HomeMy WebLinkAbout13654-Z Bldg 12 Unit EFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..g.l. 6. q3.9. .......... Date August 12, 1987
THIS CERTIFIES that the building MULTIPLE DWELLING
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
I;t~t~s~ ~o: '' Street ..... I~l~r~l'e~
County Tax Map No. 1000 Section . .0.6.3. ....... Block . .0. ! ........... Lot . .2.8..&.. 2.9. ........
Suhd:v:~:~_ FOUNDERS VILLAGE
__, ,~,v, ...................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
.... D.e.c.:......27, 1984 ........ pursuant to which Building Permit No. 13654Z
dated .... 4a.n.... 2.,. !9.8.5. ............. 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 E in Multiple.
The certificate is issued to LIZDA REALTY ~ LTD--FOUNDERS VILLAGE
.................... ....................
of the aforesaid building.
Suffolk County Department of Health Approval ... $7.54., .~.ug :..5 ~..1.9.8.7 ......... .............
UNDERWRITERS CERTIFICATE NO. PENDING
PLUMBERS CERTIFICATION DATED: MICHAEL DUFF, INC. July 13, 1987
Building Inspector
Rev. 1/81
I~OB,~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISF..~ UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 13654 Z
Permissio~ is hereby gronted to:
...... ~/~.w~..ff~.,:z:~ .... ~/~, ..........
...... ~.o../.. ....... ..D..~.~/.a.a...,4~. ....
.... ~.~..,...~.~ ......... z~..~.7..../.. .......
- ,- - - 0 '~ ' (..~,,~ -
~./5....~..v.....E...~.$...~.~¢..~.¢.~ ....... ~.~/~.~.....~:...~....~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
A. This application must be filled in typewriter OR ink, and submitted m~ 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 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 properW lines, streets, buildings and unusua~ 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
$15.00
Date .... %Z~/~.~ ...............
New Building . .X ........... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ,B.u.% ], ~p.q . .[.~.,.U..~..i .~.~, . t .2.5.5. 5...Y.O.U.~, g,s..A.y?,n.u.e, ~, ,S,o.u.~h, ,o,Z~. ..........
House No. Street Ham/et
Owner or Owners of Property . .L.i..z.d.a..R. (~.a.l.t.~y t .L.T.D.... 7..F.o..u.n.d.e, r..s..V.i. 1..1 .a.g.e. ...............
County Tax Map No. 1000 Section . .0.6.3. .......... Block .0.0..1 ........... Lot...2.8..&...2.9 ......
Subdivision ...Fp.u.n..d.e.r.s...V.i. 1.1..ag? ............ Filed Map No ........... Lot No ..............
Permit No. 136542: Date of Permit 1./..2/.8.5. .Applicant Lizda Realty;.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.
Applicant .~,..~ ~,~e~s k~ .......................
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 Yol]nq~ Av~_:
Building Permit # 15839Z
Bldq.~12
Name & address of owner Lizda Realt~ Ltd.
4601 Delafield Ave.t Bronxt
Plumber's Si gna au re ~.~_ ~.~o~'_ [/~ 1 ~c~/~/
Address 1SA Ot±$ Street
NY
West Babylont N.Y.
License # 153-P
Sworn to before me this
Notary Public
19R7
THE NEW YORK BOARD OF FIRE UNDERWRITERS
06~.~ BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK tOO3E
THIS CE~IFIES THAT
B]dg.-~2 ~t-E Southold
in t~ f~Jowlng ~ation; ~ B~e~nt ~ let FI. ~ 2nd FI, ,~tlon Bilk ~t
~exami~on ~u~Bt 10, 1987 andfoundtobeincompllanceu'ith~her~uirementsofthis~ard.
fiXTURE
OUTLETS
18
FIXTURES RANGES OVENS EXHAUST FANS
SWITCHES
FLUORESCENT
26 18 18
TIME CLOCKS UNiT flEATEES MULTI-OUTLET D~MAi. EI~S
SYSTIMS
NO. OF FEET
OTI~R APPARATUS:.
1-3 Ton A/C Unit
1-C.F.C.Z. 1-S~otm Detector
Penelboarde: 1-11c~r.
S E R
2/0
I
OF NEUTRAL
2/0
North Shore El~ctrtcaContractors, Zn~.
141 Central Avenue
East Farmingdal~, N.Y. 11735
Ltc. 160E
11
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 CERTIFI¢ ED IN ANY