The URL can be used to link to this page

Home My WebLink About12840-Z Bldg 3 Apt 3AFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.q 3.6.3.8 ......... Date .......... ~.u.~_.y.. ! .6 ............... 19 .8.5. THIS CERTIFIES that the building .... .~.U. b .r .~?.L.~.. p.~.~. L..~.~?fi. ....................... Lo~atinnnfPrnn~rtv 2555 YOUNGS AVENUE SOUTHOLD County Tax Map No. I000 Section .0.6.3. ........ Block ..... 0.0. ! .......Lot ...2.8..&...2.9. ...... Subdivision.. ?.QUI~ DEJ~S. V~J~LAOE .......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ..... J.a n...1 .~ ....... ,19 $.6. pursuant to which Building Permit No..1.2.~ z/9 g .............. dated ..... fi.ap.....q .7 ............... 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 ......... .... 13.~ ~ ~ ~.g .I?3..R~ .~....2.:6..u.n ~..~..Ln...~.u.L~. ~. p.~.e..d..~.e3).~..ng.. .................... The certificate is issued to .... L. I..Z.D?..~ .~.L.T.~...L.T.~: ................................... (owner, ~f~'Xo~ ~JX × of the aforesaid building. Suffolk County Department of Health Approval ..... S. v ~.6 ................................. UNDERWRITERS CERTIFICATE NO ............. ~. 6. .9.9.4.9. 6. ............................. PLUMBERS CERTIFICATE JULY 3, 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 Depar~,,,ent 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 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. 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 $15.00 Date J~].y. ~.,..198~ ........... APT. 3-A New Building .... X ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property .2.5..5.5..Y.o.u..ng.s. ,Avenue .......... S..o.u.t.h.o..l.d ............. House No. Street Ham/et Owner or Owners of Property Lizd~ .Rea].ty. L~d.. 25_55. Yo~ngs. Av. emu~,Sou.thold. 31971 CountyTax Map No. 1000 Section ...063 ......... Block ... D.0.1 ........ Lot.28..& .29 ....... Subdivision. F. oumd~=$. V£].lag~ ............ Filed Map No ........... Lot No .............. Permit No. 12.840Z... Date of Permit 1/~.7./.84..Applicant Liz~la .Re~].ty. T.td ............... Health Dept. Approval .ay 5.4... 4/1.2/85 ........ Labor Dept. Approval ........................ U nderwriters Approval. ~ .~. ¢.~."~.~.~F.. 7/~.~/~. ~ .-~..p lanning Board Approval Apt. 3-A Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described bu ilding and~er~it meets all 1~0JS)(cable~d ragu lations. Applicant.....~.~,~.~.....~.//~.~...~ ............ ,~ GeOrge M./~Alliegro, Lizda ~[ea~lty Ltd. Re~.10-10-7a ~ ::~777 ~' Founders Village c.o? PLUMBING AND HEATING CONTRACTORS LICENSED AND BONDED 14 SEABRO AVENUE . NORTH AMITYVlLLE. L. k, NY 1L'01 - PHONE 842-8222 Town. of Southhold Building-'Dept. Main Road Southold, N.Y. 11971 The undersigned plumber certifies installation is in 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% was used for any piping of potable water. Location Founders Village Bldg. 3 Units~,B,C,D,& E 2555 Youngs Ave. Southold, N.Y. Building Permit # 12840Z Name & addre.ss of owner Lizda Realtl~ Ltd. 4601 Delafield Ave. Bro~nx~ N.Y. 10471 Plumbers Signature ~.~~~~ Address 14 Seabro Ave. NO. Amityville, N.Y. 11701 License # 153-P Sworn to before me this Notary Public 3rd day of Julsi 19 85 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000635 ~.~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK t0038 July 11,1985 341629/85 ,..e ~pp,ie.t,on No. o./,e N 699496 THIS CERTIFIES THAT Lizda Realty Ctd., Bl~.q. No. 3, Apt. No. A, So. of MtddIe Rd., els Rallroaa Ave. (Youngs Ave.), Southold, N.Y. in the following location; [] Basement [] Ist FI. [] 2nd Fl. Section Block Lot was examined o~U~ y 1 # 19 8 5 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 21 DRYERS OTHER AlP TUS: 1-3 Ton A.C. G.F.C.I.- 1 Smoke Detector- 1 RECEPTACLES SWITCHES FIXTURES 27 18 21 FURNACE MOTORS I FUTURE APPLIANCE FEEDERS S 1-11 (cir.) 150amps. Unit RANGES 1 10.