HomeMy WebLinkAboutZ-24050FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
P~E ~XISTING
~KTIFICATE OF OCCupANCY
No Z-24050
Date NOVEMBER 28, 1995
THIS CERTIFIES that the building ON~ FAMILY DWELLING
Location of Propert~ 475 PACIFIC STR~T MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 141 Block 4 Lot 16
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-24050 dated NOVEMBER 28~ 1995
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 & ACCESSORY GARAGE *
The certificate is issued to EDWARD & BERTHA WILC~NSKI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTA~D INSPECTION RMPORT.
Inspector
Rev. 1/81
]~111 I.I)[ Il(; IIEI'A
'l'()~ll OF ,';(IIITIIOI.II
IIOILq l It{; (:O1)1': ] tis I'E(:T l ON IIl~l'Ol{'['
I.O(:AT l()~: 475 PACIFIC ST~ET ~TTI~, ~E~ ~O~
~;lllll) l V 1S IO[~ HAl' HO. I.OT(s)
AI)[~['I'i'EI} I~Y: ED~A~ ~ILCENSKI A(:(:()Ifl'A[Ill~I} I[Y:
EDWARD & BER~ ~ILCENSKI
S()IIII(:E OF III~([.JEST: ............................... i}A'I'E: NOV. 17, 1995
I}11[~ 1.1, ] N(,.
· I~[I~-(~j?~ONS'i'iiIiCTiOtl ~D F~ I S'['OIUI~S 2 I EXITS
BRICK & CE14ENT BLOCK
IS'l' FI.ti.
2 FULL TO! I,ET l(OOH (
~AR ENCLOSED III~(;K, TYPE
V l l(lfil'l.ACg
(:1£ I.I.A P, PARTIAL (;IIA~/I. .q I;ACI~
2 3l~l) lq,lt.
UTII,ITY I~OOH
['ATI O CENENT
GAl(ACE
YES TY I'l~ i II'~ A'I'I;, It
~4AIIH A1 II
OIL A I H(;()NI} IT ION ] fl(;
i iO'l~/A-f i,: I~,' XX
AC(:I~S SOIIY S'l'l~ll(:'l'lJIgl£ S:
C^R^(;I£, '1'¥1'l£ O1: (:()NS'I'. I CAK gITH ATTAC[I~D S'I'OII^(;I~, T¥1'I':
SLOOP
~YI[I~IIIt(; fool, , ¢;UI£ST, T¥1'l£ C,()~S'I'.
CEI~[ENT BLOCK IRRIGATION PIT
VIOI,A'I'IO[;[S: (:IIAI"I'I£1[ 45 I'I.Y. S'I'^TI£ UNIFOHH FII~,IC I'IIF, VICN'I'IOIJ & llUII,I}ING COl)lC
I,OCAT lOt! DE SCI~.I l"l'l O[I AI~,T. SEC.
I~i;.~I^IIK,S: BP 14692Z-CO Z-5745 - ADD TO ACCY - BP #7930Z-CO Z-6869 ADD -
1995
12:05
I
~ o _.9.
<~
~l/lOVd
CON~
of the Town er $0uthold to ent~ ~pon the above deuat'P~ed pr?percy, ivt¢ludtnR
to 4~t~rmthe tl~t im~! pr,tmi~e, comply w/th ~l. of the '-awe.
lad r~Rul~tlon4 of tb~ Town o£ S~tthoid.
~uowl(td[e alii u,durstandit]~( thlt tny I~form~ton obtained in Uw eOtKluct c,t'
(l)ri~ name) '