HomeMy WebLinkAboutZ-6765FORM NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.Date 6 7 6 5 N l/.. Jr.. ,
.. ...................... 19
THIS CERTIFIES that the building located at ..... S'C'R.. H 50N RAD
.................... Street
Map No ............. Block No........... Lot No. ......... SU V T H
P......
'RE61UjR E l9ENt% FUR ONE FAnvf DWQLL►NG- AT-10H)a&Nbo- CU
conforms substantially to the
$UILT $[roRE 4-!20CE'RT#P�cATC OP OeeUPAPIC�f
dated .............A�R...... 19.57 pursuant to which 13ME1111 f IIIii No.. Z 67 6 5
~�
dated ...........��... ., 19-7!?., 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 A .... TTIYA-I E.... 0NL..FAM�L(W- .LLI1G-
...�...............
.I........
The certificate is issued to .... F E L I X I?OSS PA L M !:R1
.......................................
( owner, V1 VL '�x-u7
of the aforesaid building.
Suffolk County Department of Health Approval ... �? E - C X �'r� ►� �r-
UNDERWRITERS CERTIFICATE No. ........P TC. L . - x' S T� N G .-
.............. ...............
HOUSE NUMBER ...... � :S5 7 P Street .. S "T R O B S� n� 1? 0 R i�
.................................
C u- C 40 6-U 1;
............... I ................................................................
Building Inspector
I
HOUSING CODE INSPECTION
November 3, 1975
1370 Strohson Road R-1
Cutchogue N.Y.
Tax Roll: Felix Ross Palmeri
Occupied, Owner
Upon request of the office of Wickham & Lark, P.C., Mattituck,
New York, for a Pre -Existing Certificate of Occupancy, I made
an inspection of this one story framed dwelling. I was ad-
mitted to building by Mr. John Walsh who accompanied me during
this inspection which began at approximately 2:10 P.M.
The building is constructed on a cement block foundation
and has two bedrooms, full bathroom, living room, dining room
and kitchen.
Heat is furnished to all rooms from an oil fired hot
water furnace located in full cellar. A two car garage is
attached to building by an enclosed breezeway.
The following violations of The Housing Code, Chapter 52,
Town of Southold, were found:
Entrances - No means of controlling lights in room
at points of entry. Article V, Section
52-56 B.2.
Building and grounds are in good condition. Inspection
completed at approximately 2:25 P.M.
Rpectfu ly submitted,
EH:mm dw r Hindermann
Building Inspector
1
i=ori-rlerlY Mary Wetter
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`N4AP:.4F PROPERTY
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DR. P"EL.IX'- ROSS- PALMSRI
_ + PECC7N IC
a _ cane.. hrfonure4eref
-Su.FFoLK Co.,- N.Y.
Guaranteed
to Inter -County -ritfe' GuarC t�t+
Mortj4je:Co.
as surveyed.Oct. ig,196z...-
SCALE: SO'=t" Orro W. VAN TuYL SON
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Licensed LanJ Surveyors
Greenport, N. Y.
TrrLE I,Lo. S-14IS38
roa-a xo. s
TOWN OF SOUTHOLD
Building t7epartrn eet
Town Clerks Of fire
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
instructio"s
A. This application must be filled in typewriter OF 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.
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 .,November 3, 1975
New Building .. Old or Pre-existing Building ......... X ................ Vacant Land ............................
Location Of Property ..R�S, Strohson. Road, Cutehogue, New .York .
Owner Or Owners Of Property ..Felix »Ross Palmeri .. .................
Subdivision ............ ................................... .. Lot No............. Block No............. House No.............
Permit No ..................... Date Of Permit ..................Applicant .............................................................
HealthDept Approval ............................................Labor Dept. Approval ...............................................
Underwriters Approval ..............................................Planning Board Approval ........................................
Request For Temporary Certificate .... :................................... Final Certificate ......X ..................................
Fee Submitted $ 5 .fld..................
Construction on above described building and permi le a regulations.
Applicant........................................................
Sworn to before me this '75 60Z (0 63
.... 3rd day ofAgXfe. .err...1975 (stamp or seas)
Notary Public ... S� a.k................. County
—�'"'— TERRI LEE ELAK
NOTARY PUBLIC, State of New York
No. 52-6163295
Qualified in Suffolk County
Commission Expires March 30, 19 —74
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