HomeMy WebLinkAbout13654-Z Bldg 13 Unit DFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z..1.5.8.0.~. ......... Date . .J.u.n..e..3?.. ! .99.7. ................
THIS CERTIFIES that the building .... .H.u.1. t..i p.l.e.. O. ?.e.~. ~..i .n.g... ......................
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
/~6~ )40: ....................... 'S't/~i ....................... /Gd, id
County Tax Map No. 1000 Section ...0.6.3. ...... Block ....0.0. 1. ........ Lot ...2 .8..&...2 .9 .......
Subdivision....F.O.q N. p.E.R.S...V.~.L.L.A..G.E ......... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore Filed in this office dated
· . .~..c.c....2. .7 :..1.9..8.4... pursuant to which Building Permit No...1.3.6.5. 4..Z .............
dated . .J.a.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 .........
...~..u.LLd. ~. ? ~..#.'! .3..u.,. ~..t. AD...~?. ~..~ .r.i.p.! ?. ?~..~ .Li.,.~.: .................... ' .......
The certificate is issued to LI ZDA REALTY LTD.
..................... /o'4n;~, '~a;at&~Y,~t xx~ .................
of the aforesaid building.
Suffolk County Department of Health Approval ....#.S.'~ 5. 4. .................................
UNDERWRITERS CERTIFICATE NO ........... ~.8.0. 5. .7 .5.2. ..............................
PLUMBERS CERTIFICATION DATBD: March 20, 1987-Michael Duff
Building Inspector
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
FoR~I NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~outhold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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 unusual
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 sitnilar 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
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 buildings·
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. 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 .... %~%lfil ...............
$15.00
New Building.............X Old or Pre-existing Building ...... ...... VaccatLand ........... ..
Location of Property .B.uildinq .13. , Unit .D , 2555. Young.s Avenue, Southold
House No. Street Hamlet
Owner or Owners of Property . .I~{ ~.a..R. 9~.[.~y, .L.T.D.,. 7..F. 9 .up.d.e.r..s; .V.i.l..l .a.g.e. ...............
County Tax Map No. 1000 Section . 9.6,3, .......... Block .0,0. ,~ ........... Lot.. ,2,8..s,. ,2,9 ......
Subdivision Fot]nders. Vi 1 ].ag.e ..... Filed Map No ..... Lot No.
Permit No..1.3.6.5.4. .2'... Date of Permit ]~/.2/.8.5....Applicant . .L.i.z.d.a....R.e.a.]; .ty,,.~.'~..D: .............
Health Dept Approval Labor Dept Approval
Underwriters Approval . .N.. ~ 0,5.7.-5 :~ ............. 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 (.-~'ary(~. ' ~;~' ............
Project Director
Rev. 10-$0-78 ~/~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
[/~0~00635 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
,.,, ,~ ~'7, 1987 .~,.,.,,..,,o.~o.o./,,~ 443s~/86 N 805752
THIS CE~IFIES THAT
~y t~ ~t~ ~uipment ~ ~cd~ ~ a~ int~uc~ by t~ ~t M~ off t~ a~ ~t~ nu m~r in t~ ~s of
~ examin~ on ~ ~ 6t ~ 7 and found to be in compllance wlth the requlrementn of thls ~ard*
17 FIXTURES ~'
17 16
DRYERS FURNACE MOTORS I IqJTURE APPUAflCE FIIO~RS
RANGES
1 13.1
EXHAUST FANS
DIMMERS
SERVICE DISCONNECT 1 ~. o~ I s R R V i c
1 150~ 1 X 1 ,
~ G.nC.X. ~r
141 ~ Ave. ~ ~n ~[
~is ce,ific~te mint ,or be ,Iter~ in ~,y monner~ relur, to t~e o~ice 0; the ~rd if i,corree. ;.spectors mo~ be i~en~fi~ by ~e~r crude.fi,Is. ~
COPY F~ BUILDING DEPARTMENT. TMI$ CO~ ~ CERTIFI~TE ~ST NOT BE ALTERED )N ~Y ~ER.