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HomeMy WebLinkAbout29725-ZFORM NO. 4 TOWN OF SOUTROLD BUILDIAK~ DEPARTMENT Office of the Building Inspector Town Hall Souskold, N.Y. CERTIFICATE OF OCCUPkNCY No: Z-30311 THIS C~RTIFIES t~at the building ALTERATION Location of Property: 750 KNOLLW00D LA (ROUSE NO.) (STREET) County Ta~ Map No. 473889 Section 107 Block 1 subdivision Filed Map No. -- Lot No. -- Date: 07/27/04 ~WfTITUCK (~AMLET) Lot 15 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 2003 pursuant to which Building Permit No. 29725 Z dated SEPTEMBER 10, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancs, for which this certificate is issued is "AS BUILT" ALTERATION OF G~3-~.GE TO LIVING SPACE AS APPLIED FOR. CONSTRUCTION CERTIFIED BY ~MARK K SCHWARTZ, AIA. · ~ne certificate is issued to SAi~DP~A BER/~_AN of the aforesaid building. (0WI~ER) SUFFOLK COUNTer DEPARTMENT OF ~%LTH kPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A g~'ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29725 Z Date SEPTEMBER 10, 2003 Permission is hereby granted to: for AS BUILT ALTERATION ELIZABETH ROSS PO BOX 652 MATTITUCK,NY 11952 (GAP~AGE CONVERSION TO LIVING SPACE) AS APPLIED at premises located at 750 KNOLLWOOD LA MATTITUCK County Tax Map No. 473889 Section 107 Block 0001 Lot No. 015 pursuant to application dated SEPTEMBER 4, 2003 and approved by the Building Inspector to expire on ~ARCH Fee $ 300.00 10, 2005. × /./ // Autho~i zed Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY This application must he filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of,property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumbar certifying that the solder used in system contains less tkan 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings a~d i~staltations, a certificate of Code Compliance from architect or engineer responsible for .the building. 6. Submit Plann~nglBoard ApprOval of completed site plan requirements. For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" lan~ uses: 1. Accurate survey of property showing all property lines, streets, building amd unusual natural or topographic features. -2. A properly eomp:leted application and a 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. C. Fees 1. Certificateof Occupancy - New dwelling $25.00, Additions to dwe].ling $25.00, Alterationsl to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses .$50.00. 2. Certificate-of Ocdupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary ~rtificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...................... New Construction........... Old Or Pre-existing Building..~...............f°r "as built" garaRe_ conversion 750 Knollwood~n~ to l~vin~ space. Location of Property ................................................ ~i~c~ .............. £ ~ouse No. · Street Hamlet Onwer or Owners of Property Elizabeth ~oss County Tax M~p No 1000, Section.~P~ .......... Block .... ~ ........... Lot..~ .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit Ro ................ Date Of Permit ................ ~pplicant ............................. Realth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificmte .... ....... Final Certicate..X. ..... for "as~. built" garage ~ converszon to l~iving space. F.ee Submitted: $,.2.5 ,. p .0 ........................ '~ ~ -, ~ ........ ~-~ ~' ~!%~'~ i ................... (,~ ~ [ ~ Abi~f~. z v Wickham, Agent ~~ -- / ~PL~CA~ "* ' :';z::- 4~'!Ma-~lt-K' Schwartz, AIA -Architect, PLLC Pho~ (~1) 734- 4~-~ Fa~ ((~31) 7'34 - 4185 ~qouthold_Town Building Department Main Road Southold, New York 11971 ge~ l~iT~beth Ross to Sandra Bu~man House Certificate of Oc~pancy Application 750 Knollwood Lane Mattituck, New York T¢ whom this may concern: I have ~-inspected the garage alteration at the aforementioned address. The windows have been hinged as awnings to create the clear openings m~tuired and smoke detectors have been installed in both bedrooms. To the best of my knowledge, the garage alteration areas now meet or exceed the New York State and local code requirements in place when the work was completed. Please call this office if you have any questions or require additional information. Very truly yours, Mark ~hw~ UNDERWRITERS CERTIFICATe' REQUIRED APPROVEDAS NOTED DATE: ~!q l~' B.p. # ~ / ~- ~ ~:~ NOTIFY BUILDtNG 9EPARTME~ ~T 7~-1~ a~ TO 4PM F~LOWI~ I~ECT~S: 1. ~NOATDN - ~0 ~R ~EB CONCRETE 2. RO~H - FRAMING & ~B~ 3. ~ON 4. F~AL -:CONSTRUC~~'~ BE COMP~TE FOR C.O. ~ CONSTRU~DN 'SH~ ME~ ~E R~uiR~E~TS OF THE ~ ~RK sTAT~: ~T 2220 ( Original Dwelling 750 Knollwood Mattituck, NY Conversion of garage to living space 8O68 2520 br m cc;~;~v con~/ioas ~at we ~csi~u~ or ~hat we relxese~t in compli~c¢ wi~ applic~ole ~cM~al or ~ng~n~ring stands' or gove~ent c~s. Ap~cafion of ~e ~cMr~t's s~ is mmn~ to indicate ~ .s is a~;~ ~e cu~nt as-built con~fions. D~ 336{} c 4,~ br % c~368' 14'3 [ 31036 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ] ROUGH PLBG. [ ] I~~ATION [v~] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR .: I FOUI~.a_TION (iST). ~: FO~rD~TION (21~m) ~'~ 'ROUG~ ~'G& ~ q ST_~ ~ CODE . ~D~ON.~ CO~TS ...... (Nare ar~l title of COrl~tal:e oEficer) Ikfilders I.icer~e Bo. Pltsd~ers I.ic~nse 0223 O~r ~'S Li~ ~ ...... 750 1~ ~r ~ivisi~. ................. . (~). a. ~isci~ ~ ~ ~ '~.. '1 · FORM HO. I · 3 S TOWN r.F 80OTI.IOI.D SUB TOgN HALL SOUTIIOLD, H.Y. I 1971 TEL: 765-1802 APPLICATION FOR IIUILI)XH¢ PEICHIT INS'I'RUDTIONS ~ale. F~ ~{~ ~o ~le. :i~, the ~ildi~ %ns~ccor ~{il is~ a ~i ~ ~'ind~la ar In ~rt [or any ~ ~TS OF PLANS ......... ' ...... ~E¥ ......................... ~IC FOP, It ................... )TIFYz Abigail A. Wickham 298-8353 Mattituck, NY 11952 Sept. 4, 2003 ldinll P~m|{: to the applicant, Sud~ ~ate4er tmtil e CertifiCate of Bulldin& ~parla~nt for tim tssuar~_e of a I~ ildir~ Pemlt ~rm~t to tl~ .ildi~, ~ict~s or alcerati~s, or f~ ~,i~val or ~lirion, ~ hereh, ,lictor, or ~, {f a ~ratlm) drees of ~licmt) ~,a c~ ~11 or lmtest -}lark, fichwartz, Registered Arch tec~ ~rk ~ill ~ ~ ................ Mattituck Hamlet 15 Knollwood Lane 107 , , . Block ..,1 ...... Fltefl ~ I,~ ........ pr~rM~es and intecded ~ ar4 ~ccvpar~-y c single family dwelling .~i=. a~a..f..~4, l%L .d..~.eil%.~.g. .............. Coal: ........ · .... .... =able)= ~ llqildlng .......... t~dh;lon ........ I~ml ll;io~ ............ Ocher ~t *'conversion tp ~ving s~ (~o ]~ ~Jd tm ~llJ detached arage ~ any= ~C ...... 6~-60~ ~a~ ~dmr o~ Stories one ' ........ ~ar 167.33' .................... P~p~I~ h ~l~e of u~e.. ,.n./.a. ............... :?.o.' ...... r~pm... 3.~... b.q'. ....... .... i Depl:h .............. 100' & 82' I(I. II. 12. 13. 15. ~x~ or u~e. di~crict !n,~hzch pr~iseal, an~ situated ~. prowl ~m~xm vl~la~= any ~l~ 1~, o~l~e o~ ~lagl~= ....................... Will. lot lm regr~ ........... ~. ....... Will mas fill ~ r~ Nm I 'm~*: ~ ., . ~._~ _.. EliZabeth Ross --, 750 Knoll~ aod Lane, -- --298-8353 ~ of A~,i~ ~[~k.S~va:'tz ................... ~..~. Ha~a' ~rs Ro~d. ~ ~73.4-4185 ..... c.t gt6~&; '~' i'f9~ ........ ~ of C~[r~tor....... .... ...,..,.,.,..,,.....,.,. ~ress .............................. ~ ~ ........... ~s this pm~r~ w~tldn ~ f~t mga [1~l ~Cl~? * ~ .......... ~ ..~ ..... ~[,~'[' DIAGRAM , ~[ld~s, ~[tmr ~Jst~ or p~, ~ ~ate all ~E-~ PLEASE SEE PLANS PREPAR] C[I1NiY ~I~ . .S[3?~QLK ............ u,~ . ~...'. ...... ". ........ the ~)[k ........ ......... , No. OtMC, Ouallfle~ ~n Su BY MARK SCHWARTZ (ENCLOSED). ................... Ix~hq~ d.ly s~ont, delx)~ee atxl says Omi: he JthocI~ Co ~rfonn ar I,~ l~rf=n~ the ~[d ~rk a~J ~o .rake ami file chis ,r . ~.- . .2.0. 0. .% :e of New ~1[ 851459 folk County _ ;/tug, 18, ~oo~ ·