HomeMy WebLinkAbout12750-Z Bldg 1 Apt 1AFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hale
Southold, N.Y.
Certificate Of Occupancy
No...Z.1.3.3.9..4 ......... Date April 29 19 85
THIS CERTIFIES that the building MULTIPLE DWELLING
.3 2555 YOUNGS AVENUE SOUTHOLD
Location of Property .........................................
House NO. Street .................
County Tax Map No. 1000 Section ...0.6.3. ...... Block 001 .Lot 28 & 29
Subdivision.. F.O. UI~I~ E~.~. VTkh~$~ .......... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore f'ded in this office dated
Aug. 1 t9 83 pursuant to which Building Permit No. 12750Z
Nov. 17 83
dated ............................ 19 .... 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 #1 Apt. 1-A Unit in Multiple dwelling.
The certificate is issued to LIZDA REALTY LTD.
(owner, ~I~(~R
of the aforesaid building.
Suffolk County Department of Health Approval S-54
N657313
UNDERWRITERS CERTIFICATE NO ..................................................
PLUMBERS CERTIFICATE APRIL 25, 1985
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
CI'HIS PERi, IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 12~50 Z
Permission is hereby granted to:
.......... ¥
....~ ~.~.1...~.~.~.
...... :~..~.~.~....r....~.(:..~ ............ ~.~
to ...~.~.k~.~.~.~:....~.~ ~..?~..~g~.~.C.~...~....~.~.k~ ,~...~..L
· ~ ~- ~- ~- ~ ~
.C~.~.~.t.~.t.~....~ ........... ~...~.~ .................................................................
~ v==~,., ~ot~ ~]...~z..[.nt.~......~:~......&.z~,~ ....... ~~.~ ......
County Tax Map No. 1000 Section ..... ..~...~9....~. ...... Block ..... ..C?..} ........... Lot No..~.~..~.....--..~.~-~'
to application dated ....~.~.C2.~'/.7. ........ /. ................ , 19~..,~.., and approved by the
pursuant
Building Inspector.
Fee s..~.~..~....z ~
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of properW 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings 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
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
Apt. 1-A Building No. 1
New Building .. ~ ......... Old or Pre-existing Building ............
$15.00
Date .April. 22,r · 19~5 ........
Vacant Land .............
Location of Property ~ 5,5.-~. Yo~ngs. A.v. emu~ ............................ ,%Quthcx].d .......
House No. Street Ham/et
Owner or Owners of Property .L~..z.d,~. ~e~a l t.y..Ltd,.Z555..Young~ .Ave4~ue ~. ~outh~ ~ ~l,..~,!. 971
County Tax Map No. 1000 Section .. 06.t ......... Block . .0. ql .......... Lot 2,8. &. 2,9 .......
Subdivision....F.o.u.n.d..e.r.s..V$~.l.e, ge ........... Filed Map No ........... Lot No ..............
Permit No.i.~;DZ.... Date of Permitl~/.~,7 / 84...Applicant L£~a. ~qeal~.y .ltd... ............. Apt. 1-A
Health Dept. Approval . S~A4;. A~il..1.2, [.9~5Labor Dept. Approval ........................
Undervvriters Approval . N6~7. ] ..... 4 / .14./8.5 .... Planning Board Approval ......................
Apt. 1-A
Request for lemporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building an/d,~it meet~/,ppli~,,,,,,~/f,/o/des and regulations.
~....~4~/~/~Z' GeOrge M/. Aliiegro, Li~a Realty Ltd.
R~V. 10'10'78 '~/FS- / ~ FoUnds rs Vi 11 age
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000635
BUREAU OF: ELECTRICITY
I k]- 85 JOHN STREET. NEW YORK, NEW YORK 10038
,.re Apr~.~- ~6,1985 ~pp,,catlo. No.o. Si,. 32S672/~5 N 687313
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by th~ applicant named on th~ abov~ application number in the premises of
Founders Village, Youngs Ave., .Bldg.% 1, Southold, N.Y. apt. -A-Res.
was examined on April 11,19 8 5 and found to be in compliance with the requirements of this Board.
HXTURE
OUTLETS
18
DRYERS
~ECEPTACLES SWITCHES
26 18
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
Panelboards; 1-1~
1-3 Ton A.C. Unit
G.F.C.I.- 1
Smoke Detector- 1
150amps.
E R
I C
NO OF CC, COND A.W.G. NO. OF HI.LEG A.W.G. NO OF NEUTRAL~ A, W. O
1 1/0 1 1/0
North Shore Elec.
141 Central Ave.
E. Farmingdale, N.Y.,
11735
lic.% 160-E
G~IERAL MANAGER
11 F ,'
Per / / /
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 SE ALTERED IN ANY MANNER.
DEPARTMENT OF BUILDINGS
Town of Southold
Main Road
Southold, New York 11971
State of New York)
County of Suffolk)
ss:
The undersigned plumber certifies installation is in
accordance with the Town of Southold Plumbing Code and the
New York State Building Construction Code, and that solder
containing less than .2 of 1% lead was used for any piping of
potable water.
