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Home My WebLink About25604-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26566 Date: 07/15/99 THIS CERTIFIES that the building ADDITION Location of Property: 340 PRIVATE RD #3 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 6 Lot 5.1 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 26, 1999 pursuant to which Building Permit No. 25604-Z dated MARCH 16, 1999 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 REPLACE EXISTING DECK WITH A NEW DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICIA A BUERKLE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A ~~B~r FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25604 Z Date MARCH 16~ 1999 Permission is hereby granted to: PATRICIA A BUERKLE 340 PRIVATE RD. #3 for : CONSTRUCTION OF A NEW DECK SOUTHOLD~NY 11971 (IN KIND/IN PLACE) SINGLE FAMILY DWELLING AS APPLIED FOR. FOR AN EXISTING at premises located at 340 County Tax Map No. 473889 Section 070 pursuant to application dated FEBRUARY Building Inspector. PRIVATE RD #3 SOUTHOLD Block 0006 Lot No. 005.001 26 1999 and approved by the Fee $ 75.00 ~A~t~~or~gnature ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thfs application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of ~property with accurate location of all buildings, property linea 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 build~' 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 Ppre-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 appiicar If a Certificate of Occupancy is denied, the Bnilding 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-existinK Buildinm - $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 Date ...................................... Const etion ........... Ol . r Pre-existing Building. House No. Street Hamlet Onwer or Owaers of Property ....... looo B1 .... ty Map · Coun Tax No , Section ....... ock ............... Lot ............ Subdivision .................................... Filed Map ......... ~..Lot ..... ~ ~ ~ Date Of permit '~.~./.~.~..4..~....Applicant~-~.-~-~.'.C-(.~--.~-:.~'~ Permit No .... .~ .......... - · · ' ' ' ...... Health Dept. Approval .......................... Underwriters Approval .................... Planning Board Approval ....... Request for: Temporary Certificate ........... Final Certicate ........... ~o ~ ~3-%~ ........... II II ~OUG~ FRAI~ & II INSULATION PER N. Y. STATE ENERGY CODE II II II II ADDITIONAL C01~IENTS: EDWARD FORRESTER Director of Code Enforcement BUILDING DEPARTMENT TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765-1802 July 14, 1999 Daniel Finne 120 Center Street Greenport, NY 11944 RE: Patricia Buerkle, 1000-70-6-5.1. 340 Private Rd., $outhold. 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 # 25604-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. 765.1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS INSPECTION [ I ROUGHP/~L~ [ ] INS/ULATION [~/I~AL DATE ~//f ~F INSPEC~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~E & CHIMNEY DATE ~/~//~ INSPE ~C7~~ ALL_ C %UPANCY ,.iSE 'tS UNLA¥/TUL ¥~'ITHOUT CE?' OF OCCUP^;,: ~ 5-3 APPI~QVED AS NOTED I~- BUILDING DEPA~MENT AT 765-1802 9 AM TO 4 PM F~ THE ~LLOWING tNSPE~IONS: 1. FOUNDATION ~O REQUIRED ~R ~URED CONCR~E 2. ROUGH F~tNG & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST ~ COMP~E FOR C.O. A~ CONSTRUCTION SHALL MEET ~E REQUIREMENTS OF THE N.Y. STAT~ CONSTRUCT~O~ · E~E.~Y ~ ;.9p~ NOT ~S~gy~mLE ~ OR CO~TR~C~N~RRORS~ .FORB NO. ! TO~N OF SOUTUOLD BUILDING DEPARTHENT TO~ HALL SOUTHOLD, N.Y. 1197 I TEL: 765- 1802 ~-~mined .................. 19 .... Disapproved a/c ......................... ~Buildiug Inspector) ,ICATION ]FOR BUILDING PERMIT BOARD O¥ HRALTtl ............... 3 SETS OF PL&NS ......... ' ...... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... NOTIFY: CALL .................. MAIL TO: .................... L---n-c-~o ~..~ J zuST~UCrZO~S ' .............. ' '" ~f I TOWN OF kOUT~OLO '. ~ a. ~is ~li~tim ~t ~ ~letely fi11~ in ~ ~iter or in i~ ~ ~itc~ to ~ ~filding Ins~tor ~tl 3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~i~ to b. Plot pl~ ~ l~tim of lot ~ of hildi~s m ~s, ~lation~ip to ~joining pr~s or ~lic str~s or ~e~, ~ givi~ a ~tail~ ~riptlm of l~t of p~ ~t ~ dr~ ~ fie di~ ~i~ is ~rt of c, ~ ~ ~ ~ ~is a~li~tim my ~t ~ ~ ~fore isle of hildi~ Pe~t. d. ~ ~1 oi ~is ~li~ti~, ~ hildi~ I~ctor ~11 is~ a ~ildi~ Pe~t to the ~li~t. ~t ~11 ~.~t ~ ~ ~s ~ail~le for in~ti~ that ~ e. ~ Mildi~ ~11 ~ ~i~ or ~ in ~]e or in ~ for ~ ~ ~at~er mtil a ~rt{ficate of ~ ~all h~ ~n ~ ~ ~ ~ldi~ I~t¢. ~I~ IS ~V ~ to t~ hildi~ ~t for ~ isle of a hilding ~t ~t to the ~ldi~ ~ ~i~ of ~ ~ o~ ~ld, ~ffolk ~, ~ Yo~, ~ o~er ~li~le ~s, ~i~s'or ~ati~, for ~ ~t~tlm of hildi~s, ~iti~s or alteratJ~, or for r~al or ~llti~, ~ri~. ~ ~li~t ~s to ~ly ~ all ~li~le l~s, ordi~es, ~ildi~ c~e, ~i~ ¢~, ....... ...... (Si~t~e of ~llmt, or ~, if a ~rati~) (~zli~ ~ess of State ~f~e_ the¥~ailplicant is o~er, lessee, agent, archztect, engineer, general contractor, electrzclan, pltmber or buz]der. o, r ................... ..... .................................... (as on the tax roll or latest deed) / If appllc~mt is a corporation, signature of duly authorized officer. (Nmne and title of corporate officer) Pl~rs License 8o ..................... .. ... Electricians License No ...................... ~r~'~ ..................... ~' ~ ~. ~z~ l. ~ti~ of 1~ ~ ~i~ ~ ~ ~11 ~ ~ .............. ~Z-.,, ............. ..... ..... .................................................................................... ~ ~r Strut ~et z ~~. ,~ ~ ...... ~.~ .... ,,~..' ..... o..~... ~ ..... ~,.Z... ~ivisi~ ...................................... Fil~ ~ ~ ................ l~t ............... (~) 2. State ~st~ ~ ~ ~ of ~i~s ~ inte~ ~ ~ ~ of ~o~ ~st~ti~: ~ ~.~ ~ ~ ~ .............. ~ ...... ~~ .... ~ ::X~ .......... b. ~t~ ~ ~ ~ .................. ~ ........... ~ ............... : '-. ,:~;~.~,~"~ .............. 3. F,~ture 0f ~ork (check ~hich applicable): ~ I~ilding .......... t~idltion ........ ~f)A~l~te~ion .......... ~epair ............ ~l ............. ~1 iti~ ..... ~. .... Oflmr ~ .... ~ ...................... ; ~ripti~) 00,, ~O ~, Es~i~ ~s~ ..... ~ ................ f~ .............................................. : (to ~ ~id ~ filt~ this 5, I~ &~lli~, ~r of ~lli~ onits ...... ~r of ~lli~ mits ~ e~ fl~r ......... If garage, ~r of ~rs ..... ; ..... .