HomeMy WebLinkAboutZ-18437FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18437
Date OCTOBER 2~ 1989
THIS CERTIFIES that the building. ONE FAMILY DW~fJ.ING
Location of Property. 2405 MARRATOOKA ROAD
House No. Street
County Tax Map No. 1000 Section 123 Block 2 Lot 6
Subdivision Filed Map No. LOt No.
conforms substantially to the requirements for a private one family
dwelling built priont to: APRIL 9r 1957 pursuant to which
MATTITUCK~ N.Y.
Hamlet
CERTIFICATE OF OCC. #Z-18437 dated OCTOBER 2~ 1989
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 D~I~.INGWITH ACCESSORY GARAGE & SHED. *
The certificate is issued to WALTER & M. LORRAINE WILSH~MEN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
Rev. 1/81
Locaticn
Subdivision
BUiLDI'.'fG DEPAJ:,T?~?iT
TO'dM OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
2405 MARRATOOKA ROAD MATTITUCK, N.Y.
~n~,moer ~ s~ree~) ~].iunzczpa-'~y)
Map No. .Lot(s).
Name of Owner(s)
Occupancy
Ad_~i ~.~ ed by:__
Key ~vailabl e
WALTER & LORRAINE WILSHUSEN
ONE FAMILY DWELLING OWNER
~type) (owner-~enan~)
OWNER ....... : -Ac~:0mpanied b~: SAME
Suffolk Co. Tax No. 123-02-006
Source of request.
RIGRARD F. LAR~,'ATTY Date
9/28/89
DI'gLLING:
Type of construction FRAME #stories~ ONE
Foundation CEMENT BLOEK Cellar 40Z Crawl space
Total rooms, 1st. F1 4 2nd. F1 - - 3rd. F1 - -
Bathroom(s) ! Toilet room(s)
Porch, t~e Deck, type. ~atio,
Breezeway . Garage Utility room
Type Heat.. OIL Warm Air 1Es Hotwater
type flagstone
Fireplace(s). I No. ~cits 2 Airconditioning.
Domestic hotwater ~s ~ype heater ELECTRIC
Other has enclosed porch addition permit #5263Z/CO Z-5462
ACCESSORY STRUCTL~ES:
Garage, type const.
Swimming pool
Other
FRAME
Storage, type const..
Guest, type const.
V~/0LATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Descriotion
CELLAR STAIRS NEED RAILING
ELEc~Ic WATER ~R-k~E~S EXTENSION ON
~.~LECTRIC WIRE
Location
CELLAR
CELLAR
CELLAR
CELLAR
Remarks:
Inspected
FLOOR.
SECURE CHIMNEY CONNECTOR FROM OIL BURNER WITE
Art. t Sec.
}CH~"~PT. )F 1242.3d.
.lCl~,PT.{ F m243.8
CONNECTION CLAMP AND SET FIRMLY OMI {
NON COMbUSTIBlE, SUPPORTS.
Ii[AS l~'l-rl~R¥ OPERATED SMORE I~ETECTOR.
b~Date of Insp. OCTOBER 2, 1989
1243. lb.
TOWN OF SOUTDOLD
BUILDING DEFARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971~,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATgSe?~mber.. .. . ..25'.... 1989
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.~ .... UACANT LAND ........
Location of
Marratooka Road Mattituck
Property.~qq~
Douse NO.
Owner or Owners of
CoTnty Tax Map No.
~ubdivision .......................
Property ~%~K ~ilshusen an~ M. Lorraine W~shusen
I000 Section %%~.0Q. Block 9~09... Lot' 999:¥9...
Filed Map ........ Lot ..........
Permit No ........... Date of Permig .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .......
Final Certificate
X
$ 100 q0
Fee Submitted: .... % ..............
M. Lorralne W~lshusen
'4/88
,,957
M. LORRAINE WILSHUSEN
CONSENT
TO
INSPECTION
· the undersigned,
Owner(s) Name(Z)
do(es) hereby state:
That the undersigned (is) ~e/t~fe owner(s) of the premises in the Town
of Southold located at 2405 Marratooka Road, Mattituck, New York
· which is shox~n and designated on the Suffolk
County tax map as District 1000, Section 123.00, Block 02.00, Lot 006.000.
That the undersigned (has) ([~ filed, or caused to be filed, an applica-
tion in the Southold To~vn Building Inspector's Office for the folloxving: ~
Pre-existinq Certific~ate of Occupancy
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Sou~hold 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 to 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 [n 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: September 25, 1989
(signature)
M. Lorraine wilshusen
(print name)
(signature)
(print name)