HomeMy WebLinkAbout13654-Z Bldg 11 Unit BFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.Z..1.6.I.Q6- .......... Date August 31, 1987
THIS CERTIFIES that the building .. M.U.h% I ?~.E.. I~I4.E.L.L..I .N.G. .................
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
County Tax Map No. 1000 Section . .0.6.3. ....... Block 00 1 .Lot 28 & 29
Subdivision..F.O.I(.N..D .E.R.S...V .I .L.L. A. .G .E ........... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
D e c. 27, 1984 pursuant to which Building Permit No. 13654 Z
dated . .J..ap....2. ~..1.9.8..5 ............ 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 B in MULTIPLE DWELLING
The certificate is issued to LIZDA REALTY, LTD. --FOUNDERS VILLAGE
..................... ......................
of the aforesaid building.
Suffolk County Department of Health Approval .S.-.5.4...A.u.g. :..52.. ! .9.8.7. ..............
UNDERWRITERS CERTIFICATE NO. PENDING.
PLUMBERS 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 $OUTHOLD
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 mm 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.
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
5. Updated C.O. $15.00
Date .... ~ll~l ...............
$15.00
New Building . .X ........... Old or Pre-existing Building ............ Vacant Land .............
Location of Property .B.u.~ 1..d.~.n. cj..1.1.,.U.n. ~..t..1~., .2.5.5.5...Y.o.u.n. 9.s' .A.y.e.n.u.e.: .Sg,u?.h.?.~.d' ..........
House No. Street Hamlet
Owner or Owners of Property Li~da Realty,LTD.........- Founders.. ...Village....
County Tax Map No. 1000 Section . 9.6.3. .......... Block .0.0.1 ........... Lot.. ,2.8..&.. ,2.9 ......
Subdivision.. ~.o.u, .~ .d .e . ~. s, . .V .1.1.1. .~ g .e ............ Filed Map No ........... Lot No ..............
PermitNo. 13654~' Date of Permit 1./.2/.8.5...Applicant Lizda Real, tyzLTD.
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.
Rev. 10-10-78
Applicant ~
Project
Kostrewski
Director
15A QT~S 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 certific.~ installation is in
accordance with the Town of Southold Plumbing Code and
the New York State Building CoDstruction Code, and that
solder containing less than .2 of 1% was used for any
piping of potable water.
Location ~¢~unders Village Bldg. #11
2555 Youngs Ave.¢ Southold~ N.Y.
Building Permit # 1~ /~3'y~
Name & address of owner Lizda Realty Ltd.
4601 Delafiel~2 Ave., Bronx,
Address 15A Otis St.
NY
License #
West Babylon~ N.Y.
153-P
Sworn to before me this
Notary Public
INFORMATION FOR I}UILI)ING IH~]I~AIITMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE. //'~, //~ ~1.4~.~ .~..
THE NEW YORK B~ARD OF FIRE UNDERWRITERS
APPLICATION NO. ~ C ~ ~ --
1-3 Ton &/C Unit
1-G.F,¢.I, 1-$~oi~ Detector
Panelbo&rds: 1-11cir, 150a~ps
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