The URL can be used to link to this page

Home My WebLink About15189-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22561 Date AUGUST 30~ 1993 THIS CERTIFIES that the building SWIMMING POOL & FENCE Location of Property 1205 LAKE DRIVE SOUTHOLDr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 5 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Bu~ldlng Permit heretofore filed in this off~ce dated JULY 14, 1986 pursuant to which Building Permit No. 15189-Z dated AUGUST 19r 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is · ssued is INGROUND SWIMMING POOL WITH FENCE AS APPI.T~D FOR. The certificate ~s issued to (owners) of the aforesaid bultdlng. SUFFOLK COUNTY DEPARTM~NT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JEROME D. & UIVIAN SII~ERSTEIN N-808704 - MAY llr 1987 N/A Rev. 1/81 TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDI)qG PERi, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 151S9 Z Permission ~s hereby granted to County Tax Map No 1000 Sect,on ~. pursuant to opphcot,on doted ~.~.~ Building Inspector Block ...~..~... ........ Lot No../.. · ~ .., 19~.~, and opproved by the Building Inspector Rev_ 6/30/80 Form No. 6 TOWN OF SOUT}~LD BUILD%NG DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thzs applzcation must be filled in by typewrzter OR ink and submitted to the buzlding inspector with the following: for new huzldzng or new use: 1. Final survey of property wzth accurate locatmon of all buiidzngs, 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 electrzcal ~nstallatzon from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contazns less than 2/10 of 1% lead. 5. Commercial building, industrmal buzlding, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engzneer responsible for the building. 6. Submmt Plannmng Board Approval of completed szte plan requmrements. For exlstzng bumldzngs (prmor to April 9, 1957) non-conforming uses, or buildmngs and "pre-exzstzng" land uses: i. Accurate survey of property showmng all property lines, streets, buzlding and unusual natural or topographic features. 2. A properly completed applicatzon and a consent to inspect signed by the applmcant. If a Certzficate of Occupancy zs denmed, the Bumldzng Inspector shall state the reasons therefor mn wr~tmng to the applicant. C. Fees 1. Certmficate of Occupancy - New dwellzng $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildzng $25.00, Additions to accessory buzlding $25.00. Busznesses $50.00. 2. Certificate of Occupancy on Pre--existing Buzldmng - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certlfmcate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Reszdential $15.00, Commerczal $15.00 Date... New Construction ........... ~ ~Old Or Pre-exzsting Buildingo..ii~.~i~.~.~..~ .~..~. Location of Property....f.J~.?.~.--.~..-.~...~.~.t.~.~% .......... : ......... House No. Street Hamlet -- 0nwer or O eers of .... .... Oouety Ta~ Hap ~o ~000, Section .... ..~.~. ..... Block ..... ~. ........ ~Ot .... ~.$..¥'.../.~. ...... Subdivision ............................... .. . . . Filed Map ......... .. . Lot .................. . ... Permit No../.~.~.~.~.~....~..Date Of Permzt.~-/~./~-~-~pplzcant ............................. Health Dept. Approval .......................... Underwriters Approval....~,o...~OCZ~ ......... Planning Board Approval -- · Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ......................... ~,~p0P .................... '/~'I~SPECTORS Victor Lessard Principal Bmldmg Inspector Curtis Horton Semor Bmldmg Inspector Thomas Fisher Bmldmg Inspector Gary Fish 13ml&ng Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant F~re Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Superwsor Southold Town Hall P.O. Box 1179, 53095 Mare Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 4, 1993 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: An application for Certificate of Occupancy zs not on file. (Enclosed) No Underwriters Certificate on file. The check is not on fzle. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involvzng plumbing being issued after April 1, 1984}. BUZLDING PERMIT ~ 15189-Z (POOL} Please contact our office on thzs matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) CO: ' ' FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING 3. INSULATION FERN. STATE ENERGY CODE FINA~ ADD/ COMMENTS: HENRY P SMITH, President JOHN M BREDEMEYER, Vice-Pres PHILLIP ] GOUBEAUD ALBERT KRUPSKI, JR ELLEN M LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Mare Road P O Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 August 15, 1986 TO: Buildzng Dept. FROM: Board of Trustees RE: Jerome Silberstein The Bay Constable has inspected the site of Mr. Jerome Silberstein adh finds that no Wetland Permzt will be required. POTS 2 -- Cor~tm~atton Report Attached? 0 Yes Form PDT$ I ~ OCCUPANCY OR ~,USE IS UNLAWFUL ~ITHOUT CERTIFi .C~ DRIVE Disapproved a/c 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ,19~~ , lVgg'mmit No Rece~.ved ........... ,19. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~. - J. ~./. · ,19: INSTRUCTIONS a. Tins application must be completely filled m by typewriter or in ink and submitted to the Building Inspector, wit sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing location of lot and of buildings on premises, relatlonsinp to adjoining premises or public stre or areas, and glvmg a detaled description of layout of property must be drawn on the diagram which is part of tins ap cataon. c. The work covered by tins apphcatlon may not be commenced before issuance of Building Permit. d Upon approval of th~s application, the Building Inspector will issued a Budding Penmt to the applicant Such per: shall be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used in whole or ~n part for any purpose whatever until a Certificate of Occupm shall have been granted by the Buil~tmg Inspector APPLI~2ATION IS HEREB'~ MADE to the Budding Department for the issuance o~f a Bmldmg Pen'oR,pursuant to Building Zone Ordmance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Regulations, for the constmctmn of buildings, addatlons or alterations, or for removal or demoht~on, as herein describ The applicant agrees to comply with all applicable laws, ordinances, budding code, housmg code, and regula"aons, and admit authorized inspectors on premises and m bmlding for necessary msp. ectlons (Signature of applicant, or name, if a corporation) (Mailing address of ap~Shcant) State whether applicant is owner, lessee, agent, arcintect, engmeer, general contractor, electrician, plumber or bulld ..... ~:,~/fa.c..&e: . Name of owner ofprem:ses ~tv~.~p ~ ¢ . ~: /~e. x5ir ;,c' . ............... (as on the tax roll or latest deed) If apphcant is a corporation, s~gnature of duly authorized officer (Name and title of corporate officer) Builder's License No ,~o. ~, ... Plumber's License No .. Electrician's License No / / 0/.~.. Other Trade's License No .. Location of land on winch proposed work will be done b..q . . . House Number Street County Tax Map No I000 Section D ~..~. . . Block Hamlet Subd~vismn .. Filed Map No Lot (Name) State exlst~ng use and occupancy of premises and intended use and occupancy of proposed construction use and occupancy (fl/7. E /-'>;¥~fZ'' - ./'~$'/cf..~?z: e~ · · a Existing b. Intended use and occupancy 3. Nature of ~vork (check w~ich apphcable) New Burl&ng ........ Ad&tmn . 9 10. 11 12. 13. 14 ... Alteration ... ...... Repmr ...... Removal ..... Estimated Cost /. O./.. ~5f/f./.... If dwellmg, number of dwelhng units ... If garage, number of cars ·. Demoht~on ....... Other Work ........ /r~//~n~/9~~- ~°'C ~D~scription) (to be paid on fihng th~s application) ... Number of dwelhng units on each floor ............ If bus~ness, commercial or m~xed occupancy, specify nature and extent of each type of use ............. Dimensions of existing structures, if any. Front ........... Rear ........... Depth .......... Height ...... Number of Stones .......... D~rnensmns of same structure w~th alterations or additions Front ........... Rear ........... Depth ........... Height ........ Number of Stories .......... Dnnenslons of entire new construction Front ....... Rear ............ Depth ......... Size of lot Front. ~V~-~ Rear /+"~ / Depth Date of Purchase . Name of Former Owner .... Zone or use dls[nct ~n which premises are sJtuated ...................... Does proposed constructmn violate any zoning law, ordmance or regulation ................. Wall lot be regraded .... Will excess fill be removed from premises' Yes I' NameofOwnerofprem~ses .,,,r-c,.~,?o..e. ,~/./~f~,~Aw~ Address A.~.¢ ~.~. Name of Architect . . ..... Address ........ Phone No. Name of Contractor ,52~'~,~.~/..~.~,.~,,~.~/,s ./;7'- · · Address ~ ?.,v~r-z~,~ ....... Phone No. -/F'/.. F.~ .~'.~?.. PLOT DIAGRAM Locate clearly and distinctly all buddings, whether ex~stmg or proposed, and. indicate all set-back dtrnenslons frc property hnes. Give street and block number or descnpbon according to deed, and show street names and lndmate whetb interior or coruer lot. "IMMEDIATELY', ENCLOSE POOLTOCODE UPON COMPLETION 8EFORE"WATER,, "IMMEDIATELY', ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" NOTIFY [IUILDING DEPARTMENT AT 7~1~2 9 AM TO 4 ~ ~R THE ~LOWING INS~ONS ~UN~ON ~ ~EQUIRED FOR ~EO CO~ r~ 2 ROUGH FRAMING · p~j~Ct~ ~. INSULATION 4, FINAL CONSTRUCTIO~ ~,~1 ~ COMPETE FOR C O ALL CONdUCTiON SH~L[ ~EFT THE REQLqP~MENqS O~ TH~ N Y ~A~ CONSTRUCTION ~ ENERGY ~D~ ~'J)T ~S~NSI~LE ~R STATE OF NEW YORK, S.S COUNTYOF ,~..2°d?d[/c, .. /z~,c~'f. '{o ~' ~ ~~. bemg duly sworn, deposes and says that he Is the apphc~ (Name of individual s~gmng contract) above named He ~s the .......... ~2 ~g.q~o.~ ......... (Contractor, agent, corporate officer, etc.) of smd owner or owne~, ~d ~s duly authomed to perfom or have perfo~ed the smd work and to m~e and file t apphcatmn, that all statements contained m th~s apphcat~on are true to the best of h~s ~owledge and behef; and that work will be perfo~ed ~n the m~ner set forth m the apphcatmn filed therewith. Sworn to before me th~s ;~ta .;u~l~~~day of...~...;o~,t19 . ~o~a~ Pubhc, State of N~ Yoffi ......... ~~ (S~gnature of applica /No 52-7267~0 Qualified m Suffolk Coun~ ~mm~ss~on Expires Novemb~ 30,