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Home My WebLink About15518-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail $outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17088 Date JULY 15, 1988 THIS CERTIFIES that the building Location of Property 3595 ROBINSON ROAD House No. County Tax Map No. 1000 Section 81 Subdivision ONE FAMILY DWELLING SOUTHOLD ~ N.Y. Block 1 Filed Map No. Street Hamlet Lot 15.5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 1986 pursuant to which Building Permit No,15518-Z datedNOVEM~ER 25~ 1986 . was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which thls certificate issued isONE FAMILY DWELLING WIT~ ATTACHED GARAGE~WOOD DECKS & INDOOR SWIMMING POOL The certificate is issued to STEPHEN & ~.Ln/~A GOTTLIEB (owne~, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-195- 7/12/1988 UNDERWRITERS CERTIFICATE NO. N856369 & N856360-3/IB/BB PLUMBERS CERTIFICATION DATED4/7/88-HENRY J. SMITH & SON, INC. Buzld~ng Inspector FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEP. MIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15518~ Z Permission is hereby granted to' I .......... .~..~....'~ ~....~.:.~.....I.~ .~..~.o.. ~at premises ............................... located at ...c~..~.,c].,~',..,,,~~'"' .......................... ' .................... .~ ....... : ......................................... ~ ........ County Tax Map No 1000 Sect.an ....,~..,~..! .... Block ...... .~...~ ......... Lot No .... ~..~.:..~.... pursuant to apphcation dated , .~.~. ,~., I..~.. ....... 19.~.~e., and approved by the Budding Inspector, Building Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted g ~m~a~a to the Building Inspec- tor w~th the following; for new buildings or new use: 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--iS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwmters. 4. Commercial buddings, Industrial buddings, Multiple Remdences and similar buitdmgs and installa- ttons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topograph m featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent inform+ t~on required to prepare a cert~fmate. C. Fees: Addztions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlflcate of occupancy New Dwellzng $25.Q0, Accessory,$]O.O0 Buszness $50.00 2. Certificate of occupancy on pre-exmtmg dwelhng $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 ./~.}0~ i f~ ~.~?.~. 5.Updated C.O. $ 50.00 Date .... --t.....__l.J ...... NewConsf'ruct'~on v~ OldorPre-ex~stmgBui~ld~ng . VacantLand ........ Location of Property ''~.~'.i .~.. /'~Ob,tQJO~ .~i~i, i~?~.~,.~.~,/~--.~ ~/.~?:. Owner or Owners of Property . .~..~p~ ~.-f.~.. 0¢..~.~..~. J.]..~.Q 0..~..~..~..~. J./.~i ~.. ............ County Tax Map No. 1000 Sect,p~n .... .~. L ........ Block ...0. ~/ ......... Lot,.. 1..~.', 5.'~. ..... ........ F,,ed Map ........... Lot ............. Perm,tNo. ~..~-.~./~.?. Date of Permlt .'~//,~.~'~..Applicant .J~..~.(.T.~, .~.C ................ Health Dept. Approval ....................... Labor Dept. Approval ........................ Underwriters Approval ...................... Planning Board Approval ................... ~equest for Temporary Certificate .................. Final Certificate ...................... Fee Subm,tted $....c~..~.' .~.a? ................ Construct{on on above desembed building and permit meets all apphcable codes and regulations. Apphcant . . ~.L/I~.~. f.~.-....~...~.~ ;j. , ~...