HomeMy WebLinkAbout12750-Z Bldg 1 Apt 1DFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No ..... .Z .1.3.3. 9. 7 ...... Date April 29 19..8.5
THIS CERTIFIES that the building MULTIPLE DWELLING
2555 YOUNGS AVENUE SOUTHOLD
Location of Property ...............................................................
House No. Street Ham/et
County Tax Map No. 1000 Section ...0.6.3 ....... Block 001 .Lot 28 & 29
Subdivision .~0..U.N.D.E.~ .S..V.I.L..L.A.G.E. ........... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...... .A.u.g.....1 ........ ,19.8..3pursuant to which Building Permit No..1.2.7.5.0..Z ..............
dated ... ~1 .o.v.... 1. 7. ................. 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 .........
.~u£.ldin~ .#.1. k~,..1.-.~. [3;~i.~.. ~.n..~..u.~.t.i.~ .L.e. fi:w..e.~.~.i.n. ¢.. .......................
The certificate is issued to L. IZDA..REA L.T.~. I~33. ........................................
(owner, ~[e~ ~
of the aforesaid building.
Suffolk County Department of Health Approval .... S. 7.5.~. .................................
UNDERWRITERS CERTIFICATE NO ............ ~ ,6,8.7,3, ,2 ,3 ..............................
FLUMBERS 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
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 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 buildings and "pre-existing"
land uses:
I. Accurate survey of property 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.O. $5.00
Apt. 1-D Building No. 1
New Building .. ~ ......... Old or Pre-existing Building ............
$15.00
Date . Ap~i 1.2.2, r · 19~ 5 ........
Vacant Land .............
Location of Property ~ ,5,5.5 .Yo~m. gs. A.v. ezzu~ ............................ ,-q. Quthcd. d .......
House No. Street Ham/et
Owner or Owners of Property .L,~.z.c]~. ~e.a]. t.~;..Ltd,.2555..Younc3~ .Ave4~ue~. ~qoutb.~ld,..L1971
County Tax Map No. 1000 Section .. 06& ......... Block . .0. O:[ .......... Lot 2,8. &. 2,9 .......
Subdivision....F.o.u.n.d. ~.r.s..V~% ~.l.a. ge ........... Filed Map No ........... Lot No ..............
P~rmit No.~.~ ~ ~.... Data of Permitl~4.7/8~...Applicant n£~. ~.~.~ .Ltd... ............. Apt. 1-D
Hea~b De~t AD~rova~ . S~A4;. ~i ~..1.~, ~$~5[abo~ De~t A~ova~ ........................
Underwriters Approval . N6~7.323. · .4/.~4./8 .5 .... Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building~it meet~ppli~7~s and regulations.
Applicant/._.~~.///,..~ ................
~ ~ [C~For~e ~. All'iegro-,-Lizd~/~'ealty Ltd.
R~. I0-10-7a ~ ~/~ --/ ~ F~nders Village
Iq ~' BUREAU OF ELECTRICITY
lf~ THIB CERTIFIES THA~
fiXTURE
OUTLETS
17
DRYERS
~ECEPTACLES SWITCHES
26
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT
SYSTEMS
NO. OF F~ET
E
OTHER APPARATUS:
Panelbcmrds: 1-11cir. 15~
1-3 Ton A~C Unit
1-G.F.C.I. 1-~ ~r,
S E R
NO' ~iF~E RCC,~COND'
OF CC. COND
C
NO. OF HI LEG
A. W.G. NO. O; NEUTRALS
OF HI.LEG
1/o
North Shore E~echric
141 Central Av~ue
East l~arml~dale, N.Y 11735
Lic.
ll
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 BE 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 $outhold Plumbing Code and the
New York State Building Construction Code, and that solder
containing less than .2 of 1% lead was used for any piping of
potable water.
Founders Villa$e~ 2555 Youngs Avenue~ Southold~ NY
Street Address and Number
Building Permit No. 127502 Building No's: #id Units A~B~C~ &E
Owner: Lizda Realty~ Ltd.
Plumbers Signature: ~/~% ~ ~/x~
Address: 14 Seabro Ave.~ N. Amityville~ NY 11701
Sworn to before me this 25th
Notary Public, Suffolk County, NY No.
of A~ril 19 85
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