HomeMy WebLinkAbout48425-Z ���aguffOCGy� Town of Southold 10/21/2022
0
P.O.Box 1179
53095 Main Rd
y Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43527 Date: 10/21/2022
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 5335 The Long Way, East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-5-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/5/1985 pursuant to which Building Permit No. 48425 dated 10/21/2022
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:
garage addition to existing single family dwelling as applied for.
The certificate is issued to Levas Fain 2014 Irr Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A th ri ed Signature
su TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Co TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
0
BUILDING PERMIT
(THIS PERMIT MUST BE.KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 48425 Date: 10/21/2022
Permission is hereby granted to:
Levas Fam 2014 Irr Trt
41 William St
Glen Head, NY 11545
To: construct addition to existing dwelling. Replaces 13860.
5
At premises located at:
5335 The Long Way, East Marion
SCTM #473889
Sec/Block/Lot# 21.-5-13
Pursuant to application dated 4/5/1985 and approved by the Building Inspector.
To expire on 4/21/2024.
Fees:
PERMIT RENEWAL $25.00
CO-NEW CONSTRUCTION/ALTERATION/REPAIR $50.00
Total: $75.00
Building Inspector
FORM NO. 2
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)
:...........
N2 13860 Z Date .... ... P!�/L........1..�................
Permission is hereby granted to:
.......Z. .Z.. . y., i. ...................
to ... ....."..�.�..����r.��.i.....
...... ............... :�-1.�4 _.�, _ .....�� rV. ....... .................... ..................
at premises located at .... .�, ..r�........ .,c �A .../-SCJ .��.�..��t�.ti`x ........................................
,..�'.lT...l. l. . .j •�'' V
...............................................
........ .. ... y............................................................ZQT fe ..44............
County Tax Map No. 1000 Section ......A............... Block ...Q.'.......... Lot No. ..O1.1..........
n
pursuant to application dated ... ... �.f, 1...4...... ...................... 19.Q..p�
and approved by the
Building Inspector.
Fee $... ..�.
................. ...... ... ..... .......................................
Building Inspector
Rev. 6/30/80
ass-saox
BUILDING DEPT.
INSPECTION
I ]' FOUNDATION 15T [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: � � OC
7oC,
DATE �� �" INSPECTOR_
765-1802
BUILDING DEPT.
INSPECT.10N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
j FRAMING [ ] FINAL
REMARKS: '� 'a�'' �'�' G
DATE
INSPECTOR
ass-sao2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 18T UGH PLBG.
[ ] FOUNDATION 2ND [t]' INSULATION
[ 3
FRAMING � [ ] FINAL
REMARKS:
DATE � INSPECTOR
'M-1802
BUILDING DEPT.
INSP,ECTION
[ ] FOUNDATION iST [ ] ROUGH hLDG.
[ ] FOUNDATION 2ND [ ] INSULATION`
[ NAL
REMARKS,: l
mzz Z,-z=
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DATE �� INSPECTO
M-1802
y BUILDING DEPT.
INSPECTION '
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAM 1 NGFI NAL
REMARKS:
DATE - INSPECT
765-1802
BUILDING DEPT.
INSPECTION
[
] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
C ] FRAMING [ ] FINAL
REMARKS:
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DATE INSPECTOR
FIELD INSP;CTI:N DATE uurillnn is
HI�
FOUNDATION ( 1st ) ,
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FOUNDATION ( 2nd )
2 .
ROUGH FRAME & ® _
PLUMBING
3
NSULATIO PER N . Y.
.�S V L�eT T ��
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ADDITIONAL COMMENTS : '
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x FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y..11971
TEL.: 765-1802
Examined19e5 Received . . . . . . . . . . . , 1 9 . . .
Approved . �,l�FG . `?. ., 19e�Permit No.
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . .7 g. . . . . . . .. 19 . . .
INSTRUCTIONS
a. This 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 Building 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 c e, and regulations, and to
admit authorized inspectors on premises and in building for necessary n pe t, ns.
Q� PAX (Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant nttt its owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . �!?AW.7/� r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
IV
Name of owner of premises ./.�!/�?LJ i . . . . v V �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . ... . . . . .
Electrician's License No. . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will
35�. . . . . . . . . . . be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. .
