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Home My WebLink About24200-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25186 Date AUGUST 5, 1997 THIS CERTIFIES that the building Location of Property 1130 OAK AVENUE House No. County Tax Map No. 1000 Section 77 Subdivision ALTERATION SOUTHOLD, N.Y. Street Block 1 Lot Filed Map No. Lot No. Hamlet 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 1997 ~ursuant to which Building Permit No. 24200-Z dated JUNE 19, 1997 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 ALTER EXISTING DORMER AREA OF AN EXISTING OWE FAMILY DWELLING AB APPLIED FOR. The certificate is issued to ROBERT & PATRICIA MELCHIOWE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. %16747 DATED JULY 22, 1997 PLUMBERS CERTIFICATION DATED Rev. 1/81 JULY 29, 1997-HARDY PLUMBIMG & HEATING Building Inspec/or TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24200 Z Dote ...............~..~.. .......................... , 19.7/ Permission is hereby granted to: £~.~.~..-...~.~ ..................... . ./../.~......~,~....~.~., ............................. ..~...~...~.~....././.~~ . . ~/ ................ ,o ~...~& ........ ~.....~~..~ .......... ~~ ....... ~.., ............... ..... ~....~ ....... ~~.~.~......~.~. ....... ./.~_~/~ ...~..z ....... ~..../..~..~.,~ ....... ~,c. ........................................................................................ County Tax Mop No. 1000 Section ....... 7,Z~.. .......... Block ......... ..~.Z. ..... Lot No ....... ~...~... ........ pursuant to application dated ........... ....~..~.......~...~.....~... ........... , 19.~../~,., and approved by the Building Inspector. Fee $....~..~. ............... Rev. 6/30/80 ~B. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and sub inspector with the following: for new building or new use: 1. TOWN OF SOUTHOLD Final survey of property with accurate location of all buildings, property ±zne~, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumbar certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. 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 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. Certificate of Occupancy - New dweliing $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 $I5.00 Date ................................. New Construction ........... Old Or Pre-existing Building... ~ ........... Location of Property /./.~.o .O.~ .~. ~...~.~. ~?..~..~../.~..~.D ................. House No. Street Hamlet Onwer or Owners of Property ..... ~.O.~..~....Y~..~.~..~.~/.~./.,~.../~.~..~.4.~.~....mjb. ...................... County Tax Map No 1000, Section../..~f?.'??.'./.:~.Block ................ Lot ...................... Subdivision...~.P.~.~.e-....~.~..~.....~.~..~. .......... Filed Map .......... Lot ...................... Permit No..~.Y~.8.0. ~ ..... Date Of Permit. ....... Applicant/~.~.~..f.~. ~...~.'~;f-~./~- Health Dept Approval . . . Underwriters Approval ~-??-~?. ......... Planning Board Approval .. Request for: Temporary Certificate ........... Final Certicate.. ~. ..... Fee Submitted: $ · · -~- .~'- .~? ..................... TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BO~:;28 TOWN H,'.LL SOUTHO2Do N,'f, 11971 CERTIFICATION TEL. 763-1802 Date Building Permit NO o__~~7 Owner i~FDA '(pleas~ print) ' ' (pl/ease p~lnt) i certify tha~ ~h_ solder used zn the water supply system contains less than 2'/10 of 1% lead. Sworn to before, me~ this l~tary Public EMILY HAMILL Notary Pubhc, State of New YoI~ No. 01 HA5059984 Quarifled in Suffolk County. · .ommission Expires May 06 " ELECTRIC~ INSPECTION SERF[CEINC. . . sTso~vrONA~r~Z EAST PATCHOGUE, NEW YORK 11772~ . ': : : -- -': (510286-6642 .: : ';"T:' : :: 1997 1~747 ' D~T~,. 7/22/97 3PPLICATION No. ONJ~ILE . . . $ofrlhold ~TRODUCEDBY~ Lq,demann Eleutriq(nc. tiCNo: 4141E *vas *xamine. d on 7/22/97 and found ~o be in complfance wffh tha National ElectWcat Codz ~OCATION;," ...'Bas~,, l~t . ~..2.d.. 7~ .' .~'(Z. ~ ." .' ~a.. ~' . . ' . ~ DeL Garage l~ot Tub Pool ,,/.. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29, 1997 Fax (516) 765-1823 Telephone (516) 765-1802 Robert Melchione 1130 Oak Ave. Southold, N.Y. 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) XX 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24200-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. ^1H11'1'1()11^1, (,;I, JllJll~,ll'l !J 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. [ ] FO~JNDATION 2ND [ ] INSULATION ~]/FRAMING [ ] FINAL DATE INSPECT~/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~ATION [ ] FRAMING [ ~/'FINAL BOARD OF HEALTH ............... ~ SETS OF PLANS ....... ~ ....... su~vB~ ........................ ~'CHBCK .................... .. .. . SEPTIC FORH ................... ¢~y~di~ ~tor) APPLICATION FOR BUILDING PERHIT I. I~,~tino of land oa daich proposed ~ofl( will ~ ~ ..... ~. -~ ........... X' - · ..1~ ~. ..... ~.~...d~e~ ................................................. .4.~.~ ................... ~ ~ ~. I~ ~ti~ .[.~.f.~.~f.~l~ ................ ~t ................ ~ivisi~ ....~.~..~.~-- ~.%~ ......... FiI~ ~ ~...[/.~. ...... ~t ............... (~) 2. State ~st~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~ of ~ ~st~ti~: ~. ~ti~ ~ ~ ~ ........ ff/.(YZK .... ~.~!C ....... ~ ................................... b. ~ ~ ~ ~ ........ C~Z.(~f~ .... ~ ............................................ 'If al~licaut is a corporation, siguature of duly authorized officer. 765-1/~O2 9 AM TO 4 PM FOR THE FO LLOWI~';~G INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ROUGH - FRAMING & PLUMBING 3, iNSULATiON 4. FINAL - CONS'/RUCTION MUST BE CO~dPL~TE FOR C.O. ALL CONS~GUCTION SHALL MEET THE REOUI:~EMENTS OF THE N,Y. STATE CONS'Ii~LICTiON & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR C~STRUCTION ERRORS INSTRUCTIONS a. This applicatio~ ~t be ca~letely filled in by ~iter or in ink and sut~itted to the lhilding InSpeCtor wlth 3 sets of plses, accurate plot plau to scale. Fee according to schedule. b. Flot plan slx~ng locatfou of lot and of beildings ~a prf~ses, relatinoship to adjoining p~mises or pablic streets or areas, and giviug a detailed descrlpti(~a of layout of property ~t be drama on the diagram ~aich is par~ of this applicati~a. c. The ~ covered by this applicatic~ raay not be cmmmced before issuance of Building Pemlt. d. Upon approval of this applicati~a, the lhilding Inspector ~dll issue a Buildlng Permit to the appllcaut. Such paDnlt shall be kept ~a the premises available for iospectiou throoghaut the ~ork. e. No building shall be occupied or used in ~hole or iu part for m~y purpose u/aatever aut{1 a Certificate of Occupancy shall have been granted by the l~ilding Inspector. APPLICATIi]~ IS H2~x ~ to the Building Depattmmt for the issuance of a Building Permit pursuant to the Building Zose Ordinance of the To~n of Seuthold, Suffolk County, ~ York, and other applicable La~s, Ordiasncescor Ik~galatio~, for the constn~ctiau of buildings, additinos or alteratfo~s, or for remmml or darolitiou, as herein described. The applicant ng~es to cauply ~rlth all applicable la~s, ordinauces, building code, housing code, and regulatlans, and to ed~dt anthorised inspectors no premises and in Building for seco~sary in~pei;tions. ................... ($1gnatum off~l~plleaut, or rmme, if a corporation) (l~il_i. ng addms~ oti'app!icaut) .... ~....~.¢.~. ................... 2 ........................ ~./..~.~ ......... .... · .............................. 3. P~l'ure o~ ~o[k (cl~ek sddeh applicable): Ne~ I~dldinA .......... ~li~i~ .......... Alteration ..... 4. EaLbmt~l C~st ............... f~ .............................................. 6. If Imslneas, ~nmrcial or mi~ ~oq~y, sleet~ ~ture a~ ex,eec of ead~ ~ o~ u~ .... '~ ................ 7. I)imensi~m og ~istiog athletes, if any: 8. Dimensi~m of entire ~ c~st~tl~]: [~t ...... ~ar ............... ~pth .............. 12. I~ prol~l e~mt~tlm violate any ~dng ~m of C~tr~tor ............ : ....................... ~Mresa ............................... It~ ~ ............... 15. Is this p~rty within ~ f~C of a ti{hi mecla~? ~ W3 ...~... ~ .......... I~c. ate clearly and distinctly Fr~u property lines. Give street and ~dmther interior or corner lot. 5'[WIl'~ (IF NI~ YORK, (I~INIY (itt ....................... ...... (~ of Jndlvidtm[ signing c~r~ct) PLOT DIAGRAH Il buildings, ~hether existing or proposed, and indicate ail set-back dimensions block ra~l~er or d~ecription according to deed, and ~ho~ street n~eaea ami indicate · ~.-.~.. ............. I~.i~g duly s~)rn, delx)see end s~ys that he is tim applicant (Cxn~tractor, agent, :yrporate officer, etc.) o1~ said {x,n~r or o~.rs, a~KI is dtdy e Jthoriz~ to ~rfonu or htme [~r[:or,~ the ~aill ~rk and to rake and [ile this al~flication; that at1 statamnts cnet~ i~l in this al~>l, ieatlon are tn~ ~o the I~SL off his kt~l.~ and I~l. ief~ and that the ~>rk will I~ l~rfon~l in thc ~mnner ~t forth in the al~l. lcati~m fil~ ~rn to Imfore me Offs LINDA J; cOOPER Nota~ Publi~, State of Term Expires Decem~r ~, ~