HomeMy WebLinkAbout12840-Z Bldg 2 Apt 2BFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z13420 Date May 9 1985
THIS CERTIFIES that the building MULTIPLE DWELLING
Ix)cation of Property . 2555 YOUNGS AVENUE SOUTHOLD
............................. .......................
House No.
County Tax Map No. 1000 Section . ...0.5.3. ..... Block .... .0.0.1 ........ Lot....2.~..&...2.~ ......
Subdivision FOUNDERS VILLAGE .Filed Map No. . .Lot No.
conforms substantially to the Application for Building Permit heretofore fded in this office dated
...... ~ p.v.... ] .7 ........ 19.8~pursuant to which Building Permit No.12. ~.4.QZ. ...............
dated .... J.a.n. :..1.7. ................ 198.4. ., 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 .A~p.t.. 2-B Unit in Multiple dwelling
The certificate is issued to ......... L~.ZDA. ~.~A L:r.Y LTD · . ....
(owner,](e.~4t~C ~/t~ef~t4~:~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval S - 5 4
UNDERWRITERS CERTIFICATE NO..: . . N 6 8 ? 3 0 9
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
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:
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 $15 o 00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
Date . A~];il. ~2, · ~.~85 ........
Apt. 2-B Building No. 2
New Building . ~ .......... Old or Pre-existing Building ............ Vacant Land .............
Location of Property 25,55. Y~ungs. Auen~ ............................... .SQP.t, bQ~L~ ....
House No. Street Hamlet
Owner or Owners of Property Liz da. ~,ea ~. ~¥ · Ltd... 255.5..YOUrLC~S. A.v~nue,..Sou~o 1 eL,.. !. 1971
County Tax Map No. 1000 Section 063 ............ Block . .001 .......... Lot..28..& .29 ......
Subdivision.. FD. un~ter, a .Vil. lage ............ Filed Map No ........... Lot No ..............
Permit No. '.~ 7.5.0.7v... Date of Permit 3.].~:[~Y.83 .Applicant .~TZDA .EeaJ.~.y. Z,tx~ ..............
Apt. 2-B
Health Dept. Approval ~m. 54 ;. April..12 ,. ~R8~abor Dept. Approval ........................
Underwriters Approval .4~.i 6/BS.~6B3.309 ...... Planning Board Approval ......................
Apt. 2-B
Request for lemporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and [
Applicant . .~
Rev. 10-10-78
~t meets aJ~licab[e/~dc~'~nd ~egu lations.
..............
~e M. /Alliegro, Lizda ~Realty Ltd.
Founders Village
THE
10006:35 ~
April
NEW :YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
aB JOHN STREET. NEW YORK. NEW YORK 10038
16,1985; ~ppllcatlo. Mo. omfle 325666/85 N 687309
only the eicctrica/equipment as described belotv and introduced by the applicant named on the above application number in the premises of
Founders Village, Yottngs Ave., Bldg.~ 2, Southold, ~.g.
in the following loc tion' as
was exantined on
[] 2nd Fl. Section Block
~ and found to be in compliance with the requirements of this Board.
Lot
FIXTURE
OUTLETS SWITCHES
17 16
DRYERS FURNACE MOTORS
OTHER APPARATUS:
FIXTURES
FUTURE APPLIANCE FEEDERS
Panelboards; 1-11
1-3 Ton A.C. Unit
G.F.C.I.- 1
Smoke Detector- 1
150amps.
North Shore Elec.
RANGES
· 10.~
SPECIAL REC'PT.
S E
qO. OF CC. COND.
PER ~'
1
TO. VETw' IO,'S
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
R V I C
A. WG. NO.OF HI-LEG A.W.G. NO. OF NEUTRALS A- W. G.
OF CC. COND. OF HI-LEG OF NEUTRAL
1/0 1 1/0
EXHAUST FANS
141 Central Ave.
This ce.ificofe must not be ultere~n ,y monner; return t.~,~[ic, o, the Boord if incorrect. Inspectors ..... moy
CO~ FOR BUILDING ~PAR~E~. THIS COP~F CERTIFICA~ MUST NOT BE ALFRED IN A~ 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 Villaget 2555 Youn~s Avenuet Southoldt N.Y.
Street Address and Number
Building Permit No. 12840I Building No.: #2~ Units A~C~D
Owner: Lizda Realty
Plumbers Signature: ~.~ ~~
Address: 14 Seabro Ave.~ N. Amit~;ville~ NY 11701
Sworn to before me this 25th
day of April 19 85
Notary~ublic, Suffol~
County,
N.Y.~ NO.
Commission Expires M~'ch 30~
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