HomeMy WebLinkAbout13654-Z Bldg 12 Unit AFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.z. !6.93.5. ........... Date .A.u.g.u.s.t.. !2.:. !9.8.7. ................
THIS CERTIFIES that the building .., .HUL. T. I. P.L.E..pW.E.L.L. I?.G. ............................
2555 YOUNGS AVENUE SOUTHOLD
Location of Property ...............................................................
House No. Street Hamlet
County Tax Map No. 1000 Section . .0. 6. 3. ....... Block ... 9! .......... Lot . .2.8.§..2.9 .........
SubdivisionFOUNDERS VILLAGE .Filed Map No. .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Dee. 27,1984 porsuant to which Building Permit No. 13654Z
dated Jan. 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 #12 UNIT A IN Multiple Dwelling
The certificate is issued to LIZDA REALTY, LTD. -- FOUNDERS VILLAGE
of the aforesaid building.
Suffolk County Department of Health Approval ..... .57.5.4' .Apg:..5.,..I .9.8.7 ....................
UNDERWRITERS CERTIFICATE NO ............. .P.E.sP.L~9 ..............................
PLUMBERS CERTIFICATION DATED: MICHAEL DUFF, INC. July 13, 1987
.......
Building Inspector
Rev. 1181
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
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 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
Building Permit
Founders Villaq~
2555 ¥~]]nq~ Av~.:
# 15839Z
BIdq_~12
~n~hnld;
Name & address of owner Lizda Realty; Ltd.
4601 Delafield Ave.t Bronxt
Plumber's Signature q~,~°~'~ t~I~/
Address 15A Otis ~Street
NY
West Babylon~ N.Y.
License # 153-P
Sworn to before me this
Notary Public
day of
19 7
FORM NO. 6
TOWN OF SOUTHOLD
Building Depa,~,~ent
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 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 applicable.
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 featu res.
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./. ], ~/J~.7. ...............
$15.00
X Vacant Land
New Building ............. Old or Pre-existing Building .........................
location of Property Buildinql2 ,Unit A ,2555 Youn~.s Avenue,Southold
House No. Street Hamlet
Owner or Owners of Property Lizda RQalty,LTD. - Founders V%1~9~
County Tax Map No. 1000 Section . .0.6.3. .......... Block .q9.z ........... Lot.. ,2,8..&...2.9 ......
Subdivision ...F.o. qn. ~.e.~.s...V.~.1.1..ag.e ............Filed Map No ........... Lot No ..............
Permit No..1.3.6.5.4..'~... Date of Permit [./..~/.8.5....Applicant . ,~.i.z.~a...R.e.~..t~z.~.~.~...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.
Rev, 10-10-78
Applicant
Project Director
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000635 BUREAU OF ELECTRICITY
~ 85 JOHN STREET. NEW YORK, NEW YORK 10038
Dat~
THIS CERTIFIES THAT
only t~ e~trica~ equipment w dl~crlb~d below one] introduced hy t~ ~.nt ~ ~ t~ a~ ~i.t~ ~um~r in t~ p~m~ o~
F~ars Village, Lt~a R~I~ Ltd.,Yours A~e,S/Of ~ddle ~ad, E/S ~llro~ Ave. Sout~ld
Bld~12 ,~-A ~.Y.
~ examln~ on ~t 10, 1987 and~ound to be in compllunce with the r~ulrement, qf this g~rd.
RXTUI~
QUT~=TS
18
26
SWtTCHE$
18 18
RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS IKJTURS FEEO~RS TI/4E CLOCKS UNIT HEATERS MULTI,OUTLET DIMMERS
SYSTBMS
*1 C
2/o
gor~h Shore ~lectt~c Contzac~or$, Inc.
141 Central Aventm
~a~t Farmt~gdal~, N.Y. 11735
Ltc. 160B
Per
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.
COPY FOR BUILDIHG DEPARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MAHHER.
F~ELD ~INS?ECTION IDATE COMMENTS
FOUNDATION ( 1 st )
FOUNDA~ON (2nd)
STATE ENERGY
BUILDING DEPT.
INSPECTION
FOUNDATION XST I' '1 ROUGH PLBG.
.,N FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING £ '1 FINAL
REMARKS: ~
DATE
INSPECTOR ~ ~,/-_.
m
7GS-'1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [w']/'ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
REMARKS:
DATE ~/~u/~r X
/ /
INSPECTOR/?: ?~
BUILDING DEPT.
INSPECTION
FOUNDATION 'ISl' [ ] ROUGH PLBG.
[ VOUNDATION ZND £ ] INSULATION
FRAMING [ ] FINAL