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1 .... .
FORINT NO: 4 a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of
i
Occupancy
Date .................. .. 2d....., 19.73 ,
THIS CERTIFIES that the building located at .. Xb-stph.a.l,ia.. Rd ....... Street
Map No. ..xx........ Block No.. Xx ......Lot No. ....Matti,tuojc...N,Y.
conforms substantially to the�������� ` � � � ��
code
built b,:fore � Qwa"Yo.
occurax�odated ......... � r?? . 13 195I . pursuant to which 2521.6 • • y
dated ........ Jun.e .20 ......., 19.7.3 . , 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 ...:rivate one . farni.l dwe ling ...........................................
The certificate is issued to . ? IP,9s ,fit, Je,Etnzlet,t ,,;dhit,��ri uwnFrs , , , . . , . , . , .
( owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . Rre,-existing ...................
UNDERWRITERS CERTIFICATE No. .p:rpn ,exist;ing
HOUSF NUMBER- 20.4.5 ...... Street. ...'Ves.tp4al.4 .did ............................. .
B�tcsc��t� cns t;o housing cad:....... .
1r Cellar enterance door needs repair 301a
2. A.1tc1:!en: no range or referigerator 531a
3. Rees enteranc e (vestibule) Jury-rigged ..�" ',�1
electric wireing 5288 Building Inspector
4. Zecond floor- no heat, to bedrooms &- bath
summer occupancy only 513a
YeAccessory bldg ( trage") siding steed repair 302b
1
HOUSING CODE INSPECTION
June 20, 1973
#2045 Westphalia Road
Mattituck, N.Y.
Tax Roll: Delros R. Whitman and wife
Unoccupied
Upon request of the Southold Town Building Department,
I made inspection of this two story framed dwelling and
found the following violations of Local Law #1, Housing
Code, Town of Southold. Upon instructions from Stanley
Waimey, Four Sails Realty, I let myself into building
through outside cellar entrance and began inspection at
approximately 10:15 a.m.
Cellar: Entrance door deteriorating - Section 301a.
FIRST FLOOR
Kitchen: No range, no refrigerator - Section 531a.
SECOND FLOOR - Three bedrooms, dressing room and one bath -
no heat supplied to these rooms - Section 513a.
Rear entrance to kitchen, (vestibule) outside light wired with
lamp cord and plugged into ceiling light socket in vestibule -
Section 528a.
Accessor Buildin Two car garage, rear of building - near
groun siding deteriorating - Section 302b.
Inspection completed at approximately 10:55 a.m. During
inspection of first floor a Mrs. Scaramucci arrived and
introduced herself as the purchaser and she accompanied me on
remainder of inspection.
Z==
d, .
Edward Hindermann
Building Inspector
EH:tle
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:
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.
Date ..June...............19, 197. 3
.....................
New Building .................... Old or Pre-existing Building ... ,Y...................... Vacant Land ............................
Location Of Property Westphalia Road, Mattitue,k% Y.
PY ............
Owner Or Owners Of Property Delos & Jeannette Whitman
PY.......................................................................................................................
Subdivision................................................................Lot No............. Block No............. House No.............
Permit No ..................... Date Of Permit ....................Applicant..................................................................
Health Dept. Approval ............................................Labor Dept. Approval ................................................
Underwriters Approval ..............................................Planning Boar ppro al ......................................
Request For Temporary Certificate ........................................ Fi I Certificot ... ..x ........ I ........................
Fee Submitted $ 5„ aQ...........................
Construction on above described building and permit s all op lic e c es d regulations.
Applicant ..............G"" "'1 lariiie'"as.a'Ei rri'e'...............
Sworn to before me this — 40 l i 13
........./J. day of ........4?.a......... (stamp or seaq Cl y � 5g�-16
Notary @ublie.................................... County j(C1ec.oj 7tf�tf 9�2
p
i6 R04 D
r+0w
Ala
NOTE:
;40NUMENT
0 . PIPE ,
SURVEY FOR
DELOS WHITMAN f� JEANNETTE WHITMAN
MATTITUCK
TOWN OF SOUTHOLD
GUARANTEED TO:
SUFF. CO. N.Y, DELOS R. a JEANNET" t
THE TITLE GUAUA TEf
U.S.A. FARBAERS {t0:5ti
ADMINI STHATIO;:.
SCALE : I"=40 T,•/%
JUNE 13, 19681
PRO FESSIO�F:?a�ECe G'dt� 5 ..,.`�
LAt7D SURV:YO�@,�3,dS�Cir
RIVERHEAD,N.Y