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,;]
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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
.
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COMMENTS
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. ADDmONAL COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
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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
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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~)
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!'JY : 7r~.-,; 1 -/':.':...'. ~;,'3-i -,.'54-;':l~,)~jO . Fax" G31-261-9485
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Tax MaD # Setback i
064-02-029.1 23.1' is
064-02-027.1 28.4' !l
064-02-024 9.5' ~
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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. "
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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