Loading...
HomeMy WebLinkAbout32320-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32124 Date: 01/09/07 THIS CERTIFIES that the building ADDITION Location of Property: 200 (HOUSE NO.) County Tax Map No. 473889 Section 64 FOUNDERS PATH (STREET) Block 2 SOUTHOLD (HAMLET) Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 2006 pursuant to which Building Permit No. 32320-Z dated AUGUST 28, 2006 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 PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RENE MORGANTHALER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 301083 01/03/07 PLUMBERS CERTIFICATION DATED N/A ~iZ~ Rev. 1/81 ~"?;ly 'd-\1\ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY . 9' This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets. and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 t<.mn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swam statement from plumber certifying that the solder used in system contains less than 2/ lOaf I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9,1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. New Construction: C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy ofCertiticate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 J C'\ Date. (\ 1-\ j X (check one) 1-'.4 -\ h O-DQ] Old or Pre-existing Building: Location of Property: 9-00 l:UuM.Olza, House No. Street Sov-\hot.-D Hamlet Owner or Owners ofproperty: l2eNe ~DILc.... 'AM '1\--\1'\ L'2.\c Suffolk County Tax Map No 1000, Section Ohw. Block O? Lot D9..";- Subdivision fout-\)'iQ.:) e ~\ A \~ '" Filed Map. 'ts '6t..\ Lot: Permit No. ~Q~;)D~ Dateofpermit. e{:J.?!:>/06 Applicant: -::Ij>\,-\l'':::, C~S.l--\AOICL~S. Health Dept. Approval: N /1+ Underwriters Approval: '3D, ~. DP> -~ l'-\/A . Planning Board Approval: Request for: Temporary Certificate Final Certificate: / (check 0 e) Fee Submitted: $ Q.S &-e~. )/G Jr) CO '2:..3J.\1t-f lID lID I BY THIS CERTIFICATE OF COMPLIANCE THE (~Ij, -.:2 - ;:;>s.- I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~)) ;1 3;20 ~ ~ CERTIFIES THAT - ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DOUGLAS PARKS ELECTRIC RENE MORGANTHALER ~ ~ 21 GRAND AVENUE 200 FOUNDERS PATH ~ ; PATCHOGUE, NY. 11772 SOUTHOLD, NY 11971 I ~ Located at 200 FOUNDERS PATH SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3019083 Certificate Number: 3019083 ~ ~ Section: 064 Block: 02 Lot: 025 Building Permit: BDC: ns11 ~ ~ ~3dO ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Outside, PorchlDeck, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed I ~ herein, was conducted In accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jUrisdiction, and found to be in compliance therewith on the 3rd Day of January, 2007. ~ ~ Name OTY Rate Ratin. Circuit ~ ~ ~~~~ ~ ~ Switch I 0 General Purpose ~ ~ Fixturel 10 0 Incandescent ~ F,;] Paddle Fan F,;] ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I seal I ~ ~ ~ 1 of 1 ~ I ,"" ,," ''','', m~ "" .. ,'"'''' '" ""' "" '"' ,,,,', "'''' """ ~ ,.. -"" " ,,""'" ~, ,,,.. 'oc.'"" '""~'" I IID~.IID FORM NO. 3 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) PERMIT NO. 32320 Z Date AUGUST 28, 2006 Permission is hereby granted to: R MORGANTHALER 200 FOUNDERS PATH SOOUTHOLD,NY 11971 for : CONSTRUCTION OF A PORCH ADDITION AS APPLIED FOR at premises located at 200 FOUNDERS PATH SOUTHOLD County Tax Map No. 473889 Section 064 Block 0002 Lot No. 025 pursuant to application dated AUGUST 23, 2006 and approved by the Building Inspector to expire on FEBRUARY 28, 2008. Fee $ 150.00 /~ (:ft. . Authorized Signature ORIGINAL Rev. 5/8/02 3;t.3d--Oz.. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS. ~ ~~ ' , ~Of<.E ' ~ Mt\Ii~ ~r~ DATE I/-~-(){;: INSPECTOR ~.~ ~:2. ?..2--0 2::0 TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [~UNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PlBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: ~~-~. OR~ ~4'>. DATE /.:?h j;~ I , INSPECTOR ~~ )r-}r ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION ~ FRAMING I STRAPPING [ ] FINAL - - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION - ~ cB'k~ REMARKS: f~ /0 ~?-(o ~o r; DATE INSPECTOR ~~ FIELD INSPECTION REPORT DATE IOIr3/()t / / FOUNDATION (1ST) FOUNDATION (2ND) .' ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL . , / IO./,;Jt; --&'17 L'" '. COMMENTS ..'::-- - I1E. /y -#- /7 0'7-, ~ 'I ~..... P'-Y o -r ~ .,..,... \)J!'l N~ o::l OJ"" i N//J--- 1/1 I~~ . "'z '""0 ~.../l o. rJr d_ ~. V- /J7J\.. /lQ. \. r~ /7f'%t.,U. I. ?I 00 fit' (/ ..- --i3", ~~ ~ t L," . / I .N/IY ~ ~ ..... (~ " ~ I/J-1Yj/K? y ~- /7 ~~7f'/ 2. _ r>; ftP-" J\9dY, ~ ~ d.fC ~ //_......: fJ /-' , ...., i' .00 ~ ~o. . , ~ . ADDmONAL COMMENTS ~, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ j) !J~-b BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying') Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ,23 PERMIT NO. Examined ----Z/4f, 20 C ~ APproved.__~.!Jf1h' 20 0 f.. Disapproved ale Jfar, 20 <:, i Mail to: j, tv. (cb~4()n;,> PhoneJ:l3'S - 21 Lib Expiration f c.JL Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS DateJ\0:) !). ~ ,200b a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON 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 regul 'on and to admit authorized inspectors on premises and in building for necessary inspections. -:s f\ So. l'^A-Q... CoNb -;-: (oap Po m.,.... Lt<?,\ I Sou,HOLI) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~\L.-Di'-16 COl'-I T\'2AcTDQ. Name of owner of premises Qci'-IP_ MOi?.I.,Al"1 'I H-A Li' fL. ~ (As on the tax roll or latest deed) orp ron, s' ure of duly authorized offi:,:r Cb (2Ct:" DC..." d title of corporate officer) SAM.:..I.., Co::,MA-i:> ~L./'::, Builders License No. '3:.5 qc) '-=.J1 Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: ~CXJ FOul-loea...... PA'1-\+ House Number Street S-,oOT I+OL-O Hamlet County Tax Map No. 1000 Section Oh'-) Subdivision FoI.)I'IIJ'l:.'?~ i:hiA'iIO..'o,. (Name) Block O';}.. Filed Map No. ,A( ,- I ..- " "'.il.at' 6 !2 ~ B~Lj,'Lot b l':.. " ,:i!"\',~ ;" ',:", . ,C",,' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ c? I:'';'~~ ~ ~c..LOStD !=bUl1- b. Intended use and occupancy C;V _e.oL.e.l'-I ~ NC.L-<:::)'b.;.O fb~\-t 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost! CO ,000 Fee Addition Other Work /' Alteration (Description) 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. / I 0... ( 7. Dimensions of existing structures, if any: Front / 1../. ~ Rear /....1. b Depth 12 Height q I Number of Stories J :;lO.0 I Dimensions of same structure with alterations or additions: Front ~O.~ Rear Depth ~' Height ql Number of Stories I , , tJ' 8. Dimensions of entire new construction: Front :}O.7> Rear :l0.'6 Depth Height g , Number of Stories , - I I J ~ , /.../ '6 9. Size oflot: Front ~O.O6 Rear b().DO Depth f} Vc.. 10. Date of Purchase b / I b /:;'00';- Name of Former Owner l..J l'-' k..V'\(~.......r-, . II. Zone or use district in which premises are situated S\"l~'t'_ c:'A""". \,' D....Lt..L.; "l6 . 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_NO _~Will excess fill be removed from premises? YES_NO l 14. Names of Owner of premises MnIl?t-A...i\~LeMddress Name of Architect _L,...,u. <;..<"_ Cl. l.. 10' ~S Address Name of Contractor ~A~MAVl... (nN\-.T. Address Phone No. ~1" f'Da:\ Phone No 45"0 &ntJi+..::.LAPhone No. '75t..I-!2gSD L.J ~~-:.lILI6 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF S0\'C ) ~ ....,... J f>r",\C~ 0. r,~\.AA \) iJ L'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 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. lIllD\~ lfolary ""'*' '" New 'llIrll No.4~~ COhIr~;~~'1iiii:h~~6 (j 7 Sworn to before me this .f . 2- J day of ~-r- 200<:" ~~'] ~~ Notary Public Sep 02 06 lU,19a Louis Agnes Ar',.. 631 261 9485 p.2 Louisf.~ ,l'.\. Agnes, Architect, P.C. -;-If:rnue!' >,iii~< ,'~~~3:'1 li--stitut,(~ ul ~wcl-I:tects HeStl12:tCIs': _ C[)II"lmeIT:iai Ii 1 "I i ; August 30, 2006 T Jwn of South old ')u;Jding Department Ivwn Hall 53095 Main Rd., Box 1179 Southnld, NY 11971 __J Permit #: Re: Morghetbaler Residence 200 Founders Path Southold, NY To Whom It May Concern: Please note the following revision is to be made to the above referenced project: Change 110 mph wind speed to 120 mph (all hurricane clips were spec'd out for 120 mph winds but the note was not properly changed on drawings). ThaJ!! you for your time on this matter, if you have any questions and/or comments pIcas! teel free to call me. Cordially. ~~/~h ~o:ise A, Agnes, AlA )j,lVkeg :'1 05-,-J~) ",'.,")- !'JY : 7r~.-,; 1 -/':.':...'. ~;,'3-i -,.'54-;':l~,)~jO . Fax" G31-261-9485 . '-"I /';(I=':s-':\:J"'it:~'~Llb!'aul.com 1 G2 Ldl.d'H! A"/fo:j~:,' . ,,-j: ~Ir!'i;i r-l ilJIRlIIII!S (II cmm1llllS III!:.\rrD Dill SlllU.IIIlIIll.T TO II( fIIISllI fflIlIIII II( SIl\tT 5 PllPMm, t III no IIIIlIfTO II( IRII ClJfNlf, ClMlIIIOTN.1aIII:T t I!IIlII; lIS1I1IIIIIlI US1ID Dill l;l iii I I 5 l!! ; '" e I FOUNDERS PA TH MON. FNC. 0.7'SOUTH 2 'WEST o o '" ~ &'i I I ~ ~ .. I ~ ~ i ~ l!l .. I l!1 ~ ~ i ~ I '" 6i o 6.9' ......<-:<-:<.:->~ . . . . . . . . . . . .. . <Q . ....1 1/2 STY."> .FR.DWG. . >>NO.200 . o ~ gao . 0\ IO~ ~.... ;:... ::t: FNC. 2. S 'SOUTH . ....6.0' <::> R ". WOOD DECK . ~ ~~ 11110 ....~ ...", ~ FNC. I.S'SOUTH o ADJ. GAR. FNC. ON LlN. I ; ~ .. .. i ill ~ g .. ~ 3.4' ). ~~OJ S........ FNC. 0.3'NORTH O. 3 'EAST 50.00' N25'55'00 W LAND N/F CASSIDY FNC. O.6'SOUTH 0.2 'WEST .... to) - '" &'i I ~ m - ! "' ~ - e ; .. l!! ! I MAP NO.834 FILED 5/10/1927 100.11' ~ ~ """-I ~ -...;; ~ ~ C) ~ """-I i!i a iil ! '" iil I I i il I ill ~ I a I I il I ~ ~. ~ Mesured Front Yard Stebacks: g Tax MaD # Setback i 064-02-029.1 23.1' is 064-02-027.1 28.4' !l 064-02-024 9.5' ~ A verage Setback ~ ; ~ .,l (~ SCALE 1"=20' MAP OF LOT 6 AS SHOWN ON "SUBDIVISION MAP OF FOUNDERS ESTA TES, S/TVA T<O AT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY PREPARED FOR MUNICIPAL PURPOSES. CLIENT: MORGENTHALER LAND SURVEYORS (631) 858-1675 Fax 858-1676 TAX MAP DESIGNATION 1000-064-02-025 INC. " l!! I '"' i ~ iil i Jil '" a ill i ~ ~ '" ;;;: !Ii ill ~ I Survey Solutions, Inc. 46 Hunting Hill Drive Dix Hills, NY 11746 DATE 6/16/20051 '" (C) COPYRIGHT REF.NO. 10260 SETBACK SURVEY 7/12/20065 REVISED B/15/2006 ~ ~4~.L L- ill N. Y.S. LlC. NO. 49857