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Home My WebLink About13654-Z Bldg 13 Unit EFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15805 Date June 3, 1987 THIS CERTIFIES that the building..1~, u..1 .t.i.~. 1..e..D?. e..1.1.~.n. $ .......................... Location of Pm~-+' 2555 YOUNGS AVENUE SOUTHOLD House No. Street ..... ~l~t~let County Tax Map No. 1000 Section ...0.6.3. ...... Block 00 I .Lot 28 & 29 Subdivision FOUNDERS VILLAGE . .Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..9. e.c.:..2.7.~ 1984 pursuant to which Building Permit No. 13654Z 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 ......... Building I~13 Unit tie in Multiple Dwelling. The certificate is issued to LIZDA REALTY LTD. ..................... ? ..................... of the aforesaid building. Suffolk County Department of Health Approval Il S - 56 UNDERWRITERS CERTIFICATE NO. N 80575.3 PLUMBERS CERTIFICATION DATED: March 20, 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 -, ~ 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 Residencee 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. 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 New Building . .X ........... Old or Pre-existing Building $15.00 Date .... 3./. ~ ./~.7. ............... ............ Vacant Land ............. Location of Property .B.u.i.l..d.i.n.c] .13 ,.Un. it..E.., .2.5.5.5.. Youn s Avenue; $o.u.t.h..ol.d House No. Street Ham/et Owner or Owners of Property . .L.J, ~:~.a..R. 9~.]..t,y, ~L.T.D.:. 7..F.o..u.n,d. qr..s .V.£ 1. ~ ~.g.e. T MapN 1000Scti 063 Block .0.0..1 Lot .28 & 29 County ax o. e on ............. , .......................... .hdiuJein. Founders Vi! lage .......................................... Filed Map No ........... Lot No .............. Permit No..]..3.6.5.4.~.... Date of Permit 1./..2/.8.5....Applicant , .L.i.z.d.a...R.e.a. 1..tT/.L.T..D: ............. Health Dept Approval Labor Dept Approval ................ ... . Underwriters Approval ...N..8.0. 57...5.3. ............ 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~ar~. Kostrewski Rw. 'lO-,0.?a ~//"~/'~7 Project Director THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 0635 ES JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE;IFIE5 THAT o~y t~ e~t~M ~u~ment ~ ~ ~ a~ int~ by t~ ap~t M~ on the a~ ~t~ numar in t~ p~s of ~a V~, ~.~13, ~.~E., ~a Av~, s/o ~e ~., ~, m examined off ~ ~6 ~ ~ 7 and found to be in compliance u'ith the r~uireme.t~ of this B~rd. RXTURE RXTURES ~NGES C~ING D~KS OVENS ~ WASHERS EXHAUST FANS DRYERS FURNACE MOTOES RJTURE AP~IANCE FEE0~RS TIM~ CLOCKS UNIT HEATERS MULTI''OUTE-/~T DIMMERS SYSTEMS NO. O~ FEET S~RVIC~ DISCONNECT S E R V I C E OTHER AFt~RATUS: Pan~ 1-11cir., ]~50amp 1-3~ AC Unit 1 G.F.C.L 1 ~e ~r 2/O 2/0 141 Ge~tral Ave. E. Famingdale, N.Y. 11735 Lic#160E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ~denflfmd by entlals COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE IvEJST HOT BE ALTERED 114 ANY ivlAHHER.