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HomeMy WebLinkAbout10142-z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . .Z. 1.0161. . . . . Date . . . September. 26 . . . . . . . . . . . . . .. 19 . .SO THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property ?j 8 , Nassau Point.Road, . . . . . . . . . .gV#,1jogue . House Afo. Street Hamlet ' County Tax Map No. 1000 Section . . .11!. . . . . .Block . . . . . . 0.9. . . . . . .Lot . . . .Q3. . . . . . . . . . . Subdivision Nassau .P.t.. Flub. Prop.. . . . . .Filed Map No. . .156. . .Lot No. . . 1.7. A. 1.8 . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . March .26. . . . . . . , 19 .79 pursuant to which Building Permit No. .10142. .Z. . . . . . . . . . . . dated . .March.2.6... . . . . . . . . . . . . . . . 19 . .79 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 Dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to Morchel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, wskmsx of the aforesaid building. Suffolk County Department of Health Approval . . . .VR UNDERWRITERS CERTIFICATE NO. . . . . N 468358. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . epi� ��'l���c-•�c�r.�----.,__ . . . . . . . . . . . . . . . Building Inspector Rev 4/79 FORM NO. 2 TOWN 011SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 10142 Z Date ........... ... ........................, 19 . C-7 7L/<f s Permission is hereby granted ...........v.:c..:, r.:.,.. .1.: 1Sr��..{.�...... ...'... . .. .. . .�... .. ................. to .. 7( G �C. ...G`I.G 2.... w .. .1i4r< 6...........:1' . _..... . .. .. .:........:. .... ....................; ... V ....... .......... f at premises located at :�4.... .... ..:.... ... ....... .VK.14 ...�...... T... ... . ..... . . ...... ...... ..{.... .� ...... ... .I'....../. pursuant to application dated .............a ..ff..............................., 1971..., and approved by the Building Inspector. Fee $...........f......�.... Buildin 'Inspector _ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined . . . .. . . . . . . . .. 19 .7� Application No. .Gf/� • • • . i Approved . . . 24-4. . . ., 19/ .Permit No. . /0,� Disapproved a/c . . . . . . . .—. . . . . . . . . . . . . . . . . . . . . . . . . :; � „ . . . . . . . . . . . . . . . . . G . . . . . . . . . . (Buil 'ng Inspector) APPLICATION FOR BUILDING PERMIT Date", % � 9, 19' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets 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. j d. Upon approval of this application, the Building Inspector will issue 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, housing code, and regulations, and to I admit authorized inspectors on premises and in buildings for necessary i pections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 corporate officer) Builder's License NoA&v ,-'', - `� �� i Plumber's License No. �. . . Electrician's License No.TO. . . . i { Other Trade's License No. 1. Location of land on which proposed work will be done%f!/ !. .��.C� ..�.��' .. .� -�`" �'"' �J. : . . . . . . . . ..C/./✓�S. . . b?2/' ,b�rs!')!;J . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet f County Tax Map JNo. 1000 Sectio . . . . . Block <�? . . . . . . . . . . . Lot . . .Q ? . . . . . . . . . . Subdivision . sS //r✓��rw ��.!� . . Filed Map No. . . . . . . . . . . . . . . Lot . e� 7..4? . . . . (Name) ' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occu anc � :: . . . . . . . . . . . . . . . ' b. Intended use and occupancy/!/ 12� ��� f��/ �qG �� ✓��? 'l� !�� d/: �gi"! 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . i (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . 6. 1f business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. ;Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STA'[E CO 1 being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named.. _ He is the . . .l✓1 . . .�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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 this. �� (P ( . . . . .day o(. 19 .7.� Notary Public, . . . . . . . . . .;Count�y PAMNA { $CHINELLER / �� . . . NOTARY f No-4.Hera o!New YorM/ � . . . . . . . . . . . . . . . . No..51.M10 r L, (Signature of applicant) Com mQiss�o�pn ie.Murch JO,R� J 4 3. Nature of work (check which applicable): New Building .v/. . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . .o. 1 (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . c. . . . . . . . . . . . . . . . . . . . . . \ (to be paid on filing this application) S. If dwelling,number of dwelling units F . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . CIND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . N N. . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . 12-6. . . . . . . . . . Rear .ie). . . . . . . . . . . Depth? Height 1 T l P. le.. . . . . Number of Stories . :7W 0 . . . . . . . . . . . : . 9. Size of lot: Front . .�.`1'.Z. ,lq. . . . . . . . . . . . . Rear . . I9.4.+.QQ. . . . . . . . . . . . Depth <#1.100. . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . .tel Pj2� 4 T 1 AA r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . SSV . . . . . . . . . . . . . . . . . . . . . . . .JJ 13. Will lot be regraded . NV. . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes ✓No 14. Name of Owner of premises .Cz .MU 7,(ME Address . . . . . . . . . . . . . . . . . . .Phone FV- No. . . . . . . . . . . . . . . . Name of Architect . . .2A.P .r .t .A`(C:(E-Y, . . . .Address r..41, PQY,. l2.`( '15N(,Phone NO.`ZG?.: .5�1. . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. GiJ�G 7f2AvJ�tv!1 } i�/i 1 N O ro t f kA1 t. 7..0 s . �) � rp i a�av �-wgNt� to ca t III� t L�3 SCD { o[tDitvaRY HIGH Wq_rR MARK (rlE -�—NIGH YJATE€z, MARK R5 PER.VI I F 'MAt� PECON ICBAY 77'a A � {I •...s3. .< S:f ..`i' i._ .-.' •. .i...�' ?. �'/ .... & �� l„°i':c '�in�c FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- 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 "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date . . . ... . . . . New Building . . .X. . . . . . . . . Old or Pre-existing Building Vacant Land . . . . . . . . . . . . . Location of Property.` ,5-./i/4s5cAzaL /�rp, fi7v Gl . . art L 1(G.17,41?. ! . . . . . . . . . . . . House No. Street �/ Hamlet Owner or Owners of Property .0 7, . /f'l a!�G`lC; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . . . . . . . . . Block . . .09 . . . . . . . . . Lot. . . . 033. . . . . . . . Subdivisiollj✓t!S`n� 1�� �L�t�1 .7ia: . . .Filed Map No. /S7 . . . . . .Lot No. Permit No/ /.!Va. 2 Date of Permit...ab:&pplicant . . . . . . Health Dept. Approval-4-4.4W690.�V-e7. CIX .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval .� N468358 , . , , . . , , . ,Planning Board Approval Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . .5.QQ . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Applicant . . 1.P:... . . . . . . . . . . ... ... . .r . . . . . . . . . . . . . . . Rev.10-10-78 Mai THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �ppn85 JOHN STREET, NEW YORK. NEW YORK 10038 Dote 14brusicy 21s 1980 Application No.on file 036614 N 46821 ` 6 6 Q 21 ` 6, THIS CERTIFIES THAT E\ v only the electrical equipment as described below and introduced by the a ica st named on the above application number in the premises of Gunter Maatdslt *Is Nassau Plot Rd.t 1/2 ndls s/o C ximmyr Ostchmame N.Y. in thefollowing location; � ���Basement � 1st Ft. iJ 2nd Fl. Ud fl. Section Block Lot was examined on Fabr.sry is r 1980 and found to be in compliance with the requirements of this Board. RXTURE ECEPTACLES SWITCHES RXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT QA AMT. K.W. AMT. K.W. AMT. K.W. T. K.W. AMT. H.P. 55 63 49 55 1 7.5 1 .8 1 1.2 5 Pr DRYERS FURNACE MOTORS RITURE APPLIANCE RIDERS SPECIAL REC'PT TIME CLOCKS RRIL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF MIT AMT. WATTS 1 30 1 1 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. ttPE METER l,e 3`tl 1 0 3W 3 R 3W 3 F 4W NO- CC COND. A.W.G. NO.OF HI-LEG A W.G. No. NEUTRALS A.W.G. EQUIP. PER a OF CC.COND. OF HI-LEG OF NEUTRAL 1 100 S x 1 500acm 1 SOOm OTHE ARATUS.. 2--fie Dateatims 1-4.3w Hot Watim Ha tsar 1-14.49 1-10.0 lv 11sa. Pu nwe 1-3 ton, 1-2 ton Haat PuW 1-10sap food Cnrtmor Rulald SLectric CO. P.O. Baa 143 Mattituch, N.Y. 11952 Lic.2= 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by it credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICA I MUST NOT 91 ALTWD IN ANY Robert Bayley Associates Architects&Designers P.O. Box 1287 Southold, NewYork 11971 Tel e p hone: 516-765-1547 December 15 ,1978 i'own of Southold Office of the Building Inspector iown Hall Southold, N.Y. 11971 Attention: Ldward Hindermann, Acting Senior Building Inspector HL: Gunter Morchel Property on Nassau Point Road, Peeonic, New York Dear qtr. Aindermann: 9his is to confirm our conversation:today for the benefit_ of Gunter korch&l. You made the following points concerning the use of this property: W 1) If the present existing house and foundation are ti partially or completely removed from the site, a new house may be constructed in essentually the :same location provided the plans are correctly filed with your office, and the house meets all code ,requirements, z zoning laws, and energy conservation criteria normally P required of a new house. 2) If the existing septic system and domestic water supply system (which I noted are in working condition) are reused, you do not require that the owner make appli- cation to the County Health Department for their review. 3) You would not require that the owner make application to the Department of Environmental Oonservation for their `review'under the circumstances outlined above. :;Q. Gunter 3�orchel 619b-686-d lZ :auoydalal 11001 �JO),WN {JQ),mON laeAS 9l 1saM 59 saau61s84)R s10a1140jH sateloossd AalAe8 ljagoa (-Dy1LIDrr.JCC F ! c L I i V S P i c,-I O n1- DAfc L C) — I 2C) u C, 1-1 — iaL u i r /c � -- - � 1l -� t • _ lYJ�q✓VL- - ti i I I i � A �� D / i Ic� nl /-fit^ CGNt /y� = lei S - _ 1 -- 1 - t G TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 August 1 , 1980 Gunther Morchel 575 Ship Driwe- Southold, New York Dear Sir: This is to notify you that Building Permit No. 10142Z issued March 26 1979 to Gunther Morchel will emb ex ire onSep er , P i If more time is required to complete the job and obtain a Certificate of Occupancy, you may apply, by letter, for a six (6) month extension. i If the work is not completed and the Certificate of Occupanby not issued after the six (6) month extension period, you are than required to apply for a new building permit. 'r Very truly yours, GEORGE H. FISHER Sr. Building Inspector 4 I i i i L V � Ln �' Y O �r H 'J 4 f; j 3 w W; — -- Z n• � 1 a qA _ W -- - -- _j fir' lw �. U) J I Q� �pD� Rl lo/�LL v °I I Q' a 1 o co jQ + k ILIL ILD f 1 Z P. 5.75°36'50''w. -- -- — 4r7,oa �-1 �1 ! !9 �r 1 i MAP 7F PP0P) i\, cURVEYEG PCR GU! 1 T [�^\/� [� r `1 ry E ��� + � `-_ L-� UNALIMORIZED ALTERATION OR ADDHION GUARANTEED rO U.5. L.Ir_E T 1 1 G IfVU �Y lh rV E„0. f TO MIR SURVEY IS A V1OtATION OE __ _ SECTION UCATIO .,y . TH NElYVi.K STATE QF N. Y. A5 5uwvEYL:-L) JANUAiZY 16, 1475 1 �� EDUCATION UW l COPIES Of 4,= \ Y I'- /��^ (� 1 \1^['�-' ' P]F' �-� THE A D y-. RBEAP.INO R0 DE: V_ICK m4iN 10YL i•? C♦ NA AJ 1 I. w fN4 ... C —_ -._ _ o !L - SICLtftl K Ave .; : � Gln n T '..-. 9A E rurr . V Qq.�-. 1 •�+.n. IS Y _ rle P.<IkV[Y ----._— Hr c :,ct�Kv Al* LICENSED LAND 5UGZVEY0R5 _ .. To ME ,;�>Tf. GREEN POP T' N_Y TO TLS. :,.Sfic.AelE - , - JY :v„