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Home My WebLink About12840-Z Bldg 4 Apt 4EFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13624 Date JUly 10 1985 THIS CERTIFIES that the buildin§ MULTIPLE DWELLING i~catinn of P~operty ...... 2.~. YOUNGS AVENUE SOUTHOLD Hou~ No. ' .................. 'S;;~i ....................... County Tax Map No. ]000 Section ....0.5.3. ..... Block ... 99.1 ......... Lot ....... 2.8...&..2.9... Subdivision....F .O.U.N.. D..E.~.S..V..I.L.~.A.G..E ......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fded in this office dated Jan. 16 19.84. 12840Z ..................... , . pursuant to which Building Permit No ...................... dated .... .J.a.n. ~..1.7. ............... 19 .8.6. , 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 ......... ..... ~u~;t.d.~g. tt.~..Ap.t....~..~.t. ~n. Iq.~..t.ii>.~.e., .d.w.e.% .~.i.n~ .................... The certificate is issued to ...I~$~.d.~. ~.],~y..L.t..~,~n.e.r,.,~l~i~.n.t) of the aforesaid building. Suffolk County Department of Health Approval ....... ,S.-~ 55 .............................. UNDERWRITERS CERTIFICATE NO ............... .N.6. 9 ? 9.3.7. .......................... Plumbers Certification 7/3/85 Building Inspector Rev. 1/81 FORM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12840 Z Permission is hereby granted to: ~ ~ ~ ....... .Z..z.~.,~.. ......... ~:.xz.:~...~.....Z?7./.~: ....... .... ,;z~.~'...z~,~ --v~ .~ ...,~'r~x.~.T..~...:..~ ............ zm..~7../. ....... .' .... "S" '; ............ ::"- ..... .:.....,c.. ............................................... .; .... 0,~,,m,,s located at..,~./...~.Z~: ......... .~.~..~..~.¢. ...... ~'~r ....... ~.~.0.~..... .......... ~ ~. .~ ,c,,zT~.~ ...... ~ ././.,,~ ~. .~. ; ......... ...~.. ,~. .~ ,zr~.. .z,~. . z. /~.,/4 ........................... County Tax Map No. 1000 Section ..~..~'....~... ....... Block ..... .~..Z ........ Lot No. ~.~...~....~...~....~."'% pursuant to application dated ...... ~...~.~.~..~..~.....J'..~. ......... , 19~...~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 fiXTURE OUTLETS SWITCHES DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT SYSTEMS NO. OF FEET E R V I C NO, O~- CC COND. A.W,G. NO.OF HI.LEG A.W.G. NO. OF NEUTRAI.$ A.W.G. PER ~' OF CC. COND. OF HI.I~G OF NEUTRAL 1 1 1 1 OTHER APPARATUS: 1-3 Tc~ AC U~it 1-GFCI, 1-Rx~ke Detector par~l}mvds 1-11¢ir, 15~ COlin/FOR BUILDING DItI"AR?MI:NY. THIS COIEy OF CERTIFICATE MUST NOT BI: ALTERED IN ANY MANNI:R. FORM NO. 6 TOWN OF SOUTHOLD Building Depa, I.n~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 property showing all properW 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 .July.. 1,..1985 ........... New Building . . ,A,p.J~.. 4-E Old or Pre-existing Building ............ Vacant Land Location of Property . 2.555. ~oungs..Avenue ....................... Sou;Y--~old ............ House No, Street Ham/et Owner or Owners of Property L£zda. RealLy .Ltc~... 255~5 .You~,gs; A.~.eQue..Source, old. 11 971 County Tax Map No. 1000 Section .... ~63 ........ Block ...00A ......... Lot..28..& .29 ...... Subdivision.. F~>unde.r.s .Vi.l.l-a~e ............ Filed Map No ........... Lot No .............. Permit No. 3~28.4.0[... Date of Permit .J,/L7./.84.Applicant .Lizc]~% .Rea.l.~;y. Ltd .............. Health Dept. Approval ...s-.5~ ................ Labor Dept. Approval ........................ Underwriters Approval N 697937 6/25/85 .Planning Board Approval Apt. 4-E Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. 5;~...~..~./'/~,~A ...... Construction on above described building and permit meets all a, pplicabl/C~o/~,,,,'~nd regulations. 'd~'~'~ A Ii n' /j''' .... d./lt~, ,,~2./../_.~.../.~/ PLUMBING AND HEATING CONTRACTORS LICENSED AND BONDED 14 SEABRO AVENUE- NORTH AMITYVILLE. 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,B,C,& D,&O 2555 Youngs Ave. Southold, N.Y. Building Permit # 12840Z Name & addre.ss of owner .~izda Realty Ltd. 4601 Delafield Ave. Br~onx~ N.Y. 10471 Plumbers Signature Address 14 Seabro Ave. No. Amityville~ N.Y. 11701 License # 153-P Sworn to before me this Notary Public _3_r._d__ d a y of 19 85 ~IEL~ INSPECTION 1. FOUNDATION ( 1 st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY q. ODE FINAL ADDITIONAL COMMENTS: