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Home My WebLink About30851-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30699 Date: 01/05/05 THIS CERTIFIES that the building ALTERATION Location of Property: 855 OAKWOOD CT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 90 Block 4 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 2004 pursuant to which Building Permit No. 30851-Z dated DECEMBER 15, 2004 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 ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to REGINA A MELLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //`11tho zed b4ignature 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. 30851 Z Date DECEMBER 15, 2004 Permission is hereby granted to: REGINA A MELLY 101 BELL HOLLOW RD PUTNAM VALLEY,NY 10579 for CONSTRUCT AN ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.THIS PERMIT REPLACES BP 22607 . at premises located at 855 OAKWOOD CT SOUTHOLD County Tax Map No. 473889 Section 090 Block 0004 Lot No. 017 pursuant to application dated DECEMBER 15, 2004 and approved by the Building Inspector to expire on JUNE 15, 2006 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 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) 3 a f - I Date.................. ...... �.......... 1 N6 22607 Z Permission Is hereby granted to: ..7/..x..... ..... .. . . .. ... . ..... .,..............:. 1X40fo.op to ... .moo........ ........... . .. ..... 00,........ ....... . ... . .. .................................................................................................................................................................. .......................................................................................................................�............I...............I..... at premises located at............... ....... ............... .............................. ....................... .......................... ... ....... ..QP�,...A.6�y......................... ............ County Tax Map No. 1000 Section ........... .... Block........./............... Lot No. ................. pursuant to application dated ...... 19 e","and approved by the �........... J��.. .... Building Inspector. Fee$.. -r .. / .. .................*..1... ...... .................... Building Inspec Rev. 6/30/80 =AN _ 4 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled 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$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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: O S ` �''rU°0 House No. Sttreet Hamlet Owner or Owners of Prop �OJ 4- Suffolk County Tax Map No 1000, Section 0 Block Lot 1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: 1 Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature co � 3o6�q a y k '` s• ■■■MMU■■i■■MEN■■■■■i■■■MEMO ■■ "` .. maim ■■llllMOMiii�■■■■EEE® ■■MMi■ � -� �1 �� ` Mw�—�. ■■ilii■E■Ml�iiii�i■O■■■■■■MEEOMO WMEMMENUMEMEMENEMM MEMO MEMEMEMMI, MEN w ■■M=l■®■■■■■Mil■■■�®iiisi■EEi® ■■lull■■®i■l::il■�1■Ilii®EiE® ® ■■iiilii�i'iilO'Z�©e!a3�ilii�iliM■®■E® ■■Mull■iM■MM'h.■■Mir■■■�M■■■■■ - M. . . ' ' ' �®■■■M:■iii■■■■M■■■M■■M■■■iBasemen PAW ■O Foundation Interior FinishAT -41110 re 'lace � • • .. Rooms 2nd Floor aw-A M�1iji , cx < IW4 .l. TOWN ', SOUTHOPROPERTY RECORD CAR_ D OWNERR - i ;, ,s. VILLAGE '< DIST SUB F RMER OWNER N E ACC 'y - r C h e- s W TYPE OF BUILDING Yy� s �G 4Y A `, �cr�s o �✓ tt. 6!/ d�e s 'I�rr�o f�+- /Qty ,: e RES. ,-j Q SEAS. VL. FARM COMM: CB. MICS. Mkt. Vatuw LAND IMP. TOTAL DATE REMARKS- 1z ' / r .�� R.0 dr2 4 D s'D 4 4 we R30 -Aceess S 5 Oki 1f� C ' 6t AGE BUILDING CONDITION / S' � 13 ��1� 760 W NORMAL BELOW ABOVE 2M Acre Value Per Value Acre )Ie FRONTAGE ON WATER land FRONTAGE ON ROAD � 0 ��3 1 o ►wtat�d DEPTH Plot BULKHEAD nnr�r N I , i i LAVA qs _ x STi G ham, 7,V u Cs"' u x LL- 475 UNDERWRITERS CERTIFICATE II li - REQUIRED N _ 1 , VA s T TlFEB l Twig= suawNo ter. INSPECTION [ ] FOUNDATION 18T [ ] ROUGH PLBG. [ � FO NDATION 2ND [ ] INSULATION [ F'RAMINfi [ J FINAL REMARKS: GATE 3 � � INSPECTOR !� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ��" INSPECTOR J A A '� FIELD INSPECTION REPORT DATE - COMMENTS _ -------s=aooae�=a=a==o==an..x==a=sssll=ss==�==__---•---- ------- .._ -------- a=c= Q ii II II H FOUNDATION OST) rr tr I FOUNDATION OND) -II II to ------ --------------- I� � ISI Rol '�'e II_ ij x I ROUGH FRAME & n PLUMBING n ii u ----II-__--- �aaaae�aaca=os=cssosocaaacoacsccoaaaaavaaac=ar--------- II'�-----11 N INSULATION PER 11. Y. H Q STATE ENERGY CODE II ,Iu =asaaaaaaaassaaaaaeaaaaaa�saa----a�a=aa Z��asaaa=aaaaaaaaaaaaa=eaa=aaaa=aaaaaaeaaaaaeaaaaa I� �r II Aill II jj I II jl FINAL I� —a asaaaaaa=,••---_a=xaaaa--xs�--aaa=aa�asa--aaz=aasaa-•--=�a--aaaaeassa=-=aa=xx==asxa=ac=saaaa= O ADDITIONAL COMMENTS: aaaasaaaaa---aaxaaaa=saaaaaaaaaaaaaaaaxaaaaea=-as--- -Naaaa--aaa=asaa=vaaacaaraaaaaa �V H N O r H 171 BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . ... . . SURVEY FEB TOWN OFSOUTHOLD • • " ' ' • • • • • • • • • • BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . t e TOWN HALL SEPTIC FOR4`1 _ . . . . . . . . . . . . BLDG. DEPT. j SOUTHOLD, N.Y. 11971 _._?OO I_ OF SOUT 0.�� TEL.: 765-1802 r,DT I Fy ; qq 5 /7 ys 3651 CALL a: t�:.. .. . . . . . . . . . Examined . . . , . / , , , , ,, 19 t1A I L TO: pt � C�� (U�� 1os C!l p,til;AJEou� •:•1 Approved . . . . . . . . ., 1 . Permit No. Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . .. . : . . (Building Inspector) APP ATION FOR BUILDING PERMIT Date . . . . . . .. 19�S INSTRUCTIONS f a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans,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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until %C94if ate'1bfl0c4upancy shall have been granted by the Building Inspector. 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 necessa spections. 4 .. (Signature of a scant, or name, if a corporation} .acoS Ca��, MC .es.t ? Ma;l . :Y .l;l.�rsL. . (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. .�►� u L�,> . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . , . . . . . . . ... . . . . . . Name of owner of premises -EG l.N . . .M LL./ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title.of corporate officer). Builder's License No. Plumber's License No. Electrician's License No._bob. 90CAR(4.. . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D.I f7. . . . . . . . . ..��lTt . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . .. House Number Street Hamlet, /' County Tax Map No. 1000 Section . . . :. . . "/. . . . . . . Block . . . . . . .. . . . . . . . . . . . . .,1. . (. . . . . . . , , LOt , , , Subdivision . � 'A'� � �1� . �� 1 .. , . . . . . , . Filed Map No. . . . . . . . . Lot . ate. . . . . . . . . (Name) 1 Sta t c { _ rr..t! 1' �a %l�li�.a and nt�r,dp 1 :cG' i... , .. y ` `: rostd CUIIS rUCtlOn: Y a. Existing use and occupancy `J:I.I'1�} Igrrn . `t . . . . . . . . . . . . . . . . . . . . . . . . J f b. Intended use and occupancy •3. Nature of work (check which applicable): New Building ✓ Repair . . . . . . . . . . . . Removal . . ' ' ' ' • • • • • Addition . . . . . . . . . . Alteration . . . . . . • • • . . . . . . . . Demolition , , . . . , . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . .v2 4 (Description) rQOt,©�, , . : . • • • . . . • . , . . . . . . • . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S. If dwelling,number of dwelling units (to be paid on filing this application) If garage, number of cars . .. . . . . . . • . . . . . Number of dwelling units on each floor . ._. . . ; , , , • • • • 6. If business, commercial or mixed occupancy, specify nature and exte • . • • • • • • • 7. Dimensions of existing structures,if any: Front . nt of each type of use . . . . . . . . . . . . . . . . . , Height . . . . . . . Rear . . ... . . . . ... . . . . Depth . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front • • . • • • • • • • ' ' ' Depth . . . . .. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . • Height ; Number of Stories . . • 8. Dimensions of entire new construction: Front . . Rear . • • • . . . . . . . . . . ' . Depth .Height . . . . . . . . . . . . . . . Number of Stories.. . . . . . . . . . . . . . . . . . . . . . . . . . . . p . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . .: . Rear. . . . . . . . . . . . . . . . . . , . . . .Depth. . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . Name of Former Owner 11. Zone or use district in which premises are situated . • • • • • ' ' ' ' ' ' ' ' ' • ' .12. Does proposed construction violate any zoning law, ordinance or regulation:• . • . , . . . . . . . 13. Will lot be regraded . . : . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: • . . . .Yes . • • • 14. Name of Owner of premises . . . . . . . . . . . . . . . No . . Will .Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . ' • Name of Contractor . Address . .Phone No. • • • . . . . ' 15. Is this property within 300 feet of a tidal wetland?� � *Yes� � • � • • " " " " " " .. . . . . . . .• No. . . . . . . . . *If yes, Southold Town Trustees Permit may. .be required. t PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. UNpERwRIT CERT*VATE AP RO ED AS NOTED REQUIRED DA B.P.# k; FEE: NOTIFY BUILDING DE F, 765-1802 9 AM TO 4 FOR THE y FOLLOWING INSPECTIONS: TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE .FOR DESIGN OR CONSTRUCTION ERRORS TATE OFNE� 0C S.S BOUNTY OF . . . . . . . . . . 1� n . . .11!1. ��. ��p. �.. • • . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) Bove named. eis the . . . . . . .. . . . . . . . . . . . . . . . . . . . 1. (Contract , agent, corporate officer, etc.)• . • • • • • • • • • ' ' said owner or owners, and is duly authorize to per or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . �: . �1. . ... . .day of. . .5 Y r 19 -tary Public, . . . . . . . . . . . . . . . . . . . �t. . . .�11 County . . . . . . . . . . . . . . . . . . . . ELIZABETH'A. ;'L!-[. Notary K+bl!-: •w York (Signature of applicant) No.52-312'" ; cr unty Term Exr•F --/ t , t i §' a, �.•. N Fre a or IV -701 f r L 138 8� 4 X10 ��F ` _.— • — C�j WOOS F4'sK Z \ A lor r -— 197.7 ti ..T t ; 334 f tAl— f U L i` __ V v 6 y • Y 3oe r _ �1 t� .� �► eco /'``�, � ° 'l4/Yt 1 Jt. L• E i 334 I6 } :JN T e to ft � � Unauthprlx �pr EdupWpq " ' O W PEQTYtvit -- - .. o to the tuo".©uarar tseF Oro tlpt 1(�p111(�N to adLm ol or f °` FEB ` 1995 .� '� l r LLY v iceowners TITLE NO-9308-06556 �", BLDG.DEPT. 1r.�i♦ - -._..., _._ _._. . TOWN OF SOUT�iOLD t "- \\ 191 t, (EVw .fir. ..--.. ... ._,...- -- _.... �. .• }� C ` r�j-}�,i . :iUAk.tiTEED TO CNIC�.Cs4 " r t2EFeR Tq�MAP fl CER Rh1ZC ��oF v yo FTaui �oe�u11_ SAvtNGS a LOAN tATN 1 E S+.1F"l". 3.Gt ; S 9 yrr��9 AS ►4ZV PAY E n. . t3. MOO Imo- * _.. t t F�Lev ANO f may) LIC U0,10 SUiZV ♦'O fZ S A u.