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Home My WebLink About12840-Z Bldg 4 Apt 4DFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z. ] .39.2.3. ......... Date ...J.u..ly..1.0. ...................... 19 .~. THIS CERTIFIES that the building .... [~.U.L T I ?L.g. I~WE.L le I lq.G ........................ Location of Property . 255.5. ~[.O.U.§ g S. .& ~I g lq.U.~ ........... 5. Q U Tf ~.q I~ ~ .................... House No. Street Hamlet County Tax Map No. 1000 Section .. g.6.3. ...... Block .. 0P.1 .......... Lot ... 7.8..~. ?.9. ..... Subdivision .... ~'.q UI~ i) ]~.P~S. Y,[.L [, ~ G]~ ........ Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... d..a .n... 1. 6 ..........198. 4.. pursuant to wllich Building Permit No ........ .1.2.8. ~..O.Z ....... dated ...... ~/a/a.... J 7 .............. 19~.~., 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 ......... .... ~u~-.Ld ~.~g..#.fl.. A.p.t,,..4.-.[~. gn.L~,. &n..~u ~..t.i.~ .~ f~..D.~q ~.l.i. rig ..................... The certificate is issued to ...... LT SP.~..~. ~.h7¥ LT.D., ......................... (owner, ~r~j[q~ ....... of the aforesaid building. Suffolk County Department of Health Approval ........ .S .-,5.~ ............................. UNDERWRITERS CERTIFICATE NO ................ ~I ~.g.7. 9 $ 5 .......................... 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 FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SWITCHES FLUORESCENT OTHER APPARATUS: ~a~ 1-1Scar, 150~p 1-3~ AC t~it E R V I C NO. OF CC COND, pER ~' OF CC. COND NO. Of HI-LEG OF HI-LEG North Sh~re Electric 141 Central Ave. ~. Faumi~ a!e, N ¥ 11735 Lic 160 E 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. BUILDING DEIEARI'MENT. THIS OOIl~ OF CER?IFICAI~ MUBT NOT BE AL'I~RI:D IN ANY MANNER. "' 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- 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 property 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 $15.00 Date ... ~7U~.. :[ ,..1985 ......... Apt. 4-D New Building .... X. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~. 5. .5.5..Y.o..u.n.g.s...Ay.e. qu. ? ......................... ~QUCkal d. ;[1971... House No. Street Hamlet Owner or Owners of Property Li z d~L .Realty. Ltd.. 2A55. ;goungs. J%ven~ · So~tho/cl. l..1.9.7.1 County Tax Map No. 1000 Section ,..0..6.3 ......... Block . .0.0.~ ........... Lot..2,8..{..2,9 ....... Subdivision.. ?.o. gD~r$..~.J, 1 [ a.~.e ........... Filed Map No ........... Lot No .............. Permit No. ,~,2.8,4, .0.Z... Date of Permit $/~.7,/.8~..Applicant . Lizda. ~alt¥..~,td .............. Health Dept. Approval .~JT,5.4 ................... Labor Dept. Approval ........................ Underwriters Approval .t~. ~q.7.9.$ 5...6/. 25,/,85...Planning Board Approval ...................... Apt. 4-D Request for lemporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~',,, .~.,..~..-/.~...~?.~ .~..,, Construction on above d~scribed building and p~m.~t meets/all~ll~plica~e~es and regulations. /~ ,~ , L ~ Appdcant ../._...//~...~..///'/.'. ~.~Z/. .................. ~U,cFt-~ _, ~g~orge/M. ~Alliegro, L//zda Realty Ltd. Rev. ,o.,0-Ta -.~ ,~) ~ / ~ounders Vi 11 agc¢ PLUMBING AND HEATING CONTRACTORS LICENSED AND BONDED 14 SEABRO AVENUE. NORTH AMIT~VlLLE. L I NY !170] 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,B,C,&~& E 2555 Youngs Ave. Southold, N.Y. Building Permit # 12840Z Name & addre.ss of owner Lizda Realty Ltd. .; 4601 Delafield Ave. Br_onxI N.Y. 10471 Plumbers Signature ..'~ .c~. /~__~_.~ Address 14 Seabro Ave. No. Amityvill~ N.Y. 11701 License # 153-P Sworn to'before me this Notary Public__ 3rd day of . Ju__l~. 19 85