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HomeMy WebLinkAboutZ-9399TOWN OF SOUTHOLD BUH.nlNG DEPARTMENT Town Clerk's Office So,ti,old, lq. ¥. CertifiCate Occupancy No. Z9~99 Date Sanua.rx. 19 19..7.9. THIS CERTIFIES that the building located at .~.~'.e.s.t...S.t.....&..B.e.1..1...H~.l..1..A.v~x Map No ............. Block No ........... Lot No .................................. REQUll~I~II~ITS FOR ONE FAMILY DW~3.~NG BIYILT PRIOR TO conforms substanti~ly to the ~- '-- ~--'J'- - "-- '~ _~-=_-'---' ~-'-'.-: '- --':.'---~.--I:x Ct~TIFICATE OF OCCUPANCY dated ....ApEi.1....2.3. ........ , 19.5.7.. pursuant to which ~~llt~No.. Z9}99. dated ....J.a~u...a~ .... .19 ...... , 19..79, was issued, and conforms to a~ of the require~ merits of the appUcable provisions of the law. The occupancy for which thl, certificate is issued is ..... P~.iv~.te. 0r~e .F~ilY. ~],],$1~g .................................. The certificate is issued to ........... Ch~lDa .~..CliO. $~tille..F.~?.t.n.g.~.o.n. ......... (owner, ~~nt) of the aforesaid building. Suffolk County Department of Health Approval .......... .~..e.-..Ex..i.s.t..i.n.g. ........... Pre-Existing UNDERWRITERS CERTIFICATE No ............................................. HOUSE NUMBER .............. Street .. West Street & Bell Hill Ave Fishers Island BttUdi-g T~.~I~-~or Coun'by Tax Number 1000-9-~-6 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 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 ........................ New Building ............. Old or Pre-existing Building × Vacant Land Location of Property ....F.i.s..h.e.r. '. s...I.s.l.a..n.d ...... .~..6~..7'...5'.?/. .~'.. ~.~-.~.~..~./.&./T...~..~?'. ......... House No. Street Hamlet Owner or Owners of Property . .C.h.a.r..l.e.s..a..n.d..C.h..r.i.s.t.i..n.e..F.a..r.r.i,n.g..t.o.n. .................... County Tax Map No. 1000 Section 9 Block 4 Lot i Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .~.'.~..~ ........................ C°nstructi°n °n ab°va described building ar~J Pg~mit/mlY~s all applicable c°des and regulati'°nS'Applicant (/:~. "~" '-"-?' '/'' '~J~ ~''torne'~' ' '~" ' '~' '~~ '~~' ...... C. Alan Redd~, ~s At y for ~ Charles and Christine Farrington ' ~1~'~)~ Rev. 10-10-78 NOTE: Coordinate dBtances are measured from U.S, Coast and G~_detlc Survey Tri- angulation Sk~ion PROS Parcel $ T,O BE CONV£YED BY HOWARD ANN F£RGU$ON TO CHAt?£ES ~ CHRISTINE PARBINGTON 0.90 ~ Acre~ OUARANTKEO TO CHAt?LES 8 CHRIST/NE FARRINGTON AND TO TH~ TITL~ ~ABAN~EE COMPANy IN ACCORDANCE WITH ~ MINIMUM TIT/_ ~ ~g~OCIATION, TiTLE No. 12910GI Parcel I I. 21 =~ Acres S 87°O7'50"j'v / >1 / I /, I ,,, 0.27 ~Acres dweth}~9 -fence i~Oo PI. AN OF PROPERTY OF' CH~.R£ES ~ C!IR/~TIIVE FARRINGTOIV SALES RENTALS APPRAISALS PROPERTY MANAGEMENT W. GORDON AHMAN LICENSED REAL ESTATE BROKER P, O. Box 314 Fishers Island, New York 06390 January 16, 1979 (516) 788-7448 Nr. Frederic L. Atwood Pelletreuce and Pelletreuce 20 Church Street Pachog~e, New York 11772 Re, Farrington Property Fishers Island, New York Dear Mr. Atwood, I, W. Gordon Ahman, being duly sworn, do state that I have been familiar with the above property since I949. Until the present date, the property has been owned by Howard Ferguson, Cass Canfield, Jr. and Charles Farrington since I arrived on Fishers Island in 1949. The property has always been well maintained by all owners during these thirty years and has always been used as a single family dwelling. It is a wood shingled, wood frame construction with oil fired furnace and combination storm and screen windows and all in good condition. Very truly yours, W. Gordon Ahman State of New York County of Suffolk Sworn to before me this of January, 1979. Not~O Public ~tI~C'Y' ~..n. HMAN day ASSOCIATES