HomeMy WebLinkAbout15989-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17683
Date JANUARY 18r 1989
THIS CERTIFIES that the building ADDITION
Location of Property 1580 COUNTRY CLUB DRIVE CUTCHOGUE~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 109 Block 03 Lot 2.16
Subdivision COUNTRY CLUB ESTS Filed Map No. 6736 Lot No. 19
conforms substantially to the Application for Building Permit heretofore
filed ~n this off~ce dated APRIL 2~ 1987 pursuant to which
Building Permit No. 15989-Z dated MAY 12, 1987
was issued, and conforms to all of the requlrements of the applicable
provlslons of the law. The occupancy for which this certificate ms
issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF~%LTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
FILED & kl~T,W~,~_~ LOMBARDI
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING FERMIT
(THIS PERMIT MuST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK ^UTHORIZED)
15989
Z
Perrmssion is hereby granted to: ,.~ /~
.~..~..~..~...~.~ ....
../. ~-..~.~.. ~%.~....~.~.: .....
.......
.............................................................
County Tax Map No. 1000 Section~......J, 0....~ ....... Block ...... ..~...~. ...... Lot No .... .~. ,.J....J~. ....
pursuant to application doted .... ~........'~... .................. , 19..'~....~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
8LCG DEPT
TOV ~N ~.,F SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
.... ......
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~//...VACANT LAND ........
'.oeat~on of ~o~,,....Z~. ... ~*~.. .. . ..~*.~.. ...... ~~. .....
~OUSE NO. STREET ~AHLET
Owner or 0~ners of Property ................................
~o~.,~ ~ ~ ~o. ,000 s~,io~ ./~¢. ~o~ ..~.. ~o~ .~,~...
,.~v,~o.. ~.~. ~a.~~ ~. d~.~.~o~., z~ .....
8ealth Dept. Approval .................. Ondervri~ers approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $... ~. ~. ..........
rev. I 0/I 4~/88
OUNDATIO.U ( ls t)
OUNDATION ( 2n~ )
OUGH FRAME &
PLUMBING
:~SULATION PER N. Y.
STATE EIlERGY
CODE
FILIAL
ADDITIONAL COMMENTS:
DRAINAGEI AREA
,IOTE, ~=STAKE ,=MONUMENT AREA-- 47)259 SQ FT.
SUBDIVISION MAP FILED iN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON OCT*. 17~ 1978 AS FILE NO. 673,6
Fred J. Lombardl
1580 County Club Drive
Cutchogue, New York 11935
Town of Southold
Office of Building Inspector
POBox 728
Town Hall
Southold, New York 11971
Subject: Building Permit - For Deck
Dear Helen:
In response to your request for additional
the following ~s hereby submitted:
1. Question - Construction Plans.
information,
o
Answer
Question -
Answer -
A d~agram is enclosed.
Type of lumber.
CCA for post, beams and 3oists. Cedar
for deck, hand rails, top rails and
center rails.
3. Question - How w~ll de be anchored ~n the ground?
Answer
Question -
4" X 4" CCA posts mounted on galvanized
carriages and bolts~AI ~ ~
How far zs deck to be from all property
lznes?
Answer
- 1. 69' 00" to N 76° 55' 50" E
2. 126' 05" to S 13° 04' 10" E
3. 65' 03" to S 76° 55' 50" W
4. 125' 00" to N 03° 24' 20" E
I hope the above is satisfactory.
Enclosures - Construction plans
Bill of material
Copy of survey
V,~y truly your__~
Fred Lombardi
for property l~ne d~stances
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N Y 11971
April 6, ]987
TEL 765-1802
Fred Lombardr
1580 Country Club Dr. ,
eutchogue, N.Y. 11935
Dear Mr. Lombardi:
On Thursday we received from you an application
for a Burldzng Permit.
The znformation you supolied with the application
is not enough. Please send construction plans,includ-
ing the type of lumber you will be using, how it will
be anchored in the ground, etc. Also you must give
us a diagram showing how far this deck will be from
all oroperty lines.
Once we receive this information we will review
your a~plication for a permit. Thank you.
Yours truly,
Secretary
Disapproved a/c
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,, 785-180:3
, 19~'/ Perm,t Nol gq~.°t ~
Apphcatlon No
(Budding Inspector)
APPLICATION FOR BUILDING PERMIT
Date ,19
INSTRUCTIONS
a. This apphcat~on must be completely filled in by typewriter or ~n ~nk and submitted to the Bufldmg Inspector, w~th
sets of plans, accurate plot plan to scale Fee according to schedule.
b Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc street
or areas, and g~vmg a detmled descnptmn of layout of property must be drawn on the diagram which is part of thru apph
cation
c. The work covered by this apphcat~on may not be commenced before ~ssuance of Bufld,ng Permit
d Upon approval of this apphcahon, the Braiding Inspector wall issued a Bu,ldmg Penmt to the apphcant Such perm~
shall be kept on the prenuses available for mspectton throughout the work
e. No budding shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupanc,_
shall have been granted by the Buildmg Inspector
APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th.
Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmances o
Regulations, for the constructmn of buddings, additions or alteratmns, or for removal or demohtmn, as hereto described
The apphcant agrees to comply with all apphcable laws, ordinances, bufld,ng code, housing code, and regulahons, and t,
admitiautl~onzed, mspector~_~n prem,ses and m bufldmg for necessar',,~nspechons
F~ED ~ J~OMBARDI (S~gnature ot applicant, or name, ~f a corporatmn)
~/ -- ARLENE B. LOMBARDI
P.O. Box 583, Cutc.ho.g. ue., NY 11935
(Mmhng address of apphcant)
State whether apphcant ~s~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Owner
FRED J: LOMBAI~DI
Name of owner of premises Arlene B. Lorabard3_ ..
(as on the tax roll or latest deed)
If apphcant m a corporahon, s~gnature of duly authorized officer
(Name and htle of corporate officer)
Builder's L~cense No
Plumber's License No
Electrician s L~cense No
Other Trade's L~cense No
Location of land on which proposed work will be done
/~'~0 Country Club J~rive
House Number Street
County Tax Map No 1000 Section 109
Subdivision Countr~ Club Z~teS
(Name)
Cutchogue
Hamlet
Block 03 Lot.
Filed Map No 6736 Lot
2.16
19
State extstmg use and occupancy of premises and intended use and occupancy of proposed construcbon
Residence
a Exmtmg use and occupancy
b Intended use and occupancy
3. Nature of work (check winch apphcable) New Building ... Addition . XXX Alteration "
Repatr ... Removal ... Demolition ....... Other Work ........
(Descriphon)
4. Esttrnated Cost $2.000.00 Fee
(to be pad on Filing this application)
5 If dwelhng, number of dwelhng umts...--.-.- ...... Number of dwelhng units on each floor .... -- . ....
If garage, number of cars . -.-.-- ........................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . "T. ..............
7. Dnnensmns of existxng structures, if any. Front .... Rear ......... Depth ..
Height ......... Number of Stones . .2.
Dimensmns of same structure w~th alterahons or addltmns Front ..... Rear ............
Depth .......... Height ......... Number of Stones.
8. Dunens~ons of enhre new construchon Front ..... Rear ........... Depth .............
Height .. . Number of Stones .., 2. .................................
9. Size of lot Front .. 17~.' Rear ....... &79.3~ Depth .......... 24~9..5~.
10. Date of Purchase .I~.a~. 119'$5 Name of ForrnerOwner ........ Ge.q..P.e.n. ny.
11 Zone or use district m winch premises are s~tuated l~der¢oz~l ..........
12 Does proposed constructmn wolate any zomng law, ordinance or regulation N. 9...
13 Will lot be regraded No... ...... . Will excess ~l be removed from premises Yes No
14. Name of Owner of prem~ses F&A Lombar. dz AddressCoun. gry..ql.u.b. D~;.PhoneNo. 5.1.6..7.34 5544
Name of Architect ....... Address ............ Phone No
Name of Contractor ........ Address ............ Phone No ......
PLOT DIAGRAM
Locate clearly and dtstmctly all buddings, whether ex~shng or proposed, and. indicate all set-back dunens~ons from
property hnes. G~ve street and block number or descnptmn according to deed, and show street names and indicate whether
mtenor or corner lot.
SEE ATTACHED.
1" = 10'
STATE OF NEW YORK,
COUNTY OF...S.u,~f.o¥~. ...... S S
Arle.n.e .B. bora.~.arcli ........ being duly sworn, deposes and says th~ e~tl~s the apphcan
(Name of individual signing contract)
above named
She
~sthe .P~r .........................................
(Contractor, agent, corporate officer, etc )
~L.o~llt~t~/~, and is duly authorized to p~zf:_-:7, z: have performed the said work and to make and file tin
apphcat~on, that all statements contmned m th~s apphcahon are true to the best of~e?nowledge and behef; and that th
work will be performed ~n the manner set forth m the apphcat~on filed therewith.
Sworn to before me tins
NotaryPubhc, ~ C.~. 7~.~ ~.~.~/...~..~. County //~ ~/ , z~
~.~~~ /~L~E B. L0~DW (Si~ature of applic~i
SUBJECT TO
North Road
~tt~tuck~ New York 11
Phone: $16.298-~559
..~/1~1.
,/
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FE- __ '
NOTIFY ~IIL[ ~'-' --~RTMENT AT
7651P0~ 9 ~ '~ ' ~ ~R THE
FOL~ Ow~klG
FOU,~r)~TIO,
FOR ~ )URE[
I
I
!
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY