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Home My WebLink About14014-Z Pool House Founder VillFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ..... P.o..o.1..h.o..u.s.e...f .a.c.i. 1..i.ty. .................... Location of Property ~.55.5..YQ.U.N.G..S .A.V. ENUE SOUTHOLD -- ' House No. ' ......................... Street Hemlet County Tax Map No. I000 Section . . .06..3 ...... Block .... 0..1 ......... Lot . .0.2.8...&..0.2..9 ..... S ..... FOUNDERS VILLAGE UOalVlSlOn ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... M..a.y..1. ........ , 1,9 .8.5. pursuant to which Building Permit No.. 1. 4. .0.1.4.g. ............. dated June 6 19 8 5 , 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 ......... Pool house facility. The certificate is issued to LIZDA REALTY LTD. ..................... 'r;tiiia' 'o ...................... of the aforesaid building. Suffolk County Department of Health Approval S. 7.5 4.A. : .1.1./.2. 9/.8.6. ......... UNDERWRITERS CERTIFICATE NO ............ i$ 7.7.1.4. 2. .5 .............................. PLUMBERS CERTIF I CATE 9 / 2 9 / 8 6 Rev. 1/81 i' nspector ......... IPOuM NO, It TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRF. MISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 14014 Z County Tax Map No. 1000 Section ...~.~..~. ......... Block ......0.../. ......... ~t No. ~...Z~...-...~.l~.~;~ pursuant to application dated ...... ~ .~......../. .......................... , 19~....~..?and approved by the Building Inspector. Building Impector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I~ 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $ ].5.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ~ /~,~(~ 5. Updated C.O. $15.00 Date .... -../ ....,. ,.~. · · . . . NewC°nstruction.. ~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............ .~I. ,5.'-.~;.5~.... ~....~?,~... .... ?..O. .................... House No. U ~ ff Street' ~rnlet Owner or Owners of Property ....... ~,' ..~ .................................. ~ CountyTax Map No. 1000Section ~ ~ Block ..(2. J. Lot ~,,,F ,¢ ,~.~, Subdivision .... .V~.~..~.~ ...... Filed Map No ........... Lot No .............. PermitNo. !.'~.D.I.~/.Z-.. Date of Permit ' '.~..~./..~.~...Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ~ 77/~/'~' . .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant Rev. 10-10-78 £. ~. -,~' PLUMBING AND HEATING CONTRACTORS EICENSED AND BONDED 14 SEABRO AVENU~ NORTH AMITYVILLE, L I NY 11~ 01 PHONE 842-8222 Town of Southhold Building Dept. Main Road Southold, N.Y. 11921 The undersigned plumber certifies installation is in accordance with the Town of Southo[d Plumbing Code and the New York S:ate Building Construction Code, and that solder contai~ing less than .2 of 1% was used for any piping of potable water. Location Founders Village Clubhouse 2555 Youngs Ave. , Southold, N.Y. Building Permit # 14440Z Name & address of ~)wner __ Lizda Realty Ltd. 4601 Delafield Ave., Bronx~ N.Y. 10471 Plumbers Signature Address 15A Otis Street, West Bab~l_gn__~_~N._Y. 11704 License # 153-P Sworn to before me this Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000635 BUREAU OF ELECTRICITY !~ E5 JOHN STREET. NEW YORK, NEW YORK ,O03S D.,~ September 26, 1986 ~4ppl,~.lio.~ro. on.~lp 415885/86 N 77 425 THIS CERTIFIES THAT Fo~ders Village, Yo~gs Avenue, S. of Middle Road, e/s of Railroad Avenue,S~uthold,N.Y in the follv~ing I,~ation; ~ B~ement ~ Ist FI. ~ 2nd Fl. outside .%,c~i.,, Bl,.~k 1..~ Electric Water H~aters: 1-4.Skw Motors: 1-1~hp 1-2~Ton AC Unit 1-G.F.C.I. (Swi~ng ~1) This ~ert.ifi~at8 co~rs compli~e at the date of ins~ction onl Because of ~usual environmnts it is advisable to have frequent test and/or repairs ~de by a qualified person. North Shore Electric Contractors Inc. ].41 Central Avenue GINERALMANAQIE E. garmingdale,N.Y 11735 Lic#160E This certifkate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their creden~ols. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated .... ~ .~.. ? ..... t ........ ,19..~..~7 for permit to ~c,.5~(~_.~-.~..o?~ .~..~( ~. l"~t(~.~.I..~..~.~...C.t..L-A..~"..~. ............... at Location of Property ...Z..5.-7~7...~..~..~ ~2.../.--~..V.~ ......... .~.77:. t.C~D .... House No. Street Ham/et County Tax Map No. 1000 Section ....~ .~ ..... Block . .(2)( ......... Lot .C). Subdivision ................. Filed Map No ................. Lot No ........... ~ ...... is returned herewith and disapproved on the following grounds., .'~.../~Q~-)~.~--, .~. · . · .~_~:~/t'.. . ~ . . ~o ~. . . ~o~: . . .~.~.~ ~. . ~ . . ~1~ ....... .~ ~.c~.~.~. . .~/~ ~.c ~ ~~ . . . ~ . ~. q~ . ~,~ .... ~. ~. ~.. C~r~.~o~... ~..~ .......... . ~~../A~. ~ .... ~Aq ~. ~. ~.~ ~.~ ~.. ~..~... ...(~../~az.. ~ j .... ~~ ~.~ .~~. (~. //~ , ~ ..~~ ~.~ ~oo.~../~..~ .~~. ~~..~. ...... ............. / Bu~ldinq Inspector RV 1/80 i,'IEL13 ~.N.,PE(,;TJON COMMLN? . ~//UNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING iI~SULATION PER N. Y. [~TATE ENERGY C,ODE ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971 TEL.: 765-1802 Disapproved a/c ....................... .(~ ........... ............... .... (Building Inspector) APPLICATION FOR BUILDING PERMIT MAY 2 F. ,'; Received ........... ,19... Date . .Nay..1, ........... 1986. INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 Bnilding Permit to the applicant. Such permit shall 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 shall 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to adnlit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ~.5. 5. $..Y.o.u m Us..Avenue,. Southo.l.d, N-.-Y., t t ~-7-t (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... Owner ...................................................................... Name of owner of premises .... .Pp.u.n.d..e.r.5..V.i)..1, a. qg...-~ . .L;t,z.4a. R~.alty. Ltd ............................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · .~.o.r.~p..M.....h:t.l.J:e. 9.rR,' . y.i.qe, rp.r.e.s.:, p.r. qje.ct Director (Name and title of corporate officer) BuihleFs License No ...... ~...lq. · .;~.r. ('.? ........ Phauber's License No .............. ' ........... Electrician's License No ....................... Other Trade's License NO ...................... Location of land on which proposed work will be done .................................................. ..... ~ ~ ~ 5..Y. 9 .u.n'y.5. b,v~.n.j~ e ................................... Sou. th e ~ d ....................... ltouse Nmnber Street Hamlet County Tax Map No. lO00Section ..06.3 ............. Block ..t ............... Lot..28,29 ............ Subdivision....F.o?.r~d.? .rp..¥/: } .l~2.q~ ............... Filed Map No ............... Lot ............... (N:une) State existing nsc and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy · Pool. house;- dress.i'ng. ~-ooms;- 'clnd' 'rOOta ....................... 3. Nature of work (check which applicable): New Building . .3;..' ..... Addition .......... Alteration ........ Repair .............. Removal .............. Demolition .............. Other Work .............. ~. 5',fl ~ (Description) 4. Estimated Cost .... 351~.0... 00 .......................... Fee ................................... (to be paid on filing this application) 5. ,If dwelling, number of dwelling units ............... Number of dwelting units on each floor ............... If garage, number of cars ....................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories .................... 8. Dimensions of entire new construction: Front . .~[a'[-'.': ~ ;'. ..... Rear ~,,~,'.-r ~t.". .......Depth . Height .... 1.7.: ~ 0.". .... Number of Stories . on.e ................................................. 9. Size of lot: Front . s. ubd£.v.~.sioB. ....... Rear ...................... Depth .................... 10. Date of Purchase ............................. Name of Former Owner .......................... 11. Zone or use district in which premises are situated .................................. ~ ................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .. nc> .......................... 13. Will lot be regraded .no ......................... Will excess fill be removed from premises: Yes x N 14. Name of Owner of premises .I~$ ~ ~l.~ . l~e.a.l.t.y. ~.~d. Address .2.5.5. 5...Yp.u.n. cj.s..g..v..e: Phone No. 7. .6 .57.5. 4. .5 .2 ..... Name of Architect . .40¢1c..P..,. ?.e.r.m.~.rX ....... Address M.K..gJ-~.c.q ~ ~, .Y...... Phone No. 7. .1.4.-.6. Name of Contractor .I~izd. a .Rea. L~:y. ~.t;cl ...... Address .2.5.5.5...Y.o.u.n.g.s..~.¥.e:Phone No. 7..6.57.5.4..5.2 ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~indicate all set-back dimensions fro~ property tines. Give street and block number or description according to deed, and show street names and indicate whetht interior or corner lot. STATE OF NEW YORK, COUNTY OF . . S.S ................................................. being duly sworn, deposes and says that he is the applic:m (Name of individual signing contract) above named. He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application; that all statements contained in this application are true to ttie best of his knowledge and belief; and that th work will be performed in the manner set forth in the application filed therewith. Sworn to before me this (Signature ql~ applicant' I now or formerly DDntel Chornews N,70* 05'O0"E 111.80' 48Z 72' Z o pIT S'?4°OZ W. S. 70°30'50"W LONG ISLAND RAILROAD I~ATER METER PIT NOTE ST 567[0' now or formerly Mahr S.73o1~'30,,~ now ~ formerly 89.03' Avereffe now or formerly Koelin I.TOTAL AREA-'22.8418 ACRES SUFFOLK O0 TAX MAP DISTI~SECTION~ BLOCKo~m L, OT za a29 THIS SURVEY PREPARED FROM SURVEY MADE BY VANTUYL~SON 0~/29/71 OCT 25 t986 OCT ~ 966 JUNE 25~1986 MAY 29 1986 REVISIONS= MAY 7~ 986 LOCATION MAP SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Approval el Constructed Works ,.o. Nsf. ,o...~.,-¢-',',¢ -,'~/~ NOV 2 O lg86 ~'C~.~. 0C, &%. ?~' DATE ) CHIEF OF GENE~L ENGINEERING SERVIC~ SURVEY FOR FOUNDERS VILLAGE AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.'~ MA'( 12 1986 DEC, 8,I985 60 0 60 SCALE. 1" = 60' lSD 400 0 ALDEN HOWARD NO. 84 - :. N0.45895 OCCUP~NCY OR USE [~ J~LAWFUL WITI-I~T CE~T]FiCATE OF OCCiJPAN,CY .; ~,l~;~nl~',,~D AS NOTED . ~ ~OTIFY gUILDING DEPARTMENT AT :~65-$80~ 9 AM TO 4 PM FOR. THE ~LLOW LNG INSPECTIONS: 1. FOUNDATION'- ~O R.EQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING :3. INSULATION 4. FINAL - CON'STRUCTION MUST1 BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET ~ENT5 OF THE N.Y. TION & ENERGY RESPONSIBLE FOR ~, CONSTRUCTION ERRO~-S. ~ltp~ .00 _lr ~ o o L G , NE]Ih, ' [/It.l ~ . .~, , ~.; 07 1150 PSI. F'".,' ', ;] &LL PARI-IFIONS ALL R(X'F /[]O fW',F~ ER SPACES TO BE RO~ ~. ~L~ VENTED TO EXTERIOR SOLDER USED IN WATER SUPPLY SYSTEM CANNOT · EXCEED 2/10 of 1% LEAD, PLUMBER CERTIFICA Tf ON' ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANcy If copper tubing is usec[ for water distributing sys!em; piping shall be of types K or L only