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Home My WebLink About12840-Z Bldg 4 Apt 4BFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou(hold, N.Y. Certificate Of Occupancy No..Z. 1.3..6.2.1 .......... Date ....~.u.l. ¥. fl.O. ..................... 19.8..5 THIS CERTIFIES that the building .... ~.U.L.Tfl..P .L.E..~..~ 9 ........................ Location o f Property .... .2.5. ~ 5. X.O.U. ~ 9.S.. A. y .E.N.U.g. ............. .S.Q u. T U .O.L.D. .............. Hou~e No. Street Hamlet County Tax Map No. ! 000 Section .... P.G.~ ....Block ... 0 P.1 ......... Lot . .~ ~. ~..:~ 9 ....... Subdivision... F. .O .U ?. D. E. .E .S..V. ~..L.L.R.G.E. ......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... Ja~,. ~ ~ ...... ,198/,. pursuant to which Building Permit No.. ] ~3/4.~ ~: ............. dated ..... J.a.n. :..1.7. ............... 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 ......... .... B.u,$~.d.&og. t~.4..~,pt .~r~3..[~o$.t..~,o. M.q], .t.i.o.l.e., p.w.e. 1..1.ip.g: .................... The certificate is issued to .... .~.I.Z.D..~. ?.E.~.L. 7:A .[.Tp.. ................................... (owner, I~s~,~ ~&t~ X of the aforesaid building. Suffolk County Department of Health Approval . .S..:. ~ .~ .................................... UNDERWRITERS CERTIFICATE NO .......... N 6 9 7.9.3 6 ................................ PLUMBERS CERTIFICATION 7/3/85 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 Depa,U,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 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. 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 $15.00 Date .... Jul.Y.. 1 ,..k985 ........ APT. 4-B New Building ...X ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .Z5 55..Youncjs ,Aveneu ............. ~ ................. ,-q.q~t~hp.],c~ .... House No, Street Ham/et Owner or Owners of Property L.~, z. ~l.a..l~,¢~,l.t~y. ~.t.4,..2.5.5. 5...Y.o.u.n. g .s..A.v..e.n.u.e.,...S.o.u.t. bg.l.d. . .1.1.9.71 County Tax Map No. 1000 Section ...Q§~ ......... Block ...0.0.1. ......... Lot...2.8...&..2.9. ..... Subdivision...F.Q~D.cl~;$..V.~ ~; ~.o~ ........... Filed Map No ........... Lot No .............. Permit No..1.2.8.4..0.Z... Date of Permit .1/.1.7./. {~.4..Applicant .L.J..z,d.a...R.e.a. 1..ty..L.t..d: .............. Health Dept. Approval .. $?.5.4. ................. Labor Dept. Approval ........................ Underwriters Approval .N...6,9.7. 9. ~ .6... (~ ~/~ ~5./. ~ ~...Planning Board Approval ...................... Apt. 4-B Request for Temporar~ Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and ~mil meets a~E~//~/~lica~c//~/~s and regulations. ................ Geor/3e M./Alliegro, Lizda/ Realty Ltd. R~v. lO'10'T8 ~.~>=~ ~/$/ / F~unders Village/ C.d. z THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 0.[. 83 JOHN STREET, NEW YORK. NEW YORK 10038 ..reU~,, ,~, ~.~5 App,c..o. No.o.S,. 33947e/SS N 697936 THIS CE~IFIES THAT ~s V~, B~g 4, ~ ~B, Yo~A~, ~, N Y ~. the following location; ~ B~ement ~ 1st FI. ~ 2nd FI. Section Block ~t was e~amined on ~ ~0 ~ ~9~ and found to be in compliance with the requirements of th~s Board. FIXTURE RXTURES OUTLETS SWITCHES NCANDE$CENT FLUORESCENT 17 DRYERS 16 17 FURNACE MOTORS FUTURE AFl,lANCE FEEDERS RANGES L 10.4 SP~IALREC'PT E R ~TE CLOC~:. T~BAE ~$ V I OVENS [DISH WASHERS. LJNIT HEATERS LULTI-OUTLET C E OTHER APPARATUS: EXHAUST FANS DIMMERS NOOF CC. COND. A.W.G. NO. OF HI-LEG A-W,G, NO. OF NEUTRAI~ A.W.G. PER ~' OF CC, COND. OF HI-tEG OF NEUTRAL 1 1 1 i 141 Central A~. -_- j~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. [~j COP/' FOR BUlL§lNG DEPARTMENT. 't'HI~ COPY OF CER?IFICAI'E MUST NOT BE ALTERED IN ANY MANNER, PLUMBING AND HEATING CONTRACTORS LICENSED AND BONDEB 14 SEABROAVENUE. NORTH AMITYVlLLE, L I, NY 11701 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. # 4 Units A~C,& D,& E 2555 Youngs Ave. Southold, N.Y. Building Permit # 12840Z Name & address of owner Lizda Realty Ltd. 4601Delafield Ave. Br~onx, N.Y. 10471 Plumbers Signature Address 14 Seabro Ave. License # No. Amitv_vi i i~_N__. [_.__.13_701 153-P Sworn to before me this Notary Public 19 85