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Home My WebLink About43933-Z rrx�' g1lFF0lKCOGy Town of Southold 1/21/2021 0 P.O.Box 1179 C* 53095 Main Rd X4,1 dao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41750 Date: 1/21/2021 THIS CERTIFIES that the building ALTERATION Location of Property: Equestrian Ave.,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/8/1992 pursuant to which Building Permit No. 43933 dated 7/8/2019 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: repairs to an existing one family dwelling as applied for. i The certificate is issued to Carroll,Deborah&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth ' ed Signat re SUFfQ1 TOWN OF SOUTHOLD �o copy, BUILDING DEPARTMENT a TOWN CLERK'S OFFICE ca { y • o�+fi� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 43933 Date: 7/8/2019 Permission is hereby granted to: Carroll, Deborah 40803 Magee Dr Leonardtown, MD 20650 To: Issued to construct repair to dwelling and deck addition as applied for. Replaces BP# 20621 At premises located at: Equestrian Ave., Fishers Island SCTM # 473889 Sec/Block/Lot# 9.-7-3 Pursuant to application dated 7/8/2019 and approved by the Building Inspector. To expire on 1/6/2021. Fees: PERMIT RENEWAL $50.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $100.00 Building Inspector S�fFo�,r� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, NY y�ol � dao! BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 20621 Date: 5/12/1992 Permission is hereby granted to: SHAW MAURA CARROLL 5813 MEADOWOOD ROAD BALTIMORE, MD 21212 To: for. Building Permit#20621-Z issued to construct repair to dwell! ng and deck addition as applied for. At premises located at: 00000 PRIVATE SCTM #473889 Sec/Block/Lot# 9.-7-3 Pursuant to application dated 5/12/1992 and approved by the Building Inspector. To expire on 11/12/1993. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $50.00 Total: $50.00 -' {- j00 Building Inspector 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. a - Iq - I New Construction: Old or Pre-existing Building: V" (check one) Location of Property: E-4 u e_Sfy1 ah Ave— Pis ers House No. \- Street Hamlet Owner or Owners of Property: De)r)af&1� S£Q`y1 , 3 �U� I(� C X Y Q Suffolk County Tax Map No 1000, Section `I Block Lot 3 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature �aq 50UTyo # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 765-1502 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ FINALC^"44:�) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: �� - ® • � 4'Y DATE INSPECTOR2�(�A/c�- wr �::Kt4E:NTf . i ------------- m OU27DATIONCA Ic OUNDATION (2nd ) ' z ON OUGH FRAME & •PLUMBING NSULATION PER N. Y. STATE ENERGY I CODE 't 103164h2 FINAL ADDITIONAL COMMENTS : d — cn H 'OUNDATION ( 1st) 'OUNDATION ( 2nd ) car TOUGH FRAME & •PLUMBING H m - ' m INSULATION PER N . Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS : x ` • ' H O H -o H BOARD OF HEALTH FORM NO. 1 . . . . . . ® . . 3 SETS OF PL.INS TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIECK . . . . . . - • . . . . • . • , . . . , _-' TOWN HALL SEPTIC FOR:1 SOUTHOLD, N.Y. 11971_ S(�TEL.. 765-1802 ,:OTIF'f ` . .•'/. r:/.��_. �� . . Examined . . . . . . . . . . .. 199 2— CALL . . 1nIL TO \pproved . . /.?� . . . . ., 19/. .Permit No.� ��!� - . . ` ' • J44 . ./�r Disapproved a/c 774�Cz.'�C:�: (B ilding ector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 �t 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 Permit to the applicant. Such permit iall 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 whatever until a Certificate of Occupancy call have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .unit authorized inspectors on premises and in building for necessary inspections _ . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) � �, e�r"/�.�� G( //�rt.!,cam%! •C�� gcsvo (Mailing address of applicant) tate whether, applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . lame of owner of premises - . - - (as on the tax roll or latest deed) F applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OCCUID • - . - - (Name and title of corporate officer) (J'Y 0 Builder's License No. . . . .. ��. ./�.�i�.:f1�.j, , , • , , • • , , SSE UNIM.T-UL Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . � UICATE Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . OF M OM Cy Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Location of land on which proposed,work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . UCS ,�a /8h�, a�b', ,�s��r r-��. �/. . HouseNumber Street . . . . . . . . . . . . . . . . . . . . . �� . . . . . . . . . . . . . . - Hamlet County Tax Map No. 1000 Section . . . . . . ?. , , , , . , , . . Block . . . . . . . .7 . . , , , , . Lot . , . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot (Name) . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . : . ,�??? , , , , .�!...... . . '• • : , - - -'- - - - - - - - - - - - - �/ O . . b. Intended use and occupancy ��`:'� . . . . . �,� ,�. ,�i, , /l� . . :`. . .'. . . : . . . . . . . . . ... . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration Repair . . X . . . . . . . . . Removal . . . . . . . . . . . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . Other Work . . . . . . . . . . . . 4K� °C d� (Description) 4. Estimated Cost . . . . . ./. ,�Q.�.. . . . . . . . . . . . . . . . . . . . . Fee . . ��^4? �.. . . . . .. . . . . . . . . . . . . . . . (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 . . . . . . . . . Rear Depth • Height . . . . . . . . Number of Stories . . . .. . . . . . . . . . . . . . . . . . . ._. . . . . . . . . . . 9. Size of lot: Front . . . . . ... . . . . . . . . . . . . ::.. Rear . . . . , , , , , . , , . . , . , . . . . .Depth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 regraded . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . Phone No. Nape of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . • • • • • . • Phone No. • • • • • • • � • • • • Name of Contractor . Address .Phone No. • . • • • • . . . •{ 15., 14 this property within 300 feet of a tidal wetland? *yes•, • . • . , , , No. ,�. . • • • • • • • • • • � • • • *If yes, Southold Town Trustees Permit may be required. • • • • PLOT DIAGRAM 1, Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or descript}on according to deed, and show street names and indicate whether interior or corner lot. 1 1 TATE OF NEW f � r -' -.� 'OUNTY QF . Y � S . J. . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. 'e is the . . . . . . . . . . . . . . . . . . . . . . . . . (Contracto , agent, corporate officer,•etc.) F said owner or owners, and is duly authorized to perform or have performed the said work and to snake and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. •vorn to before me this • • • . . . . . .da of. �c glary Public�A, !. . . . . . . . . . . . . . . County Notary Public,State of New-York ...�. r . . . Qualifi doin Suffolk County . . • Commission Expires «� December g,19�� (Signature of applicant)