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HomeMy WebLinkAbout16790-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17616 Date DEC. 20, 1988 THIS CERTIFIES that the buildin~ Location of Property 240 WINDJAMMER DRIVE House No. Street County Tax Map No. 1000 Section 071 Block 02 SubdivisionHARBOR LGTS SEC. 2 Filed Map No. 4681 ONE FAMILY DWELLING Lot SOUTHOLD Hamlet 11.2 Lot No. 42 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 24t 1988 pursuant to which Building Permit No. I6790Z dated MARCH 10r 1988 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 ONE FAMILY D~FELLING WITH DECK AND SCREENED PORCH. The certificate is issued to BRUCE & EDITH ROMBOLI (owner, ]Q~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-04 12/14/88 UNDERWRITERS CERTIFICATE NO. N04609 NOV. 21t 1988 PLUMBERS CERTIFICATION DATED MC SHANES PLUMBING 12/6/88 Building Inspector Rev. 1/81 FOW,.M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_16790 z Permission is hereby granted to: .............. .~..~....~.:...~.....t!....7..~..o. .... . - ....... County Tax Mop No. 1000 Section ..... ..O....-J...l ........ Block ........ ..O.....'~r.. ..... Lot No....~.~..~.....~m'... ........ Building Inspector. Fee $ · ,~, .~., ,/., · .~. ·..~. · .... and approved by the Building Inspector Rev. 6/30/80 TOWN OF $OUTHOI,n OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 ' Buildin~ g Perm~ ,No ~_ ~z Owner ~~, '~ -.~ (please prin~') I'certify that the solder used in ,the water contains less than 2/10 of 1% supply system Sw. orn to before, me this 19~. ~ay of ,,~. Notary Public, ~IILLIAH u. ~;,ii.,,, NOTARY PUBLIC Building Department Town Hall , Southold, N.Y. , 1971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~>.~ ~b~,,~ //~/ /~..~_.~ Instructions. This application must be filled in tvpewriter OR ink, and submi~ed ~ ~ to the Building In~ec- .... tor with the following; for new buildings or new use; 1. Final su~ey of property with accurate location of all buildings, prope~y lines, ~reets, and unu~al natural or topographic fea~res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Unde~riters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and inmalla- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pr~exi~ing" land uses: 1. Accurate ~ey of p~perty showing all property lines, streets, buildings and unu~al na~ral or topographic featu res. 2.-_ . · 3. Date of any housing code or safety inspection of buildings or premises, or other pe~rma- tion required to prepare a ce~ificate. C. Fees: Add~o~s $25.00 ~O0[S $25.00A[~A~[ON ~25.00 1. Ce~ificate of occupancy ~e~ Dwe[[~ ~25.0,0, Accessory ,~0.00 ~us~ess ~50.00 2. Ce~ificate of occupancy on pre-existing dwelling ~ ]00.00 3. Copv of cert[ficate of occupancy $ 5.00, ove~ 5 yea~s ~]0.00 4.V~ca~ ~a~ C.O. ~ 20.00 5.U~G~eG C.O. $ 50.00 Date ..~;~ ............... NewC°~st~uct~o~ Old or Pre-existing Building Vacant Land Location of ProperW ....... /.. ~ ~.~ ............ ~ , Hou~ No. Street Ham/et Ownor or Ownersof ~rope~g ...................................... ....... .. co tv o0o .. ........ ......... ..... ....... Subdivision ................................. Filed Ma~ ~o ........... Lot ~o... ~ ....... Permit No ..... Date of Permit .......... Applicant ..... ~ ~ ................. Health Dept. Approval ........................ Labor Dept. Approval ....................... Unde~riters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations, Applicant .... ~..,~. )~.~.) ........................... Rev. 10-10-78 FOUNDATION (2nd) ROUGH FRAME/ .?LUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: DONALD G. FELLER · ARCHITECT :,'?.~ ......... ,r..,,:?~ ~-H Ole Jule Lane · MettJtuck, NY 11952 · (510)298-5250 B ?_ 91988 February 27, 1988 Town of Southold Building Dept. Main Road Southold, New York Re: Proposed New House for Mr. & Mrs. Bruce Romboli Windjammer Drive, Southold, New York Dear Georgia: As per your request, enclosed with seal and signature. Thank you for your attention are one set of prints in this matter. Very truly yours, Donald G. Feiler 1319 Madison Avenue West Islip, N. Y. 11795 Febz~%~ry 25, 1988 Dear Georgia, Thank you for contacting me. Please find enclosed a check in the amount of $10.00 for Cesspool permit. I contacted Mr. Feiler, my Architect, about plans needed with his seal. this shortly. Thanks again. You should receive Sincerely, /l~'~Yio~'~d-~t ~ t eAl~ep ~ I~ e~ i~ ,E I~v~ r~.m ~ ~ t, al ~ e r v at i o n Room 219, Stony Brook, NY 11794 Dear ~%(.~.9i~(; A review has been mad of your proposal to, O,.~'f~'~ Based on tt~e informat±on you have submitted, the New York State Department o~/Epvironmental Conservation has determinedLu~a~ the _~%/%./ parcel ~,%3~ project is: Greater than 300' from inventoried tidal wetlands. Landward of- a substantial man-made structure · greater than 100' in length which was constructed p~'ior to Landward of the 10' above mean sea level e'levation contour on a gradual, natural slope. Landward of the topographi6 crest of a bluff, cliff or dur, e whi. ch is greater than 10' in elevation above mean sea level. Listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulati~¢.,s) as a use not requiring a permit or notification letter of approvDt. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to. ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between 10' contour'or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administratoc 765..1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ,[ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [/~INAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION [ ] FRAMING REMARKS: ROUGH PLBG. 2ND [ ] INSULATION ~FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 2ND [~INSU~TION [/J/FRAMING [ ] FINAL DATE ~'~/~/~/~? ,INSpEcTOR ~/~/ ~'-~ BUILDING DEPT. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION AND ~'~SULATION INSPECTION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION AND []INSULATION [~FRAMING []FINAL REMARKS: ~/:~.g._ ~, 765-1802 BUILDING DEPT. INSPECTION [~F.OUNDATION 1ST [ [ ~FOUNDATION [ ] FRAMING ROUGH PLBG. 2ND [ ] INSULATION FINAL DATE iNSPECTOR L.)~ ~I, ~oo~oas THE NEW YORK BOARD OF FIRE UNDERWRITERS · * BUREAU OF ELECTRICITY {~ ~ , ~ ~ JOHN STREET NEW YORK N~Y~K~OO3B I ~IS CE~IFIES THAT ~ ~ ~ ~ ~'h 071 02 4/0 ., ., 197.~. Permit No. 1..~.?.?.~..-~ Examined,~..~./. 0.. Approved · . .~. ~. ~.O.. Disapproved a/c ...................... ................................ ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT a. BOARD OF HEALTH --~-- 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .~...-g--., TOWN OF SOUTHOLD CHECK ~-,-~- -~ -'(J BUILDING DEPARTMENT SEFTIC FORM .............. : TOWN HALL NOTIFY Z~/) gOUTHOLD, N.Y. 11971 ((~Of.~ ."~ 7.~ ~ ~ TEL.: 765-1802 CAL~ ...... MAIL TO: t ~ ~B~,C~ ~V~ BLDG. DEPT. TOWN OF $OUTHOLD Date ................ INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sgts 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building code, hoJ~rrg)code, and regulations, and to admit authorized inspectors on premises and in bnilding for necess~spections. ' ~",--~,,~_ ~ t,~ ~. .... i' ......... (Signature of applicant, or name, if a corp. oration) 1319 ~iadison Ave., W. Islip, N.Y.11795 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Owner Bruce & Edith Romboli Name of owner of premises .......................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co~orate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No.. ~9. ~. P~.%~¥~ ..... Plumber's License No. TQ..]P¢. p.e.t;erraJ-~ed. Electrician's License NoT.°. .b.c...D.e.t.e..r.m.i.n.e.d. ..... Other Trade's License No. T.o...b.e..D.c..t.e.r.m.i.n..e~... 1. Location of land on which proposed work will be done .................................................. · ¢.4.9 .W..i.n.d.j a..m~..e.r...D.r.i.v.e. ..................... S, outho.],d ..................................... House Number Street Hamlet County Tax Map No. 1000 Section .1.0.0.9.-.0.7.1. ........ Block . .2. ............... Lot....1.1.: 2. ........... Harbor Lights Estate ........... Subdivision ..................................... Filed Map No. .4.6.8..1 ......... Lot . .4.2 (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant Lot a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ...S.i.n.? .1.e..F.a..m.i.l.l(..D.w.e.l.~ %.n.g ........................................ 3. Nature of work (check which applicable): New Building . X Addition .., ........ .......... , Alteration .......... Repair .............. Removal .............. Demolition ........... i... Other Work ............... (Descrip~tion) 4. Estimated Cost $180,000. Fee ' (to be paid on filing this application) 5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor N.A. If garage, number of cars .None. 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use .. N...A ............... 7. Dimensions of existing structures, if any: Front...I5!,/%. ......... Rear .. N, A..! ....... Depth .. N...A ......... Height N.A. . .... Number of Stories N.A. .i. Dimensions'of same structure with alterations or additions: Front N. A. i Rear N.A. Depth ..... .N: .A... ............ Height ....... N., .A... .......... NumbercfiStories ........ kl.. p, .. ......... -' -8. Dimensions of entire new construction: Front . .5.7.. ;~.t..6..'~ .... Rear ... ~1 ~..fig. Depth . 52..fg ........ Height 26 ft 4" Number of Stories .1.¼ stories 9. Size of lot: Front ....1.0.q ...59 ............ Rear .... 1.00...5. q ........... ip. epth 300..~t;..(~.~e. ~.u, rve¥.) 10. DateofPurchase September 21, 1982 Nameofl~rwmarOwn~E;l]-ene Christie & Lester. ............................................ ~ ........ , ................... l~ttr'cjatcn 11. Zone or use district in which premises are situated., gone A - RgDi~den.tia:l 12. Does pr0posed construction violate any zoning law, ordinance or regulation: .... i. I~IQ. .. 13. Will lot be regraded . y.e.s. ....................... Will excess till be removed from premises: Yes (No) 14. Name of Owner of ~remises Brclce/Edith Romboli Adttra~Wes't Islip ! .............. ~ · ..... ~ ....................................... Phone No. 669-59,74 Nmue of Architect . .D?.n.a.l.d..G:..F.e.~.l.e.r .......... Address . .M~..tt.~t:.u.c.k. ..... !... Phons No. 2.9.8.~5.2.5.0. ....... Name of Contractor 7~P. 1;:9. l;~:~roti~e~l .......... Address .... : .......... 15. Is th±s property located w±th±n 300 feet of a t±dal wet:l_and? ~Ye~s .X... No ..... ~lf yes, Southold Town Trustees Perm±t may be raqu±red. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. in ]icate all set-back dimensions from property lines. Give street and block number or description according to deed, and she' v street names and indicate whether interior or corner lot. SEE ATTACHED SURVEY & PLOT PLAN ON ARCHITECT'S DRAWINGS STATE OF NEW,y, OI'CK. cou v OF.. ..... s.s ................... [~P, bLc,~,,.,. 0PI ~.o.].} ........... being duly sworn, depOse%and says that he igt~-~pvlicant (Name of individuaI signing contract) above named. He is the .... C0'9..7~..,9 £~T.O. f'(- / ~0ohO .~- ~ ~ ~ ~ (Contractor, agent, corporate officer, etc.)i of said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file this application; that all statements contained in this application am true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................. of.. ........ 19 NotaryPubl!c, ................... .~..C¥.~.F.O.[~.." County ~ ...~.~.~ ~o. 52.3~}~. su,~ k ~, y.., (Signature of applicant) Comrai~ior~ [,,xpi~$ MaTeJI SO,~ l~l'~'f [ ! SUFFOLK CO. HEALTH DEPT. APPROVALH S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL Of CONS'traCT,ON DAtE 0 ! 1988.---, ~ov~ ~ ~A~~ , ?' · [[":i : '' i ~.,] SUFFOLK CO. TAX MAP DESIGNATION: ' ' .. !J . ~'//~ -,,j: , OIST. SECT. BLOCK PCL. " ' , /,-' R(~.O~R(gK VAN TUYL uc~sED ~.~ su~wvo~s ~EEN~RT NEW YORK _J f .4> VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH-- DiEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCT ION ONLY DATE: , H. S. REF. NO,: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: ~EED: L.' N/A P. TEST HOLE' ' STAMP ...... sewage d,spos~.', and water sgpp{} ,~_,i(it~a6 ~ ~ !occuoa have been inspected by this Ecpa~t a~/~ o,ner~c~ and found to ~ GREENPORT NEW 'YORK SUFFOL~ co. H~.LTH'DEPT. 'A.~,Rov AL STATEMENT OF tI~ITENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF 'THE SUFFOLK ¢0. DEPT. OF HEALTH SERVICES. (SI APPLICANT SUFFOLK COUNTY DEPT, OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCT ION ONLY APP~VED: ~FFOLK CO. TAX MAP D~GNA~ION~ DEED: SEAL - I :. -~-~ i .~ jf~'/~, r.~H I II ----- ..... ~' ~L~oO ~ ', [ /,1 ' (q~ _. I1" ~ -,r ~ . ' ' ~ I-x ' ~ ,~ / ~ku~ ~u~ ~ . 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