HomeMy WebLinkAboutZ-20403FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20403
Date DECEMBER 11~ 1991
THIS CERTIFIES that the building
Location of Property 660 PEQUASH AVENUE
House No.
County Tax Map No. 1000 Section 103
Subdivision
ONE FAMILY DW~JJ,ING
CUTCHOGUEr N.Y.
Street
Block 11 Lot 4
Filed Map No. Lot No.
Hamlet
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: A!~RIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-20403 dated DECEMBER 11~ 1991
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 WITH ACCESSORY GARAGE *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
WILLIAM J. BORKOWSKI
N/A
N/A
N/A
,/ //ui~ding Inspector
-UI~DI:.~ DEPAP, Ti-~NT
TO'.',?I OF SOUTI[OLD, N. Y.
HOUSii[G CODE IUSPECTION REPORT
Location
Subdivision
660 PE(~UASH AVEFOE
CUTCHOG~E~ NEW YORK
Hap NO. Lot(s)__
Nmme of Owner(s)
WILLIAM J. BORKOWSKI
Occupancy
Ad.mitred by:
ONE FANILY DWELLING
[type) "-
OWNER
OWNER
Accompanied by: SAME
Key ~vailabl e
Suffolk Co. To2c No. 103-11-4
Source of request WILLIAM WICK~AM, ATTY
Date DEC. 2, 1991
D%'~LLI~:
Type of construction
Foundation CEMENT BLOCK
Total rooms, 1st. F1
Bathroom(s) 2
Porch, t~Te
Breezewa~
Type Heat OIL
Fireplace(s)
Domestic hotwater
Other
5
WOOD FRAI~ ~ ,~-
~StO~ les
Cellar PA~T Crawl space.,
2nd. FI ,Std. FI
Toilet room(s)
Deck, type. Patio,
Garage Utility room
· Warm Air - - Hotwater xx
No. Fz{ii:s 2 Airconditicning
xX Type heater GAS (STREET)
tSrp e CONCRgTE
1
ACCESSORY STRUCTURES:
Garage, type const. F~4E Storage, type const.
Swimming pool Guest, type const.
Other B.P. ~1810 CO Z-1612 FOR ADDITION
V_IOLATIONS:
L~cation
.CILIPTER 45--N.Y. STATE UNIFORM FIRE PI~VENTION & BUILDING CODE
Descriotion Art.} Sec.
Remarks:
Inspected B~.~/.~ Date 'Of Insp. DEC. I0, 1991
~OMa~fj)'~/~I~NER 'Time start 1:55 end 2:20
TO~N OF SOUTNOLD
BUILDING DEPARTHENT
TOWN EALL
SOUTHOLD, NEW YOR~
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..X .... VACANT LAND ........
(HOUSE A~rD GARAGE)
660
Location of Property Pequash Avenue, Cutchogue
HOUSE NO. STREET NANLET
Owner or Owners of Property ..... .W~ll~aln.~s.~o;lcg~k~ ...........................
County Tax Hap No. lO00 Section .1O~,Q(L Block 0~1...00.. Lot .. pO~..0.0.0.
Subdivision .......................
Permit
Health
Planning
Filed Nap ........ Lot ..........
No ........... Date of Permit .......... Applicant ...................
Dept. Approval .................. Underwriters Approval ..............
Board Approval ................
Request for Temporary Certificate ....... Final Certificate ...... ~ .........
Fee Submitted:
$ .... t.o.o: .oo. ...........
William Wick~a~,~'~ef f~/z~Wi~i~m d/. Borkowski
IF YO~ HAVE AI~ QUESTIONS, PLEASE CALL HELEN AT 298-8353.
rev. 10/14/88
EVELYN JEANNE WOELKER
AT Ct./T~
TOWN OF SOUTHOLD
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