HomeMy WebLinkAboutZ-18378FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPAiRTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18378
Date SEPTEMBER 19r 1989
THIS CERTIFIES that the building
Location of Property 5645 PEgUASH AVENUE
House No.
County Tax Map No. 1000 Section 110
Subdivision Filed Map No.
ONE FAMILY DWE. TJ.ING
CUTCHOGUE~ N.Y.
Street Hamlet
Block 06 Lot 02
Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9~ 1957 pursuant to which
CERTIFICATE OF OCC. #Z-18378 dated SEPTEMBER 19~ 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 DWR. TJ.ING WITH ACCESSORY 2 CAR GARAGEWIHT
DIRT FLOOR *
The certificate is issued to
of the aforesaid building.
JOAN R. HEARN
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT
Building Inspector
Rev. 1/81
Location
BUILDI?IG DEPART[.LE~jT
TOVfN OF SOUTHOLD, N. Y.
HOUSING coDJ INSPECTION REPORT
5645 PEQUASH AVE.
CUTCHOGUE, N.Y.
[numoer & streez)
Subdivision
Nmme of Owner(s)
Occupancy R-40 RES.
(type)
A~mitted by: HELEN HEARN JONES
Key available
Source of request
JOAN R. HEARN
Map No.
(Municipal±tM
Lot<s>
owNER
owner-venanv)
Accompanied by:
Suffolk Co. Tax No.
JOHN W. HEARN' Date
!!0-6-2
9/12/89
D~LLIMG:
Type of construction
Foundation CEMENT
Total rooms, 1st. F1
WOOD FRAME
#sTories
Cellar ~ Crawl space
2nd. F1 i 3rd. F1
Bat~hroo~s~.. _. I BATH Toilet room(s)
Porch, typeENCLOSED FRONT Deck, type Patio, type
Breezeway Garage Utility room
Type Heat 'Warm Air Hotwater
Fireplace(s) Ist FLOOR No. F~its 2 Aircondition~ng
Domestic hotwater ELECTRIC Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. 2 CAR WIT~ DIHT Storage, type const.
Swimming pool FLOOR
Guest, type const.
Other
VIOLATIOMS:
Location
.C~APTER 45--N.Y. STATE UNIFO~ FIR~ PREVENTION & BUILDING CODE
Descriotion I Art. l Sec.
Remarks: HOU~ GOOD CONDITION
Inspected by: ~.,/~6Z,~
Date of Insp. 9/15/1989
· Time start 9:30 end 10:50
TOtJN OF SOUT[IOLD
BU[LDING DEPART.~IENT
Tot~H I]ALL
$OuTDOLD, NEU YOI[~
765 - 1802
11971
BLDG. DEPT, ---
TOWN OF SOUTHOU~
APPLICATION FOR CERTIFICATE OF OCcuPANCy
Subdivi:
........... Da~e of Permit
~eal~h Dept. Approval
P~ann~n~ DOard APproval
....... OLD OR
· PRE-EXISTING BUILDING ~ -____ __ '
~.o~:~o= o~ ~,~.~:. ~ . ...... ~,,,,~ ~,,~ ........
~ '~Ljr .......
...... ~ ~
Filed Hap ........ Lot ..........
.......... Appticaot
Underur£ters Approval
Requc:: for Temporary Certificate . '"
...... Final Certificate
Fee Submitted: $.
er. i0/14/88
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
County tax map as District 1000, Section
· which is shown and designated on the Suffolk
· Block , Lot
That the undersigned (has) (have) filed, or caused to be filed· an applica~
tion in the Southold Town Building Inspector's Office for the following:
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 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 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.
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