southold
House No. Street Hamlet
Owner or Owners of Property Lizda R¢~lty,LTD. - Founders .V. ill.a.g.e
County Tax Map No. 1000 Section . .0.6.3. .......... Block .0,0, ,1 ........... Lot...2.8..&...2,9 ......
Subdivision . . .F.o.u, .n .d.e.r.s,..V,i. 1,1, .ag.e ............ Filed Map No ........... Lot No ..............
PermitNo. 136547' Date of Permit 1./..2/.8.5...Applicant Lizda Realty, 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.
can Kostrews i
Rev. 10-10-78
z
7
Project Director
15A OTIS STREET
Michael Duff, inc.
PLUMBING AND HEATING CONTRACTORS
LICENSED AND BONDED
· WEST BABYLON LI, NY 11704 ·
(516) 491-9393
Town of Southold
Building Dept.
Main Road
Southold, N.Y. 11971
The undersigned plumber ccrtkfi('s ins~a]lati, on 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
~unders Village Bldg. #11
2555 Youn~s Ave.~ Southold~ N.Y.
Building Permit # ]~ /~-~Z
Name & address of owner Lizda Realty Ltd.
4601 Delafiel~ Ave., Bronx, NY
Plumber's Signature
Address
1SA Otis St.
License #
West Babylon, N.Y.
153-P
Sworn to before me this
Notary Public
INFORMATION FOI~ I~UILI)ING I)EI'AllTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
D,ST,,, ,::T OF~',,:,~, ~ //~ ~, ~ ci~
THE NEW YORK B~ARD OF FIRE UNDERWRITERS
looo635 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 85 JOHN STREET. NEW YORK. NEW YORK 10038
THIS CE~IFIE~ THAT
ody lb ~t~d ~u~nt a ~ ~ a~ int~d by tb ~i~t ~ on tb a~ ~pl~t~ numar in tb p~m~s of
Founaers Village, Lizda ~lty Ltd., Yours Avon., 8o. of Middle Ro~, g/S Ra/lro~
~t-C, Bldg-ll $~t~ld, N.Y
in t~ f~lowlng I~ation; ~ B~nt ~ I~t FI. ~ 2nd FL ,~tion Bilk ~t
~exemin~on ~U~t 28. [~87 and found to be ln compllan~ ~ith the requirements of th~ ~rd.
RXTUEE RXTURES RANGES OVENS EXHAUST FANS
17 2.~ 16 17
lai~ERS FURNACE MOTORS
5YS~
~RVIC~ INSCONRECT
OTHER AF~ARATUS:
Panelboard8: 1-11eLi. 150~ps
1-3 Ton i/C Unit
1-G.1LC.I. 1-_~o__ke Detector
S E R V I
NO, OF CC. COND. A.W.G.
~O. OFNEUTRA
1
OF NEUTRAL
North Shore Electric Contractors, Inc.
141 Central Avenue
East ~ar~tnsdale, N.¥. 11735
Lit. 160E
This certificate must not be altered in any manner; return to the office of the Board if inco,rrect Inspectors may
COPY FOR BUILOING DEPARTMENT. THIS COPY OF
11
by their credentials.
IN AHY MANNER.