HomeMy WebLinkAbout13654-Z Bldg 12 Unit BFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
PLUMBERS CERTIFICATION DATED:
Nn Z16036 Date August 12, 1987
THIS CERTIFIES that the buildin~ MULTIPLE DWELLING
Lo ..... 2555 YOUNGS AVENUE SOUTHOLD
cation oi rroper~y ...............................................................
House No. Street Ham/et
County Tax Map No. 1000 Section 063 . .Block 0] .Lot 28 & 29
Subdivision FOUNDERS VILLAGE
............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in tfds office dated
·...D.e.c :..2.7 ;.· ·.......1984 · pursuant to which Building Permit No. 13654Z
dated Jan. 2, ]985
............................. 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 B in Multiple Dwelling·
The certificate is issued to LIZDA REALTY, LTD.--FOUNDERS VILLAGE
(owner,~ ....................
of the aforesaid building.
Suffolk County Department of Health Approval .. ~:-~.4. &ug... 5, 1987
UNDERWRITERS CERTIFICATE NO. Pending
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 B~ 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 "preexisting"
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 building[
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 J~.7. ...............
$15.00
New Building X Old or Pre-existing Building Vacant Land
Location of Property .B.u.~. %4.~.~.q .];. ~..,.U..Q .~.~..~.. , '2.5.5.5.. yp.q~. 9.s. Avenue, Southold
House No. Street Hamlet
Owner or Owners of Property . .L.i..z ,d.a..R. ¢~.l.t.y, .L.T.D.; . 7..F.o..u.n.d.e.r..s..V.i. 1..19.cj.e' ...............
County Tax Map No. 1000 Section 063 Block 091 Lot.. ,2,8 .&. 29
Subdivision...F.o.u.n..d.e.r.s...V.i.l. 1..ag.e ............ Filed Map No ........... Lot No ..............
Permit No. 1..3.6.5.4..Z... Date of Permit 1./..2/.8.5....Applicant . .L.i.z.d.a....R.e.a. 1..t~//.L.T..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
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 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 Founders Villaqe
2555
Building Permit # 15839Z
Bldq.~]2
Name & address of owner Lizda Realty; Ltd.
4601 Delafield Ave. ~ Bronx~
P1 umber'sSi gna ture ~,~c- -~-~'- It( 1 ~t--~/
Address 15A Otis Street
NY
West Babylon~ N.Y.
License # 153-P
Sworn to before me this
Notary Public
19 7
I¢oO~mG DE~S I OVENS laSH WASHliS
SYSTEMS
NO. OF FEET
l j~ FIXTUIIE [ICBETACLESt SWITCHES I NXTURES RANGES
~ GUT--S [K ,.CANDESCENT FLUCXtE~CE.T ~vA~Y ~MT. K.W.
il7 /25 16 17 1 13.
I~ DRYERS I FURNACE MOTORS I KITURE AFfiANCE FElleRS tPffClALREC'PT TImCLO~KS I BELL ~
3 F ! 30 ! 12
BI[] SERVICE INSCONNKT INo. O~ I S S n V e C
i~~'r'~' '''w '' ~w 3' 3w ~''w "°'°~'¢°"~' ~ ~§~ "°'~ "''~° ~'~! z i 2/0
EXHAUST FANS
OTHER A~ARATUS:
1-3 Ton A/C Un:Lt
1-G. F. C.Z. 1-~lae
Panelboarde ~ 1-11cir. l$O=mp~
l~orth Shore Electric Contl~etore, ThC.
l&l Central A~nue
East Farmingdala, N.Y. 11735
Lic, 160E
L;
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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.