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Home My WebLink About13894-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22560 Date AUGUST 30r 1993 THIS CERTIFIES that the buildin~ Location of Property 1205 LAKE DR!~-E House No. County Tax Map No. 1000 Section 59 Subdivision ADDITION & ALTERATION SOUTHOLDr N.Y. Street Ham]et Block 5 Lot 14.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22r 1985 pursuant to which Building Permit No. 13894-Z dated APRIL 29~ 1985 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 ADDITION & AL'£F~ATION TO EXISTING ONE FAMILY DW~.ING AS APPLIED FOR. The certificate is issued to JEROME D. & Vl-qIAN $~.RER~EIN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-777467 - NO%~9~ER 4~ 1986 PLUMBERS CERTIFICATION DATED OCT. 27~ 1986 - SHORE NEC~{ANICAL CORP, Rev. 1/81 TO~N OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 ~3894 Z Permission is hereby granted t~ ...... .... ~Z~..~~.~....~ ................ ...... ~ ....... ~~..~....~.~.~.~......~~.~.~ ............. .J... County Tax Map No. 1000 Section .,..~.....~.~...q Block ...(~). ............... Lot ~.. ......... ~ No..O...L.'~.....~..l.~J~ ,u,uont ,o opp,,cot,on doted .... ..A.....~.~J.~.. ...... ~.~ ......... . ,,.~>--and opprov~~by t~e Building Inspector. Fee $...~..~..~....~ Building Imcector Rev. 6/30/80 Form No. 6 TOWlq OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY T'his application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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, 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. 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 a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspec{or shall state the reasons therefor in writing to the applicant. 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 - Residentia~$15.00, Commercial $15.00 Date · ' · ~'~ ~/~.J~3 ................... Construction ........... Old Or Pre-existing Bui~d!ng....~_~, ........... · ~tion of Propertv ...... /.2.~ ~/~ ~ ~ , House No. Street ...... On'er °r Owners °f Pr°perty.-J~.~.~:.~$~e~f~..~..~/~ 3u~ivision .................................... Filed Map ............ Lot ...................... Pe2mit No.../3.~.<Date Of Permit. ~'~~pplicant ....... ~ ................... .......................... .... ~l~ning Board Approval ............. : .......... Request for: Tempqrary Certificate ........... Final Certicate .......... 70c ............ . ..... 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 F~e Inspector Telephone (516) 765-1802 Jerome silberstein 1205 Lake Drive Southold, N.Y. 11971 SCOTT L. HARRIS, Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 1197 Fax (516) 7654823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 4, 1993 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 is not on file. (Enclosed) XXNo Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % I3894-Z (ALT&ADD HOUSE) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Thomas Fisher Building Inspector Gary Fish BuiMing lmpecmr SCOTT L. I{ARRIS~ 2upe~,i~o~ SourhoM Ibwn Hall P.O. Box 1179, 5309.q Main Road $outhold, New York 1E}7 l Fax (516) 765-.ig33 Telephone (516) 765-1S00 Rober~ Fisher Assistant Fire Inspector Telephone (516) 765-180Z OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD C Il R I I F I C A I I 0 1~ October 27, 1986 Buildir~ Pea:mit No- 436357-86 O~ner:. ~erome Sil~erstein.. (please prxnr) ' Plm~bex'~ 3bore Mechanical Corp. (please prln~) solder used in g~'~er ~upply syz~em ~or~go before ~his , 19 ~ // ~, . BEVeRLy L · ~otaey Pub ie No. . Qualified in Suf~blk Commission .... County E~res ~'eb. ,3 19 / - ~-~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000378 BUREAU OF ELECTR C TY r~g B5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT . andy th~ electrical equipment aa described below and introduced by the applicant named on the abo~e application number i. the premiss of Je~lome P, Silbera~ein, 1205 Lak~ Drive, ~out2~ola, N~ ~sexami"ed°n ' October 27, 19~6 andfoundtob~'incompllanceuqth~her~q~r~men~ofthlsBoard. FIXTURE FIXTURES RANGES OVENS CHJTLETS DRYERS SWITCHES 73 72 131 FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCK UNIT HEATERS MUI~T[-OUTLET SYSTEMS NO. OF r~ET DIMMERS ~;ceve'a ELectric, Inc. P.O. ~,ox 1268 Southold, NY 11971 ~MOUNT 106 PLEASE REMIT BY CHECK OR o.o~. m m~ o.~a o~ m~ ~ w 'IELD I~IS?E~TION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE ,F/,~/~~ INSPECTOR ,~~ BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: [ ] FINAL INSPECTOR,, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. (' '1 FOUNDATION 2ND ["t~ INSULATION FRAMING REMARKS: [ ] FINAL 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL DATE FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 isapprovcd ale ......... _ ..... ' ......... ~. · .,. · . · ~l~uildin~, Inspector--S' ~'~'t~'~ 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 ts 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 areas, and giving a det~led description of layout of property must be drawn on the diagram whic~ is pa~ of this app~- tion. 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 Pe~it to the applic~t. Such pomit all be kept on the premises available for inspection throughout the work. e. No build~g s~alt be occupied or used in whole or in part for any purpose whatever until a Certificate of Occup~eY all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Dep~tment for the issuance of a Building Pemit pu~uant to the filding Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordnances or ~gulations, for t!~e construction of bu~d~gs, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees t~ comply with all applicable laws, ordinances, building code, housing code, and regulations, ~d to .mit authorized inspectors on premises and in bulldog for necessa~ inactions. , (Mailin= address of pplic~nt)~~ ate whether applicant is owne~, lessee, agent, architect, eng[neer~ general contractor, electrician, plumber or builder. (as on the tax roil or la,st deed) Builder's License No... ~q.. ~. ......... Other Trade's License No ~ Location of land ou which proposed wo:k will be done. ~. ¢~. ~. ..1 ...... ................. ...................... House Number ' Street Hamlet Stute ex/sting use and occupancy of premises and iutended use and occupancy of propqsed construc~om ~ 3. Nature of work tcheck which applicable): New Building .......... Addition . iV Alteration .... Repair .............. Removal .............. Demolition ........... i ' ' Other Work ....... , ...... 4. Estimated Cost Fee .......... ~ ............ ~ ~ (to be ~aid on filif~g this application) 5. If dwelhng, number of dwelhng un~.. ~a.-.~,.... Number of dwelhng unitls on each floor... .... ?.'. ..... ..... ................................. ,, ........... . . .' . ........ 6. If business, commercial or mixed occupancy, specify nature and extent of each tyOe of use .... ~ ;].O~ .~ ....... 7. Dintensions of existing structures, if any: Front...~,.~ .~... Rear . .~$,~j ....... Depth..~ ....... .bt .. 17.......... Number of Storms ....... ff~. .............. ~ ................. 1 ........... Dimensions qf~an)e structure with alterations or additions: Front ...~h~ .... , ..... Rear..~[I ~ ........... Depth .... ¢~ ............ lteight ..... ~..t ........... Num;ertof[Stories., .~..'...t ......... 8. I)imensions of~ntlre new construction: Front ..... fl]~ ...... Rear .... ~.~ ....... Depth .... ~/~ ........ lleight .... ~]~ ......... Number of Stories .... gfl~. ~.-~...,..~ ...... (..~ ............................ 9. Size of lot: Frh~t .... 1.~$,,0~ ......... Rear {~. JJga ~b . lDenth ~.~ .... ~ .... I1. Zone or use district in which premises are situated.. B' .~[~W~ · ~.t..i .......................... 12. Does proposed constr}ts~n ~aj~2.y3~ing la% on0gance or regulation: ~.~ ..... 13. Will lot be regraded .7~>...Q]/.~.g~/~.~.~Willexcessfillberemqve~dfro~premises:t ~ No 14. Name or Owner or er&ise~/~Rff $1k~ddress ¢~g~ ~,Y. Phone No.ff/~. Name of Architect ~{~.~*):O~ff~ .......... Address ~V.~tq~ .~. Phone No~ Nmne of Contractor~.~~ .~t addressZ{.~q~ ~ Phone N~..~'.~.~ PLOT DIAGRAM Locate. clearly and distinctly ~1 buddings, whether existing or proposed, and. ifidicate all set-back d~effsions from "property lines. Give street and block number or descdption according to deed, and shcw street names and indicate whether STATE OF NEW~ / - - ..... ~l~[~. ~.< .~*~.~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ontracto gent, corporate officer, etc.) o{ said owner or .owners, and is duly authorized to perform or have performed the~ said work and to m~e and file this application; that all statements contained N this application are true to the best ofl~is knowledge and belief and that the work will be performed in the m~ner set I~rth in the application filed therewith. Sworn to before me this 2 ' .............. ~ .......~/ ~*~ ......~. ~ ~ ....... ~.. ~ ~.~ ~ffo~k ~ N ota ~P \0 % % ~EF~OME S/LBERSTE/IV 8~ VIV/AAI A T SOU?HOLD TOWN OF SOUTHOLD SUFFO£ K ¢OUNT Y, N.~Y. TAX 1~ .4 P NO. 1000-05 9 - 0 5 -1~ 8 14 SC,~LE: I**= 40' APRI£ I~, 1~5 SIL BEPS TEI1V 0 ~0 I. ANZ) SURV£YOR IV. ES. £1C. NO. 4961~ 1396 ROANOt(~ AVE'. RIV~I~H~AO. IV. ~ UgOI JEROME SILBERSTE/N ~ VIVIAN A T SOU?HOLD TOff/N OF SOUTHOLD SUFFOLK COUN-"f~'~/V.~', TA.~ IWA ~ NO. 10~-059.-05 SCALE: I'= 40' APRIL 19, 1985 S/L 8ERS TEIN AREA= 70,5G0 SQ. FT. OR /.G289 ACRES' Itandards for title SUrveys as establithed by the LIoA. L.$. and approved and adopte~ for ~,/ch u~ by The New York State Land ?lfle A~o~latlon. rJ OF OCCli?AitC¥ If copper tubing is use~ for water distributing system; piping shall be ~B~,FORE CUPAN~Y cANNOi .% LEAD. . AI~ZHITECTS · BUILDERS ~' DEVEI OPERS 24 RIVERHEAD ROAD, POST OFFICE BOX I~ WESrHAMPTON BEACH, NEW YORK 11978 ~516J 2~020/2~3021 m ARCHrrECTS ENGINEERS t~NDSCAPERS ~.~ ~] 24 RIVERHEAD ROAD, POST OFFICE BOX 1087 ,~ k~/ESTHAMPTON BEACH, NEW YORK 11978 I15,61 ~'30z0,2~302' AP}~RO~V?, AS NOTED NOTIFY BUILDING DEPARTMENT AT 7654 802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: L FOUNDATION ~ ~O REQUIRED FOR POURED CONCRETE ~. ROUGH ~ FRAMING & PLUMBING 4. FINAL - CON'STPUCTION MUST BE COMPLETE FOR C. O, ALL CONSTRUCTION SHALL MEET THE REQUtREMEN%S OF THE N,Y, ri'FL:: DRAWN BY DATE ALE PROJECT NUMBER DRAWING NO, H~ [ I 4 ,~ 24 RIVEBHEAD ROAD. POST OFFICE BOX 1~7 ~ WES~AMPTON BEACH. N~ YO~K ] i97e ~ I516) 2~302012~21 WILLIAM J. AND ASSOCIATES 24 ~VERHE~D RO~. P~T'OFRCE'~X 15~6) ~2~Zl REVISIONS I ~ ~ ,° I 4 S ,12 I II TITLE HAMPTON COLLABORATIVE, INC ARCHITECTS., BUILOE~S · OEVELOPEES 24 EIVERHEAD EO, A.D, PO~T OFFK:E ~::)X I(]0'/ '~.K/E~,¥ ~AMPTON I~AO.i. NE"~ YORK I1978 ~t/1! ! lAM J. AND ASSOCIATES ARCHITECTS · ENGINEERS · L.~DSCAPERS 24,/~IVER~ ROAD, POST OFFICE EJOX' 10~7 REVISIONS TITLE DATE SCA, L~ I HAMPTON , CO, LL,&B::)t~TIVE, ~OX REVISIONS I 3 ~ ~ I I 4 E 12 rtTLE r~ ~ ~AM J, ASSOCIATES Wt~ HJaIM~ ~CH NEV~ YORK I:f~?Ei REVISIONS TITLE DRAWNB~ CONFORM, TO THE ,?FARE AS,'r'~ z,C ~5 LATE51 ' ~ALLS, "ABOVE AND , Ak,L " ' - ...... . r h