HomeMy WebLinkAbout13654-Z Bldg 14 Unit CFORM NO. 4
TOWN OF SOUTHOLO
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z15810 Date June 5, 1987
THIS CERTIFIES that the building MULTIPLE DWELL ING
Location of ~'n~'*- 2555 YOUNGS AVENUE SOUTHOLD
House No. Street Ham/et
County Tax Map No. 1000 Section 063 .Block O0 I .Lot 28 & 29
Subdivision FOUNDERS VILLAGE
............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore Fried in this office dated
.... p.e.q:..2.7. ,...1.9.8fi... pursuant to which Building Permit No... [ $ 6.5.6.Z. ............
dated J a n. 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 C in Multiple Dwelling.
The certificate is issued to LIZDA REALTY, LTD.
..................... /o¥,~)..g, ts~r,~tg~rxx ..................
of the aforesaid building.
Suffolk County Department of Health Approval ........ 8. T .5.4 ..................
UNDERWRITERS CERTIFICATE NO ............. ~. 7. .9.8.4.0 8 ..
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
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. Fina( 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 Undenvriters.
4. Commercial buildings, Industrial buiidings, Multiple Residences and similar buildings and instetla-
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 "pm-existing"
land uses:
1. Accurate survey of pz~perty 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.
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 .... 3./. [ ~/~,7. ...............
$15.00
Ne B ilding × Old o P existing Building Vacant Land
w u ............. r re- . ........................
Location of Property .B.u.~ ! .d.l.n. cj..1.4.,.U.n..i .'c..C.., .2.5.5, 5...Y.o. qn. 9.s' .A.v. ?.n.u.o.; .S .o ?. ~ h. .o .l .d. ..........
House No. Street Ham/er
Owner or Owners of Property ~A RcpIty,~TD-.7 Founders Village
County Tax Map No. 1000 Section . .0.6.3. .......... Block .99.1 ........... Lot...2.8..&...2.9 ......
Subdivision...F.o.u.n. ~.e.~.s...V.i.1.1. a. 9.e ............ Filed Map No ........... Lot No ..............
Permit No. 136542 Date of Permit ~/..2/85 .Applicant .Lizd. a Realty,LTD.
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval .......... Planning Board Approval
.E ?98.408 ..................................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant
,~. lo-'m-~'e ~ 3 ~ /.~" /
Project Director
zooo~35 THE NEW YORK BOARD' OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ __ . ~a~-~, t6. f~"" STREET, .EW YOR~, .EW ~'~J'g~Cl?~,~B
Date ~ppllcetlon No. on file
· .,~ ~.~,~,.~ ~.~ N 7 9 8 4 0 8
~y t~ e~t~d ~uipment ~ ~d~ ~ ~ int~ by t~ ~i~t ~ ~ t~ ~ ~t~ nu m~r in t~ p~m~s of
~ V~i~, ~ ~1~ L~., Y~s A~ ~ ~ ~ ~,E/S ~~e.:
~ 9, 1987 ,~tlo. Sl~k ~,
SIRVICI OtS~ONNICT
TIME CLOCKS
Motors: 1-3/4hp Jacuzzi
1-3 Tc~ A/C Unit
Pane/boards: 1-12cir. 150am~s
2-G.F.C.I. 1-Smoke De~eu-~
S E R V I C E
1 2/0
MULTI-OOTMT DIMMERS
SYSTEMS
NO, O~
1 2/0
North Shore Electric C~ntractDrs, Inc.
141 Central Avera~
~t ~e, N.Y. 11735
[Ac. 160E
This certificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ;d,~,,;;;;,,,d by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTFRPn I~a *uv u*u,~ea