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Home My WebLink About21442-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22856 Date JANUARY 28, 1994 THIS CERTIFIES that the buildin~ Location of Property EQUESTRIAN AVENUE House No. County Tax Map No. 1000 Section 9 Block 4 Subdivision Filed Map No. ALTERATION & REPAIR FISHERS ISLAND~ N.Y. Street Hamlet Lot 15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18~ 1993 pursuant to which Building Permit No. 21442-Z dated MAY 28~ 1993 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 ALTERATION & REPAIR TO EXIETING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD & LESLIE McELWREATH (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS ~ERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-287319 - AUGUST 24r I993 AUGUST 19~ 1993 - TOM BUEHLER B~ding ' Inspector Rev. 1/81 FORM NO. I TOWN OF SOIJTHOLD IUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING P~.RMtT fi'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gronted to: .... ,..~. . ~ ~ ,' , .~.~...~.....~ .............. ff ...................... .~. ~.~~...~.~... ,o ...... ........... ............ .......... ........ ....... ~, ~,.~,~. ,~,~ ~, .~ ...... ~ ......... ~-. ................... County Tax Map No. I000 Section ...... ~.....~. ....... Block ......... ./.. ......... Lot No ...... ..... Building Inspector. ~ Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDINC DEPARTMENT TOWN HALL SOUTHOLD, NE~ YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .............. NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING----~--VACANT LAND ........ Location o£ Property ~e3TR/?,'~ ~c~. HOUSE NO. STREET HAHLET Owner or Owners of Propert~ .............. cou~. ~ ~..o. ,00o ~o~ ~.). ~o~ ....~.. ~o~ ..44.~... Subdivision ....................... Filed Map ........ Lot .......... Permit No ........... ua[e of Permit .A licant ~ Z~ Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ .................. rev. 10/14/88 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 :,,t /\US 3 0 i993 Date Building Permit NO. ~/~/~ Owner £~ ~', d~.s~,',t /~/~Z~r~n (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this _~¢~'~ day of ~ 1993 ' [;Otary Public, (plumber's Notary Public County fieLD I~S?ECTiO~ lIDa~m FOUNDATION ( ls t) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~A~E :~. ~.~.~o~3 ,UREAU o~ E,.~CTRICrr¥ ~'-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT o~y the el~tricaJ equipment ~ ~serib~ be~w and i~g~uced by t~ appl~can~ ~med on the a~e application ~u~ber in the p~mises of in thefoltowlnglocatlon; ~ B~sement ~ Ist Fl, ~ 2nd FI. 3~L/~?TIC/OUT Section Bilk Lot u~sexa,ninedon ~(~{1~ ]~ 20 ~1.993 and found to be in compHahce ~ith the N~onal Electdcal Code. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST SYSTEMS NO, OF FEET OTHER APPARATUS: E R V I C NO, O E COND. OF CC, COND, OF HI,LEG NO, O~: NEUTRALS HONTAUE AVE, -:. '. ~I~IBR~ IShAND, 'NY, O~390 · ' ' GENEI~AL ' MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF C~RTIflCATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO, 1 TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 7654803 A~proved ~'d/g~. ., 19 ~. Permit No. ~,~./..~. ~.,,~ '2. Application No .................. Disapproved a/c ..................................... 2 J om .............................. (Building Inspector) "' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application lntlst be completely filled in by typewriter or in ink and submitted in triplicate 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 o(areas, and giving a detailed description of layout of property must be drawn ou the diagram which is part of this appli- calion. c. The work covered by this application may not be commenced before issuance of Building Permit. i d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit sh~ll be kept on the premises available for inspection throughout the work· i e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy sh~dl 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 B~ dlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or TR]~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ac mit authorized inspectors on premises and in buildings for necessary inspections. · (Signature of applicant, or name,If a corporation) · .P....CS: ..... (Mailing address of applicant) S~te whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nhe of owner of premises .... .~.~... ¢. Q,. .~.1. .~. .V .............................................. (as on the tax roll or latest deed) Iflappliga~t is a corpora,tlc/n, s~,gnature of duly authorized officer. · 6~'m' '-'-''; ...... //' "" ............ l' "~ ........... (Name/nd title of corporate officer) Builder's License No... [ (-9'..~.~..%...hi .--~. ........ Plumber's License No....~.'7 P-,,.'~ .7. ~. ......... Electrician's License No ..... .~ ~, .c1.7..~ ....... Other Trade's License No ...................... 14 Location of land on which proposed work will be done.. .~.~ .~. ~ .' .O4.'~...~.~..~.: ..................... House Nmnber Street Hamlet ~:q- County Tax Map No. 1000 Section..... ~ ~' ....... B]O~k ...... J~J I ~...... Lot ..... · .-~.- ......... Subdivision ..................................... Filed MapXNo ......... . ..... Lot ............... (Name) ' State existJug use and occupancy of premises and intended use and occupancy o'f proposed construction: a. Existing use and occupancy ...,..'~. r. Zk .}k~. ¥\ I ~ .............. ~A'I'~' ~}/O~Y· li~ ;O~:J~:<;~ v~\'l t ~ ....... Nature of wor,l~ (check which appl!cable): New Building . .. ........ Addition .......... Alteration .......... Repair .... ~ ........ Remov~}l .............. Demolition ............ Other Work ............... , _... (Description) 4. Estimated Cost . . Ifil,/. ~..~, ~ ....................... Fee ~ · .7..~. A ?. · .~. ........... (to be paid on filing this application) 5. If dwelhng, number of dwelhng ur~ts ....... ] ..... Number of dwelhng umts on each floor ................ If garage, number of cars ...... i ................................................................. · If business, commercial or mixed Occupancy, specify nature and extent of each tvl~e of use .: .................... D~mens~ons of emstmg structures, ~f any: Front ..... ~. ....... Rear .... ~ ........ Depth . ~ ........... Height ............... Number of Stories... ~ ......................................... / ............ Dimensions of same structure wit& alterations or additions: Front ....~f .......... Rea~...~]~ .... 8. Depth ...~ ............... ~ Height ...................... Number of Stones . .~ .................. Dimensions of entire new construction. Front ....... ~ .....,... Rear ............... Depth ............... Height ............... Number of Stories ....... ' ................................................. 9.[ Size of lot: Front ............ i ......... Rear ...................... Depth ...................... 10.1 Date of Purchase ............ i ................ Name~f Foi~erOwner ............................. ' Zone or use district in which pren~ises are situated..· ~Z ~/ ......... ~ ........................ ll~:~ Does proposed constructionviolat~ any zoninglaw, ordinance or regulation:...~ ........................ 13.': Will lot be regraded ..... ~. ~ .................. Will excess fill be.[emoved f[~ premises: Yes N~e of Architect ........... N~e of Contractor ~ ~ Address ................... hone No ............... ~.. ~,'~ ~'f'0~l~[q(~ .[-~,.,, Address ~5~g; ,qT0. ,F'~..N 9. Phone No.-Tg~r.V. 3.7. 8...(~ ! 'Y STATE OF NEV~Yg~ _K7 ~; ~ OF OCCUPA C¥ being duly sworn, deposes and says that he is the applicant i (Name of individual signing contract) above named, i He ~s the .,.~~ .................................................................. , , (Contractor, agent, corporate officer, etc.) of ~aid owner or owners, and is duly[authorized to perform or have performed the said work and to make and file this apl~lication; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the wo~k will be performed in the manner ~et forth in the application filed therewith. SwOrn to before me this ",/ ............. [. 7ch ..... NO. 01WA~509185': .i: QUALIFIED' IN SUFFOLK ;OOUNI'~ ,,~ .................................... TERM EXPIRE8 OCTOBER ~)1, 1~lc~''- (Signature of applicant) PLOT DIAGRAM Locate clearly and distinctly all huildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether