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Home My WebLink AboutZ-40380 Town of Southold 5/14/2019 4�O��SUFFO( p� 53095 Main Rd Southold,New York 11971 x PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40380 Date: 5/14/2019 THIS CERTIFIES that the structure(s) located at: 1205 Lake Dr, Southold SCTM#: 473889 Sec/Block/Lot: 59.-5-14.1 Suhdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40380 dated 5/14/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling.* Notes: BP 5379 & 5754 addition& deck COZ-6404;BP 13894 addition& alteration COZ-22560; BP 15337 deck additions COZ-22562; BP 15189 in ground swimming pool COZ-22561. The certificate is issued to Glasser, Dean& Gladys (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL f ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. u o ' ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1205 Lake Dr, Southold SUFF.CO.TAX MAP NO.: 59.-5-14.1 SUBDIVISION: NAME OF OWNER(S): Glasser,Dean&Gladys OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Glasser,Dean DATE: 5/14/2019 DWELLING: #STORIES: 1 #EXITS: 1 FOUNDATION: cement block CELLAR: CRAWL SPACE: x BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/13/2019 TIME START: 9:33am END: 10:00am ®_ Form No.6 / TOWN OF SOUTHOLD —I, Z3_(o 7 to BUILDING DEPARTMENT TOWN HALL 765-1802 r APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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,xnVltiple 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. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. 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 L' Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. f S New Construction: Old or Pre-existing Building: V (check one) Location of Property: 19 05 LaKe Dr ierr 5Oy4`hO IJ AY ! g 7 House No. Street Hamlet Owner or Owners of Property: L0.h L1-0 V Suffolk County Tax Map No 1000, Section Block $� Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Y (check one) Fee Submitted: $ ��" Applic t Signature CONSENT TO INSPECTION D,eGtn ov-�d C�IS the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are)the owner(s) of the premises in the Town of Southold, located at 0,05 t- tc 00-4y y SQ UOU 1 O LAO , 0 •\1 , which is shown and designated on the Suffolk County Tax Map as District 1000, Section Block `� -PLot 12, d,d 14 . That the undersigned(has) (have) filed,or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Ong That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es)so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Signature) ri N me) Signature) (Print Name) s x T �t •�a t0 t le. • _ _ i _— ° ....-..-. .. "i�. ._1..._.—i-3-�__.. { i �t•- -+,' ��_ .,�"�•' «�"r�,'�,.�� .''� I -��-_ `•i\�� t —��t3 t r.-_ ��-to. q} • -- y" - � '.��,`�. .. P'ti,4 =._;�w.� w' i..y _n I j• 1 � � �, •�l�t` t .,. .._P-x_, .-.�.._"-"-�_.��s.:.ka:.,-i�:� ^� f•,.- .__�._._ �p,!+�,,�� d+� �•t9�:1y..�•-•_.•(_i-=`- -�..y.?"i-1_"_x ._ M. Bldggg P, ' Foundation - - ---___.._ ,:r��- -3.: r tom.• — _._.. . , --- — -- � - - - -j- ----- - Extengi oxo~ _ r a Basement 'Floors144- 1,79 ; t Extension : . a� — ; Ext_ Walls^ _ ,y, Interior Finish i—C�,i =`- --- - ----- -- Extfension ,, Nr ', f�? ! r F/ Fire Place Heafi ,,y _ ; - f , •>,x �1 e g -- Porch j Roof Type h Porch i Rooms 1 st Floor Breezeway > Palio Rooms 2nd Floor �' $ Gesso ��-,.,---- - �--- � � Driveway-- I---- -- � Dormer Gesso e-, t` ,- O. B. { I E 0Sow 410 lq . � OF SOUjyOlo * TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 �nf, c," INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: fig., 0 2 j DATE 3 INSPECTOR r 2 o 2oil, ROpD � v I 29h9 ' �5 O�\ 06of" s 0 ,3 e hti +1 �F rl �2 �♦ 9 e. /o��y Q♦\o 2 rti o �� - 1 - 'A �v 6 Ad 00 - - - — - - - - -- ho yr', - N� 0� to 0 JEROME SILBERSTEIN 8 VIVIAN SILBERSTEIN AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUN YTN-Y. TAX MAP NO.1000-05!k-06—13 8 14 SCALE- Ina 40' / APRIL /9, /985 1.M°Soy` JUNE 27,/986 J 9 9 f R ��Q AREA= 70 560 SO. FT. Prepared in acmrdanae OHN T. M W ' mendord,for fills Juno With the minimum I.YND ve S.LIC.N0. 496/8 OR 1.6289 ACRES , f f e -"e nor uch uso&end aPproved'ond lodop�d 516) 727—71/8 lvla Y The New York St-'e Land Assocrabon. 396 ROANOKE AVE. '/VERHEAD,N.Y 1/901 85-/69 (number & street) (municipality) SUBDIVISION: M AP-NO.: LOT(S): ., NAME OF OWNER(S)': S Co 1 wSS OCCUPANCY: �!l it 'S%la (type) (owner-tenant)- ADMITTED BY: ACCOMPANIED BY: tqtl KEY AVAILABLE: SUFF. CO. TAX MAP0. 1000-1q. — SOURCE OF REQUEST: DATE: ` DWELLING ( s TYPE OF CONSTUCTI'ON: 6194fOKMV . # STORIES: _'# EXITS:` • FOUNDATION: ASMENT: CRAWL SPACE: l r # OF BEDROOMS: IST FLR. _ _ 2ND FLR: Lu 39D FLR: P� • ,BATHROOM(S):l . '�' TOILET AOOM(S): UTILITY ROOM: PORCH-TYPE: D'E'CK, TYPE: PATIO;TYPE: BREEZEWAY:' FI PLACE: GARAGE: DOMESTIC HOTWATER: TYPL HEATER: �� AIRCONDI ZONING: _ TYPE HEAT: I M AIR: HOTWATER: # OF KITCHENS: FINISHED BASEMENT YES NO OTHER: ACCESSORY STRUCTURES . GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER.144 &N.Y. STATE UNIFORM FARE PREVENTION & BUILDING CODE LOCATION DESCRI TION ART. SEC, (oy wo scjV REMARKS: INSPECTED BY: )09441 J. ;� FNbK�I DATE OF INSPECTION: I� � TIME START: � �� END: 4