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HomeMy WebLinkAboutZ-22880FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22880 Date FEBRUARY 23, 1994 THIS CERTIFIES that the building Location of Property WINTHROP DRIVE House No. County Tax Map No. 1000 Section 9 Subdivision ONE FAMILY DWELLING FISHERS ISLAND, NEW YORK Street Hamlet Block 10 Filed Map No. Lot 8 Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22880 dated FEBRUARY 23, 1994 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 ONE FAMILY DWELLING * The certificate is issued to CAROL O. RIDGWAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A ~ilding Inspector Rev. 1/81 LOCATION: BUILDING DE I'A Rir}~ENT ToWN OF SOUTIIOLD {lOUSING CODE INSPECTION REPORT WINTHROP DRI~E (number & strce[) FISHERS ISLAND, N.Y. (muniCipality SUBDIVISION NAME OF OWNER ($) CAROL O. RID~WAY OCCUPANCY SINGLE FAMILY RESIDENCE MAI' NO. LOT (:;) OW~,.:.K (type) BAGLE¥ REID ADMI-i-rLD BY: KEY AVAILARLE SOUr, C;- OF REQUEST: OWNER (OWner-tenant) ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000-9-10-8 DATE: DI/ELLING: TY?E OF CONSTRUCTION FOUNDATION STONE WOOD FRAME/EXT. BRICK TOT/~L ROOMS: JST FLR. BATHROOM (s) 2 PORCH TYPE OPEN WOOD BREEZEWAY D0}~STIC HO~&XTER . XX TYPE {IEAT O~IER: '4 2ND FLR. TOILET ROOM (s) DECK, TYI~E FIREPI.ACE TYPE HEATER WARM AIR 2 ~ STORIES CELLAR FULL 4 3RD FLR. OiL FIRED EXITS CRAWL-SPACE UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING HO~{ATER ACCESSORY STRUCTURES: C,'JU~GE, TYPE OF CONST.~ S~ING POOL O~R: NONE · STORAGE, T~PE CONST. · GUEST, TYFE C0NST. VIOI~%TIONS: CItAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE 'iOCAT I 0N DESCRIPTION ,ART.' SEC. REMARKS: INSPECTED BY: ROS T DATE ON INSPECTION TIME START FEB. 17, 1994 ENIJ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... J..a.~.u.~y.../~. ~..1.9.9..4 ................. New Construction ........... Old Or Pre-existing Building... ~ ............ Location of Property ...................... .~D.t.~p..D.r.~¥.e ............... F..i.s.h.e.r..s..I.s.l.a..~.d... House No. Street Hamlet Onwer or Owners of Property ....... .C.~p~..Q, .~tj.~g~f~y. ....................................... County Ta~ Map No 1000, Section .... 00~i-.QO...Block ..... ~.0...Q0 ..... Lot ..... .O.0.S. ~ .Opp. ........ Subdivision .................................... Filed Map ............ Lot ...................... Permit No .... ~/A ........ Date Of Permit.. N/A .Applicant S~pben L. Ham~ III Health Dept. Approval .......... ~/A ............ Underwriters Approval ..... ~ ................. Planning Board Approval ........ ~/A ............ Request for: Temporary Certificate ........... Final Certicate...~ ...... Fee Submitted: $....!0.q:PP ...... · .............. · -c¢-~c. (~~) ~'¢S ' ........,am, Ltca~r ~ONSI:~NT TO INS P P.c'rION CAROL 0. RIDGWAY · the undersigned, O~tmer(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Tovm of Southold located at Winthrop Drive',' Fishers' Island , which is shown and designated on the Suffolk County tax map as District 1000, Section 9' , Block 10 · Lot 8 · That the undersigned (has) (have) filed, or caused to be ~filed, an applica- tion in the South01d Tox~m IBuilding Inspector's Office for the f'ollowing: __ ... ~ertificate of Occupancy for.pre-existing,dwelling That the u~dersigncd 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 fo 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 ma~ be used as evidence in subsequent prosecutions for vio- lations of the laws, Ordinances, rules or reg-alations or the Town or Southold. Dated.'_ .January ~~ '1994 Carol O. Ridgwax {print name) (signature) (print name) FENCE ENCRO~T~ WINTHROP DRIVE N/F MARTIN J. SCOTT ET-AL UTILITIES '~ POlE S92 SEWER LINE AREA = 0.56+/- ACRES 80.20' N 62°2i'0©'' E N/F ANT®N 8 ANNE MARIE BUSSMAN GUARANTEED TO: TICOR TITLE GUARANTEE: COMPANY~ ULSTER SAVINGS BANK, MICHAEL C. CRUP/ ~ TEtrC~Y BECK CRUP/ IN ,aCCORDANCE WITH ~ MIN- IMUM STANDARDS FOR 7~fTLE SURVEYS OF THE NEW YORK ST,aTE L,aND TITLE ,4SSOC- IATION. NOTE: COORDINATE DISTANCES ARE ME~,SURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS". r ~.~N 615.57' I~ W 4766.85' . SEVER MANI.IOLE ~ ~) MONUMENT (FOUND) NOTE: SITE IS LOCATED IN THE COUNTY OF SUFFOLK~ TOWN OF SOUTHOLD, DISTRICT I000~ SECTION 009, BLOCK I0) LOT 8. SURVEY MAP PREPARED FOR MICHAEL C. CRUPI TERRY BE CK CRUPI WINTHROP DRIVE FISHERS ISLAND, NEW YORK ~,~1~..~ I" = 40' I~'1'~ JANUARY 14, 1994 CHANDLEIII. PAI,..M£1~t *1~ KIN(3