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Home My WebLink About15208-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcumANOY No Z--23537 Date ~CH 9, 1995 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 350 KNOLLWOOD LANE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 1 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1986 ~ursuant to which Building Permit No. 15208-Z dated AUGUST 28~ 1986 was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is Issued Ks AN ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to PATRICK CO~INS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /U ~dlng 'Inspector Rev. 1/81 FO~,M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, 1'4. Y. BUILDinG PERi, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? i5208 Z County Tax Mop No 1000 Sec~,u:~.....].O..~... Block......(~....! ......... Lot No ..... J...~J'. ...... pursuont to oppJlcohon doted ~:~J..f~'~' [! ..... , 19 C~..(p, and approved by the Budding Inspector Building Inspector Rev 6/30/80 Form No. 6 TOWN OF SOUTIlOLD BUILDING DEPARTMENT TOWN ~\LL 765-1802 APPLICATION FOR CERTIFICATE O1 OCCU?ANCY This application must be f~llcd in by typ~wrlg~r OR Ink and submitted to the building znspuctor with th~ follow~ng: for new building or new use: 1. Final surve~ of property with accurate location of all bumldlng~, property lines, streetm, and unusual natural or topographic features. 2. Flnal Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approw~] of electrical xnstallatzon from hoard of Fxre Underwriters. 4. Sworn statement from plumber cert%fy%ng that the solder used xn system contains less than 2/10 of 1% lead. 5. Commercial buzldzng, industrial buzldlng, multiple residences and similar bumldxngs and Installations, a certxfzcate of Code Compliance from archztect or engmneer responsible for the building. 6. Submit Planu~n~ hoard Approval of ~omple~ed ~±te plan requirements. For ex~stzng buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-ex~stzng" land uses. 1. Accurate survey of property showing all property l~nes, streets, building and unusual natural or topograohlc features. 2. A properix comptetem application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Bulldzng Inspector shall state ta~ reasons therefor ~n writing to the apol~cant. i. Fees i. Certificate of Occupancy - New aweitlng $25.00, Additions to dwettzn~ $25.00, Alteratmons to d~ellzng $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory bu~-l~zn% $25 00. Businesses $50.00 2. Certmflcate of Occu~oancy on Pru-exlstln~ Bulldln~ - $100 O0 3. Copy of Ccrtificat~ of Occupancy - $20.00 4. Updated Certxtzcate of Occupancy - $50.00 5. Temporary Certmfzcate of Occupancy - Residential $15.00, Comnerczal $15.00 Date ................................. ~ew Constructzon..~. ....... Old Or Pre-existing Bulld~ng ................. Location of Property..~.~i~.. KMOt~k~"*~° ~'~-~ .~. ~T~c~..H~;ie~.t ........... ............ .%, ................. .. l ?yu House No. Street ~nwer or Owners of Property. ............................................... County Tax Map No 1000, Section... /O 7 .Block. / .Lot. / ~ ~ubdzviszon F~i d M p L Health Dept. Approval .......................... Underwrzters Approval ........................ Planning Board Approval ...................... .. Request for: Temporary Certificate ........... F~nal Certzcate ........... Town Hall, 53095 Main Road P O Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 1, 1995 Mr. Patrick Commins 350 Knollwood Lane Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 15208-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION { 1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION / [ ] F.~M,NG [~] F,.^L REMARKS; ~//~ DATE INSPECTOR~,~/~ Appro~e~u~ Aa~.g- ~. ~ Dmapproved a/c 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 , 19 (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a Ttus apphcahon must be completely filled m by typewriter or m mk and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of bmldings on premises, relatlonslup to adjoining premises or pubhc stre. or areas, and glvmg a detailed description of layout of property must be drawn on the diagram which is part of th,s apg cation. c. The work covered by ttus apphcation may not be commenced before issuance of Building Permit d. Upon approval of this application, the Bmld~ng Inspector will ~ssued a Bmldmg Permit to the applicant Such pern shall be kept on the premises available for inspectmn throughout the work. e. No budding shall be occupied or used m whole or m part for any purpose whatever until a Cemficate of Occupan shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Budding Department for the assuance of a Bmldlng Permit pursuant to t Buildxng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructmn of bulldmgs, addxtlons or alteratmns, or for removal or demohtion, as hemm descnbc The applicant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulations, and admit authorized respecters on premises and m bufldmg for necessary ~ectl6ns, /; , (Mailing address of apphcant) ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bufldc o.m c ..................................... Name of owner ofpremises . ~.1~%1.( 1/~. ~ ~.Q W.~ ~ ~ e~ ~ ~,~//2J ..... (as on ~e tax roll or latest deed).~_ Ifapphcant~sacorporatmn, s~natureo~dulyauthonzedofficer D '~ ~B.P * ~ .- ~ ~> ~ ...... ~ nu~AqTMENT AT Builder's L:cense No Plumber's License No Electrician's License No Other Trade's hcense No (Name and title of corporate officer) .. .... ~O0 lU ~ . . .tuo/v . Location of land on which proposed work wdI be done House Number Street County Tax Map No 1000 Section I.O 7 Subdivision ..... Fded Map No ..... Lot (Name) State ex~shng use and occupancy of premises and intended use and occupancy of proposed constructmn a Emstmg use and occupancy l 4Ot~u']/-.7. )X~OVm.~. .. b Intended use and occupancy . XTo ~°~-~~e, ~ ~ (~-~ ............ .'..~f~.. A 3. Nature of work (check which apphcable) New Budding ...... dd]tmn ........ Alteration ....... Repair ....... Removal ............. Demolition ............ Other Work ........... (Description) 4. Estmaated Cost ~/~'~ (~ ~)' ~ · Fee~.. c=O--O~eft' 0 ...................... (to be paid on f'fl~ng this apphcation) 5. If dwelling, number of dwelling units ..... . .==-.-.-.-.-.-.~7 .... Number of dwelling units on each floor... 7T= ........ If garage, number of cars ..... '7... "'-7 ................................................. 6. If bumness, commercml or m~xed occupancy, specify nature and extent of each type of use .... : 7. Dnnensmnsofexmtmgstructures,~fany Front ~..?-tx. ..... Rear .(.~. ...... Depth .../~.~. '/ .... Height . . ~. I ..... Number of Stones ....... ! ................................... Danenslons of same structure w~th alterations or additions Front ................ Rear ............... Depth ............... Itelght ....... t ........ Number o(Stones .................. 8. Dwaenslons of entire new constructmn Front ..... AL. ....... Rear .... ~.~..~ ....... Depth . .. ~.~../ ....... Height ~' . Number of Stones .. . / ........ 10. . er Owner . . 11. ct 1 r;'slt~t 12. Does proposed construction violate any zomng law, ordinance or regulahon' .. . ~ .................... 13. Wzll lot be regraded ...... ~ ~K~... × ........ , ....Will excess f'fll,be removed from premises· Y~ 14. Name of Owner of premises .~ Ir~ £)'~ Co~4~.~4. t~ Address ..~./~3/e2~//~O~' '~(JJ~Phone No..4.9.~. 7 35.%.. Name of Archxtect ...... [x40¥9.~- ............ Address ................ Phone No ................ Name of Contractor ... {~x).Q ~9.t~ .......... Address ................ Phone No .............. PLOT DIAGRAM Locate clearly and chstmctly all buildings, wh~th~ property hnes. G~ve street and block num .~escnptle~acco: mtenor or corner lot. ~ o v>~ _ . ~ ·, 4~ STATE OF NEW YORK, S S COUNTY OF ....... (Name of ]nd~wdual mgmng contract) above nmnect. I or proposed, and~ mdmate all set-back &rnenmons from dmg to deed, and show street names and indicate whether b, ~ng duly sworn, deposes and says that he is the applicant He is the .................................................................... (Contractor, agent, corporate officer, etc ) >f said owner or owners, and is duly authorized to perform or have performed the smd work and to make and ~e ttus ipplication; that all statements contained in this applicataon are true to the best of hxs knowledge and belief; and that the ~vork will be performed m the manner set forth m the apphcatmn filed therewith. Sworn to before me tlus .......... /It.., .... day of. .....~x~.~.. ot ubhc, .. .... .U i (S~gnature of applicant)