HomeMy WebLinkAboutZ-17517FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17517
Date NOVEMBER 15, 1988
THIS CERTIFIES that the buildin~
Location of Property 115 WALNUT STRF~.T
House No.
County Tax Map No. 1000 Section 142
Subdivision
ONE F~MILY DWELLING
MATTITUCK{ NEW YORK
Street
Block 01
Filed Map No.
Lot 0013
Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to APRIL 9{ 1957
Hamlet
pursuant to which
Certificate of Occ. #17517 dated NOVEMBER 15, 1988
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
VICTORIA TODRIEK
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/~
Building Inspector
Rev. 1/81
BUI~DI.',G DEPARTi. LENT
T0I'~I OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location ]]5 WALNUT STREET MATTITUCK, NEW YORK
(num0er & szreev) (Municipality)
Subdivision Map No. Lot(s)
Ns~me of Owner(s) VICTORIA TODRICK
Occupancy
A~mitted by:
'A' Residential Agricultural Zone
ype)
(owner-nenanV)
Accompanied by:
Key ~vailable
Suffolk Co. Tax No. 142-1-13
Source of request
Date
D%'fELLIMG:
Type of construction
Foundation 3/4 Brick
Total rooms, 1st. F1 3
Bathroom (s)
Porch, type FRONT
Breezeway.
Type Heat PROPANE
Fireplace(s)
Domestic hotwater PROPANE
Other MUDROOM ON SIDE ENTRY WAY.
WOOD FRAME
Cellar ~
2nd. Fi 2
Toilet room(s)
Deck, type Patio, type__
Garage Utility room
· Warm Air FLOOR HEATER Hotwater
NO. ~its 2 Airconditionin~
~ype heat'er
#sTories 2
Crawl space
3rd. FI
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
Location
Remarks:
Housing Code, Chapter 45N.Y. State Uniform Fire Prevention
& Buildin9 Code .
Descriotion I Art. l Sec.
The total square footage of the house is 964 square feet, including
front po~ch. House is in need of some repair and floor in kitchen
area needs worK.
Inspected by:
GARY FISH
Date of Insp. ]~/3/88
~Time start]:30 PM end ]:50 PM
FRANK TODRIEK
CONSENT
TO
INSPECTION
, the undersigned,
Owner~ Name(s)
do(es) hereby state:
That the undersigned (is) (~) the owner(-~ of the premises in the Town
of Southold located at Walnut Street, Mattituck, New York,
· which is shown and designated on the Su£folk
County tax map as District 1000, Section 142 , Block 01 , Lot 008
That the undersigned (has) (~) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following: __
Certificate of Occupancy for Pre-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, . including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary xvith 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 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: October ,~ , 1988
! ' ' (s~gnature) FRANK TODRIEK
· (~Fint name')
(signature)
(print name)
TOWN OF SOUTROLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE.~.~'/~.~.~.
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Property .... ~/..~. ...... .~.J.r~...~.~.~...
HOUSE NO. STREET HAMLET
........................
cou.~, ~ .~ ~o. ,ooo ~,o./.~A. ~o~ ..OL.. ~o~ '.~.~/~.
Subdivision ....................... ~ilea ~a~ ........
Permit ~o ........... ~ate of Permit .......... tpplicant ...................
~ealth ~ept. ~pproval .................. ~nder~riters lpproval ..............
Planning Board ~ppro~al
Request for Ie~porary Certificate ....... Final Certificate
r.~ s~i~a: 0./~9:92 ...........
,~~. ,~.~.'A ~ ............