~ SPECIAL REC'PI OF CC COND 2/0 JCOOKING DECKS I OVENS I DISH WASHERS IMECLO KS Btt U ITHEATER UL I T TR SYSTEMS AMPS ANS. H.P. NO. OF FEET 1 I C NO OF H~-LEG A- W, G, NO. OF NEUTRAL5 OF HI-LEG 1 EXHAUST FANS 3 OF NEUTRAL 21o North Shore Elec. Contr. Inc. 141 Central Avenue E. Farmingdale, N.Y., 11735 j[] This certificate must not be altered in any manner; return to the office of the ~ord if incorrect. Inspectors may be identified by their creels. COPY FOR BUILDING DEPARTMENT. 'rills COPY OF CERTIfiCATE MUBT NOT BE ALTERED IN ANY MANNER, FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY 4 o FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 l,sapproved ale ............................ ~-~. ~.. .... (Building Inspector) APPLICATION FOR BUILDING PERMITDate . .l.jt .~ 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 this 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 hall 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. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmitauth°rizedinspect°rs°npremisesandinbuildingf°rnecessaryini, p--e~sD~} ~]--T7 L T'0 , (Signature of 0pplicant, or name, it a corporatiog)... ,, .... :. (Mailing address of app ' t) / [)'! -;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ............................................................................ '~a n~ of owner of premises I~ (as on thc tax roll or latest deed) If applicaut ~s il corporatiog, signature of doly authorized officer. ....................... · ' ' (Name anti 'title of corporate officer) Builder's License No .......................... Plumber's Licease No...~fl.. ~ .~..~ .... Electrician's License No. ?.t....~...~..-~..... Other Trade's-License No ...................... Location of land on which proposed work will be done..~. ?.~... ! ............. / ..................... . .. ~ ........, ttouse Number Street Hamlet County Tax Map No. lOOOSection .. ~3 Block Saod ~ s on ..................................... Filed Map No. Lot (Name) State existing use and occupancy of premises and inte,,~d use and occupancy of proposed construction: a Existing use and occupancy .... ¢~.l .1....~o,/~.... ~ ................................... b. lntended use and occupancy .... .~..~..~..~.~ db.~.~..~. ~ 0/~ 3. Nature of work (check which applicablek New Building..........~ Addition .......... Alteration ......... Repair ...... ~ ...... Removal .............. Demolition .............. Other Work .............. ~' '10 oO ~ ~'P (Description) 4. Estimated Cost ...~..~..~ .0 .... : ....................... Fee ....~. ! ?. ............................. 5. If dwelling, number of dwelling units ~[ ~' (to be paid on filing this application) ............... 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 ose .... ; ............... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. i5 ...................... ' ' 8. sions ~ ~ntire new construct~X:~Ftrt}~t':: :~.' ?: .... : ' 'l~;~rN.u.m. ~e.~. ;.f- !I°..n~s' 'g ............. ~N~um_b~r of Stories ........ ' ................................... · f Fr ~,~- tov.~J4, ............ 9. S~ze, o lot: ont ...................... Rear ...................... l;lepth .................. 10. Date of Purchase ............................ .,Name ofFormerOwner ..~.'.4.'..~)...~.~2-.~... 11. Zone or nse district in which premises are situated ~'J - I ~ 12. Does proposed construction violate any zoning law, ordinance or regulation: ~ .......................... 13. Will lot be regraded ....~.. ...................... Will excess fill be removed from premises: Yes Nt 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 .... ~.~.~----~ .~. ..... S'S~ ......... · ~.} .~'..~.~..~. ..... .~. ~.~.~ .............. being duly sworn, deposes ~d says that he is the applican (Name of individual signing contract) above named. tie is the .... ~...~ ............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file thi application; that all statements contained in this application are true to the best of his ~owledge and belief; and that th. work will be performed in the manner set forth in the application filed therewith. Sworn to before me this County ~ 'fl --?ff (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