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,