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Home My WebLink About25193-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26511 Date: 06/18/99 THIS CERTIFIES that the building ACCESSORY Location of Property: . 360 NORTH BAYVIEWRD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 70 Block 13 SOUTHOLD (HAMLET) Lot 18 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1998 pursuant to which Building Permit No. 25193-Z dated SEPTEMBER 23, 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 ACCESSORY STORAGE SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JAMES & AGNES FERGUSON (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 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. 25193 Z Date SEPTEMBER 23 98 Permission is hereby granted to: JAMES & AGNES FERGUSON 764 NORTH WILLIAMS ST BALDWIN~NY 11510 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 360 County Tax Map No. 473889 Section 070 pursuant to application dated AUGUST Building Inspector. NORTH BAYVIEW RD SOUTHOLD Block 0013 Lot No. 018 5 98 and approved by the Fee $ 35.00 Buildi~g~ns~ect o~' ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo Th~s application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of ail buildings, property line~ 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. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a 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 applican 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, Swimming pool $25.00, Accessory building~00~ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildinm - $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 New Construction....~..'./ .... Old Or Pre-existing Building ................. Location of Property.~.~..~.~.,.~/.~.~.~/~. .................... .~..~?.~..c~-.~..~. ......... House No. Street Hamlet Onwer or Owners of .... . .................. County Map No 1000, section. ......... ' ........... .............. Subdivision ............................... . . ... Filed Map ............ Lot .................. Permit No.~.~-./.~.--~....~....Date Of Permit..~/.~.~.....Applicant .......................... Health Dept. Approvai..~ .................... Underwriters Approval.~/a~. ................ Planning Board Approval.~ ................. .. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: :IELD i;;S !~EC?I'ON ~ C OMM£NTE ~OUNDATION ~OUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING' I~SULATION PER N. STATE ENERGY CODE 'FINAL ADDITIONAL COMMENTS: 0 ~/1 LL. IAM ZAN D-F 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ]~JCATION [ ] FRAMING [~j"FINAL [ I FIREPLACE & CHIMNEY /10~ -5 1998 FORH HO, TOI~IN OF 80UTIIOLD 'rot~l IIALL SOUTIIOLI), H,Y, I { 971 l')i sapt)rovc~l ~/c .................... (lkgldin& lnsf~or) ~J , APPLICATION FOR BUILI)IHO PIIRtllT 3 $~T$ O~ ~t~HS ..... .... SURVEY .,.~...'' · ' $~TIC ~Olllt ................... ]It$'I'RUCT]OH~ u. lhts application .out ~ ~letely ftll~ tn by t~riter or tn I~ ~ 3 ~ts ,of O~,. ac~rute plot plan to ~ale,, F~ ~rdl~ to ti~ o[ lot ~ o[ ~tldt~s ~ ~s, ~lacl~lp to ~joini~ p~l~s Or ~l)lic str~rs or ureas, ~ givi~ a ~tuil~ ~ar~ptl~ o[ lsy~,t of pro~rty ~mt ~ dr~ ~ . this u~)l ic~ti~. ' ~-, ~ ~mit ~mll ~,~pt ~ ~ ~s ~all~le got i~tt~ theft tim e. ~ ~ilfli~ ~mll ~ ~pt~ or ~ In ~le or tn ~rt for ~ ~ ~lati~s, ~or tim ~t~ci~ oi ~dldt~, ~ltt~s or alter~Ct~, or for ~al or re~{l~ti~s,~ Co ~lC ~rt~ i~tors ~ ~mi~s s~ tn ~{ltt~ for ............................ (Bi.tufa o[ ~l{~t, or ~v:~. ~a .¢~F.~.~R ~.. fa~JP,. ~ E ....... State ~a~r ~licanC Is ~r, les~, ~enC, urchlt~t, engt~r,' ~rat ~t~tor, el~trict~, pl~r or Ixdhle .... ~.~ <<.. F~!~.~ ~ ,~. / ~ ~e ~ ~ ..................... · ...... ~ '~'~ ........... · o. e, .......... (~ ~ tim tax ~11 or lu~esC ~) Ie ~a~lic~ io ~ co~r~t ~, si~re o~ duly ~tl*~ri~l o~icer. ................................................... 'O (IUPANCY OR (Igare and title oE corporate oEftcer) USE IS UNLAWFUL ~.,n~*, u.~e,~ ~ ...................... WIIHOUT CERTIFICATE OF OCCUPANCY Plumbers License 1~o .......................... l~lectrici~ns License Bo ...................... I ~ ' TWO REQUIRED 4. FINAl. - CONStRUCtION MUST BE ~ FOR C.O. A~ CO~TR~TION~HALL MEET THE REQUIREMENTS OF THE N.Y. ~A~ CONSTRUCTION & ENERGY I0. --~' I I, I~. 13. 14. 15. (to Will IcC Im r~r~ .~ ....... , ......... ~ill ~ens fill Im r~ la this p~rty ~lthln ~ f~of a el(~l ~tlaM~ * ~ .......... ~ .......... . : PI,OT D~fAGRAH. Metier lf)teeJor or ~r lot. ' ' .... ~O.~4~.~~,e.. .......... ~'~¢~ ~ ~,rn, deix)~s n,xl ~y. ti,et he i, the (~ ~,~ I,~ll~t~e~)A u,a ........................ ................................... that thg ~rk ~lll I~ ~rfo~l In tlm:n~e~r ~t f~rth in Lite n~l, lentka~ fil.~ ,'..~,x)m LO bel~oce ~ th{e , , ...... ~ .......... tley o1~ ~,~.,, :, .... Nota~ Public, State of New York No. 495~364 ' Qualified in Suffolk ~oun~ ~ Commission Expires May 22, 19 / L (ail[vel:ute ¢)~ ^pl)llcant)