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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