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Home My WebLink About33199-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32541 Date: 08/20/07 THIS CERTIFIES that the building REPAIRS Location of Property: WEST (HOUSE NO.) County Tax Map No. 473889 Section 9 AVE (STREET) Block 4 FISHERS ISLAND (HAMLET) Lot 8. 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 2007 pursuant to which Building Permit NO. 33199-Z dated JULY 2, 2007 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 REPLACE SILLS AND REPAIR ROOF AS APPLIED FOR. The certificate is issued to ELIZABETH W FURSE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~J.~ Ytho0ed 19nature 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: I. 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 2/1 0 of I % 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: I. 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. June 27, 2007 New Construction: x Old or Pre-existing Building: (check one) Fishers Island Hamlet Location of Property: lA Equestrian Avenue House No. Street Owner or Owners of Property: Elizabeth W. Furse Filed Map. Lot 008.005 Lot: Suffolk County Tax Map No 1000, Section Subdivision __ (',.".~J Permit No. ~II?':,~ I "1'1 Date of Permit. 009.00 Block 04.00 Health Dept. Approval: n/a 7'~'c7 3/14,'-9.8 Applicant: Elizabeth W. Furse by Stephen L. Ham, III, as atty. Underwriters Approval: n/ a Planning Board Approval: n/ a Request for: Temporary Certificate Final Certificate: x ( check one) Fee Submitted: $ 50.00 ~p,4- L. r&-,-= Applicant Signature Stephen L. Ham, III Co '3~,-<;q I i6,G 1}1 01 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. 33199 Z Date JULY 2, 2007 permission is hereby granted to: ELIZABETH W. FURSE 8 PARTRIDGE LANE SOUTHWICK LANE,MA 01077 for : REPLACE SILLS AND REPAIR ROOF AS APPLIED FOR. THIS PERMIT REPLACES BUILDING PERMIT # 24752 at premises located at EQUESTRIAN AVENUE FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0004 Lot No. 008.001 pursuant to application dated JUNE 28, 2007 and approved by the Building Inspector to expire on JANUARY 2, 2009. , Fee $ 75.00 ORIGINAL Rev. 5/8/02 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) ---:,...l~~~(,,.J 3 31 19 PERMIT NO. ~ Z Date MARCH 4, 1998 permission is hereby granted to: ELIZABETH W. FURSE 8 PARTRIDGE LANE SOUTHWICK,MA 01077 for : REPLACE SILLS AND REPAIR ROOF AS APPLIED FOR. at premises located at EQUESTRIAN AVE County Tax Map No. 473889 Section 009 FISHERS ISLAND Block 0004 Lot No. 008.005 pursuant to application dated FEBRUARY 23 1998 and approved by the Building Inspector. Fee $ 75.00 ORIGINAL Rev. 2/19/98 -,-i' . 8.5 _ :'~~~N r=1' {~ STREET ~ rSC'... a V1 D _, - AsSOc-, N tv' c,,, . OF SOUTHOLD PROPERTY RECORD CARD . Y)-.s VILLAGE DIST. SUB. LOT Jf- :i. e/ ~. ~ ~, ,~ ,-t".(.t./. ..7;>,.(ft. "'1 c:1/\..,-~ . VL. FARM M R .J)OyeH ---:1COMM, , CB, MI{C , Mkt, Value f AC::IL CA5 .~ I s -t S4f<vt- TYPE OF BUILDING J-~S~ ~\(' J 'v 't?ev ~'Q:"~ - S LAND IMP, TOTAL DATE o IU~ ' /2.0c) (200 \:<00 \'200 ,~~ '[a i/:) .~ NEW FARM ,O'~ 10 "20(') <0 20<>~d :; ~oo'l'~1 7 z-o<>;o? c/ NORMAL BELOW Acre Value Per Acre Value e J/aee '$;I!q.;; -t .A:"\f,:;a;r !tcc{" , - Fr-tr5e ~ ~nCJ tv fUy~ N/fL $ !;~ (X:;() I Tillable 1 Tillable 2 Tillable 3 Woodland "'" . .. FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD 2-'-/-3 I 96 % I.v'ce c;;'( 'So'r, Swampland Brushland House Plot - Total DOCK ..... ... ~ - ~ ~+ . .. ", "'''''\' , , 'f4I - ,,' -- COLOR Is -/1 ' , , z. ,( Ltc .. I.VI.