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Home My WebLink About29069-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29246 Date: 02/05/03 THIS CERTIFIES that the building ADDITION Location of Property: 350 KNOLLWOOD LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 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 JANUARY 6, 2003 pursuant to which Building Permit No. 29069-Z dated JANUARY 6, 2003 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 ONE FAMILY DWELLING AS APPLIED FOR. /~ne certificate is issued to PATRICK COMMINS ( OWNER ) of the aforesaid building. SUFFOLK COUNTSf DEPARTMENT OF ~RALT~ APPROV;kL N/A ELEC~ICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DA'£Mo N/A Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29069 Z Date JANUARY 6, 2003 Permission is hereby granted to: PATRICK COMMINS 350 KNOLLWOOD LANE MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES BP 26839 at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated JANUARY Building Inspector to expire on JULY Fee $ 150.00 350 KNOLLWOOD LA MATTITUCK Block 0001 Lot No. 019 6, 2003 and approved by the 6, 2004. Rev. 5/8/02 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26839 Z Date OCTOBER 13, 2000 Permission is hereby granted to: PATRICK COMMINS 350 KNOLLWOOD LANE MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 350 County Tax Map No. 473889 Section 107 pursuant to application dated SEPTEMBER Building Inspector. KNOLLWOOD LA MATTITUCK Block 0001 Lot No. 019 1, 2000 and approved by the Fee $ 75.00 Authori ~ ignature Rev. 2/19/98 ORIGINAL 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: For new building or new use: . I. Final survey of property with accurate location of all buildings, property lines, streets, and unusu~na~ural 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. Bo 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. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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 Old or Pre-existing Building: vvoL Woo d Street Corom, New Construction: Location of Property: ..~ jr"0 House No. Owner or Owners of Property: r~qq'R~O Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ t~O ¢ ? ~' Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ 5,09 (check one) -' Hamlet I o t7 Block ! Lot / ? Filed Map. ~- 0 ..~ Applicant: Underwriters Approval: Final Certificate: Lot ) (check one) Applicant Signature % oo oo r,,1 b 765-1802 BUILDING DEPT. INSPECTION INSULATION FINAL [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING ]~~l~ZfON FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR~~/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. ] INSULATION ~I~NAL DATE INSPECTOR FIELD INSPECTION REPORT DA'[lg CO[~IENTS ........................ ~'~==--~=~=~ FOUNDATION (IST) Il 11 Il Il II II -~1 F0~ATION (2~) .................. II II II R0.~ ~ ~ . }1 ~N~ II Il __ II II II II ii II II II II ~ II II II !! II Il II II STA~ E~R~ , , _ II {{ CODE ii il Il {I II Il II II II II ,, ,, ~//,,,,~ ~/,~,. .4- , , /-/ - _ _ ./ ~/ , // / ' F ZNAL " Il Il ADDITIONAL COMMENTS: · FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTIiENT TOWN HALL SOUTHOLD, N.Y. 1197 TEL: 765-1802 3 SETS OF ~ SURVEY .... CHECK ..... SEPTIC FOP& DEC ....... TRUSTEES .. NOTIFY: CALL .. Ex~nined .................. 20 .... Approved..~..~J.~J ........... O..0.. Permlt No....°~ &~P/-~ ~'......... Disapproved a/c .................................. (Building In, tot) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date/ a. This applicati(~ ~,~t be completely filled in by typewriter or in ink and m/hnitted 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatio~ of lot amd of buildings om pre,rises, relationship to adj streets or areas, and giving a detailed description of layout of property ralst be drawn on t this applicat io(u. c. 'Ihe work covered by this applicatiom may not be co~u,anced before issuance of Buildi d. Upon approval of this applicariou, the Building Inspector will issue a t~uildlng Pez pemit shall be kept o~ the premises available for inspectio~ throughout the ~ork. e. No building shall be occupied or used in whole or in part for any parpose whatever Occupancy shall have been granted by the Building Inspector. APPLICATKIN IS }~R~IsY MAEE to the Ituilding Department for the issuance of a Building Pc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicz Pegu!ations, for the constructiou of buildings, additions or alterations, or for r~aoval or described. %he applicant agrees to comply with all applicable laws, ordinances, building cc regulations, and to admit aUthorized inspectors o~ premises amd in.b~ildlng for necessary ir (Signature of applicant, (Mailing address of State M~ether applicant is owner, lessee, agent, architect, engineer, general contractor, e] (as o~ tim tax roll or latest deed) If applicmnz is a corporation, signature of duly ant~rlzed officer. (Nmx~ 'and title of corporate officer) Builders License No. ~/0/~//~ Pluubers Lieense No. El~trici~ Lice~ ~ ....... ~.~.~ ....... O~r ~'s Li~ ~ ..... ~p.~ ....... ..... ..... ' V. ~ ~r Strut ~et ~ivisi~ ............................. Fil~ ~p~ ................ (~) 2. State ~sti~ ~ ~.~ of ~i~s ~ inte~ ~ ~ ~ of p~ ~ which appllcnble): New Building .......... Additio~ .......... Alteration .......... Ranoval .. ........ l~licion ............ Odmr I~ ...~..~ ................... ~ript~) I~o~, ~ (to ~ ~id ~ filing tl~is ~li~i~) of ~lli~ ~mi~s ............ t~r of tkmlling traits ~ ead~ ~r ................ f ~rs ............ + ......................... cial or ~ ~, s~ci~ ~ture a~ ~tent of ead~ ~ of u~ ......... ~ ............ lng st~s, if ~: ~t ................ ~ar ............... ~pth ................. ............. ~r of Stories ...................... st~e ~th alterati~s or ~itions: ~ont ............... ~ar ............... ....... ~i~,t .................... ~m~r of Stories ' e ~ ~st~ti~: ~t ................ ~ar ............... ~p~ .............. ............. ~r of Stories ..................... lOo ~ /o~/ .................... ~ar .................... ~pCt~ .................... ~e~ ~ress ~ ~. ........ ~9~ .................... ~ress ............................... n~ ~ ............ thin ~ f~t of a ti~l~Cl~? * ~ .......... ~ .......... PLOT DIAG~M dlsti~tly all ~ildi~, ~flmr aisti~ or pro~, ~ i~i~te all ~'t-~ di~nsions ~ st~t ~ bl~ ~r or ~scripti~ acco~ing to ~, ~ ~ strut ~s ~] i~icace .contract) says tt~t he is the applicm~t tot, agent, corporate officer, etc.) arid is duty m~thorlz~od to perform or have perforn~d the mid ~ a~ to ~ke a~ file this ,~nts c~ta[~ in d~is a~l. icati~, are t~ Lo d~e [~st of his ~1~ 'fo~l in the ~mm~r ~t forth in the a~licati~ fil~ (SJgr~aI.'~re of Applicant) APPeOVED AS NOTED __, NOTIFY BUILDING DEPARTMENT .~ 76~1802 9 AM TO 4 P~ F~ ~E :OLLOWING IN~PE~IONS: FOUNDATION - ~0 REQUIRED FOR POURED CONCR~ ROUGH - FRAMING & PLUMBING D.~SULATION :'qNAL - CONS~RUCTION MUST BE COMPLETE FOR C.O. CONSTRUCTION SHALL MEET ]EQUIREMENTS OF THE N.Y. CONSTRUCTION & ENERGY NOT RESPONSIBLE FOR ~IGN OR CONSTRUCTION ERRORS