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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/20/07
No: Z-32535
THIS CERTIFIES that the building GARAGE
Location of Property: 59670 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 44
(STREET)
Block 4
GREENPORT
(HAMLET)
Lot 5.1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 7, 2007 pursuant to which
Building Permit No. 33160-Z
dated
JUNE 25, 2007
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 ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to LEVIN FAMILY LTD. PARTNERSHIP
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
..
,- ~------
Form No.6 ~ Ii: (iJ ~ n --
'^ U; 110 M [, --,:
TOWN OF SOUTHOLD J [' I!f IE I \ \
BUILDING DEPARTMENT
TOWN HALL I~ -~'; , 7 " ()'
765-1802 i L!!J
.
I
bW~ c
APPLICATION FOR CERTIFICATE OF OG(;Ul!~'l..ii\!f>1?""~~" J I
--
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. 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 fOffil).
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/ I 0 of I % 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.
n. For existing buildings (prior to April 9, 1957) non-conforming uses, or bnildings 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied; the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. Cel1ificate 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-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
7 plio 7
New Construction:
Location of Property:
,r9t. 70
House No.
Old or Pre-existing Building:
C.Jr R). Lf}
Street
j~~ h;~1 Ll/'>tk/_.l?vivrYSh{p
'Iu/.
(check one)
?..:-v ~6,..r-
Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Block
Lot- '1-s-; I
Subdivision
Pennit No. -l3/~ /) '-' L Date of Penn it.
Filed Map.
__ Applicant:~
Lot:
Health Dept. Approval: ___ ,,___ "____ Underwriters Approval:
Planning Board Approval: ___
Request for: Temporary Celiificate _
Fee Submitted $ ~ :;;5: tJJ
COZ:. ::,&-:;~ \
~C l~\D \
Final Certificate: ___ (check one)
~>-p:t~.L'V
Applicant Signature
FORM NO. 3
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)
PERMIT NO.
33160 Z
Date JUNE
25, 2007
permission is hereby granted to:
LEVIN FAMILY LTD. PARTNERSHIP
320 MT BEULAH AVE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REAR YARD AS APPLIED
FOR. THIS PERMIT REPLACES BP# 25983
at premises located at
GREENPORT
59670 CR 48
County Tax Map No. 473889 Section 044
Block 0004
Lot No. 005.001
pursuant to application dated JUNE 7, 2007 and approved by the
Building Inspector to expire on DECEMBER 25, 2008.
Fee $
218.80
~0U_
, Authorized Signature
ORIGINAL
Rev. 5/8/02
C, Ii ",',;i U:: r \,
~-,-_,L :'-, i II i
MAY' 23D) 'U!
I
TOW~L8~s8ttr1ioLD l~ Design Architectural & Engineering Group. P.c.
.
'=,C)uthvi.(::~v-~ Inn
24 w x 10'h x 60"1
~~;tC!r".d(;"IE;~ Bui 1 d incJ
Ci~."E-~i::..:;>npor"t.., 1''<1"'1'
MBI JOB # 1280568
The job superintendent has verified that the footings and foundation
for the subject Job were installed in accordance wit.h my drawings
dated7-22-99~ Please accept this as my assurance that the
constr"uc on is acceptable~
pe~983Z
100 S. Pershing
P.O. Box 110
Morton,IL 61550
309.263.4105
3~lG,OC
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [ ~L
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
,J~~
REMARKS:
DATE jPf?
INSPECTOR~
:J57'?3f
765.1802
ILDING DEPr.
SPECTION
[ [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & C IMNEY
-
REMARKS:
/?~ rf!2~~' p
.r.
DATE
-r~~ -
~~
FIELD IN~~~~!IO~_gE~QB!___ P!~___ _____ _ ____ ________________~Q~~S________________ _
========-----==---=------~=-------"-----~-=----=-----------------------=----------------=-
. \. II II
II I
/ii ~
FOUNDATION (ISTV ~' II
~------- ~---1
II II
II I
II II
II II
u--------II
!2~~r!2~_===i~~1======~========t===-===================================================
II II
II II
l!- "
II ~
II JI
II II
ROUGH FRAME I> II II
~___JI
II ~
PLUMBING II II
1< II
~ II
.--------!I
II II
II Ii
=========================~========f=======================================================
~ ~
" II
ii II
INSULATION PER N" y" A H
II II
STATE ENERGY L II
H II
CODE !! II
- II
II II
II H
II II
II II
II II
=========================f========t=======================================================
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II II
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FINAL II ~
11 II
____=================__==A-======~========~===-==============================~=======
ADDITIONAL COMMENTS:
=====================================================-====================================
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,........
501
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....
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ItJ (JO -)I - 'i - U-
OWNER
r"..:....
: I
TOWN OF SOUTHO~ I) PROPERTY RECORD CARD
",
' / M-/I
{Jcr
STREETS1b 7 "" VILLAGE DISTRICT SUB. LOT
L~l\ , ,. DES
N~ I. ACREAGE 31, j' (,
! I ./ Ii.' ,
, i
I Alf; ,.n I TYPE OF BUILDING
~,,""'.' I ' -' (I/lA.UJ
VL. FARM J 2.1 I IND. I CB. I MISC. I Est. Mkt. Value
TOTAL DATE REMARKS
LAND IMP.
j
3600
~n--t
00/
-/ ::.;'
./ . ,
. -" I A/I /, A 6 .
- I /;""'7''- /" /,.' , - c::J..
/; j,,-()(l
,<;' . 0,-1
C; /.' f', !
. -'
C)....
/S/o-o
-;, --""OJ
(0'1,,,_.,.<;,__,,
/,-1 ;~ /' . ~.,
NORMAL
BUILDING CONDITION
BElOW
al41 d. 'I! tr i./- Lf'1, 0-1)1) -. f-i beySS ~.'( f' I GO
I) I ' I, - ' , , '
~>'t '//;(\'/(J/.Cf(.; _.:J-~... . ,-; -, i/l....t..- ,~/(i "f(>;!
.....
ABOVE
Form
Acre
Value Per Acre
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
BULKHEAD
DOCK
riJJable-t
31
/u~/ .3 ) r)
r j 0--0
-illoDI" 2
-iIIae'l -d
l/, ::' (p
"
,j
? L.': ;-,
~~
Voodland
wampland
&I.roI-.1elar,/;/I,S.
Ol.{~ I
: <;i) / -.)- 6 :)
louse Plot
(J .. 0 / __!
/ -.:)-6)
-
otal
1lL'
/Z! L
L
___-~C-:-CC--=--------
-I
~
'5' :":-19
- .-_.-'>.--~~_.-
~-~------:5+-- ,
;.171 ,...
I
~ --1-,----
~ --~----t- - ~.:s~
--~--- ---~-----.-.--.:..-
,-
.;-,[.--,--
.~l
'/' "
M. Bldg.
}C," ) :
Bath
'/ ) 5
-------
,.
;:-
J) {, 'f 0 . i Foundation
_..,. .I s-' i! Basement
'.- -.--...J-..-
,
Extension
/5- -< "
.... ('
":. I V?~~_______~_~_:.=___".
Extension
Extension
,
q." (~
? ~I
Breezeway
Garage
O. B.
(,(')1 :!
r"',
, Floors
l.
, Ext. Walls
'.Fire Place
Ii
__rel._nnn
.t{c)
: Interior Finish
I
I
Heat
Parch
Roof Type
Parch
Rooms 1st Floor
i Patio
i Driveway
fJ........""'J.~d
I~..-.r k' '"
J. v' 0
41 ~Cf J
636
3'00':3
, ,(J r
-,". 1'"\ <~
. ...-
L~,'
-'"r\:.'/\l
\;
\ \.~...,,1
. '..
, Rooms 2nd Floor
'Dormer
./
{f.:-eJ I
"1.::.<;.-:-
loC,
IC,'i L
101':5
- ~
I 1 2.-l'ORtl NO. I
TOWN 01' 80UTIIOI.D
"UILDING DKl'A~rHI1:NT
TOWN lIALL
SOIlTIIOI.D, N.Y. 11971
1'11:\.: 765-1802
~()
l'enlllt No. ..~~..
BOARD OF UEALTll .........;.....
3 SETS OF pLANS...............
SUl\VEY ........,................
CllECIt .................. ........
SEPTIC FOlUt ...................
I;,a,nined........... ;....... 19....
^Wmvl-d... ~:.z..'.<:I~..... 19....
NOTIFY:
~ L ;::, II r-f
CALL.. ......................
HAll. TO: .1.~~ :.t.J.~~....
....................................
alcH.;.....,:_'~ :".' ..:\.01
f;;'ldCI(; 's_c:...~'. .J__.1... .
00 .~
.0 I cr" .'
~ l ID m n ~. ~~( \J '
..... () /7 J.
...V~
Ikdldlng Insl>ector)
....................................
Disapproved.o/c ...................;....... ..
.........................................
FOR "IlILlllNG PEltHI'r
. Date. . . . . . . . . . . . . . . . . 19. . . .
INSl'RIlCnONS
.
a. '",ls a\>plication nust be oo",letely filled in by typewriter or in Ink nnd aub.ltted to the Ik.lldlng IMpe<:tor wi
3 sets of plans.. accurate plot plan to scale. l'ee according to schedule.
b. Plot plan sho,dng location of lot and of buildings on premisea, relatlooahip to adjoining premises or J1l~)lic
streets or oreas. nM llivlng a detolled description of layout of property ml8t be llrawn on tbe di..... \i.ld. Is p"rt. nf
this applicotion.
c. 'n,e wrk covered by tills applicatlon....y not l>e conmenced befoq! Issuance of Iluildlng Permit.
d. Upon a\>proval of tills a\>pllcation. the 11Illding IMpector wili i88U8 e Ilulldlng Permit to till! applicant. Such
pennit shall be.kept on till! premises available for Inspection thItlU&llOUt till! wrk.
e. lb building shall be occupied or used in liilOle or In part for any purpose liilatever until e Certlflcste of
Occupancy shall have been granted by till! IkI\1dlng Inspector.
fU'I'I.lCfinrn IS IEllEIlY tWE to till! Ilu\1ding Department for till! lsSUllnce of a 1k.l1dlng Petll'lit pur8UlU1t to the
Ilul1dl"ll Zone Ordinance of the Town of SoutllOld. 9.Jffolk County. New York, and otlll!r applicable I....s, Ordinances or
Regulations. for till! construction of blllldings, additions or a1tentions, or for nm:Nal or deJolltion. as herein
described. nll! appllcant asiees to COI\>ly with ell a\>plicable laws, ordinances, building cede, housing code. and
regulations"slV;) to odnlt wthorlzed inspectors on prealses aOO:bui . ~~~ s.s~J~7.~:::.................
Signature of spp~'(VI.lIIi. If a co'l"'rstion)
223S5 Ct:>I.. LJJ OML, 4kJ
...................................................
/?'"\ cJ!TcirfcXrot app;Jit I pn \
State ..;>ether a\>pllcant is lJwner. lesseel.ag~ architect, enllineer,' geoeral contractor, electrician. plumer or IXllI.1e
...... . ........... ............. .... .......... .............. 0................................................... .......... .................................~............................................... ........... .. .. ...... .
N.aTC of owner of pt'EDllsea .......... ................. .................. .......... ~....... .... .......... ..... .......................
(as on till! tex I'lll \ or lotest deed)
(Mare aoo ti
wthorlzcd officer.
If apl'll
......................
...............................
COl1'Orote
J),.lJdersl,lcense lb. .!~:~?l'.:-.H.J....... .
Plutbers License No. .... !~'kt.t.l"""""'"
Electricians Ucense lb. .. .~Jt1...........
Other Trade's License No. .1.'J:ji1...........
I.. \ locotlon of land on lii.id, proposed ""rk will be <1<>00..'$/3. .(.::z(),..... r:k..Y. ~........................ ,......
'.
...~7.~....N:-i...........................................................................................~....
lloose lbIber Street lilR1et
CcJ.mty Tux Map lb. UXXl Section ......~.':I....... Block. ......~........ lot ...~............
StJ1x)ivision ......... ....... ...................... Filed tlap 'tb~ .. ...... ..,. ...... l>>t ..::...... .....
(Nare )
2. Stste existing use and occupancy of premises and IntelKlcd use and occupancy of proposed coostruction:
a. roosting use and ocwpancy ...~~........................,............................
b. Intended \188 aod occupancy ..~..................................................
6.
H:uurc of work (dleCk wild. appllcableh New 1Mlldlng .x..... Addition ....,..... Alteration..........
Ite'Mlir ............. Reaova\ .........:.... llenntttl()r) ............. Otller lbrk ......~...........................
Katl".,t~1 Q}s~,~~"~"""",, fee ........................... .:~~~~~~~~~.... .
(to be paid (~l fl\ I"ll this application)
If (~...Hlnll. ,u,ber of ~nh,unlts ...IJ/~.... Iblber of. dwelling ,mlts on each floor ..NjJ4-.....
1 f guraaet 11lltl)l!r of cars......~.................................................................
It I..sluess, IXJIII1ercl specify Mturo and extent of each type of use..N.A..............
,. r- . ... ..................... ,.>< ........ ....... """ .................
Uutaht .................. ..... ............... allber of Stories.......... .
. IlIll1enslolls of 8lI1lll .tnll: ons or 'additions. Front ............... Ilear .............
. lleplh .......................... tle:J .t ........................................ tl.J,l>e:r of Stories ..............................
'1I11"onololls of entire new lXllIotructlon: l'ront .......2.W.!.... Ilear ......z..?J.~... Depth .~O~......
1..llIht ....l2 .1................ N.nber of Stories .. .ON.t..........,
SI... otlo!:.: t"mnt i??7.S-:... ...... Ilear ...7'?J:z............ Depth. :l.''1.5.'7....... ..~
l~lIe ofPurdla8e ..lZ.:-.t5::~{:?......NIllI'o of I'omer o.....r .JAr;J;,...U~...:...........
Zone or use dl.trict In wid. premise. ete .ituated .. g -:.e::r;:J.................................................
lloea propooed con.tnICtlon violate erry zoning IIIW, ordinance or teg\llatlon. . )JR........... ....
11111 lot be resraJed .......~....... wll1 e><ceoa fll1 be rerroved fran premise.: YIlS ~
Nail.... of o.mer of pren18<l~ ~.~.!J;,{f~-A......... Mlreas ?l6).,;:;.. .f?R~..A1i:.. 1~lOIle No. .1.?J. .fJ.f?
Nme of Ard,itect .......r:iA..........,.:........... Mdreao .........A.J.I.r:r.............. Phone No. ..AJ!4..
HIlle of r.ontrector .Ml.?~.~... Addre.. CV.1"'r.l.~l.J.~.........l1lOlle No. ~q:~
1s lhl. property within 300 feet. of a tidal Wl!!tland? 10 YIlS .......... m.4....
10 IF '/ES, InmnD TQ.ti 'ltIIlSl1!l!ll 1'I!llMrr Ht\V Ill! 11I!C~1l1lllO.
8.
1.
4.
5.
"')
9.
10.
II.
12.
n.
14.
15.
P1.0T DTAGIIAH.
locate clearly and di.tlnctly all bulldlna., "'letber exl.tlng or proposed, and indicate all set-beck dbrenalono
frlJll l'l'O(..rty line.. GI... .treet and block n.J1her or descrlpt Ion according to deed. end ahow otreet ""lies and Indlcata
,A...U..r Interior or comer lot.
.r
~ An 4ctfLo
SI'fi1ll IX' tt'.W YlXlK,
s.q
(lXINIlIX' s~~......
..~~...~.....................belnll duly sworn, delXllleS and 88YO UlIIt he
(II..." of i1xl\vl,k181 Slglllllg contract)
nbove nmeJ.
i fI lhe 8ppI. k..llnt
lie ill the ~I.......I........II....I..............III....I.I......................................
(r.olltr8C~r~rote officer, etc.) ,
IIf snld '''''1Cr or ownera, nlld ia duly outhorlud tn llerron. or IlIIve l1Crror"oo the 88ld work O1xl to IOOke and flle'tllis
IIWllclltlcxl; thnt ...11 .tatelent. contalneclin thla Ollpllcatloll are tme to the best of ilia knuwledge and belief; ,,,"I
lhnt the work will be perfonred in the .wmller set forth in Ule appl.il'.ntloll rUed tl..rewlth.
~lm to befure rm U.lo
. .. ..lId...... .day of . ~~.. ..19. 9.f....
Notary l\lhllc ..~~.9c..~.......
UNDAJ. COOPER
Notal'f Public, State of New YoIIl
No. 4822563. SufroIk COUntY,? 6 oJ
1lIrr.1 Ellpir8ll o-nber 31, ~