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Home My WebLink About13654-Z Bldg 11 Unit D'FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z.l.6. }.0.8 .......... Date ...... A.u.g.u,s.t., .3,1,,.. ] .99,7 ......... THIS CERTIFIES that the building ...M.~ L..T.I.P.L.E.. p.5/.E.L..L .I.N.G. ......................... Location of Property ....2.5.5.5...Y.O,U?.G..S, ,A.V.E. ~.U.E ............S.O.U..T.H.O.L,D, .................. House No. Street Hamlet County Tax Map No. 1000 Section .0.6. 3. ........ Block ...0.0..1 ......... Lot . .2.8...&..2.9. ....... Subdivision...F.O. ~.D.E.R..S..V.I.L..L .A.C.E. ......... Fried Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated Dec. 27, 1984 pursuant to which Building Permit No. 13654Z dated '...2 .,.. ............ 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 ......... ....~.U.r.L..D.LN.q. ~!.U..U..n.i.t..D...i.n. ?..u.kt.i., .Lc' .D.~..e.kl.i. ~. g ............................. The certificate is issued to ...L.I..Z.D.A..R..E.A.L.T.Y. :..L.T.D.: 7.-.F..O..U.N.D.E.R..S.y.X.L..L.Ag.~' ............. (owner, ~q~]~K~X X X X of the aforesaid building. Suffolk County Department of Health Approval ...8.'15..4..A.u. g :..5.,.. ! .9.8.7. ................... UNDERWRITERS CERTIFICATE NO .......... .P.e.n..d.i.n.g ............................... 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 SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted I ~ 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 sYmilar 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 pZ~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. 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 .... %~/~ ............... $15.00 New Building X Old or Pre-existing Building Vacant Land Location of Property .B.u.~ ! .d .i.n.g [.[..,.U.n. ~ .t.. D., 7.5.5. 5...Y.o.q ~. c~ .s. ?.y ,e .n.u.e. ~. ,S.o.u.t.h..o .I.d. .......... House No. Street Hamlet Owner or Owners of Property . .~.~:~.~.~..R. (~.a.[.~y, .L.T.D.: . 7..F.o..up_.d.e.~..s..V.i. 1, .1 .a.g.e. ............... County Tax Map No. lOOOSection ..0.6.3. .......... Block 001 Lot 28 & 29 Subdivision ...Fp. qn..d.e.r.s...V,i.l.! 9g.e ............ Filed Map No ........... Lot No .............. Permit No. ]:. .3 .6. 5. 4. ?~. . . Date of Permit 1./..2/.8.5....Applicant . .L.l.z.~a...A.e.a. 1..tyz.~.~..D: ............. 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. Applicant d~.Ga ~./S. KostrewsKi Rev. 10-10-78 Project Director 15A OTIS STREET Michae'i Duff, inc. PLUMBING AND HEATING CONTRACTORS LICENSED AND BONDED ·WEST BABYLON I.L NY 117¢)4 · (516) 491 9393 Town of Southold Building Dept. Main Road Southold, N.Y. 11971 The undersigned plumber certifies installation zs in accordance with the Town of Southold i>lumbing 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 Building Permit # Name & address of owner Youngs Ave.r Southoldr N.Y. Lizda Realty Ltd. 4601Delafield Ave., Plumber's Signature .x <- /~( Address 15A Otis St. Bronx, NY License # West Sab ly~nj~. 153-P Sworn to before me this Notary Public 13'~''/'day of ~x~,t 19 ~llfied in ~ufloIk ~ ~ .~ I INFORMATION FOR BUILI)ING i)EPARTMENT 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. //~, //~q,~¢~ ,~~. THE NEW YORK B~ARD OF FIRE UNDERWRITERS APPLICATION NO,. p~ C h ~ ( A~ION . ~ ! ~lgl .XTURm L~:EPTAc~sl SWITCI~S I RXTURES ~ UNGES ~G~KI~ DECKS I OVENS ~m~ WASHERS ]~ DRYK ~ ~RNACE ~TORS I mTUEE AKA~ NEHRS ~IALR~'~ TI~KS ~ ~K I~THEATI~ ~TI~TaT ~ x ~ 2/0 1-3 Ton A/C EXHAUST FANS ~OfNEUTRAL$ OF NEUTRAL ~ 2/0 m~t not ~ a~er~ in any manner; return to the office of the ~ard if incorr~. Insp~ors i y their credentials. This COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.