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Home My WebLink About12253-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18677 Date DECEMBER 29, 1989 THIS CERTIFIES that the building Location of Property. 495 KNOLLWOOD LANE House No. County Tax Map No. 1000 Section 107 Subdivision ADDITION MATTITUCK Street Hamlet Block 06 Lot 009 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 1983 pursuant to which Building Permit No. 12253Z dated APRIL 13~ 1983 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 DECK ADDITION TO AN EXISTING DWELLING. The certificate is issued to NICHOLAS & FLORENCE MIRO (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ' Bu-ilding Ins~ed'to~ ~ ~2253 Z Permissio~ is hereby granted to: BUILDING, D!PARTMI~N? TOWNH~I~L' i~ '~ SOUTHO~D, N~ y.~ ~ BUll. DIN PEILMIT (THIS PERMIT MUST BE KEPT ON THE pReEXIStS L)h4'I~IL COMPL~ION OF THE WORK 'AUTHOR~ZED:) .. ~:~,.~...z.~.~. .... COU~ Tc~X Map No. 1000 Section ~..../..~... pur~ant ~0 application dated Building li~Spector. R~.i6/3OZeO and ~pproved by the TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ NE~ YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND Location of Property ~OBSE NO. STREET HAMLET Owner or Owners of Pronertv '~C~-~ C~unty Tax Map No. I000 Section ...... Block S~bdivision., ...................... Filed Map ....... Lot ......... Pe~mi, No. (~.2.,~ .~ate o~ Permit .......... Applicant .. -. ,~ :.. Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certiffcate ....... Final Certificate ................ Fee Submitted: $ .................... rev. 10114/88 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 DECEMBER 15, 1989 Dear Bill: This is a very old permit for Nicholas & Florence It has had a final inspection and passed. All we need is the applicationwhich I am encloslng and a check for $25. To Whom This May Concern, TEL. 765-1802 We are unable to complete your Certificate of Occupancy because ,of the following reasons. is not on file. ENCLOSED /_--/ No Underwriters Certificate on file. ~/ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /5/ No final inspection has' been made. An application for Certificate of Occupancy $25.00 Please contact our office on this matter. Thank you for your cooperation. Building Permit # I 2 2 5 --3 Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD ~SP~CTION 1. FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS ~ E. C4- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.'. 765-1802 Approved . ./. ~...., 1 ~ Permit No./..~/.?..~..~..~. ~'~ Disapproved a/c .............................. ~-, ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No~..ff...~..~..'~. ....... 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 apl)ii- cation. c. The work covered by this application may not be commenced before issumace 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 ~~ .~..~. .~,~ . .~..~ (Signature,~pf applica~x6r na. gS~, if a corporation) · ~vtaiting address 03' applicant) State whether applicant is owner, lessee~g~gent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ./~-f. .~. .~. . .~. . .~. ..... ~'7. . '~. [.~. .~. J~..I'C. [/.tp ~t~ ~ ~,,,. . ~. (as on the tax roll or latest deed) /Q~) i r~ o If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~. · .~... ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationoflandonwhichproposedworkwillbedone..~..~..¢/~.~,,.~..'em'~...?...D?-/,~...~. ..... ................... ................... House Number Street Hamlet County Tax Map No. 1000 Section .... ., .~...~ ........ Block .... ......... Subdivision t. ........................ Filed Map No .......... Lot ............. (Name) 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 ...... Gr. (:t~ ......... rT { .~,..<.~ .~4 ..................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .... Repair .............. Removal .............. Demolition .............. Other Work ............... , ...~-- (Description) 4. Estimated Cost...~..O-o-~- .................................. 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. If business, commercial or mixed occupancy, specify nature and extent of each type of use .......... ~, ..... 7. Dimensions of existing structures, if any: Front ...... ~..d ..... Rear .&. ¢ .......... Depth..~. ........... Height ~O ........... Number of Stories .../' .................................................... Dimensio~s_,,~ same structure with alterations or additions: Front ..... ,~.,'~J~. ,,~J~.. Rear ..... : ............ Depth . ~r.{ ................. Height ...................... Number of Stones ............. , ......... 8. Dimensions of entire new construction: Front ..... /.~..' ...... Rear ...... /. :'~..: .... Depth . ./$5. .......... Height ............... Number of Stories ................ 10. Date of Purchase ............................. Name of Former Owner c../.<v.~ .................. 11. Zone cruse district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................. Will excess filJ be removed from premises: Yes No 14. Name of Owner of premises ~-~ ..~. l./~. ............ Address ~,~....O-?~.. ~..~..~. Phone No ................ Name of Architect ......................... ^aaress ............. , ...... Vhon No. ./. . . . N~une of Contractor .~-el:(f~.7~,','~.. ~. ........... Address~,~-ZT. ~-a,~, .~hone 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. STATE OF NFfld~7~K, ~vb~~~. ~~ ........ being duly sworn, deposes and says thane is~ the applicant ~~~( ' ' d~signing con~;ic~) ..... above named. ~e is the (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this application; that fll statements contained ~ this application are true to the best o~is ~owledge and ~lief; and that the work will be perfomed in the m~n~r set forth ~ the applica~on filed therewith. Sworn to before me this