HomeMy WebLinkAbout13654-Z Bldg 14 Unit E . FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z15812 Date . ,~une .~,. 198.7
THIS CERTIFIES that tile building biULTtPLE DWELLING
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
County Tax Map No. 100OSection 063 .Block 001 ..Lot 28 & 29
FOUNDERS VILLAGE
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·.. p.e.c.:..2.7. ,.. ! .9.8.4. ... pursuant to which Building Permit No.. 1. 3. 6. .5.4.Z. .............
dated......Jan. ..... 2, 1'9. ..... 8 5 .. ......... . 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 E 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. N 7984 I 2
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
F~M Np. 6
TOWN (~ $OUTHOLD
Building DepaH~uent
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 ~=.=m~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, street,,;, and unusual
natural or topographic features.
2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equ~l).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and sifnilar buildings and installa-'
Lions, 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-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,
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C,O, $5,00
5. Updated C,O. $15,00 Date 3/. ~7
N 8 ildi X Old or P isti g Buildi Vac
ew u ng ............. re-ex n ng ............ ant Land .............
Location of Property .B.u.i.[..d.i.n.c.[ .1.4 , U.n..it E. r 2555 Youngs Avenue, Southold
House No. Street Hamlet
Owner or Owners of Property . .I~% ~.d.a..R. 9p.l.t;y, .L.T.D.:. 7. Founde r.s V.i 1 ! .a.g,e.
County Tax Map No. 1000 Section . .0.6.3. .......... Block 0.01 Lot...2.8 .& .2.9 ....
Subdivision Founders Villa e ....
................... c3 ......... Filed Map No ........... Lot No ..............
Permitl'4o. 1..3.6,5.4..2... Date of Permit ]~ /. .2 /.8. 5 .Applicant Lizda Realty, LTD.
Health Dept. Approval ........................ Labor Dept. Approval .....................
Underwriters Approval N 7.98~,.].~ Pla ning B d App oval
................... n oar r ................... . . .
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
R~. 10.10-78
Applicant.
Project Director
lOOO~ THE NEW YORK BOArD.OF FIRE UNDERWRITERS
BUREAU' OF ELECTRICITY
Ha=ch 16,1987 ES JOHN STREET, NEW YORK. NEW~'~C~6~E
~,. ~,,..,,o.~o.o.~,,. N 798412
THIS CERTIFIES THAT
~ the~/~ctr~__~ .e~u~menta~de~crlbed ~ and introduced by the applicant ~w~d on the a~ apl~ic~tlon nura~r in the prem~eso~
~uxlers Village, L~z~a R~lty, Ycungs A~ue, ~o. of M~tle Rd, E/S ~ailroad Ave. Southold
Bldg. #14,AP~ #E N.Y.
in ~ke.followl.~ he. zion; [~ B.~,,rn~.~ ~ I~ FI. ~ ~ FI, .~io. Bilk ~t
~ examln~ on ~1 9, 1987 .nd found to be ln compllance u. i~h the requirement~ of thls B~rd.
RXTURE RXTURES EANGE$ COOKING DE~KS OVENS D(SH WASHERS EXHAUST FANS
2G ~8
DRYERS MOTORS TIME CLOCKS UNIT HEATEiS MULTI.OUTLET DIMMEES
SYSTEMS
HO. OF F~T
S E R V I C E
1 2/0 1 2/0
Nocth Shore E]~:~=ic O~tractors Inc.
141 Central A~ue
East Fa~mL~jdale, N.Y 11735
T.'i~ o 160B
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.