~ ,,1 ,f , I - 17..' ." r~ . ~ r TRIM 1 - 3't l34K () t' W;~,~, L -- - I " I!. I:> '1 L~ l' St> ~ r .0 '" ~. , -' -A. Sidg. "",e.'lC'-4iJ I '2. 0 ,,!Foundotion Bath Dinette I . ~,/)( SD 17t)1l In::;!.... /0 ,fc-c,h: 'L- - .,/ ,.~ "". ~ :xtension IS-fir -8 (j'\ Basement Floors fl/f. K. -i-dt l/ \. '" .!i'() tI bl'le. :xtension fJ:]? -J] foP72.. Walls Interior Finish i <".... j y,o - /'1() 17 J ( 4t[J.. Ext. S!.! '/I ..IUJ,L~ s,/{' If P/I /,: LR. :xtension ($1,. tr // ,,-. Fire Place IV'de Heat DR. f.n.. I - /(r-:-r II. W. I' 5"1,,,... Type Roof Roams 1st Floor BR. .- larch Recreation Roan Rooms 2nd Floo FIN. B. 'arch , Dormer I reezeway Driveway ;arage ~otio ). B. iotal .., /7() '"/"1 10 ? f~ ':; 1;'- . .J1f '''-''2>2:9 ~ . " 0 ., I '\ ,'J, ,- ...., I N :;.'-~>.. ,(.,. ~ c' -'V'~ :f i .. . . . . J ~_. 0 i ~' it . ? ~ . J . /n. 40 ?"" /()~t{3 ,:1. 1/( . ' . '-," v,,_ \ ~~<:.o . . \:1. ;' \ .~\.,,/ '-~ ..~<' 'i~ :'t'L 2()_, . ---- - --..- - - - - . ~ m m 3: x x , ~ ~ , <1l <1l OJ i :l :l , !!!, ~ t>- o 0' <0 :l :l " .:". . :' - ,/ ~': "'G' c_ , '. .... " -.: c /" " . ~ , f ,~ ,~ .. '. .:;. , I. .. .....M' ~ .::t", ~ J ,:r', .' .1(1 iiiI~ ~- i(" .'~ r'.- ',j '/ C> , "':,t. ,- Tl \,..,.1__..~~.: - ,.--- I ':*f:': ~ ><.-c_ 17) r, r"M' . ......, P L " , C',.1 e,l. (::' f'-. r; I (...) '..0 " 11 :~~~:i :~::::l ~ ~-..... - '. I r',_, ........ \3 ,:r, Li~ , , . '..0 .:::) "' l'~ ":J ('J - ~ ~, I~ m OJ "T1 ~ e: n I x 0 0 -i ,.. ~ , c ,....... ;<J .:s- O <1l 1 :l ~ :...., 5 ::::: 3 t>- ~ <1l 0 e. :l ~ .... 1'" ;<J ~ 0' ,- ~ :l - 1-- :7' I' I~ i , , 1 " ,'~ , .... i(:;;: ... ~: . I;, - "":.. . ! ... ... - "T1 OJ L L-' :l 0 0 ~ ~ i 4:' r-', <1l 0 ~ ~ ".. 0' ~ ~ r: "" of' ..: ~ -. l" Ii> "T1 - :"' & =- l<>- s' '" ~ ~ ".. ~ (- - FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT ~ ~_Y" FULL ~ 0 (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33199 Z Date JULY 2, 2007 Permission is hereby granted to: ELIZABETH W. FURSE 8 PARTRIDGE LANE SOUTHWICK LANE,MA 01077 for : REPLACE SILLS AND REPAIR ROOF AS APPLIED FOR. THIS PERMIT REPLACES BUILDING PERMIT # 24752 at premises located at EQUESTRIAN AVENUE FISHERS ISLAND Lot No. ~1 County Tax Map No. 473889 Section 009 Block 0004 pursuant to application dated JUNE 28, 2007 and approved by the ~.S (\()W Building Inspector to expire on JANUARY 2, 2009. Fee $ 75.00 . ORIGINAL Rev. 5/8/02 '" .i1 FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.:765.1BO~ 1I011FY: 31!J.- OP ~ 3 C^LL .;,.............. ............. Examined...... .. ........,19 .f.O . .'-.; H^lLTO: Approved. . . . .~ (~. . . . ., 199f'. Permit No. Q . . . . . ") ...K. r% .~ II Wi.~ fii). ' . , . . . . . . · . . . . . - - . . . I' IUU: Iii i; II ...... - . . . . . . . . . . . . . Disapproved a/c . . . .: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i FEB 2 3 . flY) . . . .. . . . . .. . . .. . ... . . . . . .. . . . ~ ~ 1;,,;;:'&f.g~J .' l\PPLI~~N FOR BUILDING PERMIT . ) SETS Of PLANS .......... .~'. SUR V E Y, .. . ., .. .. .. .. . . . . . .. . .. . . . . CIIEeR .............,............. SEPTIC rORtI .. .. ~ . .... . . . . .. . . . Date .. .~/!f......., 19f1:-- INSTRUCTIONS a. This application must be completely Oiled In by typewriter or In ink and submilled to the Building Inspector, with 3 sets or plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location or lot and or buildings on premises, relationship to adjoining IJtemises or public streets or areas, and giving a detailed description or layout or property must be drawn on the diagram which Is part or this appli- cation. c. The work covered by llll~ application may not be commenced berore Issuance or Building Permit. d. Upon approval or this application, the Building Inspector will issued a Building P~nnlt to the applicant. Such permit shall be kept on the premises available ror Inspection throughout the work. e.' No building shall be occupied or used in whole or in part ror any purpose whatever until a Certificate or Occullancy shall have been granted by the Building Inspector. . APPLICATION IS HEREBY MADE to the Building Department ror the Issuance or a Building Permit pursuant to the Building Zone Ordinance or the Town or Southold, Surrolk County, New York, and olher applicable Laws, Ordinances or Regulations, ror the construction or buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply wilh all applicable laws, ordinances, building code, houshlg code, and regulallons, and to admit authorized Inspectors on premises and in building for necessary inspections. .FD.. g~.~P.d.?I.':~.~.~-?r.'l.qJ.~1 ('1}13 .,.~.c,.: _.. (Signature of applicant, or name, If a corporation) .?P:.~~1. .~~.7.....RS. h~\~ .r~~0.0-~1. .NY. (Mailing address of applicant) (Xp ?f1 () State whether applicant is owner, lessee, agent, architect, engineer, general contractor~. ..'IDYll or builder. .. ~r<M.m,h~tpr............ ......... ...... ....._~~t.. Nameofownerofpremises ....~.l.\:~.~~....~r:-S'.e,............~.ft . '. ... . (as on the tax roll or lat . _ 110 . PM ... . If applicant is a corporation, signature of dUlYoaUcl~~ri~~~ev- OR ~.J~f fJfm~= ..lIlIIIIID \.Iur _.1 11 (lIJlfoI..44 . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . 'IISE'IS UNLAWFUL 2. NO L . Pin .. .'-T--- (Name and hUe or corporate oCficWt. ... IIIlIA Uuilder's License No. ... ~.'3~l;S'.~.-:-wtJHO.uT CERTIFICATE.t. :~=~ON MUST Plumber's License No. ... .Lf.~ ~ .-. .rQf. OCC~PANCY ~~ =: ~H:~~EM:~J. ,q I F STATE CONSTRUCTION . ENERGY Electrician's License No. ... pI;. .10,.-:-. -.. . . . . . . . . CODES. NOT RESPONSIBLE FOR 0E5IGN QR.~TlW&;TlC* C~.- -. Other Trade's License No. ........,. .....,..., . .' ~ ,. I. Location or land on which proposed work will be done. ....."............... ,.... .... .... ..... '0.. ...... . . . . . . .. . . . . . . . ., . .. . . . . . .. . . . . . . . . . . ., . ., . . . . , . . .. . . . . ... . . , . Sp.wfh.o.ld. .. . . . .., ... . . . . " House Number Street Hamlet County Tax Map No. 1'000 Section ... .()!:?~. . . . . . . .. Ulock ... .t?':!. . . i" ,', i .. Lot,.. .~:. ~. . . . . . . . . '. Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Flied Map No. .............. Lot............... (Name) 2. Slate existing use and occupancy of premises alid Intended us~ncy of proposed construction: a. Existing use and occupancy '1Z~~/.......~ j.t... ................ ..... ,...... ... b. Intended llse and occupancy ................. /~. .. . . . .. . .: . ..... .. . . . ... . . ... . . . . . . .. 