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Home My WebLink About27723-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31717 Date: 08/01/06 THIS CERTIFIES that the building ADDITION Location of Property: 360 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 2001 pursuant to which Building Permit No. 27723-Z dated SEPTEMBER 24, 2001 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & AGNES FERGUSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Au orized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled 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. F — 1 'd (, New Construction: f Old or Pre-existing ,B(�uillding: (check one) Location of Property: J L D 0 Q c.� w. .a.d ICI S o v t k o to/ House No. Street Hamlet Owner or Owners of Property: /4 5-, A e- R d S O Suffolk County Tax Map No 1000, Section 3 79 'T7l7 Block 00 J 3 Lot o 1 Cr Subdivision Filed Map. Lot: Permit No.oZ 7 7 a 3 Date of Permit. Y— Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ` (check one) Fee Submitted: $ 02 6-. 0-1) C,D 31"7 17 IL G —70o(o IrpliCant Signatur 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. 27723 Z Date SEPTEMBER 24 , 2001 Permission is hereby granted to : JAMES & AGNES FERGUSON 764 NORTH WILLIAMS ST BALDWIN,NY 11510 for CONSTRUCTION OF A 6 ' X 12 ' DECK ADDITION AS APPLIED FOR at premises located at 360 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0013 Lot No. 018 pursuant to application dated JULY 5, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Autho ed Sig ature ORIGINAL Rev. 2/19/98 ;�77e)- 3 M-1802 BUILDING DEPT. SPECTION [ UNDATION i ST [ ] ROUGH P G- [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �� DL A/ DATE INSPECTO FIE[.li INSPECTION REPORT DATE } COMMENTS v' y W FODNDATION ( 1ST)' _ � FObNDATION (2ND) _—__-- ----� _�_—_--__-_ _-___ --- --- ------- -=----------------- ----�_—_ m ROUGH FRAME 6 Lt1 PLUMBING � INSOLATION PER N. T. k� p STATE ENERGY CODE FINAL �I ADDITIONAL COMHKNTS: O lv so Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 CA Telephone(631)765-1802 Z�1- Southold,New York 11971-0959 :NN Cow, BUILDING DEPARTMENT TOWN OF SOUTHOLD MAY 8th ,2006 James &Agnes Ferguson 764 N. Williams Street Baldwin, NY 11510 RE: 360 North Bayview Rd. S.C.T.M. # 070 0013 018 Dear Mr.&Mrs Ferguson, Please be advised that your Building Permit#27723 issued Sep. 24th,2001 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$150.00 At that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Bu}lding Plan TEL: 765-1802 Survey 1/ PERMIT NO. 7 7;-3 Z� Check# Septic Form N.Y.S.D.E.C. Trustees Examined"44e. ,20 '41 Contact: Approved crle 20 Mail to: Disapproved a/c Phone: ^ � v Building spector � oil APPLICATION FOR BUILDING PERMIT Date J ,OVL 200 / INSTRUCTIONS 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupancy is issued 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 necessary inspections. ( ' tature of applicant or name,if a corporation) 9 12 ,✓. jjA"v Q sa u M.td I n ( (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder /ter. j 4,-t.. ro w Name of owner of premises J/hk LS 1�(2i&5 U°`-� (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 31-;,o ni , g,-✓ J House Number treet Hamlet County Tax Map No. 1000 Section 7 J Block / 3 Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use aqd occupancy of proposed construction: a. Existing use and occupancy 5-'61G r b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 7 '/rte .111 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front y7 Rear Depth Height Number of Stories 9. Size of lot: Front ?D-z�> Rear /Br, Depth / fy 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 re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO_ e IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) S: COUNTY OF /� // ( �(t [( e being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contracto ,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 file this application; that 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 manner set forth in the application filed therewith. Sworn b fore me 1= this J day of u r 2 20 Notary ublic Signature of Applicant �CIARE L GLEN Notary No.01 GL4879605 W York Qualified in Suffolk,o Commission Expires Dec.9. -UfJa— BUILDI T -i-'1-4L\J,-L I LVVIJ y k J[I Applicant/ Date Owners Naive: 6; > Reviewed: Architect/ Date Engineer: Submitted: S�e7 SCTM #: District: I.000 Section: Block: 1 t.ot: Project36Subdivision 0 Location: �• Name: Sin&le& separate Required certification: (Yes/No) ' Rey. Rcy. Zoning District: (Lot size: Actual: 6 l ("I coverage�Propowd Req. t / Req. 7 / Req. (front Yard4�Proposed: (Side Yard Proposed: J (Rear Yard .50 l Project Description: Ice,, dizz 4 S�,,, AGENC=ERMITS Permit REQUIRED FOR REVIEW N.A. ISO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: t n: J3 lJ 1 L D 1 I� `L��,] '11 �-��_'_Vl T-rTJ ZVT �JL I_L Applicant/ Date Owners Name: L Reviewed.- Architect/ eviewed:Architect/ Date Engineer: Submitted: SCTM #: District: 1 000 Section: 13 lock: _ Lot: Project „QQ� �� Subdivision Location: �36o Y)- �"�'°� ” --�— Name: Sin&le& separate Required certification: (Yes/No)��•` Req. Itcy. ' Zoning District: I1•0t size: �� Actual: I It.ot coverage 4�- Proposed 2b va Req. / Req. _ / Req. I1'ront Yard4&/ Proposed: t1dI (Side Yard / Proposed: I (Rear Yard ,5_�77Proposed�� _ o{ Project Description: s AG NOVERMITS Permit . REOUIRED FOR REVIEW N.A. ISO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes,-- &A Jul-16-98 10:05A GARY FLANNER OLSEN.ESQ. 616 734 7712 P.02 Q�ran 1 LeiCht at p N.84045*00"ENZ. 1 .Sp,p � VGs nes-7'Goalh O O W_ N J O M N s,.ct�op dri.a.•+y Q r i N v . m a �9 _ 0 z ; Z 5. ;•O 30 160.0 CArwI„ I �1L r 3 C07 �p Mww OF 4,ANQ swOwfyro Rot �/1 I.L.IAN1 W * MARY O. VAN ZAN PT • , AT "qw.r vi cw ' TpwN or Saw•rwh a N.,/ Riaal•� + �O'• 1" Ll• •�c•r.,n,a..� �YVry �iYc, G.lay"m4aud io -tuna I,i + 1v \iYUYU/1f f: Cak.p.xrl.j Os 'urveyeJ Nuv. 15. 0.., V^ni TV YV 12 SGN (00 0 t£2� L 6oj C)LStS!11- f t (S� 3 � rJ • ? 1jt��J 17 -)oo2 ti - __ _ Ty CON iQ'A- J(L _,. _._�-__ _.. al-. C-U« r N 72 3ou`rr o��1 7 AP RO D AS NOTED DA • °/ B.P.#fl!d /S[ -oo BY: NOTIFY BUILDING DEPART AT 765-1802 9 AM TO 4 PM FO THE FOLLOWING INS�FCT�ONS 1. FOUNDA �jo tiB � 27 CAtv�c��(L C�/a FOR POU DCONCRETE 2. ROUGH - NG & PLUMBING 3 INSULA 4 FINAL N MUST BE COM LETE F R C.O. fpj ALL CON TRUCT N SHALL MEET THE REQ IREME TS OF THE N.Y. STATE . STRU TION & ENERGY CODES. OT RE PONSIBLE FOR /Jp DESiGN 0 0 UCTION ERRORS OC PR i USE LAWFUL WITHOUT CERTIFICATE OF OCCUPANCY