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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