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HomeMy WebLinkAbout12750-Z Bldg 1 Apt 1BFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... gl. 3.3~.5 ....... Date ...... .~.p.r..i.1..2..9 ................. 19 .8.5. THIS CERTIFIES that the building MULTIPLE DWELLING Location of Property ...2. 5 5.5..Y.Q .U.N.G.S.. by.E.N.U..E ...................... .sg.u.T.H. 9.L.D. ....... House No. Street Hamlet County Tax Map No. 1000 Section . 9.6.3. ....... Block ..... 0..0.1 .......Lot .... 2. 8...&..2. .9 ..... Subdivision..F.qU.N.p.E.R.S...V.I.L.L. ~..G.E ........... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... AUG,..1, ........ 19 .83. pursuant to which Building Permit No..1.2. 7..5.0.Z. ............. dated .... I~Ioy.... 17 ................ 19..8.3, 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 ......... ....... ilding. #1. Apt,..lvB...U~i.t..~0. ~ul.~.ip.l.e...d.w.e. 1..1.i.n.~ .. .................. LIZDA REALTY LTD. The certificate is issued to ........................................................... (owner, ~IA~KI~F.~I~t) of the aforesaid building. Suffolk County Department of Health Approval .... S. r ~.4 .................................. UNDERWRITERS CERTIFICATE NO ............ 1~6 .8.7.3.1, 4 .............................. PLUMBERS CERTIFICATION 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 property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 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 p~operty 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.C. $5.00 Apt. 1-B Building No. 1 New Building .. ~ ......... Old or Pre-existing Building ............ Vacant Land ...... ~ ...... $15.00 Date.Ap~il.22.r.19~5 ........ Location of Property 2 5,5.5. Yo~u%gs. A.v. euu6 ............................ ~.authc~].d ....... House No. Street Hamlet Owner or Owners of Property .L.i.z.c]~. P~e~a l tF..Ltd,.Z555..Zoung~ .Avenue ~. ~outh~ld,..:L:~ 971 County Tax Map No. 1000 Section .. 06~ ......... Block . .0. Q1 .......... Lot 2.8. &. 2,9 ....... Subdivision....F.o.u.n.d..era .V~-l.l. age ........... Filed Map No ........... Lot No .............. Permit No. ~2rS-~z... Date of Permitl~/.1.7 / 84...Applicant n£zda. ~Rea l~.(p .~,td..- ............. Apt. 1-B Health Dept. Approval . Sm~54;. A~=i 1..1.2, !.9,55 Labor Dept. Approval ........................ Underwriters Approval . N6~7.3 ~.P,. · .4/.14./8 .5 .... Planning Board Approval ...................... Apt. 1-B Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p~t meets al, J~B~lica~pi'~/c;~~ and regulations. R , 7~ Z~ -I~ ' Applicant' ~~' '~;~~ 't .~' 'L~'"' 10' O' ~ ~/~¢ f F~nders Village ...... ' THE 10006~5 Date April THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ~=LECTRICITY / 85 JOHN STREET, NEW yORK, NEW YORK 10038 16,,~.98~,, ~ppl,c.tlon~,'o.%nSile 325671/85 N687314 / only t~ e~ tHcal ~u~ment ~ ~scdb~ ~low and introduc~ by '~ appl~ant ~med on the abcrve ~plica~n numar in t~ premises Founder~ Village, Youngs Av~., Bldg.# L Southold, N.Y. ~ ~ Ap~.-B-Res. [] 2gd ~1. Section Bb>ck Lot a~,found to be in compliance with the requirements of this Board. RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: Panelboards; 1-11/150amps. 1-3 Ton A.C. Uni~ G.F.C.I.- 1 ~moke Detector- NO. O COND~ OF CC. COND 1/0 NO, OF HI-LEG OF HI-tEG NO. OF NEUTRAI.~ OF NEUTRAL North Shore E1Wc. 141 Central E. Farmingdal~! N.Y., This certificate must not e altered any, mar. lio. leo-. 11735 GENERAL 11 ~ return to the office of the ~oord if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING C '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 Villa~e~ 2555 Youn~s Avenue~ Southold~ NY Street Address and Number Building Permit No. 12750~ Building No's: #it Units A~C~D &E Owner: Lizda Realt¥~ Ltd. Plumbers Signature: ~~ ~~ Address: 14 Seabro Ave.~ N. Amityville~ NY 11701 Sworn to before me this 25th of April .19 85 Notary Public, Suffolk County, NY No. 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