HomeMy WebLinkAbout13654-Z Bldg 13 Unit AFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z15801 Date June 3, 1987
THIS CERTIFIES that the building MULTIPLE DWELLING
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
County Tax Map No. 1000 Section . .9.6.3 ....... Block 00 I . .Lot. 28 & 29
Subdivision....~ .O.U.~D. g..R.S..V...I .L.L?.~. g. ......... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
D e c. 27, l 984 pursuant to which Building Permit No. 13654 Z
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 .........
· .B.u.i..1.d.i.n.g ?.(3....U.n.i.t...A..i.n...M.u.l.t..iple Dw.e.l. 1..i.n.g.. ...................... ' .......
The certificate is issued to LIZDA REALTY LTD.
..................... ? o;;,,,;'r ',,tff6g ....................
of the aforesaid building.
Suffolk County Department of Health Approval # S - 54
UNDERWRITERS CERTIFICATE NO. N805750
PLUMBERS CERTIFICATION DATED: March 30, 1987 Michael Duff
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
This application must be filled in typewriter OR ink, and submitted m 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 unu~Jal
natural or topographic features.
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 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 bu;idings 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 .... 3./. ~ ,/.8.7. ...............
New Building . .X ........... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ~.u.~ [..~.qq .~.3..,.U.~. ~.t..A.. ~ .2.5.5. 5...Y.o.a.~c~.s..A.v..e.~.u.e. ~..S.o.u.~h..o.~.d. ..........
House No. Street Ham/et
Owner o~ Owners of Property ~.~.d.a. P,~Zty,nTD. - Founders V±l[age
County TaxMapNo. 1000Section 063 Block 001 Lot. 28 & 29
Subdivision.. ?.o.q~..~,e.[s...V.~.~. ~..ag.e ............ Filed Map No ........... Lot No ..............
PermitNo. 13654~. DateD/Permit ~./..2/.8.5....Applicant Lizda R.e.a.~.t~/;LTD. .
Health Dept. Approval ........................ Labor Dept. Approval ........................
N 805750 Planning Board Approval
Underwriters 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
HXTUI~ LECEPTACKE ~ T H I FIXTURES
18 ! 26 18 18
/
DRYERS FURNACE MOTORS FUTURff AI~UANGI I~IID~RS
uT. K.W. C~L.~ ~.; ~ ~... ~T, 'O. ~,W.O,
~R~ ~T ~.~ I S E
~UIP, l~w i~3w 3~3w 3~w
1 1~0
X
1
1-G,~.C.L I-S~ ge~ec~o~
RANGES
ICOOKING DEC;KS I OVENS t DISH WASHERS
TIM~ CLOCKS BLuLL UNIT HEATERS MULTI-OUT~T
V I C E
2/o i ~/o
tqorth Shore glectric Contractors, Inc.
141 Central A~enue
COPY FOR BUILDING DEPARTMENT; THIS COPY OF CERTIFICATE MUST NoT BE ALTERED IN AHY MANNER.
BUILDING DEPT.
IHSPECTIOH
[ ] FOUNDATION 'IST [ ] ROUGH PLBe.
FOUNDATION 2ND [ ] INSULATION
[]FRAMING []FINAL
REMARKS, ~, ~/'"~ ~
76s..~ez
BUILDING DEFT,
I CTION
I' ~] FOUNDAllON 'IST 1' '1 ROUeH PLBe.
I' '1 FOUNDATION ZND[~ ~ INSULATION
I' '~. IINAMING* [ ~] FINAL
BUILDING DEPT.
INSPECTION
FOUNDATION ~ST [ ] ROUGH PLBG.
[ ~ ~ATION 2:ND £ ] INSULATION
[ ~]~rRAMING [ ] FINAL
F~E~ ~INSFECTION DATE COMMENTS ~ ~
./, .~ /~.. ,/ "~" .~,:'
FOUNDATION ( 1st) ~
FOUnDaTION (2nd)
P~U~BI~G
~~ ._
STATE ENERGY
~oD~
ADDITIONAL COMMENTS: