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HomeMy WebLinkAbout13654-Z Bldg 14 Unit BFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15809 Date June 4, 1987 THIS CERTIFIES that the building MULTIPLE DWELLING Lo ..... 2555 YOUNGS AVENUE SOUTHOLD cauon ot rroper~y .... . ........... House No. Street County Tax Map No. 1000 Section . .0. 6. .3 ....... Block .... 0. 9.1 ........ Lot ...2. 8.. §..2..9 ...... Subdivision FOUNDERS VILLAGE . .Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated D e ¢. 27, 1984 pursuant to which Building Permit No. 13654 Z 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 B in Multiple Dwelling. The certificate is issued to LIZDA REALTY LTD. ..................... .................. of the aforesaid building. Suffolk County Department of Health Approval ..... S. v .5.~ ................................. UNDERWRITERS CERTIFICATE NO ............. N..7 .9 9.4.0. 9. ............................. 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 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 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. [)ate 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./. ~ ,/J~.7. ............... New Building . .X ........... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~.u.~ ~..~.~.n.q .[.4..,.U.o~..~. , .2.5.5.5...~.o.~. c~.s..A.¥ .e.~.u.e. ~..S.o.u;~.h..o.l.d. .......... House No. Street Ham/et Owner or Owners of Property . .~.~..z .d.a..R. (~.a.[.~yt .~.~.D.; . 7..~.o..~.n.d.e.~..s..V.J;. 1. .1 .a.g.e. ............... County TaxMapNo. 1000 Section ..0.6.3. .......... Block 001 Lot. 28 & 29 Subdivision .. ?,qu..~.e.~.s...V.~.[.~..a9.o ............ Filed Map No ........... Lot No .............. Permit No. ~. .3 .6. 5. 4. .2 . . . Date of Permit [./..2/.8.5.. , .Applicant , ,~,~.z~a., ,R,e,a,:[, .t:7;.~,~..D: ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval . N..7. 98.4.0.9 ............. 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 .~ . .t~'.....~.. _~r~.~ . Kostrewski Rev. 10-10-78 Project Director looo~35 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 16, 1987 SS JOHN STREET. NEW YORK. ,~.. .,,.,.,,~.,,o. ~,o. o./,,. N 798409 THIS CERTIFIES THAT only the e~ctric~ equipment a~ de~cri]~e~ ~ a~ int~ ~y t~ ~t ~ on the ~ ~ti~ nu m~r in t~ p~m~ of in t~/ollo~ing I~ation; ~ ~e~nt ~ Ist FL ~ 2~ FL ,~tion Bilk ~ examin~ on ~ ~ ~ ~87 and found tu be in compliance ~ith the requirements of this Board. FIXTUIE ~A I I RXTUIES RANGES ICOO~CING DECKS I OVENS I DISH WASHERS EXHAUST FANS N~ch Shore ~ic (k~trac:~rs, Inc. 141 C~tral ~ Frost 1~~, N.Y. 11735 r.t C-. 160~ 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 BUILDIHG DEPARTMENT. THiS COPY OF CERTIFICATE/~UST NOT BE ALTERED IN ANY MANNER,