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Home My WebLink About12840-Z Bldg 2 Apt 2AFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Eft.3. .3-9.9 ........... Date Apr±i 30 19 85 THIS CERTIFIES that the building MULTIPLE DWELLING Location of Property 2~ YOUNGS AVENUE SOUTHOLD . House No. Street Hamlet County Tax Map No. I 000 Section 0..5.3 ......... Block 001 .Lot 25 & 29 Subdivision ....7.0.U.~ .~ .~.~.. V .Z.~.~.A..G .~ ......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Jan. 6 198.~.. pursuant to which Building Permit No. 12840Z dated ... J..a p... 1. ? ............... 198.6. ., 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 #2 APT 2-A Unit in Multiple dwelling The certificate is issued to LIZDA REALTY LTD. ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ....S.nS..4 ............................ N6~7~24 UNDERWRITERS CERTIFICATE NO ............................................... PLUMBERS CERTIFICATION April 25, 1985 Building Inspector Rev. 1/81 FORM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12840 Z Permission is hereby granted to: ~ ~ ~ ....... .Z..z.~.,~.. ......... ~:.xz.:~...~.....Z?7./.~: ....... .... ,;z~.~'...z~,~ --v~ .~ ...,~'r~x.~.T..~...:..~ ............ zm..~7../. ....... .' .... "S" '; ............ ::"- ..... .:.....,c.. ............................................... .; .... 0,~,,m,,s located at..,~./...~.Z~: ......... .~.~..~..~.¢. ...... ~'~r ....... ~.~.0.~..... .......... ~ ~. .~ ,c,,zT~.~ ...... ~ ././.,,~ ~. .~. ; ......... ...~.. ,~. .~ ,zr~.. .z,~. . z. /~.,/4 ........................... County Tax Map No. 1000 Section ..~..~'....~... ....... Block ..... .~..Z ........ Lot No. ~.~...~....~...~....~."'% pursuant to application dated ...... ~...~.~.~..~..~.....J'..~. ......... , 19~...~., and approved by the Building Inspector. 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 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 $ [ 5.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Apt. 2-A Building No. 2 Date .A~;il. 32,. Z.9~85 ........ New Building . Z, .......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 2,5.55. Y~ungs. Auen~e ............. ~ ................. $9.u.t. bQJL~. .... House No. Street Ham/et Owner or Owners of Property Lizda. ~qeaZ~y .Ltc%..2555..You~Gs .Au~nue,..SQu~hol~.,..11971 County Tax Map No. 1000 Section 063 ............ Block . .Q01 .......... Lot..28..& .29 ...... Subdivision.. ]~p.u.z)~]e~'.a. Vii.],age ............ Filed Map No ........... Lot No .............. Permit No. ~... Date of Permit ],3./[2J.83 .Applicant .LIZDA .Rea.l.ty. ~f,d .............. Apt. 2-A Health Dept. Approval ~.-.~ 4 ;. April..12,. 1885Labor Dept. Approval ........................ Underwriters Approval .4./.~. 6 ,/B.5.-~ ~ 68.7.3 2 J ...... Planning Board Approval ...................... Apt. 2-A Request for lemporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and aermit meets aJJ~lpplical~ev~ and regulations. Applicant..G~. '~ ~ .~~;~.. ~ i ...... R~v.,O-,0-,.8 ~ ~/' ~ ~e~F~/n~er~ ~a~a~~a~ y TNE NEW YORK BOARD OF FIRE UNDERWRITERS ~100(~5 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 o.,t,~ April 16, 1985 App~i,~.,,o. No.,,..fil,~ 32~67/85 N 687324 THIS CERTIFIES THAT Founders Village, yo;ng$ Avellue, Soa~hold, N.Y. Bldg. #2, ~rt thefollowlng ,ocatlo~ .~ ~t~$err~ e ~ 1st F;. [] 2.d FI. Sectlo. "lock Lot FIXTURE OUTLETS RECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS FANS INCANDE$CENTFLUO~ESCENT VAPOR 18 DRYERS FURNACE MOTORS RJTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET S~RVICE DISCONNECT S E R V I C )THER APPARATUS~ Panelboards: 1-11cir. 150amps 1-3Toa A/C [mit 1-G.F.C.I. 1-.gmnke Detector. NO. OF HI-LEG OF HI4EG NO. OFNEUTRALS OF NEUTRAL N~rth Shore E~ec~ric ~ 1Al Central Avenue E~s~ Farmingdale, N.Y. 11~35 Lic. 1~0 [his certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors mo~ I~y 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 is 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~ N.Y. Street Address and Number Building Permit No. 12840~ Building No.: #2~ Units~B,C,D & E Owner: Lizda Realty Plumbers Signature: ~.~ Address: 14 Seabro Ave.~ N. Amityvillef NY 11701 Sworn to before me this 25th day of April 19 85 Notary%~Pub 1 ic, S;uf fol~ ~ County, N.Y. , NO. Comrnl~sion Expire~ M~ch 30, F I~E L D INSPECTION 1. FOUNDATION ( 1 st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N. Y. STATE ENERGY ~DDE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 )isapproved ~/c ........................... .:m' W ' '- (Building Inspector) APPLICATION FOR BUILDING PERMIT Da,e '""/' ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by tiffs 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 'roll 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 hall 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 milding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. be applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to tlmit authorized ..... .~..~..~....~.a.....~..~.' .~..~.~7 .~. ./~.. !.~- ...... inspectors on premises and in building for necessary inspections,.,._ ~ _ . . ._.,. , (Signature of [~pplicant, or name, it a .orporatig~)_ .. ,, (Mailing address of applicant) / e '/? I grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. '4ame oe owner of premises .. ~.1~ ~l~g.~. ~--~:~,,/~1'~$ (as on the tax roll or latest deed) !f applicant ¢ ii corporatiop, signature of duly authorized officer. (Name and titie ' ..... Builder's License No .......................... Plumber's License No...~.~.. Electrician's License No. ?? .................... Other Trade s License No ...................... Location ofland on wbich proposed work will be donc ~)~O\l"10~'/~'~ ~''~'"> -S44r4 llouse Number -- Street Hamlet .................. County Tax Map No. 1000 Section ~3 Block I Lot2 t Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intencjcd use aqd occupancy of proposed construction: a. Exst ~gtseand occupancy .... .~...0%q. · .~. .~.~.h · .~. .og.??::'!~- .u~. ~ .................................... b. Intended use and occupancy .... .~..0. ~ .~.~..~. J..~! 0 fi4 ~ 3. Nature of work (check which applicable): New Building .......... Addition ....... ... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. '~ -- ' O ~ ^ ~ ' (Description) 4. Estimated Cost . · 5.q.0./.0.?. ·: ....................... Fee- - · .tI. [ ?. ........' ..................... (to be paid on filing this application) 5. If dwelling, number of dwelling units {~ 7,- 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 91[ entire new construction Front ...[ ~-.~' ! Rear ! .~..9.-.t Depth .q.0..'... Height ... I {' .......... IN_um_b~r of Stones ....................................................... "1- q- ~ h 9. S~zeoflot: Front ...................... Rear ...................... l~ept ,~ ........ .,..~ ........ 10. Date of Purchase ............................. Name of Former Owner ..O-..4.'..~}...t~1~. ltLg....t,?D,{h,,t~... I !. Zone or use district in which premises are situated...~.-.1. ............................. I. .............. 12. Does proposed construction violate any zoning law, ordinance or regulation: ~ .......................... 13. Will lot be regraded ....'7~.. ...................... Will excess fill be removed from premises: Yes Nr 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 fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. STATE OF NEW YDRK, COUNTY OF .... {~ .~..~ .l'J .X. ..... S'S~ ......... .~.} .~...~.~..O-.. ......~..~..}..~-..~. .............. being duly sworn, deposes and says that he is the applican (Name of individual signing contract) above llallled. lte is the .... ~....0/~ ............................................................ (Contractor, agent, corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application: that all statements contained in this application are true to the best of his knowledge and belief; and that th, work will be performed in the manner set forth in the application filed therewith. -- Sworn to before mc this ............ ! .......... day of ;.r~ ~'-- . ....1 . ~ Notary Public .......... . ..... ~u;~.~.7~..5~,~ .f... County t ¢ /-~ -.,// ' ....... ............ (Signature of applicant) 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