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HomeMy WebLinkAbout38836-Z Town of Southold Annex 5/12/2014 N'ji' P.O.Box 1179 54375 Main Road Southold,New York 11971 \-7/ * CERTIFICATE OF OCCUPANCY No: 36914 Date: 5/12/2014 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 300 Knollwood Ln, Mattituck, SCTM#: 473889 Sec/Block/Lot: 107.-1-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/21/2014 pursuant to which Building Permit No. 38836 dated 4/30/2014 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: "AS BUILT"DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kilkenny, James (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A •, ed ignatu e TOWN OF SOUTHOLD '' (-44V, BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38836 Date: 4/30/2014 Permission is hereby granted to: Kilkenny, James 300 Knollwood Ln Mattituck, NY 11952 To: as built deck addition to an existing dwelling as applied for At premises located at: 300 Knollwood Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 107.-1-20 Pursuant to application dated 4/21/2014 and approved by the Building Inspector. To expire on 10/30/2015. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $938.40 CO -ADDITION TO DWELLING $50.00 Total: $988.40 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. 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 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%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. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. S- f2 -I V New Construction: X Old or Pre-existing Building: (check one) �,�1 Location of Property: 3c�C� /C,1 0/7 trliQl�� L.N N( ele _i House No. Street Hamlet Owner or Owners of Property: ■ JCZifie S /C1/ .e,ij-ken f) Suffolk County Tax Map No 1000, Section / °7 Bldck ! Lot 262 Subdivision Filed Map. Lot: Permit No. _Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ - l Applicant Signature 3 ,s8e , (a____ 04*--OF SO// 0 piti-441,1 v., s, co'!. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG BG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: -'' 1 rice) DATE S INSPECTOR `,•... c 1 • • FIELD I ': y.o N REPORT DATE FOUNDATION(1ST) . , -fr; g .-:' • FOUNDATION(AND) 1 z C) v� • ROUGH FRAMING.& H PLUNVDMNG 151 • • • —rcb $ H STATE ENERGY • r .' 8. r , i. . • FINAL , R— ADD O - , O • : . . • • - ' m •• • . , • 0 • (pN .. 0 2 b 13 • t4 • TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 2 Survey SoutholdTown.NorthFork.net PERMIT NO. J o Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 1' ?co,20 1 j Storm-Water Assessment Form Contact: / /t Approved //'o,2014 Raw: ,✓� 1- «V `-( -- Disapproved a/c _ Phone:1 (v -..--(--/.3 3 Expiration 0 20/5---- , -- ----77,:-(:::\-: i'&CL Building Inspector APPLICATION FOR BUILDING PERMIT Date l , 2OY INSTRUCTIONS a.Thikappileatidif ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 se efg an 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. 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 inspections. ,,,,, (----- " -- (Signature of applicant or name,if a orpoorraation) / 35Co00 /1'ta«'I tE>0' �u/�`i 0/c7 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises_ •.Ir/y e s )<ik-eit --/ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ( P7tti —. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: � AJ / 30© 1''1 b //vticcz4 / r Nibef7 /VC .- ,`"7 ( � House Number Street eOai 'e"`m .,, xioviviii Ipw e,.IIJ.:rlT.04. + ...,1 County Tax Map No. 1000 Section A).2 Block 8Ci t;r 3L-1 .o14 Lot Subdivision Filelii iat3u r boil&uO Lot ... ..8t,111,'ti iviwa, u,two3. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy //box_ b. Intended use and occupancy dce,(G 3. Nature of work(check which applicable):New Buil id ng &el., Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 2 9-/ 4 " Rear c9-c �l' ' Depth a5 .? '' Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front /D 0 Rear /D3 DeptP 210 10.Date of Purchase /912 Name of Former Owner 11. Zone or use district in which premises are situated i 6 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO >C 13. Will lot be re-graded? YES NO X Will excess fill be removed from premises?YES NO 775 14.Names of Owner of premises,—Mmes k/ke1l/u/ Address Phone No. Name of Architect / Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO XC * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF being duly sworn,deposes and says that(s)he is the applicant game of individual signing contract)above named, (S)He is the (Contract ,Agent,Corporate Officer,etc.) 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. S to before me thi /,'• day of A I 2o \°\ NA/-_ WA N iftft8tatWf$ik Notary Public N'-NompE6130630 Signature of Applicant QuCtuallfledinadfdk c oF fl \Q AAP 4,,AcK vil t) i ou ‹)V.Nue • 0 ta ir: 4 -:-.. .11 4.- NJ?Kikos...d, ::.)0 4 II ' ,....,..-..1":' 4 c ‘,,,e? It===. t t„„,,„-, - •-•..„-,, 1 1 0) - -,..., i 4' 1 __ \\ d ,e 1 1,,z ' A f tee"-it -7''rt 10 . ■ 't.1%"-21y•------7/' ( T , ‘ -,•,,,..,.,. •01.-.1taan'V cl i=f1.41 ry-i,-., ! y- - , ,--Is-- , t 1 c•SO v-y s.3.■"si:Ical ai 1 ... i 1*) , . I Lazt 0,14 Survalor -,- .}6 e 1 'e, 6,-x. ratiel 4,10,ot Imo , to,m,ig vaild Vu,WV, tt il) i ' -z, L J r.:',,utary 17:":04,1"4:,:rh7-04744tingelurrtIvanY .-13 0 7"1.4."."'"' "'' V 41 d•Drcaotiowti 4,10 0 l'' -000 14)tt14 4,1 = ''*;,:,;.,,. , ....- , ,. i - , to4,tarty gsv,mrnignoi sosIsCy and •---r---- eurtil olstefillun IM•drterw,Ind 0,1 i :*,Ir:44,4',1;tr-L"S:ut4tr.erlenjef:$7±0,zr::141'n4t * .:-..,* "7,'*7! *0-:'""°*eV, - f 0 0..0 -z.(.....,..,,,,.." )."4;,. 4,0,4*ild a)V•••„;:'. 4.,. 41 ig \■ \ \ ' E 1 1 ) 4-P" --i , 14- \ 1:Zr .1 .4 I t m f e , _ t N I 1I - _ *1 i \ Y PA 14 1 • • t, _ . : A. noe,--_ :Yr- :` m;---‘77r) E ly E E# 1 FEE, f ;f° -Y ,�4. .i.) 14, i 4A4 _ , 1.1 � ! ,,,, r STRuCT10 : & ELECTR!C.r . i . _ !� . ttV � _ rr �! i ,T`r v'v9PLE?E FOR C O. _.- _ �- r AL R TION SHALL MEET THE f '; _ RtO�Jll?E ' S OF THE CODES • YORK STATE. NOT RESPO : BLE - � �, f f,' L'CTIOiv ERRORS _ r,„: II ` _ �. Z R f S T =a. Ad ACcoi,g b4 Ai cE , T / M A/ 7 /•. /y - 1 , L._4.10_:::_ -klii. ,.!,:_, , ti _ «..w - €.r sc lit - + I ,. ,at, ' rpillirr."1"11 . , - , ,.. - '- :- ' -- : _ .: ,- :__.-_'-'1_ .. 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