~.., ........... Rev. 10-10 78 HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y 11971 (516) 765--,3690 InC. CERTIFICATION Building Permit No. 15518Z Owner Stephan Gottlieb ....... Plumber Henr. y J. Smith & Sont Inco I system certify that the solder used in the water supply contains lesB than 2/10 of 1% lead. Sworn to before me this 7th ,day of _A_j2ri___l_~__, 1988 44893 o y o i Notary Public, Suffolk County OUNDATIO~ OUNDATION OUGH FRAME & PLUMBING NSULATION FER N. STATE ENERGY CODE FINAL COMS~ENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [,/~] INSULATION [ ] FRAMING FINAL REMARKS: DAT~ 10-85-1557 N/A Protechon of Water I-~^rUc[e '[5. TRle 15 Water Supply L~Artlcla 15. T~tIe 15 Water Transport []Art~cJe 15, TRle 15 Long Island We(Is ~Art~cle 35, T~tle 27 Wdd, Scemc and Recreattona{ R~vers ~6NYCRR ~8 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT Under the Env{ronmentaJ Co,reservation Law ['-~Art)cle 17, T~t[es 7. 8 SPDES [--1Artscle 19 A~r Pollut)on Control J-]Arhcle 23, T~tie 27 Mm.d Land Reclamabon J-] Article 24 Freshwater Wetlands X~Ar tlc~e 25 N T~dal Wetlands N--New, R--Renewal, M--Mod~flcatmn 613186 EXPIRATION DATE(s) 6/30/88 r"]Art~c[e 271 Title 7 Sohd Waste Management I--IArtlcle 27, T~tle 9 Hazardous W~ste Management []ArttcJe 34 Coastal Erosion Management [~Arttcle 36 Floodplain Management [~Artmles 1, 3, 37, 6NYCRR 3~ Red,at,on Control Water Quality Certd~catlon C--Construction, O--Operat~on. (It ApphcabJe) e'RM'~t~S, UE~ Tl$trS. Stephen Gottlieb ADDR~ S F P RMIT EE t.Washfngton, 11050 ~G,~I~LT FO~ PEP~atTTEEICONTACT PERSON .~zggzn,recon~c Assoc.,One Bootleg Alley,Cr~enport,NY 11944 TELEPHONE NUMI~E R 477-0030 Town tlarbor at Paradise Suffolk . $guthold Construct a one family dwelling and associated sanitary system and I00~ respectively from tidal wetlands. t mR~H ~su^Nct o^rr ?t~MIr ^o~a,NIsrR^~O~ I ~oo~t~ BI3g.40,SU~,Rm.219 6/3/86 Charles T. Hamilton Stony grook,~ 11794 Cc'l),Fa] Ion ~R ARTICLES 15 CTItle S), 24, :~$, 34 and 3& ( , ,. ) ,~ lO That If future operations by the State of New York requtre 4n al- 14, AnymaterlaldredKedm~,heprosecut~onof~eworkhere~nDerm~tted resources ot the State, the owner may be ordefe~ by the Department to That the State o~ New York shall m no case be hable fo¢ any damage be prescribed by the Umted Slates Coast Guard shall be installed and the bed ota wate~ay or floodplain od deep ho[e~ that may beq, e a m the wate~ay m on s~re a~ve h~a~r ma~, ~t thall ~ ~ Peconic Assoc. revised ll/lJ/S5 SP£CIAL CONDITIONS 1. The sanitary system ib to be placed as close to the eastern property boundary as pob~ible. 2. There zs to be no disturbance to vegetation or topography within 50t of tidal wetlands. Supplementary Speczal Condztzons (A) through (J) attached. 10-85-1557 N/A Page 7 of 3 , 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ R~~OUGH PLBG. FOUNDATION [~MING 2ND [ ] INSULATION [ ] FINAL 765-180;Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTO~ [t~s exam~ned on Sar ~.h [ ~ ~ 19~ and found to be ~n complmnre ~th the requ~reme~l~ of th~s Board ~ RXTU~E FIXTURES OVENS D~SH WASHERS EXHAUST FANS OUTLETS ~J~! I H P 7t DRYERS DIMMERS Ton A/C Un£ts, E R V I NO PER ~' OF CC CO~D OF CC CONP A W G [ NO C~ HI {EG ~/o ~-5 Ton A/C Un,ts, ~-A~r Handlers 1-A~r Handlers, %~.~.C.I. C E G & S Electric BOX 215 $outh~ld, 11971 Llc. 57 EI-E Th~s certJ~cote must not be altered ~n an), manner, return to the office of the Board ~f incorrect Inspectors may be ~denhfled by their credentials COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER zoo~o?~. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY NEW YORK. STREET, March ]8, 4~74/~7 ~b6360 Date ~pphrat~on ~o on fde N THIS CE~tFIES THAT ~y t~ el~tr~c~ ~mme~t ~ ~ be~w ~ ~n~c~ by, ~e ~p~a~me~ on ~ a~.~phcehon number ~n t~ p~mz~s of wasexamlhedon March 14, 1988 DRYERS / FURNACE MOTORS t FUTURE APPLIANCE [:~tO~ 'S~-CIALEEC'PT ~ 1 1 -- 2 20 .1 i NO OF METER EXHAUST FANS DIMMERS AWG Swim~ing Pool: This certificate covers compliance at the date of inpsection only. ~ecause of unusual environr~ents it is a~visable to have frequent test and/or repairs made by a qualified person. G &S Electric Box 215 Southold, 5q6 11971 I ic,~578E MANAGER Thts ceHff~cc~te must not be c~ttered in any manner, return to the office of the Board sf mcorrect Inspectors may be ~dentdled by their credentials COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER Exam,ned~0~c°-~4~..~$, 195;?b 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ........................... ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received --~ ,19 Date INSTRUCTIONS a. This apphcation must be completely filled in by typewriter or m 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 loca~uon of lot and of buddings on premises, relationship to adjoining premises or pubhc streets or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of tlm appli- cation c. The work covered by fltis application may not be commenced before issuance of Budding Permit. d. Upon approval of flus apphcat~on, the Building Inspector will issued a Budding Penmt to the applicant. Such permit shall be kept on the prermses available for inspection throughout the work. e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buff&ny Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Re§vlahons, for the construction of buildings, additions or alteratmns, or for removal or detrl~ht~on, as herein described The apphcant agrees to comply with all applicable laws, ordinances, building code, hou~a/~ode, and regulations, and to admit authorized respecters on premises and m bmldmg for necessary inspections. (S~gnature of alSplicant, or name, if a corporation~ ~.,O... .~.. .g. ~. .~. .~. t~T F!. .cg~c.~. NY2,. ltq4.~ . (Madmg address of applicant) State whether applicant is owner, lessee, agent, arcintect, engineer, general contractor, electrician, plumber or builder Name of owner of premises . .~-J~..t~.~. ~., ...~C)..~ .1~ l~..~. .......................... (as on the tax roil or latest deed) If apphcant Is a corporation, s~gnature of duly authorized officer (Name and t~tle of corporate office~ Bmlder's L~cense No . Plumber's License No Electrician's License No Other Trade's L~cense No ........... 1. Location of land on wh,ch proposed work will be done ....t~..~ .~ .~9.[~ .1C~3! .bJ~. ~...~.... ~ ....... House Number Street Ilamlet County Tax Map No lO00Sectlon . 0.5] ..... Block .. . I ....... Lot...~.~.[.l. J;~'... s ba, s,o m.,,r ....... ,lea apNo 3..7¢.l ... I..'4' .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy .... .V.~. ~. ~/ .'~' ........ b. Intended use and occupancy zture of work (check wtuch applicable). New Building ./..~.', .... Addition ......... Alteration ...... Repaxr ............ Removal .............. Demohtion ............ Other Work ........... tlmated Cost ~,7~e, ~ t ,/0~; ~ ~ ~ (De~riptio 4. Es ................................. Fee ................................. (to be paid on filing this apphcafion) 5 If dwelling, number of dwelling un_its T~."//~... =..~ 1~-4~'~ Number of dwelling units on each floor ............ If garage, number of cars ..... .~ ......................................................... 6. If business, commercial or m~xed occupancy, speedy nature and extent of each type of use ............... ?. Dnnensmns of existing structures, if any: Front.. ~ ........... Rear ....K .......... Depth ?. ......... Height .... ~/ ....... Number of Stones.. ? ............................................. Dunenslons of same structure with alterations or ad&tions. Front . .~. ............ Rear . ~ ............ Depth ... ~ ........... Hetght ..... ~. ....~ ......... Number of. Sto~ies...~ ...... ~. ,~...~. 8. Dimensions of_~r~tir.%new construchon: Fro? ..... l.t~. ....... Rear ... £.t~O ~ .-.o;:... Depth .. ~.O...-~... .... of ................................... , .......... 9. Size of lot' Front ['~.,po. .......... Rear..~.-]- ."'~..'.'~. ......... Depth .~,..e~,~.. ........ 10. Dath of Purchase .. IsJ~V~.[.~.~.. ........ Name of Former Owner ~J~.~.1~;~..~.~v}" .A..5~...~.. . 1 1 Zone or use dlstnct m winch premises are situated. . t~'~,~ .~-~...~.t- 12. Does proposed construction violate any zoning law, ordinance or regulation' .~/~ .................... 13 Wilt lot be regraded . . ~'.~.TI~.?'(~ .~..g~. ?.~...k~.... Will excess Fill be rem~lv~d from premises Y~es 14. Name of Owner of premises ~...1'~?~.....~. y.~} .E.~.. Address IO(.~ .~4e. ~.r.~4~Phone No. ~5.~... ~.- Name o~ Architect .gt.g..8/~e..v...5.~ ......... Address gO,l~g .~..~..~.. Phone No. ~.7.~ 7.'~..c~. Name of Contractor ...................... Address ................... Phone No ............ PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and. indicate all set-back dnnensions property hnes Give street and block number or description according to deed, and show street names and indicate interior or comer lot. STATE OF NEW YORK, COUNTY oF .-~..--D~. s.s ....... .~.~.~..['~..../~ . ]~..: .~ ~ ...... being duly sworn, depots ~d says that he is the appl (Name of ~n&v~dual sl~ng contract) above named. (Contractor, agent, co,orate officer, etc.) of said owner or ownem, ~d is duly authomed to perfo~ or have peffo~ed the said work and to m~e and ftc apphcatmn; that all s~atements cont~ed m th~ apphcanon ~ true to the best of his ~owledge and behef, and tha work will be perfo~ed ~n ~e m~ner set fo~h m the apphcation filed therewith. Sworn to before me this . 4. ............. fla~ of .~e~ ...... ,19~ Z', blAi~iE 3~ ~ eAI,ARY ( I ~o~r~ Pubhe E~te of New York *~ quahfica }~, s~trrolk Co~y~ (S~ature of appli Commmmon Exp~rea M~ch ~, lV~] 0 ~ ~ j --,",. ~..'- '--,- ,-- ~5cc~/~; ~00 %', t" RODERICK VAN TUYL, P.~.. GREENPORT NEW YORK SUFFOLK CO HEALTH DEPT APPROVAL H S NO , STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES APPLICANT ILK SERVICES - FOR CONSTRUCTION ONLY DATE H $ REF NO APPROVED COUNTY DEPT OF HEALTH APPROVAL OF SUFFOLK CO TAX MAP DESIGNATION DIST SECT BLOCK PCL OWNERS ADDRESS DEED L TEST HOLE 'E ~4.w -? STAMP SEAL SUFFOLK CO HEALTH DEPT APPROVAL H S NO THE WATER SU~LY AND SEWAGE D{S~SAL SYSTEMS FOR T~IS RESIDENCE WILL CONFORM TO T~ STANDARDS OF THE SUFFOLK CO//~T OF HEALTH SERVICES APPL(~NT ~T ~1~ SUFFOLK COUNTY DEPT OF HEALTH CONSTRUCTION ONLY APPROVED ~ ~ SUFVOLK CO TAX MAP DESIGNATION DIST SECT BLOCK PCL SEAL II ( ~oc~r~oN ~ SURVEY OF PROPERTY ~ AT 8AYV/EW TOWN OF SOUTHOLD SUFFOLK COUNTY, N,Y, I000- 81- 01- 15.5 SCALE 1'=40I JUNE II, 1987 AREA .. 2. 29ocre$ ,/ /PO ~ / 4/,~ 04/ CERTIFIED TO: JOHN BERTA NI BUlL DER, (NC, N.Y.$.LIC.NO. ~961B RC. RO. 80X 909 54655 MAIN ROAD 90UTHOLD N.Y. 11971 N SURVEY OF PROPERTY AT BAY VIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000- $1- 01- 15.5 SCALE 1"=40~ JUNE II, 1987 AREA: 2. 29ocres CERTIFIED TO: L DER, INC. ~0 /~ Vre~ ~ ~ ~ ~ ~m SINGLE FAMILY D~;LI~ ~ ~oclo~ofl. ~9618 (5;6) i'ss~ RO. 80X 909 54655 MAIN ROAD -- $OUTHOLD, N.Y, 11971 87- 156C ,5 · ---2~ ...... tO0* F SITE. PLAN STEPNE. N GOTTLIEB PAPADI,.SE PO!NT ~OUTHOLED, N,Y, LOCATION MAP PECON lC A,.S50C lATE5 SOLA~ U~,O ~N WATER SUPPLY ~y~T~M ew4NNOT PLUMBER ( ON LEAD ~ CERTIFICATE ERTIFICA TION VTENT BEFORE OCCUPANCY OCCUP NC Y OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY r fl for wItIf diitributlnO i~tem~ plplnO .h. II be APPROVED AS NOTED NOTIFY BUILDING DEPARTMBNT AT 766~1~2 9 AM TO 4 ~ ~R THE FOLLOWING ~NSPEC~ONS: F~NDIL'qON ~0 REQ~RED FO~ POU~'D CONCRETE ROUG~ CRAMING & pLUMBING k, i l:q ( U T E , rr~C.s~, \ t DoLo" ? t ;~ II '4-0 ~ ....... 4-4" T--' 1 -r-- -'-y T 0 4 0 * (516) 8?8 ',.- 4602 : ,4':: 91- ¢¢-IO L ~ -~o 1! 7 7 , ffice asr