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Home My WebLink About1000-90.-4-5.1 R TUWNOF SOUTHOLD 40 Rental Permit 0882 Owner David Schwartz Occupied as Single Family Dwelling Located at 1015 Lakeside Drive Southold 90.4-5.1 Maximum Permitted Occupancy 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. L 4/26/2023 Code Eytfotce e t Official This Notice must be posted by the main entrance at all times Town Hall Annex "i a$, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179i Southold,NY 1 1971-0959 1 "!"" �° BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: O/ ij ~ Tax Map Number: 1000 SECTION &--BLOCK -LOT SECTION B. OWNER INFORMATION: , Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Z / 2y q - 1632 _ Telephone Number (s): Daytime � -7W1 Evening 6 ' Emergency —1,679 Property Owner Email Address: �z- /0-0 2M -fBV 12 D �.,. . JUL 2 7 2020 Page 1 of 5 BUT1,I)ING DFff. 2023 Vol dUOLUIN(J OEM' Town Hall Annex Telephone(631)765-1802 $4;175 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 14 BUILDINO DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s):Daytime Evening_ Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B,C);the use of each room In the Rental Dwelling Unit (for example, Kitchen, Bedroom 1,Bedroom 2,living Room)and the dimensions of each room. For properties with multiple Rental Dwelling Units use"Rental Permit Application Addendum," Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: r s umber of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: r - r I r 52 f1bf � P' 21 11 .1 . w- 0w t#4 4133 q +l t ! Page 3 of 5 W Town Hall Annex �, Telephone(631)765-1802 54375 Main Road 4 Fax(631)765-9502 P.O.Box 1 179 sV Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. ❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold IKI am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 -061,6`1-. S �✓ +` certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 q, Town Hall Annex Telephone(631)765-1802 5437.5 Main Road Fax(631)765-9502 P.O.Box 1179 A� Southold,NY 11971-0959 � r11 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: h. � °� 'A � .. Property Owner's Signature: Sworn to before me thisQ=Aday of_ , , 20� Official Notary Public Signature and Original Notary Stamp E LISSAR DEBOER BLIC STATE OF NEW YORK UFFOLK COUNTY UC.# ID 9898 t �.r... Page 5 of 5 6W5-&� TOWN OF SOUTHOLD BUILDING 631 -765-1802 tQ c INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ 7] FIRE INAL [ ] FIREPLACE +& CHIMNEY [ SAFETY IN! [ j FIRE RESISTANT CONSTRUCTION [ j FIRE RESISTANT PE [ ] ELECTRICAL. (ROUG [ ] ELECTRICAL (F [ ] CODE VIO TI [ ] PRE / [ ] Ilk if ft!�:- 40W INSPECTORDATE Town Hall Annex I e-, 'Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 1 Southold,NY 1 197 1-0959 'm "M BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re uired for Architect or Engineer,licensed dome Inspector must ro%l@ co v valid current certl icotlon Rental Property SCTM Number: Rental Property Address: Owner/Name: yjdVV Rental Dwelling Unit Identifier: •.,w Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 —100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. e 4na Print Name and Titlnature Al 4' " 1 '- Please place professional seal: w rEX15TINBALCONY E4 1"ING BALCONY \ 1 BEDROOM \ / MDR.00M 3 \ / OPEN Td BELOW BEDROOM 2 \ \ 'A5HNG \ f Md6�t!k,B IN DOWN co EXISTING DLCK O EXISTING SECOND FLOOR DAVID SCHWAIZTZ Robert I . Drown 10 1 5 LAKESIDE DRIVE NORTH Architect, P. C . 50UTI-101-D, NY 205 bay Ave. Green ort NY 5CALr_: �/&' = i, info@ inforibrownarchtect.corn JULY 3,2020 G3 1 -477-9752 E,xi`-TING RAGED DE:Cry EXISTING DINING KUOM EX15-nNG LIV NL ROOM o� EXISTING KITCHEN PXI_`MNG C}EN Dow, EXISTING EXISTING PC7YEK I3ATIIKC bm EXI5TING DECK 0 EXISTING FI R5T FLOOD DAVID SC H WAIZTZ Robert 1 . Brown 101 5 LAKE5IDE DRIVE NORTH Architect, P. C . 50UTHOLD, NY 205 Day Ave. Greenport NY 5CALf: 1/8" _m I' info@nbrownarchtect.com JULY 3,2020 G3 1 -477-9752 TO ' 7/9 � WN S SOUTHOLD PR -- - -►R CARD STREET 10 VILLAGE DIST. SUB. LOT ' „FORMER OWNER 5;�r n�, �l c� x��. , �� sN' �=, E ACR. r 1 SW TYPE OF BUILDING RES _ SEAS. VL. 1 FARM !COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE MARKS i 7e4 A , _ �- - -e F Y AGE BUILDING CONDITION ' F NEW NORiMAL BELOW ABOVE FARM Acre Value Per Value Acref Tillable 1 ., v_ y, Lr1G, N.f✓ Tillable 2 - i I Tillable 3ti _= - Woodland WATER FRONTAGE ON W Swampland � Brushland FRONTAGE ON ROAD House Plot DEPTH ' BULKHEAD 4 Tota DOCK Iz a fie_. ?Rt s a � i tt EE ` s 1 r t a , � � 3 a FT ! I 17- 90.-4-5.1 3/06 r'/ter x' ff d� Foundation E Bath = Dinette 9 Extensic�r , f ,,`3; :Basement K. , Floors e s ll Ext. Wai , Interior Finish LR. Extension �/I / t Extension Fire Place Heat ; DR. 'Type Roof Rooms 1 st Floor ' BR. f I Y , i ;Recreation Room= Rooms 2nd Floor; ` FIN. B Porch f. �� QLi ' d�.`� I`t Dormer ; i i Breezeway 1 Driveway I Garage Rcticr Total I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31315 Date: '12 02 0 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1015 LAKESIDE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473559 Section 90 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15, 2003 pursuant to which Building Permit No. 2951.4-Z dated OCTOBER 16 2003 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 SINGLE FAMILY DWELLING WITH GARAGE UNDER & ATTACHED WOOD DECKS AS APPLIED FOR. The certificate is issued to ERNEST SCHNEIDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-03-0117 11/1S/05 ELECTRICAL CERTIFICATE NO. 2035757 ».0 03/05 PLUMBERS CERTIFICATION DATED 11/30/05 PECONIC PLUMB.& HEATING a. Aut.,orized Signature Rev. 1/81 Town of Southold 12/8/2016 P.O.Box 1179 °+ 53095 Main Rd ` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38696 Date: 12/8/2016 THIS CERTIFIES that the building HOT TUB Location of Property: 1015 Lakeside Dr, Southold SCTM#: 473889 Sec/Block/Lot: 90.4-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/5/2016 pursuant to which Building Permit No. 41075 dated 10/13/2016 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: LI"O"N _ _ ., 1.; T CII:±t,OC _ _.1' AJC `OR The certificate is issued to Schwartz,David of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41075 11-29-2016 PLUMBERS CERTIFICATION DATED t o ed Signature q, EF Town of Southold 3/23/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43939 Date: 3/23/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1015 Lakeside Dr, Southold SCTM#: 473889 Sec/Block/Lot: 90.4-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/21/2020 pursuant to which Building Permit No. 45333 dated 10/15/2020 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: in-ground swinirning_ pol,., ddition to existing sin l ai yydwelling as applied for.. (Maintain selflos.iji action of at The certificate is issued to Schwartz,David of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. ELECTRICAL CERTIFICATE NO. 45333 /2 2021 PLUMBERS CERTIFICATION DATED __.. . stature Town of Southold 3/25/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43956 Date: 3/25/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1015 Lakeside Dr,Southold SCTM#: 473889 See/Block/Lot: 90.-4-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/8/2021 pursuant to which Building Permit No. ^45777 dated 2/4/2021 M. µM„ 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: "as b4itr finished laasement with wet laar reise rncanasnd bath°ocan no be rac r,stea existing ipgle amil'µ N_qj jjAg„as aid for. The certificate is issued to Schwartz,David of the aforesaid building. 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