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Home My WebLink About13654-Z Bldg 12 Unit DFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16038 Date ..... August 12t 1987 THIS CERTIFIES that the building ..... .~.?. I.I?L.E..D..W~.L.L.I.N.q .......................... Location of Pr ' 2555 YOUNGS AVENUE SOUTHOLD operty/Youse .............................................................. No. Street Hamlet County Tax Map No. 1000 Section 063 . .Block 01 .Lot 28 & 29 Subdivision FOUNDERS VILLAGE ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Pemit heretofore filed in this office dated Dec. 27, 1984 ...................... pursuant to which Building Permit No. 13654Z dated . $.a.n ....2,. ! .98..5 ............... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... BUILDING #12 UNIT D in Multiple Dwelling. The certificate is issued to LIZDA REALTY, LTD--FOUNDERS VILLAGE ..................... ioYn'e;, ................. of the aforesaid building. Suffolk County Department of Health Approval ...... .S7.5.4' .A .u g : . .S e . .1.9 .8 .7 ................... UNDERWRITERS CERTIFICATE NO .............. .P .e .n .d .i .ng ............................. PLUMBERS CERTIFICATION DATED: MICHAEL DUFF,INC. July 13, 1987 ..... -. Rev. 1/81 I~OB,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISF..~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13654 Z Permissio~ is hereby gronted to: ...... ~/~.w~..ff~.,:z:~ .... ~/~, .......... ...... ~.o../.. ....... ..D..~.~/.a.a...,4~. .... .... ~.~..,...~.~ ......... z~..~.7..../.. ....... - ,- - - 0 '~ ' (..~,,~ - ~./5....~..v.....E...~.$...~.~¢..~.¢.~ ....... ~.~/~.~.....~:...~....~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 t~ 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 featu res. 2. Final approval of Health Dept. of water supply and sewerage disposel-(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 p=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 $15.00 Date %Z%f~l .... New Building . .X ........... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~.~. [ .~.~.~.~..l.2.,.U.~..~ .~..D.., .2.5.5.5...Y.o. qn. c~.s..A.¥ .e.~.u.e.: .S.o.u.~..h..o.1~. .......... House No, Street Ham/et Owner or Owners of Property . .~.~..z .~.a. ,R. C¢~.1.~..y, .~.~.D.... 7..~..o..u~.~.e.r..s. ?..J;. 1. .1 .a.g.e. ............... CountyTax Map No. 1000 Section . .0.6.3. .......... Block 001 Lot., .2.8..&. 29 Subdivision., .F.qqn..~.e.~.s...V.~.~.];gg? ............ Filed Map No ........... Lot No .............. Permit No..[.3.6.5.4..Z... Date of Permit [./..~/.8.5....Applicant . .L.i.~.~a...R.e.a. 1..~y;?.~...D: ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Rev. 10-10-78 Construction on above described building and permit meets all applicable codes and regulations. Applicant .~----~-'~ .......... ~./Ga~/S. Kostrewski \~b~~) 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 FQ~nders Villaq~ 2555 ¥~]]n~ Av~.: Building Permit # 15839Z Bldg. S12 Name & address of owner Lizda Realty; Ltd. 4601 Delafield Ave. ~ Bronx~ Plumber's Signature ~'~ .~ ~ ~,~o~.~'_ ~} .~_/~( Address 15A Otis .Street NY West Babylon~ N.Y. License # 153-P Sworn to before me this Notary Public z9 7 17 DRYERS 2.5 16 17 FURNACE MOTORS FIXTURES FLUORESCENT RAHGES 1 13. l S R No ECeC~.COND. O~ CC. CONO 2/O 1-3 Ton A/C ;hit 1-G.F.C.I. 1-Smoke Detector '&nelbcmrde: 1-1Actr. 150rasps [COOKING DECKS [ OVENS [DISH WASIMERS TIMECLOCKS B~LL JU~ITHI&TEI~ MULTI'OUTleT SYST~ V -I C 1 EXHAUST FANS DIMMERS 2/O North Shore glactrtc Contractors Inc. l&l Central Av~uue East Farainsdale. N,Y. 11735 Lit. 160E 1l Per ~*, L : rhis certlfica~ must not be altered in any manner; return to the office of the ~oard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OR CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.