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HomeMy WebLinkAbout13654-Z Bldg 14 Unit AFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N_z 15808 u .................. Date June 4, 1987 THIS CERTIFIES that the building MULTIPLE DWELLING Location of Property 2555 YOUNGS AVENUE SOUTHOLD County Tax Map No]100O Section 063 .Block 001 ..... 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 Dec. 27, 1984 pursuant to which Building Permit No. 13654z dated J an. 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 ......... Building #'14 Unit I in Multiple Dwelling ' The certificate is issued to LIZDA REALTY LTD. of the aforesaid building. Suffolk County Department of Health Approval ... S. 7.5.4 ................................... UNDERWRITERS CERTIFICATE NO.. N 7984 10 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 $OUTHOLD 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. 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 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Date .... 3./..~ ~' '8.7. ............... New Building . .X ........... Old or Pre-existing 8u!l~Jing ............ Vacant Land ............. Location of Property .B.u.i. 1..d.i.n.q 1.4..,.U.n..i.t.A..., .2,5.5.5...Yp.u.n. c~.s..A.v..e.n.u.e. ,..S9.u.t. ho 1 d House No. Street Ham/et Owner or Owners of Property Lizda R(~lty,LTD.. .- Founders. Villa~ge County Tax Map No. 1000 Section . .0.6,3. .......... Block .0.0. ,~ ........... Lot...2,8..&.. ,2,9 ...... Subdivision ...F.o.q, ~..d.e.~s...V,i.[. [..ag.o. ........... Filed Map No ........... Lot No .............. PermitNo. 136542.......... Date of Permit 1../.2/8.5. Applicant Lizda Realty. LTD. Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval .~. 7.9.8 ~ ~-P .............. Planning Board 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 Project Director anaJOUnd to oe in comptlunce u'it~ tl~e requlrentents of this Board. RX~ ~TA~e[ . ~ RXT~ . I ~S Ic~l~ ~KS I OVE~ I~SH WASHERS EXHAUST OTHSR A~ARATUS: ~zck ~L~htt. nc/ 4' O" 4 IAt~ No~th S~ore Electric Oo~tractors Inc. 141 C~ntral A~m~ue ~-t Fanning4ale, N.Y. 11735 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 CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING DEPT.~/~'C,.~ INSPECTION FOUNDATION ~.ST [ ] ROUGH PI. BO. [ ] FOUNDA11ON 2ND ~]'I~ULATION ( ) FRAMING [ ] FINAL BUILDING DEPT. INSPECTION I' ~ FOUNDATION '~ST [' ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ '1 INSULATION BUILDING DEPT. INSPECTION [ '] FOUNDATION IST [ I ROUGH PI. BG. [ 'I FOUNDATION 2ND ~ '1 INSULATION I' ~ FRAMING £ I FINAL / REMARKS: ~ FIE~D ~SFECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: