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HomeMy WebLinkAbout14758-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Offdce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18588 Date NOVEMBER 22, 1989 THIS CERTIFIES that the buildin~ Location of Property 420 SCHOONER DRIVE House No. County Tax Map No. 1000 Section 71 Subdivision HARBOR LIGHTS ESTS.Filed Map No. ONE FAMILY DWELLING SOUTHOLD~ NEW YORK Street Hamlet Block 2 Lot 9 4362 Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1986 pursuant to which Building Permit No. 14758-Z dated APRIL 15~ 1986 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 WITH GARAGE & ATTACHED DECK AS APPLIED FOR The certificate is issued to ROBERT & MARILYN MORSCH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-45-JUNE 29, 1989 UNDERWRITERS CERTIFICATE NO. N-054696 - JANUARY 23~ 1989 PLUMBERS CERTIFICATION DATED FEB. 20, 1989-THOMAS TAGGART ~Building Inspector Rev. 1/81 I~'O~M NO. ~ TO~N OF $0~¥~0L~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERi'IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 14758 Z County Tox Mop No. lO00 Section ...... ,.Q~,,,~, ..I ........ Block ...... ,~..,,.'~.,, .... Lot No ..... .,~ ................ pursuant to applicotion doted ............. ~..~ ................... , 19.~...~, ond opproved by the ~Juilding Inspector. Building Inspector Rev. 6/30/80 8LOG, TOWN OF SOUTHOLO TOWN OF SOUTHOLD BHILDIN~ DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................. NEW CONSTRUCTION ~-7~?-..0LD OR PRE-EXISTING BUILDZNG ...... VACANT LAND Location of Property HOUSE NO. STREET HAHLHT .... - ½h,... 0~..~ o~ o~.~ of ~o.~y...~(.~7~2 ~e~:~.. ~/~'~'...' ~q~,~ ....... co..,, ~x ,~, ,o. ,0o0 ~e~o...7/.. ,,o.~ ..~.. ~o~ ..~...~ Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ .................... APPLICANT .................................... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU~I~TION FRAMING [~]'~FINAL INSPECTOR~~ ~ 7GS-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ~//~ DATE 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU~LATION [ ] FRAMING REMARKS: FINAL DATE FIELD INSPECTION 1. COMMEI~ i~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY qO~E FINAL ADDITIONAL COMME~ -/ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~<'~: ~ 1 O0107 ] BUREAU OF ELECTRICITY ~ E5 JOHN STREET. NEW YORK~ NEW YORK 10038 ~te Application No. on file THIS CE~IFIES THAT o~y t~ e~t~ ~u~me=t ~ ~ ~ a~ int~ by t~ ~t M~ on t~ a~ ~t~ numar ~ t~ p~m~s o~ ~ examifl~ on and found to be in compliance with the requlremenll of this ~rd. DRYERS FURNACE MOTORS TIME CLOCKS MULTI-OOTWT D4MMEE~S SYSTW4S S~RVICE D4SC{~4NF.'T S E R V I C I,t. CEN~ ~(}. K?f'~ .K Per This ce~ifica~ m~t ~t ~ olter~ in any ~nner; return to the office of the ~ard if incorre~. Inspec~rs m~ ~ ,~ntlf~ by t~r crede~*als BUI~I~ DEPARTMENT. ~lS C~ ~ CERTIFI~TE ~$T NOT BE ALTERED IN Bo, ~g~< ~ cp IrOBM NO. ~ 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? 12360 Z Date ........................................................ , 19 ....... Permission is hereby gronted to: .... ~.~.~.~.~......¢........N..~.~.~ ........ ~.s...c...~ ....... ~...~.C~.L.~..u...7:.......&~ ........................ ,o ...~ Y..( ~ ...... .~ ....... ~.~..s.. ........ E ~.~ /..~.T.. ....... b.~.~ Z ~....~.... ..................................................... "'~' ........... ~ ................................................... r ............................. '~ ....................................... " .......... Coun~ T~X Map No. 1000 Section .............. ~Z.. Bilk ......... ~ ........ Lot No...~...., ........... pursuant to application dated .......................... ~.....~/, 19~ 'a~d approv~ by the Building Inspector. ~ee L..)~.5...~.... Rev. 6/30/80 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~.~.c~.~...~.,./../C,~.~ .... . ., 1~ PLEASE TAKE NOTICE that your applioation dated . for pemit to construct... ~ ~ .... ~.~ .... ~ .......... at Location of Property , ~ ~~ ~ County Tax~~~Map No. 1000 Section .. ~f ...... Bloc~ .... ~ ..... Lot . ~.~ ...... ~u~,v,~,o~~,..~;~ap~o .... ~/~ ..... ~o~o .... ~ ........... is returned herewith and disapproved on thc following ~ounds ~ , f_ // _ ~ · RV 1/80 Index No. Calendar No. against JUDICIAL SUBPOENA · he ~rople of ~he ~tate of ~ew ~or~ :~:~ ' ': '~1 GREETING: WE CO~AND ~OU, That ail business and excuses being laid aside, you and each ot you appear on the ~ ~ day of ~IW~ ~ '1~ at ~t o 0 o'clock, in tae ~0 ~ noon, and at any recessed gr adjouz-*ned d~te to give testi~o~ in th~ action on the part oi the~ now in your custoldy, and ali other deeds, evidences and writings, which you t~ave ~in your custody or power, concerning! the premises. Failure to comply with t~is subpoena is punishable as a contempt o£ Court and shall make you Hable to the person on wt~oso bebal£ this subpoena was issu ed £or a penalty not to exceed fiity dollars and aH dam- ages sustained by Teason oi your iaHuro to comply. O~ce an~ Post O~ce CHECK APPLICABLE BOX AND F~LL % ~e~e. COURT .~ ~ g ~ o co'UNTY"OF '*~ ~ :. : z ~ z > '. ' ' -'. DUCES TECUM , ~ , ~ ~ · ~ ~ ~ ~ ~ : : ~ ~ ~ - v ...... ~ ' ~ -c. : *; ~ ~ -- ~ ~ ~ ~ ~ ~ ~ O~ee; Post O~ee Address; Telephone No. ~ .... ~. = ~ ~ ~ ~ ~ ~ ~ PO.'~~ r~:~:O :' - ~' .~ i , ' ~ ~ o ~ ~ ~ '~ ~'~ -. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 72// TOWN HALL SOUTHOLD, N,Y. 11971 July ~5~ ~983 TEL. 765-1802 Mr. & Mrs. Robert Morsch 3 Chestnut Avenue Floral Park, NY 1~00~ Re: Building Permit 12360Z 420 Schooner Drive, Southold Dear Mr. & Mrs. ~orsch: Referring to the Zoning Code 100-141 I, as soon as foundation is built and before framing is started, an accurate survey showing the location of the foundation shall be filed with the building inspector. the We are requesting this survey at this time. If you have any questions, do not hesitate to contact me. Sincerely yours, Sr. Building Inspector GHF:ec FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ........... /..'..., 19... Disapproved ................................ (Building Inspector) APPLICATION ]:OR BUILDING P~RMIT INSTRUCTIONS a. This 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 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 Occupa~c~ 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, ~ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary~/pej:tio~l~/A~///~ ~-/~ · . ?...c:ff&..~.: __ ~f....//; . .~q-..~. *~ ............ (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 ./)"0./¢,E4)./ .... .'%..../~//~././.~.'.~..../.'v./.O ./¢, ~.'.~..,¢"J. ............................... (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 No .......................... Plumber's License No E1 ctrician .... e s License 1~o Other Trade's License 1. Location of land on which proposed work will be done .................. ,~,.. ......................... .... .... ,.. .................... House Number gl_ ~ O Street t,~ J~z~/,-~ ~)~o, Hamlet County Tax Map No. 1000 Section . . .~./ ............ Block .... '.~ ........... Lot... 7. Subdivision/~.fl~.~. ~....~/.~././.~.S.~....,~-.7~'~.~..~.~.-,~. Filed Map No...ff.~.' ~. ~ ..... Lot...~ ..... .~...'.. (Name) ,,~z~z~ . [ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~ ........................................... b. Intended use and occupancy ..... /~..~/~./ ..... f.c~//,er- ::~.v .... , . .... . ........... 10. ~11. 12. 13. 14. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal ........ ~ .... Demolition .............. Other Work ............... ~/~ ' O~.~-- (D ipti ) ; ~scr on ~ Estimated Cost.. 'f.o./. ~... ....................... Fee ................................. ..... , (to be paid on filing this application) If dwelling, number of dwelling ~nits .... ~ ......... Number of dwelling units on each floor ..... ~. .......... If garage number of cars ~ ........................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dtmens~ons of exlstmg structure~, ~f any: Front ............... Rear .............. Depth ............... Height ~ ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth Height Number of Stories ,Dimensions of entire new constrpction: Front .... /~/~.~.~ .....Rear ............... Depth ............... Height ............... Number of Stories . . . i .fi ................................................. S~iz~ of,l~ot: F, ront..../~'~f~.'?f. ~, ...... Rear. ~.a~ ............... Depth ,../.,q~...~..~ .............. ~Ja;e o~ rurcnase ... O./g./.~./..7.~ ............... Name of Former Owner ...~fgAJ/~.l:,. ~.ty/~zO.~..: ...... Zone or use district in Whic~premises are situated .................................... /. ................ Does proposed construction violate any zoning law, ordinance or regulation: ....4(.d2 .............. ........... Will lot be regraded .... t~/~.~.. ................. Will excess fill be removed from Cremises:~ r2~¥¢s) No Name of Owner of prem~ses'-//~.-ff,~ .~'-~. ~4~4YfiJ//l~qA~tress ................... Phone No(~i2/.~;,)~.?. ~..//.~ Name of Architect ........ i', ............... .-A~ldress ................... Phone No ................ Name of Contractor ... ~./~. 0Y'.]F,q~ .............. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-hack dimensions from property lines. Give street and block ~umber or description according to deed, and show streel names and indicate whether interior or corner lot. ,~e~ ~'~ ~.?~ .~.~.r ~ [ STATE OF NEW~Y~,RK4/,/f / cOUNTY OF ..... ,iS.S · ..~-~./JA~ .~... ~/.'.//~/.~.??..~./. ............... being duly sworn, deposes and says that he is the applicant i (Name of individual sign~ing contract) above named. He is the..:...~? ~/..~,~.]F~....~.~./f.7.)2/].(~ ........................................................... (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 me this ....... · ........ N°t ary Pub~" "x~~'~'~ 'F~'°' I'/~-C°unty ~j~ UNDA K. DAWSON Notary Publle, State of New Yod~ (Signature of applicant) Ne. 4694688 Qualified in Suffoll~ Coull~/ : Term F~xplres March 30° 19 I~EW YORK STATE DEPART,MENT OF ENVIPDN~.,~..NTAL CONSEP. VATIO~I Regulatory Affairs Unit !~o~ ~ Bldg. 40, SU:{Z--Room 219 Stony Brook, ?Pr 11794 (516) 751-7900 ~ar IV~ r. /"Oo r.~ c ~ review has been made of your proposal to: ~'1~?'+~ D,'~L Lo+ 2. Location: P,~c~ ~ New York State Department of Environmental Conservation has found the __parcel__project to be: .X Greater than 300' from inventoried tidal wetlands. _ :.anew. rd of a s'.bstantial ,..n-=de structure -fL.. ~ 1,~,.~ / Z~//,,;; ~,-/ ' greener than iOfJ~ in ieng=h consgrucged prior to Sepne~foer 20, 19~7. Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope. Landward of topographical crest of bluff, cliff or dune in excess of 10 feet in elevation above mean sea level. Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental Conservation Law) is require~ at this time since the current proposal is beyond State mandated ]~risdiction pursuant to this act. [[~¢ever, any additional work or modifications to the project may require a permit. It is your responsibility to notify this office, i~ writing, if such additional work of modifications are contemplated. Very truly yours, Daniel J. Larkin Regional Supervisor of Regalatory Affairs DJL:RNT:cz FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined..~..'..../.~...., 19.~.~. 3'0 '0~-'~\~lL'r~ \~O0~OQ)C~: ~Received. Approved .~...}.~.., 19~¢. ee~it No. ~.~7.~.~ ~ ~'[q~% Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........ ~ ........... 19. INSTRUCTIONS a. This 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary'i3~eg~io/~. , , . ............... (Signature of applicant, or name, if a corporation) .... -, . ....................... '~ma±t'±n~'addre~s of appi±can[) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .& ..................................................................................... Name of owner of premises..~f~ .~...~.,7k/2....~.?.ff.].'/..]d~.../f~./~.~. ............................... (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 No ................ z.~ ....... Plmnber s License No.. x/././~..,q//t.,5'. . ./. D..(-5'~¢?~.,~/... Electrician's License No ....................... Other Trade's License No ...................... 1. Loca[ion of land 7n which proposed work will be done .................................................. . . . ...... ..... .-, .................... House Number ~/9--'0 Street ~5~/'2taVzYd,-Av/~)A°, Hamlet aF v/3 County Tax Map No. 1000 Section . .~.,,/ .............. Block ...... '3c5.. ......... Lot...5). .............. Subdivision '~.~q/~.,q.. lJ.~.'/q..~.~.. ~-.~5~7-~t~r~7-,~'.. Filed Map No...~.,3~...~.. .... Lot...~.' ......... (Name) ,,~(5t~7 / State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .-/). &.~ .~'5',/dJ/~4'5.~.'' ...................................................... 3. Nature of work (check which applicable): New Building ......... Addition .......... Alteration ........ Repair .............. Removal .............. Demolition ............ !.. Other Work ............... ,~ (Description) 4 Estimated Cost 7.D~.d~, Fee (to be prod on filing this application) 5. If dwelling, number of dwelling units ............. Number of dwelling unit~ on each floor.. ,~. ............ If garage, number of cars '~/.. ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typ9 of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... 2 ...... Depth ............... Height ............... Number of Stories ............................ J ........................... Dimensions of same structure with alterations or additions: Front ............ ~ .... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear .... i. Depth ./..~.~-' Height ............... .Number of Stories .../. I/.o~.. ................... ! ........................... 9. Size of lot: Front . .,~,~/..~'.~. ............ Rear... .............. Oep. th ...................... 1 1. Zone or use distric~ in (vhich premises are situated ......................... i ........................... 12. Does proposed construct~on violate any zoning law, ordinance or regulatinn: .~ ........................... 1 3. Will lot be regraded ...~. ~,"'~-3 · :~ :; ',~' · ~: '. '~.a ..... Will excess fill be removed from premises: x Yes 14. Name of Owner of premises2'f~. O / r.w. ff/Dgl l)~l/J~]t~/P, ddress ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ................ Address ................... Phone No ................ 15. Is this property located withinl.00 feet of a tidal wetland? e Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. 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, STATE OF NEW YORK, ~ COUNTY OF ........ S.S I ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 1 above named. I He is the ............................................................. i ........................... (Contractor, agent, corporate officer, etc.)~ of said owner or owners, and is duly anthorized 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 me this ~ ............. l'~.., ....... day of ....... ~ ....... , 19 ~0~. Notary Public,../~?....~.: .U.~...~.· .'~. · .... County ~ .4707878, Suffolk ~C~f (Signature of applicant) Explmsida*eh 30,, ~ 7 O~NI~R " " , ,,~ xv I ~ .. ,~', ~ ~SSm SEAL SHALE NOT U - ~l~. ~ND ~U~V~O~.G~N~HY, N. Y. T~T HOLE SUPF. CO. Or'PT. OF HEALTH ~I!~RV!CE~ STAT ,E'MENT 0F INI~NT ,' ' ': ~E WATER ~UPPLY AND SEWAGE DA~: ,,, , ..... J , ' DIt~O~L ~Y~M8 FOR THIS R~I~ OF H LTH. SEEVI~S. HEALTH DEPT. APPROVAL '03 ,~d-~R PH 30U ~.,,, ,,,,~ ~/tll~l I~ECTIOTt REQUIRED -- DEPT. APPROVAl., , , , ~ ~:~ , ~ , ~ ~,,, ~ , dated ^pl~oVt'q~ in accordance with ~ ~ Revlev/ ~' ~ / F(:~ APP'RCWAI,~ (2If .~ M41.Y ,DAT~: OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATEi OF OCCUPANCY IFeopper tubing is u~ed for water distributJn · y~ystem~ plp"~i~g shall be -~oF iypes K or L only NOTIFY 765-1802 9 AM TO 4 PM FOI~ FOLLOWING INSPECTIONS~ ~i. FOUNDATION - 'r~o FOR POURED CONCRb~rE 2. ROUGH - FRAMING & PLUMBII' ~, INSULATION ~4. FINAL - CONSTRUCTION MU~T ~,LL CONSTRUCTION SHALL TH~: REQUIREMENTE OF THE N, STATE ~ONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR. CONSTRUCTION tl r ,L