7 �5 � /a�V!� �. . . . . . . . . . . . . . . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section . . .d /. . . . . . . . . Block . . . . . . . . . . . . . . . . Lot . . . /�... . . . . . . . . . . . .
Subdivision . . `�'?� C.�%.��? '. . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . �q 7 . . . . . . .
(Name)
2. State existing use and occupancy ofpremises
and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . .F' S.�Y �/N.� !I .. . .��N . . . . . . . . . j L"7 . , , . , , , , , , , . , ,
b. Intended use and occupancy . . .�.�. . . . . . L. . .o . . . L� . . . . . . . . . . . . .
3. Nature of work (check which applicable):,New Building. . . . . ... . . . . Addkion . . . . . Alteration . . . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . Demolition . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
(Description)
4. Estimated Cost . . d�.�7�b. .0-b . . . . . . . . . . . . . . . . . . . Fee . - . . . . . . . . . . . . . . . . . . . . . . . . . . .
` (to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify na;ure and extent of eac t pe of use --'
7. Dimensions f existing structures,if any: Front . . . � . . . . . . . . Rear Y. . . . . . . . Depth . . . . . . . . . . .
Height . . 2!1j. . . . . . . . . Nurpber of Stories . . . . �-. . . . . . . . . . . . . ... . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . �? �,�. . . . Rear . .. . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . .Z 3 . . . . . . . . . Rear . . 13 . . . . . . . . . Depth . . . �lP . . . . . . .
Height .t T. Nil ber of Stories R'aY / (,
9. Size of lot: Fro n �-
11.
g� e,.s 10. Date of Purchase 1?7oF . . . . . . . . Name of Former Owner . . . . . . . . . . . . . .Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: .tvd. . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . Will excess fill be removed from premises: Yes (
14. Name of Owner of prem•�siii/ ,SAddress . Phone No.
Name of Architect�/l//./Z. c . . . . . ..� . . . . Address�• L . ��. Phone NoAa. .'0.
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, d show street names and indicate whether
interior or corner lot. i 0
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STATE OF NEW YORK', S.S < -Ti7,e✓----Le�L�` 6 fVA), -
COUNTY O . . . . . . . . -
1� � •`• ! •V� Zj. . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the . . . ./ Cff17-r,--C17 . . . . . . . . . . . . . . . . . . . . . . . .
(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 this
application; that all stat�ments�c ntained in this application are true to the best of his knowledge and belief;and that the
work will be performed r pt �,r r �Wlorth in the application filed therewith.
Sworn to before me this 1c, a e of New York
No. 24-4820153
Qualified in New York Coir
Cert. ®fKiros Coun'y . . . . ., 19 . ..
C"TOMissi0 Ex fe March 30, 1986
Notary Public, . . . . .'� �° . . . . . . . . . . . . . . County
. . . . . . . . . . . . . . . . . . . . .
L (Signature of applicant)
o���UFFO(�cO
1
Town Hall, 53095 Main Road y Fax (516)765-1823
P. 0. Box 1179 .s• Telephone(516)765-1802
Southold, New York 11971 G •
ti�ol
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 26 , 1998
Magdalen Levas
148-08 84th Dr.
Jamaica, New York 11435
Re: Building Permit # 13860-Z NEW GARAGE
Premises : 5335 The Long Way, East Marion
Suff. Co. Tax Map #1000-21-5-13
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
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Q- x I1 II -p VAI. D VIt1E OO��X«�(t"I(,t FOLLOWING INSPECTIONS:
14Jrr ( � I I ��} i. FOUNDATION - TWO REQUIRED
G v L� � - I ' % - I 2. ROUGHFOR
ONCRETE
M FRAMING & PLUMBING.
Q I \` I ' _ ON
4. FINAL 3. ATI CntiSTR ^
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UCTI JN MUST;' �-
` `"""""-" BE COMPLETE FOR C. 0.
G ALL CONSTRUCTION
SHALL MEET � U
PITCH o� 1/4-0 f-�2 F I I 1 �� ( 4
i I THE REQUIREMENTS OF THE I)!,STATE Yrt O
CODES. CONST URESP N & ENERGY• "
I RESPONSIBLE FOR:: > WLli O
II I I } 11 j 1 DESIGN OR CONSTRUCTION ERRORS,i C
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