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.