Founders Village~ 2555 Youngs Avenue~ Southold~ NY
Street Address and Number
Building Permit No. 12750~- Building No's: #id Units~B~C~D &E
Owner: Lizda Realtyt Ltd.
Plumbers Signature: ~/~ ~/~
Address: 14 Seabro Ave.~ N. Amit~;ville~ NY 11701
Sworn to before me
Notary Public,
this 25th
Suffolk County,
of April 19 85
NY No. emml~me~M~z~01~
F~ELD.INSPECTION
FOUNDATION (1st)
COMMENTS
ok- loc
o/c,, I,c,' ¢
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
qODE
Ye
FINAL
ADDITIONAL COMMENTS:
s~}d/c ow C¢ll~lr
,/
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined /f.~/.~. ...... 19 ..?'~-
Approved -~.'~..~.Z'./Z ...... 1 ~ Permit No../.~/~.~'..~. /
Disapproved a/c ...... ~ ........... 7 ' '~//
............. ...........
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspectt~r, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
¢. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections~
. q .6.. p, _aL-r1 L-rb-
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant) I e'f 7 !
State whether applicant is owner, lessee, agent, architect, en,~neer, general contractor, electrician, plumber or builder.
Name of owner of premises.. ~.~.... ~ ./]. [9,,.~..~.. .... ~.. ~.k..~..~)..~.~. ! ......................................
(as on the tax roll or latest deed)
If applicant J~ ~;~orporation, signature of duly author~ized officer.
...-.2/. ....
(Name and title of corporate 6fficer)
Builder's License No ..........................
Plumber's License No. ~ ~ .~...-~.'x3J
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done .................................... '. ....... ~. :...
County Tax Map No. 1000 Section (o'~ Block [ .~. 2~ 28<,,'~i,z~,~,,Ic'~
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed cc, nstruction:
a. Existing use and occupancy .............. .~ .............................. , ........................
b. Intended use and occupancy ...... . · · · -* ,-'*~ ..........................
3. Nature of work (check which a~plicable): New Building..........%/ Addition.......... Alteration
Repair .............. Removal .............. Demolition .............. Other Work ...............
4. Estimated Cost ~/F~.) O~(~) .y~ (Description)
............... , ...................... Fee .......................
(to be paid on filing this application)
5. If dwelling, number of dwelling units C] ~. Number of dwelling units on each floor..~.
If garage, number of cars ........................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height . Number of Stories ~
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front .. ] .~..5'.'.., . .... Rear . .I.Z..q. [ ........ Depth . ."]!0. ( .........
Height 16~ . Number of Stories ~
9. Size of lot: Front ...'}-.~..~.t.~.~.5 .......... Rear ...................... I~onth .................
10. Date of Purchase ............................. ,l~am~ of Former Owner . .~.~'....~.h .~.~.. )4 .~.l-.['.~).~?l...
11. Zone or use district in which remises are situated ~ --1
12. Does proposed construction violate any zoning law, ordinance or regulation: .Oi.t.p. ............................
13. Will lot be regraded .. ~ ...................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .................... Address ................... Phone No ................
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW ]f-~l~,
.... s.s
................................................. being duly sworn, deposes and says that he is the applicant
([tame of individual signing contract)
above ~mea. ,, · .
' * ' , . (Contractor, agent, co,orate officer, etc.)
oI saidCo~ne[ gr, 0~'nem, md is duly authohzed to perform or have peffo~ed the said work and to m~e and file this
appliF'atib~* i'work, will fi~ that,.e-~ ,romeaall gtatements, in the m~nerC°ntainedset forthm' th*s~' applicationthe app~cationare filedtrue totherewith.the best of his ~owledge and belief; and that the
Swo~ before ~e this ~
........ ~.~ ...... day~ ~? ~ ..... 19~.~
' f ~at~ t4o. 03.1184725
~o~mi~zgn - ' ' ' ' .............
N.?O° 05'00" E.
Y0°08'30' 111.80'
S.70°50 50 W,
LONG
ISLAND
RAILROAD
554. t0'
now or formerly
Donlel Charnews
48Z 7 2'
56710'
DRivewAy
Mahr
S 73o22'20"W. H376
89 03' ~
gow or formerly
Averefte
now or formerly
Koelin
NOTE:
t,TOTAL AREA =22,841e ACRES
2,SUFFOLK CO,TAX MAP DIST~OOOSECTION~ BLOCKool LOT ga az9
3 THIS SURVEY PREPARED PROM SURVEY MADE BY VANTLIYL~SON 03/29/71
LOCATION
MAP
~UFFQLK (~OUNTY DEPARTMENT OF HEALTH SERVICE~
Approval of Constructed Works
H.D. Ref. No.
APR 12 1985
SURVEY FOR
FOUNDERS VILLAGE
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY,NY
DATE: FE~ 19,1985
60 0 60
SCALE, I" = 60'
ISO
yOUNG
400 OS ,N.~
ALDEN W. YOUNG,N.~S. RE*~L.S. LIC N0.12845
HOWARD W. YOUNG~N.~S. LIC. NO. 4Ssgs
NO. 84-841