HomeMy WebLinkAbout12840-Z Bldg 2 Apt 2EFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificnte Of Occupancy
No. Z13400 Date April 30
.................................................. 19.8.5.
THIS CERTIFIES that the building MU~.T%~ D.~.E.L,L.I. NG .................
Location of Property . 2525. Y.O.~0~..A~U~ SOUTHOLD
Hou~ No. ' .......
County Tax Map No. 1000 Section ~3 ......... Block . ...0.q! ........ Lot ...2.8..&...2.9. ......
Subdivision F.0.U.N. pERS VILLAGE Filed Map No. . .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
J A N...fi ~. ............... ,19 8..4. pursuant to wl'dch Building Permit No. 1 2 84 0 Z
dated .... J..a .n.... 1. .7 ................198. ?., 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 .........
B.U.I.L..D.I.N.G. ~.2 A..P.T. 2-E unit in Multiple dwelling.
The certificate is issued to LIZDA REALTY LTD.
..................... io; 'a ..............
of the aforesaid building.
Suffolk County Department of Health Approval S-5 4
UNDERWRITERS CERTIFICATE NO. ~ b,8.7. ~ 1 2
PLUMBERS CERTIFICATION APRIL 25, 1985
Building Inspector
R~v. 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 properW 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. 2-E Building No. 2
New Building . Z. .......... Old or Pre-existing Building ............ Vacant Land ....... - ......
$15.00
Date . A~=il. ~2,. L~8§ ........
Location of Property 2.5.55. YD. ungs. J%uenu~ ............................... SQp.t.b,Q~. ....
House No. Street Ham/et
Owner or Owners of Property Lizc~a. ,Rea Z~,y .Ltd...255.5..You~Gs. A.~.nue,..SQU~.I~Q ld.~..% 1971
County Tax Map No. 1000 Section 063 ............ Block . .001 .......... Lot..28..&.29 ......
Subdivision.. ~'p.u.q~¢X.s..Vi.[.J. age ............ Filed Map No ........... Lot No ..............
Permit No. ~;.. Date of Permit ~[/[~.83 .Applicant .~[[DA .~ea~. ~ ..............
Apt. 2-E
Health Dept. Approval Sr.~ 4 ;. April..12,. ~R 8 ~abor Dept. Approval ........................
Underwriters Approval .4./.16/'B.5.-~ ~] 6 B3.312 ...... Planning Board Approval ......................
Apt. 2-E
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ ....................... .,~
Construction on above described building an?er~,~eets ~cable/~o~. ~.g~ions.
App, ,can, . . .J. . t//'/.. . .(,/L .............
G~'-o/kWge M./Alliegro, Lizda ~ealty Ltd.
Rev. 10-10-78 ~_~ ~= ~ ~/~ ~ / Fo~nde r s Village
d, O,
' '' THE NEW YORK BOARD OF FIRE UNDERWRITERS
~1000e35 "UREAU Or E-~C'rR,C,','V
85 JOHN STREET. NEW YORK, NEW YORK 10038
April 16,1985 ~App.,~atio.,No.o./.e 325663/85 N
THIS CE~IFIES THAT
on~y the el~c~ ~u~nt ~ ~scribed ~ ~d int~ced by t~ applicant nam~ o~ t~ a~ ~ation nu~r in the p~ises of
Founders Village,~ Youngs Ave., ~ldg.~ 2, $ou~old,
~ Apt. -E-Res. ~ ~ ' * '
was examined on ~ ~ ~ ]. ~ ~ ~ ~ 9 ~ ~ and found to be in compliance w th t~ requirements of this Board.
FIXTURE
OUTLETS
1.7
RECEPTACLES SWITCHES
FIXTURES RANGES COOKING DECKS
FLUORESCENT VAPOR
26 16 17
DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE TIMECLOCKS UNIT HE~[ERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R
OTHER APPARATUS:
1/0
I C
NO. OF HI-lEO
1
AWG.
Of NEUTRAL
1/o
Panelboardsl 1-11 150amps.
1-3 Ton A.C. Unit
G.F.C.I.- 1
Smoke Detector- 1
North Shore Elec.
141 Central Ave.
E. Farmingdale, N.Y.,
11735
This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by
Per 11
credentials.
COl~' FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT I~E ALTERED IN ANY MANNER.
DEPARTMENT OF BUILDINGS
Town of Southold
Main Road
Southold, New York 11971
State of New York)
County of Suffolk)
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 A,B,C,D ~
Owner: Lizda Realty
Plumbers Signature: ~~ ~h~/~
Address: 14 Seabro Ave.t N. Amityville~ 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] 1~.~
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