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Home My WebLink About21629-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcumANCY No Z-23482 Date FEBRUARY 6, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 75400 MAIN ROAD House No. County Tax Map No. 1000 Section 48 Subdivision ADDITION GREENPORT NY Street Hamlet Block 1 Lot 5.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1993 .pursuant to which Building Permit No. 21629-Z dated AUGUST 31, 1993 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 A DOI~MER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MYRON LEVITSKY of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N291152 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A OCTOBER 1, 1993 N/A FOgM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N9 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date....~.~../. ............................................. 197-.~.. .... 216~9 Z / Permission is herebyg~ayed to: . __ .., , , '-.:..3 ~ ................ ::7'-'-~ ..................... ~,4,,7.~,~ ~?..~,~.~.e~ ..................... .:....: ...................... .. ~...~z,Z._~ .. ~...,..y.. ~...,....z/~'.z/.. ...................... ,o .~~.~......./:.~......~'./,..~'.~..:~...,~...~,J~....~ --,- -, ....................... :.-.... ...... mis tedat ?~'"'/-~/~-'~ ........................ LT'"2~ ......... 11','2.1111111111'.'.'.'.'.'.~2.11'~iiiiiiiiii11'.'2'.'.ii'.iiiiiii ........................ Counfv Tax Map No. 1000 Section ......... ...~'...Z ...... Block ........... ,~' ........... Lol'No....K</. ............ pursuant to application dated ........~.../~.. .................................... 19 ................ and approved b,/the Building Inspector. Fee $../~..'~.~... Rev. 6/30/80 Form No. 6 TO~N OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons there£or in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildine - $100.00 ~. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00 ate ..V- .................. ~ew Construction ........... Old Or Pre-existing Building .... ~ ........ Location of Property.. ~. '~'T' .......... (.~I~.~~ ........ House N~rO.O W~_~ ~O~eet ~' Hamlet )nwer or Owners of Property. ,..~.f~.O.~ ~m~. ~..'~.~-'-'1 ..... :aunty No 000, Section...- ...... Bloe ..... .......... ............ ;ubdivision ............................ Filed biap ...... Lot ....... ~ermit No.~).~.~ .~..~..Date Of Permit..~./..~.~. I.~ .Applicant..~.~ .~...~..%~.. lealth Dept. Approval .......................... Underwriters Approval ........................ . 'lanoing Board Approval ........................ leqoest for: Tempora~.y Certi_f~cate ........... Fiual Certicate..]~ ..... ~ee Submitted: $... ~.~.~. .................... FOUNDATIO,U ( 1 s t ) FOUNDATIO~J (2nd) ROUGH FRAME & FLUMBING INSULATION ?ER N. STATE ENERGY CODE FIJ;AL ADDITI0~;A'L COMi-IENTS: Town Hall, 53095 Main Road P. O. Box 1179 $outhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 30, 1995 Mr. Robert E. Harrington P.O. Box 235 Southold, NY 11971 Re: Myron Levitsky (Richter) Prem: 75400 Main Road, Greenport NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21629-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. 7L5-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ~.ST [ ] ROUGH PLBG. DATE~ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION [ ] FRAMING [ ] FINAL REMARKS:-~7''f .,,,~...j~ ,'~ ~ 765-1882 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/OUNDATION 2ND [ ] INSULATION / [ ~]' FRAMING [ ] FINAL REMARKS: DATE . po dj ~ ' . :uo~lmulsuo3 sodo~ o ~3U~dnooo pu~ ash popuolm pu~ so~l~o~d jo ~3u~d~33o p~u sIy3 ~ ( N) ' ........ ' ..... ~o ............. -o ~ p~ .............. ~t".'. ......... ~' ....... 1o~ ........ ' ' ' ~n°l~ ...... ~ u°Doa~ 0001 'oN d~l~ x~ flunoD 1alUmH .... ................ . . op oq IU~% ~lO~X pasodoJd "~n'~ u .... OJ~'ou ...................... oN axua~[~ ~ opRi~ iatll0 ......... 5Vf ? ?, ........ '/o~gjo poz[lo~lnR Xlnpjo a/nl~[s 'umlelodiog ~ si lue~ idd~Ji ................... ........ . .I p n ~po* .msnoq opoa ~m n · , .... q ~ pug~s~,zd uo~olo~ds >~quosop W~gaq su 'uotluoman ' m ....... 'P~ q s~auculpzo SaUl alqr*udde ,m .,,-- r.~ ~*zMoqlnc ~dn=*o JO *]e,~o e IDun JOAOIU~A[ osodznd Xfie zoj 12~d HI Jo o[o~& HI pasn Jo p~dn**o ~q lI~qs g~pffnq oN ., . ~od q~nS '~Jo~ oql lno~nm uo~ ' ;lmzoa°ulpffnajoa~uenss[azom~',~a ......... I .PL aoql uollealddcsnllJOleaoJddnunn~ ~II~ . .s ~i~* aq paJoAoo ~zon~ oq& 'o ffd~ s~l JO ~ed sI ~o!q~ mezg~lp oq] uo uAt~Ip Sq ]snm XliadoJd JO lnoXc, -o u- - . ' 'uoB~a ~ozls offqnd Jo s2~l~ojd ~ululo[p~ O] dlqsuollcloj 's~szmo~d uo s~m ..... ~ ~ ullallos*P P*I~I*p u gma~g pu~ 's~oJ~ Jo ' ' .vi!,,u JO puc loI jo uou,aoI gutnxoqs'~l~loid .q - .~ ' ~ ' ' '~ ~ u! POilU AI°loldmo~ ~q lsnm uo~leo!idd~ spli ".~ - '::::f: .......... SNV~d ~0 8£3S C 3. NaZurc o£work (check which applicable): New Building ...... Rep:dr ....... ~ennis Court ....... R~moval . '.-- Addition . ?..."~.... ,~t~ra~ion ~ ......... - ............. Demolition .... . . · .... ~' EslimstedCo~t. ~7-~ .......... S~n~ pool .... '. ' '' ......... .accessOry Buildin~ .......... Fence ....... Ot~r ~otk;. '''' 5. ~r ~..-,,- ' ........ ~e~ ........... If-ara. - r of dwelhng unHs / (~ he ~aid on fil ng lhix -- , . ~ ~e. number of car. ' .............. ~tl~b~_ ~r . 6. If bus ness corn * .................... ~ ~ uwcH rig onil$ on each floor.. ' ' ~t: ' ~crcial °r mixcd occu Y, $pccify n~turc an '' 7. S~ons of ex,sUng struCtures, if a~n~ront d extent o~ each tyro- of use ................ .......... ~,~ ors~o.~ .... ;;;;;; ...... ~ ....... L ...... ~'~;;; .......... Dsmensions of same S~mcture with alterati .................. "' .... ' ncz~Jlt · ~"~m~ct~on: Front .. ' .......... Number of 'Sto~cs ....... ' ........ 9..Size of lot: Fiont ... ........... NumberofStodes" ' ......... Rear ............... Depth '~'"~ ....... 10. Date of Purch=se ................... Rear ~ i. zo.~ o~ ~ a~.~[ ~fi ~V-:,: ..... . .............. "~.2" :u ........... D~p~ ....... 12. Does proposed c ...... ,.u.,t Premises arc situated · · .-.c ut l'O~er Owner .... ' ............. N~e °fArchitcct ......... . - - -j;~uurc~... . · · - Phone No ............... ........ :":' ..... '" t~_~ ~ ~o~ Zo~a ~ i aaa ~ o~ ~ ": ............ ~o.~o .... : . ' ..... ..... Address ... ' ............... Phone No ......... ~If yes, Souchold To~n Trustees Permit may be tzda[ ~etlaad? ~YES .... NO.'~''' PLOT DIAG~M required. - - feet ~d block number or desc~tio ....... ' ~ .... , ~u. mcucate ~1 set-h.p,- ~:-- · l~[~dOFo~co~rjot' ~ ',~r~- t~ ~ - ~--~ ~uuc~:o~.~ :: ApjrI~VEO AS NOTED NOTIFY BUILDING DEPAI~I~' AT 765-1B02 '9 AM 3'0 4 PM'FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRA~$NG & PLU/MBING 3 ~U~ULATION 4. Fi,',~AL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEL~r THE REQUIREMENTS OF THE N.¥'. ~TATE CONSTRUCTION & ENERGY C~OES, NOT RESPONSIBLE FOR ~.c, IGN OR CON!~TRUCTION ERRORS ........ above ~ is the ..... ~~;~,, ~orp~=;c ~rri~. c,~.) ........................... Of said Owncr~r ~Wncrs,~disdulvau~b ...... aPplic3lion; thai all sZatcmcnts contained in this apPlication truc to 1he best of his work wdI be Pcr/bm~cd in the m~ncr sc~ forlh i~ thc aPPlic~iiotl . knowledge and belief; 3nd lh~[ It Swum to ficthrc mc [ .... ~uu [o pcrformarO~ have perfumed il~e said Work and to m~c and file H .... ,, ..... ' ~ ~ ~[ p -