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