HomeMy WebLinkAboutZ-22880 FORM 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 ONE FAMILY DWELLING
Location of Property WINTHROP DRIVE FISHERS ISLAND, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 9 Block 10 Lot 8
Subdivision Filed Map No. 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 0. RIDGWAY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
-wilding Inspector
Rev. 1/81
BUILDING DEPART:IENT
TOWN OF SOU-nIOLD
ROUSING CODE INSPECTION ItEPORT
LOCATION- WINTHROP DRIVE FISHERS ISLAND, -N.Y. .
number & street) municipality
SUBDIVISION MAP N0.
LOT (;)
NAME OF OWNER (s) CAROL 0. RIDGWAY
OCCUPANCY SINGLE FAMILY RESIDENCE p
(type
ADaITTED BY: . BAGLEY REID (owner-tenant).
ACCOMPANIED By:
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-9-10-8 .
SOUr,CZ OF REQUEST: OWNER
DATE:
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME/EXT. BRICK # STORIES 2 4
# ESITS
FOUNDATION STONE CELLAR FULL
CRAWL SPACE
TOTAL ROOMS: 1ST FLR_ 4 2ND FLR. 4 3RD FLR.
BATHROOM (s) 2 TOILET ROOM (s) 1 UTILITY ROOM
PORCH TYPE OPEN WOOD DECK, TYPE
PATIO, TYPE
BREEZEWAY FIREPLACE GARAGE.
DOPtESTIC IIOTjaATER xxTYPE HEATER ' OIL FIRED AIRCONDITIONING
TYPE HEAT WARM AIR
OTHER: HOTWATER XX
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST. STORAGE, TYPE ,CONST.
SWULMING POOL GUEST.- TYPE CON ST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y.. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION
DIRT. SEC_
REMARKS: `= -
INSPECTED BY: ROBERT WALL DATE ON INSPECTION FEB. 17, 1994'
.
TIME START END
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR-CERTIFICATE OF OCCUPANCY
A. 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'-'pre-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 . . . .January„ . . . . . . . . . . . . . . . . .
New Construction. . . . . .. . . . . Old Or Pre-existing Building. . . Y . . . . . . . . . . . .
Location of Property, . . . . . . . . . . . . . . . . . . . .Wiptlji;gp, i:iye, , , , , , , , , , , , , , ,Fishers, Island. . .
House No. Street Hamlet . . . . .
Onwer or Owners of Property. . . . . . . .C,j-1;Q�, .0,; ,FZ�dgway, , , , , , , , ,
County Tad Map No 1000, Section. . . .QQ9.•OQ. . .Block. . . . . 10.•.QQ. . . . .Lot. . . . . 008 ;000 . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . ... . . ... . . . . .
Permit No. . . .VIA . . . . . . . .Date Of Permit. . . .N/A . . . . . . . .Applicant. tQphen,
Health Dept. Approval. . . . . . ... . .VIA . . . . . . . . . . . .Underwriters Approval. . . . .N/A. . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . .VIA . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . X . . . . . .
Fee Submitted: $, , ; 100 ;00. , , . . . . . . . . . . . . . .
. APPLICANT .
CONSENT ,
TO
INSPECTION
CAROL 0. RIDGWAY
UUMer(s) Names) the undersigned,
do(es) hereby state:
That the undersigned (is) (are) the owners) of the premises in the To
of Southold located at '
Winthro Drive, Fishers Island
'Which is shown and designated on the Suffolk
County tali map as District 1000, Section
9 Block-moo, Lot g .
That the has undersigned g (has) (have) filed, 'or caused to be : iled, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy for re-existing, dwelling
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, includin
g
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises. comply with all of the laws, ordinance
p, 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 may be used as evidence. in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of
Southold.
Dated: January 1 94 '� iu(s �nat )
Carol 0. Rid wa
(print name)
(signature)
(print name)
NOTE:
COORDINATE DISTANCES ARE MEASURED
WINTHROP DRI-VE FROM U.S. COAST AND GEODETIC SURVEY
TRIANGULATION STATION "PROS".
DRILL _ DRILL
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NOTE:
SITE IS LOCATED IN THE COUNTY OF
80.20 MONUMENT SUFFOLK, TOWN OF SOUTHOLD, DISTRICT
N 62°21 00 E (FOUND) 1000, SECTION 009, BLOCK 10, LOT 8.
NIF
I ANTON & I
MARTIN J. SCOTT I gNNE MARIE
ET-AL BUSSMAN ?+ ;,. FEB I J I` `.',!'i.
,i
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OF NCW 1
�R�o ° SURVEY MAP
CO
� ,' ,I PREPARED FOR
VI
M I C H A EL C. CRUPI
a
TERRY BECK CRUPI
WINTHROP DRIVE
GUARANTEED TO: FISHERS ISLAND, NEW YORK
TICOR TITLE GUARANTEE COMPANY, ULSTER dGA�.Ci III = 401
VA'Re JANUARY 14, 1994
SAVINGS BANK, MICHAEL C. CRUPI & TER4Y
BECK CRUPI IN ACCORDANCE WITH TI-E MIN-
IMUM STANDARDS FOR TITLE SURVEYS OF
THE NEW YORK STATE LAND TITLE ASSOC-
IATION. i `lIN =
Architects. En gineere and Surveyors
— m "o mwWAY NORMCK CT 06360 203--EEY-3397 FAX 203-886-79M