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HomeMy WebLinkAbout13654-Z Bldg 14 Unit DFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS CERTIFICATIOR DATED: No. z15811 Date June 5, 1987 THIS CERTIFIES that the building MULTIPLE DWELLING Location ~ ' 2555 YOUNGS AVENUE SOUTHOLD el rroper[y .............................................. House No. Street .... ~r~/e~ County Tax Map No. 1000 Section 063 .Block O0 I ..... Lot 28 & 29 Subdivisinn FOUNDERS VILLAGE .Flied Map No ....... Lot No .............. conforms substantially to the Application for Building Permit heretofore flied in this office dated ..... p.e.c. :..2.7. :..1.9.8.4. ~ pursuant to which Building Permit No... 1.3. 6. .5.6.z. ............ dated Jan. 2, 1985 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Building #14 Unit D in Multiple Dwelling. The certificate is issued to LIZDA REALTY, LTD. ..................... ................... of the aforesaid building. Suffolk County Department of Health Approval S- 54 UNDERWRITERS CERTIFICATE NO. R 7 9 8 4 I ] March 30, ]987--MICHAEL DUFF Bhilding 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 -, ~ 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 b,~';idings 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./. % ~ ~.7. ............... New Building X Old or Pre-existing Building Vacant Land Location of Property .B.u.i. 1. .d .i .n. c~ . .1.4.,.U.n. ~.t..D..t .2.5.5.5...Y.o.u.n. 9.s' .A.v..e.n.u.e.; .S.o.u.t.h..o.l.d. .......... House No. Street Hamlet Owner or Owners of Property . .L.i..z .d.a..R.c.a.l.t~¥, .L.T.D. ~ . 7..F.o..u.n.d.e.r..s, .V.i.l..l .a.g.e. ............... County Tax Map No. 1000 Section . .0.6.3. .......... Block .0.0..1 ........... Lot...2.8..&...2.9 ...... Subdivision ...F.o.u..n.d.e.r.s...V.i.l.l..ag.e ............ 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 N 798411 Planning Board Approval ............... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. (,f;ar~/S. Kostrewski Rev. 10-10-T8 ~ /~'ll Project Director lOOO~35 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~'-~&~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 19B7 App,,c.,,o.~o.o./,,. 44353 /Bs N 798411 THIS CE~IFIES THAT B~g. ~14, ~ .~.~.~ .. ~h 9, 1987 FIXTURE OUTL_~TS SWITCHES 17 2..5 16 NoYo fiXTURES RANGES OVENS EXHAUST FANS 17 DRYERS I~DIRS TIME CLOCKS MULTI-OUT~T SYSTIMS I~>. ~F FEET D4MMRRS SIRVICI DiSCONNICT S E R V I C AI~q~ARATUS: 1-3 Tcr~ A/C Unit 1-G.F.C.I. 1-E~oke 2/0 2/0 Nu~bh Shore ~.l~cric ~tcactmrs Inc. 141 Central Avemu~ Ernst Fana~ngdale, 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 identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.