HomeMy WebLinkAbout18704-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218954 Date APRIL 4, 1990
THIS CERTIFIES that the building ALTERATION
Location of Property 360 NORTH BAYVIEW ROAD SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 13 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DEC. 14, 1989 pursuant to which
Building Permit No. 187042 dated DEC. 22, 1989
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 INSTALL A TOILET ROOM IN EXISTING ONE FAMILY DWELLING.
The certificate is issued to JAMES J. FERGUSON. JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N114457 FEB. 15, 1990
PLUMBERS CERTIFICATION DATED INNOVATIONS PLUMBING MARCH 9, 1990
C~G-c..
Building Inspector
Rev. 1/81
roans xo. s
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)
N Q ~. 8 7 0 4 2 Date ....~~~ ~- ................................. ) 9....~.~
Permission is/~~~e~jreby'~//gam/rjanted//jJt/o~~:(/f~ / ~1 /%n
......,.~..•`~...'.JYi....~ ..........................................
~G
to . ...~.........~••••...fk.~A~~'3......~.....~E j~i!j'1..~'r......G~~'
..........
cY premises aced at ......~.~p..~......r`l~ ........ ......~.~...........................
.~....:.~~.!y~.: / ........................................................
Caunty Tox Map No. 1000 Section ......7~':......... Block ...,,rt',,,~'........ Lot No.......~~
j ...........
pursuant to application dated ........~~. „(.1..f~.- ............................... 19.~.~.., and approved by the
Building Inspector.
Fee $....5./..r!,~,~ ~,C
00
............
uil in nspectur
Rev. 6/30/80
TOWN OF SOUTIIOLD
BUILDING DEPARTtIENT
TOWN BALL
SOUTIIOLD, NEW YO12K 1197
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPAMCY
DATE.3.~1L90 ... - -' - - .. .
NEN CONSTRUCTION X. .....OLD OR PRE-ESZSTING IIUILDING......VACANT LAND........
Location of Propcrcy...,h0.No.th.Bayview Road: Southold.._I ........ .. ..........
UOUSE NO. STP.EST UAMLET
James J. Ferguson, Jr.
Owner or Owners of Propcrty ...............................••-•••--_---------
13 18
County Taz Hap No. 1000 Section .~~.._ Block ...._._ Lot'....._...
Subdivision ....................... Filed Map _.......Lot........_.
18704 Z 12/22/89 Ron Morizzo builder, Inc.
PermiC No. ..._..Date of PcrmiC ._...._...AppLicanC ....................
Qealth Dept. Approval .................. Underwriters Approval......._....._
PlanninU Board Approval ................
................
Request for Temporary Certificate ....... Final Certificate X
Fee Submitted: g „?5.00 ..............
c /~
U YLeo -
APPLICANT......... ....................
~ ~(~f9~
Ca z~ Sys `f
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FORM NO. 6
TOWN OF SOUTIIOLD
BDILDING DEPARTMENT
'~. i TOWN HALL
765 - 1802 ,
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. This application must be'',filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, pYOperty lines,
streets, and unusual natural ar topographic features_
2. Final approval of Death Dept. of water supply and sewerage-disposalCS-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from Rlumber certifying that solder used in system contains less
than 2/10 of IZ lead.j
5. Commercial buildings,'iindustrial buildings, multiple residences and similar.
buildings and installations, a certif.i.cate of code compliance from the Architect
or Engineer responsib~!le for the boil"ding.
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 prl petty showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a titlr_ company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If n Certi.ficat~ ~*f. Ocr,.upanc~~ ?s denied, the Building Inspector shall state the
zeasons therefor in vYiting to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent informatiou~ required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior to April 9, 1957 shall also accompany
the application. If'ia Certificate of Occupancy is denied, the Building Inspector
shall state the reasgns therefor in writing to the applicant.
A. FEES:
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dw~lling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Orcupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.0,0 Residential
Commercial
I
ev, 10/14/$$
___ T _ ~ _ _ __ _ ___ __
_. ~-.
~+ i
THE NEW YORK BOARD OF FIRE UNDERWRITERS IT~t=~~
I (111(1 ~'
~ I
~
BUREAU OF ELECTRICITY
- 8S JOHN STREET, NEW YORK, NEW YORK (0038
~~ I~"~;Bk[tAMtY lti,3`?`)il APPIicaHonNo.onfile 6(i~;?b4.~t0/'?0 N 31.145'7
THIS CERTIFIES THAT
only the electrical equipment os described below and introduced 6y the applicant homed on the above application number in the premises of
SAHE;5 PF",RGt1aC7N, )Fi0 N. BAYVIF;ia, St1UTBOT,tt, N.Y.
in thefollouinq lncotion> ^ Basement ~' lot Fl. ^ 2nd FL 0111 Sertion Block Lot
1
99!1
'JANI)ARY A:.~
.
,
was examined on
and found to 6e in compliance with the reyuirementsof this BObrd.
pXTURE KEPTACUiS SWITCHES RXTURES RANGES COOKING DKKS OVENS DISHWASHERS EXHAUST FANS
DUTtETf INGNDESCENT FIUpIESCENT OTHER NAT. N. W. AMT. E. W. NAT. E.W. NAT. t. W. MIT. N. P.
f ~ ~ ~I f~
DRYERS RIRNACE MOTORS FUTURE AMItANC! FEEDERS SFKIAI RK'/T 71A1E CIOCKS tEll UNIT HEATERS MULTI.OUTIET DEAMERS
AMT. E. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMi. AMP. AMi. AMPS. TRANS. AMT. N. P. SYSTdAS
NO.OF R!T AMi: WATTS
SERVICE DISCONNECT NO. t1F S E R V 1 C E
AMT. AMP. TypE METlR
EQUIV. 1 p tW 1 p ]'I/ ] O ]W ] / 4W NO.OF CC. COND. A. W. G. NO. Of HPLEG A' W' G' NO. OF mUTRAUi A. W.G.
PER a OF CC. COND. OF HI-ILO OF NEUTML
1 2lttr CH I g f ;./fl T Y/0
OTHER MFAMTUS:
bt7.k1N
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LY F08 NEN Bh'['71N<H,'M &- i
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PAtd1, tt. BtTRNS 1,1:r`,q?.f3'T. F;
27ti TOWN HARBOR 1,ANf:
SOiITBI)GD, DTY, 11971 GRNRAI MANAGER
1 L "', ~~,
Per l
This certificate mast not be altered in any manner; return to the office of the Boardif incorrect. Inspectors may be d`~ ied by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT 6E ALTERED IN ANY MANNER.
.~
TEL. 765-1802
p~~~~~~CO~, TO'SR~N OF SO~JTF30JLPJ
o .. .,.~ .- ~~
,? f,,, .~;, . ~ OFFICE OF BUILDIPIG INSPECTOR R II~i r2
o `~ ' ~ ~= P.O. BOX 728 ~ U" Q U U" n
E ~ .~
~' ~: ~~ `'' rn TOWN HALL U
~~0~ ~ ~~0`r SOUTHULD, N.Y. 11971 ~ •~
C E R T I F I C A T I O N
Date 3/R/90
Building Permit No. 18709 Z
Owner _ James Ferguson, Jr.
(please print}
PlumbersrriOv(~~-1~5 '~~Lt.m~eQ~LY1Q
lnl nZc,~ prlnte
I certify that the solder used in the water supply system
contains less than 2/10 of la lead.
Sworn to before me this
day of ~~c1~ ,
19~.
(plumber's signature)
Notary Pu is
t7otary Public, '°~'~~
~~~-(~-C,~` ~: County Nat~tg'P+d~.~tat~aff~vtYsl~f
PiR,`. manta <7:?Wry,3
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ADDITZOt1AL COMMEtITS:
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 7G5-1802
Examined .j~,/~:~. • • • • •, 19 .~.y9
Approved ...~%~..~ ~ ...., 19~ Permit No..~~~~~~
DisaPProved a/c .................................... .
BOARD OF HEALTH ............
3 SETS OF PLe1N5 ............
SURVEY .....................
CHECK ......................
SEPTIC FOR21 ................
NOTIFY Ron Morizzo - 765-5772
CALL .....................
MAIL T0:
......................................... .
t_~.'/. ..eat,...
uildi n .ector)
APPLICATION OR BUILDING PERMIT
December 12, 89
Date ................... 15...
INSTRUCTIONS
a. Tltis 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, relatiottship 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 Pcrmii to the applicant; Such permit
shall be kept on the premises available for inspection throughout the work. Ilii~1~=~ ~~'~ ~ ~ ~ '
e. No building shalt be occupied or used in whoh,~~r,;ntp~~,'f~~t3ny purpose whatever until-~gCertifc""ate of Occupancy
shall have been granted by the Building Inspects"t?`I?~~«~'"`~" ~ '~` ~ "`~`"`""'°""
APPLICATION IS HEREBY MADE to the Building Department for the issua~cejdfla~`Building'Pefmi# pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, nand b~(hE~r~2ppPica~6le Laws, Ordinances or
Re,ulations, for the construction of buildings, additions or alterations, or for removal or dem"oliti'on, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, buIlding code's<hepul~t~t~.code, and"regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. ,": , "~° '
Ron Morizzd~l-BGii~iltd`er~, I~n~.
(Signature of gpplic~ant, Qr name, if a corporauon)
,.,•PrO., Box 789, Southold, NY 11971
(Mailing a}¢,~,resg of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, genera! confrac;'tor, ,electrician, plumber or builder.
GerttLra]. Contractor -
................................................................................................
Name of owner of premises .... James J. Ferguson, Jr. ~~~~~lki
............................... ........
(as on the tax roll or latest de I ~~'°' "'~
If applicant is a corporation, signature of duly authorized officer. ~~t-,~lr~,vt'~ y a , ;• ;~~-~¢~ i:.~f
..............................................
(Name and title of corporate officer)
Builder's License No. 6772 HI
................
Plumber's License No . ....................... .
