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Home My WebLink AboutZ-9210!~0~,~ NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No....z92.!0. .... Date ...S..ep.'c..em.b..e.r...1.~ .......... ,197.8.. THIS CERTIFIES that the building located at 3.!#0..G?.e..a.'c..P.e..cg.n.l.q' .B.a~..~I~ Blvd. Map No ............. Block No ........... Lot No .................................. REQUIPd~TS FOR ONE FAMILY DW~ING BUILT PRIOR TO conforms substantially to the ' ' ' ' C~TIFICATE OF OCCUPANCY dated ...S .ep.'c.em.l?.e.r...~.~ ..... , 19..7.8., was issued, and conforms to aU of the requLre- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to ......... .D.q .r.~.s..C..a.rp.e.n..'c.e.r. ............................ (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval PRE-EXISTING UNDERWRITERS CERTIFICATE No. PRE-EXISTING, HOUSE NUMBER 51/40 Street ......... : ............................... .............. Great Pecon±c Bay B]/~. d. Laurel, New York_/ Building/Inspector Housing Code Inspection September 13, 1978 3140 Great Peconic Bay Blvd. Laurel, New York Tax Roll: occupied: Doris Carpenter owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the buildings on the above captioned premises. I.was admitted to dwelling by Mr. & Mrs. Carpenter and began this inspection at approximately 1:30 P.M. The dwelling is a wood frame one story structure constructed on a cement block foundation. Ground floor contains a dining room, kitchen, living room, a rear entry vestibule, two full bathrooms, two bedrooms and a jalousie enclosed porch. Heat is furnished to all rooms from a gas fired forced warm air furnace located in partial cellar. Hotwater is furnished to all plumbing fixtures within the building from a gas hotwater heater located in the cellar. An accessory structure located in the rear yard area is a wood framed building constructed on a concrete slab. This building has been partitioned to provide a two car storage space, a workshop and two dressing rooms. I found no violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y.. Inspection completed at approximate~!y 1: 45 P.M. Re S~c t f~u~l//~submitt ed,// Building Inspector FORM NO. 6 TOWN OF SOUTHOLD 0 BufJdJng Depofl'meat Town (::Jerks Office Saul'hold, N, ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of oll buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Cede compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic featu~s. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ................ Addition ................ Old or Pre-existing Building .....X. .......... Vacant Land .............. Location Of Property ....... ..S9..u...~...e...a~...t~...r..~.~.~..d..~...Q~D~.~`~D~.~/~]~%~d~L~Lre~`~~N.Y. Owner Or Owners Of Property ....... ..[~..~.S...~ ................................................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No.....~..iL. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate ..................... X ................... Fee Submitted $ .~., Q.0. ..................... ~~~~ Construction on e described building and regulations. p,,cant .............................. Sworn to before me this . .Z. ~.~17.. ....... day of ......... ~f~-~ ................. ry Public .~! ....... ..~...~..f..o...Lk.~.. .......... County or pow sq. ft. formerly 403.~4 Harry C. young