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HomeMy WebLinkAbout12840-Z Bldg 2 Apt 2CFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hale Southold, N.Y. Certificate Of Occupancy No. Z13421 Date May 9 1985 THIS CERTIFIES that the building MULTIPLE DWELLING Location of Property . 2555 ¥OUNG$ AVENUE SOUTHOLD ............................ 's',/o;i ....................... h d ioi House No. County Tax Map No. 1000 Section ..0..6.2 ....... Block .. 001 .Lot 28 & 29 Subdivision ..... .Fp.U.N..D.E?.S...V.I.L.L.A. 9.E ....... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'fled in this office dated No.y:..1.?. ............... 19 .8.3. pursuant to which Building Permit No. 12840Z dated ....J.a.n.: . J .7 ................. 19 .8.4. , 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 ......... BUI LI).~.NG. ,/A2 .Ap.b,. 2,-~Z .Un&.t .in..Mu ll~i.p l e. ~lxe 1 lf~ng .......................... The certificate is issued to LIZDA REALTY LTD. ..................... /oYn;; .................... of the aforesaid building. Suffolk County Department of Health Approval $ - 54 UNDERWRITERS CERTIFICATE NO N 68 ? 3 10 Flumbers Certification April Building Inspector 25 , 1985 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- tar 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 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 $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date . A~il. ~,2, · ~.~8§ ........ Apt. 2-C Bilding No. 2 New Building . X .......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 2.5.55. ~aungs. 2%uenu~ ............................... SQ.u-t. bQ~. .... House No. Street Ham/et Owner or Owners of Property L£zc~a. ~eaZ~!~. [.td...255.5..¥ou~c3s. A.v~nue,..So=~ol~l.,..!. 1. 971 County Tax Map No. 1000 Section 063 ............ Block . .001 .......... Lot..28..& .29 ...... Subdivision.. ~Fp.~r;~¢r.a. Vil.lage ............ Filed Map No ........... Lot No .............. Permit No..~.-.5.0.$... Date of Permit 3~1~ 13~.83 .Applicant .LIZDA .Rea~Lty. Lt~l .............. Apt. 2-C Health Dept. Approval ~.-.~ 4;. April..12,. 1R85Labor Dept. Approval ........................ Underwriters Approval .4~.16 ,/~,5.;~ 6 ~.7.31. 0 ...... Planning Board Approval ...................... Apt. 2-C Request for Temporary Certificate Final Certificate · Fee Submitted $ ....................... ,,~.. Construction on above described building an~'~r~,it meet%,~/,~plicab/~o/~/$'/and regulations. .............. Se rge llieer?,, .iz F eal Rev. 10-1o.7a / F~unders Village 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 Youngs Avenue~ Southold~ N.Y. Street Address and Number Building Permit No. 12840~ Building No.: #2~ Units A,B~C~D & E Owner: Lizda Realty Plumbers Signature: ~.~ ~/ Address: 14 Seabro Ave., N. Amityville~ NY 11701 Sworn to before me this 25th day of April 19 8~5" Notary~ublic, Suffol~ ~ County, N.Y., No. Commlssio~ Expires Mm*ch 30. '1~.~ 1000635 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELEG~TRICITY 85 ~fOHN STREET. NEW YORK. NEW YORK 10038 16,1985~ 325665/85 N 687310 only the electrical equipment as described below and inEroduced by tim applicant named on the abo~e application number in the premises of Founders Vt~l'age, Youngs Ave., Bldg.# 2, Southold, N.Y. in the following location: ~ Basero'ent was.x, mlnedon April 11,1985 Apt. C-Res. FI. [] 2nd FI, Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUC~ESCENT DRYERS FURNACE & TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS OTHER APPARATUS: Panelboards; 1-11 150amps. 1-3 Ton A. C. Unit G.F.C.I.- 1 Smoke Detector- 1 S E R V I C A. w.O. NO. OF HI LEG A, W.O. NO. OF NEUTRALS A- W. O. OF CC. COt, iD. OF HI-LEG OF NEUTM 1 1/0 1 1/0 North Shore Elec. 141 Central Ave. E. Farmingdale, N.Y., 11735 GENERAL MANAGER] This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ ___~ ~ 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