3. Nature of work (check which applicable): New Building. . . . . . . .. , Addition. . . . . . . . " Altera~ ....... .t>:1 Repair .. 'f.. . . . . . . . . . . Removal. . . . . , . . . . . . .. Demolition .............. Other Work. . ""1?(ttr~. :-. . -: ,/s ]2.00'F d" (Description) w /3 COD - , 4. Estimated Cost. . . . . . :f . . . . . , , . . . . . . . . . . . . . , . . . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on f1Ilng this application) 5. If dwelling, number of dwelling units. . . . .?-". . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . 6.' :~ ~~I:~~:~~l~~~~:~::c~~r~r '~~d'~~c'u'p'a~~~: ~~~c'ii0~~I;r~'a'n'd' ~~;e~~ '~f'~a~i~t~\~~'~f\;~e' r.c;~:Q)): 0112,)d~1I 'f5 7. Dimensions 01 existing structures, if any: Front. . . . . . . . . . . . . . . Rear ..~........... Depth..~?......... Height ............... Number of Stories. . .~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear.................. D~pth . . . .. . . . . . .. . . . . . , . , . . Height. . " . '~/A . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . . 8. DUlIenslons of entire new construction: Front. . . . . . . . . . . . . " Rear............... Depth ............... Height '" .'. . . . . , . . . . , Number of Stories. . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front ... . . . . . . . . . . . . . . . . . .. Rear...................... Depth ...................... 10. Dale of Purchase .................... '. . . . . . . . . Name of Fonner Owner ............................. II. 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 e'lf~fiIl bLr!,PWy'c.!! from premises: Yes No 14. Name of Owner of premises q i W.b:;t;t) .Fvr:x:... Address ~O~~l~1':'\1l:' . . . Phone No. ~.\~ ~ ?~. _. \.<?:;;~ \ N n of A cl it t A Id 0\ e:.Tl PI N al e 1'1 ec -a:.<~"tliJ:...'..;."'\C!tWr.",' ( ress ......~........... lOne o. .....W.?.... Name of Conlracto~ . . . . . . ~~\ :'; . . . . . ... . . Address ~~."!'. ' ~~.. . Phone No.67.di ..r.. . .7. 1f1.7.. 15. Is thIs property within 300 feet of s tidsl wetlsnd? * es....~ No..... ,... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM 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 description according to deed, and show street names and indicate whether inlerior Or corner lot. aJfOIIU~ ---"... :Il1O :\"1 :.. r,. 1'M1Mn1MM QIIlLIUI ~ 1Hr IlO'l Mlt . or .. . ~t.. .1~ __111 r -:-,Il(R o!tfIIUDII OWl' ...~ "11 r ..~IH) JI." ,wr--'" . II 1fWf. J ~r .cnu_e ""'.j W"'T~U,.,.lt"03 . .u.,,'~ " O:! IIOl mJ'NO) J8 ',1M .I. AHa "OIT::II),""MO::l JJ,I. J! 1" r ~ ?nHM'JIl'UO"" lHT iTA nn;>jt1 < I 1,l..l'H?l40:! ;tAt'~ , '.. '- '''~~<!j-S)~ , :OU.~.f.W~'~:;~.:::1~)f~~~~(~ . .. . .. . .. . . . . .. .. being duly sworn, deposes aud says that he is the applicanl :,:',:::"'.11N'C';:~::74~c............................................. . (Contractor, agent, corporate officer, etc.) If said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and lhatthe york will be performed in the manner set forth in the application filed therewith. :wom to before n this Jf........., . ~;7tP."~ ~otaryP ic, ..f........,....~....~..~ County I~ ' No~~~uAb~I:'S:~~~.,J~~r.' \ . . . .f//.~ . ~. . . . . . . . . . . . . . . . .~ . . . . . . . . . No. 460&659 (Signature of nrrlknntl Ouallfl,o In Suffolk COilli/'Y 1ft'" 5XPlfU lZi31/~