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Home My WebLink About12840-Z Bldg 3 Apt 3EFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z. ! 3..6.4.2. ......... Date ........ .d.u.l.y...'1.6 ................. 198.5.. THIS CERTIFIES that the building ..... .I3[J.L.T.I..P.L.E.. D..~.E.L.L.I..N 9 ....................... Location of Property ..... 2.5. ~ 5..~Q U. 89.s.. A..v .E.N.q E. .............. .S.O.U..T .~ 9. L. ~. ............. HOuse No. Street Ham/et County Tax Map No. 1000 Section 063 .Block 001 .Lot 28 & 29 Subdivision FOUNDERS VILLAGE .Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... 4 a..n :.. 1. 6. ......... , 198.6. . pursuant to which Building Permit No ..... 1.28 q 0 Z dated .... d.a.n.....1.7. ................ 19 .Sfi., 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..LL~.~.n, g'/(~...~.-?..U..n.Lt' , ~..n..~.u. ~..t.Lp.~.e...dy.e. ~..L~p.g.: .......................... The certificate is issued to LIZDA REALTY LTD. (owner, Tj~l IJ~gt~l~tY~X X of the aforesaid building. Suffolk County Department of Health Approval ....... S.z .5.4 ............................... UNDERWRITERS CERTIFICATE NO ............... tt.s. 6. 99fi. 9. ~ .......................... PLUMBERS CERTIFICATE July 3, 1985 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 N 699495 THIS CERTIFIES THAT ~iddle Rd., e/s Railroad Ave~ Ave.), Southold, N.Y. was examined onJU ly 1,19 85 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 21 DRYERS RECEPTACLES 27 SWITCHES 18 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT SYSTEMS NO. OF FEET OTHER APPARATUS: Panelboards; i-Ii(cir.) 1-3 Ton A.C. Unit G.F.C.I.- 1 Smoke Detector- 1 E R V I NO. OF CC. COND, A.W.G. NO` OF Hi-LEG PER ~' OF CC. COND 1 2/0 150amps. C E North Shore Elec. Contr. Inc. lic.#160-E 141 Central Avenue ~U~t~k~q~ ~]~ E. Farmingdale, N.Y., 11735 {~ ~ .... ~l~ This cedd~cate must not be altered in any manner; return to the office of the ~ord if incorrect· Inspectors may be identified by their credent,als. ~ ~ COPY FOR BUILDING DEPAATMENT. '~IS COPYO~'~'~'~'~'~'~'~''~''~-'~'''*~'~'''~F'~ CERTI~CATE MUST NOT BE ALTERED IN ANY MANNER~'~'~'~'~'~''~'''~'*'~~'~'--'''''~'~~ '~-~ ~ FORM NO. 6 TOWN OF SOUTHOLD Building Depa. t.~ent 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 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. B. 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. 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,..5R 85 ........... New Building ,~?~. 3..-,~. ,. , Old or Pre-existing Building ............ Vacant Land ............. Location of Property 255,5 .You~gs. A,v.e~u~ ........................... Soz~tholc]. ........ House No. Street Ham/et Owner or Owners of Property . L£zcla. ~qeaZ~y .Ltd. ........................................ County Tax Map No. 1000 Section .. 06.5 ......... Block ...{]01 ......... Lot..28. &..29 ...... Subdivision.. Fo~nd. er~ .Vii.l.ag'e ............ Filed Map No ........... Lot No .............. Permit No. [ 284~Z... Date of Permit 1./,17/3.4..Applicant..Li zd~ .Re~ty. [~td ............. Health Dept. Approval S,-.54. · ~,/.:12/&5 ........ Labor Dept. Approval ........................ Underwriters Approval .kl.. ~.~[ ?c9~.. ?/./~/~..~'~..Planning Board Approval ...................... APT. 3-E Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and e/rmit me, e~l al3~"~q~]e codes and regulations. Rw. ,O-,O-,8 / / Founders V~ ,age PLUMBING AND HEATING CONTRACTORS LICENSED AND BONDED 14 SEABRO AVENUE · NORTH AM~TYVILLE, 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. 3 Units A,B,C,D,&Q 2555 Youngs Ave. Southold, N.Y. Building Permit # 12840Z Name & addreDs of owner 4601 Delafield Ave. BrQnx, N.Y. 10471 Plumbers Signature ~. x/3~J~__~ Address 14 Seabro Ave. NO. Amityyille, N.Y. Lizda Realty~Lt_d_a ............... 11701 License # 153-P Sworn to before me this Notary Public 3rd day of Julsi 19 85 BUREAU OF ELECTRICITY THIS CERTIFIES THAT w w,. was examined onJUly 1,19 8 5 aad lound to be in compliance with the requirements of this Board. fiXTURE OUTLETS DRYERS SERVICE DISCONNECT RECEPTACLE! FURNACE ~ MOTORS FUTURE AFFfJANCE FEEDERS SPECIALREC'PT. TIMECLOCKS BELL UNIT HEATERS i 40 S E R V I C t,~'2W 1,,~3W 3,~3W 3~'4w NO O~ECRC,~COND, A.W,G. NO. OF Hi-LEG A.W.G, 1 6 OTHER APPARATUS: Pane lboa rd s; MULTI-OUTLET SYSTEMS NO. OF FEET 1-1 (cir.) 125amps. EXHAUST FANS DIMMERS North Shore Elect. Contr. Inc. //' _,~, 141 Central Avenue ~/ ~ ~ ~J~ Z. rarm:l, ngdale, N.Y., ll73S om,.,~.~. ~Jl'~ ~ 11 ~ 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 COPY FOR BUILDING DEPARTMEN'r. THIB COPY OF CERTIFICATE MUST NOT BE ALTERED IN AI~' MANNER. ioooo635 THE NEW YORK BOARD OF FIRE UNDERWRITERS O1 BUREAU OF ELECTRICITY ~ 85JOHN STREET, NEW YORK, NEW YORK 10038 Oate auiy ii, i~a5 Ap~llc. tio. No. on~ile ~s/$5 N 699520 THIS CE~IFIES THAT ~ V, 1~,j~, ~. j~, ~ ~.~ ~ o~ ~]~ ~,~/~ ~]~ Ave. (Yo~gs Ave)~U~ in the following locatlon; ~ Basement ~ 1st Fl, ~ 2nd Fl. Section BIlk ~t was examined on ~ ~ ~ ~ and found to be in compliance with the requirements of this B~rd. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES Fi. UORE$CENT DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: 1-a ~ AC Ur~t ~a~_ ~ i-iici, i5~,i~ E R V I C NO. OF CC. COND, A.W.G. NO OF HI-LEG A, W, G. NO. OF NEUTRALS A.W.G. pI:R ~ OF CC. COND. OF HI-LEG OF NEUTRAL 1 2/0 1 2/0 hatch bhoru ~t. cic ~ntlca 160 ~- GENERAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their creden~ COPY FOR BUILDING DEPARTMEN'r, THIS COPY OF CER?IFICATE MUBT NOT BE ALTERED IN ANY MANNER. N.?O° 05'00" E. Y0°08'30' 111.80' S.70°50 50 W, LONG ISLAND RAILROAD 554. t0' now or formerly Donlel Charnews 48Z 7 2' 56710' DRivewAy Mahr S 73o22'20"W. H376 89 03' ~ gow or formerly Averefte now or formerly Koelin NOTE: t,TOTAL AREA =22,841e ACRES 2,SUFFOLK CO,TAX MAP DIST~OOOSECTION~ BLOCKool LOT ga az9 3 THIS SURVEY PREPARED PROM SURVEY MADE BY VANTLIYL~SON 03/29/71 LOCATION MAP ~UFFQLK (~OUNTY DEPARTMENT OF HEALTH SERVICE~ Approval of Constructed Works H.D. Ref. No. APR 12 1985 SURVEY FOR FOUNDERS VILLAGE AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY,NY DATE: FE~ 19,1985 60 0 60 SCALE, I" = 60' ISO yOUNG 400 OS ,N.~ ALDEN W. YOUNG,N.~S. RE*~L.S. LIC N0.12845 HOWARD W. YOUNG~N.~S. LIC. NO. 4Ssgs NO. 84-841