The URL can be used to link to this page

Home My WebLink AboutZ-6900FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z69QQ...... Date ............ Feb ... 26 ........ 1 19.76. THIS CERTIFIES that the building located at ......$/A .M1,AVWQp. Ari -VA. Street Map No. Ft. WAgkt.. Block No. ZZ ....... Lot No. X3L ..Fiskors. I.slaaA ..FsX, ... . requIrments for one f!nly dwllaan conforms substantially to the DMIXOMMIxxx bntlt �texttfi .ate..ctt occupancy dated ..before. April -23.., 19.57. pursuant to which oy6$ww.. . dated ......... F.eb ... 26 ...., 1!9,6 , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ......................................... . The certificate is issued to . 449004.11..0"0..TT.�&.'AMO". f!9r. P%4"4. P.O. Moyes owner (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health ApprovalPrisre.740.14g.................... . UNDERWRITERS CERTIFICATE No. P"*-. 0Ast AS ............................. HOUSE NUMBER ....493M ..... Street ..... ifWthrvp, Drive ................... Building Inspecto FORM NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks Office 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 Inspector 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 installations, 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. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey • of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date February„24. 1976,,,,,,.,,,, New Building ................ Addition ................ Old or Pre-existing Building .X............. Vacant Land .............. Location Of Property ...North side Winthrop Drive, Fishers Island N. .. r.............a.............................. Owner Or Owners Of Property Miles Sinclair Whitener and Virginia M. Whitener, his wife ... ................. ........... .................................... Subdivision................................................................L.ot No............. Block No............. House 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 $ .. 5:.00 ......................... Construction on above described building and perm' s all appli regu bns. Applicant ... At ey or nsen Noyes, Jr. , as Trustee for Sworn to before me this Mildred Do thy Noyes o 0 .. 24th day of ......Februaxy,,...19�.6....... (stamp or sea[) 1 09 �1 Notary Public ........... Suffolk......,..., County /d - MARIE H. RAYNOR NOTARY PUBLIC, State of N@M, t8 E I/l�t , No. 52-4511908 Qualified in SUFFoIk Term Erplres N4arahCooney 30. 1977 �-- c /V_ gwA,S D . nN-� G U P%<AN-' - t THEE 1 11 G O 1...1 I SO UTP '' 11.1 A.0 C t:. MIIJIM TITLIEEE I fJ E W Y",' TITL.0 GUs>2,�.�TEE. � SAVItiIGS f3AN�. .NCI= WtTN THE �TA,NDAi�.DS FOc� 'Er5 o>= T H E STATE LAYJ,j7 7d C 1 A7 1 C) --1 NOTE: COOk-D i"A TAh1C F- m S Rize MEc.suKF-D 4. �_ :; U 5. C04ST AhtDGEOpCTIC �.,.-!., Y Tr,I,�tJGUL&Tto.; Tlo�i .I r 0" m Lo 'R N/ 1: L l L A W. Wl I -tilt= -SZ i�IlelG -z�• W. 1�4•g4 o'►'oq.,NMo�� N to 7 J/ I N 534 75�� 13o.�p' wsoZ4.G6 VJ.6z°-z1,m- WINT"F-iYOfl F 4 P�_A11_OF Q�p��TY To F5E <_.01.1VEYC? To FISHE t -,s 1 Lt�h!D •_ NES N� C>KK_ C"&"DLIE V, -I- PAL_MEP�, E_*1G sSS. __ n10t�VJ1c1-1, COrJ�I S�rTE MP„E i; _ZOO ill -7 L /t)eq,n IF- 14 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST.! SUB. LOT FORMER OWNER °E iT A ACR. S W TYPE OF BUILDING/ ./ Al zd 6,4 te ca 0� RES. SEAS. IVL. FARM COMM. CB. MISC. Mkt. Value I LAND IMP. TOTAL DATE REMARKS �17h' 7�yc AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre i Value Per Acre Value Tillable 1 'Tillable 2 Tillable 3 ,vVoodlond Swampland FRONTAGE ON WATER Brushland j FRONTAGE ON ROAD House Plot i DEPTH BULKHEAD Total i I DOCK