HomeMy WebLinkAboutZ-18719FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
CERTIFICATE OF OCCUPANCY
No Z18719 Date JANUARY 17{ 1990
THIS CERTIFIES that the building. ONE FAMILY DWELLING
Location of Propert~ WHISTLER AVE. FISHERS ISLAND
House No. Street Hamlet
County Tax Map No. 1000 Section 009 Block 010 Lot 022.1
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
built prior to APRIL 9~ 1957
pursuant to which
Certificate of Occupancy No. Z18719 dated JANUARY 17, 1990
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 PRIVATE ONE FAMILY DWELLING. **
The certificate is issued to ESTATE OF TRUDY ARASIMOWICZ a/k/a WALTRAUD
INGEBORG KUPKA.
(owner, Y~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF~kLTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 1/16/90
PLUMBERS CERTIFICATION DATED N/A
SEE INSPECTION REPORT
Building Inspector
Rev. 1/81
Location
Subdivision
N~me of Owner(s)
BUILDI?IG DEPJd~T[.~NT
T0%'~! OF SOUTHOLD, N. Y.
HOUSI~[G CODE IHSPECTION REPORT
WHISTLER AVE.,
(number & s~ree~)
FISHERS ISLAND
~ap No.
(P~unic£pali~y)
LOt(S).,,
EDWARD ARASIMOWICZ
Occupancy R-I
(type)
A~itted by: ROBERT EVANS
Key available
Source of request
TENANT
(owner-:enan~
Accompanied by: Same
Suffolk Co. Tax No.9-Jo-22.~
DORIT BETTY KUP~ 'BEAUCRAMP
Date DEC. ]2,
1989
D!'~LLI~G:
Type of cons%ruction MASONARY CONST.
Foundation BRICK & STONE
Total rooms, 1st. F1 3
Bat.h_room(s) 2
Porch, type REAR
~,9~ 9V~E Deck,
Breezeway. Garag~
Type Heat OIL FINED 'WarTd Air
Fireplace(s) 2 No. Exits 3
Domestic hotwater YES Type heater
Other WOOD BURNER
#stories B
Cellar PARTIAL Crawl space REST
2nd. F1 3 3rd. F1 2
Toilet room(s) !
typ~ woou Patio, type_.
Utility room
~4~I[~XX STEAM
Airconditionin~
OIL FIRED
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIOMS: .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Description I-AT~.f Sec.
_Location
3RD FLOOR
BATHROOH NEEDS WORK & HOLES IN CEILING
BUILDING HAS TWO SMOKE DETECTORS
ELECTRIC IS VERY CONFUSING, ELECTRIC I
WIRES HANGING--WE DON'T KNOW WHAT IS I I
CONNECTED, NEED AN UNDERWRITERS GERT- ''[' t
T
I IFICATE.
** RECEIVED UNDERWRITER PENDING SLIP
!/!6/90
EEFORE A CERTIFICATE OF OCCUPANCY CAN BE ISSUED
Remarks: NEED AN UNDERWRITERS CERTIFICATE. ~* SEE ABOVE
CURTIS W. HORTON ·Time start !l:!5 end !!:45 a.m.
TOWN OF SOUTHOLD
BUILDING DEPART~IENT
TOWN HALL
SOUTHOLD. NEW YORK
765 -- 1802
11971
OECi 31g
APPLICATION FOg CEgTIFICATE OF OCCUPA[ICT
HEW CONSTKUCTION ....... OLD OK PRE-EXISTI~IC BUILDING..~..VACANT LAND
Location of Property,. - WHISTLER AVENUE, FISHERS ISLAND
HOUSE NO. STRE_~T HAMLET
Ovner or Owners of Property. ESTATE.~ TRUDY ARASIMOWICZ a~k/a WALTRAUD INGEBORG KUP~A
' iR i OWIC ......................................
County Tax Hap No. lO00 Section 00~0.0. Block QI.0o0Q.. Lot'
Subdivision ....................... Filed Map ........ Lot ..........
Permi~ No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ..~ ............
Fee Submi~ed: $.~0O~0. ............
A P P L I CA NT..~0~ .B~F~ ~J~g~ ~C~..A~. ~ ~. ~utr ix
· .. under ~he Las~ ~ill and Testamen~ o~[tO~/
AI~ASI~0kr~cz a/k/a WALTRAUD INGEBORG KUPKA
ARASI~0~ICZ
rev. 10/ 14/HH
CONSENT
TO
INSPECTION
Will and Testament of TRUDY ARASIMOWICZ a/k/a WALTR~AUD INGEBORG KUPKA ARASIMOWICZ
DORIT BETTY KUPKA BEAUCHAMP, as executrix under the Las~ . the undersigne~i;
Owner(s).,,Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at WHISTLER AVENUE. FISHERS ISLAND
· which is shox~m and designated on the Suffolk
County tax map as District 1000, Section 009.00, Block 010.00 Lot 022.001 .
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
CERTIFICATE OF OCCUPANCY FOR PRE~-EXISTING BUILDING
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances· rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: DECEMBER 12, 1989
(signature)
R. KIBBE. A~FORNEY
(print name)
(signature)
(print name)