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Home My WebLink About17504-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19428 Date QCTOBER 10, 1990 THIS CERTIFIES that the building. Location of Property 380 KNOLLWOOD LANE House No. County Tax Map No. 1000 Section I07 Subdivision ALTERATION MATTITUCK, NEW YORK Street Block I Filed Map No. Hamlet Lot 20 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4~ 1988 pursuant to which Building Permit No. 17504-Z dated OCTOBER 6, 1988 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 ENCLOSE EXISTING PORCH AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H-016087 - MAY 24, PLUMBERS CERTIFICATION DATED Rev. 1/81 JAMES & LORRAINE KILKENNY 1990 //Bui{[ding Inspector FOB~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ b1750q Z Permission is hereby granted to: . , /~ , ............ County Tox Map No, 1000 Section ..... ./..~..'~. ......... Block ...... .,~,../. ......... Lot No.....-~,..1~). ............. pursuant to application doted ....... .q~...q~../.&~.....~f ............. , 19.~.~..., and approved by the Building Inspector. Bu'lldihg Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CEHTIFICATE OF OCCHPANCY Permit Health PIannlag NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ROUSR NO. STREET HAMLET Owner County Tax Map No. 1000 Section .~Z. Block ...Y... Lot ...~'.~ .... Subdivision ....................... Filed Map ........ Lot .......... No ........ Date of Perm . cant ................... Dept. Approval .................. Underwriters Approval .............. Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $..~..~'.~e ............. APPLICAN~.~ .............. rev.. 10/14/.88 co/ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /~nn application for Certificate of Occupancy is not on file. J_~/ NO Underwriters Certificate on file. cheek i (ou dat a/ on fil . /5/ No Health Dept. Approval on file. /~/ No final ins,pcction has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]d~.ng Permit # __~ ~ ~ ~ ~ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 FOUNDATION (1st) FOUNDATION 2. ( 2nd ) ROUGH FRAME PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: / '/VI,, 00, ~1o ~i'/ '/V 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [/~NSULATION FRAMING [ ] FINAL DATE 765-180:E BUILDING DEPT. INSPECTION FOUNDATION 1ST r ] ROUGH PLBG. [ j FOU~NDATION ZND [ ] INSULATION [~]/FRAMING [ ] FINAL Examined....O:~..~ .~..., 19 9~.~. Approved ...O'~....'?~....~: .., 19'~.. Permit No. FORM NO. 1 TOWN OF SOUTHOLD FlUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK SEPTIC FORM ...... CALL . .~ ....... MAIL TO: Disapproved a/c ..................................... (Building Inspector) .,, OCCU NCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 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 liyout 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 issnance 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 Depai-tment 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, a,d. ditions or alterations, or for ~;emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hp~sin~ code, and regulations, and to admit authorized inspectors on premises and in building for necessary~inspecti~s~,,,/,~ ' f (Si~{ure'o/'applica~ ;; ~a'n~e; if'a'c'o~l~o'r~t~n')' ' ' · -~. · . (Mailing address of applicant) ' /! ~-~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. Name of owner of premises . .~/~3 .t-~..l~.x.. ~..,~..~. -4/,~,;~-'~,"Z,'''¢'~' '/~'~z-/('~-~/6-' /~,~q~O~) ~,S If applicant is a corporation, signature of duly authorized officer. FEE .~_~_:. '~--.- ':,',' -~' ~'--~- :..- (Name and tittte of corporate officer) FOLLOVVING it,~ 'E( iONS u' ' ' . .... FOR POURED CONCRETF B dder s License No. ., .............. .j~, ~/.~., 2. ROUGH - FRAMING & PLUMBING Pinmbcr's License No ................... $.. INSULATION 4, FINAL CONSTRUCTION MUST ~E C, OMPLET~ FOR G.O. E]cctrician's License No .................- /_ ~ ~ON~J'JlJ,lCTION SHALL MEET Other Tradc's License No .... ./._."5//--~- ,,: ........... TNE N.Y. ~l',~'J tJ~ & ENERGY 1. Location ofland on which proposed work will bc done ........ ' ~ JJ~J' JJ~I~JJ~JL~ FOR House Num bet Street Hamlet /.0 .... ./. County Tax Map No. 1000 Section ................. Block . · · Lot .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intentJed use and occupancy of proposed construction: Existing occupancy.......S" .... .. .................. b. Intended use and occupancy ...... ~"'. "~' '/~' · '/'/? ............. /~t~t*? ~R 3. Nature of work (check which a:pp icable), New Buildin~ ' ^a,v,' i !~,' ;,-) ".(.,,/:~;.),'/~i~/ · ' - ' .~ .............. Idea ...... ~.. r~aterat on . .~ :~1.1 ' [imatld Cost ~OO. ,O ~ ~J, ~[11 _ . ,/_ rte be pa ~~] 5. Ir dwelling, nunberofdwellin~units ..~/~ ~,, ~, , . -~ · , _ ~ · ' _~w.,. u ...... t,umoer oI gWellmg units on each floor .... ~ .,, ugarage, numuer of cars . . ~.~ .... ~ .... If bus~ness, conlmercml or m~xed occupancy, specify nature and extent of each type of use ~ j 7. D ..... ' ~ - , · · ',.-_ .......... ~mens~ons of emstmg sm~cturcs, if any: Fron~ ...... ; .... ,.. Rear ........... :.. De~th'. .............. Height ~ffi.~%~O~0Nmhber of Stories ............................ ~im~~f ~ with alterations or additions: Fr;nt ..... .' ". ~e~; .............. .......... ~~1~ ~ ....................... Number of Stories ........ 82 ~u~l~~ct~on: Front ...... Rear ... ' ......... He~gll~ ~,~,~umber of ~' ' · · · · ~ , ,. ........... Depth ............... ' ~' o[orles . .:. . ..... .. ...... :... · .................. 10. DateofPurchase . .h a'z .... t~ear.,lf; ................. Dppth2.., ................ Zone or u~ ~;~*-=- ' '."',' ' '~' ". ................. ~ame of Fomer Owner .~.~ ~ .~2 I 1. ou umc~u[ m wnlcll premmes are situated - r · · .~ · · · 12. Does proposed construction vie'late any Zoning law, ordinance or regulation. . .~O. 14. r ' D' ' Will exc e re red from premises: es No · ', ......... gAddress ~ ~4x~ ~Phone No F~'~ -~ Nme of Architec~ ; .... ~ ...... · ·..~.. ...................... Address ............ Phone No. . . N~e of Contractor ~ ..... · ................... ........ 4 ............ Address ................... Phone No ............ i... 15.Is this property lee ted within ~00 feet of a tidal wetlandg ~YgS .... ~O .... ~If yes, Southold Town Trustees ~ar~it may be required. ... i PLOT DIAG~ Locate cle~ly ~d distinctly MI~: build~gs, whether existing or proposed, ~d, indicate MI set-back d~ensions from. prope~y ~nes. Give street ~d block number or description accord~g to deed, ~d show street nines and ~dicate whether interior or Comer lot. .... 1':~'~~~~ ~.~ .......... being duly sworn, deposes and says that he is the applicant aboveVn~m~ _~ ~~~Ontra~) { (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have performed the said work and to m~e 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 perfo~ed in the m~neriset forth in the application filed therewith. Sworn to before me thi~ ~ Nota~ Public, . . County ~ ~ ~ ~Si~at~eofa