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