HomeMy WebLinkAboutZ-10138FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
Z10138
No..: ...............
Date Septembex, 9 ., 19 .~..0
THIS CERTIFIES that the building ................................................
Winthrop D~ive & Rese~voi~ Rd. Pishe~s Is., N.Y.
Location of Property ...............................................................
House No. St~et Hamlet
Col~t~oT~X Map No. 1000 Section 9 . .Block .Lot pi;. of 3
Robert W. Brooks ....~'~4ap..,~o...1.?.b,....Lot No ...... 1 ........
Subdivision ....... Y~(i~ii/dsfi~ht'g 'lb/" a one ramify dwelling built prio~- to
conforms substantially to the · a ® of ~
April 23 ,~57 , , ~,u,3o
..................... , i v... pursuant to whicn ~mlolng ~erml[ f~o ......................
September 9 80
dated ............................ 19..., was issued, and conforms to aH of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Private One Family Dwelling
Robert W. B~ooks
The certificate is issued to ..................... [o'~,~),~ ......................
of the aforesaid building.
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO ...................................................
/,
Approved by Planning Boaz, d - Minor subdivision No. 194, July 28, 1980
Zoning Board of Appeals No. Hay 22, 1980
2700 approved lot area and width
/~/ /~ o 4~'/~--~~
Building Inspector
Rev 4/79
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. Z10119
Date ..... .~.e?.~e..m.b.e.x~..9 ............... 19..~.0
THIS CERTIFIES that the building ................................................
Winthrop DrAve & Reservoir .R.d.. ~t..s.h.e.F.a .I~.:.~ .N..Y.
Location of Property .........
House No. Street Hamlet
County Tax Map No. ]000 Section ..... ~ ...... Block ....8 ........... Lot .... RS...'. P.~...~...
Subdivision...~9.b.~.~. ·g. ~.: .B. ?.O.O.R..~ .......... ~rap No...~ 9.[[....Lot No ...... .~ .......
requirements for a one family dwelling built prior to
conforms substantially to the ~~
Oe~ificate of Occupancy ~ ~n
..... fl. ?~.l. 1...2.3. ...... ,19~..7. pursuant to which ;~q~vt~ ....... .~.,.u.: .)? .......
dated .... ~.e..p.~.?~.l?..e y-..9. ........... 19.8..0, 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 Famll~ Dwelltn~
Robert W. Brooks
The certificate is issued to ..................... [o~n'a'r/~) ......................
of the aforesaid building.
Suffolk County Department of Health Approval ............. N..~. ...........................
UNDERWRITERS CERTIFICATE NO.
Approved by Planning Board - Minor subdivision No. 194, July 28, 1980
Zoning Board of Appeals No.
May 22, 1980
2700 approved lot area and width
.............
Building Inspector
Rev 4/79
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. Z10140
Date ...... $ .eP.t!..e~n..b.e?..9 .............. 19 .~..0
THIS CERTIFIES that the building ................................................
Location of Pro-ertv Winthrop Drive & Reservoix' Rd. Fishers Is.:,. I~.¥.
v ' /43Js~ ~]o: ....................... 'S't/e3i ....................... hamlet
County Tax Map No. 1000 Section .... .9 .......Block .....~ .......... Lot ...P.g:..o.t.. 3 .....
l~linor
Robert W. Brooks w,~=., ,. 194 - -" 3
Subdivision .............................. .-v'rr~-Ma e4o ......... Lot i~o ..............
requirements for a one ~amtly dwelling built px, iox~ to
conforms substantially to the Oertif cate of Occupancy April 23 19.5.7. pursuant to which l~~.
dated ...... 8.??.~.~.m.b. ?.r..9. ......... 19 .~.0. ,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 .........
....... . ......p?.i.v.a.~9...on9' p..mn, il~. l~elling ...................
Robert W. Brooks
The certificate is issued to ..................... ~o'~n~.'~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO.
Approved by Planning Board - Minox' Subdivision No. 194, July 2J4, 1980
Zoning Board of Appeals lio.
' Hay 22, 19
~80
2700 approved lot area and width
Building Inspector
Rev 4/79
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer res )onsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buiidings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date ....A. qg .~.s.~..8. ~..i.9.8. 0. ......
New Building ............. Old or Pre-existing Building .... X. ....... Vacant Land .............
Variance approval by Southold Town Board of Appeals on May 22, 1980
Location of Property . W~;%~hrp~.. Dr£.v.~. and. Re$.ervoir. Road,. Fisher~. Is land,. ~; .Y
House NO. Street Hamlet
Owner or Owners of Property ...~.o.b..e.~.~ .~/,..B.~QQks. ......................................
County Tax Map No. 1000 Section ...0.0.~ ......... Block ...... .0.0.~ ..... Lot...3 ............
Minor Subdivision for Robert W. Brooks granted by
Southold To,un .Plz~nninG .Board ......... Lot No.. 1 ..........
Permit No....~.X.~. .... Date of Permit . .X..X.X ..... Applicant .., .X.X.X ............................
Health Dept. Approval ...[~Z'.~..(P~evexisting ~ Labor Dept. Approval ...~/, ,A ..................
Underwriters Approval ~.A..,(~'.z;e:¢;<.J. 8~ci~c~)...Planning Board Approval . .~...~.~Y..2..8,..1.9..8.0 .....
Request for Temporary Certificate ..................... Final Certificate ...X. ...................
Fee Submitted $ 5...00 ........................
Construction on above described building and~/~,~ets ~,U-~licabl~d¢~ and regulations.
~chard F~r~ as attorney for Robert
R~.10-10-78 W. Brooks, Owner. ~ ~/~/~
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposel-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building,
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date ,...A~.g. qs.~..8.,...1.9.8.0. ......
New Building ............. Old or Pre-existing Building ....~ ........ Vacant Land .............
Variance approval b~ Southold Town Board of Appeals on May 22, 1980
· Winthrop Drive and Reservoir Road, Fishers Island, N.Y.
Location of Property ...................................................................
House No. Street Hamlet
Owner or Owners of Property . . .~.o.b.e..~.~. ,~,t..B?.o.o..~p .......................................
County Tax Map No. 1000 Section . .0..0.9 .......... Block ..... 0.0..8 ....... Lot...3. ............
Minor Subdivision for Robert W. Brooks granted
· $.quth.o.~. T.o.w.D..P.l.a.~ning Board .......... Lot No....2 ..........
Permit No .... .X.X.X.... Date of Permit . .X.~.X. ..... Applicant ...¥¥.~ ............................
Health Dept. Approval ?.,/.A.. (.~.~.e.-~e..x.~.s.~..~.D~r). ·Labor Dept. Approval ....N/..A .................
Underwriters Approval . .~./.A. !~,~_?.-.e.¥.~.s?:J:~. c~.)..Planning Board Approval . ~.[.Y..2.8. <. ,[,9.8.0. .....
Request for Temporary Certificate ..................... Final Certificate ..... Z .................
Fee Submitted $ 5,.0. Q ........................
rm~,~ a.~,a{3--I,i/~~~g{Jlati°ns'
Construction on above described building and p~, p
Applicant · ~'~ ~'-' W.
RaV. 10-10-78 ~rooks, Owner ~. ~/¢/~
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date . .A~.Gu, st:..8.,.. 19.8.0. .......
New Building ............. Old or Pre-existing Building .... .X ....... Vacant Land .............
Variance approval by Southold Town Board of Appeals dated May 22, 1980.
Location of Property ~inthr. Qp. Dr, iv(~. Anql. R~.s.~ryp. i~;. Bp.a.d.,..F.i.s..h.e.r.s...I.s.l.a.n..d,..N...Y....
House No, Street Hamlet
Owner or Owners of Property Robert W. Brooks
County Tax Map No. 1000 Section . .0.0.9. .......... Block ....0.0.8. ........ Lot....3 ............
Minor subdivision for Robert W. Brooks granted by
Southold. To~n · P.]~nNin~ .Boa~.d .......... Lot No. 3 ............
Permit No. XXX Date of Permit XXX .Applicant XXX
Health Dept. Approval .... N/'~. ( Pr.e.-~:ci,s.t.J~-g)Labor Dept. Approval .~]Z'~- .................
Underwriters Approval .... ~./'.A. !.~.~.e. ue..~.~.s.~J:..~fl.~P.ann.ng Board Approval .J~,L2-' .gl~,..],9.1~.0 .....
Request for Temporary Certificate ..................... Final Certificate .* ...................
Fee Submitted $ .5...0..0 ........................
Construction on above described building and p~me~ all,a, pFll~ble c~s~a~d regulations.
Applicant. ~~.~.~.. ......................
IF~chard F. Lark,s attorney for Robert W.
Rev. 10-10-78 Brooks, Owner d~,~' ~10/9~~
GUARANTEEDTO TITLE GUARANTEE COMPANYAND
ROBERT~W. BROOKS IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS OFTHE NEWYORK
STATE LAND; TitLE ASSOCIATION.
LOT I
AREA= 19060
S 12° 15"
15.35'
/
LOT 2
AREA= 14~617 sq.fL
LOT 3
AREA = 15~ 151 sem.
AREA = 48,828 * sq. ft.
NOTE: Location of utilities from field
measures agd information from
COORDINATE DISTANCES ARE MEASURED
FROM U.S. COAST AND GEODETIC SURVEY
TRIANG U L ATION STATION "PROS"
LOCATION MAP
PLANNING BoAP-D
TOWN O~ $ouTHOLD _
MINOR SUB D{'VtS[ON PLAN
PLAN OF PROPERTY CONVEYED TO
ROBERT W. BROOKS
WINTHROP DR. ~ RESERVOIR RD.
FISHERS ISLAND, NEWYORK
SCALE:I "=40ft. CHANDLER, PALMER&KING
NORWICH ~ CONN.
OCTOBER 1979
ADDITIONS MARCH 1980