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Home My WebLink About15337-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha~l Southold, N.Y. No Z-22562 CERTIFICATE OF OCCUPANCY Date AUGUST 30, 1993 THIS CERTIFIES that the building. Location of Property 1205 LAKE DRIVE House No. County Tax Map No. 1000 Section 59 Subdivision ADDITION SOUTHOLD, N.Y. Street Hamlet Block 5 Lot 14.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 27~ 1986 pursuant to which Building Permit No. 15337-Z dated SEPTEMBER 27~ 1986 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 DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JEROME D. & VIVIAN SILBERSTEIN Rev. 1/81 TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiHG PERi, iT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15337 Z Permission is hereby granted to: ...u.....~...~...~...r~. .......................... ..~........x~...,.~...u ....................... , ~o .~.....~....~.,~.~...~..~..o........~...~....~ .... ~~~.~..~...~...~.~ ........................................................ ~,~.,~,~...~..~ ............ ~.~ ........ ....... ........._~ ................ County Tax Map No. 1000 SecJ~6~-..(~..,~'...~ ....... Block ..... .C).,~.-~.. ...... Lot No ..... L.~.....'~..../....~. ~ur~,o~t to oppti~a,~on do,e ~.~...~...~2. .............. , ~9.~.G., amd opprav~ by the Building Inspector. · ;;,.; ............. ::. ......... Rev. 6/30/80 Form No. 6 TOWN OF SOHTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 : APPLICATIONFOR CERTIFICATE OF OCCUPANCY A. 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: 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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 therefor 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........ Location of Prope;ty .... ~ ~.0.~. ~.~...~....~...~.t.~.~. ..... ~ :~.q.~. ~ (..~....'~. :.~..... ........ House No. Street Hamlet Onwer or Owners of Property .... ..~..'. .......................... ~4.~... County Tax Map No i000, Section....~.f ...... Block ...... ~. ....... Lot ..... ~...~..ff.~.. ..... Subdivision .................. ] ................. Filed Map ............ Lot ...................... No... ~(?. ~. ~ .¥.Date Of Permit.~.~.~..Applicant ...................... ...... . Permit Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board. Approval ...... . . ... . .~... .... ... ~ Request for: Temporary Certificate ........... Final Certicate .......... Submitted: ................... ... : ....... INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 4, 1993 SCOTT L. HARRIS, Supevvisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Jerome silberstein 1205 Lake Drive Southold, N.Y. 11971 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) No Underwriters Certificate on file. XX The check is (outdated/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 % 15337-Z (DECK ADD) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 4, 1993 SCOTT L. HARRIS, Superviso~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephoye 16) 765-1800 Jerome Silberstein 1205 Lake Drive Southold, N.Y. 11971 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) No Underwriters Certificate on file. XX The check is (outdated/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 ~ 15337-Z (DECK ADD) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. COMMENTS FIELD INS~ON 1. SOUN~T~ON FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19 .~.6. Permit No. }..~".~.~7..~. Received ........... ,19.. · Disapproved a/c ..................................... ................................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 MX~DE 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 remoyal or demolition, as herein described. The applicant agrees to comply .with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.. J~C~0.//,Z~.....r~..,.. ~/./~.0._.~,..~..~),~ ................................ (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 ...................... Location of land on which proposed work will be done ..... ~ .~..?..~.... . .... .~.../?...~'~. ....... House Number Street Hamlet County Tax Map No. 1000 Section .... O...'~.? ....... Block...O...~..C. ......... Lot../~. ~ [...L~-.... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~..~-,..~ J.~.Cr~Pt C ~ ............................................. b. Intended use and occupancy, . ........ .. ': ,'~':' . Repair .... ~ ....... Removal .............. Demolition ...... ' ...... Other Work. ~-r-.~'¢ ........ , (Description) 4. Estimated Cost ...................................... Fei ..................................... i(to be paid on filing this application) 5. If dwelling, number of dwelling units ............. Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mlxbd occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structu?es, if any: Front ............... Rear ............. Depth .............. Height ............... Nu[nber of Stories ....................... ! ................................ Dimensions of same structure With alterations or additions: Front ....... ~ .......... Rear ................. Depth ~ Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ...: ............ Depth .............. Height ,: .............. Nu~nber of Stories ....................... ................................ 9 Size of lot: Front Rear ~ Depth 10. Date of Purchase ...... ! ..... Name of Former Owner 11. Zone or use district in which piemises are situated .................... ! ................................. 12. Does proposed construction viglate any zoning law, ordinance or regulation! ................................ 13. Will lot be regraded ........ : .................... Will excess fill be iemoved from premises: Yes No 14. Name of Owner of premises .................... Address .......... i ......... Phone No ................. Name of Architect ' .. Address ................... Phone No ................ Name of Contractor Address Phone No 15. Is this property located withinl,00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town T~ustees Permit may be required. ; PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed land, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTYOF ~.~t~_~../.C~ S.S ...... .~/.~c_ iIDct(_~ .~- ...C~...~' ./.~.¢..&r~~. .t .,~. .... being duly sworn, deposes and says that he is the applicant (Name of individual sigging contract) above named. He is the ....... ~ .r~.. ~.ff~.~ .................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed ~n the manner set forth in the application filed therewith. Sworn to before me this ..... ..... County ................. ~0A° LES. I. IC./gO. 49~h9 ,196 RO~IVOK~: AVF. 'I¥~R~/~AD , N.E 1190! ~0 JEROME SILBERSTEIN ~ VIVIAIV A T SOUTHOLO TOWN 0£ $OUTHOLD SUFPO£K COUN~"~-~N,~Y. TA,~ MA,o NO. 10~-05~0~ SCALE: I"= 40' APRIL 19, 1985 JUNE 27,1986 SIL 8ERS TEI IV AREA= 70,560 SQ. FT, OR 1.6289 ACRES Prepared in aCcordance wlth t~e mlnlmurn ~tandards for title surveys as established by the L I,A, L,S. and approved'and adopted for such use by The New York ./ LAND · ~Alt, $OUT'NOLO ' TOWN OF $OUTHOLO TAX ~ ~ ~ ~o. ~o~-o~ ~ o ~- SCALE, I"= ~0'. APRIL 19. JUNE.. AREA = 70,560 ~'FT. OR 1.6289 ACRES' Prepared-in accordance wlth the mlnlmum t~tandards for title surveys as established by the L L A. L. $. and approved"and adopted fOr such use by The New York State Lar~d '}~Je Association. ARCHffEC'IS · ~UILDERS;Dl-~/[-l-Oit-' r~-I [~ERS ,24 RIVERHEAD ROAD, POST OFFICE BOX 1087 ~'ESTHAMPTOF~ACH NEW YORK 11978 1516) 288-3020/2~3021 AND ASSOCIATES ARCHITECTS · ENGINEERS · LANDSCAPERS 24 RIVERREAD ROAD· POST OFFICE BOX 1087 '~/ESTHAMPTON BEACH, NEW YORK 11978 ($16) 288-3020/288-302! REVISIONS TITLE DRAWN BY DATE DRAWING NO J,~OTIFY ~UILDING DEPARTMENT AT '~5-1802 9 AM TO 4 ~ ~R ~E FOL~ OWING INBPECTIONS: FOUNDATION ~ REQ~RED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY