HomeMy WebLinkAboutZ-4563FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Date ............ Feb. ·. 22 ...... , 19 .~2 ·
THIS CERTIFIES that the building located at 8.~ 'Fo 'An .............. Street
Map No.~ ......... Block No. ~ ...... Lot No.. ][~][.. J~ohor8. X*la~l.g..N.]~-. ·
~ r · t f f 1 el
conforms substantially to the ~$~,~~~I~~~1'0~
~..~. ~ ......... , ~g.~. ~u~uant to w~~.~..~
dated . .. ~8~.. ~ ..... , lg.~., was issued, and conforms to all of the require-
, ~, H~g c~e ,.,
ments of the applicable provisions of the law. 'z'ne occupancy Ior wmen this certificate is
issued is ... Private 'one .fami'l?' dwelling .....................................
The certificate is issued to Ig~tl~- & &l~ee. P.,-.Ruthe~,f~l'~ .......... O~ers...
(owner, lessee 'or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .P. Te. existing, approval. & .l~olic water
This dwelling pre.existed zoning regulations, and m(~ets all present
....... .......
'' Building ~ ' '
X
IN THE MATTER OF
the Conveyance of Premises on
Fox Avenue, Fishers Island, Town
of Southold, County of Suffolk
and State of New York by The
ESTATE OF MILDRED E. ANDREWS,
and Irving K. Van Riper to
WINTHR0'P & ALICE POLK RUTHERFURD
X
STATE OF NEW YORK )
COUNTY OF SUFFOLK )
Ss
AFFIDAVIT
I, PHILIP B. MATTHEWS, having been duly sworn, do
depose and say:
I am over the age of twenty one (21) years and now
reside in the Village and Town of Southampton, County of Suffolk
and State of New York.
I am an Attorney and Counsellor at Law, duly admitted
to practice before all the Courts in the State of New York and
presently maintain offices at 45 Hampton Road, Southampton, New
York.
I have been familiar with the above mentioned property
for over ten (10) years last past.
The same consists of two (2) parcels of land, one
containing 1.14 acres which was obtained by Edmund R. Andrews,
Mildred E. Andrews and Irving K. Van Riper by Deed of the County
of Suffolk on September 20, 1946 and recorded in the Suffolk
County Clerk's office in Liber 2581, of Deeds at page 512.
Thereafter, the .23 acre parcel which adjoins the 1.14
acre parcel was obtained from Fishers Island Farms, Inc. by Deed
dated September 23, 1952 and recorded in the Suffolk County
Clerk's office in Liber 3418 at page 588 on the 8th day of
October, 1952.
At this time, all buildings shown on the survey
submitted herewith were in existence, and therfore, pre-existed
the adoption of zoning ordinance in the Town of Southold.
This Affidavit is made by me rather than Irving K.
Van Riper or Mildred E. Andrews in that Mildred E. Andrews is
now deceased and Irving K. Van Riper is the Executor of her
Estate, however, he resides in the State of California and is
not readily available to furnish this Affidavit.
I have represented Mildred E. Andrews in connection
with this property and I am presently representing her Estate
in connection with Ancillary proceedings and the sale of subject
premises and I am therefore, thoroughly a~cqu~2~nted with the past
history. ~~ ~//~f z
me~~/~.2' /~ :/
~ '~ ~ ~ot~ry Public ~
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 triplicate 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:
I. 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.
Date ...F.c. bz'.u,~.v.y....~.f......%~..?.R ....
New Building .................... Old or Pre-existing Building ...........~. ................ Vacant Land ............................
Location Of Property ..... ~A~M~e~p~e~?~'~e~T~S~S~d~~ ........................................
Owner Or Owners Of Property ...... .E...s.~..~.~.e.....o..~...~..J:..Z..c~:.z7..9..c1:....E..:....A...~..d...~..e..~...~....~g~....Z..~.$.~...~.:....~.. Riper
Subdivision ................... .Z..-.Z ...................................... Lot No....Z..'~ ..... Block No....q.Z ...... House No......-..~ ....
Permit No. ?.?..e..T:.e..~.'. .... Date Of Permit ..~.zT..e..-..e..~.:..Applicant ..................................................................
Health Dept. Approval ...... ~.~.e...-..e...~.~9..'g.~..~.~ ......... Labor Dept. Approval .............~.z2..e..~.e...x..$..s.~.~.~.J~ ......
Underwriters Approval ...........~.e...~. ............................ Planning Board Approval ..... ~?...e..-?..~.J;..~.~.~..~. ......
Request For Temporary Certificate ........................................ Final Certificate ................. .~. .......................
Fee Submitted $ ......... .~. :. .0. . .0. ..................
Construction on above described building and permit me,ts all applic,abl~._cgeles and regulations.
Applica nt B'¥ ......... ~,r~ ...... ~-6~,r~r. x~'~,ee~,e,¢ ............................
Sworn to before me this /A~6orn~y /
...... .~.~.'g...~.. day of ...... ?...e..b..]Z.q.~.~.~'.~....1.~..7. ..2.-.../~~//~.~ (stamp or seal)
.otor Pub,,c ........... ........