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Home My WebLink About25768-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26564 Date: 07/15/99 THIS CERTIFIES that the building ALTERATION Location of Property: 1130 OAK AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 77 Block 1 Lot 8 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1~ 1999 pursuant to which Building Permit No. 25768-Z dated JUNE 2, 1999 was issued, and conforms to all cf the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SECOND FLOOR ATTIC ALTERED TO BEDROOM "AS BUILT" AS APPLIED FOR. The certificate is issued to ROBERT J & PATRICIA MELCHIONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 28840 06/30/99 N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PER/~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25768 Z Date JUNE 2 99 Permission is hereby granted to: ROBERT J MELCHIONE 1130 OAK AVENUE SOUTHOLD~NY 11971 for : CONVERSION OF 2ND FLOOR ATTIC AREA TO BEDROOM "AS BUILT" FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1130 OAK AVE County Tax Map No. 473889 Section 077 pursuant to application dated JUNE Building Inspector. SOUTHOLD Block 0001 Lot No. 008 1 99 and approved by the Fee $ 75.00 Authorized Sig~ure ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT 765- 802 ,SD 7 ~[" ~] ?--~p/~PLICATION ~R CmTIFICATE OF OCCUP~CY ~ is applic~i~muS~e filled in by t~ewriter OR ink and submitted to the build ~pector wRR t'l°U~e f~owing: for new building or new use: ik~A~inal ~.pr~erty wit~ accurate location o~ all buildings, property li~; ~ ~~H~:~a~e~~- t~°~:~u~u:~'sewerage-disposal(S-9 forn ~roval of electrical ~stallation fr~ Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contain. less than 2/10 of i% lead. 5. Co~ercial building, ~dustrial building, multiple residences and s~ilar buil~ and installations, g certificate of Code Compliance from architect or engineer responsible for the buildi~. ~. Sub~t Pla~g Board ~pr~ of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings ~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 a consent to inspect signed by the applic If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. · C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25.0 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 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 7-1 Date....... ......................... .. · New Construction ............ Old Or Pre-existing Building ..... ~ ....... Location of Property... 2/~~ ...... .O~..~....~.~.~...~..~.... ~,'~ ~. ........... House No. Street Hamlet Onwer or Owners of Property ........... .... County T= 000, Section .... ZZ ...... .... 1 ........... ........... Subdivision ........ Filed Map ............ Lot ................ Permit No...~..~.~.~.~.'~..2~..Date Of Permit.. ~i~.~ ....... Applicant.~.~. ~.. Health Dept. Approval .......................... Underwriters Approval .... .~.. Planning Board Approval Request for: Temporary Certificate ........... Final Certicate.....~.. .... Fee Submitted: $... P0.'. ELECTRICAL INSPECTION SERVICE INC. 375 DUNT~N A VENUE EAST PA TCHOGUE~NEW YORK117 72 (516) 286-6642 DATE: 6/30/99 28840 APPLICATION No. ON I~LE $outhold ADDRESS: l l 30 0ak Avenue I~gOED TO: Robert Melchione $outhold D~RODUCED BY: . Le~demann Electric Inc. ~ LIC No: 4141-E · -waseocaminedon 6-30-99 andfou~dtob¢incomplianccwiththcNationalEle, cttn'¢alCod~ LOCATION: · Ba*e.. 1st '~nd X 3rd Aeic' SI~TTCHES RECEPTACLES FIXTURES, HF~TERS FANS ~ G.FJ. ~ CO~. I D~g~ DR~ C~ES W~, ~ DISP. ~GE O~ ~0~ D~R ~ 1 Outside Rea. BUILDING PERMIT No. BLUE ORiGINAL YElJLOW COPY PINK COpy OFFICE HUGO $. SURDI PRESfl?ENT Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTItOLD July 9, 1999 Mr. & Mrs. Robert Melchlone 1130 Oak Avenue Southold, New York 11971 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 # 25768-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~ ]~SULATION [ ] FRAMING [~/] FINAL [ ] FIREP~.ACE & CHIMNEY ~ ',~I) INSPECTION REPORT DAT!~ JHDATION ([ST) JNDATION (2ND) ~ ISULATION PER N. STA'rg ENERGY CODE ADDITIONAL COHMEN~S: · row~ OF SOUTHO~ _ FORH NO. TONN OF SOIITHOLD. BUILD'lNG DRPARTHENT SODTHOLD, N.Y. 1197 ! TEL: 765-1802 Disappx~,ed a/c ..................... ~ ........ (Build LICATION FOR BUILDING PRR~i]T INSTRUCTIONS BOARD OF HEALTH .............. 3 SETS OF PLA~S ......... ' ..... SURVEY ....................... CHECK ........................ SEPTIC FORH .................. HAIL TO: ................. a. Ibis applicati~ mint be c~letely filled 3~of~ ~o~p~ ~e. F~~e. b. ~oC ~ ~ ~i~ ~ lot ~ of ~ld{~ ~ ~, ~lati~ip ~ ~joini~ ~s or ~li ~is ~lim~im. c. ~ ~ ~ ~ als ~lim~i~ ~ ~ ~ ~ ~fo~ i~ of ~ildi~ ~. d. ~ ~ d ~a ~t~cim, ~t ~1 ~.~ m ~ ~ ~le ~r ~ti~ ~t ~ ~. e. ~ ~1~ ~11 ~ ~i~ or ~1~ ~ ~i~ of ~ ~ of ~ld, ~lk ~, PROVIDE OPENINGS FOR PROV[DE SUOKE. OUECTiNG ; '(si~ EMERGENCY ESCAPE AS Ah~a~ J~*~qCES //Yo ~ ~ Co~ ~/~ REQUIRED BY PART. 714 OF ~ ;0 PA~T. 72L1 ........... * ............ ~ ........~..., ....... N.Y. STATE BU~DING CODE. ~.~ BUILDING CODL ~i~i~ ~ of ~li~t) ..................... ~. ~.~ .................................................................. ~ ............... ~aUL~WRIT[Rs CER~FICAT[ ~ o~ ~, o~ ~. ~ ~ ~. ~...g~ ff~(f//... ~¢~d~ .............. ?X~A~ ................. If applicant is a cor~io~, signature of duly aithorized officer. (1~ and title of corporate offi~) /APP~.OYED A,~ NOTED _ __ ~tJ~LD~N~ O~ AT ~;;'::/ ~:* ~.c~¢ TO ¢ PM FOR THE POURED CO~CRET~ ,"::}'~f~H - F;, i; ~;G &, PLUMaING ~i~ea Cost /.~. ?.; ............ fee ~ ~, ~r o~ ~s ................ If ~i~ss, ~-...~e~ial or ~ ~, ~i~ ~ ~ ~en~ of ~ ~ of ~ ...................... Di~i~ o[ ~sti~ st~s, if ~: ~t ................ ~ ............... ~p~ ................. }~i~c ................ ~r o~ D~i~ of ~ s~ ~ alte~Ci~ or ~i~i~: ~ ............... ~ar ............... ~p~. ............... . ... ~i~.................... ~ of S~ories . ............. . ~i~t .......... ~r of Stories ............. ~teof~ ............ . .. .... . . ~ofFo~r~r ........................................ ~ or ~ district in ~i~ ~t~s ~ simtd ........................ ~e ~ ~t~ti~ ~ola~ ~ ~i~ 1~, ~i~ or ~lati~: ........................ ~ill loL ~ ~ .................... ~ill ~ ~ill ~s of ~r of ~s .............. ~s .................. .. .. . .. . . ~ of ~tr~tor .............................. ~ss ............................... Is ~is ~ ~in ~ f~t of a till ~tl~ * ~ .......... ~ .......... PLOT DIAGRAH Locate clearly and distinctly all buildings, vhether existing or p~o~osed, m~l indicate all set-back dinensioas cra property lines. Give street m~l block r, ra~er or description according to deed, and shem street vanes and indicate e~her interior or corner lot. a~e of individual signing contr.:t) O&is tim ........... .~.? ."NAf~Y[-..: . . . (~t~tor, ~t, ~te officer, Jetc.) ' ~d ~r or ~rs, ~ is ~ly ~rl~ to ~rfom or h~ ~r~ ~ ~id ~ ~ to ~ ~ file this ~li~ti~; ~t ~1 starlights ~tai~ in ~is a~li~ti~ a~ t~ to ~ ~st of his ~1~ ~ ~llefl ~ ~ to ~fo~ ~ mis / ~ .... . ............ ROBERT N~aW ~bli~ S~te~ Y~ Qual~ in S~;k Cou~ N~ 01SC4~ PRO',/IDEIOPENINGS EMERGENCY ESCAPE BY PART. 714 Of N.Y, STATE BY PART. 714 OF BUILDING CODE. · FEE: 7~5-~802 9 AM ~ 4 PM FOR THE FOLLOWING iNSPE~oNs: t, FOUNDATION . ~0 REQUIRED FOR POURED CONCR~E 2, ROUGH . ~, ~N~H~AT~ON .... U~iw~ ' 4. FISCAL CONSTRUCTION MUST ~ COBPLETE FO~ C.O, THE REQUIRE~ STATE CONSTRUC~ON & ENERGy CODEs. N~ RES~NSIB~ FOR DESIGN OR CONSTRU~oN ERRORs PROVIDE SUOKE-D~ECTiN8 ALARM DEVICES AS TO PAR[ 721.1 H, HALL, 5L 2." ,2nd FLOOR PLAN 4.. : ~, ,, . ·.. . ,;