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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector,
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22158 Date FEBRUARY 24, 1993
THIS CERTIFIES that the building ADDITION
Location of Property 2855 CEDAR BEACH ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 91 Block 1 Lot I
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NNE 27, 1989 pursuant to which
Building Permit No. 18264-Z dated NLY 6, 1989
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 ADDITION TO EXISTING~ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to MICHAEL BRAVERMAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL' N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
uil ing Inspector
Rev. 1/81
posaa xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°- ~ 8264 Z Dore .......~,r~!...lQ 19.~•d
Permission is hereby granted to: d
n
at premises totaled at ..s~..4'..`+7~r .......4~:.G2~n....~s~&.4~Cy1
........................................................................qq........................................................................................
County Tox Map No. 1000 Section ........~..J.~........ Block .....0.~........... lot Na......~.~
pursuant to application dated ......~....~-'.^.:~4...a.~ 19.~i~.., and approved by the
Building Inspector.
Fee $..u~~
ding Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
• BUILDING DEPARTMENT )R ~`~."'~`("'4''F3~"ifi:""`';""
TOWN HALL i,' I ~.t,`.=~ 1~3 ~_t ~
~~:n,__
765-1802 3~•~';
~:t~
~j : ~ ~ F~ 2~ 4
APPLICATION FOR CERTIFICATE OF OCCUP I,y~y;~i
e+° r
A. This application must be filled in by typewriter OR ink an '~',~`to tfibuilding
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 17 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.
S. 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 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 - Resident~ijal 150 Commercial $15.00
Date .?.-~~1.:.~
New Conseructior~... Old Or Pre-existing Building.
Location of Property....GVz.~~s-?~..........~~7.~`Z`/• •
House No. Street' ' o Hamlet
Onwer or Owners of Property..~~'~~'???,~'~'J•.~•~~~.~.~/••••••••••••••••••••••••••
County Tax Map No 1000, Section....../G'1.....Block....... 1........Lot.......~
Subdivision ....................................Filed Map............Lot......................
Permit No,f~:~.lP.7:..~...Date// Of Permit..~~~?,Gt .....Applicant..........~.J.-
Health Dept. Approval.....,~/V~ ................Underwriters Approval...!//"!...............
Planning Board Approval.•!~!.:G
Request for: Temporary Certificate........... Final Certicate
Fee Submitted: ~ P~~rpG V~G~~-'L~
Q•.~., yss3 . .
C6 2 C~ l`/ APPLICANT
(5 6) 765-0
802 O~~S~FFO(~-CO
VICTOR LESSARD, Principal G~L~ SCOTT L. HARRIS, Supervisor
CURTIS HORTON, Senior y = Southold Town Hall
VINCENT R. WIECZOREK, Ordinance ~"p P.O. Box 1179, 53095 Main Road
ROBERT FISHER Assistant Fire ~ O~~ Southold New York 11971
Building Inspectors r exit ~a Fax (516) 765-1823
Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 24, 1992
Michael Braverman
2855 Cedar Beach Road
Southold, N.Y. 11971
Re: Building Permit #18264-Z (Deck Addition)
Premises: 2855 Cedar Beach Road, Southold, N.Y.
Suff.. Co. Tax Map #1000- 091-O1-01
Dear Mr. Braverman:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
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PLUMBING
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IIISULATIOII PER N. Y. y
STATE ENERGY '
CODE
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FI1]AL ~p
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ADDITIOPIAL COMMENTS: x
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(5
6) 765 802 o~OSpFFO(,~Co
VICTOR LESSARD, Principal ~O?% SCOTT L. HARRIS, Supervisor
CURTIS HORTON, Senior y z Southold Town Hall
VINCENT R. WIECZOREK Ordinance ~ P.O. Box 1179 53095 Main Road
ROBERT FISHER Assistant Fire ® Southold New York 11971
Building Inspectors ~ #it `1~~ Fax (516) 765-1823
Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 24, 1992
Michael Braverman
2855 Cedar Beach Road
Southold, N.Y. 11971 ~
Re: Building Permit #18264-Z (Deck Addition)
Premises: 2855 Cedar Beach Road, Southold, N.Y.
Suff. Co. Tax Map #1000- 091-01-01
Dear Mr. Braverman:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessary structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date JUNE...19.r....1989......., 19........
.
TO ..MICHAEL BRAVERMAN
(owner or authorized agent of owner)
560 W. 43rd ST. APT. 28L
NEW„XORR,,,, N„Y . 10036
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance CHAP 100
Other Applicable Lows, Ordinonces•or Regulations
of premises hereinafter described in that A DECK ADDITION IS BEING CONSTRUCTED
(state character of violation)
IN THE FRONT YARD WITAOUT A BUILDING PERMIT.
in violation of ARTICLE AXVIII CARP,,,., 100-281
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at
.....Z.$~~...GF.A.AR...~F+d.CFI...RA.....S.9UT.TlAJf.R.......County of Suffolk, New York.
SUFFOLK COUNTY TAR MAP /t 1000-91-01'01 ii
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of low
may constitute an offense punishable by fine or imprisonment or both.
ORDINANCE IN ECTOR
VINCENT R. WIECZORER
e M I C H A E L B R A V E R M A N D E S I G N
I N C O R V O R A T& D
June 26, 1989
Mr. Vincent R. Wieczorek
Town of Southold
Building Department
Town Clerk's Office
Southold, N.Y.
Dear Mr. Wieczorek;
Enclosed please find my application for Building Permit and
three sets of plans as requested,
There has been no further work on the deck until I receive the
permit. If you need any further information please contact me
during the day at 212-643-1122.
Thank you.
Si cerely,
Michael Braverman °7~-^ ~ I~
® 560 WEST 43RD STREET 28TH FLOOR NEW YORK NY 10036 212 643 1122
B0.1FD OF HEALTH
3 SETS OF PLANS
FORM NO. 7 SURVEY .
TOWN OF SOUTHOLD CEiECK .
BUILDING DEPARTMENT SEPTIC F•oRrt
• TOWN HALL
SOUTHOLD, N.Y. 11D71 NOTIFY
- TEL.:7G5-1802 CALL
Examined ~ - 19 ~q9 MAIL TO : ,
APProvcd ~rV4Ml. ~ „ 19~ t .Permit No.~ .a~.'.~~0~ .L2.'.
Disapproved a/c
(Buildind.Inspector) -
APPL1CATlON FOR BUILDING PERMIT
Date .~.tl~lk. Z~....,, 15~:nl
INSTRUCTIONS
a. TYtis 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 tot 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 [his appli-
cation.
e. 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 throu~}tout the work.
e. No building shalt be occupied or used in whole or in part far any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
3uilding Zone Ordinance of the Town of Southold, Suffolk County, Ne~v York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demo]ition, as herein described.
Tile 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 in ectio s.
tRnature of applicant, or name, if a corporatron)
:.:~a.~~zd's~„~: .~~.y.~ ~~3~..
• (Mailing address o~applicant). o~FjL
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber of builder.
.........~W./`~~~
ti'ame of owner of premises . ~I~.t~d1.E. L..! ~~:V4~NlZ~+~ - , :~1~'(7, - ,`~ts~ S~~?2t4,(~
(as on the tax roll or latest deed)
[C applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ~~.~0 .~."~.1.......... -
Plumber's License No . .
Electrician's License No. . .
Otltcr Trade's License No. . .
Location of land on which proposed work will be done. '
lfouseNumbcr Street. '
Hamlet j
County Taa Map No. 1000 Section I.......: Block , , . , ~ - , - , • - • • • , , • Lot •
Subdivision Fi1cJ Afap No. Lot .
(Name)
State existing use and occupancy of~pr~emises~an/d intended use and occupancy of proposed construction:
a. Existing use and occupancy ~:~~:~=~i~"1~•~'~
b. lntendcd use and occupancy . •~~,''~~~~~~-~Jr.. CIY~ ~LZ(G-
~Utcration
3. Aature of wort. check wmch~
` • ( ~~applicable): New Uuilding Addition .
Repair Removal Demolition ......Other tti'ork .~EZ.1~, . • .
(Description)
4. Estimated Cost ./.{r~t~C-....~~ Fee
I tto be paid on filing this application)
5. If dwelling, number of dwcllins units Number of dwelling units on each floor. ,
If gara^c. number of cars ...............................................`y .
6. If business, commercial or mi.~ed occupancy, specify nat~ re end extent of cat!) type ofr~use t. .e .
7. Dimensions of cy is~~ng structuies, if any: Front/.. , • p...... Rear ..•:Y ' Q..... Depth .2~.'~.. , • • , . ,
Huigltt .:'..off . .~P/,10}'Nutttber of Stories .r...G~ . .t~........ .
Dimension of same structure with alterations or ad ttio Front .e'3:'{~. `0... Rear . ~3.:Q...
Do th . a
p ~ ..9 Height j. ~
~~~.tr........ Number of lStorics Z t . lC .
• g, Dimensions of entire new construction: Front , , , , Rcar . ........Depth , .
Hcigltt ~~SN0.(~ 3~4'~ ~?er~luinber of Stories . ) Lg_ye?; , ~j<-, ,
.1
9. Size of lot: Front 1 C.? d' Rear ZQO Dept .
10, Date of Purchase ~ . ..............Name of Pormcr Owner ~z t;fx .
1 I. Zone or use district in which ptemises are situated . .
1 Z. Does proposed construction vio~latc any zoning law, ordinance or regulation:..9;J.C? .
13, 14'i1l lot be regraded , .j'~(7 , \Vill excess fill be~~movc~d1~from premiscs:'vor ~~~so
14. Name of Owner of premises ~.V~~M.ot+`!, , • , , , ,Address ~f2C?~~3 ...5'.f."rr.~Phone No ~1~~.~tz.~.`!.3":tCZ.~
Name of Architect . T dr .Phony, No .
Name of Contractor~6 ~~~:dvtia: l Y~SIt!tS~Ne~""Addie~a~s~.:r/t!?.~1GS~tt Phone No. .
15.Is this property looted with in~00 feet of a tidal wetland? *YES.il..NO....
*If yes, Southold Town TrusCees Permit may be required.
PLOT DIAGRAM ~
Locate clearly and distinctly all~~ buildings, whether existing or proposed, and. indicate all set-back dimensions front
property lines. Give street and block number or description according to deed, and show street names and indicate whethe4
interior or corner lot.
_ .
i
I'
"
T,~TL OF \Ew YORK, S S
COUNT OF
• • • . ~Ic~%1dE~ • .~•k"'-f~)~~.lY~.~ 6cing duly sworn, deposes and says that ha is the applicant
(Name of individual si,nind contract)
bout named. ,
c is the Gt:~? l~h:12n . O; : ,1'~.2~C?~?-:~ .
(Contl`actor, agent, corporate officer, eta)
said owner or owners, and is duly aluthorized to perform or have performed the said work and to make and file this
plication: that all statements contained in this application arc true to the best of his knowledge and bclicf;aad that the
irk will be performed in the manner set f h in the application Piled therewith.
nom to before me this I
~.rrj. .day .........,19!~•~
tart' Public, unty
;3TANt, p.9WtEN
MOTAttV 4'(144! t(.. E+i^PJ ~ ih3w ~ Ill ~ • • • •
+yu 3,-s'1,~.,°iU7 i (Signature of applicant)
41u,,::f,,,.~ _•,,,~~:~~~t
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