~ ..................... 6. If ~imss, ~rcial or ~ ~, ~i~ mture ~ ~teet of ead~ ~ of ~ ...... ~/~. ......... 7, Di~nsi~s of ~isti~ st~s, if ~: ~t ..... /.~ ...... ~ar ...... ~.~ .... ~pth .... ~ ........ I~i~t ...... ~ .............. ~ ~r of Stories ........... ~ ...... Di~i~ of ~ st~e ~th alterati~spr ~itlons: ~ont ....... ~.~.... ~ar .... .~.~. .... ~pth ......... ~ ....... ~i~t ...... A~ ~. ....... ~r of 8Corles ...... 8, O~ns~ of entxre ~ ~st~: ~t .... A ~ ....... ~ar ...... ~. ~ ..... ~p~ ...Z~ ........ ,~i~ .......... /~ L~ ........ ' ~. o~ s~o~, ..... ~/~..~ . I0. ~Ce o~ ~rd~ .... ~ of Four ~r ....................... I I. ~ or u~ district in ~i~ p~i~s am s~t~ .............................................................. 12. ~s ~ ~r~t~ vxol~re ~ ~ 1~, o~e or re~la~: ........ ~ ......... {3. Will lot ~ ~ ....... ~ ......... W~I1 ~ss fxll ~ ~ ~ ~. 14. ~s of..~r of ~s .... :.f~ ................. ~rees .................... '.'.;. ...... ~ ~....,~*,= ....... ~ o~ ~,,~ ........... ~/< ............. ~se ................ , ............. ~ ~ .............. ~ o~ ~t~to~ ... ~.. ~.~.. ~ese ............................... 15. Is fids p~r~ ~fl~in ~ f~t of a till ~tl~? * ~ .......... ~ .......... PLOT DIAGRAH l~cate clearly and distinctly all boildings, ~d~e~her existing or proposed, and indicate all set-back dimensions ~m proper~y lines. Give street and,blnck nmber or description according to deed, and sho~ street frames and indicate ~d~ether interior or corner lot. (L~l~ IY OF ....................... (~ of i~ivi~ ~i~ing ~mtract), ~ i~ u,~ P-"Zi'i"7"7 .................... : .......................................................... of ~id ~~ ~ is ~ly ~thor~r~ to ~rgom or h~ ~r~o~ O~ ~ld ~ ~d to ~ ~ ~lte this ~licatlon; that ~ll stat~nts cmtal~ {n ~is ~llcatlon ~re t~ to fl~e ~st o[ h{s ~l~ ~ ~liefj ~ tlmt the ~rk will ~ ~rfo~l in the ~r ~t forth in fl~e a~licatim fil~ t~. ~m to be[ore m~ this ..... ...... ~OBERT I. ~a~ Pubtic, State of New Quallfi~ in Suffolk Coun~ No. 01SC472508~ - ~m ~pires May ~1, (Signature o[ Applicant) p/pe cml N/O/F ' pRIVATE ROAD 50J $9.~/ , S. 85'34'40' W. 68.61' R. & F. LaRIVIERE , PINE NECK ROAD ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION: OF SECTION 7E09 OF THE NEW YORK ,,eTA TE EDUCATION L~AI¢~ EXCEPT AS PER SECTION '7EOg'~SUBDIVISION E. ALL CERTFICA TION~ HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAI= OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE S/GNA TURE AI~EARS HEREON. ' ADDITIONALLY TO COMPLY WITH SAID L~W THE TERM 'AL TERED BY' MUST BE USED ElY ANYAND ALL SURVEYORS UTILIZIN~ A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SOCH AS '}NSPECTED' AND 'BROUGHT-TO'DA TE' ARE NOT IN COMPUANCE WITH THE LAW. AREA = 10,257 sq. ft. SURVEY OF PROPERTY A T SOUTHOLD ' TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - XO- 06- 5.1 SCALE 1"= 20' AUG..22, 1997 ~ IE$O ' TRAVELER SOUTHOLD, N. Y. STREET 1~971 97-264 C ,C./ OCCUPANCY OR USE iS UNLAWFUL WITHOUT CERTIFIC/~TE OF OCCUPANCY 0 APPLIQUED AS NOTED - ~. ~~= ,I,~,~ 765-1802 9 AM TO 4 ~ F~ FOLLOWING INSPE~IONS: 1 FOUNDATION - ~0 REQUIRED FOR POURED CONCR~ 2. ROUGH - F~MING & PL~ 3. INSU~TION S~TE CONSTRUCTION · ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS/