HomeMy WebLinkAbout13516-Z Bldg 19 Unit CFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
N Z14025
o .................. Date November 21 1985
THIS CERTIFIES that the building MULTIPLE DWELLING
Location of Property . , 25~5 YOUNGS AVENUE SOUTNOLD
HO~ 'N'ol .......................................................
Street Hamlet
County Tax Map No. 1000 Sect~o~ ............ Block 0 01 . .Lot 2 8 & 2 9
Subdivision FOUNDERS VILLAGE Filed Map No ......... Lot No.
conforms substantially to the Application for Building Permit heretofore £fled in this office dated
..... .S .e.p. ~.:..2.7. ...... , 198..4. pursuant to which Building Permit No. 13 5 1 6 Z
dated Nov. 2
............................ 19~.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 .........
Building #19 Apt-~9-C Unit in Multiple Dwelling
The ccrfificate is issued to LIZDA REALTY LTD.
..................... ioYn' ;, k' " '. ................
of the aforesaid building.
Suffolk County Department of Health Approval S - ~ 4
UNDERWRITERS CERTIFICATE NO # N 7 1 7 8 9 6
PLUMBERS CERTIFICATE 10/9/85
Building Inspector
Rev. 1/81
fOCal ~O. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 13516 Z
Permission is hereby granted to:
.... ..............
.... ~//~x......~..-,:',~ ~/~."~,~..,z~... ....
....... ~,~.~.g..~....~*....~.... ......... /..~..~ .....
, /
,o ....~.~u~..~. .................. ~.~.~x~.....,~x~..,~m,...~ ............ ~ ~...~.~ .........
.. .= - -,~_ . ~ -~ ~
. z~.~ ...... ~.Z.....~ .......... Zg.....~...~/~...~g~t~..~..r~ ~
....... .~...=..~z~ ......... ~,~.~%~-~....~a~.~.~=.~..~ ............
County Tax Map No. 1000 Section .~.. .......... Block ..(~./. ............. Lot No.~..~..~...~....~'.~..i.]~ O/C)
Building Inspector.
Building Insl:mcl'or
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ JOHN STREET, NEW YORK, NEW YORK 1OO3S
BE
THIS CE~IFIES THAT
~y t~ e~t~al ~u~n~ = ~cd~ ~ ~ int~ by t~ ~li~t ~ on t~ ~ ~pl~at~ numar i~ t~ ~s of
in the following ~=tion; ~ B~ement ~ Ist Fl. ~ 2~ FL ~tion B~k
~ examined on and found to be in compliance ~ith the requirements of this Board.
FIXTURE RXTURE$ RANGES OVENS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
A7 25 16 17
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
HO. OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS:
X-3~ A/C Un.it
~-~e ~c~
NO. O~ CC. COND. A, W.G. NO. OF HI-LEG
PER ~' OF CC. COND,
z/o
OF HI-LEG
NO. OF NEUTRALS
A
OF NEUTRAL
A41 Central Avenue
~. ffaz~aA~d~!e, ~ 11735
Lic~160
GENERAL MANAQ~II/i
This cerfificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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 disposel-(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 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.
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
$15.00
Date ...t~qv...~..~..8.,..1.9.8.5. ........
New Building ...X..... ...... Old or Pre-existing Building ............ Vacant Land ........... . .
Location of Property . 19-C. 255.5 Yo .L~-t.~s..~.v.e...,.. .S~u....~.q~ .,
House No. Street ' Ham/et
Owner or Owners of Property . ~z,c~. ~a],t~..LTD ...........................................
County Tax Map No. 1000 Section ...(~6~ ......... Block ...0.0.:~ ......... Lot..~[ .& .~9. .......
Subdivision ~o. tm~.e?.s. Village
............................. Filed Map No ........... Lot No ..............
Permit No...{3.5.~.6.3. , . Date of Permit ~.0./.8.~ ..... Applicant...[~.z .c~a. ?.e.a.~.~y..~...~... ..............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicabJe cpd_es and regulations.
Applicant..~ .........................................
~ Gary S. Kostrewski
R~v. lO-lOJS Project Director
27 YF
PLUMBING AND HEATING CONTRAC~'ORS
LICENSED AND BONDED
].4 SEABRO AVENUE · NORTH AMITYVILLE, L. I., NY il?O]. PHONE 842,8222
Town. of Southhold
Building Dept.
Main Road
Southold, N.Y. 11971
The undersigned plumber certifi=:s 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. 19
2555 Youngs Ave. Southold~ N.Y.
Building Permit # 13516Z
Name & addre,ss of owner Lizda Realty~.Ltd.
4601 Delafield Ave. Bronxt N.Y.
P l~mbers Signature ~--~ ~ r~t".~a_.~ ~-~-~
Address 14 Seabro Ave. No. Amityville, ~.Y. 11701
10471
License # 153-P
Sworn to before me this
Notary Public
q.~day o( Oct.
19 85
Southola, N.Y. 11971
(518) 785-1988
November 20, 1985
Mr. Gary S. Kostrewski
Project Director
Founders Village
2555 Youngs Avenue
Southold, NY 11971
Re: Founders Village
Dear Mr. Kostrewski:
Please let this confirm the following actions taken by the
Planning Board, Monday, November 18, 1985.
RESOLVED that the Southold Town Planning Board recommend
to the Building Department that a certificate of occupancy be
issued for Buildings No. 18 and 19 at Founders Village, Southold,
subject to the planting of street trees.
RESOLVED that the Southold Town Planning Board approve the
amended site plan for Founders Village for construction of a
swimming pool and bathhouse, plan last amended October 31, 1985.
If you have any questions, please don't hesitate to contact
our office.
Very truly yours,
BENNETT ORLOWSKI, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Diane M.Schultze, Secretary
c~c.'Building Department