Electrician's License No . ................... .
Otltcr Trade's License No . .................... .
Location of land on which proposed work will be done.
PLUMBER CERT/F/CATION
ONLEAD CONTENT SEFORE
CERT/F/GATE OF OCCUPANCY
SOLDER USED IN W,gTER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 of 196 LEAD.
360 North Bayview Road, Southold
.............................................................................................
House Number Street, Hamlet
U-
County Tax \tap No. 1000 Section ........ ~ ........ BI'vck ....../.: ?, , , , , , , , , Lot .....~ ~.......... .
Subdivision ..................................... Filed ~Iap No. .............. Lot .............. .
(Name)
~. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , , , , . One family
........ dwelling
...................................................
b. Intended use and occupancy . ., One family dwelling with additional 1/2 bath
x
XX
3. Nature of work (check which'~applicable): New ]luilding • • • • •~• • .. • Addition .......... Alteration ....... .
Repair .......... •Ittaval .............. Demolition .........~.AQt~.Vork'.......... ~..
.... Rc
! (Description)
4. Estimated Cost...... 5,000 ......................... Fee....................................
~ (to be paid on Fling this application)
5. If dwelling, number oC dwcllirjg units .. . .. . ......... Number of dwelling units on each floor .............. .
If garage.nuntbcrofcars .......................................................................
6. If business, commercial or miffed occupancy, specify nature and extent of each type of use ................... .
7. Dimensions of existing structures, if any: Front .. . ......... . .. Rear ............... Depth ............. .
Height ...............NumberofStorics.......................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..... , , ......... .
Depth ..................'~ .. Ileight ......................Number of Stories .................... .
$. Dimensions of entire new constnrction: Front . . .... . ........ Rear ..... , ......... Depth .. • , , ........ .
Height ...............NymberoFStories...............................,.......................
9. Size of lot: Front.........',..........•. Rear ...................... Depth .....................
10. Date of Purchase ......... ' . .............. . ....Name of Former Owner ... , ... .
....................
1. Zone or use district in vvlticlt premises are situated ... . ........................................... . ... .
12. Does proposed construction violate any zoning law, ordinance or regulation : ............. . ..... . . • ........ .
13. Hill ]ot be regraded ...... , } .... . ...............Will excess fill be removed from premises: Xes Nc
14. Name of Owner of premises . ' . . ...... . ...... . • Address ........ , .........Phone No.............. .
Name of Architect ....... ...................Address ................. , .Phone No.............. ,
Name of Contractor ....... : ....... .:. ......Address . ... .. .Phone No......... ...:. .
IS.Is this property.lociated within~00 feet of a tidal wetland? ,*YLrS....NO....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly ajl 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. ~-----
aPp v as NIDTED
DATE: o o B.R N ~lJ ~ ~ REUnt I ~~ / ~ ~~ 1`
NOTIFYFY 8U~ DEPA T
F06-LOWWG NSPEC710N5: FOR ~ -~'KI~'~ ~Q,p4~ ~ '~
1. FOUNDATION - TWO REQUIl~ED ~ G~~
fOR POURfD GAN6RE'TE
2, ROUGH -FRAMING & PWM81,N0 ,
3. INSULATION '
a. FINAL - CONS7RIgCT10N MUST ~ µn
BE COMPLETE FOR C.'O. ~~,.'/~n may. ~Q
ALL CONSTRUCTION SHAL4 M~`ET~,arXrr't
THE REQUIREMENTS OF THE N.Y. P1Q°i1 /
STATE CONSTRUCTION ~ ENERGY
COt7ES. NOT RESPONSIBLE FOR 1
""S!(iN OR CONSTRUCTION ERRO,IRS ~lc,~n,,, w, ~J~
w VMS Lilr~9 iNBED ~ if capper tubing ire used
TE8T1~I~# iREi'JRH CQVERlN+3 ~'',
for Wator distributing
"` #F `~' p ~ • piping shah be
~,,,~ :t,-•-__~s~~ ~~~.~- N Q~rt~1 ~ System.
'~`'l~' "~ ~' ~' .~ t . ~_ of types K or L onl
,...,
STATE OF tvE1W YORkR;"` r~ ~- ~iv.Y
COUNTY OF .....:-, ~, ., ~;>€ ~ .1k`;;i. ~.:t :) ~ / ~'~ s.'h4,'~
..'.......... ~,t,t:,~::Ft r„"_~. E j.u.='.~£~ ~4.'~ ~~~~,~. „~ ...... being duly sworn, deposes and says that he is the applicant
above named. ?'•s` =` „>< t~'.
He is the ,
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle this
application; [hat all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mannei'sct forth in the application filed therewith.
Sworn to before me this
\. p
.............~.~ ..dayofL......~ftr4:=........,,19P.,~
Notary Public, , , , , ,:... ~ . ~~': Y.~':... County
17 T~RYxRU~M K DE VOE ............. .. ............. .
MEt UC, State of Meopw Y~~ark
• rto.47078 Ma,c30 ta9~-~ (Signature of applicant)