HomeMy WebLinkAbout12750-Z Bldg 1 Apt 1EFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z13398 Date April 30 1985
THIS CERTIFIES that the building .. ~L[DT~I.P.L$. ~D.~ I~ L~q .........................
Location of Property 2.555 YOUNGS AVENUE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section ... 0..6.3 ...... Block . .0. O. ! .......... Lot . .2. 8...&..2. 9. .......
Subdivision. ?.O.U. ~.D.E.~S.. y.I.L.L..~.G.E. .......... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·...A.u~g,. J ............ 19.8.3. pursuant to which Building Permit No. 1.2. 7).O.Z. ..............
dated ....N p.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 .........
... J3.~i~-¢,Sng. #.1...q p.~...1 -~ .U.r~:j_.~..5, n...M.u.1..~ .ip.l.e...d.we 11 .i.n.g .....................
The certificate is issued to LIZDA REALTY LTD.
..................... ......................
of the aforesaid building.
Suffolk County Department of Health Approval .... ~ .- 5.~. .................................
UNDERWRITERS CERTIFICATE NO. N 687306
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-
tot 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.O. $5.00
Apt. 1-E Building No.
New Building .. ~ ......... Old or Pre-existing Building ............ Vacant Land .............
$15.00
Date . Ap~i 1.22, r · [ 9~5 ........
Location of Property ;~ 55.5.. ¥onm. gs. A.v. eau~ ............................ .S. Quthcd. d .......
House No. Street Ham/et
Owner or Owners of Property .L,~.z.c]~. Re, a l t-~;..Ltd,.Z 555..'Zoun gs. Ave4~ue ~. ,So u tbs31 d, · ,~, 1. 971
County Tax Map No. 1000 Section .. 052, ......... Block . .0. ql .......... Lot 2,8. &. 2,9 .......
Subdivision ....F.o,u,n,d, .e.r.s..V~.l,a, ge ........... Filed Map No ........... Lot No ..............
Permit No.~-~... Date of Permitl¥.l.7/8~..Applicant LJ,~da. ~ea;[~a.y .Atd... ............. Apt. 1-E
Health Dept. Approval . S~54;. A~];i [..1.2, [ 8~5Labor Dept. Approval ........................
Underwriters Approval . ~6J~7.3 06. · .4/.1.1./$ .5 .... Planning Board Approval ......................
Apt. 1-E
Request for Temporam/Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and/~ Imeets ~,~able/F/~e/~/~ regulations.
Applicant . ,~,, ,~,~ ,~A,l.l~/e~,;,~ ~ ~ ~,' .......
f~ ~/~ ~ , bnders Village
' THE
1000635
April
THIS CERTIFIES THAT
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF EI. ECTRICITY
85 JOHN STREET. NEW YORK, NEW YORK 10038
16,1985 App.c,,tion~'o. onfue 3256es/e5 N 687306
only the electrical equipment as described belo~v and introduced by the applicant named on the above application number in the premises of
Fo%~ndern Village, Youngs Ave., Bldq.~ 1, Southold, N.Y.
in the following location; ~ Basement [] 1st Fl.
w., ex..a.ed o. Apr i 1 11,1985
Apt. -E-Res.
[] 2nd FI. Section Block
and found to be in compliance with the requirements of this Board.
Lot
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FtUORESCENT VA~O~
18 26 18 18
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
TIME CLOCKS MU/TI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
OTHER APPARATUS:
Panelboards; !-11 150amps.
1-3 Ton A.C. Unit
G.F.C.I.- 1
Smoke Detector- 1
S E R V I C E
NO. OF CC. COND. A.W.G. NO. OF HI-LEG A.W.G. A.W. G
PER 49' OF CC COND. OF Hi-LEG OF NEUTRAL
1/o
NO. OF~jNEUTRALS
1/o
North Shore Elec.
141 Central Ave.
E. Farmingdale, N.Y.,
lic.% 160E ~~ ,~
11735 P~- 17~:?y~/
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified b~ their credentials.
COFY FOR BUILDING DEPARTMENT. THIS COl~ 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 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.
Owner: Lizda Realty~
Plumbers Signature:
Address:
127502 Building No's: #1~
Units A~B~C~D ~
Ltd.
14 Seabro Ave.t N. Amityville~ NY 11701
Sworn to before me this 25th
Notary Public, Suffolk County, NY No.¢~
of April 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