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Home My WebLink About24806-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25903 Date: 08/20/98 THIS CERTIFIES that the building ADDITION Location of Property: 322 TERRY CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 3 Lot 6.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 1998 pursuant to which Building Permit No. 24806-Z dated MARCH 31, 1998 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 AS APPLIED FOR. The certificate is issued to KEVIN M BOERGESSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A / ~/ Building Inspector 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. 24806 Z Date MARCH 31, 1998 Permission is hereby granted to: KEVIN M BOERGESSON PO BOX 855 SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION AS APPLIED FOR. at premises located at 322 County Tax Map No. 473889 Section 069 pursuant to application dated MARCH Building Inspector. TERRY CT SOUTH/PEC Block 0003 Lot No. 006.003 20 1998 and approved by the Fee $ 75.00 ~s~pecto ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-[802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00~ Sw~t,ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~. 4. Updated Certificate of Occupancy - $50.00 Date ......................................... Constz~ction .... ?. ..... Old Or Pre-~ist~g Building ................. ~cation of Property ............... 4 ...... ~ ............................... House No. Street Ha~et )mwer or O~ers of Proper ............................................ :ounty T~ ~p No I000, Section .... ~.? ...... Block ....... J ....... Lot ...... ~:-~ ............ ~ubdivision .................................... Filed Map ............ Lot.. } ................ ...... Applzcant ............... ' Unde~riters Approval Approval ......................... {ealth Dept. · ........................ ~lamning Board Approval - -- .Jequest for: Temporary Certificate ........... Final Certicate ........... do- ,~ &~gog ............................ Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 June 17, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Kevin & Karen Boergesson P.O. Box 855 $outhold, 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) XX No Underwriters Certificate on file. 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 # 24806-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 0 OCOU?A~C'¢ OR USE IS UNLAWFUL WITHOUT CERTIFICATE 'OF OCCUPANCY ~Io 15. i~;ltt~re oi~ s~ork (d~ck ~l;id* at~licable): ~ ~dlding .......... ~iti~ .~ ..... Alteration .......... I~l~ir ............ ~al ............. l~toli~ion ............ Other ~rip~i~) ............................................. (to ~ ~id ¢~ filing this u~ticati~) garage, ~*td~r of cars ...................................... Inmi~aa, ~m~rcial or ml~"~oq~, a~cl~ t~cura m~ ~tenc of ead~ ty~ of u~ ...................... I)i.e.si~m of ~iattng ~,~t~rea, if any: [~mt..,..~O,__....... ~ar ~............... ~pth ~ ............. Oi,enal~a o~ a~*~ atn~tn~re with alterati{~s or ~ lions: Front .... ~'A ...... ~ar l~pth .... ~ ............. Ihl~;C . , . ~i~r oi ~cories .~ ..... ' ........... ' h~a i)ro~l ~mt~ti~ violate any ~ln, 1~- ordinate or re-ulati~g 9111 IBC Im regra~ .................... gill ~:eaa ~ill 1~ ro~ ~n proai~al ga~a of t~r Bi pmul~s ........................... hklfeaa .............................. ~m ~ ............... gme af Arddtect .................................... ~lreaa .............................. ~ ~ .............. ~ of C~tr~Cor ................ ~klreaa ............................... pml~rty ~lthin ~ f~t. ofa ti~hl i~tl~? · Yl~ .......... ~ ..~ ..... Ihia PI.OT I)IAGRAH l~cate clearly m~l distinctly all bulhlinga, ~etl~r existing or pr~, m~ h~icate ail ~t-I~ di~nalona ~ trm~ prol~rt-y ll~a. gi~ atmt m~ bilk ~mi~r or Chacripti~ according to ~, a~ ~ street ~ea a~l i~licate ~ M~tl~r interior or cor~r loC., ~ ~ duly ~rn, delX)aea a[xl ~.aya tlmt he ia tim appl. i(u,~I: ~(}~ ~3Bl~?'l~P~ii.~ct*6~t,g al~t~.De..'~rl~rate ol!l~lcer, eec.) appl icati(ni; that all statalents c(~Ra[~] in I.hi8 alq)licaLlon are tn~ Lo Lhe tha~ th9 ~)rk viii I~ ~rfon~l tn the smmlmr ~t forth in the applicati(a~ ~rn to I~fora .~ Otis .......... ...... .... BERNADETTE L, TAPLIN NOTARY PUBLIC I~1844893 State of New Residing In Suffolk COU~Y ($11p~lt:ure of Apl)llcaut" ' ") FOEH NO. I TOWN ~F 8OBTDOLD BUll, DING DE PARTHENT TO~N IIALL BOUTIIOLD, N.Y. 1197i TEl.: 765- IR02 Pan. It No. : .... SURVEY ........................ CIIEC~ ......................... SEPTIC FOBH ................... NOTIFY: CALl ................... HAIl TO: ..... l~dldera l,tcettee N~ ....... ! ................... Plmi~era Ltcenee }Io ....... I ................... Electrlctsne l. tcenee No...iI ................... 4. FINAl. - CON~I'RUCTION MUST SE COIdI'LETE POfl C.O. ALL ¢ONSTSUCYION SI,~LL MEET Other Tr~le'a Ltcenae No, 'i ................... THE REQUIREMENTS OF THE N.Y. IF°V STATE CONSTRUCTION & ENERGY I State exieti~ u~ n~ ~y Of l~i~e, a~ intea~ ~e md ~ of pro~ c~tmctt~: (Nam and title o[ corporate of~tcer) n. 'lhia application mint be m~letely filled In I)y tylx~oriter or 3 ~te o[ plan~, ~e~rate plot p b. Plot plan ~l~ l~ett~ of lot ,tr~t8 or nrea~, nmi glvt~ n ~t~n[l~l ~rtpttm} o[ la. it o[ pro~rty mint Im (Ir~ *~ the (linden O~lcl* in Imrt of this nl~)l icntl*~. ' d. Olin a~)~al o[ this .~lleati~, the IBtldi~ Ina~ctor ~*[1[ t.~ a ~lldlng ?om{t to th~ .ppHca.t.. hlCh i~mlt ~all ~,k~pt ~ fl~ ~8 ~allable ~or hm~tt~ thr~m~t the ~rk. e. ~ ~lldl~ ~11 1~ ~t~1 or APH,lC~TI~ IS IE~ ~ t~ tim lhdldlng ~rt~nt ~or tho I,~e o~ n ~lldlng ~mlt ~rmmnt to 'the I~ilcling ~ ~lm~ o[ t~ T~ of ~Jtl~ld, ~fffolk ~m~, ~ Yo~, a~ otter a~lleable I~, ~l~o. nr ~datt~., [or tl~ ~at~tt~lof hdldt~., ~ltt~a or al. tGrat{~*, or for r~al or ~lttion, aa herein re~daCi~a,,m~ to ~tt ~rl ~ tn~tor* m ~t~s n~ In ~tldlng for ~ee~ tfl~tt~s, ................. : .... (~{g~mture o[ a~ltean~, or ~, I~ a cor~ratmn) ..... (~tlh~ ~lresa o[ a~ltcan~ ....... ~ ~ ~~ AT SLate ~tmtber applicant is o. mer lensee, agent, architect, engineer,' seneral contractor, electrician, ph~ber or I~dl(le S.60°Z6' E. Zc.-oM~C MAP OF ¢ i AF2EN an¢ AT TOWM OF 50~JTH S07.09 SEA LEVWL, PfDELtTY MATIONAL TITL~ iMSC.~C~ C0 RODERIOK VAN TUYL. P.C. LICENSED LAND $UR~Y~RS 6REENPORT NEW YORK SUFFOLK CO. HEALTH DEPT· APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE Wt~ CONFORM tO THE STANDARDS OF THE SUFFOLK CO. DEPT. Of HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES -- FOR APPROVAL FOR CONSTRUCTION ONLY DATE: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: P.o, ~X ¢55_ c-~gUTF4OL'.¢, ,1'4,~, ',1~7J ~Es. '765- 5-756_ ~So__s,-,'65-S_88~ DEED: L. P. tEST HOLE STAMP SEAL L